1714 Hickory HillCity of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
Use BLUE or BLACK Ink
Permit Fee:
go-o�
Date Received:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 %' 10 Site Address:
Tenant: j 1# 41 C.. ,k `c L j
/7/L/ -1 -boccie y
J
Suite #:
RESIDENT / OWNER
Name: ' '97 Phone:
Address / City / Zip:
Applicant is: Owner X Contractor
TYPE OF WORK
% vsT /47—
Construction Cost: Vi qS D Multi-Famil i'ding: (Yes ".X./ No )
Description of work:1 �' - C) F:17- it-
CONTRACTOR
Name: C4 ..r IaOO r= I."-'(i�/ i License #: % 17
Address: /9709.- W ht F' /� oc g e) City: i)ex.svI L-(
State: in /L? Zip: _575-3 3 •-) Phone:
Contact: /'(%XE. Email:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o
the information may be classified as non-public if you provide spec>c reasons, that would permit the Crtj
conclude that they are trade secrets.
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.gopherstateonecall.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 isnot a permit, but only an application for a permit, and work is not to start without a permit; that the work wilt be in
accordance with the approved plan in the case of work which requires a review and approval of pla
For ftic a
Permit qC1~7"
City of Eaaaii c
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
'f J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1-7 I - I (+1o<QrZ'/ 4 fu ta:!~J_ A/
Tenant: / r i AQ-1 v A°Q Suite
RESIDENT I OWNER Name: MAki Ar V4vt!%A
~^Phnone: c
Address / City / Zip: l1 /-t /IKQI \1 FiU~ E2Q1/'f~J" S J 12
Applicant is: Owner Contractor
TYPE OF WORK Description of work: R -~BU)L. 1l (3 o
Construction Cost q 00 Multi-Family Building: (Yes / No
CONTRACTOR Name: J(-()iT cAaT 't2 License o?. ~ ?I !o S
Address: n N )
City: D 1 f,~C~ 1~ n/ State: /A/A--', Zip:
Phone: 15 Contact Person: SA/'0I
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
(I 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 of plans.
x x St.
Applicant's Printed Name Applicant's Signature
Page 1of3
9, L 2009 {{{JJJ
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
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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VILLAGE OF EAGAN WATER SERVICE PERMIT
} 1640
3795 Pilot Knob Rood PERMIT NO.: IN 1
Eaga , IWN 55122 DATE:
Zoning: PIM No. of Units:
Owner: lot HOC4 ern, Homes Wnodgate II
Address:
Site Address: 1706- 10 -1 -14 Hi c1rn y Hill
Plumber: phonet:Nr► Plupitting CO. �,
Meter No.: Connection Charge: , 4 Zo-ei. •,,,,
Size: Account Deposit:
Reader No.•
Permit Fee: 10.00 pd
- � 50 pct
1 agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B y Date Paid: ,
Date of Insp.: Insp.:
VILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2400
Eagan, MN 55122 DATE: 11/15/74
Zoning: pup No. of Units:
Owner: New Horizon Homes I odgalte II
Address:
Site Address: 1708- 10 -12 -14 Hickory Hill
Plumber: Thompson Plumbing Co.
I agree to comply with the Village of Eagan Connection Charge: tr. t' LA/
Ordinances. Account Depos' :
Permit Fee: 0.00 pd
Surcharge: .50 pd
B y : Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110476
Date Issued:05/13/2013
Permit Category:ePermit
Site Address: 1714 Hickory Hill
Lot:009 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Joy Post
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Marie S Varela
1714 Hickory Hill
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130726
Date Issued:05/11/2015
Permit Category:ePermit
Site Address: 1714 Hickory Hill
Lot:009 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Marie S Varela
1714 Hickory Hill
Eagan MN 55122
(651) 994-1665
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
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SEDGWICK HEATING & AIR CONDITIONING CO.
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000
ADDRESS 11I l 41C O(t JI(�j Df
OCCUPANT cd (LI L
SOLD BY Jos
HEATING
TEST RECORD
CITY E dhp
OWNER M2 (it vt C4.6
INSTALLED BY
JOB NO 1 $1,341,
MAKE Lb%AO* MODEL ELZi56 ufI 010 ?1.4A
SERIAL NO 3
Ifikp-
201
INPUT ✓ '
THERMOSTAT VENT SIZE
VALVE TYPE OF LINER
LIMIT LINER SIZE
LIMIT SETTING
FILTERS' SIZE - �" � � , ` NUMBER
FAN SETTING WIRING
PILOT TYPE TEST TAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING �
DATE TESTED
PRESSURE PERCENT CO2
COMPANY TESTING
INPUT GFH PERCENT 02
STACK TEMP. PERCENT CO / NAME OF TESTER
FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
City atEkau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 2 52016
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: ffie. 3
Date Received: L l
Staff:
,/ 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 "2 3-10 Site Address: (1(- E-&- k•1 t -f. i l E -t, o^ Unit #:
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: Tzep J CG 1 vr► (" 5
Construction Cost:.2, g O
Multi -Family Building: (Yes / No )
Company: L +.e $e'-' L t - - Contact: / ft L� / 11 L'� 7,07/6.7"
Address: I/00 67/0,4- AW S City: frrro is
State: /At° Zip: 554/497 Phone:rtv 1 ti -gOz(Email:
License #: !3G 7O' fC# 7.Z Lead Certificate #. —
If the project is exempt from lead certification, please explain why:
/?Jar jJ/rre, iZ13/Ars l Am/1112 gufLc g.-
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 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.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 111444 a4 f/" ( t,t;
Applicant's Printed Name
x
A. • ',cant s Signature
Page 1 of 3
/ 7/i/ )/; )Z6/2 gi A ii DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Porch (3 -Season) _ Exterior Alteration (Single Family)
Single Family _Porch (4 -Season) .y- Exterior Alteration (Multi)
_ Multi_ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_ Piex _Pool :., Accessory Building
/6
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
4
way
1
J3
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
Reviewed By:
Final
1 Hour
Air Test
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
149y SAC Units
PFJ City Water
s
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:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
�$ f0
Page 2 of 3
rFor Office Use
•
% t * • :::
:
—/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 ��