1067 Hummingbird LaneBUILDING
10, SF
CITY OF EAGAN
Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHONE: 454-8100
Receipt #
$57,000
?.?.
12064
SiteAddress 1067 HIlME1INGBIRn LN Erect Is Occupancy 123
LEXING'I')N PL
Lot8 Block 1 Sec/Sub S45emodel ? Zoning Ri
.
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name ORR IN THOMI?30N HOMES Move
D
li
h ?
? Length
36
D
th
=
; Address 1711 HOPKINS CROSSROAD emo
s
I ? ep
39
F
S
° city I;TKA phone 544-7333 Int.
mpr.
Install ? q.
L
_ ? IName SAME
? Q Address
~ City Phone
a
W W Name
? o Address
_
? W City Phone
Assessment
Water & Sew.
Police
Flfe
Planner
Council
Permit
Surcharge d'." • -'"
?
Plan Review 152.00
SAC 575.00
Water Conn. 50U.00
Water Meter 63 . 50
Road Unit 29v. 00
Iherebyacknpwledgethatlhaver adthisapplicationandstatethatthe B?dg.off. ?/5/66 Tr.PI. 15fi.U?
information is correct and agree co ply with all applicqble State of
Minnesota Statutes and City of ? gan rCinaRCes. , APC Parks
J` Var. Date 4/17/84 Copies
Signature of Permittee ' - ' Total ? ? ? ??
A Building Permit is issued to: ORRIN 'Y`IIOI•iPS014 HOMES on the express condition that
all work shall be done in accordance with all applicab,le 5tate of Minnesota Statutes and City oi Eagan Ordinances.
Building Official
.
P?rmN Na ftrmlt Holder Date, TN"hoM N
PlumWny
+-?
H.V.A.C.
Elocbic a - s- -
SORMN
ImpecUon' Date Inap. Commenb
Footinys I
Footlnqsll
FoundatWn
Framiny
Rooflnq ? ?
Rouyh Plby.
I Rouyh Hty.
Insul.
Firoplaeo
Final Htp.
Finsl Plbq.
1816g. Final ?o (i??!.
1C*rI. •G[.• ?i
IDeck Ftp.
I Dodc Fmq.
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Pr. Disp.
.?:
,PERAAIT # CITY OF EAGAN
MECHANICAL PERMIT
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE MINiMUM COMMERCIAL FEE - $20.00 +$.50
FEE
s / C
? .?
TOTAL
/
1. Bldg. Type: Res ? Comm Inst 2. New P"'_ Add Alter Repair
3. Total Bid Price 4. Jots Address _,?D??! ??? w?•?' 2 >
Lot?Block ? SecJ'E?'?^'?"nu ?'?? ??- 5. Owner.' ??;? /rr.??-'r?: v?? i
6. Contractor :? ?rv ? - 13 ?:?1i? ?4 r?1 y- !? "?'f!? ?- i.f
(Name) ?? [Stree? (City) (Zip)
7. Gontractor Phone # -??
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additi0anal 50,000 BTU's or fraction -$6.00 -
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
?
HEATIMG VENTILATING HOT WATER STEAM AIR COND.
61R PIPING PROCESSEQ PIPING AIR HAND. EQUIP. RtFRIG.
?G RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGRO UND OTHER
COMM./IND. RAW1_%OF TO ID PRICE PLUS $.50 STATE SUR/CF}ARGE FOR
[y H$1,U00 OF FEE.
.
f
Signed: -•? for ? ? - '? ?
"- '?
'
Approved tt Inspections: Date Rough Insp.`' DaCe Final Insp.
---• -- . - -.,- -__... _ -• --- - - _ , _ _ _ .
i i
. _ ?
.
CONTRACT PRICE:
Site Address 1126 ?
Lot Block ?
L Name
d
?
Address
c Ciry Phone ?
Name ?
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMi1M - 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)
.
SIGNATURE OF PERMfTTEE
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT # ?J 7
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
BLDG. TY? WORK DESCRIPTION
Sec/Sub r
Res. New
Mult Add-on
Comm. Repair
Other
N FIXTURES
? TOTAL _
Water Closet - $3.00 $
/ Bath Tubs - $3.00 .
TLavatory - $3.00
?
/ Shower - $3.00
=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-7-
Laundry Tray - $3.00
/ Floor Drains - $1.50
-T
Water Heater - $1.50 -
Whirlpool - $3.00
- Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
a?U ?J
STATE S/C:
GRAND TOTAL: ? " ?
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirq: ? i
Owrwr• ??eF ?Fb:?r ;oE?es
/lddroas:
Sib /lddres? 1 C5.'
Plwnber.
Meftr No.:
Siu:
Reoder No..
1 pm !o eeaplp wph fw Ci1y of 1114"w
OrjlmwoN.
By
oore of I rup.:
WATER SERVICE PERINtT r ?
PERMIT NO.:
D/1TE:
. No. of Untts: ?
Corp+sctian Qaroe:
/lcaourn Deposit:
Permit Fee:
Surcharps:
Misc. Chorpss:
Totol: ' `-
Dote Pnid:
{
i CITY OF EAGAN
r 3830 Pilot Knob Road SEWEIt SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
?
Eagan, MN 55121 D,4TE:
Za+irp: -1. No. of Unin:
I
OWrw?: '`r0lCS'F:^ itc:"'e
Addrosx
Site Add?ess: 1067 HttiRIDiAA.bZI'tt I..3::e L
Plumber.
1 Mn? Mse- pIf wMh !Iw Cily of fqpw C.onrNCtlon Chorpa:
Aooouunf Depait:
Ptm* Fes:
?
?
sY Surcharpe:
Mitc. Charpes:
? Dcte of Insp.: Totol:
Irup.: Doft Pald:
)F EAGAN WpTER SERVICE PERMR
iCat KrMOb Road -
ox 21199 PERMIT NO.:
MN 551,?1 DATE:
No. oi Units: ?
1-omns0n -_araea
h eow,ryr wMb 11w Cih of
? of Insp.:
'_ ?, Av,
-?`?
CITY OF EAGAN Remarks
Addition Lexington Place Srn,th Lot $ eik ? Parcei 10^45060 086 O
Owner Street 1067 h?? 5tate Faoan Mlq
a??? rr??an?-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 247
64 `
SEWER LATERAL . 326
14 7
WATERMAIN 1985
WATER LATERAL ^ 174 .
WATER AREA 48
22.
STORM SEW TRK _
' 85.30
STaRM SEW LAT ? 16 0. 6 6
CURB & GUTTER •
SIDEWALK
5TREET LIGHT
WATER CONN,
BUILDING PER,
SAC
PARK
• CASH RECEIPT •
CITY OF EAGAN
, 3795 PILOT KNOB ROAD
` EAGA , I S OTA 55122
DA ?? 19 RECEIVED /
NT I $ ° <-1-6 Is-0
?OlLARB
[] CASH
??..?/?.? . d?- /oL, Y%YO'`S?`?""`,
i
FuNn eoo
420
_
7 '
?
a ?
o a
/
,
Thank You 3
Pf°_ 63933 B
Nfiite-Payers Copy
Yellow-Posting Copy
Pink-File Coov
CITY OF EAGAN N 0 12064
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55
PHONE: 454-8100 ?
BUILDING PERMIT Receiptp
7obeusedfor SF 'JWG/GAR Est.Value $57.000 pate JUNE 5 19 86
SiteAddress 1067 HUMMINGBIRD LN Erect El occupancy R3
Lot 8 Block 1 Sec/Sub. LEXINGTON PL SoRemodel ? Zoning R }
Parcel No Repair ? Type of Const.'VAL -
. Addition ? No. Stories
W Name ORRIN THOMPSON HOMES Move ? Length38_
3 Address 1712 HOPKINS CROSSROAD oemolisn
l
? ?
? Depth-39
S
Ft
° MTKA 544-7333
City Phone mpr.
nt.
Insfall
? q.
.
s
o SAME
Name APProvals
? a Addres5 ASSBSSfnent
• City Phone Water & Sew.
? s Police
F= Name Fire
? ?y Address Eng.
W
a Ciry Pnone
Planner
Council
IherebyacknowledgethatlhaverIeadthisapplicationand atethatthe gldg.Off. 6/5/86
information is correct and agree [o cc ply with all appli ble State of
Minnesota Statutes and City o aga r i ces. / APC
?
-
? Date 4/17/84
Var
.Y
1,-
p, ?,/
Signature oi Permittee .
A Building Permit is issued to: ORRIN THOMPSON HOMES
all work shall be done in accordance with all app' a e Stat of M nne ta Sta
Bullding Oflicial IZ'
Fees
Permit ? ?V Y. V V
Surcharge 28.50
Plan Review 152 . 00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63. 50
Road Unit 290.00
Tr. Pi. 156.00
Parks
Copies
?
T.1nl T? ?
'"OO
on the express condition that
and Ciry of Eagan Ordinances.
nREQUEST FOR ELECTRICAL INSPECTION ee-oucwt-oa
?-? (C`J v? See inshactions far completing thie form on beck o1 vellow copY.
C 2-1,324 "X" Below Work Covered by This Request ??/ (13
Fdd Rdp. Type of Builtlin0 AoCliancea WireE ' Equipmenl WireJ
Home Range ' Temporary Service
DuplHx Water Heater Lightiny Fixtures
Apt. Builtling Dryer Electric Heatm
Commercial Bldg. Fumace Silo Unloader
lndustrial Bldg. Air Conditioner Bulk Milk Tank
Farm otnr. oeci v Otn„r Isn?????y)
1 er Suecify Other Other
Compute lnspection Fee Below
k Fea ServiceEnnence5ixe n Fae Fexders/Subleeders N Fee Circaits
0 to 200 qm s .p 0 to 30 Am s 0 to 30 Am s
Above 200 qm11y , yLl 31 to 100 qinps 31 to 700 A s
Swimming Pool Abave 100-<lmps Above 100_P.mps
Transiormers Irrigation Booms Partial.'Olher Pee
Signs Suecial Inspection 5 Q T
T
Hertnrks I/.Ii. . e ?. _ _ ) w . . .. . C
/Ji O
FE?
.d
- -- ? I, ihe ElecVicel
Insoac e v
carlily,thex the nbove
Final Djn e i s0eeli0- hes Eeen
Y? l' de.
(hb rapuasl wiC 18 montM irom
This reQUas
18 m l void
onths from Cl- ?
C; .21324 L_kf3
& `t/ ce/3
Repuest Daie. Fire No. ouph-in InsVectiom
flequved? ?y
E]Reatly Nuw1C ?Will Notify Inspec-
(Q? ? Yes ?NO [or When Neady
$jLu.e.sed Elecvical Convacmr I hereby raquest inspection ot ebova
? Owner alecbicel work ivstelled at
5[reet Atltlre ss oz or Route No. Ci
66 ? ?
ection o. Township Name r No. Hange No. Co n
O upent IMiIN Phone No.
,5W-73.33
Po er Supulier Address
IOAAJ&U ?';W2?a w
clri al Contractor ICompany Ndmel Contractor"s licens o.
" 3 -/
ailine Ad ress ICon[r ctor or Owner Making Instailationl -? -/
227
Autnoriz SIBnamre IContraclor/Owner Making Installationl Phone Number
.o-_//z3z_
MI ESOTA STATE BOApD OF EL ITY
Carig9s-Mitlway Bldg. - Room N-
1621 Universily Ave., St Paul, MN 55104
Phone 16121 297.2111
THIS INSPECTION NEQUEST WILL NOT
8E ACCEPTED BY THE STqTE BOAND
UNLE55 PNOPEN INSPECTION FEE IS
ENCLOSED.
4b?cft oF eagan
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIFLDS
MIKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry ,4dministtaror
Municipal Cenrer.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax:651.675.5012
TDD: 651.454.8535
Maincenance Faciliry:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.675.5300
Fm: 651.675.5360
TDD: 651.454.8535
?.ciryofeagan.com
THE LONE OAKTREE
The symbol of strength
and growth in our
communiry
August 9, 2003
MR KEITH MAKI
1067 HUMMINGBIItD LANE
EAGAN MN 55123
Deaz Mr. Maki:
On July 30, 2003, I left a notice at your home to give me a call regarding concerns I have
about your newly-constructed deck.
In speaking with you on August 6, 2003, you stated that your deck was 16' wide. This
deck should be no more than 14' wide and meet the 30° grade requirement. As of today, I
have not heard from you regarding corrections you have made.
The City of Eagan is requesting that you resize your deck to a maximum of 14' and
bring the grade up to no less than 30" from the surface bv AuEUSt 28, 2003.
Included in this correspondence is a handout referencing deck construction. If you have
any questions or need additional assistance, please call me at 675-5679.
Sincerely,
eZele a
Building Inspector
T7/J S
Encl.
cc: Dale Schoeppner, Chief Building Official
APPLl(ATIGN L'CjES 10r
'
,*t APPROVAL OF Pr
StMIT. rt
APPLICATION FOR PERMIT
k
? INSPDCPION OF SEWF1d APII3/OR WA'iSR *
.
SEWER AND/OR W . * rusrAr.ramrONS WIIL N7t HE Sam--
IL PER
HAS
E
? *
*
ATER CONNECTION ULED UNP
PffT
B
IN
. ' • * APPR(NID.
*
* k
r
*
-. r
?**********7t*****t****t*lrfi#f#t*!F* k
, P ease Print)
? 1) PROPERTY ADDRESS: Za
Z/?
?dl????
?lr?
LEGAL DESCRZPTION:
sion or Tax Parc
= r
IF EXISTING SiRC'CIi7RE, DATE OF ORIGINAI, BUILpING PERh1IT ZSSCANCE: ;
FRESENP 2ANING/PROPOSID OSE: lMbn Year}
Q CO}DlE72CIAL/RETAIL/0FFICB
C2 SAID[.'SIRIAL
n INSTIZ[.'TIONAL/GOVERNMENT
2) ?
? R-1 SINGLE FAh1ILY ^ .
Q R-2 DL'PLFX (Twv L?nits)
R-3 'IL7wN[-IIOi!SE (Three + Units) ( Onits)
R-4 ?ART!?=/cozNroa4INzUM ? vnits)
? UlTY, sTATE, 2zP:??y?lE77?JK?
PxorE: fJ-4Yy- 7
3) u r o• NAME.
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
MASTER LZ(ENSE#
4) ooa ? s ? i?•
NAME:
ADDRESS:
CITy, SPATE, ZIP:
PHONE:
5) - ? ? a•? n• ?• • a • aa'? ?+u7? .
? CONNFx'PION TO CITY SE;WII2 ? CpNg),,,rION TU CZTY WATEft
Active
Expired
Not recorded
Sta Imtial
Q OTIER
--
6) C] PLFI?SE HOI,D APPRpVID PF.f?MIT £OR PICK-L'P BY ONE OF ABOVE ---- ---
i PLEASE MAZL APPROVID P?.:?tNiIT 4O 1. 2. () 4. A&O/E
? (Cl cle one)
7) ti - ?
0 a ti•'x-- ? _-T?--i_I = ..,t. _'_
?{I?E-' w;tW?'
, G ir ?
0 A 0 1 ( I p 1. '- (rz. ?C..? iF?T.??TT? v . T? "r--? +-;----• ? ?g ., .
FOFi C9-iyY US?:°, ?NLY
r,Er<tn'T # Zss?'ED
w/Ei'??dg. Permit
$
$ c
S
FEES:
S
$ s
$
c
SEWER PERMIT (INCLL'DE SCRCHARGE)
WATER PERMIT (INCLUDF. SLRCHARGE)
WATER METER/COPPERfiORN/OCT: T?:E 2E?:;)?:R
WATER TAP (INCLCDE CORPORATION STCP)
SEWER TAP
$ $ !S < <?'i ACCODNT DEPOSIT - SEWER
$ $ IJ-1 ?D ACCOL'NT DEPOSIT - WATFk
?
s..--v aD. lJ?J S wAc
----
S _??? 7S • CT-? $ SAC
$ TR['NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRCNK SEWEk
$ - $ LATERAL BENEFZT/TRONK WATER
S z=?; ??lp ??J9t $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ R?°27 7' ,'S Q S ?? !/ D TOTAL '
3 a 43 53
RECEIPT ? RECEIPT
DOES UTILITY CONNECTION REQCIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK idITHIN PUBLIC
Q ROADWAY" MUST BE ISSUE4,BY TAE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY:
-? G
TITLE:
,
:77InATF: -2? /dol-e
. / ? .
? P?-q
1986 BQII.DING PERMIT ApPLICATION - CITY OF EAGAN
A10YE: ALL CONTRACTORS HOST BS LICSNSBD iTITH THE CITY OF EAG9A
SINGLS FAPIILY DWELLINGS
INCLUDE 2 SETS OE' PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATION3
M[JLTIPLS DWSLLINGS - R&SIDENTIAL RENTAL IINITS FOB SALS ONITS
INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SURVEY - CHEC% NITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COrMERCIAt:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: N,6j+? Valuation: 3 nn Date: ?g - 2"?
I . .. n
Site Address I -a?? OFFICS DSE OtR.Y
Lot -Z- Block Erect X Oecupaney 93
? Remodel Zoning
Parcel/Sub =
Repair Type of Const ?
Addition # of Stories
Owner Move Length
Demolish
Depth ?
Address -
Int.2mpr. Sq Ft
Znstall
City/Zip Code
Phone I APPROVALS FESS
Address
City/Zip Code •,Y?
Phone
Arch./Engr.
Address
City/Zip Code
Phone 1F
Assessments Permit =`p?t,Gt?
Water/Sewer Surcharge Zgj,50
Police Plan Review ?
Fire SAC
Engr Water Conn
Planner Water Meter ?
Council Road Unit ?
Bldg Of?breatment Pl LGi(o.Q?
APC ?arks
Variance - 9- ?opies
TOTAL. ?
NORE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOItNER MQST DESIGNATS NHICH 6DD$SSS
IS DESIASD. NO CHANGES fiILL HE AGLOTiSD ONCS BIIILDING PBRMIT IS ISSDSD.
u,rucn C}KilNGGH1N(i G[x7PANY • 2815 WAYZATA BOULCVARA • MINNEAPOLISt t'N • PHONE: 374-47
CI.RTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 30'
BENCHMARK: Top nut of hydrant
opposite Lots 6 and 7, Block 1. • Iron monwnent found , r
Elevation = 910.08 ft. (NGVD-1929) o spike or uood atake set N
.900.0 Existing spot elevation,
oo. Proposed spot elevation
PROPOSED ELEVATION: s- Drainage direction
FRONT GARA6E SLAB: DUCKWOOp DR?VE
E1. = 909.25ft.
S 89°21'S4"£ 7Q00
o
?-- - - -
?
LOT 8 0
d p o
?,-
? ?
?
? z5.e 3
w eoe.e
?- o- u' 34.0 --- i 5,- --0
t* Q ? n O
l? NousE ioa7 aj
c ?o u. - CO
L °0 4.0
Q Z GqRAGE m (f)
m
0 6.33
. __!I11.56 ? ? p_ -4
n' s
9ozzi
? o
9 ? m m
?- M
y ? o \-- -
c p 9?.4 --
? ?Sd 9 ve%N'
9ou.i8 9ea.sY
_157y ?° o?? ??' '•N 89°21' S4 W - 46.00 " --
C" tV4B
?i? 9o6S6 9?6.84
?
tqNE
Lot 8, Block 1,
LEXINGTON PLACE 50UTH
Dakota County, Minnesota
I hereby cer[ify that thia is a tcue and eorrect representation oE a survey aE the
boundaries of [he land above described and of Che locacion oE all buildings, if eny,
thereon, and all vteible encceachmencs, if any, from oc on said land. I further
certiCy ehat Chle aurvey vaa prepared by me or under my direct supervision and [ha[ I
am a duly Regietered Land Surveyor under the lavn of the State o! Minneaota. PW Reg. No.?Date ?j f? (o
Proposed House.L- As-Suilt House nr>? r... [iAE ?.-..a.,,.? .... ARIAa
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIIV 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pemuts aze required for each unit
430->_°
Date 3 63
Site Address /JZ (/w? ,`/-? , Unit #
Property Owner Telephone #(?S I) yS y'S7p aZ
Contractor
Bumsville Heating & A/C, LLG
Street Aaaress
12h81 Rhedg Island Ave. So City
State Savege, MN 55378-1122
Zip ??-" t.
Telephone # QJo)) rS'7?/-?X)J
Bond #: Expires: k U"y
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit ? $ 30.00
X furnace _Additional _Replacement
air exchanger
? airconditioner _New _Replacement
_ other
State Surc6arge $ .50
Total
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of tLe City of Eagan and with the Mechanical Codes, that I understand this is not a
permit, but only an applicauon for a pemut, and work is not to staxt without a permit; that the work will be in accordance with the
approved plan in the case of work wluch requues a review and approval of plan5, _
_?-)'r n6-, a A 64 1-7 J?A
ApplicanYs Printed Name Applicant's Signature
2004 COMMERCIAL MECIIANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
D8t¢
Site Street Address Unit #
Tenant Name (if applica6le) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Stree[ Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Con4actor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *'see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When instafling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fe¢5: S70.50 IInderground tank installation/removal
$50.50 Minrmum (includes Sta[e Surcharge)
OC
Conuact Value $ x 1% _ $ Permit Fee I
I
• If nemut fee is $1,000 or less, add $.50 => $ State Sutchazge
If nemut fee is over $1,000, add $.50 for
every $1,000 pernut fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemut and aclmowledge 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not to start without a perxnit; that the work will 6e in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name
ApplicanYs Signature
Approved By: , Inspector
-----------
i L?i7 i
j Permit #: G/`?' 3J j
i Permit Fee:
? DateReceived: o`?CJ j
I Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Ae/ Y'lt 1)11AA?77 Suite #:
RESIDENT/ OWNER Name: T? Phone: °2Y7`7/ ?-3
Address / City / Zip:
Applicant is: _ Owner X-Contractor
TYPE OF WORK Description of work 64d4e?
Construction Cost: 4lTIJ(?) Multi-Family Building: (Yes
CONTRACTOR Name: License #:
Address: C-
/V/f? Zi
?'1 ?
p:
City: State
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 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:
A`NOTE: Plans and'supporfing documegts that yoy'submit are considered tv be public intormatron_ Portions of=' '
the informafion rnay be,cla`ssified as non p6blic
it you provide specihc reasons that would permit;he City to'
,
conclude tiiaf the , arie trade secrets =
I hereby acknowledge that this information is complete and accurate; ihat the work will be in conformance with the %dinances 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 t tart without ermit; that the work will be in
accordance with the approved plan in ihe case of work which requires a revi d approval of
x ? _??s?
?
ApplicanYs Printed Name 's Signa ure Page 1 of 3
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
I For Offic? Us2 ?
? Permit#:
I Permit Fee: ?
? Date Received:
? Staff: s I
I ------------------
2008 RESIDENTIAL BUfLDING PERMIT APPLICATION
Date: SiteAddress: Z /C.l
7enant: Suite #:
RESIDENT/OWNER Name: 1?e?-L ? i`"Mk-,?- Phone:105 1-'&8I?-7LC17
Address / City / Zip: ?ob `7 Z-i`--'
Applicant is: _ Owner (- Contractor
TYPE OF WORK Description of work: ?;a?n
Construction Cost: ((((200 Multi-Family Building: (Yes No
CONTRACTOR Name: 0k/L .IJE516yC15 License #: (90(rJ
Address:
City: State:X /L-- Zip: S-?.?5
"?
Phone: -3 7 ?; ? Contact Person:
CQMPLETE 7HIS AREA ONLY IF CONSTRUCTING A NEW BUILDiNG
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 pian:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppoi-ting documents that you submit are considered to be public information. Portions of `
' the information'may be dassified as non-publie ii you`provide specific reasons that would permii the;City to ;
`
cbnclude that ftie ate trade
secrets. I hereby acknowfedge that this informatlon is complete and accurate; that the work will 6e in confortnance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, 6ut only an appliration for a permit, and woric 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. n
X?l a Nkw dl'1 U(_i-?Ac?
ApplicanYs Printed Name ?-App icanYs Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171137
Date Issued:08/03/2021
Permit Category:ePermit
Site Address: 1067 Hummingbird Lane
Lot:8 Block: 1 Addition: Lexington Place South
PID:10-45060-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Colleen A Matters
1067 Hummingbird Ln
Eagan MN 55123
Lightning Restoration Llc
7600 147th St W, Suite 103
Apple Valley MN 55124
(763) 202-9473
Applicant/Permitee: Signature Issued By: Signature