1703 Hickory Hill VILLAGE OF EAGAN WATER SERVICE PERMIT
nob Rood 1 /15/74
Eagan, MN 55122 Plot PERMIT NO.: DATE:
Eaga
No. of Units:
Zoning: IT
. •_.. . • -d.„ $ `. a t €
Address:
Site Address: • _ • 05-07 Hicko Hill
Plumber:
$! •i $0 Plumbi • CO.
Connection Charge •
Meter No.:
Account Deposit:
Reader No.:
Size: 10.00 pd
Permit Fee: .50 pd 1 agree to comply with the Village of Eagan Surcharge:
Misc. Charges:
Ordinances. Total:
Date Paid:
By Insp.:
Date of Insp.:
VILLAGE OF EAGAN SEWER SERVICE PER MIT
3795, Not K ob Road PERMIT NO.: 1
Eagan, MN 55122 DATE:
Zoning: pilU No. of Units:
Owner:
New Horizon HOlass Woodgate II
Address: Hill
Site Address: 1701'03'0 - 07 Hi.Ckor$
Plumber: Thompson P1tn+ibing Co.
i ewe to comply with the Village of Eagan Connection Charge: /
o -cam
Ordinances. Account Deposit:
10.00 pd
Permit Fee: .50 pd
Surcharge:
By:
Misc. Charges:
Date of Insp.: Total:
Insp,:
Date Paid;
Use BLUE or BLACK Ink
� r----------------"'�
I For Office Use /// �
I � I
��6 Ol �� �11 j Permit#: � I
J � � I `� b j �
J i Permit Fee: oL-�� �
3830 P,lot Knob Road
Eagan�IIN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATI�V
��.G�UrY , // 1��
Date: Site Address: �� l 7� �i � 7US- � 7�7 Unit#:
Name: Phone:
Ri:��dE:nt1�, :� �
���� � Address/City/Zip: �
�
Applicant is: Owner Contractor
' Description of work: �''e�''��
�"3+P� Qf 1�0�'k
� ' Construction Cost: ��a�� Multi-Family Building: (Yes I/ /No� !�
' . . i
k
I Company: . � �-l'�` �Gn S�`�.tcf� o1" Contact: J�saM-$ ���r�°c II
r
� � � Address� Z�o 2�3 1S� ��' Sf" ✓U�-�✓ City: Z•�^�'r"'-'2.�`"`�"'�.
�o��ra�ct��r �.
: State: /1/�/�iZip: SS?`� � Phone: 7(v3—Y77-Z�Email: ;��constr��f�a,. �.�zoo�,-r��z.��
�
` -� � License#: �� 6 y 1 � 9 7 Lead Certificate#:
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�ontractor: Phone:
Fire Suppression Contractor: Phone:
; �DT�:T'latas a��t�u�pa�r�d��cc���rts t�at;�otr;subt�.�#are,�vn���t�r�d t+�;be pub�ic 1��'orrri���an.�'vrt��x�of ''
tl�e`irr��o�ma�ac�t�r��y be cl�ssi-#'"�aal"as�on-.�t�b�i��f;y��r pro�r�crke specif��reaso�:�#wawJt�per�i��e;Crs`ty tr�
con���iaf�tha�tt��- are�r�ale:�e�,t�i'�. . '
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. uwuw.aopherstateonecall.org
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
� �Gc f'�y�, �. /f4�.�,� X �9�--,�. - �_
Ap cant's Print�d Name licant's Signature
' Page 1 of 3
r , /
For Office Use I/ ,
Ofill): :::: 6/
0.
ECEIV Date Received: !p /-
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 ii JUN 2 1 2019 Staff:
buildinginspections al7.cityofeagan.com
BY:
2019 RESIDENTIAL BUILDING-APPLICATION
Date: 06/20/2019 Site Address: 1703 Hickory Hill Unit#:
Name: Woodgate Homeowners Assoc. Phone: 651-343-1308
Resident/ 1703 Hickory Hill
Owner Address/City/Zip:
Applicant is: Owner VContractor Eq.) ,0 00 U o&E cps
Type of Work
Description of work: Install wrought iron railing
Construction Cost: 300.00 Multi-Family Building:(Yes V /No )
Company: LD Peterson Construction Inc. Contact: Larry Peterson
20605 Lynn Dr Prior Lake
Contractor Address: Y City:
State: MN Zip: 55372 Phone: 612-860-3206 Email:
License#: BC210540 Lead certificate#: NAT-118318-2
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:
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 serfs.
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.
I 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.
xLarry Peterson x 44,_kp-A
Applicant's Printed Name App4s pt's S' ture
DO NOT WRITE BELOW THIS LINE ) 7o- I c k i 1 S--S�-
I `
'SUB TYPES
Foundation— _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of 4Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition — Move Building _ Reroof _ Demolish Interior
Alteration
— Fire Repair _ Windows _ Demolish Foundation
\ Replace — Repair _ Egress Window _ Water Damage
_+ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy tin.t ) MCES System
Plan ReviewCode Edition 0 e S SAC Units
(25%_ 100% X) Zoning n City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \f Width
REQUIRED INSPECTIONS 1�
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
—
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES }
Base Fee )` _
Surcharge
Plan Review '1/1/1/0.04--
MCES
.MCES SAC
City SAC Of
Utility Connection Charge1‹.-;-(9
0 • °
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies '7
TOTAL (4
Page 2 of 3
EFor Office Use Q.44 l
� ; • • � Permit#:
EAGAN
Permit Fee:
CEIVE
Date Received: 1;{
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 l� /
(651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5 �
buildinginspectionsecityofeagan.com APR 2 2019Staff:
2019 RESIDENTIAL BLEDINGIDERMIT APPLICATION
Date: Site Address: / 767--71,44.c".-/ //( b2 Unit#:
Name: • Phone:
Resident(
Owner Address/City/Zip:
, i rd
Applicant is: Owner Contractor �� !Loud �� /7-f D
Type of Work Description of work: N Lw Gvn cue 41c. au^L 5A"
Construction Cost: 3 5-(cj Multi-Family Building: (Yes /No )
Company: Ai w �j.,r,�c L L C� Contact: M'(--)10.421 l��-v
Contractor Address: #'3/9 61)&c4-0...)P ,4U, it) City: c.
City: fa I
State:frit() Zip: 5751/.29, Phone: 4'p 7JYI1 f Email: t L4,71 J t`4 c '# r
License#:NA PA- w
lA /lLead Certificate#:
If the project is exempt from lead certification, please explain why:
Ivor DSS 70L1//,j,S .K in 7/ 4, Rom• 0 f Pdiyra 5.v4Aiez
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 non-public If you provide specific 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.citvofeagan.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.aoaherstateonecall.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 pl ns.
x 1M(eAti I (Ail/1-c'
Applicant's Printed Name A plicant's Signature
DO NOT WRITE BELOW THIS LINE ) , ifiCkOR(I 17( I ` C' .
SUBTYPES
Foundation Fireplace Porch(3-Season) Ext ri r Alteration (Single Family)
Single Family Garage Porch(4-Season) Exte ri r Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Dem ash Interior
Alteration Fire Repair — Windows Dem olish Foundation
Replace Repair _ Egress Window Water(Damage
—Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation /1O0d Occupancy 1,2L --1 MCES System
Plan ReviewCode Edition ga 6,---f SAC Units —
(25% 100% {/ ) Zoning !) City Water
Census Code A134 Stories -- Booster Pum0 "`
#of Units / Square Feet -.- PRV
#of Buildings l Length Fire Suppression Required '"
Type of Construction .7. Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) 4e Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test C ai Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows ,
Sheathing Retaining Wall: Footings �Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough II _Final
Braced Walls Erosion Control
Shower Pan Other: ,,,_,_
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /05 ifi
Surcharge
Plan Review C ? N
City SAC tvD'!L it IV% fo..t. rfr
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
1