1728 Hickory HillCityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 °- Jg'- l 0 Site Address: / � � " # /tkok y
Tenant: 14 LP H /
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name:
5/1 E
Address / City / Zip:
Applicant is: Owner '< Contractor
Description of work: /E/is OF
Construction Cost: / Y/go
Name: C' r
:3 � ��� - ir`y 6 Address: /9/ /^ � J
w�/4 /2OC R. Le City: a f�p /QS
m
State: Zip: a 3 ? Phone: 9 S-0 " O / i "' V"
Contact: i f
Email:
Permit it
Permit Fee:
Date Received:
Use BLUE or BLACK Ink
Qr. . 00
Staff:
Suite #:
oo f (rt.'�T l 902 25
Multi- Family Building: (Yes )C / N
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:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans: and supporting documents that you submit are considered to be public information Portions of
l e information may be classified as non - public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Calf 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.bopherstateonecall.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.
x )C #FAFL A7) N
Applicant's Printed Name
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1728 Hickory Hill
Lot: 2 Block: 2 Addition: Woodgate 2nd
PID:10- 84601 - 020 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
- Applicant -
Construction Type:
Occupancy:
$1.00
$69.00
$70.00
Owner:
Ralph R Back
1728 Hickory Hill
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA073572
05/31/2006
ePermit
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com
9001.2195
0801.4085
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1630
Eagan;MN 55122 DATE: 11/15/74
honing: POD No. of Units:
Owner: Now )(Orison Howes Woodgate II
. Address:
Site Address: 1724- 26 -28 -3b Hickory Hill
Plumber: ThoI INIO 1 Plumbing CO.
Meter No.: Connection Charge..s e'..m..
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
agree to comply with the Village of Eagan Surcharge: • 50 Pd•
1 Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2 398
Eagan, MN 55122 DATE: 11/15/74
Zoning: PUD No. of Units:
Owner: New Horizon Homes Woodgate II
Address:
Site Address: 1724 - 26 - 28 - 30 Hickory Hill
Plumber: ThoMpS0r! Plumbing Co.
agree to comply with the Village of Eagan Connection Charge: f 4 0 4 7 . . . 6 , 0 / ei.
Ordinances. Account Deposit:
Permit Fee:11' 00 Pd
Surcharge: .50 pd
By Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110091
Date Issued:04/23/2013
Permit Category:ePermit
Site Address: 1728 Hickory Hill
Lot:002 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-020
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Ralph R Back
1728 Hickory Hill
Eagan MN 55122
(651) 454-6092
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
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a a a P:::tco:
#:
EAGANP :rT
I ece'VE Date Received: �,��
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 gp� Staff: —yea
buildinginsnections(acityofeagan.com Fit'1� 1 7 2019
2019 RESIDENTIAL igi _ - MIT APPLICATION
17- 1`� / 7c 6/ I-II-icjCvey }� I72� / /73Z�
Date: Site Address: ! Unit t#,:� -7
Name: WOO di Gti e 47"e°Vita A-ss OC:01'{ O I Phone: 65/ l 511.73 Y7
Resident/
./ / 7( H . cicor (1 or Eay 4 l� S,S 1024
owner Address/City/Zip: Y
Applicant is: Owner X Contractor
Type of Work
Description of work: ' `� ' "`'Qf l Qv' O. ctribt ? lace
Construction Cost: 0/‘ Building: (Yes A /No )
Company:y ""d rPvi n QQ<'0��-tr.S �^frac-177y tact: Qye &irr►�igdrl
R h D
ContractorAddress: / 1 5-73 FOX 4671) City: 1=arr1• hi
State:11 Zip: 16r0�-Sq 9'Via?
Phone: Email
License#: 6C /700 6 (1 Lead Certificate#:
If the project is exempt from lead certification, please explain why: 61 n
No l�'a; a1 r-oar.
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 information. Portions of the Infotmahon may be
classified as non-public If you provide specific reasons that would pert the City to conclude that they are tirade 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.aoaherstateonecall.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 approva of ans.
x ,SfereSorrl ctr i l
Applicant's Printed Name Applicant's Signat re ��
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176441
Date Issued:05/17/2022
Permit Category:ePermit
Site Address: 1728 Hickory Hill
Lot:002 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ralph R Back
1728 Hickory Hill
Saint Paul MN 55122--241
(651) 454-6092
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature