1658 Hickory Lane
For Office Use
~
d s
--L
I Permit Fee: I
City of EaQall
1
3830 Pilot Knob Road Date Received: I
Eagan MN 55122
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Y-/3 Q al Site Address: S-F- ~
Date:
Suite
Tenant: IZ- S' OO P- E
Phone:
RESIDENT / OWNER Name: K~(s I ra C'r`
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: / o F r
Oa
c Multi-Family Building: (Yes / No _J
Construction Cost:
1'-~alT /'"'-)C License
CONTRACTOR Name: nn
Address:~~
State: Zip:„
City: 1S t1 A1,. 011 L L
Phone: Contact Person: I
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1 New Energy Code Worksheet
Energy Code • Residential Ventilation Category 1 Worksheet • Submitted
Category Submitted
submission type) • Energy Envelope Calculations Submitted
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:
Phone:
Licensed Plumber:
Phone:
Mechanical Contractor:
Phone:
would permit h Portions of
Sewer & Water Contractor: are NOTE: Plans and supporting documents that you submit ovide considered
reasons public
the City to
the information may be classified as non-public if you p specific
conclude that they are trade secrets. work will be in
e City f
cod
and
ordinances
not to starttw ho t a permit; that theews of ork hwill be on
I hereby acknowledge that this information complete
application hforta permit, and work conforman
Eagan; agan, that I understand this is not t a permit, of plans.
accordance with the approved plan in the case of work which requires a review and app
x
f C It fJ J C3 I~Z~
s Sign re
Applicant's Printed Name Appli ant' Page 1 of 3
VILLASE OF EAGAN WATER SERVICE PERMIT
372PMet Knob Road PERMIT NO.:
3448
Egan, MN 55122 DATE: 4/26/74
Zoning: P13D No. of Units:
Owner: UJDOdgate, New Horizon Mee*
Address:
Site Address .6S2 --S4 -56-5$ Hickory" Lane
Plumber: Thompson numbing Co.
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee: 1.0 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 Rood PERMIT NO.: 2208
Eaoan, MN 55122 DATE: 4/26/74
Zoning: PQD No. of Units:
Owner: NOodgate, New Horizon Holmes
Address:
Site Address: 1652-54-56-58 MckorY Lane
Plumber: Thompson Plumbing Co.
1 agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit: 10.00 pd
Permit Fee: .50 pd
Surcharge:
By: Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
Date: 1
C!ty of EaQaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 23 2014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
DD (of
Date Received:
Staff:
Reby
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: kW 5612 Unit #:
4-
4. or
Name: K12,1 S M4,f2
Address / City / Zip: 1( S (th:41)
Applicant is: X Owner Contractor
Description of work:. ..--inFi_.Al—T
Construction Cost: 44 t,f, SOO r
Phone5- q911—‘78.23
5474 poli (41J.4y Rolm e _%-p
Mufti -Family Building: (Yes X / No )
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans end:
the inforlmafsi!rit may i
CALL BEFORE YOU DIG. Cali 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.ora
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.
Applicant's Printed Name
Appl cant's Signature
Page 1 of 3
1(p5 Lai"'
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
— Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
4 Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC — Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
_Final Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: — Footings T Backfill _ Final
Radon Control
Erosion Control
Other:
1/ , 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
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
For Office Use // ��/
Permit #: / oL/ /b
Permit Fee:
Date Received: 01 —11
Staff: I41(,
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Tenant:
Resident/Owner
Contractor
Type of Work
Permit Type
Site Address: /(asp fi. ckov y L.kr
Suite #:
Name: 1.4 r': s Va"'d ✓=- Phone: %- `11V 8$`j3
Address / City / Zip: /h /.,k1,
Name:
License#: 936g0
Address: 92T) I q+A. 43 7)E City: Oiq l &
State:"- Zip: A -S -14R4 Phone: "7403 - ZS Lt
Contact: --115L %A.A.t Email: 'Sgv"c\ E �w14.4-11) rig j �p�u
_ New Replacement Repair _ Rebuild A Modify Space _ Work in R.O.W.
Description of work: Itts. 3)9- /0 U., %etre., `tac&A-1 (00W1/4 -
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
VAdd Plumbing Fixtures ( Main / 3 Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES
CALL BEFORE YOU DIG. Call Gopher State One CaII 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
1 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.
Applicant's Printed Name
x
Ap ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
03-21—'14 13:50 FROM—
�CityofEaaii
3830 Pilot Knob Road
Eagan MN 55122
Fix: (651)675-5694
T-496 P0001/0004 F-560
Use BLUE or BLACK Ink
For Office Use
Permit #: ra a
Perm Fee: V 0-C)
Date Received; 3 / /11
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `l.a ' r 1 (\ Unit #:
W
Resident!
Owner
Name; .ice` Phone:
Address / City / Zip: •
Applicant is: Owner Contractor
Type of Work
Description of work: III ( t II
It
Construction Cost
Multi -Family Building; (Yes / No
Contractor
Company: Contact:
i4tetRT(4 86 NOME TECRIZ
Address; dib FIRM=HEARTH & HOME Cid,;
State: Zip: 2700
LIC EC662656
wRV11=W AVENktE
MI ( MN
N
License #;
113
d Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA
has the City of Eagan issued
yes, date and address of master
ONLY IF CONSTRUCTING
a permit for
plan:
A NEW BUILDING
a similar plan based on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 they are trade secrets,
CALL BEFORE YOU DIG. Call Gopher State One Call al (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.gooharstateonecall.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 Solidi oder111011-Matm ed within 180
days of permit Issuance.
MAtl/%'u
x Al l
Applicant's - nted
ame
x
Applicant's Signature
Page 1 of 3
Us* s F., or BLACK Ink
.-a=ar.._~U--S0 --w , „ m_
'r ~ tatt`tice ii
Jl I rarsrrrtrd JLQ
RECEIVED F,.~ 88
of EaF
388 PW Knott Raad
E-W
r e-16 075-%7 MAR 21 2014
fax: (s61) 4754m T _
2014 RESIDENTIAL BUILDING PERMIT APPUCATION
$ita Adds"wc the is
O!r nW JVk1rt.-uu1 City; Zip: i ' ` ( 1 1 •I f~ 1 -
Ax~4tc~ Es [rvwrtrsr ('•cxvts-xdur
Crnsr,nzat►c>n cif •Na=x
Type of %Vo*
1=c
conmiuctn-ri crc~.t_ - Muth I art~ely tat ct+nq (Yes ' No 1
Co t'
SUL.. Zip:. Phomk
p; Lftd CwOficaekt
If the Pvjevl P,.: ;A0fy'VA fratnt Wrd CWWWOW1, Please explain why- (sc~u ttx *'Onal Information
_
COMPLETE THIS AREA OKL.Y IF CONSTRUCTING A WMijIM&DING
th* last 12 has t City of a permit for a shWar plain based an a r ttrr ptsn?
z
_Yes No of yes, dMe 8rIG3 aWrm of r ww4
Necha nicall Contmetor° PhWw;
Sewor i1K V htsr Contractor. Phone:
Nf0TJ~• i itlppQrtfill docuomm" th* you sarbn* am C~ to be pub0c btA nar dim. Forbons of
the arrlr wmat on mar be cuss f c! as n*o c 0 you provf k speeNk r n OUN permit the CAW to
con+dudo OW rave &ad& sees.
FORE YOU DOG, Call GopowStmo on* cam 9 (6m) 4s44*U aar arwnetlccr apmzt ues*- rxM*d gray e ,.agv t:414k~ mown
Wtxe ydu rnWil to dig to muwr meal= of urdp Twrd utikv%, - _
d twoy a o "c ttue trra mbmsabw as (A"SArtr it " ac*,sfaw ttur me: wane` WAi x av ec *xffaarrv wo the cwdWmxm wvI caftA of"cav d
t ar m: CW t unowshind it,c z rxd a pe"VOI, but 0* an a*WAqa nx a PwMd, m d 00% t not 40 slant wthwlr a p mtt tare Wok wit bo n
;krcrxerfv= vlakta a* appmw-d pw, kr the oft* of work whm "wi a rrtvN►M► and appvvW d p18m.
Enixior worts VAWWd by , bWAWV fmW raarmd In accordran a v*h to Suitt 8uftft Cade mrrit be cow~ wi li" 1ato
dwof prrreit
K~21 sT~ I'~oo~•E -
Appf f>tarrrw Appk*afs
P40103
lh'c~<o~y ~~/s(
00 NOT WRITE RELY M THIS LINE i
SUB TYM
Fourndation ~ Rmplace Porch (3 ) Exterior Afteeation (Single Family)
Family Ski* Perch ( ) Exterior Alteration (Multi)
_ M 00* torch (ScaendGazebo?Pe } Mirocelianeouz
01 of- POW Lower Level pod Accessory N9
=TYM
New tiftriorrImprovemrent swiss ~o Demolish Building'
Addition Move Building ~ Reropf Demolish InWiot
Aftervdan Fin" Repair il4f'in6ows, Demolish Foundation
lfAPISoe R p'ct Egress Wotdow Water Danuage
Retaining Wall 'lion of erltirrt bwleiag - give MA hmdmd to applicant
01ESCRtPT ION
Valuation f~ Occupancy . M
Plana Reeve `ew ~t Edition € - :~_,r SAC Units
!4 CityWater _ .
Census Codo Stories "ost" Pltl
# of Una Square Feet PRV
0 of Widings Length fire Sprinklers
Type of Con o Wide
F~ (Now Building) IMOW S"
!rte (Drank) Flaw I CA» Rottuired
Foodrigs (Addition) Final t tllo C.O. Required
Foundation 7`'"" HVAC _ Gjc 5t,,P t TOS! _ Gas l ine &r ' f,5.,
w, Root Ice, & Water ____mm taoot: w ( oo irigs __AalGas Tests ~Fina'
Fr~lrrring Drain rite
Fireplace: -Y-Rough In Y i T P-M*I Siding: _Stu= Lath Stone Lath Enck
k~liaa Windows
Shes"M Potaining W :_F Footings Backfill F, -,,a!
ShOrabvcit Radian Control
W bn Control
Watts Other.
Rrv By: Builift tear
rNTW. F
Be" t=ee
Surclfarll*
Plan Review
MACES SAC
City SAG
Utility Connection Chafe
saw Pem* a Su
Tresho"t plant
Copies
TOTAL
r "W 2 Off 4
' ����� ����?`�`�
� �"?
�Voigt & Associates, Inc.
' STRUCTURAL ENGINEERING SERVICES
4635 NICOLS RD. SUITE 204
EAGAN,MN 55122
- PH.(651)686-7727 FAX.(651)686-8444
Thursday,June 12,2014
Dan Miller
Wenzel Heating
4145 Old Sibley
Eagan,MN 55122
RE: 1658 Hickory Lane
Eagan,MN
Dear Mr.Miller.
As per your request a staff engineer made a site visit to the aforementioned residence. The purpose of the sit visit was to if the
condition created by your vent stack penetrating the house as shown below.
;;;
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While there is some reduction in cross section there is sufficient connection near the penetration. No remedial work is required.
At the supporting beam at the"front"of the deck there is a need for remedial work. Provide support per detail D1.
The information and opinions contained herein are based upon the limited investigation described at the beginning of this report.No
warranties are expressed or implied regarding the existence of other unknown conditions not specifically addressed.Our work is in
accordance with generally accepted engineering standards and is not intended to be relied upon or transferred to individuals other than
the addressee.Shouid information or conditions become known which differ from the discussion herein,they may alter the opinions or
conclusions of the undersigned.
Please call if you have any questions. I Hereby Certify That This Plan,Specification,Or Report Was Prepared
By Me Or Under My Direct Supervision And That I Am A Duly
Sincerely, Licensed Engineer Under The Laws Of The State Of Minnesota.
P�. �. v P�. w�. �
�
�
Paul W.Voigt
Paul W.Voigt,PE
Thursday,June 12,2014 License Number 20705
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. �p.�Q.�. . .gE/`�. . ��.R�/��oR��G. : D.:�.�/'�I�. . .rAVor(was D�@PViad.by'mfl or'under.my direc}.
� � � � � � supervision and that I om a duly.Iicensed
- . - .._T�,. Professionol Engineer under}he laws of the , .
. . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . .�. . . ... . ._ . . . . . ... . ... . . . . . ... . ... . . . . . .. . ne .. ... . . . . . ... . ... . .
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. . . . . . . . . . . . . . . . . . . . � Signature' �PAUL W. VOIGT - .
: . . ', . . .�. . .�. . . ; . . .�. . .�. . . : . . .:. . ... . . : . . .'. . .�.�. _ : . . .: . . . . . . . . . � . . .
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. , , , , . . . . - . . . . . . . . . � � Date � ' ' Registration'NUmber ' �
. . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . ... . ... . . . . . .
. . . . . . . . . . . . . . . . . . . . . - . . . . . . . .
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Voigt �i Associates, Ine. :1658 �II�KORY LA(�E � �
. . ... . ... . . . . . ... . ...
ST�ZUGTUf�4L�NGINEERLNG SER•t�IC�S � : � �� � � � '
� 4635 NICOLS RD. :SUITE 204 : �EAGAN, M� • �
EAGAN,'NIN 55122 .
. : . . . . .
. . . . . . . . .
' '
� PH. (651}686�Z727_ F�4X. (651):686=8444. . : ., . � � � , �—�6-14
. . . . . . .
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164696
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 1658 Hickory Lane
Lot:018 Block: 003 Addition: Woodgate 1st
PID:10-84600-03-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Kristen E Moore
1658 Hickory Ln
Saint Paul MN 55122--253
(651) 283-8250
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature