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1716 Hickory HillYILLAGE OF EACAN WATER SERVICE PERMIT s 37?y:?:=do7 xno6 Rood . PERMIT NO.: 1639 Ea9an, MN 55177 UATE- 11/15/74 Zoninq: _vUp No. of Units: Owner. ' n xomes Woodgate II Address: -5-:? LL?['J[X?C?' oZ."TTiC ? ''J% Site Address: 171_6-18 ?O ?ck2ry xill Plumber: 'i'homoson Pl „ mhing Co. Meter No.: Connection Charge: Size: Account Deposi4 Reader No.: Permit Fee: 10.00 pd I ogrea to comply with tFa Village of Eagan Surcharge: • 50 pd Ordinonces By uG ? Misc Charges: Total: Date Paid: Date of Insp.: Insp.: YILLAOE OF EAOAN SEWER SERVICE PERMIT 3795 Pilof KnoE Road PERMIT NO_: 2399 Eogon, MN $57I7 DATE- - 11/15/74 Zoning: Pnn No. of Units: Owner: ?te W + g nmpq w?Agato iI Address: Site Address: 1716-IS-20-77 sl; nknrv W; l1 Plum6er: T}tinmp nn P7 m h' q Cc, 1 ogna b eomply wifh hhe Villa9a of Eaqan Connec[ion Charge: /l/O- Q al Ordinoncaa. Accoun[ DepasiC . Permit Fee: 10. bfl pd Surcharge: .50 pd _ gy: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY of EAGAN BUILDING PERMIT ? o wa.: ..................................... Address (presen!) Buildar ........ Addreee ...... ? . r. N2 3479 3795 Pilo! Knob Road Eagan. Minnesota ssiaa 454-8100 Dsle ... ? I ` /. ?- Z ........ .................. Bioriea To Be Used For Fron2 Deplh Heighf Esl. Cosl ermi! Fsa Aemarlu T/h- 4e s'' o,-c ? ? ?-- ? 0 ! Sireot, Roa6 or oiher Uesertpvon ox Locauon I LOS aioce waauion os -rrau ? -7 /l This permit doea noi aulhorize the use of slreeSS, roads, alleys or aidewslks aor does it give the owaes or his ageaf the rlgh! !o creale anp sifualion which is a nuisance or which presenls a heasrd !o fhe heellh, nafetp, aoavea{eaee aad ganesal welfara !o anpone in the eommunilp. THIS PERMIT MUST BE KEPT ON T E PREMISE WHILE THE WORK IS IN PROGRES?*? T6Ss is !o certify. Shai...-c''T------ ..cJ.-------hac peravssion !o ereet e....?-------...... ----.......... .._?............... _u fhe above deseribed pxemise subjecl !o ihe provisions of all applicable Ordinances for the Cify of Eagan ?- °_0-- ............... Per ..............----------.....M.....".`.?.:..`........... ""_"'..........""'_""""..._Mayor "'....146 Sulldinq Inapeelos Z3 ?C 4/ CL I I I I II 0 'T 6 2 2 9 I I I?I RE0UEST FOR ELECTRICAL INSPECTION d""' `. Minnesota Stata Board of Electricity ? 1821 University Ave., Rm. St. Paul, MN 55104 2 s anone (612) sa2-0eoo Home Duplex Apt. Bldg. Other: New Addn ommercial Indushial Farm Remad Re air Air Cond Htg. Equip. Water Hk. Load Mgm}, Other: D er Ran e Elec. Heot Tem . Service "k' a6ove the work covered by fhis requesl. Enter remarks m fhis space and on fhe back of fhe whde wpy only. Calculofe Inspeciion Fee - This Inspection Request will not be accepfed withoul the cortect fee- 01Fier Fee # $ervice Gkance $rse Fee # Circuils/Feeders Fee Mobile Home Park Smll 0 to 200 Amps 0 to 100 Amps Sfreet Lig./TroHic $ig. Above 200 Amps ve 100 Amps Transfotmer/rieneratar INSPEMOR'SUSEONLV TOTAL Sign/Oufline Lig. Xfmr Alarm/Remofe Conhol Swimming Pool Lhe.eb cem lhat 1, lecro sal on d'smbed haein on the doks s Irrigation Boom ftough-In D. / $pecial Inspection Investigafive Fee f? d Da1 ? THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. This reQuest void g p/ ? 18 npn(hs from V/?u ? D .4 ? Eil peq t Date ? ? • 4 ? ? Fire No. ? Rouyhm Inspecbon Requvetl? ? qeaAy Now C] WiII Notdy Insper / ?Yes ?No ??? When Heady Ly'C-cdiised Eieclricai Comracmr I herebv requesi insoaction ot above r'{? O1O^e' electncal work iatalled at Srteet Adtlress, 0ox or Route No. City ? (99-Al ecUOn o. Townsh?p Name or No. flange No. Counly Occu IPqINTI I ' Phone Ni,. Power Supplier Adtlress Elecbical Conlrador ICOmpany Na CK ELE?`v?C: ? o trac or's License No. M 14?4??'PE.??a? e ? 1 ? ?alalion) 2?k 35, Aulho w 0 r aking Insiallationl Phnne Number MINNESOTA STATE BOAPD OF ELECTflICITY TMIS INSPECTION NEQUEST WILL NOT Giiggs•Midway Bldg. - qoom N•191 - BE ACGEPTED BY THE STqTE BOARO 1621 Universitv Ave.. St Pnul, MN 55100 UNLESS PROVER INSPECTION FEE IS PhOne (612) 642-0800 ' ENCLOSE0. , ?/?8/.1?;7 ; sQUESTVFOR E LECT R?CALg INSPECT?IONek m Yaiiaw couv. EB-00001-01, ?t- D-41&1 4 "R',' Below Work Covered by 7hos Request '14dd Pap Type ol Buildine APPliancee wirea EOUiUment WveA , .HOme Range Temporary Seroice Duplex Water Heater Liyhbny Fixtwes Apt Bwiding Dryei Electnc Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Av Conditioner Bulk MiIk Tank Farm Other Speci v O?her ISneufy) ?her Succifyi her Oihi.r omptde lnspectlon Fee Sefow .. _ k Fae SarviceEntrence5ize H ee Fexdere/SUbfeaders k ine C.rcuus 0 to200Am s 0 to30qm s 0 to30Am Above 200 qmps? 31 to 100 Amps 31 to 100 Alps Swimminy Pool Above 100-Amps Above 100_Ampa Transiormer5 Irngatwn Booms Pdrtial- Other Fee Signs Special lnspection S ? TOT pem3rks /0 AL FEE Nough-in Finel r ? Date s? 1, the Elecbmal Inapector, hereby cer4(y lhat the abaye inspecdon heg,baen mede. Y? Thla repuast voiC 18 months from 27 Q???? ? O C USE ONLY This request void 18 monllis Imm .alidabon date prinkd in Mis boa ? PLEASE PRINT OR TYPE Reqoni k Roaghin inspechon required2 es [] N. Inspernon OtherThan Roogh-Im 0 Ready Naw Wili Call P, ?l'au mosf mll the mspenor whe reody) ?ok Ready. I licansed wnfrador 0 owner hereby requesi inspedion of ihe above elechical work at: ob Pddress (Streat, Box, or Rowe o ?. ` Gry e- Lp Code Secnon o Towns ip Nama or No Range N. Fme N. Gou OccuPOnl Phone No. ` Power Sopp ier ? Pddreu ? Eleanml onkaclor (CompanY Name) Co nhacroi Liceme No Mm4r Lc No (Plam Eled Only) ry V O Moilin9 M "as (Contrad r OV.ner PerforminBlnsmliaeon) Auihon Sognmum(CanvoclororOwnerPeAorminginelollaM1On) PhoneNo. ?n QiL v EB- A.1 6/95 STATEBOAfiO?OPY-SEEIN5fNUCT10N30NBpCKOFVELLOWCOPY Gc2.a_,3t_ czTY oF FAc.N 3795 r•ilot tu:ob P.owd Eagar,, Minnzsota 55122 PEFIC'F N0. The City of Eagan hereby g^ants to c.ao. gpagy,i k:;Parinq t A/r rn_ Of 1001 xunia Av . 'o_ Mn1s_ 55416 a 4•teaX7'tu: PeY'r.fit for: (0-vmer) rew Horizon - Woodante 1716 8-20-22 :iickory 1Ii21 anc: a 79o wainyr 4ava rirrin , Pursuant to application dated 17/9 ,,,,ei 1244 Fee Pai.d: $inn no dated this _23__day of n c. , 19 74 _ 2.50 s/c Building Inspector Mechanical Permits: Birs ^1ota1: Z? ?? ???h=z HOUSE HEATING TEST RECORD D-21518 ADDRESS _ 1718 HiCkory $ill APT. LO CITY OCQIPANT NOn¢ OWNE??T or-?9 HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE SOLD BY INSTALLED BY edgwiCk Htg. 1 a Elechical Work By Gas Line By TYPE OF HEAT GA _ FA X HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Amana MAKE OF BURNER_ Model GH-80 DE Modai C8535012 Smiul Max. BTU Rating- INPUT $0,000 B'Eu MAKE OF FURNACE Modal CONTROLS THERMOSTAT T87f y ?p lug Vent Size ll Valva ITT B59N (Yl KIND OF LINER Alum, SIZE NONE Limit CZC 2N5-1-180-FCW Droh Haod Iertical Ragularor Limit Sstt ing 180 f Filters Size 1611 g 2511 Numbar 1 Fan Sefting 90mf & 1???f Chimnay Location Inside Yeg Outside Cou le Metalbestos Pilot T pe p Chimney Constructi on y Pilot Make Pilot Modal Smoke Bomb Wiring Pilot Timin9 90 `'econds ptaft Test L.W. Cut Off Pressure 3•7nw•'' PercentCO 2 Input CFH 80 Percant D2 $mck Temp. `?80Uf Pereent CO? Form 235 Dou Prossuro Lighting Inst. ie3 oo,e re,red 3/3/'75 rv?„ ?..-.. _ _ Company Testing •c ?ST p,., Name of Tesfar SUBURB Eagan CONVERSION HOUSE HEATING TEST RECORD D-21513 L?? ?;?7-2- 1715 Hickory Hill ADDRESS APT._FLOOR CITY OCCUPANT NOlle OWNER NeW Horizous HEAT LOSS - SOLD BY Elecfrical Work By _ TYPE OF HEAT GA FA 2? HW -STEAM SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Amana MAKE OF BURNER_ Modal GH 80 DE Model Swiol C853.?"i0126 Mox. BTU Rating- INPUT 84.000 Bt H2', MAKE OF FURNACE CONTROLS THERMOSTAT ? Heat P?I ?gR? Valve Limit CTC 2N5-1-180-'m'w Limit SsMing 180of Fan Serting 9001 iY 1200f Pilot Type rOripl@ Pilot Make Model Vsnf Size 4" KIND OF LINER Alum• SIZE 6" NONE Draft Haod Vertical Ragulatar Filters Size 16" x 25" Number 1 Chimney Loca}ion Inside YQB Outside Chimney Construclion Me't811J08tD9 Pilot Model Smoke Bomb Wiring Pilet Timing 7$ Seconds p,aft OA 7esr Tag Yea L.W. Cut Off Door Pressure Lighfing Inst. Ves P 3• l"W•C • P t C0 8•0% / 75 ted '3j3 Dat Te rossure $0 ercen 2 7 ? e s - i Input CFH Percant O Z 1 Company Testing Stoek Tamp. `S?O??£ peresnt CO ?'? Name of Testar ? DATE HTG. INST INSTALLED BY SOtlgwiCk Htg, u u Gas Line By SUBURB Eagan CONVERSION Form 235 HOUSE HEATING TEST RECORD D-21518?"???1 "` 1720 Iiickory Hill Eagan ADDRESS APT. FLOOR CITY SUBURB OCCUPANT Micke ens OWNER eS HEAT LOSS DATE HTG. INST SOLD BY Elechical Work By TYPE OF HEAT GA _ FA ^ HW ? GAS DESIGN INSTALLED BY edgwlc Gas Lins By $TEAM SPACE HTR. _ MAKE Amapa MAKE OF BURNER_ Modsl GASODe Model Seriol C85350129 Moz. BTU Rating- INPUT 80,000 13tU HZ' MAKE OF FURNACE Modal CONTROLS THERMOSTAT T87 Heat PI Vsnt Size 1t ya1Ve ITT B9R04 KIND OF LINER Alnut, SIZE s" NONE Limit C'TC 2?i` -1-180-?''W Drafr Hood Vertical Regulator Limit Satting 1800f Filters Size 1811 3 2511 Number 1 Fon Setting 900f & 1200f Chimney Lota}ion Inside Ye8 Outside Pilot Type r'OUple Chjmney Construcfi on Metalbestos Pilot Make Pilot Model Smoke Bomb ng Pilot Timing 80 Seconda pr,fr ol Te:r Tag Yes L.W. Cut Off Door Pressure Lighfing Inst. Yes Prossuro 3'2"WC'• PerceniCO 7,M Data Teafed 212675 t CFH In Percent 0 $ 8•7 Com Testin an C5 BTl }1't ?',0 pu a- 2 p y g $tack Tem `5`0f percent CO ?? Name of Tsstar ? p. Form 235 UNIT HTR. -OTHER CONVERSION HOUSE HEATING TEST RECORD ADDR4EaS _ OCCUPANT HEAT LO55 SOLD BY - 1722 Hickory Hill DATE HTG. INST. SusuR6 Eagen APT. _FL00_R TCITY OWNER New Horieona INSTALLED BY e gw1c tg' Elsehical Work By Gas Lina By TYPE OF HEAT GA / FA _HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER Amana GAS DESIGN MAKE MAKE OF BURNER _ Modsl Model Sxial C'85350123 Max. BTU Rating- INPUT 80y000 Btu MAKE OF FURNACE CONTROLS THERMOSTAT T87 Heaf Plug Valve ITT B59R04 Limit 0113-2n5-1-180-I''CW Limif Sstting 180of Fun Settiog 90°f & 1250f Pilot Type Pilot Make Pilot Model Model Vent Size 411 ep KIND OF LINER Alum. SIZE?NONE Draft Hood V2Z"tOC81 Rsgularor Filters $izs 162Lx 25" Numysr 1 Chimney Location Insida S'QA Outaide Chimnay Construefion MPfalbt+a{ns Smoke Bomb Pilot Timing $6 Seconda pa{} L.W. Cut Off Door Presnure Wiring Test Tag YPR Lighting Inat. YPR ? Pressure 3.2?•C• PeresntCO? 80% Date Tested 2 25 75 Input CFH 80 Percant 0 7• Company Tesfing C S ?l 1 ht C Stack Temp.?Pmeant COZ 0 " Name oF Tester D-21518 -6'???' s ' CONVERSION Form 235 CITY OF EAGAN Remarks Adaition WOO cS'fiA 2TSA Lot 7 Blk ? OwnerA?(?(.?'R ?C . 61 ? street _ 1716 HiCkory Hill Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z 1974 11 1.02 STREET RESTOR. /s 1276 22.2 14,3. 6 11d GRADING SAN SEW TRUNK ?i5/? 1974 99.42 6.6 1 PaiC3. # SEWER LATEFAL 31 1976 1871.09 623.70 WATERMAIN # WATER LATERAL 197 # WATER AREA 1976 * STORM SEW TRK 197 3 * STORM SEW LAT 1976 CURB & GUTTER SIDEWAL.K STREET LIGHT WATERCONN. 140.00 12109 BUILDING PER. SAC OO.O0 PARK ' CITY OF EAGAN Remarks Addition WOO ya? t-i 2nd Lot 8 sik 2 Parcel 10 84601 080 02 owner street 171 B Hiokoxy H37.7. State Eagan,,MN 55122 Improvement Date Amaunt Annual Years Payment Receipt Date STREETSURF. 1974 5.11 1.02 P d STREET Rt-?, e 1976 422.27 14o. 6 P3id GRADING SAN SEW TRUNK 1974 99.42 6.63 15 Paid * SEWER LATERAL 1976 18 1. o 623.70 P3"d WATERMAIN # WATER LATERAL 1976 - 3 #- WATER AREA 1976 # STORM SEW TRK 1976 3 .jE. STORM 5EW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140,00 12109 11?.?'7i. BUILDING PER. s,ac 00.00 1210 11 -7 PARK CITY OF EAGAN Remarks ? Addicion Woodgate 2nd Lot 6 Blk r Ownerl'thlQV ??+,olt. i4d,? B. B6641- screet 1720 Hickor_v Hill f, Y16j .IP" I"In.A..4 fnUnAa... _ !/ ..i16l 7rL`?R:nkiJ?lill Improvement ? Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 5.11 1.02 5 Paid STREETRESTOR. N5' 1976 422.27 140.76 3 P3j.C1 GRADING SAN SEW TRUNK ? 1974 99.42 .63 15 P31d # SEWER LATERAL ?j( 197 1 71 .09 23,70 3 Paid WATERMAIN # WATER LATERAL 197 3 3F WATER AREA 1976 # STORM 5EW TRK 197 3 # STORM SEW LAT 1976 3 CURB & GUTTER SIdEWALK STREET LIGHT WATER CONN. 140.00 1210' 11 -8-711 PER. SAC 00.03 1210 i' --7 PARK CITY OF EAGAN Addition w' Owner- Remarks Lot 5 Blk 2 Parcel Street 1722 Hiokorv Hill state Eagatl-,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 7J 1 1 11 1.02 P31C1 STR E ET R ESTO R. 1!5) 1976 422.27 14o.76 Paid GRADING SAN SEW TRUNK 1974 99.42 (.( 1 P11d #. SEWER LATERAL :,i? 1976 1871.09 623.70 31d WATERMAIN * WATER LATERAL 1976 * WATER AREA 1976 STORM SEW TRK 1 ( 3 .?. STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 1 D-pp 1210 11 -8- 8UILDING PER. sAC 00.00 1210 11- -7 PARK C? CTTY USE ONLY ?J I PERMIT#: RECEIPTDATE: 2002 RESIDEN'fLAL MECHANICAL PEftMIT APgLICATION CITY OP EA6AN 3$30 PILOT KPOB RD EAfiRN btN 8518E 651 -6$1-4695 Please camplete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: OD-) SITE ADDRESS: 1-7,;?a -+A'%CN C_`?(.? 4-11 OWNER NAME: CmtlL?.I I U TELEPHONE #: INSTALLER NAME: STREET ADDRESS: CITY: Wohlers Southside Htg. & Air, Inc. 6950 W. 14e St., #106 Apple Valley, MN -55124 (952) 431-7099 STATE: Place a check mark next to the permit work type !PHONE #: ZIP: F?' V, Add-on, modification or alteration to existina dwelling unit $ 30.00 . furnace replacement • air exchanger • air conditioner • other Nature of work: co? 14,0 r?mc?? -70 0?? ?Tl?t- +mod.9ll : e5'rr -k0-I0 State Surchar e $ .50 TOtal $ SIGNATURE OF PERMITTEE 1102 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMERCLokL MECHAATICAL PEfiMiT APPL1CATION CITY 0p ER6i41V 5830 f'ILOT KNdB RD EAeAN, MN 5512E 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: S[TE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS-THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZII': WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tarilc _ Processed Piping Specify Nature of Work When installing/removing undergrnund tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% oFcontract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x I%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 L? BL c?L CITY USE ONLY ??lf RECEIPT #: ? SUBD. 4 v DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pennits are required for each unit FIXTURES F•ACli M4. LQTAL Shower 3.00 x = Water rloset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 Water Heater 3.00 :< _ Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 :< _ Water Softener 5.00 r = Private Disposal ' Dakota Cty. Ifcense 65.00 = (new and refurbished systems) U.G. Sprinkler " home under canst. ' 3.00 0 = to exiseng Alterations 20. 0 Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ?O. J4-0 SITE OWNER INSTALL STREET ADDRESS: A-` /`1,-L fo&-/b /r?d CITY: 23 .aZZnDL??/' STATE:MAI ZIP: PHONE #: (tp/?) ? ?? / OFFICE USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please compiete for. , all commercialfindustrial buiidings. ? multi-family buiidings when separate permits are pQt required for each dwelling unit. DATE: UVOFZR I Y'Yt: NEW 1.O1V$ I RUG 1 IOIy DESCRIPTION OF WORK: CONTRACT PRICE: %iUU VI`I RtP%i1R IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM9 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: S25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pertnit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OUVNER NAME: INSTALLER: ADDRESS: ciTV: PHONE METER SIZE: " DATE: STE. # SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT _ INSPECTOR: CITY OP EAGAN CASNIER: JS TEkMINAL N0: 396 DAl'E: 12/21/99 T]:ME: 10:50:43 ID: NAME: MIt:kE EXTEkI0fi5 3210 90(]1 1716 WICKORY HI 223.25 3430 9001. 1716 HICKf]FY NT S.CIO 21,55 3001 1716 4iICY.ORY HT 6.50 I, Tor,a7. Receipt An,ount: 234.75 CR1.2:1442 USER ID: JAN L; Kdu,. 4cs[- (ogl- ??°?? 1999 Bl11LDING PERMfT APPLICATION (RESIDENTIAL) CITY OF EACAN ? ?-- 3830 PILOT KNOB RD - 55722 651•681-4675 lQLJ CuSi? nsWCt{on Reoulrem ? 9 registerad site surveys shoving cq. fl ot bf, sq. R oT houae and all roofed areu f20% maximum lot emeraae albwed) ? 2 copies of plans (show 6oam 8 window sizes; poured fid. design; etcJ D 7 set of energy calculations ? 3 wples of tree presanation plan H bt plattad efler 71193 DATE: 1 a - c;?d-. `' 1? DESCRIPTION OF WORK: STREET ADDRESS: . ,.__ b' r? - CONTRACTOR ARCHITECT! ENGINEER Street City RemodeNteoair RwuiremaMs 2 copies of pian 1 set of energy wlwlaflons for heated additions 7 sfla survay Tor exterbr addRions d deeks ? CONSTRUCTION COST:? Vs j ao ? . o State: Zip: '/?V, g II z _C Company: l9Un?? Ui ??1 1 ?m?Phone#: ce '?.? Q I t° . ao?3?{ E.g-?rt?,?! Ar?v. c?vus mn. sso(I (areacode) StreetAddress: License#ao1613,?0 Ecp. a-aooo City State: ^'\ Company: Name: Telephone #: ( ) Zip: S Sol I Street Address: Registration #: City State: 2ip: Sewer 8 water Ilcensad plumber (newconaWction onNl: Telephone Penalty applles when addrass change snd lot change ia requeatad once pamk is ksued. ? I hereby acknowladge that I have read this applicaNon, state tliffi the information is correet, and of Eegan Ordlnances. Slgnature ef Applkant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No all applicable Shte of Minnesofa SfatuEes and CR . Tree Preservation Plan Received _ Yes - No - Not Required Name: Phone #: PROPERTY Last Pirst OWNER OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 WindowslDoors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood 5tove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Surcharge Plan Review License MGES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % 5AC W. . 76T? 3830 PILOT KNOB ROAD, P.O. 80X 27199 BEA BLOM9Ui5i EAGAN. MINNESOTA 55121 MWw PHONE: (612) 454-8700 DATE : AUgllSt 20, 1985 TFipMA$ EGP.N JAMES A. SMITH JERRV THOMAS ADDRESS : 1716 Hickory Hill THEODORE WACHTER CWr?ctl Member5 LEGAL DESCRIPTION: Lot 7- Black 2 ??MAd?ryETMDG«S EUGENE VAN OVERBEKE Woodgate 2nd Addition cny c?k Dear Eagan Resident : RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed?a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. „ CITY ORDINANCE SEC. 10.32. OBSTROCTIONS 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 withont 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 protectidn of the public. An electrical co=d 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 he a separate offense and punishable as such. ' SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Right-of-Way. No buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. , The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAK TREE. THE SYMBOL OF STREN6TH AND GROWfH IN OUR COMMUNIiY T.. RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60 DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truLy. William H. Branch, Superintendent Public works Department WHB:jbd Rocks on the boulevard 7gVA 7 ? 2007 RESIDENTIAL MECHANICAL PExMaT arrLicaTiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. smgle family dwetlings & townhomes(condos when permits aze required for each unic ?- ?'- Da[e Lo il SiteAddress Unit? 1?ft1' ki?l\. 'ie}?none '?- i ?-"`?'.- ------ ? - - - -- -- -- - - ?'--- - - - - - ' _ . - - - - -.-? f? /? \,-???"'-= J-SsL?""`?\?- ?.l?U 9/?I/y?• ` -?f_Y --- .?\}.M? --? ? 'ta[e zip -S Telephuivc# =naC =? ?????' MV? ? ? _nu• ?l: ??3? -- _.u. JU:':.: rt e)Oli3eiC?5. ia.]^v0 -<..[._. - - 1-S' Rl°fl 'IB T12Gi73fllt' ii.BGcI(5 af'_ aG2 ""_i ::IIC?'. ;d-?.? _.. rat:on •,.sisaingawr.i!ifl; um? a.r.:,...- i k! .7cninr?rnanl ,VBW air exchanger I I 4 air conditioner _ heat pump other h S $ 50 urc arge • D Stare V , ? ? Total I hereby apply for a Residential Mechanical Permit and acknowledge Ihat 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 b;echamcal Codes; that 1 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 acwrdance wi[h the approved p an in the case of work which requires a revie and approval of ans. ? .,._ .._ .[ _ ? I _ .. ?f hi _ ? "? Ff\ &-\n ApplicanPs Printed Name App?ficarit's Signature 7laa 2007 RESlDENTIAL PLUMBING PERnrtir aPPUCaTiaN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residentiai dweliings. ??;6- 0 Date7 I 3v / o 7 _ ?} Site Street Address ? 14; t ?dr y +f./l I',t_ Unit # PropertyOwner V1A?-S ?S h?-IS U q Sw g Telephone# ((oia) c? 10 - (ulsS? Contractor N2S S ic+.-? Serji' (.c3 ,?I'1 . Telephone# (oS (i ) Co ?/? g 2 S 2 n Address 1 ' 0 Q a X 2o? _172- City 7- u n? - State /)"v Zip SS' J.2 The Appticant is: _ Owner K Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out fixtures, etc.) $ 90.00 Alferations to existing'dwelling $ 50.00 _ Add plum6ing fixtures. This fee inGudes insNallation of a water softener andlor water heater at the same time. !f you are installing onlv a wafer soffener and/or water heater, do not complete this section; move to the next seciion and check the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $136.00 if a 5/8" meter is required) Other: _ Water Softener ? Water Heater ' 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ? State Surcharge $ .50 Total g /S.S U I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compi work will be in conformance with the ordinances and codes of the City of Eagan and the understand this is not a permit, but only an appiication for a permit, work is not to start without a it a wi and approv accordance w ith the approved plan i event a plan is required to be revie 7 Q ? u? Sc 1 A IicanYs Printed Name pplicanPs Signature Rv - - - - - - - - - - - - - - - - - f rN I For Office Use I G' l r~ j ;:::e: City of Eaaall el 3830 Pilot Knob Road / - -3 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 72c -09 Site Address: / / (P + 1/ 12 - % C C2 ,/}/LL Tenant: 12-ho KAT-su-541 SO G AAA Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 7E/44 OFF tP-E-k-90F Construction Cost: 0 Multi-Family Building: (Yes / No CONTRACTOR Name: C R og F f r-3( License 2c_ Address: ~ r € OC_{C K L City: /J Oe A-)5 i/ I L- State: ciA) Zip: 3 J ? Phone: S~ °e?/I - YO73 Contact Person: /at`j f~ ~1~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. N x IL L /J S` ti= I~ X Applicant's Printed Name Appli ant's Sin ure Page 1 of 3 r For Office Use 41 At ØL : Permit ata �' Date Received: ,7-7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 V W/ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: buildinginsaectionse.cityofeagan.com M I 1 7 2019 2019 RESIDENTIAL ig - _- MIT APPLICATION Date: ( 17- 17 Site Address: /7/b Ft; a r j7L1// 7-nc/, �7/c lUnrt#:OI / . cam_ Wod d ct h�i N1 eC. t 57 - S '-7 ? Name: 9 e 0 Vol►+�'`I t/� d of Ol� Phone: 6 Y 3 Y Resident/owne /6 7� `C icor` r Ea! 11 0 y .55 1 EZ.01_6),r Address/City/Zip: H Applicant is: Owner X Contractor Type of Work Description of work: W Q� l 'Q ar p c h b / '6�'1 4c e Construction Cost: / 0 Mufti-Family Building: (Yes /No—� Company: 66'rhiR Cotact: S� Vt. Sof-Pm a.t ContractorAddress: / 7 S73 F0 X ear° CI- City: aarA'"• hi "mac State:M N Zip: 3d l Y 9r /01 -sq g,x,368* pp :1 O` Pone: Email: License#: p' ` ?0 0 Ch1 Lead Certificate#: If the project is exempt from lead certification, please explain why: n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Piens andsupporting documents that you submit are considered to be public ice. Porus of the Information may be classified as non Nc If you proms specific reasons that would pe +f the City to conclude drat they are bade Mets. 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.citvofeaaan.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.aoaherstateonecall.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 approve of ans. x Spare vi .UOrrioohv( Applicant's Printed Name Applicant's Signat re Z�