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1749 Hickory HillVILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Filot Knob Rood PERMIT NO.: 1677 Eogan, MN 55127 DA'TE: Zoning: PUU No. of Units: - Owner: Address Site Adc PlumberT1"1mF'snn P1llNb2i49 ro Meter No.c? Connection Charge: 140.00 pd Size: Account Deposit Reader No.:':::?.?e`Z Z,/ rPermit Fee: i0.00 *J 1 agree fo comply with fhe Village qF?e-yan Surchazge: '50 ''w ? Ordinonces. Misc Charges;G& Total: '` ' gy DatePaid: Date uf Insp.: Insp.. YILLAOE OF EA04N SEWER SERVICE PERMIT 3795 Vih•.KnRfi Road PERMIT NO.: 2437 Eagan, MN $5112 DATE: Zoning: _ Pnn No, of Units: Owner:- Ncw unriv n.1 rtnmoc FIOOC te II Address: Site Address: 1749 v;,.k o+-y Hill Plumber: mhnrcn,onon P7unbinq Co I oq.N te eomply with elr Villayo ef Eayon Connection Chazge: 400.00 pd Ordinonen. Account Deposit: Permit Fee: ?? ? Surchazge: BY: Misc. Chazges: Date of Insp.; Total: ' Inep.: Date Paid: CITY of EAGAN BUILDING PERMIT Ownar .... . . Rc_?' .._.Tr.°? `.... /.........."`..... ................. .. ... Addsasa (Pzasanf) ........ ................ Butldas ........ Addran ...... DESCRIPTION N° 3506 3795 Piloi Knob Road Eagan, Minnesofa 55122 454-910D DaL ......... '.!.... 2.` .................. 5loxis To Se Usad For Fron! Dapfh Heigh! Eat. Coc! Permi2 Fee Remuks ? I `? 'Y 7 ?se? 17119 /di??rea ? ,?%/_ LOCATION i,117'° / - or ?.1 ,.4 fi<<- <- This permit doas aot aufhorise the use of siseels, raads. alleys or sidewalks nar does it give !he ownez or hia agenf the righ! !o ereale any siSualion whieh is a rtuisance or whieh presenis a hezard 20 the heelih, safeip, convaniancs and general welfare to anyone in the eommunifp. - TH15 PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN YAOGRESS. ThG ie io ceriify. ------- heapermission !o erec3 .................. _upon the above desaribed premise subjecf !o ihe provisions of all applica63e Ordinanaes for the Cify of $a? .• ....................... /:.Q< ...................... _ -h?--- ---..5l .:.......... ...._-- --------""._....___". Per ? ?'--?'-?.?? ._....................................... "' .............................. May ? Bulldinq Impaetor ? t CITY OF EAGaN 3795 Pilot Knob P,oad Eagan, Alinnesota 55122 PERNffT NO>: 633 The City of Eagan hereby grants to Geo Sedgwick Htg. & 9ir Cond. Co. of 1001 Xenia Avenue So. Mpls. ?! a Heating/Refrig, permit for: (Owner) 17e5-r Fiorizon iianes a? 171t9 ?ckory Hill , pursuant to application dated 1•24/75 Fee Paid: 20.00 dated this 28th day of rebruar.7 ? 19 75 0 Building Inspector Mechanical Permits: Bi:: Tota.l: czTr cF EacAra 3795 Pilot Knob Road Eagan, Minnesota 55122 FERMIT NO.: 543 The City of Eagan hereby grants to Thompson Plumbing _ of 12201 Minnetonka IIlvd. tiinnetonka, 55343 a Pl?)ing Permit for: (Owner) New Horizon Hanes Woodqate II ?-23 Pe ts at SEF: A7TACHED LISTING , pu,rsuant to application dated 1/21/75 Fee Paid: $460. 00 dai;ed this 22nd day of Januax'Y , 19 75 11.50 s/c Bul'lding Iaspeetor N:?cY:ei:ical Pe.rmits: Pid Tota1: Thompson Plurnbing - Plumbing Pexmits Eiickory Hill 1735 1737 1739 1741 1743 1745 1747 1749 1751 1734 1739 1742 1744 1746 1748 1750 1752 1754 Walnut L,ane 1736 1730 ?°7ulnut Circle 1708 1718 CITY OF EAGAN Remarks aadition . Wood ate 2nd Lot 8 eik 4 Parcel A0 846ol =fta?l Owner 4' 14L WILL '' Street 1749 H3ckory Hill State Eagan,MN 55122 Improvement D Amount Annual Years Payment Receipt Date STREETSURF. ?533 .11 1.02 5 Paid STREET ?)j 1031?.7s 1022.90 3 Paid GRADING SAN SEW TRUNK ?%? 99- 2 6.63 15 P?d .?. SEWER LATERAL 513 6 .71 1022.90 3 Paid WATERMAIN 3? WATER LATERAL 3 3; WATER AREA 197 3 # STORM SEW TRK 1976 3 * STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140.00 12574 12„31-74 BUILDING PER. sac 00.00 12574 2- - PARK --For---Office-Use------------ ? I I I Clty of Eapn I Permit # j I Permit Fee. -/d ?Z? ? 3830 Pilot Knob Road Eagan MN 55122 i oate ceived: Phone: (651) 675-5675 Fax: (651) 675-5694 ? Staff J 2008 RESIDENTIAL BUILDING PERMIT APPLIC W IQ1N 3 1 ZaoB 1< < ,+. Date:.'l \L 7. `?$ Site Address: 13 Tenant: RESIDENT / OWNER Name ? ?m ` ' ?1 l Phone: ) G5kA7_y4'b Q 7N ? 1 Address / City / Zip:? ApplicanT is _ Owner V Contrac[or TYPE OF WORK Descriptian of work:L??-I?-V Construction Cost: Multi-Family Building: (Yes No V-) CONTRACTOR Name: License #: 7j w1 Address: City: MD 1 a State:mn Zip: 'fi_rnJt Ph t t P 1' bA? L?I 1 , ' C rN one: on ac erson: i ) - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category i Worksheet • New Energy Code Worksheei CffiEgOry SubmiUed Submitted (4 BUbmiSSfOn typ¢) • Energy Envelope Calculations Submitted In the last 12 moMhs, has the City of Eagan issued a pertnit for a similar plan 6ased on a master pian? _Yes No If yes, date and address of master plan: Licensed Plumqer: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informaflon. Portions of the information may be classified as non-public if you provide speciiic reasons that would permif the City to conclude that the are trade sec+sis. I hereby acknowledge [hat this intormation is complete and accurate; that the work will be in conforcnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an apphcation for a permit, and work is not to slart without a permil; that the work will 6e in accordance with the approved plan in the case ot work which requires a review and approval ot plans. xV?j s?z v -'MITL X ?)% . ?? ;A?1??h Applica Ys Printed N uie Applica 's Slgnature Page 1 of 3 I For 01111ce Us I + s~~ City of Eajan I PermitM )CY. 2z I I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: L-_____-.___-------I 2009MECHANICAL PERMIT APPLICATION Date: (Q-1-cm Site Address: ~9 r y- Tenant: Suite RESIDENT I OWNER Name: J f YI Phone: Address / City / Zip: «O , \r-- CONTRACTOR Name: ' License Address: t City: 2um~A1 All m State:mj Zip: Phone -10- 10 p Contact Person: lb-n 1 TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ~VrnLLL o 4(- NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under/ Above ground Tank L- Install I _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installationlremoval OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If P rmi Fee is less than $1,000, surcharge is $.50. If P rmi Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes or the City of Eagan: that r 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. x X App ca is Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In Air Test -Gas Service Test -in-floor Heat -Final _ Exterior HVAC Screening Inspection N Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - r (a t- I for Office Use Permit / ~r I City of Ea Rd~w Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 'q...7 Date: Site Address: Unit I Name: Sever j Phone: RESIDENT OWNER Address/ City/ Zip: j ~f ~r C a ; ~`l 2 Applicant is: Owner Contractor L_ 4;rl TYPE OF WORK Description of work: ge'"Oo4 3 7 j G i Construction Cost: lf, Multi-Family Building: (Yes / No Company: Contacko i CONTRACTOR Address: _ PC) AC C6!5- City: ~~,eo .f D 2 C~ ` State: Zip: Phone: 7 License #:~~,)47 0/ l Lead Certificate #:IVA T- g7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i Ce e 241~ COMPLETE THIS AREA ONLY IF CONS UCTING 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: 1 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stat ing e s be completed within 180 days of permit issuance. K, x ~ ! of -4, x Applicant's Printed Name licant Page 1 of 3 y ~ ~1 C2 ,~(DO`~ WiR(IT BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family arage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi ~eck - 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 Iteration _ Fire Repair _ Windows Demolish Foundation Replace - Repair - Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System ~i Plan Review Code Edition . / II?t 67 ? SAC Units (25%-100%-) 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) j~ Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 JFinal Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review x MCES SAC City SAC > 14- 0 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 pow ? mac, IP 6~ 46 AOr e 06 wd1~'e 91 AIL Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - Adhhh- I For Office Use j~ L~ I Permit V ! 4T"' City of Ea /0 Ed ;hermit Fee: 3830 Pilot-Knob Road f Eagan MN 55122 - ; Date Received: KJ ~I " jZ Phone: (651) 675-5675 I /7 Fax: (651) 675-5694 I Staff: I I Q~ 012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U Site Address: l V q 1 ((5 y P_ Unit (~Lr~7 d1~C~ i I ,Q ' Phone: Name: lp 5~ s`(- 73 dr RESIDENT I r az OWNER Address / City / Zip:/ 7 "t T( ac ° ~15 ~a f ,q 14 I~ IJ 6s Applicant is: Owner Contractor "Cx TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No 4 Company: 9,9, C ~~L7~1~-yF~ S 7 %MOJg(j SContact: C. (fli &b,J i CONTRACTOR Address: I'V I/ ~PJ 5 City: 0~7GZ State: Zip: 'J J ~6 Phone: 7/0 `mil 3 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. X l .l~ l7 ~L' x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA108165 Date Issued:11/20/2012 Permit Category:ePermit Site Address: 1749 Hickory Hill Lot:008 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-080 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 - JEROME TSTES A PIHLAJA 1749 Hickory Hill Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117697 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1749 Hickory Hill Lot:008 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-080 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 . Alex Shikhlinski 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 - Jerome Tstes A Pihlaja 1749 Hickory Hill Eagan MN 55122 Delta Construction Inc 11299 Harness Draw Woodbury MN 55129 (651) 691-5021 Applicant/Permitee: Signature Issued By: Signature Gity otBtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 2 2 2014 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: /171 2014 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: / -/� Site Address: /719 //.6,45 moiI/ -J✓C. Unit#: Resident/ owner Name: \364,101. e.70,4 , 1 4i /:./1/1).4- Phone: & 5 / - s'/ - 7361 /7 4 A / //'// ve. .E7 Aki ,(/ SS/v7c - Address / City / Zip:_ �i�®� Applicant is: Owner Contractor Type of Work 7, 2 AZettialVAJS Description of work: 5i4// 'r 7 Construction Cost: ,1-5496' ' Multi -Family Building: (Yes / No/ ) Contractor Contact: X /✓ A f Company: �v1 ./g /��,5p nie' vie, A'`' 4/h Address: 077 ds /0.7 5 City: /fir/�ld'''�'� State; Xi/ Zip: 53Y0 49- Phone: ez - ® 25-- /425"--/ License #: ffee.)67‘ 1 -ire Lead Certificate #; /YET -5-8,:,13/-/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are cons dered fir be public r the information may be classified as non-public if you provide sp+eciffc reasons `thalt bald conclude that they are trade sr cl s. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. Applicants Printed Name 1 icant's Signature Page 1 of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cUWWM53&3W3!M73W5 G--'C3//*.&1 :-A$L,AG9&4&",/9(&*&b,#-,)*&U6cU!M53&V33!MX!V5 b,#-,)* &&6`333M33 "(%*21HLAIAA' #(,%.*F%(.1JK,-.1 4&&'>>#)$,*&&4 B9,AL&'*(&BF9&<9$L*#G)9/\[9AF9&</9/&'&0)L#,d, XK33&EM&R,)AY)9Q&'Y9!K7V&B)$%A=&B)## ?/9Y)##9&CE&&55!!6Z,G,*&CE&&55!XX HI5!J&I6W4663V 1&L9A9;=&,$%*Q#9(G9&L,&1&L,Y9&A9,(&L)/&,>>#)$,)*&,*(&/,9&L,&L9&)*.AF,)*&)/&$AA9$&,*(&,GA99&&$F>#=&Q)L&,##&,>>#)$,;#9&:,9& .&C)**9/,&:,-9/&,*(&N)=&.&Z,G,*&+A()*,*$9/M '>>#)$,*T09AF)99 &:)G*,-A91//-9(&"= &:)G*,-A9 as ` k-30-5 l U5 Use BLUE or BLACK Ink 1 For Office Use'-i 1 s fn I ::::ee: 141 (Q nCityOl Eaall IS /v� 3830 Pilot Knob Road Eagan MN 55122 MAR 2 2 2017 Date Received: 3-da-/7 Phone: (651) 675-5675 Fax: (651)675-5694 Staff:_____________t_ J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -3-\--1—\---/ Site Address: \-- �� t� �.t\\. 0 r Unit#: —I--Name:,—yo Cv\`(1e \ ----\(...)(4, \ V‘ \\VA`-\.C.:-\ Phone: loS1'14S4--136 Resident/ Owner Address/City/Zip: \--)k-Aq 4 c..Xcxi \.\\ Oc r.,,,, Wit.c\ m r, Ss\ata Applicant is: Owner _Contractor T e Of Work .f Description of work: MOUE) U'(1c\ c Oct c � \,.>, UUwS \c,‘5.0 Sci c e Yp recti h c>p��'tn Construction Cost: LI)QU Multi-Family Building: (Yes /No ) ------------- --- Company:fpocr1ne'\ V_u-\e C t UCS Contact: A i-3� R,c.1l,SU n Contractor Address: fsU\1 i ccs\�.A sue c") City: f-,\.0t t O� State:vR n Zip: 6SI d 0 Phone9l- k. Email:,11Ap c›�m \ cJ 4hcil A : Co License#: ( f-)U(„ Lead Certificate#: If the project is exempt from lead certification, please explain why: . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL a,_....,._ DING 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: a Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you�submit are considered to be public information, Portions of the.information may be classified as d q&public if you,provide specific reasons that would permit the City to, • c4 Nude that they are,trade secrets. , CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x t l � A-6-)0.\-\ (,y x Applicant's Printed Name Applic is atur Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA166823 Date Issued:02/08/2021 Permit Category:ePermit Site Address: 1749 Hickory Hill Lot:008 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-080 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 - Jerome A & Joan M Tstes Pihlaja 1749 Hickory Hill Dr Eagan MN 55122--241 (651) 454-7301 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature