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1720 Hickory HillVILLAGE OF EAGAN WATER SERVICE PERMIT 3i 95.Rilot.Knob Road PERMIT NO.: 1639 Eagan, MN 55122 DATE • Zoning: No. of Units: Owner: New Horizon Holes Woodgate 11 Address: Site Address: 1716--18-20-22 Hickory Hill Plumber: peon Plumbing Co. Meter No.: Connection Charge:*d '0 j2 Size: Account Deposit- Reader No.: Permit Fee • 10•00 pd 1 agree to comply with the Village of Eagan Surcharge: • 50 Pd Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: 11/15/74 PILLAGE OF EAGAN 3795 PilotdCnob Road PERMIT NO.: 2399 Eagan, MN 55122 DATE. Zoning: PPD No. of Units• Owner: mem Horizon Homes Woodgats II Address: Site Address: 1716-18-20-22 Hickory Hill Plumber: 2tom4sOn Plumbing CO. SEWER SERVICE PERMIT 11/1s/74 I agree to comply with the Village of Eagan Connection Charge: /1: e'arP e'' Ordinances. Account Deposit: Permit Fee: 10 -PD Pd Surcharge: SO pd By: Misc. Charges: Date of Insp. • Total: Insp.: Date Paid. Date: C!tyuf.Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit a: /3 /5) 7 Permit Fee: /0c5 Date Received: l 0- al l 10 Staff: " 1 mi. ma ai 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 2C.j 20 .� - <or h Site Address: l 1 1 r Unit #: Name: V a r r phone -6 (1,-. Cl I - ( 2 23 Address / City / Zip: l 2.0 F'T1 't- k DY' h' Applicant is: Owner ✓ Contractor Description of work S ke p i a c e m tr) f cam, n d.v: "" S KQ 31ZZ- Construction Cost 44.� O,G 0 Multi -Family Building: (Yes .1 No ..Y ) Company: r" ©PHI W f L= [ ` q or 3 ) *Contact: 6 I' 2. -el e10 -6i Li/ Address:` 3 2 f 1 0 7 `�' �"1 1/,t_ fl € . City: 13 l wi rt State:'' I � , Zip$ [ 3 Phone l .1 j1(N0* t6 Era n p• +11 tf i-er 01^11 n E e License #: 2-614 6 S Lead Certificate #: 1 t E ;► If the project is exempt from lead certification, please exp, in why: ' i-tbNrS ,e, 6 (/‘' 14 44-61- -7 8' ) 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 pian 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: t;i i �rJS�., ese� s P yrs • CALL. BEFORE YOU DIG. Call Gopher State One can at (651) 4541002 for protection against underground utility damage. Cat 48 hours before you intend to dig to receive locates of underground utilities. www.otroherstateonecall.org 1 hereby acknowledge that this Information is complete and accurate; that the work e4II be in ct nfonnance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the wort win 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 Mlnnes 13 ' ing Code must be completed within 180 days of permit issuance. xS'C.10 DVPr Applicants Printed Name Applicant's Signature Page 1 of 3 r For Office Use 41 At ØL : Permit ata �' Date Received: ,7-7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 V W/ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: buildinginsaectionse.cityofeagan.com M I 1 7 2019 2019 RESIDENTIAL ig - _- MIT APPLICATION Date: ( 17- 17 Site Address: /7/b Ft; a r j7L1// 7-nc/, �7/c lUnrt#:OI / . cam_ Wod d ct h�i N1 eC. t 57 - S '-7 ? Name: 9 e 0 Vol►+�'`I t/� d of Ol� Phone: 6 Y 3 Y Resident/owne /6 7� `C icor` r Ea! 11 0 y .55 1 EZ.01_6),r Address/City/Zip: H Applicant is: Owner X Contractor Type of Work Description of work: W Q� l 'Q ar p c h b / '6�'1 4c e Construction Cost: / 0 Mufti-Family Building: (Yes /No—� Company: 66'rhiR Cotact: S� Vt. Sof-Pm a.t ContractorAddress: / 7 S73 F0 X ear° CI- City: aarA'"• hi "mac State:M N Zip: 3d l Y 9r /01 -sq g,x,368* pp :1 O` Pone: Email: License#: p' ` ?0 0 Ch1 Lead Certificate#: If the project is exempt from lead certification, please explain why: n 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:Piens andsupporting documents that you submit are considered to be public ice. Porus of the Information may be classified as non Nc If you proms specific reasons that would pe +f the City to conclude drat they are bade Mets. 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.citvofeaaan.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 approve of ans. x Spare vi .UOrrioohv( Applicant's Printed Name Applicant's Signat re Z�