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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 • % t * • ::: : —/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 �t 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 ��