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1641 Hickory Lane. . . . n . .. . . . . . . . . M . . ..'".- . . . " ' . . . CITY OF EAGAfiCI . . , - . r y!', •yy .. 18137 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454- 8100 ? BUILDING PERMIT Receipt # To 6e used for DIZCK Est. Value $1' 000 Date JUi.Y 11 19 90 1643 i[ICKORY LN Site Ad r ss WOODGArE ` ? OFFICE USE ONLY . Block SeclSub. Lot- ? Parcel No. o?wk! ncy - FEES ??? R?V?? Zoning - 25.00 ¢ Name (Actuap Const - Bldg. Permit ; Address (Allowable) _ . SO Surchar e o City EAGM Phone 452-5925 # of Stories g Plan Review ? M?? ?E?N Length o Name DeP1h - SAC, City , ?U . Address S.F. Total _ C Ua SAC, MCWC ? City Phone S.F. Footprints - 1Nater Conn On Site SewBge _ ? W w Name On Site Well - yyater Meter =x AddresS MWCC System - U2 Acct. Deposit aw City PhOn2 City Water - S/W Permit PRV Required - f hereby acknowlege that I have read thrs application and siate that the Boos?er FumP - SNV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eag n Ordin?Jno?s. Treatment PI ? Signature of Permitee ?'?•'? ` ?`?`? APPROVALS Rpad Unit +? ???? A Building Permit is issued to: Planner - Park Ded. on the axpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Council -- gldy, qff, _ 1,00 Copies . Buiiding ONicial Variance - TOTAL Permit No. Permit Holder Oate Telephone # WATER SEWER PLUMBING H.V.AC. ELECTRIC MspetUon Date Insp_ Comments Footings 1 - iy Foundatan _ L ' Framing Roofing Hough Plbg. Rough Htg- Isul. Freplace Final Hig. Fnal Plbg. Const. Meter Plbg. Inspector - NoGfy Plumber Engr.lPlan Bldg. Final Qeck Ftg. Deck Fnal y b Well Pr. Disp. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECURD PERMIT TYPE: Permit Number: Date Issued: ? • ? oi r ;??; f:i 1.10 kORv. tANt PERMIT SUBTYPE: ,;11: , i . , j APPLICANT: i tvi TYPE OF WORK: t?t,?-;r Vai>rIIIN FilllIl1 INh tS.' i 3't i 04 Ifoil11,a rt Ei•arf? ( HOilf [Nl'i ! INSPECTION . .A • .- t N'.Ifl fi ( I Itfi ! I f9f?! IRwaAFik',• (Ni.llIllFS i.c7?43 ( t 4) i rF,)I 1 646 c1 ur :ai? I ft 1 1 FOR Y 1 N ? Permft No. Permk Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC InsQectlon Date Insp. Comments Footings I Foundatan Framing Roofing Fiough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Consl. Meter Engr./Plan Bldg. Fnel Dedc Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition Waodgate 1stAddition zot 27 Bik 2 Parcel 10 84600 270 02 Owner L11C."-?' ?l Street 1647 Hickory T.&rie State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREETRESTOR.pAVING 1976 $410.12 $136.71 3 PAID GRADING 1974 115.45 23.09 5 PAID 5AN 5EW TRUNIC t4 1974 $93. 54 $6. 24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL I 1975 15 ? WATERAREA I975 15 ? STORM SEW TRK 1975 * STQRMSEW LAT ( 1975 1505.70 100.38 15 AID CURB & GUTTER I SIDEWALK STREET LIGHT WATERCONN, $130_00 11730 9-23-74 BUILDING PER. Sac $400.00 11730 9-23-74 PARK ? I CITY OF EAGAN Remarks Addition Wood ate lst Addition Lot 28 Blk 2 Parcel 10 84600 280 02 Owner Street 1645 Hickory Lane State_ Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.pAVING4A 1974 $115.45 $23.09 5 PAID GRAOING PAVING O 1976 $410.12 $36.71 3 PAID SAN SEW TRUNK 1974 $93. 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 ZS * WATER AREA 1975 15 * STORM SEW TRK 19 7.5 * STORMSEW LAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11730 9-23-74 BUILDING PER. S,ac $400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 25 Blk 2 Parcel 10 84600 250 02 Owner 11141: ?; ??• LU2 h Street 1643 Hickorv Ln. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3Q9STREET RESTOR. pAVING 1976 410.12 $136.71 3 PAID GRADING PAVING ? 1974 115.45 23.09 5 PAID SAN SEW TRUNK 1974 93.54 6.24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK * STORMSEW LAT 9 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK ' STREET UGHT WATER CONN. $130.00 11730 9-23-74 , BUILDING PER. sac 400.00 11730 9-23-74 PARK I CITY OF EAGAN Remarks Addition WoOd te 15t AdditiOri Lot 26 Rlk 2 Parcel 10 84600 260 02 Owner b Street 16 41 HiCkorY Ln. State Ea gan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? STREET RESTOR. PAID GRADING SAN SEW TRUNK pAI * SEWER LATERAL WATERMAIN * WATER LATERAL * WATER AREA * STORM SEW TRK 1975 * STORM SEW LAT Aql 1975 15 UTTER K IGHT FL WATER CONN. $130.00 11730 9-23-74 BUILDING PER. sac p 11730 9-23-74 PARK - - _. , C.) VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.:,__ 1442 Eogan, MN 55722 UATE' LuninK PCIR No. of Units: Owner _ _ Wpp?]ga?B __nrnv irnri n n ?g?Qg ,\ddIiw . ,, _ _.. ..._. . - _... . . - Sue Addro> 164 -43-45-Q7_ -Hicknz7! _ Ianfl- ---- ? ----- ------ -- Plumber _ „qQp_plupbin.g Co• _ :ti7oter No' Connecnon CharKe'?-? ?? ?J _ _ Account Depnsir ----- ._ Hc:ider Na Permit Fee-.? 10.00 pd agree to comply with ehe Viileqe of Eagon Ord7 Surtharge. -•50 pd nances. Misc. Chaxges l. • ?5? , ?otel -- - ?f ? Date Puid-_ _ _- - ?- ume „r rnsn --- -- - - ---- - ]nsp - YILLAGE OF FI10AN SEWER SERVICE PERMIT 3745 Piler Mnob Rood PERMIT NO.: 2202 Eagva, MN 55122 DATE: 4/26/74 Zo:ilng: nnn No. of Un1te: Owner: un,.,dnat nt w ciori1on FlomPs Addmse: S1[eAddrees: 1F41-47-45-47 H' korv T.ane Plumber. Thnmqpnn Plnmhing Co. I ap.N ro cem0lp wieh ehO Vlllayo of Eaqon Conqectlon Charge• Ordimneo. Account Deposit: Permlt Fee: 10.00 pd Surchazge: • 50 pd Hy: Misc. Chergee: Date of Insp.: Total: - Inep.: Date Paid: .? CITY OF EAGAN NO 18137 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE:454-8100 ib 5?S ?(f l,i'•ING PERMIT BUl Receipt p ?- V T To be used for DECK Est. Value $1 , 000 Date JIJLY 11 Site Address 1643 HICKORY LN OFFICE USE ONLY Lot 25 Block 2_ SeclSub. WOODGATE Parcel No occupancy - FEEs . i Z on ng 25 00 Name N1ARK RIVARD (ActuaqConst . - BIdg.Permit w ; Address 1643 HICKORY LN (Allowable) - Surcharge • SO ° EAGAN Phone 452-5925 Clty solstories th &- Plan Review 1 Leng _ _ o Name CONRAD ADELMANN oepin ?' sac, ciiy , oa Address 22380 BERRING AVE S.F.Total - SAC MCWCC Cjty FARMINGTON Phone 463-2946 S.F. Footpnnts . - Sil S O Wa[er Conn ewage n e _ W w Name On Sile Well - Waler Maler ? Addf@SS MWCCSystem - = qccl.Deposit a W City Phone ary waier - i PRV R d SPN Permit re equ _ I here6y acknowlege that I have read this application and state thal the Boosler Pump - SNJ Surcharge infortnation is correct and agree to comply with all applicable State of Minnesota StaWtes and City of Eagan Ordiqanp?s. 7reatmeM PI ? ? ?? Si9nature ot Permitee ?g'n.t.1 I.GY oY/?? APPROYALS Road Unit A Building Permil is issued to: CONRAD ADELMANN Planner - park Dad. on the ezpress condition [hat all work shall be done m accordance wRh all Councd -- 1.0 0 Copies applicable State of Minnesota Slatutes and City ol Eagan Ordinances. gla9, pry, _ Budding OHicial Vanance - TOTAL 26.50 lllooJga.Te Is1" CITY of EAGAN BUILDING PERMIT Ownex ...-'....A/':'.:`_?:.....?" - Addresc (precent) ............... - Buildor .. . .._ .... ic?( , <--! Addzeaa .. .......................... .................... DESCAIPTION .e tx N4 3401 3795 Piloi Knob Road Eagaa. Minnesota 55122 454-6100 Delo .... ?.??3- 7?. S_iorieo To Be Uced For,! Fron! Dsyih He h!I Eft. Co?! ?zmli F?e Aemis LOCATION 9 ti` e , _Siraef. Road or olher Descriplion o! Locallon I Lo! Bloek Addltloe or Tne! This permit does not avihosise the use of slreels, zoads, allepc or sldewelks nos doas it qhe the owne= or 31s eqen! the righilo creaie aay situafion which is a nuisanee or which psasenh a hasard !o the health, safelq, eonvenloaq and general welfare !o anyone in the communily. . THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN, PAOGRESS. This is !o cerfify, ...... hmpermissioa !o erect .....N..`"'.`,.`:?.-. -....._upoa . . ..... ...._-----°.. the above described premise subjeci the provisians of all applieable Ordinancea for the Cify of Eagan .... ............ ...-..?:/..........U..........?t'.^....................._...... Per ............... Mayor BuildlnQ Imp?ctoz oe ?? a7-? w.G. / I ? • 4. _ CITY OF EAGAN 3795 F11ot Knob Road Eagan, Minnesota 55122 The City of Eagan hereby grants to Geo. SeBgvl.ck HeaLinq 8A/C Co. of 1001 Xenia Ave. So., Mpls. 55416 a HE1?TING Permit for: (Owner) New Horizon - Woodgate 1641-43-452 4D7 Hickory I,sre pursuant to application dated 7/29/74 ? Fee F_id: $80.00 dated this 13th day of August 9 74 2.00 eTc Building Inspuctor D'.ac. &aical Permits: E:d. T:tal: I HOUSE HEATING TEST RECORD D-21273-al/J. ADDRESt 1641 Hickol'p Lane APT.-FLOOR I CITY SUBURB Ea?an , OCCUPANT NnnQ OWNER New HorI.zOAe HEAT LO55 DATE HTG. INST. SOLD BY Elechital Work By TYPE OF HEAT GAS DESIGN Willidm9on MAKE MAKE OF BURNER _ Model 1117-07--5 Model $eriol 7421198 Max. BTU Rating _ INPUT 75,000 BLU MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Plug Valva M H. V800c Limit RobehBw RFL 750n Limit Ssttiny 200of Fan Setting 90°f & 120°£ Pilof Type Collp18 Pilof Make Pilot Modal BADGE iV Sedgwick HtLr. n n CONVERSION Vent Size `t"KIND OF LINER AlIIID, SIZE 8lf NONE Drok Hoad VQTt1C&1 Regulotor Filtars Size 16° x 25" Number 1 Chimney Location Inside Ye8 Outaide Ghimnay Consirucfion Metalbeatoe Smoke Bomb Wiring Pilat Timing 79 Seconds Drah OK Tesf Tag Ye8 L.W. Cut Off Door Pressure Lighting Inst. Ye8 Pressure 4.5"{Y.r+. percentCO 7•0% Dote Tested 10125f74 2 Input CFH 74 Percen} OZ-?? Company TasTing _?Q$tl?yi,?. iea Stack Temp. 530?f pereant CO ?•?? Name of Tesfer 1 +?r" Form 235 Model GAS C0. METER INSTALLED BY Gas Line By GA _ FA X_HW STEAM -SPACE HTR. -11N1T HTR. -OTHER HOUSE HEATING TEST RECORD D-21273 ADDRESL i643 Aickory Lane APT.-FLOOR CITY SUBURB Eagan OCCUPANT None OWNER NBw Harisoha HEAT LOSS SOI.D BY DATE HTG. INST. Electrieal Work By TYPE OF HEAT GA _ FA X HW -STEAM Model GAS DESIGN MAKE W11118IDeOri MAKE OF BURNER_ Model 1117-07-5 Mydel S«ial 7421195 Mox. BTU RuTing - INPUT 75,000 BtII MAKE OFFURNACE GONTROLS THERMOSTAT Cm 260 HeOT P?? Valva M. H. V9OOC Limit Robehsw RFL 750II Limit Setting 200of Fan Sotring 90 f& 120of Pilot Type Pilot Nwke Pilot Modal Vent Size iA5 C0. METER BADGE 9Y INSTALLED BY Sedgw'ir.k Htg_ _Gas Lina 8y SPACE HTR. _ 4" UNIT HTR. -OTHER CONVERSION KIND OF LINER Alum. SIZE s„ NONE Droft Hood Vertical Reguloror Filfers Size 16" x 25" Num6er 1 Chimney Lacation Inside Yee Outside - Chimney Construction MetalbestoS $moke Bomb Wiring Pilor Timin9 60 SeCOnda pra{t OK Tesr Tag yep L.W. Cut Off Dow Prassure Lighting Inst. Yea Prossure 4.6"W.C. perceniC02 7•0% DateTested ZQf fGUOL74 ? InpuT CFH 75 Percent OZ 8.7% Company Testing Stack Temp. 55OOf percent CO 0-00% Name of Testar Fwm 235 HOUSE HEATING TEST RECORD D-212713 ADDRE55 -1645 H;eko*'y Lane APT._FLOOR CITY SUBURBRA.gAn OCCUPANT DOA J Kuneliua OWNER S'eA HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE # SOLD BY INSTALLED BY SPdao vi nk Atg Electrical Work By ff it TYPE OF HEAT Gas Line By GA _ FA Z HW STEAM SPACE HTR. UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE WiI liamwon MAKE OF BURNER_ Mode I 7 7 l 7-07-5 Model Serial 7472299 Max. BTU Rating _ INPUT 75,nnn Rtul/lIr, MAKE OF FURNACE Modal CONTROLS THERMOSTAT Cm 280 Heat Plug Vent Sixa x 411 yolve M.H. VAOOn KIND OF LINER Al++ m SIZE 61' NONE Limit RoLehaw RFL 750n o.afr Hooa Ver tical R,9„i„or LimitSetting 2000f Filters Size 16" x 25" Number 1 Fan Setfing 90 f& 120 Y Chimney Location Insida Ye9 Outside Pilot Type r'OUple Chimnay Constructi on Metalbestoe Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 61 SCCOdds Draft OK Test Tag yQg L.W. Cut Off Door Pressure Lighting Inst. Yea Prossuro 4.4°w.C. percentCOZ 7•9% Date Tested 10423/74 input CFH 75 Percent 0 2 8 .7? Company Tesfing $fack Tamp. 5 ? -Percent C0 0-00? Name of Tester ,/Jds Form 235 "I HOUSE HEATING TEST RECORD D-21273 ADDRESO ' 1647 Hickory Lane APT. FLOOR CITY SUBURB Ea¢an OCCUPANT NOIIe pWNER Nem HoriZOnB HEAT LO55 SOLD BY Elacfrical Work By _ TYPE OF HEAT GA DATE HTG. INST GAS C0. METER INSTALLED BY Gas Lina By GAS DESIGN MAKE WilliameOtl MAKE OF BURNER_ Model 1117-07-5 Model Serial 7421234 Mox. BTU Rating _ INPUT 75.000 Btu HT. MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Plug yalve M.H. V800c Limit Robehaw RF7, 750n Limit Sstting 200of F,,, S,tt;,,9 90°f & 120°f Pilor Type Couple Pilot Make Pilot Model Pilot Timing 69 S¢COIIdB L.W. Cut Off Proasure ? ?r 4•5 ?•C• PsrceniCOZ 7•?p InputCFH 7?.-?--Pereent OZ 8•7 Stock Temp. `550 f percent CO ?•?? Form 235 Model FA X HW -STEAM SPACE HTR. UNIT HTR. -OTHER BADGE edgwiCk Htg, u n CON V E RSION Vant Size 4" KIND OF LINER A7nm- SIZE R° NONE DrohHood VertinAI Ragularor Filters Size18" x 251, Num6er I Chimney Loeation Insids 1'PA Outaida Chimnay Constmctien MetalheA+na $moke Bomb Wiring Draft OK Test Tag YPp Door Pressure Lighfing Inst. YQQ Date Testsd 101'25f74 Company Testing C'Ollltl t OII S CC181't1E8 Name of Tesror ? ?o-7a? Telephone # ( IQJ\) 'i v?iYt{ =_ase complete for modifications to existing residential dwellings. f?r I 5. 5o CIV-0,V1 ite O+ :e Street Address kk9U1'-X) Unit # operty Owner ?N :N 1L :ntrac:or _4)0 ? apriicant is: ciC Svs:srn _ ;V ew ? Cuntrac:or _''ther _.*-bished Sucmi[ 2 se[s -7lans ard vl ?ol 7aP?air ireoiace ournea our."ix7ures. ?itc.; ;ncluces County ree 5 ', 00.00 S 10.00 3 90.00 ? ? 50.00 arations to ixisting ciwelling ? :acer soiten.r .nd/r,r vat?? ra +da :ium?ing -ix[t,res. -''•is re= ncuOes ns,?ilauor .-• - , -'r? Lc I'?; -? ;ea[er at ?he same Ume. :f vou are ns.a,ling omli s N=ter soitener ina/ eCNat f L? , ieafer, :o no[ ^omolete :his >ec:ion; move to he r.e.<t 5ection -,?d ?oCr ??ID 3pc1iar.r.,?!s1 yr.: .re nstailinq. ? 5 2007 Septic 3ystem Abanoonmenc , Water Turnaround (add $136.00 rf a 518" neter s required) Other: $ 15.00 Water Softener (L- Water Heater _ new replacement ' PvB ?eW _repair _rebuitd $ 30.00 Lawn Irrigation _RPZ _ - $ 50 ate Surcharge $?.u.. tal sreby apply for a Residential Plumbing Permit and acknowledge that the information is compYete and accurate; that the rk will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I ierstand this is not a permit, but only an application for a permit, work is not to start withov t?a Permit and work will be in ;ordance with the approved plan in the event a plan is required to be reviewed and app 1° rnn'U .A.b),i1l TL- `?Tivnu A.yOIQ " - HrinteO Name ApplicanYs Signature 2007 RESIDENTIAL PLUMBING PERmiT aaPUCArioN C1TY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Sy 'a ?I?L-• Telephone ? b? S[ate ? ='P ej6iD? ??t•?n?i? - _ Cwner ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 , (ROOFING) Bw:ilding' Permit Type Building Wo,rk Type `. PERMIT Y-r s? ?y BUILpIN6 023333 04/14f94 SITE ADDRESS: 1641 HICKORY LANE LOT: 26 BLOCK: 2 WtlqpGATE P.I.N.: 10-84600-260-02 DESCRIPTION: PERMIT TYPE Permit Number: Datelssued: MULTI. (MISC.) REPAIR % 15 ?i , ? ?'1?.`? i / i \ ti- ?? REMARKS: INCLUDES 1643 (LOT 25) 1645 (LOT 28) 1647 (LOT 27) HICKORY LN FEE SUMMARY: VALUATTON Base Fee $72.00 Surcharge $2.50 Totel Fee $74.50 $5,000 CONTRACTOR: - Applicant - sT. LIC. pWNER: ALLSTAR CONST INC 15935325 0003247 OODGA?E TOWNNOME ASSOC 3315 N HWY 100 MICKORY LN MINNEAPOLIS MN 55422 EAGAN MN (612) 593-5325 (612)454-4440 I hereby acknowledge that I heve read this application and statie that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances. L APPLICANT/P EE SIGNATURE ? n R ,0A t rn 'ISSUED B :51 NATUfi J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: zs BLOCK: 2 APPLICANT: 1641 HICKORY LANE ALL3TAR CONST INC WOODGATE (612) 593-5325 PERMIT SUBTYPE: TYPE OF WORK: MULTI. (MISC.) DESCRIPTIQN BUILDTNG 023933 04/1AJ94 REPAIR (ROOFING) INSPECTION FRAMING .. . ROOFING ,. INSULATION FINAL REMARKS: INCLUDES 1643 (LOT 25) 1645 (LOT 28) 1647 (LOT 27) HICKORY LN F ? ; ? r 23533 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION $0. 50 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work`yf s; Ld4 ?Oc? Site Address: f"I ezIos\1 L<Ll12 r STREET SUITE # Tenant Name: (commercial only) LOT G BLOCK SUSD. ? P.I.D. # r f Descri tion of work: e'IU `e-l d d The applicant is: ? Owner Contractor ? Other (Describe) Name QO?'L rA ..J ??.5 SoC• Phone /l-,S 2S Property LAST FIRSi Owner qddress 57REET STE p City State ZiP Company Phone Contractor . ?-6 Address .33/s? /0. ??? i?) License # 33q'? Exp + City Als- State / q? - Zip S3/ZZ Company Phone Arch itect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS 13 Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing O Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: valuat;m: S 46 A I . ; ,. ..?=r ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous O 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units L C?2 6 BL CITY USE ONLY _? SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 RECEIPT #: S9??Y-7 DATE: ? °?? 4?1 r7zz Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ALQ,. Shower 3.00 x Water Ctoset 3.00 x Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot a 3.00 x ater HAater") 3.00 x Floor Drain 3.00 x Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x Private Disposal * oakota Cty. license 50.00 (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 Alterations " to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE TOTAL .50 SITE ADDRESS: PaesroN KIM 1641 HICKORY LANE OWNER NAME: E"G"" , M+ ssizz ? H 681-1637 W ? INSTALLER NAME: NORBLOAA PLUMBINQ C0. '?A??Rs STREET ADDRESS: ? it 2m Rfl AVE 80UTH CITY: MINIMAM. MN 5540e ZIP: PHONE #: ( ) 1? .??EKM OFFICE USE GNLY L _ BL _ RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercialAndustrial buildings. ? mulG-family buildings when separate permits are p.4t required for each dwelling unit. DATE: CONT. °.ACT °FtICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: - ,?c ;:;vl M ^' VA OJ31111'P l484 cin: al'f?9A iNN;?, STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: _ STE. # i'i Mc.;r,N(Jrf CITY UF EAGAN CA:iHTEIi: 7S 1ERi`4"INAI N0. i 18 DFlTGN 07/1.6/99 TIhfE: 1D?57:l.4 t ID e - N(-tMF? AIUIEC, vFli_uF. F:xT:r:.Rzor<s, LNC. 3210 9001 1657 NICF.OFtY HI 139.25 2155 9007. 1657 HIChOfiY H7: :i.:if] 321.0 9001 1665 NTCYURY N7: 1.39.25 ^ci.SS 9001 1665 FITCY,ORY HI 3.50 :'',2i0 90C11 1708 I-ITCF.OIiY HI 139.25 1L1JJ 9001 170i3 H]:CE.pIiY HI 3.50 3210 9001. i.721 FIICKCIRY N:f 139.25 L:I.JJ 900:1. 1724 HIGh(:)RY hII 3.50 '3210 9001. J.641. I-17:C F:DRY L.A 139a25 21.55 ''JClil:l. :1.641 FIICF.f1RY LA 3.50 CR1134E39 C:C]NTINUE liSEft 7:D: 7pN Nc? CON'T'TNUL. C:0W7:NUE CI'fY OF F:r1GFlN C;A5NTER: JS 71=RMINFlL N0: 71.8 DFlTF.^ 07n.6i99 •rrrtr_: W:,57:i.4 iD: NAMEc ADDELi VALLIE EXTI:RSORSy 7:NC. 3210 9001 .1.676 bITCKI7RY I_A 139.25 2:.55 900J. 1676 HIC!;UfiV L.A 3.50 1 k 1b+al Receip"t Amounr,: E356.50 CR113489 USLfi TL1: JAN 1999 BUILDING PE1tMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?(?? 3830 PILOT KNOB RD - 55122 ?d" 651•681•4875 o fr Remodel/Reoair ReauhemeMs D 3 reglstered sHe suneya showinp sq. k. of lot, aq. lt. of house and gMrooled areas (20% maxlmum lot eoveraae allowed) D 2 copies of plans (show beam s window slur, paured ind. design: etc.) D 1 set of energy calculaNons D 3 copies of hee preservallon plon U bl plaNed aHer 7/1 /93 DATE: CONSTI DESCRIPTION QP WORK: RFS s? ??t-????? Q, ??.u• ? ? ? STREET ADDRESS: ? ???"'-i ?-?-??`'? 2 coples of plan 1 sN W eneryy ealcutallons for heated oddlHom i aRe survey for exferia adtlB,l,o-n-,s ^6 Idecb ,6( ? 0 !/ u "i' COST: LOT: 'EL ? BLOCK: \ 9- SUBD./P.I.D. #: ? ? ?4--U-- 54 Name: U?A•Z- Phone N: ot" ('4W-d9a S PROPERTY L Fktt ' OWNER CONTRACTOR ARCHITECT/ ENGINEER -T Street Address: t CC City fVC4,L- State: k/N'-'` Iip: SS/ 2 Z- Company: 4L? QA-L.?k- ^???--r1m-S rnone #: &S l_Ct S 3 -9? 77 (area code) Sheet Addreas: 7ff4c 1-? MUCK Lkense #??I?Exp. `?LO ciry w. sq' Pc?-P, state: zip: S S i1 Q' Company: Name: Telephone #: area code ( Sheel Addresa: Regfshatlon 6: City State: Sewer t waler Ocensed plumber freaulred for new consfructton onN1: Ztp: Penally applies when addresa chpnge and lot change la requsafed onee permff h Bsued. 1 hereby acknowledge that I have read this applicallon, atate ihat Ihe Informafio is ef, d a ree to comply wNh all applicabl Slale of Minnesota Stalutes and CMy of Eagan Ordinanees. Signuture of ApplkaM: OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes - No - Not Required ;'i i --- ?? i .,,.. 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN 91ecK SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 5 17C SaY ?eyS I 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS # OF RENTAL UNITS # OF FOR SALE UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS PENALTY APYLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN DRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT ISIN PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A P HAS BEEN COMF PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: De C ! C Valuation`? Date ? : ,(-- Site Address I (o y3 H\c.1coY2.I LNI Lot 2.6 Block 2_ J Parcel/Sub 1A1006 G/}-jIF Owner +?' /?q l/TKi( RlVtfo nadress t(043 Y1C1E'09y LI? City/Zip Code L46t?n 5S14 Phone qS,,2 - ??$^ ? Contractox C.Oq11k" y-i/fW/A Address ??3?? VYN??'v 6 d?YUG- City/Zip Code EAM l/V Phone Z` Arch./Engr. Address City/Zip Code OFFICE USE ONLY iaov- FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge # of stories Plan Review Length f? SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S:F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump _ Copies ?O v SUBTOTAL APPROVALS Penalty Planner _ TOTAL Council Bldg. Off. Variance Phone # /s wLad lE0 MUftPHY MAYOF Tl10MA5 EGAN MARK PARRANTO JAMES A. SMITH THEOOORE WACHTER CouNCI? MEMaERs November 26, 1979 CfTY OF EAGAN 9795 PILOT KNOB ROAO EAGAN. MINNESOTA 'J5122 PMONE 459-BIOO ? ...gkil ? ,- Mr. Donald Kunelius 1645 Hickory Lane ? . Eagan, MN 55122 Dear Mr. Kunelius: ? TNOMAS NEDGES CITY &OMINISTRAtOR ALYCE BOIKE CITY CLEFR I am sorry that this letter is late in responding to your letter of October 18, 1979. The City of Eagan is progressing with plans for low income tax exempt mortgage financing. It appears that the City's Housing Plan will be approved during the month of December. The Minnesota Housing Financing Agency is planning to review the Housing Plan on December 20, 1979. If that agency's review is favorable, it appears the City will proceed with a Tax Exempt Mortgage Financ,ing Bond Issue sometime during the month of January or February. With the timetable as stated, it is possible that mortgage money will be available sometime in late winter or early spring of 1980. There will be considerable information available within 30 to 60 days on the program. The City is reluctant to proceed too far on the program unless the Minnesota Housing Finance Ageency approves the overall program and paln. I will notify you during January, 1980, as to when money wi11 be available if the Tax exempt Mortgage Financing Plan is implemented. Thank you for your interest. Sincerely, ??,,, U Thomas L. Hedges City Administrator TLH/hnd THE LONE OAK TREE ... TME SYMBOL pF STRENGTM ANO GROWTH IN OUR COMMUNITV. 2004 RESIDENTIAL MECHAPTICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 Please complctc for. single family dwellings & rownhomes/condos when permits aze required for each uni[ Date ?-\ ! ? / C1 '- SiteAddress Unit# Proper[y Owner \ ),j *,\ 3 tu- Telephone # Contractor Street Address City bX?-Q ? Sta[e Zip SSIa? Telep6one # e;\?? Bond#: ?V Expires: The Applicant is _ Owner _ Contractor _ Other Add-an or al[eration to existing dwelling unit $ 30.00 m nt l R l Additi ? f urnace _ o ep ace e na /air exchanger ? airconditioner New ? ?Replacement D i _ _ other e 3 20p? ; ? 'J y • State Surcharge $ .50 Total I hereby apply for a Residenrial Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand tlris 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 plaii in the case of work which requires a review and approval of plans. 1?? N Applicant's Printed Name ApplicanYs Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commercial/industrial buildings mul[i-family buildings when separate permits are not requircd for each dwelling uni[ Date Site Street Address Unit # Tenaot Name (ifapplicable) Prev9aus Tenant Name Property Owner Telephone # ( ) Conhac[ar Street Address City State Zip Telephone # ( ) Bond Ezpires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *'When installing/removrng underground tank, call for inspection by Fire Marshal and Plumbing lnspector P¢[mlf FC05: $70.50 Underground tank ins[allation/removal $50.50 Mtnimum (includes State Surcharge) or Contract Value $ x 1°/a = $ Permit Fee . If ermit fee is $1,000 or less, add $.50 ? $ State Surcharge If ep rmit fee is over $1,000, add $.SO for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; 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 Ihe case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: ,Inspector ?(,,;?N3 2007RESIDENTIAL BUILDING rERmiT nPPLICATiox City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construc6on Reauirements 3 registered site surveys showing sq. fL of lot, sq. fl M house; and all roofed areas (20%maximum bt wverage allowed) 1 Soils Reportif proposed building is la be soil etc. 2 copies of plan showin9 beam 8 window sizes; pWd fou 5n. 1 setof Energy Calcula6ons 3 copies of Tree Preservation PWn rf lot plalted after 717193 ftim Joist I)etail Options selectwn sheet (buildings with 3 or less units) Mnnegasco mechaniW venfila6on fom Date / 3 /o - ? Site Address ? R ddfRenairReuumemenfs 2 copies of plan showing fooGngs, beams,joists i set of Ener9y Calculatims for heated additians 1 site survey for addibons 8 decks qddNon- irw5cate NoMile septic system o?57 7s Otfice Use OnH Cert MSurveyReid„ _Y _N SoitsRepat'-=-= ". =N Tree'Pre'sPlaoRerA'= L Yti? N, -_ TreePresRe9uired._ -Y:; N , Onsile SepGC Spsfem--"- _Yi, N 000 Construction Cost Unit/Ste # Description of Work 1£.6p, orr Multi-Family Bldg _ Y _ N FirePlace(s) - 0 - 1 - Z Property Owner ./OObG fF'?-`c 14 OA? Telephone #( Contractor ('_? 4 11.) V Address ' - ? State /'1 ? Zip 5 .3 Telephone # ( %Ss"Z) o q? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rules 7670 Ce[eeorv 1 , New Energy Code Worksheet Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculalions Submitted In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a mosier plan? Y _ N If yes, dafe and address of masier plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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; 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. / llCFl?`?? /J?ln?2l'ST?Ea4n?i? Applicant's Printed Name ? City DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bld g) - Give PCA handaut to appl(cant DBSCI'Ipt1011: WaterDamage` Yes Valuation Occupancy MCES System Plan Review 100%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrxk _ Footings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AidG as Tests Final _ _ Framing _ _ _ Siding _ Smcco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permk & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131347 Date Issued:06/16/2015 Permit Category:ePermit Site Address: 1641 Hickory Lane Lot:026 Block: 002 Addition: Woodgate 1st PID:10-84600-02-260 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Robin M Walser Cerio 1641 Hickory Lane Eagan MN 55122--252 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature f For Office Use R 5-471- 1 :::ee: e ,RWa ', EivE Date Received: 17- 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 gqr (651)675-5675 TDD: (651)454-8535 FAX: (651)6 Xlp Staff: -=: buildinginsoections@citvofeaoan.com ' 7 2019 20191RESIDENTIAL If• _ MIT APPLICATION Date: 1 ( / ( 7 Site Address: / 9'( �� r ( 4/7 �n c (Unit s 9/1e / ar / Name: WOO ai e tbile 01, .?t, �SSOC'O VOI'l Phone: 657 - Li-51-73Y7 Resident, J / H-`char `11 0r Eay a SS a.) owner Address/City/Zip: Applicant is: Owner x,Contractor 1 Type of WorkDescription of work: ' `� Q� I Qar O.2 c d cep lac t Construction Cost:/' /010 Multi-Family Building: (Yes /No u d►�/'+t n dd 'fie C1'�7p tact: Sfe re. �p/-�►�old r� Company: R D�0�k ens �pn a .J _ Address: / 7 5 73 foX 6d 1 C City: F t frit. h5 irti Contractor l�/ f'6161" r x368 State:M' Zip: �)3.°01` ( Phone: ' p` 59 / ` Email: License#: A< ` ` V 0 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: No /Oa`fr/, sfr _ a ' I Noe P•h 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: Fire Suppression Contractor: Phone: MOTE Plans and supporting documents that you submit are considered to be public infommtion. Portlione of the information may be classified as non-public if you provide sperm reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.aooherstateonecall.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 approve of ans. x Sftrevl U(7r!'ic rut x Applicant's Printed Name Applicant's Signet re ��