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1668 Hickory LaneCITY OF EAGAN Remarks ,addicion_ Woodgate lst Addition Lot 11 Rik 3 Parcel 10 84600 110 03 Owner e601FA)LE /??br,?221?street 1668 Hickory Ln. State Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? STREETRESTOR.pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK Aq/ 1974 $93. 54 $6.24 15 PAID ie SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORM SEW LAT 1975 $1505. 70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 9UILDING PER. sac 11730 9-23-74 PARK CITY OF EAGAN Remarks Addition Wood ate lst Addition Lot 12 sik 3 Parcel 10 84600 120 03 Owner Q. Street 1570 Hickory Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. I ? STREET RESTORpAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 3 1974 $115.45 $23.09 5 PAID 5AN SEW TRUNK 5! 1974 $93. 54 $6.24 15 PAID ir SEWERLATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK * STORMSEWLAT a 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- 3- 4 PARK CITY OF EAGAN Remarks addition woodgate lst Addition Lot 9 aik 3 Parcel 10 84600 090 03 Orer t?: -?' Street 1672 Hickory Ln. State Eacran, MN 55122 IL?rnai_?r•,? , K. 11rtG(,o,? Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR.pAVING 1976 $410.12 $136.71 3 PAID GRADING PAVING 1 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK ?,c{ 1974 $93. 54 $6.24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATERLATERAL 1975 15 ,t WATER AREA 1975 5 * STORM SEW TRK * STORMSEWLAT a? 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11730 9-23-74 BUILDING PER. sAC 0 00 11730 9-23-74 PARK CITY OF EAGAN Remarks Additiony Woodqate lst Addition Lot 10 Bik 3 Parcei 10 84600 100 03 Owner Street 1674 HickoY'k Lil. State Ea4aI1, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. aqSTREET 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 * SEWER LATERAL 1975 15 WATERMRIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1975 * STORM SEW LAT 1975 $1505. 70 $100. 38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 SUILDING PER. sAC $400.00 11730 9-23-74 PARK INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Mis?nesota 55123 I SITE ADDRESS: t sy i; • . ,;, y ??F ?r ? kaMf PERMIT SUBTYPE: i 1?' 1 , I 1 ?•) ?1 : '.t41NIJ ,I I11 At !{ItJ I • +? ? t ii i;i III r :lCi7:.' • ll.i7/1 I i? I ?i ?a I t:? ? f V9 ; RECORD PERMIT TYPE: Permit Number: Date Issued: R! AE i_.'- i f1h I. t?W. 1 1 NO ,,,i , ..; I , - 'PE OF WORK: t 1' .1 S. I! I I f I(,; + t tlPY ! ANt 1` f ly ?1 l ?? Permit No_ Permit Hoider Date Telephone N S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Htg. Orsat 7est Final Plbg. Plbg. Inspector- Notily Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 96'7/y.f - ?' l1-.3-/ VILLAGE DF E4GAN WATER SERVICE PERMIT 3795 Pilor Knob Road PERMIT' NO,, _ 144( Eogon, MN 55122 _ _ - " ?- n.n'rE: --- ---9/ z69 Lonuic _ PUD _ - -- ----- - - No aY' Units. Uwn,•, Woodqate, -----? -- -------?- _New Horizon Home9 - - -? --- Adda??Y _. ----?- -----?------- - _ _ _ _ Site Addre.s 1663 70- - 72-74 Alcko -- --- --I.ane -- -? ' - - - umhor pson _-- • ---- - -- ?------ P ?yn q Co . eic•f Nn ---- --- Connec tion Charge: - -' - Arcount UepostL He:?der Nu Petmit Fer 10.00 pd-?---- _.._.____ I o9ree fo com I p Y wfrh t6e Village of Eaqoe Surchargr. .50 Pd Ordinomces Mise. CharKes e - --- ? ---- ? Total? Datc Yaid /? /, U.?tr uf hi?p _ Innp --- ---- ---- - ..-..- ?? ? °2 --i?T? - ?-?-? `? ?-? =`";- _ . - ? - ?=? ? ??YL-??-1->------ -- --------- - -- : /? I?1 ? d? SEWER SERVICE PERMIT YILLDOE DF EAOAN 37°5 ?'.1ob ICneb Road PERMIT NO.: 2206 ., Eogon, MN 55122 DATE: 4/26/74 , Zoning: No. of Units: - ownec: wooda ate New Horizon Homes Address: Site Address: !668 70=7?-74 Hickorv L?ane _ Plumber: Thomn son Plumhina CO• 1 ograe fo comply with Ma Villoge oF Eagan Connection Chazge;/ Ordinancas. Accoun[ Depusit 10.00 pd Permit Fee: . 5? P? .. Surcharge: $Y; Misc Charges: Date of Insp.: Total: I : Date Pald: nsp. waoagare izr CITY of EAGAN BUILDING PERMIT ? Ownee ._...:.`:`..'5.?.'.?;';:`;,...? . oZ.?--O ? z?--,??z?C'a?-,-•?...? O?? Addrecs (Precent) ...f ...............?........... .................---...,,......... '_Yx-.--?_-.-?.?°`?-r-?? SS3 5?3 Suilder ......---'-----....'?..Ll?7:!ti:? .................. ................................. ...... - Addraee .. D88CAIPTION N2 3401 3795 Pilo! Anob Road Eagaa, Miacesola 55122 454-810D Dale ....1...- 7,r._.._........... Sioriec To Be Used Far Fron! Depih Hs h! I l. Cos! orm!! Fea Romasks // "F?-?-?J ? y ? 7? ? /]8'.9-? ,u,v..??. U ? „5(!7/ ? j 3s Ttox a /j r u° s:reex, xoea or omar unenpaon ox i.ocsaon I Lof I Sloer i waauieo o: rnm This parmii does nof aufhorize the uae of atsaeh, roads, alleps or eidewalks aor does it give the owues or hG ayea! the right 2o creete anp aituazion which is a nu(sanca or wh3eh presenla a hezard !o the health, astelp, eonvenioan aad genaral walfaxa !o anpone in the eommunify, THIS P£AMIT MUST BE KEPfT/ ON THE PAEMISE WHILE TFIE WORI{ IS IN-PROGRESB. - This is fo cerlify. ...... haapezmiseion !o eree! ...................... _apeo the above described premise subjeci f6 ihe provisions of all applicable Ordinances for the Cily of Eagea. /?7 ?? /? ?c?--aikJ _?:t.........U..a:?""- - ...__ .............. Per .............. .N.."?? ........................... •................................................... Mayor ? SuSldinp Impectos Ot? HOUSE HEATING TEST RECORD -?( " " D-21346 ADDRESS 1668 Hir1cex3?Lage APT._F100R CITY SUBUko_ OCCUPANT Clarence A Aaderson ?'•,?OWNER 4P5 HEAT LO55 DATE HTG. INST. SOLD 8Y INSTALLED BY Sedpwirk 8eat4ng Electrical Work By Gcs Lins By ft TYPE OF HEAT GA _ FA HW _STEAM -SPACE HTR. -UNIT MTR. _OTHER GAS DESIGN MAKE T,T4.3 I #gMpg MAKE OF BURNER _ Model 1.137_07, 5 Model $xial 7437110 Max. BTU Rating _ INPUT 75 00011tu/bg MAKE OF FURNACE , , Model CONTROLS THERMOSTAT Vent Size 411 260 Heat Plu g em VO1Ve M .E. 9898e KIND OF LINER ^7•= $IZE 6" NONE Limit R Bbe§8'W $.F? 750 Drcft Hood yrgr-j ;#6gl Regularor Limit Sstting 2 00 f Filtars Size _JAo., ,25 Number ? F°^ Seft'^g 9 8 .€ 12e€ Chimney Location Inside?++es Outside Pilof Type c ouple Chimney Construction mgtal .b +'^g Pilor Make Pilot Model Smoka Bomb Wiring Pilot Timing 5 5 . Draft gk Test Tpg yeS L.W. Cut Off Door Pressure Lighting Inst. yes Prossure 4 V!WC PercantCO2-B ()%I Date Teated AN Input CFH 7 .5 Percent 0 .7 „.,''.._-- ?mpany Tes*' g C. 5. BRIGHT COMP ? St k T 1 Q 4nT Name of Tesfer 80 f Percent CO ? ? O?y0 emp. oc ? 4 . ??yyAy Porm 235 CONVERSION HOUSE HEATING TEST RECORD D-21346 -?? jju-`_- 1670 Iiickory Lane ADDRE55 APT.-FLOOR CITY oCCUPAN7 MgTCia nively owNER Yea HEAT LO55 SOLD BY Elechical Werk By _ TYPE OF HEAT GA DATE HTG. INST INSTALLED BY Sedgwick Htg, n u Gas Lins By FA ° HW _STEAM -SPACE HTR. GAS DESIGN MAKE Williamson MAKE OF BURNER_ Model 1117-07-5 Modei Ssrial 7437105 Max. BTU Rating - INPUT 75,000 B711 HT, MAKE OF FURNACE CONTROLS THERMOSTAT M H260 Heat ? Valre V OC Limit Robehaw RFL 750n Limit 5atling 200 'F Fan Setring 900f & 1200f Pilot Typs L'Ollple Pilot Make Pilot Model Pilot Timiag 25 S¢COrid6 L.W. Cut Off Model Vent Size 4" KIND OF LINER Aluitl. SIZE 611 NONE Droft Hood Vertical Rsgularor Filters Size 16" a 25" Number 1 Chimney Location Inzide Ye8 Outsida Chimney Constructi on Metalbes toe Smoke Bomb _ Draft Door Pressure Wiring Test Tag Yea LighHn9lnst. S-'eB Pressure 4, b"W, C. Percent CO z 7, 5t Date Tssted 3120 f 75 Input CFH 74 Pereent 0 2 7.8% . . sRe?,aa cen,a.;rdr Company Teating Stoek Tam ?Perunt C0 ? Name ef Teshr ?.?7 qg,, Z' -D, susuRS Eagan UNIT HTR. -OTHER CONVERSION Form 235 HOUSE HEATING TEST RECORD _ D-21346 ADDRESS 7.672 Hiclcorg H Lane ?- ` APT.-FLDOR CITY SUBURBEag- oCCUPANT _Clifford D Sfafford owNER Y-es HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Sadgor!ck Hpating Electrical Work By Gos Line By vi it TYPE OF HEAT GA _ PA _g_HW -STEAM SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Williamaen MAKE OF BURNER_ Model 111 ]-n]-5 Model Serial .7437].1]. Max. BTU Rating - INPUT 71; yOOL1Bt11,j1] Y MAKE OF FURNACE Model CONTROLS THERMOSTAT C.ID2.60 Heot Plug Vent Size 4" Valve M.A vann,. KIND OF LINER 5ll ++^ SIZE NONE Lim{T R.A+ehse, LFT 75fl Drak Hood oP=t iral Regulmor LimiTSetting gnQf Filters Size 1AY 95 n?umber ? Fan Sefting 90 F 1,90f Chimney Location Inside yP6 Outside Pilot TYpe ?011 Pia Chimney Construclion met'nl }1PIIYnL Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 77 eC^ Draft ?+k Teat Tag ypQ -, L.W. Cut Off Door Pressure Lighring Inat. 3T.2.S Prossure-_l 4^?+?Pereent C02 -7-. S% Date Teated 4g?7..?75 ? PANY InPut CFH ]1F Percent 0 7 R% Company Testing Z GH CM C. S. BR , St k Te n 59(1 f Perce nn% Name of Tesfer t CO qPXA 6 ac mp. _ n rns , Form 235 ? CONVERSION HOUSE HEATING TEST RECORD D-21346 ADDRESS 1674 H1Ckex'y LSLe ' APT.-FLOOR CiTY OCCUPANT NOne OWNER NeW Hori20ne HEAT LO55- SOLD BY DATE HTG. INST. BAS CO. METER BADGE ed 1Ck Ht INSTALLED BY ? g• n f+ Gas Lins By Eleehical Work By TYPE OF HEAT GA _ FA 1i HW _STEAM SPACE HTR. _UNIT HTR. -OTHER GAS ESIGN Wi11i8me0II MAKE MAKE OF BURNER _ Model 117-07-5 Modei Serial 1 Mox. BTU Raring- INPUT 75,000 tU gI', MAKE OF FURNACE Model CONTROLS THERMOSTAT Cm 260 Heat Plug Vent Si:e `}11 Valve M.H. VLSOOC KINO OF LINER Alum, SIZE 6° NONE Limit Robahaw ItFL 750n DraFt Hoad Vertical Regulawr Limit Setting 2000f Filtars Size 16° x 25" Number 1 Fan Setiing 900f & 120of Chimney Locatian Inside Yee Outside Piiot Type COUple Chimney Construction Metalbeat(s Pilot Moke Pilot Model Smoka Bomb Wiring Pilof 7iming 51 SeCOTld6 Draft OK Test Tag Ye8 L.W. Cut Off Door Pressure Lighting Insf. Ye8 Pressuro 4.4"W•C'• Per<entCO 2 7•0% Da» Tested 3/19?75 T? Input CFH 75 Pereent OZ 8- Company Testing Stack Temp. `}$Oof percent CO 0•0 Name of Tester Fwm 235 susuas Eagan CONVERSION CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 57 1 The City of Eagan hereby grants to c+o BadoviRti A.eti+±q oi 1ee1 x.niw M._ sin_ a 1UTING _ Permit for: (Owner) Iiw Ho=ison H?? - IfeodQwtw at],668a72-74 Aiakosv Ln. , Pu:suant to application dated _ a42R,174 Fee Paid: $8_0.00 _ dated this 13th day of swn*_ t l9 7e • 2.00 e/c Building Inspector D°ecLsnical Permits: B' d Total : ? ?//??? ? REQUEST FOR ELECTRICAL INSPECTION O 0 lo- Sea insiructions for compleling this form on back oi yellow copp "X" Below Work Covered by This Request ,p"% E?af-rooooi-os Ne% Add Rep. Type of Bailding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S eci ) Farm Air Conditioner Other(specdy) Coniraclo(s Remarks' Computa Inspection Fee Be/ow: Q F r ?GAY--- N Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 700 Amps Transformers Above 200_Amps Above 100 -Am s Si ns insvenors use ony TOTAL Irrigation Booms Speaal Ins ection Alarm/Communication 7HI5 INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT Other Fee g0 COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made RouBh-in Final Date o OfFICE USE ONLY This request void 18 months irom ( w rO 3 22 7 /D 93, W Requeel Oate I Fi Na. ' ? Rough-I repecGOn RsqWred (YOU mue[ call mspector when reatly) Inspectlon Oiher Then Rwgh-In ?peatly Now ? WIII Nottty Inspector `l?? p. y ? 0 Yes p? No pale Reatl IUl licensed contractor ? owner hereby request inspection ot above electrical work at: JM AGtlress (S1reaL Boa or Roule No.) City e 2 «. Section No, Township Neme or No. Paige No. Counry ZAkZk? Occupant(PflINT) N'f k ?4 Cj f.i Phone No G?,?-414 Pow?er Suppller Addre9s Y?A- Electtlcel Coniractor (COmpeny Neme) Conttactors License No 'rri' 0 i Cl+co 4.14 Mailing AOtlrass (C6 racror or Owner Making Insla - l tion? ?) 3 m.a,1 • D• L4 s ,J ss<Dcov? AWhorftd Signaiura (Canlracdor/Owner Making Iia5ta11aM1On? Phone Number , MINNESOTp STATE BOAflD O?FE?CTRICITV ( I THIS INSPECTION REQUEST WILL NOT OrlggsMitlwey Bldg. - Poom S 1Y8 v eE ACCEPTED BY THE STATE BOARD 1827 UniveroHy pve., St. Paul, MN 55100 UNLE55 PflOPEF INSPECTION PEE IS Phone(612)6GP-0800 0??? ENCLOSED. ,P fl57 j961 775 RECEIPT FOR CEYtTIFIED MAIL NOINSUflANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL a ? ? (See Reverse) Se tQ Street and N . . 7 s c.? "Lzp - P.O., State antl ZIP Code y L{ S `V ?.'„aFs GiI. Postage y Certtliea Fee SDecial Delivery Fee Restnctetl Delivery Fee Fieturn Receipt Showing to whom and Date Delivered Return receipt showing to whom, Date, and Address of Delivery TOTAL Postaga antl Feas $ Postmark or Date ^ r-/ cf -(f 5 ? O i O Vl ? N ? ? a m LL O 0 29 E `o LL N a STICN POSiA6E STAMPS TO APTICLE TO COVEP FIPST-CLASS POSTAGE, CEBTIFIED MRII FEE, RNO CNARGES FOfl ANV SELECTED OP710NAL SERVICES. (tee hoM) , 1 Ii ynu want Na receipl pasimarked, stick the gumme0 s[ub on the left paNOn ol the aadress side of the article leaving the receipt attached and presenl the artmle at a post oflsce service wintlow or han0 it to your mral carner (no eztra cnarga) i . 2 II you do nof want this receipt posimarked, sVCk tne gummee stuD on the tefl porlion oi the address side ol ihe artcle, tlate detacn and retam Ne receipt, antl mail the atl¢le , 3 If you wanl a reNm receipt, wrtle ihe cetldied maA number and your name and adOress on a reWm receipt car0, Porm 3811, and atlach rt to the fmnt ol the artrcle by means of the gummed entls d s0ace OermAS Otherxise, athx to Dack of art¢le Endorse Imnt ol aNCle RETURN HECEIPT REOUESTED adlacent m the numoer 4 II you want tlelrvery restricled to the addressee, or ro an auihor¢e0 agent of the atldressee endorse RESTRICTEO DELIVEHV on the imnt of the article 5 Enter fees for the sarvmes reQUestea m the appmpnate spaces on the Iront ot this receipt tl reNm receipt is requeste0, check the applicable Olocks in rtem 1 of Form 3811 6 Save ihis receiDt ano Dresem tl d you make mpmry !3i •SENDER: Complateitams7,2,3and4. Put your aCtlress in the "RETV RN TO" space on the reveree sitle. Feilure to tlo this will provent this <ard from baing raturned to you. The return ncaint fea will orovide you Na name of the pereon tleliveratl to entl the Eafe ot deliverv. For atltlitional feei the followiny services are available. Canwit postmetier for }qey entl chack 60a(es) for r,arvite(s) u%ted. 1. whom, dets entl atltlress of Eelivery. 2. ? Restricted Oelivery. 3. ArticlA Adtlre6sed to: ? s ? r 11 ? aI244. vl'vVn. 4. Type of Service: Articla Num6er ?_ RQpisf€red ? Insured ?'Lertified ? COD ? E YYY??? y OS?_C.??,''?y xpress Mail / Always obtain signature oF atldresseeq_r agent and DATE DELIVERED. 6. Signetur?- pr 'e x u \ 6. -Signaturo qqent EF X 7. oen ot oel ry p ..i (? i 6. Atltlresfea'c Adtlrea (OJVL}'lf "MV ???bs ?, • , UNRED SWES POSULLSERVICE MtM RETURN ? TO F W? 3 111111 x PEM/1LTY FON PRIVAtE IIBF. i90D _ 38 3 o .,,tw ? (Na uW Btns[, Ap6. BuMr, P.O. Box or RD. No.) f ? ..ivw._ S'S/2 3 (City, SYb, mtl 21P Code) MARGARET HEINEN 1670 Hickory Lane E'lan, Minn. 55122 O . I ?•-f . V -A?J ?[, , ,??q?' ? S ,-v F L _ J P-,Ift- K ?yt,p ?•v?o e_ ; ?4??? , ? c? ,: c?.?- ?-??,?N? ? - . ? ?,? ?Z ?7 ?? ?- PERMI T ? cKjqqffl CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota55123 PermitNumber: 025174 (612) 681-4675 Date Issued: 0 2/ 2 7/ 9 5 SITE ADDRESS: 1668 HSCKORY LA NE LOT: 11 BLOCK: 3 WOODGATE P.I.N.: 10-84600-110-03 DESCRIPTION: (ROOFINCr) 66i1ding?.Permit 7ype MULTI. (MISC.) puilding Wo.r,k Type REPAIR ? 1 ? ? ,-- ? _-- ? % '/v ?- REMARKS: INCLUDES 1670 1672 1674 HICKORY IOT 17 I?T 09 10T 1G1 LANE FEE SUMMARY: VALUATTON $6,000 Base Fee $81.00 Surcharge $3.00 Total Fee $84.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: ALLSTAR CONST INC 15935325 0003247 ENLUND B 3315 N MWY 100 1668 HICKORY LN MINNEAPOLIS MN 55422 EA6AN MN 55122 (612) 593-5825 (612)686-9528 I hereby acknowledge that Z have read this application ahd state thet the infiormation is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Qrdinances. L a-A-C-0 z APPLICANT/P MITEE SIGNATURE ?-? <J IllllTURE /AJ k is si INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Kno6 Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lo T: 11 1668 HICKORY LANE WOODGATE PERMIT SUBTYPE: MULTI. (MISC.) B l 0 C K: 3 APPLICANT: ALLSTAR CONST INC (612) 593-5325 TYPE OF WORK: DESCRIPTION BUILDING 025174 02J27/95 REPAIR (ROOFIN6) INSPECTION FRAMING .. . ROOFING .. 7N FINAL REMARKS: INCLUDES 1670 1672 1674 HICKORY LANE LOT 12 LOT 09 LOT 10 r- 7 ? Y CITY OF EAGAN ke.9(de+'lha I -s 4 OO 114 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) M 681-4675 The fillowing are required xdth apDropriete certification Mr all = conshuction: ? 2 each: architedurel plans; mech. & elec. plans; fire sprinkler plans; structural plans; ske plens; landscapirg plans; grading/dwinage/erosbn wntrol plen; utility plan . 1 each: sM of spedficalions; set of energy calwlations; eledrical power & IgMing form; Special Inspections & Testing Schedule . Letter from MGWS (phone A222-8423) indipting SAC AeterminaGon . Code anetysis indicating: Codes used; occupancy classifications; selbacks; meximum allowable area as per Building and City Codes along with sq. ft. per floor, lype oT consWCtion (synopsis of consWCGon mmponents) & any ocapancy or area separetion walls; occupanq loads; exR synopsis xdth a diagrem indiceting exking loads from each roam or area, travel paths & all reted corrWors; plumbing flztures; and parking. ' DATE: ?) -.;? 7- Cts WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: ?e4j'` cr-CP rf fa - f , - CONSTRUCTION COST: <S -7oO TENANT NAME: SITE ADDRESS: ?* r LOT BLOCK SUBD. P.I.D. # II rz q io .W. h l 4? )6 -? 5? /9' PROPERTY / Name: VI vt C Phone #: , OWNER "''* StreetAddress, ?66 1 ""°Y - 7`? ???k G-t? City: State: PI Zip: 62:.?? Z Z CONTRACTOR Company: ?S l cur s ? - Phone #: •?`?-3 -S ? ? Street Address? ? ?? ? ? HIJ?l Ciry: M o/ 5 zip: Z Z ARCHITECT/ Company: Phone # ENGINEER Name: Registration # Street Address* City: State: Zip: Sewer & water licensed plumber: 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 Applipnt: 9 BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New 0 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth _ APPROVALS OFFICE USE ONLY ? 19 Comm./Ind. Misc. ? 20 Public Faciliry ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? k It, 0 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MGWS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance Permit Fee E3/.ce> Surcharge 3, o0 Plan Review MCNVS SAC City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ AF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 Dear Eagan Resident : BEA BLOM9UISi Mayor DATE: September 18, 1985 THOMASEGAN JAME$ A. SMIiH JERRV THOMAS ADDRESS: 4452 Woodgate Court rHeoooaewncHTea CourcJ Members LEGAL DESCRIPTION: HornnsHEO?Es Parcel# 10-84602-0900irvAtlminirnmor EUGENE VAN OVERBEKE Lot 9 Blk 3 Woodgate AdilMerk RE: RIGHT-OF-WAY/BOULEVAROS - 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=v measures for the protection of the public. An electrical co=d 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 from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure 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 SVMBOL OF STRENGTH RND GROWTH IN OUR COMMUNIiY 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 60DAYS 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 auestions, please feel free to call me at 454-5220. Yours truly, Superintendent Public works Department WHB:jbd Rock on the boulevard ?, ? ? c 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 ?,- I -2- I Or5- Site Street Address C- Unit # Property Owner , Telephone # ( ) Contractor Telephone # ((tr_j?) -14 Address L ?1 S?_ • 4 I City ?%?m ????+ UL?- State {ry kl Zip a 7 The Applicant is: _ Owner X Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 518" meter is required) Other: Water Softener -yWater Heater _ new ? replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00 State Surcharge $ .50 Total $ 1q' G-0 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 and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved., ? /I Oh2ia] {?z?,??S (?? 1 fX31 ApplicanYs Printed Name ApplicanYs Signature ; f Il -f? f II L6 ?J l IS 1" Fh(? C ? 2005 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemodeVReoair Reauirements Ofice Use Onlv 3 regislered sde surveys showing sq. fl. of lol, sq. ft. of house; and all roofed areas 2 copies of plan Cert of 5urvey Recd _ Y_ N (20% macimum lot coverage allowed) 1 set of Energy Calalations for heated addkbns Tree Pres Pian Recd _ Y_ N. 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for addiFuns 8 dedcs Tree Pres Required _ Y_ N isetofEneigyCalculalions Add'dion - irMicateifonsifesepGcsystem On-stteSepdcSystem _ Y _N 3 copies of Tree Preservation Poan'rf lat platted after 711l93 Rim Jaist Oefail Optbns selection sheet (bu'gdligs with 3 or less uniLS) Date q / 19 / 05 SiteAddress q Constructian Cost UniUSte # Description of Wark 19495 ltF.c C s ?zwi ec<- Multi-Family Bldg _ Y _ N Fireplace(s) _ 0? 1 _ 2 Property Owner ?2,Vwt/ D(d ul>l 1 N Telephone ii ( ) Contractor 'Elil1k'Rt,{j l 6?'c)c*- `i- CiLe lQG& Address a7$ Co Rzt 4(',Z (,j State ENft=at-W 1/Lt,lti Cit}' 6WRuSoitd.0- Zip S 5 337 Telephone #( y'` jx) $Q ?' ?? 7? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submmed Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva1 ofplans. /\l ? 2U-CGwt G ac/?G250 h ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 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 E#. Alt - SF ? 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone Bri ck _ Fireplace _ R.I. _ Air Test _ Final _ _ _ _ Windows _ Insulation _ Retaining Wall 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 Building Inspector 2007 RESIDENTIAL MECHANICAL rExmuT nrrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & rownhomes/condos when permits are required for each unit ? Date / c7a / 0 7 Site Address C/?O LA(i?? Unit # Property Owner v?l ?u- ? ?[.? ? (,( / yl ??r_ Telephone # Contractar Street Address 3451 W. Burnsville Parkway city State Bumsvllle, MN 5W;7 Tetephone #( ) Bond#: Expires: ? ?f U The Applican[ is _ Owner ? Contrac[or _ Other Fire repair (replace burned out appliances, duc[work, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or a?teratloo to existing dwelling unit $ 50.00 furnace Additional 4Replacement New _ _ ? air exchanger air conditioner heat pump other State Surcharge IS E (09 I? E $ .50 D D Tocal JUL 0 2 2001 $V S-Z) I hereby apply for a Residential Mechanical Permit and acknowledge be in conformance wi[h [he ordinances and codes of the City of Eaga permit, but on(y an application for a permit, and work is not to start approved lan in the case of o ich requires a review and approv ctiS? ?bo/ Ke-mfortna ' n is complete and accura[e; that [he work will I with the Me h ca o that I undetstand [his is not a out a permit h the work wi e in accordance with [he pia,s. ApplicanYs Printed Name Dafe: SiteAddress: 2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION Tenant: 1674 Hickory Lane RESIDENT/OWNER Name:_ Eagan MN55122 Phone: Address 6514028862 CONTRACTOR I Name: Addres i - _ _ _ _ _ _ _ __ _ _ _ _ __ _ - ? Permit#:---?=-?y=-?-=-L- I I Pertnit Fee: I ? Date Received: I I ? Staff: ?------------- - - - - - I Suite #: City: I yl/// !,> . State:r" Zip: 55 D Phone:apI2) Ov - T033 Contact Person: Ve s s TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descrfption of work: PERMIT TYPE RESfDENTIAL , X 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 Tumaround (add $136.00'rf a 5/8" meter is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, duchvork, etc.) (includes $.50 State Surcharge) C? O TOTAL FEES $ SO, ?- I hereby acknowledge that this informatlon is complete and accurafe•, thatthe work will be in conf ance with the ordfnances and codes of the City of Eagan; that I understand Nis is not a permit, but only an appllcation for a pertnit, and wo s not to stzrt wi t a pertni? that the work wili be in accordance with tha approved plan in the case of work which requires a review and appro of plgll / X.? L? • n! oT bl bm.- X?X/OE-? `'`-1? ApplicanYs Printed me Appl' ant's Signature a I I %Q I Permit City of Eajan ~jF I Permit Fee: ~I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 02 I Phone: (651) 675.5675 I I Fax: (651) 675-5694 Staff: j - - - - - - - - - - - - - - - - - J 2008 MECHANICAL PERMIT APPLICATION Date: A'A-M Site Address: 1668 Hickory Lane Tenant: Scott Culp Suite RESIDENT/OWNER Name: Scott Culp Phone: 612-419-3372 Address/City/Zip: 1668 Hickory Lane CONTRACTOR Name: Ron's Mechanical inc License Address: 12010 Old Brick Yard Road City: Shakopee State: MN Zip: 55379 Phone: 952-445-8585 Contact Person: Linda TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: PERMIT TYPE / RESIDENTIAL COMMERCIAL J Furnace New Construction - Interior Improvement Air Conditioner _ Install Piping , Processed - Air Exchanger _ Gas Exterior HVAC Unit HVAC units must be screened _ Heat Pump _ Under / Above ground Tank Install ! _ Remove) Other " When installingtremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) D 15b TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) -If Permit E_U is less than $1,000, surcharge is $.5o. Permit Fee If P m,i FU is > $1,000, surcharge Increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 japplication for a permit, and work is not to start 'th t 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. Vl 'Y X Li r Ja. Mn der- x &;da 0A Applicant's Printed Name Applicant's Sig to FUR OFFICE USE PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA093512 Date Issued: 04/19/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1668 Hickory Lane Lot: 011 Block: 003 Addition: Woodaate 1st PID:10-84600-110-03 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eaaan. mn 55123 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Scott A Culp 3670 Dodd Rd., =100 1668 Hickory Lane Eagan NIN 55123 Eagan MN 55122--253 (651) 365-1340 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Gity of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 752016 r Use BLUE or BLACK Ink For Office Use Permit #: /�--- Permit Fee: / «1 I Date Received: 1-061 (P Staff: 140 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: `{ ..! 2 ! (p Site Address: /!$(D , t!'tre,(cn. ,r LN (.4•5 Unit #: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: 1P l ceervn 'F .s Construction Cost: -, 5Z;C) Multi -Family Building: (Yes / No ) Company: +! -"41 $ '-< t-r;C Contact: /ig5 /1/L3L -73s/h5,,- Address: 3s-//6fAddress: 1/0x0 (//off ..4W 5 City: /t/9 State: tAP") Zip: 551/07 Phone:6V e1- 09. a( Email: License #: t3 7O -f&. Lead Certificate #: If the project is exempt from lead certification, please explain why: 7Uo? Dist /1,13)-41 SU,t/=Act COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One CaII 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/1&Ia4 14)t((CL Applicant's Printed Name x A. Iicant s Signature Page 1 of 3 /66 �- SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code #of Units # of Buildings Type of Construction ' rl Z/160 NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair 4i 3y 1 1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Framing 30 Minutes _ Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Final 1 Hour Air Test Porch (3 -Season) _ Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Screen/Cazelio%Pergola) Miscellaneous Pool J. Accessory Building Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: Reviewed By:G�`( j�J , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL es- fD 57-3 Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137757 Date Issued:07/20/2016 Permit Category:ePermit Site Address: 1668 Hickory Lane Lot:011 Block: 003 Addition: Woodgate 1st PID:10-84600-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Scott A Culp 1668 Hickory Lane Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139254 Date Issued:10/17/2016 Permit Category:ePermit Site Address: 1668 Hickory Lane Lot:011 Block: 003 Addition: Woodgate 1st PID:10-84600-03-110 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Scott A Culp 1668 Hickory Lane Eagan MN 55122 (612) 326-1919 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature r For Office Use kY Permit#: iS e _p,, EAGAN . Permit Fee: i I ceive Date Received: tie�,7-7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)6 � ' Staff: _h .dip__,7 2019 2019 RESIDENTIAL IN i =- . _- ' MIT APPLICATION L-/ 17 7 /(0 / �r A� Cl-47°)/Ulnit#: 4:1 /1 - / Date: I l Site Address: f� Wood al byme f� oc, Vol . 65 - "/,5-4/-73y7 Name. 9 e 0�✓`T trS ofPhone. Resident/ Q owner Address/City/Zip: f6r c07 � 0 r Eq9 a �t S S1 Applicant is: Owner x,Contractor / Description of work: `� Q� far O'1 1C ah tfi 4 C P Type of Work / Construction Cost: ` € / 0 Multi-Family Building: (Yes /No_) 1 Company: 60rhtR nn Bre k- rs Cdnfectc1 J "tact: -5.-frt VC. &7/-i'vlga14 Address: / 7 5 73 FOX 40TO C f City: Farr"• hi' Contractor �6rd-S9 9 023 State:M N Zip: -5-5°0/11 Phone: Email: License#: 6 /7 00 6 "( Lead Certificate#: If the project is exempt from lead certification, please explain why: _ i a;� I A00M• NO /001,‘; �" ah 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? 1 Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and awaiting documents that you submit are considered t be public Information. Potions of the Neon may be classified as no //c if you provide Sneakreasons that would Pe the MY*,concluderthat they are trade secrets- You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.poaherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approve of ans. x SiL,elee r'i &orrl a.tii x � Applicant's Printed Name Applicant's Signat re1--_ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171097 Date Issued:07/30/2021 Permit Category:ePermit Site Address: 1668 Hickory Lane Lot:011 Block: 003 Addition: Woodgate 1st PID:10-84600-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Scott Alvin Culp 1668 Hickory Ln Eagan MN 55122 (763) 285-5750 Aquarius Water Conditioning, Inc 3180 Country Dr St. Paul MN 55117 (651) 777-0448 Applicant/Permitee: Signature Issued By: Signature