1715 Hickory HillRESIDENT / OWNER
Eagan, MN 55122
Name: 9527361532 'hone:
Address / City / Zip:
CONTRACTOR
/
Name: NORBLOM PLUMBING CO. License #: OCi j FM
1
Address: (612) 8274033
City: 2905 GARFIELD AVE. SO State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK
New X Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work: ( 4Ct 1 1/1/ eir eater
PERMIT TYPE
RESIDENTIAL
1 Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / — PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
City of Eaali
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675 -5675
Fax: (651) 675 -5694
x Ve% ` ii• iVdrbl
Applicant's Printeti'Name
Site Address: _
Tim Hight es
1715 Hickory Hill Dri`
A cant's Signature
Staff:
Permit #: ,'1`K.0
Permit Fee:
Date Received: �t /
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
(l / ( 1
Suite #:
I hereby ack th th is in f orma t ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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.
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VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1635
Eagan, MN 55122 DATE: 11/15//74
Zoning: PUD No. of Units:
Owner: New Horizon Homes Woodgate II
Address:
Site Address: 170 11 -13 -15 Hickory Hill
Plumber: Thompson Plumbing Co.
Meter No.: Connection Charge G►. ek e9 .p
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges:
Total:
B y Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN ,
SEWER SERVICE PERMIT
3795 Pilot Knob Road
Eagan. MN 55122 PERMIT NO.:
DATE: _________________11115114___
Zoning: PQn
Owner: New Horizon No. of Units:
74E38 •
Wood ► atet 11
Address:
Site Address: 17 04- 11 -13 -15 Hick° Hill
Plumber: Paon Plumbing CAD
agree to comply with the Village of Eagan Connection Charge: ! f /a s9 ,e41 — '
Ordinances.
Account Deposit:
Permit Fee: 10.00 pd
Surcharge: • 5(} pd
By: Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
1 For Office Use 1
I
~ Permit I
b1L of Eataft I Permit Fee: I
t
3830 Pilot Knob Road I ~ I
Orv~ I Date Receiv 1 l
Eagan MN 65122
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:i -D)SE;~ Site Address: 'k~)b
Tenant: Suite M.
Name:..,.. Phone: l~cc-
Resident/Owner j
f Address / City / Zip: l l9
k Name: V \ ~ u License* I Contractor Address: City: 'CT la
State: l Zip: Phone
F
Contact: ~rn Email.- p
Type of Work - New N Replacement - Repair -Rebuild - Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ 1 PVB)
Permit Type Add Plumbing Fixtures C_ Main /-Lower Level)
a Septic System
New Water Turnaround
Abandonment
~ RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 1 D
TOTAL FEES $
CALL BEFORE YOU DIG. Calf Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoDherstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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
x
x ~~f~ t+l~ 6 L✓
Applicant's Printed Name Applic ht's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test -Gas Test -Final
r For Office Use
1 • Permit#: / J
EAGAN
Permit Fee:
w.
I ceivE Date Received: -I,7-
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: —;G.�
buildinginspectionsacityofeagan.com bk. 1 7 2019
2019 RESIDENTIAL ig s _ - _- - MIT APPLICATION
Date: l.� � l 7' (7 Site Address: >7J/ �` v r y //4/i TCI• '311/U/n7i/3 y</7/S
Name: WOd q Cti e ,iC7►l e p Vi t/S, I t3I S OC lot Vol& Phone: 6 57 _ (-5-41-73 Y7
RestdentlJ / Q t`C l
Wit! id` ..-11 0 r Eai a t SS 1 c?..4
• Address/City/Zip: 6 Y
Applicant is: Owner X Contractor 7
Type of Work
Description of work: ' ` . Cc77 / 4261rO.1-'1- ah d cep /act.
Construction Cost: /G 0 Multi-Family Building: (Yes X /No )
QQ My
Company: "'d r h't R *LI D Ik.4lS �'�f�aCt'� Contact: C igOrn'14►+7
Address: / 1 5-73 fox echo Cf 6 City: F-ar,-�. h5
iekt
Contractor id,l u
State:M N Zip: 556 a ( Phone: �'1" -5-9
` Email:
License#: p /700 b 1 Lead Certificate#:
If the project is exempt from lead certification, please explain why: n
NOOaM 1 q ' AooP-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Nom Plans andsupporting documents Mat you submit are considered to be public information. Potions of the information may be
clasal*d as rroe-PubNc if you providereasopSlt WOW permit to conclude Oat
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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 approva of ans.
x SlLerevl SOf'/1anh x
Applicant's Printed Name Applicant's Signat re