1661 Hickory Lane - - -
To: 6516155699 From: 7637108061 _ 3-05-18 3:57pm _p_, 1 of 1
For Office Use
Vr � Pe:tee
#:
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3830 PILOT KNOB ROAD F EAGAN,MN 55122-1810 Date Received:
(651)675-5675 F TDD:(651)454-8535 F FAX:(651)675-5694
buildinginspectionsecityofeagan.com Staff:
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2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 5l /D Site dress: �Lab/� J4 i C YUU
i-- Ad L.N.1 Unit*:
r ` Name: hn 0d 14;cole- �1 a
Resident/ v >k t'I'Y)pdi C i ii 50--VWPhone: (ASIVW ii i
Owner R Address 1 City 1 Zip: 1,101.0 1 c korj LN 1 Ea Ja i rt1N 557 d p
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i Applicant is: Owner l 'ntractor
a Description of work: R p I 6 e
Type of Work Xi m411 6v`til ad sgragt dory en t -N�c ( ai.-
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r„K t Construction Cost: QQ(), f�G Multi-Family Building:(Yes I No I/) i
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; Company: l-t)� �Cti' �i�
F � Contact: Wye- s
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Contractor Address: city: t�SO►'�
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State: �Jl Zip: �Ll�� Phone: 057-703-/t19() Email: C.AU'e., yttrar' (I)r.(My(
_,._ _.. License#:
Lead Certificate#: /�+A 1 -- 607/
If the project is exempt from lead certification,please explain why:
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �---4
s In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I
i
Yes No If yes,date and address of master plan: g
Licensed Plumber:
Phone: z
1 Mechanical Contractor:
Phone: i
1
! Sewer&Water Contractor: s
Phone:
! Fire Suppression Contractor:
Phone: I
ss
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be q
classified as non-public if you provide clffc reasons that would permit the City to conclude that the are trade secrets. 1
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.cityofeaoan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stale 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. awvw.00pherstateonecall.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 fof plans.
I
x bUrcc�t tij�iu.cond� x Le
Applicant's Printed' Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148145
Date Issued:03/08/2018
Permit Category:ePermit
Site Address: 1661 Hickory Lane
Lot:020 Block: 002 Addition: Woodgate 1st
PID:10-84600-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
John P Other Medicine Jr
1661 Hickory Lane
Eagan MN 55122--252
(651) 587-7244
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
r For Office Use `/(�
t, i�....... ..... Permit#:
i E AG A N
Permit Fee:
I EceivE Date Received: 7—7
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ,,,,,,��rr opt,/
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 Ht'R Staff: _
buildinginspections( cityofeagan.com ' 7 2019 J
2019 RESIDENTIAL lif i --. - _. MIT APPLICATION
L-� -7 / /6s1 / /
Date: 1 — 17- 17 Site Address: /�-5/ �` C rY�A�� �C Unit#:
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Name: WOO c13 al Z l r►1e 0V'ta Assoc ,oi V(711 Phone: 657 - L/51-73Y?
Re tleintr J 1 ! ,`C ICOI` I ` �' Ect Q ....C5 ICZ.*
Owner Address/City/Zip: 9
Applicant is: Owner X Contractor
Description of work: ' `. ' "`'QY Mar ar cr CIh Di r'e, lac i;°
Type of Work J
Construction Cost: ` /a Multi-Family Building: (Yes /No____)
Company: Bc,rNot ° l D`07"si-ern C-Q' #t'a. ,1'7y tact: Sftre AOrr►1q.tI
Address: / 7 5-73 froX 601/b CI- City: Fovel-t, h5 Irli
Contractor f'641.- x368
State:ti N Zip: 55°0/11 Phone: d 59 ` Email:
License#: p ` ` 0 Q 6 1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
NO /0
01,;i1 sfr _ a 11 A00P`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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Por ons of the information may be
classified ag non-public if you provide speak reasons that would permit the City to 00nOttgie hat 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.citvofeanan.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 approva of ans.
x Srfee t i O r&Pail it ii x /�
Applicant's Printed Name Applicant's Signat re