1063 Hummingbird LaneCITY OF EAGAN .
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 1 Z21o
PHONE: 454-8100 6,, 3
BUILDING PERMIT Receipt #
$61,000
1s 86
Site Address 1063 AUMMINGB IRD LN Erect [9 Occupancy R3
7
1 L EXINGTON PL SO Remodel ? Zoning PD-Rl
Lot
Block Sec/Sub. Vn
Parcel No. ' Repair ? Type of Const
W Name ORRIlV THOMPSON HOMES
3 Address 1712 HOPRINS CROSSROAD
° City MT? Phone -544-7333
i a Name S?E
? ¢ Address
~ City Phone
c~i ¢
W W
r=
x?
4W
Addition ? No. Stones
Move ? Length
Demolish ? Depth 46
Int. Impr. ? Sq. Ft
Install ?
Assessment Permit _
Water & Sew. Surcharge
Police Plan Revie
Name Fire
Phone
Planner
Water Conn. 500 . 00
Water Meter 63.50
Road Unit 290.00
Tr.PI. 156.00
I hereby acknowledge that I have read this application and state that the Bldg
information is correct and agree to comply with all applicable State of
Minnesota Statutes and CifX of Eagan Orlinances. APC.
Signature of
Var. Date Copie
T- 089
otal 2 , . 00
A Building Permit is issued to: v.MlciL14 ti/\R'irO?Ji? nvrar,.;P on the express condition that
all work shall be done in accordance with ail applicabie State of Minnesot9tatutes and City of Eagan Ordinances.
Building Official '-? 1
11 • 1 Parmk No. I ParmN Holder I Dale I TNeotaM N 1
Plby.
Htq.
Occ.
Frm9.
' PERMIT #
' MECHANICAL PERMIT RECEIPT # 60y`? ? J
GTY OF EAGAN
~
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE • PHONE: 454-8100 ,
Site Address
Lot ? Bloc
_
k / ?
?ub
BLDG. TYP E; WORK
OESCF3IPTION
U
y
?/
m
Name Z_ ? J Res. New
Add
M
-on
ult
Address
1 Comm. Repair
c City Phone p
mer
L
Name Lif
XJA1
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
J ADDITIONAL 6 M BTU
GAS OUTLETS - 6.00
- 1.50 EA.
Forced Alr ? a?M BTU COMM/IND FEE - 1% 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
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
?
FEE ._? S• .?U f
s/C_ SIGNATURE OF PERMITTEE
TOTAL•
FOR: CIN OF EAGAN
PERMIT #
, PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
Site Address/_
Lot 7
Lz X,
2 Name J
.
9 Address
c City -
? Name ?
3 Address
0 Ciry -
Phone
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
\
I FOR CITY QF EAGAN
BLOG. TYPE / WORK
v in• Res. ` New
Mult Add-on
Comm. Repair
Other
NO FlXTURES O?L
Water Closet - $3.00
Bath Tubs - $3.00 , o0
Lavatory - $3.00
Shower - $3.00
T
?
Kitchen Sink - $3.00 -
- $10
00 Urinal/Bidet - $3.00
/ Laundry Tray - $3.00
-7-
-
. Floor Drains - $1.50
-
' 20•00 Water Heater - $1.50
7 • S
' •50 Whirlpool - $3.00
?
??-
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-
--
?
Rough Openings - $1.50
7 y' ?
FEE
STATE S/C:
GRAND TOTAL: ' ?
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199
Esgart, MN 55121 PERMIT NO.:
DATE:
Zoninp: r- No. of Units:
Ownor: . ,. -
Addross:
Sih /1eldrrss:
Plumber. ' -
Mew No.: Connection Charge:
Siu: AaoouM Depostt: -
Rsoder No.: Permit Fee: `
1 Mwe b e- lolr Nft 1M Gep of EMyPw Surchorfle:
OfJIMeOM. MIfC. CFIOfQm l
Total: -
By Dore PaW:
Doce of Insp.: leqp.:
.e ..AIiAN WATER SERVICE PERMIT
ilot Krwb Road
ox 21199 PERMIT NO,:
MN 55121 DATE:
" No. of Units:
: c., ',?ome?
Reoder No.: (J 3K `f to 7/(:L-
I NrN ft eoinplp wilh liN Cky af
OrliMnor.
By ??
Date of I rup.:
Date Raid:
imp.:
CITY OF EAGAN Remarks
Addition Lexington P1arQ gm,,,tb Lot ? sik ? Parcei 10 45.960 0.70 $.1-
Qwner Street i n6.3 ??}n?i..d z_.__ State F3oan MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUAF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? - '
SEWER LATERAL 19 8 6 16 3 1. 0 _ 3 2 b. 2 0 5
IJL' 198 729.39 145.87 5
WATERMAIN
V
WATER LATERAL 1011 19 8 6 873.43 174.68 S
WA7ER AREA 1019- !}3 . 7 48.74 5
19 1 .98 . 22 5
STORMSEWTRK lO1Z 1985 426.54 -,
_
' 85..30 5
S70RMSEWLAT 1016 1986 803.34 160.66 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN A'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '`? 12218
' PHONE:454-8100 AL¢? D BUILDING PERMIT Receiptp r
Tobeueedfor SF DWG/GAR Est.Value $61,000 Date JULY 7 ?g 86
SiteAddress 1063 HUMMINGBIRD LN Erect 01 Occupancy R3
Lot 7 81ock 1 Sec/SubLEXINGTON PL SO
. Aemodel ? Zoning Pn-R1
Parcel No Repair ? Type of Con st. Vn
. Addition ? No. Stories
w Name ORRIN THOMPSON HOMES Move ? Length 40
o 1712 HOPKINS CROSSROAD
Adtlress
Demolish ?
?
Depm
Ft
S
46
city MTKA phone 544-7333 Int Impr.
Install ? .
q.
o Name SAME Approvals Feea
0
uQ
Address
ASSeSSmOnt
Pelmit $ 316.00
? City Phone Water & Sew. Surcharge 30.50
Police PlanReview 158.00
Fw Name Fire SAC 575.00
nddress En 500.00
WaterConn
g. .
W
a
City phone
Planner
WaterMeter63_50
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and ot Eagan Or inances.
Signature of Permitte
A Building Permit is issued to: vitxlLV rnvrrr1) viv
all work shall be done in accordance with al . lic Sta of N
Building Official
Council
eidg. on. 6/30/86
APC
Var. Date
HOMES
Road Unit 290.00
Tr. PI. 156.00
Copies
Total S2.089.00
on the express condition that
and City of Eagan Ordinances.
This reque5t voiG ?/??
18 rtqnths trom ?y
E 4 3 810 /.,,,2 C"? 61. _ -.
O CC' V 0 7
Requ;st Dat? / •,
L ?
V Fire No. N Fequ ooph-in7 InsVer.tion
iretl
r .
Heady Nuw QW,II Notily Inspec-
[or Whnn Read
O
(f ?Yes C?
No y
Licensed Elecvical ConVactor I herebv repuest insoection of ebove
"li Owner electrical work installed eL
SVaet Address, Boz or Paute No.
#-
` CitY
k M ?
?1 ! r v
ectmn o.
I Township Name or No. Hange No. Cownry ?w ' '
?'"] /?Q ??
Occu ant PRINTI Phone No.
? ? Q M
Power $uOUlier AAdress
EI ConVa or ICOmpanv Name) ? Comrar.tor's License No.
a
..? ? 3
Mailing AtlJress (COnhac[or or Owner Makina InslailalioN
47,7 s''A-13h'A c T
/-? C/vi
?+ulw^"'-ed Sipnature (COnhac dOw
7 ner Making In stallation) Phone Number
7
, 6y ? ?? 6 447 -7
MINNESO STqTE BDARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Gripgs-Mitlway Bltle- - paom N•791 BE ACCEPTED BY THE STqTE BOARD
1921 Univeraitv Ave.. St. Paul. MN 65104 UNLESS PPOFER INSPECTION FEE IS
nn....o iwigi aaznwnn ENCLOSED.
'. 7/?7/a REQUEST FOR ELECTRICAL INSPECTION ea-oooot-os
?v p g 1 See insvuctions lor completiog this form on back ot Vellow coov. ?DGSrI
r. 4 3 O-1 0 "x" Below Work Covered by Ihis Request
Neia AAV flBD. TYPB o1 BuildiOg APOliancaa WirBtl EquipmBnl Wlred
Home Fange Temporery Service
Duplex Water Heater Liyhting Fixtures
Apt. 8uildinq ?ryer Electrvc Heatin
Commercial Bldy. Fumace Silo Unloade?
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm Oiher peci v ?hnr (5pecifyl
t e? Su"Ifv Other Oih,;r
Compute Inspectian Fee Below
M Fee Service Entranea5ixe b Fae s/Subfeeders ders N Fea Lircuits
0 to 200 qm s 0 to 30 Fim s
Ahove 200 qmps 3 37 to 1D0 Am s
Swimming Pool =
AAmps Above 100_P.mps
Transiormers Is C Partial`Dther Fee
Sig's St+on „,
5-t ??
TOTAL
l
Rem3rks /
6,! ytti_, 0/ _
? ??
)
flouBh-in Q`12e I, the .1-1
• rl
-?"Inspector, hereby
oft rtify [het the nbove
Final inspection has been
? meda.
rn:..w.-,,...:n 1m .rrw emm
REQUEST FOR ELECTRICAL INSPECTION ee-oowi.oa
' See instructiona fm completinp this lorm on beck o1 v¢Ilow copy.
C 21282 "X" Below Work Covered by lhis Request
F-T
Adtl
Re
p Type oi BuilEinp
Applianeee Wired
Equiu.+ent Wired
Home- Range Temporary Service
' Duplex Water Heater Lightiny Fixtures
Apl. Building Dryer Electric Heatm
Commercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air ConditioneF Bulk Milk Tank
Fafm lhe.r, oeu y ther ISnecilvl
[ 9! $UZCI Y [hCI nther ,
Compute lnspection Fee Be/ow
p Fae SarviceEntranceSixe !1 Fee Fexders/5ubfeeders N Fea Gircuits
Z qD 0 to 200 qm s 0 to 30 Am s 0 tn 30 An? s
Above 200 Amps .tlU 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100_Amps Above 700_Amps
Transrormers Irrigation Boorris Partia6'Other Fee
Signs Suecial Inspection
S
T
?
Remarks _ -
OTAL
?
.?
v ,, ,
Houph-in D?e (? ?the E I
? rJ ??,
Inspeclar, heraby
certily that the nbove
Final Dxte inspaction hes been
. i -ee.
Tblareouestwldl8monlhelrom
ld T?/
This repuest voia G f y
18 months t?Om ?-?-
C 212 8 2
....
/? V? uiretl? Ov ?Aeady Nuw 'll Nniify Ins6ec-
Ne s Na- I tor When Readv
[!T-Gicensed ElecVical Goniractor I hareby reCUest inspection of above
?Owner elacVicalworkirotalledat:
Svee[ Address Bo+ or Foute No. C
ecbon o. Townshi0 Na or No. anBe o. ' C n
upan}IPR Fhone No.
Po r SupOIler ////
a Adtlress -
f
?C.?C/
EI nca Convactor ICOmDany Namel
D?a,ce.. ??
? Cnnvar,tou's Licen No. -
o3z73o /
Manp Addre?K IC ntrerto or Owner Mekm stallationl
mracto. Owner Making Iretallationl
AuM Phone Nomber ..
=
MI?YESOTA STATE BOAND OF ELEC V THIS IIVSPECTION PEQUEST WIIL NO7
driO9e-MidwaV Blde. - poom N•1 BE ACCEPTED BV THE STATE BOARD
7821 University Ave.. St. Paul, N 55104 UNLESS PPOPEN INSPECTION FEE IS
a?....e 1a121 297.2111 ENCLOSED.
cIrv af- r::ncanN
cASw:r.ER. 36 n::t:m.r.nw_ no. rsn
DA'iLa t1'i'/i29!99 '17:Ni1;:,-, l1. C 1E.; 1.8
IS? :
NAMf:::
343Q ':)001
a2:io 9001
i:':I.`'i;:, 9001
TF.FinE:.Nf:E G? MFfiGEhlS
1063 FIUMM7:idt;h2R
063 H41MM:tNGH]:R
1063 HIiMM:[NGBIft
'io+a1 Rrceipt, Amount;:
GF':114583
USi::t2 :f.Dc JFtN
0. i_'J
60.00
0.;.3Q
bf:l.'i 5
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
{~ ' N
3830 PILOT KNB RD 55122 ?j
(to 651-681-4875
New Conshuction Reaulrements Re del a r Irents
? 3 reglstered ske surveys ahowing aq. ft. of lot, sq. H. of house
and gJl roofed areas (2946 maximum lof coveraae allowed)
? 2 coples ol plans (show beam 3 wlndow shes; poured fnd. design; eTc.)
D 1 sM oF energy calculalions
? 3 eoples of hee preservaNon plan B bf plalted aNer 7/7/93
DATE:
DESCRIPTION OF WORK:
2 copies of plan
1 set of energy ealculations lor heafed addMlons
1 sHe suney lor exferior addHiona R decks
CONSTRUCTION COST: ?QJD
STREET ADDRESS _LV(zS /1'UM /YI L
LOT: ? BLOCK: SUBD./P.I.D. Name: ?E(?-riC3/15 Phone #: (4???)
PROPERTY L Fkst '
OWNER ,
Street Address: 1OGa3 NUM?Yli !k° l/?d 14,
City L ??n State: /'/Il/ Zip: -/>??23
Company: Phone #:
(area code)
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: License # Exp.
City
Telephone #: area code ( )
Name:
Zip:
Street Address: Regishation #:
City State:
Sewer 3 water Itcensed plumber (reauired for new constructton onlvl:
PenalEy applies when address change and lot change Is requesfed once permH is issued.
1 hereby acknowledge that I have reod this applicaHon, sfate that the Informafion is
Stafe of Minnesota Statutes and Cify of Eagan Ordinances.
Signature of Applieant:
OFFiCE USE ONLY
Certificates of Survey Received -Z Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
State:
Ztp:
and agree to comply wifh all applicabl
, \ il
\
?---
OFFICE USE ONLY
BUILDING PERMIT TYPE
.s , 4
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
gk 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 WindowslDoors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allovrahle)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main Ievel sq, ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building Z,TI_
Census Code 41 T e
SAC Code ` l3 /
No. of Units C5
No. of Bldgs /
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIV11 Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? e*rr?)
Valuation: $?
SAC Units
% SAC
?lnccnitw ?.LnrqryY • LC15 WAY4A'1'A
ICATE OF SURVEY f'OR:
iRRIN THOMPSON HOMES
A Division of U.S. Home Corporation
• 1'71LVtVCA0VL1J, CYV • Yl7VlVG:
scale: 1" = 30'
BENCHMARK: Top nut of hydrant at
northeast corner of Lot 9, Block 2, 0 Icon monument found
Lexington Place South o Spike or wood stake set
E 1 e v a t i o n = 910 . 08 f t. , soa.a Ezisting spot elevation
(NGUD-1929)
FRONT GARAGE SLAB:
E1. = 909.83 ft.
89°Zi' 54" E 70.00
_
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LOT
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?o7.9a
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t ?907.47
TO.00
Lot 7, Block 1,
LEXINGTON PLACE SOUTH,
Dakota County, Minnesota
H1.IMMINGBIRD LANE
2 hereby cerCi(y tha[ chie ia a[rue and cocrect represenCa[ion of a sucvey oC the
boundariea oC Che land above described and o[ [he loca[ion of all Cuildin9s, iC any,
thereon, and all vlaibla encrwchrtnnen, iL any, fcan or on aaid land. I Cor[her
cectity ehat thie aurvey vaa prepared by me or under my dicect supervision and Chat I
am a duly R isteced Land Sucveyor undec the lavs of the Sta[e of ninneeota. ?O,e-r wLC _r P MJ Reg. No. Gj&Cip Date 6 '7i-7 'l7i0
?
Proposed House x As-Built House _ Drarm bv EN Proiect no. esio a
PL-AN - 01?ti
1986 BOILDIBG PEIt?IIT APPLICATIOH - CI1R OF EAG9N
NOTE: ALL CONTRACL09S MU3T BE LICSASSD iiITQ THE CITY OF EAGAN
SINGLE F6MffLY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MpLTIPLE DiiE[,LIAGS - EESIDBNTIAL BE'NT9I, IIEIITS FOR S9LE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQN9EY - CH6CB ilITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COHIMCIAL
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OVSPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ?j!b IAOAA?j Valuation: 4a1, L(W Date: !p
Site Address
Lot ? Block
Parcel/Sub ?L' p,C?f•y ?1
Owner
Address
City/Zip Code
Phone
Address /7?2 4?'jpkl*w'? QdAka
.-.-7.-
City/21p Code f 1ak/,` + MI ` 30
Phone
Areh./Engr.
Address
Erect Occupancy ?
Remodel Zoning
_
Repair _ Type of Const 7Z?V
Addition # of Stories
_
Move Length
Demolish Depth ?
_
Int.Impr. Sq Ft
Install
APPROVALS FSES
Assessments Permit cq&
WateriSewer Sureharge
Police Plan Review
Fire SAC 515•?
Engr Watei^ Conn ? . a
Planner Water Meter (p3.?
Council Road Unit
Bldg Off Treatment P1
APC Parks
Varianee Copies
TOT9L ?
City/Zip Code
Phone #
1 ?
NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOIiNER 14QST DESIGNATS fiHICH ADDRESS
IS DESIEED. NO CHANGES fiILL BE ALLOA6D OHCE BOII.DING PEHMIT IS ISSIIED.
?_c.nccK rZwtne:r:Ki[vU czAPnNY • 2815 WAYZATA HWLEVARD • MINNEAPOLIS, hY1
ICPSYTIFICATE OF SURVEY EbR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 30'
• PHONE: 374-4740
?
?
BENCHMARK: Top nut of hydrant at
northeast corner of Lot 9, Block 2, 0 Iron monument found
Lexington Place 5outh o Spike or wood stake set
Elevation = 910.08 ft. ,900.0 Existing spot elevation
(NGVD-1929)
FRONT GARA6E SLAB:
E1. = 909.83 ft.
S89021' S4" E 70.00
o
+ - ~ - - - - -
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906.79 ?
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J ?907.47
. _.: N89°21'54"UI - -7n_nn -
Lot 7, Block 1, HUMMINC,8IRD LANE
LEXINGTON PLACE SOUTH,
Dakota County, Minnesota
I hereby certiCy that [hia is a true and correc[ representaGion oE a survey of the
boundaries o[ Che ]and above desCCibed and of [he location of all buildings, if any,
thereon, and all visible enccoachments, iC any, fcom or on said land. I turther
certify [ha[ [hie survey vas pcepared by me of under my direct supervision and [haC I
am a duly R istered Land Surveyor under the lavs o£ the S[ate of Minneeota. -tlV I _ .r P. M7 Reg. No.I`J0Z?g Da[e Z-]-8y?
?
Proposed House x As-Built House _ Drawn hv EN Prniart .,n
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMZT #
RECEIPT # ? d
DATE: d
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WFiEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: - ) Ef{({I 1 ??e('? c-
SITE ADDRESS: !V40
LOT: ( BIACK ? SUBD. ??C - f?'•
INSTALLER: Zv-z??Ecl- eO ?
ADDRESS:
CITY: va • ?? /?fJLV? ZIP:
PHONE.#:
e-Y bl< - C?.G
SIGNATURE OF
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLASET 3.00
BATH TUB 3.00
LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: S
b
?rt7ITM$I?GTi4L?I?1FiLT5T&IALr PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°- °_------°_______________________________________°___-------____--____---___
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SD FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
CITY OF EAGAN
C;ITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^ICYPS: PAYMF.pTC OF FEE AT TIME OE'
APPLICATION DOES NOrP OONSi'I1VM
APPROVAL OF PERNIIT,
nasrDCriota oF sEWER AND/Ot WAzM
i[YS'TAT.TATjONS WII,L NCYP BE SQHID-
ULkD LIDTPII, PIItMIT AAS BEQN
APPROVID. .
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P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
If' E7QSTING STRC'GZL?RE, DATE OF pRIGINAL B[!ILDING PEE214IT ISSCANCE: . .
?"bn Year
P12ESENP ZONING/PROP0.SID L'SE: (
? C0,11MERCIAL/REI'AiL/OFFICE '? R-1 SINGLE FAMTLY .
? I?S??' r-i R-2 DLPLEX (2Wo C?nits)
n INSTITUTIONAL/GOVF.RDp.gwp ? R-3 70WNHOUSE (Three + Units ) ( Units)
- R-4 APARTMEN'P/COAIDOMINIOM ( Units)
2' ?
NAME:--Of?-6fl0NPSO.J /&rr,Es
AwDxFSS:Z7/a MDPfSws 0.Poss,?o.¢v
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PHONE: .•ryy- 719193
3) u ?:7• • Q
NAm' 264A) For City C?se .
Plurtibers License:
ADDRESS: 1jr74?1',50U7N 20BE70T v?
CITY. STATE. ZIP: KD/11N 6-670leS l
Not recorded
PHONE: AIoZ3-1IW MASTER LICEPTSE# /,?4V9pl
St II11t1dl
¢) •se •:u o v.ia•
NAME: .
_ ADDRESS: . .
CITY, S"fATE, ZIP: '
PHONE: -
.rj) I :1 V• ' I 1 tl' • ?1' i ] ' D? ' ?'? ' . .
? CONmDCTION M CITY SEWIIt ? CpNNp[,'TION TO CITY WATER ? pTfiER '. .
6) PIEIISE HOLD APPROVID PERMIT F'OR PICK-LTP BY ONE OF ABOVE
. ? PLEASE MAIL APPROVID PERIdZT TD 1, 2,CV 4. ABOVE .
? ? .. , • (Circle one) ? __.
_. +
FOFi CITY USE ONLY r
PERMIT # ISSUED
7G?lv O
Pd w/Bldg. Permit FEES:
$ S 16 '?_D SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 161-,J ? WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ /?l /)(7 • (? C7 $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRC!.NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ IS (o'? $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ?'l' el' .S? $ 6,. O'"O TOTAL
bq3o ?- " z/(v s-
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
f__j YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Ej NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
?CcJ ?
TITLE:
DATE : T/ d f4
`
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
0V
%?C?.d()
New ConsWCtion Reauirements RemodeVReoair Reauirements DN'we lJse
3 registered site surveys showing sq. fl. of lot sq. N. of house; and all roofed areas 2 copies of plan C„?R ofSAryARecd _X q
(20% maximum bt coverage allowed) 1 set of Energy Calculations for heated additions 7ree Pres;Plan Ra , "N.
2 capies of plan showing beam 8 window sizes; poured found design, etc. 1 sile survey for additions & decks T,?ee PA?ihRequiretl--N
15alofEnergyCakulations Addfion - indicateifwr-sResepficsystem 6n-srte5ep3c?ysfem =?"3 copies of Tree Preservation Plan'rf lot plaried a%er 711193
Rim Joist Defeil Options selection sheet (61dgs with 3 ar less unifs
'
Date q / ? / Y-
, Construction Cost ?+'
SiteAddress IOb!, ki?immina
-?
.
b?2? Lane UnitlSte #
Description of Work 0j?l As.P ? 0 `?--
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
PropertyOwner T? VIQ Telephone#(?51
Cootractor r?Rea??.qker wdw Aslaina
Address I
en citr & ?Q1
_I
State M'v Zip TAA- Telephone #(?S'l )M jeQ0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission lype) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? ._ Y_ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applicarion 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 ofplans.
!!/`-- ?n' ?
Applicant's Printed Name Appli_ ' Signature
OEFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 AddiGon
? 33 AlteraGon
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ A'u Test _ Final
_ Insularion
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex ? 20 Pool
? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. AIt - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) • Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
11 t?o?
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for single family dwellings & townhomes/condos when pennits are tequired for each unit
c?
Date ) S / 0 1
Site Address lolp3 1 I V Yl'?m t Y?CI h 1?['? L Cl. Yl .( . Unit tl
PrapertyOwoer C'l rer D0tSk-"YLj Telephone# 052 ) 153- 322,I
13 a c ' vctl L' Z
Contractor AVY/1YG WfCli.
StreetAddress Pr f3ox 2,252 City
State n'l (\/ Zip 5507I.o Telephone#
Bond #: nI J??CGI Z Ezpims: '-I I!t%7
The Applicant is ? Owner _ Contractor _ Other
Fire repair (replace burned out appliences, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteradoo to eaisNng dwelllog unit $ 50.00
furnace _Additional ?Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surc6srge D?? $ .50
Total $ 5a.5o
I hereby apply for a Residential Mechanical Pennit and acknowledge that the informa6on is complete and accucate; that the work wilt
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I unders[and this is not a
permit, but only an application for a pemiit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case oFwork which requires a review and approval of ptans. _
6-(.'Sbal 111]PVPi'Ct2'Yl / {- F
Applicant's Printed Name Appl Ps Signahue
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116625
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1063 Hummingbird Lane
Lot:7 Block: 1 Addition: Lexington Place South
PID:10-45060-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Rick Schwab
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Michael W Mcmonagle
1063 Hummingbird Lane
Eagan MN 55123
(651) 454-7272
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152781
Date Issued:10/31/2018
Permit Category:ePermit
Site Address: 1063 Hummingbird Lane
Lot:7 Block: 1 Addition: Lexington Place South
PID:10-45060-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Michael W Mcmonagle
3917 Donegal Way
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature