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1642 Hickory HillCITY QF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value •' ? + ? ?'` ' iSQ45 Receipt # Oate ,19 SiteAddress 1hL:•? il;C?.t Y ;:T;??, Lot Block 2 Sec/Sub. "0(`a"ATL Parcel No. a Nan W ; Add ° City ¢ Name .O U ` Address ? City Phone Address City Phone 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 Permittee A Building Permit is issued to:_ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Sfte Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Alloweble) PRV Required # of Stories Booster Pump Length Depth S.F. Totel Footprint S.F. APPROVALS FEES 4. 00 Engr./Assess. Permit -3 Planner Surcharge v Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 '?:oav • ' per k TOTAL ??i Permit No. Permit Holder Date TeIsphone ?k ? Plumbing H.V.A.C. E leCtric Softener Inspection Dste Insp. Commeltts Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp_ n„r , ;• ,..,, , :.:. c _ r .... .. R MECHANICAL PERMIT R CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 D PHONE: 454-8100 Address m 19 c Name Address City El - ; ? Phone _ ? Name , . I ? Address y 4 ?_ , ' O City Phone TYPE OF WORK Forced Air M gTU Boiler M BTU Unit Heater M BTU Air Cond. '_?/M BTU Vent. CFM Gas Piping Outlets # Other BLDG. TYPE Res. V/ Mult Comm. Other # WORK DESCRIPTION New Add-on ' Repair ? RES HVAC 0 0 M FEES , . -1 0 BTU ADDITIONAL 50 M BTU -$24.00 - 6 00 (RES. HVAC INCLUDES A/0' N NEW . ' ,. CONSTRUCTION) ?' ' i . , GAS OUTLETS (MINIMUM COMM/IND FEE - 1% OF AP7. BLDGS. = COI?rlM.. ' ,;i PER PERMI i) ? 7RACT FEE xtPPLIES - 1.50 EA. ? ? TOWNHOUSE & CONDOS MINIMUM RESIDENTIAL FE ., RES. RATE APPLIES ALL ADD ? ? - -ON & REMODELS - 12.00 r MINIMUM COMMERCIAL F, - 20.00 i - STATE SURCHARGE PER , ADD $ 50 S/C IF PERMIT RMIT ICE - .50 i ( . BEYOND $1,000) GOES FEE: S/C: TOTAL• ?. 5 v -- .? CITY OF EAGAN No. cirY oF EAGaN 3795 Pilof Knob Road Ea9en, Minnesoto 65122 Pbone: 454-5100 PERMIT Date: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Site Address; Residential Lot 13 Block Sub/5ec. Multi Res., Comm./Ind. Name New/Alter./Repair . . ; Address Cost of Instollation O ? Ciry Phone: ? Permit Fee ` Name SurtMorge ? ? Address . . ? . _ .. cih' P1'+or+e: Total This Permit is issued on the expreu condition thot all work sholl be done in occordance with oll oppliwble Stote of Minnesota Statutes cnd City of Eogon Ordinonces. 3-I7-81 Buildinq Officiol INSPECTION RECORD CITY OF EAGAN PERMIT TYPE; 'Al 3830 Pilot Knob Road ? Permit Number: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 • SlTE ADDRESS: APPLICANT: ???.? t? i ????; ?} F? ? t i s;,? ?,. r?r?tit • , :,:?I?(? f i i . I ? . „'r; ?n . PERMIT SUBTYPE: TYPE OF WORK: i lil (K ) ? Fgllli ifJfil? I? F '1'NA! ? _I, -------------------- Permit No. Permit Nolder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FdOTINGS FaUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBG FINAL HTCi ORSAT TEST BLDG FINAL BSMT R.I. B5MT FINAL DECK FTG / I DECK FINAL - - - ` - CITY OF EAGAN Remarks Addition WOOd dt@ ISt AddltlOri Lot 3 Rlk 2 Parcel 10 84600 030 02 Owner Street 1642 Hickory Hill state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3p9 STREET RESTOR. pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93.54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM 5EW TRK 1975 * STORM SEW LAT Aql 1975 $1505.70 $100. 38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11222 7-29-74 BUILDING PER. SAC 375.00 9773 12-31-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 4 Rik 2 Parcel 10 84600 040 02 Owner 111'l+.?- Street 1644 HickorV Hill State Eagan, MN 55122 Improvement Date Anlount Annual Years Payment Receipt Date STR EET SUR F. -9 STAEET RESTOR, pgVl.ri 1976 $410.12 $136. 71 3 PAID GRADING a-13 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 * STDRM SEW TRK 1975 * STORMSEWLAT Aqj 1975 $1505.70 $100.38 15 PAiD I CURB & GUTTER SIDEWALK S7REET L1GHT WATER CONN. 11222 7-29-74 BUILOI NG PER. SAC PARK I I CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 1 aik 2 Parcei 10 84600 OlQ 02 Owner Street 11546 Hi r-knry Hi 1 1 State Eagan. MN 55122 '-lLi L v 6?'1 f?F ?? Q`1. ?CLG.-?.n _ SS?/? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ? sTREET RESTOR. Paving 1976 $410.12 $136.71 3 PAID GRADING 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 SEW TRK I975 * STORM SEW LAT 1975 $1505.70 $100. 38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 1122 SUILDING PER. s,ac $375.00 9773 12-31- 3 PARK CITY OF EAGAN Remarks Addicion • Woodgate lst Addition Lot 2 Rik 2 Parcel 10 84600 020 02 Owner Street 1648 HiCknr3Z fii ll State Eagan, MN 55122 . Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. q STREET RESTOR. PAVING 1 410.12 13Fi.71 3 PAID GRADING 1974 115.45 23.09 5 PAID ' SAN SEW TRUNK y 1974 93. 54 6. 24 15 PAID * SEWER LATERAL 1975 15 ' WATERMAIN ? * WATERLATERAL 1975 15 ,k WATER AREA 15 * STORM SEW TRK 19 7 5, * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-29-74 BUILDING PER. sa,c 9773 12-31-73 PARK Plumber: Thomsson_plumhina [`?+ Meter No.: Connec[ion Charge: 520.00 bil7od Size: Account Deposih Reader No.: Permit Fee: 10.09?d 1 agree fo eemply with fhe Villoge of Eogon Surcharge: ?0 Ad Ord'^O"'h• Misc. Chazges. 0y'- 1-0 Total: _ _._?4 BY Date Paid: Date of Insp.: Insp.: VILLA6E OF EAGAN ?' WATER SERVICE PERMIT 3795 Vftot Knob Rood '"? PERMIT NO.: 1406 Eogan.P.:N 53 122 DATE: , 2/27f74 Zoning: PUD " No: of Units: A Un1t TH CITY OF EAGAN N! 15 0 4 5 _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Receipt #12E -)Gl T Tobeusedfor DECK Est.Value $1,000 Date MAY ZD ,19$$ Site Address 1648 HICKORY HILL Lot Z Block Z Sec/Sub. WOODGATE Parcel No m Name A M MEYER ; Address 1648 HICKORY HILL 0 City EAGAN Phone 454-2868 o Name ? Q Addre ? City_ City I hereby ackn owl edge that I have read this application and state that the information is correcl and egree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Permittee A Bwlding Permit is issued to: A M MEYER on the express condition Ihat all work shal I be don e i n accordance wdh a II apphcable State of mnesota Statu es?Ya1?nd City of Ea9an Ordinances. Building Official l~ OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ (ACtu91) Const Ciry Water _ (AllowaGle) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total FootDrint S.F. APPROVALS FEES Engr./ASSess. Permit 24.00 Planner Surchar9e .50 CounCil Plan Review BIdg.Off. SAq City Variance SAC, MWCC Water Conn. Water Me[er Road Unit Treatment P 1 ParkscoPy .90 25 00 TOTAL . ? . , EAGAN TOWNSHIP BUILDING PERMIT ?010: Ownert.Addreu (P....... /.•,Za"l...L._.'..... Buildes ... ................................................ -------------- ......................... _. Addrese .................................. ............................... ...... ............ ......... DESCAIPTION N° 3191 Eagan Township Town Hall Dele ...... ?2_,-!.?/-1..? ................ §loriesI To Be Used--For Fron! Deplh Height Esf. Cosf Permit Fee Remarka c? . ?Sf?S -- ? ? ? LOCATION " - Sfreey Road or 67-4f-7/ - 679-a7 ?ys /& 49 This permit does not authafise . the righf !o creete enp situafion wl general welfare !o anyone in the THIS PERMIT MUST T This ia to eertifp, th _ esJC .... the ebove deaeribed pre ise 1955. of I a se oi streeri, raads, alleys or sidewelks nor doen iY give the owner oc his aganf :6 is a nuisenee or whieh presents a hezard !o the healfh, safeiy, convanienee and ommuniSy. D% EMISE WHILE THE WORK IS IN PROG?yR S5. ?- . ....._?' ... ................. has permission to erect a..l..?S?..l?s?f.:... upoe !o provisions ot the Building Ordinenoe fo,s Eagan Tow ship adopled April 11, Per CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 '/ -a / Oo 0 dga?-Zf PERMIT NO,: 455 The City of Eagan hereby grants to Geo. Sedqwiok Heating i 7VC Oo. y InTING of 1001 Reaia Avenue So., A$ils. 55416 Permit for: (U,,mer) New ROrisoa at 164],3,-6-8 Hickory Hill , pursuant to application dated 1/23/74 Fee Paid: $80.00 dated this 31et day of Jan. ? 19 74 . 2.00 e/c Building Inspector Mechanical Permits: . Bid Total: 3 c?.G. CI'I'Y OF EACAN 379: r•zlot I•u;ob Roaa Eagan, P7innesota 55122 Fr..,RIv[[T NO.: 591 The City of Eagan hereby grants to c_oagw+ ti?g & t+%t' eo- of 7001 Xenia Ave. SQ. j?$isl. 55416 a , Permit for: (Owner) New Horizon xomes m Woodaate I s II 644 46-49-50 Hickory Hill & - at C;rcle ? Pursuant to application dated 10/4/74 Fee Paid: ? inn_nn dated this _ay__day of October ? 19 74 2.50 s/c Building Inspeci;or P,echanieal Permits: Dic Total: 4- . ? czTY oF a,, =:W 3795 Yilot P:nob Fioad Eagan, Minnesota 55122 Ir? ?`??c-?o pz 11ERP-1IT NO.: 43G Ihe City of Eagan hereb,y grants to mhomnaon Ftunt,inQ co. Minnetonka, Uf 199M Tiinno.tonka RIvA Minnasnta 1,5144 a mmNq_ P22'R7].t f01': (CWnex') Nvy,. Horizon itomo, 1633-35-37-39, 7643-+4.F,-47949, 1650-52-54-56, 1642-44-46-48, 1656-60-62-64, and at 167:1 !7E 77 79 purstiant to apnlication datecl _9J2717c _ Fee Faid: $480 go dated this 97*h day of r.,t,.,_arv , 19_7g_ 12.00 s/c P4eeha_:ica.l Yer^tits: BtiLlding InUpectur 7't:,l TuL:J: HOUSE HEATING TEST RECORD D-20935 ADDRESS 1642 HiCkox'y H7.11 APT.-FLOOR CITY OCCUPANT John S Stiune OWNER Yes HEAT LO55- SOLD BY Elechicol Work By _ TYPE OF HEAT GA Dow GAS DESIGN MAKE W7.11Sam8oII MAKE OF BURNER_ Modal 1117"07'5 Modsl Sw_at 7340350 Mux. BTU Ratiog _ INPUT 75s000 Btn AT. MAKE OF FURNACE Model Dote CONTROLS THERMOSTAT Cm 260 Heat Pluq Vent Size n ?? Va1Ve M.H. VSUOC KIND OF LINER Alllm, NONE SIZE 6 Limit RObBh9W RFL 75oA Draff Hood Ver},6C81 Regularor Limit SeNing 2000f Filters Size 16„ E 25" Number 1 Fan Selting 940f &120 f Chimney Lo<otion Inside YeB Outside Pilot Type Couple Chimney Construdi on Metalbeetos Pilot Make Pilot Model Smoke Bomb Pilot Timing 54 Seconde p„ft L.W. Cut Off Prossuro 4•3"W.C?percentCO 7•0% Input CFH 75 Percent O 2 8.7% 2 Smck Temp. 49001' pe?cenT CO 0,00 Form 235 DATE HTG. INST. Gas Line By FA X HW _STEAM -SPACE HTR.- 3A5 C0. METER BADG?e ? Q INSTAILED BY UNIT HTR. -OTHER CON V E RSI ON Wiring Test Tag e6 Pressure Lighting Inst. ? Tested $114/74 Company Testing "04104-1 ion S eeialtiee Name ef Tester SusuRS Eagan HOUSE HEATING TEST RECORD `-W,6, `"' ? ADDRE55-? 1644 Hl'ory Hill ppT.-FLOOR CITY SUBURB Egan oCCUPnNr N*tiL-e OWNER New Horizons HEAT LOSS SOLD BY Elactrical Work By TYPE OF HEAT DATE HTG. INST. GAS C0. METER INSTALLED BY Gos Lina By BADGE # Sedgwisk Htg, fi n GA FA X._HW -STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE Williamson MAKEOF BURNER_ Model 1117-07^5 Modal 5,,;,l 7340845 Max. BTU Rating- INPUT 750000 Btu MAKE OF FURNACE Model CON V E R51 ON CONTROLS THERMOSTAT r'm 260 Heat Pluq Vent Size '?„ Volve M,$, VBUOC KIND OF IINER Alum. SIZE 8il NONE Limit Robshnw RFl, 750n Droh Hood VQrt1C81 Regulntor Limir $atting 200Of Filters $ize 18" X 25» Number Fan $etting 94°f & 120 f Chimney Location Inside Ye9 Outside Pilot Typa COllpl@ Chimney Construction Met&Ztl@B t8B Pilot Make Pilot Model Pilot Timing 64 SeCOllaB L.W. Cut Off Pre:sure `}•6nW,C•PercentC02 7.0% Input CFH 75 Percent O $•7? O 2 rW Stack Temp. ?70 f Porcent CO 0.0vp Form 235 Smoke Bomb Wiring Draft OK Test Tag YQB Door Prassure Lighfing Inst. YQB Date Tested 8/12/74 Compony Testing C• b 6 OR $ Ci 1ie9 Name of Testar n'""? HOUSE HEATING TEST RECORD D-20935 ADDRE55 1646 HickoTy Hill ppT. - FLOOR CITY SUBURB EagSn OCCUPANT Ihomas Hu$e8 OWNER Yes HEAT LOSS- SOLD BY Electrical Work By TYPE OF HEAT _DATE HTG. INST. GAS CO. METER BADGE # INSTALLED BY Sedmwick Htg. Gas Line By tt ff GA_FA x HW -STEAM -SPACEHTR. -UNITHTR. -OTHER GAS DESIGN SmsaTl wi117 MAKE . MAKE OF Model 1117-07 5 M,del _ Swial 7340849 Mo:. aTu INPUT 75„000 Btu/llr. MAKE OF CONTROLS THERMOSTAT HQ°t VPlu ? M 8 O H Valve U C . . • Limit Robehaw RP'L 750n Limit Saifing 2000f Fan s,xiny 90°f & 120°f Pilor Type Conple Pilot Make Modal BURNER CON V E RSI ON Roting - FURNACE Vent Size q'- KIND OF LINER p'1um• SIZE B° NONE Droft Hood Yertical Regulamr Filters Si:e 16"E 2511 Number 1 Chimney Location Inside 1'e9 Outsida Chimney Construction Metelbeatos Pilot Model Smoke Bomb Wiring Pilot Timing 54 Seconds Draft OK Test Tag Ye8 L.W. Cut Off Dou Pressura Lighting Inst.Yeg Pressure 4• 6"W•C • Percent CO 2 7•0 Date Tested S f 15174 fAies Inpuf CFH 74 Parcent OZ 8.7% Company Testing COm `? eStack Temp. 4400f Percent CO ?•? Name of Tesror ----- Form 235 HOUSE HEATING TEST RECORD D..20985'?'???' " - ADDRE55 1848 Hiekorg H311 APT._-FLOOR CITY SUBl1RB FAgaII OCCUPANT ?'gteP@ A TQggffiCX' OWNER Yes HEAT LOSS- SOLD BY Elechical Work By TYPE OF HEAT GA DATE HTG. INST. GAS C0. METER BADG # INSTALLED BY ???6k Atg. Gas Line By * n _ FA ? HW _STEAM _SPACE HTR. UNIT HTR. _OTHER ESIGN GAS wiiliagsR MAKE MAKE OF BURNER_ Model 1117'07"5 Model Serial 7340840 Max. BTU Rating- INPUT 75,,000 MAKE OF FURNACE CONTROLS THERMOSTAT CIII 260 Heat Plu Valve M•H• v$?Oa Limit Rsbahaw RFL T50G Limit Setting 2000f Fan Se»iny 90*3 & 120*f Pilot Type Pilot Make Pilor Model Model CONVERSION 4„ Vent Size KIND OF LINER A1UM• SIZE `" NONE Draft Hood VBI't"81 Regularor Filters Size ig« a 25* Number 1 Chimnay Location Inside y*8 Outside Chimnay Construetion MoUlblates $make Bomb Pilot Timing 3T Seaonde Draft Wiring - Test Tag L.W. Cut Off Dow Pressure Lighting Inst.s`e Prossure 4_8"_ C?percen/COZ 70% Date Tested 8I14" ft4 InputCFH 7g _Percent OZ Company Testing Staek Tamp. '??Aot Percent CO 0.00% Name of Tesror Form 235 ? yau?ae oF uaM ` WATER SBRVICE'PBRMIT '_ ? ' a7vs wbr K?oe Rooa ? „ ? 1406. ,? ; PERApTNO.; ? ,, ? Ea9om, MN 35122 DA7'E: ? , . ? '1 Z . ? , i :, . , • : +', Zoning: PUD . No. ot U?M: 4 tlA1t TH Owner: Nev u rizen H?8 i Address: • ? Site Addreas lfi -9fi-d9 Hi n?n Zy gt l} r' :?, ? a ;a i ? . Tlnmber: , 9 Meter No.i ' 31ze.? ' .. " . Aeader No.: Peturit Fee lb Ap g? ogroe b eomply wiM fM YOlop of Loym , _ ? SGtc68t$! .50 . ' . blfac. Charges: ' . . . , • ' ? ' . ? . ? ? , , Total: BY Dete Paid: ? . . Date of Insa.: --- . ? r..... . ? ' ? . . . . • . ? . . ? . .1 ? .i i r i .1 , .l - 3-? ? ,1I-?.1. .... , _ f, , ? ??••?w ' ? 1 . l YILLAOE OF EApAN SEWER SERVICE PRMI 3795 Pibt KnoA Road PERAf1T NO.: 2159 ? Eaqan, MN 39122 DAT'E; 1/27/74 Zoning: ----?U?-_------ - No. of UNb: _._ e yni Tli Owntt: _ tarxdaa -_-NffW HoYlson ltomes Addrees: _T Site Addmes: _1648-46-4q-q? HiCkolp Hlll Plumber: 1 aym ro comPir ..iew th. vuko. eF 500. 00 pd Ieg.n Connecnon CharQi 12/31/ Ord{nanc•.. . Account Depodt: 73 PernUt Fce: --- 10. 00 pd Surcharge: ? .50 pd By' Mlw. Charaes: Dale of Insp.: _ Tocal: ' Insp.: Date Patd: ? h5' e. ? .. • . .!]' 1 i' A.i?G i MA " _ . ... . . . , 4GaA.,. •"}` ' - I ? . y'?''f.:Yla`i' IY' 'y;:•?`•- u;s'w'?. .. ? IYt ! ? # f? i i 1 I x _ 11 1 ; I } / 1 . F i ? Y f y ? ? ? . . . . . , . . . ?'? !? .. . 12981 41ok City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F-F ---------------; or Ott(?e#.t??s.?/g ? ?( I j Pertnit#: ?% (" 2 I ? 1 PermitFee: I I Date Received: ? I I I Stafl: ? I -________________? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l1 ' 3-C> '6' Site Address: 16 Y Z H/CAf , 7z(?' .u ff-c Di2 Tenant: Suite #: RESIDENT/OWNER Name: /4^ 5 6-`i' N(G[ Phone: 6(Z" 2-97 - 8?! Address I Ciiy / Zip: d 'cZ Applicant is: _ Owner ?, Con[ractor TYPE OF WORK D??cion9of worb"'i?Z Construcuon Cosk 'Tq w-? Multi-Family Building: (Yes / No CONTRACTOR Name: A ?Y,- License A: a2r21693R-3 Address. a?I?D SkDIC j?L ??J ? /(Jo zip: SS 33 ' C State:/Yi L /U`? o! L _ ,c. J City: U 6Z Phone: ?15.Z-'702- l?/ Contact Person: CtY1) ?Y ?S TC rNC R COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672 EnBrgy CodB • Residential Venulation Category 1 Worksheel • New Energy Code Worksheet C2tegory Submitted Submitted (4 submission type) • Energy Enveiope Calcula[ions 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: MechanicalContractor:____ _ Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documenfs that you submit are considered fo be pub7ic inforina'fion.e'P,aili"nsidf ` >Cify fo the information may be classified as non-public if you provide specific rea'sons tfiat would, permif tlie ? " rets. " conclude that the are frade sec I hereby acknowledge that [his inbrmation is complete and accurate; that the work will be in conlormance wRh the ordinances and codes of the Gry oi Eagan; that I miderstand Ihis is not a permit, bu[ only an application for a permit, and work is not to start without a permiL ihat [he work will be m accordance vnih Ihe approved plan in the case of work which requires a review and approval 01 plans. 1--) ^ X dvl/TF-,k A, 60V-1V,0 X ?? ? ?-'? ApplicanYs Printed Name A cant' Signafure Page 1 ot 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 07 of _ Plex ? 02-Plex ? 03•Plex ? D4-Piex WORK TYPES ? New ? Addition ? Alteration ? Replacement DESCRIPTION: Valuation Plan Review (25%_ 100% Census Code _ k of Units # of Buildings ? Type of Const. ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace CJ Porch (3-season) ? Ext. Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF O 08-plex ? Deck C] porch (screen/gazebo/pergoia) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage ? 12-plex O Miscellaneous ? Interior Improvement ? Siding ? Demolish Building' ? Move Building ? Reraof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to appiicant Occupancy Code Edition Zaning Stories Square Feet Length Width REQUIRED INSPE6TIONS Footings (new bldg) Footings (deck) Footings (addition) , Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.1. _Air Test _Final Insulation Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final/C.O. Final/No.C.O. HVAC Other: Pool:_Footings _AidGasTests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 12980 City of Eap 3830 Piiot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F----------------- ? Fau'ol?is's"SU's'e ' ???]]] // I j Permit #: ? ? .. ? ? Permit Fee: 00 ? I ? ? Date Received: ? i ? i Statt: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I( - ?) -O O Site Address: / l:J '( `I 62 Cl4 0/1:? Y ft r« C) fZ Tenant: Suite #: RESIDENT / OWNER Name: Phone:(o S/ ^ Z/ Y Y0 72 ? Address 1 City 1 Zip: ?6 el'( f{YC-A?GVLLl' zZ Applicant is: _ Owner /4", Coniractor TYPEOFWORK .- Dese,criprhonaoSwork?'??O-/R?Co Construction Cosl ? 00.CD Multi-Family Building: (Yes No , CONTRACTOR Tlv[ License lt: ? TJ 693R3 Name ?(??K, l a462o rKoJcia( f2v? /c ° Address ziP:fS33 7 i( C stace:4? f ?NSv?L c (:? .. , _ _ , cicy: u Phone: a15 a-?O??IS ! Contact Person: AY13 0 Y S TE (h)C. P? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy COdE • Residential Ventilation Category i Worksheei • New Energy Code Worksheet Cat6gory Submitted Submitted (4 submission type) • Energy Envelope Calculanons Submittetl In the last 72 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 su6mif are considered'to be pub7icinformatiofi.:-P,oition§'of the intormafion may be classified as non-public i1 you provide specifiareasons tfiaf would permit Ehe Ci£y to conclude ihat'the are trade secrets. I hereby acknowledqe that mis iMOrmation is camplete and accurare; ihat Ihe work will be m contormance with the ordinances and cotles ol tne aty oi Eagan; that I understand this is not a permit, but only an applicanon for a permit, and work is not to s[art wrthout a permit; ihat the work will be in accordance with the approved pian in ihe case ol work which requires a rewew and approval ot plans. x Aan$tgn ApplicanYs Printed Name A ure Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace 0 Porch (3-season) ? Ext. Alt. - Multi 0 Ot of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck 13 Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex 0 10.plex ? Lower Levei ? Storm Damage ? 04-Plex ? 12-plex 0 Miscellaneous WORK TYPES ? New ? Interior improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteretion O Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - grve PCA handout ro applicant DESCRIPTION: Valuation Occupancy MCE5 System Plan Review Code Edition , SAC Units (250%_ 100% Zoning City Water Census Code Stories _ Booster Pump k of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPEGTIONS Footings (new bidg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test _Final Insulation Reviewed By: RESIDENTlAL FEES: Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. FinaUNo C.O. HVAC Other: Pool:_Footings _Air/GasTests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector Page 2 0l 3 12982 ?----------------- ? Pot?<dili'ce?u?seS I j j Permit #: v-7 C/ 7 5? ? Permit Fee. I ? ? Date Received: ? ? I I ? I StaH: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?"30 ' 0 % Site Address: `G Y6 Il (ClcLYC 4' NIU Q 2 Tenant: Suite #: RESIDENT / OWNER Name: 0o Nnr,4 Phone: Address / City ! Zip: 14C- 5,' Cv H!C/cv'L.Y H/? AIt ? C--<J-G /•4r<J S'S? z Z Applicant is: _ Owner ?Contractor 0 l.t&r' TYPE OF WORK _ Descnption o work: ,?. ? 2c?Td= Construction Costf iq).e? __ Multi-Family Building: (Ye; _ / No _) CONTRACTOR Name: C ^z:G?L License #: ZU( Address: .ZP 6O ?tc D(G/A-L P-0. 41-/00 City: gu 21tJ5 ui c X State: f14 Zip: S`S 33 Z Phone: Y5Z'7o7- 6 9 ?5- S Contact Person: Gvtw-,[ cc 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Enef9y COdE . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted Submission type) • Energy Envelope Calculations Submitted In the last 12 monihs, has the City ot 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 Contraclor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents fhat you submif are considered to be publlc Intormatlon. Portions of the informafiort may be classified as non-public il'you provfde specifiq reasons that would permit fhe Cify fo conclude4hat Ithe are trade secrets. . I hereby acknowledge that this intormation is comple(e and accurate; Ihat the work will be in conformance vnth the ordinances and codes of the Ciry ol Eagan; [hat I understand Ihis is not a permit, but only an application tor a permit, and work is not to start without a permit; that tha work will 6e in accordance with the aooroved olan in the case of work which reouires a review and approval ot plans. x h?t•g-/C« R, R;c?ici<,E- ApplicanYs Printed Name X A.pReanPs SigngtUre- Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? tbplex ? Accessory Building ? Poo1 ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? Ot of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Piex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 70-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (enlire building) -give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories , Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test Final Insulation Reviewed By: Sheetrock FinallC.O. Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Trea[ment Plant Copies Totai Page 2 of 3 12983 City of Eapn 3830 Pilot Knob Road - Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?-Fo-rA-tti-ce - - - - - - - - - - - - ; j Permit #: I ? PermitFee: 9L??l.'? ? I ? Date Received: I I ? I Statt: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: 5' 3v`o b' SiteAddress: Z(a Y?r A11C(ccW_Y /(/LL O2r Tenant: Suite #: RESIDENT/OWNER Name: i}-a2pYc--L W rYE9- Phone:(as/-YSY•2868 Address / City ! Zip: /(v `( $ H /Gl«T/LY f-1lCL 1?2, ?i4? ?W S S ( Z? Applicant is: _ Owner Y, Contractor TYPE OF WORK DescfipYMf work: Construction Cost: Multi-Family Building: (Yes ' No CONTRACTOR Name:.4P,2C 7 ?Yl/(License #: ? D l G,!'r 3 Address: /00 City: ? k?LI(?$(/l ?-C. ? State: 41 d Zip: Phone: 95-2 - 707• (y FSf' Contact Person: /M /H2.Ge- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Enelgy COde . Residential Venblation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 Conlractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting documents that you submit are considered to be public In/ormation. Portions of the infarmation may be classified as non-public if you provide specific reasons that wou/d permit the Cify to' co'nclude fhaf fhe are frade secrets. I hereby acknowledqe that this information is complete and accurate; ihat the work will be in conformance with ihe ordinances and codes ot 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; Ihat the work will be in accordance wrth the approved plan in the case of work which requires a review and approval of plans. x i:? F_GC1%C_ x //Y1/If7`• ? ? ApplicanYs Printed Name Ap anTs %nattife Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? pccessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-plex O Deck O Porch (screeNgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plez ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout lo applicant Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 700%, Zonin9 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test _Final Insulation Reviewed By: Sheetrock FinaUC.O. FinallNO C.O. HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding:_Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTlAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 0( 3 : , Name: oayL1. a? Foundation Onl New Construction Interior Im rovement • SWcturel Plans (2) sets • Architedural Plans (2) sets • Architecturel Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Malysis (1) . Certificate of Survey (t) • CIvIIPlans (2) • ProjectSpecs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1) • Projed Specs (1) . Code Malysis (1) " • Master Exit Pian (1) • Spec. Insp. & Testing Schedule • CeNfcate of Survey (i) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & lighting Form (1) not always" . Meter size must be established • Meter size must be established • Meter size must be estabiished - if applicable . ProjectSpecs (7) d • EnergyCalculations , (1) " I 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • SoilsReport (1) d • MC/ES SAC determinatlon lelter • MGES SAC detertnination letter • MClES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department ot Health. (:all tib1-['I o-uiuu tor oecaus. Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: 1\-`}-pZ WORKTYPE: _ NEW _ REMODEL SITEADDRESS: )ikoQq , ? TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Last COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 CONSTRUCTION CO?ST: ??OJL\ C=A? ) Phone k: (i4? ' g? Company: \.2 Suee ess: City: Company: _ Nazne: Street Address: City: Licensed plumber Installing new sewer/water Registration #: J?U_ State: Zip: Phone #: ? IJ I hereby acknowledge ihat I have read this application, state that the information is correct, and a "E?4o ip{? ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?`.?! 0 Signature of Applica? Updated 7/02 State: \v_? Zip:t-?s, \??° Phone #: ( ? UJ ? ?` First Phone #: kn.(_ ?z '\? lic' City: C?w v State: "?-? Zip: ? l\'? - OFFICE USE ONLY _, • SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacetnent ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building 0 Insulation Q Plumbing ? Stucco/Stone Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total WOODGATE 1ST 84600 PERMIT DATE & TYPF. i.(lT $j, ADDRF.CC 8/73 4-PLEX 010 Ol 1681/ HICKORY HILL 020 01 1683/ 030 01 1685/ 040 01 1687 I 1/73 4-PLEX 050 01 1673/ HICKORY HILL 060 01 1675/ 070 01 1677/ 080 01 1679 12/73 4-PLEX 090 01 1665/ HICKORY HILL 100 01 1667/ 110 01 1669/ 120 01 1671 12/73 4-PLEX 130 01 1657/ HICKORY HILL 140 01 1659/ 150 01 1661/ 160 01 1663 12/73 4-PLEX 170 Ol 1643/ HICKORY HILL 180 01 1645/ 190 01 1647/ 200 01 1649 12/73 4-PLEX 210 Ol 1633/ HICKORY H1LL 220 01 1635/ 230 01 1637/ 240 01 1639 12/73 4-PLEX 250 Ol 1625/ HICKORY HILL 260 01 1627/ 270 01 1629/ 280 01 1631 12/73 4-PLEX 010 02 1646/ HICKORY H1LL 020 02 1648/ 030 02 1642/ 040 02 1644 PAGE 1 OF 5 3 MASTER CARD , -?, s? $JC ?-- Permii No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING - GAS INSTAILING ? SANITARY SEWER OTHER I OTHER I I I Items Approved (Initial) Date Remarks Distance From Well FGOTING d_ ,ty_ v,i SEPTIC FO U NDATI ON CESSPOOL FRAMING . TILE FIELD FT. FINAL ELECTRICAL HEATING ? , DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED ' CERTI FICATION - I cettify that I have carefully inspected the abrne in which I have no interest present or prospective, and that I have repotted herein ali significant conditions observad to he at vanance wi[h ordinances of the Town of Eagan, approved plans and specifications, and eny specific require- ments tor off-site improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR OATE !O? 23 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS lsoq? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SORVEY - CHECK WITH BLDG. DEPT.r 1 SET OF ENERGY CALCULATIONS COP4IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - -, .. - 5 ` ?-- To Be Used For: &ao-et?- Valuation: os0 .u D Date: Site Address 3r xzc,?.?? OFFICE USE ONLY -? j CCi jJ ' Lot ? Block y I On site sewage MWCC system Parcel/Sub On site well _ City crater Owner? PRV required _ Booster Pump _ Addresd'S6?irrzP, ??--9-=-A--- City/Zip Code Phone `4<5`,el- ;7- Z( ? 9PPROVALS Contraetor Address City/Zip Code Phone _ Arch./Engr. _ Address City/Zip Code Phone Ik Engr/Assess Planner Couneil Bldg. Off. Varianee Oceupancy Zoning Actual Const A1lawable U of si:ories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? I 5v CITY USE ONLY BL ? RECEIPT L ? 19 / SUBD. DATE: `--/9 F? 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES F,ACF1 NQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c Floor Drain 3.00 x = Gas Piping Outlet' minimum -1 3.00 x = Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations " to exisang 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 r TOTAL oZ? SITE ADDRESS: OWNER NAME: r-19 N K G? '/?ls o r[? INSTALLER NAME: r L lokil `'> STREET ADDRESS: cin: _S??? ?,; s f?^ Y( STATE: / fY 2ziP: /,: PHONE #: ( )?.N=7 jv ?f OFFICE USE ONLY L _ BL _ RECEIPT #: SUBD. DATE- 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease wmplete for. . all commerciaUindustrial buildings. ? multl-family buildings when separate permits are ng,t required for each dwelling und. DATE: CONTRACT WORK TYPE: _ NEW CONSTRUCTION _ ADD ON DESCRIPTION OF WORK: REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLEDT YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILI YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgnjd fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ ciTV: PHONE #: SIGNATl1RE: OFFICE USE ONLY METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: ITY OF EAGAN P3;,930 Pilot Knob b R o a d Eagan, Minnesota 55122-1897 (612) 687-4675 SITE ADDRESS: p.T.N.: 10-84600-030-02 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1642 HICKORY HILL LOT: 3 BLOCK: 2 WOODGA7E 15T BUZLDIN6 028450 08/01/96 DESCRIPTION: (DECK) E?-uil?di'r'ig Permit Type %Building Work Type ?Census Cade x? 9 . . ' .A... ? S ? STORM DAMAGE REpAIR 434 ALT. RESIDENTIAL t?. ...?'3?? _:?s, .A_ -?_, REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Rpplycanz - LABRIE MARY 1642 HICKORY HTLL EAGAN MN 55122 (612)688-0782 I hereby ac{cnowiedge thpC?I haye read this applicatifln and state that the informption is corre`ct end agrse to comply with,all applicable State of Mn. 9tatutes- and -City of Eagan `Oriiinances_, ° . APPLICANT7PERMITEE SIGNATURE ISSUED B SIG ATURE -? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 lt4so 96 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruelion Reauirements RemodeVReoalr Reauiremen[s ? 3 repistered nile aurveys ? 2 coples of plan ? 2 oopiee of plana (indude beam E window sizes; poured Md. design; ete.) ? 2 atte surveys (exterlor etlditions & decks) ? 1 energy celculatiom ? 1 energy ealafalions for heated addHione ? 3 copiea of tree preservaNon p1an H Id pletted after 7/1/93 mqWred: ,_ Yea _ No DATE: ?! I ICCv CONSTRUCTION COST: a 1oo' DESCRIPTION OF WORK: STREET ADDRESS: I L? ' LOT ? BLOCK ? _ SUBD./P.I.D. #: PRQPERTY Name: C1_a fW4 11 PhOn2 #: 6? OWNER i r""`i , in i Street City: CC(AaC)V1 _ State: coNTRACTOR Company: ' Street Address: Ci{y; State: ARCHITECTI Company: ENGINEER Name: Zip• Phone #: License #' Zip: Phone #• Registration #• Street Address• City: Sewer & water licensed plumber: ehange are requested once permit is issued. State: Zip: Penalry applies when address change and lot 1 hereby acknowledge that 1 have read this appiication and state that the infortnation is correct and agree to comply with ail applicabte State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 0''G 6 - ;6? 3", OFFICE USE ONLY Certificates oi Survey Received _ Yes No Trce PreservaGon Plan Received _ Yes _ No BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex D 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE 0 31 New o 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? a 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? 0 14 Fireplace o 0 15 Deck ? 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft SNV Permit 5/W Surcharge Treatment PI. Road Unit Park Ded. Treils Ded. Other Copies Total: Engineering Vaiuation: $ r?.?... ? ? 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 Bidg Census Unit Variance 96 SAC SAC Units For Office Use Permit#: / /a � EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c�cityofeagan.com L 7 20185RESIDENTIAL BUIctLDIN1/G PERMIT APPLICATION Date: g- ( — l v Site Address: 6 Y�� I'6 ` Y _ (O Lth ,6citg �C�� ‘Unit#: Name: 'AV ddc�r"°V 1/411`v11 ke tr A �C'cl, >,y„I Phone: t7 1' sf'' 23 ' Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: /5 (/C)1 D Multi-Family Building: (Yes X. /No ) B �`d � ,541 Company: � Address: 7 57 3 Faz C74 rd C City: Farm• <n(`/ `1 Contractor 7.50Z---87/ Q 6 State: 118 Zip: 55T Phone: —v Email: License#: V ( / O0 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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. Portions of the information may be classified as non-.ubhc if ou rovide •ecific reasons that would •ermit the Cit to conclude that the 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.citvofeagan.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.gopherstateonecall.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 approval f pl ns. vt1 r1---1dc,.s; x Applicant's Printed Name App cant's Signature