1646 Hickory Lane VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 fOot Knob Road PERMIT NO.:
1449
h, MN 55122 DATE: 4/26/74
Zoning: PUD No. of Units:
Owner: Woodgate, New HOrizan Homes
Address:
Site Address: 1644-46-48-50 Hickory Lane
Plumber: Tho>p$Of Plumbing cu.
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee: 10.00 pd
pd
agree to comply with the Village of Eagan Surcharge: .50
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE iF EAGAN m SEWER SERVICE PERMIT
3795 m Knob Rood
Ean, MN 55122 PERMIT NO.: 2209
Zonings DATE: 4/26/74
Owner: No. of Units:"
Hari t $
Address:
Site Address: -48 -50 IfiCk0 Dane
Plumber: a n "'r' p a Plm* Co.
i agree to comply with the Village of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee: "
By:
Surcharge: •
Misc. Charges:
Date of Ins
p.:
Insp.:
Total:
Date Paid:
Use BLUE or BLACK Ink
For Office Use
' '' City of Ea��� :::::
i Ili i/X
� °s
3830 Pilot Knob Road
Eagan MN 55122 MFR 3 12017 Date Received: 3-31'( 7
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
1644, 1646, 1648, 1650 Hickory Lane unit#:
Date: 3/31/17 site Address:
Name: Woodgate HOA II Phone: 651-214-4654
Resident!
Owner Address/City/Zip:
Applicant is: Owner X Contractor
Type of Work
Description of work: Re-Roof 5Osq building
Construction Cost: 17,510 Multi-Family Building: (Yes X /No )
Company:
JLH Construction, LLC Contact Amanda Hiltner
26293 150th St NWZimm r
I ' Address: City.. a man
Contractor
State: MN Zip:SCJ 'R/ Phone: 763-477-2308 Email: amandahiltner@gmail.com
License#: BC641697 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?
I
Yes No If yes, date and address of master plan:
1 Licensed Plumber: Phone:
, Mechanical Contractor: Phone: )
Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may classified 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.gopherstateonecall.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 'A`rta u/a-� it. x
Applicant's Printed Name Applicant's Signature
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