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1666 Hickory HillCITY OF EAGAN Remarks addition- Woodgate lst Addition Lot 13 Rik 2 Parcel 10 84600 130 02 Oliner?l(.(il street 1666 Hickory 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 ?j3 1974 $115.45 23. 9 PAID SAN SEW TRUNK (l 1974 $93 . 54 $6. 24 15 PAID * SEWERLATERAL 1975 1 WATERMAIN * WATER LATERAL 1975 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORMSEWI.AT 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 12-31- 3 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 14 Rik 2 Parcel 10 84600 140 02 Ow'fler iji; . (J?;' Street 1668 Hickory Hill state Eagan, MN 55122 Improvement Date Amourtt Annual Years Payment Receipt Date STREET SURF. 9 STREET RESTOR, pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 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 1S * WATER AREA 1975 15 * STORM SEW TRK * STORM SEW LAT ac? 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 CITY OF ?AGAN Remarks Addition Woodgate lst Addition Lot1s _ Blk 2 Parcel 10 84600 150 02 owne? Lv,t,?+ rGtLIZ;treet 1665 Hickory state EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. '7STREET RESTOR. pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING A 1974 115.45 23.09 5 PAID SAN SEW TRUNK 1974 93.54 6. 24 15 PAID SEWER LATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 ?t STORM SEW TRK ic STORM SEW LAT A 1975 $1505.70 $100. 38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT wATER CONN. $130.00 11222 7-29-74 6UILDING PER. 5AC 375.00 9773 12-31-73 PARK CITY OF CAGAN Remarks ad'd' cio Wood ate lst Addition Los 16 Rik 2 Parcel 10 84600 160 02 Owner ? Street 1667 Hickory taCJ@ State Eactan, MN 55122 ? .4 Z Improvement SVY D e V Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. 1976 $410.12 $136. 71 3 PAID GRADING PAVING 113 1975 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93.54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 1 * WATER AREA 1975 15 STORM SEW TRK 975 * STORM SEW LAT a? 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11222 7-29-74 9UILOING PER. SAC $375.00 9773 12-31-73 PARK CITY OF EAGAN 3795 Pilef Knob Road Eagen, MN 55122 No 48aD PHONE: 454-8100 BUILDING PERMIT `'? • 000' Recerpt # -- To be used For Est. Volue Date __ Site /lddress 16 65 ;iidnry 44iP" A.All% WE/ Erect ? x Occupor„_ .? _ Lotlr,? Bloc" $ec/5ub. wOndg8te t Alter ? Zoning Parcel # gyl'4w _J,Td 0-2, Repair ? Fire Zone 3 Enlar e ? e of Const v T g yp . oWC Name Jen ne ?- ^ Move 0 # Stories ? Address i CkOTy 4?L 4»*'Demolish ? Front ft. G Phone + 5 2- S 2 3 4 W'k Grnde ? Depth ft. ? 0 Name " Appeorab Fees r- ?u Addross Nome Addross I hereby acknowledge that I have reod this oppiicotion and stnte thot the information is correct and agree to comply with cll opplicable 5tate of Minnesoto Statutes and City of Eagan Ordinonces. Signature of Permittee - A Building Permit is issued cll work shall be done in a Buildlny Officlal Assessment _ Water & Sew. Pol fce Fire Eng. Planner Countil Bldg. Off. _ APC Permit y - M) Surcharfle 1 _ OQ Plan check SAG Wcter Conn. Woter Meter Totol 10.00 I LTC''t j" on the express condition thot with oll opplicoble Stnte of Minnesoto Statutes ond Ciry of Eagan Ordirances. ?wwk # pah lwwd ,--hrwkfM Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Find Footings Data Irap. Dote Irap. Foundation Plumbiny Frome / ins. MecFqnicpl Final Remorks: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I e. 1,r. ???1M+l;n rI INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I. ft I - I 3 fs I o?F F FI l f. KOF<Y 1 ANE: PERMIT SUBTYPE: ,i,# ) ?NW, APPLICANT: N )* k E rarr-RFk<<,E t 61 :, ) rtd-. 1 6 A 439 TYPE OF WORK: c , Nq i titi i i H i Nc, N.' tssvH A6JJf+/1lA Permk No. Permft Holder Dete Telephone N SNV PLUMBiNG HVAC ELECTRIC ELECTRIC Inapectbn Oate Inap. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. FireplBCe Fnal Htg. Orsat Test Final Plbg. Plbg. InspeClor - Notify Plumber Const. Meter Engr.lPlan Bltig. F'mal oeck Ft9• Deck FwW -dr?ir?y , weu Pr. Disp. INS CIYY dF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 ? (612) 681-4675 ? SITE ADDRESS: : ' I; t (I ! . I r. ii?i 1 i? t{111 PERMIT SUBTYPE: ,.: 11 0011 1 3V (j 1 N 14 1 0 rR ON RECORD PERMIT TYPE: Permif Number: Date Issued: M0 I I n ? ?i 0 .:, ti i'!j. a4 J0)Ei /L)4 APPLICANT: TYPE OF W4RK: wf ia ( r.E:r-I [.Ar:f MF N r 3 r,f: .,:r.ta rf 1 t t 11 N t iN A + N 0 ,. . ? ; . ?-? ? ? ? ? Permit No. Permit Holdar Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FdOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL pECK FfG tia ?C,E.c?cI?L? •?- ?1,? DECK F1NAL ?(? ? ? G ? -- . - - -r ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conatruction Reauiremenb • 3 registered site surveys shonving sq. fl. of lot, sq. fl. of house; and all roofed areas (20% mazimum lot coverage allowed) . 2 copies of plan showing beam 8 window s¢es; poured found design, elc.) • 1 set of Erergy Calculations . 3 copies olTree Preservation Plan'rf lat platted after7/7193 • Rim Joist Detad OpGore selectbn sheet (bldgs vrith 3 or less unils) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY U PROPERTY < TYPE OF WC APPLICANT ADDRESS _ PAGER # _ LACE(S) V 0_ 1_ 2 'HON cS'`Ivr - `??-?d' 's °coDE_?33 Fax # NE1V RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatlons Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Confractor. _ Mech<lnical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is co t and agree to com y with all applicable State of Minnesota Statutes and City of Eagan Ord' ances. ?°""? S(gnature of AppllcaM ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/O7 CELL PHONE # _ Water Softener _ _ `i'ater Heater _ _ No. of Baths $ U"I '7J RemodeVReoair Reauirements . 2 copies of plan . i sel of Energy CalcuWfiois for heated additlons • 1 site survey for exterior addi6ons 8 decks • Indicate if home served by septic system for addiGons Phone #: Iawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Hcat Recovery System OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04•plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement "Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Foo[ings (new bldg) Footings (deck) Footings(addirion) Fomdation Drain Tile Roof _ Ice & Water _ Final Other Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaVC.O. Final/No C.O. _ Plumbing HVAC Building Inspector w? 6?, VILLAOE OF Eqppp 3795 Pilot Knob R d SEWER SERVICE PERMIT ao E09a". MN 35122 PERMIT NO.: __ 2199 Zoning. ----- DATE: 4126/74 Owner. ____ No. of Units: -' Address: Site Addmss .lb6fi P 6? wt,. ------'------- lumber: __ rnoIl}P+?+ ui nL-nrt TAn, 4a Pl_y?h i tla CO 1 agya fa comply rifA Hy VNlw °+ EO4O" Conne tl Ordinaec.?. c on Chazgel544,.9Q od 7Wl/ Account Deposrt.?_ 73 _ Perrtut Fee: _10.00 pd By -- - Sumherge: _- _50 pd -- - Date of Ins P ? -- - - Miec Charges:__ - ---- Insp.: ------- Total: -- _ '--------- DatePafd: ? f Fnimlt .."?o. 442 - 4/2C!74 Covers fo]lowinn unir,= zne homrs: ]r,22,1r:32, 1C36 , i6-?13, 1Faa, 1r50. 1F,-54, 1558, 16'62, LC6C, 1C70, ]6711, 1F7r;. 1rP:?, 1r-ar, I Fo?), 1E92, 1r,?4, 169r., 1700 S•;aLnnt I,ane and 1F95. 1655, lfC-l. ]r'HS, 1689, 1693, 1hO7, 17n1 Tnalnut Lane 3631-2q-37-25 Hickory Hill, G?Ef Ft2IFlickory fiill & 1h67-fi5 Hicknr:p 7.anr, 16F5,?,7-6^-71 Hickory f'ill, 166,3,<1-59-57 wi.ckory f3ill, 1.Fn7=f33=85=.n7 Piclrorv Flill laGt e7even (11) townhouse huildincs - do not have correct house numhers a,, -et. CITY OF EAGAN , " 9795 %lee Kno6 Reod Eagen, MN 54722 N2 4800 PHONB: 454-8100 BUILDING PERMIT APPLICATION S2,000. Receipt .# 10016 To be wad te. 'Fireplace Est. Value p,M Mav 17, , 1 q 78 Site Address 1665 Hi dory H-i-1-1- 1.n n0 Erect ? X Occuponcy i Lot 61oc4_9?- Set/Sub. Wood(;ate L Alrer ? Zoning R2 Parcel /.' SD O?- Repair ? Fire Zone 3 Enlar e 0 e of Const V T g . yp c Nome.Tenne C hurchill Move ? #' Stories z Address 1665 Hickory Hill Demolish ? Front ft. . Eagan 452-5234 Wk Grade ? Depih - H. C phone Approvalf Feea 5 zo u< F Nome _ Address Name ASSessmeM - Water 8 Sew. Police - Fire Eng. Plonner _ Council - Permit 9 - nn _ Surchorge I - nn Plan check SAC Water Conn. Water Meter I hereby ocknowledge thot 1 have read this application and state thot gld9• Off. the informction is correct and agree to wmply with all opplicable AP? Total 10.00 Smte of MinnewM Statutes o City of Eagan Ordinarrces Signature of Permittee A Building Permit is issued tJenrie ChulChill on the express condition that oll work shall be done in or,eyrjlarxe with_al _ licable State of Minnesota Statutes and City of Eagnn Ordinances. Building Official ° ? _ .-? - , , ,. EAGAN TOWNSHIP BUILDING PERMIT ... . c owne: ... .. .u1 ... ?.c..a. C \/ p Address (Presen ....... Builder Aaaress DESCRIPTION ? N° 3191 Eagan Township Town Hell Da:e ...--???.^:?l?e.`........... ........ Siories To Se Us ed For Fronf Depih HeighfI Esl. Cos! Permi! Fee Remasks l 6 This permii does aot avlhofue i the the zigh2 to ereate anp siluetion whie general welfase !o anyone in the c THIS PERMIT MUST Tsje?j This Ys !o certify, !ha t!he above deseribed pe iea 1955. ot LOCATION " ripl3on oi Loeatian I Lo! Block Addilioa or Traet ??sor? se of sireels, roads, alleys or sidewalka nor does it give the owner or hSn agen! h is a nuisance or which presents a hazasd !o the health, safety, aonveafenee and ommunify. EMISE WHILE THE WORK IS IN PROGgR S8. ?-.---..-.--hes permission to eseet e__.l...l?.i.?... r?Kar.!?upon !o ! provisions of the Building Osdinanee for Eagan To ship adopled April 11. -?x _.sa..%._....... Per ........---./G? ---4.:..: ?--?'.'4:?.?..-.?J,,.?- - •-° - - °.-----°°---°-...... oard Huilding I _ eelor CITY OF EAG'aN 3795 Pilot Knob Road Eagan, Minne.;ota 55122 woodJccz f-e PEFND:T N0, : 461 The City of Eagan hereby grants to Geo. Sedgai?zk Heating & A/C Ob. af 1001 3(en1a 1?va. So.. MPle. 55416 a oQ„n.,c Permit for: (Owne? ) Nev gmison 'Hams 1650-52-54-56 81a1aosp Lnne 6 1665-67{60-68 8t gicm=y v+ll ? pursuan''to applicat'ion datE:d 2/11/74 i 2/1J Fee Paid: 160.00 dated this 19 day of ??' ,?'7*1 4.00 8/c Building Inspector Pdechznical Permits: Bid Total: 7 i30 6 C7, CITY OF EAGaN (?t,?, ? • ? ' 3795 Pilot Knob Road Eaga,n, lviir,nesota 55122 PERP,ST NO,: 4e2 The City of Eagan hereby grants to T1iomPaon PJ+snhinrt Co. of 72101 Minaetor_ka Rlvd. a PT.TT"P7"1G Permit for: (Owner) *1ew Norizpn :=ocnor -Weo@^ate Addn. 1 re see attached list , pursuant to application dated 4119117z' Pee Paid: $1,060.00 dated this 241711 day of prri.l ? 19 74 aQ.or. s/c Building Inspector PSechar.ical Permits: Bid iotal: .? This request void 18 months from 7 Date of this Request P 328 45 I, as 11 Licensed Electrical Contractor Ita'6wner, do hereby request inspection of the above electri- cal wiring installed at: ?? r-?xs?.?••? Street Address or Route No. _ ? ?° ? `?- ? ?=+`_--?` •s•?l Cit ?"'?f Section Township Range Coun Which is occupiecl -(TTJa "e oi Occupant7 ls a rougliln inspection required on this job? No G?' Yes ? Ready Now ? WID Call 0' PowerSupplier Add ?J Electrical Contracto d,6 ? Contractor's License No. _ (Camvany Na e) Mailing Address (Electrlcal Contrattor or owner Maklnq Thls los[allatlon) Authorized Signatu ,' Phone No. - r 3 ( ectrical Contrector or Owner Makin9 This Installatlon) 37ATE BOARD COPY Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHEC,h'`BELOW WORK COVERED BY THIS REQUEST /,' 4>0 ! 'j p 32845 Type of Building New Add. Rep. Check Appliances Wired Fo: Check Equipment Wired Fo: Home Duplex ? ? ? ? ? Range ? Wat t er Temporary Wicing Lighting Fixtures ? Apt. Bldg. Commeicial Bldg. ? ? ? ? ? ? Dry Fu Electric Heating Silo UNoadei ? ? Industrial Bldg. Farm ? ? ? ? ? ? Air ndi ' et Bulk Milk Tank Lis[ ? Othex 0 0 0 p Hete p Hehe g? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeedeis: # Fee Chcuits: # F 0 to 100 Am s. 0 to 30 Am eres 0[a 30 Am eres lOl to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200-_Amps. Above 100 Amps. Above lOQ_Amps. Transformers I2emoteControlCirc. Paztialorotherfee Signs Special Ins ection Minimum fee $5.00 Remaiks TOTALFEE ? I, the Electrical Inspectoi, hereby certify that the above inspection has been made. (Rough-in) Date _ (Final) zx- , 1 ?-en Date This request void 18 months From . ? HOUSE HEATING TEST RECORD ADDRE55 1666 Hickory Hill APT. FLOOR _ OCCUPANT o er H. ameie er -yes HEAT LO55 SOLD eY - Eleeerical Work 6y TYPE OF HEAT DATE HTG. INST. OWNER Gas Line By GA _ FA A HW _STEAM -SPACE HTR. -UNIT HTR. ? GAS DESIGN MAKE Williawson MAKE OF BURNER_ Model 1117-07 -5 Model - s„„l 7335837 hkx. sru Rarin9 - INPUT 752000 '3tu MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat PI?g, Valve M.A. v25 U1L Ltmit Robehaw RFL 750u Limtt SeHing 2000f Fon serrtn9 90of & 120°.f Pilot Type Couple Pilot Make Model _CITY SUBURB Eagan OTHER CONVERSION Vsnt Size ,1u KIND OF LINER ""a`* SIZE " NONE Drafr Hood Vertical Regulaw Filters Size 1611 82511 Number 1 Chfmney LocaHon Insida Yea Outside Chimney Consiruction Metalbea tm Pilot Model Smoka Bomb Wiring Pilot Timing 51 SBCOfldB proFt 01 Test Tag Ye3 L.W. Cuf Off Door Pressure Lighting Inst. YQ$ Pressure 4.S"W,C. PercentCO 8•0? Z Data Tesfed 2r Z'4l75 Input CFH ? ,0? 74 Percent 02 ? 7 Compony Testing C,S, Bright Co. ? ? w Stock Temp. Percent CO Name oi Tester INSTALLED BY SBdgwlCk H}g, n v Form 235 HOUSE HEATING TEST RECORD D-20945 "`O-") ^L' ADDKESS -'` 1668 Hickory Hill APT.-FLOOR CITY SUBURBEagBtt OCCUPANT Jll11II8 C WOlf2 OWNER Ye8 HEAT LO55 DATE H7G. INST. '-' GAS C0. METER BADGE ed 1Ck LH SOLD BY INSTALLED BY ? g• Eleehieal Work By ti It TYPE OF HEAT GA-FA_?.HW-STEAM _Gas Line By SPACE HTR. _ GAS DESIGN MAKE W1111.8at90R MAKE OF BURNER _ Model 1117-07-5 Model Serio1 7413436 Mcx. 8TU Rating - INPUT 75s000 BtU- MAKE OF PURNACE Model CONTROLS THERMOSTAT m 260 Heat Plu g Vent Size 4" Valve ? ? M.$. V250OC KIND OF LINER Aln m. SIZE_ " NONE Limit Robehaw RFL 750tt Drah Hood Verti cal Regolara. Limit Setting 2000f Filters Size 16" g 25" Number 1 Fan Setting 90°f & 120°f Chimnsy Location Inside YE'9 Outaide Pilot Typa COUp1E Gfimney Constructi on ME!t8lUP9'f•OA Pilot Make Pilot Modal $moke 8omb Wiring Pilot Timing 56 Seconds Droft OK Test Tag Z'QB L.W. Cut Off Door Pressure Lighting Inat. yBS Prassure 4,4"W•C• P 7.0 ercentCOZ Data Testsd 10? 90f74 InputCFH 74 Percent 0? 8.7% Company Testing L'OI UBtlOil .5 C181t].Ce Stack Temp 5$00f percent CO G6 Name of Testar -- . Form 235 UNIT HTR. _OTHER CONVERSION HOUSE HEATING TEST RECORD D-20945 ADDIE55 '° 1665 HiCkoTy La, APT. -FLOOR CITY SUBURB Eagatl OCCUPANT Arthur W Cooke OWNER Yeg HEAT LOSS DATE HTG. INST. SOLD BY Elechical Work By _ TYPE OF HEAT GA 3A5 C0. METER BADGE ed 1Ck Ht INSTALLED BY ? g• it Gas Line By ?? FA X HW _STEAM -SPACE HTR.- GAS DESIGN William9a? MAKE MAKE OF BURNER_ Model 1117-07 5 Model 7395772 Serial Max. BTU Ruting - INPUT 752000 Btll MAKE OF FURNACE Model UNIT HTR. _OTHER CON V E RSION CONTROLS THERMOSTAT T87f Heat PI VenT Size n t? VO1Ve M.H. ?8 O? C KIND OF LINER Alum. NONE SIZE 8 Limit Robehaw R1'L 750h Draft Hood Vertical Ragularor LimitSetting EMUMA 200 f Filrore Size 16°% 25° Numberl Fan SelTing 90 f& 120 f Chimney Location Inzide Yea Outside Pilot T pe Couple Chimney Construcfi on MQtfi1beetOB y Pilot Make Pilot Model Smoke 8om6 Wiring Pilot Timing 44 Seconds proFt OK Test Tag Yee Ye8 L.W. Cue Off Door Pressure Lighting Inst. 4,4"W,C, P 7,0% D T d 10/29f74 Pressure ercent C0 2 ote este ? Input CFH 75 Parcent 0 $ 7 2 ?mpany Testing C'm? 19 1 10 II S t. / Stack Tem ?•0 460of percent CO Name of Tesfar i p. Form 235 HOUSE HEATING TEST RECORD D-20945 ADDICE53 -` 1867 Aickory La, APT.-FLOOR CiTY SUBURBEagan OCCUPANT wi11181n D Bowman OWNER Yee HEAT LO55 DATE HTG. INST. SOLD 8Y Electrical Work By TYPE OFHEAT GA _ FA _HW. GAS DESIGN GAS CO. METER BADGE # INSTALLED BY Sed"iCk Htg- Gaa Line 8y if it STEAM _SPACE HTR. -UNIT HTR. _OTHER MAKE Williamaon MAKE Model 1117-07-5 Model Smia I 7340837 Max. INPUT 75,000 Btll /HI'. MAKE Modal CONTROLS THERMOSTAT T87f Heat Plug Vaive M.H. V800c Limit R.obahaw RF'L 750tt Limit Setting 2000f Foo Setting 90of & 1200f Pilot Type Connle Pilor Make Pilm Model Pilot Timinq 57 Seco nde L.W. Cut Off 4.6°w`r • ?/ 7•"?° Prassure 75 PerceniC02 $.7 Input CFH Percenf OZ `5SOof 0.00 Stack Tamp. Parcont CO Form 235 OP BURNER BTU Rating- OF FURNACE Veni Size KIND OF LINER Alum_ SIZE Fn NONE Draff Hood Vertical Rsgularor Pilters Siza 16L x 25'' Mumber ? Chimney Location Inside S'PA OuTSide Chimney Construetion Smoke Bomb Wiring Droft (IK Test Tag Ypo Door Pressure Lighting Inst. Ye8 Dafe Tested 10j /'g0j/ 74 Company Testing C'O =.5 @C.7.M Name o{ Tester Al-v CONVERSION ; .,.._.._.. . ---..?.._._ ._._ _. _.,... _ _. _ . . . ... .... VILLAGE OF EA(iAN WATER SERVICE PERMlT 379 5 Pilot Knob Rood ? PERAfIT NO 1439 : ------- ' ,' Eugon. MN 55122 . l.unm PUD D'?TE: --__ 4/26/74 K? --- -------------------Nn. of Unita: owncr: ?odgate, New Hoiiypn Homee ' - --- _ Address: . s?te Addres. :1666 _68_Hlckozr gill 6 1667-69 $ieloo ry?ne Plurnber: __ nlp3on P11IDlbinq L1p, Meter No.: Size. Connectlon 6 ?_--- _ - - - -------------- Accoant Deposlt _ Reader No : ___ PerrttitFee: 10. 00 pd 1 ogree to comply wifh rhe Villoge o{ E---- ------ ----- •50 pCZ °9°^ Surcharge: _ Ordinances . Miac. Chargea:,,:nFa-D Total: --------------?.??s? a9 Date Paid -"=`-- : --- UateutInsp "__- ------ --. .______. Insp.: / G G G .- ? 3 S! ?1 G lo Q J r^? VC'?? 9 v`-_ d? -- ,?G? / G G 7 T d? 5c ? G? 9?3 - S? 9.?G s ?G_GvJ_- _a.?.?9-?-4-? ?----'- ?--?-?--??--,? s?--- ---------- - ?, Clty of Eapn 12794 4b? ? 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -----------------; j Permit N: P>5- 19 L I ? ? Permit Fee: 0?O .0 o ? ? Date Received: ? I i I I Staft: i I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9''3Cp -0 5f Tenant: sue address: b(.k, Suite RESIDENT I OWNER Name: f}N?J/L.C/1 LE2?/?t S Phone: Address / City/ Zip: (41" NlC1V_01eY tYt« t?2, SS r Z? Applicant is: Owner Y" Contractor TYPE OF WORK ?e? ?pTion of?ork: Zt /ZvO[r ConstructionCost: Multi-FamilyBuilding:(YesX/No CONTRACTOR Name: /Q"/Y/ER1Cqs? 0u1Lp<y6 CrSq -ZV/!t-Z&%icense #: ZC9 (/e 4 39 ? Address: 2g?0 Suo CJE!-P ?IUU Ciry: ? tc2n/9 Vc Lt,i_- State:/H AJ Zip: 5 S 3 3 7 Phone: Z'707 (i f- S/ Contact Person: AIA-fZ 9 Ll, El «c:- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Categorv 1 _ _ Energy Code . pesidenlial Ventilation Category 1 Worksheet • New Enerqy Code Worksheet Category Submitted Submitted (4 submission type) • 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 submif are considered'to be puBllc information. Portions of the information may be classified as non-public if you provide specilic reasons that would permit the Cify to conclude that'the are trade secrets. I hereby acknowledge that this information is complete and accurate; that ihe work will be in contormance vnih ihe ordinances and codes of the Ciry ot Eagan; that I understand this is not a permit, but only an application tor a permit, and work is not ro start withoul a permit; that lhe work will be in accordance with the approved plan in ihe case of work which requires a review and approval of plans. f x AA-/ll< A, 13?1L_gc= _ gwv? ApplicanYs Printed Name Ap canYs f ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Singie 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 ? 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 (screeNgazebo/pergola) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage 0 12-PleX ? Miscellaneous ? Interior Improvement ? Siding ? Demolish Building' ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to appOcant _ Occupancy MCES System _ Code Edition SAC Units Zoning City Water _ Stories Booster Pump _ Square Feet PRV _ Length Fire Sprinklers 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 8 Surcharge Treatment Plant Copies Total Sheetrock FinallC.O. FinallNo C.O. HVAC Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector Page 2 of 3 RESIDENTIAL BUII.DING Permit Application City Of Eagan ? ?? 1?? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenis RemodeUReoair Reouirements OKce Use Onlv 3 registered sde surveys showing sq fl. of lot, sq ft. of house; and all roofed areas 2 copies of plan CeA oi Survey Reoi (20% maximum lat mverage allowed) i sel of Energy Calcuhahons for healed addNOns Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additons R decks Tree Pres Not Reqd i set of Energy Calculations Add'd'ron - indicate if on-s8e septic sysfem _ On-site SepGc System 3 copies of Tree Preservation Plan if lot platted after 7f1193 Rim Joist Detail Op6ons selection sheet (bltlgs with 3 or less unifs Date (?'j'? / (25) Construction Cost Z / 5L?'C) Q:? Site Address Unit/Ste # Description of Work Multi-Family Bldg ?C Y_ N ireplace(s) kA 2 PropertyOwner??-SV Telephone#(\9SI)\Ob ? Contractor ?( Q? Address City State Zip Te?ephone # (kd?V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minne ota Rules 7672 Energy Code Category . ResidenEal Ventilation Category 1 WorksFieet ,,; - '•' Ne '?IEnerqy Code Worksheet (J submission type) Su6mitted 11 Subihitted Licensed Plumber . Energy Envelope Calculations Submitted ? Telephone #?) ?Y=?'elephone-# ) Mechanical Contractor - SewedWater Contractor Telephone #( I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accwate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. *1icanAVsSi ?Applicant's Printed Name ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI69_Y a' _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/poors ? 34 ReplaCement •Demolitfon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addifion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool Ftgs Air/Gas Tests Final _ Frammg _ _ Sidmg Stucco Stone _ _ Fireplace _ R.I. _ Au Test _ _ Final _ Windows (newheplacement) _ Insulation _ Retainiug Wall 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 Building Inspector 91 goi AW /6G6 -L9' A;'+*ASTER CARD je rf ?-.L- gk ! 44t?- Permit No. Issued Issued To I Coniractor Owner BUILDING PLUMBING ? CESSPOOL - SEPTIC TANK WELL EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I d Items (Initial) ?81E Remarks Distance From Wefl FOOTING SEPTIC FOUNDATION CESSPOOL FRAMWG TILE FIELD FT FINAL ELECTRlCAL HEATING DEPTH OP WELL GAS INSTALLATION I SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL i SANITARY SEWER / Violations Noted on Back COMMENTS. OWNER rr t" _"-' J STRUCTURE AND v LAND USED A$ COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. DATE OF INSPECTION ? ACCEPTABLE SU85TITUTIONS OR DEVIATIONS. ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED REINSPECTION REVEALED ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPIY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BE`lOND CONTROL. DATE OF REINSPECTION CERTI FI CATION - I cenify that I have carefully inspected the above in which 1 have no interesi preseM or prospective, and that I have reported herain all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved Plans and specifications, end any specific require- ments for off-site improvemenn relating to the property inspected, ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILpING INSPECTOR OATE 'qj_ z. PERMIT# qqbol RECEIPT DATE' 31?? 1 n?1 USIDENTlAL PLIJM$INra P£M1T APPLICATION crrY oF E+?sAv 3830 rnoT xrros ttn EAfiAP, MA 55122 651-6$1-4675 Please complete for: : single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system GALLES, PATRICIA SITEADDRESS: _ 1668 HicrcoF;v Hiu_ oRive EAcaN narv esizz OWNERNAME:: i65;)454?5729 TELEPHONE #: (AREA GOOE) INSTALLER NAME: STREET ADDRESS: DBA CITY: Pl.rn a rhar4 m.r4 nuv# 4n fhn nn,mi# wnr4 }vnn TELEPHONE #: (AREA CODE) STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ . lawn irrigation system • water turnaround Nature of work: W*A?" . ?r«._. Septic System, new/refurbished - $ 225.00 • includes County & Censulting Inspector fees • requires MPC license State Surcharge $ .50 Total $5z). SX) Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water sorteners, ecc. I hereby acknowledge that I have read this apphcation, state that the informahon is corcect, and agree ro comply with all applicable Ciryof Eagan ortlinances. It is the applicanCs responsibdiry to no[ify the property owner lhat the Ciry of Eagan assumes no liability for any damages cause kX.ttie.Cilty2unng its rafriLal_ operational and mainlenance activitles ro the facilities constructed under this permit within City operty/right f•wa /eas e t? r,rf 2 SIGNATI(JFtl,61F PERMITTEE Updated 1/01 ******?******************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 776 DATE: 09/13/00 TIME: 13:48:18 ID: NAME: DAN WOHiERS SOUTHSIDE 3213 9001 1668 HZKORY HL 30.00 2155 9001 1668 HIKORY HL 0.50 3213 9001 2021 BLUSTN LN 30.00 2155 9001 2021 BLUSTN LN 0.50 3213 9001 4363 METCLF DR 30.00 2155 9001 4363 METCLF DR 0.50 Total Receipt Amount: 91.50 CR137274 USER ID: JAN CITY i3SE ONLY LOT 1 ? BL PERMIT #: SUBD. WOOASIA RECEIPT #: - $ 3b.00 6.00 RECEIPT DATE: 2000 MECHANICAI, PERMIT (RESIDENTIAL) Date• 2 -q-(/V Complete this section ontv if you aze installing HVAC in a singte family dwe]ling, townhoipe or condo unde: coe.struction and noi ownerioccuoied. • HVAC: 0-104 M B T U ADDIT'IONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State 5urchazge .50 Total $ Complete this section onfv if you aze remodetine, addine to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New X4 Alteration _?<_ Furnace Air exchanger Reminder: Call for inspections Repair _ Other t-1a 7x6 Air conditioning Other Fee State Surchazge Total $ 30.00 .50 30.5 SITE ADDRESS: IwF) :WLV-nI"v TI I 11 OWNERNAME: Pab'IGIa 17aI1e'S PHQIdEtf:?vL._- ! ?*,,? ? I r (AREA CODE) INSTALLERNAME: WOh1er'S ?)lJl.1ThSi?'Iv PHONE#: 952- - L}?7I""?U99 STREET ADDRESS: ,,, `' Iqtv i,,? ut ?+1- SI?I?fP? I? IO?O ( A CODE) VV CITY: CITY OF EAGAN 3830 PIIAT KNOS RD EAGAN A47 55122 651-681-4675 TE: M Ki_ ZIP: S 1 OF L BL SU6D. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECffANICAL PEItblIT (COMMRCIAL) CITY OF EAGAN 3630 PILOT IQd08 RD EAGAN, DII1 55122 651-681-4675 Please complete for: all cammerciallindustrial buildings multi-family buildings when separate permits are not required for each dweliing unit a DATE: WORK'I?YPE; New construction Install U.G. Tank ? Interior Improvement _ Remove U.G. Taok _ Pracessed Piping When installing/removing underground tank, cal! 651-68I-4675 for inspection by fre marshal and plumbing inspector. Description of work: Fees: I% of conhact price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallatian = minimutn fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL SITE ADDRESS: e OWNER NA.ME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLS): WAS THERE A PREVIOUS TENANT IN TH1S SPACE? Y N. NAME: INSTALLER: i ADDRESS: CITl': PHONE #: - (AAEA WDE) STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE --? CITV' OF'EAGAN PERMIT PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: C'l2. b//, / 5? ? dv4 BUILDING 023898 06/15/94 SITE ADDRESS: 1666 HICKORY LANE LOT: 13 BLOCK: 2 WOODGATE P.I.N.: 10-84600-140-03 DESCRIPTION: Bu3ldzng P.ermit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: 0 Base Fee Surcharge Lic. Search Fee Total Fee $30.00 $.50 $5.00 $35.50 CONTRACTOR: - Applicant - sT. LSC. OWNER: B& K ENTERPRISES 1$616809 0008$90 LARSON TERRY 7601 MORGAN AVE 1666 WICKORY LN RICHFIELD MN 55423 ERGAN MN (612) 861-6809 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State ofi Mn. ? Statutes and Czty of Eagan Ordinances. ? ` APPLIC T/PER ITEE SIGNATUR ISSUED 84 SIG ATURE INSPECTION RECORD CITY OF EAGAIV PERMIT TYPE: sunosNG 3830 Pilot Knob Road Permit Number: 0 2 3 8 9 8 Eagan, Minnesota 55123 Date Issued: 06 / 15 /94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 13 BLOCK: 2 1666 HICKORY LANE B& K ENTERPRISES WOODGATE (612) 861-6809 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . .. FOOTINGS FINAL F L a , r •? ? ? i lqi CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis ered site surveys 1 copy of energy cal cs. u(? ?'+ 13 I99°t COMMERCIAL 2 sets of architectural str.uc1uY'a1_Rlans 1 set of specifications, 1 copy o . 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 h?7 Valuation of work , Site Address: Ill? 41 STREET SUITE tt Tenant Name: (commercial only) zC-29 ?? ??le G d/'J/j???3'11?i?J'?%P eo??? e?`(S ?` LOT BLOCK _,I_ FSUBD. 1,1? ??) P.I.D. # Descri tion of work: The applicant is: ? Owner ontractor ? Other (Describe) Name I,AXqlJ 22a'i?? Phone ? Property LAST FiRST owner Address 1(%L /"/'J , S7REET STE il City AJ1) State ZJiZip Company ?4 c Ce, Phone `?el-G?0 ? Contractor Address Z4?? / fi-,Od r?dG License #Z:ZZC) Exp. City ,?PJ6?/ea z41C State /,?l/'L) Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l Signature of App icant: 9c. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. .El 15 Oeck WORK TYPE ,,5 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS O Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 0 Footing 0 Final ? Framing ? Draintile ? Insulation ? Fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuac;m_ $ / m ' . ? ;, :,`..... ? ? 16 Basement Finish ? 17 Swim Paol ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code .? Census Bldg ? Census Unit ? Assessments SAC Y SAC Units . ? I J&P6.r f-VI h ? ? -?# 04? ? ? ` p• ' I R' r . , . / ?'?, ? R?1 . ? ? • ?. ?j? .? v ? ? J?? ? q ? , i 2 av• ?1' yo a ''? +? ?. V \ ?? • N ? ? ? , ? 1 V f ?i .a? ?- ? , ??? ? i??? r, ? $ -W?w o,? . ,, A? 6?0 0/ = p?? .? ? • i ?G'? :7 ?, ? i :.A ?k(:Y.>,l'"'m".$. Y:,l'h?:??kt4.,k nY:: ???$:',"x<u! ?Y:iKY,?>?'.Y.?Ck';?,4;'?XiYtk?OYYF:;;;?:•;: r.zrv OF enr;;r,M CASF?!:Ff;: ": if;PMINAI_ N(?- 74 D!iTl-„ p'V/f.l'i9/`_-!, '"".I.ihl-:: 0,04sJ.i' TM PJAi1L::: iTE:I"'H- AN ! I(:;MI-S MIC 320 9001 i66f1 HTCKOfiY N.i. 45.00 205 s,on:i M68 H7:CI<.Orv H:r. 0a50 ,.5. 7ot..i.l. Rer..Eai.pt Arcuuni :". 4...? ?- CIiCIt•_.4p r (:1 USCR M NANL'V M%i?W>%s?=.rE 1r.:Kw•yF K?K?R??k???%>K?? ?k?xN?:9iX??K?:M??<:.Fae ? ?k?k?X??%%? 4 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 10-84600-140-02 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1668 HICKORY HILL IOTa 14 BLOCK: 2 WOODGATE 1ST : BUILDING 028775 09/06/96 DESCRIPTION: (REPLACEMENT) Build•i„n;g.yPermiz Type DECK ?iBuilding ?4ork Type NEW ? Census Code'`,? 434 ALT. RESIDENTIAI t` . F t.. k Y i ?e t. , REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Tota1 Fee $45.50 CONTRACTOR: - Applicant - ST. LIC.pWNER: STEPH-AN HOMES 16819777 0001457 GALLES PAT 4130 BLACKHAWK RD 114 1668 HICKORY HILL EAGAN MN 56122 EAGAN MN (612) 681-9777 I hereby acknowledge thatI fiave read this application and staYethat the Ynformati n is oorrect arrd ag'ree to comply with all `_applicabie State of Mn. Statvtes nd C ty crf Eag n Ordinances. Ry oa.?,(J`?111?-- ?JUL Ag?1 - ?- ' APPLICANTlPERMITEE SIGNATURE ISSUED BY.'I MIGTURE CITY OF EAGAN 2:6qq59 3830PILOT KNOB RD - 55122 96 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reauirements Name: pw-r G /9 YcS Phone #: 48l iIRSi RemodellReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window stzes; poured fnd. design; atc.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculations ? 1 energy calculations !or healed additions ? 3 copies oi Vee preservalion plan N lol platled after 7/1193 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: le;G y ,?lk LOT _? BLOCK SUBD./P.I.D. #: 0 PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Street Address: City: State: Zip: Company: °S Phone #: Street Address: 12.5-y Id /:K ,OrA.? License #: I?T7 City: State: Company: Name: 41 .?o c,olu Q - ? Zip: Phone #:- Registration Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. " ,, State: Zip: Penalty appiies when address change aral kt I hereby acknowledge that I have read this application and state that the infor ation is coeC' and agree to comply w?n at0 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: A72 ?-J OFFICE USE ONLY Certificates of Survey Received Yes - No - p raUf ?, SS.,S Tree Preservation Plan Received _ Yes _ No ^ r G BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE p431 New o 33 Alterations ? 32 Addition ? 34 Repair GCNERAL INFORMATION OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepairlRem. o ? 13 Garage/Accessory ? ? 14 Fireplace ? X 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building r43 Engineering Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Waier Conn. Water Meter Acct. Deposit 5/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units ? 16 Basement Finish 17 Swim Pooi 20 Public Facifity 21 Miscellaneous MCMIS System ? City Water ? Fire Sprinklered PRV Booster Pump Census Code. ?Ms SAC Code v i Census Bldg ? Census Unit U Variance ? `;'?? CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 B?NG ?' ....... ?:_,. <....,.... ???' FOR CZTY USE ONLY PERMIT # RECEIPT # /D a SS DATE: S7 / S?1g?`Il?;f` c PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. - ------ --------------------°-- WORK DESCRIPTION -----------------°- ------°°- ------------------ - COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 ' BATH TUB 3.00 BREhI, MRAV LAVATORY 3.00 OWNER NAME: 1665 Hia(GRY LflME KITCHEN SINK 3.00 M" , k1 ?6122 LAUNDRY TRAY 3.00 SITE ADDRESS:_ H698-M , u 349-0550 HOT TUB/SPA 3.00 . WATER HEATER 3.00 ?• GJ IAT:15 BIACK SUBD., -- " _ FLOOR DRAIN 3.00 GAS PI'rING OUT. INSTALLER: _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: 99n5 r:er?ci?6B 11V€MNE §""??- - OTHER _ MIPINEAPOLIS,/??{y?ESOTA 534 03 ? - WATER SOFTENER 5.00 CITY: , ZIP : PRIVATE DISP. 15.00 $ Z?? 827--4033 ' _ U.G. SPRINKLER 3.00 SUSTOTAL S I ? 00 ST. SURCHARGE .50 TOTAL: S /? ' J?) '?iMMERG3A??INDUSTRiAL. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SUFcCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN SIGNATURE OF PERMITTEE ? - ? BUILDIAiG PFRMIT APPLICATION DATE (? ?/ ? _ / X? include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. Tq be used fax Site Addxess; ? -6;- Valuation Lot Block Sec. Sub. 13 d? l r?-??.a : ? Owner Address fo l.-. .5 /?,?ozl? Contractor Addresa Arch./Eng. AddreSs Erect Alter Repair Eniarge MovQ Demolish Grade a?vk`? o-le Parcel Number /0 g//bOd /J' tl d? Te2ephane ,cl? - Telephone Telephone OFFICE USE Occupancy Zoning k.z Fire Zone _3 Type of (,ronst. ? # of Stories Front Depth OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire EYig. Planner Council Pldq. Off. A.P.C. FEES Permit 9, f?:e Surcharqe Plan Check SAC Uiater 4bnn. 6latez Meter TOTAL ? .. ?. OF 3&30 P110T KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PFIONE: (612) 454-8100 LEGAL DESCRIPTION: Lot 13 - Blk 2 Cqypdrr*fthafta EUGENE VAN OVERBEKE Woodgate Addition cffvcielk BEA BLOM6lN5i Mwa DATE: August 21, 1985 THOM,yS CGM ,wnEs a sMiTH Jermv n+onaas ADDRESS: 1666 Hickory Hill Dx?CDOREWncF+rEa CpyKiMBmpBrs iFIOMA51$DCES Dear Eagan Resident : RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Uepartment 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. OBSTRUCTIONS ON PUSLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or Under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of snch? 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. 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 PROVISZONS Subd. 9. Structures in Public Right-of-Way. No buildinqs, 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 .THE SYMBOL OF STRENGTH AND GROWTH IN WR COMMUNRY . ,= 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 accordinq 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 THZS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. ' The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions' that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, . , William H. Branch, Superintendent Public Works Department WHB:jbd Rocks on the boulevard L-1`10-7-eco V?rval 5 '73 4,3 0 c nocr?* :?to3 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reowrements RemodeVReoair Reouirements Office Use Onlv 3 registered sile surveys showing sq. ft. of IoL sq. ft, of house; and all mofed areas 2 copies of plan showing tootings, 6eams, joisis CeA of Survey Recd _Y _N (20%maximum lot rave2ge allaxed) 1 set of Energy Calculatbns for heated additions Tree Pres PlanRecd '• =Y _ N. 2 copies ot plan showing beam & window s¢es; poured fouM desgn, etc. 1 sde survey for addilions & decks Trce Pres Required =. --• _ Y-_ N isetofEnergyCalculations Addihon - indicateifon-sflesepticsystem On-site5epticSystem , _Y _N 3 wpies of Tree Preservation Plan A bt platted aker 711193 Rim Joist Detail Options selecfwn sheet (butldings wAh 3 or tess units) Minnegasco mechanical ventila4on form Date (55 / 5k ! G(.0 Construction Cost ? ? -3l SiteAddress IlPlnC 1-1\C?-I Hl\\ Unit/Ste # Description of Work 1hSk01`l, ? [,U1?'l?C(AJS ? F'?1 ?G f?r I h ?? I?I hC'/ d??Yl t'!'la? Multi-Family Bldg _ Y)C- N Fireplace(s) _ 0 2 PropertyOwner P Q_C?red.UPr Vq \S Telephone #((05 1) Contractor RQ4' yx `Ssan('?e C`- K Y lCV S Address -I ?`?1 (-\(`LiLYYJA (QYAO SU V ff. 0,C) City rnQ rJIf (7f0N(Q State (n K) Zip 553061 TelepNone#(l?3)?Ib3-a5s? ?' Q ?/YY? 1 ? 1'Yl l?- 5 x r I 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Ca[egory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Suhmitted In The last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Ir? r? r, Fr? n 71n 2 i-"I Telephone #( I-7 S U ?'J l? I '?I Mechanicai Contractor !I .5 I iI 'I Telephone #( u`Il?i ?u .?; U o iUl Sewer/Water Contractor Telephone # f I hereby apply for a Residential Building Pennit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? ??PCIP?' ? Lw Applicant's Printed N e Applicant's ignatur 12 7 9 2 ------------------ ? Fo??aff???:??e ? ; Permit«: P35C1`I 0 11 ? Permil Fee: ClV .( J V ? ? Date Received: I ? I StaH: ? I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: Tenant: SiteAddress: t 4- 00 2 Suite #: RESIDENT/OWNER Name: ?A(21U/k Phone: j? S!-YSY-ST27 Address / City/ Zip: Z(e (a T tflGKCYL" K! -L i92 U6'6'Qw -!5_6_t ,Z Z- Applicant is: _ Owner 'V- Contractor F W ? c"'i TYPE O ORK Description of wor . Construction Cost: Multi-Family Building: (Yes / No ? CONTRACTOR Name: A,; Z'W C . License #: ??il & J( 7J ?'f :3 Address:.2 9 6 O 7a A t G! A(- IR.tA */B o City: G4 Lt cP. n/`s cT t Ll. C- State: MIAt Zip: S S'3 37 Phone: g 5Z-707- 6 f S 9 Contact Person: ltiLlB /Z14-- 15 v? A::,t=: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residenual Ventilatian Category 1 Workshee[ • New Energy Code Worksheet CBtegOfy Submitted Submined (4 submi5sion 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 that you-submit are,considered `to be-putilic information. Portions of the information may be classilied as non-publi6 dyou provlde specific reasons that wauld permit the City to ' . _ conclude.thaf:the yare trade secrets. I hereby acknowledge that ihis information is complete and accurate; that the work will be in conformance with the ordinances and codes ol ihe City of Eagan; that I understand this is not a permit, but oNy an application for a permil, and work is not to start without a permit; that the work will he in accordance with the approved plan in ihe case ot work which requires a review and approval ot plans. x1AIJ-2 G( /L, x dIv//-T ? ApplicanYs Printed Name App' anYs gnat e Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory 6uilding ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/9aze6o/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex O 72-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroaf ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' DemolRion (entire builtling) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25°/,_ 100% 2oning 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.L _qirTest Final Insulation Reviewed By: Sheetrock FinaUC.O. FinallNo 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 & Surcharge Treatment Plant Copies Total Page 2 of 3 a A City of Eapn 12793 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? FoTi?Otjjee;.?Ui'e I j Permit #: UQ'? -1 l I j ? PermitFee: "Y.V ? [Jn ? ? Date Received: Cti. I Stati: I -----------------' 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t5' 3 v- O? Site Address: 161(6,5 l'f I 4KOKK.•`r" Tenant: Suite #: RESIDENT/OWNER Name: /M!+/ZY (3lL-c=l?1 Phone:4 S!-6' Sa '0333 Address I City / Zip: LG (v S H«Kog-Y l.N C- JL6AcU -6, S l 2'Z Applicant is: _ Owner ? Contractor TYPE OF WORK DescripTA oi woRk: tZ ? J?-vc3 F Construction Cost:,V "0 Multi-Family Building: (Yes No r CONTRACTOR Name: /4"aGl T-/JC. License#: .20(l04 3??i Address:a?7&0 ??DIU/u- Z6) Y4- /oU City: ?uXN5C/I[J_N State: 11(dU Zip: $`J 33 7 Phone: ?LS Z' 74)7- & 7 St Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 EnBfgy Cod2 . Residential Ventilation Category 7 Worksheet • New Energy Gotle Worksheet C8t0JOfy Submittetl Suhmitled (V SubmiSSiOn type) • Energy Emelope Calculations Submitted In [he 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 Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that:you submlf are con"sl'dered fo be, putilic lnfarmation. PoRions of the informatlon may be classified as nBn-puti(ic iG you provide specifiareasons that would permit the City fo • conblude.that the .are trade'secretr' . I here6y acknowledge thal this information is complete and accurate; Ihat the work mll be in contormance with the ordinances and codes of the Cily of Eagan; [hat I undersland this is not a permrt, 6ut only an applicalion for a permit, and work is not to slatl without a permih, 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 W /a-?LGL Ac ?.l L- x-__a ApplicanYs Printed Name Appli nt's Signature Page 1 0( 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ' ? 07-plex ? Garage ? Porch (4season) ? Ext. AIt. - SF ? 02-Plex ? OS•plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi MiSC. ? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage ? 04-Plex ? 12-piex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? WaterDamage ' Demolition (entire building) - give PCA handoul to applicant 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 !t 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: RESIDENTlAL FEES: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge 58W 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 Building Inspector Page 2 of 3 12795 ?----------------- ? Foi'=,?t'ieetise I j Permit #: ( I ? Permit Fee: I O. ()O ? ? Date Received: I ? I ? I Stait: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? ? 3U -U ? Tenant: Site Address: I(P(a7 K t 54c0 2Y hA-hIC- . Suite RESIDENT/OWNER Name: "J N<<Z Y }{04[Ow/*Y Phone: 657-330^073' Address ! City / Zip: e, 7 t{lGKq?LY LJt-tl E 4.`''7+4 r1'1J z 2 Applicant is: _ Owner x Contractor TYPE OF WORK Description of work: zL` /z-a0"tG Construction Cost: Yr`J Uv ?? Multi-Family Building: (Yes,-/, / No CONTRACTOR Name: Z/LJG.. License u: Address: City: 2? u R/VS 0 c Ct-45, State: lPt'/ o? Zip: 5S 3'3 7 Phone: .Z'707-(pp S f ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Enel'Jy COdE . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet CatBgOl'y Submitted Submined (4 Submission type) • Energy Envelope Calculauons Submitted In the lasi 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: Pfans and supporting documents :that :you:suy6bu miYare cons/dered fo be putilic information. Portions of the information may be classified as noprovide speciflc"reasons t/iat would permit the City to corithe are trade secrets:• I hereby acknowledge that this intormation is complete and accurate; thal ihe work will be in coniormance with the ordinances and codes of ihe City ot Eagan; that I understand this is not a permit, but onty an application for a permit, and work is not to stah withoul a permit; that the work will be in accortlance vnth [he approved plan in the case of work which requires a review and approval of plans. / r X WµXr1z- A-, x ApplicanYs Printed Name Appl' nYs *datuile Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES O Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pooi ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-pleX ? DECk ? POrCh (screeNgazebo/pergola) ? Multi MisC. ? 03-Plex ? 10•plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES 0 NeW ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout ro applicant DESCRIPTION: . Valuafion Occupancy MCES System Plan Review Code Edition SAC Units (25%100°/ 2aning CityWater 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 Roaf: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: Sheetrock Final/C.O. FinaUNO C.O. HVAC Other: Pool:_Footings Air/GasTests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 For Office Use * ' € : ° EAGAN� Permit#: ....0 .,..,...... E AG A N Permit Fee: f Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION #n(c,��y Date: Site Address:/7.Z /Z� -' /-7/-6Me, ��7 Unit#: ff/ l ;/ *- ...�M.� � � too s s� �'Phone: 6 S!- � .� ,/ ,(� 5�- 7 coq iName: ° e �1QOG�'t�l�r5 / I Phone: ( [ Resident/ 16 GS 14.-`, ckur7 t _1\` Owner Address/City I Zip: Applicant is: Owner Contractor Type of Work Description of work: kse- Ro(��f 4 Construction Cost: TaO Multi-Family Building: (Yes /No ) Company: 60 C lMa tt VI Al rd.St"n11 atL' 9ontact: 4-5./�1/* r or t't( n17 q Address: / 75!3 Fb X 6Cr0 C7L City: / rr i.`ti 9 X, __ /a� !, Contractor �J `V9 �� 5.50c ' 75-01-87f-e5�16 State: Zip: Phone: Email: 6 G C loo 6 { _'License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: No 11-€0. 4 8 : l f— ,`r� 80_siCOMPLETE 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: I E Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: r NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic if yodprovide,specific reasons that would permit 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.qopherstateonecall.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 if.i-.as. x 51--t v-e Pt ianinct,tt A x orJO veitiL'� ,i Vii/ Applicant's Printed Name Applicant's -ter PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170133 Date Issued:06/21/2021 Permit Category:ePermit Site Address: 1666 Hickory Hill Lot:013 Block: 002 Addition: Woodgate 1st PID:10-84600-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Karianne Peltier 1666 Hickory Hill Dr Eagan MN 55122 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature