1739 Hickory Hill7
i
6TY OF EAGAN INSPECTION RECaRD
PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t v-tt 3 NLoi:r, t 4 APPLICANT:
L! 139 HICiCQ RY NI l l AkERli
W(1oA6Afk 7N0 (612) 681-9316
PERTT,?UBTYPE:
.
TYPE OF WORK:
Control No. o 814
t! 0 1.0 12
41116192
WIi i.iAil
m
l z?` _ ''-"" _ yz?-?.?r.. ? : I'^a.u1'4 . a-Y?j?_ t°'T 'K.--?'? - - r????? fi?I .?y,?i.
...?? -.F.-•? ? . Y ??. <<_ i 'I .? ...;t'?i1_- -_'?r.",:1 . ? ?7''V,.'.;??.?1i . -.. .... . . _ _ _
Parmft No. Permit Hokler Qate Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inepecdon Qah Inap. Commer@s
Footings I
FoundaYlon
Framing
Roofing
Rough Plbg. '
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat T9st
Finat Plbg. P1bg. InspecEor - Nolify Plumbar
Corist. Mei9r
EngrJPlan
6ldg. Final
Oeck Ftg.
w
Dedc Fnal
weli
Pr. Dtsp.
CITY OF EAGAN Remarks
Additio?n T11T00C3g2'`tfE `?riC? Lot 3 alk ?
Owner JY{?.Q(j) : blIuffi LC(Mdr1WStreet _ 1739 HiCkoYy H3.11
22
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 197 .11 1.¢2 P3id
STREET RESTOR. 1 97 10 •75 1034.75 3 paid
GRADING
SAN SEW TRUNK
SEWER LATERAL ^ ; •
WATERMAIN
WATER LATERAL - 1976 3
WATER AREA
1
STORM SEW TRK - 1976 3
STORM SEW LAT 1074 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 140.00 12574 12- -711
PER.
s,ac 12-31-74
PARK
VILLAUE OF EA04N SEWER SERVICE PERMIT
3795 WbiKnopnoad PERMITNO.: 2432
Eayan, MN 55122 DATE:
Zoning: pCip No. of Units:
Owner: ra a Fio i on Iiom s Woodaate II
Address:
S1te Address: 1739 Hickoxv liill
Plumber: Thomuson Plumbina Co
I opraa to eanyly with fha Villoge of Eagon Connectlon Chazge: 400.00 pd
OrdinoMn. Account Deposit:
Permit Fee: 10.00
Surcharge: • 50 pi
BY: Miec
Char
ee
.
g
:
Date of Insp.: Total:
Inep.: Date Paid:
YILLAOE OF EAGAN WATER SERVICE PERMIT
3795 YilotKr.sb Road PERMIT NO.: 1672
Eagan, MN 55122 DATE:
2oning: PUD No. of Units:
Owner:
Address.
Site Add
Pl?pber: Tliompson Plumbing Lb
.
Meter No.:d??a -s?? /> ? Connection Charge: 140.00 p
Size:Account Deposit
Reader No.: G-7. 9 U'u 6 permit Fee: 10. 00 Pi
I 09? J IY with tha Villoga of Eayan Surcharge; • 50 ?? , ??
Ordina 1?? Misa Charges: I?O.Od
Total:
BY elt.AI. Date Paid:
Date o1' Insp.: Insp
CITY of EAGAN rv-; 3506
BUILDING PERMIT
Ownee ----- ../.!...'-.^r._.T..r.?.:.... _?.. i T?'..._..-.° .................
...................
Addrea (present) ........ ............................ i............v-...
' ...
Builder ...............................................................................................
Addreu ----..--......................................................................................
3795 Piloi Knob Road
Eagan, Minnesola 55122
454-8100
ne:. ../. a .-...-..... ...3?..-.. ...?. .. y
........
ories To Ba Uaad For Fron! Depih Haighf Eyl. Coe! Permi! Fse Remerka
7 a_3 47"? '?944:P 'as s? /7? 9y4r?OQ
LOCATION / d"
Sfreel. Aoad or olher Description ot Loeafion I Lo! Bloek Addifion or Trse!
?g..z cc??-?<fL I b /,/ •-?„r-«-,"<-?,t<_ 2_.
Thia permii doas not authorise the use oi sireeis, roads, alleps or sidewalks nos does it give the owner or hit agent
the right fo areafe anp siluation which ia a uvisanca or which presenla e hesard !o the healih, eefelp, eonvanienee end
geaeral weltara !o anyona in the communifp.
THIS PERMIT MUST B£ KEPT ON TH£ PREMISE WHILE THE WORK IS IN PROGRESB.
Shis is !o eerfifp, thel.fN:??.......... haapermissian !o eree! r.....?-_ .......... .._..... ..upoa
the above desczibed premise subject !o fhe provisions of all applicable Ordinances for the Cify of aqan
-? r `
..............._...._../?......... ...'.'. .-. ?.-----?-............................ Per ........ .... ......... - ...---..............g...................
?'
Maybt ? Bulldin Ins eclos
? 155-?
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNffT NO.: 655
& A/C Co.
The City of Eagan hereby grants to Geo. Sedgwick Heatinq
of 1001 Xenia Ave. So., rtpls. 55416
a ATING Permit for: (Owner) New HOrizon Aomes
r3p 60, and
at 62 Hickory Hill , pursuant to application dated _3/27/75
Fee Paid: $60.00 dated this lst day of April , 1975
1. 0 c
Building Inspector
Mechanical Permits:
Bid Total:
?
\ f
OL ti G Z
CITY OF F.AGAN
3795 Pilot Knob Road
Eagan, P+linnesota 55122
FERNIIT NO.: 543
The City of Eagan hereby grants to Thompson Plumbing
of 12201 Minnetonka F31vd. liinnetonka, 55343
a Pl2!?? Q Permit for: (Owner) New Ilorizon Hamee Woodqate II
23 Pe ta
at SEE ATfACHEp LISTING ? pursuant to applicaticn dated 1/21/75
Fee Puid: _ $460.00 dai;ed this 22nd day of Januaiy ? 19 ?5
11.50 s/c
Building Inspeetor
N::?chanical Permits:
Pid Tota1:
r p II
Thompson Plwnbin4 -
Fiickory Hill 1735
1737
1739
1741
1743
1745
1747
1749
1751
1734
1739
1742
1744
1746
1748
1750
1752
1754
Walnut Lane 1736
1730
taalnut Circle 1708
1718
Pezmits
i -, ---- i
j Permit#: J??S j
? Permit Fee:
? Date Received:? ?
I Staff: C ?_ I
I " I
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: TG/a g Site Address: t(.kD V?I A1 I1 QY%
Tenant: Suite #:
RESIDENTlOWNER Name: M.4"1`TAELJ We.U07- Phone: 651- 4 97^57di-I
Address / City / Zip: I 7 3-1 4Ai1r k.o)zY
Applicant is: _ Owner K Contractor
TYPE OF WORK Description of work. Qe- 4O6 F
Construction Cost: otOOO ? Multi-Family Building: (Yes _/ No Ki
CONTRACTOR Name DOSGO Desi CiJ Bult-u License#: 4444
Address: ((0 2-73 C.9i J9Pe,*.1 DAt-C f?ye? L.J
Ciry: QOS,6HO41A1T State:_M%!.l_Zip: SSOIoS
Phone:IoSJ- 4i7..'Z - 4801 Contact Person:' I.??ECT6CL cSTO?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category suhmined suhmined
(4 SubmisSiDn 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:
Mechanicai Contractor: Phone:
Sewer & Water Contractor: Phone:
}li?? a???? '? r ar,an?rr? 'C7?sslfl?? a?i „?7ub!r??ot? p?e ?es? ar?c?tr?t t?td w,
12,
"I
I hereby acknowledge that this information is complete and accurate; ihat ihe work will be in conformance with the ordinances and codes of ihe 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 ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 11AR4 x NA?
ApplicanYs Printed Name Applicani's Si ture
Page 1 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction Reauirements
• 3 registered sfte surveys stwvnng sq. ft, of lot, sq. ft. of fwuse; and all roofed areas
(20%maximum lot coverege allowed)
. 2 copies of plan shovnng beam & window saes; poured found design, etc )
• 1 set of Errergy Calculations
• 3 copies of Tree Preservation Plan if lot platted aNer 7/1193
• Rim Joist DeWil Optlons selection sheet (bldgs with 3 or less units)
DATE /?/?/ ?S Zc?o2r
?m
SITEADDRESS ,17:/'I/G.lney 14itLQ'Niw MULTI-FAMILYBLDG _Y _N
TYPE OF WORK ZQnbDEL Wa?/ O?1«Sys?wSFIREPLACE(S) _ 0-1 -2
Zitlr_- uJ ?- 2
APPLICANT /?"?ac1-(?'TZ- ?H C /iV?,??oZS ? ?? ??)
STREET ADDRESS
TELEPHONE # S67 G&3-1'1z43 CELL PHONl(# !d2
PROPERTY OWNER
TELEPHONE # 6q; I ' 4S6 37
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNI:SOTA RULL3 7670 CATEGORY 1 I(? ?((?II?:9?1y
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted U{ TS ? ew Energy
• Energy Envelope Calculations Submitted I p ? MAY 0 8 2002
Plumbing Conhactor: ____
Plu?nbing systcm includcs:
Mechanical Contractor.
Mechanical system includcs:
Sewer/Water Contractor:
Phone #
ES 7672
orksheet Submitted
Fcc: $90.00
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 Orqpep?es. /
Signature of Applicant
OFFICE USE ONLY
Waier Softcner
Water Hcater
No. of Badis
`0
1
RamadellReoair Reauirements
. 2 coples of plan
• t set oF Energy Calculations for heated additions
. 1 sile survey for exterior additions & decks
• Indicale rf home served by seplic system for additions
VALUATION
Lawn Sprinkler
No. of R.I. Balhs
Phone #
Air Conditioning
Heal Recovery System
FiF1,C7 STATE NZIP Ss0S7
1969FAX # So7-G63- 724 (o
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE- USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - 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 x 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 0 46 Windows/Doors
34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation v Occupancy izi--t64 MC/ES System
Census Code ? Zoning City Water
SAC Units r T9 f Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
TypeofConst Iljjl Width
REQUIRED INSPECTIONS
_ Fnotings (new bldg) FinaUC.O.
_ Footings(deck) V FinaUNo C.O.
_ Footings (addition) 7`
_
plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Au/Gas Tests Final
Framing Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
Y Insulation
T _ Retaining Wall
Approved By TL.. , Building Inspector
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
0 0,91'L? P&Zr?'`B'S
Trl,?:
61 VV ?
j 0_-. I n
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001072
07/16/92
SITE ADDRESS:
1739 HICKORY HILL
LOT: 3 BLOCK: 4
WOODGATE 2N0
DESCRIPTION:
Builiiing
' Bu3lding
Building
' Building
, ?-
Permit Type qECK
Work Type NEW
Length 16
Width 12
?
_ ?\??1j
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - Applicant -
RHERN WILLIAM
1739 HIGKpRY HILL
EAGAN MN 55122
(612)681-9315
I hereby acknowledge that I have read this application and etate that the
information is carrect and agree to comply with all applicabYe State of Mn.
Statutes and City of Eagan Ordinances.
L ?If?
APPLICANT/PERMITEE SIGWMLIQE?
?-?
'' k? I n', 'q
ISSUED EIY SI NAT E
Control No. 0814
IN5PECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
Control No. 0814
BUILDING
001072
07/16/92
SITEADDRESS: LoT: 3
1739 HICKORY HILL
WOODGATE 2N0
PERMIT SUBTYPE:
DECK
F
L
BLocK: a APPLICANT:
AHERN WILLIAM
(612) 681-9315
TYPE OF WORK:
NEW
?: t , • i, , •,, , ,
. ?' ? ' I i ' ' •?
,
PERMIT;Y x
REACTIVATE _ loq.2
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
?UA M
APPLICATION
OUL 13 RftiT
crA?.c, q - IS
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, i set af
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of mortth in which re uest is made or lot chan e is re uested once ermit is issued.
Date 7 / g /A Valuation of work ` 67IL38
Site Address: ?739 ??ck o-
4 W(t -76*tbr?
1
STREET SUI1E N
ICncllY 1\YIIIC: ;cOTIIIaCPCial G111y%
IAT SLOCK SUBD. 'Z P.I.D. k
Descri tion of work: ?
The applicant is: 12(Owner O Contractor ? Other (Describe)
Name A6 c..s 1..1?11„y,,,,, 4 (-« ) Phone W1 ,q3I5r
_
Property LASt FIRST ?
Owner pddress I 7 32 I-I; Ckorv NJ1
, STREET ? STE N
City rA9d--? $tdt@ ZlP4E??
Company DV Phone _
Contractor Address License # Exp.
City State Zip
Company ? Phone
Architect/
Engineer Name Registration IY
Address
City State Zip
Sewer 6 water licensed plumber Processing time for
sewer 8 water permits is two days once rea as een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si
f A
li
6??`???
?
gnature o
pp
cant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
11 02 SF Dwg.
? 03 SF Addition
? 04 SF Parch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
11 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
,
An!S ,.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Firep7ace
R 15 Deck
s r
.
O lb Basement Finish
O 17 Swim Pool
? 18,Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneaus
? 35 Tenant Iinish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Z,)ning
of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Yallboard
? Framing
? Draintile
?
? Insulation
? Fireplace
Permit fee
Surcharge
? tar, Reviae
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRY Required
Sq. Ft, total Booster PumP
footpr9nt Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code •
Building Assessments
Yariance
El Footing
O Final
Yaluat im:
SAC %
SAC Units
, . ?S,Sa
-I,crDA 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ? I ? I 05
Site Street Address n 3q C"doV7.1 ???? -ry Unit#
Property Owner L?? wDl-d;? Telephone # (tp51) L{ ??U -9 75?
Contractor WI?'?S Y1vM?IJNDI HNNrL?P(1(1?^(??.- h'???dtil ,- Telephone# (? ) a'?'??fNLI
--.
?
Address City -5?L State \k1- Zip r15101
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If You are installina onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 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
$ I 5,'?
7otal
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with tprto
the event a plan is required to be reviewed and approved.
- J ? .,UL 2920
15
J?
ApplicanYs Printed Name ApplicanYs Signature
By- -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1739 Hickory Hill
Lot: 3 Block: 4 Addition: Woodgate 2nd
PID:10- 84601 - 030 -04
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
Matthew R Wendt
1739 Hickory Hill
Eagan MN 55122
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA077701
05/10/2007
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107528
Date Issued:10/16/2012
Permit Category:ePermit
Site Address: 1739 Hickory Hill
Lot:003 Block: 004 Addition: Woodgate 2nd
PID:10-84601-04-030
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Meaghan Utter
1739 Hickory Hill
Eagan MN 55122--241
Great Lakes Window & Siding
14650 Glenda Dr
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132272
Date Issued:08/04/2015
Permit Category:ePermit
Site Address: 1739 Hickory Hill
Lot:003 Block: 004 Addition: Woodgate 2nd
PID:10-84601-04-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffery J Adams
1739 Hickory Hill
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166501
Date Issued:01/14/2021
Permit Category:ePermit
Site Address: 1739 Hickory Hill
Lot:003 Block: 004 Addition: Woodgate 2nd
PID:10-84601-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey J Adams
1739 Hickory Hill Dr
Eagan MN 55122
(218) 343-6136
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature