1064 Hummingbird LaneCITY OF EAGAN Remarks
add?r?o? _ Lexington Place South Lot 8 sik 2 Parcel 10 45060 080 02
owner street 1064 Hummingbird Lane State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
.Un.s-V
SAN SEW TRUNK -2
SEWER LATERAL 10 1 1986 1631 . 0 3 2 6. 20 $ j?
Services 101 1986 729.39 145.87 5
WATERMAIN 1985 65-91 11
16 5
"
WATER LATERAL 1011 1986 873 .43 . -
1'7 4. 6 8 5
WATEF AREA 101 1986 243 . 73 48. 74 5
WAT LAT BEN 1013 1986 111.98 22.39 5
STORMSEWTRK 101'1 1986 426.54 .8-1.30 5
STORMSEWLAT 1616 1986 803.34 ' 16_0-.66 5
I
CURB & GUTTER
? SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
' PARK
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIV4D • ? ,
FROM ?
AMOUNT $ I
DOLLARi
+oo
[:] CASH R CHECK
YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
By
!: .? C,
. '
BLDG.
PERMIT N0.
01-J210 BTdg
P .
.
ermit
01-3422 Plan Check
01-3445 Surch./Adm. .
01-3446 SAC/Adm. <
01-2155 Surcharge
17-3860 Road Unit ?
20-2275 SAC
20-3865 Water Conn. -
20-3868 Water Trmt. i?
20-3716 Water Meter
20-2252 Acct. Dep,
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ,.
11-3855 Park Ded.
c ;
TOTAL 6
CITY OF EAGAN ^? ?
l' 3830 Pilo?, Knob Road, P.O. Box 21-199, Eagan, MN 55121 i?? ?? vc`
?`'?"
1 PHONE:454-8100
BUILDING PE,RMIT . " Receipt#
To be used h7 S F DWG/GAR Est. vai? $6 1, 0 0 0 nArP SEPT&18F.R 15 , o 86
SiteAddress 1064 HUM14INGBIRD L:1 Erect It Occupancy R3
LEXINGTON P
Lot 8 Block 2 Sec/Sub L SCRemodel ? 2oning pD
.
Parcel No Repair ? Type of Const VA
. Addition ? No. Stories
?
Name ORRIi?1 T1iOMPSOiJ HOME$
Maye
? 40
Length
= 1712 HOPK I;VS CROSSROAD Demolish ? Depth 46
o Address ? t
_
mtka Int. Impr. Sq. F
City
phone Install ?
a
.o
zU
U ¢
?
Assessment Permit -?
Water & Sew. Surcharge
Police
Fire _
Phone
Planner
I hereby acknowledge that I have read this application and state that the gidg . Off. 9 15 8
information is correct and agree to co piy with all applictble State of
Minnesota Statutes and City of ?an?rdinances. APC
r / I
Signature of Permittee j Var. Date
A Building Permit is issued
all work shall be done in a(
Building Official
ORRIN THOMPSON HOML'S
Plan
with all
Water Conn.
?
Water Meter 63.50
Road Unit Z90. 00
?
Tr. pi. 156.00
Parks ;
Copie
,
r +ai .52,089.00
Minnesota 5ta?utes and City of
condition that
PsrmN No. Pamit Holds? Dato TNophons A
Mwnbiny `/ ' ) 01. '? G y? - IZ ? v
M.V.A.C. ~/ T7 a2 2- R` g a6 g(o
eaetft
scn.n.?
Inspscdon Date Insp. Comm?nb
Foonngsl
Footlnqs 11
Foundsdon
Framiny _ ? G??
Raoflnq
Rouyh Plbg. 0
Rouph Ftty. d
Insul. ?
Firsplace
Ffnal MW ?? r/? GeJ/Cs
FMaI Wby. .?
&dq. FInN
Cert.Oca
Deck Fty.
Daek Frmy.
Wdl
Pr. DbP.
CITY OF EAGAN •
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT ? Receipt #
To be used foii,'Est. Value ' Date ,19
Site Address ' !'`';. . . • . . '.' 51 L?s
Lot Block ' Sec/Sub, '°• ' T''r•?" ` . "??._ '
Parcel No.
c Name 'r.w,l:) NEYERs
z Address ? ?.' .,i ?-??'t•; ;.: I - .. i_ .
;
o City .. phone •. 1 - " ,
, o Name _
z
o4 Address
r City _
U?
W W Name_
Address
U
¢ W CiltY-
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.
5ignature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done i n accordance with al I
applicable State af Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE (?NLY
On Site Sewage Occupancy
MWCC Sysiem Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
1 r. .
Engr./Assess. Permit
Planner Surcharge
Council Pian Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTA4
Permit No. Parmit Holder Data Telephone #
Plumbing
H.V.A.C. ?
Electric
Softener
Inspection o te insP. Comments
Footings I /F
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Fin81 Plbg.
Bldg. Final
Geri Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # ? 4f
` • . M
3830 PILOT ECHANiCAL PERMIT
CITY OF EAGAN
KNOB ROAD, EAGAN, MN 55121 RECEIPT #
; E=pt ;?ry 19t??
DATE: '
,
:ONTRACT PRICE: PHONE 454-8100
iite Address U = J'a-l-Le BLDG. TYPE WORK DESCRIPTION
.o? 8 BIQ
k Sec/Sub
eX gtO ?
ri Y 3CE: J M.
Fi New
z-K a
F&H
Ge es.
Name n
n M
l Add
(D Addre?s 14745
? o ert ra u
t -on
R
i
? K t `
- . r
epa
O
Ci? Semotm
, ° Phone
?` ??
Name
?
3 Address
_ O Ciry
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Oudets #
Other
Phone
75 M BTU
M BTU
M BTU
M BTU
CFM
i
FEES .
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M sTLJ - 6.00
ADD-ON AIR COND4+0-24 BTU - 12.00
ADDITIONAL 6 M 87iJ ' - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE `"' • "'
S/C: .50 SIGNATURE OF PERMITTEE
TOTAL: 26.00
FOR: CITY OF EAGAN
- _ z
PERMIT # ?7?* 9
,
` • PLUMBIN(i PERMIT RECEIPT # y 7
cITM oF EacAN Sept. 1986
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100 ^ ?=
Site Addgess 1064 `r Lare
F BLDG. TYPE WORK DE3CRIPTiON
Lot 81ock Sec/Sub
x ngton ?T.tice SOU Res. xxx New ?
w
? ? Name ?
? Mult Add-on
t
ert rH
Addrgss ? Comm. Repair
c City KOgemount? ? phone 423-1144 Other
r
t r ?80t?
Name N. FIXTURES OTAL
?
Water Closet - $3
00
? Address .
Bath Tubs - $3.00
? T
p City Phone Lavatory - $3•04
Shower - $3
004'
.
--1-Kitchen Sink - $3.00 '
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE TLaundry Tray -$3.00 ?
MINIMi1M - RESIOENTIAL FEE _$10,00 ?-Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 2000 ?
?Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ ,? Whirlpool - $3.00
(AQD $.50 S1C IF PERMIT PRICE GOES =Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $$.00
Well - $10.00
; Private Disp. - $10.00
=Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: ?v
FOR: CITY OF EAGAN .
GRAND TOTAL•
CONTRACT PRICE:
Site Address?GZ
Lot Block
.? .
m rvame _,aa,4z
?
c Address
City '
? Name ?.?
3 Address zC,
p City ?44A,09.
` PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNA RE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WOAK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - 53.00
5hower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn '
LSbftener - $5.00
Weil - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMR
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55127 DATE:
Zoninp: _ No. of Units:
Owner,
Address:
Site Address: _ , . • .: - ?,
Plumbar. .
Meter No.: Connection CharQs:
Size: /lcwunt Deposit:
Recder No.: Permit Fee: "
1 prN to eoMolp whh !IM City ef Eoye" Surcharge:
Ordiwew"s. Mlsc. Clarges:
Totol:
By Date Paid:
Dote of Insp.; Inap.:
TY OF EAGAN
130 Pilot Knob Road
0. 8ox 21199
gan, MN 55121
Address:
SEWER SERVlCE PERMlT
PERMlT NO.:
DATE
No, of Units:
wMh the Gyr eF Eapw
of Inap.:
CITY OF EAGAN
3830 Pitot Knob Road
P. O. 8m. 21199
Eagan, MN 55127
Zonirg: _-
Qwner: , _ .-.
/lddress:
Slte Addrcas: ' 7-7•
Plumber: • ,.
Meter No.: ' 37q
$IZO: */QacK _ r. --
Reoder No.: 07070
1 prw te eon* wlth lIM?C'U."irla
Ordieewam r Qva)
ttt't
CAnnldion UtOrpe: r ? r
/lccount Deposit:
Psrmlt Fae:
Surcharye:
Misc. Chorpes:
Total:
Dofe Pald:
WATER
PERMIT NO.:
DATE: r-
. Na. of Units:
Lsne LS 82 l:.exinQton
N? ?Total: _
gy. ?Dote Paid:
Dote of Insp.: iritp.:
• CASH RECEIPT •
CITY OF EAGAN
[:] CASH
PYND COOE AMOVNT
C?o &-e
G?
? a y
o ? 3?-t-L- °u
Thank You?? s J v
Y
' `! 66897 White-Payere Copy
Vellow-Posting CApy
Pink-File Copy
3830 PILOT KNOB ROAD
CITY OF EAGAN R'
N2
1Zc
v14
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE: 454-8100 ? ,(
?? /
BUILDING P ERMIT
Receipt u V
_
?l'
,
Tobeusedtor SF DWG/GAR Est.Value $61,000 pate SEPTEMBER 15 ,1986
SiteAddress 1064 HUMMINGBIRD LN Erect Occupancy R3
Lot $ Block 2 Sec/Sub. LEXINGTON PL SORemodel ? Zoning pn
Parcel No Repair ? Type of Const `i{}
. Addition ? No. Stories
= Name ORRIN THOMPSON HOMES Move ? Length 40
3 Addre 1712 HOPKINS CROSSROAD Demolisn ? Depth 46
° ss
mtka 544-7333 Int.lmpr.
Ci
Ph ?
? Sq.Fr
ry one Install
o Name SAME Approvals Fcea
i
?Q Address ASSeSSmBflt PefRlit $ 316.00
Cily Phone Water & Sew. Surcharge 30.50
?a Police PlanReview 158.00
Fw Name Fire SAC 575.00
¢z nddress Eng. WaterConn. 500.00
<w City Phone Planner Water Meter 63. 50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 9/15 /8 Tf.PI. 156.?0
information is correct and agree t co ply with all appli ble State of
Minnesota StaWtes and City of, a " nces. APC Parks
? ? ? J?
Signature of Permittee Var. Date Copies
0 0
08 9
$ Z
Total
•
.
A euilding Permit is issued t* ORRIN THOMPSON HOMES on the express condition that
all work shall be done in acc rdance with all applic tate of Minn sota utesand of Eagan Ordinances.
Building Oflicial ?
CITY OF EAGAN N2 14 9 6 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PFaRMIT PHONE: 454-8100 Receipt# :a 3? ???D
To be used for 'DECK Est. Value $1, 000 Date MAY 9 ,79$8__
Site Address 1064 HUMMINGBIRD LN
Lot 8 elock z Sec/Sub. LEXINGTON PLACE S
Parcel No
m Name DAVID MEYERS
; Address 1064 HIIMMINGBIRD LN
0 City EAGAN Phone 681-9573
? Name
0
oa Addre
? City
"w
w Name_
w
iF7, Address
u
a z W City_
I hereby acknowledge that I have read [his application and state ihat the
information is correct antl agree to comply with all applicable State of
Minnesota Statutes and Ciry o gan Ord an s.
Signature of Permittee
A euilding Permit is issued to: DAVID YERS
on the express condition that al I work shal I be done in accordance with al I
applicable State ol( ?Minneso[a Statutes andCiry of Eagan Ortlinances.
BuildingOfficiaLlJ1II?,;??Mpli
OFFICE USE ONLY
On Sde Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (AC[uap Const
City Water _ (Allowable)
PRV Required _ # of Storiea
Boos[er Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Z4
00
Engr./ASSess. Permit .
Planner Surcharge • 50
Council Plan Review
Bitlg. ON. SAQ City
Variance SAC, MWCC
WaterConn
Wa[er Meter
Road Unit
Treatment P1
Parks
24
SO
TOTAL .
_
This reQUest void
ta momns q/l7L/o_/
trom . J° ? 'a
C3Q444 L 9-
Hepu st Date
?'p???j Fire No. Rouph-in Insoection
R uiretl? '
s ?No
Ready Nuw ?N'ill Notity Inspec-
?
tor When Reatly
J!?Lice.setl ElecGical Contnctor I hereby requeat inspectioa of ebove ? Owner elaclrical work inatelled at:
Sveet Atldress, B or Poute No._ C
D ? -
ecuan o. Tawnsnip Name o o.
I RanBe No. Cow y
O upant (PRINT) , Phone No.
,?WV-73
Powe $uOPlier Address
?C? i ov a7?rl
Ele
ftric
al Contractor ICOmDany Namel Licens
Contraclo
r's
e
o.
?
?
( [
p
/
?
MailinB ?4dJr s IContract 5ft or Own¢r Makinp Ins
tJila a io '
r?C/ J? ?
Aut ori d SiBnature IConVactoJOwner MakinB I Ilati /Phone Number '
-?z3z-
KKNNESOTA STATE BOAPD OF ELEC Y THIS INSPECTION flEQUEST WILL NOT
Grie9s-Midwey BId9. - Aoom N-79 eE ACCEVTED BY THE STAiF BOAND
1821 University Ave., St. Paul, 55104 UNlESS PflOPEP INSPECTION FEE IS
Phone 18721297-2111 , ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION jjft EB"00001-04
Ii, Sae instmctions for comoleting this torm on beck oi Vellow copy. ^OY
""K" Below Work Covered by 7his Requesl ?
Add Nap. Type ot BuilAioB AoOliancee fYireC.. Equiument Wired
Home Range Temporary Service
Duolex- ?- Watrr HP.elLP.f LIQIlI11lO Fixtures
? 1 Commercial Bldg. AFurnace Silo Unloader ?
ndustrial BIAo. ir Co
I nditioner 8ulk Milk Tenk
M Fee ServiceEntrenee5izs tl Fea Feedars/Subieeders # Fna `Circu,ts
y. o-d 0 to 200 qm s .pa 0 to 30 qm s 0 tn 30 nm s
Above 200 qmps ;p-? 31 to 100 qmps 31 to 100 AMPS
Swimming Pool Above 700_Am s Above 100_Amps
Transtormers Irrigation l3oorris Partial."Other Fee
TOTAL
I, tha Elacvical
?? LN/rh?Yrp? lx` InsDector, hereby
certity Final Net the a1,ov0
?/e insoaetion hes been
I p?y i!'?'?? made.
misrequeatvolotemontMirom ' g'//ZD
3?
CITY OF EFlGAN
CASHIE.Fi: S 7ERMI1dAL NOt 7'60
DATE« 07/06/93 TSME: 12:31:42
IT, :
NAME: CUSTOM IiL"MODFl.ERS YNC
3210 9001 1064 HUMMTNGBIfi 153.25
21.55 900i. 1064 HUMHTNGRSR 4.00
Ta+,al Receipt, Amaun•F: 1.57.?5
CF i ic"'853
USER ID: MANCY
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 J
New Consfrueiion ReauiremeMs
? 9 registeted stte surveys showfng sq. R. of lol, sq. N. W houae
and all rooted areoa (20% mnximum lot eoveraae allowed)
? 2 copies of plans (show beam 3 window ahes; poured fnd. design; efc.)
? t set of energy calculatfons
? 3 coples of hee preservWlon plan H lot plaMed alfer 7/1/93
DATE: -Z'-G'?g
DESCRIPTION OF WORK:
STREET ADDRESS: 1U !
Remodel/Reoalr Reaulremenis
2 copies of plan
7 set of energy calculafions tor healed addRlons
t sHe suney for enterlor addHions a deckaCONSTRUCTION COST:
LOT: ?C BLOCK: 2"' SUBD./P.I.D. #:
Name: ?" !5 t/IOXAG Phone #:
PROPERTY Last Fhs?
OWNER
StreetAddress: /O(? Ll la?et
City _?Eci un State: Zip: ?5 I 2'3
Company: l_ u 5hAn I?r.no?l?r.eS J?.?c Phone #: 6 S( 78q - ZG qG
(area code)
CONTRACTOR
Sheet Address: c-I -7 C( .4219 lit, o2 License # l'7 YY Exp. - 3! -2IZe
City b"n L.c 1ceS State: Lii 'CI Zip: Li s n(4
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheef
City
State:
Sewer & water Iicensed plumber ([eaufred for new construcflon onlvl:
PenaNy apptles when address change and lot ehange is requested once permR Is Issued.
Y
Zip:
read fhls appllcaflon, atate thaf the informaNon Is conect, and agree to comply with all applicabl
"f Eagan Ordinances .
Signafure af Appllcard:
Yes
Tree Preservation Plan Received Yes
OFFICE U5E Of
No
No
Regisfration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 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 Stqrm Damage
? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offitslFascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 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)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main tevel sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Unit§;;.;
% SAC
Building Engineering Variance
Valuation: $
.,
;40-
?
M h
? .
?yi?
iF'?a r7?lv, v I? Ttn"i7PT?f .?lC i',i:` .
?a TF s i??f?.EA'33 14"" y 'I. 4? 1. J. -Z
3C I J'ti?P!IGF'"'Zri 11 c ?l 2a
E?J1 1F7bd
co'25
° q°g1 "S6A 1 ?? ji ? , ? . • o ?tSi?C: Z+? i ,RN`.' ? : ? _ . ., ?? ' ?I ? ? .
n'Ffi??I,X??:«'?Yn?tdF.p,X+?c'?r,?'?Rr's,k,ar?.s??#*? r!FMC?c$M.
/ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)?. elj ?
3CITY OF EACAN
3830 PILOT KNOB RD • 55122 ?
- 651-681-4675
w Conshucfton Reauireme
? 3 regbfered sHe surveys showing sq. (f. ol lot, sq. H. of house
and all roofed areaf (207, mmclmum lof coveraae allowed)
> 2 eople3 0( plans (show beam a wlndow sizes: poured fnd. destgn; etc.)
> t set of energy calculollons
? 3 coples of hee presenafbn plan H lot platted a(fer 7/1/93
DATE: ja,a • 01? - n
DESCRIPTION OF WORK; ICaK VI? I m-
STREET ADDRESS: VIiTL_t7UI II f) ,_ 11 KU I.
LOT: ? BLOCK: ?'-_ S BD./P.I.D. #:
Remodel/Reoalr Reauirements
2 copies af plan
1 set W energy calculatlons for heated atldHions
i sMe survey for exterior addlNons 6 decks
? ?j ?
CONSTRUCTION COST: ?-"'
Name: ?(f 'tf"?W(a Phone #:
PROPERTY L FUs?
OWNER
SheetAddress:
Ci1y StaFe: ZIp: r-095
Company: &&??? ?? ? '"?MPhone#:
(area code)
CONTRACTOR r? 1?? ?? `n I•
Sfreet Adndress: (J1 l l VV 1 License # Exp.
City State: ?1U Zip: D??61
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streefi Address: Registration #:
City State: Zip:
Sewer S water Iicensed plumber (reaulred for new conshuction oniv):
Penalfy applies when address ehange and lof change fs requested once permR is Issued.
I hgreby acknowledge that 1 have read this applicoHon, state that the info?lon is cwrec pgr to comply wMh all applicabl
State of Minnesota Statutes and CMy of Eagan Ordinances. ??Fln
Signafure of AppllcaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
?
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 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. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened)
0 04 2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 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) Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System .
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S!W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
.
SAC Units
% SAC
c
0 g
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-tl- 14G4.?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
NOTEs ADDRESSES FOR CORNER
IS DESIAED. NO CHANGE;
MULTIPLE DWELLINGS RENTAL
FOR SALE UNITS
U OF UNITS
INCLUDE 2 SETS OF PLANS, C RTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
7 SET OF ENERGY C/CATIONS NS
COhAtERCIAL
INCLUDE 2 SETS ITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECI AND 1 SET OF ENERGY CALCULATIONS yarC APr? ,;r.??
?r
To Be Used For: Valuation: Date: y,-L6-?cY
Site Address Jp&y yi.&,Y" p,/,g?,,j ?Onr?
Lot $ Block ?
Pareel/Sub v
Qwner y i
Address IO(iY_
City/2ip Code CA4Aiu MN SS?i9-3
Phone 957 3
Contractor
Address
City/Zip Code.
Phone
Arch./Engr. _
Address '
City/Zip Code
Phone If
OF SURVEY, 1 SET OF ENERGY CALCULATIONS
- CONTRACTOR/HOMEOWNER Mf1ST DFSIGNATE WHICH ADDAESS
oFFlUG usr; UNLY
On site sewag e Occupancy
MWCC system Zoning
On site well Actual Const
City water _ Allowable
PAV required _ # of stories
Hooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge
Council Plan Review
Bldg. Off. ?4 zR SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
21.40
.So
k???j
1986 BQILDZNG PERMIT APPLICATION - CISY OF EAG3N
NOSE: ALL CONTRACTORS M[JST BE LICIIiSED UiITfi THE CITY OF EAGAN
SIAGLE F9NffLY DWELLINGS
INCLUDE 2 SETS OE ?LANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DSiELLI;4GS - AFSIDENTIAL RENT9I. DNZTS FOE SALE {TNITS
IvC:.UDE 2 SETS OF PLANS, CERTIFICATE OF S(IIiVEY - CHEC3 NITH HL?G. DEPT.,
7 SET OF ENERGY CALCULATIONS
COP4iBRCTpi"
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
q -10-cg?
To Be Used For?l?? ? Jn?i n Q Valuation: 1? no _ Date:
Site Address
V?
Lot ? Block Z
Parcel/Sub
i i
Owner
Erect X-
Remodel _
Reoa3r _
addition
Move _
Demolish _
Znt.Zmpr. ,
Install _
Occuoancy 9-3
Zoning rp
Type of Const
i6 of Stories
Length ?
Depth
Address
City/Zip Code _
Phane
ContractorQL6?
Address ri 17-?
City/Zip Code'b
Phone 'Gt[I -`1 33--3
Arch./Engr.
Address
City/Zip Code
Phone 4
Sq Ft
APPR4VAIS ??
Assessments Permit gL
Water/Sewer Surcharge
Police
Plan Review ?
Fire SAC S .O
Engr Water Conn ls?.E
Planner Water Meter 0.5
Council Road Unit -zaO_6
Bldg Offq.r5 v, 5@ Treatsent Pl
APC Parks
Variance Copies
lY)TAL
??
??CTi .u
L??
NOTE: ADDRESSES FOR CORNER LOTS - CCNTRACTOR/HOMEOiiNER *SIIST DESIGNATE'HICH ADDRESS
ZS DESIRED. :10 C3ANGFS AILL HE ALLOWED ONCE BQILDING PERMIT IS ISSIIED.
,-?.i.n+rn uvVatvuDttllYV l.?t'HIVZ • LG17 WAYC,A'1'A tlWLl:VAKlI • 1'11lYlVGHt'lJL1J, Clry • YtAHVG:
CCRTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCHMARK: Top nut of hydrant @
Lot 8, Block 2.
E1. = 910.08 ft. (NGVD-1929)
PROPOSED ELEVATIONS:
FRONT GARAGE SLAB:
E1.= 910.03' ft.
S 69° 21' 5" E
?9 0
-- d ?
N
S
'__
M 31' 20.0
c? m
m
Scale: 1" = 30'
• Iron monument found
? Spike or wood stake set
.500.0 Ex3sting spot elevation,
oo.o Proposed spot Plevation
?- Drainage direction
HUMMINGBIRD LANE
W ip -- m -
20.o m
10 a ?
0 10.0 ? HOUSE# 10(.¢ ?
CO N
m
o _,?'--• 40.0
z 9a5.7 I
!
LOT 8 '
i
9oao8
10
O N
O a
y
W
? j
0
D ?
?D
?
U')
?
22 45"w 60.05
Lot 8, Block 2
LEXINGTON PLACE SOUTH
Dakota County, Minnesota
I hereby cer[ify tha[ [hia ia a Crue and correct representation of asurvey of the
bovndaries of Che land above described and of the location of all buildings, iC any,
thereon, and all viaibla anccoacNronta, iL eny, Pcom oc on said land. I furthar
certiCy that [hls aurvey vae prepared by me or under my dlrec[ supecvision and Chat I
am a duly Registered Land Surveyor under Ghe lavs of the S[a[e of ninneeota. 41/j S,/j? ???.pcr 4 tRV Reg. No./5T? Da[e ''?? -9
PrODOSed House)L AG-Auilt Nouse n'a,.,,, ti.. KAE RhAO
1
?
?
a
APPLICATION FOR PERMIT
tlTY OF EAGAN
SEWER AND/OR WATER CONNECTION
*KYPS: YAYbw.-YC UE' ,...,.: t:r 'ri?. •: UZ *
APPLICATION DOFS NOT ODNLS`it7VPE *
APPROVAL OF PII21IIT. *
INSPEGTION OF SEWE2 ADID/OR YA'['II2
INSTAr.ramrONS WII.L NOT BE SCHED--
ULID UNPII, PE42hffT HAS BEEN
APPROVID. .
• "' ][iiJf9[lfF'F][]fF]f'RFi'F'RF]flf]!l[ZiFZ]fiiiiTRl[i
, - (P ease Print)
1) PROPERTY ADDRESS:
LEGAI, DESCRIPTION:
IF EXISTING S1RC'CIC?RE, DATE OF ORZGINAL B[JILDING PERMIT ISSC'ANCE: "
FRFSENP ZONING/PROPOSID [!SE: (hbn Yeaz)
0 CO`f?MCIAL/REPAIL/OFFICE
Q IbID[.'STRIAI,
n INSTI'IL'TIONAL/GOVERNg,'W
R-1 SZNGLE FAMILY '
? R-2 DLPLEX (T.,p Dnits)
? R-3 'iUWDIIIOUSE (Three + Units) ( Onits)
Q R-4 APARThENT/CONIDOMINILTI ( Units)
2) ... a:u
t:1TY, STATE, ZIP:a/Nl(JZ,c76AJ?(4 m?
PHONE: ,t-q/f/. 7 ?
3) ?
NAME:
ADoRESs:_ZjV;?
/-?y.? soar? ?o??rls ?.?
CITY, STATE, ZIP: .KD.?L?iilOd6?Y' '-Y-vrlJ(o8
PHONE:_MasTM r,zcavss# _/8!?,19nr
q) oaa • o : i?+•
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
? Active
YScpired
Not recorded
St Initial
S) ?? e?• r ? d:. •?• • a • oo U- tiras '
? CONNEC.'TION TO CITY SEWER Eg CpNNECTION 1C) CITY WATER ? p'IHER '. .
6) E] PI,EASE HOLD APPROVID PERMIT FOR PICK-LIP BY ONE OF ABOVE
PLEASE MAIL APPROVID PF?2MIT TO 1, 2,(g 4. ABOVE
7:25?? (Circle one) a ' .
7) e r• u• • '
? ?
,
FOR CITY USE ONLY
PERMIT #.ISSUED "
/ ? .
Pd w/Bldg. Permit FEES:
$ /0 'S-? -7$'.
$ /D • 571 - > s
$ $
$ $
$ /6-1 0-cl -??
$
$ ,500•? $
$ $ $
$ $
$ $
$ $
i?o0 S
$
$ $
s 13???-? s 0-6
RECEIPT # RECEIPT
SEWER PERMIT (INCLDDE SURCHARGE)
WATER PERMIT (ZNCLUDE SURCHARGE)
WATER METER/COPPERHOR[V/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
wAc
SAC
TRL'NK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRC'NK SEWER
LATERAL BENEFIT/TR[.'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK TVITHZN POBLIC
ROADWAY" MOST BE ISS[)ED BY THE ENGINEERING
Ej NO DIVISION. LIST AS A CONDITION.
i
.
SL'BJECT TO THE FOLLOWING CpNDITIONS:
APPE20VED BY:
2`ITLE:
DATE:
. .:
?
I
N
I
544kg: I "_ 15'
?
Use BLUE or BLACK Ink
F------------------
I For Office Use I
I I
Permit 3 j
City of Ea 1 r^ L.~ 5- I
I Permit Fee: l ) ( ° I
3830 Pilot Knob Road rte/
Date Received:
Eagan MN 55122
I
RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: 1
MAR 3 0 2012 '
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - ~0 t L Site Address: 4 b°--t Unit
Name: r~ C_ '6Vd I&t- Phone: 3/0 - y1% 35-3
RESIDENT /
OWNER Address/ City /Zip: e,
I~ Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No T1
.._ti e . Companj,-)da~a~a~`c
y: Contact:
Address: '573 iIA4-. /1F• IL City: Mar e_
CONTRACTOR
State: Zip: Phone:
4
License C,e- 673V4164 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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.aoaherstateonecall.oro
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m e completed within 180
days of permit issuance.
x
x
Applicant's Printed Name icanV ' ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
'4 - Foundation - Fireplace - Porch (3-Season) - Storm Damage
Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family)
- Multi Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
- 01 of - Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration - Fire Repair _ Windows - Demolish Foundation
- Replace - Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review ; Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code` 3y Stories Booster Pump
# of Units / Square Feet ' PRV
# of Buildings ' Length Fire Sprinklers
Ype o Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final -J-- Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:' , Building Inspector
RESIDENTIAL FEES C~ 2FOG ,O
Base Fee 3 ~3
Surcharge S
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
X9719/ 14 la..37 .10 b t 1U.- b51 U (n nb7`f r hUn : 111100001 401"1 001
Use BLUE or BLACK Ink
For Office Use I
I Permit
31 I
City of EaRd I
J L~ j Permit Fee:
3830 Pilot Knob Road 1
Eagan MN 55122 1 Date Received: ° Z
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/18/2012 Site Address: 1064 HUMMINGBIRD LANE
Tenant: Suite
Name: Phone:
RESIDENT I OWNER
Address / City / Zip:
Name: PIPERIGHT PLUMBING INC License PC646240
Address: 10710 MISSISSIPPI BLVD City: COON RAPIDS
CONTRACTOR ~
j State: MN Zip: 55433 Phone: 612 747 6114
;i
Contact: GENE TOMAS Email: genenictomas@usfamily.net
TYPE OF WORK - New X Replacement _ Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work: SET ALL FIXTURES IN HOUSE $1900-00
RESIDENTIAL
1 Water Heater
Water Softener
Lawn Irrigation ~ RPZ / - PVB)
PERMIT TYPE Add Plumbing Fixtures Main Lower Level)
l Septic System
-
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.goptierstateoriecall.org
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 apl
x EUGENE TOMAS x 1_...;
Applicant's Printed Name ApN..ua.1i v.y..ais.a
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140708
Date Issued:01/17/2017
Permit Category:ePermit
Site Address: 1064 Hummingbird Lane
Lot:8 Block: 2 Addition: Lexington Place South
PID:10-45060-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
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 Fisher
1064 Hummingbird Lane
Eagan MN 55123
(612) 790-6219
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140770
Date Issued:01/19/2017
Permit Category:ePermit
Site Address: 1064 Hummingbird Lane
Lot:8 Block: 2 Addition: Lexington Place South
PID:10-45060-02-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
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 Fisher
1064 Hummingbird Lane
Eagan MN 55123
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Eck
buildinginspections(cityofeagan.com a
EAGAN EcEivi::-
1
For Office Use ir�
/47 s� I
1
Date Received:
Staff: I
L I J
Permit Fee:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6.23.2020 Site Address: 1064 Hummingbird Lane Unit#:
Resident/
Owner
Name: Erin Taylor Phone: 6514082472
1064 hummingbird lane
Address /City /Zip:
/
Applicant is: Owner Contractor , 4 a t
Type of Work
Description of work: New footings on the deck
Construction Cost: 2500 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: Hoffman Weber Construction Contact: Amanda
Address: 2155 Old Highway 8 NE City: New Brighton
State: MN Zip: 55123 Phone: 6514082472 Email: amanda@hwconstruction.com
License #: BC 443250 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Footing
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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 they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
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.00pherstateonecall.orq
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 n• 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 , s.
x C'Yti' 'J(lb1
Applicant's Printed Name
Applicant's Signature
/ ,z/ #60-01;401-41 //9
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season)
Single Family Garage
Multi "! Deck
01 of _ Plex Lower Level
WORK TYPES
New Interior Improvement
_ Addition _ Move Building
_ Alteration _ Fire Repair
X' Replace
Retaining Wall
Exterior Alteration (Single Family)
Porch (4-Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool _ Accessory Building
Siding
Reroof
Windows
Repair Egress Window
DESCRIPTION
Valuation Occupancy
Plan Review Code Edition
(25%_ 100% ) Zoning
Census Code 9,3q Stories
# of Units Square Feet
# of Buildings Length
Type of Construction 5 i3 Width
REQUIRED INSPECTIONS
_ Footings (New Building)
X' Footings (Deck)
x-
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
�c - i MCES System
Dv SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: . A/% �sr -
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3