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1767 Hickory Hill 06/22/2010 TUE 8:21 FAX 6514378831 Q 002/002 Use BLUE or BLACK Ink i Psrmit 7 I City of Eajan r s~ ;cam Permit Fee: 383 ® 0 Pilot Knob Road I I i Eagan MN 55122 i Date Received: ~ Phone: (651) 675-5675 1 I Fax: (651) 675-5694 ; Staff: R 2010 MECHANIC L. P RMIT P ICATION Date: V Site Address: I-i ` -1 1 Tenant: t r~t t Set Suite -TJbV5,j**1M~ RESIDENT I OWNER Name: i ! Phone: 'U Address / City / Zip: 1"1t~'! k Gc Marne: Q` C61o n bl- CONTRACTOR - - ~ r ~ ~.._.._~'►•"'t oer+se Address: 19 b ll~~/I~-') 1 15~~~ A#ty: odshonz> State: W-0 Zip' Phone: Contact: Email: TYPE OF WORK New Replacement -Additional Alteration Demolition Description of work: tr C. O?q t 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 install / Remove) Other " When installing/removing tank(s), call for Inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $56.50 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 installationtremoval OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Pemrit Fee is less than $1,000, surcharge is $.50. - If r i Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit l=ee requires a $1.00 surcharge). $ TOTAL FEE CALL BEFORE YOU D# Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before . u intend to dig to rec lye locates of underground utilities. www.gooherstataQlD2cali,or2 I he y acknowledge that this nformation is complete and accurate; that the work it S be in conforman ith the ordinances and codes of the City of Eaga • that I understand this! of a per I, but only an application fora permit, and r is not to start wt o t a permit; that the work will be in accor with t ap oved plan in the se of wo hich requires a review and approval of pl s, x X Applicant's Printed Name Applicant's Signa re 'C i :'!u • . .,,e(t'n~` 7+7.. .tif,~ 1 ~ ~ ' " iC1'^-~.r~r,~y f,~i f>S?3c 't , ~ •t r 'r` ~ i'.'ha v .jJ{s •1~.>; r a s:.G r.; • c~' i t ~ya~r~ aiI'rfiy T o ~rjr v 'e p~~Y ~ ,i.7~iKq t`~r~i {~~i ~a9.~'{I;fi,~,. ~p"~~5ttl+>"~'•'i3~~ i ~i - °'K, ~.~.a.~.. +'~4°aiiJ t" R m 'cL' t, UC y '~{.~~Y:d ~ i'7 ~1~ ~~_•.~y', . '~~T~~.E: F,.> r..r. ~ , F , R ~~~ta+R ati „r-~z~j~~~r, ?.1 ryfi.:~•`Y:;°• = ' `_.~K?{~~ , ry ~ 4~ ~ - + 40 4~(~; ,cal s{, ~y... i~! rs.::~ 3'~ar'tr^*' / ,vf sf: hd" 5 t vi `A'v ~ ' qtr - -:1`s y: .~i/'~~,R• ~ N -.w~'^tl i i .',4'v''K ~J,.~S},// f ~1y 4 ~'T ( :3f/`p ta~1 ( f t 9` mitts' 4 > E'"'" Y ~ ' ~b ~ r• t 'r~! ~ .k~ _,-S'~iy'N9 CITY OF EAGAN Remarks Addition Wood ate 2nd Lot 17 Bik E Owner Street 1767 Hickory Hill 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 197 8.52 1.70 PA1d STREET RESTOR. 197 103 .7 344.92 3 paid GRADING SAN SEW TRUNK dc?? 197 11 .72 7.64 1 Paa.d 3fiEWER LATERAL 1-5 197 30 .71 1022.90 3 Paid WATERMAIN %NVATER LATERAL 97 3 *MATER AREA 197 3 -)$TORM SEW TAK 197 3 ;STORM SEW LAT 197 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140. Q0 316 6- -7 9UILDING PER. 316 -7 sAC 25.00 1 - -7 PARK 120.00 31 -7 HOUSE HEATING TEST RECORD /7- (.0 !c) G:?T ADDRESS_1'= Hini:W:7-Iil 11 APT. FLOOR CITY SUBURBES"n OCCUPANT NOW OWNER Neii HoY'1Y.C4 HUMU HEAT LOSS DATE HTG, INST SOLD BY Electrieol Work By TYPE OF HEAT GA INSTALLED BY am8dck ff4@*jw Gcs Line By N « FA _X HW STEAM SPACE HTR. _ GA5 DESIGN MAKE Amana MAKE OF BURNER _ Model rM0 ' Modsl $oriaI P(5490W33 Mox. gTU Rating _ INPUT 105idW MAKE OF FURNACE CONTRQLS THERMOSTAT Heat Plug Valre M B5'R0 Limit G'a'IDt%O l.` ? 2 i/"'1 Limit Settiny ?f+ Fan Setring 9of Lim Pilot Type COUPIS Pilot Make Modet YsnT Size 60 UNIT HTR. OTHER CONVERSIdN KIND OF LINER J%Luu" SIZE ? NQNE Drah Hood Vg*`}'i' ?''???- Reguloror Filters Sixs ?'?, Number I Chfmnay Location Inside X Outside Chimney Consinrttion Mbt&1IMt'* Pilot Model Smoks Bomb Wiring - Pilot Timing Seco Draft OK Tsst Tay Yes L.W. Cut Off Door Pressure Lightiny Inst. Yes Pressuro 402?" V7 Or'O Percent CO 2 8. Dafe Tssted I/W 76 Input CFH 105 Percenf d 2 • Campany Tasting C• S. BReCFiT COMPANY $tack Tamp. 4IU r' Percent CO ()• hlame of Testar ?1 7f,. ars oue Form 235 YIl.LAOE OF EAIiAN WATER SERVICE PERMIT 3795 Piloe Knob Road PERMIT NO.: 1763 Eagon,MN 55I22 DATE: 6Z19 I75 Zoning: PUD No. of Units: Owner: Address S d ite A c Plumber: _ Meter ? Q Connection Charge:1 40.00 gd Size?..?7k- Account Deposit: Reader No.: Permit Fee: 10.00 1e 'Pd 1 agrea t o eonryply with fha Villoga of Eagan Surchazge: • 50 yd pd / Ordinan?E" c+l Misc. Chargec. / Total: (e (e "? BY Date Paid: Dateol'Insp.: ? Insp YILLAGE 9F EAOAN SEWER SERVICE PERMIT 3795 Yloe Kneb Rood pERMIT NO.: 2524 Fegan, MN 55114 Dq'['E; 6/19/75 Zoning: pnD No. of Un1ts: Owner. MAw lanri7.nn tron c-[4oodaate II Address: Site Address: 17r7 ni rkorv Hill Plumber: Thmmli-qnn k ' o • I ay..e ro wmyry wlth Me Vllloqe ef Eayon Connecdon Charge: 425.00 Ordinanew. Accouat Depaslt: Permit Fee: 10.00 od PC' Surcherge: .50 JO p BY: Miec. ChargeB: Date of Inep.: Total: Insp.: Date Patd: Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. - CITY of EAGAN BUILDING PERMIT _.?.:.:..:..._,?:!'...._.i^ ......._....... own.= ?...... ./:!.... :_:.?..' ' .? , . .... ....l.......!'>f'_•-C - Addresc (Preseni) ... L.:?_t)..`../.....? .:.......:...... Builder ............ ....... ......... ............ ...._......... ......................... Addrass .... . ........................................ --'----............................. 3795 Pilot Knob Road Eagan. MinnesoSa $5122 454-8100 Dsle .... ! -.'.....?.5 ............ Stories, To He Uced For Froaf I Depfh Helgh! Eai. Cos! Permii Fea Aomaskt I . ? 74•0 ?> i < or 7- i 7 ',1 7, This permii doea noi aulhorize the use of streets, zoada, alleys or sidewalks nor does it giva the owass or hia agan! the tighi So create anp sifuafion which is e nuisanee os whiah presenfs a hasard !o the healfh, eafalp, aonveniencs end genaral walfaze !o anpone in the eommunifp. THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK I3 IN PAOGRESB. Thta ie !o ceztifp, lhsi..: 7.1E......? .......... . . ..... ............has parraiseion !o eree3 a.. v?L°-------...... ............ npon the above described pzemise subjecf io ih rovisioas ot all applieable Oxdinances for the Cifp of agan cl'?-c !-eP._:::?..-.- .............................°--. ?? .....-.-- ............. . ?.......-r-?.._..._.......... Per .................................................... Ma or U /S Hulldinp I?tspoctor G a._ ,. - • - /?--? lJ l0 7?- CITY OF EAGAN 3795 pilot Knob Road Eagan, Minnesota 55122 PENMIT NO.: 7w; _ The Cit}r of Eagan he?r? gr?ta ?'"0ak Aeatinq & 3"* _7 ?? • ??:_ .• Of'. (-)PX:..7AMJ6??VA• ..?,?'4'?`•'? 'xt,i'a ..;11.? . , .yT•,,}:ii.',?? Pernit fors (Chwmer) ut 1771. '71 67 t 1769 8Uiiwrv raMwsuant to apg11? J' . ,. Fee Paid: $60.00 dated this 10_ day of 8enti. 1.50 a/c Building Inapector Ucchrnical Pcrmits: &1.c; `i'ota1: ? 4 Tl CITY OF r.AG'a2d 3795 Pilot Knob Road Eagan, P+iinnesota 55122 PEM= NO.: 571 The City of Eagan hereby grants to ThoWson Piumbina ao. Of 12207 t?inmtOxLka $1Vd. a vritwanr. Permit for: (Owner) New o 1775,76,74,72,70,68,66,64,62,60,58,56, 8nd 54 oi81=lut ISne 8nd 1757?59,61,65, 7, at »Aa 7i, ,,,,A 91 uiekrv xil&ursuant to application dated 6/16/75 Fee Paid: $a2n_oe dated this ioyh day of June , 19 75 10.50 s/c Building Inspector Mechanical Permits: Bid Total: ------------------ ? Ror.ossicaUse ? i c j Permit #: I /? I ? Permil Fee: `l?- C) C) I 1 j Date Received. ? I ? I Stafi: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: • Suiteli: Tenant: -?IPA oc.?`1? RESIDENT/OWNER Name: Phone: ? " ? } ?'Q . CJr4..?1?}I V Address / City / Zip: ? I? }-1? Clf?? l l?l 1 Applicant is: _ Owner ? Confractor TYPE OF WORK Description ot work: \fft ?(?L no\YA ??CAC--, ' Construction Cost:??? Multi-Family Building: (Yes _! No? CONTRACTOR Name.--',?--)``.&f License #: S?)n?A Address: City ? Statefnn_ Zip Phone Contact Person: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 7 Worksheet ^ • New Energy Code Worksheet Category Submitted Su6mitted (4 SubmiSSion typ0) • Energy Envelope Caiculatrons Submitted In the last 12 mon[hs, 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: N n Phone: Mechanical Contractor: N T -7 Phone: Sewer & Water CoMractor: N T'1 Phone: NOTE: Plans and supporting documents ihat you submlt are considered to be public information. Portions of the inlormation may be classified as non-public if you pravide specific reasons that wauld permif the City ta conclude thaf the are trade secrets. 1 here6y acknowletlge that this mtormation is complete and acwrale; that the work will be In coMOrmance wnh ihe ordinances and codes of the City o1 Eaqan; ihat I understand this is not a permrt, but only an application tor a permit, and work is not to start without a permit that the work vnll 6e in accordance with the approved plan tn the case of work which reqwres a review and approval of plans. ? _? ? App icanYs rinte ame ApplicanYS Si ature r Page i of 3 s AniNew, orizo, HOMES 6440 Flying Cloud Drive Suite 201 Eden Prairie, Minn. 55343 Phone: 941-2660 September 15, 1976 Mr. Thomas Hedges City of Eagan Eagan, Minnesota Dear Tom, Please find enclosed, Description of Portion of Utility and Drainage Easement to be Vacated, survey indicating portion of easement to be vacated and the original survey. These items are presented to you in order for New Horizon Homes, Inc., to request a vacation of 2.5 feet of the easement at the next regularly scheduled meeting of the council for the City of Eagan, on September 21, 1976. Very truly yours, NEW HORIZON HOMES, INC. c. 7w? John C. Madison Construction Manager JCM/ms 3) SEP. 16 1976 EGA&1l,?ryFIELD & NOWAK,/ IntC, ? ,4??'`T'?--•,,_' SU:?2iJEY0itS -?' - o?ra,'?,es? --? - " 1- a ,. ? . ?4' - ^ ' _E. ? N FI? I] WdY/AfA i100,iYAFJ 1 L MINNCA?'U.I+ MrtNNfSfiIA 55626 ?Sile ierr ? ihonr 5ee?4e37 PP.ESIDENT pRiHUR E OSTIUND viCf PRi51DENT VERNON A NICNOlS . .. .., ,....?a May 13, 1976 DESCRIPTION OF PORTION OF UTILITY AND DRAINAGE EASEMENT TO BE VACATED That part of the Northeasterly 2.5 feet of the Southweaterly 7.5 feet of Lot 17, Slock 6, WOODGATE 2ND ADDITION, lying Northerly of the Southerly 10 feet thereof. . I EGAiV, FiC-@..O 4M NG%^9AK ? ? SURVEYORS ??R?? ?• ??_ ? ? 7415WAYIATA BW6 C r MINNFAPOLI6,MINMFAOTA ?sue. ura ? CERYIROCA4E OF SUMVIEV P« NEW HORIZON HOMES, INC. _ ••. O . ? . ? /o0' P •so J '00, 0.. Scale: 1"-30' DESCRIPTYON: Lot 17, Block 6, WOODGATB 2ND ADDITION Q j2. I C? I/?/ A L. 57?jz v4L Y' ?y •,? ` ?c? ?O N .? ?'. is \ r• ?, / o? . y ,°6,a°M p ?j °9eayG O01 • N ?'? ?? ?y. . • - ? v43 (O0 R=60o00 we hereby certify thet ihis is e true end correct represen4aPion of a survey of the bounderies oi 4he lend ebove descrlbed end of Phe location ofeil buildingg i/ eny, thereon, enG etl visible encroachmenta, if any, from or on said lend. Defed ihis 22"d Eey of January. 0 1975 0 EGAN,,-kIELD d NOWAKOINC D'AK 18 liRnn1t Wn_I leeaa 1PNF I bN ?.....I A' - •• 14 Qos:ed.trzoa, /?adest?, 1Qi?eZll?a & f?leeocr?te,d, Jssc. G?w?ewlti.,q ?'Kg?,see?s .2835 W. eluuA d{lfluwarj 86 ono G. aom,noo, P.E. Robert W. Rosene, P.P. St Aw" M4raadota 551f8 laseph C. Andaltk. P.F. plroms: 636-4600 Bradlord A. Lem6er& P.E. December 21, 1976 City of Eagan 3795 Pilot Knob Rd. Eagan, Mn. 55122 Attn: Mr. Tom Hedges Re: Woodgate 2nd Addn. Drainage Easement File No. 49 General Gentlemen: ? Roberl D. Fregoa. d. P.E. /?? ?y? RicMrd E. Tumer, P.E. V?'/f " F?r ~ ???Fr Jwnes C. Olson. P.E. Law,rnce F. Feldsien, P.E. 7 Glrnn R. Cook, P.E. ? KeitN A. Gordon, P.E. Thomes E. Noyes, P E. Richard W. Foafer. P.E. fto6nf G. Schunichl, P.E. Ma,vln L. Sarvo7o, P.E. CAarles A. Enckson It has been requested by the owner that the sideyard drainage easement at Lot 17, B1ock 6 of the Woodgate 2nd Addition be reduced from 7.5 feet to 5.0 feet. This will cause the City no problems, so this office hereby recomnends approval of the reduction. Yours very truly, BONESTR00, ROSENE, ANDERLIK & ASSOCIATES, INC. Keith A. Gordon KAG:li 2y 17M-„ ?GAN, FI Es..D& NoVJAac _ yk ? SURVEVORS 7415WAYSATA BW0. E F 0INNEAPoLIS,MINME40TA ' fst??. tU! ? cERrIFeewTE oF suRvEv F« NEW HORIZON HOMES, INC. DESCRIPTION: Lot 17, Block 6, WOODGAT$ 2ND ADDITION ? ' . ?V °0 . Q??PUP ? o P P?y- - ?o Scale: 1"-30' `°?• OUI?D ?ONST? S oF Ex?S i !N6 ??' ? dG ? ? ? R?? E? E NT To ` O p. .- ? a?I N ? tJ °;: / p?rE? / ^,? .?? o ?. , ---? R=6p-00 we hereby Certify that this is e true end correct representetion of e survey of the bounGeries of the lend ebove describeC and of ihe loeation of ellbuildingb ii any, thereon, end ell visible encroeChmenfa, if any, from or on said land. Deted thls 22°a day of January ?1975 ? EGAN, IELO E NOMfAK,INC Pevised this ?th day of Marc , 97 . ' S rveyor, .?_i le No D'AK 18 BpOk NO loose leaf b y : zo5 - 5 PERMIT City of Eagan Permit Type:Building Permit Number:EA133142 Date Issued:09/24/2015 Permit Category:ePermit Site Address: 1767 Hickory Hill Lot:017 Block: 006 Addition: Woodgate 2nd PID:10-84601-06-170 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Patrick M Thorsteinson 2915 Pine View Dr Nw Prior Lake MN 55372 (612) 644-0646 Viking Exteriors 901 N Concord St South St. Paul MN 55075 (651) 256-1061 Applicant/Permitee: Signature Issued By: Signature