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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• ,._ . _ ? _ . . . _ . "' . .: . . . .: ,-. .? . , , , . ..- ,. . . _ . , ? - . . . _ . . _ . . _ .. ? . .. >>? ?". _? ? ,.?..,..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 ..:15 ERGpN EhG+COM DEV 4 99528871659 N0.055 D02 ,i AND r i 3 P - ? . ,.'???? ' `f -- ? • *0 4 12.23 •? 'ti3g ? ,; 15 $ A sUP ?r 14 ag , ? ? '`. , . • ?. `'S 4y ??? 1? a a ? ?? $ ?6SPl? ?: ;' 4? ? ? 6 r? ••? O, ?B ?c. ? ? h? 13 ?i'?1' ? ?.l' 1 • ?'y ?. ,? • ) ? ?T ? % ° 7 i a. ? 4 T ? l• •'? ? ?? P +,! x , ?i4 ,L'?.4s ? i?-k.9 Q.' ?' ?q. .tt? ? ¢ ? u?, : ?h . ? ,?+• ?c?. •s? r,y ??_?, ;r?'? 12 ?p .?'?. ? ? ? ??. - ' • +.`•.S ?,q ? ? ? 1 ?iv b K ee•a? er? ? ` . ,. qy .°°?''?<<''' h' "' -? 3 e• . rr ??'?'``e?'?"r ?!??• ?? ? ?. ??s,? 1Q • ' , 140, ,.yO ? •SG`R (I ' `? ?. n a ?L as ? ?.V?'?'?'? {{ fL ?Q `/ ?/ '? '•? d? r6 , m'11'. ? '.S ? 41k dj'!ti s V?/ ? ••' , {.1i' :a g C ?. ?.? ±? g (? ? ?? '0 i` ?: • 70.S \+$ 13 3y?ii_?• : - A.NSS? .. a,3" i 12 1 .1 /? ?i a ? V .: 9? :_ ' 1 o ? . ?o,yqs ya rre•?. EC 7 1 ? 9s ?? A t? ? ??• a ' 'W-?+f . ,. a ,?,e ,?595 1 e? . et! yy y,? _ 4,np ?" ?y?' i,;? q?? zsc i$? e?e y •,/ $'`41P???1 ? ?? a ?Fy? s.A,•?," F ?'s,;• ? 14 i? na?r?s8ze-E. ?/• !'r,ap1P ?y?'? : e??? '•'y.z?}i ?? ; s, E r r'. 'C (p e p t? +?? . ti?t ,4' t .<„ r'iross a,.:7y 16 ?• ` ? (5 A" ?y ' •?s? ?t{"' $ I 4?o? .dr. fi QO ' ? ,?'is ??3 ?i6• ti`?; ?'?, 4 i+, 17 ???'lr ?4 " •6 9. ?' y: . ? ' K."' '? ,r 16, 17 ?o`. A Q ? i Z 1 ? _ ~???8? ? , ?.l?' ?`G ?,? / ?? ? ?• ? j ??,? ? "'6,-? ?t,«?f•6Y.rv? y? oY a.ftr•ss:sr..w J ?• ??!v? i ?[i?? 7.N ?f.w 0 ?.Oj .b • Le?.Yi,?_"' '-'?:bfi.76 .e- ?.Q1?S?Sn'W. x:? 1 m r? - ? 7- ? r-! 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 aizij ¢i_trq,:l44,rk T y p e ?- ?;?` • ? ?"?T?? e?;. ? • ?•- ,> ,_. " ? a,.?' 9F (MTSC.} REPATR r? O °V`d ?j??_??? 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