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1631 Hickory Lane
For Office Use Permit City of Ea Rd I Permit Fee: Z6_1 3830 Pilot Knob Road I Ci_ Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: li - I-/~CIC /`-j Tenant: r" L' t=tea; 'y~ i ? / Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: / C F ' Construction Cost: Multi-Family Building: (Yes) / No - ?~C C f i n- t %'0 CONTRACTOR Name: License ~ / Address: / 9/~ //C- )/f 'T /f~ G/_ jC ?~~J/ \ n City: I % t 1 LL State: /11 Zip: 3 Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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 f plan j jL X ~j(_( 4 0 1111- C-11 (C'S % -44 A2 x Applicant's Printed Name Applicant's Signa re Page 1 of 3 mu = Of EAGAN WATER SERVICE PERMIT 315 Pih t Knob Rood PERMIT NO.: 1444 Eagan, MN 55122 DATE: 4/26/74 Zoning: POD No. of Units: Owner: ibodgate. Hex Horizon Hoaxes Address: Site Address: 1625- 27 -29 -31 HickOy Tana Plumber: Thompson Plumbing Co. Meter No.• Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 10.00 pd 1 agree to comply with the Village of Eagan Surcharge: 50 pet Ordinances. Misc.-Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE SF EAGAN SEWER SERVICE PERMIT 3751 Plot Knob Road PERMIT NO.: 2204 Eagan, MN 55122 DATE: 4/26/74 Zoning: POD No. of Units: Owner: Woodgate , N ew Horizon Homes Address: • Site Address: 1625- 27 -29 -31 Hickory Lane Plumber: Thompson Plumbing Co. agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: I ©.00 pd Permit Fee: .50 pd Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138076 Date Issued:08/08/2016 Permit Category:ePermit Site Address: 1631 Hickory Lane Lot:035 Block: 002 Addition: Woodgate 1st PID:10-84600-02-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Stacy M Hennis 1631 Hickory Lane Eagan MN 55122 (760) 835-3608 Marks Plumbing Service & Repair 3500 Vicksburg Lane N, Suite 408 Plymouth MN 55447 (763) 354-2800 Applicant/Permitee: Signature Issued By: Signature For Office Use 2OT Permit#:EAANPermitFee . x/7 ,1 E Date Received: I`da r, 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 JAN 2 2 2019 Staff: buildinoinspections a citvofeaaan.com L y ,_ 2018 RESIDENTIAL PLUMBING ,PERMIT APPLICATION 's Date: 1/8'/'1 Site Address: /6.1/ /f/ A 0�-y L Tenant: Cislig 6 # o,u/S Suite#: _ I 4- _ ..i Resident/Owner Name: il /� s Phone: y 7(,7`gSb`� s/-rvlE. Address/City/Zip: rn�� /�� I License* OOMMlRg License# 6-X-16'' y°l 9150 W 35W SERVICE DRIVEWATER Name: 6-X-16' I C Contractor { Address: MAINE MN 55449 City: State: Zip: Phone: / '? ?Z ' 7 7o/ Ll Ll ; Contact: Email Type of Work —New 'Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: coc�,?, // � ! �c , �/vd .--c_i � �t,cj'Z> RESIDENTIAL I E Water Heater— { Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type — Add Plumbing Fixtures( Main/—Lower Level) Septic System s , New I _Water Turnaround t � —Abandonment ; RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 60 00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you I intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq 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.citvofeaean.com/subscribe. 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 1 accordance with the approved plan in the case of work which requires a review and approval of plans. N x Lt S L04-,d x 0-4I > Applicant's Printed Name Applicant's Signature PP FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: