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
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JUN- 1-2013 12:34 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.3
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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
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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