1076 Hummingbird LaneCITY OF EAGAN Remarks
Additior, _ Lexington Place solirh Loc 11 Rik 2 Parml 10 45060 110 02
Owner street_ 1076 Hummingbird Lane State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1985 247.64 16.51 15 6`
SEWER LATERAL 101 1986 16 3 1. 0 326 .? 0 5
Services 101 1986 729.39 ' 145.87 5
WATERMAIN 1985 65.81 13.16 5 a?17o?
WATER LATERAL LO1 1986 $73 .43 " 1-74. 68 5
WATER AREA 101 1986 243. 73 48. 74 5
n
WAT LAT BEN 101 1986 111.98 22.39 S .'
STORMSEWTRK 1017. 1986 426.54 : 8.5,:30 5
STORMSEWLAT 101L, 1986 803.34 16D.66 5
CURB & GUTTER '
SIDEWALK
STREET UGHT
$280.00
WATER CONN. 'rJOO.OO
BUILDING PER. 11261
I
sac 525.00
PARK I
CASH RECEIPT ?
CITY OF EAGAN P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 _
RCC6IV<D
FROM
AMOUNT $ I
6 DOL.LARS
toa
? CASH ? CHECK
FOR ""
FUND CODE AfAOUNT
/
Thank You
By
White-Payers Copy
Yellow-Ppsting Copy
Pink-File Copy
CITY OF EAGAN 11261
ti 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHON E: 454-8100
BUGLhING PERMIT Reuipt #
To ?e rNA fOr , Esf_ Velue . , I - f).,r. i%:ii?;.. 10
Site Addresa ' ' Erect ? Occupancy
Lot Block SeclSub. - > Remodel ? Zoning
Percel No Repair ? Type of Const,
. Addition ? No. Stories
Name Move
D
li
h ?
? Length
D
h
? Address emo
s
Int Im
r ? ept
'
p
. Sq. Ft.
City Phone Install ?
?
o
Name
Approvalt
pey
t?
? Address .,mS?nr
a
??mh : o
-
City Phone Water b Sew. Surcharge - 4
1J
Police Plan Review
G
?
?uZ
Name
Firo
SAC ? u
?? Address Enq. WaterConn.
t W City Phone Plonner Water Meter l)
Council Road Unit •-?
1 hereby ocknowladge thct I hove read this opplicotion and stote that Bldg. Off. ,. ' Tr. PL 1- 'the inlormation is correct and ogree to comply with oll applicoble APC
Stute of Minnesoto Stotutes and City of Eogon Ordi?ances. Parks
Var. Date Copiea
Slqnoturo of Pertniftee
Total
h Building Pertnit Is issued to: i ' on the expross coediNon Ihat
oll work shall be dona in otcordonce with oll opplicable State of Minnesoto Statutes and City of Eopan Ordinonces.
BWldinp Officiol
Pwmit No. Pwmit Holdar Dob Talephone ik
Plumbinp
H.VA.C. g
Ebctri,
Sofbnsr
(mpsetion Dste Insp. Other
Footinys 1 ?
Footinys 11 f
Foundatlon
Fnminy
Roofing
>.
Rouyh Plbq.
Rouyh Htg.
Insul. 5 5
Firoplace
Final Htg.
Final Plbp•
Finel
Cerf/OCC.
W?? Dss aibe Location:
.u
ew?r
I
r. Dlsp.
P
Reaipt
MECHANICAL PERMIT
CITY OF EA(3AN
Pemnit No.
FN 'o= M
Fill in numbtred vrcer S/C -
Typs or Print /syib/y .
Tot :;.
1. Date -: 2. installation Cost
3. Job Address Ut , BIk. Tract
4. Owner
5. Conuactor Phone
6. Address , 7. qty Stste ' Zip ,
8. Buildiny Type: Residential 0 Commercial ? Institutional 0
9. Work Description: New C7 Add ? Alter ? Repair ?
10. Dsscribe - Fuel Type - •
11.
No•
- Equiomept 8TU - M. Ea.
Forced Air ; No. EQUiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
? Gas, Piping Outlets
12. I hereby certify that the above information.is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : , for
Rough F inal
InspeMions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Cities DiLyi
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes ?
Fill in numbered spaces S/C ?
Type or Print /epibly Tot
.
1. Date 2. Installation Cost j
,
3. Job Address
Lot Blk. ;
Tract ?
I
4. Owner
?
?
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Commercial ? institutional ?
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool /D rai nf ield
Bath tubs $eptic Tank
Lavatory Softner
Shower 4^J e i i
Kitchen Sink
Urinal/Bidet Uther
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets i
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
TY OF EAGAN
130 Pilot Knob Rasd
0. Box 21199 PERMIT NO.:
igan, MN 55121 DATE:
minp: _ R.1 No. of Units:
n,•,.,?, ;,r.. _.
Mdress:
No.:
No..
h oomoly wi1h t6e Cirr oF b9en
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharye:
Mtsc. Chorges: ?
Totcl:
Date Paid:
of Insp.: Irap.:
C1TY OF EAGAN
3830 Pilot Knob Road
P. 0. Box 21199
Eagan, MN 55121
Zoninp:
Owner. '
Address:
Site Address: -,
Plumber.
.., . -
I yrw to 000@114 w" tfw Ghr oi lkoo¦
Oedlweuaer.
By
Qate of Imp.:
SEWER SERVICE PERMR
PERMIT fYO.:
DATE:
No. of units:
Lane
Connection Choroe:
Account Deww?i f: 1 J .
F.rw
Partnk Fee: ?
Surchorqe:
Misc. Chorqm
Total: --
Doh Poid:
CITY OF EAGAN 1NATER SERYICE PERMIZ
3830 Fila• Knob Road
P. O. Box 21199 PERMIT NO.: P . 2-I (D(J 16
Eagan, MN 55121 DATE: `
Zontnp: _ F1 No. of Units: ?
Uwrwr• OzriII ThOmrsOn ;rumes
Addross:
Site /lddress: ???? '?,l?nlnr?,tr? ? 2 B? Lexin tou P1. So.
Plumber.
S{ZQ: '' ? r? v56ea a.?n ww..a... wv+ LC.;)l?Pe'
Reodsr ro.: ?o? 99? y,E erm3t?t. ?. ?l .'J?pd
I .9m. ? mm? mpl,? wob OREOtWD ff°?`'? . JOFa
Oniiw?Mlac. Gwr?es: 1:;" .:1Jpd TI'
? Totol: 63.00id Metez
By . DcM Pcid:
Date of
CITY OF EAGAN N° 1 12 61
?4. 3830 Pilot Knro6 Road, P.O. Box 21-799, Eagan, MN 55121 ?/?? /?
PHONE: 454-8100 j
BUfLDING PERMIT Re«ipt #
Te N wed kr SF DWG/GAR Est. Voiue $57, 000 Dafe NOVEMBER 8 19 85
SiteAddress 1076 HUMMINGBIRD LN Erect IR Occupancy R3
Lot 11 Block Z LEXINGTON
cec/Sub PL SO Remodel ? Zoniny Rl
Percel No . Repair ? Type of Const. V
. Additlon ? No. Stories
Name ORRIN THOMPSON HOMES Move ? Lenptn 3$
W
Z
1712
HOPKINS CROSSROAD Demolish
S
?
Depth
39
? Address Int. Impc ? Sq. Ft.
City MTKA pnone 544-7333 Install ?
Name SAME ??-?- ADOeovals
u? A?r?s Assessmenf
? City Phone Water & Sew.
G
? Porce
uw Name Fire
?
Address En
<W Clty Phone g,
Plonner
Council
I hereby acknowledge thof I hove read this npplicotion ond slate fhat gldg. Off. 11 4$ S
fhe infOrmolion i5 COrretf and a9ree to [omply with all ppplicpble
Sfate of Minmsota $fotutes and City of Eoga?Ordirwnces. AP?
?f a c;-?---t--- Var. Daze
Feas
Permit +' ?vv.vv. Surcharge 28• ?0
Plan Review 152, 0 0
SAC 525 . 00
Water Conn. 500.00
WaterMeter 63.00
RoadUnit 280.00
rcPti 132.00
Parka
Co les
Sipnature of Permittee L??A» - •?"y ' ?° - -p
? rocei $1.984.50
A Bullding Permir I: issued fo: ORRIN HOMPSON H A4E on rhe exprcss wnditla+ iha+
all wark shall be done in xmrdonce wifh all o p ble Stare of Mi neso S? utes ond Ciry o1 Eoyan Ordirwnces.
t
?
Bufld7np Officlal ?C - z_4_2_z?'l?
REQUEST FOR ELECTRICAL INSPECTION
Sae iastructiens for completing this torm on back ot Vellow copy.
ti.w('? ?
3 n 2762 '"X'- Below Wo[k Covered by This Request / ?
?L ?
?AAtl Reu. Tvoe oi Builaina Aoolioncns^Wired Equipment Wire?l '
Electric
Farm
k
# Fee ServiceEnirenca5ize H Fee Featlers/SUMeetlxrs 4 Fae Circults
0 to 200 qm s 0 to 30A m s 0 to 30 :1m Ds
Above 200 qmps, 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100-Amps Above 100-AmPs
Transtormers Irnga[ion Booms Partiai.'Other Fee
Signs . I I ISPeciallnsUection
X. Of a„J !/a ,,'d . ,
TOTAI. FEE,_?
HauBh-in
, D'tx/?
rp`? ¢ Elechlcnl /
Insoectoq neinnv
certity that [he above
Final ? iP>
(L lJ??? inspection hes been
made.
Thiarequeslvoitll8montl+sirom (/C.?v "'"I "- , -""
A/9V,;"
Inis re9uest voiG
18 months 1mm
?I1,l??d,n4v-?,C,/?'•?: 3-, v
RAW?762
Reques[ Date '
?
I
Fire No,
Rouph-In Insper.tion
?mretl?
?
?Heady Nuw Wiil Notity Inspec-
? S y„s ? N. When ReadV__
g}.4icensed ElecVical Contrector I hgreby request ins0ection of ebova
? Owner elaetncal work installed aC
Streei Address, 9ox or oufe No. •
D
16?v ' Citv
d?-
ectron o. Township Name or No. Hanpe No. nty
OccupanllPfll ) Phnne
7-?33
upplier
M Pow r S
Address
EI rical Con[rac.tor ICOmp?n Name?)
L??'?.?-r."___ Co?n[Va,pr.mr's License No,
MailinA A.ddre IConh cmr or Ow er MakinN Instailationl
/Q oe? .
uthori ed Signature ICOnvac[odOwner Making Inscallatio Phop??umb????
'o-..
MI,VK'ESOTA STATE BOAfiD OF ELEGTfl Y ' THIS INSPECTION pEQUEST WILL NOT
Griggs-Midwey Bltlg. - Poom N-791 BE ACCEPTED BV THE STATE BOA0.D
1827 University Ava., St. Peul. MN 55104 UNLESS PNOPEH INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
'EQUEST FOR ELECTRICAL INSPECTION s:y?'y7
S!e instructions for comoletin9 this torm on 6eck oi yellow copV.
0 ^ p 14 X" Below Work Covered by This Request 4; 17? 2
AAd Neo. Tvoe of Builtling Aooliancee WireE Enuipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fum2ce Si!o Unioader
InAustrial Bldg. Air Condi[ioner Bulk Milk Tank
Farm otner ue6 v Hther Isueciryl
k Fea SarviceEntreneeSiza A Fee Fexders/SUbfexdars p Fee Circuits
Dm200Am s 0 to30Am s 0 tn30Am s
Above 200 qm x1 31 to 100 AmUS 37 to 100 Am s
Swinuning Pool Above 100-Amps Above 700_Am s
Transiormer.s Irrigation Booms Partial'Other Fee
L Signs Speciallnspection S ?" ?
Rerrinrks f' TOTAL FE
v ?? .
r I, the Elecfricsl
/J Inspectoq ,aroby
?? cerfity that ihe above
Final ? ?'?e ins0ection hes baen
?made.
Thia requeat void 18
This repuest void ? ? .Q /
nffis hom V 1, ' '
S-0-8 8 614 ?--eX ?'ro- ?
Request Dafe
(? Fire No. pou0h-in InsOection
flequ?red? ,,../
?Heady Nowg? Will Nntify InsPeo-
/3- f? 0 ?1'es N. < <or When Reatly
Licensed ElecVical Contmctor I hereby request insoection o7 above -
Owner elecVical work instelled at:
SVeet AAdrass, Box or Route No. City
/4/u {3'l p /!s i Q/4°t? 11+, i
ecUOn o. Townshi0 Name or No. Aange No. Coun[
e?
Ocu entIPRINTI
c
M Phone No
.
? D,4oflA)e.n
Power SuPOlier - Atldress
Elecuical Coniractor (COmuany Name) . Cnnvacror's License No.
Collins Elect. Const. Co. 0395-47-2
Mailine.Qddress (Coniractor or Owner MakinB InstailatioN
278 State St. St. Paul 55107
Au e iBnature ( ractodOw r Makiny Installution)
? Phone Number
224-2833
MINNESOTq STpTE BOAPD OF ELECTXICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. 51. Paul, MN 56104 UNLESS PqOPEH INSPECTION FEE IS
Phone 1612) 297.2711 ENCLOSED. ,
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for, single family dwellings & townhomes/wndos when pennits are required for each unit
.#3o.so
Date I? S / I?1 / D`C
Site Address W+ ? n1 R ba r? LA?? ? Unit #
PropertyOwner DTelephone#(
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is 24? Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit ??!J C5 o j ? 30.00
? fumace _Additional
- 2!eReplacement MAY
2DQ
II
air exchanger 8y_ U
_ airconditioner _New _ Replacement -??
other
State Surcharge $ 50
?
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
?) oN.Al b -,T- , J-0
Applieant's Printed Name Applicant's Signa are
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
_ multi-family buildings when separa[e permi[s are not required for each dwelling unit
Date
Site Street Address Unit #
Tenanl Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "`see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
`*When insta!ling/removing underground fank, ca!l for inspection by Fire Marshal and P/umbing lnspecfor
Pei'mit FBeS: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Suroharge)
O[
Contract Value $ x 1% Permit Fee
• If pe rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be: in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not ro start without a permir, that the work will be in accordance with
the approved plan in the case of work whicfi requires a review and approval of plans.
Applicant's Printed Name
Signature
Approved By: , Inspector
? -
, •
5
RESIDENTIAL
a ?o ? BUILDING PERAAIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
New ConeWClion Reaulrements
• 3 regislered sile surveys showing sq. fl. of bt, sq. ft. of house; and I1 roofed areas
(20°/< maximum bt coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc J
• lsetofEnergyCatculetions
• 3 copies of Tree Presenretion Plan H IM pletted aRer 7/1M
• Rlm,bist Det211 Opflons seleion sheet (bldgs wMh 3 or less un'rts)
DATE
SITE ADDRESS 1076 q,
tYPE OF WORK /
APPLICANT JVIC-
pemotlaVpecshPeauiremenffi ?
• 2 copies of plan
• 15etofEnergyCakulatbnsforheatedaddttbns
•7 sAe survey lor exterior etltlAans 8 decks
• Indicate If home served by septic system for eddHbns
1s" V Y
ac-I
VALUATION P I I`tCs.? I.
MULTI-FAMILYBLDG _Y i-N
FIREPLACE(S) _ 0 _ 1 _, 2
STREET ADDRESS l?) 4? Nr[oI/?? /9//E S crryjqA .us?i STATE&j ZIP
7ELEPHONE # 52-7II7- ?S CELL PHONE # FAX #Q S `9)06
PROPERPlOWNER t/J^»lD d./OW/!eY TELEPHONEtf 65i-6$$`y(Ry
----°-° -----------° ----------°-------------°- -------- --°--------------------°---------
COMPLETE THIS SECTION POR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Cade Category _ rqINNESOTA RULES 7670 CATEGORY 1 MIIVNESOTA RULES 7672
(4 su6mission type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelopa Calculatirnis Submittad
Plumbing Conhactor:
Pluxnbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Conhactor:
Air Conclitioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
- ------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I hove read This applicatlon, sTate that the Information is correct, and agree to comply
wffh all applicable State of Minnesota Statutes and City of Eagan Ordinpnces.
Slgnature otApplicant
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03plex
O 06 04-plex
? 07 05-plex 13 13 lfrplex
O 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
O 11 10.plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Paol
? 21 Poroh (3-sea.)
? 22 Poroh/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessary Bldg
? 31 Ext. Alt - MuRi
? 33 Ext. Alt - 3F
? 38 Muki
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (EMire Bldg only) • Give PCA handout to applicant
Valuatlon 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) _ Final/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
Ciry SAC
Water Suppty & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reuuiraments
• 3 registered site surveys showing sq. R. of lot. sq, ft. of house; and au roofed areas
(20%maximum bt coverage alloweA)
• ? copies of plan showirg heam 3 window saes; Oou2d found design, etc.)
• 1 set of Eneryy CalculaUOns
• 3 copies of Tree Preservation Plan if lol platted after 7!1193
• Rim Joist Oetail Opuons SelecGOn sheet (bldgs with 3 or less unils)
DATE '7 da'CJL
SITE ADC
TYPE OF
APPLICANT ?r-?--
STREET ADDRESS loV Ll / IV I Co/(ll M
TELEPHONE # q52-7D7 05f CELL PHONE #
ULTI-FAMILY BLDG Y 4lN
FIREPLACE(S) _ 0 _ 1 _ 2
,r g STATE /W Z1P ,325-.?Y7
F,vc A52A;??(60Yo
PROPERTYOWNER DO,V 40L All? TELEPHONE#
-------------------------------------°--------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[[,aiNF:S01':\ RULES 7670 C:\"Ch:GORY l N "':\ Rt'LIS 7672
(v submission type) • Residential Ventllation Category 1 Worksheet Submitted •????o? 1?r eet^?ubmitted
• Energy Envelope Calculations SubmiKed u??
? JUl 2 2 2002 I U I j
Plumbing Coniractor: ___
Plumbing system includes:
Mechanical Confractor.
Mcchanical svstcm includes:
Sewer/Water Contractor:
:air Condiuoning
Fleu Rccovcn' Systcm
Phone #
C'cc: :670.00
-------°------------°-------------°-----------------------•------.._....------------------------------......._...------
I hereby acknowledge ihat I have read this application, state fhat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances( \
Slgnature of Applicant OFFICE USE ONLY
_ Water Softcner
Water Heater
No. oF Baths
RemodeVReoairReouirements I ?v' ??
. 2 copies of plan t
• 1 set of Eneyy Cakulatlons for heated additions
• 1 site survey for extenor additions 8 decks
. Indicate if home served hy septic system for additions
VALUATION $ ???.?
Phone #
Larm SprinkleL5
No. of R.I. Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Oi Foundation ? 07 05-plex p 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext Alt- SF
? 04 02-plex p 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 S[orm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 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 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Wate?
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.
_ Foo[ines (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tilz O[her
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ AiriGas Tzsts _ Final
_ Fraanng _ Siding Smcco _ S[ane
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
------ .?-_..
, ? .
4E10
CITY OP EAGAN .
2/84
--, AP?LICATION FOR PERc?lIT
SESdER AND/OR WATER CONNECTIODI
(PlEASE PRINT)
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TOTAL
$ ?lr SU 1LMOL'\T PAI'J/RECEIPT n J?5 7v c,
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DOES UT2LITY CON:7ECTION REQUIRE EXCaVATION I.I PU&LIC RIGHT OF WAY?
? YES IF YES, THE:J n"PERMIT FOR 'AORK WITHIN
PUBLIC ROr1DWAY" MCJST BE ISSUED BY TY.E
? NO ENGINEERIr1G BIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIOi.TS:
APPROVED BY:
TI:LE:
DAT°_: ///r/ /il lL
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? 1985 I3UILDING PERMIT?AAPPLICATION - CITY OF EAGAN
HO'fE: ALL COiR'RACTORS HUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
Plan:?_ 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
S'7 oco
To Be Used For: xesidence Valuation: 'I'rst -1y -"'o Date: lQ - 3 1-4S
Site Address: O-%p
Mth fd ?, OFFICE USE ONLY
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: - Block Sect/?'j
Erect X Occupancy R•3
Remodel _ Zoning ?• I
Parcel U Repair _ Type of Const Q
Enlarge 0 of Stories
Ouner 19ove _ Length
Demolish Depth 39
Address Grade _ Sq Ft
City/Zip Code
Contractor Orrin Thompson Homes APPROVALS .
Address 1712 xopkins Crossroads Assessments Permit 30?},
Water/Sewer Surcharge Zg.-$D
City/Zip Code Minnetonka, Minnesota 55343 police Plan Revieu I SZ
Fire SAC 52S•
Phone 0 544-7333 Engr 4;ater Conn Sop.
Planner Water Meter 6;5.
Arch./Engr Council Road Unit 2 gO.
Bldg Off// 4?g5 Parks
Address APC Treatment P1 132.
Phone 9 Variance
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7?984?50?::
n,? ? C. R. WINDEN & ASSOCIATES, INC.
v
LAND SURVEYORS fOl 645-3649
1381 EUSTIS Si., ST. PAUI, MINN. 5510•
For:
U. S. HOME CORPORATION
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oDenotes Iron Monur±ent
NOTE:
? Denotes Wooden Stake
Proposed Garage Floor E1.=968.63
(908.3) Denotes Proposed
Finished Ground E1.
4 Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Lot 11, Slock 2, LEXINGTON PLACE
SOUTH, Dakota County, Minnesota.
WE HEREBY CERTIFT THAT TMiS IS A iRUE AND CORRECi REPRESENTATION OF A SURVEr OF THE
tOUNDARIES OF TME IAND A60Vf DESCk{BED AND OF TME IOCATION OF All 6UILDINGS, IF ANY
THEREON, AND ALl V15161E ENCROACkMENTS, IF ANY, fROM OR ON SAID LAND.
Oated tAii 36tA dQy e/ Se e A.D. 1985 C. R. WINDEN i ASSOGATES, INC. .
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Surveyer. Minnewto Rapislrorien No.9726
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2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
/ ?.?3 ? City Of Eagan
?O 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
IVZO, cDU
New Construction Reouiremenis RemodellReoairReauirements Offce Use Onlv
3 registe2d si[e surveys showing sq. @. W bt, sq. ft of house; and all raofed areas 2 copies of plan - Cert o( Survey Real _ Y_ N
(20% maximum lot coverege allowed) . 1 set of Energy Calculations for heated additiorrs Tree Pres Plan Recd _Y _ N.
2 copies ot plan showing beam & windax sizes; poured found design, efc. 1 site survey for additions & dedcs Tree Pres ReQulred _Y _ N
isetofEnergyCalculations AddRian - indicateiion-siYesepfksysfem OnsiteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim Jaist Dehail Opiions selectlon sheet (bidgs wdh 3 or less units
Date o y Constraction Cost
Site Address ?a-2 (v [ ,j UniUSte #
C?ml-)
Description oF Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ( 1 J_ 2
??
Property Owner ?(.)/J j)Q(.J A) Telephone # (6)))
/f
Contractor
Address 3635C) W. 44-,'7 i3 City
State ? Zip 'SS 33 7 Telephone #( Q> Z) ?? o) $?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and ork is not to start without a
permit; that the work will be in accordance with the approved plan in t114 case of r which requires a review and
approval of pl s. ? msbdo .
Applicant's 'nted Name ApplicanSignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-pfex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6d. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 MiSCellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ Final/No C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Finel _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ SNcco _ Stone _ Brick
_ Fueplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1076 Hummingbird Lane
Lot: 11 Block: 2
PID:10- 45060- 110 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Addition: Lexington Place South
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael R Johnson
1076 Hummingbird Lane
Eagan MN 55123 -2230
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078346
06/18/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153126
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 1076 Hummingbird Lane
Lot:11 Block: 2 Addition: Lexington Place South
PID:10-45060-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Gas Line to Range
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
James Deleon
1076 Hummingbird Lane
Eagan MN 55123
(612) 644-5712
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161708
Date Issued:06/10/2020
Permit Category:ePermit
Site Address: 1076 Hummingbird Lane
Lot:11 Block: 2 Addition: Lexington Place South
PID:10-45060-02-110
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Generator - Backyard
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Victoria A Sandberg
1076 Hummingbird Lane
Eagan MN 55123
(651) 457-7100
Master Plumbing Services LLC
PO Box 2451
Inver Grove Heights MN 55076
(651) 248-1008
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171431
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 1076 Hummingbird Lane
Lot:11 Block: 2 Addition: Lexington Place South
PID:10-45060-02-110
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 -
Victoria Ann Sandberg
1076 Hummingbird Ln
Eagan MN 55123
(612) 387-3110
Coty Construction & Remodeling Llc
1001 6th St S
Hopkins MN 55343
(763) 783-7322
Applicant/Permitee: Signature Issued By: Signature