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1055 Hummingbird LaneCITY OF EAGAN Remarks Addition Lexington PlacP Gouth - Loc Street 1055 ummingbird *__ _ State Eagan, MMldl Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. STREET RESTOR. GRADING SAN SEW TRUNK ? SEWER LATERAL 101 1 1986 16 3 1. 0 ; 3 2 6. 2 0 5 ervic 101 1986 729.39 145.87 5 WATERMAIN y ! - ? WATER LATERAL 101 1986 8 7 3. 43 i 7 4. 6 8 5 WATER AREA 0 9 243. 73 48 . 74 5 0 1986 111.9 22.39 5 STORMSEWTRK 10111 1986 426.54 85.,g 5 STORM SEW LAT 1019 1986 803 . 34 50 66 S . 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN g f,? . `? 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 i'•; ? 11 g? 1 • BUILDING PERMIT - PHONE: 454-8100 Receipt # . Tobeusedtor - •???`-%'?'??< EstValue *h9rUJJ Date ??-Y 2 1 ,19-4451 T- ? - '?- Site Address + -• ? ? . ., j?1 ? > •? ? + Erect ? Occupancy =? . -? Lot Btock L Sec/Sub. ?--•?=?? ?j?'? 'L• S')Remodel ? Zoning Parcel No Repair ? Type oi Const. . Addition ? No. Stories ' Move ? Length ¢ Name 4 ? : ! , i • ? ':i ; > + 1.J:, D oli h ? De th Address 17 ?. - em s p It?t Impr ? Sq. Ft . o ;;TK,% Phnnn 4 4 . . -733:1 n _ :.. ? o Name T?L:E 0 Q Address ~ City Phone I hereby acknowledge that I have read this application and state that the information is correct and agr to comply with all applicable State of Minnesota Statutes and Ci E 7aaQnances. 1j Signature of Permittee ! !t Assessment Water & Sew. Police Fire Eng. Planner Bldg. Var. Date res? I Permit $ 340.00 Surcharge 34.5U ' Plan Review 170 . 00 SAC 575.00 Water Conn. 500• 00 Water M eter 63.50 Road Unit 29 0•uo Tr. PI. 156 . UU Parks Copies Total ?t,129.UG A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' ' - . PwmN Mo. Pormit Holder Wh TNophom N Iplumbing I H.V.AC. Elechie ? Q -3 4-2 O - IS~ Inspectbn Dats Insp. Commwb Footlnys l Foodnyt II Foundatlon Framinp . b M.A. i ' RooNny Rouyh plby. Rouph Mfy. Insul. Final Mtq. S II . F?nal Pbg. 9 d f??9. &dy. FbN c«,. oCC. 9 > ?- B Doek Fiq. Dock Frmy. Well Pr. Dbp. T' , . . . . . . . . . . MECHANICAL PERMIT PERMIT # RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? ? r'nuTOerT 0011-c. // s-/' `.•- ounur. ,.r. e,nA .4,.1 Phone c AddreSS/1 Y ` 0 City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # M BTU M BTU M BTU 1 7- M BTU CFM FEE S/C: TOTAL• BLDG.TYPE Res. ,JI' Mutt Comm. Other WORK DESCRIPTION New Add-on k Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEknAIT) - 1.50 EA. COMM/IND FEE - 19'o OF CONTRACT FEE APT. BLDGS. - COMM. RATEAPPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ? ? M A CONTRACT PRICE: ? Site Add / ?-i-=. Lot Block ? Name ? Addre c City 1 PERMIT # MECNANICAL PERMIT RECEIPT # • CITY OF EAGAN r 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _ PHONE: 454-8100 BIDG. TYPE WORK DESCRIPTION Res. ? / New Mult Add-on Comm. Repair Other Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 Forced Air M BTU GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE : Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other : FEE / 'S/C: ..??? SIGNATURE OF PERMITTEE i TOTAL• FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # • CITY OF EAGAN 3830 PILbT KNOB ROAD, EAGAN, MN 55121 DATE: - Site Address _ Lot m Name _ ? Address c Ciry - ? Name _ ' c Address ` o ciry - Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 SiC IF PERMIT PRICE GOES FOR CITY OF EAGAN &i ,. A-15i Block ? Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. ? New `- Mult Add-on Comm. Repair Other Nq. FIXTURES TOTAL ?Water Closet - $3.00 $ Z Bath Tubs - $3.00 -LLavatory - $3.00 Shower - $3.00 =Kitchen Sink 113.00 Urinal/Bidet - $3.00 TLaundry Tray - $3.00 _-1,-Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 -?Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: ? GRAND TOTAL• CiTY OF EAGAN 3830 Pilot Knob Road P. O. Bax 2 ; 199 Eagan, MN 55121 Zonlng: - OWMf: AddIoSf: Sih Addreas: ' 2a,?h ire`. Plumber. Mater No.: Size: Revdsr No.: 1 Mns ee anply wuk !iw phr ef logos Or/INwar. R.. WATQt SERViCE PERMIT PERMIT NO.: 011TE: No. of Units: „ Connedion Chorye: AcaoLmt Deposit: Permit Fae: Surd+orQa: Misc. Charpes: . Totol: DoM Poid: Dote of Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O, Sox 21199 Eagan, MN 55121 Zonirp: Owrnr. 2tt1 m2`01.1 /lddrcss: Site Address: Vlumber. SEWElt SEItVICE PERMR PERMIT NO.: . DATE: - No. of Units: I ?pw te eo-plr wilr !M CJyr ef lqew Corwwdion aorps: OrdimweM. Acroount Depodt: , Parmit FN: Surchcrps: By husc. Chwross: Dote oF Insp.: Total: Irnp.: DoM Poid: OF EAGAN WATER SERYICE PERMR Pilct ICrrob Road Box 21199 PERMIT NO.: i, MN 55121 DATE: p: No. of Units: Sih Addrem 1055 Humrningbird Lane ?? ' ??x1iigto» - - -? - h eeopllr wllh !IN 'JQ1st. Chorpes: Total: Date Pbid: - of I rsp.: 7, Z 10? ?? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 , PHONE:454-8100 BUILDING PERMIT Receipt # N° 11991 6),7( '?- To be used for SF D4s'G/GAR Est. value $ 6 9,0 0 0 Date MAY 21 , 19$6_ SiteAddress 1055 HUMMINGBIRD LN Erect IN Occupancy R3 Lot 5 elock 1 Sec/Sub. LEXINGTON PL SO Remodel ? Zoning 12 I Parcel No. Repair 0 Type of Const yn Addition ? No. Stories ? Name ORRIN THOMPSON HOMES Move ? Length 49 3 nddress 1712 HOPKINS CROSSROAD Demolish l I ? ? Depth48 F S ° Ci MTKA 544-7333 ry Phone nt. mpr. Insiall ? q. t o I Name SAME Approvala = $ U a? Address Assessment ? City Phone Watef & SeW. ?Q F w Name ? ? Address : a W City Phone I hereby acknowledge that I have read this application and statethatthe iniormation is correct and ag e to comply with all applicable State of Minnesota Statutes and Ci f ' ances Signalure of Permittee ? I ??a ?LI t7"? A Building Permit is issued to: ORR IN THOMP SON HOMES all work shall be done in accordance with all applica e Sta v1' nesoG Police Fire _ Planner Council Bldg. OI Permit $ 340.00 Surcharge 34.50 Plan Review 170.00 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 Foad Unit 290.00 7r. Pi. 156 . 00 Var. Date I Copies 2, 1 . 0 0 Total on the express condilion that 3n Ordinances. Buiiding Thi.s request void 18 rtqn[hs fwm C 10343 czp Q?p,? • ?' S??/ -'. nequest Uale ? Pire No. ovph-in Insuoction .,y equiretl? ?Ready Nuw ?7 Will Notifv; Inspec- L=.7 ?-.?/a avf?o? nN,. ?-?or When FeaAY ' Licensed Electrical Contractor .? I heraby reQUest inaDection of ebova ? Owner elec4ical work inslallad aY Street Address, Box or Poute µo. Cit ? ecLOn ilf o. Township Name o o. Ranye No. Cou y . ! Occuuan! IPRINSI /?.7a7a P%wer Supplier Adtlress -? / Jt/// GTl??? ?' • E [rieal Conhatmr ICOmDeny Nnmel CoMrar.tor's Licen No. o-?sha?..ir.1,?> Mailm9AdJ re sJ?ICo vactor r Ownar Making Instxilacion!} / ' ? (I '/L? LY Author'zed SiBnature IContreCtoJOwnor Making Installationl Phune Number ,M'rNNESQTA STATE BOAND OF E. CITY THIS INSPECTION flEQUEST WILL NOT Gri09s-Midwey 91tl9. - Floom 1 gE ACCEPTED BY TME STqTE eOAND UNLESS PROPER INSPECTION FEE IS 1821 Univeniry Ave., SL Paul, MN 56100 Phone I6121 297-2111 . ENCLOSED. ntuutS7 FOR ELECTRICAL INSPECTION EB-O0001-04 ?_ 5_ ? / See instructions for completi `?' _ ?y ?g this form on Dnck of yellow copy. A 4J XBelow Work Covered by This Request AAd BeD. Tyoa oi Beileing _ Apoliancae WiroA Equium3t"3ed : ter N Fee ServicaEntrenceSize tt Fea Fendera/SUbfeeders tt Fee Circuits' ! /. 0 to 200 qm 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 qmps 31 to 100 qm s SwimmingPool Above 100_Amps ? Above 700_Amps Transrormer5 " Irrigation &?oms ' ' Partial'Other Fee apeciai inspection ? Remarks ' - . S?[J/?. TOT E ' ? flougn-in D1te - ( I, the ,7 -- Insoector, heretiy final ? ppp??? i certify thnt tha above r `p ?,- ' ? inspection has been mede. ?.?.e.eq.oa,.,,.,,,om.,n,Ie??o- v ..-? -t w`-yfJ O/f' ?-'i 1 1 ?Ji' i-,Al:etiN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION : . : . •_ . I+YPI,IC11'I' -LC^! .'t :i;S iV'Jf APYF20VAL Gr' PMITT. INSPFxTZON OF SE:S+lr32 .A6ID/OR WATII2 IWTALI,ATIONS WILI, NOT BE SCFIFD- IILID LTNPIL PEftMLT KAS BEIN APPRf7VID. - , P ease Print _. ...,.,.._.__.....,__._..,,_..t..x,.=,. ? 1) PROPERTY ADDRESS: /Qda;? LEGAL DESCRZPTION: ?-eT gc vision IF EXISTING Si'RL'CIURE, DATE OF ORIGZNAL Bt,'II,DID]G PFT2MIT ISSC'.ANCE: ?'bn earJ FRFSENl' ZONING/PROPOSID C'SE: ( Q CO}.MCIAL/REPAIL/OFFICE Q INIDC'STRIAL n INSTI'IL"fIONAL/GOVII2rA04T 2) R-1 SINGLE FAMILY - Q R-2 DL'P1,EX (ltao CU1it5) - R-3 TC»WNHOL?SE (Three + Units) ( L?nits) ? R-4 APARTMEN'P/COAIDOMINIOM Units) N'7aME: ? t, ADDRFSS: ciTY, sra.TE, zzP: y?l/?vp16'7aNtC?? ? PyorE:-,5'!?/f?- 73? 3 3) • ? i: ?• - NANIE: ADDRFSS: CITY, 5'rATE, ZIP: PHONE: M'V 0'v'`'ll<a S , . MAsTEt LIcENsE# 4) oam • ? i?- NAME: ADDRFSS: CITY, $TAT'E, 2IP: PHONE: Plumbers License: Active Exp1Z'ed Not recorded sta mitiat 'S) -t? ? a• r ,:? a•. • ?•? : ?.e :?. a? _ ? CbNINEt_'TION TO CI'I'Y SE+1II2 Eg CONW-'?ION TO CITY S4ATII2 Q O'I'IiM '. .. 6) PLEASE HOLU APFR:OVED PEf2F1IT F'OR PICK-UP BY ONE OF ABOVE -_ -- -- -- ! ? PIEFISE i;:?ZL ru'Pi2nJID FIILM.IT T'0 1, 2, (g 4. lBOVE (Circle one) ? ?I?F E-L. '` 2. ?/ ?.4 . ? i, c"'?Y'??? u r c t ii - e ?, ra-?'__ ? ? ? - 1?-'?il. ..:' ??'s??.' / ?J?' ?:' .y Ti ? .r'..?t__1..F?? ? ,• >?v /: ?i h . :rD'? r'.--,_o ,• . .E....a.1,.?., ?z?'??? ?_?! 'f!i? y.aL_i c_oc..=;?'? ... ??? ???? ??? OiNLY YERMIT # ISSL'ED ?Si ? ? 23 OG Pd w/Bldq. Permit c $__ $ ?3- s d $ $ $ $ $ s7s. ? $ $ $ s 15?? ? o-? $ FEFS: $8) • S? /b.S 0 $ s $ $ SEWER WATER WATER WATER SEWER ,. PERMIT (INCLC'DF. SCRCHARGE) PERMIT (INCLUD`r: SCRCHARGE) METER/COPPEHNGRN/'?tiI'SIDE READF,T, TAP (INCLCDE COkPORAT10N STOY) TAP S 15) ACCOUNT DEPOSIT - SEWER $ ACCOCNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ $ $ S $ TRtNK SEWER ASSESSMENT LATERAL BENEFIT/TR[,'NK SES4ER LATERAL BENEFIT/TRDNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: V7 d d TOTAL 3 ?73 RECEIPT RECEIPT DOF,S OTILZTY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WTTHIN POBLIC Q ROADWAY" MOST BE ISSL?EL?; BY THE ENGINEERINi? NO DIVISION. LIST AS A CONDITION. SCBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: ? DATe : --------? 3 ? ? .-.?. 1986 BQILDING PERHIT AF P L'? N ' gsz - (:?- - CITY OF EAGAN HOTE: ALL CONTRACTORS M[TST BE LICENSED SiITH THE CITY OF EAGAN SIAGLE F9IffLY DSiELLZNGS INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS M[TI,TIPLE DWEL.LINGS - EESIDENTIAL RENTAL DtiITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg HZTH BLDG• DEPT., 1 SEEi OF ENERGY CALCULATIONS COP4iERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIrICATIONS AND 1 SET OF ENERGY CAI.CULATIONS, $2,000 LANDSCAPE BOND ? To Be Used For: jQ,#Lw Valuation Site Address ((??7 l?ftd<(hYYlt ? ? Lot S Block ? Parcel/Sub Owner ? Address City/Zip Code Phone ContractorlUA A? vl?fJrl?l dQ,v? 5 Address 1171 ??tl,??YL'S ( ?5;h1X?¢Q City/Zip Code 1 Vl 0_,u ( j1 55?1 Phone 6ql - '7 333 Arch./Engr. Address City/Zip Code Phone 1k Date: 6' 1S'86 Erect Occupancy A,-3 Remodel Zoning fi Repair _ Type of Const Addition # oi Stories Move Length ? Demolish Depth Int.Impr. Sq Ft Install APPROV9LS ?? Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off,f_ l- Treatment Pl APC Parks Variance Copies / TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CGNTRACTOR/HOMEOiiNEA MIIST DESIGNATE HH2CH ADDRESS IS DESIRED. NO CHANGES SdILL BE ALLOSiED ONCE BIIILDING PERMIT IS ZSSUED. CCRTIFICATE OF SURVEY F'OR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation BENCHMARK: Top nut of hydrant at Falcon Way and Hummingbird Lane Elevation = 904.54 ft. (NGVD-1929) PROPOSED ELEVATIONS FIRST FLOOR: El. = 911.26 ft. FRONT 6ARAGE SLAB: El. = 909.93 ft. Scale: 1" = 30' • Zron monument found ? Spike or r+ood atake set .soo.o Existing spot elevation, oo.a Proposed spot elevation .9--- Drainage direction ?VG6Gw00? SB9°21'S4"E 70.00 -o J X ? ? v ?V ? V q N? tQ , o? ? Z o.. II 907 r3 -9o7. LOT 5 0 0 0 a - .0 -;;;_.., 42 3 N ? HOU$E? 1055 60 in IY1 µ zz.o -__11'.. A 9o9.b Ul m ? 2a.o 33 ?v 4 --7 - - - ? I o N 89°21' S4"W 70.00 63 ? yob. s?- Lot 5, Block 1, IEXINGTON PLACE SOUTH Dakota County, Minnesota HUMMIPIGSIRt) LANE I hereby certi[y [ha[ [hia ia a true and correcC representation oE a survey of the boundacies o[ [he land above desccibed and of [he locaGion of all huildings, if any, [hereon, and all visible enccoachrtients, if any, fran or on said land. I Eucther certi[y [hat thle survey vas prepared by me or undec my direct supervision and thaC I am a duly yeqistered Land Surveyo[ unde[ [he lavs of the StaCe of Minneaota. .?i', IRJ Reg. No.DaGe ?J "16 'r7(5 WAYZATA HWLEVARD • MINNEAPOLIS, !TI • PHONE: Proposed House-Y- As-Built House nra? hw uc,c o.14o..r .,., 95104 Use BLUE or BLACK Ink r--------------'.-- I For Office Use • 1 y City of Eajan Permit I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ Site Address: W'V 'W7 Tenant: Suite M RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes ! No CONTRACTOR Name: ~ edrf / £.Gr ~~l &"'.p License .201 y/ Y/ (j Address: 1O7 4/d Y,-o•az£ yce - City: Ar-r-'VL 7%'L'j Y State: Zip: U Phone: li-r2 'Fj-k f V-~Icf Contact: le_ e //y ~~Z4,ef:~ Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or-q I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap lans. xx~lrr~rl Applicant's Printed Name lican s tore Page 1 of 2 r JUN- 1-2013 12:34 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.2 Use BLUE or BLACK Ink 1 i For Office I 1 City of Ea an ; Permit: ► ► !51 c ; Permit Foe: 3830 Pilot Knob Road Eagan MN 55122 Date Received: y ; Phone: (651)6T3.3673 1 I Fax: (651) 675-SGM I Steff: lA I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Addrees: 0,430' l7 11~~tL40"n?2Ybl f' F e..- unit d: //b y Resident/ Name; /"1 Jq F2iL', "'fC7?L ~(,1~, Phone: r Owner Addmss / Clty / Zip: _ /OJ5G Applicant is: Owner Contractor Description of work: d604, Type of Work 66-in ' r T le- Conatruction~~Cost: Multi-Family Building: (Yes / No Company. 2152'1-.c_TKd2 1 fD W-da tl /7)1 C~ o ( P../1 /]V-- "OL-x, Contractor Address: City; State: /V/\( Zip: TyJPhone ~7a~O "J~7!3 O 7~ 7 Ucense ~Qq Lead Certificate )W /OG_d7o~9 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber_ Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specif a reasons that would permit the City to.. conclude that the are trade secrets. CALL-BEFORE YOU DK3. Call Gopher State One Call at (651) 434-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to recelvo locates of underground utilities. yy eonherstateonecall.gm 1 hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of worts which requires a review and approval of plans. Exterior work authoriaad by a building parmlt Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X l-L&Nxs 67 M10Se26 ~B,p r ~n Applicant's Printed Name App IcanCs Signature Page 1 of 3 Neel JUN- 1-2013 12:34 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.3 r /055 HKmM, Wit DO NOT WRITE BEL THIS LINE f 11 5el SUB TYPES _ Foundation _ Fireplace Porch (3-Season) Storm Damage AL Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Y Dock Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex Lower Level _ Pool i Mlso0112neous Accessory Building W4 K TYPES New _ Interior Improvement _ Siding _ Demolish Building' Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair Windows T Demolish Foundation VT- Replace Repair Egress Window Water Damage Retaining Wall 'Demolition of entire building - give PCA handout to applicant DE,SCRIPTION Valuation ! Occupancy -e,-~ MCES System Plan Review Code Edition SAC Units (25%,_,,,100%/ Zoning a 10 City Water r Census CodeStories Booster Pump # of Units / Square Feet PRV # of Buildings Length a Fire Sprinklers Type of Construction Width FSMUJRED INSPECTIONS Footings (New Building) Motor Size: Footings (peck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Mier _Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath TStone Lath -Brick Fireplace: Rough in Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector W, 11V 6-- A- A RESIDE FEEV Base Fee -73~ Surcharge Plan Review- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111570 Date Issued:07/01/2013 Permit Category:ePermit Site Address: 1055 Hummingbird Lane Lot:5 Block: 1 Addition: Lexington Place South PID:10-45060-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Tim Johnson 9444 Hames Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc A Montoy 1055 Hummingbird Lane Eagan MN 55123 (816) 916-6662 Tim Johnson Heating & Air 9444 Hames Ave Cottage Grove MN 55016 (651) 235-7826 Applicant/Permitee: Signature Issued By: Signature . � ��t ��� Use BLUE or BLACK Ink t �---------- --, �(��� � For O�ce Use � V � �1�� U�����ll i Perrrtit#: � `7���� i �� c� �� � � 3830 Pilot Knob Road � � Permit Fee: • � Eagan MN 55122 � Phone:(651)675-5675 REC�IVED I Date Received� - — I Fax:(651)675-5694 . I � OCT 2 8 2015 � Staff: � _��__�__�������_�..I 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenanf: Suite#: � Name: Y � � t Phone: ��Vl°"I, l��- 1,9�,�4C,,VL� Address/City/Zip: 7 � Name: Q 1"f U r �� "�' � License#: t� ( � U b t..L� S , Address_���,��� �' �� � � 1'SZ�I��City:� State:�Zip:� �j�j Phone: ����' -T�7 - ��� Contact: Emai�:C(XSSI('.1rCx(2�t� d Yl el/lt�L[1✓'tz.l l�',CCJV�t _New �Replacement _Additional _Alteration Demolition Description of work: RESIDENTIAL COMMERCIAL /N Fumace _New Construction _Interior Improvement _Air Conditioner _Install Piping _Processed _Air Exchanger _Gas _Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/,_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �\ $100.00 Residential New(includes$5.00 State Surcharge) _$ \J TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -� Surcharge* ***If the project valuation is over$1 million,please call for Surcharge _$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � � X Gt t�� I G�� X--���� Applic nYs Printed Name Appl�cant s Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149548 Date Issued:05/29/2018 Permit Category:ePermit Site Address: 1055 Hummingbird Lane Lot:5 Block: 1 Addition: Lexington Place South PID:10-45060-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian W Salter 1055 Hummingbird Lane Eagan MN 55123 (206) 892-8872 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162733 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 1055 Hummingbird Lane Lot:5 Block: 1 Addition: Lexington Place South PID:10-45060-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian W Salter 1055 Hummingbird Lane Eagan MN 55123 (206) 892-8872 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature