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1718 Hickory Hill - - - - - - - - - - - - - - - - - f rN I For Office Use I G' l r~ j ;:::e: City of Eaaall el 3830 Pilot Knob Road / - -3 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 72c -09 Site Address: / / (P + 1/ 12 - % C C2 ,/}/LL Tenant: 12-ho KAT-su-541 SO G AAA Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 7E/44 OFF tP-E-k-90F Construction Cost: 0 Multi-Family Building: (Yes / No CONTRACTOR Name: C R og F f r-3( License 2c_ Address: ~ r € OC_{C K L City: /J Oe A-)5 i/ I L- State: ciA) Zip: 3 J ? Phone: S~ °e?/I - YO73 Contact Person: /at`j f~ ~1~ 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. N x IL L /J S` ti= I~ X Applicant's Printed Name Appli ant's Sin ure Page 1 of 3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3Tl95.Rilot.Knob Road PERMIT NO.: 1639 Eagan, MN 55122 DATE: 11/15/74 Zoning: t'iAt No. of Units: Owner: New Horizon Sons8 agate 11 Address: Site Address: 1716 --18 -20-22 Hickory Hill Plumber: peon Plumbing Co. Meter No.: Connection Charge:*d'd'.�> Size: Account Deposit: r Reader No.: Permit Fee: 10 pd 1 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 PilotdCnob Road PERMIT NO.: 2399 Eagan, MN 55122 DATE: 11/15/74 Zoning: PPD " • No. of Units: Owner: stew Rnr3 von Homan itoodgatn II Address: Site Address: 2716-1R-20-22 Hickory Hill Plumber: Epson Plumbing CO. I agree to comply with the Village of Eagan Connection Charge: /1: e it 1 Ordinances. Account Deposit: Permit Fee: 10 -PD Pd Surcharge: • 50 Pd By: Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA146440 Date Issued:10/25/2017 Permit Category:ePermit Site Address: 1718 Hickory Hill Lot:008 Block: 002 Addition: Woodgate 2nd PID:10-84601-02-080 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Derrick M Elsmore 1718 Hickory Hill Eagan MN 55122 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature r For Office Use 41 At ØL : Permit ata �' Date Received: ,7-7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 V W/ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: buildinginsaectionse.cityofeagan.com M I 1 7 2019 2019 RESIDENTIAL ig - _- MIT APPLICATION Date: ( 17- 17 Site Address: /7/b Ft; a r j7L1// 7-nc/, �7/c lUnrt#:OI / . cam_ Wod d ct h�i N1 eC. t 57 - S '-7 ? Name: 9 e 0 Vol►+�'`I t/� d of Ol� Phone: 6 Y 3 Y Resident/owne /6 7� `C icor` r Ea! 11 0 y .55 1 EZ.01_6),r Address/City/Zip: H Applicant is: Owner X Contractor Type of Work Description of work: W Q� l 'Q ar p c h b / '6�'1 4c e Construction Cost: / 0 Mufti-Family Building: (Yes /No—� Company: 66'rhiR Cotact: S� Vt. Sof-Pm a.t ContractorAddress: / 7 S73 F0 X ear° CI- City: aarA'"• hi "mac State:M N Zip: 3d l Y 9r /01 -sq g,x,368* pp :1 O` Pone: Email: License#: p' ` ?0 0 Ch1 Lead Certificate#: If the project is exempt from lead certification, please explain why: n 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:Piens andsupporting documents that you submit are considered to be public ice. Porus of the Information may be classified as non Nc If you proms specific reasons that would pe +f the City to conclude drat they are bade Mets. 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.aoaherstateonecall.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 ans. x Spare vi .UOrrioohv( Applicant's Printed Name Applicant's Signat re Z�