1712 Hickory Hill VILLAGE OF EAGAN WATER SERVICE PERMIT
} 1640
3795 Pilot Knob Rood PERMIT NO.: IN 1
Eaga , IWN 55122 DATE:
Zoning: PIM No. of Units:
Owner: lot HOC4 ern, Homes Wnodgate II
Address:
Site Address: 1706- 10 -1 -14 Hi c1rn y Hill
Plumber: phonet:Nr► Plupitting CO. �,
Meter No.: Connection Charge: , 4 Zo-ei. •,,,,
Size: Account Deposit:
Reader No.•
Permit Fee: 10.00 pd
- � 50 pct
1 agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B y Date Paid: ,
Date of Insp.: Insp.:
VILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2400
Eagan, MN 55122 DATE: 11/15/74
Zoning: pup No. of Units:
Owner: New Horizon Homes I odgalte II
Address:
Site Address: 1708- 10 -12 -14 Hickory Hill
Plumber: Thompson Plumbing Co.
I agree to comply with the Village of Eagan Connection Charge: tr. t' LA/
Ordinances. Account Depos' :
Permit Fee: 0.00 pd
Surcharge: .50 pd
B y : Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133262
Date Issued:10/01/2015
Permit Category:ePermit
Site Address: 1712 Hickory Hill
Lot:010 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mark Gagliano
1712 Hickory Hill
Eagan MN 55122
(763) 614-0246
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
CenterPoint
House heating test record �Ene�
Owner �� '� Controls Conversion
Address t • l t 1`�f'ermostat Heat plug t/ent Size
City ���,yl l/alve ; �� Kind ofliner/size 4r` �'��'�IC'1o�—�
Heatloss Date htg.inst �("��/��j"� Limit Drafthood Regulator
Soldbv CenterPoint Energy Limitsetting � Filters:Size�(�•�„�- � Number
Installed bv CenterPoint Energy Fan setting Chimney locations: 18,lnside Q Outside ,
Electrical work bv CenterPoint Energy Pilot type �'�j��i Chimney construction �'���—' I
Heat type �FA Q Space heater Pilot make ��` Wiring � Test ta 'f �!
9
Gas line by �,�� Pilot model Lighting Inst � Date tested'�Q�¢�j��,�
Unit hearer Other Pi�or rtming Companv resrin4 CenterPoint Energy
Gas design Pressure:Hi fire/Lo fire �-� Tester's name ��� � ,����
Make ���'� Model �-p �r°�� Percent CO2 q��
Serial no. `'�t��5"(�;}�l'� Input CFH '�'� Percent 02 ��
lnput """�-��� Stack temp "'�c'�� Percent CO �'�,
CNP 235(11-2008)
rFor Office Use
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:
—/7—/
Date Received: ,
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ��vE
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: —"Zeal
buildinoinspectionsc cityofeagan.com A4Pf 1 7 2019
2019 RESIDENTIAL V. MIT APPLICATION
L-� I q —7 f �f I AO, /I/� /
Date: 1 l 7 1 / Site Address: ��us r // I �n G�• Unit#:
Wood "e fes c' l-` 5 - Sy 7 7
Name: 9 e 0►+�''�tis 0 of OI� Phone: � ` Y � 3 Y
Resident/
chimer Address/City/Zip: y/,6 7� 1�.`c Icor `(( 12 r Ec y a SSI 01.4
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Applicant is: Owner X Contractor j
Description of work: ' `� ' `�'Q l fa (-'I-r O' OM �� /aC
Type of Work /
t�
Construction Cost: /% Multi-Family Building: (Yes /No )
Company: I66'rknRn,1 8c07-k-ers (-a ri 'ctc,1-7?y tact: -511v &JrnlCid pi
Address: / 1.5-73 fv X 40TO C f- City: Far,'"ar,'"• r,5 'moi
Contractor
State:M/1 Zi C5°l 11 e' 59 9,c9„368
6:
p: =JJ �` Phone: Email:
License#: AC_ ` ` 0 0 6c1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
No /Oat al he
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 mon: Pardon of the informa#on may be
classified as nonpubik if you provide spach c reasons that pfd perms the Clty to
aode that they are Vale 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.000herstateonecaliorq
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 SI er i U0l'r jotrti1
Applicant's Printed Name Applicant's Signat re ��