1068 Hummingbird LaneCITY OF EAGAN Remarks
Additlon Lexington Place South Lot 9 Bik 2 Parcel 10 45060 090 02
Owner Street 1068 Hummingbird T,anP State Eagan. MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 - -
SEWER LATERAL
63 .0
326.20
5 '
1986 29. 9 " 145.87 5
WATERMAIN 1985 65.81 1.16 5 ?
?
=
WATER LATERAL 0 1
1986
8 7 3. 43
17"4 . 6 8
5 - - -
-
WATERAREA 101 1986 43.73 48.74 5
8 .
11.98 22.39 5
STORMSEWTRK 1011 1986 426.54 85.30 5
STORMSEWLAT 101 1986 803.34 160.66 5
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CASH RECEIPT !
CITY OF EAGAN
3830 PILOT KNOB ROAD
• EAGAN, MINNESOTA 55122
,
- - , -
DATE 19 _
REGEI V ED
FAOM
AMOUNT $ I
4 DOLLARi
Ip0
? CASH ? CHECK
Fore
°l -
BY
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
' • ?
/
BLDG. PERMIT ti0. ? ,
, _
01-3210 B1dg.Permit
01-3422 Plan Checic
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.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
. ,
c . •
- 3830 Pilot Knob R dl P.O. Bo 2G-A1 9, Eagan, MN 55121 12876
PHONE: 454-8100
BUILDING PERMIT ? Receipt # '
Toi»usedtor "F DS'+7G/VAR Estvalue $57,000 Date N??V?:NIBER 17, ,?g $6
SiteAddress 1068 HUM63INGBIRO LN Erect 121 Occupancy R3
LBX INGTON
Lot 9 Block 2 Sec/Sub PL SO Remodel O Zonina R 1
.
Parcel No. Repair ? Type of Const. v
Addition ? No. Stories
W Name URAIiv 'I`HOMPSON i30MES Move ? Length 38
3 Address 1712 HOPi{ I NS CROSSROAll Demolish ?
? Depth I a
t
0 City MTKA Phone 5 4 4- 7 3 3 3 Int. Impr.
Install ? Sq. F
Z ? Name 5?1?1E
ou ? Address
~ City Phone
a
W yWj Name
'3
0 Address
z City Phone
? W
I hereby acknowledge that I have read this application and state that the
information is correct and a?to comply,?ivith all appable State of
Minnesota Statutes and CiOV of aaan Ordi{iances.
Water &
Police _
Fire -
Eng.
Planner
Council
Bldg. Off. 11/17/E
Feea
Permit ? 304.00
Surcharge 28.50
Plan Review 152.00
SAC 575.00
Water Conn.-504.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156. UO
Signature oi Permittee Var. Date I Copies
Total $2,069.00
A Building Permit is issued to: ORR THOMPSON HObIES on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official
PonnN No. Permlt Ho1dK Daw Tslephons k
PIum6lny 7 '"k,
H.V.A.C.
0
Softw..
Inspeedon DaM Insp. Commmh
FooHn9s I
Foodnys 11 ,
Foundatbn
Frsminy
Rooliny
Rouyh Plbp. L r Q
Rouqh Hty.
IMYI.
Flrsplam
Final H19.
Final Plbg.
eidg. Funei
Cort. Oce. 3- t7. L.19•
Dack Fty.
Wck Frmy.
W?II
Pr. Dlsp.
' f 't.. _.,, Y . ` • '? f r .' . Y" . . ? 7 i . i.
• , • ,?. PERMIT #
MECHANICAL PERMIT RECEIPT # L 9
CITY OF EAGAN December 193F_•
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Address
? ... .,
m Name _
? Address
? City ko:
IName ub Kum$
(D
Address 1712 Aovkine
0 City Minnetonka. MN
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlcts #
Other
? M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG. TYPE j WORK DESCRIPTION
?
.
?
Res. New
Add
Mult
-on
1144 Comm. Repafr
Other
1 FEES
RES. HVAC 0-100 M BTU -$24.00
; ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M 8TU
GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE - 6.00
- 1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MIMIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
? (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
.a')II SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ? - -= ?
PLUMBING PERMIT RECEIPT # 2J y CITY OF EA{3AN ?;ecember 1
3830' PILOT KNOB ROAD, EAGAN, MN 55121 DATE: r 986
Site Address -
Lot `''
m Name (_ enz-xyan = &ii
? Address 14745 Sau th Fiob+
c City Rosesnount phone
Name %JLCi41 luanuYtsurl -
c Address 17I2 Hopkins c'ro
0 City Mi.nneton}ce, t"? Phone_
FEES
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)
BLDG. TYPE WORK DESCRIPTION
V/ ?
Res.
New
Mult Add-on
Comm. Repair
Other
N9' FIXTURES
w8ter ciosec - $3.00 ?
.?_Bath Tubs - $3.00
Lavatory - $3-00 • `"? ?
?Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Tray - $3.00
Laundry
?
Floor Drains - $1.50
Water Heater - $1.50 C,
?- ?
Whirlpool - $3.00
ZGas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
- $10
Private Disp
00
.
.
=Rough Openings - $1.50
FEE %;
I STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• ' '`' ?
". - . 4
(lrrt'tfiraf.e uf Mrrupttnry
titp of eagan
DPpu#tttplt# Af WltQtltiJ jWPtfiDti
77tis Cemf cate issued pursuant to the requirements of Section 306 of the Uniforrn Building
Code certifying that at the time of issuance this structure xas i?r conrpliance with the various
ordinances of the City regulating building construclion or use. For the following.•
uw CIA366m,;o„ S F D W G/ (-.:. 84. p,„,;, No. 12 8 7 6
occuv.ncr Type R 3 zo?g n?? ? ? c?. ?
owar ot a.m;?'``? THOW"; ,ydd,p, i 1 I 2IM?1ti S L"I'..`'iS'M11D, MIICA
I.acaury L.Q , S2 e IMMC1U1 PI, QO
Bir7ding Addrm
Dam: W" 27? 1987
Bwlding O(Gda!
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN fEWER SOVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE;
ZO^i^0: No. of Unita: QWMr: ':ciiA;.•.eU _i)'^;B°
AA'AIfSS:
Slte
/lddress:
Plurnber.
, . . ?l:i..
1 prw M eanwlp wilh Iw q!r ef lofow Ca'nectlon Chorpe:
OrAM"M /ticoasnt Depoait:
Pomnit Fee: ' Su?cFwrps:
BY Mist. Chorpes:
Dcte of Insp..
Totol:
Date Pold: -
CITY OF EAGAN 1NATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.: ? 3?`'
Eagan, MN 55121 DATE: i..?._.`? ;
Zoning: ?- P.1 No_ of Units: 1
Owne.- T':omnson Hnmes
\ddess: 11168 ?tu,rnnirlg,hird Lane L9 R2 :,exi:lgton P1 So
ber rPnz-P,?ran -
r No.: Connection Charge: 500 •00I'1
AccountDeposit: 15•00Pd
er No.: Permit Fee: 10.00pd
ae to comply wlth Ihe City of Eagan Surcharge: •508d
iances. Misa Charges: 156. 00pc? 1"P
TOtal: ??.SOp3 inPf[?r
Date Paid:
of insp.: Insp.:
; cinr oF EaGaN WATER SERVICE PERMIT
! 3830 ?Ilbt Knob Road 0318
' P.O. Box 21199 PERMIT NO.: 1^?Y
I Eagan, MN 55121 DATE:
I 2oning: 71 No. of Units: 1
' Owner. Th»rapson Hotaes
? Address:
? SiteAddess: 1058 :Iummin bird. Lane i.° '::2 Le:.inatan P1 So
?I Plumber: i=enz - t?. an
? Meter No.•-3
i ?? 6 i-'<[
su128: A
Read r No.: 0 70 I U4 U k;I
. I a9ree to comply wkh ths,Ci?g-"
Ordinances. t CLC
?
i BY
i Date of Insp.:
Charge: L =
DOSit:
56
Insp.: ;
CITY OF EAGAN t?1 p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?Y - 12876
PHONE: 454-8100
BUILDING PERMIT I Receipt#
CA-
To be used tor SF DWG/GAR EsL Value $ 57 ,000 Date NOVEMBER 17, 19 86
Sitenddress 1068 HUMMINGBIRD LN Ered L? Occupancy R3
Lot 9 Block 2 Sec/Sub. LEXINGTON PL SORemodel ? Zoning Rl
Parcel No. Repair ? Type of Const V
Addition ? N0. Stories
? rvame ORRIN THOMPSON HOMES Move ? Length 3$
3 Address 1712 HOPKINS CROSSROAD Demolish ? Depth?q Int. ° City MTKA Pnone 544-7333 InstallPr. ?? sq. Fc
a SAME Approvale Feea
o Name
0
i
Address
Assessment
?
City Phone Water & Sew.
? Q Police
w w Name Fire
i
1
u
Atldress
E
u ng.
aw City phone Planner
Council
Iherebyacknowledgethatlhavereadthisap?dlication dstatethatthe 11/17/8
gldg
Off
information is correct and a to compl ? rth all app able State of .
.
Minnesola Statutes and Ci o( agan O' ances. APC
Var. Date
Signature of Permittee
Permit $ 304.00
Surcharge 28.50
Plan Review 152 . 00
SAC 575.00
Water Conn.500 00
Water Meter63s 50
Road Unit 290.00
67r. PI. 156. 00
Copie?
rotai $2.069:00
A Building Permit is issued to: ORR THOMP SON HOMES on the ezpress condition Mat
all work shall be done in accordance with all appJ ? able State of ne Statutes and City of Eagan Ordinances.
Building Otticial A?- ?in ?•-[-e?i?.
flEQUEST FOfl ELECTRICAL INSPECTION jV% es?ooooi-os
? Sae instmeliona lor compleliny lhis twm on baek oi yellow copY.
? n Q R X" 8elow Work Covered by 7his Request
AdlIwM?Tvoe ol Bulleina Anoliancee Wired EQUiomenWIreO 1
I I I I Industrial Bldo. I I Air Conditioner 1 I Bulk Milk Tenk I
p Fae ServicaEntrenEeSiaa k Fee Feadero/Subleaden M Fee , Circuite
U to 200 qm s 0 to 30 qm 5 0 tn 30 Am
Above 20 _qm ps 31 to 100 Amps 31 to 100 A
Swinvnin Pool Above 100_Am s Ahove 100_Am e
Transformers rrigation Booms Partial.'Other Fee
I Inspection
Si /i/ ?-It TOTAL FEE
Final
7 I, the Elecbical
?i3?( Insoecbr, hereby
]fte eartify thet the nbova
,?__C ina0eelion Ma been
This rapuest witl
18 months from %
C 67048 z, q Qy
6,
/'
. ??o.o ..e..?. „_,.. ,.,.?.?,. o
J?/ ? eguiretll nNo., fleetly Now?Will Notify, InsDeo-
l?C?•Y` D es tor When ReaCy
pQ.Licansed Electrical Contractor 1 hsroby request inspaetion oi ebove
? Ownar eleetrical work inatallsd et:
Sveet Address, 9 or Noule No. Ci
/ 068 .r Jv
ect?on o. ownshiv ame or . anae o.
?
Cow 100,
O upant IPflIN Phona No.
Pow r S?DO ieI Aearess
Lv??l1 Gl??
Ele rical Con[raclor ICOmpany Namel ?qe Comractor's License No.
Mailin0 Addres ContractoOwnar Makin Instail
atio
nl
E? ? /
,
?/l./'
AWh rized SiB^a re IContracmr Owaer Making Installalionl Phone N/umber
/- k17
??
-
r
-
-3z-
MI NESOTA STATE BOAXD OF ELECTRIC TMIS INSPECTION NEQUEST Wlll NOT
Or{pps•Midwoy BId9• - poom N•181 bE ACCEPTED BV TNE STATE BOAPD
7821 UnivereNV Ave.. 8t. Yaul, MN 86104 UNLESS PROPEN INSPECTION FEE IS
Phena(87Y) 844-0800 ENCLOSEU.
C I T"Y` U F Ll-i G A N
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
U"t' ?..:E /l'P i1A?L' Qi' x'
npplicATIoN DoES rrOr w.SrizvrE *
APPE2CIVAL OF PII2NIIT. *
nvsrnMorr oF sF.NM Arro/CR MTER
TTLSTATSATTONS Wn,j. NOj` $$ $,CHED-
ULID UNZ7L PEI2NIIT AAS BFEN
APPR(7VED. '
IF EXISTING SZRL'CIL.RtE, DATE OF ORIGZNAL B[,'ILDING PERMIT ISSL'AbICE: "
(Nbn ear)
PRESEPlP ZONING/PROPOSID LSE:
? CO,tiMEE2CIAL/RETAIL/0 FFICE
? IbIDC'SIRIAL
rl INSTI'lt,*rIONAL/GpVII2NMEW
R-1 SINGLE FAMILY
Q R-2 DL'PLEX (1to C?nits)
? R-3 'IOWNiO[J5E (Three + Units) ( Lfiits)
? R-4 APARTMENT/COAIDOMINION! ( Units)
2) E??
NAME:Qj?RIA) 7"ffofflPSO.J }?o rr? E,s
aDDUFSS:/7/o? #OPKI-V S O?POSS,?o.¢D
CITY, STATE, ZIP: ?/ d,r ? ? ,
PxorE: .Y?ff- 7 ,? 3
3) m i:r•'
tuAME:
ADDRESS:
CITY, STATE, ZZP:
PHONE: rAsTm LzccENss# 1 j?jV9.-W
4) ase • ?
NAME:
ADDRESS:
CITY, SI`ATE, ZIP:
PHONE:
Active
Expired
Not recorded
Staff Irutlal
5) ? :? n• ? ? m• • ?• : a • a? • a? •
? CONNFX:i'ION To CITY SE.WII2 ? CpmEcrION TO CITY WATEER ? O'I4?R '-
6) +? • i o r Ej PLEASE HOLD APPROVID PERMIT EY?R PICK-uP BY ONE OF ABOVE
? PLEASE MAIL APPROVID PERMIT TO 1, 2,<V 4, ABOVE
(Circ?le one)
7) - r ?. ?• -
FOR C0TY USE ONLY
PERh1IT # ISSCED ,
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ IO J. .:?-n $ WATER METER/COPPERHORN/O['TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ $ ?S lt U ACCOC'NT DEPOSIT - WATER
WAC
C--z) $ S
C
A
TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ ° $ LATERAL BENEFIT/TRUNK WATER
$ ?D D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$
~
? 9 }`
5- 6
_
lo
. TOTAL
?
3 GJ
dO
RECEIPT RECEIPT
DOEF UTILITY CONNEC TION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MOST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
CO
. A
NDITION.
SUBJECT TO THE FOLL OWING CpIVDITIONS:
APPROVED SY:
TITLE:
DATE : _ ?? Z 1d 7
BOILDING PERMZT APPLIC9TION - CITY OF EAGAN
NOTE: ALL CONTRACTORS M[1ST BE LICENSED SIITH THE CITY OF EAGAN
SZAGLE F9PffLY DWELLIHGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MIILTZPLE DiiELL2NGS _ RESZDENTIAL RENT9L UNITS FOR SA[.fi IINITS
INCLUDE 2 SETS OF PLANS, CERTZFZCATE OF SURVEY - CHEG^S ilITH BLI)G. DEPT.,
1 SET OF ENERGY CALCULATIONS
COIMSERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STFtU.CTURAL PLANS,
7 SET OF SPECSrICATIONS AND 1 SET OF y.,?
ENERGY CALCULATIONS, 7L/ ? l? ZU l
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: 52000 Date: / 1-4-6 (o
Site Address
Z ?-nl
LOt ? B10C1C
Parcel/Sub L&,crN-ro,,? Pbi7,/-' 941e714
Owner
Address
City/Zip Code
Phone
Contractor Q , T •
Address 1-7 1 2 I IYi"e IISS
City/Zip Code }./??"(} MN S JSy3
Phone J ?Ll - "7 33
Areh./Engr.
address
City/Zip Code
2hone #
OFFICE DSE ONLY
?
Erect ? Occupancy ?2•?j
; 3emodel _ Zoning 2•I
Repair _ Type of Const ]Z
Addition ik ot Stories
Kove Length ?
_
Demolish Depth
_
Int.impr. _ Sq Ft
Install _
t1PPA0YALS FEES
Assessments Permit 3aq.oo
Water/Sewer Surcharge ]$ , 51?
Police P1an Review 5. 0U
Fire SAC 524.op
Engr Water Conn Svo.uu
°lanner Water Meter 0.$0
Council Road IInit Z U.Op
Bldg Off Treatment P1 $(o:Uo
APC Parks
Variance Copies
20TAI, Zvb . uu
NOTE: ADDRESSES FOR CORNER LOTS - CCNTR9CTOR/HOMEOWNER HIIST DESIGYATE WHICH ADDRESS
IS DESZRED. NO CHANGFS WILL BE AL.LOSiED ONCE BIIILDING PERMZT IS ISSIIED.
y I
?Unttn L1Vla1IVGGt(1Ma ?u"Yqn1 • Lt517 WA
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
• 171NlVt:Ak'VL1S, PYV • YH(XVE:
Scale: 1" = 30'
• Iron monument famd
? Spike oc vood stake set
.900.0 Existing spot elevation,
P R 0 P 0 S E D E L E V A T I 0rJ : oo. o Proposed spot elevation
GARAGE SLAB: f- Drainage direction
El. = 909.85 ft.
HUMMINGBIRD LqNE
? 9ob.8o 9e73?9
u_? e y
? N
i m a?
?
M
? r R s
. m
?
`r - •
,
_ -
3r____ ? 2Dd1
m?L'
--
-- IV
_
_
,.
u.sp r m -
? 693 0
? w
J : 4.0
4
o ,n
.6
?
O
q,? ? M. HOUSE 1o6B N
m Co m
? ?,' 34.0 --?5? d
- °
c 7 O
I
LOT 9
0
? S 88° zZ,45" W 60,
Lot 9, Block 2,
LEXINGTON PLACE SOUTH
Dakota County, Minnesota
?
I hereby certify tha[ [hie is a true and correct representation of a survey of [he
boundaries of [he land above described and of [he locAtion of all buildings, if any,
[Aereon, ard all visible enecoachments, if any, Eran or on said land. I further
cecti[y ehat thle aurvey vas prepared by me or undec my direct supervision and tha[ I
am a dul Regiatered tand Surveyor undec the laws of the.StaCe of Minneaota.
r4 MN Reg. No. r?ZZA Date J It:J '. ?51
Proposed House _ As-Built House._ Dravn by kAE Project no.8680
RESIDENTIAL BUILDING
Cp Permit Apptication
`x City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
<a r7o °go
New ConsWdion Reouiremenls RemodellReoairReouirements Offce Use Onlv
3 mgistered site surveys showiig sq. fl. of IoL sq, ft. of house; and all roofed areas 2 wpies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additlons Tree Pres PWn Recd _ Y_ N
2 copies W plan showing beam & window sizes; poured kund design, etc. 1 site survey for additions & dedcs Tree Pres Reqd _ Y_ N
1setofEnergyCalcula0ons Addition-indicateAon-sitesepficsystem On-siteSepticSystam _Y _N
3 mpies of Tree Preserva6an Plan if lot platted aiter 711193 -
Rim Joist Detail Op6ons selection sheet (bldgs wAh 3 or less unifs
Date _? / _Z0_ / :?) -?_ Construction Cost *,?mn -
Site Address L p A (21 UniUSte #
Description of Work --J?yi a(,( (' ?,[ 0(J $ l}^pc?- (/oo
M
l
i
F
il
Bld
Y Xi?Sf i
-2
f 1
u
t
-
am
y
g _
_ N Fireplace(s) _ 0 _
Property Owner Telephone # CO,4"1) 9((JDi?
AAIeA fireeltle
/
+ (
090971
LiCanse%20
???/"? ^ 1 1
Contractor ? ? 1
_ ? ? ?
?(-? ? 2700 N. Fairvlaw Ave.
q seylN¢ MN 55713
Address 3 S'('? l.?J,
c?
?
1
Ci? Y?tCrI??
-??
State r?
Zip SS.3 3 ! Telephone # (C/??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet . New Energy Code Worksheet
(Jsubmissionlype) Submitted Submitted
. Energy Envalope 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 21eeS idO YPpr`rL?-1???)14it_0_
Sewer/Water Contractor
Telephone #(
Telephone#(t?,u
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 ordinance,s and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark 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.
_1?u
Applicant's Printed Name Applicant's Signa
OFFICE USE ONLY
Sub Types
:-
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types •
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement "Oemolition (EMire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundarion HVAC
_ Drain Tile Other
RooF _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Fraxning _ Siding Stucco Stone
_ Fueplace _ R.I. _ Au Test _ Final _ Windows (newheplacement)
_ Insulation _ Retainixtg Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Piant
Licen5e Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133094
Date Issued:09/22/2015
Permit Category:ePermit
Site Address: 1068 Hummingbird Lane
Lot:9 Block: 2 Addition: Lexington Place South
PID:10-45060-02-090
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
David J Wichman
1068 Hummingbird Lane
Eagan MN 55123
(651) 681-1547
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink1(�
r For Office Use
,
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1Eapll
Permit#: /14/- -4-C 7
14*° Ci y of Permit Fee: 2c - S
3830 Pilot Knob Road
Eagan MN 55122 Date Received: "
Phone: (651)675-5675 RECEIVE® P1 I
Fax: (651)675-5694 Staff: 4� I
JUN Q
7Z017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: •/ii f % i Phone: `J tCl-9CJ�rt�JS
esidt! / vl
? F j k.enAddress/City/Zip: t d7'.7,0111/two.. ;
, Applicant is: Owner Contractor (D
' -t.,..,,.
Description of work: (-t�C.l t I4—"
Type of Work
Construction Cost: J U 0 -,--, _Z, ' Multi-Family Building: (Yes /No 16 )
'yass
V Company: ( J( (7171 / ?q ? (d/Ly Contact: 61(14/7//
Contractor- Address: 'O/ !`s� S/ 86 City: �(����
State �/ i 5 Phone: mail: / 1Zi /bit j
2O2l4 (/6 Q
gg7(
e - License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE Plans and sU.r;. rig documents .at'y6'14,4'110 iii:,.. „ con idered to be#public information- Portions of:-,
the in ormation ma'.• lassiff d I bli r r $° � � s specific reasons that would permit the City to
s deth t y a trade secrets:** t rte•.
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.org
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 o.f
Eagan; that I understand this is not a permit, but only an application for a permit, and work isnot 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 ate B ilding Code must be completed within 180
days,of permit issua ce.
(\ 2 '�v/(/3x
Applicant's Printed
Name Ap icant's Sign. >'re
Page 1 of 3
/06. 1/41/22,79,1/2,24b,)2(7 DO NOT WRITE BELOW THIS LINE A% 5 S '7
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi �[� Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex " Lower Level Pool _ 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 /j D Occupancy pv MCES System
Plan Review Code Edition vvw5„01,x` SAC Units
(25% 100% X) Zoning Pf, City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y'J Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) X Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final
y Framing 30 Minutes 1 Hour Drain Tile
1 Fireplace: _Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee I
Surcharge r
Plan Review
MCES SAC //
City SAC !tr
Utility Connection Charge j
S&W Permit&Surcharge ,,
/
Treatment Plant //
Copies , r.4) rit
r Lt
L'
TOTAL
Page 2 of 3
' ' CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740
CERTIFICATE OF SURVEY FOR: /Q�g /407/iv/Ili-id L/7 /4/ --. ..--; 7 I. ,
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 30'
0(1
• Iron monument found
Y Spike or wood stake set
,.soo.o Existing spot elevation, origi
PROPOSED ELEVATION : Proposed spot elevation
GARAGE SLAB : -e Drainage direction
El . = 909 . 85 ft .
HUMMINGBIRD LANE
9,06 4o
S89° al' s4'E. 60,00
967491-`• , 41IL.1 907.77
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9, Mg t
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Qs\____:fr LOT 9 •
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S as° zz'4S„W 60.ds '. __,.. ....
40/7-1/7
Lot 9, Block 2,
LEXINGTON PLACE SOUTH
Dakota County, Minnesota
I hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon, and all visible encroachments, if any, from or on said land. I further
certify that this survey was prepared by me or under my direct supervision and that I
am a dul Registered Land Surveyor under the laws of the.State of Minnesota. •
Jr. (.6''- -A.0(k/ 4-0 - ri? MN Reg. No. izZ Date 0 , A'
0,,^^..A U....a.. 1..._.0..4 1♦. v........ ._ ---� �__ U A r _ _ _ _ o,_a n
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172237
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 1068 Hummingbird Lane
Lot:9 Block: 2 Addition: Lexington Place South
PID:10-45060-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
David J Wichman
1068 Hummingbird Ln
Eagan MN 55123
(651) 983-1655
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature