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1643 Hickory HillCITY OF EAGAN Remarks Addition Woo3gate lst Addition Loc 17 eik 1 Parcel 10 84600 170 01 Owner ? u?, }'F t'i• ',L'1)Ed1r f-) 5treet 1643 Hickor'y Hill State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F, STREET RESTOR. Paving 1 410.12 $136.71 3 PAID GRADING PAVI 23 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK yq 1974 $93.54 $6.24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 1$ *STORM SEW "e LAT 1975 $1505. 70 $100.38 15 PAID * STORM SEW LAT trk 1975 CURB & GUTTER SIDEWALK STREET LIGHT wATER CONN. $130.00 11222 2-29-74 BUILDING PER. sAC $375.00 9bob - 11-21-73 PARK CITY OF EAGAN Remarks Additioa Wocdqate lst Addition Lot 18 B1k 1 Ownerr I iQ, i-'- 01- Street 1645 Hickory Hlll Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.pavin 1976 $410.12 $136.71 3 PAID GRADING ' PAVTNG 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK ay 1974 $93. 54 $6. 24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 *STORMSEW4fMC LAl q 1975 $1505.70 $100.38 15 PAID * STORM SEW LATtTk 975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 30.00 11222 2-29-74 SUILDING PER. sAC 9506 11-21-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 19 Rik 1 Parcel 10 84600 190 Ol Owner(rouf m r&1A11N- Screet 1647 Hickory Hill State EaGan, NIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 309 1976 $410.12 $136. 71 3 PAID ' GRADING PAVING 1974 $115.45 $23.09 PAID SAN SEW TRUNK 1974 $93. 54 $6.24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 ZS * STORM SEW Tiaff 1975 $1505.70 $100. 38 15 PAID * STORM 5EW I.AT.t CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11222 2-29-/4 BUILDING PER. sac 9506 11-21-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Loc 20 eik 1 Parcel 10 84600 200 01 owner 'QG?.*'h L. `:?F, - 0A Street 1649 Hickory Hill scate Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTORpdVlll 1976 $410.12 $136.71 3 PAID GRAOING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93 . 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATEfiMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK * STORMSEWLAT Aq 1975 $1$05.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130. 00 11222 2- - BUILDING PER. SaC $375.00 9506 - - PARK CITY OF EAGAN ' 3795 Pilat Ksob Rood Eagan, MN 55122 N2 4871 PHONEs 454-8100 BUILDING PERMIT Receipt # To be wed for ; /:3ASt::lts4'Walue EOO.ti)L, Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. 7Oo'Jc: ar'? r J.r 't Aiter p Zoning Porcel # Repair ? J FIre Zone ''g° 0 Type of Const. ? Nome ?'?luit ii L.. Swensor. MoV ? # Stories Z ? Address . - Demolish 0 Front ff. Ci .. ?_. Phone Grade ? Depth ft. ? 0 Name Approvals Feas ? u? ?? f' f Ih. DHnna Name /lddress Assessment - Woter 8 Sew. Police Fire Eng. Plonner Counci I Pe?mit ?.0, r Surcherge Plan check 5AC Water Conn. Water Meter I hereby acknowledge that I hove reod this opplication ond state thnt Bldg. Off. the infvrmation is correct and agree to rnmply with oil opplicoble State of Minnesota Stetutes and City of Eagan Ordinonces. APC Totol - Signature of Permittee A Building Permit is issued to: on the express condition that ell work shall be done in accordonce with al) opplicoble State of Minnesota 5tatutes and City of Eagan Ordinances. Building Officiol rennk # pah lowd FouIMw Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Find Footings Dote Irap. Dafa Intp. Foundotion Plumbiny Frame/ina. • /f ' 7 hAechanicol Fi?,ai 3- i Remarks: INSPE(;TION RECORD ? CITY OF EAGAN PERNIIT TYPE: I I I I OfN'; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 -.. ? ,,. SITE ADDRESS: APPLICANT: ? ? ?c??l?,i; ? 1 .= 1 i t 's .. j ?l.?t? .'tt 'r, .' PERMIT SUBTYPE: TYPE OF WORK: -i I T F RA f 1 0M 6AI*' i uu/FrA`i I,.INE 1 INSPECTION .. • .A PermR No. Pertnk Holde? Date Telephona # ELECTRIC PLUMBING HVAC Inspecdon Dats Insp. Comments FOOTINGS FOUND FRAMING ROOF(NG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST • FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FlNAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , ; , . ? ? ? ? ? , ?,:. ??? ?i r t i , t 14 000ufl I t PERMIT SUBTYPE: 11, : ;, f•1 l iJ F, E k w',Iti p 1 t(IN APPLICANT: TYPE OF WORK: i?i -I. 11 I Il!1'i (:1ifll im+, h 1 NAI ? I u i aoi I i_ttl 0AY i4/,j 4 Rf. F'A ! K I I+nut i IV?i > I ? I d A NP:`.: [NI 10 1:+1 '; lf,qt. {I ()( 113) 1 6 4 7 ( lt)J 1') ) 16414 ( f i' { ?'N) NIi htlky 11{i I ? L??---- ----------- ------ -- ? PermR No. Pertnft Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commertts Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Flnal Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Deck Final Well Pr. Disp. WATER SERVICE PERMIT I LAGE OF EACAN 1404 'PS Pilo+ Nnob Rood PERMIT NO.: - 2 27L74__. MN SS 122 mn. DATE: _?_-. '1 Unit TH PUD --- No. of Units: -- ,?inR: -- ----- --- New HoriZOn Hom . , . , ,,, r: _ ,?L--1_ L 164?-45-4 -49 ickornr A111 ?. Address: _ _Thompson Plwahing Co_$520.00 billed Connectian Charge: _? - I•tr.r No.: Account DeWgit` ;i?; 10.00 pd ndrr No.. Permit Fee: -. SO pd ??qroe ro comply with tha Viiia9e of Eagaa Surcharge: _ d.noncn Misc. Char¢es: 7'otal: - i' Date Paid: -- ,cc ai LnsP.= InsP.: «».Gaue oc ¢acnx ;-79i PiloeKnobRoad cogon, MN 551II +,uninK: -PUD ?Owner. -_ Woodga - New Rori ti:tddress: ?e Address: 1649-47-4_-43_ H1ck ^1um6el: Thompson Plumbin?CO, SEWER SERVICE PERMIT PF:AMCT NO.: -2157 UATE: 2/27/74 No. of Units: 4 unlt TH s eqrH fo tomplr wifh tM Villoga of Eagan Connection Chazge:1500.00 pd 12/31 e).dinoneas. Account Deposit: 73 Permit Fee: 10.00 pd Surcharge: .50 pd= rly: Misc. Chazges: ? ka1e of Insp.: Total: ?nyp.: DatePaid: ? cirr oF Er?cwN 3795 Pilet Kno6 Rood Eagan, MN 53144 PHONE: 4548100 BUILDING PERMIT APPLICATION N4 4871 Receipt # /07(, ?- To ba uced for FINISH ROOM/BASEMEIITVoIue 600.00 Date 79- Site AdQress 1649 Hickory Hill Erect ? 1 Occupancy - LV Lot Block Sec/Sub.Woodqate first Alter 9 R? Zoning Parcel # Repoir ? Fire Zone V Enlarge ? Type of Const. rc Name Judith L. Swenson Move ? # Stories Z ° Addres 1649 Hickory Hill penwlish [D Front ft. CitY . x agan ??.s,,, _.Phone Grade ? DeDth fr. z o0 u u? ? Name _ Mdrea Name _ Address I hereby acknowledge thot I have read this application and state that the information is correct and agree to comply with all opplicoble State of Minnesoto Stotytss-end City of Eagan Oydipences. Signature of Permi e e-F- A Building Permit is iss all work sholl be done in a?Q rdcr?ee with o e ' ble Building Offit(al .c Assessment _ Water & Sew. Polite - Fire Eng. Plonner - Council _ Bldg. Off. - APC - Fees Permit 5.00 _ Surchorge .50 Plan check SAC Water Conn. Water Meter Total 5.50 on the express condition thot State otMinnewta Statutes ond City of Eagan Ordinances. .,?, . EAGAN TOWNSHIP BUILDING PERMIT Ownex ..?"o,ddrecs (p e n : ......c.. ? Bullder .....................'---........_._..............................._......--'--------....... Addreu ..... .................................................. .......... DESCAIPTION N° 3191 Eagan Township Town Ha11 Date .....?'?..^:?I?-7? ............... 6foriec To Be Used For ? ?= Kn+,f ?Wr?wux.?+?? Fronf Depih Fieigh! I i Esf. Cos! Stf..li? : :•U. Permit Fee ?e14 ?. S?? Remarka or CATION or Gl'- -E:". Thia parmit does aot eulhoAze 2heG(ise oi slreels, roada, alleys or sidewalkn nor does if give the owner or hia agan! the zigh2 fo creale anp sifuafion which is a nuisaaea or which presenfs a hazaxd fo the healih, safelp, eonvenianee and geaaral welfare !o anpone in the communiip. THIS PERMIT MUST T ? EMISE WHILE THE WORK IS IN PROG?yR SS. ? /. ThL is 2o eeltii9. !ha . ?? a__... . _.. ,-..'__........has permission !o erect a._.l.. ..?.k?..(-(..a1:... _-upon the abova deseribed pr6 ise s j !o ! provieiona of !he Building Ordinanee for Eegan Tow ship adopfed April 11, 1955. .........:...:.li...J--- l`x ..?..:..1............ Per .....----../??a...------`_"`°'.`;- ....... ................... ...... / Chai an of Tnwnoazd ? Huildinq I, e?for V cz Lf or? ??? r?"'rr o?o - 37195 Pi7_ot I;^oo xcaa Min7e:.o'a 5j122 "rEF:r+,TT ?d0.: 831 ^ibe Cit;y of La.gan h=re'_y g:ants to Ideal Iieating & A/C Inc. oi' 3116 Frenont Ave. No., Hpls. 55411 a_Aj,r_LpnJ?_ Pe-°;nit for: (0-4ner)-- J. Svenson -tt ___1649_?rryHill____, pLisuant to application dated 5/7/76 _ Fee Paid: ?S.Op dated this 14 day o" May ? 19 76 .50 s/c Luild.ing Inepector P?ecti-nic2J_ Peimits: Bid Tocal: u?occ;?c?,?w Z cz7^t oF' E;UiiF 3195 Pilot hnob Road Eagan, N,innesota 55122 PE31'1IT NC.: The City of Eagan hereby grants to my,om, aon r]nnt,ing co. Minnetonka, Uf 777n1 rl{nnnf-nnl-a R7 •?7 Minnanot5 ',S143 3 nrrrunr..r Peririt fOTA (C4dI:E`P) +.y+w Norinon TIOmr+P, 1g33-35-37-39, 7.643n45-47849, 1650-52-54-56, 1642-44-46-48, 1658-60-62-64, and at 16,73 7c_7_7e;_=o ,,y-U!Z pursuant to apF;licntion dated 2127/74 _ Fee Faid: $480 Ag dated Lhis 97f,h day of r^l,"iary 19_74, 12.00 s/c Ruilding Inspectur ---- >icn.`'o._iczl Perc:its: Bid 'Totale . CITY OF EAG?N 3795 Pilot Knob Road Eagan, DYinnesota 55122 GcID?GGL7 ? J PERNIIT NO.: 477 The City of Eagan hereby grants to r_n_ cAdgKt„k Hoa i„q?FB/r rn_ of i nm vo., a a nvp_ So.,_Mol a. 55416 a HEAmTTTG Permit for: (Owner) NPw unri 7nn crmmpc _ a-t E4s_d7_49 Hink^rv x; j,1 pursuant to application dated 1/11/7a . Fee Paid: ? (jn dated this aerr, day of march r 19 74 2.00 s/c Building Inspector Mechanical Permits: Bid Totale ? nninnesota state tsoard ot tiectncity ,1 p5.44:lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 IOS? 9'/7 REQUEST FOR ELECTRICAL INSPECTION CFfPECK BELOW WOAK COVERED BY THIS REQUEST P 68274 Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm Home ? ? Range ? Tempotazy W'uing ? Duple4 ? ? ? Water Heatei ? Lighting Fixtu:es ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commerc:al Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. 0 El ? A'v Conditione[ 0 Bulk Milk Tank ? F ? ? ? List Lis[ ??i T L, E ?7-5 arm Othex ? 0 ? p HeierS? Hehers? 1 COMPUTE[NSPECTION FEE BELOW Service Endance Size: # Fee Feed bf s: C¢cuits: u Fce 0 to 100 Am s. 0 to s 0 ro 30 Am eres 101 to 200 Am s. 31 to 0 ArdL?rTkd 31 to 300 Am eres Above 200 Amps. Above 00 Amps. Above 100 Amps. Tfansformexs 1 1 RemoteControlCixc. Paitialo?otherfee S" Signs 1 1 Special Inspection ' Minimum fee 55.00 Remarks TOTAL FEESe' ? ? Va 1, the Electrical Inspector, hereby cert?at th e idspection has been ma e. /O •" (Rough-in) Date 7-' (Final) Date rY - 30 - This request void 18 months from - - This reauext void 18 months from ? ' p 68274 Date of this Request ?/l 1 I 1 0 I, u O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at ?f ?- ? Street Address or Route No. I CcH I G KD P- ? W I LL- City r=?N Section Township Range County Which is occupied by w E" SO J0 (Name of Ot<upant) Is a roughin inspection required on Uils job? No ? Yes B" Ready Now ? Will Call 0 Power Supplier _1?,AK07_7cf E L Address Electrical Contractor e? '- F-- Contractor's License No. (Company Name) Mailing Address Authorized (PA1KtrICa1 contractor or owr ? ?IM Q (N?? OW or Owner Makin9 ThIS Instatlatlon) , ii y,r» Phone No. akln9 7his Installatlon) This inspectian request wili nnt 6e accepted 6y ffie State Board unless proper inspection fee is enclosed. s 0 I??.II'IIIII'I'IIIIIIIII ??I1I1'I11111I7fIff?llfTX 2 4 7 5 2 1 REQUEST FOR ELECTRICAL INSPECTION °' ctr IIII I III S121 Unive sity pvearRrof ' El; 8'cSt. Paul, MN 55 04 ?_ 8 ?K Phone (612) 612-0800 ?? c(?? ?/ ?(o '?'-? Flome Du lex Apt. Bldg. Other: New Addn ommercial Indusfrial Farm Remod Re air Air Cond. Htg. Equip. Wo}er Hh. Load Mgmt. Other: D er Ran e Elec. Heat Tem Service "X" above the work covared by tbis request Enter remarks m ihis spoce and on the back o/ the wbite copy only. Colculate Inspechon Fee - 7ha Inspedion Reqoest wili not be accepted withoul fhe corzect fee: Olher Fee # $ervice Enhance $ize Fee # Circuih/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps 0 io 100 Amps Street Lig./(raffic Sig. Above 200 Amps Above 100 Amps TfanSlOrtnef/GenemtOf INSPECTON'SUSEONIY TOTAL Sign/Outline Ltg. Xfmr. eY? R.m O Alartn/Remote Conhol Swimming Pool i h=reb mrn mm i,?: e?eed me d ?oi m?mneeon d? «? k? dob:..wrod Ircigafion Boom po„B paK $pecial Inspedion Investigofive Fee t?? Ott i THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 q? o;?? ? ?a _ OFFlCE USE ONLY Thu reqoesl.oid 18 monlhs fmm.alidoTOn dma pnmed in fhis b? s/??? m;- PLEASE PRINT OR TYPE Reqmsl0a yj /?]y /^ Rough-in mspahon rcqwred2 ? Y. o Inspection OPoer Than Rough-In. 0 Ready Now i fftqFCall ?? ( / Lv ?Yau must mll the inapeeor when rcady) Dok Ready I, icensed conhacfor ? owner hereby request inspedion of the abave electricol work at: lob Addresa (Sheet Box, or Rouk N ? / o46 t?? ll Ciry t- ? Lp C.A. Sechan No Township Nome ar No Ra?ge No. fire No. Comry ? Occopa r Phone ? ? r ?? _ / ? fowerSuppLer Aaa,ea, Elecmml Conkactor (Comporry Name) Conhatlor Lmeme No _7 Masror Lc No 1Plam EIecL Only) 0 oiling dmsa (Ca cror ar ar PeAormin In I n) IL ANhon ien lContmnoro Ownernon ? Pho No. .OOOOIA-10 6/95 ATE AROCOPY•SEEINSTRUC710HSONBItCKOFYELLOWCOPY HOUSE HEATING TEST RECORD 1643 13ickory Hill ADDRESS APT. -?FLOOR _ OCCUPANT ouane we een AW.1Ce es HEAT LO55 SOLD BY _ Electrical Work By Gas Lins By TYPE OF HEAT GA _ FA x HW _STEAM -SPACE HTR. UNIT HTR. -OTHER GAS DESIGN CONVERSION Williamson MAKE 1117-07? MAKE OP BURNER Model Model , Swial 7346689 Max. 8TU Rating INPUT 75,000 Btu- r, MAKE OF FURNACE Model CONTROLS THERMOSTAT gTIIH7. Heat PIyg,OOC Valve V25 Limit Robehaw RFL 75011 Limit SeNing 200 f Fao ssrr'90 f & 1200f PilotType COUpio- Pilot Make Vent $ize 4" KIND OP LINER Alum• SIZE 6" NONE Drah Hood VQTt1C81 Rsgularor Filters Size 161' 8 2511 Number 1 Chimney Location Insida Yeg Outaide Gfimney Construction Metalaesios Pilot Model Smoke 8om6 Wiring Pilot Timing 52 Seoonda Droft OK- Test - L.W. Cur Off Door Pressure Y Lighring Insr. Pressure 4•"V,C• percenfCO 7•0/° Date Tested 2f25J75 T5 2 8,7 C.S ri ht Co. Input CFH?Percent OZ Company Testing $tack Temp. i Percant CO ? Nama of Tester DATE HTG. INST _CITY SUBURB Eagan INSTALLED BY Se grniC Htg. Form 235 I,S ^I , (A) G I J-t- HOUSE HEATING TEST RECORD D-21031 116 ? 1645 Iiickory Hill EAGAN ADDRESS APT.-yFL00R CITY SUBURB OCCUPANT_erry in erman A?,k1Ce ea HEAT LOSS _ SOLD BY Electrieal Work By TYPE OF HEAT DATE HTG. INST ED BY SedgwiCk Htg, n u Gas Line By GA_FA X HW_STEAM-SPACEHTR._UNITHTR.-OTHER ' GAS DESIGN MAKE Willi8msa MAKE OF Modsl 1117-07-5 Model - ' Sxiol 7346678 Mux. BTU INPUT 75,000 Btu HX'. MAKE OF Madsl CONVERSION BURNER Ratf ng - FURNACE CONTROLS THERMOSTAT C?1 260 Heat Plug Vent Size 4't yalve M V800 KIND OF LINER Alum. SIZE s" NONE Limit Rollehaw H'L 750n Drah Hood Vertical Ragularor Limit Sstting 200of Filtera $ize 16! % 2611 Number 1 Fon Seifing 90°f $c 1 20°f Chimney Location Inside Yes Outaide Pilot Type COllpl@ Chimney Constructi on Metalbestoa Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 41 SEcon ds Droft OK Test Tap YQ8 L.W. Cut Off Door Presaure Lightiny Inst. Yea Pressura 4.8"Ci',C, ParcentCO 7.Oo DateTested 2/25j75 Input CFH 7`? Percent OZ 8• 7 Company Testing C S Bri ht Co. Stack Temp Percant CO Name of Tester Form 235 HOUSE HEATING TEST RECORD ADDRESS 1847 HickOry Hill ant M. Norum APT. YQl?00R OCCUPANT OWNER HEAT LOSS - SOLD BY DATE HTG. INST. Elechical Work By _ TYPE OF HEAT GA Model ' GAS DESIGN CONVERSION MAKE Williamaon MAKE OF BURNER Modal 1117-07--5 Model ? $srial IJYOOYJ Maz. BTU Rating- INPUT 75,000 Bt Hr, MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Pl-ug Valre M.H. vT30OC Limit Robahaw RFL 750n Limit Sstting 200°f pa„ S,x;ng 900f & 1200f Pilot Type Couple Pilot Make Venr Si:e INSTALLED BY Sedgw3ck LHtg n n Gas Lina By D-21031 CITY Sueutta Eagan 4° KIND OF LINER Alum. SIZE 6" NONE DroFt Hood Vertical Regularor Filters Size 16" $ 25„ Number 1 Chimnay Location Inside yeq Outside Chimnay Canstruction MQtLt1PRtIRt Pilot Model $moke Bomb Wiring Pilot Timing 64 Seconds Droft OK Test 7op j'PQ L.W. Cut Off Door Pmssuro Lighting Inat. Yef1 Pressure 4.7"W.C. PsrcentCO 7 5% 2 Dote Tsstsd 2l24/75 Input CFH ?, 75 02?.•?:- 7 Company Testing , C s. BRIGHT GO. ? $tack Temp Percent CO 0 p Nams of Tester -= - ------- . Form 235 FA ° HW -STEAM SPACE HTR. -UNIT HTR. _OTHER HOUSE HEATING TEST RECORD ADDRESS 1649 Hickory Hill APT. -FLOOR OCCUPANT -Judit L Staenson OWNER yef HEAT LO55 DATE HTG. INST. SOLD BY Eleehieal Work By TYPE OF HEAT D-21031 CITY SUBURB ESgSII INSTALLED BY Sedgwick Heating Gas Line By u tr GA _ FA g_HW _STEAM SPACE HTR. - UNIT HTR. -OTHER GAS DESIGN MAKE W3113amaon MAKE OF BURNER Model 1117-07-5 - Model CONVERSION Serial 7346642 Max. BTU Rating- INPUT 75 OOSWhr. MAKE OF FURNACE CONTROLS THERMOSTAT ?260 Heat Plug yelve M_A. VSOOc Limit Rehahaor RFT. 750 Limit Setting 200 f Fon Ssteing 90 f 120 f Pilot Typa cnnp]p Pilot Make Pilm Model Model Vanf Size 4 " KIND OF LINER gl= SIZE 6" NONE Draft Hood vertical Regulator Filtars Size I6R25 Numbar 1 Chimney Location Inside ye$ Outside Chfmney Construction IDetBl bestos Smoke Bomb Pilot Timing (]5. ++ar Draft L.W. Cut Off Door Wirin9 - Test Tag.y€E Li9hting Inst. Prossuro 4?allWg ParcentC02 ],QZ. Date Tezted 4.119175 C. S. BRIGHT COMPANV InputCFH 73 Percent OZ $,7% CompanyTesfing Stack Temp.-4$QT-Percent CO 0.00,°(, Noma of Tester ?;,",?A?,??' ? Fwm 235 , ' !,j? ? ., ".1V' ,?•4? ? ' ? , ' ? ? !-? Q' ?.. .,F.',? 1 ? , i: ' ?i ?.' „ ? . _. . ? ' • ? . . .? . : y,• nLu?oE ov EnonM WATER SERVICE PERMIT ?,• ' 3795 Pibt Knob Road PERMIT NO.: -..1404_:_ ? • ' ,;r ' ?' Eoyan,MN Sstu ? DATE: ' 2/27/74 zoning: ---PS1D---_----.? No. of Um[e: 4 unit 18 ?. Owner: _ NI_A0r180n SClcls ? ? . y ?. Address: Site Address: 643-45-47-49 61c1aDlY' 8l11 Plumber: Tt!aOn P1uIDb1A4 CD. Meter No.: Connectlon Cherge: S520•00 billed Size: Aecouni Depodit: Reader No.: Petmit Fee: 10.00 pd 1 oqree ro eomyly wieh Na ViOpge oi [epos $urCh4+ge: . , •50.pd-? Ordinawc?. , , , Miec. Cha[H?rie' ?'-r? ??-[L.G'e...•?., ?G?°?? ?/> ? ..? Total: Br Date Paid: Date of Insp.: ---- IemP'o ? . .. . . , . ? , ..'fi„ -.?.- ? . . . . . . -..,., ' ? 4: . , . . . . ?. ?,-'• , , . ... _ . .',.i:. . ? . . ? ? ? . , ? . '-'? 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F r •`??'. !"?.. '?, '?l'.?r? ?8?? ' ':.L? :i?.`ii`,;?,i??,:' '•ti,;r"?s".'.v:?'.".?t=;';,,? ,°Addreat:"' 49-47-'?. ,t:r^ !:,y ?'.,'••. ?a;. r'PlumLei: ' 'x?S? ?. ,s :? ;, , la'?p•..;? is'k. ;` ':J ? . . ?n P .1? - ?,. ,;-_."°^,cM.'`," • .;;'??R 'Y".? . • ?,!yS{t^ ?i;;,,S,'.'? 'r: . -iµ5, ',f:' . ,i ?`;',I +.X' Q;?V::+?i??,s. € ?r ;•3 s t ¢?? -r'i , t ?j?'??: : •,?.i:iv?.?_:f;? Y... ? ? ? i.:? ? ?«.'.. ?+;:n.?'' ?"+ : ,i??':?•`-(.:;;?? `` t4y..?? :.. , ; ? •--? t 1 Y ? ,i ? ? 1 lr I ,?•?S_d?- ?e2 u.y' r`t'ti 'W a? ',? ^'? ?y?,i :,t.l. j?.h •?jn`,f,,..iv?, v.F°.?.iti???f fI ?^';''r..l°'`... ?...';a •„ ?,w =• •, < < . ? ,? ; • '?'? ?7:;+; ? ? J' ' ' d''„ ' '"6 ?;,' . ?, fn" r f s u i 11, ,:??d?? ?• .?? , r??N. w ?y. l_?i h ?Y (i •.' ? y.k. Y: ;'. ?; ?? : ? y_ $? '? ?i•:,' ` ?'"?•° 0 ? ?d , i? V ?. V ?'? t T d :N? F'? ?W ., 'S{. .. ? _ . :, ? . t?_. .. ?.?.k, ... ? ??t`i?:. •??,•. ?!S?tif? ?3' .;?r ? ": i":'L`?i ° 7??*{?'SJ.f. X.t!,kl;??"""?i?P:'•"?.'4-`.?°.n:.J?`?'?7L4e.?e??y????`?:',i???.ir:q?5}11??4O7 ':F"'• •'f°h?`'1:..?.+:t??tr..?:.j!??"(k?}'???' ;rj?,?v-'fr.!;r!"'ii'":, ?iw,??4:? i?rvt-ii'1]qF I ? ? ?f n,4,;, :.?; • 1'? sEs..,=? :t }l F Y ?lM.? i 1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Q o, -a S [ ? NewConaWClion ReauiremeMS RemodellRaoair Reaulrements . 3 registered sNe surveys showing sq. R of lot, sq. R of house; and all roofed amas • 2 copies of plan (20%maximum lot coverege allowad) . 7 set of Energy Calculations for heated additbns • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for e#erior additions & decks . 1 set of Energy Calculations • Indicate if hane served 6y sep6c system for additions • 3 copies at Tree Preservation Plan if lot plaHed aRer 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADC VALUATION ?J?J?9 •?? TYPE OF ULTI-FAMILY BLDG _Y XN FIREPLACE(S) u 0_ 1_ 2 APPLICANT C'atactronhP RPCtoratinn SP virPC Inr- STREET ADDRESS 94RU Rira $,t CUIfe 7O CITIVjjIl=_STATE nnniZlPsSI 13_ TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651 n02'},9- PROPERTYOWNER TELEPHONE# \OS\- 1?+" -3-')2b COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNrSO"CA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcula6ons Submitted Plumbing Contractor: _---- ____Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Watcr Heatcr No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning P'ee: $70.00 -- Hcat Recovery Systcm 1'"1 ,-.. i , u ?, Sewer/Water Contractor: Phone # 4I S r-n t o - I?il'il ii-I?I '? LUuc [u,t I hereby acknowledge that I have read this application, state that the information is correct, and agree to.comply with all applicable State of Minnesota Statutes and City of Eagan Ordina es Signature of Applicai f - ? ` OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?' 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Wlndows/DOOrs ? 34 Replacement *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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ A'u Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauiremenls • 3 registered sife surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas (20% manimum lot coverage allawed) • 2 copies of plan showing beam 8 window sizes; poured tound design, etc.) • 7 set of Eneigy Calculations . 3 coples of Tree Preservation Plan if lol platted after 711/93 . Rim Joisl Detail Options seleclbn sheet (bldgs wilh 3 or less unBs) DATE RemodellReoairRaqulremeMs q 9 . -)- ? • 2 coples of plan • 1 set of Energy Calculatians for heated adddlons . 1 site survey lor exterior addilions & decks • Indicate if home served by septic system for additions VALUATION 0 ' SITEADDRESS3 ,` MULTI-FAMILYBLDG_Y N TYPE OP WORK fIREPLACE(S) V0_ 1 ? 2 APPLICANT STREETADDRESS 24R9 Rirg $t Ciiite 70 CITY Rnca?_____„r ,Tilla STATE nnIVZIP 55113 TELEPHONE # 651_734_9443 CELL PHONE # FAX # 851_,0219 PROPERTYOWNER ?o*-Q-?O TELEPHONE# V5BoP,1-9345 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 MINNES01'A RULFS 7672 (J submission type) • Residential Ventilation Category 1 Woricsheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ PlumUing system includes: Mechanical Contractor: Mechanical system uicludes: Sewer/Water Contractor: Air Con(lilioning Heat Recovery System Fec: $90.00 Fee: j70A0 i Phone # II' f Sr,o 1c) 9nf17 I hereby acknowledge that I have read this application, state that the information is corre and-agree to comply ce ., with all applicable State of Minnesota Statutes and City of EggCIn Orplj?o Slgnature of OFFICE USE Water Softencr Water Heatcr No. of Baths _ Phonc # I.awn SpruWer No. of R.I. Batlis Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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 0 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-pfex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolitfon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plwnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION 5!5jG ? CITY OF EAGAN b 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ? 9 NewConttructian ReauiremeMS RemodeUReoair Reauiremenk • 3 registered sde surveys showiig sq, ft, at lot, sq. iL of house; and all roofed areas • 2 copies of plan (20%mazinumlotcoverageallowed) • lselofEnergyCalculationsforheatedaddiGons • 2 copies of plan showing 6eam & windax sizes; poured found design, etc.) • 1 site survey for eMeriw addiNons & decks • 1 set of Energy Calculalbns . Indicate M home served by septic system (or additions • 3 copies of Tree Preserva6on Plan H lot platted after 7/7193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION e69 • ?51-4 SITE ADDRESS MULTI-FAMILY BLDG _Y XN TYPE OF WO fIREPLACE(S) X 0 _ 1 _ 2 APPLICANT C'atactronh R ctoration SPrvirPC Inr. 't STREET ADDRESS „248G Rira 4f Ci iita 7(1 CITY Rnca???_ua STATE--UNZIP 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 6- 5 ? _-4 2- o-z,-2 19 PROPERTYOWNER CDA ef"_-Q TELEPHONE# b6 t `8\ Energy Code Category (J submission type) COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY _ MINNFSO"fA RULLS 7670 CATF.GORY 1 MINNESOTA RULES 7672 . Residential Ventila6on Category 7 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Air Conditioning Heat Recovery Syslem Phone # Fee: $90.00 Tee: $70.00 Sewer/Water Contractor: Phone # ? IF. SEP 1. 2. 2002 " 1 I hereby acknowledge that I have read this application, state that the information is correct, and agree to coi?nply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure ofApplic OFFICE USE ONLY Phone # . New Energy Code Worksheet Submitted _ Watcr Softencr _ Lawn Sprinklcr Water Heatcr No. of R.I. Baths No. of Raths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-ptex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 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 only) - Give PCA handout to applieant Valuation Occupancy MC/ES System Census Code Zoning City Water , SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall P,pproved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 7 S New ConstrueUon Reauirements RemodallRewir Reauirements • 3 registered sila surveys showirg sq. ft. of lot, sq. ft. of Muse; and all roofed areas • 2 topies of plan (20%maximum lot wverage allowed) • 1 set af Energy Calculations forheated additions • 2 copies of pfan showing beam & vdndow s¢es; poured found desgn, etc.) • 1 site survey for exterior addNons d decks • 1 set of Eneryy CalcutaEons • IfMicate if home served hy sepfic system for addilions • 3 wpies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Deiail Options selection sheet (Mdgs with 3 or less units) DATE (?5 'z \- oZ VALUATION Z-9 -2:5 - QO SITE ADDRESS \\?? fLI -V\-ti\` -'_a'Z4ft - MULTI-FAMILY BLDG _ Y _YN TYPE OF WO -1. FIREPLACE(S) _?( 0 _ 1 _ 2 APPUCANT C'atastrophP Restoration Servicpc Inc STREETADDRESS 9489 Rir.P St Suita 7n CITY Rncevilit? STATEjQKZIP9;,511' TELEPHONE # 651-714-4413 CELL PHONE # FAX # 6,51 _d_, u2-n219 PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN[vES01'A RULFS 7670 CA'PEGORY l (J submission type) • Residential Ventllation Category 1 Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Conhactor: Mechanical systcm includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fce: $70.00 ----°-----•-----°------- •-------°---°---°--------------°-°-----------------°-° • ---------------------------------- I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica?t- ati ?S- 5 OFFICE USE ONLY Water Softener _ _ Water Heater _ No. of Baths _ Phonc # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 FoundaNon ? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 16 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 I.ower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 13 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •DemoliHOn (EnHre 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ InsulaNon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector . MASTER CARD ?? Permit No. Issued Issued To Coniracfor Owner BUIIDiNG PLUMBING - 1 _ 7S _ l ? CESSPOOL - SEPTIC TANK WELL EIKTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER F OTHER I Items Approved (Initial) Date Remarks Distance From Well rOOTING ? -r?- ?It SEPTIC FOUNDATION ? ?! i^7f CESSPOOI FRAMING _ _ Q-12._?(l TILE FIELD FT. FINAL ? ELECTRICAL HEATING ? DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ? - ? Viola}ions Noted on Back COMMENTS. STRUCTURE V LAND USED AS ??I? PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SU&STITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WIIL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REVEALED CERTIFICATION - I certify that 1 have carefully inspected the a6ove in which I have no interest present or prospective, and that I hava reported heretn all significant conditions otserved to be a[ variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requiro- ments for off-site imprwements relating to the property inspected. 1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED INSPECTOR 4111y" a. *************?**************?*********? CITY OF EAGAN CASHIER: JS TERMINAL NO: 749 DATE: 08/31/00 TIME: 07:06:59 ID: NAME: WALTER K SCHAU, JR 3210 9001 1649 HICKORY HL 60.00 2135 9001 1649 HICKORY HL 0.50 Total Receipt Amount: 60.50 CR136713 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN N 3830 PILOT KNOB RD - 55722 t`J 651-881-4875 ueW ConstmMryon RecWremenh Remodel/Reoalr Reaulremenri > 3 reylstered aNe wrveys atrowlnp iq. fl. of bt. eQ. B. ol house and ga rooted areas /2096 rncrdmum bt eoveraae Wbwed) > 2 coples of plans (Yww 6eam A window sIzes: pouretl fnd. dealpn: etcJ ? 1 set of energy calculations > S coples o1 hee presenaBOn plan ll lot plaMed aRer 7/1/93 DATE: S^' ZQ - 00 DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? BLOCK: I SUBD./P.I.D. #: PRoPErm OWNER COMRACTOR ARCHITECT/ ENGINEER I bo.5p 2 copies ol plan 1 set a energv caaecnons ra nearea «lmnons t site wrveY for exfeAOr addlBOns d decb CONSiRUCTIONCOST: 1500 Name: S ?ak wa Phone #: ?GSI ? ?k.s?v -531`f ws+ Flig ? Sheef CNY a c a h state: MN ztp: Company. s Phone t: (area code) Sheet Address: Uce^se # EXp' City State: Company: Nome: Telephone A: ( Sheet Address: Regishalbn #: Clty State: Zip: Lp: Seweflwater licensed plumher (If inat?Ilina sawerlwatarl: Ph°n8 #: L---? I herEibY xkrawledge Hwf 1 have read Ihis opPlicafbn, state tlwl 1he intortnatlon is corted, am1- of Minneaofa Stalutea and CHy o( Eagan Ordinances. ? Signature of Appliccnh OFFICE comply wHh an appUcable STatE USE ONLY Certificates of Survey Received _ Tree Preservatfon Plan Received _ Yes _ No Yes _ No Not Required ? E58Cr,'gV'"D auc 2 s 2000 BY: BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling O 08 06-piex ? 03 01 of _ plex ? G9 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New I?117 32 Addition ? 33 Alteration ? 34 Repair OFFICE USE ONLY ? ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) Qf 18 Deck O 23 !'orch (szreoened) ? 19 Lower Level ? 24 Starm Damage PI6g _V or _ N ? 25 Miscellaneous 0 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. O 43 Reroof ? 37 Demolish (Bidg)' O 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMAT?IO/N SAC Code No. of Units No. of Buildings ?_ Const. (Actual) S?/ (Allowable) UBC Occupancy -3 Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered APPROVALS Planning Building G Engineering Variance Permit Fee Valuation: $ . Suroharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext. Alt - Muiti ? 33 Ext. Alt - SF ? 36 MuRi SAC Units % SAC ? ce?jte4l. 36, a vo 0 ? 4 1 r3-?-w! d.c,hX Pp-? V J' tA ; i ; ?4,-74 Propo s a..Q,o h-e&,-A cc?-,PAIV.? ?t?1..e i.v?? d??. -- ,d'(??c7 q'- C) vo {-2- .? •_ f lp 4? vY1v ru,/ ?l-?? U v• '? ri hoL,a? ? ?/aUo c.r?aue? ? i wd??%Cjc C,ipS'c° - - - ? - - - - - ? - - - ? - -- - - i • ? - - : + ? Uu1, I4-e- r S?lnnv A9!??4zS «?? H,?koYY Nl ir C,x` ? ??- ?QLJLa ? ?Lx;srt1, A a ? L } Y • a PERMIT ? CITYOF EAGAN y (s-?` 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023334 (612) 681-4675 Date Issued: 0 4/ 14 / 9 4 SITE ADDRESS: 1643 HICKORY HILL LOY: 17 BLOCK: 1 WOODGATE P.I.N.: 10-84600-170-01 DESCRIPTION: ?l ? j \ i i (ROOFING) Building'Permit Type MUITI. (MISC.) Building Work Type REPAIR ?-' 1r f?\ LD - Il`_: REMARKS: INCLUDES 1645 (LOT 18) 1647 (LOT 19) 1649 (LOT 20) HICKORY HILL FEE SUMMARY: VALUATIpN $5,000 Base Fee $72.00 Surcharge $2.50 Tota1 Fes $74.50 CONTRACTOR: - applicant - sT. Lzc. OWNER: ALLSTAR CONST INC 15935325 0003247 OODGATE TOWNHOME ASSOC 3315 N HWY 106 HICKORY HILL MINNEAPOLIS MN 55422 EAGAN MN (612) 593-5325 (612)454-4440 I I hereby acknowledge that T have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? - ? I firuin ? APPLICANT/PERI ITEE SIGNATURE ISSLIED BV: SI NA RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lo r: 17 B L 0 C K: 1 APPLICANT: 1643 HICKDRY HILL ALL3TAR CONST INC WOODGATE (612) 593-5325 PERMIT SUBTYPE: TYPE OF WORK: MULTI. (MISC.) DESCRIPTION BUILDING 023334 09/14/94 REPAIR (ROOFING) INSPECTION FRAMING ,. . ROOFING .. INSULATION FINAL REMARKS: INCLUDES 1645 (LOT 18) 1647 (LOT 19) 1649 (LOT 20) HICKORY NILL ? - - ---- -, - - - -- --- - ? i. . . ? . ' ?. C - "a .; 33 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 4q ?0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request 9s made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work .?OOO?Oa 5ite Address: ?-C4f?( 0 ? ?1 STREET SUITE # Tenant Name: (commercial only) LOT ? BLOCK SUBD. P.I.D. OF Descri tion of work: _F6-t.f p-F ('ei` (j-P The applicant is: ? Owner Contractor 0 Other (Describe) Name ko)OO?.cu?e- Sc. -'u1n6'RS A-SSdC- Phon /L-`iW- L Property p LAST FIRST Vr?^LG Owner Address STREET STE i7 City State Zip Company Phone 6/L`Sf3 '5-3 ?S Contractor Address 33/S 10• n?l ?C?a License # 3?'-ftZ Exp. ?9J City ??S • 3tate ?? • Zip?3'S`IZZ Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY BUILDING PERMIT IYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE n 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? framing ? Draintile ? Insulation 0 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vetuat;a,: $ A A a• ?^.1 ? "?'? . .... ..._ ",? •w?1 In 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units -:4L rb, ca56 CITY USE ONLY L ? BL ? RECEIPT SUBD. 41 DATE: 5 3 ?? 1996 MECHANICAL 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 New construction Add-on furnace ? ridd-on air aord{tioning A dd-an sir cxchsng2r, i.s. Vanae system, eta. Date: 5? /-5- 9 6 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL aD ' 50 SITE r/ OWNER INSTALLER PHONE #: `?`?5 STREET ADDRESS: 1cx -7 vi n vIry a c- ?? ?? ?? ? ? ? ? ` CITY: c arGI.aP ? STATE: YYI ? ZIP: 66 3-?79 PHONE #: eQ/c? ) ?? -? ? • ?7z9-pG ax CITY USE ONLY L - BL _ RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buiidings. ? multi-family buildings when separate permits are a4# required for each dwelling unit. vaft: C;UN7FtAC:T PRli:t: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ?$25.00 minimum fee Qr 1% of contract price, whichever is greater. b Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 2ermit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ` IQ? L ? CITY USE ONLY SUBD. O C` a?? I / 13 RECEIPT #: I 31)U1` I RECEIPTDATE: 6"I Sy O fJ PERMIT# ?1/) 61 2000 PLUt+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGP,N, 2IId 55122 651-681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when pertnits are required for each uni[ ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Atteretions to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain ^ 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hottub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavatory 3.00 x = $ Septic S stem newlrefurbished ` requirea MPC Ilc. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepair/rebuild 30.00 X = $ Rough o enin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under construction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelting underconstruction 5.00 x = $ Water softener if exlsting dwelling 30.00 x = $ Waterturnaround 30.00 x - _ $ State Surcharge .50 -? -> -> S .50 TOtal -> -> --> ---> $ 3v 5 U Reminder: Call for inspections of alterations, i.e. water heaters, water softenprs, etc. --------- -•------------------•-----------------•------------------------------------------------•----------------------•-------- - - I hereby acknowledge that 1 have read this appliwGon, state that Me infortnation ?s eorred, and agree to compy with all applicable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the Cdy of Eagan assumes no Iiebiliry (or any damages caused by the City during As normal operetional and maintenance activities to the facilkies wnstruded under this permit within City property/right-of-wayleasement. SITE ADDRESS: 1l ?J h11 Util-x LI '( 1\ 1\ `kftKtCPlII ' OWNER NAME: :e] d 1mo 1] 1od TELEPHONE #: INSTALLER NAME:IX TELEPHONE STREET CITY: CITY USE ONLY L Iq BL ? RECEIPT #: 9 SUBD.LdO ? RECEIPT DATE: °W 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for. . single family dwellings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH ( TOTAL Shower 3.00 x = :.'a;ar ?loset 3.00 .. _ Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 6L62;r-RIe 3.00 x 20,00 Floor Drain 3.00 x = Gas Piping OuUet ' minimum-1 • 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construdion 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler `fordwallingunderwnst. 3.00 U.G. Sprinkier ' for existm9 dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbanaonment 20.00 = STATESURCHARGE .50 TOTAL ? I hereby acknowledge that I have 2ad this application, state that the iMOrtnation is corteG, and egrea to compty with all eppiicable City of Eagan oMinances. It ia the applicaM's responsibility to notify the property owner that the qty af Eagan assumes naliabiliry for any dartWges caused by the City durin its narmel a rati fadlities consVuGed under this pertnit withln City property/rightof-way/ease NOFUM URtINT 1647 HICKORV HILL URIUE SITE ADDRESS: EAGtiN , "1N 55122 H 454-.92E k! OWNER NAME: INSTALLER NAME: ??? s? n.? ne uulef!!3 CO. TELEPHONE #: - _ ? ?????E Rg STREET ADDRESS: RikR?l ?l SAV?B?OU?TH CITY: i805 Mw? ZIP: - ? NORBLOtA f'LUMB!`!3 C0. gp yENTCO/pPPUANCE IM$TALLERS SI E OF PERMITTEE D (6121527-4033 H 4 ? MN 55409 ? NEAVOLS, *\kX.:B?X *=:JXkt* ** .a'c*lti'<*?kxl'?!t?'?>kY,:Y'.Ai?.:?.'}S:k•5`'. CITY 017 c_A(:;AN CF1=iW:i.E:li: MG -i'ERhiTP.A'_ i???.IF? t=,!7 1,A5Er i0/c^_if9i l'1M22 i&0WB ,C,. r.AMEg t'Rr.C;7'GA1._ SVS'rEMS ..'.2,.C 9001 1649 HIriCO1:v 1-iL. 50„00 205 9001 1649 I-1SCI:0'iY Ml. (]..`,'iCl ? '"o+a]. F2nceip1; A-:ouni: Sr0,F;O Ci; 08£?2'i'C) I'(i; MA,L.Vt'N ? ? CITY OF EAGAN ` 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: Permit Number: BuzLozNe 0 3 0 9 9 5 Date Issued: 10121197 SITE ADDRESS: 1649 HICKORY HILL LOT: 20 BLOCK: 1 WOODGATE 1ST P.I.N.: 10-84600-200-01 DESCRIPTION: (GAS LOG/GAS ?Wldi:h:41-rPermit Type Building Wfix* Type ' Census Code- 434 ` ?A?m} rh ? r.:J•. :E:- " bP ?F LIME) FIREPLACE ALTERATION ALT. RESIDENTIAL ?°??.?Sa 3 ..,"7i?t? FS ...: REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: PRACTICAL SYSTEMS 14226 NORDEN ROGERS (6112) 428-2826 - Applicant - 14282826 AVE MN 55274 OWNER: HART KAREN 1649 HICKORY HILI EAGAN MN (612)688-6403 ( I her_eby acknowledge thiat:I? liave?`read?-this applicrtatio`nP and `?tatok?.tfist= the in'Formgtion is correct and'.agree to co,mply,aith, all applicahle State of Mn. ? SZatutes and CiCy af. Ea4ar?flr.dirxances?- _. ? _..?..,_.._.. __,.. __ APPLICANT/PERMI7EE SIGNATURE PERMIT - issUEU q sicTIaiORP ? - CITY OF EAGAN 50qq§ 3830 PILOT KNOB RD - 55122 1896 FIREPLACE PERMIT APPLICATION 681-4675 DATE: A- 4 DESCRIPTION OF WORK: INSTALL yM FIREPLACE: _ WOOD BURNING _ GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLEC""'• STREET ADDRESS: LOT I P BLOCK I APPLICANT: (circle one only) SUBD./P.I.D. #: OWNER CONTRACTOR 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. PROPERTY Name: ??/ `if (1 Phone #: ? OWNER '"°' Signature: Street Address City: State: Zip: FIREPLACE Company: ' Phone #: INSTALLER GAS LINE INSTALLER Signature: ?, ir`A??'X.r ; ' -?..v-? •-----'_ - Street Addre : ZY?i}? ?+?? ? License #: City: State: Company: Name: _ Signature: Phone #: Street Address- City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New o 33 ARerations ? 32 Addition o 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. «.,?' aa ? •? ? FEES Permit Fee Surcharge Other Copies Total: ? ,n nATE ?-G-? r BUILDZNG PERMIT APPLICATION Include 2 sets of plans, 1 site plan 1 1 tions ../L("a--,? ?-.-. 4b be used for Site Address; j( y? Lot Block See.Su?b?,?e. ? o? O / ?O%" `P Owner ?. U I? Tl 1o? C Address s,?`' t--t9? r_antractor Address Arch./Eng. Address Erect Alter ' P.epair Enlarge Nbve Denolish Grade OFFICE USE bate of Approval & Initial asses sment N)ater/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. _ w/elevations and 1 set of energy ca cu a • Valuatfon Parcel Number z Telephone " ]' LJ v Telephone Telephone OFFICE USE Occupancy 2oning Fire Zone ? Type of Cbnst. 1 # of Stories Front Depth FEES ;r Permit -------- ? ?- surcharBe -- - ? r1.an Check SAC U)ateY COnn• S•7ater Meter TOTAL f ? ? ;. .. . .., OF 3830 PILOT NNOB ROAO. P.O. BOX 21199 EAGAN, tANNESOTA 55121 PFIONE: (612) 454-8100 LEGAL DESCRIPTZON: Lot 20 - Blk 1 C"V A&r&,,,ro,a, EUGENE VAN OVERBEKE Woodgate Addition cmcWk BEA BLOM6UST ??vyor DATE: August 21, 1985 tHoMnstG+N JAMES A SMITH JEGR`/ IFIOMA45 ADDRESS: 1649 Hickory Hill Drpfppmwnct+tea cw?+c? rnan+ee?s n+oenns rEoc,Es Dear Eagan Resident : RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTZONS ON PUSLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such, permit, and taking precautionary measures for the grotecti6n of the public. An electrical co=3 or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this section shall be a separate offense and punishable as such. ' SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Pu61ic Right-of-Way. No buildings, structures or sses may be located in or on any public lands or Right-of-Way without approval by the Council. , The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storaqe and also to protect our snow removal equipment from damage. We apologi2e for THE LONE OAK TREE. ..THE SYMBOL OF STRENGTFI AND GROWIH IN OUR COMMUNIiY . r RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifyinq you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HERESY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60 DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. ' The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions` that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, William H. Branch, Superintendent Public Works Department WHB:jbd Rocks on the boulevard 2004 RE5IDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for rnodifications to existing residential dwellings. Ssv 03 I? -- - - --. Ddt@ I I qSLESON, MAUREEN I Site Street Address 1649 HICKORY HILL DRIVE Uf11L # EAGAN, MN 55122 ' (651) 405-8024 , Property Owner ephone # ( ) ? Contractor No rb lnm Telephone #((plZ)Y27-yD33 Address "e/ . a` City pis State_rY? ?v Zip ? The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, exciuding water softener and water heater i _Septic System Abandonment _Water Turnaround (add $121.0 0 if a 5/8" meter is required) Other: I Water Softener X Water Heater $ 15.00 ? replaccment _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 T t l 1 $ w? o a I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. c JPXI' Kl 0 N12I 6Y-0 ApplicanYs Printed Name Signature ? } -- • i ? - . I 2004 RESIDENTIAL MECHAPiICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 -5b ? . ? Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit Date Site Address Unit # Property Owner + I/ Qj-'pf? ( T,- (eSC7- ) Telephone #(?S Contractor STANDARO HEATIN6 & AIR Ca1DITiONIN6 C0. Street Address citY State MINPIEAPOLIS, MN 55408-2,V Telephone #( ) Bond #: Expires: The Appticaut is _ Owner --)<Conuactor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional X Replacement air exchanger air conditioner _New _Replacement other State Surcharge {71N $ 50 l JUN 0 T oca I hereby apply for a Residenrial Mechanical Pemvt 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 au application for a permit, and work is not to start without e't; that the worlc.vyii?e?'m accordance with the approved plan in the case of 7. hich requires a rev ew and approval of p . ? ?'G?1.?? .,? Apphcant's Printed Name ?Applicant's Sign" 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaVindustrial buildings multi-family buildings when separate permi[s aze not reqmred for each dwelling unit Date Site Street Address Unit # Tenant Name (3f applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address ' City ` State Zip Telephoue # ( ) Bond #: Expires: The Applicant is _ Owner _ Conhacror Other Work Type _ New Construction _ Underground Tank _ Install _Remove "see 6elow _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: 'When installing/removing undergroand tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rmlt Fees: $70.50 Underground tank insffiIlationhemoval $5050 Minimum (includes Siate Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If uemut fee is $1,000 or less, add $.50 => $ State Surchazge If permit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee . uc.cuy appry ior ak.ommerctal rvleenarucal Yemut and acknowledge that the information is eomplete 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 pemilt, but only an application for a permit, and work is not to start without a pernnh, that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ApplicanPs Printed ApplicanPs Signature Approved By: ,Inspec[or f?b F-)n 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. U 1 / Q D ate n ? SiteStreetAddress C Or J Unit# hone # 6p P O /C''/ -J? / e Tele t p wner roper y Contrector 1,29-42 ///?G ?.t ? m Telephone # Zip 37 s e State w City ? 04-' Address U? ,- g . ? The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water _ heater at the same time. !f y_ou are insfallina onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment /? ter Turnaround (add $125 .0 0 if a 5/8" meter is required) ? / 1 ? -7hff5? other: e-? 1 r' ?.,C" r??' afi?1 ? ! Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. .-?? r- Applicant's Printed Name ApplicanYs Signature Sep 28 09 08:55a Timberline Exteriors Inc. 320-2747152 p.2 Use BLUE or BLACK Ink City of Eagan I Permit I Permit Fee: l 3830 Pilot Knob Road j Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 j staff. 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: I g 5 N 1 ~ r rt j 4 5 j 16,q / J 1(~ " ~ Q rS , ~ ow, ~ov~e 5 ~ w ~ #t~IP- f N~ctJle+i rl o# Tenant Su t: RESIDENT ! OWNER Name; A o I ,A- b 115f&8 0'tWV4-" Phone: Address 1 City /Zip: E&-I tyl t /tjjJ 55122 Applicant is: Owner Contractor TYPE OF WORK Description of work:e f~0 a Construction Cost: I Multi-Family Building: (Yes _X_ ! No CONTRACTOR Name: E r t d r 5 License* _666 3 3 eJ e? Address: ~ C P10 IYstt2 City: 'AAA A't. ~ a, state: NA Zip: :5 Phone: 4~ is) r 32? ~ / ontact Person: ~"t t11t~~ L ~ V 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: NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of the information may be cfassffled as non-public N you provide specific reasons that would permit the City to conclude that tike are trade secrets- CALL BEFORE YOU DIG. Call Gopher State One Call at (6511 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gophersiateonecall.org 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 pennit. and wo to start w' emi ' the work will be in accordance with the approved plan in the case of work which requires a review and ap I of plans. Applicant's Printed Name- Applicant's Signatu Pagel of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116656 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 1643 Hickory Hill Lot:017 Block: 001 Addition: Woodgate 1st PID:10-84600-01-170 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judy A Goers 1643 Hickory Hill Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120422 Date Issued:02/10/2014 Permit Category:ePermit Site Address: 1643 Hickory Hill Lot:017 Block: 001 Addition: Woodgate 1st PID:10-84600-01-170 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judy A Goers 1643 Hickory Hill Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125885 Date Issued:08/06/2014 Permit Category:ePermit Site Address: 1643 Hickory Hill Lot:017 Block: 001 Addition: Woodgate 1st PID:10-84600-01-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judy A Goers 1643 Hickory Hill Eagan MN 55122 (651) 405-0105 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159147 Date Issued:11/22/2019 Permit Category:ePermit Site Address: 1643 Hickory Hill Lot:017 Block: 001 Addition: Woodgate 1st PID:10-84600-01-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judy A Goers 1643 Hickory Hill Eagan MN 55122 (651) 405-0105 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature