1726 Hickory Hill VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1630
Eagan;MN 55122 DATE: 11/15/74
honing: POD No. of Units:
Owner: Now )(Orison Howes Woodgate II
. Address:
Site Address: 1724- 26 -28 -3b Hickory Hill
Plumber: ThoI INIO 1 Plumbing CO.
Meter No.: Connection Charge..s e'..m..
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
agree to comply with the Village of Eagan Surcharge: • 50 Pd•
1 Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2 398
Eagan, MN 55122 DATE: 11/15/74
Zoning: PUD No. of Units:
Owner: New Horizon Homes Woodgate II
Address:
Site Address: 1724 - 26 - 28 - 30 Hickory Hill
Plumber: ThoMpS0r! Plumbing Co.
agree to comply with the Village of Eagan Connection Charge: f 4 0 4 7 . . . 6 , 0 / ei.
Ordinances. Account Deposit:
Permit Fee:11' 00 Pd
Surcharge: .50 pd
By Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131223
Date Issued:06/09/2015
Permit Category:ePermit
Site Address: 1726 Hickory Hill
Lot:004 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-040
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)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Daniel J Piontek
1726 Hickory Hill
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
---------,
� For Office Use �
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3830 Pilot Knob Road � �
Eagan MN 55122 I Date Received:� � L ' �� �
Phone: (651) 675-5675 .�U� � � 7015 I �
Fax: (651) 675-5694 I Staff:� �
_______�__��_____J
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 7 ! �� Site Address: ����i ��f�i�C��� �(L(,- ��.
Tenant: Suite#:
Resiclent/Oinrner r:
Name: ���1�-L ��l�il��l� Phone: �`� �_C?�(�—�-�`�G
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' � � �,� � �` aaa�ess i c�ry i z�p: �7 � ;- !-����c; ���zC �f�� ��f��,�J �� .��"�d
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Name: �,U i'�I iv`(�f�S %�G Gc,J�7�1 �� ��� License#: �"���x�G��r
Contractor
Address:_ `��ls� LV _%S U✓ �'C��l� _/�� �� City: �S U�ff�l�
State: f��'� Zip: ��t=f`�f Phone: ����' ���2'� � Z��
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�� ���a�' Contact: �`��� �--�� Email:
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f � " New V Replacement _Repair _Rebuild Modify Space Work in R.O.W.
Type of Work • — — —
{ ! Description of work: ;1�1��
- • �RESI ENTIAL
Water Heater
�Water Softener
' Lawn Irrigation�RPZ/_PVB)
�� ,P61'11111t Type ;� Add Plumbing Fixtures�Main/_Lower Level)
` t Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigatlon (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(inctudes$5.00 State Surcharge) �{
"Water Turnaround (add$200.00 if a 5/8"meter is required) �
$105.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$ �U��C�
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.ctopherstateonecall.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 Cify 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.
X �1-�� �--��-� � X - �� � �� �" ��
ApplicanYs Printed Name Applican s Signa ur �
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
r For Office Use
75-xqeir
a a a P:::tco:
#:
EAGANP :rT
I ece'VE Date Received: �,��
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 gp� Staff: —yea
buildinginsnections(acityofeagan.com Fit'1� 1 7 2019
2019 RESIDENTIAL igi _ - MIT APPLICATION
17- 1`� / 7c 6/ I-II-icjCvey }� I72� / /73Z�
Date: Site Address: ! Unit t#,:� -7
Name: WOO di Gti e 47"e°Vita A-ss OC:01'{ O I Phone: 65/ l 511.73 Y7
Resident/
./ / 7( H . cicor (1 or Eay 4 l� S,S 1024
owner Address/City/Zip: Y
Applicant is: Owner X Contractor
Type of Work
Description of work: ' `� ' "`'Qf l Qv' O. ctribt ? lace
Construction Cost: 0/‘ Building: (Yes A /No )
Company:y ""d rPvi n QQ<'0��-tr.S �^frac-177y tact: Qye &irr►�igdrl
R h D
ContractorAddress: / 1 5-73 FOX 4671) City: 1=arr1• hi
State:11 Zip: 16r0�-Sq 9'Via?
Phone: Email
License#: 6C /700 6 (1 Lead Certificate#:
If the project is exempt from lead certification, please explain why: 61 n
No l�'a; a1 r-oar.
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 information. Portions of the Infotmahon may be
classified as non-public If you provide specific reasons that would pert the City to conclude that they are tirade 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.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 approva of ans.
x ,SfereSorrl ctr i l
Applicant's Printed Name Applicant's Signat re ��