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
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.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 ��