Loading...
1643 Hickory LaneCity of Eaaali 3830 Pilot Knob Road CENED Eagan MN 55122 RE Phone: (651) 675-5675 MAy 31011 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /2/ Permit Fee: ^'�(U Date Received: ' J-/ Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: MA A j' 3 Site Address: / / 1 / 1760/ L a rl e. Unit #: RESIDENT/ OWNER Name: A/ o vti a ehone: i 5/ 3C4-3/3 % ic„ %1 o re Address / City / Zip: (� f - %j' t'�% Applicant is: Owner Contractor ! TYPE OF WORK :. C` # Description of workA Construction Cost: 4.60 i Multi -Family Building: (Yes / No >e ) CONTRACTOR Company: L 0 c vr o f Contact: Low vie Pcfcvsol d//� /� Vivecity:p v,p L k: -c XiiF Address: tc► C,/ L �h t" State. illitin Zip. J 3 Phone 4o /2 kg v — 3.WC License #: 6C-10 5140 Lead Certificate #: A/ T 1 — I l g31 8 - I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes 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: _No 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. 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. L -IUZ Pt vs() Applicant's Printed Name C0,644.441-- Appl nt's Sire Page 1 of 3 1 [/— C . y LOO6NOT WRITE BELOW THIS LINE j'� l r SUB TYPES _ Foundation _ Fireplace Single Family _ Garage _ Multi VDeck 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New _ Interior Improvement _ Move Building _ Fire Repair Repair Addition Alteration ti(, Replace Retaining Wall DESCRIPTION Valuation Plan Review 1±_a_c_9_U (25%_ 100% )( ) Census Code # of Units # of Buildings Type of Construction vt; REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final TZ _ Siding Reroof Windows Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous — Demolish Building* _ Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant /0-(>,)7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: _ Final / C.O. Required X 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: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 6/1/4 y r -LL-- Sr0Xls= /r2 a V Page 2 of 3 0%, 48449' a41 /16) 627.9 :17 '91.74 /0ziDefre fiozie di6Kaeq2n. 86a W3 4 kJ) /'/4tta2y /../t) g` D'-cdc in clic) siQ .tog G EAGAN WATER SERVICE PERMIT Fila Knob Road PERMIT NO.: 1442 Eagan`MN 55122 DATE - Zoning: PM No. of Units: Owner: 1Epp ►tr-Now HOr'iton Hut: Address: Site Address:1441-43-45-47 Lane Plumber Thovapeon P1utMbing CO. Meter No.: Connection Charge: 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 By Date Paid: Date of Insp.: Insp • 4/26/74 VILLAGE QF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2202 Eagan, MN 55122 DATE• 4/26/74 Zoning: MD No. of Units: Owner: Woodgate, New Horizon Hollies Address- Site ddress- Site Address- 1641-43-45-47 Hickory Lane Plumber: Thomspon Plumbing Co. I agree to comply with the Village of Eagan Connection Charge• Ordinances. Account Deposit - Permit Fee• 10.00 pd Surcharge: .50 pd By: Misc. Charges• Date of Insp.: Total: Insp.: Date Paid: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 757016 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: -' 1f-2,iki Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 "2 5 1(o Site Address: /(y3 l C- n., tot-' 1- V c,. Unit #: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: ite, %4 ce Pry"' f' S Construction Cos t.2j 5-04) Multi -Family Building: (Yes / No ) Company: °'C 5 t' -v L LG Contact: /4 (/ L4-' / ll L 7,07/8s' Address: qo o 67/0- 4-(4t 5 City: /41 1s State: pitij Zip: S5%"97 Phone: 'ri ? U'/ - 002 4( Email: License #: PG 70'fCo 7.Z Lead Certificate #: If the project is exempt from lead certification, please explain why: No %� D I S /'l� A, / e Y/14.y ✓, .S'U/L P L 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: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: gents that you submitare onsidered to e t fic r ion . ? iti s' �row le specific asons iff+at ioi onclutle that they are tr 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. 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. x th a.c,t 14J � (4— Applicant's Printed Name x A, • licant s Signature Page 1 of 3 /L/3 ��c�2v SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Dr O NOT WRITE BELOW THIS LINE /_?6 s Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 43y 1 1 43 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Porch (3 -Season) Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (ScreenlGazelio%Pergola) Miscellaneous Pool - _ Accessory Building Occupancy Code Edition Zoning Stories Square Feet Length Width Final TOTAL fD lisfg Siding Reroof Windows _ Egress Window Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System 409y SAC Units PO City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required y- Final I No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Page 2 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA146562 Date Issued: 10/31/2017 Permit Category: ePermit Site Address: 1643 Hickory Lane Lot: 025 Block: 002 Addition: Woodgate 1st PID: 10-84600-02-250 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 - Applicant - Owner: Marc S Rivard 1643 Hickory Lane Eagan MN 55123 (651) 439-5770 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 EAGANREC, 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections(c�citvofeagan.com APR I12018 For Office Use Permit #: /676 6 Permit Fee: 3 • J Date Received: 446 r 0 Staff: L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Dater!/x/1S Site Address: liroq3 I4 Lk.oey LMN 5511 Unit#: it Name: i.a4k) e} Mare. Ri ,c c). Phone: '5 — L15")._59" 5 Address / City / Zip: 1643 Idoc.LGIy Z11 Ea ed Mw Applicant is: Owner x Contractor Description of work: Ii $k1.11 I erg _-.A►a' to L'1 ► t t Construction Cost:. (zi j 6$uOO Multi -Family Building: (Yes / No X ) Company: \t'J h; {3} getme, "In\pcv .►tenet 4s Contact: I)4v'e Sto.cleemOA Address: 76)...5 iC4Ideh 'sic& t 1•1 City:F.-cief\ State: MN Zip: 5531-14 Phone: 9S1-933r-43Oo Email: chvi‘cles-mo.r4weiu-c hone; rwrmern ex+ ;3zi e License #: x'7113%3 Lead Certificate #: 577 ®A If the project is exempt from lead certification, please explain why: 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: 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 websiteat,www.citvofeacian.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,te.jeceive 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. x 'Dew, cc SunekcmeAN Applicant's Printed Name Applicant's Signature L: 0 iv. f For Office Use R 5-471- 1 :::ee: e ,RWa ', EivE Date Received: 17- 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 gqr (651)675-5675 TDD: (651)454-8535 FAX: (651)6 Xlp Staff: -=: buildinginsoections@citvofeaoan.com ' 7 2019 20191RESIDENTIAL If• _ MIT APPLICATION Date: 1 ( / ( 7 Site Address: / 9'( �� �r ( 4/7 �n c (Unit s 9/1e / ar / Name: WOO ai e tbile 01, .?t, �SSOC'O VOI'l Phone: 657 - Li-51-73Y7 Resident, J / H-`char `11 0r Eay a SS a.) owner Address/City/Zip: Applicant is: Owner x,Contractor 1 Type of WorkDescription of work: ' `� Q� I Qar O.2 c d cep lac t Construction Cost:/' /010 Multi-Family Building: (Yes /No u d►�/'+t n dd 'fie C1'�7p tact: Sfe re. �p/-�►�old r� Company: R D�0�k ens �pn a .J _ Address: / 7 5 73 foX 6d 1 C City: F t frit. h5 irti Contractor l�/ f'6161" r x368 State:M' Zip: �)3.°01` ( Phone: ' p` 59 / ` Email: License#: A< ` ` V 0 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: No /Oa`fr/, sfr _ a ' I Noe P•h 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: MOTE Plans and supporting documents that you submit are considered to be public infommtion. Portlione of the information may be classified as non-public if you provide sperm reasons that would 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.citvofeaoan.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 approve of ans. x Sftrevl U(7r!'ic rut x Applicant's Printed Name Applicant's Signet re ��