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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 , � �O 4 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 tr • '-„, 1 1 N t o 9, Mg t la, -- —26-1.----- _ m B 20. 7 -'-+i_'oN j til L__1) 6.33 „ a N 3 I,� (�` :4 „1fV1,I ' 4.0 ��.o Q _u► q� ta NOtfsE.�o6B O -,0 [ in ,... . k- - 34.0 i g! a ,‘, 0 til In a Qs\____:fr LOT 9 • '. a A�.N -. a '� p 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