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1746 Hickory Hill     ñ      ùÿý ÿÿþ   ÿÿþÿýþüÿ     û  ÿùúî÷ìî  ì÷ÿë ì  ÷  ýüûúùø÷óå öàöüúùø ÷öúùø÷óå öôóåøÿð öøõüæÛÿöÿ àüàîüøÿù Þ ýÝüÿöè ðøöáð  ðöÝüöðöÿûöðé ÿöóóøþÿ ö öÿð   øéàÿ ö ÿøÿ öÿÿé àÿöûðâöÿööÝüöûùÿó ÿðù ðé ÿèãïãéìéì öû  ýüö ÿöÿêÿüÿãïãéìéëì êÿüÿþé  õô ÷ óò øøÿ ÷ó÷öï öûüðöÿÜÿ ü ëë á þßíõöùõ ôýé ÿüòôìì ÿÿòôììëë çìäííììí  öûùÿó ÿ  ÿáöÿ ÿøøÿÿÿ ÿ  öðÿööÿÿöðøùó ÿÿøøÿûýÿ  òÿýÿüÿàù  ÿÿîöÿé øøÿå öðýÿüö üùýÿüö F T For Office Use Ila Permit o 11, Cif of Ear I Permit Fee: T> 2q ie -R, 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675-5675 ( I I Fax: (651) 675-5694 U l (GA G Staff: 2009 RESIDENTIAL BUILDING P7it't T JAPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: l" N Phon tC' Z57,' `''CC Address / City / Zip: 6l GL- tf' _4 Applicant is: Owner Contractor TYPE OF WORK Description of work: _ 62~0v) - Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License t~p L ,a; Address: CJ City: 1T i State: t i) Phon(3 r Z1 Contact Person: 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 the are trade secret I hereby acknowledge that this information is complete and accurate; that the work will be in conf ce 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 t start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a x &C P M "'Eg- x Applicant' Printed ame 51ica nt's e ILA; Page1 of 3 JUL 0 7 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) _ Storm Damage 4 Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION i Valuation Occupancy G- 1 MCES System Plan Review Code Edition A W 7 SAC Units (25%_ 100% z Zoning City Water Census Code Stories Booster Pump # of Units - Square Feet PRV # of Buildings - Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL ES Base Fee /y'? Surcharge ct Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 : ilat iCS)b Road PERMIT NO.: 1683 Eogon, MN 55122 DATE: Zoning: PtJD No. of Units: 1 Owneridew Ikorizon flomes Address: '?? - 3 Site Address: 1746 Fiickor flill Plumber: D1LC: Reader No.: Account Deposit _ permit Fee: 10. 1 agrce fo comply with The Villoqe of Eagan 5urcharge: Ordinonces. Misc. Charges: 11 BY Total: Date Paid: Date of Insp.: [nsp.: YILLAOE '. EAOAN SEWER SERVIf3 PERMIT 3795 Vibt Knob Rood PERMIT NO.: Eogon, MN 55122 DATE: Zoning: Ptit) No. of IJni[s: Owner: -SSmv Iin zn ti m Address: Site Address: -- 1746 ti; rY? ,j II' I 1 Plumber: I ograe ro eomply wifh eha Villoga of Eagan Cannection Chaz 400 00 nd Ordinanus. . ge: Account De posit: Permit Fee: 10.00 Surcharge: - 50 L) BY: Misa Chargee: Date of Insp.: Total: Inap.: Date Paid: , CITY of EAGAN n?? 3506 BUILDING PERMIT ........... 3795 Piloi Knob Road Owau ...... `?]i/, . ?.t' z ....... c..?r.n ..- . ... .............'.......... . . Eagan, Minnesota 55122 Addreu (Preseni) ....---_??`.'.'.:_.454•8100 ................. ......... -..I. Builder ..........................._....-:-'_....._..............._'-....'-"_'-°°........._...... Addrau . ................... .... ........................................................................................ DESCRIPTION 8lorie To Be Ussd Fos Fsoni -- Dopth Haigh! Esl. Cot! srmi! Fea Aemasks yy ? ? ? I ?° IS? d! °" asi•so . 17?G ?r.,?or ? ?/? // LOCATION / b'a 5;.r6 / - ??-?-?- I S I-3 I?,??.-?? This parmif doea not aulhorize the use of slreels, roads, alleys or sidewalka nos does it give the owner or hie agsn! the right fo creafe anp sifuaiion which is a nuisanea or which preeenfa a hasard !o the health, ssfelp, convenionn and yeneral welfare !o aayone in the eommunity. THIS PEAMIT MUST BE KEPT OiNL, THE PAEMISE WHILE THE WOAK IS IN PROGAESS. This b Yo eeriity. lhat.:.`.-?°,::?..1?.'...".::.......... hae parmieaion !o eree! .. --.^? ..... .... ?. . .............._upon 7 . . the above described premise subfeei fo the provisions of all appliaable Ordinances for the Cilp of $a 'n. ...................... ..N'•.S."" "-'-....." ........................ Per ........... ...-------..........-t-<-.."-??--- - -....."' .............................. May ? HuSldiny Impaeior 19 t _ . _ ___ _ • __ _ .. ? - ------- - --- - - - - , . ..w :..?,,.? - - -- > s-,j 2v 6'- CITY OF EAGAN 3795 Yilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 641_ The City of Eagan hereby grants to o£ lOQ, v??..??aa AvA. c•?..:r- p _-4W2y? Permit for: (Owner) atau Hntl:aw ttomea --_- 1754-1739 174 Hickory Hill and, 1730 Walnut Lane artd a'._ 1739 W ya, purauant to application dated Fee rairl: _$i?op dated this -jgj,h_ day of Re_? 19?? 2.50 s/c Building Inspector N,chenieal Pcrmii,s: Ei:d 1',tal: i? b , 45-- 3 1 4) (2) z- CITY OF EAGAPd 3795 Pilot Knob Road Eagan, Minnesota 55122 FF.RMIIT NO.: 543 'lie City of Ea.gan hereby grants to Thampson Plwnbing o- 12201 Minnetonka Filvd. btinnetonka, 55343 a Plumbing Permit for: (Owrier) New [torizon Hames Woodqate II '3 Pe ts at _ SEE nTTACHED LISTZNG ? pursuant to apFlication dated 1/21/75 Fee P4id: $460. 00 dai;ed this ZZnd day of JanuaTy , 19 75 11.50 s/c Bu;ldlng Inspector M,cLsiical Per.mits: Elid Total: .. , Thompson Plumhina - P"ing Perntits ttickory Fiill 1735 1737 1739 1741 1743 1745 1747 1749 1751 1734 1739 1742 1744 1746 1748 1750 1752 1754 Walnut Lane 1736 1730 1•7alnut Circle 1708 1718 ? t i ? I, CITY OF EAGAN Remarks Addition Lot 5 Blk 3 Parcel Owner • Street 1746 HiCkol^Y Hill State Fagan ? MN 55122 Improvement Date Amount Annuat Years Payment Receipt Date STREET SUR F. STREET RESTOR. 197 GRADING ? SAN SEW TRUNK .i' 1974 114.72 * SEWER LATERAL rh 197 WATERMAIN * WATERLATERAL 1976 * WATER AREA 197 * STORM 5EW TRK 1976 * STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140.001 BUILDING PER. SAC PARK ----------------, ? For Office Use I ? Permit I ? I Permit Fee. ? Date Peceived, ? I ? ? StaK: ? L________________' 2008 MECHANICAL PERMIT APPLICATION Date: oC Site Address: 1 7 ? 1,x l / 7enant: ?c( Scl~' L. ti Sk Suiie#: /,J/ f 1l-r RESIDENT / OWNER Name: Phone: Address 7 City / Zip: ' CONTRACTOR ense Name: Address: / 4 "if _0 ? 5 3?b1 ? .2 Zip: State: ye City: ( o I/ ..- \, ` Phone: Contact Person: TYPE OF WORK - New ?Replacement _ Additional _ Alteration _ Demolition Description of work: Y NOTE:'Both roof mounted and ground mounted mechanical equlpment is required ro be screened by City Code. Please contact the Mechanical Inspector or one of the Planners ?or information on ermitted screenin methods. ' RESIDENTIAL COMMEACIAL PERMIT TYPE ?/ /? Fumace _ New Construction _ Interior Improvement Au Conditioner _ Install Piping _ Processed _ Air Ezchanger _ Gas _ EMerior HVAC Unii ' HVAC units must be screened _ Heat Pump • Under ! Above ground Tank L Inslall /_ Remove) Other " When installing/removing tank(s), call for inspection 6y Fire Marshal and Plumbin Ins ector RESIDEIYTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fife fep8lf (replace burned oUt apphances, duclwork, etc.) (inCludes $.50 StBte SUrCharge) $ TOTAL FEE COMMERClAL FEES: $70.50 Underground tank installatioNremoval OR Contract Value $ ¦ 7% $50.50 Minimum (includes State Surcharge) - $ Permit Fee - tl PermR Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharqe increases 6y $.50 for each =$ State SurCharge $1,000 PermR Fee (i.e, a$7,001-$2,000 Pertntl Fee requires a$1.00 sumharge). $ TOTALFEE I hereby acknowledge Ihat this informa[ion is compiete and accurate; that !he Work vnll 6e in conformance with ihe pr inances and codes af the Qty oi Eagan: that I understand this is not a permit, but only an apphcation for a permit, and vrork is not to start an[hout a permd, lhat fi work will be in accoMance wilh the approved pian in Ihe case oi work which reqwres a review and approval of plans. / x? x c/! Applicant's Printed Name ApplicanYs Si ture FOR OFFICE USE Reviewed By: Date: Required Inspeaions: Under Ground Rough In Air Test Gas Service Test (n-floor Heat Final          íÿ ý ü û þýý   üúüú     ùýý ïÿéõîé  òü â    ÿþ þýõ  úùø÷öõòêþé þþ ù÷öõ ò ÷öõôõ  þ õ þùþ ìùõ ö ïü úîù í á ö þ  ý ã úà úê  ûáàâ ã   þíåå èè  ôù  úù  ü þæ ù ååèãèâã æ ù è  óòí õ ñð õõ  òêò ä øùë  Ü þùþ ââ  ñ öñ àúè ùáàãý ü áàââ ßÞ  øö êü    þ õõ  þ  ó ë þ   ü ëõöê  õõ øú  óáþ ú ùþ öóý ü ì  þè õõ é ëúü ù þþùöúü ù  ____Use_B_L_UE or BLACK Ink For Office Use I ' tll5~ ' I MY of Eap I Permit q `A UJ 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 1 Date Received: I I Fax: (651) 675-5694 Staff: j - - - - - - - - - - - - - - - J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: 1-74 [ G ),Lor.i IA,kk b f- Tenant: 0. s n n L j Is Suite Resident/Owner Name: S 6-S r3 n %-,-j S k- Phone: 55L( Z Address/ City/Zip: 1~• .1 1 ~s I i Z Name: 1C~S t~~,-~. \ )N cc.,._ . ~c s Lltense#: Contractor Address: If515 cz_ Lit s r 51- S, j .'t e_ City: M moo I. S State: 01Z Zip: 5 5 4c) '7 Phone: f 2_7 2- kt Contact: A n-L tL Email: n r, n~ . IGo l nc Q ~N r.~ It to New^ Replacement Additional Alteration Demolition Type of Work Description of work: ~c__ C~ IL_ 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 _ L =umace New Construction Interior Improvement Permit Type -)(Air Conditioner Gt~M~ f Install Piping Processed Air Exchanger 2 ~i~3f3'3~~ Gas Exterior HVAC Unit Heat Pump 2'b Tu ^ Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) p b $100.00 Residential New (includes $5.00 State Surcharge) = $ 60 TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE I he eby acknowledge that this information is complete and accurate; that the work will be in nformance with he o di ances 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 no o start witho ~a erm' ; tfiat the work will be in accordance with the approved plan in the cas of work which requires a review and approval of plans. P t X ~c 1 n x Applicant's Printed Name Applica t' Signatu e FOR OFP4CE USE Required Inspections: Reviewed By: Date: _ Underground Rough In, Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA122397 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 1746 Hickory Hill Lot:005 Block: 003 Addition: Woodgate 2nd PID:10-84601-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Jason Berrey 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 - Jason P Lusk 1746 Hickory Hill Eagan MN 55122 (651) 329-2423 Northern Exteriors Minnesota Inc 6677 Timber Ridge Lane South Cottage Grove MN 55016 (651) 230-5103 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126082 Date Issued:08/13/2014 Permit Category:ePermit Site Address: 1746 Hickory Hill Lot:005 Block: 003 Addition: Woodgate 2nd PID:10-84601-03-050 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. Samantha Doble 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jason P Lusk 1746 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 Lin k Use I For Office I lligq-r t,. t Permit#: J ' /?c Permit Fee: 4 i RE"'"--"'-rl Date Received: /77- r 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ' I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 1 Staff: 1 buildinginspecti ns citvofeactan.com MAY 1 7 20iti 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 05/16/2008 1746 Hickory Hill Drive, Eagan, MN 55122 Date: Site Address: Unit#: Jason Lusk Phone: 651-329-2423 FName:: Resident/ 1746 Hickory Hill Drive/ Eagan / 55122 OWner Address/City/Zip: ) Applicant is: XContractor Owner _ . -_ .....___ ._ u�� .� .�w_� . ."_. ��....�� Bathroom remodel Type of VV xrk Description of work: Construction Cost: $10,000 Multi-Family Building: (Yes /No X ) t Company: Contact: ContractorAddress: City: I State: Zip: Phone: Email: 3 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why, 1 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: NOT Pi ns andsupporttrrg documents that-you submit areconsideredio be public fnformaltoIL—Poi-hens of the information maybe 1 ctassltted as non pubttc rf,you provide specific reasons that would permit,the City to conclude that they are trade secrets r 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.citvofeactan.pomtsubacribe. 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. CALM..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. 4wm,aobherstateonecalt,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 "s not o 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 •ns. XJason Lusk x .alias i . Applicant's Printed Name sp.lIca, a ,tura DO NOT WRITE BELOW THIS LINE 7 l�tc6d� N;1f Vr-3-- F SUB TYPES Foundation _ Fireplace — Porch (3-Season) ^ Exterior Alteration(Single Family) Single Family _ Garage — Porch (4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch (Screen/Gazebo/Pergola) Miscellaneous ___ 01 of i Plex Lower Level Pool _ Accessory Building WORK TYPES New _ Interior Improvement — Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation I Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation C' Occupancy It / MCES System Plan Review Code Edition .=10' ISAC Units (25%_100% ) ZoningCity Water Census Code Stories _ Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1(6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests _Final 7 Framing /c 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final _ Siding: _Stucco Lath _Stone Lath Brick____EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i 2J , Building Inspector RESIDENTIAL FEES Base Fee 6 ell Surcharge Plan Review w (36)**7 MCES SAC VJ IA 1 City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant 1 "o 1 01/4) Copies ' 3 TOTAL li 1 f' ' Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA149758 Date Issued:06/07/2018 Permit Category:ePermit Site Address: 1746 Hickory Hill Lot:005 Block: 003 Addition: Woodgate 2nd PID:10-84601-03-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jason P Lusk 1746 Hickory Hill Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature i For Office Use E .ti 1%, it t i * GAN Permit:ee ' o I Permit : I l Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buitdinginspections citytfeagan.com 1------------ ---- 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 07/3 1/2018 Site Address: 1746 Hickory Hill Drive Tenant: Jason & Krissa Lusk suite#: Resident/Owner Name: Jason & Krissa Lusk Phone: 651-329-2423 Address/city/zip: 1746 Hickory Hill Drive, Eagan, 55122 Name: N/A License#: N/A Contractor Address: N/A City: N/A N/A Phone: N/A State: N/A Zip: Contact: N/A Email: N/A Type of Work —New ✓ Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work; Installation of new tub requires new plumbing/drain RESIDENTIAL Water Heater Lawn Irrigation(_RPZ/___ PVB) Water Softener Permit Type X Add Plumbing Fixtures(✓ Main/_Lower Level) Septic System New Water Turnaround __ Abandonment � RESIDENTIAL FEES:_ ,�,�. $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround* (includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) 60.00 $115.00 Septic System'New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU Did. Calc Gopher StateOneCall at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,+o:herstateonecell.o 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.clt ofeanan;comisubscribe. 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 i not 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 pia° xJason Lusk .A Applicant's Printed Name A. • is Sig at re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174328 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 1746 Hickory Hill Lot:005 Block: 003 Addition: Woodgate 2nd PID:10-84601-03-050 Use: Description: Sub Type:Fixtures Work Type:Alteration Description: 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Jason P & Krissa A Lusk 1746 Hickory Hill Dr Eagan MN 55121 Spring Plumbing LLC 8220 Ravenrock Road Rockford MN 55373 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature