1648 Hickory Hill!CJ
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
qg
Permit Fee: 9D o6
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
IS?J(r,i� l l/ D VSiteAddress: rV e 5�7Tenant: Suite #:
RESIDENT / OWNER
Name: J " t e. \I r / Pa r b2/1 Phone6 51 X83 337'7
Address / City / Zip: VP Lig tT 1 C k- 0 r �j )4i)) C) f V‘Q..� 6j 57 c.. ,
Applicant is: Owner Contractor /
TYPE OF WORK
Description of work: re Qlack. W jYu WS °I 1 pa41 O d.0 of i h .eXis)inq op
Construction Cost: � 6g D Multi -Family Building: (Yes / No `d"J )
)
CONTRACTOR
Name: k `itc:\o)I C v1.0 2�,n-\-S License #: 3,0to O \ Z LI 9
l
Address: 990 Lone Oak 1 i1# IN City: ea
Ian
State: `10 Zip: 6 1 -Qt Phone: o 6, v 1 90 y 0105
Contact: iQ 0 r C•.i. —So Email:
COMPLETE
In the last 12 months, has
Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
OTE Mans and strpportincdocumentsr are eo rsrdered to b pub i info m do f ons if
the information maybe classrfredas ion pubfrc rf rou prowrde specific reasons that wo l et �t i e to
conclude :ithat.they are traa(e:seem ts, v" •r
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
Ihereby 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 plans.
Applicants Printed Name
rn eSoll
Applicants Si
1JLLAGE'OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO •
Eagan, MN 55122 DATE• 2/27/74
Zoning: Pt.ID No. of Units: 4unit TR
Owner: NC 5r EiOrizon Homes
Address:
Site Address: 1642•-44-46-4£ Hickory Hill.
Plumber Thompson Plumbing Co,
Meter No.: Connection Charge: 520.00 billed
Size: Account Deposit:
Reader No.: Permit Fee•
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges•
Total.
By Date Paid:
Date of Insp.: Insp.:
10.00 pd
.50 pd
VIUAGG4F EAGAN
3795 _Mot Knob Road
Logan, MN 55122
Zoning: t
SEWER SERVICE PERMIT
5ii 21 9
PERMIT NO.:
DATE: 2/27/74
No. of Units: d tm i ftx
Owner:— New Horizon Homes
Address
Site Address: 648-46-44-42 Hickory Hill
Plumber: P
I agree to comply with the Village of Eagan Connection CharQ 1500. a4 pd 12/3.
Ordinances.
By:.
Date of Insp.:
Insp.:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
10.s '0 '-
. 5r) rid
7
City of Eagan
PERMIT
4111' CityofEaan
Permit Type: Mechanical
Permit Number: EA133794
Date Issued: 10/30/2015
Permit Category: ePermit
Site Address: 1648 Hickory Hill
Lot: 002 Block: 002 Addition: Woodgate 1st
PID: 10-84600-02-020
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total: $60.00
Contractor:
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
- Applicant -
Owner:
Quandra Parker
1648 Hickory Hill
Eagan MN 55122
(612) 366-3378
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
411!Pa CityofEaaan
Permit Type: Building
Permit Number: EA139310
Date Issued: 10/18/2016
Site Address: 1648 Hickory Hill
Lot: 002 Block: 002 Addition: Woodgate 1st
PID: 10-84600-02-020
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Meyer Residence 651-688-3377
Fee Summary:
Day Care Inspection
$50.00 1221.4216
Total: $50.00
Contractor:
Owner:
Quandra Parker
1648 Hickory Hill
Eagan MN 55122
- Applicant -
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.
Applicant/Permitee: Signature
Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-18.10
(651) 675-5675 1 TDD; (651) 454-8535 1 FAX: (651)675-5694
buildinglnspections(@cityofeagan.com
RECEIV7.
JUN 2 8 2W8
For Office Use
Permit #:.
Permit Fee:
Date Received: (P '21c-181
Staff:
L
``.. 2018iRESIDENTIAL P UMBINGPERIVIIT' APPLICATION
Date: �IN1(7� 14*;DCA. e
ASitAddress: 1104Q"IWIX VIA) 1 V9-
Tenant++li ��./l � 1t ^' r
t.i¢.�3YS5-.t�:itf1 L.19i!a:RSir ;it '4_4 Suite #:
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State•Surcharge)
$60.00 Lawn Irrigation (Includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes State Surcharge)
"water Turnaround (add $280.00 If a 3/4" meter Is required)
$115,00 Septic System New (includes County fee and State Surcharge) •TOTAL FEES $ 60.00
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call48 hours before you
Intend to dig to receive locates of underground utilities, www,gopherstateonecaii.orq
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.citvofeaoan,com/subscribe.
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 thls 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
ac ordancewith the apprgglod�lan Inrf�e case of.ybrk which requires a review and approval of p an
s.
x11-1
Applicant's Printed Name
Name:
Address / City / Zip:
Name: MILBERT COMPANY dba CULLIGAN WATER
Address: 1801 50TH STREET EAST
State: MN Zip: 55077
Phone:
1
J
Contact: BILL MILBERT
:Phone:
License #:
WC641376
City: INVER GROVE HEIGHTS
651-451-2241
Email: gloria.abas@culligan4water.com
New — Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
X, Water Softener
Add Plumbing Fixtures ( Main. / _ Lower Level)
Water Turnaround
Q, 1 FF{,FICENISE � 3
s she �fa)ii3'
��vytiy
*TOMO
� �S,t. ��Iir �p•�4
p eel ed# nsp t(o�n$;
I.
f IYt�t r:0 a R9ITIA r t <
tfi�t,�'C
Applicant's Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN; MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginsoections(a cityofeagan.com
For Office Use
Permit #:
Permit Fee:
.51
Date Received:
Staff:
L
20185RESIDENTIAL BUILDING1/PERMIT APPLICATION
Date: g� ( 7 — IQ Site Address: I G Y �- 1,6"1
Y _ (O 114 , , g , Ckar tf‘Unit #:
Name: vV d0,4wo7 ltdrvitoW'1ltt .5eSOC,sot /1/4`CIvl Phone: 65/- "/5 -739
Address / City / Zip:
Resident/
Owner
Type of Work
Contractor
J
Applicant is: Owner Contractor
Description of work: J 1010
Construction Cost: l5
ka
Multi -Family Building: (Yes
Company: & 'ra-A �captt-aC AL
:
Address: / 75? 3 F z bG
Q City:
State: 118 Zip: 55T C)\-41. Phone: 15Q'--87' —S Email:
License #: .6c ( QQL
....................
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
0
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?
1 Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non . ublic if ou rovide • ecific reasons that would = ermit the Cif to conclude that the 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.citvofeagan.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.gopherstateonecall.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 approval 16f plans. 0)
x S1--.vvtfr,
App
Applicant's Printed Name
cant's Signa