1656 Hickory HillRESIDENT /
OWNER
Name: Phone: V
Address / City / Zip: J‘:: 5 /1. (71 1...n he E - 537, -?
Applicant is: Owner 01 Contractor T/0 . ' / �. -
TYPE OF WORK
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De c i■tion of work /l =410211124 assc.-- G�
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ons ruction Cost: 3,5 t O t0 ® i Multi- Family Building: (Yes / No )
CONTRACTOR
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Company: c /�G'9lid° Contact: (lb,: b,.'S 7 d 07e /' 54Pli
Address: /57/ / /' 7" 1 - '. he'' City: Siti, ife,ge &
State: `Y/ /K Zip: c ?? Q Phone: 9 2. 36? 66? 3
License #: indr Z 4935", 2 Lead Certificate #: /j — 3v3„5 0 ` 11 do 1,5
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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 - public if you provide specific reasons that would permit the Ci to
conclude that they are trade secrets.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
M AY 2 2011
C I CS. 44° V Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICA
xC;hp, ' t'ter Batkier'
Applicant's Printed Name
Applicant s Signature
Use BLUE or BLACK Ink
93 9d,
Permit Fee: tr 1 57 -'5 3
Date Received:
Date: Site Address: Unit #:
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 of plans.
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
�( New
�I Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
(25% 100 %1 )
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
)( Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
)( Framing
� Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
TOTAL
It H
DO N WRITE B LOW T,
LINE
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
PN-t--
w havin
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air /Gas Tests _Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footing _ Backfill , Final
Radon Control
Erosion Control
, Building Inspector
GALA"'
S‘0-
Page 2 of 3
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+MEtAGEOF EAGAN SEWER SERVICE PERMIT •
4,45 Pilot Knob Rood PERMIT NO.: 2158
Eagan, MN 55122 DATE: 2/27/74
Zoning: PM No. of Units: 4 Unlit TH
Owner: WOOdgettt — New Horizon Hawes
Address:
Site Address: 1650-52-54-56 Hickory Hill
Plumber: Th npson Plumbing Co.
agree to eom I with the Vii 1500.00 pd 12/31.
1 a
g p y Village of Eagan Connection Charge: 73
Ordinances. Account Deposit:
- Permit Fee: 10.00 pd
Surcharge: • 50 pa
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pibt Knob Road PERMIT NO.: 1405
Eagan, MN 55122 DATE: 2/27/74
Zoning: PUD No. of Units: 4 unit TR
Owner: New Horizon Homes
Address:
Site Address: 165001 Hickory Hill
Plumber: Thompson Plumbing Co.
Meter No.: Connection Charge billed
Size: Account Deposit:
Reader No.: Permit Fee: 10 pd
1 agree to comply with the Village of Eagan Surcharge: 50 pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
For Office Use
° 0 Permit#: V [ C� / I
E AGA N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(@cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 47- 1(- (g Site Address: 1 G50 163.1'96 I akar hr 1 I pr
Unit#:
111/4' 4Name: vad-Cgct - 'r✓
e rn eow,14/'S As.sct-o( C7� Phone: S 7j` 9
Resident/ J UU [[ t1
Owner Address/City/Zip: 1 03 GT 'C'�O r
Applicant is Owner /`- Contractor
Description of work: 0d'r Tear (f
Type of Work 1 �/
Construction Cost:� 1020 Multi-Family Building: (Yes x /No
?e� "1p11 ef4Com any: Uor on°. el ri ' �NtrdC l'oj
Contact: S t4 ice
BO
Arheb'1
F
Address: / 7Sl d aro
C City: re4 0. `1ContractorState: S' jdbPhone: - -8a ` g b
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Email:
13 ( 17 Yd6`f
License •#. Lead Certificate#:
If the project is exempt from lead certification, please explain why: 1
&t ( 786
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:
NOTE:Plans and supporting documents that you submit are:considered to be public information. Portions of the information may be
classified as nonpublic if you provide specific reasons that Afould permit the City to conclude that they 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.cityofeagan.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 f lans.
Applicant's Printed Name App icant's Signa ure `�� f
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151493
Date Issued:08/27/2018
Permit Category:ePermit
Site Address: 1656 Hickory Hill
Lot:008 Block: 002 Addition: Woodgate 1st
PID:10-84600-02-080
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jennifer K Tandberg
1656 Hickory Hill
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165089
Date Issued:10/16/2020
Permit Category:ePermit
Site Address: 1656 Hickory Hill
Lot:008 Block: 002 Addition: Woodgate 1st
PID:10-84600-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jennifer K Tandberg
1656 Hickory Hill Dr
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature