1650 Hickory HillCITY OF EAGAN Remarks
Additio Wc?odgate lst Addition 5 2 10 84600 050 02
Lot Bik Parcel
own r 'til tL ' I-PhAdf L- 6tJj("( sveet 1650 Hickory Hill state Eagan, MN 55122
? . ?.
Improveme Date Amount Annual Years Payment Receipt Date
STREET SURF.
309STREET RESTOR. pAVING 1976 $410.12 $136.71 3 PAID
GRADING
PAVING 3 1974 $115.45 $23.09 5 PAID
SAN SEW TRUNK y 1974 $93. 54 $6. 24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATERLATERAL 1975 15
* WATER AREA 1975 15
* STORM SEW TRK
* STORMSEWLAT 1975 $1505.70 $100.38 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $130.00 11222 7-29-74
BUILDING PER. #370$ 669 7-75
s,ac $375.00 9773 12-3173
PARK
CITY OF EAGAN Remarks
Addition Wcodgate lst Addition Lot 6 Bik 2
Owner.10 C- SILS Street 1652 HiCkozy Hill
,-c??l'J'Y?/')f'3 -, i r f
MN
02
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTO PAVING 1974 $115.45 $23.09 S PAID
GRaoiNG
PAVING 3 1976 410.12 $136.71 3 PAID
SAN SEW TRUNK q 1974 $93 . 54 $6. 24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATERLATERAL 1975 ZS
* WATER AREA 1975 15
STORM SEW TRK
* STORMSEWLAT 1975 $1505.70 $100.38 15 PAID
CURB & GUTTER
SfdEWALK
STREET UGHT
WATER CONN. $130.00 11222 7-29-74
BUILDING PER.
SRC $375.00 9773 12-31-73
PARK
CITY OF EAGAN Remarks
Addition Woodgate lst Bddition Lot 7 Rik Z Parcel 10 84600 070 02
Owner?????-'??? ? • ???-??;.:' Street 1654 Hickoz'y Hill 5tate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR, pAVING 1976 $410.12 $136.71 3 PAID
GRADING
PAVING A 1974 $115.45 23.09 PAID
SAN SEW TRUNK y? 1974 $93.54 $6.24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATERLATERAL 19 75
WATER AREA 75 15
L
* STORM SEW TRK
* STORM SEW LAT aGl 19?5 $1505.70 100. 38 P
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $130.00 11222
BUILDING PER. #3709 669 7-75
sa,c 9773 12-31-73
PARK
CITY OF EAGAN Remarks
Addition Wvodqate lst Addition Loc g eik 2 Parcel 10 84600 080 02
Owner? «?°• N?,f?LStreet _1656 Hickory Hill State Eacian, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
S7REET SURF.
STREET RESTOfVAVING 1976 $410.12 $136. 71 3 PAID
GRADING
PAVING 33 1974 .
SAN SEW TRUNK ay 1974 $93.54 $6.24 15 PAID
* SEWERLRTERAL 1975 15
WATERMAIN
* WATER LATERAL 1975 15
* WATER AREA 1975 15
* S70RM SEW TFK
* STORMSEWLAT aOr 1975 $1505.70 $10d.38 15 PAID
CURB & GUTTER
SIDEWALK
S7REET LIGHT
WATER CONN. $130.00 11222 7-29-74
BUILDING PER.
SaC $375.00 97737. 12-31- 3
PARK
.
BUILDINGRPERMIT
19 It 7-1 0
? VY
Receipl # R? ? ? L.1
Date_ jim L. , 1931_
Site Address 16.SZ IiIClCORY HILL
Lot fi- Block 2_ SeGSub. ii00?'.?TE `
!
OFFICE USE ONLY
Parcel No. occuPancy _ FEes
Zoning _
W Name ?1E GOI-I-I14G (Actuaq Const Permit 2 S_M
Bld
Address 1652 HICYDpY IiILL (Allowable) _
- g.
?
? City EAGA1f Phone.- 43??-5433 +? 01 stones Surchar e -
9
Plan Revie
?
Name DWwYNE lmb Length
Deptn w
SAC
cit
t ,
y
O Address 3260 212uD QT S.F. Tota1 -
?
City l?AMP'?I?11 Phone ib3-3497
S.F. Footprints
- SAC, MCWCC
W
F
W W
Name On Site 5ewage
on Site weu _ ater Conn
? w _
Water Meter
AddreSS MWCCSystem -
<W City Phone City Water _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowlege that I have read Ihis application and state that the
intormation is correct and agree to camply with all applicable State of
Minnesota Statutes and City of Eagan OrdinanCes. ? Booster Pump - SMl Surcharge
Treatment PI
Signature of Permitee
•' { APpROVALS
Road Unit
A Building Permit is issued to: DWYN FORD
on the express condition that all work shall be done in accordance with all Planner
Council - Park Ded.
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Bldg. Off.
_ ?
Copies •
Building Official
Variance
-
TOTAL MOO
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Permit No. Permit Holder Date Telephone #
WATER
SENlER .'
PLUMBING
H.VA.C.
ELECTRIC
Inspeclion Date Insp. Commenta
Footings I
Foundation
Framing
Rooting
Rough Pibg.
Rough Htg.
Isul.
Fireplece
Final Htg.
Orstat Test
Final Plbg. Plbg. InspeCtor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg. ? C? CJl ?
Dedc Final
Well
Pr. Disp.
Receipt
1. Date 2.
ti
i;. ?
3. Job Addres`
or
4. Owner 44"r+.!
5. Contractor/ /,• I?f
6. Address
7. City . -'--' - ?? State
8. Building Type: Residential Z Cor
Permit No.
Fee
S/C
Tot
_Blk. Tract
_ Phone
4
v Z;p
? Institutional ?
9. Work Description: New JU Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
Softner
Shower y?
Well
Kitchen Sink
Urinal/8idet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
r INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? SITE ADDRESS: 101
? H, ' 111: Ifil?
PERMIT SUBTYPE:
1q11I I I f• I., 1
APPLICANT:
TYPE OF WORK:
1,t '.I I; 1 I' 1 1 uN
I : 0 t hlI -
I - ! i1lA ?1, ;,
i(?( MHI?F ,. i W' t!tl?!
}it)I1F ?I N[f
(•1NF?I
I; 1 t' A 1 I:
i {fNlll 1 "t.)
Fe,+.," fi[?( r,f 1. .'.N 4 1 UI f1 ),.+,i. f ltii it) III?fufO HI II
Permit No. Parmit Holda Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
FOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
1 / ?J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
il t i Aiik'? 11 t l 1
I PERMIT SUBTYPE:
I I ; ,, :, I I Ni,
IF-
1.-.
5PECTI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
f 1? 1.' 1 t, ti / A+, hI
TYPE OF WORK:
U I N 1, i
t:tI i I (I i "
ir lt ?1 nIrti
Permk No. Permk Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRlC
ELECTRIC .
Inspection Date Map. Commenta
Footings I `5 y 3 ??'
Foundation
Framing
Rooflng
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Finei Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Flnal -7 )4
/ ?
Well I
Pr. Disp.
ll?St? ?
lo -Ncoca o oz,
'jcc?y r 'Z
CITY OF Eitir.lN
3795 Pilot Iinob Roea
Eagan, Minnesota 55122
PERPfIT NC.: 430
7he City of Ezgan hereby gra-nts to mti,mmpaon ptnmhinq ro.
Minnetonka,
Uf T97n] Hinnotnnla Rlvd Minnaan n r;143,
a PZ.UNRXNC_ Perniit for: (Owner) gnm Hart;.on tlrnnPq
1633-35-37-39, 7.fd3=45-4764S, 1650-52-54-Sf>, ].FA2-49-46-48, 165f3-60-62-64, and
at pursi,iant to a n?-ieation dz?ted
_ 2 P. 2127/74
_
Fee Faid: $480.00 dated this day of r<.Trnarv ?'19_7g.
12.00 s/c
b?a?l?i,ing Snspector
Aiechar.ic,.,l Pr?rmit;:
1`,i,l Tk,tal:
czTf oF Lac>Or
3795 nilot rnnb .3caa
EZ;?FS' y i'i1T1%E:iO"i.a LZ
l? - ?-
'fel?(r
Y2. '/HT ?.TO.:
1.8
T'ne City of i,a.gan ha-reby grcnts to Lindsay Water Conditioning
of 4215 Cedar Ave. So., £agan, MN 55122
J. Stumo - --?--?.?
a 3 Water Soften:-::. Pc.-
_;rit £or: (Ocmer)_ K_Gray
652 Flickary i K. Erickson
pursuant to application dated _3/8 & 3/10/76
-19f)e ?-fte .
Fee Paifl: _ $15.00 dated this 16 day of iMarch 19 76
1.50 s/c
Luilc;ir..- Inspecto-r•
Did 7'?)tal.
?
\ \
`641,o0 02
C7TY OF E.1GltLIT
3795 Pilot xnob Road
Eagan, Dlinnesota 55122
PERGIT NO.: 430
TYie Ci 'y of r^agar. hereby grants to m7,mmpROn ptnnt,inq ro.
Minnetonka,
of j7?,nt ltjn.,ornnl-a Rlvci j3innPxnta '5143_
3 nrttunTgr+ Pe_*'1?il.t fOY'e (CWI1fP) Nnur Anri;!On ftOirt "
1533-35-37-39, 7.643n45-47949, 1650-52-54-5(-1, 1642-44-46-48, 1658-60-62-69, and
at 1673 .,E .,., ., ??_ek_Q?2 pursuant to applicatior dated 2/97/74
Fee Paid: $480 00 d::ted trii5 )7?-h d7y oi T.,,}ma,.v , 19_79,
,
12.00 s/c
;ui7ciinF; Inspect?r
rid Totale
.
czTr oF r.aeAu
3795 : ilot Ys;cb F:o9d
Eagan, R1innesota 55122
F1,Rl'fu-T NO.: Sol
The City of Eagan hereby grante to r?0 Saaaw+ck H a ine & A/c co.
of i00l Xenia Ave. So.. Miosl. 5541G
cr,xnmrur Perr.:it for: (0•?tner) flew Horizon Aomas - Woodaate 2 6 IZ
1644-46-48 50 Hickory Hill &
at _1709fi;,.Ip , pursuant to application dated
FFe Paid: $ lnn_nn da.ted this 31 day of ortober , 19 74 +
2.50 s/c
building Inspector
clsrhanical Permits:
Si,: To'tal:
4-
? r
?
BUILDING+ PERMIT
be
CITY OF EAGAN Np 19 190
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ? f3?/?
Receipt #
Est. Value $1,000 Date JUN 6 7991
Site Address 1652 HICKORY HILL
LOt _SL_ BIoCk 2 SeC/Sub. WOODGATE OFFICE USE ONLY
PBfC@I NO. Occupancy - FEES
Zoning -
W Name ROB 0 TN, (ACtuapConst Permit 25-00
BIdg
_
.
? Address 1652 HT KORY HILL (anowame) -
5n
surcnarge _
City EAGAN Phone 456-5433 # of Stones
16 ' Plan Review
Length
o Name DWAYNE FORD oepm 2 snc
cn
1
?
AddresS 3260 232ND ST
S.F 7otal .
,
y
-
SAC, MCWCC
• Clfy NAMPTON phOf1B 463-3997 S.F.FOmprinis -
W
t
C
On Site Sewage a
er
onn
_
y?j W Name On Sila Well W
M
-
ater
etar
?? AddreSS MWCCSystem -
gw City PhOne City Water _ AccL Deposil
PRV Requirad - S/W Permit
I hereby acknowleqe that I have read this application and slare ihat the Boosfer Pump - S/w Sumharge
inlwmation is correct and agree to comply wRh all applicable State ot
Minnesota Statules and City of n Ordinances. 7reatment PI
SignaWre of Permitee APPROVALS Roatl Unit
A Building Permit is issued to: DWA 6 FORD Planner - park Ded.
on the express condition that all work shall be done m accordance wrth all Councn -- 50
apphcable Stata of Minnesola Statutes and C
ity
o
f Eagan Ortlinances. gld9, pff. Copies .
1
1
, ?
BuiidingOfticial tolf! 1,1 y 11?[? Variance - TOTAL 6.0
HOUSE HEATING TEST RECORD D,,,20944 J?' S 7-
AMDRI!SS° 1850 Hitskory H9.11 ppT. FLODR cirr ? susuRe Eagan
OCCUPANT Gary L Zhelen nwuFA e8
HEAT LOSS
SOLD BY
Elscnical Work By -
TYPE OF HEAT GA
DATE HTG. INST. GAS C0. METER BADG?e
INSTALLED BY dgwick Htg,
n n
Gaa Line By
- FA x HW -STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN
MAKE W1117.SID80II MAKE OF BURNER _
Mod'el 1117'07'5 Model
$erial 7346676 Max. BTU Rating -
INPUT 75„000 BtII MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT C'm 280 Heat Plug Venr Size 4tt
ValVe H. . VSVeC KIND OF LINER Alnm, SIZE 6 NONE
Llmit Robehew RFL 750n o.eh Hood Verticel Regoiaror
Limit Setting d
20o P
Filtsrs Size
16" 8 25" Num6er 1
Fan Setting 90°f & 120 f Chimney Location Inside Yes Outsida
Pilot Typa COUple Chimney Constructi on Metalbeetoe
Pilor Make
Pilot Model $moke Bomb Wiring
Pilot Timing 50 SQCOAdB Draff O Test 1
L.W. Cut Off
Door
CONVERSION
Lighting Inst.
C8
Prossuro 4.5„W.C,percent WZ 7•0% Date Tested 8/15/74 '
InputCFH 74 Percent 02 8? Company Tcsting C mb 'on 9S8ltC$ _
Stack Temp. `L'Q00f Percent CO 0•Q? Name of Testar
Form 235
HOUSE HEATING TEST RECORD D-20944
ADUR6S_ 1652 H1CkOTy Hlll APT.-FLOOR CITY SUBURB EgBII
OCCUPANT Jamea I{ Fairbank OWNER Yea
HEAT LOSS DATE HTG. INST.
SOLD BY
3A5 C0. METER BADGE.ed 1Ck Ht
INSTALLED BY 5 ? g•
n ft
Elechical Work By Gos Line By
TYPE OF HEAT GA _ FA ?HW STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSiON
MAKE ry'illiamBOA MAKE OF BURNER
Model 1117-07-5 Model
Serial 7340$$4 Max. BTU Rating
INPUT 754000 StII /kIT. MAKE OF FURNACE
Model
CONTR0L5
THERMOSTAT Cm 260 Heat Plug
Volve M_H. VSOOc
Limit Robshxw RP'L 759n
Limit Setting 200of
Fan sereiny 90°f & 120af-
Pilor Type
Pilot Make
Pilot Model
Vent Size KIND OF LINER Almll. SIZE 6il NONE
Draft Hood VQrACal Ragulotor
Filtars Size 18" x 25" Number 1
Chimney Location Inside Yea Outside
Chimney Construction Metalbeatoa
$moke Bomb
Wiring
Test Tag Ye£
Lightiny Inst.
Pilot Timing 65 Secouda Draft
L.W. Cut OFf Door Pressure-
Pressure 4.6"w'C'PerceniCO 7 0% DotaTested -
Input CFH 75 2
Parcent OZ $•7 Company Testing
$tack Temp. 41OoY percenT CO 0'0 Name of Testar _
Form 235
3 21 ? O V? ? OFFIC USE ONLY This reqvesl void IB monMs (rom mlidn?an date pnnted in Ihiz 6ox ??5
5??/?? ?
Rw?«?
Ar'e""
mo- `r
PLEASE PRINT OR TYPE
Reqvest ote Rooqhin inspedion reqoimd2 ? Y<a Inspeeion OMer Than Rovgh.lnReady Now p Will Call
-? 6 p'ou mvst mll Ihe inspeeor when rmdd Dak Ready.
I, licensed conhador ? owner hereby requesl inspedion of the o6ove elechical work at:
k6 AAdress (Stmet, Box, or Roule No ) Gry Zip Coda
1
16-50 C'YCH l Il
Secfion No. Township Name or No. Rarga No Fire No. County
?
Occapont Phone N.
. ; ', 1e,r fy\
Power Supplror Addmss
?
Eleanml Conkaaar ?Company Name) Canhaaor licrose No Moaher Lic No. (Pianr Eled. Only)
?
Ma?ling Addrees (Cantmdor or Owner Peharminp Inarollonon)
Amhonzad ignamre? MrarOwnmPeAoemin Inxmllonon) PhoneNo
?f,S?,-?'oay
EB-000OtA-10 6/95 STATEBOARDCOPV•SEEINSTf1UCTIONSONBACKOFYELLOWCOPY
IuII` ? REOUEST FOR ELECTRICAL INSPECTION G
IIIIIIII) IIII II II IIII I? IIIII II?f? IIII IIIIf ' ar Electricity
21 Uni esity AveRm. 5-128
g St. Paul, MN 55104 _ 0 3 2 1 0 6 3 0PhonA (5,91?2.oe? y/.9Is? Home Duplez Apt.8ldg. Other: New Addn
Commeraal Indusirial Farm Remod Re oir
Air Cond. Hig. Equip. Wofer Hic Load Mgmt Ofher.
D er Ran e Elec. Heat Tem $ervice
"X" o6ove ihe wo`k covere/d ?by this requesL Enfer remorks in tbis space and on the 6ack of the whiM copy only.
Calcufate Inspecfion Fee - This Inspection Requesf wiil not be occepted withovf the mrred fee:
ONier Fee 3M Service Enfrance $ize Fee # Grcuils/Feedars Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
$treet Lig./Troffic Sig. Above 200 Amps 100 Amps '
Tmns{orcner/(?ienertlbr INSPECTOB'SUSEONLY T07AL A01, ?
Sign/Oufline !ig. Xfmr.
Alarm/Remote Conhol S17
L
Swimming Pool i here ?am mm
O?E?pd th? eia nsialioban desmbed herem on the daks starod
Irr?gation Boom Roogh-In Oab
Special Inspeclion i
Invesiigotive fee Final Dare l?
THIS INSTALUlT10N MAY 8E OHDERED DISC N NOT COMPLETED WITHIN 18 MONTHS.
?? CITY of EAGAN
BUILDING PERMIT
Owne: ................... ./.. Q`'":.".; `.......................................
Add=ess (Pxeaenl) -........_??:..............: e:......
Bulldar ..................... ....`""•„....=......... ............................................
Addrau
..
N2 3709
3795 Pilo! Knob Road
Eagan, Minnesola 55122
454-B100
Dele .... .f...-/ 4?.. ..z? ...............
Sioties To He Used For Fron! Deplh Heigh! Eal. Cos! Parmi! Foa Remarks
I I
................. .------?:_._?` ........... .............. Per .............................................. (/.........................
Mayor 46 ? Bv3ldinp?nsyectoe
This permit does not avlhorise the use of slreefs, roade, alleys or sidewaika nor does 3t glve the owaer or hia agea!
the righ! !o areale any siluation whiah is a nuisance os w6ich presenffi a hazard lo the heallh, sately, convaalance aad
general welfare !o anpone ia the communifp.
TFIIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS 2N PROGR£SS.
This is 3o aer2ifr, lhai.......e.............. 7°?....... -----.hat permiesion !o " etael-a...... ....:-w ........ _ qpon
.... ti- . ..... .....................-
the above described premise subjeat Yo the provisions of all applica6le Ordinances for ihe City o Eagan.
\
4 CITY of EAGAN
t
BUILDING PERMIT
. . ..........................................
. ...... . .
Ownex • . .............. . '?"?" .....
.... .................. ....................
Addsess (Prasen!) ... ??'.:S ?.--..L:`.??._.??.V"?
.... ................... ......?:::....:........................................
Builder ..........
Addzess
...?rZ9. ?!../ ...................... ........................................
DESCAIPTION
. ;«
N°_ 3708
3795 PiloY Koob Road
Eagaa. Minnesota 55122
454-8100
/ ? ? v_ ?'j
Dels .._ .
...........................
6loriea To Be Used For Fron! Daplh Heigh! Eaf. Coa! Parm!! Fse _ Remarks
- ? -- a
. o
-
?
/?. r+-d a
?
?
" LOCATION
Slraei, Road or ofhes Deacription of Loca!!on I Lo3 Block AdditIon oz Trac!
Thia permit does not aulhorize the use of slceeffi, roads, alleps os sidewalks nor doas it glve the ownar or hU agen!
the righ2lo ereale any silua2ion which ls a nuisanee or whlch presenla a haaasd !o !he health, eately, eooveateaes aad
geaeral welfaxe !o anpone ia the community.
THIS PERMIT MUST BE KEPT ON THE PAEMSSE WHILE THE WOAK IS IN PROGRESS.
This ia !o ee:tifp. 3he!_??!?. '.....? ............ ....has permission !o aree!-a _..-- -..?-"-:.'.?:. . "`.-?.................?:z :._upon
. . . ,- •.. .
the above described pxemise subjeet io the provisions of all applicable Ordinances for !he Cifp o Eagan.
- t ,-?
? :... ..?"...^.:-..' ................. Per ...._......?`.`?:.........::?...._...`......:.? ......................................
................................ --'--' Ma or.-- 16 Buildinp Insyeetos
r ?
N4 3858
CITY of EAGA?N ???
BUILDING PERMIT
.
Ownex _' ... ............ ........._.................." Eagan. Minaesofa 55122
Addsau (P=ecani) .%..l..: j??.?............. 454-8100 .
O
Builder ... o..............?.??.etLlL? .............................................. .?7
p,? Dale ?...-P..?..°?.t.....? ? ................
Addresa .._..OQ.I...............?p0..::6:/:??
8ioxies To Be Usad For Front Depih Heigh3 Eai. Cos! Permi! Fee Remarke
' ? ?o
0 S_ Z?'Z ?d 6 '6 d`Z 00
Slreel, Road or olher Deseripiton oi Locanon I Loi nloes xaamon or lraei
-?- A6-1 Thls permi2 doea not auihgrize the use of sfseais, roads, allaps or stdewalks aor doas it give the oaaer os hLa egen!
!6e =igh!!o ereate anp siluation which is a auisanae or which presanis a hazard fo the heallh, safety, toavenianae aad
geoeral welfare !o enpoae in the eommunity. H
THIS PERMIT MUST B?Ty ?ON THE PAEMISE WHI6? pHEn?O ?K=osareelaOY. ? . ..................... _ upen
, fha!"- ---Y.l.?GisrL-....._'.......
This is !o certify ./ :
the above desaribed premise subject fo the provisions of all applicable Ordinanees for the Ciip of Eagan
........ ...
./-5??...?...... J ..--° ............ ........ ..................... Per ...--?°'-. .?.............
Mayor Bulldinp Impaoto??
? e EAGAN TOWNSHIP
BUILDING PERMIT
? .
oane: -_? ... ._ -A-L .?,.?.......,a??..?,.1.... .-
. ...
c .
Addresc (Precen I.aa?'j ........ .. :..?,-c.???y'(? _.
Huilder ............
Addreu ..... .
............ ..-'-- -
DESCRIPTION
N° 3191
Eegan Township
Town Hall
Dale ..............'-
Siorie To BeUs/ed Foz
? Fsonf DepSh Heigh!I
? Esl. Cos! Parmit Fae
/et5s.s
...?_s. Remazks
or
-at9
This pesmi! does not auiholAue 1
the righ! !o e:eafe enp silualioa w]
gsneral welfare !o anpone fn the
T
THIS PERMIT MUST.
This u !o oer2Hp. !da .ccrJC -'--
!he a6ova dascribad pre isa e je
1955.
LOCATION
:ripiion of Locafion I Lo! Block Addifion or Traci
-ir 3, iGa 9-3 >, 3s- D -A --
?S
s se of sireels, roada, alleps oz sidewalks nor does it glve the owner or hia. agent
:h is a nuisenee os whieh presenSs a hsaard !o the health, eafety, eonvenience and
ommunilp.
7E ILE THE WOAK IS IN PAO?GjR SS. ?. /.
nc«.l..__........has Permission !o eree2 a.../..?..... .:? k?c/trr, =?."_.upon
rovisions of the Building Ordinanee for Eagan Sow ship adopled April 11,
11 .. wca.l......-_-'. Per ...-'----../??. ._?:.^.r-_:.
r. . ............................
oard Building I ecfoz
U
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viLu?sE oF EaaN ? WATER SERVICE PERMIT '_ . •, ;
3795 Pilor K"b Road P*EtMIT NO.: 1405 ? ' ^ ? • , ? ' ??
t
6oym.MN 53172 j, DATE:.
ZoninH: PUD - -.--.' ?' 'Na?a[13nitsa' ? ,.. . , .
-
? IlOMOs ? ; .. ? . . .r.
New Horison
? Owner: , i
. _
_
. . ? ? ?
? Addrees:
Sue Addreas: 165 52-54-56 H1Cko1y? R3.11
Tt n Pl?bi?ug OD.
Plumber: Tt
' Meter No.: Canaectlatt Cherga?20•00 bi11Ad {
Size: Acrnurrt
Reader No.: ---- Permit Pee: 10.00 'pd `.
1 ogrse ro cweyly rritM 16e vilM" of Eapod ,SUiChaBl: , ' • 50 pcl ?? ? _ '. . . .. _ . ` .
. . ? ? O.dhaneas. ' . Mfic. CbarQes:- ' - . . . , , .
Tmal:,
?
'
i ?
By Date Paid: , . . . . .
. ? . . .
,
Uate oT Insp.:
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-
YILLABE OF E"AN
??
,
' . ' 3795 W1aK
;:. ,,,e,?„a ?
.
SEWER SERVICE
PERM
T .
';
t"aan. MN S5122 I
P$1tlyJY NO.:,
?_
y?g?
ZoNnH.
. -.._ PUD -
?_
DATB: ' 2/Z?/7- ?
Owner: Wood
A ate - Ne?r I?ri °tunlft'' 47ttpit
Oll 1R
ddrees: t
sicc Addre?s: 65 52-54-56 y . j
Plumber: _ .i.
:?.:,'
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?'
I ew..ro
Oret"°"e...?vM1 .?M , ,
?
.a.' ,
' ":.'°.
oM vmaw °f ?an CL?ar 1300i 00 pd 12./3u
-- .
.
.
. "cemiM Dapoeft: .
---------- aa ,
FftU* g«:
?
BY: S'rib"rm..?s
. , ? Date of Insp
:
.
.. . ' • Inap.: Total:
Dne.Paid: . . ? ' ? . . :
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;.
Clty ?? ?apjj Claim Vouthr
Make Check Payable to: American Building Contractors, Inc.
Address: Attn: Diana
2960 Judicial Rd, Suite 100
Burnsville, MN 55337
Permit #: 87475
Receipt #: 11/19108
Site Address: 1654 Hickory Hill
Reason for Refund: ABC will not be doing siding on this home.
TYPE OF REFl1ND
Buildin Permit 6ase Fee 0801.4085 $ 42.75
Construction Meter Dep
Refund
9220.2254
$
Curb Box De osit Refund 9220.2253 $
Fire Su ression Permit 0801.4096 $
Mechanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbin Permit 0801.4087 $
SAC MCES 92202275 $
SAC Cit 9379.4681 $
SAC Admin 0801.4246 $
Sewer Permit 6201.4532 $
Surchar e 9001.2195 $
Treatment Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Su I& Stora e 6101.4680 $
Ca ies 0201.4230 $
Total $ 42.75
I declare under the penalties of law that this account, claim
has b paid.
ure
or demand is just and that no part of it
Date
Mike Maguire December 18, 2008
Mayor
Paul Bakken American Building Contractors, Inc.
Cyndee Fields 2960 Judicial Rd, Suite 100
Gary Hansen Burnsville, MN 55337
Meg Tilley
Council Members I RE: REFUND OF SIDING PORTION OF BUILDING PERMIT # 87475
Thomas Hedges Dear Diana:
City Adminisirator On November 19, 2008, a building permit was issued to reroof and reside
1654 Hickory Hill. As requested in your letter of December 12, 2008, we have
cancelled the siding portion of this permit and are refunding the permit fee of $42.75
under a separate cover. The State surcharge of $3.00 is non-refundable.
This letter is also meant to advise you that effective January 1, 2001, the
Municipal Center City of Eagan's Fee Schedule assesses a$50.00 fee to refund permits
3630 Pilot Knob Road that have been processed and receipted. As a courtesy, we are informing
Eagan, MN 55122-1610 contractors of this policy and issuing a full refund, minus the state surcharge,
651.675.5000 phone for a cancelled permit on a"one time only" basis.
651.675.5012 fax
If you have any questions regarding the refund or this letter, please contac
651.454.8535 TDD me at (651) 675-5671 or sbrandel ancityofeaQan.com.
' Sincerely,
Maintenance Facility
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone Sarah Brande
651.675.5360 fax Office Supervisor/Administrative Assistant
651.454.8535 TDD I
cc: Dale Schoeppner, Chief Building Official
www.cityofeagan.com
The Lone Oak Tree ?I
The symbol ot I
sirength and grow[h 'in our community.
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New ConsVuction Interior Im rovement
• SVuctural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• CivilPlans (2) . SWCturelPlans (2) • CodeAnalysis (1)"
• Certiflcate of Survey (1) • Civil Plans (2) • ProjeG Specs (1)
• CodeMatysis (1)" . LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeAnalysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & 7esting Schedule (1) " • Elec. Power 8 LighUng Fortn (1) not always"
• Meter size must be established • Meter size must be eshablished • Meter size must be established - if applicable
• PrqedSpecs (1)
1 • EnergyCalwlations (1)
1 • Electric Power & LighUng Farm (1)
1 • MasterEptPlan (1) 1
1 • Emerpeney Response Site Plan (t)
1 • 5oilsReport (1) 1
. MC/ES SAC determination letter • MC/ES SAC determmation letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 ca11651$02-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspec6ons for requirements.
DATE: kb'2?-)-c)Z WORKTYPE: NEW REMODEL
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF
CONSTRUCTION COST: V \ 9} Z
Phone #: C?::) .
PROPERTY
O WNER
`
City:
CONTRACTOR
cy? Phone#: ( ?p5( ) \'E??'4???
City:
Last
?-,
First
State: ? Zip:
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
Licensed plumber instailing new sewer/watar
State: \°-? Zip:
Phone #: ( - ) - -- -
Ll
Registra[ioul#.l??,?
I? 0-I3 1 ZCu-? ?
i ?
State: Zip_-
Phone #: ()
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 Sfatutes and City of Eagan Ordinances.
Signature of Applic'; - ?Updated 7102
OFFICE USE ONLY
SUBTYPE
. 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
. 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts.
15 Lodging . ? 28 Crreenhouse ? 34 Ext Alt - Comm.
. 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
= 31 New 0 35 Tenant Impr ? 42 Demolish (Foundation) C 46 Windows/Doors
= 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair
' 33 Alterations 0 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizadon
- 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. R.
SAC Code # of Stories sq. ft.
Vo. of Units Length sq. ft.
Vo. 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 ? Insularion q Plumbing ? Stucco/Stone
APPROVALS
?lanning Building Engineering Variance
?ermit Fee
3urcharge
'lan Review
1AC/ES SAC
-lity 5AC
Nater Supply 8 Storage
3/W Permit
3/W Surcharge
Treatment Plant
'ark Dedication
rrails Dedication
Nater Quality
Dther
:opies
VALUATION $
% SAC
SAC Units
Meter Size
iotal
? d
WOODGATE 1ST
PERMIT
DATE &
TWF
12/73 4-YLEX
12/73 4-PLEX
] 2/73 4-PLEX
9/74 4-PLEX
9/74 4-PLEX
9/74 4-PLEX
9/74 4-PLEX
9/74 4-PLEX
84600
I,nT $j,
050 02 1650/ HICKORY HILL%
060 02 1652/
070 02 1654/
080 02 1656
090 02 1658/ HICKORY HILL
100 02 1660/
110 02 1662/
120 02 1664
130 02 1666/ HICKORY HiLL
140 02 1668
150 02 1665/ HICKORY LANE
160 02 1667
170 02 1659/ HICKORY LANE
180 02 1657/
190 02 1663/
200 02 1661
210 02 1651/ HICKORY LANE
220 02 1649/
230 02 ]655/
240 02 1653
250 02 1643/ HICKORY LANE
260 02 1641/
270 02 1647/
280 02 1645
290 02 1635/ HICKORY LANE
300 02 1633/
310 02 1639/
320 02 1637
330 02 1627/ HICKORY LANE
340 02 1625/
350 02 1631/
360 02 1629
PAGE 2 OF 5
4
*
MASTER CARD
/,, J S, t3k a,
TioN 1W&.AAor4 /N.1/ . /L fin _ r a . fd _
OWNER Wv}
SiRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 3
PLUMBING
CESSPOOI - SEPTIC TANK
WELL
ELECTRICAL
+
HEATING ? /?-tG 1/
GAS INSTALLING -
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION SEPTIC
CE55POOL
FRAMING ?-?;-7v TILE FIELD Ff.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violafions Noted
on Back
COMMENiS:
1?
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN 6VENT OF OBSERVED VIOLATtONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION -1 certify that I hwe carefully inspected the above in which I have no interest present or prospective, and that I hava reported herein
all significant conditions observed to he aC variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacifie require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
euiLo
CONJv1ENT5:
DATE
offlIo, z.
3-CQ Le)( /
MASTER CARD
/?50
Permit ?
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBI NG
v- 3-aa-'G
-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL I
HEATING
GAS INSiALLING
SANITARY SEWER I
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOI
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING pEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIEID
PLUMBING I
WELL
SANITARY SEWER
I Violations Noted
on Back
COMMENTS:
M1VLIVM1L •
LAND USED AS ?x geQ /,(? f+
COMPLIANCE INSPECTION ftEPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYONO
CONTROL.
? REINSPECTION REQUIRED
REI
DATE OF REINSPECTION
CERTI FICATION - I cercify that I have carefully inspected the a6ova in which I have no interest present or prospective, antl that 1 hwe reparted herein
all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
7 ALL IMPROVEMENTS ACCEPTABIY COMPLETED
B111LDING INSPECTOR
DATE
TE OF INSPECTION
?.`. ..
MASTER CAftD
A-
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING 7-14 2, 4?
7
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANI7ARY SEWER
OTHER
OTHER
Ifems Approved
(Initial)
Date
Remarks
Disiance From Well
FOOTING $EPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
,
COMPLIANCE INSPECTION REPORTS
70 BE USED ONLY IN 6VENT OF OBSERVED VIOtATIONS
PERMIT NO.
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
OF INSPECTION
NON-COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS
? REINSPECTION REQUIRED DATE OF REINSPECTION "
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I heve reported herein
all significant conditions otserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
6UILDING INSPECTOR DATE
IIJIW S3
MASTER CARD
(1= r
STRUCTURE
LAND USED
Issued To
Permif No. Issued Coniractor Owner
BUILDING
PLUM8ING
CESSPOOL - SEPTIC TANK
WEIL
ELECTRICAL
HEATING
GAS INSTALLING
-
SANITARY SEWER ?
,
JI,
OTHER
OTHER I
Ifems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
fOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEA7ING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PIUMBING
WELL
SANITARY SEWER
??
Violations Noted
on 8ack
COMMENTS:
?
COMPLIANCE INSPECTION ftEPORTS ? -'
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS iNSPECTION
? NO EVIDENCE Of NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS ? COMPLETION OF CERTAIN IMPROVEMENTS
.
WILL BE DELAYED BY CONDITIONS BEYOND
? NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL.
WITHOUT DELAV.
ITEMIZED AND DESCRIBED AS FOLLOWS:
t
? '
?.
? REINSPECTION REQUIRED DATE OF REINSPEGTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein
all signiticant conditions oLssrved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPEGTOR DATE
v? aa
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLorwe
Permit Number: 0 2 5 2 4 3
Date Issued: 0 3/ 2 0/ 9 5
SITE ADDRESS:
1650 HTCKORY HILL
LOT: 5 BLOCK: 2
WOODGATE
P.I.N.: 10-84600-050-02
DESCRIPTION:
(ROOFIN6)
8uilding'-Permit Type
13uilding Work , Type
f ?
i
t
.. .s:.
? r
i
,??^ ?• _?
'j.
!
j r ?..... ?-.... ? 3i
MULTI. (MISC.)
REPAIR
,... ...? -.., _ r '--• l ?= 1 ? ,., u ,,.? a
REMARKS:
INCLUDES 1652 (LOT 6) 1654 (LOT 7) 1656 (LOT 8) HICKORY HILL
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$81.@0
$3.00
$84.00
$6,000
CONTRACTOR: - qpplicant - s1'. l.zC. OWNER:
ALISTAR CONST INC 15935325 0803247 WOOD6HTE TOWNHOME ASSOC
3315 N HWY 100 1625 HICKORY MILL
MINNEAPOLIS MN 55422 EAGAN MN
(612) 593-5325 (612)452-3922
I hereby acknowledge that I have read this appliaation and state that the
information is correct and agree to aomply with all e'pplicable 5tate o# Mn.
L Statutes and City afi Eagan Qrdinances. _
APPLICANT/PERMITEE SIGNATURE
PERMIT C ? c, ?l LI
lA R QtA 11 171,
ISSU D B SI ATU E
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUTLDING
025243
03/20/95
SITE ADDRESS:
LOT:
1650 HICKORY HILL
WOODGATE
PERMIT SUBTYPE:
muLrz. (Mrsc.)
APPLICANT:
5 BLOCKa 2
ALLSTAR CONST ZNC
(612) 593-5325
TYPE OF WORK:
REPAIR
DESCRIPTION (ROOF7N6)
INSPECTION
FRAMING DA •
ROOFSNG ..
INSULATION FINAL
REMARKS: INCLUDES 1652 (L4T 6) 1654 (LOT 7) 1656 (LOT S) HTCKORY HILL
F
L
?
?
< .J,.
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTtAL)
681-4675
New Construdien Requiremerrts RemodeVReoair Reeuiremerrts
? 3 registerod aite surveys ? 2 copies oi plan
? 2 copies of plana (indude Oeam & wimiow eizes; poured fid. design; etc.) ? 2 ake surveys (extarior eddRione 8 decks)
? t energy calalations ? 1 energy calwlations Tor heated edditiona
? 3 copies oT tree pmservation plan if lot pletled after 7/1/93
required: _ Yes _ No
DATE: 3-,2O - 4'S CONSTRUCTION COST: gD O
DESCRIPTION OF WORK: /I fQ/
STREET ADDRESS: ' 16 5'0
LOT A -? BLOCK ?
s -/'
SUBD./P.I.D. #:
PROPERTY Name: Voo4,f1,c /bun6e&,c /sf . Phone #:
owNeR ? FAM
Street Address,
City: fa 4 State: ^T^' Zip:
CONTRACTOR Company: Phone #: ASY 3?315
Street Address: ?dr) License #- J?7?' 7
City: i7?lf State: Zip• S?'<Z Z
ARCHITECTI Company: Phone #*
ENGINEER
Name: Registration #,
Street Address•
City:
Sewer 8 water licensed plumber.
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this appiication and state that the information is cortect and agree to comply with all
applipble State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
• ?, _
.. ? •d
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4plex o 12 Muki RepaidRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
a 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
BUILDING PERMIT APPLICATION
?
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. „ 1a, A w0
T Be Used For: Valuation: Date: L-t. C
Site Address ?('SZ f"?«ko?i? }4",
Lot Ac- Block cP,
T 6;L a t°f o Ccl' q(Z?? a
Parcel??b ??`J ?h ?
Owner C) G/?'
Address dl c4 ??/ (/
City/Zip Code /Cio.4 I
Phone S ?? ?
Contractor ,[J erar?t v O//'
Addres 76 c0 0 02a
cicy'/ziP? "cd&e ` 5'ro 3 /
Phone Vc,- 3 3 r 9Z
Arch./Engr.
Addzess
City/Zip Code
OFFICE USE ONLY
• FEES
Occupancy Bldg. Permit ZS, 00
Zoning Surcharge iSz;-
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth IZI Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System Park Ded.
City water _ Trail Ded.
PRV _ Copies SD
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council ?
TOTAL
Bldg. Off.
Variance
? R2?rt,Me ?xi S?'N6 17c;+?? BuILa NEInI
Phone #
agrees that all work shall be done in accordance with
( gnature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2000 BUILDING PERflIIIT APPLICATION (RESIDENTIAL)
C,TY oFEAGAN
3830 PILOT KNOB RD - 55122
_ 651-681-4675
a s reylsrorea we wneyn tl,owmy sy. R a W, za. rt. w nou:e
and go roofed ar6as (20% maximum bf coveraae allowedl
D 2 coples o1 pldna fsfww beam a wlntlow tlzes: poured hW. dealpn; etcJ
D 1 fet d 6nerpy cdCWOHOnt
a J Copies ol hae preservallaf plan H bf pk?Metl afler 7/1/93
DATE: ` - 4)d
DESCRIPfION OF WORK: ?4j G I -
STREET ADDRESS: ' f't / 'C /l vY
LOT: _[_ BLOCK: ? SUBD./P.I.D. Y:
U0.5p
cal(ed q-y2-00
2 cow.s a plm,
1 tet o1 enerpy cdaAaHons for heCted adtllMOns ?l...n
1 site survey tor extedor additlaru d tlecks TII r,
CONSIRUCTION
? a??-
Name: zLLC? Phone lf: 0_1_`?rl_l t6 f
PROPERT( lpit Firat
OWNER Sheet Address: / c? 1 `7
Cty stote:..0,!!_ zlp:
Company:A C/11?f M14Z C.ah .lir ? Phone #:
(area code)
CONTRACTOR Sheet Address: 7I ? 6? l? J ense t Gf Exp. J?O ?
?ity So,e: ziP: _aW3
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regishutlon #:
CHy Sfate: ZiP:
Sewerhvater licensed plumber (N installina sawer/waterl: Phone #:
I hereby acknowledge thaf I hwe read thb appiicalion, atafe fhat ihe infomna correct??r PN ? atl appacabl0 Stale
of MlnnesoM Stalufes and Ciy of Eayan Ordinancea
SignaNreo(Applicanf: ' ?
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes _ No
Yes _ No - Not Required
SEP 15 2000
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 FoundaGon O 07 05-plex
O 02 SF Dwelling O OB 06-plex
? 03 01 of_plex O 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
31 New
b 32 Addition
? 33 Alteration
? 34 Repair
O 13 16-plex ? 21 Porch (3-sea.)
O 17 Garage ? 22 Porch/Addn.(4-sea.)
0 18 Deck O 23 Porch (screened)
? 19 Lower Level O 24 Stortn Damage
Plbg _Y or _ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory BkJg.
? 36 Move Bldg. ? 43 Reroof
0 37 Demolish (Bidg)• ? 44 Siding
? 38 Demolish (Interlor) ? 45 Fire Repair
0 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code OL
No. of Units
No. of Buildings _L
Const. (Actual) 5=,f/
(Allowable) -Al
UBC Occupancy
Zoning D
# 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 Sprinklered
APPROVALS
Planning Building t Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
Total:
y
? 31 Ext. Alt - Mufd
? 33 Ext. Alt - SF
? 36 MuRi
SAC Units
% SAC
,..k CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
P.I.N.: 10-84600-080-02
1656 HICKORY HILL
LOT: 8 BIOCK: 2
WOOpGA7E
DESCRIPTION:
Building_Permit Type DECK
Building Giqrk Type NEW
U9C Occupancy\ R-3
'Building Length-, 20
? Building Width 12
;r
[?
i%`,/ `l?" C)
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIE5 $1.50
Surcharge $.50 Tatal Fee $27.00
Subtotal $25.50
CONTRACTOR:
KCO
BUILDING
020896
05J11/93
OWNER: - RPPllcanc -
VICKERMAN RICHARD
1656 HICKORY HILL
EAGAN MN 55122
(612)687-0561
I hereby acknowledge that I have read this application and state that the
informat3on is correct and agree to oomply with all applicable Stete of Pin.
Statutes and City nf Eegan Oy-d_inances.
11
?- '?•u^x,?1 P?' ? If?LI
IS' SUEDJ3Y: IGNAT RE
?
INSPECTION RECORD
CITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
51TEADDRESS: LoT: s BLOCK:
1656 HICKORY HSLL
WOODGATE
PERMIT SUBTYPE:
DECK
F
L
PERMIT TYPE:
Permit Number:
Date Issued:
2 APPLICANT:
VICKERMAN
(612) 687-0561
TYPE OF WORK:
,,,I,I , , ,,,,.,,
•tniI I I u0 ?..1;(t1 11
I!GC Of.?. nl ?'?11 p
N1) ':741 uu 1.A^" (91 P1
?it:
L 1 ?bl? df
?7?I11(iI'4J ? 4
i??l• ? ftfi)l,M'= ..
It '.'. If1?Ir0'?h N1f?
BUILpING
020896
06/11/93
RICHARD
NEW
???1: 1 '•,o?
N?Ot,?n
ittII f U1wf:
?
?
1I • I
REACTIYATE _
CECENED
PERMI"'er N , .
IRM - MAY 0 5 1993
------ --------
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION $Zq• OO
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 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 is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: /G 5 ? ,Tf ?c 1?e_) /'<'1/ , 7"' _
STREET ' SUITE *
Tenant Name: (commercial only)
IAT BIACK ? SIIBD. ?? ?? P.I.D. N
Descri tion of work: eClt-
The applicant is: 0 Owner ? Contractor ? Other (Describe)
Name ,-?RA" ? C xd Phone ?? e!??
Property
Owner LAST FtRST
???'?? ll(LL
address
STREET SiE Y
City State //)/// Zip S S??
Company Phone
Contra ctor Address License # Exp.
City State ZiP
Company Phone
Architect/
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this liBati gn and state that the information is
correct and agree to comply 1 p a e Stat? of Minnesota Statutes and City of
Eagan Ordinances. ? /?
Signature of Applicant:
OFFiCE lJSE ONLY
BUILDING PERMIT TYPE
0 dl Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
O 05 SF Misc.
woRK nrPE
0 31 New
? 32 Addition
? 06 Duptex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Mutti. Misc.
? 13 Garage/Accessory
? 14 Fireplace
,V 15 Deck
? 35 Tenant Finish
C3 36 Move
• 4
?' ? _ ...
? 1642asemenCF4*ltl
O 17 Swim Poo1
? 18 Comn.jInd.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Lonst. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy R-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
d of Stories Footprin t Sq. ft. Fire Sprinkler
Length ? On-site well Census Code ?
Depth On-site sewage SAC Code
?
b
APPROVALS ??, o
Q
y?
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site ?Footing ? Framing 0 Insulation
? Wallboard ?Final ? Draintile ? fireplace
Permit Fee Qlc?, UD
Surcharge T73
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SJW Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac %
sac un; t S
v.luec;m: $
L BL CITY USE ONLY
2Sr
suao. AN b0 ?L
?? .
Please complete for:
RECEIPT #: `'{' lV
RECEIPT DATE: 7_62 3"1q
PERMIT # ?-3 Ln / Tt
1999 PLUM$INfi PEfiM1T (RESIDwN'I7AL)
crrY oe EAs,ax
3$30 i'ILOT KN09 RD
EA6AN, MN 55122
(651) 6$1-4675
? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.0(5 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ ?
Wat2r SOftener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Tot81 --> --? ----> .... > $ D 6v
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------- ----------------------- ------------- ------------ -----------
I hereby acknowledge that I have read this applicatlon, state ihat the information is correct, and agree to wmply with all applicable City of Eagan ordinances.
It is the applicanYS responsibility to notify the property owner that the City of Ea9an assumes no liability for any damages caused 6y the City dunng its
normal operational and maintenance activities to the facililies constructed under this permit wi[hin Cily property/right-of-way/easement.
SITE ADDRESS:
C
OWNER NAME: : I?G eo/l/r/f971/ TELEPHONE #: 45-1_49?17 0176V
(AREA CODE)
INSTALLER NAME: /r/? L- 0174 /?vyZ? TELEPHONE #: '//2? SS/ /J J ST?
A CAER ODE)
STREET ADDRESS:
CITY: STATE: ?i ZIP: 5a--
SIGNATURE PERMITTEE
? CITY USE ONLY
PERMIT #: RECEIPT DAI E:
MIDENTIAL MECHARICAI. PEitMIT APPI1CATION
C11'Y OF f14fiAN
S$SO PII.OT I{NOB RD
EA6RN E11V 551 EE
651-681-4675
Please complete for: : single family dwellings
townhomes and condos when permits are required for each unit
Date: Y - y - Ol
SITE F.DDRESS: R
OWNER NAME: ?? V I G?? IrVYI?p TELEPHONE #: 5I 0? 05(0 ?
(AREA CODE)
INSTALLER NAME: ? TELEPHONE #: Sv;z- q31--7099
Wohlers Southside Htg & A/C, II1C. (AREA CODE)
STREET ADDRESS: 6950 West 146th Street, Suite 106
- Apple Valley, MN 55124
CITY:
ZIP:
Plate a theck mark next tn the oermit wnrk tvee
_ New residential dwelling unit under constructionand not ownedoccupied $ 70.00 II
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: pib?tPJ Nrnau c' akJ
Akfhatt: g 60" : 9+pvi P-S
E State Surchar e $ 50
Tota I $?
Remiiider: Call for inspections.
?'I? ??_ ?? II 1?1 l5
ryi JU? 1 i. 2001
SIGNATURE OF PRIMI?T-EE--.-_
Updaied I;OI
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCI!!L MECI1MICA1. PEiiM1T ?PPLICATION
CITY oF EA6l4N
3$30 PILOT KNOB iiD
F-4fiAN, MN 5518E
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(.ARF4 CODF)
TENANT NAME (IMPROVEMENTS ONLY).
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(.4REA CODE)
STATE: ZIP:
WORK TYPE: New construction Instal] U.G. Tank
_ Intenor Improvement Remove U.G Taiilc
_ Processed Piping
Specify Nature of R'ork
When insta!/ing/removing uiederground tank, ca11 651-681-4675 for inspectio» by Fire Marsleal and
P/umbing Iiiispector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Conhact price: $ x 1%= $ (Base Fee)
State surcharge calcula[e at 5.50 for each S 1,000 Base Fze
TOTAL s
SIGNATURE OF PERMITTLE
Updated 1/O1
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
# D
DATE: rl S 9?
?SIDENxS?lS•':: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS &
.... ... ..: ..: : :. ..... ..... : ... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: ?!l C?L?? {311r?GDL?
SITE ADDRESS: /'??-
LDT:_BLOCK SUBD. ?
INSTALLER: Lv!'s?Z/,? 4?r? DC7?'?!
ADDRESS: ??.5'??J'4f???`a'1/r?r??z- ?'s?.
CITY: ZIP: Z-
PHONE #: Y.I^2- - 2_66.J'-
FEES
ADD-ON MINIMUM 15.00
HVAC 0-100 M BTU 24.0
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL : V-x-??. STATE SURCHARGE: .50
TOTAL: $??SZ
/
GNA UR OF P' 4ITTEE
?lJ.+/OeNr??(/?? ct?v' /
?OI?IIiERCTA???1`IL1U5.TlL?AI:::; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
...._.:. .. .. ..
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS
CITY
ZIP:
PHONE #:
FOA: /?%---
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE e $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
.,
?
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOiA 55121
PFiONE: (612) 454-8100
eEn, eLoNICxns,
Mwu
DATE : August 21, 1985 naraas ecnN
JAMES A SMITFi
JERR4 TFIOMAS
ADDRESS: 1650 Hickory Hill Drn+EOOMwncr+re2
cou?ca M11en?ben
KDGES
LEGAL DESCRIPTION: Lot 5- Blk 2 Tpo?r.??AS„
EUGENE VAN OVERBEKE
Woodgate Addition C#Y Ckh*
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 PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, qoods 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,r permit, and taking precautionary
measures for the protectibn 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.
Suhd. 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 Public Right-of-Way. No buildings,
structures or uses 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 storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE. ,.iHE SYMBOL OF SiRENGTH AND GRONRH IN OUR COMMUNIiY
. {
' . . 'a
' 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 notifying 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 TRE VIOLATION CORRECTSD
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,
1
William H. Branch, Superintendent
Public Works Department
WHB:jbd
Rocks on the boulevard
?
OF
DATE= August 21, 1985
BEA BLOId9NST
b+cv«
THOMASEGAN
- JAMES A. SMIiH
JERRV TH(NvU1S
THEODORE WACHTER
' Cwnci Members
iHOMAS HEDGES
_ CINAtlmlWhata
EUGENE VAN OVERBEKE
cnv clerk
3830 PILOT KNOB ROAD, P.O. BOX 27199
EAGAN. MINNESOTA 5519
PHONE. (612) 454-8100
ADDRE55: 1652 Hickory Lane
LEGAL DESCRIPTION: Lot 6- Blk 2
Woodgate Addition
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.
CZTY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLZC 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 protectibn of the public. An electrical co=w
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 PROVZSIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses 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 storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE. ..iHE SVMBOL OF STRENGiH AND GROWTH IN OUR COMMUNIiY
.. . ?
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damaqe 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 notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY 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,
r
William H. Branch, Superintendent
Public Works Department
WHB:jbd
Rocks on the 6oulevard
??
N[aC181S T.
t325M
----------------
0E/18/2095 t9¢$?143
tiAT CR5
0£ 9.9 >
CO 15 Ppn
C02 6.2 /.
coat ? n
T -- H2O
p
EFF 6
83
FT 263.6 'F
^CO ----'- PPm
f ? eF
RT 9
59
SMKt:
----°°----'----'---
? 00850887 _____
[Waffaiih, YeS o03 [Equiguazd yes no]
Mod
.rN n r1% 4AA
Ser # r01h A ? u'"'
Reftigerant (LSS)
Uscd R?covered
Sab l:ontracwrn
k
Tech ?
Helper
Return Work Order
i ci ? (l• i - ?r v?
Date 7?- Sob 0
soia
8te
Castomer Name
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612-332-6533 651-228-7140
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2004 RESIDENTIAL MECHANICAL PERMIT APPLICATTON
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
?q?bg l Telephone # 651-675-5675
Please complete foc single family dwellings & rownhomes/condos when permits are required for each uni[
D
t
5- / /6 / 6"
a
e
Site Address' ?CJ`".? ?-i ? ????1??'L? ?-?/? ? ? ? Unit #
Property Owner 1,uC i Telephone #(CGS'
?
Contractor
????- ?'
Q?
? p1
p
--
Street Address 01
t-)Y -?
e
? City
State Zip 971 0,;?- Telephone #
Bond #: Expires:
The Applicant is _ Ownex _ V Contractor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
_At airconditioner _New _ Replacement
other
State Surcharge $ .50
Total MAY 1 7 2004 i $?SnS?
I hereby apply for a Residential Mechanical Pernut and aclrnowledge that the ino rmation is comr-l??d-a?curate; that the work will
he in conformance with the ordinances and codes of the Ciry of Eagan and with the Mecham1.Godes; that I understand this is not a
peimit, but only an applicarion £or a permit, and work is not to start without a pemut; th fthe work w1R e in ascordance with the
proved pla e case of work whictrrequires a review and approval of pla .
?`??{
ApplicanYs Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for, commercial/industrial buildings
multi-family buddings when separa[e permils are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenan[ Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove '*see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When instaNing/removing underground tank, call for inspection by Fire Marsha/ and Plumbing Inspector
1'01'nll[ F¢CS: $70.50 Underground lank mstallelion/rcmmal ,
$50.50 Minimum (includes S[ate Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over 51,000, add $.50 for
every $1,000 eo rmit fee $ Total Fee
1 hereby appty tor a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case oFwork which requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector
12977
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------;
? For;Of#ic,ei.IJ"se
? ? 741 1
j Permit #: 7b
I
? Permit Fee:
? I
N ?
? Daie Received: ?
I n? ?
I StaR:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IU '?. ' U o Site Address. 1(0S U /-tlCKOyZK k/?L M
Tenant:
Suite #:
RESIDENT/OWNER Name: w1t2`r 114 LICC,C6k _Phone: &?/??
19
A
`
E
F N/C[
/ Zip:
Address / Cit
u? //rZ1 6(LcK42e-
1
y
Applicant is: _ Owner -1--- Contracror
TYPE OF WORK ??
Descr tion of wor : fZr
?cE: -
_
__
Construction Cost?/JC OL) Multi-Family Building: (Yes No _)
CONTRACTOR Name: A? TALC License tY: 2.,n 6 q 3 R?
Address:aZRCaDcTulDfCL6EL ?Q7 ?/ (10
LC state: jL1 i( I zp: ?S 33.7
f/ p/?S U( L
?
City: 1,?
Phone: ?S z_707? 9S / Contact Person: AIU QY S TE I NC IZ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy COd2 . Residential Ventilation Category 1 Worksheet • New Ener9y Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
in the lasl 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 putilio information. -P.ortions;of
spec'rfic reasons'that would permit.'ftie'Gity.to .
rovide
au
ublic if
n-
ifi
d
l
_
y
p
as no
p
ass
e
the information may be c
'
s.
conclude that'fhe ,°are trade'se6ret
I hereby acknowledge that this intormation is complete and accurate; that the work will be in confortnance vnth the ortlinances ano cooes oi the C;iiy
Eagan; that I understand this is not a permi6 but only an applicanon 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 oi plans.
?
X M/? ?k ? , ?j E (,!-l?C X
ApplicanYS Printed Name A canY Sign ure
Page t of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Singie Family
? 01 of_ plex
O 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
? Alteration
? Replacement
DESCRIPTION:
Valuation
Plan Review
(25 % _ 7 00%
Census Code
# of Units
# of Buildings
Type Of ConSt.
? 05-plex ? 16-plex ? Accessory Building ? Pool
? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07-plex ? Garege ? Porch(4-season) ? Ext.Alt.-SF
? 08-pleX ? DeCk ? porch (screeNgazebo/pergola) ? Multi MisC.
? 10-plex ? Lower Level ? Storm Damage
? 72-plex ? Miscellaneous
O Interior Improvement ? Siding ? Demolish Building'
? Move Building ? Reroof O Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window ? Water Damage
' Demolition (entire building) - 9ive PCA handoul to applicant
_ Occupancy MCES System
_ Code Edition . SAC Units
Zoning City Water
_ Stories Booster Pump
_ Square Feet PRV
_ Length Fire Sprinklers
Width
REQUIRED INSPEGIlONS
Foofings (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.
Final/No,C.O.' HVAC
Other:
Paol:_Footings _AidGasTests 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 of 3
12936
------------------
? ?sr'orr???,use I
j Permit #: -1 4 7? I
? Permit Fee: ? I
? Date Aeceived:
I Stafl:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 3O ' 49 S? Site Address: Z,?, S Z H?? KKc?2 Y!-( / c c r,> /z
Tenant:
5uite #:
RESIDENT/OWNER Name: ???3c2T ?OGU/1/? Phone: rDJ!- 4(S6"5,-Y33
Address/City/Zip: /(o SZ h!c t<c?t.Y k«c Di2 i C-6-4i'St2Z
,
Contractor
Applicant is: _ Owner ??_
TYPE OF WORK Descriptio n?of work (2 C= k2 C7U (_
Gonstruction Cost: Y. 5 Ov Mul[i-Family Building: (Yes No
CONTRACTOR Name: .4- a C7 7,t/G License #?rs/g? 93
Address:2.lcGd "ruE) /C/A-L_ /C9U
City: !4?; at GLnlr J/ LL C;?_ State: [-t2 u r Zip: -S 3 :7
Phone: 9S7 - I07 ?y 1?7' r Contact Person: t44K?j ffZ , i ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Enef9y COd2 . Residential Venblation Category 1 Worksheet • New Energy Code Worksheet
CatOyOfy Submitled Submitted
(q Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master planl
_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. Porflonsof
the information may be classified as non-pu6lic if you provide specific reasans that would permit the City to
conclude that the are trade secrets. '
I hereby acknowledge that Ihis information is complete and accurate; that the work will be in contormance with ihe ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an application for a permi6 and work is not lo start without a permit; that the work will be in
accordance with the approved plan in the case ot work which requires a review and approval of plans.
x /? . 6 EIGIG C x Z/
ApplicanYs Printed Name Ap ' nYs Si hature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? 01 of Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
? Alteration
? Replacement
DESCRIPTION:
Valuation
Plan Review
(25%,_ 100°/<
Census Code
# of Units
# of Buildings
Type of Const.
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:
? OS-plex ? 16-plex ? Accessory Building ? Pool
? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07•plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? OS-plex ? Deck ? porch (screen/gaze6o/pergola) ? Multi MiSC.
? 10.plex ? Lower Level ? Storm Damage
? 72-plex ? Miscellaneous
? Interior Improvement ? Siding ? Demolish Building'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
, ? Egress Window ? Water Damage
' Demolition (entire buildmg) - give PCA handout ro apphcant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
FinaUC.O. '
Final/No C.O.
HVAC
Other:
Pool: _Footings _AidGas 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 of 3
12934
AsAk-
T City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? '
j Permit #:
? Pertnit Fee:
? Date Received: j
I StaH: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
SiteAddress: ,?\ 1'i?CKc?f
Tenant:
Suite #:
RESIDENT/OWNER Name: 1)4j•? 1' ?°??f1'GCv? Phone: CQS,-ysa- fi-0
Address/City/Zip: `;J'\C?-w?) `A A F Q`aa+\ I?N J J ttla`
Applicant is: _ Owner Contractor
TYPE OF WORK Des?ript? of work: P.2 rOc)S' fe S i CZ ?P st?S • c 1 6YLk aO ROIA$&
Construction Cost: 7 ,;-nO Multi-Famity Building: (Yes _/ No
CONTRACTOR Name: lon??\-US,,-I,,C, License#: t?O1Coc13?3
Address:?Qn \v?, G'c.?\ '4 lVl!
City: ?v?'??5????E State: rW Zip: S? 33?
Phone: ContactPerson: D'4_Ck?64A, I'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Ruies 7672
Ene19y COde . Residential Ventllauon Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Su6mission type) • Energy Envelope C2lculations Submiqed
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:
'liq=inidrmation ;:Porti?ons'of:
NOTE: Plans and supporting:documents'that=yo"u.su6mit;are:cnn'sldered.Yo;6e pu¢
,
the intarmation may be classiffed'as non publid'Jtlyod prowde'specffrc reaso`irs tBat iroqfd permrt,fhe City to- ..
c'oricl?'dexfiat!itie_'aretrailesecrets.
I here6y acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot lhe City of
Eagan, that I untlerstand this is not a permi6 hut oniy an application for a permit, and work is not to start without a permih, that Ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval oi plans.
? , ?u1
x k?iGtl?IF?. cSG{h-?l ?Pr x a. (?w„wu.c
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? Obplex ? 1Eplex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? Ot of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
O 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex . ? Mfscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Oemolish Building'
? Addition ? Move Building ? Reroof ? Uemolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement 0 EgressWindow ? WaterDamage
' Demolition (entire building) - give PCA handoul 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:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
Final/C.O.
Final/NO C.O.
HVAC
Other:
Pool:_Footings _Air/GasTests Final
' Siding:_Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
6uilding Inspector
Page 2 of 3
12935
------------------
? F„QGnOhir,'?.U`s`e I
' S'7ti7 ?
j Permit #: I
I ?
i Permit Fee: ?
/? I
? Date Received: / ?_ ?
I ?
I
I Stafl: ? i
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /t?^(o -0 W SiteAddress:
Tenant:
Suite #:
RESIDENT / OWNER Name:? GI d A-$S' 2 ?-N!a??-r0 Phone: ,?(- 3
Address / City / Zip: l?o S[? k??r<02-?( l?? l?iP
Applicant is: _ Owner ? Contractor
o
Tecv?
TYPE OF WORK Description o
f wo k: gC 2Cx9t='
Construction CosC Sa19? CgCD Mul[i-Family Building: (Yes T. / No ?
CONTRACTOR
_
Name: A, License #: 2z7n69 39 3
Address: oZ?I00 cI-kD(S,liA( RD:?
City: R C( 6L/v^J U( [,?,C' State: /R!jI Zip: .?i S 33 Z
Phone: 752-:7-0- JS / Contact Person: Ai11 pY S TC /AIC K
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporvl Minnesota Rules 7672
Energy COde . Residential VenGlation Category 1 Worksheet • New Ener9y Code Worksheet
Category Su6mitted Su6mitted
submission lype) • Energy Envelope Calculations Submitted
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 submit are considered.fo be putilic lnformation. Portionsbf
'
City to .
the intormation may be classified as non-public if you provide specific reasons that would,permit ffFe
concfude thaCthe are frade secrets:
I here6y acknowledge ihat ihis intormation is complete and accurate; that the work will 6e in conformance with the ordinances and codes of Ihe Ciry ot
Eagan, that I understand this is not a permi6 6ut only an application for a permit, and work is not to start without a permit; Ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x MAP---,V A, 6C- (,L? 0 x
Z
ApplicanYs Printed Name A canY Sign ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
EJ Foundation
? Single Family
? 01 of_ Plex
? 02-Plex
O 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
? Alteration
? Replacement
DESCRIPTION:
Valuation
Plan Review
(25%_ 100% Census Code
# of Units
# of Buildings
Type of Const.
? 05-plex ? 16-plex ? Accessory Building O Pool
? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AIt. - Multi
? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 08-plex ? Deck O Porch (screen/gazebo/pergola) ? Multi Misc.
? 10-plex ? Lower Level ? Storm Damage
O 12-plex ? Miscellaneous
? Interior Improvement ? Siding ? Demolish Building'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window O Water Damage
' Demolition (entire building ) - give PCA handout to applicant
_ Occupancy MCES System
_ Code Edition , SAC Units
Zoning City Water
_ Stories Booster Pump
_ Square Feet PRV
_ Length Fire Sprinklers
Width
REQUIREDINSPEGIlONS
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.
Final/C.O.
Firial/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
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
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For Office Use---------- I
- C- s R r I Permit Au f'96 ~ j
City of Eatan~~~ i I
Permit Fee:
3830 Pilot Knob Road JUN 1 4 2012
Eagan MN 55122 j Date Received: r f j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: 4
2012 RESIDENTIAL BUILDING PERMIT APPLICATION G
Date: Site Address: 1650 01 ~k0 P 17 i Unit
Name: Y Ian i) A Pool C OW tit -eVA.ne: y S( - 3
RESIDENT
OWNER , Address / City / Zip: he 0 V 141
I /
Applicant is: Owner Contractor
TYPE OF WORK Description of work: V)~ C 1
Construction Cost: " Multi-Family Building: (Yes / No
Company: 1-6 PC611 Contact: Z'Ax l' Pe C v,('4',
CONTRACTOR Address: 6y LZh''1 d'1/ 1v e City: ioV J ov
State: , _ I P Ai zip: 5-S3 7 Z-- Phone: ClZ 3 2 04
License Lead Certificate /v ( /k
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 S Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
X Pc-~evS ° h x 92
Applicant's P nted Name Ap cant's nature
Page 1 of 3
I
Ff C CTI DO NOT WRITE BELOW THIS LINE f
SUB TYPES
- Foundation _ Fireplace - Porch (3-Season) _ Storm Damage
- Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
- Multi Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of - Plex _ Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES
_ New - Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair ` Egress Window _ Water Damage
_ Retaining Wall Vemoiition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation c~ Occupancy G 3 MCES System
Plan Review Code Edition 2 a~7 SAC Units
(25%„_ 100%-e~' Zoning City Water
Census Code 3,1j Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction Width /U
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: Stucco Lath Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Contro
Sheetrock Erosion Cont I
Reviewed By:
Building Inspector v?/a
I 'gi I Ix g L~ Aj,
RESIDENTIAL FEE ACV d%
Base Fee '73 T-
Surcharge
Plan Review '17
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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For Office Use
° 0 Permit#: V [ C� / I
E AGA N
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(@cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 47- 1(- (g Site Address: 1 G50 163.1'96 I akar hr 1 I pr
Unit#:
111/4' 4Name: vad-Cgct - 'r✓
e rn eow,14/'S As.sct-o( C7� Phone: S 7j` 9
Resident/ J UU [[ t1
Owner Address/City/Zip: 1 03 GT 'C'�O r
Applicant is Owner /`- Contractor
Description of work: 0d'r Tear (f
Type of Work 1 �/
Construction Cost:� 1020 Multi-Family Building: (Yes x /No
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Contact: S t4 ice
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Address: / 7Sl d aro
C City: re4 0. `1ContractorState: S' jdbPhone: - -8a ` g b
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Email:
13 ( 17 Yd6`f
License •#. Lead Certificate#:
If the project is exempt from lead certification, please explain why: 1
&t ( 786
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 nonpublic if you provide specific reasons that Afould permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.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 lans.
Applicant's Printed Name App icant's Signa ure `�� f