1723 Hickory Hill VILLAGE OF EAGAN WATER SERVICE PERMIT
,3795 Pitt Knob Rood PERMIT NO.: 1616
Eagan, MN 55122 DATE: 11/15/74
Zoning: PLID No. of Units:
Owner: New Horizon Homes Woodgate II
Address:
Site Address: 1717- 19 -21 -23 Hickory Hill
Plumber: 'Thompson Plumbing Co.
Meter No.: Connection Charge:' 46- 44 , e d
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:
B y Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pil Road PERMIT NO.: 2396
Eagan, MN 55122 DATE: 11/15/74
Zoning: PUB No. of Units:
Owner: New Horizon Houses Woodgate II
Address:
Site Address: 1717- 19 -21 -23 Hickory Hill
Plumber:
1 agree to comply with the Village of Eagan Connection Charge: /400, /: ,r{�' ,
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: 50 pd
By: Misc. Charges:
Date of Insp.- Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
r For Office Use
41.° may,
City of Eaall ,. J `��,r ` Permit Fee: 1 CI 7' �-s 6 �tv
3830 Pilot Knob Road �:_ S-3b11 1J
Eagan MN 55122 Date Received:
Phone: (651)675-5675 Staff: Ph A
Fax: (651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0—t—1 Site Address: Unit#:
"'
err
. Name: Phone:
Resident/
® ver Address/City/Zip: f�) 3 }-(i c (' . r Y -� I t,
� � 4, mzut.A.) S—S/ 2.
i' 'VA Applicant is: Owner r Contractor
If: Description of work: �`-�'2� C Ce- Pel,,L
Ce-Tilee of Work
' Construction Cost: ..7/ 902)
Multi-Family Building:(Yes /No__)
Company: L c... ..‘ 5-i.......4." L �- C. Contact: i"'k,‘''e W i l I v' Tv?J lletr
A '' Address: £1O 2 7 e L _ s City: is
Contractor ;
State: ^) Zip: 5' 5 Ko 7 Phone: PP/ 8/email: LOC—V-154,4_n LLC I4N Q54-kg-,)‹Lam+
.' License#:13c. 7 DN((,i ;2 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 Contractor: Phone:
Fire Suppression Contractor: Phone:
•NOTE # supporting aiocu` t oil submit are,considered lobe s fig,° 1>,p'6 ,m: e s® ��
the ini'® pori ma r be classi e•: . ® is if you provide specific rear �� :: Cid to
KK � � � �...:,, d7e that theta",trade secrets., a,.
... .#
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.gopherstateon.ecall.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 nota 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 �t c_14.-4 I Wt t t oz- x ...g.--)
Applicant's Printed Name A plicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
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) )O Miscellaneous
01 of_Plex 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 cal
Valuation Zgbo Occupancy -1-120-- 3 MCES System
Plan Review Code Edition MA Zo(c SAC Units
(25% 100% 10) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) jo Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
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: 7oi t /Yl•K)7ft , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
r For Office Use
m' :
:::::
a
:
Date Received: —1 7—7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �IVE _/Zip
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 Staff: ;.A
buildinginspectionsecityofeagan.com R 1 7 2019
2019 RESIDENTIAL igi _ _- - MIT APPLICATION
1747 /7/ 7 f+ CjSa ry/f JI . ✓Ic1• 1119 i /7(9/ / 7�3
Date: Site Address: / 1 Unit#:
Name: WOOd9 a e +Nle Assoc :a vol Phone: 6 57 ' Y5 / 73 y`l
Residanti /671 ',`C('W 4 `11 /9 r Ea9 c c� SS 10Z4
owner Address/City/Zip:
Applicant is: Owner X Contractor ,��s
Type of Work
Description of work: ' `� 17r ar a'1 C d I ep /ac(`f
Construction Cost: /a 0 Multi-Family Building: (Yes /No
Company: ud 1"i+tR nh D<'0�"1 f�S �' feaCt j tact: -51--t AyrrvigriK
Contractor
Address: / 7 5-73 3 �X 6Qrp C f _ � City:
t-ar,-rt. r,5
c lu f r p a3
State: Zip: =J 3�D` ( Phone: SR / Email:
License it: A& 17 00 ( Lead Certificate#:
If the project is exempt from lead certification, please explain why:
01,•�'! _ q ` 1 �(JOP"
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 supporling documents that you submit are considered to be public information. Portions of the information may be
classified as non-public/f you provide specific reasons that bvould pew the City to comlude 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.citvofeacan.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.aopherstateonecall.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 approva of ans.
x Sf£r2 i ,�Orh'Ianh
Applicant's Printed Name Applicant's Signat re ��