1761 Hickory HillCITY OF EAGAN
Lot 15 Blk
1761
Improvement Date Am; nt Annual Years Payment Receipt Date
STREET SURF. j 1974 8.52 1.70 P21d
STREETRESTOR. 1 W 103 •7 344.92 3 paid
GRADING
SAN SEW TRUNK ?L f 197 1.72 7. P3id
iESEWER LATEFAL ? 197 3 .7 1022.90 aid
WATERMAIN
iEWATER LATERAL 1976 3
3£WATER AftEA 197 3
3£STORM SEW TRK 197 3
iSTORM SEW LAT 197 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ? Q.QQ 31 - 3-7
13UILDING PER. 316
'
SAC .OO ? ;
PAR K 12U.00
-
? I
I CITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: , ,, , ,
;..I !11kF.o,;v 111,11
trhif",is I 1 , Pdli
1.!, fi t; i 1 r :
PERMIT TYPE:
Permit Number:
Date Issued:
17.p- i O
41.?>?,. 1
PERMIT SIfBTYPE:
A 1 i`. I Nh 1; 1!N', 1 1 Nr-
!
TYPE OF 1NORK:
(??.'!t ?? f 1' I lllfJ + I.'??Hf I ld'li )
INSPECTION •A • D•
,._ . _
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.: . . . .: ,-. .? .
, , , . ..- ,.
. . _ . , ? - . . . _ . . _ . . _ .. ? . .. >>? ?". _? ? ,.?..,..re•m.?? ? ' -
I 'i
Permit No. Pertnit Holder Date Telaphone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp, Comments
FOOTINGS
FOUND
FRAMING
ROaFltJG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7ING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR 7EST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ? for-
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
YIlLAOE aF EA6AN
3795 Yiloe Kno6 Rood
Eogon, MN 55122
Zoning: PUD
Owner: NPw }TOr
Addrees:
Site Address: I 75.1 Hi
Plumber: om_pSo
WATER SERVICE PERMIT?
PERMI"1' NO.: 1761
DATF: 6/19/75
No. of Units:
Meter o.r? cv[ ] v L! Connection Charge:],QO 00 pd-
Size Account Deposit:
Reader No.:
Permit Fee: ?
10.00 ?i
1 agree t comply wifh the Villoge of Eagan Surchazge; • 50 ?.
OrdiR?.? Misc Charges: h - ???_.
Tolal: V 1O i
By Date Paid:
Date of Insp.: Insp
YILLAOE OF EAOAN SEWER SERVICE PERMIT
379a'PibeKeobRood PERMITNO.; 2522
Feqan, MN 55177 DATE: 6/19/75
Zoning: pIiD No. of Un1te:
Owner: New Ftorizon Homes - Woodcrate II
Addrees:
Site Addreee: 1761 Wickorv [Iill
Plumber: Tliomoson Plumbinq Co.
1 eOrw ro eemyly wMh eM Vllk" ef Eagan Connection Charge: 425_ 00 2d
O.dinonen. , Account Deposit:
Permlt Fee: 10. 00 JW pd
Surcherge: • 50 410 pd
By: MLec. Chargee:
Date of Inep.: Tatal:
Inep.: Date Paid:
.
CITY of EAGAN
BUILDINO PERMIT
..... 7...?.?.^...'./.?Yy.?........... -??1? --?: -....J.........
(Drepnt) ...?.:L.?.?.1.....f ......................._........_.. ? .
..
N?
3795 Pi1of 8nob Road
Eagen, Minneeota SSISR
454-8100
?
3603
r---
Dale ....4.u...-3. 7.F--
. . .........................
70b I/ '), '47 ?
LOCA?I01P ? o .So
8lroaL oad or othsr Dxcdpilon ot xa!!ox I o! Bloek Addilton or I7ae!
/ S
I .o.-e.c i°
This smlt doea not authorue the uae of slrseh, roads, alloya or ddewalts nos doa i! give the owaes or 64 apent
the ri !!o create anp altuatloa whic6 L a auLsnu os, which p:sseab a hasesd !o fba bedth, uiolp, eenrealeap eed
poaes walfese !o mpoae in the eommuaifp.
THffi EAbtIT MOST SE KEPT ON THE PAEMISE NIHILE THE WORK IS IN PAOGRE88.
Thls fo wrtltp. lhst.? .... .......... ..........................hasposmLslen !o erac1 ..... ..........? ..?:t::°?....... ___n0°°
the va deacrtbed yzemise su6jecf !0 2h oviaa4oaa of atl npplieable Ordinanees fox the Ciip ol agan. ? -
?
, ? r . ?n d? .a
?,.?
1`? .... Per .........:............... i:!?"`r.__.._......._..------? -
_ ........ .------ •?---........... ....` ...... .... .......•••....
1 - ......_...._•._.........
MaYar ? SvlldlnQ I,psp?eter
?
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD V-,Z2 z3v
?/>? /J?'- ?O
ADDRESS '_"1-' CITY LtJG.-?7
OCCUPAMT
HEAT LOSS
SOLD BY _
DATE HTG. INST.
OWNER -
INSTALLED BY
Electrical Work By Gas Line 6y 17 vl
TYPE OF HEAT GA_ FA_ HW_ STEAM_SPACE HTR._UNIT HTR._OTHER_
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model G??O.S''IJL Model
Serial Max. BTU Rating -
INPUT /0-5 MAKE OF FURNACE
Model
CONTROLS
THERMOSTATr?7` Heat Plug
Valve /7/-
Limit GM
Limit Setting 61d-
Fan nSetting 1o- / 3 $
Te -
Pilot Type
Pilot Make
.?
Vent Size s ?
KIND OF LINE,R SIZE NONE
Draft Hood Regulator
Filters Size/X'?6 Number ?
Chimney Location Inside ? Outside
Chimney Construetion
Pilot Model Smoke Bom6 Wiring _?
Pilot Timing Draft ?/z, Test Tag ?
L.W. Cut Off Door Pressure Lighting Inst
?
.
Pressure Percent COZ 7? 6`3 ZIU Date Tested '-L z-7-1-
Input CFH Percent OZ 7y 9• y?' f Company Testing - •- ?"G ??
Stack Temp. Percent CO Name of Tester - ?? ? ?
Form 235
SEDGWICK HEATING & AIR CONDITIONING CO. HEariNG JOBNO.
8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
AODRESS 1'7 (o) QQ>7'ey )+' L-k- Yx
OGCUPANT
soLoBY-0(?? Mt?L
MAKE `e' vi O e
SEFIAL NO , LI C? !E' I` ' I f:T9
THERMOSTAT 0
VALVE
LIMIT
LIMIT SETTING -1
FAN SETTING : ?m ' Qd
PILO77YPE
IGNITION MODEL -' ? .? •
PILOTTIMING •
-
PRESSURE ?I ' W ?C:.
PERCENTCOz o
? h
INPUT CFH (17 in PERCENT Oz >
STACK TEMP. _SJ ?-- PERCENT CO -(?-
?1
aTV l_J<?
OWNER n ?1 v' ' -ts
e 1/
INSTALLEn av
MODEL ?s1? MPp303o7D
INPUT (ppK
??] ('
VENT SIZE ? l L 1 S)v
NPE OF LINER
LINER SIZE
FILTERS: nSIZE ?I ? N?UMBER I
WIRING?'•{? IN 1-12'211V" ?')QCp"iZ
TEST TAG
LIGHTING INST.
DATE TE57ED
`' .
2 /9
COMPANYTESTING
NAME OF TESTER
FORM235(FEV11/89) FORMOISTflIBUTION:WHRECqPY - JOBFILE YELLOWCOW-CITY
`? lp
sluz?; ?U(,fy ? ? ? ?E [I C?/ ? 0
Zoob RESIDENTIAL BUILDING rE?r nrrLicn N JqN 1 1 2047.
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsOVCtim Reouirements
3 reg'stered site surveys shoxnng sq. R of bt, sq. ft of hase; and ell mWed areas
(20%mazimum bl coverege allowed)
2 copies of pan showing beam & xnndow sizes; poured found dmign, ?c.
1 set of Energy Calculations
3 copies MTree Preserva0on Plan rf bl platled aRer 7/193
Rim Joist Delml0ptions selectlm sheet (6uildings wilh 3 a less unils)
Minnegasco mechanical ventila[ion form
RemadeVReoair Reauiremenb
2 oopies of plan shoxing fuotimgs, beams, l?s
t?l oF Enaigy Calwlations for heeled a0ditions
i sAe siuvey for additiais & dedcs
Add'ition - irMic?e ilwr-sile sepNc sysfem
? ?
2
Office Use Onlv
CmtdSurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required _ Y_ N
On-sileSepticSystem _Y _N
Date -L-/ -q--/ 6
. /f w
Constructioo Cost `t
SiteAddress & Unit/Ste #,
Description of Work
Multi-Family Bldg _ Y!?-AF Ftirepl e(s) _ 0 _ 1 _ 2
P
t
O
1 ? Telephone #(?) 10019 Q(
? Y
wner
roper
y ,
Contractor
Address CitY
State 40 Zip Telephone # ( (d?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesob Rules 7672
Enefgy COde CBtCgOry . Residential Ventiletion Category 1 Worksheet • New Energy Code Worksheel
(J submission type) Submitted Submitted
. ErreKrgy Envelope Calculations Submitted
In the lasi 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Conhactor
Sewer/Water Confractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building 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 State of MN
Statutes; [ 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.
?UIry1 i 1 NdYYIOSIM
ApplicanYs Printed Nam A icant's Signature
' DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Dedc ? 23 Porch (screen/gazebo) ? 36 Multl Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 64-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int ImprovemeM ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplBcement 'Demolltlon (Entire Bldg) • Give PCA handout to applicant
DBSCriptloO: WaterDamage_Yes
Valuation
Pian Review
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addiGOn)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
Final/No C.O.
HVAC
? O[her
Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
100% or 25°k
RECORD OF COMPLAINT
Date: 7/10/00
Type of Building: X Residential Apartment _ Other,
Name: Riley, Kelly
Address: 1761 Hickory Hills Dr
Phone number: 651-686-9038 (h) 612-483-6248 (c )
/ 1 v
Complaint: Basement flooding. Does not know where the water leakage is starting from.
Carpet damage, and possibly some wall panel damage.
Comment: LSI (Wed)
Action Taken By: Mandy Boudreau
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
70
as
w'?
4aq
New Constmclion Reqmrements
3 regrstered site surveys showing sq fl of lot, sq, fl of house; and all roofed areas RemodeUReoair Reamremenls
2 copies of plan OfficeU"seOnlv
C"ertdS,urveyRep¢
'
_Y _N
(20°h mauimum iot cwerage allowed) 1 set of Energy Calculations fw heated addihons Ti0ePr6Plan Recd
?
' _Y.?,>N
' Y
2 copies of plan showing beam 8 wmdow sizes, poured found design, etc. 1 sile survey for addtions 8 decks
t
fi
d
' €[ee:PresReqqi{ed,_ _
.
DI45i123eptia&ys?Bm`?? :
N
??.
c
ise(ofEnergyCalculations em
esep
csys
rfons
Additron - indicafe ..
_
3 copies of Tree Preservation Plan if lol platted afler 7l1/93
Rim Joist Detail Op4ons seledion sheet (bldgs with 3 or less unils
Date (? / ?_ / 0 ! Construcrion Cost
Site Address 17 J/ / /
/? ?l (C dd i HI /? ? UnidSte #
Description of Work 1 J2 (d
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
Property Owner &A Telephone # (IS I ) /crS6 - O 3.F
Contractor
Address FrULl ( , /V ,L r City
State A4 V?' Zip .SS `/a 0 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeoiv 1 _ mnnesota Rules'7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the inforn
that the work will be in conformance with the ordinances and codes of the City
and
MN
Statutes; 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.
fo / ? ?????'? ,
Appli ant's rrinte ame Arr?,cant's Signature
N If so, 25% plan review
OFFICE USE ONLY
Sub Types ' • ?
? 01 Foundation ? 07 05-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 OB-plex ;tg-, 18 Deck ? 23 Porch (screen/gazeho) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ?
x 32 Adddion ?
? 33 Alteration ?
? 34 Reptacement
vaiuation o00
Census Code q' N
SAC UniLs
# of Units
# of Bldgs
Type of Const VJQ
Footings (new bldg)
? Foolings (deck)
_ Footings (addi[ion)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ RI. _ Air Test _ Final
Insulation
35 Int Improvement ?, 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bidg) • Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Sto(es Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIItED INSPECTIONS
FinaUC.O.
7)C FinaUNo C.O.
_ Plumbing
HVAC
Ottier
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: T-Z? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
01T,&16
?(o0 v
. ,r
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59Y)( PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date A / (- / 03
RIEHLE, TIM
1761 HICKORY HILL7lOb-
Slte Address
EAGAN, MN 55122 Unit #
(651) 6859038
Property Owner Telephane # ( )
Contractor NMLOMPL?INGCOO
(612) 82T-4033
Address City
S.
State
ip Tetephone # ( )
The Applicant is _ Owner V- Contractor _ Other
Septic System New _ Refurbished Suhmit 2 sets of pians and
InUudes County fee. Additional consultant fees may apply. MPC iicense ? $ 100.00
•`
Co-'
Alterations To Exis[ing Dwelling Unit, Including
?
wate??Jaeater
Adding fixtures to lower levels or room additions
excluding water softe e 50.00
_
, ?
Ab
d
t
f
ti
t
_
an
onmen
o
em
sep
c sys
/
_ Water turnaround (+ 5/8" meter if needed -$121.00) \ >
Other: \
_ RPZ _ new instailation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener X Water heater $ 15.00
x replacement _ additional
$ .50
State Surcharge
15. SO
Tot,l $
I hereby apply for a Residential Plumbing Permit and aclrnowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and witU the Plumbing Codes; that I understand this is not a
pemvt, but only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
J,04? l?orblunn ?????
ApplicanYs Printed Name A pli t's 3i' g?iatur?e
j,.l D?0? 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Rewiremenis
> 2 copies of plan
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: lnsula Iwr), ?an,i?,< 5/?ztrzr? ru?c?,.ll If muMl-}amily bldg., hoW many units?
MWd sanif4;?6' ,pantGl.:?j
IMDICATE THE FOLLOWIfVG EQUIPi1AEWT TO BE REPLACED AN1D BY WHOAA:
_ Plumbing _ Homeowner Q Conhactor Name
_ Mechanicai _ Homeowner gl ConTractor Name
Name: 44.,114 Pnone#: /?S/-?4?-9a3k''
PROPERTY Last Fi t
OWNER , . , . ., -
Street
City faa l') v State: PM/ ZiP: 5573a
Company: Phone C (area code)
CONTRACTOR
Sheet
Clty
license # Exp.
State:
Zip:
I hereby acknowledge lhat I have read this application, state fhat Me information is cortect, and agree to comply wifh a0 applicable State
of Minnesota Statutes and City of Eagan Ordinances.
?E C:I ?V:?E:D] Signalure of Applicant: AUG 3 0 ? ?
"NOte: If somebody other man the homeowner is performing plumbing or mechanical work, ihey must apply for approprlate
permit, Only licensed plumbing contractor or homeowner may complete plumbing work.
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Mufti
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ect. Ak - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Storm Damage
Plbg _Y Or_ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
-, PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
c?,4Q41.5
PERMIT TYPE: BuILDxNG
Permit Number: 0 v' 6 G 21
Date Issued: 10 / 2 5/ J 5
SITE ADDRESS:
1761 HICKORY HILL
LOT: 15 HLOCK: 6
WOOD'uA7E 2NQ
P.T.N.: 10--84501-150-05
DESCRIPTION:
(ROQFLNG)
T.YPe
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REMARKS:
FEE SUMMARY:
VaiuArn:iN -? a,0a0
3ase Pee $s7.25
Surr.harg e
7ota1 Pee
CONTRACTOR:
ALLSTAR GONS7 SNC
ssa s N iawv iee
MzNNEnFOI.zs mN
(612) 593--5325
- Applic:ant - 5T. LIC
7.5935325 0003247
55422
OWNER:
r-Rz?EY ANCxE
1751 HTCKORY MILL
EarAN nirv ssiza
( 67 7_)4'i2-5484
? . ., , . ? . . , . . , . _ . , . . , r _- .?
'I hereby 6?kinawjed_9e Ch&t'_C b'av-e read: ttiis` apPlicatioil, aad staC? tboC, tfiri?
? znfdrma,t'oYt 3$ r.ax'rect bnd .;a9ree Yb ?c?mp3y ? wi=th_ al.I a.japllba121g, 5tatA 0f 401-
?StaCutes,.and?-CiLy xif Eagan Orc€ihances.'. ?
? • ? _ ? ?. , ? ?:. ?? ? .. ? ?? ? . . ? . ? ?
APPLICANLPERMITEE SIGNATURE
?fi ?.yll ..R?
? ED SIG ATUR
INSPECTION RECORD
CITY OF EAGAN PERnniT TvPE:
3830 Pilot Knob Road Permit Number: v) 2 E G 21
Eagan, Minnesota 55122-1897 Date Issued: 10 Jr 1' S/':; ?
(612) 681-4675
SITE ADDRESS: P °I •N.` 1. 0-8 4 6 C)?--15 m?0 6 APPLICANT:
l.t)7: 15 BL4CK: 6
1761 b4TCKORY HSLL ALI.STAR Ct11V5"t" TNfJ
WQQDGATF <Nll (612) 593-5325
,.
1 r
PERMIT SUBTYPE: TYPE OF WORK:
sF (Mlsc.) RtPAzR
oESCRIPrlnni (RnoFiNGj)
ittit CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reaulrements RnmodeV?eoair Reauirements
? 3 rogis0eied sile wrveys ? 2 copies of plan
? 2 oopiea of plans (indude beam 8 window aizes; poured fnd. deaign; etc.) ? 2 aite surveys (exterior atldkions & decks)
? 1 energy cakulationa ? 1 energy calalatione for heated additions
? 3 copiea M tree proaervation plan if lot platted after 7/1193
requimd: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ? 1\R N, `7-N \? A ti)? -k ;
LOT _IL_ BLOCK _J,?- SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHiTECT!
ENGINEER
Phone #: ' ?)14
u ucr \ ( 1 rssr
Street Address:LD U L , ? L?11C Llu 4? L
City: State: VV)Y Zip: ?5?E?aa
Company: Phone #:
Street Address: tk4.A 1 00 License #City: State:
Company:
Name:
State:
Street Address,
City:
Sewer & water licensed piumber
change are requested once permit is issued.
Zip.
Phone #•
Registration #•
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all
applicable State af Minnesota Statutes and City of Eagan Ordinances. •
? ?-
Signature of Applicant:
7
OFFICE USE ONLY
Certificates of Survey Received
Yes
No
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
< ,r . , .r sp
t..-. ... ,-..
? 01 Foundation a 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
n 05 5F Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Akerations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Ailowabie)
UBC Ocoupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
5urcharge ?
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
Valuation: $
°k SAC
SAC Units
4 V" 3?v tooo Am) GO _?oaCAAco
w, .
City of EapIl
3830 Pilot Knob Road
, Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
------------------
i i
; aem,an: c65/?5 i
? Permi[ Fea:
I ?
j Date Recaived:
I Staff:
I
Tenant:
RESIDENT / OWNER Name: Phone ?-? v'
Address ! City / Zip: ? V
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: _? \ icense #: h(QI ?
Address' 21Q? ?? I N ? .1
City: StateA W_ Zip: -41?
Phone: Contact Person:
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
Cat2gOry Su6mitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan Issued e permlt 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 supporiing documents fhat you submit are consldered to be public Informatlon.. Parflons of:
the Iniormatton may be classified as,non publia if you;provide" specific reasons,that would permit the,City to
conclude ihat the are trade secrefs..-. I hereby acknowledge ihat this information is complete and accurate; tha[ the vrork will be in conformance with the ordinances and codes of the
City of
Eagan; that I understand this is not a permit, bu[ onty an application for a permit, work is no[ to start without a permR; that the work will be in
accor nce with the approved plan in the case of work which requires a review and appro I of plans.
x X C'
Applic n's Printed Name ApplicanYs Signature
Page 1 of 3
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1761 Hickory Hill
Lot: 15 Block: 6
PID:10- 84601 - 150 -06
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Addition: Woodgate 2nd
PERMIT
City of Eaan
Construction Type:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA080190
10/02/2007
ePermit
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Kelly A Riehle
1761 Hickory Hill
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1761 Hickory Hill
Lot: 15 Block: 6 Addition: Woodgate 2nd
PID:10- 84601 - 150 -06
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Permit expired without required inspections. 4/9/2009 CE
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,
$50.50
Owner:
Kelly A Riehle
1761 Hickory Hill
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA086333
09/24/2008
ePermit
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153901
Date Issued:01/31/2019
Permit Category:ePermit
Site Address: 1761 Hickory Hill
Lot:015 Block: 006 Addition: Woodgate 2nd
PID:10-84601-06-150
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 -
Benjamin D Odonnell
1761 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:Building
Permit Number:EA173144
Date Issued:11/01/2021
Permit Category:ePermit
Site Address: 1761 Hickory Hill
Lot:015 Block: 006 Addition: Woodgate 2nd
PID:10-84601-06-150
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Gerald & Lea Zich
1761 Hickory Hill Dr
Eagan MN 55122
(952) 769-4919
Beyond Construction And Renovation Inc.
2953 McKinley Drive
Woodbury MN 55125
(651) 295-4216
Applicant/Permitee: Signature Issued By: Signature