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1625 Hickory HillCITY OF EAGAIV Remarks Addi;ion Waodgate lst Addition Lot 25 Rik 1 Percei 10 84600 250 Ol Owner ?-iar"'? W( uu Street 1625 Hickorv Hill 5cate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3a? STREET RESTOR, pavin 1976 $410.12 $136.71 3 PAID GRADING 3 PAVING 1974 $115.45 $23.09 5 PAID .?( SAN SEW TRUNK 1974 $93 . 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 * STORM 5EW TRK 1975 * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11722 7-29-74 BUILDING PER. - - - sAC $375.00 9773 12 31 73 ' - PARK CITY OF EAGAN Remarks Addition WOOdCJdt2 lst Addition 26 1 10 84600 260 Ol Lot Blk Parcel owner Street 1627 Hickory Hill State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.pdV1ri 1976 $410.12 $136.71 3 PAID GRADING Pavin 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK c( 1974 $94. 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 * STORM 5EW TRK 1975 * STORMSEWLAT ? 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-29-74 BUILDING PER. s,ac $375.00 9773 12-31- 3 PARK CITY UF EAGAN Remarks Addition Woodgate lst Addition Lot 27 Bik 1 Pefcel 10 84600 270 Ol owner 0- (? Street 1629 Hickory Hill State Eagan, MN 55122 til. . Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, pavin 1976 $410. 12 $136. 71 3 PAID GRADING Pavin 3 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK iAy 1974 $93. 54 $6.24 15 PAID * SEWERLATERAL 1975 15 WATERMAtN * WATER LATERAL 1975 15 * WATER AREA 1975 15 ? STORM SEW TRK 1975 * STORMSEWLAT 914 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-29-74 BUILDING PER. sAC 12- 1-73 PARK CITY OF EAGAN Remarks Addition Woodqate lst Addition Lot 28 Rik 1 Parcel 10 84600 280 Ol owner (Alflis- ?- &fKkc street 1631 Hickory Hill scate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, paV1T1 1976 $410. 12 $136. 71 3 PAID GFIADING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93 . 54 $6.24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1$75 ZS * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORMSEW LAT ?Gt 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11223 7-29-74 BUILDING PER. sac $375.00 9773 12-31- 3 PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: !i.tz.)I?Y 2111 l I PERMIT SUBTYPE: II ii=if rnr REC4RD? PERMIT TYPE: Permit Number: Date Issued: ON 25 - i?+. 04.Vt APPLICANT: F L PTltiST1)E CO'rtNFFt lMt. TYPE OF WORK: ? I 1 iiN I IIli Y I h? ?I E: ? J f INAI ? ? ? pY??NEi? ti f'? ? Pormit No. Pertnit Hoider Date Telephone A ELECTRIC PLUMBING HVAC Inspectlon Dab Inap. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST iNSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST /f FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 85MT R.I. BSMT FINAL DECK FTG DECK FINAL 11r?Jr L` l.. 11V1\ 1\L' l..Vl\L ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? PERMIT SUBTYPE: TYPE OF WORK: ? INSPECTION .. . .A Pertnit No. Permit Holder Date Telephone 8 ELECTRIC PLUM8ING HVAC Inepection Date Inap. Comments FDOTINCyS FOUND FRAMING ROOFING / ROUGH PLUMBfNG PLBG AIR TEST ` Q ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIFEPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST • BLDG FINAL BSMT R.I. BSMT FINAL OECK FfG DECK FINAL ? .? EAGAN TQWNSHIP BUILDING PERMIT Owne: Addresa (Pracea ....... l.?at ../......._ . :,,.?..c? . .1s??e''? _. Builder ...... aaa:asa .... DESCAIPTION N° 3191 Eagan Township Town Hall Dafa ..... StoriesI I To Be Used Far ' ? • ??.v.l'?i Fron! Depih Heigh} I YEsl. Cosi ?.d?S? l' K?, Permi! Fee / s ..k e7? 3. SJ Aemarka ' LOCATION " - - Sfreey Road or oiher Deseripiion of Localion I Lo! Block Addiiion or TracS 3-? rs, s7? ic .. e7 . s- 3, iGa q-3 /e3l?et9?7 ?6 /il?dfffN?/•6,tJ /4'GC-Cd?. cG?-G-{? ._.f?.._ ??T a r This permit does no!- au hof' t ise 3e of sireeis, soads, alleps or sidewalks nos does it give the ownes o: hia agent the rigL3 !o eseaYe anp sifuation whiah is a nuisance or whiah pzesenis a hazard !o the heelth, safety, convenienca and genesal welfase !o anyone in the eommunity. THIS PERMIT MUST T % EMISE WHILE THE WOAK IS IN PAOqGR SS. Lhip Thls b!o cs rlitp. fh .tc.c?(. ----_.-.- -.D?...........has permiasion !o eree! a...L.?l/t,_,.upon !he above described pra iee a fe to f provisions ot !he Building Ordinance for Eagan Towe?adopled April II, 1955. ..--°--._..--°°°• .. .... ....... ..c.u............ Per ._........ _ . ...i..?._........_._'' -`?"`---°y`- -... _ . .....---........... . Chai an of Tn n' oard Bullding I ector ?-?- 1- l ; !`, -?7.i' . 44 -?? . - ? '? ^'p,s.?'6i,•?;"?'??q.'??' .., :W96-Ji'!O ''k06t} 80?`i,? ?51'''?'c'..iiAkm PERKT N0. Z"), 6. The City of Eagan hereby grants to (`.an. SnAavick Naatine a A/c Cv of ?ynni Ynn1a AVn_ Cn_?hh]la_T r+ShcFi . a =Axur. Permit for: (Owner) N.,v ftorirnn Ramn,s - weodgate at 3bZs-27?4?31 u;,.i. c,ilpursuant to application dated 4/8/74 Fee Paid: qnn no dated this 3oth day of p,flril , 19---7¢ 2.00 s/c Building Inspector Mechanical Permits: Bid Total: 3 /D ,?7o n/ CITY OF EAGAN 3795 Pilot Knob Road Eagan, Iviinnesota 55122 PL'RLST NO,: 4.72 - i'he City of Eagan hereby g:ants to ThomPson PZisnhinq Co. of 72'101 Mineeton4a p1vA. a p7TTMPi*7G Permit for: (Owner) new Hor.izon Fomns •- Wbodgate P,ddn. 1 at _ see attached lisT , pursuant to application dated 4/191/7? P'ee Faid: $1,Q60.00 dated this 24rh day of P.eril 1 19 74 4?.OQ s/c Building Inspector Tiechznical Perrr;its: Bid Total: Cities i2ital itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. EAGAN TOWNSHIP PUBLIC WORKS DEPT. 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DALE S. PETERSON Bui/dmq & Utdrty Mspector WILLIAM H. BRANCH Supermtendent of Pubhc Works PHONE 4508100 T'nrmit "o. dA? - 4/24/'7n rnaar; Fotlotainn unitq anc ho,nes: ]n2P,1132, K3r,, 1600, 10an, 1;5n, 1054, 1( "" , 1(Ar. 1604, 1700 Walnut Lar.e 1AR5, 1r9q, I693, 7007, 1701 Walnut I,ane 1058. 1062. 16GF. 1f7f1, 1E7!. 1F7°, 16£7, 1F-RF, Lton aed 7035, 1655, ]«1. l'nFS, 1060. 1F73. 1F77, 1Fnl. 1031("'i '%-2i i?iclcnry Elil!, ](Af-Ff'Igic}-ory R.ill & 1667-E5 Hickor.y Lanc, 1565,67-09-71 5ir_ror;- I'i11, 1603;,-1-50-57 Hickory fiill, 167=II3=85=•R7 S?ictiorv Hill p1,_ts last eleven ( i 1) ro•„,n;,o?ise i,iiilc?inqs - do r,ct have correct house ?u^ihers as vet. r . i , . ,, .. ; .. / - -- --- - .T? ?._..?__._ _ _• _ ? ?' ? %• . n . Lu'. ?j . ? ?? ?t-_?• 4j ?`(,?i? "? . ,. AM,,.SERV cl, tIRAW YILLAOE OF EAUAN 3195 Pllot Kndl Road 264 Eopan. MN 55I21 A'?:.-L+-?' 'Loning: P? _.:,i. - .o'P Utl?' ' ' Owner: W?aQate NBM 18. . . Address. .-- ? , Stce nddres?631?-29{-2725 $lckoi'St?11 ?- ? - PlumUer: ThT BOIi P1tIDlbi? ' ..:' : , ' Meter No.: Size: Reader No.: ------- 1 ogree ro comdl wiM tM Vplep ef FagCA' S'a"CUa1C97 ' M6C. Ordinoncm. Total: ' Br 461441'1-1?4 Date Pmd: llate of InsP.: - 7 cn,J - .5?3.? / 3 sl ?" 7e-:?2 70 -?/ - 7as - / -:? 7? 76 6 - i? 5_?O ?! ?'t.?'`rP .uu pu ' • , L?D Y/ -L'cl/<'?l??f?,??f>?f ,? (o VILLAGE OF EAOAN SEWER SERVICE fERMIT 3795 Pilot Knob Road PERMIT NO.' ??-JT?------- Eogon, MN 55122 DA7'E: /,omng' _ __ No. of Units: Owner __W00si9%Atg-.__Ngw Horizon Homes _ Address: -- ?__ --, Sitc Address: . 1G31-29_?T 25 Hicko?__Hill _ Plumber - -Th°mpson P umbinq Co.--- --- -- 1 oyree 1o comvlY with the Villoge o{ Eaqan Connectlon Charge.1S00_00 pCl 12/31 Ordinances. Accaunt DeposiL: _73 Permlt Fee: _14?QQ.Pd_-__ _ . Surcharge: Rv _ Misc Charges: Untco7'Intip Total? In.p Date Paid' ---- ---- .-------.. _ yj/ . HOUSE HEATING TEST RECORD D-21066 ZSY?-?c. l ' •1625 Hickory Hill EAGAN ADDRESS e ar.1s e APT._YQ900R CITY SUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED 8Y Sedgynek Htg. Elaefrical Work By Gas Line By n n TYPEOFHEAT GA -FA X HW- STEAM-SPACEHTR.- UNITHTR.-OTHER DE 51GN CONYERSION Wi 11i ame on MAKE -- MAKE OF BURNER 0 Model 1117 7-5 Model ' $erial Max. 8TU Raring INPUT ? n MAKE OF FURNACE Model CONTROLS THERMOSTAT Cip 260 Heaf Piu Valve M.H. ?OOc Limit Rou8h8w RL'L 75011 Limif SsMing 200 f Fa„ sett;,,9 90°f & 120°f= Pilof Type Conple Pilor Make Pilot Model Venf Sizs ,?a KIND OF LINER A1um• SIZE s" NONE Drak Hood VPSt.iC11 Ragularor Fillers Size 1611 % 2511 Number 1 Chimney Location Inside Yea Outside Chimney Construdi on .Qetalbest 09 Smoke Bom6 Pilot Timing 65 SeolIICjB Drafi Wiring Test ' L.W. Cut Off Door Pressure Lighfing InsT. YrJ5 Pressure 7•MI 4•4"W•C'• ParesntCO Data Testad 21,261,75 Input CFH - 2 8 7 75 Peresnt 0 Z v - Compony Testing CS Br? bt CO Stack Temp. f Percent CO 5 10 ' Name of Teatar Farm 235 HOUSE HEATING TEST RECORD D-21066 %.1627 I?ickor Hill F?1H?1N ADDRE55 y APT.?.F LOOR CITY SUBURB OCCUPANT Glenwood G Gun Yes HEAT LOSS DATE HTG. INST. SOLD BY Eleehical Work By TYPE OF HEAT GA _ FA X HW i STEAM INSTALLED BY e gwlc g. _Gas Lins By SPACE HTR. -UNIT HTR. -OTHER GAS ppDESIGN WilliamS MAKE MAKE OF BURNER_ Madsl 1117-7-5 Abdel Ssrial 7412349 Maz. BTU Rating- INPUT 75,000 13tu/'H MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 HeotPl?1g _ 0._5 A u Valva C . . V8 Limit Robshaw RF'L 750n Limit SeNin9 2000f Fon Serrtoy 90 f& 1200f Pilot Type Couple Pilot Make Modal CONVERSION Vent Size 4u KIND OF LINER p'lum, SIZE 6it NONE Drak Hood vert1Cg1 Regularor Filters Size 16° x 2511 Number 1 Chfmnsy Location Inside YQ8 Outsids Ghimney Conatruction Metalbeet(F Pilot Model $moke 6omb W;",ng Pilot Timing 85 SBCOiIdS Draft OK Test Tog Yea L.W. Cut Off Door Pressure Lighting Inst. Ye8 Prassure 4,8"W,C. pereantC0 7•0!0 Date Tested 2L2675 Inpui CFH 2 75 Pertant O R - Z Company Testing Sfack Tsmp. ?'? 10Percent CO 5 Name of Tester Form 235 '' ., , 1 W G S' 7 I` HOUSE HEATING TEST RECORD D-21066 =?'' "°ti i?7 ?,r` ADDRESS ' 4'1629 Hickory $ill APT. PLOOR CITY SUBURB RAGAN OCCUPAN7 Bruce N DeStafeno owNER eS HEAT LO55 DATE HTG. INST. SOLD BY ? INSTALLED BY egw1C R. i Elschical Work By Gas Lina By TYPE OF HEAT GA _ FA `l HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER % GAS DESIGN MAKE Willismson CONVERSION MAKE OF BURNER Model ill?-v?-a Model Serial ?? ?- Max. BTU Rating - INPUT 7??OOU 43t11 MAKE OF FURNACE Modal COWTROLS THERMOSTAT T83 Heat PIu? Vsnt Size 4n "" Valve M•?• VL3O OC KIND OF LINER AlUm. SIZE 6° NONE Limit Robahaw RFL 75011 Dreft Hood VeT't1C81r Regulomr Limit SaMing 200oY Fil}ers Sizs 1611 a 25" Number 1 Fon Se}}in9 900f & 1200F Chfmney Location Inside Ye9 Outeide Pilot Typs COUpl¢ Chimney Constructi on Metal'aes tos Pilot Make Piloe Model Smoke Bomb Wiring Pilo* Timing 64 Seconds prapt OK Tsst Tag Yes L.W. Cut Of4 Door Pressure Lightinq Inst. Ye3 Prossure 4•3"W•C+ PercantC0 7•Oeo Dote Tssted 2 i 125/75 Irryut CFH 2 75 -Percent OZ 8•7?q /a Company Testing . 51ack Temp. 5 Peresnt CO 0•001B Name of Tesfer Form 235 HOUSE HEATING TEST RECORD •`" 1631 H' k r H1' 11 Model ADDRESS 1C O y APT. FLOOR CITY SUBURB OCCUPANT RaIIdy H Sa'Fxe OWNER ea HEAT LOSS _ SOLD BY DATE HTG. INST. INSTALLED BY " MC e Elacirical Work By TYPE OF HEAT / GA Gas Line By FAX HW STEAM-SPACE HTR. UNIT HTR. _OTHER GAS DESIGN MAKE Wzlliamson MAKEOF Modsl 1117-07-5 Model - BURNER Sxial Mox. BTU Ratin9- INPUT 75,2000 Mu AS'. MAKE OF FURNACE CONTROLS THERMOSTAT C'Tn 2r7 Heat PI yal,,, M,H, ?OOc Limif Robehaw M 750n Limif SaHing 2000R Fan Settiny 90 f& 1200f Pilor Type r0ilple Pilot Make Pilot Medel D-21068 EAGAN CONVERSION 91 4 Ven} $ize KIND OF LINER Alnm, SIZE off NONE Droft Hood VQrt1C$1 Regularor Filters Size lgs, x 25" Number Chfmnsy Location Inside YQ0 Outsida Chimney Consiruni on Meielbeetoa $moke Bom6 Pilot Timing b4 'ecOll de Draft Wiring Test Tag es L.W. Cut OfF Door Pressure Lighting Inat. Prossum 4.15"W,0. psreentCO 8•? Date Tested 2/,2e75 Input CFH 74 Pertant OZ Company Tasting C•S•?l ht' ?'o• Stack Temp. 5100f percent CO ?? Name oF Tester Form 235 l xm REQUEST FOR ELECTRICAL INSPECTION it ?a-?; es-ooooi-os jl? Se._instrwtionl lor campla0ng this form on back of yellow mpy n n Q? A77 "X" Be/ow Work Covered by This Aequest ??•?°? ?- Ne uilding Apr nces Wved Equipment Wired Range Temporary Service Water Heater Electric Heating N Dryer A lLoad Management trial Furnace Other (Speci f ) onditioner CLTFacto-es Remarks sleacify) ComputelnspectionFeeBelow: W1Ye A. C. unit # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200 Amps Above 100 _Amps $ign5 Insoector s Use only TOTAL Irrigation Booms 2 e ? 20.50 Special Inspection c :?- Alarm/Communication THIS INSTALLA ON MAY BE QRDERErD-DISCONNECTED IF NOT Other Fee COMPLETED WI NTHS. I, the Electncal Inspector, hereby certify thal the above inspection has been made Ro,qn-m Fmai oate oa OFFICE IlSE ONLV This request vaitl 18 monihs fmm SEDGWICK HEATING & AIR CONDITIONING CO. HE^riNC JOBNO., ?V ?? 8910 WENTVJORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 861-9000 TEST RECORD ADDRESS c' `0'r? I h,/ ( I N-- e- CIN 6L LZ /' y? OCCUPANT nwNFa AS kOk? /""'-' 'l Y V "'& SOLD BY_ _ 116 INSTALLEO BY ' MAKE `^ e 'T ?V( ` SERIAL NO. MODEL 3?f?? INPUT 660e;? THERMOSTAT VALVE Hl%'h-'o wF_7j- LIMIT 7)]SPn LIMIT SETTING 3e' [ FAN SETTING VENT SIZE _ TVPE OF LINER LINER SIZE - FlITERSSRE Z()? 9-r"' 6:7 NUMBER 22PD WIRING PILOTNPE A(P AiC TESTTAG IGNITION MODEL M -) L PILOTTIMING (l S(?W4?6 ?,il PRESSURE ?' ? W ?' PEFCENT COz ? INPU7 CFH PERCENT Oz 1', STACK TEMP. PEFCENT CO U FORM 235 (REV 11189) LIGHTING INST DATE TESTED ?j 5?/?7S COMPANVTESTING J?Yw?C? ) NAME OF TESTEF FOPMDISTRIBUTION WHITEC Y-JOBFILE YELLOWCOPV - GIiY ? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ? FOf,OffCC'USE ? ? Pertnit #: 'o_ I I permit Fee: 'a'bo I ? DateReceived: 0 2- - 22 ?ce) I I ? Sta : L ---------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Tenant: Site Address: / Suite #: RESIDENT ! OWNER Name: Phone: Address / City/ Zip: 11go? 1T/ l'/N,J/ CONTRACTOR Name: License#: Sqa-jj-Pm {; ;n;',,; an?? Soe?s ?'Iumbin9 Address: . o . ? + i c i c.? : ... .. .. 'y f.';i,.?-?,_9ta?e: Zip: City: .s Phone: Contact Person: (.O, y' c? TYPE OF WORK _ New /--Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: lj? PERMIT TYPE SIDENTIAL RE y Water Heater _ Water Softener Lawn Irrigation Add Plumbing Fixtures (___ RPZ I_ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENT/AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/6" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ i nereby acKnowieage tnat mis imortnanon is compiete ano accurace: enai me woIR win ue in w"'o. I.-d' I'- W11-I .1? a..„ ..,...- ...,,- .,.? .., 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 approvepd plan in the rase of work which requires a review and approval of plans. x efilU 6fUV `C/ • x ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE ?Reviewed By : " ? Date:? . ., Requireb Inspection`s: Uniier Grou'nd ?Rough In ,=Air?est Gas Test ,ro Final . . ? . . , , _ . , ... . ? _7 °- ? /? 9?q? 2005 RESIDENTIAI. BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -#9q zS New Construction Reouirertrents RemodelfReoair Reauiremenb Office Use OnH 3 registered site surveys showing sq. ll of lot, sq. ft of house; arM ell raofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maxunum lot coverage albwed) 1 selof Energy Calculations (or heated additbns Tree Pma Plan Recd _Y _ N, 2 copies of plan showpg beam & window s'¢es; poured fouM design, etc. 1 sile survey for add'dions 8 decks Tree Pres Required : _ Y_ N 1 set of Energy CalculaGons AddHion • irMkate fl on-sife septk sysfem On-sita Septic System _ Y_ N 3 wpies of Tree Preservation Plan fl lo[ platted afler 7/1/93 Rim Joist Defaa Options selection sheet (buiMings wiN 3 or less unb) Date COn51NC[I00 CO3t Site Address /6, ;z 42 -'L1 ??? vF_ _ UniUSte # ? GI Fiiv fJ ?/ y?/(?+-J ?? Description of Work ei?'G I',oL„o/?ccc.(.a ? 4 l?G?''?a,?!"ip/g ???f??'o I Multi-Family Bldg !--Y _ N Fireplace(s) _ 0 ? 1 _ 2 Praperty Owner ? Sf/o/6,- C? hF7 7-?"/7/ /? 7-7Tv, Telephone #( 7 79 S' - 19141 ' Contractor ° Address Cjt3' r,-"? State Zip Telephone #( l r%)? '!? i ? ., . Lii; ` 1005 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING EW_ UILDING ` - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculafions Submitted Have you previously constructed a buiiding in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. P^ ? Applicant's Printed Name 4!1?-,3,o S? 74 5,tIoK V • /?7-7-..r. Applicant's Signature OFFICE USE ONLY .. . Sub Types t ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. AR - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg) - Gi ve PCA handout to applicant Valuation "t? 00 Occupancy MCES System Census Code (-t Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV . # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaVC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests Final Siding _ Stucco _ Stone _ Brick ? Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?ec,? (,?n d )) V " z, aoo ,Z / 600 , (?9ro? (??(? Ja? ?oss s/aS1oS . ? ? ?'9• ZS . , 2005 RESIDENTIAL BUILDING PERNIIT APPLICATIO, N ,?/LS?D? ? . City Of Eagan ?' 1 00 S v??lwy?a.ot 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constru 'on R uirements RemodeNieoalr Reau'vemenls Olfice Use Onlv 3 registered s' urveys showing sq. fl. of lot, sq. ft. of house; and @II roofed areas •? 2 copies of plan C of Survey Racd _ Y_ N (20%mazimum tcove?ageallowed) lselofEnergyCalculationsforheatedadditions reePresPlanRecd _Y _N. 2 copies oi plan sha 'ng beam & window s¢es; poured found design, etc. ?I sile survey for adddions & decks Tree P2s Required _Y _ N 1 set of Energy Calcul 'ons AddNon • indkafe if on-sife septic system On-sAe Septic Syslem _ Y_ N 3 copies of Tree Preserv ion Plan if lot platted after 7/1193 Rim Joist Defaa Options se clion sheet (buildings wdh 3 orless units) Date OS" / ps- Ztrz"S- ConstructionCost Ll00. 60 Site Address f C1 V U_ ZD a 10 5 UniUSte # eA G I mtq SS Z J Descriptioo of Work /`l?..v 4,«./?, GiNi;T . t.fG7i U F j\y /o orme ? S7 LL. Multi-Family Bldg ? Y _ N Fireplace(s) 0 _k 1 _ 2 Property Owner V Telephone #(G S f) ?/S Z- 77 X 3 Contractor P141 CoNs-rRuZtrOnl ?v loE P-osS Address 1L1- IVE City f_?- Ia6fiA1 State 'p S'3-/ 2 Z Telephone #(G St ) 1"43 - /LZS' n r? ? _ ?u UL2 COMPLETE THIS Energy Code Category (J submission type) Have you previously fee applies. Licensed Plumber Mechanical Sewer/ W ater . AR ONLY IF CO TRUC ING A ? ie ta Rules 7670 Cate o 1 By- tidential Ventilation Calegory 1 Worksheet Y Telephone . New -n 'njy?Zdde Worksheet Submitled N If so, 25% plan review #( Telephone #( I hereby appl? for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wofic will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? Z -2 J o? )2oSS t , Applicant's Printed Name plicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex O 10 08-plex A 18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex ? 11 10-plex ? 19 LowerLevei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New K 32 Addition ? 33 Alteration ? 34 Replacement valuation 7, 4 L7 f3O Census Code 4 34_ SAC Units # of Units # of Bldgs Type of Const 013 Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. X Final/No C.O. _ Plumbing HVAC Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco _ Stone _ Brick ? Windows _ Retaining Wall Approved By: a ----- ---------- ------------ -------- , Building Inspector - - Base Fee ------ ------------ ------- ------------------------------- ------------------------- Surcharge Plan Review ? C9 (,J I? MC/ES SAC f City SAC , Utility Connection Charge S&W Permit & Surcharge n 41 p ' Treatment Plant License 5earch ? 00 Copies Other Total . ` ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors •Demolitlon (Entire Bldg) - Give PCA handout to applicant Woodgate Homeowner's Association 1691 Hickory Hill, Eagan, MN 55722 Mrs. Kathy Pattni 1629 Hickory Hill Eagan, MN 55122 Subject: Home improvements Ms. Pattni: Thank you for contacting the Woodgate Homeowner's Association in regard to the home improvements of a deck and patio door that you would like to complete. At the April Woodgate Homeowner's Association meeting this request was approved with the following guidelines: 1) Homeowner must use a liccnsed and insured contractor and comply with all city codes that apply. If you have any questions or concerns about the delivery of this communication please contacY the Woodgate Board by either contacting the hotline at (651) 220-1362 or writing a letter to the address at the top of this document. Thank you for your time. Sincerely, Woodgate Homeowner's Board of Directors f kI I6 ) y /4'( k.., /01 br. -6 ? ? o. N R U \ ? .` \ ? ? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons4ucbon Reoui2meMS RemodeVReoair ReauiremenLS Office Use Onlv 3 registered sile surveys shaxirg sq. R of l04 sq. ft. of house; and all roofed areas 2 copies af plan Cert of Survey Recd _ Y_ N (20 k maeimum lot coverege allwred) 1 set of Energy Calwlations for heatatl additions Trce Pres Plan Recd _ Y_ N 2 mpies of plan showing beam & window srzes; poured found design, etc. 1 site survey far addNOns & dedcs Tree Pres Reqd _ Y_ N 1 set of Energy Calculations Addition - indicete if on-site septre system On-site 5eptic System _ Y_ N 3 copies of Tree Presenation Plan'rf lot platted after 711/93 Rim Joist Detail Options selecdon sheet (hldgs with 3 or less units Date I?. / 30 Site Address 1(.2 C-A /03 ' 7 ?iiCK?flf hi I L,L. G ss1zz Construction Cost y.? ? jgl?& UniUSte # DescriptionofWork 2.E-105dLA-riM DF CA1?66E C?-1LlP(?', Multi-Family Bldg X Y_ N Fireplace(s) Y 0 _ 1 _ 2 Property Owner k g/$'/'( Sr-14AFERI $ &,in[ n5C Telephone #(65-1 ):Z 1 0-Sla??i Contractor Address State City Zip Telephone # ( ) COMPLETE TNIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission lype) Submitted Submitted • Energy Envelope Calculahons Submitted Have you previously constructed a building in Eagan with a similar plan8 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a percnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Sos?i%/ ?o.?S Applicant'sPrinted Name licanNs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Dnin Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total O RESIDENTIAL BUILDING Permit Applicatiou r) City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ' New ConsbucGon Reauirements RemadeUReoair Reauirements Olf?ce Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas 2 oopies of plan Cert of Survey Recd (20% mazimum kt coverage allaxed) 1 set of Energy Cakulafions for heated additlons Tree Pres Plan Recd 2 capies of plan showing 6eam & window sizes; poured found design, eta 7 site survey for additlons & decks Tree Pres Not Reqd 1 sel o( Energy Calalatlons Addih'on - irMicate d on-sife sepfk sysfem _ Oo-sile Septic System 3 copies of Tree Preservation Plan if lot platted af0er 7/1/93 Rim Joist Detail Options selection sheet (bldgs wBh 3 or less units Date 0q / 2-2 / 63 ConstructionCost 1?* ` Site Address 1?17 I C?,i?0(LY ?,LL ?)RIVf_ UniUSte # DescriptionotWork RtAii-D??C i INstALW10N QF _?L1OIJJ6 D002 A Q. Multi-Family Bldg ? Y _ N 4 Fireplace(s) ? 0_ 1 _ 2 Property Owner ? K {Z I S T I 'A- S Cfi A?fiz Telep6one #(?p?? ) Z 16 - 6-6 9?D Contractor ? ? • ' 11 Address ? ify State }t i Zip Telephone # ( ) 1 , . _? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnBtt]y Code CategOry . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatlons Submilted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residenrial Building Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MNI Statutes; 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 o I?oSS r--?"' Applicant's Printed Name plicanYs Sipature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg lhg?, 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 13 45 Fire Repair ><23 Altera6on ? 37 Demolish (81dg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demofltlon (Entlre Bldg) - Give PCA handaut to applicant Valuation 0? (7 Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ' Footings (new bldg) FinaVC.O. Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final 'y Framing (Jpo(t Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By T-Z , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC ccy sac Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total fD ",.,. ". /'vpro /?ov?rt? 3j cDO L> > a 3 ? > a ? Hickory Hill Drive Kristi Schafer 1627 Hickory Hill Drive CITY USE ONLY PERMIT #: T l O ? ? RECEIPT DATE: 2002 RESIDENT[AL MECHANICAL PEltMT1' APPLICFcTION crrY oF KAswrr 3$30 PQ.OT KNOB RD EAfikN Ai1V 5518E 651-6$7-4675 Please complete for: ? single family dwellings D???? M? townhomes and condos when permits are required for each unit U D APR 2 9 20? Date: By SITEADDRESS: 1627 HICKORY HILLS DR OWNER NAME: JOE ROSS INSTALLERNAME: RON'S MECHANICAL, INC. TELEPHONE#: 952-445-8585 TELEPHONE#:651-216-5696 STREETADDRESS: 12010-OLD BRICK'.YD RD CITY: 5 HAK 0 PE E STATE: MN ZIP: 5537 Place a check mark next to the permit work type Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ 50 TOtal c*> ?? ?IA SIGNATURE OF P ITTEE voz CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMEftC1AL MECHANICAL PEfiMI'i' APPLICATION CITY OF EA6AN 3$30 PILOT KNOB iiD EAs",Mv 55122 651-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit BATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TI'PE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ PIGCCSSC.j nij7iilg SpecifyNature of Work {f'hen installing/nemoving underground tank, ca[l 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of conhact price OR $50.00 minimum fee, wluchever is greater. Underground tank removaVinstallation = minimum fee Contractprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 NawConstrudion Reaulremenls . 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (20% maicimum lot coverage allowed) • 2 copies of plan showing beam & windaw s¢es; poured found design, etc.) • t set of Energy Calculalions • 3 apies of Tree Preservation Poan if lot platted aker 711193 • Rim Joist Defail Options salection sheel (bidgs with 3 or less units) DATE 'T- IS 'O _Z- JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IUU `T 1 TYPE OF WORK L s FIREPLACE(S) X 0_ 1_ 2 APPLICANT oS??P r.. li-i' C A PHONE# /o?I~-2-?I(- Sl'a9G ADDRESS l Ce 2-7 ACXDQy ?j I 17R1U? ??&IVY ZIPCODE PAGER # CELL PHONE # a-IG -aq4 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMI Energy Code Category MINNESOTA RULES 7670 CATEGORY (check one) - Residential Ventilation Category 1 Worksheet S - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Pluinbing Systcm Inclu(ies: Mechanical Contractor: Mcclianical 5yslem Includes: Sewer/Water Contractor: _ Air Conditioning Heat Rccovery Systcin Phone # Phone # -s 1-7 () .U C) Q_D..xxAj t-I - ? --I - o -a-- Tits ?m adm R15 2002 D _ Sa Fee: $90.00 Fce: $70.00 All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read ihis application, state ihat the with all applicabie State of Minnesota Statutes and City of Eagan Or< Signafure of Applicant Certificates of Survey Received - Tree Preservation Plan Water Softener _ Water Healsr No. oF Battts RemodellReoair ReauiremeMs . 2 copies of plan . 1 set of Energy Calculations for heated additions . isAesurveyfor ezterioradditwns&decks . Indicate R home served by seplic system for additions VALUATION Phone #: Iawn Sprinkler No. of R.I. Baths >r?ation is corre and agree to comply ? ?es. ?---`---? _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundatlon ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ,, 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - MuIU ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ? Occupancy MC/ES System Census Code Zoning = City Water SAC Units ? Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered _ Type of Const -VAL W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Pliunbmg _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final ? Framing Siding Stucco Stone F'ueplace R.I. Air Test _ Final Windows (new/replacement) ? Insulation _ Retaining Wall Approved By? Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-plex ? 73 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex 19 - Lower Level ? 12 12-plex / Plbg_V or _ N Building Inspector 170 ? MASTER CARD LOCAT?d.rr.?9'?? STRUCTURE AND Permit No. Issued Issued To Coniractor Owner BUILDING PLUM8ING z33- CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL IIAM DRAINFIELD PLUM8ING WELL SANITARY SEWER - Violations Noted on Back COMMENTS: PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE WITHOUT DELAY. Bl11LDER WILL COMPLY ITEMIZED AND DESCRIBED AS FOLlOWS: ? REINSPECTION REQUIRED REINSPECTION OF INSPECTION ? NON{OMPLIANCE. BUIIDER DOES NOT INTEND TO COMPLY. ? ? COMPLETION OF GERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DATE OF REINSPECTION CE RTI FICATI ON - I certify that I have carefully inspected the abwe in which I have no interest present or prospectiva, and that 1 have reported herein all significant conditions ob:erved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACGEPTABLY COMPLETED BUI{.DING INSPECTOR DATE COMMENTS: OjLr?D 23 CITY USE ONLY PERMIT #: RECEIPT DATE: IS' --J - 6 ) USIDENTIPEL IYIEGH"Ci4I. PERMiT lEPPLICATIOA crrY or Ea?sakx 3$30 PILOT KAOB RD £Al6AR MA 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: V 51 G 3 G ` SITE ADDRESS: OWNER NAME: ';?-) TELEPHONE #: INSTALLER NAME: ??Q\,9,A ('S"0? TELEPHONE #: STREETADDRESS: ') 1,Lne-, ILI5}? 5?' w' CITY: ?- Z?' (ARE) ? (A EA CODE) STATE: 1vV-j ZIP: Jr' J'r? bci"???? ol....,. .. ..I.....L ..,.,.b .,....a b. al.- .. ..,il .....L 1....n New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: :l.l V V'LC? Q_+?-- State Surchar e $ 50 Total ?6--c) Reminder: Cal[ for inspections. CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECiiA1VICAI. PMiT APPLiCATIOR CiTY oF EAflAN S$SO PILOT KNOB itD EAs",MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN TffiS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE#: - (AREA CODE) STATE: ZII': WORK TYPE: New consuuction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping SpecifyNature of Work When installing/removing underground tank, call 651-681-4675 for inspecdion by Fire Marshal and Plumbing linspector. Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installarion = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol CT7V OF FAGFlN CASHICFi°, tIG IIN7E: ; 01/14/98 0 TYii r TEf+'MINAL N'!,^, 871 7IMi4=: 13:+"?2:.`i i NAHE: ALL.'f..F..U FIFiC3S1iE zNr 32:L0 9001 :LE,'c':i IIIC:I:UF'Y H:f. 50.00 2155 9001. 1.6251 F•I'ICY,ORV H7'. 0.150 To+.al. fiecc.,ipt, Flrtiot.n+: r. 50.50 CRClfl54ES2 USEfi IIi: MFtF:I..YNN -'VCITY OF EAGAN 3830 Pil?T, Knob Road Eagan,A?nnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 031349 01/14/98 SITE ADDRESS: 1625 HICKORY HILL LOT: 25 BLOCK: 1 WOODGATE 1ST P.I.N.: 10-84690-250-01 DESCRIPTION: (GAS INSERT) Building--P?ermit Type FIREPLACE Building 4f?r-,k Type NEW ;. Cansus Code 434 ALT. RESIDENTIAL .a? C . . i .C4C*tin. ?l ?i N .? `"".??•"? •at. .... _?^`."4 ? { t REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 a Y CONTRACTOR: - Applicant - sT. LIC OWNER: FTRESIDE CORMER INC 16332561 2909091 CADY DENA 2700 N FAIRVIEW AVE 1625 HICKORY NILL ROSEVILLE MN 55113-0847 EAGpN MN 55122 (612) 633-2561 (612)456-5449 S herebY,,,acJtnawledg.e tkat,.I haue i^ead a.hd_:state,,Ch?att-£he„ informaxion is correct and agree to comply wi,th all applicable Stat6 of Mn. 5tattutes'`artd City of Eagar`t Ordinarkce's. APPLICANT/PERMITEE SIGNATURE n - S3 E Y: fGN T RE 3154q _sgo.jo CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 1998 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: /' /. 3 ? ?,,G DESCRIPTION OF WORK: _ Construct new fireplace ? Install Eas insert onlv Other PERMIT FEE: $50.50 _ Alterations to existing _ Install eas lioe oolv JOB ADDRESS: 162-5 ft<<-i< aYZy HL- (-- LOT: ?_ BLOCK: I_ SUBDMSION/P.I.D. #: APPLICANT (circle one only): OWNER ONTRACTOR 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. Nazne: ?A ? 1 ?t4i-?A 4 WWyZkZ(5?J Phonetl?S6 ? PROPERTY Last First OWNER StreetAddress: /6 L 5 Mc../LO%c. y Iz [ --%,-- City ??-A CiA 1 State:4 4L_Zip?Y/2-2- -?4- 633--2:?_6 1 Phone #: LO --0 75-p- FIREPLACE zINSTALLER po??? 1/44 ?1,41 / ??c?r' Appr GAS LINE INSTALLER - G? - ff-Y ?9 License # o?, C/ Cityc» 12r3S ?(Ll.,? State: ?4N c Zip? ?_3 7 ri /E . :? ik. w .? . OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERALINFORMATION Census Code. 434 SAC Code O] REMARKS Chimney/flue must be inspected before concealing. . tit,• . :...?».._ . r. . ? i ?"1u ?Au ? .? ; ??CITY OF EAGAN io 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84600-250-01 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1625 HICKORY HILL LOT: 25 BLOCK: 1 WOOpGflTE C? a3ISL? ?3 BUILDING 025240 @3/20/95 DESCRIPTION: ?(ROOPING) Wuilding'-Permit Type Building W6-rk Type ro"? I ? MULTI. (MISC.) REPAIR k. .. n _?- . .? . ' ? ',t M ' ? ; 3 ?.. . ? st5 REMARKS: TNCLUDES 1627 (LOT 26) 1629 (LOT 27) 1631 (L07 28) HICKORY HILL FEE SUMMARY: VALUATION Base Fee 5urcharge Total Fee $81.00 $3.00 $84.00 $6,008 CONTRACTOR: - Applicant - sT. LIC. OWNER: RLLSTAR CONST INC 15935325 0003297 WOODGA7E TOWNHOME ASSOC 3315 N HWY 100 1625 HICKORY HILL MINNEAPOLIS MN 55422 EAGAN MN (612) 593-5325 (612)452-3922 I hereby aeknowledge that I have read this application and stete that the information is correct and agree to comply with al,l applicable State af Mn. ? Statutes and City of Eagan Ordinances. ?o ?O 1 rn.? - I APPLICANT/PERMITEE SIGNATURE --?IS UED SI FiE . _ _` _ _ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025240 03/20J9S SITE ADDRESS: LOTs 25 BLOCK: 1625 HICKORV HILL WOODGATE PERMIT SUBTYPE: MULTI. (MISC.) APPLICANT: 1 ALLSTAR CONST INC (612) 593-5325 TYPE OF WORK: REPAIR DESCRZP7ION (ennFrtir,) INSPECTION FRAMIN6 D. . ROOFING D INSULATION FIMqL REMARKS: INCLUDES 1627 (LOT 26) 1629 (LOT 27) 1631 (LOT 26) HICKORY HILL F L ? L `+ 16140 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDlNG PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd, design: etc.) ? 2 aRe surveys (exterior additions & dedca) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies M Uee preservation plan 'rf lot pletted after 7/7/93 required: _ Yes _ No DATE: 3-16 -4S CONSTRUCTION COST: DESCRIPTION OF WORK: Ttw 04 rsroo F STREET ADDRESS: LOT IL-JI BLOCK 16 , t - > SUBD./P.I.D. #: . PROPERTY Name: L"aoe/gQ,ts few .,ho.,, f- kso<<sr.dA Phone y52 " 3P2 Z- owNeR M• FIP61 Street Address: 16 35 2 7 2 CIry. State: r+? Zip: Z? CONTRACTOR Company: A(lSttir C?s f Phone S93 sV.2s Street Address: 1{W4 /o v License 3a `/7 ; Ciry: ``'ig /S State: Zip: 6'SY2 Z aRCHITEC7/ Company: Phone ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer & water licensed piumber: change are requested once permit is issued. Penalty applies when address change and lot 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. , Signature of Applicant• OFFICE USE ONLY Certifiptes of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No ,. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 5F Misc. ? 10 = plex WORK TYPE 0 31 New o 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt.lLodging ? ? 12 Multi RepaidRem. ? 0 13 Garage/Accessory o 0 14 Fireplace o 0 15 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge 3 °?- Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies e-- Total: ffq w Valuation: s 5800 w -..., ? . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 1 - `-qj HVAC: 0-100 M BTU ADDTI'IONAL 50 M BTU GAS OUTLETS (MINIMUM 1@ $3.00 EACH) ADD-ON/REMODEL (EXISTnvG CoNSrxUCrtoN) STATESURCHARGE TOTAL FEES $ 24.00 6.00 $ 15.00 .50 SITE CTI'I': STATE: ZIP CODE: ?Z Z TELEPHONE :# 7 /< -3 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 OWNER NAME: UvQ,0?? ?,??q / TELEPHOiVE #: 7G -5^YK MECHANICAL PERMPf (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMI'LETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENI' BUILDINGS OR OTfER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIl2ED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CGNTRACT PRiCE: FEES 1% OF FEE $_ PROCESSED PIPING: $25.00 MINIMLTM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. d . :»n ::L: :.R TOTAL $ SITE ADD12ES5: OWNER NAME: TELEPHONE #: T'ENANT NAME: (IMPROVEMEN7'S ONLI) INST. ADDRFSS: CITI': STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR / aa 4?? a C-XL? `A3 2004 RESIDENTIAL BTJII.DING PER1ViIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5644 NewConsVUCfionReouiramenLS RemotleVReoairReauirements ' ??? 4?s 3 reg'stered sRe suneys shrnviig sq. ft oi lot, 5q. ft of house; and all roofed arees 2 copies of plan '*!? (20 N. ma?dmum lot coverdge albxred) 7 sel of Energy Calculations ior heated addNons °- e 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sAe survey for addNOns & decks ? ?y??a?"?ih6_t,?'? 1 set of EneTgy Cakwla6ons AdtlNOn - indicate Aon-stte septic system Eti50 3 copies of Tree Preaenation Plan'rf bt platted after 7/1193 Rim Joist Delail Op6ons seledion sheet (bidgs wlth 3 or tess un'?S Construction Cost Sr UR+^ Date C;l T / 1 1a? bLi _ Site Address UniUSte # Ito as l?;c,`?cx - \ Description of Work Multi-Family Bldg_ _XYAVN Fireplace(s) _ 0 _ 1 _ 2 O Telephone # (tpj f) wner Property RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 C'ty State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Mianesota Rules 7672 Energy COde Category , Residential Ventilation Cate9ory 1 Worksheet • New Energy Code Worksheet (q submissiontype) Submitted Submitted . Energy Envelope Calculations SubmiGed Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 whic p r e approval of plans. y? n U ? ??? ? _ _ . ,.?..,. JUN U S 2004 Applicant's Printed Name ApplicanYs Signature ! -- ----- a Sub Types OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea ) ? 31 EM. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. ? 05 03plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-p18x ? 12 12-pleX Plhg_Y or_ N? 25 MiSCellaneouS Work Types , ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demolition (Entire Bldg) - G ive PCA handout to applieant ' Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # af Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const W idth _ Foohngs (new bldg) _ Footings(deck) _ Footings(addition) Fovndation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIREDINSPECTIONS FinallC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Bdck Windows _ Retaining Wall Building Inspector i Y _ `°'°•??,s..,,. ?.av zc.ov rnn roo ari 4400 KCMflALbl°BPfUlS1G7t4['f re al .? . Juno ?, 2oor . C* Of Sam 3836 Rilot Snob Road Eagen, MN 55•122 To Whom k Maq Concern: Etder 7ones is authorized to prin buiIding permlts for Renewal by Andezsm Plcasa t1Iow F1dor ]oncs to providc this sesvicc for us in Fagan. 'ntix etuhprizadon iq valid for any date bayond 6/6/01: watil aJ*nawal by Andsraan msnap?er ?1Y cevokes it tn witcIn? to tha City- I request this auttiodzation Be eccepted oxpedi@onsly. as 6o not dela m thn g. our baildiaS Pounita aaY furthcr. Plcasc caII mc If thcic aro Y, p?oeessiR of ?ntacted at 763-502-4706. °II'S' 9??ona. _ Y can lxi _ ,: Your imm9diabc attentiou to tflis matier is a?eciaoed. o . Sinoeiely. ond ?t. Rau astallation Managcr Renowal by And=cn Cpdration C'.c: Karn-F.lder Snnec C?N D? ?Ci,qMAL MWY M ?0"? „zoos b'f UU Received Time Jut. 7. I:07PM ?,. J_ .fy5'y? ,. ?ek• 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single faznily dwellings & townhomes/condos when perinits are required for each unit ,f 3,0, Sn Date CP / SiteAddress Uttit# Property Owner t+j Telephone # ? -?/ a_ Contractor Street Address ...r•_ • : , ?' - •--- - • • • c -• City State ,...._ _.???. __ . ... Telephone# Bond #: Expires: The Applicant is _ Owner Con4actor _ OtheL Add-on or alteration to existing dwelfing unit ??? ???,?d ?? , $ 30.00 f/ furnace ? _Additional ? Replacement `•?Z/?/Jl04 7dfz!?a4 air exchanger // ? ? air conditioner _New L Replacement .l/?/ other - 0 2005 JAN 2 I v State Surcharge $ .50 l oC/ Z? Tota $ •o ". ' .+t . .. . I hereby apply for a Residentia] Mechanical Permit and aclmowledge that the inforxnation is complete snd accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undersrand this is not a pemut, but only an applicarion For a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a xeview and approval of plans. a +tf,VLf. t/{I / h ApplicanYs Printed Name ApplicanYs Signa e ? ?.,. . 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: cqmmercial/industrial buildings - multi-family buildings when separate permits aze not required for each dwelling unit Date Site S[reet Address Unit # Tenant Name (if applicable) Previous Tenant Name ' Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ OYher Work Type New Construction _ Underground Tank _ Install _Remove'*`see below Interior Improvement _ Install Piping _ Processed _Gas Nature oiWork: **When installing/removrng underground tank, call for inspecfion by Fire Marshal and Plumbing Inspector Permit Fees: $70S0 Undergmund tank installatiadremoval 550.50 Minimum (includes Stare Surcharge) or Contract Value $ x 1% Permit Fee • If ep rmit fee is $1,000 or less, add $.50 =:> $ State Surcharge If eo rmit fee is over $1,000, add $.50 for every $1,000 e?rmit fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,; Applicant's Printed Name ApplicanYs Signature Approved By: ,Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1625 Hickory Hill Lot: 025 Block: 001 Addition: Woodgate 1st PID:10- 84600 - 250 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Dena Beth Cady 1625 Hickory Hill Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA079128 08/03/2007 ePermit