1649 Hickory Lane- - ? ?'
YILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.? 1491
Eagan, MN 55122 llA'fE:
Lmmng _ PUD Na. of Units:
owner? _ Woodgate, New Horizon_HOmes
nddrF•a4 - -- -.. -. .-_--'----------------- -- - ?
tiite nActres. 64 51-53-55 Hickary Lane
Plurnber _ mpson Plumbing CO._ __------- --- ---- -_?
Mctcr No - ConneLtion Chargl--;e? Zz-?
. •
Svc Acrnun[ DeposL' - - _ _
Rv<idri No . . .,. ? _.. ____ Permn Fee. 10.00 pd
1 agree fa comply wrth the Villo"ge af foqon SurCharge .50 Qd
rina` nces. Misc Charges,'-"y
Date Yaid: __ __----
Ualrof I ?Potal
_
nnP . .,. . _ _ fnsp.: _..___
ai
- ?? 4? - ? ?-? --?? ,- ---
1
? ;7,Y
SEWER SERVICE PERMIT
YILUIOE OF EAOAN Z'Ol
3795 PilofK?w6liood PERMITNO.: - ??z5??4
Eogon, MN 55143 DATE.
2oning: PUD No. of Units:
Woodgate, New
n
r
O Horizon Homes
w
:
e
Address:
1649-51-53-55
d
Hickory Lane
ress:
Site Ad
Thompson Plumhing Co.
b
Pl
er:
um
y
1 ograe ro eomply wiM the Village of Eogan Connection Chazge: 6 6"u
/
Ordinonces. Accaunt lleposit: 10. 00 pd
Permit Fee. r?n Pd
Surcharge:
By. Misc. Charges:
Dale of Insp.: Total:
Insp.: Date Paid:
Wnodc??..7"e Ist-
CITY of EAGAN
BUILDING PERMIT
Owne: ............ ....-...-.--............. ........................................... ?
Add:ess fpresensl .../..?.?P L--.--_-------'.?.'.-t:r?:?'°""`??J
susiaa: . . ... ........ .. ?.-r-w ?-.............. ..... ..... ------------- .............
Addreas . . ....
.a tl//
N°_ 3401
3795 Piloi Kao6 Road
Eagam Minnawta 55122
454-8100
Date .... ._...............
Slories To Ba Used For I Fron! Deplh Hs h!
I Eol. Cw! *rmi! Fea RomiLrks
, ?
y
LOCATION 'Z/3Y0.5°
J
------ ......... .......... ---------------. Per .............. .ltr""(?O ?..J
.......................................... ......................................
.. . ? - MaYor 16 Buildiny Iwpeeler
oeg
This permiS does not auihorise !he use of alreels, soade, allaya or aidawalks aor does tt giva !he owaer oi hG aqeat
the righi to creafe any situation which is e nuisanas or whieh preeeNa a hasard !o ffie health, aafeip, tonvenienn aad
general welfare to anpone in !he communify.
THIS P£AMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORg IS IN. PROGAESS.
This is !a cerlify, Shal ..
:` ?....heapermisaion !o areet a.'-':`P
. .....
ihe above described premise subjecE ihe provisions of all applicabie Ordinances far ihe Citp of EBgan. ................. ? . ........ _ Ii06
? CITY of EAGAN N° 3981
Ownex ..?.ux:?.......:.................
Aail[B68 (Pi06BTl) .I•?..??.... L`i?f.T..JfC.flF.S_ J...Of..=J.2 .....................
i/
Huildar ...............?.:..e :.......................................................
BUILDING PERMIT
Addrau
3785 Pilo! Knob Road
Eagen, Minnesota 55122
454•6100
Dnls ........ _.......
6tories To Be Uced For Fronl Deplh Heighf Eel. Cos! Permi! Fse Ramsrks
71-Y06 7OG .
/ LOCATION
Slreel, Road or olher Deseriplion oi Loeafion I Lo! Block Addilfon oz Trae!
vz/ a 7Y I_- -d _'t -24 %
This pesmit does ao2 au2h8rise the use of slreels. roads, alleys or sidewalka nor does iY glvK the oovoes os hb agen!
the sightlo ereale enp siluation whiah is a nuisance or whiah presenls a hasard !o the healih, safely, convaafaacs aad
general welfare lo anyone in the aommunify.
THIS PERMIT MUST BE,,, ??{7EPT O? yT'H?E PLgEMISE WHILE TAE WORK IS IN PROGR SS.
Thia Ss !o eertfip, lhat..S.??.tc.f:1-....baspermission 2o eree! a_. .. . .. .a,mC'PR .................... »_upoa
the ebove desoribed premise subjecY !o the provisions of all applicable Ordinances for !he Ci of Eagan
. .n.......Y .......................................... Per .........?°-",-`-'(.Jl.i...../'..:.<.'?•t..A.s.n........••••-° --..................
Ma or Huilding Impaelo
,=;-"a --a zo 6z
CITY OF E.?GAN
3795 pilot Knob Road
Eagan, Nlinnesota 55122
PERIt`tIT NO.: 42.4
The City of Eagan hereby grants to r ce??y?9,nlr AoaC;ng
of inn? vQnia l?ue So
a?FA= Permit for: (Cwner) uaw wnri r, u Wnodgata
at 1( g4g?51-53-r+5 xicke= yna pursuant to app_lication dated
Fee Paid: SgQ_oo dated this larh day of pcrt„ , 19T4.
2.00 s/c
Bu'llding Inspector
M,,c;:anical Permits:
Bid Total:
?
HOUSE HEATING TEST RECORD D-21284 ?f'- -2 "
kDDRESI 1649 Hickory TanP ApL-FLOOR CiTY SUBURB Eagan ,
OCCUPANT 1VVl1C
HEAT LO55
SOLD BY
Elecirical Work By
TYPE OF HEAT GA
OWNER New Hori.zons
DATE HTG. INST. GAS C0. METER BADGE
INSTALLED BY ?QaEw1CI[ Htg.
Gas Lina By el
_ FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE William80n MAKE OFBURNER_
Madel 1117-07-5 Model
5erio1 7421236 Max. BTU Rating -
INPUT 750000 Bbll MAKE OF FURNACE
CONTROLS
THERMOSTAT Cm 260 Hear pluy
Volve M.H. VBOOC
Limit Robehaw RFL 750n
Limit Setting 200of
Fan setrin9 90°F & 1200f
Pilot Type CDUPIC
Pilot Make
Model
Vent Size 4"
KIND OF LINER A1nm. SIZE R" NONE
DraftHood Ve1't.'!Cel Regularor
Filters Size 161, x 2511 Numbar 1
Chimney Location Insida S'e4 Outside
Chimney Construetian MPt,A3IIPp}Ilp
Pilot Model Smoke Bomb _
Pilot Timing 60 SQCOIIdB pra{}
L.W. Cut Off Door Pressura
Pressuro 4_3"W•C+• percentC02 7_0/p-
Inpuf CFH 7A• ?Pereent OZ
STock 7emp. `?`?O ? percenT CO 0•0
Form 235
Wiring _
Test Tag
Lighting InsT.
Date Tested 10./26474
Company Testing
Name of Tesfer s `
c
CONVERSION
HOUSE HEATING TEST RECORD D-21284 ????? '_? 2"
ADDRE55 1651 Hickory Lane
APT. - FLOOR
oCCUPAN'r Charlee E Lambrecht owNeR Ye8
HEAT LOSS
SOLD BY
Elsctrical Work By _
TYPE OF HEAT GA
DATE HTG. INST. INSTALLED BY Sedgwick Htg,
u n
Gaa Line By
FA ° HW STEAM-SPACE HTR.
i
'
GAS DESIGN
William80D
MAKE MAKE OF BURNER_
Model 1117-07-5 Model
i Swial 7414300 Mox. BTU Rating-
INPUT 75,000 BtqHr. MAKE OF FURNACE
CONTROLS
THERMOSTAT M
:6O Heat P_Lua_. -
Volve H
?
VYfU
Limir liobshaw RFL 750n
Limit Sstting 200 f
Fan Sert "9 90 3& 1200f
PilatType Couple
Pilot Moke
Pilot Model
Pilot Timing sl "SQCOCldB
L.W. Cut Off
Pressure
`?,2"W,C• psrcentCO ?q
7•5?°
Input CFH 2
74 Psreent OZ 7.8%
Stack Temp. 400of peresnt CO 00
Form 235
Model
UNIT HTR. -OTHER
4"
venr si:e
KIND OF LINER Alum, SIZE 8 NONE
Drofr Haod v-_ Qr1611 Ca1?Regularor
FilMra Size 8 25 Num6er 1
Chimney Lacation Insids Yea Outaide
Cliimney Construction Metalbeatos
$moka Bom6 Wiring
Droft OK Tesf Tag Yes
Dow Pressure Lighting Inst. Ye$
Dote Tssted 3120175
Com
an
Testin C. S. BnfGl'1T C6MP."<iVY
p
y
g
Nama oF Tesfer K
(
17 Le
OZ A
q
?
yi»
CI7Y SUBURB EagaA
CON V E RSI ON
HOUSE HEATING TEST RECORD D41281
ADDRE55 1853 Aickory Lane ppT. - FLOOR CITY SUBURB Eaean
OCCUPANT Noae OWNER New Horizons
HEAT LO55 DATE HTG. INST.
SOLD 6Y
Electrical Work By
TYPE OF HEAT
iA5 C0. METER BADG 1CI{ Ht
INSTALLED BY ea? g'
n
Gas Line By
GA _ FA X HW STEAM SPACE HTR.-
GAS DESIGN
MAKE Wll17.801SOri MAKE OF BURNER _
Model 1117-07-$ Model
Serial 7421202 Me:. eTU Ratin9-
INPUT 75,000 Btu./Hr. MAKE OF FURNACE
CONTROLS
THERMOSTAT Cm 260 Heat Plug
Valve M.A_ VRI
Limit
Limit SeNing 200Of
Fon Serting 90of & 120of
Pilor Type
Pilot Make
Pilm Model
Model
Vent Size _
KIND OF LINER
SIZE fi" NONE
DroflHood Veirfinwl Rsgulotar
Filters Size 1Rit x 25" Number
Chimney Location Inside Yfl9 Outside
Chimney Construction Metalbeatoa
$moke Bom6
Wiring
Pilof Timing 72 Seconde pra{t OK Test Tag YeR
L.W. Cut Of4 Door Pressure Lighfing InsT. YeB
Prossure 5,5 "W,C, PercentCO 7.0% oare 7.sr.d 10/25/74
InputCFH 75 Percent O 2 ? g•7 Company Testing rOmb 'tl Ot1 S 1B].'t1Q$
5}ock Tamp.- Percent C0 Nome of Tastar
Form 235
UNIT HTR. -OTHER
CON V E R51 ON
HOUSE HEATING TEST RECORD D-21281
ADDRE55 1655 Hir.knry T.anP APL-FLOOR CITY SUBURB Eagati
OCCUPANT
HEAT LOSS -
SOLD BY
Eleehical Work By
TYPE OF HEAT
Gas Line By
GA _ FA X HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN
MAKE Wi11i8mson MAKE OP BURNER_
Mode I 1117-07 ^5 Model
Serial 7421235 Mox. BTU Rating-
INPUT 75,000 BtU AT, MAKE OF FURNACE
CONTROLS
THERMOSTAT Cm 260 Heat Plug
yaly, M.H. V800c
Limit Robshaw RFL 750n
Limit Setting 200°f
Fan Serrin9 90°f & 120°f
Pilot Type
Pilot Make
Pilor Model
Model
CONVERSION
411
Vsnt Size
KIND OF LINER Alllm. SIZE 6" NONE
Drafr Hood vertlC&1 Regularor
Filters SizelBn g Sn Number
Chimney Location Inside Yee Outside
Chimney Consfrucfion Metalbestos
Smoke Bomb
Pilot Timing 88 Seconda pre{t
L.W. CuT Off Door Pressure
Wiring
7e:r ra9 Yee
.Lighting Inst. Ye9
Pressure 4.6°W•C• percenlCOZ 7•0% Date Tested 10L25174
Input CFH 74 Percent 02 8 7% Company Testing 1.."OLl $mck Temp. 530Of percent CO 0-6? Name of Tester ???
Form 235 ?
DATE HTG. INST.
OWNER New HOrl20n
3AS C0. METER BADGE d ick Ht
INSTALLED BY e?' g•
u u
?9
?
"/oo
?
2
571? . ? . ?.cf ao
RequAst Dete Fire o, Rough-In In ction Reqmretl Ins eco Other T?an Roughdn
? P / / (YOU mustwllinspecmr hen r y) eedy No Will No In ec?or
? Yes ?ate Reatly
I " P1 censed contractor ? owner hereby request inspection of above electrical work at:
Job ACtlrass (SVeat, Bax or Route No.) Qry
i'9 s/
L- J4 `
ic:lzin -R J
Se_.ron No Township Name or No. Renge No Counly
/`
r?A F c?•?
Occupant (PRINn Phone No.
<?
Po er Suppller
?
' Atltlress
i9 cc
c c--
tx_
lecitlcal Connacmr (Company Name) ConVaclofe Lmense No
id ,? ? IE) -7
Mallmg Atltlress (Convactor or Owne Meking Inetallation) Lj
/ 50
,p _
? ?
V
7 1
uonza aWre (Conireclor/ Making Installation P?one Numbar ?
?
g' -d O OJ
MIN OTA STATE ARD F ELEGT CITY
affiggs-Midway 61tlg • Foom 3-128
1821 Unlvenlty Ave., St. Paul, MN 55104
Phone (672) 642•0800
THIS INSPECTION REOUEST WILI NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
r ?O REQUEST FOR ELECTRICAL INSPECTION
?L 7 110- See mstructlqm? lor wmpletmg this rorm on back oi yellow mpy.
. 1 ~'X" Below Work Covered by This Request
e Add ?kepj Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Haating
Apt. Building Dryer ad Management
Comm.llndus[rial Fwnace Other S ecify)
Farrn r Conditionar
Olher (specly) Coniractols Remarks
Compufe Inspection Fee Belaw:
# Other Fee # Service Entrance Siza Fee # Circuds/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200_Amps Ahove 100-Amps
Si ns inspeolors use oniy \ TOTAL
Irrigation Booms ??'CU Q r
Special Ins ection
Alarm/Communication 7HIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON7HS.
I, the Electncal Inspector, hereby Rough-in oete
certify that Me abova inspection has
been made.
Final
OFFlCE USE ONIY ?
Thi3 r¢QUesl voitl 18 monMS from
?0 ?y? 2 ??o ;o
Request ate Flre o Pough-ln I eclion Requirad Ins ectio her Than Rough-ln
(VOU must call mspectot en r tly) eatly No Will Noli In or
? Yes o Dete Raetl
I icensed contrector ?owner hereby request inspection of ebove electrical work at:
Jab Atltlress (Stree1, Box or Route No ) Qty
9ection No. Townslrep Nema or No Ranga No. Counry
i3i?21
Occupant(PRINI] Phone No
ower Supplrer AtlCress
Aje,G+ ' ?s1/ 1?-4XI
Eleclncal Commctor (Company Name)
?
? Comredofs Licanse No.
?
. /9•?
l / ,36-227
Meiling Atltlress (COnV2ctor rner AAaking Installation)
,.v 3 7 F?
?
?
• S, G o
!
?
Au?honzetl Si ure (COntreclod er kieg Insta4?9o P?nJanye Nu?m/ber
V / r-6D ?
INN OTA STpTE ARD OF EGTqlyr? ? ? THIS INSPECTION REOUEST WILL NOT
J_W
a-MlEway Bltl • Faom S-1P8 L BE ACCEPTED BV THE STATE BOARD
G g
1821 Univewity Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-OB00 ENCLOSED
?/??? ? REQUEST FOR ELECTRICAL INSPECTION ??`?.?=?Ai?
s
4] ?
Z 10- Sea maVUCibns br completing mis brm on beck oi yellow copy. ? 11 )
?
? X" Below Work Covered by This Request ?
Ne Add Rep. "7ype of Building Appliances Wired E uipment Wired
Home Range Temporery Service
Du lex Water Heater ElecMc Heatin
A t. Building Dryer oad Menagement
t CommJlndustriel Fumace Other (Specity)
Farm Ir Conditioner
Ofher (spacity) ComracWrs RemerksCompute Inspectlon Fee Belaw:
# Other Fee # Service Entrance Size Fee k CircuitslFeetlers Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Amps Above 100 -Am s
Si ns inspmtors usa onry. TOTAL
Q
Irrigation Booms .
Special Ins tion
Alartn/Communicatlon THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby
certity that the above inspection has
6een made. Rough.in
F??ei oaie
OFFICE IISE ONLY
This request witl 18 monihs trom
CITY OF EAGAIV Remarks
Additign Woodgate t Addition Lot 22 Rik 2 Parcel 10 84600 220 02
Owner t , screet 1649 Hickory 'uaAd State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
py STREET RESTOR. pAVING 1976 410.12 $136. 71 3 PAID
GRADING
PAVING 1974 $115.45 $23.09 5 PAID
SAN SEW TRUNK alL 1974 $93. 54 $6.24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATERLATERAL 1975 15
* WATER AREA 1975 15
* STOFM SEW TRK 1975
* STORMSEWLAT slell 1975 $1505.70 $100.38 15 PAID
CUR9 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $130.00 11730 9-23-74
BUILOING PER.
S,4C $400.00 11730 9-23-74
PARK
Remarks
Lot 21 elk 2 Parcel 10 84600 210 02
Q. Zd?ma1,F -1-t01 4,dA„di Iln. Yh1z C5c1nt'
stace Eaqan R MN 55122
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF.
9STREET RESTOR.pAVING 1976 $410.12 $136. 71 3 PAID
GRADING
PAVING 2-33, 1974 115.45 23.09 5 PAID
SAN SEw TRUNK .{ 1974 $93. 54 $6: 24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATERLATERAL 1975 IS
* WATER AREA 1975 15
* STORM SEW TRK
* STORMSEWLAT 1975 $1505.70 $100.38 15 PAID
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN.
BUILOING PER.
sc,c 400.00 11730 9-23-74
PARK
CITY OF EAGAN Remarks
Additipn Woodgate lst Addition Lot 24 eik Z Percei 10 84600 240 02
Owner EFY , l. (?. P',s nvhti L street 1653 Hickorv Lane scate Eagan, MN 55122
' Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. AVING 1976 410.12 136.71 3 PAID
GRADING
PAVING 1974 115.45 23.09 5 PAID
SAN SEW TRUNK ij 1974 93 . 54 6. 24 15 PAID
* SEWER LATERAL 75 15
WATERMAIN
* WATERLATERAL 1975 ZS
* WATER AREA 1975 15
,t 5TORM SEW TRK
* STORMSEW LAT q 1975 $1$05.70 $100.35 15 PAID
CURB & GUTTER
SIDEWALK
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
AdditWn Woodgate lst Addition Lot 23 eik 2 Parcel 10 84600 230 02
Owner 4,Ex (f• f, r, q( Street 1655 Hickorv Lane State Edgan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
• Q STREET 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
* WATERLATERAL 1975 15
* WATER AREA 1975 15
* STORM SEW TRK 197
* STORM SEW LAT aq? 1975 $1505. 70 $100. 38 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEA CONN. $130.00 11730 9-23-74
BUILDING PER.
sac $400,00 11730 9-23-74
PARK
MASTER CARD
?
STRUCTURE AND
IAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING Z 9 ft/
V?? ? ? i ?
PLUMBING --
I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAI
H EATI NG
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER I
Items Approved
(Iniiial)
Date
Remarks
Distance From Well
FGOTING ?? PTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
EI_ECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAMFIELD
PLUMBING
WELI
SANITARY SEWER
Violations Noted
on Back
COMMENTS.
.« ftg,`? v ? ?n?y ??•?? y
?-
OWNER WK? ZJ?i M14Ow0610
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON{OMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
CE RTI FICATION - I certify that I haoe carefully inspected the a6ove in which I have no interest pre:ent or prospective, and that 1 have reported herein
all sipnificant conditions oLse1ved to be at variance with ordinances of the Town of Eagan, appraved plans and specifications, and any syecific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOR
pATE
CITY USE ONLY
L ? BL oIi RECEIPT #:
SUBD. DATE: /
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 z
(612) 681-4675 / /?JZ
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
a
Water Hea?'
Floor Drain
Gas Piping Outlet * minimum - 1
Rough Openings
Water Softener
Private Disposal * oakota cry. iicense
U.G. Sprinkler * home under const.
Alterations ` to existing
Water Turn Around
SITE ADDRESS:_
OWNER NAME:_
INSTALLER NAME:_
STREET ADDRESS:
CITY:
PHONE #: (
EACH NO.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
STATE SURCHARGE
TOTAL
TOTAL
.50
,7-0• ?50
D0689
1653 HICKORV LRNE
ERGRPI , 55122
H 454-5220 W
LEE
STATE: ZI P:
??
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
uiiTE:
WORK TYPE: _ NEW CONSTRUCTION ADD ON
? e???nr.
?i+sVI rrRAli ?1 i t?IliL.
I+VI
DESCRIPTION OF WORK:
REPAIR
FEE: $25.00 minimum fee or 1% of contrect 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:
TFIVAMT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
STE_ # _ - ___ _- .._.
crrr: Mn,eomT?
^? I Iq7:.N ?r
PHONE #: Nrune ?? A 0?l?M S IM
OR-'%CC' WMA . NIM
SIGNATURE:
APPLICANT
ZIP:.
CITY OF EAGAN
********#********************k*********
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 761
DATE: 09/08/00 TIME: 07:50:05
ID:
NAME: SOUTHSIDF HEATING & AIR
3213 9001 1653 HICKORY LN 30.00
2155 9001 1653 HICKORY LN 0.50
Total Receipt Amount: 30.50
CR137157
USER ID: JAN
CITY USE ONLY
LOT ^ 1 BL PERMIT #:
SUBD. 00A?(?t2. 1ST RECEIPT
4zl ? 5
RECEIPT DqTE:
2000 MECHANICAI, PERMIT (RESIDENTIAL)
Date: % ' lp " // v
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair. k
_ New _ Alteration _ Repair Oth,
? Fumace y Air conditioning
Air exchanger
Reminder: Call for inspeclrons
S[TEADDRESS: /CO S ."S '
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Rh w`r I PHONE #: (OSl - (pV_ a f9&
OWNERNAME: ,C
?/?. J n (AREA CODE)
INSTALLER NAME: SdxW1"L? ??t'fPHONE #: _9sa_- - 8'gSl- ae/S3
STREET ADDRESS: / (AREA CODE)
CITY: STATE: ? ZIP: SyeI3 ?
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN MIII 55122
651-681-4675
SIGNATURE OF PERMI E
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CO1+IldLRCIAL)
CITY OF EAGAN
3830 PILOT IQiOH RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaUndustrial buildings
mulG-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $?I x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHONE #:
(AREA CODE) ,
TENANT NAME (IMPROVEK?TS ONL17:
WAS THERE A PREVIOUS TENANT IN TH[S SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
; ..'r
I1&?X city oF eagan
3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM9UIST
EAGAN. NNNNESOTA 55121 ?O1
PHONE: (612) 454-8700 DATE = September 6, 1985 THpMAS EGnri
JAMES A SMITH
JERRV TFOMAS
ADDRESS = 1655 Hickory Lane THEODORE WACNTER
CWIKN MfRiCBlS
LEGAL DESCRIPTION= Lot 23 Blk 2 T"O^ASMEoGks
Ciry qtlmlrlshatw
EUGENE VAN OVERBEKE
Woodgate Addition c^vc'a"'
Dear Eagan Resident :
RE: RZGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
„ CITY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautiona-y
measures for the protecti6n of the public. An electrical co:?_
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such. '
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-Way without approval by the Council. .
The public right-of-way or boulevard is that area fzom the curb
to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The stzucture must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTN AND GROWTH IN OUR COMMUNIN
• •, r ?
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damage to your structure and also to our snow removal
equipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60DAY5 OF THE DATE OF THIS LETTER.
After that time, you will be subject to the fines as stipulated
in this ordinance.
The City of Eagan cannot accept any responsibility for damage that
may occur to those obstructions" that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
William H. Branch, Superintendent
Public Works Department
WHB:jbd
Rocks on the boulevard
I e 06??
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
??( 5,?--5'
New Construc[ion Reouirements RemodellReoair Reaviremenls Offlce Use Onlv
3 registered site surveys shovrmg sq tl of lot, sq. R. of house; and all roofed areas 2 capies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverege allmved) 1 set o(Energy CalculaUons for heated additions Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additlons & decks Tree Pres Required _ Y_ N
7setofEnergyCalculations Add'N'on-indicafeiton-sitesepticsystem On-sileSepticSystem _Y _N
3 copies of Tree Preservation Plan ii lot plafled efter 711193
Rim Joist Detail Options selection sheef (buildings with 3 of less units)
Date 05 F -y?
Construction Cast A
Site Address UoiUSte t!
Description of Work TcGA ?-
Multi-Family Sldg ? Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner iwt? Telephone #
Contractor V?? 6?1 ? ? pY?r
Address 7i City ',?-TTJG(.A4 l
State Zip Telephone # Q,{)9)??( r[ l3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Ene?gy Code C2tBgOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies,
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; th t the work will be in accordance with the approved plan in the case of work whie?k-rcquires-a-r?u-i?ud
approval o?f plans. ? €j ?,I ?I ? ? ? ? ???
?t ' I?
ARpIicAnt's Printed N Applicant's Signature
Ir,
_...._.__..?..e._.. WW.;1
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwetling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plez Plbg_Yor_ N ? 25 Miscellaneous
Work Types I
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46
? 34 Replacement *Demolitlon (Endre Bldg) - Give PCA handout W applicant
? 30 Accessory Bldg
0 31 Ext. Alt - Multi
O 33 EM. Alt - SF
0 36 Multi Misc.
,
Siding
Fire Repair
Windows/Doors
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump '
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ ]nsulation _
_ Retaining Wa ll
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector