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