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1662 Hickory Hill ViLINAGE EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1407 Eagan, MN 55122 DATE: 2/27/74 Zoning: PUT) No. of Units: 4 unit TB Owner: New HOriZOf Homes Address: Site Address: 1658 -60- 62-64 Hickory Hill Plumber: Thompson Plumbing Co. Meter No.• Connection Charge billed Size: Account Deposit: Reader No.: Permit Fee: 10.00 Bd 1 agree to comply with the Village of Eagan Surcharge: .50 Pd Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: 8F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2160 Eagan, MN 55122 DATE: 2/? Zoning: PUT) No. of Units: 4 unit TE Owner: Woodgatm -- New Horizon BOMBS Address: i Site Address: 1656-60-62-64 Hickory Hill Plumber: Thompson Plumbing Co. 1 agree to comply with the Village of Eagan Connection Charge 500. pd 12/31 Ordinances. Account Deposit: 7 Permit Fee: 10.00 pd Surcharge: .50 pd By Misc. Charges: Date of Insp.: Total: Insp.• Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139420 Date Issued:10/21/2016 Permit Category:ePermit Site Address: 1662 Hickory Hill Lot:011 Block: 002 Addition: Woodgate 1st PID:10-84600-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sonia G Tollefson 1662 Hickory Hill Eagan MN 55122 (651) 454-3943 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use e * t i ; o Permit#: , �:: � „ EAGAN �..g-9-5 Permit Fee: ( �( Date Received: "V f�1�. U 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A n (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: M W buildinoinspectionsa.citvofeagan.corn L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION N Date: _)0— (3 Site Address:[6 5$ e 1660 -/.4,64)-. j4,6)-. l6 611. Unit#: y Name: Woe OdcC9Q fC_ /4001 ec"4"itr,_ A-Ss cc one: "t51.1- 7- ill Resident/ 03�c Jr' /t owner Address/City/Zip: `,"---7------'.-_-,17 ` C CICOr /r `l (/ /' Applicant is: Owner Contractor Description of work: dd 1 e-Ctr C Type of Work / Construction Cost: (s 10)‘0 Multi-Family Building: (Yes /No ) • fro „EL �ok�'(a.Gf mi, Z>sc Company: �d rni dirt Conact: �t°(/e -Vra^�ta Address: 17, -93 FC(,bffrd G' City: Far ;vigf lok Contractor V/ seri,65-86 • State: Zip: ��� Phone: �' Email: License#: ��� Lead Certificate#: If the project is exempt from lead certification, please explain why: &Ct;(1 : lges 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? i 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 non-•ublic if •u •rovide s•ecific reasons that would•ermitt the Cit 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.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.00pherstateonecall.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 approv=I f plans. Sf�rl A 0`�' Actl ti x / x 4 , Applicant's Printed Name Applicant's Signa ure