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1709 Hickory HillCITY OF EAGAN Remarks Addition WoDdgate 2nd Lot 6 Blk 1- Owne: UAAA?. '12) '46G11 b &;LS'ri/ street /1709 Hickoi-y Aill ??1/I.t?L_ ?• F7N.F,+? 1iSr. ?.t4'yh7,B,? f)(.l.?.?_ r?'' :- i Improvement Date nt Annual Years Payment Receipt Date STREET SURF. '? ? 1.02 P3iC? STREET RESTOR. '? ?( k22 140.76 P3id GRADING SAN SEW TRUNK 1974 99- 2 6.6 1 P2,id -# SEWER LATERAL 5! 1976 1871.09 623.70 P3j,C1 WATERMAIN # WATER LATERAL 1 ?76 3 WATER AREA * STORM SEW TRK 1976 3 ,?. STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC 00.00 12109 1 - - PARK CITY OF EAGAN Remarks Addition Lot 5 Blk ? Parcel ownsr V street 1711 Hickory Hill state F.a4zan,MN 55122 Improvement Date t Annual Years Payment Receipt Date STREET SURF, ?-? 1974 1 1.02 Paid STREET RES- . 6)5 1976 [;N22 1 Q 6 GRAD ING SAN SEW TRUNK -?y ; 1974 2 6.63 1 SEWER LATERAL WATERMAIN .J?. WATER LATERAL 1976 3 WATER AREA 1976 3 # STORM SEW TRK 1976 STORM 5EW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ? 40.00 12109 11-8-74 PER. sAC 1100.00 12109 11-8-711 CITY OF EAGAN Remarks Addition Woodgat$ 2nd Lot Z Blk ? Owner r •ofrQ? Street 1713 Hickoxx Fiill. L ?,. r 1./.:, n,. . - f 11,. :1., Improvement Date ? Amount - Annual Years Payment Receipt Date STREET SURF. 1974 .11 1.02 Pa1d STREET 31.5- 1976 422.27 14o•76 3 Paid GRADING SAN SEW TRUNK 197 99• 2 • 3 1 Paid # SEWER LATERAL ^' 197 1 71 ,49 23.70 3 pa3,d WATERMAIN # WATER LATERAL 197 3 WATER AREA # STORM SEW TRK 197 3 * STORM SEW LAT 1976 3 CURB & GUITER SIDEWALK STREET LIGHT WATERCONN, 140.00 12109 11-8-74 PER. sAC 00.00 12109 11- -7 PARK CITY OF EAGAN Lot 8 Blk ? Parcel ? 1715 H1.Ckozy Hill state Eagatl,MN ?j?122 /I.."'. 'AnM r P; villl 55 ? ?'1 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 11 1974 11 1.02 P&1d STREETR c? 1976 22.2 1 0• 6 P?d GRAOING SAN SEW TRUNK 1974 99• 2 6.63 15 P3id .? SEWER LATERAL 197 181.O 2.70 PaiC3. WATERMAIN ? WATER LATERAL 3 # WATER AREA 1976 3 # STORM 5EW TFiK 197 3 # STORM SEW LAT 1976 3 CUR6 & GUTTER ? SIDEWALK STREET LIGHT WATER CONN. 140•00 1210 11-8-74 PER. sac 00. 00 12109 11- -7 PARK I BUILDfNG PERMIT CITY OF EAGAN 3795 Pilot Ksob Rood Eogoe, MN 55122 PHONE: 4544100 ReCelpr # $1800.00 Site /4ddress Lat 8 PoKel # - aWe Name z t Addro. Block g 1 Sec/Sub. Woodgate 2nd io $4601 080 oi ? NORM \ixcit+ca ? + ? cu ? a+-?.u O ?? Nddress ? ?,+. Richfield p?A- 55423 Name _ Address 1 hereby ocknowledge thot I hove reed this opplicotion ond the intormotion is correct and ogree to comply with oll Stute of Minnesoto Stotutes ond Ci;y of Eogan Ordinonc Slpnoture of Permitt?, A Building Permit Is is0i?d to: all work shall ba d =rda -kit all appliwbli 8uildinq Official L9 8681 Ered Y? Occupancy R3 Alter ? Zoning Repotr ? Fire Zone '+` Enlargs p Type of Const. ' Move ? # Stories 1V Demollsl, ? Length Gmde ? Depth Sq. Ft. Approvals Fees ^ssessment Permit 11.50 Woter b 5ew. Su?chorpe • 50 Police Plon check Fire 5/1C Enfl. Water Conn. Plonner Woter Meter Councfl Rood Unit Bidg. Off. APC Total ' on tha expren condiHon ihnf Minnesota Statutes ond City of Ea9an Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plum6ing H.V.A.C. Well Water Disp. Sower E Mctric Inspection Data Insp. Uther Footinyt Foundstion Framinp Rouph Plbp. Rouph HVA Inwistion Final Plbp. Finai HVAC Finsl Waftr Deseribe Location: YVell Sewer Pr. Disp. vuLnce ov EucaH -. WATER SERVICE PERMIT 31t5 Piiof Kno6 Road ?. PERMIT NO.: 1635 ? Eagon,MN 55122 , DATE: 11/15//74 Zoning: PUD ? No. of Units: O wner: Add ress Ad Si c te Thompson Plum Plumbe'r binc? c'o . / tion Charge-?l 2?0 C Meter No.: . ? onnec SizerI ' v - Account Deposit Reader No.: Permit Fee: I0 00 nd ' 1 agree to comply with the Yillaga oi Eogan Surchazge: ? Ordinonces. Misc Charges:t3 Total: B DatePaid: y Date of insp.: Insp.: YILLAGE OF EAUIIN SEWER SERVICE PERMIT 3795 Pilov A:?b Rood PERMIT NO.: 2325 Eayon, MN 55122 DATE: 11/15/74 Zoning: °l7n No. of Units: Owner: New Etorizon Homes Woodaate II - Addrese: Site Address: 1709 11 13-15 Hickorv Nill - Plumber: Thompson Plumbin4 Co I agres, fo comply wkh tM Villagli of Eagon Connection Chazge:/? 92 Ordinone". AcCOUnt Deposi[. Permit Fee: 10.00 Pd Surchazge: • 50 Pd BY: Misc. Chazges: Date of Insp.: Total: Insp.: Date Paid: V" CITY of EAGAN ¢ BUILDING PERMIT Ownet .................!^..••..._... fl.. -• ................................. Address (presan!) Builder Addresa . ?. N2 3474 3795 Pilo! Knob Road Eagaa, Minnesofa 55122 954-6100 Dale .......................... ........ 6foiies - To Ba Usad Far Fron! DepSh Halgh! Esl. Cas! Permit Fea Aemarka -- ! y y ,C-0 sxree:, naaa or oxner ueacrtpnon ox Locanon i Lo: i nwex I ACGt210d os TsBCt 1 ! -7a 3, ts? -?/?=-? ?, ill I `7.r,-°-°-°?•?- ? This permif does not aufhorise the use of sizeels, zoads, alleps or sidewalks nor does it giva the ownas os h[a egent the righ2 to areale any siiuation which is a nuisaaae or which presenls a haaazd !o the healid, safetp, eoavaniencs and general walfare !o anpone in the communify. THIS PERMIT MUST BE KEPT ON 7'HE PREMISE WHILE THE WORK IS IN PAOGRESS. r / This is !o cerlifp, ihaf.._`.... .".f"?'?...":? .............6espermission io eree! a..?.....t.?.`.?.`.`.°.:.?.""?f. -'. . .. ...... the above described pxemise subjeci To ihe provisions of all applicable Ordinances for the Cily of Eagan ----e-?'.`..'.'.':. ---°............ Per ....... °-° ------- -............:.......O!...._............_...._...... ..... ............................ Mayor Buildln9 Imacioa ? BUILDING,PERMIT CITY OF EAGAN No g681 3795 Pilot Knob Road Eagon, MN 55112 ?G /?? PHONE: 454-8100 Receipt # Te be uted for Maaonrv FiimnlaceEst Volue $1800.00 Date Nnv.25 , 19$3- Siro Addreu 171$ HickOry Hill Erect )$ Ocwpancy R3 Lot8_ BI«k11 1 See/Sub. Woodgate 2nd Alrer ? Zoning Rl Parcel # 10 84601 080 Ol Repair p Fire Zone NA E l NA n arge ? Type of Const. e Name panl N iroill & Ro Bushnell Move ? # Stories NA ? I Addreu 1715 Hickory Hill pemlish p Length_ C; Eagan pho„e 452-3824 Gmee ? Depth Sq. Ft.- p Name (Helper) Fred UTich Avvrovob Fea Zu °u4? ? Name Address I hereby acknowledge thof 1 have read fhis npplicohon and stote that the informotion is mrrect and ogree fo comply witb oll upplicable State of Mmnesota Sfpwtet-eqd City of Eqqan Ordinoncet. Assessment _ Water & Sew. Police - Fire Enp. Flannor _ Council _ Bidg. Off. - APC Permit . -ju Surchorge •50 Plan check SAC Water Conn. Water Meter Rood Unit Totol 12.50 $ignoture of Pertnitte I A Building Vertnit Is s on fhe express candition thm all work sholl be do i orda it nll apPlicable State of Minnewta Stotutes and Cify of Eogon Ordinancas. Building Official \ , CITY OF EAGAN BUILDING PIItMIT RPPLICATION To Be Used For rj2EQLACE-' Valuation 0n.?? site Aaaress: i71S NIeKo2> Nf(-L Lot q Block / Sec./Sub. A44 Z/." Erect Parcel #_ Q? Alter Repair Ormer: ?"AA.iI ?l?A(iilLE EE?o ? tSl-(h?'C?iL Enlarge - Move Address: ?7{S }{ICIKoR? H!LL Deimlish _ ? T--k- Is 4?s t Include 2 sets of plans, 1 site plan w/elevations & 1 set o£ ener.gy calculations. Date I 1I"-1.5 IO 2 OFFICE USE ONLY Occupancy Zoning Fire Zone 1.//,t Type of Const. d/,dE2 # Stories Front ft. City/Zip Code: EAC,000,y ry» ? i ?LZ Grade Depth ir ft. Pnone # : 45 a- - 3d ? (/ rPPROVAr.s FEEs Contractor: aC?-LPC-i2 Ft2t0 C.(2104 Address: City/Zip Code: pQ(CMFIL--LD MN -SYYZ-3 Phone #: Arch./Eng.: Address: Assessments Water/Sewer Police _ Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan Check SAC Water Conn. Water Meter Road Unit City/Zip Code: Phone #: TOTAL l??_ HOUSE HEATING TEST RECORD D-21544 ???` -? ADISRESS 1709 Hickory $ill ppT. - FLOOR CITY SUBURB Eagan OCCUPANT Thamas F. Donahue OWNER Yee HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE SOLD BY 1NSTALLED 6Y ¢dgWiCk Htg, Electrical Work By Gvs Line By u n TYPE OF HEAT GA _ FA x HW -STEAM SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN MAKE Amana MAKE OF BURNER_ Model GH 80 DE Model Serial C85350 Moz. BTU Rating- INPUT 80,000 Btu Hr, MAKE OF FURNACE CONTROLS THERMOSTAT `i'87f Heat Plug yalye ITT B59R04 Limit C'IC 2N5-1-180-FCW Limit Sstting 1F,nof Fa„ settin9 9flOf Rr 1250f Pilot Type C011p1e Pilot Make Model Vent Size `t•• KIND OF LINER Aluln. SIZE s„ NONE Draft Hood vP.T't1C81 Regularor Filters Size 16° x 25„' Number 1 Chimney Location Insida Z'ea Outside Chimney Construction MPf81LB9'tOR Pilot Model Smoke Bomb Wiring Pilat Timing 74 .S'Prn IId9 pra{} nK Tezt Tag `'ea L.W. Cut Off Door Prassure Lightiny Inst. Ye8 P ressure 3.5°W.C . P 8.0% ercentCO Dote Tsstad 4/28/75 ? C 8 Bfl1611T E81tliPM?YY Inpuf CFH 7- Z Percenf O 2 Company Testing y Staek Temp. 550 f 0'0 percont CO Name of Taatar ?? CONVERSION Farm 235 HOUSE HEATING TEST RECORD D-21544 ? Y, 1711 Hickory Hill Eaga ADD`F?ESS APT.-FLOOR CITY SUBURB OCQIPANT None OWNER New Horizona HEAT LOSS _ SOLD BY Electrieal Work By TYPE OF HEAT MAKE Modal DATE HTG. IN57 GA FA ° HW STEAM GAS DESIGN DE -INSTALLED BY SedgwiCk Htg, n tt - Gas Line By SPACE HTR. UNIT HTR. -OTHER MAKE OF BURNER Model CON V E R51 ON ' Seriol C85350125 Max. BTU Rating - INPUT 80000 Btuft, MAKE OF FURNACE CONTROLS 7HERMOSTAT T87 Haat Plu Valve Itt B599Ro4 Limit C'1[7 2N5-1-180-FCW Limit Setting 180 Y Fan Setting 90°Y & 1200f Pilot Type COllple Pilot Make Model Vsnt Size Qu KIND OF LINER Aluts, SIZE 6" NONE Draft Hood Vert].C81 Regularar Filters Size 1811 x 2511 Number 1 Chimney Location Insida Ye8 Outside Qhimney Construction Metalbestos Piloi Modal $moka Bomb wiring Pilot Timing 75 Seconds praf} OK Test Tag YeB L.W. Cuf Off Door Presauro Lighting Inst. Ye8 Pressuro 3,3°W,C, psrceMC0 7•5% Date Teseed? '?I15f75 NY- t CFH I 79 q 2 Pareent 0 7•$M Com an Tes•' jt C. S. BRIGHT COM npu 2 p y g Stack Tem `}$D0f ?/ 0.0??° Percenf CO Name of Teseer ? ?I . .er s, p. , . ,,, . Form 235 HOUSE HEATING TEST RECORD D-21544-,/ 6,1A) " „ A6DRE55 1713 HiCkory Hill ppT. _FLOOR CITY SUBURB Eagan OCCUPANT None OWNER New Horizons HEAT LOSS- SOLD BY DATE HTG. INST. INS7ALLED BY Sedgwick LHtg. Gaa Line By Electrical Work By TYPE OF HEAT / GA _ FA A HW _STEAM SPACE HTR. UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE Amaba MAKE Model GH 80 DE Modal 5„iai 685350285 µ,x. INPUT 80-000 Bti'.4AS_ MAKE CONTROLS THERMOSTAT T87 Heat Plug y,l„Q Itt 1159R04 Limit C`IT7 2N5-1-190-FC;W Limif Sstting 18oof Fan Setring 90°f & 125°f Pilot Type Piloe Make Pilor Model Pilot Timing 66 S¢COtl d9 L.W. Cut Off Pressure 3.3"W,C. Pareenf C0 7"5% Input CFH 7- ? Psrcent Oz 7 8 SMek Temp. 420f Pefmnt CO ? ?0 Form 235 OF BURNER BTU Rating - OF FURNACE Model Vsni Size `f•• KIND OF LINER Alum. SIZE R" NONE Drah Hood Vex'fir.a7 Rsyularor x Filters Size 7R° x 25" Number I Chimney Locotion Inside S'PA Outside Chimney Constmdion MP .Al'IIBAtOA $moke 8omb Wiring _ Draft OK Tsat Tog Doar Prossura Lightiny Inat. YQA Daee Teseed 4/15L75 Company Testing S. SRIBFfT 60aAPr.A Nams of Tester ? HOUSE HEATING TEST RECORD D-21544 ?-;// ADDiE55 ? 1715 Hickory Hill APT. FLOOR OCCUPANT John T Stevenaon OWNER e8 HEAT LOSS - SOLD BY Eleehical Work By TYPE OF HEAT GA s ns y FA X HW STEAM-SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Amana MAKE OF BURNER Modal Abdel CITY SUBURB Eagan CONVERSION Sw;al C85350130 Ma:. B7U Rating- INPUT 809000 RtUAr_ MAKE OF FURNACE Model CONTROLS THERMOSTAT TR7 Heat Plug Valve Tt.t. 11,59R,04 L;,„;r r.mr. 2n.ri_7_lR0_Few Limit Setting lgnof Fan Satting AOOfl 1'v 1200f Pilor Type C mip] e Pilot Make Venf Size 4.1 KIND OF LINER Alllm- SIZE R" NONE Draft Hood vPr+,i ea 1 Ragularor Filters Size16"Y 2Ktl Number 1 Chimney Location Inside S'PA Outside Chimney Construetian Met51'bpR}nR Pilot Model $moke Bom6 Wiring Pilor Timinq 75 Seconde p,off OK Tesf Ta9 Yee L.W. Cut Off Door Pressure Lighting Inst. YQ8 Prossure 3.3"W.Q. PereentCO 9•0% Date Tesrod '4115j75 -? Input CFH 9 ?Psrcent 02 5 Z Company Teg : a S. BRIGHT COMPA ? ' $tack Temp. 47O f Parcent CO 0.00Name of Tester 464 -5?-?i a?oam+b%? DATE HTG. INST. 3AS C0. METER BADGE i"r- INSTALLED BY Sed&nvick Ht& Ga Li B u a Form 235 ?,/ IaG 1.? CIiY OF Ee;GAN 3795 Pilot Knob Road Eagan, Ivtinnesota 55122 FERNIIT NO 625 The City of Eagan hereby grante to Gro. Sedcrwicl? Hr.,atina t. n/(' Co. p; 1(?nl Y.enia Ave. So. a ?=NG Permit for: (Owr_er) New xOrizon - tdoodgate It 170 11-13-15 and 2717-19-21-23 Hickory Hill and at 1738 & 1742 Hickory Hill ? pursuant to aprlication dated 17/20/74 and 1/W75 Fee Pui3: $200.00 dated this 15 5.00 s/c N:aeraiiical Yermits: day of Jan. ?? 19 75 , Bu::lding Iuspector Birl Totalc HEATING AIR NC. BLP41NEANDCELECTRIC,NDMONING ADDRESS I-7O9 ? I IILXD rlI Ctl t I ??-'(`T o OCCUPANT m/' ! 1[ ?I,YL HEAT L0.5S INST. SOLD BY_ 1" 'S'G , W C ?.? I' U Elecirical Work By it TYPE OF HEAT GA- FA,G HW_ STEAM?_ SPACE HTR._ GAS DESIGN MAKE .1'7 ( VkYR Model Serial INPl1T CANTROLS HOUSE HEATING TEST RECORD APT. FLOOR CITV? SUBURB INSTALLED BV ?ICt?( ILQ [4:t3. TY& i ???-?-X • Gas Lina 8y tf UNIT HTR. OTHER CONVEHSION q (t Vent Size KIND OF LINER SIZE NaJE Dreft Hood ' fiegulator Y.44-c? Fdters Sze ?(0X.7$-X ? Number Chimney Location Inside OutsMa 7HERMO STJAT W Heat Plug Chimney Consrcucuon , Value S!C_ Q Limi ?O SmokeBomb Wnng v LimitSemna Draft TestTeg Fen SetGng poor Pressure LighGng Inst. / PilotType DateTesteE PilotMake aU?- rs? CompanyTesuna Pilot Model -, Name of Tester 4, Pilo[Timinp ?' ?-?°f• L.W. Cut Ofl Preuure Partent Wi ?O Pressure Percent COz InputCFH Percent02 InputCFH Percent0z 5[ackTemo. 7 Percen[CO r?N' SiackTemp. PercentCO RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?-a -?-? -? Telephone # 651-675-5675 Please complete for: Singie Family Dwellings & Townhomes and Condos when perauts aze Tequired for each unit s 30 .f? Date " SiteAddress 0(0f? 4L1), Unit# Property Owner {rmu °t' 1 Q-1C.U LS pkC'T? ?a,lfr Telephone # ( (pSl ) L?¢5., Contractor {??(` ?[a,??-2{L T l]n.3[ Street Address $$? ?Li q-ZTt" QD I City Le- State m 4.? Zip Telephone #%k Bond #: Eapiees: The Applicant is _ Owner Contractor _ Oiher Add-an, modification or alteradon to esisting dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ 50 Total $ o?• ?m I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is couplete and accurate; that the work will be in conformance with the ord'mances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, 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 approve plan in the case k wlnch requires a review and approval of plans. -?L.. n ? l ! O ? ApplicanYs Printed Name A s 5ignature p NO V 1 7 2003 COMMERCIAL MECHt1NICAL Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please wmplete for: commercial/indushial buildings multi-family buildings when sepazate pemvts aze not requued for each dwelling unit Date Site Street Address IInit # Tenant Name (if applicable) Previoua Tenant Name Property Owner Telephone # ( ) Contractor Street Addrese City State Zip Telephone # ( ) Bond #: Eapires: The Applicant ia _ Owner _ Contractor _ Other Work Type New construction _Install _ Remove Underground Tank Interior Improvement Schedule inspection during installation or removal of tank ._ Processed Piping Nature ofWork: PCrI[lit F¢0 $50.50 Minimum Nee (includes State Sureharge) ContractValue $ x 1°/a = $ PexmitFee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand this is not a pernvt, but only an application for a permit, and work is not to start without a perxnit that the work will be in accoidance with the approved plan in the case of wozk which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Date: a bi o MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knoh Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemtits are required for each unit 930°5b DateP)_/C;?b /c)3 Site Address 1`71 i-E 1 c-bcxiA +-1 i 1 l 5-Or - uo;t # PropertyOwner 4-A ?,?? Telephone#(?? ) ?? °??7(p,? Htg. & Air, Inc. Wowers Southside Contractor ? 6950 W. 146 St., #106 Street address Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger '?4 air conditioner other S[ate Surcharge S .50 _ ?---- -? Total $`?? SE" )2 I hereby apply for a Residential Mechanical Permit and acknowledge that The iaf?ormation is complete and.accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and wiUi the Mechaiucal ?des; that I understand this is not a pernut, but only an applicakon for a permit, and work is not to start without a permit; that the work will be in accordance wiffi the approved plan in the case of woik wluch requires a review and approval of plans. t-)at? 1e 1? •La?I'l16"S, rl re r-„'. 4R l, L f Applicant's Printed Name ApplicanYs ignature MECHANICAL (COMMERCIAL) Permit' Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 Pletase complete tbr: commercial/indusvial buildings multi-family buildings when separate permits are not required Cor each dwelling unit Date Site Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone # ( ) _ Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature ofWork: PeI'm11 F¢f $50.50 Menfuuem Fee (inciudes State Surcharge) Contract Value $ x 1°/a = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharga If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and admowledge that the inFormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to stare 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 ApplicanYs Signature Approved Sy: , Inspector Date: COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 pa WORKTYPE: NEW REMODEL 709 l71 f, I71-? 171 S N`r e? Foundation Onl New Construction Interior Im rovement . Stmctural Plans (2) sets • Architectural Plans (2) sets • Architecturaf Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certficate ofSurvey (i) • CivA Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • KeyPlan (7) . ProjectSpecs (1) • CodeAnalysis (1) i? • MasterEwtPlan (i) • Spec Insp & Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always'" • Soils Report (1) • Spec. Insp. &'Testing Schedule (1) " • Elec. Pomer & Lighting Form (1) not always`" • Meter size must be established • Meter size must be establi5hed • Meter size must be established -if applicadle . ProjectSpecs (1) b • EnergyCalculations (1) 1 • Electnc Power& Lighting Form (1) " y b • Master Ebt Plan (1) 1 d • Emergency Response Site Plan •`" (1) 1 d • Soils RepoR (1) 1 • MC/ES SAC determmation le8er • MC1ES SAC determination letter • MClES SAC determmation letter call 657-602-1000 ca11 651-602-1 000 caA 651-602-1000 rood & beverage or ioaging tacmnes - suomrt pian to mrv uepartmenc or neaim. iau oo i-cio-vtw rot ueiaus. Contad Building Inspections for sample. "" Permit for new buildings oradditions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements DATE I,Q ' `a S SITE ADDRESS: TENANTtdAME: FORMER TENANT NAME, IF APPLICABLE: StreeY DESCRIPTION OF WORK dCcr O?` t 'F1re rQ? C' 0_11? i't?{ PL'LI dJl k YIY'le Phone#:( tOsa > ?aa ? DQ?- PROPERTY Last Firs[ OWNER? . _ , -I ' i f _ n Nu ?` / CONSTRUCTIONCOST: 1 ??0(0?11t!?p -q 41)`1l,y Dc SUITE #: r v City: Z:74 cI Ql. _ S[ate: MA) Zip: '57s Company: (f- )Q s I__ Phone #: CONTRACTOR ^ ? ?Q n Street Address: o( / 1°? t Ce- 5?t City: Pvse V e s°r ) 7-s C-1 -9i`( 32 State: Zip: Phone #: (?[v ARCHITECT/ 1=NGINEER Company: Name: Street Address: City: Licensed plumber installing new sewerlwater State: Phone #: CT 2 5 2002 7_ip. I hereby acknow{edge (hat I have read this application, stale that the information is eorrec gr comp it? cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Updated 7l02 OFFICE USE ONLY SUBTYPE ? Ol Foundation G 26 Public Faciliry ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 CommerciaUInd ustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse 0 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Fo undation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demotish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq, ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. fr. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Aearing APPROVALS Planning Building ? Insulation 0 Plumbing 0 Stucco/Stone Engineering Variance r + Permit Fee Surcharge Plan Review MClES SAC City SAC W ater Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total . ? WOODGATE 2ND PERNIIT DATE & TVPF' I1/74 4-PLEX 11/74 4-PLEX ll/74 4-PLEX 11/74 4-PLEX 11l74 4-PLEX 11/74 4-PLEX i l/74 4-PLEX II/74 4-PLEX 84601 i,nT BI.. 010 O1 1703/ HICKORY HILL 020 01 1701/ 030 Ol 1705/ 040 Ol 1707 -----__.? 050 Ol 1711/ HICKORY HILL 060 01 1709/ 070 01 1713/ ? 080 Ol 1715 / 79T HICKORY HILL 100 01 1717/ 110 01 1721/ 120 O] 1723 130 Ol 1727/ HICKORY HILL 140 01 1725/ 150 01 1729/ 160 Ol 1731 010 02 1730/ HICKORY HILL 020 02 1728/ 030 02 1724/ 040 02 1726 050 02 1722/ HICKORY HILL 060 02 1720/ 070 02 1716/ 080 02 1718 090 02 1714/ HICKORY HILL 100 02 1712/ 110 02 1708/ 120 02 1710 130 02 1706! HICKORY HIL,L 140 02 1704/ 150 02 1700/ 160 02 1702 PAGE 1 OF 4 8 RESIDENTIAL BUILDING PERMIT APPLICATION C ? ?? ?? CITY OF EAGAN ? ? ? J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReouiremaMs RemodallReoair Reauiremenls • 3 registered site surveys showing sq. N. of lol, sq. ft. ot house; and all roofed areas • 2 copies af plan (20%maximum lot coverage allowed) . 1 set of Energy Calculatbns for heated add@ions • 2 copias ot plan showing beam &window sizes; poured found design, etc.) . 1 site survey for exterloradditlons & decks • 1 set of Energy Calculations . Indirate'rf home sened by seplic system for additions • 3 capies of Tree Preservation Plan if IM plaked after 7f1193 • Rim Joisl Detail Options seleaion sheet (61dgs with 3 or less uni4s) DATE VALUATION 1Pa 7oO 00 SITE ADDRESS /70 '7 MULTI-FAMILY BLDG _Y _ N TYPE OF WORK C111S779 t1- /Si 4Z0(- FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT DCA'/Je ffn-ey STREET ADDRESS I 3s5 6PS440S CA1 CITY E46,*''" STATE'?!`? ZIP 55?2 3 TELEPHONE # G1a-7a2-1O?o CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# oYo COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 M I Y76I (J submission type) • Residential Ventilation Category 7 Worksheet Submitted • 77UG e W P sB' • Energy Envelope Calculations Su6mitted 2 3 2002 Plumbing Contractor: --------------------------- Phone # Pluinhing system includes: Water Softener Iawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Mechuucal syslem includes: Sewer/Water Controctor: Phone f Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Appllcant L"` OFFICE USE ONLY Air Conditioning _ Heat Rewvery Systcm Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. AR - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demalition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foorings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plutnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace - R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulahon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector **************?*??*******??************ CITY OF EAGAN CASHIER: SS TERMINAL NO: 765 DATE: 08/14/00 TIME: 07:29:56 ID: NAME: BLnINE HEATING AC & ELEC 3213 9001 1709 HICKORY HI 30.00 2155 9001 1709 HICKORY HI 0.50 Total Receipt Amount: 30.50 CR135700 USER ID: JAN CITY USE ONLY LOT ? BL l ? PERMIT #: SUBD. Ond?Lq?.?, RECEIPT#: "lo'd? I RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: -c, - 00 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under conshvction and not ownedoccupied. • I-IVAC: 0-100 M B T U $ 30.00 ADDITIONAL 54 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section onlv if you are remodeline, addin?to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New ? Alteration Repair _ Other ^ Furnace Air conditioning Other /iltQ WJ? Co1cu4t" _ Air exchanger Y cx rq?h. Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder.• Call for inspeclions SITE ADDRE55: 170 q ?-I 1 c? N-,' l( OWNERNAME: f'{Q.?CJI??? Iftc-C-(30'rA P14ONE4: b5) - G`k3-??IJ?? (A INSTALLER NAME: }JI CP 1Yl ?A ConE) PHONF#: 7Cp--,? - -757-6a6? (AREA CODE) STREET ADDRESS: CIT'I': C a CITY OF EAGAN 3830 PILOT IQ708 RD EAGAN tM7 55122 651-681-4675 STATE: 7 ? Aln ZIP:?_?"? J?L' 1 v Y- p AUG 1?- -?OOO SKINATURE OFPERMITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECAANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, I+IIR 55122 i 651-681-4675 Please complete for. all mmercial/industrial buildings multi- mily buildings when separate pe are not required for each dwelling unit DATE: WORK TYPE: New A'hen instnlling/removing undergro plumbing inspectnr. Description of work: Fees: 1% of contract price OR $30.00 1 Uoderground tank removallinstal Contract pfice: $ x 1%= $ State surchazge TOTAL h SITE .4DDRESS: OWNER NAME: TENANT NAME (IMPRO' WAS TI-IERE A PREVIOUS INSTALLER: _ Install U.G. Tank Remove U.G. Tank Piping ,? tank, ca 651-681-4675 for inspection by fire marshal and fee, whichever is geater. inimum fee (Base Fee) calculate at $.50 for each $1,000 Base Fee PHONE #: (A[tEA CODE) l ONLl): IN TFIIS SPACE? _ YN. NAME: ADDRESS: CITl': CITY USE ONLY PHONE #: - (AREA CODE) STATE: 22[P: SIGNATURE OF PERMITTEE , t . '<< Or 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 Dear Eagan Resident - BEA BLOM9UIST MoyU DATE : August 20, 1985 THOMAS EGAN JAMES A. SMITH JERRV THOMAS ADDRESS: 1709 Hickory Hill rHeoooaEwncHTea Ca,nc1 Members LEGAL DESCRIPTION: Lot 6- Block 1 c?AAe;?fts EUGENE VAN OVERBEKE Woodgate 2nd Addition CitVCbrk RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such permit, and taking precautionar,, measures for the protection of the public. An electrical co=a or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this section shall be a separate offense and punishable as such. SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Riqht-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 damaqe. We apologize for THE LONE OAK TREE. ..THE SYMBOL OF SiRENGiH AND GROWIH IN OUR COMMUNIN ? %- RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60 DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damaqe 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 City of aaaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office UsTo°? Permit#: UX Permit Fee: Date Received: Staff: L 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. / Date: c.X -/ � Site Address: / v 51 ,#i Ckr, /7(///4/ Tenant: / Resident/Owner Contractor Type of Work Name: Suite #: J Address / City / Zip: Name: �iti�C'>Zr� �4rh,9 License #: Address: / Si?,3 6/G(/ A State: �UV/ //Zip: � Phone: Contact: SOydt City: S/" Sdv/ 6.5-/ - OU5I- «5 70 Email: ' VS (I& New A.Re��pl**acce�ment Additional Alteration Description of work C (J'`c, /7/.ri LG, /� (OM Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install /_ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ = $ Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE x 1% CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 7}S71 Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Reviewed By: Date: r For Office Use 1 • Permit#: / J EAGAN Permit Fee: w. I ceivE Date Received: -I,7- 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: —;G.� buildinginspectionsacityofeagan.com bk. 1 7 2019 2019 RESIDENTIAL ig s _ - _- - MIT APPLICATION Date: l.� � l 7' (7 Site Address: >7J/ �` v r y //4/i TCI• '311/U/n7i/3 y</7/S Name: WOd q Cti e ,iC7►l e p Vi t/S, I t3I S OC lot Vol& Phone: 6 57 _ (-5-41-73 Y7 RestdentlJ / Q t`C l Wit! id` ..-11 0 r Eai a t SS 1 c?..4 • Address/City/Zip: 6 Y Applicant is: Owner X Contractor 7 Type of Work Description of work: ' ` . Cc77 / 4261rO.1-'1- ah d cep /act. Construction Cost: /G 0 Multi-Family Building: (Yes X /No ) QQ My Company: "'d r h't R *LI D Ik.4lS �'�f�aCt'� Contact: C igOrn'14►+7 Address: / 1 5-73 fox echo Cf 6 City: F-ar,-�. h5 iekt Contractor id,l u State:M N Zip: 556 a ( Phone: �'1" -5-9 ` Email: License#: p /700 b 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: n NOOaM 1 q ' AooP- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Nom Plans andsupporting documents Mat you submit are considered to be public information. Potions of the information may be clasal*d as rroe-PubNc if you providereasopSlt WOW permit to conclude Oat 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.citvofeanan.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.aooherstateonecall.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 approva of ans. x SlLerevl SOf'/1anh x Applicant's Printed Name Applicant's Signat re