1080 Hummingbird LaneCITY OF EAGAN Remarks
Additior, Lexington Place South Loc 12 aik 02 Parcel 10 45060 120 02
Owner Street 1080 Humminghird T.ane State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL - 3
2 6. Z ?
.
: 1A .87
' WATERMAIN
WATER LATERAL 101 1986 873 -43 ' 1'74.
WATER AREA 1014- 198 241 - 71 /+,$ ._ 7 /+
'
22.39
STORM SEW TRK .
85,30 ?
STORM SEW LAT 1014, 6 3. 4 -. .16 0. 6 6
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
- ?•i t'n CITY OF EAGAN A ?+
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'' ?
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor 5F DWG/GAZ Est value $57, 000 Date MARCII 17 . is $ft-_
SiteAddress 1080 HUMMINGBIRD LN Erect C* Occupancy R3
Lot 12 Block 2 SeclSub. GEXINGTON PL SORemodel ? zoning ?.;J-
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
W Name URRZN 1HUN1P50N diOMES Move ? Length 4 4
3 Address 1712 ?IOPkCIri3S CROSSROAD Demolish ?
? Depth '?4 ,
Ft
S
o Ciry h3T 46 phone 544-7333 Int. Impr.
Install ? q.
Phone
?Q
F W Name
_z
Address
i W Ciiy Phone
I hereby acknowledge that I have read this application and statethat the
information is correcl and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
J .
Signature of Permittee
Assessment Permit ? 304.00
Water & Sew. Surcharge 2R.50
Police Plan Review.152? UO
Fire SAC 575 - 04
Eng. Water Conn. 500.00
Planner Water Meter 63.50
Council
,
Road Unii 290.00
Bldg. Off. 3/1418 fi Tr. PI, 156. UQ
Var.
oRiazN TI a,psc,tv aokES
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minnesota
of
Copies
otal $2, 069 .00 i
that
.
lIg
PERMIT # (_- 1? / '
MECHANICAL PERMIT 1
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE:
CONTRACT PRICE P ONE 454-8100
5ite Ad ress G Aftlim/ L4 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub ??? u •
2 Res. New "
y Name -" ? n
Add
M
l
Addr -o
u
t
? Comm. Repair
c City l Phone pm
er
Name (jd Z I FEES
c
? ?/
Address j
J
i i RES. HVAC 0-100 M BTU -$24.00
p
lj
City
I
` Phone
y`,
ADDITIONAL 50 M BTU
- 6.00
1 ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
?PE OF WORK ?
y GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTAACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
nit Heater M BTU MINIMUM - COMM/IIVD FEE - 20.00
y
? Air Cond. M BTU STATE SURCHARGE PER PERMIT _
.50
(pDD $.50 S/C IF PERMIT PRICE GOES
Vent
? CFM I ? ? BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
S/C: SIGNATURE OF PERMITTEE
, .,.
411
TOTAL•
FOR: CITY OF EAGAN
INSPECTION RECURD IControl No. 0269
CITY OF EAGAN PERMIT TYPE: fitt jI P r NN ;
3830 Pilot Knob Road Permit Number: 000.406
Eagan, Minnesota 55123 Date Issued: 04 1` t?? 1
(612) 681-4675
SITE ADDRESS: LOT, 12 BLnC K: APPLICANT:
1A011 HUNNINGBYkII i.ANE MARTURANO f+UQE11
LEXiNl11OM1 {'l.Al'F. s (611) 4t,6-0423
MIT SUBTYPE: TYPE OF WORK: M?W
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INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS:
? , ;,?? :i??E??r?r?? ? nr??r
? l Nr. iIIIN I•{'!?i ( '.iifl I If
? PERMIT SUBTYPE:
APPLICANT:
t ?• f . i ?i'•?i `?, I'+
TYPE OF WORK:
qt irf<ni ii,r
INSPECTION .A . ..
I i;f aA frxs: ' S E f, AfiAl
?
L-
i•I I I M1:ih?ri & t I I t I IrtrAt t I
?
Permit No. Permk Holder Date Tekphone N
S/W
PLUMBING
HVAC
ELE
ELECTRIC
Inspectfon DaM Insp. Comments
FooGngsl
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isui.
Firepiace -o
Final Htg.
Orsat Test
Finai Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final ?
J
Dedt Ftg.
DeCk Ffrk'!I
Well
Pr. Disp.
?
Ct''y QESAGAN
38J0 Pi1ot Knob Road
P. U. Box 21199
Eagan, MN 55121
Zoniny: _
Owner:
Address:
Site /1dd?ess: V
Plumber.
Meter No.: ? 7d /1T / S ?
5ize:
Render No.:
i
I nrw fo oow? wi?h lu Ir _eEAL.e:
WATER SERVICE PERMIT
PERMIT NO.: `
DATE: - ` ` - =
No. of Units:
- , -, _
. . ?--- _it?to??? I` ?. ?n
CF+arge:
vrween "L ?PKjlit-;A11?'sc. ? %JW56.OOpd 'IT
? ; r
,? 7?i •T.2 t r' L'
B
y
Dote of Irp,c Pofd:
Irnp.:
TY OF EAGAN
30 Pilot Kno6 Road
0. Box 21199 SEyyER SER
PERMIT NO.: VlCE PERMIT ,
gan, MN 55121
ninp: pATE:
No. of Unita:
Add?ess: Ard 3.ane LI2
te ie'"p1r wilii o. Cilp .f E."n
of Irqp.:
Conrwctlun CFwrpe:
Acca,nr oL-pauir:
Psrmit Fae:
Surchorye:
M1sc. Chorya;
Total:
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road WpTIM SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan
MN 55121 '
, DwTE:
ZOni^g' - No. of Units: =
Owner: -
Addresx
.Sitf /,ddflSf: i' `4.t7?x{lj.T.l1
.?
1 , . . , r: . ' .
Plumber.
Meter No.: Conr+ection Chorge: - `
Stze: A
o
«ount
eposit:
Reodsr No.: Permit Fee. ?. ?:. 0 J7.3
1"rw 10 oomoip wilh !iM Ciy of la"w Surchorge: . 5nt>d
Ordiwowar. Mi Cho I c"ib_nnrri `.
By
Date of insp.:
sc. rpes. _
Totol:
Date Paid:
. .. 1 CITY OF EAGAN N 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
c,?
BUILDING PERMIT PHONE: 454-8100 Receipt # 60 5?
To be used Ior SF DWG/GAR Est Value $57,000 Date MARCH 17 11638
1g 86
1080 HUMMINGBIRD LN
? R3
Site Address Erect Occupancy
Lot lZ elock 2 Sec/sub. LEXINGTON PL SO Remodel ? Zoning R1
Parcel No Repair ? Type of Const v
. Addition ? No. Stories
a ORRIN THOMPSON HOMES Move ? Length 49
Name
z 1712 HOPKINS CROSSROAD Demolish ? Depth 38
o Address Int Impr. ? Sq. Ft
City MTKA phone 544-7333 1nstall ?
o Name SAME Approvals Fees
$a Address Assessment Permit $ 304.00
? City Phone Water & Sew. Surcharge 28. 50
152
? x
'
w?
W Name
Address
a w City Phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and Ciry of Eagan Ordinanc,es/.
Signature oi Permittee 044w,
ORRIN T OMPSON HOMES
A Building Permit is issued to:
all work shall be done in accordance with all applicable$tateof Minnesota
Police
Fire _
Planner
Council
eidg. Off. 3/14 / 8 6
var.
Plan Review .00
SAC 575.00
Water Conn. 5 0 D. 0 0
Water nneter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2 ,069.00
- on the express condition that
o( Eagan Ordinances.
Building Ofiicial
REQUEST POR ELECTRICAL INSPECTION EB-00l%11-04
? Sea instructions lor completinB lhis torm on baek o1 vellow copy. 0
C-,? -w6 95 X" Below Wak Covered by This Aequest 7
tIewLAdd Rep'' Type of fiuiltlina Aooliancea Wired E..i.rnenl Wired
Wdter
N Fee ServiceEntrenceSize A Fae Fexde"ubteaders p Fee Circuits
.Z. C 0 to 200 Am s 0 123 0 Am s 0 m 30 Am s
Above 200 qmIas /, Q 6 31 to 700 qmps 31 to 100 qm s
Swinming Pool Above 100_Am s Above 100_Am s
TransPormers Ird tion Boorris Partial,'Otherbee
Signs
:?•:x?>,t'+3
TOTAL
I. the lacvic
IA Insvecb reby
- cartify that the xbova
Final ??e ? i manspection hes baen
?R ee. I
/,; /,PIr3
This repuest void ???/? ?
18 monihs Irom
C =3695 Lla, g a
flequest Ozte Fire No. ouph-in Insp tion
R quiretl7
?Ready Now ill Notify, Inspec-
/
? ?es ?NO or When Reatly
Licensed EleQrical ConVatlot I heraby requast inspection ot above
? Owner alectrieal work installed eL
Street ACdress, ox or Route No. -
l ? IF6
?°?e? Ciry
C2,c
ecu , o. Townsmp Name r No. FanBe No. Counl
Occ ent (PpINT) Phone No.
N ?J
L ??7
Power SuODlier Address
/ ?D?
Ele ical Convactor (COmVany Name) Con[racmr's License Yb.
/
Ma'IinB AdJres ontractor r O ner M kine Instaila[ioN
e?6 y? _
en
?
Authoriz Si8^ature IConvac?or Owner Makine Installation Phone Nhum?bf? ` ?^7
Z
pG / C rSC??
M&PIESOTA STATE BOAX F CTqICITY THIS'PNSPECTIONAEQUEST WILL NOT
Griggs-Midwev Bldg. - 191 BE ACCEPTED BV THE STATE BOAflD
1821 Univetsity Ave., . Peul, MN 55104 UNLESS PqOPEP INSPECTION FEE IS
Phona 16121297-2117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
li, Sce insVUClions Por completing this form on back of yellow copy.
M 59014 •X" Belo,rWork Covered by This Aequest
W EB-p0001I-0/8?(
/?r?(I/
ew d Re . TypeofBuilding 1, AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ffl?er Load Management
Comm.(Industrial cOl lurnace Other (Specify)
Farm Air Condi[ioner
Other(specify) C°f ctor5 Remarks: ?
Compute lnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SIgfIS Inspector's Use Only:
f^ TPT^' 1
Irrigation Booms ??3
v •O ? ??
Special Inspec[ion -
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in
( ^
cert
y that ihe above inspection has
been made. Date c?>
OFFICE USE ONLV
This reques[ void 18 monfhs fmm
59014
Request D e ^
L I v Fire No. FougRin Inspecfion
Repu' etl?
es ? N. NOTICE: Vou Must Call Eleckical Inspecror
If A Rough-In Inspeclion
(s Requiretl.
I y7i?censed contractor ? owner hereby request inspection of above electrical work at:
Route No.) Cily
p Township Name or N. Renge No. Cou
0 (PqMT w
24 Pho
Power Supplier Atltlress_F?-
Tt _
? n
Elec(ncal CoMrador (COmpany Name)
O racto li s
MailingAd1qres;(?ntryciQrorQy?y y?e?yOV?inp n ??K AVEe
°T ?4? Il??I
ANI,?iP?ur?onV!! ?t6AgrNaEl?9lali?AHd[?N
_35U t?l?Gjj4
?"? d_ U
P lf?rMq ?
V ?Sc.
MINNESOTA STATE BOAFD OtJ[qy"g !d ?, THIS INSPECTION REOUEST WILL NOT
Griggs-MltlwaV Bldg. - Poom 54]3 tW - BE AWEPTED 9V THE STATE BOARD
1821 Univeretty Ave., SL Paul, MN 55104 i` UNLESS PROPER MSPECTION FEE IS
Phom (612)642-0000 'A; FNCLOSED.
RESIDENTIAL BUII.DING R_, 'v? U c)
Permit Appiication
City Of Eagan
-f 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Comhuctlon Reauirements RemodelReoair Reauirements Ofice Use OnN
3 regbterad ske wrveys shavirg sq. R of MC sq. ft of house; and a rooGad areas 2 copies of plan _ Cert of Survey Rea1
(2096 mezimum lot COVerage albwed) 1 sel o( Eneigy Calalatiaq fa heafed additlons Trae Pres Plan Reod
2 copias af pan siqweg beam 8 Windoxr sixes: powed tound design, e0c. 1 srte swvey MadAitian & dedu _ Tree Pres Not Reqd
1 set of Eneigy Cakulatlpn Add'dbn - indkata i/on-sne septic sysfem _ On-si0a SePdc Syftm
3 oopies o} Tme PmservalM Plan if bt pgCed after 711/93
Rim JWat Detail Optlona mlectlon sheet (bldgs wHh 3 or bsa wib
Date -q l 16-l 0`?j Constru
cdon Cost YGT/itV -
SiteAddress /
uniuste#
DescripdonofWork d.A 5 [a,? ?' ?/J'S' CE'l???14 a??'l? / 7N???Q?
?G(N` I^ PaNn
,
Muiti-Family Bldg _ Y k N Ftreplace(s) _ 0 L 1 2
Property Owner /'Q t-o}'' r2q/4 Telephone # (&S/ ) ?S?O d ?3
i
Contractor
Address s
City
State 1?4 W. Zip 55--? 3 ? Telephoue # (y.? )
COMPLETE TNIS AREA ONLY IF CON TRUCTING A NEW BUILDING
,, ,
- Minnesota Rules 7670 Cate¢orv 1'{ ? -'I' Min'n?sota Rules 7672
Energy Code Category . Resldentlal Ventllation Categwy 1 W'al?sheei. ?
N?w Energy Code Worksheet
(Jsubmisaronrype) Submitted '2
.1 ):, ISp'bmitted
• Energy Envelope Calalatlons SubrNUed ' l
Ucensed Plumber
[? n '
----ZZj
Mechanical Contractor I?1 V` e.Si?? Par??? X-/Yf1/w2- Telephone #PSX) SR -Q
Sewer/water Contractor
Telephone #(
ad,
I hereby apply for a Residential Building Permit and aclrnowledge 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 ffie State of MN
Statutes; I understand this is not a pemut, 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.
.
,IU1 L4 J. Ka,?/<( 2 -
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 FoundaUon ? 07 OS-plex 0 13 18-plex O 20 Pool
O 02 SF Dwelling ? 08 08-plex O 18 Fireplace O 21 Porch (3-sea.)
" ? 03 01 of_ plex ? 09 07-piex ? 17 Garage O 22 Porch/Addn.(4-sea.)
O 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screeNgazebo)
O 05 03-plex ? 11 10-plex ? 19 LowerLevel O 24 Storm Damage
? 06 04-plex O 12 12-plex Plbp_Y or _ N O 25 Miscellaneous
Work Types
1
O 30 Accessory Bldc.
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
O 36 Multl Misc.
? 31 New O 35 Int Improvement O 38 Demolish (Interior) 0 44 Siding
O 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundatian) ? 45 Fire Repair
0 33 Alteratlon 0 37 Demolish (Bidg)• O 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applieant
Valuation Oceupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FineUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings(addition) _ Plumbing
_ Foundation HVAC
_ Dnin Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FIaming _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permk & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
5(?? J CITY OF EAGAN
b 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construetion Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. k, of house; and all roofed areas
(20°k mazimum lot coverage allowed)
. 2 copies of plan showing beam & window s¢es; poured found design, etc.)
• i set of Energy Calwlations
• 3 copies W Tree PreservaGon Plan it lot platted aker 7/7l93
• Rim Joist Detail Options seledion sheet (61dgs wtlh 3 or less uniGS)
DATE (0' Lb '01
RemodeUReoairReauiremenls ?
. 2 copies of plan
• isetofEnergyCalculatlonsforheatedadditions
• 7 sde survey for exterior additions & decks
• Indicaieifhomeservedbysepticsystemforadditions
VALUATION tJ
IULTI-FANIILY BLDG Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C 1 ti1c
STREETADDRESS_L-;2P#? IUJCnc,c.FT /i,-,&" ?CITYL3v2n+sViL«STATE/Aw ZIP S-'? `.3?7
TELEPHONE #?l?-707-C?'lS-?I CEII PHONE # ?? FAX #?Z AO?-' ??ttD
PROPERTYOWNER&ZA'R XV;97'U/2 .41UC? TELEPHONE# 1?SI4SC
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RIILES 7672
(4 submission type) . Residential VentilaGon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submiked
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: ___ _ Phone # _____
Plumbing system includes: _ Water Softener _ Lawn 3prinkler Pee: $90.00
Water Hcater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EagaryQrdinance?
p ) h^ ??kc?,
II U LS???i
Stgnature of Applicant
OFFICE USE ONLY
?. _.. ._
Certificates of Survey Received Tree Preservation Plan Received - Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addifion ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire 81dg onl» - Give PCA handout to applicant
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings(addi6on) _ Plrunbing
FoundaGon HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (newJreplacement)
_ 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
Building Inspector
ToWI
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion Reouiremanta
• 3 registere7 sNe surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam ffi windovr sizes; pou2d found design, etc.)
• t set of Energy Calculatans
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist DeWil Optuom selectlon sheet (bldgs wAh 3 or less units)
DATE ((/ou/" ?a
SITE ADC
TYPE OF
APPUCANTREJ.? .l-Y I(:.-
STREET ADDRESS I ZArl MiCd'Ol AVJZ s(a
TELEPHONE Ot2-?I-09FA CELL PHONE #
ULTI-FAMILY BLDG _Y -)(AI
PIREPLACE(S) _ 0 _ 1 _ 2
/L VL2 STATE W ZIP S533-7
FAX #ArSLL'FJ???
PROPERTYOWNER DOW MDl!,bl(-Y'd/1,D TELEPHONE#LA`Al?49' C)962?3
-----------------°---------------------------------------°----------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ VIINNLSO'CA RULCS 7670 CATEGORY I NIINNE50"I'A RULES 7672
(d submission type) . Residential Ventilation Cate9ory 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: __
Plum6ing system includes:
Mechanical Contractor:
Mectianical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ HeaC Rccovcry Syslem
Phone #
Phone #
Fee: $90.00
I'ee: $70.00
-----------------------------------------------------------------------------------°---°-------------°-----------------
i hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
vVatcr Heater
_ No. of Baths
RemudellReoairRenuiremenM ?
. 2 wpies of plan ?T
• 1 sel of Energy Calculations for healed additions
• isitesurveylorextenoradditions&decks
. indicate it home served by septie system for addRions
VALUATION 11 3j a() •QLD
Phone #
L.awn Sprinkler
No. of R.I. Barhs
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm 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 Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire 81dg only) - Give PCA handout to applicant
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 hldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaiivng Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing PeRnit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
- , RESIDENTIAL
• ' •' BUILDING PERMIT APPLICATION
arv oF eacan
3830 P"OT 65 8681•4875 N MN 55122 ?
New Constructian ReauiremeMs
• 3 registered site surveys showing sq. ft. of lot, sq. fl. uf house; aM all roofed areas
(20% mmimum bt coverage allowed)
• 2 copies of plan shovrirg beam & windax sizes; poured found de.aign, etc.)
• 1 set of Energy Calculatlore
• 7 copies of Tree Preservation Plan if lot platted aRer 711l93
• Rim Joist Delail Opiions seleclion Sheet (61dgs vrith 3 or less units)
QATE
z
RemodellRevairReauiremenq
. 2 copies W Dlan ?--e?-R.{Jf to
• 1 set of Enefgy Calwlallans kr heated addNons
•1 site survey for eztenor additions & decks
. Indicate rf home served 6y septic system for additions
VALUATION /-Z S60
SITE ADDRESS?O ?D 11"6611124 LN ' MULTI-fAMIIY BLDG
TYPE OF WORK B?cclul 6?P47-1ic.Q lea7G FlREPLACE(S) _ 0_ 1
APPLICANT
STREET ADDRE3S -3 ? • L? %?? ?
TELEPHONE #Gsil -?Iqa-13 5 ? CELL PHONE #
K N
_ 2
STATPSS /(
FAX # 4- s /
PROPERTYOWNER?I OG?/Z ?s32ru2,a,?o TELEPHONE#
--------------------------------------------------------- `------------------ -------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF.S 7670 CA1'EGORY 1 MINNLSO`CA RLILL•:S I672
(J submission t}pe) • Residential VentilaNon Cafegary t Worksheet Submitted • New Enargy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor.
Meclanical systcm includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heal Rewvery System
Phone #
Phone #
Pee: $90.00
Fee: 570.00
---------------------°--°---°----°°-------°-----------------------°-------°-----------------°--° °-----
I hereby acknowledge that i have read this application, state that ihe information is correct, and a ree t
with all applicable State of Minnesota Statutes and City of Eagan Ordin es. j/ nNA ? ? T ?
Signature of Applicanf
orricr: usi; oNLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
S?0-1 ln 5 c? ? ? V '/ (
?
_ Water Sottener
_ Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Updated 4l02
OFFICE USE ONLY , ,
,
4 .. ?
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-piex
? 06 04plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
X, 20 Pool
O 21 Porch (3-sea.)
? 22 Porch/Addn.(4sea.)
O 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 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
ti
V
l O stem
2?? MC/ES S
ua
on
a ccupancy y
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. af Units Sq. Ft. PRV
Nbr. of Bidgs _L Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof [ce & Water Final ? Pool ? Ftgs _( Air/Gas Tests XFinal
_ Praming _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insufation _ Retaining Wall
Appraved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
fou I, >;, b-??
1sa
r ,
w
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
G
1?
? GENERAL INFORMATION
d
o ` V
z a
? ? ? Applicant - name, address, phone & fax numbers, signature
1? ? Property owner name
0 D Legal description and address of properiy
? ? North arrow
scale 0" = 30' or 40') and date
?
? C3 ,
Location and name of all streets adjacent to property
? ? Site Plan drawn to scale showing location of house, pooi and other existing or proposed
structures
? ? Directional drainage arrows (existing and pmposed)
ELEVATIONS
Existin4
?_ /? ? Huuse corners
/ ? ? Properiy corners
f?/ 0? On property lines at point of ineasured dimension to pool (see below)
C? ? 0 If applicable, ground elevation at each end of retaining walls and at waiPs greatest height
Proposed
a/? ? Finished pool deck corners
Id ?? Top of retainuig walls (if any) and at each different elevation (if it changes)
? ? ? Pool bottom (or max. depth)
DIMENSION5
Existina
Csd ? ? All property/lot lines
Proposed
a/ _?/ ? ? Pool
?d 0? Pool plus integrated deck/patio
? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Date
G:/1'ECFi/1R 20027Pool Permit Checklist
*ARK DIciNEeR
COMPANY •
? CERTIFICATE OF SURVEY E'OR:
WAYZATA BGULEVARD • MIMVEAPOGIS, hQJ • PHONE: 374-4740
ORRIN THOMPSON HOMES
A Division of U.S. Home Corpo[ation
9ENCHMARiC: Top nut of hydrant at the
south side and 150 ft. east of 1076
Hummingbird Lane.
Elevation = 910.09 ft. (NGVD-1929)
FRONT GARAGE SLAB:
Proposed elevation = 908.45 ft.
8:1 MN&MM 9""
or Reaining We1ll
gs ptequired
?L?
? Z
.
r
Q p9, ?Q
O 'Q
\ °o
pb•
9
<-14F
N
qb, 0
SIL 1
FE'IUG E
7D-3
(.4.
6-??-oZ
yL fix?c. 8?f3T4f
Wt 12, Block 2,
LEXINGI'ON PLACE SIXJTH
Dakota County, Minnesota
91 o
I h=reby certify [haG Chis is a tru^ and correcC represenGation o: a survet oE the
bourx?acies of the land above descri'ced and o£ Che loeaCioa of a11 huildings, if any,
cP.ereon, and a1L visibie e:^.c:ozc"c?e•s, if any, Lcom or on said Ia;?d. I fuccher
cec:iEy [hat [his sucvey vas prepa:ed by me ar under my direct supervision and [hac I
am a duly Registered Land Sucveycc ur,de: Chz lawa oE Che State of Minnesota.
?i
Scale: 1" = 30'
• Iron monument found
0 Spike oc wood stake set
.900.0 Existing spot elevation
t
. . .
i . ---
.,.. 1
/ EaSeMent. 31 .
`
Dra•.m bY=-- .-.. _- ,. _- ;a
'-4 b
i4
-- -? PA7 HENRY'S PRES7IGE Pf]Otti
"NODIVING"LqBELSMUSTBEINSTALLED 3-E. LITfLECANAD??+I??RU --
ACCORDANCE WITH LNN RFMFG. DIRECTIONS. ST PAUL, MN Ji711y I •
/
?
,.
A /
/
X
/
12"
?
? - ?
NOTES:
I TIIIS IS A 71fPF. 11 POOL IN ACCORDANC2 11ITI1 N.S.P.( STANOAIiDS
lAN. 1909 ANll BOCA CODE 19B3 - SF.CTION 421
2 EACN ORACE 1fIL1 OE AOUNDEU 1fIT1! A 611NIMUN OF 1 FOOT OF
CONCRF.TE.
9 MA](IMUN LENGTB OF DIVING BOARO - 9'; JUMPSTANO - 8'.
4'NO DIVING' IAUF.IS kUST UE INSTAI,LED AROUNO SIIALLON 6ND
OF PaOL IN ACCORDANCE 1fITH WNER )fANUFACTWtES
If75TIiUCTIONS
WARNING
SWIMMINGPOOLSAREDANG?ROUSWHENVSEDiMPROPERLV! CONSULiYOUf+
DEALER FOR $AFEiY INFORIVIAiION ON iME SAFE USE Of SWIMMWG POOLS.
IT IS THE RESPON5101LITY OF iOWN GFFIGALS, BUILDERS ANO HOME UWNEkS TG
FOILOW ALt SAFEiY RECUMMENDAilONS OF NBP.I.. ALL LOCAL ORDANCES
AND E9UIFMENi MANUFACil1RER5.
°I
u
?
L
-T
92"
aM POOL SIZES
. 16X32 Iex36 20%40
A 16 IB'-O' 20'-O'
8 32'-p' 36'-0' 49-0'
c 8'-0' 8'-O" 8'-0'
D 3'-4" S-4" 3'-4'
E 4'-O. 4?_0. 4-_0.
F 6'-0" 8'-O" 10'-O'
G 14' O• IQ' O• 14• O'
H 8'-0" 10'-(P 12'-O'
I 4'-0" 4'-0' 4'-0"
d B'-O" 10'-0' 12'-O`
X 35'-9" 40'-3' 44'-9•
PANEL LENGTH NO.OF
9'-0" 8-O" BRACE
I6 LENGTH 4 3
x
WIDTH
-
2
I
Ix, ENGTM - - 4 3
WIDTH 2 I
x LENGTH - 5 - 4
40 wiorH i z - z
SPECIFICATIONS
16 %32 18%36 20%40
AREA-SO.FT. 512 648 800
GALLONS 119,500 24,600 30,500
CORNER DETAIL
LORNER
FILLER
i
PANEL
? ?..
i .
90DEG LORNER
3/8 % I' NUT 9 BOLT
RIM COPING
CONCRETE
TEK SCREW
L
HUS70N SUPPLY C0.
P,, ""°ALBERT
4' "" STpN R
D RECTANGLES
WlTki 6" Ra01U5 GORNEHS
OPTIONAL STEP
BRACE DETAIL
h- 33"-}- P OIN T'A'
i
:
1986 HOILDING PERMIT APPLICATIOA - CITY OF EAGAN
NOTE: gL[, CONTHpCTOES M[JST HS LICBHSED 41ITH THE CITY OF EAGAN
COM40CIAL SINGLI3 F9NIILY D1iSLLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS ^7? ? ? f
$2,000 LANDSCAPE BOND ??
To Be Used For: Valuation; 57 0v0 Date: 3'' 1Z-6(o
Site Address ?V t?0 J?z?M,v?n446101) OFFICE DSB OHLY
Lot (` Bloek Z c3Cif\ Ereet _2?- Occupancy _.-?-3
Parcel/Sub Lz-ClNo1J1S Y(?? Ja47}f
Owner
Addresa
City/Zip Code
Phone '
Contractor -1?t? r01 VtJ
Address 1717_ 11-ihOL' IiJS X?n17
City/Zip Code ?AN t?- 5J 3-9 "}
Phone ,5c" - '733-3
Arch./Engr.
Address
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORAER
ADDRESS IS DESIRfiD.
IS ISSIIED.
Remodel Zoning (Z-I
Repair _ Type of Const ?
Addition # of Stories
Move Length 4q
Demolish Depth 38
Int.2mpr. Sq Ft
Install
APPROVALS FfiSS
Assessments Permit 3?}
Water/Sewer Surcharge Z Sb
Poliee Plan Review /5Z
Fire SAC S-'IS'
Engr Water Conn SJo
Planner Water Meter G3•SZ>
Council Road Unit Z v
Bldg O£f 11 ?br.-?ftreatment Pl /5 (e
APC Parks
Variance Copies
TOT6L 70-tl i7
LOTS - COATRACTOR/HOMSOiTNSR MDST DESIGHI9TE WHICH
NO CHANGES RI[.L HE ALL.O{iSD ODTCB BDILDING PfiRMIT
?
-C:L;RKK t.NCilNGGI{1NG COMPANY • 2815
CCRTIFICATE OF SURVEY E'OR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCHMARK: Top nut of hydrant at the
south side and 150 ft. east of 1076
Hummingbird Lane.
Elevation = 910.09 ft. (NGVD-1929)
FRONT GARAGE SLAB:
Proposed elevation = 908.45 ft.
• MINNEAPOLIS, hAI • PHONE: 3
Scale: 1" = 30'
?
• Iron monument found
? Spike or wood stake set
.soo.o Existing spot elevation
?gSeMen ?
p?-ainaqe ? UtditY
? 'I 6° ?5 S?' ? '•
to I o
? GN
v a
o m
W °
O 10' cr)
0C
O `b
Z
- ? O
3? \ C-D
,o \
_ ? -
G
v
Z \ ?5
.,;
« ? .
,O
i 0o
? 77 9, ?Q
Soo
Lot 12, Block 2.
/ LEXINGTON PLACE SO[]`PH
Dakota County, Minnesota
I here6y certify thaG 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,
[hereon, and all visible encroachments, if any, from or on said land. 2 further
certify [ha[ Ghis survey-was prepared 6y me vT under my direcC supervision and that I
am a duiy Rcgistered Land Surveyor undec the laus of the State of Minnesota. -
hIIV Reg. No.jz?;7,? Date ,7 ?T6
Proposed House x As-Bailt House_ prawn bv E^/ 'crn;ect nn
. - a9?GlCr.'fG1?0:?747F?iY:1?lMY11??l?rli,J:U1N1?)?I[?1\I?NqJ??171?.'1717171:?G1?111SQ/;VY?:?J?.?uIYQ.'?
• ?I• f • ? • ? ? • • • • • • tf?l? • 1 1 1 • • ?1•
. s.r.:.:
CITY OF EAGANAPPLICATION FY)R PERMIIT SEF7ER ADID/OR 4Z4TER CONNECTION
1) PROPIItTY ADDRESS: (Please Pri.rit' ), -
W ?
S.F]f'?AL DESCRIPTION:
_. ., (Lot ock Subdivision or Tax Parcel I.D. Number) .
? IF EXISTING SIRCC.°ILTRE, DATE OF ORIGIlNAI, BUILDING PERMiT ISSLANCE:T?
_ _ , . . .. , . . , . . . . z: ., Mon ear
PRESENf 7ANING/PROPOSID USE: -1 SINGLE FAMILY . s ?, .
- R-2 DIIPLEX (4tVo L?nits)
R-3 ZUWNffiOi!SE (Three + Dnits) ( [hnits)
, . R-4 APARZMENP/COfIDOMINILfi1 ( Units)
CObA"ERCIAL/12ETHII,/OFFICE -
?.i-' .. . . . .
IPIDLTS'IIL•IAL
INSTIISJTIONAI./GWERI7'P
2) ?
NAME: -
? ADDRESS: •
CITY, STATE, ZIP:
_ .. = PHONE:
\
3) ' ?:?• - _: " For City Ose
NAME:
- -- Plimibers Licensee
,.. ADDRESS: THOMPSON ?LUMBING C0. INC. C;I p,ctive
CI,PY, 57,A,TE, ZIP: '?12201 MINNETONKA 9LVD, AExpirEd
. '"'A46'AAIY/1 I?71iIN 65893
? taot xe?corae
?or?: 32 Z/ rAsx? r?cavsE # M
- 5taff ?Initial -: .
a) ? . ??-
,....
rArE: . .
ADDxFSS: ? #? . -. . . . .
czxY, sraTE, zzP: -
PxorE:
5)-- ? ? a • ?• : • • a?
? CO.INE'TION 7n CITY SEWER CONNECTION TO CITY WATER
l?
p OZHER (Please Descri.be)
6) u • ?
? PLEASE HOLD APPROVID PER*IIT FOR PIQC-C?P BY OM OF AHOVE
PLEASE MAIL APP'ROVID PERNIIT RC) 1, 24, AHOVE (Circ e one)
7)
C .• • ??-? ?, ?3-?6-?h
.ay's, < ? . . ... - x7 .;1v'rT udss. '- .- _ q . .
X
'u." ' T?
.
.
F0R C ITY US E ?
. :
n ONi.Y
`
t . l ..i 1 !
.
t . . 1_• *t? _
PERMIT ° ISSUED ?
_
i..._" ':
' . . .
£
-
::
. ? ?,j
. . ,
.
k .J <
.
4
, y
a
,•iy, ?? y •?
ro
P S-
"
n
Sx':+E.°. PER?1_TT (I`ICL:+D: SUP^ti?,RCn)
PERP1IT (INCL'JDE SL'RCHP.RGc)
x
'? +`? ' $ ?• "' ?J- S?
++? WATER METER/COPPERHORN/OUTSIDE READER
?WATER TAP (INCLUDE CORPORATION STOP)
e •'
A ... . .' .'.....
$ ,.:.. . .. Xt.,.-: r,.._,. e.,. -. . . .
I.WWAh?( ' ' . ,...:.lv ,:._.,... ' .
SE:dER TAD .
__.. ...:..:-.:.5.
CCJL T --::?GSI=
S '
S '
:?'?`a"
r'i /
,
,
•S; , ACCOUNT D.F.POSIT - PTAT°R
'WAC
-
rLSAC
•
?
,,.,_,. __ ?-. _ ?.. _. a, ....? ? .
.
+S ' TRUNK WATER ASSESSi•IENT _
t -i
TRU:1K SEWER ASSESSDIE.iT
$ LATERAL BENEFIT/TRUNK SE::M
R
$ LATERAL BENEFIT/TRU.?K WATER
$ /?? • G`a- ?
a1ATER TREATMENT PLANT SURCf3ARGE --
..
. _¢ V1111iRi '.?A. ....... .
,
- -_ -- _ -
._.
$ - .. .. .
. .. ......,?._
TOTAL
^ , _ .a
- --- -
_ " _ $ ---?0 G J • %1rJ
AMOLNT PAID/RECEI2T R
:S^0 G? ?. 7/ e
-'DDES -UTSLITY COHNECTION REQUIRE EXCAVATION iN PUBLIC RIGHT OF WAY?.',,.
_ - --- - - --- -- --- - - - -
:
°
YES IF YES, THEN A"PERMIT FOR WORK WITHIN ,
v ,
PUBLIC ROADWAY" MUST HE ISSUED SY TAE
_, ?.. NO ENGINEERZNG DIVZSION. LIST AS A CONDI-
... _ TION.
.
.,..
. . ..,,-.._ .
. . :_;., ... ..... . ,._ . .
. . ...:. .... .. . .,., : +? y; :+
s. 5 ..i
SUBJECT TO THE FOLLOWING CONDITIONS: .
.
YV
,
--? CIfTY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT '
RERMITTYPE: euILoxNs
Permit Number: 022359
Date Issued: 11 J 12 / 9 3
SITE ADDRESS:
P.I.N.: 10-45060-120-02
1080 HUMMINGBIRO LANE
LOT: 12 BLDCK: 2
LEXINGTON PLACE SOUTH
5?%I
?vla3
uADESCRIPTION:
GriZditi-g)wPermit 7ype
ullding Wc,rk Type
k /..
REMARKS:
BASEMEN7 FINISH
ALTERATION
{?., 3^
SEPAftATE PLUMBTNG & EL£CTRICAL PERMITS REQUIREd
FEE SUMMARY:
8aee Fee $35.00 COPY
Surcharge $.50 Total Fee
Subtotal $35.50
$36.fd0
CONTRACTOR: - Applicant - sr. Lzc. OWNER:
LINDER HOMES INC 14509279 0001872 MAR7RDNI ROGER
7577 CAHIIL CT 1080 HUMMINGBIRD LANE
INVER GROVE MTS MN 55076 EAGAN MN
(612) 450-9279 (612)456--0423
I. ........ . _. , .... ......._.. . . ......
I hereby aaknow],edge tMat T have read this application and state t-ha"t tkte
; infurmativn is csarreet and agree to cn:mply wi,th all aPplioab2e State O'f fNn.
SEatutes and Gity nfi Eagan qrdiriances.
APPLICANT/PERMITEE SIGNATURE ' ISSVE 8V: SI TURE
-j
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suztozNG
3830 Pilot Knob Road permit Number: 022 359
Eagan, Minnesota 55123 Date Issued: 11 / 12 / 9 3
(612) 681-4675
SITE ADDRESS: LOr: 12 B L 0 C K: 2 APPLICANT:
1080 HUMMINGBIRD LANE LINDER HOMES INC
LEXIN6TON PI.ACE SOUTH (612) 450-9279
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH A4TERATION
INSPECTION
FRAMING D, .
INSULATION .,
ROUGH IN PLBG FINAL
REMARKS: SEPARATE PIUMBING & ELECTRICAL PERMITS REQUIRED
, . . ., ,
i . , , .
t.
F rl
?
?
? • r
l' .
REACTIVATE _
PERMIT.:7 -.,
aa3s9
F ? ??TE D CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION 0 C T 1 5 1993 681-4675 -------------
SIN6LE 3 MUL7I-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. .
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of wonth•
in which request is made, 2) address is changed or 3) tot change i.s requested once permit
is issued.
Date oc-'? / f s / °3 Valuation of work
Site Address: /ois o 74 uceui1c4 /3 1r?[?v• _
iiREET fUITE /
Tenant Name: (commercial only)
3AT ? BLOCK SUBD. ?/ ff k ? P.I. D. N '
v T ??
Descri tion of work: ?er2 L.-e
The appl icant i s: ? Owner Contractor ? Other (Deceribe) .
Name tNt6L(l4vowi Lu,c- P Phone QS?-aVZ:?
Property L.ST FIRST
Owner Address WK? ? ?/t4
STREET STE Y
City ?4? uti State N,k? Zip
Company L-.t,udev 46u.cLOS //1JC. _ Phone (4 5>0 ?'Z79?
Contractor Address License N/?7? Exp.3 a? y
City IdJ Ve2 Gg20Ue 662?s State !nA-) Zip 5"S6-2,G,
Company Phone
Architect/
Engineer Name Registration /
Address
City 5tate Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree 4o comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. I
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
? 02 Sf Dwg.
? 03 SF Addition
O 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 01 4-Plex
O OB B-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
31 New
32 Addition
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
?- .
? ll Apt./Lodging 1%16 Basement finish
E3 12 Multi. Misc. b 17 Swim Pool
O 13 Garage/Accessory ? 18 Comn./Ind.
? 14 Fireplace ? 19 Coiom./Ind. Misc.
? 15 Deck ? 20 Public facility
? 21 Misceltaneous
O 35 Tenant Finish O 37 Demolish
O 36 Move
Const. (Actual) Basement sq. ft. MWGC System
(Allowable) lst F1. sq. ft. City Water
UBL Occupancy ? 2nd F7. sq. ft. PRV Required
Zoning
i of Stories Sq. Ft. total
Footprint Sq. ft. Booster Pump
Fire Sprinkler
length On-site well Census Code
Depth On-site sewage SAC Lode
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
0 Footing
p Final
t;3(Frami ng
? Draintlle
_L3_V_
T
o.
O Insulation
? Fireplace
Permit Fee 95<00
Surcharge ?
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies 1`?0
Other
Total:
SAC %
SAC Units
v.luscim: $
PERMIT `
CIY'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMlT TYAE: .
Permif Number:
Date Issued:
10$0 HUMpIN88IRD LANE
lpT: 12 BLOCK: 2
IEXIN6TON PtACE S
Builciirig
kPermit Type
8uilding
- 116C Ueoul
Suilding
8uilding
Wprk Type
aanay-..
4 e n g tM'.,
WitlLh `-
DECK
NEW
R-3
38
12
., . ?. i?(+ f? );p , r' '-:? 'k• j
?. ?"?? ? _ . ^? -? ? ? ? ?,! ?. ? :.. ?
REMARKS: 0, DJS't/
BUZLDZNG
000306
04/21/92
FEE SUMMARY:
Base Fee =25.00 COPY $.60
Surcharge .50 Total Fee ;26.00
Subtotal $25.50
CONTRACTOR:
OWNER: - RPplicant -
MARTURAND ROGER
1880 HUMMINGBIRD LN
EAGAN PIN 55123
(612)956-0423
I hsreby aqkrcowledge that I have read this
information is correcC and agree to c-omply
Statates and City of Eagan Ord3nances.
?
APPLICANT/PERMITEE SIGNATURE
application and state thaC Che
with all applisabte State b# P4n.
(?01111 A e, 1 )f
-ISSUED 8Y. I NATUR
]
Contral No. 0269
I
IN5PECTION RECORD Control No. 0269
CITYOFEAGAN PERMITTYPE; euiLniNG
3830 Pilot Knob Road Permit Number: 000306
Eagan, Minnesota 55123 Date Issued: 04 / 21 / 92
(612) 681-4675
SITEADDRESS: LoT: 12 BLDCK: 2 APPLICANT:
1080 HUMMIMGBIRO LpNE MARTURANO ROGER
LEXINGTpN PLACE S (612) 966-0423
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
?
L?n i????i• ?1!?Ii4?
i;f-•t?y??i:? ?,?;?i,rl I^u
IS :E
I I y i
' l? I' 1.`, i•! I?l ?< : •,
? fJt;fJ F?(l?bli lhi?" [?I11 ? d151
iS
t;
?-.I1': I \?l_,
tV(Arv,lv•:•Ilf! 111 14!'
?_ .
'PERMIT e
.510C
ctnr oF EAGaN (??'ar
1992 BUILDING PERMIT APPLICATION
681-4675
? j' :'s P
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of eriergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date `l / / 7 / 9- 4aluation of work 'Xa, 000
Site Address: /DgO /-/Qm,"+nqbjrJ LIJ
STREET STE t
Tenant Name: ?oc2? /J1 ar ?ur u+K?
LOT BLOCK d? SUBD. heXkng+on T1aUL ?J P.I.D. / IV ?FS(7(?O 1L-0 oZ-
Descri tion of work: Aeck
The applicant is: Ld'Owner ? Contractor 0 Other (oes«3be)
Name l?lurfurA-'D 4 ?g.r Phone
Property uS7 F?RST
Owner pddress 1090 N,-?L m??t-4 1 YrQ
STREET ' y SiE /
City EC42;!2 State m^? Zip .651 Z-3
o
- -=-Phone
? -
Contractor Address License # Exp.
City ? 5tate_---, Zip
-
Com Phone
Architect/
Engineer Name Registration 8
Address
Ci State ZiP
- . Processing time for
Sewer & water licensed plumber
,
sewer & water permits is two days?uu,uu?area has been approved.
?-
I hereby acknowledge that I have read this applicatian and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
f
t
Signature o
icant:
App
v• • vr vvr v?rr
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace O 11 Res. Add./Porch
0 04 Multi-fam. T.H. "P-08 Deck O 12 Comm./Ind.
/
WORK TYPE
mfi1 New
? 32 Addition
? 33 Alterations
O 34 Repair
? 35 Tenant finish
? 36 Move
GENERAL INFORMATION
O 37 Demolish
? 99 Undefined
Const. Actual) Basement sq. ft.
(A1 owable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth ? On-site sewage
APPROVALS
Planning Building '•Z! 5? r;;
Engineering Variance -
REQUIRED INSPECTIONS
O Site 14 Footing O Framing
? Wallboard PY, Final ? Draintile
i2w
? Insulation
? fireplace
Permit Fee .5 . 00 v.a.c;a,:
Surcharge
Plan Review
license
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
s
?'13 'PublTp Fac.
O 14 Agricultural
E3 15 Miscelrlaneous
MWCC System
City Water
PRV Required
8ooster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
3AC %
SAC Units
?.vur?,?ni?vv t,tn•?rtuVZ • L017 WAYLA'1'A
CERT:lE'_CAi'E 7F SURVEY FOR:
.
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCHMARK: Top nut of hydrant at the
south side and 150 ft. east of 1076
Hwmmingbird Lane.
Elevation = 910.09 ft. (NGVD-1929)
P'RONT GARAGE SLAB:
Proposed elevation = 908.45 ft.
Q1_ainaqe
co
?
?
?
W
O 10'
OD I
m
O ?
N1
Scale: 1" = 301
• Iron monument found
a Spike or wood stake set
.4900.0 Exiating spot elevation
Ea$e M en t
? util'ty
130.20
, 15 56'E .
y
o 0GN
R
a ?
v %
'o m
0
?Z
b
?
/S• V `O \
_ ? -
v `3 \
D ?, 6p c?? • 9ob.
? A s, 'QQ 'k
0
?
s0a tik
i
3 Lot 12, Block 2,
? LEXING2C)N PLACE SOUTH
Dakota County, Minnesota
I hereby cer[ify tha[ this is a true and correct cepresentation of a survey of the
boundaries of thc land above descri6ed and of the location of all buildin9s, if any,
thereon, and all visible encroachmen[s, i£ any, from or on said land. i fur[her
certify [ha[ this surveyvas pcepared by me or under my dicect supervision and that Z am a duly Registered Land Sucveyoc under [he laws of the State o£ Minnesota. IRi Reg. No./le;,7,
Date
• M1[vNeAPoLIS, hID1 • pHONE: 374-4740
Proposed House X As-Suilt House_ Drawn bv PE,v 'Proiect nn
V-7 0 .6 C-)
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWctionReouiremenLa . Remodel/FteoairReuuiremenis &=,'
3 registered site surveys shaxing sq. R af tot, sq. tL o! house; and a0 roofetl areas 2 copies of plan wroli?????..,?? AA
(20% mazunum bt mverage allowed) 1 setot Enei9y Calculalions for heated add'NOns
2 copies of plan showlng 6eam & window sizes; poured found desgn, etc 1 site survey for addNOns & decM
isMofEneqyCalculations Add'Aion-uMicatedonsifeseptlcsysfem s, ?
3 copies of Trae Preservation Plen'rf bt plaked after 7l7193
Rim Joisl Defail Optbns selection sheet (bldgs with 3 w less uniLs
Date 1 /"'Dw 938-
cti
on
Cost ? l
/ Constru
Site Address
? ?
,
t
r
UniUSte #
Description of Work ?( &t.l7S (7( ?1X?CJ'i S W! i ?1 ?? s
Qcat>
U
,
„
2
1
Multi-Family Bldg _
_ Y_ N Fireplace(s) _ 0 _
t
O , l ' { UQ Telephone #L-51) N?C.J
wne
Proper
y
RENEWALBYANDERSEN
Contractor 1920 COUNTYRD. "C" WEST
Address ROSEVILLE, MN55773 _ City
State 651&64-4777 Celephone # ( )
LICENSE # 20130983
COMPLETE THIS AREA ONLY IF CON$TRUCT(NG A NEW BUILDING
- Minnesota Rules 7670 Ca[eaorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission rype) Submitted Submiried
. Energy Envelope Calculattons Submittetl
Have you previously consiructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Controctor
Telephone #(
Telephone #(
Sewer/Water Contractor
Telephone #(
N If so. 25% plan review
T
?
I hereby apply for a Residential Building Permit and aclrnowledge that the inforxnation xQmnlete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan ane tate o'
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pexmit; that the work will be in accordance with the approys in the casepf ork which requires a review and
a oval ofplans ?
Applicant's Printe ame A Signature
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
?O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbp_Y or _ N O 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior , ? 44 ' Siding
? 32 Addition ? 36 Move Building ? 42 Demolish,Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buiiding' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - GivePCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SACUnits ?Stories ' BoosterPump
# af Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addifion)
Foundation
Dcain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspedor
vvrve?6VV1 1LLV db.JV
re
=-a
.
June 7, Z00)
cna t oJ 014 '496R 1tCt`EKItAL %k° BPId/tSt47tSl1
CitY Of Esgan
3836 PiIot &tob Road
EaM MN 55122
To Whom It May Eancern:
ffider Jones is atzthorized tu pull baildfng Permits farRcmwal 6y Andezsav_ PIcase atiow
F1der ]onGa to proyide this servicc for us in Eagan. `titis audutrizeti bn is vatid for any
to dato the b Ci tyayond 6/6J01; unbl a?gv„a( by M?n ?, ?IY revoloas it in wricing
_
I request fhis?? ?aa?bc eccepted"?l?flausly. ac to not delay in the proxssing o£
our baildin Y zthcr. Plcasc caII mc If thcco aro an
ootttacted at 7b3-502-47U6. . YTLeu[one., I can [xi
_„
XOUr immqdiate attCIltiOII jA this IDatiC2' iS
Sinoefaly,
-4?9YM
and"R Rau
ostxlIarion Maztagcr
Rcnowal by Audascn CozPoratiuu
C'.c: Karn-F.)tler 7nn"-
y ah n ???
UWYm
?? ??zoos
wuu:
Received Ti-me Jao. 1. I'01PM
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164857
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 1080 Hummingbird Lane
Lot:12 Block: 2 Addition: Lexington Place South
PID:10-45060-02-120
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Roger & Bibianne Marturano
1080 Hummingbird Ln
Saint Paul MN 55123--223
Ez Home Solutions
2595 hamline Ave N
Roseville MN 55113
(651) 214-7483
Applicant/Permitee: Signature Issued By: Signature