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1662 Hickory Lane - - - - - - - - - - - - - - - - - f I For Office Use Permit City of Eaaall Permit Fee: 3830 Pilot Knob Road I L-'r Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date:// 13 - O Site Address: Tenant: Suite RESIDENT / OWNER Name: "/a-,Qk1 T"°I jj'4 i Phone: Address / City / Zip: ,arc r 2~ Applicant is: Owner x` Contractor TYPE OF WORK Description of work: c- v- - P,.C-,C Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: C d ~c _f f • License 22 Address: 7 % l~'~1 l T ~C1 E;l~ City: _ __i-%S t,1 f Lt-_ State: /u/ Zip: Phone: ! _ - 199/ 7 Contact Person: 1411je COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be publik'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. 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 accordan e with the approved plan in the case e of work which requires a review and approval of plans. X jAdzW 1461M e c A260 Applic nt's Pn ted Name Appli ant's Sign re Page 1 of 3 VILLAGE OF EAGAN WATER SERVICCE PERMIT 3795 +11ot Knob Rood PERMIT NO.: E6gue; MN 55122 DATE: 4/26/74 Zi Zoning: pup No. of Units: Owner Woodgate, Nev HOriZOA d Address: Site Address1.660- 62 -6$ -66 Hickory Lane Plumber: Thompson P1UM inq Co. Meter No.: Connection Charge: Size: Account Deposit: Permit Fee: 10.00 pd Reader No.• .50 Pd 1 agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE Qf EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2207 Eagany MN 55122 DATE: 4/26/74 Zoning: PUD • No. of Units: . Owner: _ Woodgate r New Horizon Homes Address: Site Address: 660 62 - - Hickory Lane Plumber: ThoRIpSOn Plumbing co. 1 agree to comply with the Village of Eagon Connection Charge: Ordinances. Account Deposit: 10.00 pd Permit Fee: .50 pd Surcharge: B Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: Use BLUE or BLACK Ink For Office Use I City of Eajan I Permit ~ 1 Permit Fee: do), - I 3830 Pilot Knob Road 17 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 i Fax: (651) 675-5694 t Staff= L--------------- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ' Date: o Site Address: b a 91C Unit 1~'k)vv Name: { \1 1('eI/l Phone: L'AS-0 7 -2110 i Resident/ Owner Address / City I Zip: 16( PR Applicant is: Owner Contractor Description of work: 3 /N cc~ (L•L'2J Type of Work A;14, It h 4aJ 6Fr G dLAkT5 kW,L the t ® 44 Construction Cost: Multi-Family Building: (Yes / No } g~ Company: 5 /fit r✓1G~ ►►1a,t~l 'o v U e-e LL-Contact: -0 1~7-k a D ~ 14 50/L/ g Address: / 38,x.(; C "y(('CLvM C L Ir se City: d MOU 14 / Contractor / qq State: MK Zip: 5M 63 Phone: 65-1 22 / 1 Ce fz fr ~ 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: i NOTE. Plans and supporting documents that you submit are considered to be public infonnation. Portions o 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 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.aopherstateonecall.ort 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 O4 A,1~ x Applicant's Prin Name Applicant's Signatur ` Page 1 of 3 DO NOT WRITE BELOW TH LINE f I SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage Porch 4-Season Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of-~j Plex _ Lower Level _ Pool _ Miscellaneous 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 000 Occupancy XA& MCES System Plan Review Code Edition cc? SAC Units (25%_ 100% Zoning- City Water Census Code 1-1311 Stories Booster Pump # of Units i Square Feet PRV # of Buildings / Length - Fire Sprinklers Type of Construction Width / REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES c~ of 3 , C /sIN Q -60 Base Fee ~ / ~ tlf 13/iV7-N (2. (00 G Surcharge Plan Review l y - , co ape l MCES SAC cV! City SAC jo0~of e Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink -For --O-------------- ffi ce Use a u I ' n j Permit#: MY of Eatfl I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: ® j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0~r -1')0'-13 Site Address: i &2 ►C~K0)Z LAI Unit Name: W006QQtf_ M II~t1~21' SOG- Phone: 6:51 -3tj 3 -1309 Resident/ Owner Address / City / Zip: _ l (arm 2- ^t-t I,G kO12y Applicant is: Owner Contractor Description of work: Rep is eo \0,X, 15f 1 t7Q ~2c,k Type of Work Construction Cost: 2-500. > Multi-Family Building: (Yes X / No Company: Lb Pej rGon Cznsf MCA ()n _T r Contact: L_A"y P,5f6-resod Contractor Address: 2,0( 0k L\ Al _6Z. City: 80 0- Z,47 4 I JAI State: M'U Zip:,~53 7'2 Phone: ~u I ' ~~oQ JZv©coo License B G ~af6540 Lead Certificate A/AT !1 D O "~l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) `D 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 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 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.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 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 1-1492V &tmsa x Applicant's Tinted Name App is is Signa Page 1 of 3 DO NOT WRITE BEL W THIS LINE S SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous 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 r-~ Valuation 24W Occupancy MCES System Plan Review Code Edition ;.40 SAC Units (25% 100%jel~ Zoning P10 City Water ' Census Code Stories Booster Pump # of Units f Square Feet _ PRV # of Buildings / Length Fire Sprinklers Type of Construction Width /p REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing - Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73 Surcharge Plan Review 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 f C> 43 r t~-~ tr c ~ r S Mj. 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A. __-`P_c3>~b maize 3 .robe •E M4 ~v o 4 v+ n^ 9 6y ~,g, o ~y ro LfVvj' L 9>VE o o P ° a3 .w'ro>evw ~ ~ 2,§~ sus 1C.' \ ^ N8 W n o 1~ 6 N XD°P6'46°E d V ND X<6'~:^ ` ~ v S 91t2 -fi>S 1 ~ 4---- ----/3/3,76 O°2G '46 "oY= - W ~ 3 6 W ~ CA PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA116196 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 1662 Hickory Lane Lot:016 Block: 003 Addition: Woodgate 1st PID:10-84600-03-160 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Fixtures:Kitchen sink, dishwasher, two toilets, two lav sinks, tub faucet, DWV for 1/2 bath in lower level Eric Bruckmueller 3992 Pennsylvania Avenue Fee Summary:PL - Permit Fee (miscellaneous)$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 - Emmrose Llc 2120 198th St W Fairbault MN 55031 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157055 Date Issued:08/01/2019 Permit Category:ePermit Site Address: 1662 Hickory Lane Lot:016 Block: 003 Addition: Woodgate 1st PID:10-84600-03-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Joy D Welch 1662 Hickory Lane Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176708 Date Issued:05/27/2022 Permit Category:ePermit Site Address: 1662 Hickory Lane Lot:016 Block: 003 Addition: Woodgate 1st PID:10-84600-03-160 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joy D Welch 1662 Hickory Ln Eagan MN 55122 Mikes Custom Mechanical Inc P O Box 171 Champlin MN 55316 (763) 568-7148 Applicant/Permitee: Signature Issued By: Signature