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1658 Hickory HillCITY OF EAGAN Remarks Addition WoodQate lst Addition Lot 9 Rlk Z Parcei 10 84600 090 02 Owne?'616'JO,' ,--. ?e? ??L?QStreet 1£ti5$ Hickc?z`v i3i.11 State EaSJan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. pAVING 1976 $410.12 $136. 71 3 -2 ? 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 * WATER LATERAL 1975 15 * WATER AREA 1975 15 STORM SEW TRK 975 * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-29^74 BUILDING PER. sAC $375.00 9773 1 -3 - PARK ? CITY OF EAGAN Remarks Additio?n Woodgate lst Addition Lot 10 aik 2 Parcel 10 84600 100 02 Owner r`i1,44' i . bki L lC -_ : ?-; -- Street I6.60 Hi cknry $111 State Eaaan . MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 'JJQg STREET RESTORpAVING 976 41?.12 136.71 3 PAID GRADING PAV G 1974 115.45 23.09 5 PAID SAN SEW TRUNK 14 1974 93 . 54 6. 24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATERLATERAI 1975 15 * WATER AREA 1975 15 * STORM SEW TRK * STORM SEW LAT rjc) 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-29-74 BUILDING PER. Sa,c 375.00 9773 12-31-73 PARK CITY OF EAGAN Remarks Addition Wooci ate lst Addition Lot 11 Bik 2 Parcel 10 84600 110 02 Owner reet 1662 Hickorv Hill State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. _qpj STREET RESTORpAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 1974 $115.45 $23.09 5 PAID 5AN SEW TRUNK 1974 $93.54 $6.24 15 PAiD * SEWERLATERAL 1975 ZS WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM 5EW TRK * STORM SEW LAT 1975 $1505. 70 $100. 38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 - - BUILDING PER. 5ac $375.00 9773 12-31-73 PARK CITY OF EAGAN Remarks ' Addition WOOd? ate lSt AddltlOri Lot 12 Blk 2 Parcel 10 84600 120 02 Owner -T 0 Street 1664 Hickory Hill State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 1974 115.45 23.09 5 PAID GRADING PA?,TING 197b $410.12 $136.71 3 PAID SAN SEW TRUNK 414 1974 $93 . 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORMSEW LAT ? 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 130.00 11222 7-29-74 BUILDING PER. sac 9773 12-31-73 PARK SPECT CITY OF EAGAN , 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS• ' ' " 1'? "'0'''? `'' 100 "`' ' 'i 1111t; 11lt fi I t 1'. 1 PERMIT SUBTYPE: :+i I I S lif1 T 1 Mli ? I ;CORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: !il ?'-; !! TYPE OF WORK: f iMAI t; W o lf i i. (? ! Nt : 7 ?tir. 4 f`1f h l ltl +. i Il N 4" 1-k 7 Permit No. Permit Holder Date Telephone R ELECTRIC PLUMBING HVAC InspecNon Date Insp. Commenffi FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH liEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIH TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK F7G . •/??q/_ a ?[9 DECK FINAI_ w w- ? VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilof Knob Road , PERMIT NO.: ?--1407 Eagan.lriN 55122 .r DATE: --- ,_ ZI27/74 Zoning: ptin -- No. of Units: , 4 UI11Y. TH _[L_HOIRE9 Owner: . . ? Address: w? - i ? Site Address: _1fi5B-6?62-64 HlckoxY Hill Plumber: _ umuaon P1uIIlbi[Yq_ CO• _ 520.00 billed Meter No.: Connection Charge Size: Account Deposih. --? Reader No.: Permit Fee: ...... lQ.:_QO Bd I ogree To complr with the Villoqe of Ea9on Surcharge: - .50 Pd Ordinoneec. Mise Charget_.?• ? Total: By 41_..y? -' - - DatePaid: - Date oF Insp.: Insp.: r!,t.AuF Oi EAGAN SEWER SERVICE PERMIT 3795 PilotKnobRood PERMIT NO.: 2160 Eagan. MN 55122 DATE: 2 27 74 Zoning: -_ pTIn No. o£ Units: __ 4 unit TH Owner: wnnAaara - n7Pw Horizon Homes Address: - Sire Address: 165R-60-62-64 Ii1ck4Y? °i Plumber: ThomPSOn Plumbina Co ] e0.00 Pd12/3 I ogrea tn comply wifh t6e Villoga of Eagan Connec[ion Charg 150 . Ordinoncas. Accoun[ Deposit: 10.00 pd Permi[ Fee: .50 pd Surcharge: BY: Misc. Charges: Dace of Insp.• - Tutal- lnbp : Date Paid: - . -r EAGAN TOWNSHIP BUILDING PERMIT ? .. Ownex /?- Address (pzesen J Suilder ........ ...................................................... ........."..........._......... Addrese .... .................................................. ....................... D£SCRIPTION ( N° 3191 Eagen Township Town Hall Date ' . ???..^,?1._>'q -.---- ----- .... 5toriasI ? To Sa Used For Fron! Dapih Heigh! Esi. Cos! • Permi! Fee Aamarka c. -?° LOCATION " Sirae; Roatl or oiher Def /??s•Go-cl_9/ /LL3 -FI-Sf, t7i ? sq-S.C, 9 I ?_ i or Trac! tt'- !f '-(' This permit does not aulhceiae 3hed6se of afreels, raads, alleps or sidewalks nor does if give the ownar or his agenf the righlfo ereafe anp sifuafion which (s a nuiaenee or which presenis a hezard !o the healih, safely, convenience end ganeral welfara !o enpone in the oommunilp. THIS PEAMIT MUST T ? EMISE WHILE THE WOAK IS IN PROG?yR SS. ?. _ Thls is !o eerl5ip. 1h ?"..._ . t?...--'.......haa permission fo erecf e---?1hi. .:x<k?.?<et__.upon the above deseribed pre ise s fe? !o provisiom of the Bvilding Ordinance for Eagan Tow adopfed April 11, 1955. .?? ........... ..... ------- "?i-? ?.N.. ?? .?c...l........... Per ............?[t..............._4 ..-- .Soard ? Suilding,,.I . Chai aa of T?n (? _ eetoz ?-2 -/ u)oo dJc a f-e CITY OF F.AGADT 3795 Yilot Knob Road Eagan, Minnesota 55122 PERPIIT NO.: 472 The City of Eagan hereby grants to Geo. Se3!naick Heatina & A/C Co. of 1001 5:enia Avenhe South, Mpls. 55916 a TiP,ATIiTG Permit for: (Owner) New f?orizon fSOmes FS Fn-r.?-?a u; rkc,r? rii t t, Pursuant to application dated I/R/74 Fee Paid: ?An_nn dated this ijri?, day of •,u,.,.h , 19 7d • 2.00 s/c Building Inspector Mechanical Permits: Bid Totalt 3 IloS1 lo ? bbo o?io 0 2? L;'?a?c?, ? czz'Y oP EnC;aF ')795 Piloti Y;ncb F.oad Eagan 9 Mirmesota 55122 PERI';Ii N0. _ 43G :'iie City of Eagan hereby grants to Tt,omoeon ?7„mhinQ ce. Minnetonka, of 1„2901 Hinnatnnka Rlvd Minnanotn r,5143 a ++rn..nr Perc:it for: (Owncr)?-?,?,...-- ?dnrr Hori.^.on AomPn 1?33-35-37-39, 3643.-.45-47949, 1650-57.-54-56, 1642-44-46-48, 1658-60-62-64, and y a,. j "2 pursltant to application duted 2/27/74 _ Fee :aid: $480.09 c3uted i.his 9717h day of r.,t,r„arv , l9_73_ 12.00 s/c Bui7ding Inspectu: .,r.ch.;;:icnl ?ermits: ?id Totaia HOUSE HEATING TEST RECORD D-20987 y" Z ADORE55' 1658 Hiekury Hill APT._FLOOR C17Y SUBURB Edgari OCCUPANT Clarence S NeleOri OWNER Ye" H EAT LOSS - SOLD BY DATE HTG. INST. ;AS C0. METER BADG # INSTALLED BY ?edgwick Htg. n n Gas Line By Electrical Work By _ TYPE OF HEAT GA FA A HW -STEAM -SPACE H7R. _UNIT kTR. OTHER GAS DESIGN MAKE Wi11i0IDeOn MAKE OF BURNER_ Model 1117-07-5 Model Sxial 7346$68 Max. BTU Rating- INPUT 75,s000 Bttl hP, MAKE OF FURNACE CONTRDLS THERMOSTAT Cm 260 Heat Plu M H V8bO valVe . . c L;m;r Rabehaw RFL 75011 Limit SeNing 200@f pa„ Se*r;,,9 900f & 1206£ Pilot Type L'Ollpl¢ Pilot A1ake Model CON V E RSION Vent Size `z KIND OF LINER Alum. SIZE 6it NONE Draft Hood Vertisal Kegulator Filters Size 16n x 25^ uum6er 1 Chimney Locatian Insida Ye19 Outside Chimney ConslruMion Metalbeete6 Pilat Model $moke Bomb Wiring Pilot Timing 66 Se¢dnda Draft Ok Test Tog Yek L.W. Cut Of4 Door Pressure LighTiny Inst.Y60 P ressure i A.6 ?YV•C • P 7.0? ercent CO Date Tested 8f13/74 Inpu} CFH 75 Z Percent 0 8.7 2 Company Testing C+ i S t Smck Temp 4'50of percent CO 0•0? Nams of TesTer ? ? . Form 235 HOUSE HEATING TEST RECORD D-20987 `(40 ADDRE55'' 1660 Hickory Hill ppT.-FLOOR CI7Y SUBURB Eagan OCCUPANT None OWNER N¢w HorizoII6 HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE # SOLD BY INSTALLED BY SedRwiCk HU, Electrical Work By Ga L' B „ „ TYPE OF HEAT s ine y GA _ FA HW STEAM _SPACE HTR. UNIT HTR. -OTHER GAS DESIGN MAKE Williamson MAKE OF BURNER CONVERSION Model 1117A7-5 Modsl $erial 7346661 Max. BTURating_ INPUT 75s000 BtuAfr. MAKE OF FURNACE Model CONTROLS THERMOSTAT m 260 Heat PI q Vent Sizs 4 411 Valve M.H. V?UOc KIND OF LINER Alum, SIZE 8ff NONE Limit Robehaw RFL 750p Drak Hood VQ='t1Cd1 Regularor Limit Setting 200 f Filiers $ize lgtt x2`S" Number 1 Fan Ssiting 90°f & 1200f Chimney Location Inzida Ye9 Outaide Pilot Type COllPle Chimney Constructi on Metalbeetoa Pilot Make Pilot Model $moke Bomb Wiring Pilot Timing 71 QCOriaB praft ?K Test Tag Y@B L.W. Cut Off Door Pressute Lighting Inst. Ye8 Pressure 7•0% 4•4"W-C•ParcentCO Date Testad 8114/ /7`1' Input CFH 2 74 Percant 02 8-7?a Company Testing ?1 C+ 011 SMCk Tem 4500f PercenT CO ?•?? ° Name oi Tsster p. Form 235 HOUSE HEATING TEST RECORD D-20987 `u01'V ADDRE55 " 1682 $1CkOx'.y Hill ` ^yAPT._FLOOR CITY SUBURB EflgB? OCCUPANT Milee L E Davenport OWNER Yes HEAT LOSS SOLD BY Elactrical Work By TYPE OF HEAT -DATE HTG. INST. GAS C0. METER BADG INSTALLED BY EedgrwiCk H 5 -tg• n n Gas Line By GA _ FA x HW -STEAM SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Williamson MAKE OF BURNER_ Model 1117-07,5 Model Swiai 7346662 Mux. BTU Rating- INPUT 75M000 Btu MAKE OF FURNACE Madel CON V ERSION CONTROLS THERMOSTAT ?T Heat Pluq Vant Size `?'11 Valve M?H? V8(lOC KIND OF LINER Alum• SIZt6„ NONE Limit Robahaw RFL 75011 Drah Hood Vert1O81 Regula.or Limit Sstting 2000f Filters Size 16n 8 2511 Number 1 Fan Set}ing 900f & 120oy Chimney Location Inside Yes Outside Pilot Typs COUple Chimney Constructi on Metalbeetos ' Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 60 SeQOlnda Drafi Og Test Tag Yes L.W. Cut Off , Dow Prossure Lighting Inst.Z'ao Pressure 4•7"W+C'?PercenfC0 7•0% DateTested 8/15174 Input CFH 2 74 Percenf O2 Company 7esting J$ 51uck Temp Percent CO ?00 Name oF Testar .z ^ Form 235 67 HOUSE HEATMG TEST RECORD b.020987/ r" - G a_ ADDRE55' 1664 $iCkory $ill ppT._FLOOR CITY SUBURB EagaII OCCUPANT None OWNER New AOrlZOrie HEAT LO55 DATE HTG. INST. SOLD BY Elechical Work By TYPE OF HEAT GA FA X HW STEAM _SPACE HTR. WiSliameOtt ESIGN MAKE MAKE OF BURNER_ Modal 1117 7 Q Model Seriol Max. BTU Rating- INPUT 7,OUO Btu/Hr. MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Pluq Valve M•A• v8UoC Limit Robshaw RF'L 750n Limit Setting 2000f p,,, S,tt;,,9 90of & 120°f Pilot Type Collple Pilot Moke - Pilot Model Pilot Timing 59 SQCOTlaB pro(t L.W. Cut Off Door Pressure OK Wirin9. Tesi T, Lighting Inat. Pressuro 4•6!W•C'•PercentCO 7•0% Data Tested 8.114174 Input CFH 75 Percent 02 R 7% ? _ mpany Testing Stack Temp. 450of percent CO 0•00% Name of Testar , Form 235 Model UNIT HTR. -OTHER CONVERSION 4" Vsnt Size KIND OF IINER Alum, SIZE 6" NONE DroFt Hood V¢I't1C81 Regulamr Fillsrs Size 1611 x 25" Number 1 Chimney Location Inside Ye8 Outside Chimney Construction Metalbestes $moke Bomb 3A5 CO. METER BADG # INSTALLED BY ?QdgwiCk Hf,g, Gaa Lina By if „ ? . ? V , ? ' ' ?? , ? ? ? ? ? i .. ' . . " , ?? ? . . ? . ? . ' ? "? " ', r?t ? . , • , ,. „ , ? ? , . ?. . ?? . ? ,. ' ., ', ? . ? .. : ? ;. ? , .,. . A' ' ' . ., , . , , ?. .. . , ? - • ?. . . VILLA6E OP EAOAN - SEWBR SERVICE PERMIT,,.? ' 379s nbt Kmb a«e , ., pERMrr rra.: 2160 Eayoe. MN 55127 2/37/78 DA'CE:L ? ? ? ' . . . . . Zonine? mtn 4 1lDit TH . .. . ?_ No. of Udtt: ' . Owner. Woc?Aqatw? Nev Hn€issn ? • p Addmae: , ; Sice Address: D- -64 1 tnzv 1 1 Plumber: ThomPeon Pjumbira CO wHh Na vtqop eF ? 1 e .w to wAd EaN¦ Cmmectlon ChW14500.00 'pfl;' 12/31/ o r ? p?;,q,??. 93 - Depos}t: ' /?/? ' . _ . unt Ac oo 1G.VV .. -1, ? . . ? ? ? . i? p ? . u1? ?i ?`M:, i V{ . 50 pd • ? . , _ ' . ?? ? ? i. ? ? ? !?? JVI` VYW?C': q ' . BY, MLe. CAarvese.' ? Date of Insp.: . Tvcal:. . „ ? •, ' ; ' Inep.:. . . Dete Febd: . '- ?-' -----?--- --`- - - -.. . _.. . - - , ? . . , . . .. . . . . . , ' . ? , 1' • . . . ?? . . , ?? „ ' 1 . i , ., , . ? ? il , , .. ? • • ? • ?'???? ? ?? • ? .. . ' b ? ' , . . . ., i . • . r . ' 1?. . k. , . ? .. . ' ' . . . ' . ?. . , ? .., , . . . ,- ,r.. City of Eapn 3830 Pllot Knob Road Eagan MN 55122 Phone: (651) 675•5675 Fax: (651) 675-5694 Da1e: Tenant LE v -L II \?'% Is IU ITL JqN 2 1 2009 ,-------- ? Por O%Ice Use I Permil N? ? Permil Fee __?? • ?? I I I Uale Received: I ? Slall _________________ RESIDENT/OWNER Name phone:??sZ Address / City / Zip CONTRACTOR iJame: Liceiise tt: ___ f?.? 9Q yW G'? _ ?- -- Ci[y: ?? Slale: Zip_ Phone: Contact Person: TYPE OF WORK _ New -,114replacemenl __ Repair _._ Re6uild _ Modily Space _ Work in R.O.W Descri Ilon of work: PERMIT TYPE RESIDENTlAL _ Waler Healer _l Water Softener Lawn Irrigation Add Plumbing Fixlures ? RPZ /___ PVB) (_ Main __ Lower Level) Seplic Syslem Water Tumaround New _ Abandonmenl RESIDENTIAL FEES: $50.50 Minimum Waler Heater, Water Softener, or Water Heater and Softener (includes $ 50 State Surcharge) $30.50 lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Waler Turnaround' (includes $.50 State Surcharye) ' Waler Tumaround (add $736 UO il a 5!8" meter is required) $100.50 Seplic System New ($10.00 per as built) (includes County Ice and $.SU State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, elc.) (includes $.50 State Surcharge) rj TOTAL FEES $ ...•.??i vc^^?•••c "= „"•„ ,,,,,. u .... auon rs wmpiew ano acr.uraie; mai me wmk will be in conformance wdh ihe ordinances and codes ol Ihe City ol Eagan; Ihal I undersfand Ihis is nol a permil, bul only an application lor a pernnt, anJ work is nol lo slarl wilhout a permil, thal Ihe woik will br, in accordnnce wilh Ihe approved plan in Ihe case ol worh which rr.qmres a review and approval of plans. ' x J:1'!h J? doaER. x Applicanl's Prinled Name Appli n's Signalure FOR OFFICE USE Revlewed By: Date: Required Inspectlons: __Under Ground __Rough-In _Air Test _Gas Test _ Final Z 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION aOQy RESIDENTIAL MECHANICAL PExnarr arPLTCAfiION City Of Eagan 3$30 Pilat ICnob Road, Eagan MN 55122 Telephone # 651-675-5679 • Pleesc cbmpletc fm:` . aiagie family dwetlins& & rownhomes7condos ?vhen'petmia ane re[juved for.each unit , .. , . : - ? nate ? / ? 1 0? . , . .. 9Pfe Ad4ress I ?7 ?? !J Unif # Property 4wnor Tetephune 0 Contraetor J`;?e?'LYY) jt'A. ??r?!??l(/? ? Street Address City S[qte Zip ?24 Telephone q Bondtl: 55 -1 :)llP"JU 1 Expires: 0_04D The Appficanc is _ Owaer ? Contractor ^ C)thee f Pire repafr (replace burned aut appli3nees, ductwork, etc.j S 90.00 Tnis fee applies when extensive mechanical repairs are made to a bullding. Add-on or alteration la existing dweliing onit $ jQ.pp ? fumace _Additional _?(_Repiacement ? New air excharpar air conditianer ? heat pump oHter Stute Surcharge $ 50 rotal $ 50 . 50 7 hece6y apply for a Resideatiai Medianical Permii and acknowledgc that the infonnTtion is compleee and be in conFormanee with the ord;nanees and codes a£ tht City of Eagan and with che Meehanical Codes; ? pemtic, but only an applieation tor a permic, and work is nec to s[art without a permit; that the worl: w' zpproved pian in the case of work wl»ch tequires a review acui approval of plans. rlpplicant's Peinted Name AppliCanYs Signature that MAY 0 6 2008 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaufrementa • 3 registered site surveys showing sq, ft. of lot, sq. ft. of hause; and II ioofed areas (20°h macimum lat coverege allowed) • 2 copies of plan showing heam 8 vrindow s¢es; poured found design, etc.) • 7 set of Energy Cakulatlons . 3 copies of Tree Preservation Plan if lol platted aker 717/93 . Rim Joist Delail Options seledion sheel (61dgs wilh 3 or less units) DATE SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS //= L42 (2 --i_n LVU S`( TELEPHONE # ???-?ELL PHONE # Sv'? STATEZIP FAX # PROPERTYOWNER 614 ? I, / A&.'j TELEPHONE# )'""' 3?-3 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNI:SO'C:1 RliLFS 7672 (J submission type) • ResidenGal Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbiitg system inclucles: Mechanical Contractor: V(echimical system includes: Sewer/Water Contractor: Phone # Phone # °{ , ,Fge:, $90.00 J ?`.` . ree: $70.00 I hereby acknowledge that I have (ead this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinapoesw ^ Signature of Applicant OFFICE USE ONLY Water Softener Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Bad Air Conclilioning Heat Recovery Syslem RemodellReoair Reauirementa . 2 copies of plan • 1 sel of Energy Calculations (or heated addiUOns • i sile survey for extenor additions & decks • Indicate rf Iwme served by septic system (or addihons 9 q, a!?> VALUATION ? ? ?MULTI-FAMILY BLDG _Y FIREPLACE(S)(K? _ 1 _ 2 Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Update0 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex 0 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 O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolition (Entire Btdg 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) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) - plumbing _ Foundaaon HVpC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector 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 Tota I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 ? 651-681•4675 New Construetlon Reauiremenb • 3 registered site surveys showirg sq, fl. of lot, sq. ft. ot house; and ?II roofed a2as (20% maximum lot covera9e allowed) • 2 copies af plan shovnng beam & window sizes; poured found design, etc.) • 1 set af Energy Calalations • 3 copies otTree Preservation Plan if lot platted aRer 717193 . Rim Joist Detail Oplions selec6on sheet (bidqs wdh 3 or less uniLS) _ Wa[er Softener _ _ WaLer Heater _ ? No. of 13aths DATE /Z VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ Y N TYPE OF WORK FIREPL/?CE(S) _ 0?: 2 APPUCANT i ? .LO?C • STREETADDRESS II119_L?"?-?-n?d?LC{,?r.4 L7G.?0:ITY ` ATETn ZIP? TELEPHONE #7 ??'"?•S??ELL PHONE # r? '? u??AX #? spc - Z,& PROPERTY TELEPHONE # 14-51- Gb' ?];k)l? COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNCSOTA RULES 7670 CATEGORY l MINNLSOTA RULES 7672 (J submission type) • Residential VenUlation Category 7 Worksheet Submitted • New Ener9y Code Worksheet Submitted . Energy Envelope Calculations Submitted -- , 1 Plumbing Conhactor: _ Plumbing system includes: Mechanical Contractor. Meclivnical systein includes: Sewer/Water Contractor: Air Condiponing Heat Recovery System Phone # Phone # Pce: $70.00 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 Or in ce Signature of Applicant OFFICE USE ONLY RamodeURewir Reauirements . 2 coPies of plan • t set of Eneyy CaIwlaBmis for heated additions . 1 srte survey for ezterior additions 8 decks • IiMicate if home urved by septic system for additions 1 ? _ Phone # _ Lawn Sprinklcr Fee: $90.00 No. of R.I. Baths ? ey ?? Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ , Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Mulb ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) '? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zonirg City Wa!er' SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) plwnbing _ Foundation • HVAC _ Dram Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT # 5?5-5 S RECEIPT DATE: 2002 RESIDEN'd'IAL #'LUMBINFi ?ERMI'I' APPLICATdON Cl'fY O£ F.A&RN S$SO PILOT KNOB RD LAHAN. MN 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : single family dwellings, townhomes and condos when permits are required for each unit, 6ackflow preventer for irrigation system l.PlM `H1 C[4,0VV j I-&Yl -L. INSTALLER NAME:J UI u`-{/ / I" 1 kV Yu"" Lv STREET ADDRESSI IL E QSt Jll-`Sl IX D+I I CITY: TELEPHONE #: ? ? 1 (0& 1 ' 9 /.o V (AREA CODE) TELEPHONE #: `,) Z J? ? (C) I Z" ? ? a f-"\ I (AREA CODE) STATE: ZIP: 59? SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ _ Abandonment of septic system. Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) ? ' i Other. CP 1 9 2002 u _ RPZ: new installation/repairlrebuild $ 30.00 _ lawn irrigation system g) vi ?Waterheater jo? ft l $ 15.00 , ener : _ waterso R itiona Q-C J State Surcharge $ 50 $ 15. VDO Total I hereby acknowledge that I have read this application, state thatthe informahon is correG, and agree to complywith all applicable Ciry of Eagan ordinances. It is the applicanPs responsibility to notdy the property owner ihat the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activdies to the §cilities constructed under this permit wthin ty property/ri t-o -way/easement. SIGN TUREOF MITTEE 1102 CITY USE ONLY PERMIT #: RECEIPT DATE: 8008 RESIDEPTIAL MECHANICAL PEgMIT APPLICATIOA crrY oF gwsnx 3$30 fILOT KAOB iiD EA6RA MA 55] EE 651-681-4675 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: 0 a" SITE ADDRESS: OWNER NAME: PQuI 1.?PmDIcI" TELEPHONE log '9JV 1 ?T ? INSTALLER NAME: WDI ItC,J VVV`+hS;UC,) TELEPHONE #: Li?J 10 1--709 STREET ADDRESS: crry: BnvlC, )(011ev STATE: AAI\)_ ZIP: f60-4_ Place a check mark next to the permit work type ? Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replecement • air exchanger • air conditioner ? ? fl 91 • other Nature of work: re Ir/ -??? ? inOl/ 701 ODD S .P C 9?002 ?U , f?2/ ? '' Bu ? State Surchar e $ .50 t l S:Ro SCL To a A??g P ?o-? SIGNATURE, F P RMITTEE lioz CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COblMEitCIAL MECEMICAL PERMiT APPLICATION CiTY oF EAeAN 3$30 PILOT KNOB RD EAflA1v, auuv 55122 651-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPRO V EMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piring Specify Nature of W ork When insta![ing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing inspector. Fees: I% oFcontract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = mmimum fee Con4act price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 t..? PERMIT# I I RECEIPTDATE: 2002 R£SIDFNTIlkL PLUM$INfl PEiiM1T A?PPLICATION crrY oP EAsM 3830 PaoT xxos Ftn EEIHkA, MA 55122 651-6$1-4695 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system Jim Schaffert 1664 Hickory Lane Eagan MN 55122 651405-3095 TELEPHONE #: (AREA CODE) l ? TELEPHONE #: ?7(e&_ ]??-?D?F I0? GAVIC & SONS PLUMBING (AREA (;OCE) 1272? N' COON RAPI? DS MIN 5t'Sqqg STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water h eaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: RPZ: new installation/repair/rebuild 77 E 1 ZUUZ $ 30.00 _ lawn irrigation system 1 Replacement/additional: _ water softener water heater $ 15.00 State Surcharge $ .50 $ Sa I S Total • I here6y acknowledge that I have read this application, state that lhe information is corcect, and agree to complywith all applicable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assume no Iiabili or any damages caused by the City during its normal operational and maintenance activilies to the facilities constructed under this permit wilhi propertylrightof-wayleasement. SIGNATURE OF PERMITTEE 1102 ?I - MASTER CARD p 2- STRUCTURE AND LAND USED AS Permit No. issued Issued To Coniractor Owner BUILDING 7 ' PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H EATI NG GAS INSTALLING ? SANITARY SEWER I OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION _? SEPTIC CESSPOOL FRAMING TILE FIELD FT FINAL ELECTRICAL HE.4TING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ?. ? 00 b Violations Noted on Batk COMMENTS: OWNER yw/..,, v._? w. ^ ?4rZdW /ieu A..., -, . PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE Of REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or praspective, and that I heve reported herein all significant conditions obmrved to 6e at variance with ordinances of the Town of Eagan, aDProved plans and specificatians, and any specific require- menu for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR OATE 4§11r, ao PERMIT CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: . Permit Number: Date Issued: ?,eo6s? 9? BUILDIN6 027386 04/26J96 SITE ADDRESS: 1660 HICKORY HILL LQT: 10 BLOCK: 2 WOODGATE 15T P.I.N.: 10-84600-100-02 DESCRIPTION: bu3ld,ing•?Permit Type DECK kBUildin,g Wnal^?k Type NEW CeneUt Code.?'434 AL7. r ? z} _ `. , RESIDENTIAL i?" ..:;E*1tl??k'k -{i?;? ? ti REMARKS: FEE SUMMARY: Base Fee $45.00 5urcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - ppplicant - 0'HEARN REBECCA 1660 HICKORY HILL DR EAGAN MN 55122 (612)726-6028 I hereby acknowle'dge that I have'read 'this information is. cgrreat and:agres to- comply ? Statutes and City of Eagan Ordinances., ? APPLICANT/PERMITEE SIGNATURE application and state thati the w3t-H sl•l;applicabls State Qf Mn. Lo?A &oAlrnd ISSUED BV IG URE 14344 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 'tJ fJ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-d675 r ? 3 registered aite eurveys ? 2 copies ot plan ? 2 eopfes of plans (Indude beam 8 window sizes; poured fid. design; elcJ ? 2 site surveys (erterior addkions & dedcs) ? 7 energy plculatlvne ? t energy celculations for heated edditfons ? 3 oopfea of irea preaenatlon plan iF IW pfaCed after 7H193 tequired: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: iOT /(V BLOCK ? City: Company: Name: _ n c SUBD./P.I.D. #: I ?11 itib6k 7a?-G0DK PROPERTY Name:K,26CCc/, Phone #: OWNER FM8T Street Address /J` C?O r`? 40y- City; State: ? c, h Zip: 55 /?-? CONTRACTOR Company: 5?4 -C- /"? -Gam f Phone #: Street Address: License #: ARCHITECTI ENGINEER m Zip. Phone #• Registration #: Street Address* City: Sewer & water licensed piumber change are requested once pertnit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this appliption and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received State: Yes No 4tal ? DN-Q-? ? Tree Preservatlon Plan Received - Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE - .?. 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish a 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 GaragelAccessory o 20 Pubiic Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex a 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. R. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MGWS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit 5IW Suroharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units ?? "+?a?r R?^}rf'?? ?? ?4' . . L? 0 , G y ?? ??? A ?" ?L'?` 2?,3p'oOr ; t'A ?oo) ? h'?m ?A. . 6 4/ w w ?.1•°0 ? ? 1?5qp °?, i I ??, ?- - - ?17- 0 ° d 06yE BZ ?,/3 12.9? ?O. Z/ 50.86 000!? K ? v17 10?00 ? , czrv nF ErticAN cAstaz_F,: Js rEi;MtNFlL Nn. 7is nArE? 07i16i99 rTrsE. i0:%.0 Ili : NAMCe ADUEIi VFII._UE GXTa:h70RS, 'f.NC. 3210 ::3001 1657 HIC;KOFY HI 1.:33.25 2 j.::/J 9001 1657 HICK.OftY HI 3.50 321.0 9001 1665 HSCEtURY Nt 1.33.25 21J5 9001 i.6t,,5 H.T.C]Y,ORY HI 3,50 3210 90I71 1708 4iICKQFiY HI 139.25 2155 90(]:I. :1."r08 H]CKOf1Y HI 3.50 32:lp 9001 1.724 FIICKQkY H7: 1.39.25 2155 9001 1724 HT.Oh(JkY H:I'. 3.50 3210 :3001. 1.641 FI7:CK[JNY LA 139.25 2155 330:1. i.641 HIL'!:C1n:Y LA :3.50 CF'.i.3439 X??X CUN'TT.NUF USEfi TDa tFlN CUNTINUF C;QN'rLNUk:: C;ITY 0F FiAGAN CASHIEFi: JS iF:F:MII.FlL N0: 71.8 Df7'ik"., 0'7/16!33 TIMF_" 10:56:1.9 ID: NAME. 6iUUEU VAL.UE EX'fER7ORS, INC. 32i.0 9001 1676 FITCKUFiY t.hl 139.25 2155 900:1. 1.676 H3.CFtGfiY LA 3.',':i0 ? r To+,a1 Feccip+, FlfllOuYV't ? BJEi.:IO CRi.134E39 ll5rR ID: JFlN Xt??"?"?'?'i YF7kXtYF'A(AC?(?(7kX?'?FYn?R?K'?.C?K?R?kXcM7?'?C7?(?Y1k'M'MYR?Y•'M?M'?' 1Jyy LiU1LDING F+tKMl7 APPLICATION IRESIDENTIA 3830 PILIOT KNOB RDN 55122 _ ?" 651-681•4675 .) New Conshuctlon ReaufremeMs Remodel/Reoah Reauhemenh ? 3 regMered sBe suneys showing sq. H, ol lot, sq. 8. of house 2 copief of plon and gq rooled areas (20% maxlmum lof coveraae atlowed) 1 ief ot energy calculaHons iw healed addHions D 4 coples of plans (show beam 6 window shes; poured fnd, deslpn; efc.) 1 sHe survey lor exlerlor oddiflom i decW D 1 sef of energy colculWlons D 3 copies of hee preservaNOn plan 9101 plalled aMer 7/1/91 DATE: I ' I S' ?'1Gf' DESCRIPTION Of WORK: R?S? , C-C?Cr714 175,9 ? I71 l'? 17'la., f- STREET ADDRESS: ??" LOT: BLOCK: SUBD./P.I.D.1k: _-- -------- -------___ _ - SS'/ 2- City &Evcl-t- State: klN"- Zip: 2 ,1 Name: llc?c?+nA??. ?0??`hS /?5C?-) Phone #: PROPERTY OWNER /i , - , , I Sheet CONTRACTOR ARCHITECT/ ENGINEER Company: &C? C??LLL?-, Phone#: (Ds-/- C453`?177 (area code) Sheet Address• l(-7 S/ >r2al? ?Z?-?`C license 1? 2?? r? E?• 3? b ciry to sfa P,.?P. CONSTRUCTION COST: ? ?pf'o ??)?? Leh?'A?PS ooQ. srare: <-v7.K-- zip: S S it ?' Company: Name: Telephone 1k: area code ( Shee't Address: Regiahation R: Cffy Sewer i water Iicensed plumber (reauhed for new eonshuctlon oMv1: State: Ztp: PenaNy applies when address change and lot ehonge Is requeated once permM is iasued. I hereby acknowledge lhaf I have read this appl(callon, sfate fhaf the Informatio (a ct, d a ree fo comply wHh all applicabl State of MlnnesMa Statutes and Cify W Eagan Ordinanees. Slgnature of Appllcard: rr----- • OFFICE USE ONLY Certificates of Survey Received _ Yes _ No J 7ree Preservation Plan Received _ Yes _ No _ Not Required ?? ?? ? (o tD 3q s 2004 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. /S,Sd Date OF 1,61 I 441 Site Street Address IJ6 Unit # Property Owner , Telephone # Contractor ? Telephone # Address Co ? ? City . State Y2n. Zip 55 /a 3 The Applicant is: _ Owner Zcontractor _Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener V Water Heater $ 15.00 vl-,? replacement _ additional, Lawn Irrigatfon System Z_ new _ repair _rebuild $ 30.00 State Surcharg $ so E $ /5 So 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. ?-?c?a Applicant's Printed Name Applicant's Si nature 2004 RESIDENTIAL MECHANICAL PER114IT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. single family dwellings & townhomes/condos when permits are required for each unit Date DZS / c- I / Site Address -/ 4 "??`?/??/?N Unit # O Telephone t{ (?f ) ?-S wuer Property Contractor CitY Street Address Zi Telephone # State p Bond #• Eapires: The Applicant is _ Owner ? Confractor _ Other Add-oo or alteration to existing dwelling unit $ 30.00 lli;? furnace _Additional _?_Replacement air exchanger ?S? ? lacement Ne Re diti i ? r con a p oner other State Surcharge .50 $ ? - v `/ J Total I U u UG 3 ? I fUU4 5 , I hereby apply for a Residenrial Mechanical Permit and acknowledge that t' be in conformance with the ordinances and codes of the City of Eaga d with . pernu , but only an application for a permit, and work is not to stairt w?thout app ov plan in the case fi ork which equires a review and approval M J Appl cant's rinted ame Appli L is complete and Signature that the work will atand this is not a r.nrdance with the 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaVindustrial buildings motti-family buildings when sepazate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Appticant is _ Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove '*see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature ofWork: ':When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Permit Fees: $70.50 Underground [ank installation/removal 550.50 Minimum (mcludes Stace Surcharge) OC Contract Value $ x 1% _ $ Permit Fee • If Rtrmit fee is $1,000 or less, add $.50 State Surcharge If pe rmit fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee , ucrcoy uppry ior a Commerciai mecnamcai rermrt antl acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 of work which requires a review and approval of plans. , ApplicanPs Printed Name ApplicanYs Signature Approved By: , Inspector CITY USE ONLY ? ? s? ? ?r RECEIPT#: I?J c?Gy/ SUBD. ?" O 1 ' RECEIPT DATE: DO PERMIT# f O O 2000 PLUDBIN6 PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, IA7 55122 651-681-4675 Please complete for: ? single famity dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIRES EACH N TOTAL Alterations to exis6ng dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G85 pi in OUtIBt " minimum - 7 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ Sep6c S stem newrrefurbisned 'requires MPC lic. 79.00 x = $ SeptiC S stem abandonment 30.00 x = $ RPZ new installation/repaidrebuiid 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dweiling 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 dwelling under construction 5.00 x = $ Water softener ii existing dwelling 30.00 x = $ Water tumaround 30.00 x - _ $ State Surchar e .50 -> -> -> $ 50 TOtel -' $ U Reminder: Call for inspectiorts of alterations, i.e. water haaters, water softeners, etc. -- 1 hereby adcnowledge thst I have read this application, state that the inforrnetion is corred, and agree to oompy wdh all epplica6le City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability tor any damages wused by the City during i[s normal operational and maintenance activflies to the hcilities constructed under this permit within City propertylright-of-wayJeasement. SITE ADDRESS: OWNER NAME: TELEPHONE #: Lp5j_ 4P5I -qkj9 (AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE #: )A -?- CITY: STATE: P: SIGNATURE OF PER ITTEE ;t iI. ? 9830 %LOT KNOB ROAD. P.O. BOX 21199 EA6AN, MINNESOTA 550 PHONE: (612) 4544700 eEe eLoMOwsr Mnra DATE: pugust 21. 1985 THOM^S EGAN JAMES A SMITH 1658 Hickory Hill DyniEJ CDOIX EWY ADDRESS: CwrcM Abmben LEGAL DESCRIPTION: Lot 9- Blk 2 ?A?s Woodgate Addition ME"E?c? ?KE Dear Eagan Resident : RE: RIGHT-OF-WAY/BOULEVARDS - CZTY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City riqht- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC 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 protecti6n 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 s,ection 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 puhlic 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. . THE SYMBOL Of STRENGIH AND GRONRH IN OUR COMMUNIiY 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 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, William H. Branch, Superintendent Public Works Department WHB:jbd Rock on the boulevard THE FIRST NATIONAL BANK OF SAINT PAUL 5T. PAUL,MINNESOTA 55101 AREA CODE 612-291-5000 July 29, 1974 1 1 P ? ? Village of Eagan ?`/. ..? 3795 Pilot Knob Road Eagan, Minnesota 55122 RE: NELSON, Clarence S. Lot 9, B1ock 2, WOODGATE Gentlemen: This is to inform you this Bank is holding in escrow, funds with which to satisfy pending assessments on the property cited above, legally described as: Lot 9, Block 2, W OODGATE Please forward assessment statements to this Bank at such time as they become due. Your cooperation is appreciated. ? n Sincerely James P. Gannon Real Estate Department 291-SZ80 JPG/ jmp ? 2004 RESIDENTIAI, BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?J gya NewConsWCtionReauiremenfs RemodeUReoairReauiremenfs ? Y 3 regislered site surreys showing sq. tL of lot eq. ft ot house; andll roofed areas 2 mpies of plan d?. Re? •? ? ?' ? '-_'? (20% maximum lot coverage allowed) 1 sel of Energy Calculations fw heated additions ., ',`'a1'.:A4 N 2 wpies of plan shwmig beam 6 window sizes; pomed found design, afc. 1 site survey fw additions & dedcs 1 set of Energy Calculations AddiGon - Mdicate if onsde sepNc system 3 copies of Tree Preserva6on PWn ff lot platted afler711/93 Rim Joist Detail Optbns selection shcet (bldgs with 3 w less untls Date 46t ConstructionCost SiteAddress 1650 VIC.{'oC ti UniUSte# rG/?o? M? 3S(22 DescriptionofR'ork eCk, f(!? jacc lJt nd0w uJ $c?q'Yle $!Ze ???? Multi-Family Bldg ? Y o -F' N l l? ?n I 1 $ Fireplace(s) '_ 0 X 1 _ 2 PropertyOwner 3oOf QAkf}VIOIq{(AM k- Telephone#(612)97j'q 403 Contractor T'nMf Q64A?" Wc'v`^Ak<-- Address 16s3 City ?s?4,a n State M N Zip SS / Z 2 Telephone #(6 /Z ) 97 f3 q?1 ? 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING - 1vlinnesota Rules 7670 Cateeorv 1 _ Minnesoh Rules 7672 Energy Code Category . Residential Ventllatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted . Energy Envelope Calculations 5ubmitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the information i" that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an applicadon for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?o? ri?F]p-r?+a/Fr ,c-. A plicanYs Printed Name ? pli ant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ?1 18 Deck O 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex albg_Y or _ N ? 25 Miscellaneous Work Types lp 31 New C ? 32 Addition C ? 33 Alteration C ? 34 Replacement Valuation ??0 • ?? Census Code q3 q SAC Units # of Units # of Bldgs Type of Const 4 A_. _ Footings (new bldg) Footings (deck) ? Footings (addition) . • I.. h ? 30 Accessory Bldg ? 31 EM.AIt-Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (EnGre Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV 1 Length Z d Fire Sprinklered Width 7 ? REQUIRED INSPECTIONS Final/C.O. ?q Final/No C.O. _ Plumbing HVAC Other Foundation Drain Tile Roof [ce & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _ Pool Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ?¢cLC ? po? ao o? , _ a . .• a . . D a.?'v' ?,! N . ?. ,Z oo" - ? ., ,., ,. cz bs // ? ? 'S ? I? ? r ?- • ,oy Z¢ 5 „S.00) %N 4s? w .s + ? ¢ •??-- ? ? .?. -? o\ /V a \?- ,'? ?, ? ? -?_ -? ; s.• ?? N T ?• -12 EAGAN ??,:7-: 9? o ?' LitP5Z9NG 9PSPE??e?fi?? ??7??1?? ? ? d T ? /8 /*7 ve •V iheV/ iV ?V2- I D6,ir 294f ? Zo o q ? 22 ?, ? ,m 1 ? 46-5/ 3 _ . ,.. ..., ? .55. 12932 ? --FAW---.orn?? ------------- i r?se I i j Permit #: 1? I I f, ? i Pertnit Fee: I ? ? Date Received: ? I ? I Stafl: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: '?? - 3v - n FI Site Address: I (o (, 0 /7"iC /c cYC. ?- Ktce- O.? Tenant: Suite #: RESIDENTIOWNER Name: Cf(215 % fC (]ICk'lErA? _Phone: la 57-To b'6' =7 Address / City 1 zip: / 6 G o Hl c i<a2T dLGe4-? .v7c/ S S< 22 Applicant is: _ Owner -)?Contractor TYPE OF WORK 6 Description o?work: 2 CE Construction Cost: yYfxyi t' Multi-Family Building: (YesJ? 1 No CONTRACTOR Name:.,48L,_1,?.ir License u: 2.4!?) l(o ? 3 Ff ? Address:29[n c161 0(C/AL ?/UU City: a k S cJ t State: l,k pJ_ Zip: ??z7 Phone: `?.5"Z- Jo74F S S Contac[ Person: L. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residemial Vantilation Category 1 Worksheet • New Energy Code Worksheel Category Submitted submined (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE; Plans and supporting documents thaE you submit are considered to be publrc Information. Portions of ' the information may be classified as non-public if you provide specific reasons that wou/d permit the City to ' conclude that?the are frade seb rets. I I hereby acknowledge tha[ ihis information is complete and accurate; that the work will be in conformance with the ordinances and codes of Ihe Ciry of Eagan; that I understand Ihis is not a permit, 6ut only an application tor a permit, and work is not to start without a permit; that the work will be in accordance wnh Ihe approved plan m Ihe case of work which requires a rewew and approval ot plans. X X ApplicanYs Printed Name Ap ' nYS Si nat?r e Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of Plex ? 02-Piex ? 03-Plex ? 04PIex WORK TYPES ? New ? Addition ? Alteration ? Replacement DESCRIPTION: Valuation Plan Review (25%__ 100% Census Code # of Units # of Buildings Type of Const. ? 05-plex ? 76-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3•season) ? Ext. Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 08•plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 70-plex ? Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ? Interior Improvement ? Siding ? Demolish Building" ? ' Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demolition (entire 6uilding) - give PCA handout to applicant Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (new bldg) Foofings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test Final Insulation Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock FinallC.O. Final/No C.O. HVAC Other: Pool:_Footings _Air/GasTests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total Page 2 of 3 92930 A ------------------ ? Eo?,?Hic??.l?5e I ? g? j Pertnit #: 706 I i PermR Fee: ? I ? Date Received: I ? I ? I Staff: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /C9 , Z,'Z -0 $? Site Address: ltl. 6 Z0?"1 f-f ! LL Dt, Tenant: Suite #: RESIDENT / OWNER Name: C:?VM4(?( T0 r 5 d i? Phone: ?o/ - 753?i-?lSY? 3 Address / City ! Zip: 1,?!,6 7 M/G.K1XZ1- HYU-D RL/.Crl Applicant is: _ Owner _?_<_ Contractor TYPE OF WORK Desdr ion oTowor : ? L p 62C4 f Construction Cost: M, 00 Multi-Family Building: (Yes / No CONTRACTOR olvc License ir: 172164-m Name: _A ' Address: a2q?0 'I'L(pI?LskL (<U ? / a a Ciry: R C! P-N s U! L,LC State: 44,11 Zip: .'i S 3?l 7 Phone: Y.'r']? ;?- -70Z !n 1 S/ Contact Person: AYU DYS TC 1 NC IZ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Gategory 1 Worksheet • New Energy Cotle Worksheet CBtegofy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simllar 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 documenfs that you submit are considered.fo be putilic intormation.,'Rortio`ns of the information may be classified as non-public if you provide specific reasons tFiat would. permit°tha''City to conclude that'the are tratle secrels:. I hereby acknowiedge that Ihis intormation is compiete and accurate; that the work will be in confortnance with the ordinances and codes ot the Cily oi Eagan; that I understand this is nol 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 ot work which requires a review and approval of plans. ? X c?/1?t6?K ?k, ?j?1,?C X ApplicanYs Printed Name A canY Sign ure 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 DESCRIPTI ON: Valuation Plan Review (25%_ 100% Census Code _ # of Units # of Buildings Type of Const. ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) O Ext. AIt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? OS-plez ? Deck ? porch (screen/gazebo/pergola) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ? Interfor Improvement ? Siding ? Demolish Building• ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows O Demolish Foundation ? Egress Window ? Water Damage ' ' Demolition (entire building) - give PCA handout Io applicant Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPEC"NONS Footings (new bldg) Footings (deck) Footings (addifion) Foundation Drain Tile Roof: Ice & Water Final Freming Fireplace:_R.I. _Air Test Final Insulation Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock. FinaVC.O. Final/No,C.O. - HVAC Other: Pooi: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESlDENTIAL 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 4§? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 12931' ?----------------- ? Fo5`?C•1$ice t?1?e ? j Permit#: ^ v 76 6:7 I ? ? Permit Fee: ?. D I i ? Date lieceived: I ? I ? I Staff: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? `3 ?D ' Ok Site Address: / /? (a `/ f/ < <(4-6/ZY D 2 Tenant: Suite k: RESIDENT/OWNER Name: ?FF1= G?SH-8 r=a Phone: /nS7-/ Sf(a'S,$'77 Address / City / Zip: /(a /GL( 1/l Y n!(-l->< CA6A*? ?sj -2, Z Applicant is: _ Owner X, Contractor TYPE OF WORK DescFip`tio'fl of work. Q c 2G9c3 f= __ - Construction Cost 92{ et)0, ? Multi-Family Building: (Yes ? I No CONTRACTOR Name: Aac, Z!f/C License#: 70 ! (D /(9v Address:2!?'J __ ? 3 7 City: A7 GC R.e(i1-i i L( - Stale: tW u.? Zip: 571;- Phone: SSZ-107-GPSF ContactPerson: !M/?2/L cs! i' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBtBQary Submitted Submitted submis5ion type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit For a similar plan 6ased 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 documenfs thaf you submit are considered fo be, public information. Portions of it you 'provlde-specific reasons ,that,?vould permit fhe'City to, . the intormation may be classified, as non-public ; conclu`clethat the are trade secrets: ' • I hereby acknowledge that this iniormalion is complete and accurate; ihat the work will be in conformance vnth the ordinances and codes of the Ciry ot Eagan; [hat I understand this is not a permit, but only an application tor a permit, and work is not to start mthout 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 l/LI /?2 ? ?8 • ?J ?/ L/?c' _ ApplicanYs Printed Name App' anYs gnat re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES O 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. ? 05-plex ? 16-piex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07-plex ? Garage ? Porch (4season) ? Ezt. Alt. - SF ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? 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 6uilding) - give PCA handoul ro applicanl Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) - Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I _AirTest Final Insulation Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final/C.O. FinallNo C.O. HVAC O[her. PooL•_Footings _Air/GasTests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 13056 r Ofticc, 1!r'----------- City of Eaaall Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ` r ~ \ Date: G Site Address: \ Tenant: Suite RESIDENT /OWNER Name : li &'c \ A-e & ~PJ Q SC \ Phone: (01f ~ _ 9ac) ~ D s Address/ City/ Zip: (Zk cr ~ i'• Applicant is: Owner Contractor TYPE OF WORK Desc i to of r ; ~ ( oc Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: C~ c License (0 Address: C~ ~ v vN 1 City: \ur s vl\~e State: ! Nl Zip: cc Phone: 15-73 [ _G 1 Contact Person: Dl\`iO-cx 1Lu -cam COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 1 For Office Use e * t i ; o Permit#: , �:: � „ EAGAN �..g-9-5 Permit Fee: ( �( Date Received: "V f�1�. U 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A n (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: M W buildinoinspectionsa.citvofeagan.corn L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION N Date: _)0— (3 Site Address:[6 5$ e 1660 -/.4,64)-. j4,6)-. l6 611. Unit#: y Name: Woe OdcC9Q fC_ /4001 ec"4"itr,_ A-Ss cc one: "t51.1- 7- ill Resident/ 03�c Jr' /t owner Address/City/Zip: `,"---7------'.-_-,17 ` C CICOr /r `l (/ /' Applicant is: Owner Contractor Description of work: dd 1 e-Ctr C Type of Work / Construction Cost: (s 10)‘0 Multi-Family Building: (Yes /No ) • fro „EL �ok�'(a.Gf mi, Z>sc Company: �d rni dirt Conact: �t°(/e -Vra^�ta Address: 17, -93 FC(,bffrd G' City: Far ;vigf lok Contractor V/ seri,65-86 • State: Zip: �� Phone: �' Email: License#: �� Lead Certificate#: If the project is exempt from lead certification, please explain why: &Ct;(1 : lges 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? i Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if •u •rovide s•ecific reasons that would•ermitt the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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.00pherstateonecall.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 approv=I f plans. Sf�rl A 0`�' Actl ti x / x 4 , Applicant's Printed Name Applicant's Signa ure PERMIT City of Eagan Permit Type:Building Permit Number:EA158460 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 1658 Hickory Hill Lot:009 Block: 002 Addition: Woodgate 1st PID:10-84600-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Rebekah R Ferguson-shand 2156 Bayard Ave St Paul MN 55033 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature