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1737 Hickory HillCITY OF EAGAN Remarks Addition Woodgate 2nd Lot 2 Blk 4 Parcel 2 /' " 1737 Hicko Ni l l Owner gL-6 Street ?' 5tate Eagan_MNTKK122 ? . a -La. )i . _ ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 33 1974 8.52 1.70 Paid STREET R. 1976 10-34.75 344-92 Paid GRADING 5AN SEW TRUNK 1974 ? ??.7 7.64 1 paid #SEWER LATERAL 3 197 3? .7? 1022. Paid WATERMAIN ?'WATER LATERAL 97 '?'WATER AREA 197 *STORM SEW TRK 1976 3 *STORM SEW LAT 1 W 3 j CURB & GUTTER SIDEWALK STREET UGHT WATER N CON. 10. 4 12 ? BUILDING PER. ' sAC pp p 12 PARK ?=j f • ? CITY OF EAGAN 3795 P11oF Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt Site Address Lot Block Sec/Sub. Porcel # oe Nome W - ? /lddress o . CI Phone Name ?? Address rf,.. cL..,..e Nome _ Address I hereby ocknowledge that I have read this application und state that the information is correct and ogree to comply with cll applicoble State of Minnesota Statutes and City of Eapan Ordinonces. Signature of Permittee A Building Permit is issued to: all work sholl be done in accordonce with oil applicoble State of Mir N° 6402 Erect ? Occupancy Alter ? p Zoning Repair ? Fire Zone Enlorne ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade fl Depth h. Assessment _ Water & Sew. Police Fire En9• Plonner Council Permit Surclwrge - Plan check _ SAC Woter Conn. Water Meter Road Unit - Bldg. Off. APC Total on the express condition that nesote Statutes and City of Eagan Ordirwnces. Building Officiol .40 VwnM # pafe luwd Poenl!!w Plumbing Mechonicol 7/ T 'U 7i-.?7 ,?' t--/ INSPECTIONS DATE INSP. Rouflh-In Finot Footings Date Insp. Dote Irap. Foundation Plumbing /? . Frame/ins. ? Mechanicol Fi?wl i -93 Remcrks: No. i 3s cirY oF EA"N 3795 Pilot Knob Road Eagaw, NllnnewM 55122 P6one: 454-8100 ? PERMIT Dote: -7 -i{ c?:ozy i7i Site Address: lls Lot Biock Sub/Sec, Name Address " City Phone; Nnme -' c^T !. ? 1"P`,l j ng C O. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Installotion Permlt Fee Surchorge renod?1 V . City Phone: Total This Permit is issued on the express condition thot all work sholl be done in occordance with all oppUaoble State of Minnesoto Statutes ond City of Eogon Ordinonces. Buildirg vaL-Awr?: nF Saaaw 3795 Pilot Knob Road Eogon, MN 55122 Zoning: PUD Owner: tjpw Address Sile Add Plumber: ?.'hpll7) Meter X Co / y p Connection Chazge; 14V.uv ? Size:? Account Deposit Reader No.: Permit Fee: 10. 00 rd I('pl9rea ro comply wtrh the Villoge of Eogon Surcharge: • 50 ?.prd?y{oncea. Misc Charges; •d ? i / Total: / $Y Date Paid: Date of Insp.: ? Insp.: YILlA6E OF 'pQAN SEWER SERVICE PERMIT 3795PilofKnobRoad PERMITNO.: 2431 Eagan, MN 55122 DATE: Zoning: PIID No. oF Unlts: Owner: uPw uori on Hom Woodaate II Addrese: Site Address: 1737 Aickoxv Hill Plumber: - Thomason P1uNaina Co. I a9ns to compir with the Villags ef Eogon Connection Chazge: 400.00 pd Ordineneas. Account Deposit: Permit Fee: 10:0 Surcharge: SO jw BY: Misc. Chazges: Date of Inep.: Total: [nep.: Date Paid: WATER SERVICE PERMIT PERMIT NO : 1671 DATE: No, ol' Uni[s: CITY of EAC,AN BUILDING PEPtMIT Owne: ......./!:`?'?:'!r....Tr.': .............................. U Addreu (PsesBni) ....._ Hullder .. Addraas .... ..... .. N° 3506 3795 Pilof Knob Road Eagan, Minnesofa 55122 454-8100 Dels .... .................. 7 ....5./................. DESCAIPTION Sloriss To Se Ussd For Fronf D*plh Heigh! Esl. Cosf Permi! Fae AemarkT ev . or Locwa'iox / a ? Thb permit dws not aulhorise the use of si:aels, soads, alleys or sidewalks nor does it give the owner or hia egent the righ! 20 create anp aifuation whieh is e nuisanoa or which presenfs a hazard !o the healih, safely, convealeaee and qeaeral waliare !o anpone in the community. THIS YEAMIT MUST BE gEPT ON THE PREMISE WHII.E THE WOAK IS IN PROGRESS. T6is is !o eerlifp. !hal..?:'..^.?... ._.....'- -°.--- -?.'.°?:`°• ,?--,- - ........---hes Parmisaion !o ereat a...d.:.:9 .... ..............+?:.:................._._upon the above described premise subjeet fo the provisions oi all applicable Ordinances for the Ciip of Eag'aa ? .. ."""'_ "----"-' .. ............._---'--.---....... Per ._........................Q_+'--? ?,?.-C-??-- -"-..-'-: ?-'-"-"'-"'.....__........--'.......... aybt Building Inspeclos 4? CITY OF EAGAN ' 3795 Pi1M Kno6 Road Eagan, MN 55122 N! 6402 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be wed For BASEIvIENT RIlWDELEst. Value 5,000 Date_12-1 - 19$Q_ Site Address 1737 Hieko2y Hills Erect ? Occuponcy R3 _ Lot 2 Block 4 5ec/sub. Woodgate 2 Alter XM Zoning - PD Parcel # 10 gLr601 020 04 Repair ? Fire Zone 3 _ r Enlorge ? ype of Co„st. __ --_ rc R. Daniels Name Move ? # Stories 1737 Hickory Hills 3 Address Demolish ? Front ft. ° Ci Eagan, Mn phane 454-5131 Grode ? Depth ft. ? ATwld B' l d T Aoorovals Fees o Name son u, n .. _ ?`~' /wdress12907 Hialeah Path § t- r;ti, Apple Valley,i -e 454-2391 Name _ Address Assessment _ Water & Sew. Police - Fire Eng. Plonner - Council _ Permit IO,vv Surcharge 2.50 Plan check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the tnformotion is rnrrect and agree to comply with all opplicable 20.5? State of Minnewta Statutes an ry of Eag/A Ordirwyxes. APC Total Signature of PermiMee '*+"- A Buiiding Permit is issued toe _ArV 30ri Bll11d0P IriC . on the express condition that all vrork shall be done in ecwrdance witJi) all applica}Ag Staje of Minnesota Stotutes ond Ciy of Eagan Ordinances. Buiiding Officiol ? ?? `? ?Zy pg ?? Include 2 sets of plans, U 1 site plan w/elevations & &JILDING PERffT APPLZCATION 1 set of energy calculations. ???? 'Ib Be Used For?•.,•.•"t?1D"'" Valuation ra ? Date Site Pddress /7 3l' 1-;`1G4.5 n OE'FICE USE ONLY Iot °ad Block jo)zj Sec./Sub. ??A Erect OccupancY Parcel #: ?0 8y?O / 0 20 0y Alter v zoning Repair Fire Zone ,3 Oumer: .f? D?i ti/ c?G S IInlarqe _ TYAe of Const. Nbve # Stories Address: HlcleOeY DErolish Front ft City/Zip Code: t.°// 6.4 N _ Grade Depth ft Phone #: S1 .3/ Contractor: OL'/e /ivc PLldress: /:Z 1111?GG=1' fr C1ty/Zlp COd2: ?F'i-aGG> Vf cbt'Y Phone # : Arch. /Etig. . Address: City/Zip Code: Phone #: P.PPROVAi.S ? Assessments Pexmit T^7dt2Y/S2W2Y SllYCI1dYCJ2 Police Plan Check Fire SAC gg, Water Conn. Planner Water Meter Council Rpad Unit Bldg. Off. APC 'Il7PAL a? This re uest void 18 mon h4 ftom ,(„Zj6Z Date of this Request /d- "3 ` Fire No. ? 69715 I, as 0 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring instailed at: 1 Street Address or Route No. / 6?? ?'?cn O?fotx- Cit Section Township ange County_-1 Which is occupied by ie (Name of OtcuDant) Is a roughin inspection required on this job? No 0 Yes ? Ready Now ? Will Call)k PowerSupplier 6GV Address ,-?, /? o Electrical Contractor '??-? V?- Contr ctor's icense o3- (COmpa Name) Mailing Address o?-d le ica Con cto or 0 er Making hls Installation) ? Authorized Signature Phone No. JElec MCO[ltlactor oI Owner M 4y g Thls 1 tallatlon) nn( ? ?,'??`^1pr??t ?(' ?0}q} This ins ection re uest will not be acce ted b the e-' ? iru lJ ? i='??l`,05 L? State Board unless proper inspeetion fee is enclosed. minnesota State 8oartl of Electricity Griggs Midway Bldg. - Room N191 Y?1 U?.t'v?ersity Ava.. St. Paut, Minn. 55104-Pbone 297-2171 REQUEST FOR ELECTRICAL INSPECTION ? CHECK BELOW WORK COVERED BY THIS REOUEST ? ES-00001-02 S 69715 Type of duilding New Add. Rep, Ch¢ck pppliances W'ved For Check Equipment W'ved For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Ait Conditioner ? Bulk Milk Tank ? Fum ? ? ? I.ist List ) Other ? 0 ? ?theis? ere ) Othe[st Aere I COMPUTE INSPECTION FEE BELOW F•-l'1 ServiceEntrance Size: # Fee FeedersRSubteederc ' X901 its: a Fee 0 to 100 Am s. 0 to 30 Am res Q!po 3Q m res 101 to 200 Am s. 31 to 100 Am ies 31 `to r00 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. TTansfocmers RemoreConVolCirc. Partialorotherfee Signs Spec?al Ins ection Minimum f Remazks 4, y TOTAL F ?43D I, the Electrical Inspector, hereby certify that th above inspection has been made. .??_ (Rough-in) Date (Final) i ? Date This request void 18 months from ? --/, 60 &-1t CITY GF ZAGAN 3795 Pilot Knob Road Eagan, P+linnesota 55122 PERt•7IT NO.: 636 Geo. aedatriok Hte & A3s_ Cond• Co. The City of Eagan hereby grante to 1001 %enia Avernie So Nnla. P+ST_. .? 0 1 a-H=a+.inv Permit for: (Owner) "dew Horir.on Hcenes at 1212 ui„ti,,,,e H;Il P pursuant to application dated 25 - Fee Paid: 20,OQ dated this 28th day of Febz'uarV i .50 S/C Bu.ilding Inspector N,achsnical Permits: E?d Tntalc CI'lY GF E1GAi7 3795 Pilot Knob Road Eagan, Minnesota 55122 PERi`,ST NO.: 543 T:ie City of EsEan hereby grants to Thompson Plumbing o; 12201 Minnetonka 91vd. ttinnetonka, 55343 a Pluml>inq Permit for: (Owr;er) New [iorizon Homea Woodgate II :?3 Perm-rts at _ SEI_*,TTACF3ED LISTZNG ? pursuant to app7_icaticn dated 1/21/75 Fee Paid: $460.00 11.50 s/c dai,ed this 22°a day of January _-19 75 , Building Lispector T",,Lsliical Permits: Eid Totzlc . _ r Thompsott Plumbin4 - Plumbing Permits Hickory Hill 1735 1737 1739 1741 1743 1745 1747 ? 1749 1751 1734 1738 1742 1744 1746 1748 1750 1752 1754 Walnut Lane 1736 1730 Walnut Cixcle 1708 1718 , ? 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do nof combine inside and outside lumbin on the same a lication; se arate a lications and ermits are re uired. Date I Z ! 2_61 i O 7 Site Street Address I7Y7 + c kor SD V. Unit # Property Owner ?J GP Ct+ d, V iG in e,'? Telephone #(/P5 9_q5ZORS °I Contractor Dra"^ ?YD PtuP.,,l?i"q Telephone# (`15 4'?q 0??R ? Address ?15 27R`? .`7t l?• City?iLP?/i(' State M Zipr} The Applicant fs: _ Owner & Occupant x Licensed Plumbing Contractor Septic System _ New , Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Flre Repair (replace bumed out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are instalfing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $136.00 it a 5/8" meter is required) Other: _zWater So!tener _ Water Heater $ 95.00 _ new ? replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuitd $ 30.00 State Sureharge $ 50 rotal g ,? • 5 (7 I hereby apply for a Residential Plumbing Permit and acknowledge that Ne information is complete a - in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I un t d s i t?e i,(¢ t only an applicapon for a permit, wo,k is not to start without a pertnit antl work will be in accordance wit pp ove p an in the t a plan is required to be reviawed and approved. pEC 2 7 2007 Dcbn e'a? I_arSd " AnnliranYs PrinTnd N.mc e.. e.,..?r„ c?,... ....,. IBy ? ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReauiremeMs . 3 regislered site surveys showing sq. ft. af lot, sq. ft of house, and all roafed areas (20%maximum lot coverege allowed) . 2 copies of qan showing beam & wifMow s¢es; poured found design, etc.) • tselo(EnergyCalculalions • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Jaist DeNail Options seleclion sheel (61dgs with 3 or less unlts) DATE ?;_) 13 I a??- SITE ADDRESS I -t `Z TYPE OF WORK_?US APPLICANT STREETADDRESS kLi105? 6 TELEPHONE#qSZ'?b°I1 -3100 CELLPHONE# FAX # 952- -01 1-'-I 2? So PROPERTY OWNER V IGL) bIkYL(? d- De.Vi7Y2_Z:? TELEPHONE#6.!Q - 9Sa-09519 -----------------------°---------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULP:S 7672 (J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcula[ions Submitted Plumbing Contractor: Plumbing system includes: Mechanical Conhactor. Mechanical systcm includcs: Sewer/Water Contractor: _ Air Conditioning Heat Reeovery System Pc V STATE ??! NZIP 5SDa'-4, Phone # Phone # Fec: $90.00 Tee: $70.00 ------------------------------°-----------------------°---°-------°---------------------------------°---------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY _ Water Softener Water Heater No. of Baths ? /Z;zI . q'' I L -C) ?- RemodeVReoair Reauirements . 2 copies of plan • 1 setof Energy Calculations for heated addilions . 1 site survey kr exterior additions & decks • Indicafe if home served by septic syslem for additions VALUATION ? 1Z,, I 7f-') ?l? MULTI-FAMILY BLDG _Y k?N W I fIREPLACE(S) _ 0 _ 1 _ 2 Phone # _ I.awn Sprinkler No. of R.I. Baths 4 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundatlon ? 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 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Endre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Coae 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) FinallNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finai _ 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 4-b, `?JCJ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. single family dwellings & townhomes/condos when permits are required for each unit Date Site Address C' Unit # Property Owner \JC ??-si ? v OS ? Telephone # Contractor Street Address -? . ? .-- ? State ?N Zip Telephone # F\5?L-) ?A 2j\ ? lA Bond #: Expires: C\1 OS , The Applicant is _ Owner V Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 , % / furnace _Additional i/Replacement v air exchanger ? airconditioner _New _Replacement other State Surcharge $ .50 Total $ ?' s? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordioances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?\ (1\ V77 Fr3 n ApplicanYs Printed Name ApplicanYs Signatu ; ? II 2.4 70??? i I' 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings , multi-family buildings when separa[e permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond S{: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove `*see below _ fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: 'When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector PeI'ml[ F¢¢5: $70.50 Underground tank installa[ion/removal $50.50 Minimum (includcs State Surchuge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is 51,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 en rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: , Inspector Date: q4- -3o$ 33 o? ?C435? ?. City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675•5675 Fax:(651)675•5694 Date: Tenant: R 0 C0 ??'[?L'?J C SEP 1 7 1_008 ?----------------- ? For,Q_ffice4Clse I j Permit#: ? Permit Fee: ?? • Dn ? ? Date Received: j I I I Staff: I I RESIDENT / OWNER Name: Phon : ) - m , ? Address/City/Zip: Applicant is: _ Owner ? Contractor TYPE OF WORK Description ot work: - i?- Construction Cost: L?s Vvv ? Multi-Family Building: (Yes _/ No CONTRACTOR Name: ` ?. License #:.?? Address: c?? City: -,State:Zip: S._7'TX0 Phon : Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . qesidential Ventilation Category 7 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 Contractar: Phone: NOTE: P/ans and supporting documents that you submit are considered to be public information. Portions`of ihe informafiod may be classified as aon-public if you provlde specific reasons that would permit the City to conclude thai fhe are irade secrets. -` I hereby acknowledge that this information is complete and accurate; tha[ 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 [o start without a permil; that the work will 6e in a %rdanceith the approved plan in the case of work which requires a revie plans. X i'\& D. X' & t 1-- Applicant's Printed Name plicanYs Signature Page 1 of 3 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ù÷ ÿ þ þýý üû ûùù øýýúúèôêè ÷ÿ á þýô ýüûú ùø ù üú ù ÷ ú ùø ÿýÞìÝ ù ü óüù õÿ ýôü òù ò ññòò ôü ò û ò ðñò ïîüòü û ùù ý ÿð ûòí ôü û ì ÿî ò ñò ð êðèðè óø ýü ñ ÿ ë ü êðèçðçè ë ü þð ò÷ñ ôðï ùù åßò ü ñýââß ß ó ÿ æäèè ÞâèÝçâââ ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü Gity of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SEP Use BLUE or BLACK i For Office Use /-36g6 Permit #: / -3 6 g (d Permit Fee: Date Received; Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q i 11 / ! Site Address: j I'1 H C 14/I H I t I Unit #: 1 Resident/ Owner Name: ont.u, vtivoitPhone: voi ' itim-- . au Address / City / Zip: 1-' 3 H I J�,V RA (C I Applicant is: Owner k Contractor d Type of Work Description of work: eCit, tV Y t VX tStn i .L V F- ci a li/ h 1 d 12.i o *t (I( Construction Cost: Multi -Family Building: (Yes / Nok ) Contractor Company: RIR It. V O- f, Contact; Fl 12 O1 WIWI Address: 41 DO i K Q .c k 7City: e, '. i,.a t%t 100(,144 y G''J '� State _Zip:Wft�J2 ( Phone.( amaii: 'eh e 1 Y C �Q% tO /� l� License #: 010-1) (J Lead Certificate #:1V 2 -031 P L' `/ ' If the project is exempt from lead certification, please explain why: fD COMPLETE THIS AREA ONLY IF CONSTRUCTING In the last 12 months, has the City of Eagan issued a permit for a similar plan Yes No If yes, date and address of master plan: A NEW BUILDING based on a master plan? Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Cali 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.aopherstateonecali.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 St. it • Cod ust be completed within 180 days of permit issuance.i{� x V ,1 -ot t u l /1 4l�i,,J Applicant's Printed Name x Applica Page 1 of 3 1737 c SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%'100%) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level ` Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) �D Footings (Deck) _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Pool Siding Reroof Windows Egress Window Miscellaneous Accessory Building — Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy -i 2 ( I MCES System Code Edition i1 2 S' SAC Units Zoning" r .P City Water" Stories Booster Pump Square Feet PRV Length Fire Suppression Required Width Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Wails Braced Walls Shower Pan Reviewed By: �� I/O 11/1 " /L `7F ,Building Inspector Meter Size:, Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: , Footings Backfill — Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL X • 6 4 7e�'� 7 S1. L• Page 2 of 3 Xvi c Nit PERMIT City of Eagan Permit Type:Building Permit Number:EA139575 Date Issued:10/28/2016 Permit Category:ePermit Site Address: 1737 Hickory Hill Lot:002 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce Devore 1737 Hickory Hill Eagan MN 55122 (651) 454-6416 Universal Windows Direct Twin Cities 150 88th St W #205 Bloomington MN 55420 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151164 Date Issued:08/13/2018 Permit Category:ePermit Site Address: 1737 Hickory Hill Lot:002 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce Devore 1737 Hickory Hill Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157976 Date Issued:09/18/2019 Permit Category:ePermit Site Address: 1737 Hickory Hill Lot:002 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce Devore 1737 Hickory Hill Eagan MN 55122 (651) 454-6616 Bormann Brothers 17593 Foxboro Ct Farmington MN 55024 (952) 891-8586 Applicant/Permitee: Signature Issued By: Signature