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1671 Hickory Hill ' For Office Use I ing Permit City of EaRd~ I u I Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: X /J/C Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: / C tf-1- t F _ CC E Construction Cost: 2 0, 0 a C. Multi-Family Building: (Yes - / No CONTRACTOR Name: C License 9j2 l Address: C 1 i/f / 'T 0 G X g 6 /V i`) Zip: J`'~-3 3 City: State: Phone: 5 r ~O 7J Contact Person: 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 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. 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. x L4 SGT I'LL K ! % r_ t ,y 1 X / ; Applicant's Printed Name Appli ant's Sign re Page 1 of 3 VIL4AGE OF EAGAN WATER SERVICE PERMIT 3795 Knob Road PERMIT NO.: 1437 Eaie, MN 55122 DATE: 4/26/74 'ioning: PUD No. of Units: Owner: Woodgnte,New Horizon Address: Site Addres1,665 -67— $9-71 Hickory Hill Plumber: ThOmPsOn Plumbing CO. Meter No.• Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 10.00 pd I 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 3795 Ptiot Knob Road SEWER SERVICE PERMIT Eogmn, MN 55122 PERMIT NO.: _ 7 ? Zaning: PM DATE: +L/ 6174 No. of Units: Owner: 4 -, HOrist i Address: Site Address: 665-67-69-71 Bioko gill Plumber: p co. I agree to comply with the Village of Eagan Connection Char ge pd 12/31 Ordinances. Account Deposit: 7 Permit Fee: 10.00 pd By: Surcharge: .50 pd y: Date of Ins Misc. Charges• Insp.: p. Total: Date Paid: Use BLUE or BLACK Ink r-----------------1 1 For Office Use ~ Permit I City of MEE 1 Permit Fee: lid 3830 Pilot Knob Road 1 1 Eagan MN 55122 i Date Received: S t13 _ Phone: (651) 675-5675 staff. Fax: (651) 675-5694 L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I t Site Address: A ` t 1 k4a- Tenant: L O-R Suite Name Lj ILK O`-- L LO-QPhone: Q LA o-7) c Resident/Owner r- f~ n p 1 Address/ City /Zip: W Q0y!f lC (t Name: l l ~ )I T ense UV Q e) Contractor Address: City: 7 l I State: I Zip: _ Phone: \ i i Contact: 1~+ Email: New VReplacement -Repair _Rebuild -Modify Space Work in R.O.W. Type of Work 3 Description of work: RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener 1 Permit Type Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround Abandonment _ RESIDENTIAL FEES: Water Water Softener, or Water Heater and Softener inclu~..~..,~~a na $60.00 Minimum Heater, (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 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) $105.00 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 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.gopherstate2ne2all.2 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. /j, X A i- x Applicant's Printed Name Applica0' s "nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140701 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 1671 Hickory Hill Lot:012 Block: 001 Addition: Woodgate 1st PID:10-84600-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Deborah L Bruce 8 Hingham Circle Mendota Heights MN 55118 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature , EAGANr For Office Use !w % * s •�r Permit#: e... «tea Permit Fee: I EC .CeivE Date Received: �,7—7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 yr (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 69A., Staff: _1�� buildinginspectionsCaacityofeaoan.com Hl'R ' 7 2019 2019 RESIDENTIAL B�• _ - _- - - MIT APPLICATION Date: 1 ( 7-- l 7 Site Address: /(JG1� `�Cv ��f I �nC�r Unit#: . WOO d Oti t 1Me A--ss c. ' O 57 - u5Y-7 ci Name. 0��t/� d a ►� Phone: ` 3 Y Residents / 71 `c k.(7 it 11 o r rFa9 a 3T5 I oZ o� OWner Address/City/Zip: y Applicant is: Owner X,Contractor j Description of work: ' `e C Qr ( Q ar' O' I "f and c 'vialace Type of Work f tJ� Construction Cost: ` /010 Multi-Family Building: (Yes A I No ) Company: Bd I"!'tol n rt D`0 Iiiflf [0n fl`&c9 tact: Ste Vt. £crr►1 Cid id Contractor Address: / 7 5 73 FOX ear0 C ty �a/�-►-1. r,5 71711 State:(1 Zip: 5304 ( Phone: 't6/(k-519-0,360 ail: License#: A C /7006c( Lead Certificate#: If the project is exempt from lead certification, please explain why: No fOG '1 -fr _ R H poo r.,, ,y 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. Pardons 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. 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.citvofeaaan.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 approve of ens. x Sferec'I AO/'rioihvl x –�-} `"tel Applicant's Printed Name Applicant's Signat re �—