1746 Hickory Hill
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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
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____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
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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