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1660 Hickory LaneCITY OF EAGAN Remarks Addition Wood9ate lst Addition Lot 15 Rlk 3 Parcel 10 84600 150 03 Owner4i •LZ r FrFitq street 1660 Hickory Ln. state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1STREET RESTOR. PAVING 41 .12 136.71 3 PAID GRADING PAVTNC, d 7 115.45 23.09 5 PAID SAN SEW TRUNK y 1974 93. 54 6.24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORMSEW LAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 13UILDING PER. sAC 400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks AdditionI? dition Lot 16 Rik 3 Parcel 10 84600 160 03 Owner 11T,L -• 2;a db'- i - Street 1662 HickorY Ln. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. PAVING 2 3 1 3 PAID GRADING 5 PAID SAN SEW TRUNK 1974 4 6.24 15 PAID * SEWER LATERAL WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 975 * STORMSEW LAT 1975 1505.70 100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 BUILDING PER. sac 11730 9-23-74 PARK CITY OF EAGAN Remarks Additio?Woodqate lst Addition Lot 13 aik 3 Parcel 10 84600 130 03 Owner_ -','"r I r'?-.- - r- street 1664 Hickory Ln. State Eagan, MN 55122 Improvement Date y%Amount Annual Years Payment Receipt Date STREET SUR F. • 9STREET RESTOR.pAVING 1976 $410.12 $136.71 3 PAID GRAQING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK c? 1974 $93. 54 $6. 24 15 PAID * SEWER LATERAL WATERMAIN * WATER LATERAL 15 * WATER AREA * STORM SEW TRK 1975 * STORMSEWLAT ? 1975 1505.70 100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 130. 00 11730 9-23-74 BUILDING PER. sac 1 9400-00 11730 9-23-74 PARK CITY OF EAGAN Remarks Addition WOOd ate lst Add' ion Lot 14 eik 3 Parcel 10 84600 140 03 Owner ?lf( ? 6156157- ? Street 1665 Hickory Ln. State Eactan, MN 55122 ?f:i: 1 ?Ft ? (I.fl. 1C.1; L Improvement Annual Years Payment Receipt Date STREET SURF. ?f STREET RESTOR. ']1 3 PAID GRADING k 23 09 S PAID SAN SEW TRUNK / $93.54 6.24 15 PAID * SEWERLATERAL 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130. 00 11730 9-23-74 BUILDING PER. saC $400.00 11730 9-23-74 PAR K RESIDENTIAL BUILDING PERMIT APPLICATION ? / `?? ? ? CITY OF EAGAN $ 71, ?O /? 3830 PILOT KNOB RD - 55122 651-681-4675 Callfd New Conrtruction ReauiremeMS RamodellReoair Reauirements • 3 regislered sile surveys showing sq. ft. M bL sq. fl. W house; and all roo(ed areas • 2 caples a( plan (ZO%maximum bt coverage allowed) . 1 set of Energy CalcWations for heated additions • 2 capies of plan &howing beam 8 windmv saes; poured found design, etc ) . 1 sile survey far exleriar addNons R decks • 1 set of Energy Calculations . Indicate if home sened by septic system for additan,s • 3 copies of Tree Pieurvation Plan if bt plaked after 7/1193 • Run Joist Deqil Options seledion sheet (bldgs wilh 3 or less units) DATE -1I q I?)OoI VALUATION ta, 50 p° 1-f) _UI 4m JOB SITE ADDRESS \Wb Lc.r2 'i:-oAqh . "S1 ? T5 19a IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?I PROPERTY OWNER 'm?l S TYPE OF WORK \-O C12C< FIREPLACE(S) _ 0_ 1_ 2 APPUCANT NmV S. \.,qC?>Onre PHONE#W5I- 1454-5-3Ib ADDRESS \bblp ?ic?or4 V-Ghe ??Gar, \1N S?51a PAGER #W?? ???5?-?O$• CELL PHONE # ao q _ZIP CODE F,ax #work ? _Fsoi? -__aoB NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNE.SOTA RULES 7670 CATEGORY 1 (check one) - Residential VentilaGon Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted ( MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ? Plumbing Conhactor. _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Woter Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fec: ? u U ?[ $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of AppllcanlL z"n'l,? c?'?7?Y7`n11?Q , Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ Water Heater _ No. of BaLhs Phone #: Lawn Spruikler No. of R.I. Baths Updated 1101 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O$7 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage O 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding P 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation 0 0 " - Occupancy /#? - 3 MC/ES System Census Code y3 s? Zoning _/0-1 6 City Water SAC Units ?L Stories Booster Pump Nbr. of Units / Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) ? FinaUC.O. Footings(deck) FinaUNo C.O. _ Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final _ Framing- - _ Fireplace _ R.I. _ A'u Test _ Final _ Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Slucco Stone _ Windows (new/replacement) Approved By La , Building Inspector RMA ?,JOME SERVICES INC. Home Depot Installed Sales RESI DENTIAL 3200 Cobb Galleria Pkwy., ste. #200 Atlanta, GA 30339 3UILDING PERMIT APPLICATION 763-542-8826 p CITY OF EAGAN BC-20268257 3830 PILOT KNOB RD - 55122 - 651-681-4675 New Construction Reauirements RemodellReaair Reuuirements • 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas • 2 copies of plan (20% maximum lol coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan sfwwing beam 8 window saes; poured found desgn, etc.) . 1 site survey for eztenor addNOns & decks . 1 set of Eneqy Calculations . Indicate if home served by sepGc system foradditions • 3 copies of Tree Preservation Plan if lol platted aNer 7l1193 . Rim Joisl Detail Options seleGion sheet (hldgs with 3 or less unils) DATE 1o1l'_S0ll1?•O? VALUATION E) I SIS. JOB SITE ADDRESS IIoLL R1a.ncu LL)s?,_1.. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF 0 1 2 APPLICANT ?-? P_ f_-Z ? u PHONE# 15a•3457•1100471 ADDRESS $\t4.? rnrv ZIPCODE ?S lZ0 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Water Softener _ Water Heatcr _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant XvC?_?-?^ &DJylOrM Phone #: I.awn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 1101 ? OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition " ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire'Bldg only) - Give PCA handout tb applicant Valuation Occupancy MC/ES System Census Code .. . Zoning, . 6ity, Water SAC Units Stories Booster Pump " Nbr' of llnit ' s Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing- - Fueplace _ R.I. _ Air Test _ Final Insulation FinaUC.O. HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Srone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector l1looaqa.Te Isfi CITY of EAGAN Jh ? BUILDING PERMIT owa.= --'.?`.-.-_.._O?c? . Addresa (present) ...?.?_?-?.L......_.?"?:4'Y??'?O-'"v?'J Suildar ......._----......................................................... Addrame .... .. LX N2 3401 3785 Pilo! Knob Road Eagan, Minneaota 55122 454-BI00 Dale .... 1...- 7'V -..._._..__. 6taries To Be Ueed For I Froni Deplh Ha h! Est. Cwf ormf! F?a Remasb ? ?"' 715 178?-, ? 3S or /39.Sa of This permit does noi authorise the use of etreala, roeda, alleps or sidawalks nor dut 12 give, !6e owaer os 6ta-aqea! the righf !o creete anp situation which is a nuisance oz which preaanlc a haaasd !o the healfh, sefetp, aoavenionn aad ganeral welfare to anyona in the community. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE TFIE WOAB IS IN- PROGRESB. This is !o eerrifp, .....6ea parmissioa !o arac! a....!z??',?.......N..`:?:? ...................... _npon the above described remise sub'ecf the ? p 7 46 provisions of all applicable Ordinanees for the Citp oi Eegan. ..._?.........'a? ...... ----`--"'t"''_ ?•? ............................ Per ............... N?' O ........._..................... Mayor Bulldinq Iwpoeloi 06 CITY OF F.AC?2N 3795 Pilot K,ob rc,ad L;agan, P4intiasota 55122 PERNiT NO.: 592_ T!ie City o° Ea.oan hereby grants to of , Q,., .,,...: _ r..,. g,.Mpl, os.4ll6 n HFAmIN. Permit for: (0wer) New Horizon - Woodgate 1724 & 1710 Walnut Circle, G6 E2-5,-6G Flicl;ory 7ane, 1652-54-56r59 Hickory ?'- ra„P , pursuant to application dated 9/25, 9/6, 9/18174 Fr,e Pai.ci: g200.00 dated this llthday of 5.00 s/c ^ _ .?. .-W. s` ? _ ???.?ti('??¢?r .?,'r?` . , _`? . 1 W?.i? C iCechanical Permits: , DL: 2b tal: CI October.. -_' 19__ 74 , HOUSE HEATING TEST RECORD D-21113b2 ADDRESS 1660 HiCkOrX Larie APT. - FLOOR CITY SUBURB Eagan OCCUPANT none OWNER New Horisons HEAT LOSS DATE HTG. INST. >AS CO METER BADGE iV SOLD BY ElscAical Work By TYPE OF HEAT INSTALLED BY SedAwick Heating Gas Line By ft 11 GA _ FA 't HW STEAM SPACE HTR. _ GAS DESIGN MAKE Williamwnna MAKE OF BURNER Model Model UNIT HTR. -OTHER CONVERSION Serial 7427102 Max. BTU Rating _ INPUT 76T000Rtn9hr MAKE OF FURNACE CONTROLS THERMOSTAT Cm280 M,H, 9800Cat PIu9 Valve Rob?haw FL 750 Limit Limit SeNing 200 f 90 f 120 f Fan 5etiing Pilor Type couple Pilat Make Pilot Model Pilot Timing `}$ 98C. L.W. Cut Off Model " Vent Size 4 KIND OF LINER 91nm SIZE 6„ NONE Draft Hood?eT't1CH Ragularpr Filtars Size?- Number Chimney Loeation 1r?gi de yeB Outside Chimnay Canstructionmetal De9 O g Smoke Bomb Wirin9 Dro{t o Test Tag yes Dow Pressure Lighting Inst.yeg Pressure 4.4"WIrv Percent C02 7«05%? Date Tasted 12.112.474 Input CFH 25 Percent 0 2 9.?.7%- Company Testing Stack Temp. 47??f Parcent CO 0-0? Nams of Testar ?• -- Form 235 HOUSE HEATING TEST RECORD D-21352 ADDRESS 1682 Hickory La[1C ppT._FLOOR CITY SUBUREPag'an OCCUPAN7 tione HEAT LO55 SOLD BY Elechicol Work By _ TYPE OF HEAT GA OWNER New Aorizana DATE HTG. INST. GAS C0. METER BADGE iV INSTALLED 8Y Sed¢sack Heat].C1S Gas Line By f 1 _ FA x HW _STEAM SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE WilliamaOri MAKE OF BURNER_ Model 1117-07 -5 Model Serial 7430973 Mcx. BTU Rating - INPUT 75 .O0OBtIxY1lT MAKE OF FURNACE CONTROLS THERMOSTAT L'M260 Hsat Plug Valre M_g. v$00C Limit Robehaw RFI, 750 Limit Setting 2 Fao Serriny 90f 120 PilorType couple Pilot Make Piloe Model Model Vent Size 11 KIND OF LINER alum SIZE 5 NONE DroffHood vPTf.infll Reqularor Filters $ize-] Chimney Location Chimney Construction Smoke 8omb CONVERSION Inside YPA Outside Wiring Test l Pilot Timing 67 BCC. Draft L.W. Cut Off Door Pressure Pressure 4. 5"wc paroent COZ 7• ll o Input CFH 74? Percent OZ 8, 7?0 Staek Tamp. percent Cp 0.60 ?o Form 235 Lighting Inst. Date Tesied 72112174 Company TesTing rnm Nama of Tester - ! ,? HOUSE HEATING TEST RECORD D-21352`f? ,`'>`?-O5 ADDRESS 1664 Hickoxy Larie APT. -FLOOR CITY SUBURB Eagari OCC,UPANT- None OWNER New Horizone HEAT LO55- SOLD BY DATE HTG. INST. INSTALLED BY SedgwiCk Htg. u n Gas Line 6y Electrical Work By TYPE OF HEAT GA -FA ° HW -STEAM SPACE HTR. -UNIT HTR. -OTHER / GAS DESIGN MAKE w11118me0II MAKE Modal 1117-07-5 Model ' sef1,i X14Sn8R 7430987 Max. INPUT 75,000 Btu MAKE Model CONTROLS THERMOSTAT Mmg 60 HeatV8geC Valve U Limit Rabehaw RFL 750n Limit SsMing 200UF Fan Serrin9 900£ & 120°f Pilot Type Pilof Make Pilot Model Pilot Tlming 43 Seconda L.W. Cut O{f Pressure 4,6t'W,G. psrcentCOY 7•0% Input CFH 7-Percent 02 8 7 Smck Temp. 546f percant CO 0.80 Form 235 CONYERSION OF BURNER BTU Roting - OF FURNACE Vent Size 4" KIND OF LINER '11ilin• SIZE 6't NONE Drah Hood Vertical Regularor Filters Size 1611 X 2511 Num6sr 1 Chimney Lacation Insida Ye8 Outzide Chimney Construction Metalbeatoa Smoke Bom6 Wiring Draft OK Test Tap Yda Door Pressure Lightiny Inst. Ye8 Dats Tasted 12/12f74 Company Testing CO ?$101 ?Cqeeiql-oj es Name of Tesfar ? ?? HOUSE HEATING TEST RECORD 11-213S2 (.5 ADDRE55 1668 Hickory Lane APT. - FLOOit CITY SUBURB Ea2atl , OCCU?tPANT rippP HEAi LO55 DATE HTG. INST. SOLD 6Y Elechical Work By - TYPE OF HEAT GA OWNER New Horizone iA5 CO. METER BADGE N INSTALLED BY Set?nvick HeatinE Gas Line By 11 tt FA g_HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Williamwnn MAKE OF BURNER_ Model 11 17-(17-K Model Smial 741096F Maz. BTU Rating- INPUT 75?000R+,n1 hr MAKE OF FURNACE Model CONTROLS ?{ THERMOSTAT cM.mFI260 OUCat Plug Valve Limit Robahaw RE'I, 750 Limit Setting 200 f Fan S,ttin9 90 f 1206f Piior Type couple Pilot Moke 4" Vent Size KIND OF LINER 0.1' SIZEB° NONE Drah Hood V¢Tt1C81 egularor Filters Size 16825 Number 1 Chimney Location Inside 9Q8 Outside Qiimnay Construction metal bestos= Pilot Model Smoke Bomb Wiring Pilot Timing 66 BeC. Draft Ok Tezt Tag 9es L.W. Cut Off Door Prassure Lighting Inst. 9e8 Pressure 4.5"wc percentCO2 7•0% .y Date Tested 12f12?74 Input CFH 75Percent OZ $•7n Company Testing -,??Rmt1II8-?G18.?.1t.E8 Smck Temp. 550 f percent CO 0•00% Name of Testar Fwm 235 CONVERSION 8cSt.'Paul, MNT55104? & IIII II II I?I I IIII IIII III II II I III IIII? 821 nUniversitY Ave., Rm S-?11 P * 0 3 3 3 0 9 1 7 * Pnone (612) e42-0800 Home Duplex Apt Bldg. Other?' New Addn Commercial Indushial Farm Remod Re air Av Cond. Hfg. Equip Water Htr. Load Mgm}. Other. D er Ran e Elec Heat Tem $ervice 'k' above ihe work covered by this request Enter remarks in ihis spoce and on the 6ock of the white copy only. reconnect furnace and a/c humidifier Cofculate Inspechon Fee - This Inspecfion Request wdl nof 6e accepted wrthout the correct fee: Olher Fee iE $ervice EMrance $ize Fee # Ciraiih/Feeders Fee Mo6ile Home Park Stall 0 Io 200 Amps 0 to 100 Amps Street Ltg./TraHic Sig. Above 200 Amps A o?ve }9Q Amps Transformer/Generotor INSPECTOR'SUSEONLY ? TOTAL Sign/Outline Ltg. Xfmr. ? $20.50 Alarm/Remofe Control Swimming Pool [hereb cani that I ms cd tho i lollabon desvibed herein on the doros sbted Irrigahon Boom Rovgh-In eciallns edion S p p Investigafive Fee Fiml a L : ? L THIN18 TCOMP LETED W THIS INSTALLA710N MAY BE ORDERED DISCONN t TED NTH . '5 J J- 0 91 ? OFFICF USE L/Y Thrs mquest void 10 moniha fmm validanon dale pnnkd in Mrs box. ?V'?-? ? ? ? eo PLEASE PRINT OR TYPE 15 V?po Reqi,e„?718/96 Rovgh-ininspetlionreqoired2 ? 2NO InspetlwnOlharThonRovgh-Ia?RemlyNOw?WdlGall ?Vau must call the inspedor when ready) ?are Ready licensed contrador ? owner hereby request inspection of lfie above elecfriml wark of: Job Pddrzss Sheet, 80., or RoWe Na.) ? Gty Zip Code 1 60 Hickory Lane Eagan Sechon No. Townshtp Name or No Rvnge No fire No Coonry Dakota Omivant Phane N. Kay Freitag 454-8924 PowerSupplier AAdrexs Dakota Electric Eleanml Commao, (Company Nome) Conhanor Licensa No. Masbr 4c N. (Planl Elect. Only) Joos Electric Co. CA 00961 MaiLng Mdmss (Convacror or Pmer Pedarmmg InzmllaM1on3 3980 Beau D' Rue Drive Ea a MN 55122 Authonzed Signamre (Conlrocror or Owrwr PeAortning Imwllafion) Phone No. 688-6180 EB-OOOJ1A-10 6/95 STATEBOARUCOPY-SEE116FflUCYAM50NBACKOFYELLOWCOPY - S 2002 f£E.SIDEN1'IAL M£Ct1ANICAI, PERMIT APPLiCA'i'ION CITY OF El461kN 3$30 PILOT KNO$ itD BAfiAN MN 55 122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: --7 - I q -ca) PERMIT#: " '" SITE ADDRESS: + Lp(r?Le -?AtL OWNER NAME: 047) L-CA INSTALLER NAME: STREET ADDRESS: CITY: EMPR2 STATE: 9 2oni Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: T4°aCU"'o ? '-- ? Kcnm?? ? State Surchar e $ .50 TOtal ? ?j -j'? D --z-> Le-)?? SIGNATURE'OF PERMITTEE CITY USE ONLY RECE[PT DATE: Ln • !c'l`? l'eJ Wohlers Southside Htg. & Air, Inc 6950 W. 14e St., #106 Apple Valley, MN 55124 (952) 431-7099 ? -- - -- - - - ? unz CITY USE ONLY PERMIT #: APPROVED 6Y: INSPECTOR RECEIPT DATE: 2002 COMMERCIAL MECiix4NICAL PERMIT APPI ICATION CITY UF EAfiAN 3$80 P1LOT KNOB RD £AHAN,1HN 55182 651-6$1,4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - TENANT NAME (IMPRO V EMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: 1NSTALLER: STREET ADDRES S: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank , Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When instalfing/remnving underground tank, caf[ 651-681-4675 far inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Conhact price: $ x 1%= $ State surcharge TOTAL $ (Base Fee) calculate at $.SD for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/02 L BL CITY USE ONLY RECEIPT#: 6,Z79 SUBD. W DATE: 9 3 9Co ?P {? j,sj3 09/ 7998 MECHANICAL PERMIT (RESIDENTIAL) ? g ad, 9304 CITY OF EAGAN ? 'fe° 3830 PILOT KNOB RD a () EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit New construction ? Add-on fumace r? ??? ? Add-on air conditioning?C?"- Add-on airexchanger, i.e. Vanee system, etc. 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 .50 TOTAL SITE OWNER NAME;A?'?? A&/T?Z? PHONE #: INSTALLER NAME:Z??-:-:? STREET ADDRESS: CITY: ST ZIP:.'? PHONE #: ( ? ?/ ?g g7 ?? CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 7996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? all commercial/industrial buildings. ? muiti-family buildings when separate permits are n!2 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee gl 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of pgLmd fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: TELEPHONE #: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR 0,4, vF*V0 Y.tlY,nSX*>Z t ykW:?;iYS:XC,t;¢'.$<1Yk• cIrY or• r.•_nr-FlN cAsHrF-:: ,,S -iERMrNaL r°r: 897 vA'rI:: 02/25/00 L:t4Q 10e1i'e15 rti ; NAML.r. AI_L1Lti I':i.REST_Di_ ItlC. 010 :iOCli 0E2 HICf:C?iiY I_td bO..p(1 2155 900a. Wc' H:CCt:U!,V I.ld Cl.`.';Q 1 j 7ota]. F;ece.i.F?t, ramaur,t,c 60.50 CR 1.2'?9i?2 t.isER Q. jAN Y,c* l;:VkV: ,: ;[%X* *0 +F:%*>X•,'d%k0, * m* ?q7zo z?zy?ao 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55 ] 22 651 681-4675 Date: Description of Work: onry X Install gas insert antv _ Other Job address: Alterations to existing Install eas line only Lot: Block: ? Subdivision/P.I.D. #: 00 ? Applicant (circle one only): Owner rContractor Permit Fee: $60.50 Phone #: (ysI ^L/So? xame: Cr ' a r )i P ? r )? 1'k- PROPERTY Last F'vst OWNER ii /' O7 -I/ . l, .. I ., Street City /1 State: -91W= Zip: ?-? Company: ?"? ?' P S I'U(. {J L. drN 1vrre9'Phone #: a?-? 0(area code) FIREPLACE INSTAI,LER Street J ?'•J 0. ciry v? I l'? `J srate: zsP: 5 3 ri Company: / Phone #: GAS LINE E(/[ w e ?(area code) INSTALLER StreetAddress: City State: Zip: I hereby aclrnowledge that I have read this application aad state that the information is correct and agree to s.? comply with all applicable State of Minnesota Statutes and City o an Ordinance . signanue ,. I ?(La5 i ' ?i?i?,1 qyvl ., OFFICE USE ONLY SUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Altcrations ? 32 Addirion ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspeeted before concealing. O 39 Gas Line D 41 Wood Stove ? 40 Gaslnsert 1 CITY USE O\LY iO; 4 BL RECEIPT#: SUBD. V V O? I? RECEIPT DATE: MECHANICALPERMIT# 371qR 1999 MECHAxicAL PERMrr (RsinErrr[A1a CffYOF EE?fiAN S$SO PILOT KNOB iiD 7/Z7/9g E,asaNMu ssiQE css» 6$1-4675 Date: Complete this section onlv if you are installing HVAC m a single family dwelling, townhome or condo construction and not owner /occunied. '11? / • HVAC: 0-100 M B i U ADDITIONAL 50 M BTU • Gas outlets (minimum of one requued @$3.00 ea.) State Surchazge / .50 Total $ d. ?'b Complete this section an if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New v Fumace _ Air exchanger SITE ADDRESS OWNER NAME: _ INSTALLER NAME: STREET ADD CJ CITY: ? P91g p2,1 N!? hrf?? ?le-1? STATE: 114J) ZIP: Z SIGNATURE OF PERMITTEE Alteration Repair ?Other 9I/?L /.?/1' Reminder.• Ca11681-4675forinspections. ? A'u conditioning Other 30.00 State Surcharge .50 Minimum Total Due 30.50 CITY USE ONLY L _ gL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT#: 19991KECHANICAL P£RMIT (COMMEftCIAL) CITY OF EAfiA1V 8$30 P1LOT KNOB RD £AfiAN, MN 551 PE (651) s81-4675 Please complete for: all commercial/industrial buildings multijamily, buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK T1'PE: _ New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) *•NOTE: When installing/removing underground tank, ca11651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: =-,?- FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL ------------------------------- SITE ADDRESS: _' . OWNER NAME: TENANT NAME (IIvfPROVEMENTS ONLi): INSTALLER: ADDRESS: CIT'1': ($.50 per $1,000 of nermit fee due on all pemilts.) PAONE #: (AREA CODE) PHONE #: - (AREA CODE) STATE: 21P: SIGNATURE OF PERMITfEE Elder??nes Building Permit Service, Inc. 1120 East 80th Street Bloomiugton, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concem: We at Elder-7ones Building Peimit Service, Inc, aze acring as an agent for RMA Home Services, Inc. If there are any questions, or if die permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East SOth Street ' Bloomington, Minnesota 55420-1498 952-854-2854 °FAX:952-854-4909 FROM-RMA HOME DEPOT AHS 'f635428227 T-928 P.001/001 LTMITED POWER OP ATTORNEY courrrY oF Ngati, p,2 STATE OF MINNESOTA KNOW ALL PEOPLE BY THESE PRESENTS: F-768 T'HAT T, Todd Daniel Lewis, a resident of KAn'I.?'e'Y County, Mlcuiesota ("Principa!"), and a licensed contraccor of RNfA Home Services, Lnc., DBA Home Depot Installed Sales locazed at 646 Mendetssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permic Service, Inc. ("Agenc") as my uue and lawful attorney-in-fact and do authorize and grant said attorney-in-fact far me and [n my name, plaee and scead the power co execuce, acknowledge, sign and deliver (in such form as may be rzquired by the municipality) a permit application, or any orher instrument(s) which may be necessary and appropriute, it1 oider to obWin the proper permit(s) from the Ciry of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). 1'he powers conveyed to the Agent by ihis Limiced Power of Anomey are limited solely to the express powen dtlineated herein and apply solely to the Work. This Limited Power of Artomey shall expire and automaticaily be revoked on the ?G day of,jL`rk.2- 2002, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked hy Principal at any time by express revocation and shall also 6e revoked by the Principal'S death, disabiliry, incapacity or incompetence_ IN WITNESS WHEREOP this Limited Power of Attorney is execuced this L'= day of S„a g-, 2001. Todd Daniet Lewis C,nWORN TO AND SIUBSCRIBED BEFORE Iv1E by Todd Daniel Lewis on Chis \ day of ?k Nx Q , 20-1?4-. . •vw•~r 'Netiie-y ub ic ia fo e State of Minneso ? gURTON T. BROWN ? HoTU+r vueuc-wnu?esor? My Commissioa Expires: mr G"°k"0" s ? )96816 r7 Received Time Jun• 1. 2:56PM JUN=D7-2001 15:43 ?.? . PERMIT WATER SERV VILLAGE OF EAGAN iCE? 3795 Pilof Kno6 Road --- PEHMIT NO' 4/26/74 ' Eogan, MN 55122 Dn ---- CE. - - - - - - - /nnmF FUD -- ------ ?- -Na of Units --.-'- -.--?- - --- - ? ( )?,u"T . Woodgate. New-Horizon Homes 4Jd<<•ati - . __ - _ _ . __ _ _ _. _ . _ . - __ tim nddr, 1660 62-64-66 Hickory. Izne --.---- t1i???,a,? r , son Plumbing oo, _. .. A7,?tri Nu Cminection Chartir:oRC!=-2?/--- tivr Accnunl llrFK?bn: 10.00 pd Hc.idvi Na - ,-- --- - - Permit Fce - ?- . 50 pd - ---- I ogrec fo comply wifh fhe Villege of Eaqon Suic hdt'ki, - - ?. O es?-? ( h M ---" O,donances. arK . ttc " "-- " ' Tolnl _ Ry .?jiv?(?`??- - -? _ . _. -- I)aie P.ud - - - - ? U.:icnl ln.p __ ___ Insp: - _.__ --- -- -- - ? -- / 7 7 8 4o 9/'? ? nJ 7 2?= ? ? a - ? ?d 1` ? ?' -? nLu?eE OF EAOAN SEWER SERVICE PERMIT 3795 Pilot Kneb Road PERM IT NO.: 2207 Eagon, MN 53772 DATE: 4/86/74 Zoning: PI7D No. of Umts: owner: WoodQate. New Norizon ftomes Address: Site Address: 1660-62-54-66 Flickorv 7ane Plumber: '!7iompson Plumbina Co. 1 agrea ro eomply witA fha Viltage of Eoyon Connection Charge;/40?0°? Ordinoncas. Accoun[ Deposit: Permit Fee: 10.00 pd Surchazge: .50 pd By: Misc. Chazgee: llate of [nsp.: Total: Insp.: Date Pald: _ s 2004 RESIDENTIAL MECH.APIICAL PERMIT APPLICATION City Of Eagan -? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwel!ings & townhomes/condos when permits are required for each ueit / lJL D ? / I t _ a e Site Address Cii?onA ?• Unit # Property Owner 1?jd(3Neb ?.LMf+CC? Telephone # ( (jf?)? S ??iQ Wohlers Southside Htg. &,Ai--r, Inc. 1 Contractor ? 6950 W. 146te St., #106 I Apple Valley, MN 55124 ? Street Address (952) 431-7099 ? State \ _ ___,ie # 6- a ? i res: Bond Eap The Applicant is _ Owner )(Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 Y---furnace _Additional _Replacement air exchanger ?air conditioner _New ?Replacement other State Surcharge ,Sn Total I hereby apply for a Residenrial Mechanical Permit and acknowledge that the informarion is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a peimit, but only an application for a pemilt, and work is not to start without a pemvt that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. r-,r-ir,i P i t? . l??1C?1?ery ?-? rR,,,?: ApplicanYs Printed Name ApplicanYs Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telep6one # ( ) Contractor Sheet Address City State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove *"see befow _ Interior Improvement _ Instail Piping _ Processed _Gas Nature of Work: **When installing/removing under8round tank, call for inspection by Fire Marshal and Plumbing Inspector PeCm1t Fees: $70.50 Underground tank installa6on/removal $50.50 Minimum (mcludes Sta[e Surchazge) nr Contract Value $ x 1°/a = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surchazge If pernut fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Pemrit and acknowledge that the informa6on is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand Uus is not a permit, but only an application for a pemut, 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 wluch requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signahue Approved By: , Inspector --------i I For;Dffoe?3s@ ? Permit#: ? ? ? .? l ? Permit Fee: ?' ?/h I ( ? ? Date Received: T I ? ? I ? Staff. I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7- / 3 "' 0 9 Site Address: I(O 00 -I ?PGaZ ? Tenant: Suite #: ILrf.a p RESIDENT / OWNER Name: ? & S 7Y /? AS"r Phone: Address/CitylZip:1LSGD- FnCIz-o R-N L-6Ni. Applicant is: _ Owner lic Contractor TYPE OF WORK Description of work: nA-k or l? `t' K-? -Ps-C6F Construction Cost: 19. 0 Multi-Family Building: (Yes,>e ! No CONTRACTOR Name: C d?ZOoI=ING'i /A-) G License#: !FiZl•y Address: ?y?del ' LLJ/'f'(T? ILOGK kO'+b City: IJ o.e t-'S (f l L?-? State: /yN ZiP: :5]??33'2 Phone: /SaZ'? /I - 7 D 7S Contact Person: ?IleF COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residenhal 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 Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ?- ? NOTE: Plans and supporting documents that you submit are considered to be publi6'in ormation. Portions of„ , the information may be classified as non-public if you provide specific reasons that would permit fhe City concliide that'they are trade secrets I hereby acknowledge that Ihis information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan, that 1 understand this is not a permit, 6ut only an application for a permit, and work is not to start without a permR; that the work will be in accordan e with the approved plan in the case of work which requires a review and approval of plans. X 'lic6 4et x 2 14 Applic nYs Pn ted Name Appli ant's Sign re Page 1 of 3 - - - - - - - - - - - - - - - - - f I For Office Use Permit City of Eaaall Permit Fee: 3830 Pilot Knob Road I L-'r Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date:// 13 - O Site Address: Tenant: Suite RESIDENT / OWNER Name: "/a-,Qk1 T"°I jj'4 i Phone: Address / City / Zip: ,arc r 2~ Applicant is: Owner x` Contractor TYPE OF WORK Description of work: c- v- - P,.C-,C Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: C d ~c _f f • License 22 Address: 7 % l~'~1 l T ~C1 E;l~ City: _ __i-%S t,1 f Lt-_ State: /u/ Zip: Phone: ! _ - 199/ 7 Contact Person: 1411je 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 publik'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 without a permit; that the work will be in accordan e with the approved plan in the case e of work which requires a review and approval of plans. X jAdzW 1461M e c A260 Applic nt's Pn ted Name Appli ant's Sign re Page 1 of 3