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1644 Hickory LaneCITY OF EAGAN Remarks Addition Woodqate lst Addition Lot 23 Rlk 3 Parcel 10 84600 230 03 r ?.• Owner??-? Street 1644 Hickory Ln. State Eaqan, NIN 55122 JImprovement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.pAVING 1974 1 $115.45 $23.09 5 PAID GRADING PAVING 1976 . . 5AN SEW TRUNK a 1974 93 .54 6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 ?r STORM SEW TRK * STORMSEWLAT q 1975 $1505.70 $100.38 15 PAID CURB & GUTTER 510EWALK STREET LIGHT WATER C4NN. $130.00 11730 9-23-74 BUILDING PER. sAC $400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks Addition Woodgat? lst &dditioll Lot 24 Blk 3 Parcel 10 84600 240 03 Owners:'r`'l;;Ii; Street 1h4{ Hi c-knrV T.n _ State Eagan. MN 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREer RESZOF(PAVING 1976 $41.0. ].2 $136. 71 3 PAID GRADING PAVING 3 1974 $115.45 23.09 PAID SAN SEW TRUNK 1974 6 24 15 PAZD * SEWER LATERAL WATERMAIN * VVATER LATERAL 1975 15 ,t VVATER AREA 1975 5 * STORM SEW TRK 1975 * STORM SEW LAT 2-01 1975 1$05.70 100. 38 15 PAID CURB & GUTTER SIOEWALK STREET LIGHT WATERCQNN. $130.00 11730 9-23-74 BUILDING PER. sac $400.00 11730 9-23-74 ' PARK CITY OF EAGAN Remarks Addition Woodg ate lst Addition Lot 21 Rlk 3 Parcel 10 84600 210 03 Owner (J/r ? •?.`:?'h' Street 1648 Hickory Lane 5tate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK ay 1974 $93.54 $6.24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATERAREA 1975 15 * STORM SEW TRK 197.9 * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 BUILDING PER. s,ac 400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks Additiorl, Wood ate lst Addition Lot 22 Rik 3 Parcel 10 84600 220 03 Owner Street 1650 Hickory Ln. state Eactan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 9STREET 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 I5 WATERMRIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 ? STORM SEW TRK * STORMSEWLAT 1975 $1505.70 $10?.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 - - SUILDING PER. sc,c $400.00 - - PARK CITY OF EAGQN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? N ;coRn? PERMIT TYPE: Permit Number: Date Issued: j SITE ADDRESS: I nwI PERMIT SUBTYPE: i i,, , r I ris.1 , APPLICANT: , !. i I , liI! ; i I!I at 1 i ' ' ' TYPE OF WORK: i+l I „ I; 1 I iio i;1 1'A1ft 1 I:1?i.1f' 1 Fl6f , . r?l• ,ilI I c , ,' IiI !y) lilft i aH F+l { ! r'tf:F=-- 1 l'41 1IIl111 '. 1 1-q1, t 1 IJi ,'%13 it.11 1< (E.1?1 " i ) 111."yH (401 .'.') 111 1 }?ll?'r IN Permit No. Parmk Holder Dete Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FpOTINGS FOUND FpAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ?y r/ ^ ROUGH HEATING / GRS SVC TEST a ? INSUI GYP BOAHD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OASAT 7EST BLDG FINAL BSMT R.I_ BSMT FINAL DECK FTG DECK FINAL c,,J • lv WATER SERVI CEP ERMIT VILLAGE OF EAGAN 3795 PJot Nno6 Road PF.RMIT NO.: - - --4?26I74 , " MN 55122 , Eo9a^. UA'1 F.: - - - ? -. - - ' - ?? " -- -?-- -- PU? - - - No. of Units' --- -- - - ?- ??""`?? ? tdoodgate, New HOrizon-Home- s-- - -- - -- -- --- --? Owncr -- -?- -- Address, - - - -??- ---- ? I?Tle_ ---- - Sne Addxetis. 164 -46-48-50 HlckOry - -? - -? Co g, son Plvmbin- ?hp _- ----- -- ?- - Plumber Connection Chaige: Meter No _ -_ __ Account De{wsit 0 0 ? P 10 Sve Reader No. -- -- .- --- - - - Yermit Fee: - - - .50 pd ----- -- -- -- - 1 ogree to comOlY wrth the Villoge o4 Eogon SUrc arge. Misc. CharRPS - -- Ordmaaces. 'fntal: DacePaid:_ Iiy Insp Datc ot InsP . - " - ? ?? - "0 1? SEWER SERVICE PERMIT YILLRQE GF :AOAN 2209 3795 PilotNqabRoad PERMIT NO.: 4/26/74 Eagan, MN 55172 DATE: Zomng: p?in No. oP Units: MeW rizon Homes . wncagatag- Owner. Address: d nH-48-5 0 HickorY Lane -- Si[e Address: ? F4 Piumber. mhn nson P1Sd mbiDg Co. 1 o9rea te comply with Mie Villoga of Eaqan Connec[ion Charge: Ordinunces. Accoun[ Deposiu 1.0.0 Permit Fee: .50 p Surcharge: - Misc. Charges: BY. Date of Insp.: Total. Date Paid: Insp.: . _ .. . .. <. lllecaqa.te Ist CITY of EAGAN BUILDING PERMIT OWRe! ...?""".!. ' ....?..???..?..`:...1 .............'.. ........ ,2 ?? v ... Addresc (vresent) ...L.a.?-??../.......... ?:'._c`_'C'? ?a""? `_Yi....___--.-.rs-.........-"iL? SS3 ?f3 Builder ................ ......................................................... Addrau DESCAIPTIOIi ? I -3 .... N2 3785 Pilof &nab Road Eagaa, Mlnaesola 55142 454-8100 tll/ 3401 Dal? ....g..-?.'.7?.._.._...... Storiacl To Ha Used For // Fron! Depth Ho h! Esl. Cad -71 S ormi! Fea - Aemuks I ?s • Ci LOCATIOIi ai-3rA., I Strsei. Aoed ar other DescrSption oi LoeelSan I Lo! Bloclt Addltlee os Trao! - This permii does not aulhori:e the use ot atesele, roads, alleps or sldewdks nor does i2 glve the ownor or L4 syon! the :ighfto creale anp sifuation which is a nuSsancs or whieh presenls a hasard fo !4e heslth, aafelp, coaveaienee and general welfare to enyona in the community. THES PERMIT MUST BE KEP[T? ON THE PREMISE WHILE THE WORK IS IN- PROGRESB. This is !o eerlifp, ......hacpermisaion !o erae! ........................... _nyen the above described premise subjeci the provisions of all appliceble Ordinanees for the City o1 Eagan. • ?. . . . • .......................... Par ..... !J"`.. ` Y .........`???......... 'r.. ...-- ? .. ? ................. .? -..----................-......... .........................----.-. Ma or Buildinq Impeefor A J HOUSE HEATING TEST RECORD ADdRE55 ? 1644 Hickory Lane APT.-FLOOR CITY SUBURBEagan OCCUPANT rr_..._ HEAT LOSS - SOLD BY Elechical Work By TYPE OF HEAT DATE HTG. INSL OWNER New Horiz0l78 GAS C0. METER BADGE !/ JNSTALLED BY SedgwlCk Htg, Gas Line By GA _ FA g$ HW STEAM _SPACE HTR. GAS DESIGN WilliameOp MAKE MAKE OP BURNER_ Model 1117-07'$ Model 7430975 5«ioi Max. BTU Rating- INPUT 75,000 Btl1 HT. MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Hear Plug Valve M.H. V800c Limit Robshaw RFL 750n Limit Setting 200°f Fao Ssrrin9 90 f& 120 f PitorType Coup;le Pilot Moka Pilot Model Pilot Timing 28 Seconds L.W. Cut Off 4.411w.Q' 7.0% Prossufe Pereen}CO2 $' 7 75 Input CFH Peresnf OZ Sbck Temp Percent CO ? Model 4" veot size KIND OF LINER Alum• SIZE 6" NONE Drok Hood Vert"al Reguloror - Filters Size 1811 z 25" Number 1 Chimnay Location Inside YQe Outsida aimney Construction Metalbeetoe Smoke 8omb Draft - Door Prassui Date Tested - Company Testing Namt e{ Testar _ UNIT HTR. -OTHER CONYERSION Wiring Te:t Tag- Lighting Inst. Form 235 HOUSE HEATING TEST RECORD "?, ":?' ? ADDRE55 ' 1646 HiCkOTy LBne ppT.-FLOOR CITY SUBURB Eagan OCCUPANT - one (1WNFR New Horizooe HEAT LOSS - SOLD BY Elacfrical Work By TYPE OF HEAT Gas Lins By GA - FA HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Williameon MAKE OF BURNER_ Model ll 17-07-5 Model Serial 7437005 Max. eTU Raring- INPUT 75,000 R+ji /Hr, MAKE OF FURNACE Model CONTROLS THERMOSTA T Cm 260 Heat Plug Vsnt Size 4ti Valve U.H, VROOn KIND OF LINER Aln .e SIZE F+N NONE Limit R.Ob8hnw &FL 750n DrohHoad Vur +inal Reguloror Limit Setting mnof Filtars Size ZV X`Z5„ Mumber 1 Fun Setting 90°f & 120°f Chimnay Lacation Inside Yes Outside Pilof Type COllp1C Chimney Construction Metalbeetoe Pilot Make Pilot Model $moke Bomb Wiring Pilat Timing 73 Seconda Droft OA TesT Tog S'Qe L.W. Cut Off Deor Pressure Lighfing Inaf. Y e Pressure 4,4"W•C, percentCO2 7•0% Date Tssted 12/ 10/74 t CFH I 75 Percant 0 R 7% Com an Testin npu 2 g p y Stack Tamp. '`?SO?f pereent CO 0.0 ? Name of Tester DATE HTG. INST GAS CO. METER BADGE Sedgwick Htg. INSTALLED BY . I n CONVERSION Form 235 HOUSE HEATING TEST RECORD AoDRESS ' 1645 Hickorv Lane APT.-FLOOR CITY OCCUPANT nope OWNER NeW Hori80II9 HEAT LO55 DATE HTG. INST. GAS CO. METER BADGE SOLD BY •INSTALLED BY SedgwiCk eatiIIg n n Elechical Work By Gos Line By TYPE OF HEAT GA_FA x HW-STEAM_SPACE HTR. _UNIT HTR. -OTHER MAKE GAS DESIGN MAKE OF BURNER CON V E RSION SuauRe Eagan Model 1117-17 5 Model Sxial 74:11f110 Ma:. BTU Rating- INPUT 715,000Bt17AIT? MAKE OF FURNACE Model CONTROLS THERMOSTAT CS?260 Heot Plug Valve M_H V800C Limit ReUsbsw-RRL 250 Limit Setting 2990 fl Fan Settin9 90 0 z 32no.F Pilot Type _ Pilot Make - Pilot Model _ Pilot Timing L.W. Cut Off Vant Size 411 KIND OF LINERnInm SIZE NONE Drak Hood Par}i ra.l Regularor Filfers Size 1Fiv9..ri Number ? Chimney Lacation Inside ypa Outside Chimney Construction TMat,1S hC8+J8 Smoke Bomb Draft - Door Pressu Wirin9 - Test Tag Lighting Inst. -4en Pressure 4.6?Wr PercentC02 7? Data Tested 12411474 Input CFH 'Z¢ Percent OZ Company Testing Stack Tamp. 4 o?rPercent CO ().00% Name oi Teatar Fwm 235 HOUSE HEATING TEST RECORD ?Z-tJ?,L" ;1'U-51 ADDRE55" 143.0i(1 Airknry Tana APT._FLOOR CITY SUBURB EBLBII OCCUPANT ++oAP OWNER New Horizotle HEAT LO55 DATE HTG. INST. SOLD BY Elecirical Work By TYPE OF HEAT GA _ FAxgx gp? STEAM iA5 C0 METER BADGE iY . INSTALLED BY Sedp_wick Heatin8 _ Cws Line By SPACE HTR. _ GAS DESIGN MAKE Williameori MAKE OF BURNER_ Model 1117 7 Model Sarial `?1 Max. BTU Rafing- INPUT 75,0 OBtu hr, MAKE OF FURNACE Model n n UNIT HTR. -OTHER CONVERSION CONTROLS 260 It ? THERMOSTAT Cm j-?eat Plug Vent Size Volve M.H. VBOUC KIND OF LINER a' ? SIZE NONE ?.imit Robshaw Rr'L 750 vertioal Drafr Hood _ Regularor Limit Setting 200 f Filfers Size 1?g25 umber Fan Setting 90 f 120 f Chimnay Location Inside NeS Outside Pilot Typa COUp18 Chimney Construtlion metal bestoe Pilot Make Pilot Model Smoke Bomb Piloi Timing 66 9eC• Draft L.W. Cut Off Door Wirin9 - Test Tag Pressure Lightin9 Inst. ' 4.8"wc Percant CO2 7.0`? Daee Tesfed 12111174 Pressure $°e 18].'t?@8 inputCFH 74 o Percent OZ R 7% ComponyTesting Stock Tamp. 4fi() f percent CO 0_00% Name of Testar - Fwm 235 r?DOC7?a T? CITY OF EAGAN 3795 Pilot Knob Road Eagan, A4innesota 55122 PERMLT NO,: 461 The City of Eagan hereby grants to Geo. Sedgaick Heating & A/C Co. of 1001 Xenia Ave. So. Mals. 55416 a ?-? nmrxc Permit for: (Owner) New HOrizon Homas 1650 52-54-56 Hickory Lane & 1665-67-66-68 H+cti tiAiii , P?'suant to application dated 2/11/74 & 2/13/7A Fee Paid: 160.00 dated this 19 day of FebruarS , 19 74 , 4.00 s/c Building Inspector Mechanical Permits: Bid Total: -? / REQUEST FOR ELECTRICAL INSPECTION /e,s,-ooooi-os ?10- See mshmctions for completing Ihis form on back o( yellow copy "X" Be/aw Wak Cr?vered by This Request e Add Rep. 'Type of Buildmg Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer load Management Comm./Industrial Fumace ? Othe (Specrfy) Farm Air Conditioner Omer (specity) onvaceor's RemaBs Compute lnspection Fee Below: # ' Other Fee # Service Entrance Size Fee # CircwtslFeeders Fee Swimming Pool 0 to 200 Amps 100 Amps Transformers Above 200-Amps Above 100 -Amps $I f15 Inspeclors llse Only TOTAL Irrigation Booms ? • ???.`? 5 ecial Ins ection Alaim/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NO7 Other Fee COMPLE7ED WITHIN 18 MONTHS. I, ihe Electncal Inspector, hereby Rou9n,nn oate certity that the above inspection has been made. Finai OFFICE USE ONLY This request void 18 months irom s 6 9 0 s s yod ?? ? 9 ? Requesl Date Fre No Rough:2lnspcanon Feq d (YOU must cell Inspector en reatly) In ecimn OtherThan Rough-in Reatly Now ? Wtll Notdy Inspetlor ( 7?l ? Ves No qte Reatl I? licensed contractor ?owner hereby request inspection of above electrical work at: Job Adtlress (Slreat. 8ox or qoute No L Qty ?kL) a ? ??.? o ck r Seclmn N. Township Name or No Range No Co a ko? Occupant(PRINT) , v nsOt?! Phone No ,?g3 Fl7ro Power $upplier Atltlress Electncal Contrector (COmpany N e) v?r E cfr ConVac?o's icense No e l?? Meiling Address ( niractor or Owner Making Installat?on) a [ l S E? ?s Authonzea Sign ture Conirector/Owner Making Instellalion) Phone Number MINNESOTA STATE BOARD OF ELECT IC Grlggs-Mitlway Bltlg. - Raom S42e II II I I II I I I I I I I I ( II THI$ INSPECTION REQUEST WIIL NOT BE ACCEPTED BY THE STATE BOARD 1821 UnWersity Ave., St. Paul, MN 55100 Phane (612) 6 42-0800 UNLESS PROPER INSPECTION FEE IS ENCLOSED ' roo 3 - - _ ?? ?a? ReQUest D te Fire N Rough. ln Insp imn Requlretl ins ecuon er Than Rough-In / (YOU musical inspector,?,hen? dy) ' atly No W No' p ctor ? ves ? Ro Oate Hea iUricensed contractor ? owner hereby request inspection of above electncal work at: Job Atldress (Slreet, or Route No.) / Ciry ecnon No, Township Name or Na. Range No County ? /W7-4 Occupaqi(PRINT) Phone No S Power Suppliar AtltlrBSs ?J - ? ectncal Coniraclor (COmpany Neme) ConVactor's Licanse No ? " - .e. Q -74 Mailing Atltlr sa (COnVactor or Ow r Meking Installatlon) s ) ,4'2-'7?J T . s. s ? r ? Au onzetl ' ture (COniraclorlOyyua?Making Installation) Phone Number (MI SOTA STATE B AFU OF ELECTRICI U gga•Mltlwey Bltlg. Hoom 5-138 1821 Unlveretty Ave•, 31. Veul, MN 55104 Vhone (612)fi41•0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSED 7a?! C/ REQUEST FOR EIECTRICAL INSPECTION O? 310, See instruetions Por c3npleling this form an Eack of yellow copy. Q9? "3RI fi? ?j 1`? "X" Below Work Covered by This Request ?ye?•. Ne Add Rep. Ty e of Building Appliances Wired Equipment Wired Home Range Temporary Service lex Water Heater Electric Heatin A tBuildin Dryer oad Mana ement t mm./Industriel Furnace Other (Specify) ! rm ir Conditioner er(apecity) CoNradofs Remarks Compute Inspecflon Fee Below: # Other Fee # Sarvice Entrance Size Fae # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above.100 -Am s Si ns insPectors use oniy. 70TALa 11 Irrigation Booms S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTHS. I, the Electrical Inspector, hereby cenity that the above inspection has been made. Roughdn F1ne1 r oeie oa 3'y OFFICE USE ONLY TNS requast v01tl 18 months irOm REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa ?. ' See instructions for comoleti?g this form on back oi Yellow copy. '"X" Below Work Covered by This Request AAA HBP. Type ol Builtline APPIIancBS WirBO Equipmenl Wired HomF Range Temporary Service Dupio,. Water Heater Lightiny Fixtures Apt. Bwlding Dryer Electnc HeaLn Commercial Bldg. Furnace Silo Unluader Industnal Bldg. Art ConArtionr,r Bulk Milk Tanl< FTrfit Othe, So7077 nther ISPeuty) [ c ! ther Oihe, CornoJte lnsDection Fee.Belo-w p Fee Serv1ceEntranee5ize d Fee Feeders/5ubfeetlers k Fee Cucuits 0 to 200 qm 5 0 to 30 Am s 0 to 30 Am ps Above 200 qm s 31 to 100 Amps 31 to 100 AmiLs. Swimmin Pool Above 100-Amps Above 100_Amps Transtormers Irrigation &?orris ParLal-'Other Fee Signs Specfal Inspection TOTAL F E Remarks (f fJ l a Fough-in D?te I, the Elec .f/ Inspector, heraby certdy that the above P?^al ma daspectwn has been m. TNSrepueatvoidl8monlhalrom ieimontKs rr ?ie / _ 3 6,D VJy?c? ? flequuit Da=e Fire No. I Hough-in InsVer.UOn O flequ,red? (?ReaAy Nuw ? Will Nobty InsOer ? ?Yes No Y?• for When Readv ?Licensed Eleclncal Contr:ictor I hereby request inspectmn of ebove Owner ' electrical work instelletl at: Streel Atldress, Bax or Route No. 1 Qty 0 6 cL n o. ownship N: e or 74o. Ranfle Nn. CnumY ? O upanllPRINTI Phm No. U 1414 -? ower Supplier AAtlress ect ical Contractor 1Company Namel Convacior's License No. M g AAdress ICOnlractor or Owner Mak.ng InstailatmN ? V ? O ? ? ? " / ? Auth ignatur Contraclor ner i tallatmnl Phone Number MINNESOTA STATE BOARD OF ELECTHICITY THISvINSPECTION NEQUEST WILL NOT Griggs-Mitlway Bldg• - Hoom N•191 BE ACCEPTED BY THE STATE BOAHD 1821 UniversitV Ava., St. Peul. MN 55104 UNLESS PNOPEH INSPECiION FEE IS Phona 16121 297-2111 ENCLOSED, ,-I A ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? ? 03???13 PERMIT TYPE: Permit Number: Date Issued: eurLaxNG 025241 03/20/95 SITE ADDRESS: 1644 HICKORY LANE LOT: 23 BLOCK: 3 WOODGATE P.I.N.: 10-84600-230-03 DESCRIPTION: (ROOFING) Buildin4,-Permit Type ,Building Work 1Type :? `,. .' A`t . ?i MULTI. (MISC.) REPAIR REMARKS: INCLUOES 1646 (LOT 24) 1648 (LOT 21) 1650 (LOT 22) HTCKORY LN FEE SUMMARY: Base Fee Surcharge 7ota1 Fee VALUATTON $81.00 $3.00 $84.00 $6,000 CONTRACTOR: - Appia.cant - sT. I.zc. OWNER: ALLSTAR CONST INC 15935325 0003247 WOODGATE TOWNHtlME ASSOC 3315 N HWV 100 1625 HICKORY HILL MINNEAPOLTS MN 55422 EAGAN MN (612) 593-5325 (612)452-3922 I hereby acknowledge that I have read this application and state that the information is correet and agree tn comply with all appliceble State ofi M'n. ? Statutes and C3ty of Eagan Ordinances. _ APPLICANT/PERMITEE ISSUED Y:51 ATUR 1NSYEC'1'IUN IZECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 23 BLOCK: 1644 MICKORY LANE WOODGATE PERMIT SUBTYPE: MULTI. (MISC.) APPLICANT: 3 ALLSTAR CONST INC (612) 593-5325 TYPE OF WORK: DESCRIPTION suiLoiNG ezszai 03/20J95 REPAIR (ROOFIN6) INSPECTION FRAMZN6 D. . ROtlFING .. INSULATION FINAL REMARKS: TNCLUDES 1646 (LOT 24) 1648 (LDT 21) 1650 (LOT 22) HICKORY LN ? ? ? ? 1V ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1995 BUILDING PERMIT APPLICATION RESIDENTIAL ? ( ) 681-4675 ? 3 registered site surveys ? 2 copies M plan ? 2 copies of plans (Indude beam & window sizes; poured fid. design; etc.) ? 2 s0e aurveys (extedor edd'Nons S decks) ? 1 energy akulatlons ? 1 erreigy calculations for heated addkions ? 3 wpies M tree preservation plan N bt platled aRer 717193 required: _ Yes _ No DATE: 3? ib -9S CONSTRUCTION COST: Syv? DESCRIPTION OF WORK: TIv A F? o a f STREET ADDRESS: 1,61 ea fo e%v, ? L c. c, LOT ' BLOCK ?j_ SUBD./P.I.D. PROPERTY Name: 6o-oo%4f c Phone #: ysZ - 39l z OWNER `"°T Street Address- 4 yy 166 yg, Sa Ciry: 4 Ny 4r state: V' ?`! zip: 53?,/2. CONTRACTOR Company: C".I Phone#: s4?-53o? Street Address: 3 7/ S- '" /fw ?/0 0 License #: 3; City: r"146 State: 1''\rJ Zip: SS?/2 Z ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #• Street Address' City: Sewer 8 water licensed plumber. change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 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 Certficates of Survey Received Yes No Tree Preservation Plan Received _ Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE . ? ?.... . .?, 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuat) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee o-0 Surcharge ?? -- - Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies a-? TotaL• w 0?7 valuation: $ 5t5? v °k SAC SAC Units ? _0?1 r 0-0 CITY USE ONLY L ?o BL o? RECEIPT #: SUBD. DATE: 'S g/?S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace V? Add-on air conc;iiioning r=ireplace conversion (io existing firepiace) Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge (SD TOTAL ."20' SITE ADDRESS: 14-20 N AS9 y^^^ - OWNER PHONE #: ???- INSTALLER NAME: ""'°'°""' 410vvmLmnolmus w ,MM ?aesaM STREET ADDRESS: B+2-ez4M CITY: STATE: ZIP: PHONE #: ( ) ?7a7- ?s A16 GITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are fl.gt required for each dwelling unit. T DATc": rn?..•R iTpqC. nRirF• ..._. .?---- WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee yl i% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL ct?Tr. nnnocCC• v? t_ . ?r.v. sti?.?.. OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: cin:._. . ? PHONE #: STATE: ZIP: SIGNATURE: _ SIGNATURE OF PERMITTEE CITY INSPECTOR s3S? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I a1s.zs 4090 New Construction Reaui2menis RemodeliReoair Reauirements Otfice Use OnN 3 registered si[e surveys shovring sq. ft. o( l06 sq, fl. of house; and all mofed areas 2 copies of plan Ced of SUrlCyftecd Y,^( N (20% maximum lot coverage allowed) lsetofEnergyCalculalionsforheatedadditions ?'T9QPresi??l?bcd ?Y _'N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 srte survey for additions & decks Ttee Pres Requir8d , ^?Y, _ N 7seto(EneigyCalculations Adddion -indicatedon-sResepOcsysfem OnsiteSeptic$ystem._.Y. N 3 copies of Tree Preservation Plan if lot plaHed aRer 7/1193 Rim Joist Depil Options seledion sheet (bldgs with 3 or less units Date /C;L" / /Cp / ?_ uction Cost C onstr Site Address ??7? ? ? I ' ? '?1 IL KpY' rl 10, UniUSte # Description of Work ?L? a v" ? tDh ?&u Multi-Family Bldg X Y_ N Ftireplace(s) _ 0 _ 1 _ 2 Property Owner W oodaiQl2- ?L.bZ RSYlQ11,o vl.w Te?ephone #(?a7 Contractor / ` W Address City ?• State A) Zip Telephone #(/p?lj O?t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventila6on Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a fee applies. , Licensed Plumber Mechanical Contractor Sewer/Water Contractor planZ _ Y _ N If so, 25% plan review O #( #( #( I hereby apply for a Residential Building Permit and acknowle e t the information is complete and accurate; that the work will be in conformance with the ordinances and c es 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. Applicant's Pried ame 2? App icat ' ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 r? 04-plex Work Types ? 07 OS-plex ? 13 16-plex ? 20 Pool ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 0 31 New ? ? 32 Addition ? ? 33 Alteration ? ? 34 Replacement Valuation ?Ibq? ? Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Foorings(addi6on) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory 81dg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building` X 43 Reroof ? 46 Windows/Doors •Oemolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector a7? 'IC?9?C?i 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ) Date ?_ / A& I (/_/ Site Street Address /---?1 maovm Unit # Property Owner I l?l?l t? Jn?l'1 ?P)? Telephone #q? d"/ 1?l 339 Contractor ? S s' w Address City Telepnone #(?p'jq?I )130 State V olh Zip ?r The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water _ heater at the same time. lf jiou are insfalling onlv a water softener and/or wafer heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5l8" meter is required) Other: _ Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances anocodes of the City of Eagan and the plumbing codes; that I understand this is not a peRnit, but only anlf?app a permit, work is not to start without a permit and work will be in accordance with the 6ppr8ve? ?A ? lin the event a plan is required to be reviewed and approved. ?OCT 013- 2005 ? Olori App icanYs Printed Name ApplicanYs Signature -- --?_? ??-,?° - - - - - - - - - - - - - - - - - For Office Use I City O1 Eaaall Permit I Permit Fee: ~C 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date:. - OF Site Address: /b P) 'c .4 Or i t Ll NO Tenant: Suite RESIDENT / OWNER Name:( y' 1l 11 t1 1~" Cl f`tC C~ Phone: Address/ City /Zip: Z Z 1/'y Hl k- 4Otl a K(o Applicant is: Owner Contractor TYPE OF WORK Description of work: L ~G(' Construction Cost: Multi-Family Building: (Yes No I e t ~x cense 2 04 -5 ( 952 CONTRACTOR Name: LJ; f L Address: / ii City: L~.i 2 AX I'll P State: t A Zip: Z____ q ~ f / ) 4-Z-- Contact Person: f r l L SC_h wr T 2 2 L 6 COMPLETE 2 COMPLETE THIS AREA/ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 withou 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. nn f` --cl Applicant's Printed Name Applicant's lgnature Page 1of3 r - - - - - - - - - - - - - - - - - For Office Use Permit ~Cr City of EaRd~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 77Fax: (651) 675-5694 Staff: L----------------- t r 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ,7/6Olc Site Address: ~(o`Z 1 C L zi Tenant: wi i TjtQ Suite Phone: RESIDENT/ OWNER Name: f L 410, Address /City /Zip: CONTRACTOR Name: v~.td1~0 C License ?J? - _1 Address: City: State: Zip: Phone:.Q Contact Person: JJ TYPE OF WORK -New replacement - Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL ,/.-,Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / - PVB) ( Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 accor ance with the approved plan in the case of work which requires a review and approval f plans. Applicant's Printed Name Appli ant's Si a re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1644 Hickory Lane Lot: 023 Block: 003 Addition: Woodgate 1st PID:10- 84600 - 230 -03 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Douglas F Hatz 1644 Hickory Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature Mechanical EA089125 05/12/2009 ePermit Use BLUE or BLACK Ink For Office Use ' '' City of Ea�� ::::: i Ili i/X � °s 3830 Pilot Knob Road Eagan MN 55122 MFR 3 12017 Date Received: 3-31'( 7 Phone:(651)675-5675 Fax: (651)675-5694 Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 1644, 1646, 1648, 1650 Hickory Lane unit#: Date: 3/31/17 site Address: Name: Woodgate HOA II Phone: 651-214-4654 Resident! Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Re-Roof 5Osq building Construction Cost: 17,510 Multi-Family Building: (Yes X /No ) Company: JLH Construction, LLC Contact Amanda Hiltner 26293 150th St NWZimm r I ' Address: City.. a man Contractor State: MN Zip:SCJ 'R/ Phone: 763-477-2308 Email: amandahiltner@gmail.com License#: BC641697 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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? I Yes No If yes, date and address of master plan: 1 Licensed Plumber: Phone: , Mechanical Contractor: Phone: ) Sewer&Water Contractor: Phone: I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets 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.gopherstateonecall.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 approval of plans. 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. x 'A`rta u/a-� it. x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143631 Date Issued:06/21/2017 Permit Category:ePermit Site Address: 1644 Hickory Lane Lot:023 Block: 003 Addition: Woodgate 1st PID:10-84600-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jane Tste E Blanco 315 Cloverleaf Dr Golden Valley MN 55422 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature