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1701 Hickory HillCITY OF EAGAN Remarks Addition Lot 2 81k ? Parcel Owner r f • 1 01 Street 1701._HIckox:Y Hill State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1 974 ,?? 1.02 P31d STREET RESTOR. '5 1976 22.2 1 0.7( 3 P2id GRADING SAN SEW TRUNK -lL 1974 9.42 6.63 15 Paj,d * SEWER LATERAL • ? 1976 18 1.0 70 3 Paid WATERMAIN # WATER LATERAL 8t a.T'@3 197 3 WATER AREA #STORM 5EW TRK 197 3 # STORM SEW LAT 197 3 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 1 O.pp 1210 11-8-74 PER. sa,c 1100.00 1210 11-8- PARK CITY OF EAGAN Remarks Addition WOOd 1t 2nd Lot ? Rik 1 Parcel 10 84607 - Owner treet 1703 Hickorv Hill State Eagan.MN 55122 c.l7fl t4µ+Caf. fAr,i&iv... 161A/ 4c-7 iu Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 197 .11 1.02 P3'?C? STREET RE3?'fjR. 197 22.27 140.76 3 Paid GRADING SAN SEW TRUNK ? 1971 99.42 6.63 15 P2id SEWER LATERAL 197 1 623.70 31 Paid WATERMAIN WVATER LATEFiAL yr g 1 3 WATER AREA .?. STORM SEW TRK 197 3 ?. STORM SEW LAT 1 6 3 CURB & GUTTER SIDEWALK STFEET LIGHT WATER CONN. 1 0.0 12109 11-8-711 9UILDING PER. sac ILOO, p 12109 11- -7 PARK CITY OF EAGAN Remarks ' Addition at+ 2 d Lot 3 Blk Owner L Street 1705 HiCkOx'V' H3.l1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ;133 1 .11 1.02 5 Paid STREET RES?9R. ? 6 22.2 140.76 3 Paid GRADING SAN SEW TRUNK ?; 1974 99•42 6.63 1 Paid SEWER LATERAL 3i3 1276 1871.09 23.70 3 Paid WA7ERMAIN # WATER LATERA? 197 3 *WATER AREA 1976 3 #STORM SEW TRK 197 3 * STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140.00 12109 11-8-7 BUILDING PER. SAC 400.00 _ _ PAR K CITY OF EAGAN Remarks Addiiion WDO at+ 2 Owner . :?, , •« ?.:? ?'?`1???-? -- Street 1707 Lot 4 Blk ? Parcel Hiokory Hj.ll State Eagatl,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? f 1974 5.11 1.o2 Paid STREET RESTOR. t G 22.2 14o.76 PaiCI GRADING SAN SEW TRUNK ( 1974 99.42 6.63 1 Pa3d .# SEWER LATERAL L ? 1976 1871.0 623.70 3 Paid WATERMAIN # WATER LATERAL 1976 3 # WATER AREA 1976 * STORM SEW TRK 1976 3 STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140.00 12109 11 -8-7? 6UILDING PER. s,ac 400,00 1210 11 -7 PAR K 3830 Pilot Knab I IUILDING PERMIT o be used for E Address °1--'- ^--,°,_• • • Stories Ith ti l AI all ._,. 5 th8t I Y QF EAGAN -?? P.O. 8ox 21-199 , Eagan, MN 551 21 ? D N E: 454-8100 (j On Site Sewage MWCC System _ _ APPROVALS - Assessments - Water/Sewer _ Police _ Fire _ - Engr. _ - Planner ? Council ^ ;ate BIdg.OfF. ^ ible APC --- Variance ? t is is. done *4O • W II II Wo - non. II Wan"tt"W++b* II Into II Woiq*IWMW II RITImC. ? EIMCOM P~ "19 bmt FirePiwe Fin01 HIg Finat Pbg Bldg Final Cert Oec Tengp: LP DMlk IFls. im1 IP1[. map. CiTY OF EAGAN 3795 Pilat Knob Road Eagan, MN 55122 PHONE: 4548104 N2 4401 BUILQING PERMIT ReceiPt # 30G.,;rS To be used fo. Site Address Lot - - Block ? Sec/Sub. Parcel # ce Narne w z Address ? D City Phone 0 Name , - . , ,.. .. ? ?a Address ? ~ Ci Phone U? ,,, W Name ?- W _? Address I hereby acknowledge thot I hove reod this application and state that the information is correct ond ogres to comply with all applicable State of Minnesota Statiites and City of Eagan Ordinonc,es. Signature of Permittee - A Building Permit is issued to: all work shall be done in occordance with all applicable State of?Mir Building 4fficial -- - Erect p Occupancy r Alter ? Zoning Pj11: 1 Repair ? Fire Zone 71 _ - Enlarge ? Type of Const. v Move ? # $tories _ Demolish ? Front ft. Grade ? Depth ft. _ Approva Is Fees Assessment Water & Sew. Police Fire Eng. Plannsr Council Bidg. Off. APC Permit Surcharge ? Pian check 5AC Woter Conn. _ Water Meter Totol - '? .1 on the express condition that Stotutes and City of Earan Ordinar.cas. Pomk # Data Inwd PermIMM Plumbing Mechonical INSPECTIONS I DATE INSP. Rough-In Finol Footings Date Insp. Date Insp. Foundation Plumbing Frame/ i ns. Mechanical Final Remarks: F'T?. . _' . . . . _ _ T ! . "' _r_....."__ ._` . .. . . . .... . --.. . , . . . . . _ CITY OF EAGAN Ap 16J 33 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 P HO N E: 454-8100 ?. BUILDING PE?&NT F1N1SH Receipt # To be used for AND RIRBPI.ACB Est. Vaiue =1 ,'S00 Oate JULY 2? , 19? Site Adsiress 1702 H1CRi0RY BILL Lot ? Block Sec/Sub. OFF ICE USE ONLY PBfCBI N0. Occupancy - FEES Chcistie Stotcy N Zoning 36.00 m W ame (Actual) Const - Bldg. Permit ? 1701 HiC1t0 H111 Address ry (Allowable) - 1900 ° City Ea=iA Phone "?373 N of Stories - Surchar e 9 Plan Review Length _ o Name smw Oepln - SAC, City o U U ? Address S.F. Tolal - SAC, MCWCC ? City Phone S.F. Footprints - Water Conn ? On Site Sewage _ ? W Name On Site Well - Water Meter x= AddfBSS MWCC System - Q z t W City PhOne Ciry Water _ Acct. Deposit PRV Aequired _ S!W Permit I hereby acknowlege that I have read this appiication and state that the Booster Pump - SNV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Cit? of Eagan Ordinances. Treatmem PI Signature ol Permilee 1 -1 ? ')t' -- APPROVALS Road Unit CihTilti! $t0ly A Building Permit is issued to: Planner - parkDed. on the express condition that all work shall be done in accordance with all Couricil applicable State of Mlnnesota Staltitesland City of Ea an Ordinances. gld9, pry. _ Copies F ?,l OHi B ildi i l vaz??a - TOTAL 37 00 • u ng c a Permit No. Permlt Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. EIECTRIC Inspection Date Insp. Comments Footinqs I Foundation Framing 7/ Rooting Rough Pibg• h a<-.-fy C 4. Fiou9h Ht9• Z, VCt v c•l ;Fi? et Isui. ! Fireplace 71, Fnal Htg. Final Pibg. Caisl. FAeter Plbg. Inspector - Notity Plumber Engr./Plan BkJg. Final Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT For C CITY OF EAGAN PERMIT # _ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 4548100 DATE: _ Site Ad?T ss Lot 9`t ? N C FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLIIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT ,50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF EAGAN BLDGXPE WORK DESCRIPTIaN Res. New Mult. Add-on Comm. R r Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ktchen Sink - $3.00 UrinaV6idet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping OuUets - $1.50 (MINIMUM -1 PER PERMIn Softener - $5_00 Wel) - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: GRAND TOTAL: ? ? `' '? CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 Water Sof"tener Dnte: 8/20/79 PERMIT Site Address: 1701 HiCkory HiIl !ot ` Block Sub/Sec. ^f r ? ?'` ? ? I , No. 28 1557.L Receipf No.: Single I ,V Residentiol Mutti Res., Comm./Ind. I Nome ",°bert ^roschein Jr. New/Alter./Repafr 701. Hickor;y fiIM ? Address Cost of Installation City Phone: Permit Fee Commerz; =c,ft, Wrtte:r • 7?' Nome Surcharge . ? Address 3801Ca1ifG2•ni s :;': e City Phone: Totol This Permit is issued on the express condition that ail work sholl be done in occordarice with oll eppliwbie State of Minnesoto Statutes ond City of Eagan Ordinances. Buiiding INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i ;) 7 1t11 . i>>I I'il1 I I ri? tJ1101+l,Al 1 t .'N4+ 4 () 1-' i s•9:i-t,_3::'? PERMIT SUBTYPE: TYPE OF WORK: I,l IIVi? 1 INSPECTION DA • DA ? ?+! ?l 1 1 ??{•? ?i.,l iab 1 r0I 11[cAWtY 1!J I 1 iit t 1 (il K 1 ? ? L Pemn No. Peffnn Hoia.r om ra.phor,. r ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FWND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATIMG GAS SVC TEST INSUL GYPBOARD FlREPLACE FIREPLACE AIR TEST FINAL PL8C3 FINAL HTG ORSAT TEST BLDC3 FINAL BSMT R.I. BSMT FINAL DECK fTG DECK FINAL ? 9? ? ? YILLAUE OF EAGAN `? • WATER SERVICE PERMIT -. 3795 Pilof Knob Road .. PERMI'1' NO.: 1634 Eagon,MN 55 122 ' DATE: 11/15 74 ' Zoning: PU? - Na. oP Units: Owner: ood ate II Address: 1?? )c?Trl 4 --6 . COhD? e Site Address: 1Z01-03=-05-07 Hi9korV Hill Plum6er. Thomnson Plum birt4 Co. Meter No.: Connection Charge Size: Account Deposit Reader No.: Permit Fee: 10.00 pd 1 agrae ro eomply wifM1 the Village af Eaqon Surcharge: _• 50 pd ??n? aG Ordinanees. Misc. ChargeS- ' _ Total: '/ gy //-? z?/ Ar Date Paid: Date of Insp.: lnsp.: YIILAGE OF EAUAN SEWER SERVICE PERMIT 3795 VilotKnobRood PERMITNO.: 2334 Eagon, MN 55122 DATE: 11/15/79 Zoning: pUn No. of Units: Owner: Dlew Horizon HomeS Wood4ate II Address: Site Addreas: 1701-03-05-07 Ilickory Hill Plumber: Thompson Flumbinq Co I agraa ro complY with tM VilMga o4 Eogan Connection Chazge:?l?b?'%? 702 ? Wdinanees. Account Deposit Permit Fee: 10. 00 pd Sumharge: .50 pd gy. Misc. Charges: Date of Insp.: Totel: Insp.: Date Paid: ''? CITY OF EAGAN 3795 Pilof Kno6 Rocd Eagan, MN 55722 H2 4401 PHONE: 454-8700 BUILDING PERMIT APPLICATION Receipt # -fi698- To be us¢d for lla rk 300• 00 Dare v/i C79_--7-7. . Site Address 1703 Hi ckory Hi 11 Erect ?] Occupancy 1 Lot'L_ Block -L Sec/Sub. Wnt.E-u Alter ? Zoning PUD . Parcel .# Repoir ? Fire Zone 3 _ E l ? v e of Const T arge n . yp w _ Name D?+?ald T .?_uo:gel Move ? # Stories 3 Address 1703 Hi Pk[1ry Hill Demolish ? Front fr. ° Cit Phone - Grade ? Depth ft. ? U] 90- 7j0 Approvals Fees p Nome _ or, Address F r:. ASSessment - Woter & Sew. Police ? Fire Eng. Plunner - Council _ Bldg. Off. _ APC Name _ Address I hereby acknowledge thot I have read this application and state that the informetion is mrrect and agree to comply with all opplimble Stote of Minnesota Stat?e?ond City pf Eago COrdinanc`e)s. Signature of Permittee 1\ u"??' ? b ft-F A Building Permit is issued io: Tln..?i a 7 v.._._? all Work shail be done in accordonce with all opplicabJe?State of Mir Permit- -5!_1.Q._ Surcharge - 50 Plon check SAC Water Conn. Water Meter Total ? 5f) on the express condition that Statures and City of Eogan Ordinances. Building Ofticial ? CITY of EAGAN BUILDING PERMIT ?J???,? LL•?,'_ ? ? Ownor ......../....":.`.'.':.......<3.?.--.:.Y?'.".?..-. ........................................ U Address (Presen!) ...............--......................................_...................... Butldez Addreas . j. Np 3473 3795 PiloY Knob Road Eagaw MinaesoSa 55122 454•8100 Dalo ...., ................ 1....? ............... .. Btosies To Bs Used Foe Fson! Depih Helgh! Eel. Cos! Permi! Fea Ramuks f H ? J ar ., ., 17 o?- 3-3- - -7 This pesmit does not aulhorize the use of sireels, roads, alleys ar sidewalks nos doea it give the ownes or hU ageaf the =ighlto ereale anp sitvafion which is a auisanee or which presenls a hazard !o the heelffi, safaly, ooaveaienea and general welfaxe !o aapona ia the eommunify. THIS PERMIT MUST BE KEPT ON THE P4£MISE WHILE THE WORK IS IN PROGAESS. ? .7, Thfe is !o ceriifY, thai._?'.^.% ..... ............. ......_ -.-------_..has permiscion !o ereet a-.-.---_..L`.??:.`..::? `,:7..... .._./ ?........... _upea the above descri6ed premise suhj!o the p visions of all applicable Ordinances for the Ciip of Eagan /? -`? . " ............................... .."'....... ....---...................................... ?.:..._.?.j..,.`???..''f ?.........------.. per ............................. ..../,%-ae-?.......-- Ma or ?j Suilding Impeefoz ?6 ! CITY OF EAGAN N2 16833 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ' PHONE:454-8100 ?y BUILDING P?pM?T SEM BP.ENT FINISH Receipt # To be used for AND p j,ACg Est. Value 1 500 Date .i 117.V 74 , 79$9-- Site Address 1 707 HI.^KDRY HILL 2 Block 1 SeGSub. WOODGATE 2ND Lot OFFICE USE ONLY P8fC0l NO. Octupancy _ FEES Zoning W Name ?.hTiSt12 $tOLV (ACwaqCOnst _ BIdg.Permit 36.00 o Address 1701 Hickorv Hlll (Allowahle) - 00 1 Surcharge • City Eagan Phone 688-0373 soismries - Plan Rewew Lengih _ F Name SamO Depth - SAQCny i 0 04 AddfBSS S.F. Total - , SAC, MCWCC ? CI(y Phone S.F FOOtpnnts - 'Nater Conn On Site Sewage _ ? W W Name On Site Well - Wat r M l x 3 Addr9ss MWCCSystem - e er e , 0 a W Ciry Phone ciry water - pcct Deposit i S/W P PRV Reqmred - erm t I hereby acknowlege that I have read this applicauon and state Ihat the Booster Pump - SiW Surcharge information is correct and agree to comply wrth all applicable 5tate oi Minnesota Stamtes and?G/i?ry of Eagan Ordinancye`s?. ?- r? / ?? Z ` ? Treatment PI ? ?7 • ?(/? Signatureof Permtle d. -? ?;? APPHOVALS RoadUna A Bwlding PertnM1 is issued I0: ::hri ct i n Stnry Pianner - Park Detl, on ihe ezpress condition Ihat all work shall be done in accordance wilh all Council applicable State ofQi\nn esota S and nCny ot Ea an Ordinances Bidg. Oe. Copies ? ? - Bmlding016cial V Variance - TOTAL 3?-nn CITY OF EAGAN nJ° 13 9 4 8 , •? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454•8100 --I ?-' 3 ? i ? B UILDING PERMIT Receipt# '+' To be used for DECK Est. Value $1, 000 Date JULY 21 1987 Site Address 1705 HICKORY HILL OFFICE USE ONLY Lot 3 Block 1 Sec/Sub. WOODGATE 2ND OnSiteSewage _ occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ 7ype of Const City Water (ACtuaq m Nama DEBRA J. ANDERSON _ (Allowable) W SAME # Of SIOfl2S z Address Length ? City Phone 52-8 $ Deptn S.F. Total o Neme SILVERWOOD Footprlnt S.F. , ?a Address RT 1 APPROVALS FEES r C i t y MONDOVI, WIphone 715/875-4807 qyseuments _ Permit $20.50 50 water/Sewer Surcharge . W w Nama Police _ Plan Review ?= i- Address Fire _ SAC,Ciry ?cs Engc _ SAC,MWCC aw City Phone Planner _ WaterConn. Council Water Meter _ I hereby acknowledge that I have read thia application and state BIdg.Off. _ Road Unit thattheinformationiscorte tandagreetoc plywthellapplca A? - TreatmenlPl State ot Minnesota Statute n ity f E n O ; nc s. Veriance - Parks Copies SignatureotPermittee 70TAL 421-00 A 6uilding Permit is issued to: SILVERWOOD on the express condition that all work shall be done in accordance with all applicable Sta of Minnesota Sta s and City of Eagan Ordinance& BuildingONicial ??s? y ? K/ L ? 1 HOUSE HEATING TEST RECORD D-21526 ?? ?l '• 1701 Hickor Hill Ea an= OCCUPANT ADDY?E55' ?m C. Aahwood OWNEAPT.R Yeg00R CITY SUBURB ? HEAT LO55 , DATE HTG. INST. SOLD BY Elechical Work By TYPE OF HEAT GA FA A HW GAS DESIGN STEAM INSTALLED BY SedgwlCk Ltitg. n n _Ga: Line 8y SPACE HTR. _ MAKE Amgng MAKE OF BURNER_ Model GH 80 DE Model Serial C85350131 Maz. 8TU Rating- INPUT 80,000 Btll HX'. MAKE OF FURNACE Model CONTROLS THERMOSTAT T87f Heat Plug ! Vent Size 41f yalve ITT B59 RA4 KIND OP LINER Alum• SIZE 6'? NONE Limit C`IC.' 2N5 41-180-M Drafi Hood Vertical Reguloror Limit Setting 180of Filters $izs 16" x 25" Num6er 1 Fan $etting 90°f & 1250f Chfmney Location Inside YeS Outeide Pilat Type L'Ollp1C Chimney ConsTructi on Metalbestos Pi Iot Moke Pilof Model Smoke Bom6 Wiring Pilot Timing 76 Sec onda pra(t OK Test Tog Yes L.W. Cut Off Door Pressure 3•5"W•r'• Pa,centCO? 8 5p DateTested - Input CFH 9 D..-Percenf OZ g• Company Testing Stack Temp. 42O f percent CO ??? Name oF Tester _ UNIT HTR. OTHER CONVERSION Lighting Inst. Form 235 HOUSE HEATING TEST RECORD D-21526 Zdr??<<• /-/ Ano12ESS '' 1703 IIickory Hill APT. FLOOR CITY SUBURB Ea¢8m OCCUPANT Don J. KOpel OWNER Yee HEAT LO55- SOLD BY Elechical Work By TYPE OF HEAT DATE HTG. INST. GAS DESIGN MAKE Amana MAKE OF BURNER_ Model GH 80 DE Model Serial C85350138 Max. BTU Rating- INPUT 80,000 Bt HT. MAKE OF FURNACE Model Date CONTROLS THERMOSTAT T87 Heat PIu9 Vent Size 4" yalVe Itt B59R04 KIND OF LINER AlUla SIZE 6" NONE Limit CIU M-1-180-FVw DraftHood Ve="tiCAi Regularor Limit Setting 180of Filtars $ize 1fi!L x`Ld!L Number ? Fan $attiny 90°f & 1200f Chimnay Location Inside YPA Outaida Pilot Type Cotpl @ Chimnay Construcfion MP{'AlUPAtOC Pilot Make Pilot Model $moke Bomb GA FA X HW _STEAM _SPACE HTR. -UNIT HTR. -OTHER Pilot Timing 90 Secendw Droft L.W. Cut Off Door Pressure 3.4nW.C. pe.cant CO 2 7.5% Input CFH 80 g Percant OZ 7$ Stuck Temp. 480 ? Perceni CO ??? 3A5 CO. METER BADG Sed4?wick Htg, INSTALLED BY Gas Lina 8y 11 ti CONVERSION Wiring Test Tag S'Pa rrassure Lighting Inst. Ye9 Tested 4I23/75 p C. 8. BF:;G:7T COMPANY Company TesTing Name of Taster -0!X.9jTOYY"a,6,0- Form 235 HOUSE HEATING TEST RECORD D-21526 ADDti2E55? - 1705 H1ckOTy $111 pp7,_FLOOR CITY SUBURB Eagan OCCUPANT N1Ck T. Beaudin OWNER Yea HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE r9- SOLD BY INSTALLED BY Sedgwick IAtg_ Elecirical Work By Gos Line By it of TYPE OP HEAT GA _ FA X HW -STEAM SPACE HTR. UNIT HTR. -OTHER GAS DESIGN MAKE AmaIIa MAKE OF BURNER_ Model f.A RO DE Model $erial C86250164 Mcx. BTU Ratiog- 1NPUT RO nn Rti r, MAKE OF FURNACE CONTROLS THERMOSTAT T97 Hear Plug Valre TTT $.-,gRw Limit C`1C 2N5-1 -780-F1'.W Limit Setting 150of F,,, Se„;,,g 90of & 125of Pilot Typo Pilot Mako PiIM Model Model CON V E R51 ON Vent Siza 4 ft - KIND OF LINER Atn m SIZE R" NONE DrafrHood Var tir.al Rsgulator Filters Size IaII i5)511 Numbar 1 Chimney Location Inside 1'aq Outside Chimney Construcfion M +g1h a+nu Smoke Bomb Pilot Timing 75 SQCOIId9 Druft L.W. Cut Off Door Wiring Test Tag? Lighting Inst. Y Prossure 3.5"W.C. 8 0% Pareent C0 Date Tasted 4/237`5 ? 8 -a = --- Input CFH 80 2 Pertant 02 ; , i[iVflrcoMPAN ? Cempony Testing f Stack Temp. `S?? Perceni CO V UU?o Name of Tester i /4 4q r?a- Form 235 ,2-/ 4065-2r- ('I'IY Oi EAG.4N 3795 + 110 t xI:Ob POaCl Eag?:?.7, BZinne3ota 55122 PF.RNffT NO.: The City of Eaoan hereby grants to of C,eo. Sedrnrick FTeating & A/C Co. a Permit for: (Owner) 1007 genia r?ve. So. ati , pursuant to application dated ,ATING New Horizon - Woodgate II, • Fee l3 03-05-07 siicl6apelgiTUs 1726 [+Ihigntif Iane and 1700-02-Ofl 10j+ , Hickory Hill 12/13/ and 12/6%74 $180.00 4.50 s/c Pdechanical Permits: 31 Dec. 74 Suilding Inspector 3id ^otalc ? ?'f/?REQUEST?ELECTRICAL INSPECTION ?' EB-00001-01 cnC?7 See iRSlruGb?? -nplaLng this foym on beck of yelbw mpy ?JO g' ? e ?l :7 ?)?) f ow Work Covered bv This Aequest e Add Rep. ' ^Typeof8uilding AppliancesWrted EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher (Specify) Comm./Industnal Furnace ? Farm Air Conditioner Other(specRy) ConVaclorSFemerks ?V Compute Inspection Fee Below: 3-0'??Y"?"E' # Other Fee # ServlceEMrenceSize Fee # Cncuits/Feeders Fee Svnmming Pool 0 to 200 Amps ' 0 to 100 Amps Transformers Above 200 _ Amps Aho 00 _ Amps Slgns Irpecmrs use Only. TOTAL Irrigation 8ooms ? ??. Special Inspection Alarm/Communicanon O[her Fee I, ihe Electrical Inspector, hereby if h Rough-in oa JJ / I y t cert at the above inspection has been made. Fln a o lf OFFICE USE ONLY This requasl voitl 18 rtrontlie hom 9 r ? 9 5 9 5 7 ? A a ,, , 6 ? O-e Request Date' Fire No. gh-in Inspection quiretl'+ ? Ready Now Will NotAy Inspecror ? Yes ? No When ReadY> I O licensed contractor )16wner hereby request inspection of above elechical work at: Job Altldress (Shaet, Box or Route No ) ? [O Qy Seciion No. Townahip Neme Na. RanBe No. Coun ? OmipaM (PRI" / ?i Phone No P r Supplrer Addreas G EI Ical Contraclor (COmpeny N me hr 41. Contrectork Licenae No. Maihng Atltlreas (CO`nb1aclor o1r Ownar nMakiig krstallation) ^ 1?V1 •`??{?O'L ?' (?-,V n G1? or SigreWre (COntrador/Owner king I alla on) Ptw?re Number MINNESOTA STATE BOAHD OF ELECENICITY iHIS INSPECTION PEQUEST WILL NOT Grlgge-Mltlway Bldg. - Room 5773 BE ACCEPrED BY THE STATE BOhRD 1811 Univarsiry Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672), 642-0800 ENCLOSEO. RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 9.g a? Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reowrements RemodeNteoair Reauirements Ofice Use Onlv 3 regislered sRe surveys showing sq. ft. o( bt, sq. ft of house; and all rooted areas 2 cop'ies of plan Cert of Survey Reod (20% mazimum bt coverege allowed) ' 1 set of Energy Cakulatlons tor heated addNOns Tree Pres Plan Recd 2 mpies of plan showing beam & windax sizes; poured found design, etc 1 site survey for additbns 8 decks Tree Pres Not Reqd 1 set of Energy Cakula`ons Add'Non - indicate ff onsRe sepGc system _ On-sile Seplic System 3 copies of Tree PreservaUon PWn'rf bf platted after 711193 Rim Joist Detail Options selection sheet (61dgs with 3 or less units Date .2- 1_ Site Address ,l-() ?) 4(y?? Construction Cost UniUSte # ? Description ot Work Mul[i-Family Bldg ? Y$; N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(Jp51) y5?? ? 34 ?" ? Contractor 1?? ??C.?c \qt? A Address ,Z[ l State `?j1 ? ? City `r Zip ?7j Telephone k COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 . • Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calwlations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitled Telephone #( Telephone # ( Telephone #( 21 I hereby apply for a Residential Building Permit and acknowledge that the informa ion is comp urate; 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 pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Ap h ant's i I ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. 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 Plbg_Y or _ N ? 25 MiSCellaneOUS Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units _ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain TIle Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RE5IDENTIAL BUII,DING ? ~Y Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements RemodeVReoair Reauiremants 3 regisfered srte surveys showing sq. ft. of lot, sq R. oi house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculalbns for he,ated additions 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey far addi6ons & decks 7 set of Energy Calwlations AddRron - indicafe if onsife sepfk system 3 copie.s af Tree Preservation Plan'rf lot platted aker 711193 Rim Joist Defail Options selecGon sheet (hldgs with 3 or less unils IL 'r-I a ,C) c) Of(ice Use On?? ? ??? CertofSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N Trce Pres Reqd _ Y_ N On-siteSeplicSystem _Y _N Date Construction Cost CoV Site Address (10) iy -(c-Kofld {'Y(u_ F?a?v'? Unit/Ste # Description of Work Multi-Family Bldg K Y_ N btireplace(s) Z 0 _ 1 _ 2 Property Owner /`/?,%?/`?(J?/ V li 1 ll?j ?(c.? Telephoue #((?5? ) Contractor -J??,l ( Cy i w- Address City?T?? S[ate ?1&J, Zip 5-5-'`( Telephone # (q,5?)-) G{ j ? - ?kv/ J COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 (J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Woricsheet Submitted Y_ N If so, 25% plan review Telephone #( Telephone Sewer/Water Contractor Telephone (U `°) " " " " ?? ? n ocr o s 2003 ? ?i uu u? I hereby apply for a Residential Building Permit and acknowledge that the infor?ation `is--, te and accurate; that the work will be in conformance with the ordinances and codes of the Citp-of-Eagat?ar?d?f?e=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. '?5C..Q't T (Ar'c'.?°W Applicant's Printed Name Applicant?s Signature OFFICE USE ONLY Suh Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelting ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex q 10 OS-plex ?C 18 Deck ? 23 Porch (screeNgazebo) ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration )"C 34 Replacement Valuation UL,? Census Code 7`? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? Footings (new 61dg) X Footittgs(deck) 7 Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final Insulation Base Fee Surcharge Plan Review MC(ES SAC City SAC Utility Connaction Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total J• " _? , ? 30 Accessory Bldg ? 31 6ct. Alt - Multi p 33 Ext. Alt - SF ? 36 Multl Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish(Bldg)' ? 43 Reroof ? 46 Windows/Doors "Demalition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing $VAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ V?indows (new/replacement) _ Retaining Wall ? Approved By Building Inspector --------°----------------------------------------------------------------------? ?? ??c , O 6P- "0 $.701 _ m? 16 13 k12 0 ? 0 9 :,wp N R? 7? 3/ ff 98 ?s 7g°ys ? M°' i? g 14 h + ? h f 7 • 27?3/"00? o? pel? e-i az o ? bi ?Op ? ? ? R:1?3oc=ioo.sr, ± ? , 2 ? 3 p q•a ; a" p, ??.IOAeoF\ . 63.6,?C ? Si6 b e s, _r, PY?I e? S? sJB' ?gf,E'S !r• •?, ? •, a ?+ ( 3 ? ? ? •:?'+ ? N d ? T? 2 m iM O ? 1? ? Iry i SSF ?'?' ?h°°ec?• :.???- '? 9 mm, o $ M ? "9 a•<< ?,?: ?o?s,?? .??`?' .?'``??•??,? K4,' Bc? ? , L •3/? /6 e°l ? 8 V? v d:300°aN'dN" 0 ?r° r Q • V . s. ?e ,i;,be• e rP- A M / 7 d. JI,i A; ?o 8 ? _•?• P - ___? 4'?? k 3 J 9°fi., ? 74F. 14 Lsf?. e: 36 °o4'fi'L, b-9: N xA /t rA•-c:. L 1 ? 7 al 10 w eAS 0 8 N ? -2 20 21 ? f?4q?_E?--•'`:.,,?? ? & ? : ? f Fy,39? :b•?473 14 'U ? j0 ?^ 1V qt? ?q ` ? ??• Ne ^ \ ?• ,2 .opy •? ,.. ? V? x?w.a" ? IL C N ? , V •J` .,. ? , . ' • .. .~ •• •? ; 9 °, ? ? ? ? / •, ,' ? ? ? a? ? ? 1? . •. ? - - ?k k +E• ?'? °? ' ? . 8? e1?eo? s6r , . ?h? ?',t.s +fs2 ? . 17 ,?s i66 e?. I8?"F ?•^ ` ?\? i ?., ?• ```` ? ? ? ?,. oaa W,4C.,-I-r(z > I???Ko2Y k?(?L ( EUvi J?f 12E ftfC E i--1 E M?SU ?EMF,rS yWk 12FQuF5Tf-D i PLfAsF- LonV-IACT ME Fo2 a.Ny O--NF2 QvEsTIc)n1,5. THAN KS 5 Qi7 ?R(CTI?IL- ? oEcK PQopvsAL ? ? o .,. ?. Q 1 , C/?2+E1?- i! ?5a--451 - /5 --?_? u! ?. -- ? 7- C ? ? ? ?, RESIDENTIAL BUiLDING Permit Application ? ? ci -1 ? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 \L>6? ? New Construction Reauirements RemodeUFteoair Reouirements Office Use Onlv 3 registered site surveys showing sq. ft. of l06 sq. ft of house; and ell roofed areas 2 mpies of plan Cerl of Survey Recd (20%maximum lol coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & wiMow sizes; poured found design, etc. 1 site survey tor additlons & decks Tree Pres Not Reqd isetofEnergyCalcuWtions Addifiar - irMicateifon-sdeseph'csystem _ On-siteSeptic5ystem 3 copies of Tree Presenation Plan'rf lot plalled arier 711193 Rim Joist Dehail Options selection shcet (bldgs wilh 3 or less uni}s Date k'C) / / o C struction Cost _(_0 t SiteAddress {??\ UniUSte # Description of Work , Multi-Family Bldg ?"Y _ N Fireplace(s) _ _ 1 _ 2 Property Owner Telephone # ('j?) Contractor ? ?a. Address 1 1 p City State Zip ? Telephone # (??) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cate?l . Residential Ventilation Calegory 1 Worksheet (q submission type) ' Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone # ( Telephone 1D Telephone Mrll I hereby apply for a Residential Building 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 5tate 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. Applicant's Printed Name Ap io Ys Signature Sub Types OFFICE USE ONLY ? Ot Foundation ? 07 05-plex . ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 13 OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-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 Plbg_v or _ 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 WindowslDoors ? 34 Replacement "Demolition (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) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Diain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. __ Air Test _ Final Windows (new/replacemenY) _ Insula6on _ _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector i bz?3 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNCtion Reauirements RemodellReoair Reauirements OKce Use 0nlv 3 registered site surveys showing sq. ft of lot sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°h maximum lot coveiage albwed) 1 set of Energy Calcula6ons for heated additans Trce Pres Plan Recd 2 copies of plan showing beam & window sizes, poured found design, etc. 1 sAe survey for add'N'ons & decks Tree Pres Not Reqd i set of Energy Calculations Additron - indicate if on-site septic system _ On-sde Sep6c System 3 copies of Tree Pieservation Plan if lot pWtted after 711193 Rim Joisl Derail Options selectlon sheet (bldgs rrith 3 or less units Date (Z) UQ / d? /ib'--?> Construction Cost Z LDS- ko - \ IQ:) Site Address `? ---? UniUSte # Description o[ Work 136\ o V= ? Multi-Family Bldg Y _ N Firep s) _ 0 _ 1 _ 2 Property Owner Telephone # ((L&l ) Contractor Address City_ State Zip Telephone # (Ipsk) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlal Ventilafion Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informaAon 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 tlvs 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 ca k which requires a review and approval of plans. ? C::A?1 ?Aa..?? A 1Aant's Printed Name pl canYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) D 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg-) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addi[ion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge TreaVnent Plant License Search Copies Other Total MECIIANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 `-? 30 .`J ? -?j °) C) ccS? Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemilts are required for each unit Date 0? Site Address V70 Unit # c? !L, 2 1 Property Owner ? -to ?4 Telephone #( u5I) 3 -' I O C'i I ? Contractor StreetAddress 2L?? r?5 ? Sk ? City State RmeftiY-4CT(. .i n 'ip ,??i ?rC7?SJ Telephone # (VI The Appticant is _ Owner N-,,/Contractor _ Other Add-on, modiiication or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ? air conditioner - _ - ? ? ? other i State Surcharge ? - 50 ht.,. Tatal $ ? I hereby apply for a Residenrial Mechanical Pemut and acknowledge that the inforenation 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 applicarion for a pemut, and work is not ro start without a permit; that the work will be in accordance with tUe approved plan in rhe case of work which requires a review and approval of plans. ?? L'R? M-? _ V?n2 r\f L? L?, c i L _ Applicant's Printed Name Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings mulh-family buildings when separate pemtits are not required for each dwciling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applieant is Owner Contractor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature ofWork: Perlilit Fe¢ $50.50 Minimum Fee (mcludes S[ate Surcharge) Contract Value $ x .Ol% _$ Permit Fee • If permit fee is $1,000 or Iess, add $.50 If permit fee is over $1,000, add $.50 per => $ State Surcharge $1,000 Pemut Fee $ Total Fee i nereny apply tor a c;ommercial Mechamcal Permit and 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 pernut, 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 wluch requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signahue 1 °Z`?,'Z RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 S-?+ --I kr'- New Construcfion Reuuirements RemodelRteoair Reauirements Office Use OnN 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all rooted a2as 2 copies M plan Cert of Survey Recd (20% mazimum lotcove2ge allowed) 1 1 set of Energy Calculations forheated additions Tree Pres Plan Recd 2 mpies of plan stwwing beam & window sizes; poured found design, etc. 1 site survey for add'Nons 8 decks Tree Pres Not Reqd isetofEnergyCalculations Addifion - indicafei(on-siteseptc system _On-si[eSepticSystem 3 copies of Tree Preservalion Plan if lot plaried after 7/1193 Rim Joist Detail Opfions selection sheet (bld3s with 3 or less unifs Date n4 / C-12_> Construction Cost Z ?y ? •?? Site Address 1? o? `?y C 1 ?'\?` ? ` y `t"? l? UnitlSte # Description of Work Multi-Family Bldg "--Y _ N Fireplace _ 0_ 1 _ 2 PropertyOwner Telephone#(?"jl) lfl??-?loZ Contractor Address S\7l'Q-_ Tv State Zip CPSAV2? Telephone #(tpS 1)`}?M9 -5 COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cateeorv 1 Energy Code Category . • Residential Ventilatlon Category 1 Worksheet (Jsubmissiontype) Su6mitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( - _i Y-. - -is complete and accurate; I hereby apply for a Residential Building Permit and acknowledge that the infe rmarion- 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 a proval ofplans. , Applicant's Printed Name Ap li anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v or _ 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/Doors ? 34 Replacement •Demolitlon (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) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Vl'ater _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining 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 I Y?T 1987 BQILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE F 1L-Y'-DWEL•'irbN S IN ?E 2 SEfS OF PLANS 3 CERTIFICATES OF SiTRVEY, 1 SET OF ENERGY CAI.COLATIOAS NO ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATS AHICH ADDRESS IS DFSIRED. NO CA9NGSS WILL BE ALLOWED ONCE BQILDING PBRMIT IS ISSDED. MOLTIPLE DWELLIHGS - R&SIDENTIAL RENTAL UPITS FOR SALE U@IIYS ? INCLUDE 2 SETS OF PLANS, CERTIFIC9RS OF SORVEY - CHECB HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhRMiRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: O&Z4 Valuation: J,ns'?. Date: I?L&2 Site Address " y vr'r-icz uss unLi Lot ? Bloc k w ? ?o? ??.{Zyyl On Site Sewage _ Oceupancy _ MWCC System _ Zoning _ Parcel/Sub On Site Well Type of Const -- ? City Water (Actual) Owner ???Vi1 I I (Allowable) . 11, ? ? I I O '? ? 0 of Stories Address ' l7I ? ? ?-?i C Length . City/Zip Code S.F. Total Footprint S.F. Phone APPROV9LS _ FSFS Contractor Assessments Permit Water/Sewer Surcharge + Address ? Police Plan Review y? ?,,J' `? ? ? ?? Fire SAC, City MF7CC City/Zip Code YI(A?f;?f ?/U ? ? 1? U Engr SAC, ?^- q ?? ? ? ? ? Planner Water Conn Phone [ J - (} •? Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment Pl Variance Parks Address Copies TOTAL City/Zip Code Phone # 2O s= SO ? . y SINGLE FAMILY DHELLINGS 2 SEfS OF PLANS 3 $Ef3ISTERED STTE SOHYEYS 1 SET OF EPEAGY CALCS. 1989 BIIILDIBG PERMIT APPLICliION CTfT OF EAGAN /MM5 3? 14TLTIPLE DYIELLING3 2 3STS OF PLAN3 BEGIST6NED 3TfE 3RRVEI3 - (CHECB WITfl HLDfi DIV.) 1 SET OF EBERGT CALLGS. C0141ERCIAL 2 SETS OF IACHTlECfUA9L i STRDCTURAL YLAN3 1 SET OF BYECIPICATIONS 1 SET OF SAERGI CALC3. MULTIPLE DNELLINGS REN1'AL ONIT3 FOR SlLE OBTTS 1 OF DNIT3 iOTEs IDDAES3ES FDH CORNER LOTS - COATR?CTOR/HOMEOWNER MD3T DESIGNATE i1HICH JLDDAFSS IS DFSIAED. HO C$lN(iFS AB.L BE ALLOtiiED ONCE 80II.DING PERFSIT IS ISSOED.. SENER 8 NITER PEAMIT FEES lPD lCCOUNT DEPQSIT ffifiS itILL 88 INCLUDED iiITH THE HII2LDINfi PENIIT FEE. PAOCFSSING TIME FOR SEilEA AND YATER PEIMITS I3 TiiO DAYS ONCE A PEAMTT SAS BEEA WMPLETED IADICATINC d LICEN3ED PLUMBER. PENALTY APPLIFS WUNs PERHTT IS NOT PAID FOR IN S9ME MONT$ ZT IS REQUESTED. LOT CEiANGE IS REQUESTED ONCE PEAMIT IS ISSUED. BfE5@vtOiT FiNisH ?;?I ,, JUL 2?01989 Ar1'!? Ft l?e?' `? ? JUD To Be Uaed For: dej/n ? Valuation: ??fl0 Date: Site Address I'10 I?[f.?l/ ?[ 1 ?, CLL4T1/l/ OFFICE OSB ONL2 Lot ` _ Block I_ Parcel/Sub amerl ,d1r lS`E1'f , ?iw Address 1701 AckOR/ ri"/lf City/Zip Code ? T?MN 6510-?2- Phone {}. 8g "ca73 Coatractor 3eAF Address '- City/Zip Code V Phone Arch./Engr. Address City/Zip Code Oceupancy Zoning Aetual Const Allowable 1 of stories Length '7- Depth S.F. Total Footprint S.F. On aite aewage On aite well MIiCC Syatem t ? City vater _ PRV required _ Booster Pump _ 1PPAOYAI.S Planner _ Council Bldg. Off. Yarianee Phone / ? e-lec*v'tcak.. FEES Sldg. Permit ??Jd ? Sureharge l.00 Plan Aeview SAC, City SAC, MNCC ilater Conn Water Meter 9eet. Deposit S/A Permit 3/YI Surcharge Treatment P1. Aoad Onit Park Ded. Copies SOB?OT?L Penaltq TOTAL lns LOWGY' F-w? plwwbin ---C CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84601-020-01 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1701 HICKORY HILL LOT: 2 6LOCK: 1 WOODGATE 2ND c,? 34Jq BUILDING 025367 04J10/95 DESCRIPTION: ? `(ROOFING) Building`P,ermit Type Build3,ng W&wpac Type y ? r ; MULTI. (MISC.) REPAIR ; .., ,. ?.. REMARKS: INCLUDES 1703 1705 1707 HICKORY HILL FEE SUMMARY: VALUATION $6,009 Base Fee $81.00 5urcharge $3.00 Total Fee $84.00 CONTRACTOR: - Applicant - 5T. LIC. OWNER: ALLSTAR CONST INC 15935325 0003247 WOOqGATE TOWNHOME ASSOC 3315 N HWY 100 1701 NICKORY HTLL MINNEAPOLIS MN 55422 EA6AN MN 55122 (612) 593-5325 (612)688-6852 ' I hereby acknowledge that I have read this applicatian and state that the information is correct and agree to comply with all applicable State af Mn. L Statutes and City ofi Eagan Ordinances. J APPLICANT/PERMITEESIGNATURE -?.?'?E111 Sli Dlnl?-I l?I? ORET INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 38301'ilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILpING 025367 04/10/95 SITE ADDRESS: LOT: 1701 HICKORY HILI WOODGFlTE 2ND PERMIT SUBTYPE: muLrz. (misc.) APPLICANT: 2 BLOCK: 1 ALLSTAR CONST INC (612) 593-5325 TYPE OF WORK: REPAIR DESCRIP7ION (ROOFING) INSPECTION FRflMING D, . ROOFING .. INSULATION FINAL REMARKS: INCLUDES 1703 1705 1707 HICKtlRY HILL L07 1 LOT 3 L07 4 t , , CITY OF EAGAN ,?, r? ?, `'• fi; ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeUReoair Reauirements ? 3 registered sito surveys ? 2 copies of plan ? 2 copiea ot plans (InWude beam & window e¢es; poured fid. design; etc.) ? 2 sfle surveys (erterior addilions 8 dedcs) ? t energy celwlations ? 1 energy cekulations for heated addidons ? 3 copies of tree preeervation plen if lot platted after 711193 required: _ Yes _ No DATE: /0 " CONSTRUCTION COST: DESCRIPTION OF WORK: 7i?,, STREET ADDRESS: LOT BLOCK ,. i? SUBD./P.I.D. #: PROPERTY Name: wov?/o4tr fow.,ye.Y, 4 ?.ss . Phone #: 629` 6 ySz OWNER "''? "°" Street Address- ALkor4 G, ,'// City: (Zsti.. State: Zip: S-67 Z 2 coNritacroR Company: 21151-71- Phone #: "3-53,2S Street Address: 3 31S ioc License #• 3o? 517 City: ?f4l State: lzt? Zip• S55/Z Z ARCHITECTI Company: Phone ENGINEER Name: Registration #: 5treet Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infortnation is eorrect and agree to wmply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No OFFICE USE ONLY ? `? ? '?P ? RE.? y,:,• ? ' BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex a 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc, 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ,' . Date: '1 - t5 -`r I,OT BLOCK 11ilDITI00 WeccAC?PrzG- SZ`(4 CL 6?k k- k a? PARCEL & SECTIOPI 2Ni1SER IF UiIPL3ITTEU ADilRESS OF PA2CEL 1'1 c'3 \-\ ? C- tc ?- vz ?, \--\ tis-? 'I,OidI:TG OCCUPANCY r USF -'Ot' G ESTLMAi'ED COS? 5 3 U?' `-? g9o -g`lioC?) ?9 CN) Orrt7E2 ?)cv. M-%?' J•'Ko?? ? R 2ss.ErxoNE ivo. q?H -t0 anvxEss N'103 -O\cko,2u N COIdTi2FiCTOR np uLNU TELEPHQPIL' 110. ? AllDRESS ? tdote. Tnclude site planE buildiag plans, and enerny calculations mith this application SigneU l ? ? I? 17?? OFFICE USE VALU2ITIOI7 pT sac t•::sTLE'l co.a.TEc'^zo, ? trATEa !rETEa BUILDIDIG PEk'SiIi FES SURCEib1RGE FL•F PLe1t: CFT,C;C Fi,E PAP.R DEDICIITIObi FEE OTHER TOTF>L* APPROVb1LS e ASSESSPIE:IT CI,ERK BUILDING BUILDT'.7G PEFMIi P.PPLICATIO:? ( C ? DEPT *IA'"ER E SSsFJER D3PT. FIRE. DEPT. PARFC DEPT lffi?X city oF cegan 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM9UIST MGM EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 DATE : AuAUSt 20. 1985 THOMAS Ecnrv JAMES A SMITH JERRV THOMAS ADDRESS : 1701 Hickory Hill THEODORE WACHTER CWnCd Membal5 LEGAL DESCRIPTION: Lot 2- Block 1 THOMASHEOGES GN AtlmlrYSnota EUGENE VAN OVERBEKE Woodgate 2nd Addition arvcre.k Dear Eagan Resident : RE: RZGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. 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 such permit, and taking precautionary measures for the protectidn 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 buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. , The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for iHE LONE OAK TREE.. THE SYMBOL OF SiRENGTH AND GROYVfH IN OUR COMMUNIN RZGHT-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 NOTZFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60DAYS 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, I William H. Branch, Superintendent Public Works Department WHB:jbd Rocks on the boulevard I CITY USE ONLY L? gL L ? RECEIPT #: SO / e I(11 SUBD. 0 r:?? RECEIPTDATE: ?127L9 1997 PLUM$1Nfi i'EfiMIT (USIDENTIAL) CITY OF $!lfii4A S$SO PII.OT KNOB BD BAflAN. MA 551EY (61E) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are requfred for each unk D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/S a 3.00 x = " te , eafe 3.00 x loor Drain 3.00 x = Gas Piping Oudet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener "Por dwellings under construGion 5.00 x = WafP, SnRBner • si.. uvjefjna ay.sll1na 20.00 x = U.G. Sprinklef `Tordwelling undercanst. 3.00 = U.G. Sprinkler * rorexisting dwelling 20.00 Akerations ` to existing residence 20.00 Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = STATE SURCHARGE 50 S? aD TOTAL -------------• •---•-hat I ------------------•--------------•-------------•-•• • is-----------------• •-----•---------•--• •---------------•---------- I hereby acknowledge t have read this applicetion, atate lhet the infomiatlon carect, and agree M compty with al l appliceble City of Eagan ordinances. It is the applicant's responsibiliry to notiTy the property owner that the City of Eegan assumes no Ilabflity for any damages caused by the City during its nortnal operationel end maintenanoa adivities to the faciliHea consWC[ed under this pertnR within City property/rightof-wayleasement. SITE ADDRESS: / 7J 7 yc?o,c ? y4 L OWNER NAME: INSTALLER NAME: (_ . ?? ?-eiP ? C t s _ TELEPHONE #: STREET ADDRESS: CITY: L??/?e v- L L?e STATE: 1OK4j ZIP: SSd `F5? . CDlFORMS/PLBG PERMIT (RESIDENTWL) 1997 OF PERMITTEE ,7une 299 1987 Ilezar Ms. Ander-=_:nn, This lctter is written confirmation that the Wondgate Association Noard nf Directtr-s have approved your- request for pcrmission to acJd a decE.: to yo{ar townhnme unit with the fallnwiny provisions: a, the propo>ed raii must be a1terE•d to conform eaitl-i tho_,e on thE oL-her• tua.mhomes (horizurital r-ai.ls instead of verticai as shown in yeur p}.a.ns). b. ,a copy ef the B!iilding t'ermit issued by the Lity of E.agan hP submi.ttecl to either Tonr or Sylvia (1726 Hic4;ory Hill) prier to the stai^t <nf ihe construu=tian. "fhank: you for your cooperation with the Flssociation gi.iide].ines. -?d? , d,,??? ?G??"'?-?? 8ylvia ;lordan Secretary Woodgate Nomeowner=_ r'lssn. RESIDENTIAL MECHANICAL t.{i l 7?fj? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please comple[e for: Single Family Dwellings & Townhomes and Condos when pem¢ts are requircd for each unit ?`.?o -s?) nete 0 1' /OEi / Site Address 171 Unit # c`hl?s I 2.2_ - l ( Property Owner ?SLf' I?1Cx.t?? Telephone # Contraetor ? i,? Street Address I S City ?'- State r?r_? Zip `? O bn-6465 Telephone # ( (05 32Z i?'7' 2- ? _ Bond #: Eapires: The Applicant is _ Owner ZConhactor _ Other Add-on, modi6cation or altera6on to existing dwelling unit $ 30.00 x furnace replacement air exchanger \ / _ air conditioner _ New ?Replacement ? 7 other State Surcharge 2 3 2003 $ .50 SEP Total $ ?-?--? -$ 5?3.5G ev ? I hereby apply for a Residential Mechanical Pernrit and aclaiowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and wi[h the Mechanical Codes; that I understand tlus is not a pemut, but only an application for a pemvt, 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 wluch requires a review and approval of plans. N- ? ? Lig , (1^ . i-?-A ` ?9-?- ApplicanYs Printed Name ? ApplicanYs Signature CONIMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please completc for: commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Teuant Name Property Owner Telephone # ( ) Contractor Street Address City S[ate Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner Contractor Other Work Type Newconstruction _install _ RemoveUndergroundTank _ Interior Improvement Schedule inspection during installation or remaval of tank Processed Piping Nature of Work: Permit Fee $5050 Miximum Fee (includes State Surc harge) Contract Value $_ x 1% _$ Pemut Fee • If pernrit fee is $1,000 or less, add $.50 If permit fee is over $1,000, add $.50 per => $ State Surcharge $1,000 Pemut Fee $ Total Fee i nereoy appry ior a Commercial Mechanical Pemvt and aclmowledge that the information is complete and accurate; that the work will be in confommnce with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a permit, but only an application 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. ApplicanPs Printed Name ApplicanYs Signature Approved By: . Inspector Date: 401? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -------i I For-7Offce`Use ? Pemtit#. ? I Permit Fee: ?v , vV I I ? ? Date Received: /7/ 62 ? 1 Stafi I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?-(0-05 Site Address: /. -7D renant: St{ L£ V A1{4}'LT Sd IJ suite #: f RESIDENTlOWNER Name: S!-}k L? ?h't-7-50,A) Phone: bSI'y!21-I /ID Address/City /Zip: I / D rI -?T?ClL?2(/ /Lj Applicant is: _ Owner X- Contractor TYPEOFWORK Description of work. TEA'lt Or1- d- !L ? 4Od? Construction Cost: S/ 3 y Multi-Family 8uilding: (Yes _/ No ? CONTRACTOR Name: C`?-T_ 2 DpF/ i,.) C ?A--I ? License 9?21, / Address 0H-/7- E kDCIL /LO61) Ciry: State: /'I? Zip: ?1-?-3 9 Phone: / 9 7 ` 07 9UContact Person: / / ) 4 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Gategory 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 fhat you submit are considered to be public information. _ Portions of r. the information may be, classified as non-public if you provide specific4reasons that ivou'Id per`mit the-City fo,, conclude thaCfhey ai'e trade secr"efs.`:` I here6y acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the CRy of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not lo start without a permit; that the work wdl be in accordance with the approved plan in Ihe rase of work which 2quires a review and approval o plans. X6 e'Ms? 2icsT2ati? X ? Appl canYs Printed Name Applica Ys Sig atu Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1701 Hickory Hill Lot: 2 Block: 1 Addition: Woodgate 2nd PID:10- 84601 - 020 -01 Use: Description: Sub Type: Work Type: Description: Comments: 3/3/10 Letter & correction notice sent to applicant. Copy of correction notice to inspector. pf Meter Size Meter Type Manufacturer Fee Summary: e - Water Heater New Water Heater Nicole Whirley Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Nancy D Walter 1701 Hickory Hill Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Plumbing EA090447 08/03/2009 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1701 Hickory Hill Lot: 2 Block: 1 Addition: Woodgate 2nd PID:10- 84601 - 020 -01 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Nancy D Walter 1701 Hickory Hill Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature Mechanical EA090448 08/03/2009 ePermit Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Use BLUE or BLACK Ink � r----------------"'� I For Office Use /// � I � I ��6 Ol �� 11 j Permit#: � I J � � I `� b j � J i Permit Fee: oL-�� 3830 P,lot Knob Road Eagan�IIN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATI�V ��.G�UrY , // 1�� Date: Site Address: �� l 7� �i � 7US- � 7�7 Unit#: Name: Phone: Ri:��dE:nt1�, :� � �� Address/City/Zip: � � Applicant is: Owner Contractor ' Description of work: �''e�''�� "3+P� Qf 1�0�'k � ' Construction Cost: ��a�� Multi-Family Building: (Yes I/ /No� !� ' . . i k I Company: . � �-l'�` �Gn S�`�.tcf� o1" Contact: J�saM-$ ��r�°c II r � � � Address� Z�o 2�3 1S� ��' Sf" ✓U�-�✓ City: Z•�^�'r"'-'2.�`"`�"'�. �o��ra�ct��r �. : State: /1/�/�iZip: SS?`� � Phone: 7(v3—Y77-Z�Email: ;��constr��f�a,. �.�zoo�,-r��z.�� ` -� � License#: �� 6 y 1 � 9 7 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water�ontractor: Phone: Fire Suppression Contractor: Phone: ; �DT�:T'latas a��t�u�pa�r�d��cc��rts t�at;�otr;subt�.�#are,�vn��t�r�d t+�;be pub�ic 1��'orrri��an.�'vrt��x�of '' tl�e`irr��o�ma�ac�t�r��y be cl�ssi-#'"�aal"as�on-.�t�b�i��f;y��r pro�r�crke specif��reaso�:�#wawJt�per�i��e;Crs`ty tr� con��iaf�tha�tt��- are�r�ale:�e�,t�i'�. . ' 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. uwuw.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x � �Gc f'�y�, �. /f4�.�,� X �9�--,�. - �_ Ap cant's Print�d Name licant's Signature ' Page 1 of 3