1722 Hickory Hill VILLAGE OF EAGAN WATER SERVICE PERMIT
3Tl95.Rilot.Knob Road PERMIT NO.: 1639
Eagan, MN 55122 DATE: 11/15/74
Zoning: t'iAt No. of Units:
Owner: New Horizon Sons8 agate 11
Address:
Site Address: 1716 --18 -20-22 Hickory Hill
Plumber: peon Plumbing Co.
Meter No.: Connection Charge:*d'd'.�>
Size: Account Deposit:
r Reader No.: Permit Fee: 10 pd
1 agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 PilotdCnob Road PERMIT NO.: 2399
Eagan, MN 55122 DATE: 11/15/74
Zoning: PPD " • No. of Units:
Owner: stew Rnr3 von Homan itoodgatn II
Address:
Site Address: 2716-1R-20-22 Hickory Hill
Plumber: Epson Plumbing CO.
I agree to comply with the Village of Eagan Connection Charge: /1: e it 1
Ordinances. Account Deposit:
Permit Fee: 10 -PD Pd
Surcharge: • 50 Pd
By: Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
1 For Office Use 1
I Permit*
City of Ea ll
_ I Permit Fee: I
3830 Pilot Knob Road 1 I
j
Eagan MN 55122 Date Received: ~113
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: f
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Co i - I Site Address: -7 22 i r. Unit M
Name: wco ~ 0U)ne_r) 7 ``SE j d Z Phone: 3q~3 -)3109
Resident/
Owner Address / City / Zip:
Applicant is: Owner ~L Contractor
Type of Work Description of work: 13 E PLp-GE EX shnJG-_ beck
Construction Cost: 025, Multi-Family Building: (Yes / No
Company: Lb PCtFRSvtI Constgu6I)c>nl ZnC. Contact: l dje 77~ 'SQA/
Contractor Address: 2-0&057 Lvn/n/ Die. City: pwl'~k Z'4-,e6-
-L" 7 Phone: 612 3616 3-2O6
State: Ind Zip: J_
License AC a10540 Lead Certificate # `'NAr-119 318 -1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
V
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oopherstateonecall.oM
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. 4;;o
x LARR! I P'r 66_RsDA1 x
Applicant' Printed Name A licant' ignature Page 1 of 3
DO NOT WRITE THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level _ Pool Miscellaneous
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 ;2dW Occupancy ~ MCES System
Plan Review Code Edition -&/-2 SAC Units
(25%_ 100% Zoning City Water
Census Code J Stories - - Booster Pump
# of Units J Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction Width /0_
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES 1()
I3,
0S
Base Fee 73 9j
Surcharge
Plan Review L 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
55
it
146
~6 t
i
■
■
EAGAN
REVIEWED
BY
i
IP or
■
J
r R
.r
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138944
Date Issued:09/28/2016
Permit Category:ePermit
Site Address: 1722 Hickory Hill
Lot:005 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-050
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 -
Jeffrey R Connolly
1722 Hickory Hill
Eagan MN 55122
(651) 253-8395
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
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�