1647 Hickory Lane min O EAGAN WATER SERVICE PERMIT
�< l.t Knob Road P ERMIT NO.:
ErOnPMN 55122 DATE: 4/26/74
Zoning: Pun No. of Units:
Owner: wo0dgat., New BAY f rim Hones
Address:
Site Address 1641-43 —'5-47 g4'kory Lane
Plumber: SOD Pltrabing CO.
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
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 Pilot Knob Road PERMIT NO.: 2202
Eagan, MN 55122 DATE: 4/26/74
Zoning: PhD No. of Units:
Owner: lhtoodgate, New Beriaon Homes
Address:
Site Address: 1641- 43 -45 -47 Hickory Lane
Plumber: Thomspon Plumbing Co.
1 agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee: 19.00 }d
pd
Surcharge: .50
B y : Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink Ci\ k
j
r For Office Use
' '''
n PermitCity of Eaaall mi ry��f
Permit Fee. CC
3830 Pilot Knob Road
Eagan
/
Eagan MN 55122 RECEIVED Date Recei e
Phone: (651)675-5675
Fax: (651)675-5694Staff:
APR 1 217
/ 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L/ / t ] r 6 �7 � 1 C i O r ii 2.. � Unit#:
Site Address:
{{{
i Name: �� t`� C� Phone:�S I 1 S S ? Ssg
Resident/
Owner Address/City/Zip: 5 11 i W yst-RA 1 L 9') ti !t") t.A.- EL l4'1 a m N cs'`l-7
''i, Applicant is: )(Owner Contractor PI:) 1
Description of work: 116 �. ,4- v/D(2. t2 01 u?A Lc_ '
i Type of Work `�
oc
Construction Cost: .5-o 0---- Multi-Family Building: (Yes /No ) }
1 Company: Contact: 1
I
I i Address: City:
1 Contractor
i i State: Zip: Phone: Email:
t
( License#: Lead Certificate#: 1
tIf the project is exempt from lead certification, please explain why:
?3L-.kL-r i 91
i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I, 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: E
I
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
1
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
s,., NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. y_
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.qopherstateonecall.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 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 G > () 1 i3 AIL= )(_ ,)44 I
Applicant's Printed Name Applicant'sSig ature
Page 1 of 3
/&(--/7 C7 c Z. 7 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) 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
Valuation 5Vb' Occupancy L—1 MCES System
Plan Review Code Edition 1.440 20/c SAC Units
(25%_ 100%?) Zoning P P City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V/..9 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) >0 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
!0 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: / � 111— , 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
f For Office Use
R 5-471-
1 :::ee:
e
,RWa
', EivE Date Received: 17-
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
gqr
(651)675-5675 TDD: (651)454-8535 FAX: (651)6 Xlp Staff: -=:
buildinginsoections@citvofeaoan.com ' 7 2019
20191RESIDENTIAL If• _ MIT APPLICATION
Date: 1 ( / ( 7 Site Address: / 9'( �� �r ( 4/7 �n c (Unit s 9/1e /
ar /
Name: WOO ai e tbile 01, .?t, �SSOC'O VOI'l Phone: 657 - Li-51-73Y7
Resident,
J / H-`char `11 0r Eay a SS a.)
owner Address/City/Zip:
Applicant is: Owner x,Contractor 1
Type of WorkDescription of work: ' `� Q� I Qar O.2 c d cep lac t
Construction Cost:/' /010 Multi-Family Building: (Yes /No
u d►�/'+t n dd 'fie C1'�7p tact: Sfe re. �p/-�►�old r�
Company: R D�0�k ens �pn a .J _
Address: / 7 5 73 foX 6d 1 C City: F t frit. h5 irti
Contractor l�/ f'6161"
r x368
State:M' Zip: �)3.°01` ( Phone: ' p` 59 / ` Email:
License#: A< ` ` V 0 1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
No /Oa`fr/, sfr _ a ' I Noe P•h
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:
MOTE Plans and supporting documents that you submit are considered to be public infommtion. Portlione of the information may be
classified as non-public if you provide sperm reasons that would permit the City to conclude 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.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.aooherstateonecall.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 Sftrevl U(7r!'ic rut x
Applicant's Printed Name Applicant's Signet re ��