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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) ? PRO?MZP-v AODR£SS: K ar T-nc' Z.ar. DEscMDTzcu: (IotBlock/SunaivisionP' 7" ^."sI?' ='_a., ST?L'C:LT:iE, i]?.=- Ox' CitT.GMLlI, u=DZ`:G P== , . ••t" •.'J?T\ . . . . ?' •• y ?w. _ P°L' c_'F =h7T.T:/P?APOSED GS: R-1 SitiGI.. :mSL° . Q R-2 L'UPL...{ (T.'D U^=5) . ? z 3 TaVj=-jSs + =r:'S1 { [r.ix!-M-) • O R-4 F,2A.ZT:'":T/CCZC,:an7lrX ( GhZ a) E3 CCt?n1E°CL?L./RE^.:."?.il?CF_= IC'.-r' a 1-NMcsTRxM -- - II I„,1*ST=TIC.?LAL/C0ti'= :TM'\'T 2) AaP?,IC.LT (PLEASE PRfYI) . . N?''?= /?, --• l 1 ? I'll ? ?('li )YYl1 ?`?!)I''i 'C?('Vhl' ?, AnoRess: I ? 12 1T'? „ sMTE, zIP: iny?? . fu?N ????i?? •? ? PF?VE: 3) p??MER r?,. PDDRESS: ^ -? (PLEKSE PRINT) _ihom??m ?-liafflvm-? FOR CIiY U GHLY PLJMB ICE95 . ' Activ ' CITY. ST?1TE. ZIP: ?IIY1 4 CJ?J'A 2) ? red ' PFiODJE: ?,.. n_r q : ? 2) PLUMBER LZCENSE N f R eor . . rr nicia 4} aMP1VNC/(,?•r'h'Et2 ?.. (PLtASE PRINi) rAMri: AenxFSS: crt^r, sraxE-, zxP: PI-i(k`7E: 5} INDZG*,TE ;dE1ZCH PERhLiT IS HEIAG RBQUESTLD: {ti` Qm,wIF'.CPION 'iCl CITY Sai'FR ? C'ODID7ECfI0:I 'LO CITX 67P.TER • ? O171ER (PLti15E DESCRiB£) 6) Pa:DiG,;:: C::r.: 7) szca7.-RE: ? P*.°ME E?OID APPP,Qc/ED PERtitIT FOR PICi:-L's BY Q.JE OF AFfi,'E E] PIE,Sc :AI2, ApPRpVm PE.°.:-IIT T'J 1. 21 3 4 A£OVE (Ci.rc2e ose) ? . 1 ?f'?U1?' -- naTE: PERMIT " ISSUED F I f-? $ S C Y /? . V!J $ l S?? C1 $ SJu. v? 'S S S $ S . 46) $ - $ (I?tCT..:L? JUP.C:l?vL? WATER PERPtIT (IiICL'uDE SiiRC:iArZGE) WATER METER/COPPERHORN/OUTSI[]E REnDEi2 WATER TAP (INCLUDE CORPORATIOV STOP) SE:GLR TA? AC.^.OIINT DEPOSIT - WATER wac S, C TRliNK WATER ASSESS:^..:T TRtiNK SEWER iSSESS}:E:iT LATEP.nL $ENEFIT/TRU:IK 5:::*:.'R LATr'.R3.L BE:VEFIT/TRU::K LJAT°_.p, TrTATER TREATMEIv'T PLANT SIIRGEIARGE OTHER: _ - TOTAL $ ?lr SU 1LMOL'\T PAI'J/RECEIPT n J?5 7v c, -?-__ 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 ? - ,? ? ? ? 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 P L t i t ? ' o : - 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 TOrAL l?I x 3¢ =?4? x s8 =?? ??8 . 2o x2 0 = 4? x(?- = 4 •- . S(,976 i .. o= * 3G4°C0+ 28•50+ 1S2- C0+ _2`°CO+ SJO^00+ 63^:0+ 28C--,0+ 132°CO F 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 ? p ?,e e Ed 56(f, I (9oi J o ?' fi?Qe ? dti ?cOi ?a ? 03.71 f ? is 5 88° 2 z' a5' Y? ? e ? 03°??i ?-' -r - ?- ?O ? ? N 10 0 rn Z rg0'0) j y o z, 4? Scale: 1" = 30' 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. . f3cvi4Fd_ l0-14-85 br ?Q L Surveyer. Minnewto Rapislrorien No.9726 yG -- ??i ?. u a:?•,_ ??D LAN'E- ??? ?T36?0 ?a ? h ? % 63 c? S?'q o ? o? 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