1664 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:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174712
Date Issued:02/15/2022
Permit Category:ePermit
Site Address: 1664 Hickory Lane
Lot:013 Block: 003 Addition: Woodgate 1st
PID:10-84600-03-130
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & 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 -
1664 Hickory Lanellc
% James L Schaffert
2225 James Ct
Eagan MN 55122
(651) 503-1154
A Aarts Quality Plumbing
225 County Road 81
Maple Grove MN 55369
(651) 454-1010
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179537
Date Issued:10/10/2022
Permit Category:ePermit
Site Address: 1664 Hickory Lane
Lot:013 Block: 003 Addition: Woodgate 1st
PID:10-84600-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
1664 Hickory Lane Llc
% James L Schaffert
2225 James Ct
Eagan MN 55122
(651) 335-2235
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature