1710 Hickory Hill
For ( -e Use
y.r r I Perm it#:
City o Eajan
I Permit Fee: /moo c V I
3830 Pilot Knob Road I ' I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: -
Tenant: Suite
RESIDENT / OWNER Name: PVVA/ A- MOAC- PELT I FO- ~ Phone: 6S(' (oJED,=q 0
Address/ City /Zip: 1-710 11ICKO(Z 411-(- EAC Ati 7 of
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: 5(-( Fl CAkTf. License c_;," 2~~y &
Address: i ~(n RAM iZ-
City: t_Cx?M I ~111~)` j~;!~ State: Al JJ Zip: 1 /
Phone:g5' G(~_Ll_ Y,15 Contact Person: ~)AME
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
(q submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
R x C&4
Applicant's Printed Name Do Applicant's Signature
JUL ~ 1 ~~~t Page 1 of3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION >K
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%-100%-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge. `
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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vl~A~E OF ~►t►N WATER SERVICE PERMIT
PERMIT 1V0.: ~ 1640
87" Pilot Knob Road 11/15/74
E4ga , NMV X122 DATE:
p'UO - No. of Units:
Zoning:
Owner:
Address:
Site Address:
Plumber:
Connection Charge:
Meter No.: f
Met Account Deposit:
Size: Permit Fee: 10 00 pd
Reader No.: 50 pd
1 agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE of EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2400
Eogan, M14 $5122 DATE: 11/15f74
Zoning: Dun No. of Units:
Owner: Mai Horizon Homes Woodgalte iI
Address:
Site Address: 1708-10-12-14 Hickory Sill
Plumber: ThOUPSon Plumbinq CO.
I agree to comply with the Village of Eagan Connection Charge: / C a^ t O tZ'_
Ordinances. Account Deposit
Permit Fee: i
Surcharge: '
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - -
~ Permit >Y: I
Cily O fEau
CI 2 14 251 1 60
3330 Pilot Knob Road 1 Permit Fee: 1
1 I
Eagan MN 55122 I Date Received:
Phone: (6$1) 675-5675 I I
Fax: (851) 675=5694 I t3tstF
L----------------J
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l 31te Addnae• O 1 d J51d
Tenant: Am\ Suite IM:
RESIDENT 1 OWNER 'Narne: A- k i C4- phone
Address / City /Zip: L C-~ L~J d I/l 7' ' `V
r
CON?RACTOR NaMe: MILBERT COMPANY INC.dba CULLiGAN WATER
Address: 1801507" ST EAST city. : DNER GROVE *HGIS
State. MN Zip: 55.077' 6S.1 .45t-2 241
g Phone:
Contact: _ B.•Mtt', . Email:
TYPE OF WORK _ New eptaeement _Repair _ Rebulld _ Modify Space -Work In.'R.O.W.
Description of o Z,.
PERMIT TYPE RE41DENTIAL
Water Heater Water Softener
Lawn Irrlga0gn RPZ PVB) Add Plumbing Fixtures Main Louver Level)
• _ Septic System Water Turnaround
' _New
' -Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water HeaterAD , Softener (Includes $5.00 State Surcharge)
$35.00.Lawn Irrigation (Includes $5.00 State Surcharge)
$55.00 Add Plumbing Flxtutes, Septic Systertl Abandonment. WaterTumaround' (Includes $5.00 State Surcharge)
'WaterTumaround (apd $166.00 Ita 5/5' meter is required)
$105.00 Septic System
, lie C ($10.00 per as bum) (Includes County fee ind $5.00 State Surcharge) .
$93.00 Fire Repair (replace bumep out appliances, ductwork, air.) (Includes $5.00 State Surcharge) Q~
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call st (631) 454-0002 for protection against underground utility damage.
Call 49 Hours before you Intend to dig b recehro locates of underground utilities: www.oooherstateonecatl.oro
I hereby acknowledge Met this kf~madon Is oomplete and accurate; ,oat the work VA be in oontor.. wm wflh the ordinances and oodee of ft Clly of
Eagan; that I understand this Is a penpff. but onty'an applIcitloh 1br s permit, and work Is nix to start without a permit that the work VA be In
accordance with the approved Is In Ow as of work "Ich requires a,review and a plane
App icint'a Printed Name Appllcant's,319nature
FF ,Q~ gtar y. ,
R0q!.~ p
� Use BLUE or BLACK Ink �
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- i For Office Use
. � ; ���/� � �� r�
C� � Permit#: / �� :�
ty of ����� � »��� ��
� Permit Fee:
3830 Pilot Knob Road � �,"'
Eagan MN 55122 � Date Received: �"�?"�y`��
Phone: (651)675-5675 RECEIVED � �
Fax: (651)675-5694 �C� 2 3 1��5 I Staff: �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: � �'� � ���Y�') �/" Phone::.'3� � 2 �3 � � '6 8v
���� : ' Address/City/Zip: � � �►� � �� I� � � � � �, � � �� �� ��' �
Applicant is: �Owner Contractor ��
,�,.������ ; Description of work: �NV{'��i�" �C��eq(,�� -fi��S��rC� �f�Mf'�� 1�`�� Uf'tJl'Ot7M, �
' Construction Cost:�j �� Multi-Family Building: (Yes /No
Company: �t � Contact:
�Q���,��;���, Address: ` City:
: State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N�Tf:Flar��;artd��Aort���i alo�c���e�=#��#,�ac�'�b��a�ee�on�l�red tv be��b�F����'c�. Pa;+�c+#'
' tlre i�r�'or�att'c�n�b�+r�a�s��ed ar�titin�crb��`'�ta�prt��+�+ai�s�ecif�c re�+��s�a#i�rrot��d�r�t t!�G�i�a .
�t�cf�r�le�i��t,��,.�'��cill�s�"ets. ;
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.popherstateonecall.org
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 LF'v ���r'►�/}p� X C�ww�''
Applicant's Printed Name A �icanYs Signature
Page 1 of 3
A � f�G G% (1 � '�DO NOT WRiTE BELOW THIS LINE ��..���� �— �
SUB TYPES �
_ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex �/' Lower Level _ Pool _ Accessory Building
7�
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �f
Valuation � �M}'�� Occupancy ���,.�,� MCES System
Plan Review � Code Edition z:`t�:�,�����,�'� SAC Units
(25%_ 100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) �./ Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
' Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
��.
Other:
Reviewed By: � � , Building Inspector
� RESIDENTIAL FEES
Base Fee �p�,;��.� ����'�°,
t�
Surcharge �������,�,-� � �
, Plan Review �� ��
MCES SAC �°*� '� �- ,-�'' '�
€,,,f�; '"'�,� ,�"�' ,;.
� Clt�/ $l4C � 9( �' � � €,r C`�_,.. �,�«. � �
��
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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rFor Office Use
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—/7—/
Date Received: ,
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ��vE
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6Staff: —"Zeal
buildinoinspectionsc cityofeagan.com A4Pf 1 7 2019
2019 RESIDENTIAL V. MIT APPLICATION
L-� I q —7 f �f I AO, /I/� /
Date: 1 l 7 1 / Site Address: ��us r // I �n G�• Unit#:
Wood "e fes c' l-` 5 - Sy 7 7
Name: 9 e 0►+�''�tis 0 of OI� Phone: � ` Y � 3 Y
Resident/
chimer Address/City/Zip: y/,6 7� 1�.`c Icor `(( 12 r Ec y a SSI 01.4
�t
Applicant is: Owner X Contractor j
Description of work: ' `� ' `�'Q l fa (-'I-r O' OM �� /aC
Type of Work /
t�
Construction Cost: /% Multi-Family Building: (Yes /No )
Company: I66'rknRn,1 8c07-k-ers (-a ri 'ctc,1-7?y tact: -511v &JrnlCid pi
Address: / 1.5-73 fv X 40TO C f- City: Far,'"ar,'"• r,5 'moi
Contractor
State:M/1 Zi C5°l 11 e' 59 9,c9„368
6:
p: =JJ �` Phone: Email:
License#: AC_ ` ` 0 0 6c1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
No /Oat al he
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:
NOTE:Plans and supporting documents that you submit are considered to be public mon: Pardon of the informa#on may be
classified as nonpubik if you provide spach c reasons that pfd perms the Clty to
aode that they are Vale secrets-
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecaliorq
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 SI er i U0l'r jotrti1
Applicant's Printed Name Applicant's Signat re ��