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1627 Hickory HillY , 'OF EAGAN WATER SERVICE PERMIT 3795 Knob Rood PERMIT NO.: 1935 Ems, MN 55122 DATE: 4/26/74 zoning: PUD No. of Units: Owier: 'Woodgate, New . Horizon Address: Site AddresX631-29-27=25 Hickory Hill Plumber Thompson Plumbing Co. Meter No.: Connection Charge: Size: Account Deposit- 10.00 pd Reader No.: Permit Fee: . 50 1 agree to comply with the Village of Eagan Surcharge• Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERV IC�E9SPERMIT 3795 Pilot Knob Read PERMIT NO. • Eagan, MN 55122 DATE: 4/26,'74 Zoning: PUD No. of Units: Owner: WoOdgate — New Horizon Homes Address: Site Address: 1631-29-27-25 Rick°ry Hill Plumber: Thompson Plumbing Co. agree to comply with the Village of Eagan Connection ChargeT1500.00 pd 12/31 Ordinances. By: Date of Insp.: Insp.: 73" Account Deposit: Permit Fee: 10.00 pd Surcharge: • 50 Pd Misc. Charges. Total: Date Paid. City of Eagan PERMIT 4111' C!ty of Eaaan Permit Category: Permit Type: Permit Number: Date Issued: Permit Type: Permit Number: Date Issued: Mechanical EA106682 09/05/2012 ePermit Site Address: 1627 Hickory Hill Lot: 026 Block: 001 Addition: Woodgate 1st PID: 10-84600-01-260 Use: Description: Sub Type: Work Type: Description: e - Air Conditioner New Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Joy Post 1408 NORTHLAND DRIVE Fee Summary: Valuation: 2,587.00 ME - Permit Fee (Replacements) Surcharge -Fixed $55.00 $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 - Applicant - Owner: Christopher Knox 1627 Hickory Hill Eagan MN 55122--252 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 C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: �-^O Date Received: I 19 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: 7- ! - 13 Site Address: /6,2 7 fit K1 G1' / //wk.- Unit #: Resident/ Owner Name: I J00d3 ate 14omeolA/Y)PyS A-ssoc . Phone: 651-3'13-1308 Address / City / Zip: / Applicant is: Owner 1/ Contractor Type of Work Description of work: Fep1QCL, Y'O.s 1) r11cZc� ori d Construction Cost: (000. - Multi -Family Budding: (Yes ✓ / No ) Contractor Company: Lb PCtE,SOA1 t.Cn5 i2uCtlan Inc.Contact: L4RRy P6 e/E'&,d J Address: '2Otsr05 L 7AJItl �Q. City: Pe/0�2 1 ,q./KE State: 11/A Zip: 55372 Phone: 6,12 -S60 -320‘P License #: Bc.a 105 Li 0 Lead Certificate #: Apo ---i) O 312 —1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ?) Ili( In the last 12 months, 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: _Yes 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 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.gooherstateonecall.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. P /-EJEs0.J Applicant's Pfinted Name SUB TYPES Foundation Single Family Multi 01 of 11 Plex WORK TYPES New Addition Alteration /Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction 1607 btaitt DO NOT WRITE`BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Edo Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 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: he Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant igeol Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Siding: Stucco Lath _Stone Lath _ Windows Retaining Wall: Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 c'")(T) Nit T.---4z) - 9,9-0,,,,,,6\ 9 _i__ Ic:::\ tfri) ......, -‹), ..„ 4-) cro trI t..„.„ to, i,,b) Ji:.,. 11;1. nbi.„: , 4a1 44.%. 14) 14) !1 144:::1 ghk '%44. C2/ Y., c-ai 4, a S 9 hda