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1678 Hickory LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1678 Hickory Lane Lot: 8 Block: 3 Addition: Woodgate 1st PID:10- 84600 - 080 -03 Use: Description: Sub Type: e - Fixtures Work Type: Replacement Description: Main Floor Meter Size Meter Type Comments: Fee Summary: Contractor: Home Depot Home Services 40805 Forest Blvd. North Branch MN 55056 (651) 645 -5040 Jason LaBelle 700 Prior Ave N St Paul, Mn 55104 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Manufacturer Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Karen A James 1678 Hickory Lane Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 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 h all applicable State Issued By: Signature Plumbing EA080544 10/18/2007 ePermit Line Size City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1678 Hickory Lane Lot: 8 Block: 3 Addition: Woodgate 1st PID:10- 84600 - 080 -03 Use: Description: Sub Type: e - Fumace Work Type: Replace Description: Furnace Comments: Expired Perm Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Karen A James 1678 Hickory Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081236 11/26/2007 ePermit cal Inspector, 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 h all applicable State Issued By: Signature For Office Use 3x- Q I a Permit D V _ City of JJaEU~ Permit Fee: / 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 06 -2 co-ece- Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~t~ 7~ ) I c Vo % [,1 k7?? Tenant: Suite RESIDENT / OWNER Name: ,t'Q r`Pi-1 es Phone: (215)_ Address/City/Zip:' i nr y La nP Applicant is: Owner Contractor TYPE OF WORK Description of work: ; Construction Cost: y Z/ ulti Family Building: (Yes / No c3 , I g 7 CONTRACTOR Name: 1 eSi o rs4;oY) 06-C ° g S i r aIS License O C-203 Add ress: c 1)'); hYJ°e J ahQ ALl•2- City: OQ c, i State: Zip: Phone: L7 ?i 7q- )9TO 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 wi out a permit; that the work will be in accordance with the approved plan in, 1 e case of work which requires a review and approval of pla s Applic rated NanNV Ap i s t re Page lof3 AUG 2009 a DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window Water Damage Demolition (entire buildin))-- give PCA handout to applicant DESCRIPTION: Valuation (90'0 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 Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. Air Test _Final Windows Insulation Retaining Wall Reviewed By: 'f Z' , Building Inspector RESIDENTIAL FEES: Base Fee (,2(20 Surcharge y f Plan Review MC/ES SAC City SAC Utility Connection Charge 1f~ S&W Permit & Surcharge Treatment Plant Copies Total Page 2of3 RESIDENT OWNER Name: 1 Girt* -i s41-5 Phone: 4'57 5 L 9 SG Address City Zip: /(o '78 y at- Applicant is: Owner Contractor TYPE OF WORK (i, Description of work: 4 a fG /r l Construction Cost: 000. Multi- Family Building: (Yes No CONTRACTOR Name: Sal/coo Lis CI, rz i TAR License 3 119 Address: 9 LCLs f 3(/ 67 City: /1 imaut s State: MN Zip: 5g1/O 7 Phone: 6 1 a 721'5Sy4 Contact Person: arts COMPLETE In the last 12 months, has No if yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes 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. 4 111 City of Eaaali Date: /d /b/o S x C)rc, cOtAIXer4 Applicant's Printed Name' Site Address: Ae o ii/G, x Applicant's Signature Permit (�C10+S a6 Use BLUE or BLACK Ink Permit Fee: 1 65- 2(o 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C -r 09 Date Received: Staff: Tenant: Suite 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.aopherstateonecall.ora 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 g s. Page 1 of 3 A-doe y Z_Ro 6 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25 100% X Census Code of Units of Buildings Type of Construction In 5 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice Water Final Framing Fireplace: Rough In Air Test Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies TOTAL Interior Improvement (`0 Occupancy Code Edition Zoning Stories Square Feet Length Width Final Reviewed By: Porch (3- Season) Porch (4- Season) Porch (Screen/Gazebo /Pergola) Pool Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage 6715-7-?. Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous *Demolition of entire building give PCA handout to applicant Ekez4- oird 2-0. MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required Final No C.O. Required HVAC Other: Pool: _Footings Air /Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows (004+N) d Retaining Wall: Footings Backfill Final Radon Control Erosion Control Building Inspector Page 2 of 3 Vim OF EAGAN WATER SERVICE PERMIT 37 Knob Road PERMIT NO.: 1445 • Egan, MN 55122 DATE: 4/26/74 Zoning: BUD No. of Units: Owner: W odgxte r New Horizon Frames Address: Site Address :1676- 78 -80 -82 Hickory Lade Plumber: MOMPSOn P1%mobing co. Meter No.• Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 10. 00pd idtkirpd agree to comply with the Village of Eagan Surcharge: .50 Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 11ot Knob Road PERMIT NO.: 2205 Eagan, MN 55122 DATE: Zoning: PUD No. of Units: Owner: Address: Site Address: 1676 -78 -80-82 Hickory Lane Plumber: Thompson Plumbing Co. 1 agree to comply with the Village of Eagan_ Connection Charge: Ordinances, Account Deposit: oopd Permit Fee: 10. Surcharge: .50 pd By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink For Office Use I Permit 11 G 5 3 1) i City of Eap I I Permit Fee: 17a. 3 3830 Pilot Knob Road 01t Eagan MN 55122 j Date Received: 10 j 13- Phone: (651) 675-5675 f I Fax: (651) 675-5694 1 Staff: _ I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: OC HG - r 3 Site Address: 16-7N) f" , Unit Name:) A Dry-~ctr ! Z Nome1olA ney- S Asa no. Phone: Resident/ Owner Address/ City / Zip: I (o-79 I4 c Ko r,4 /-A/. Applicant is: Owner _A_ Contractor 1 Type of Work Description of work: IcP 2X1 1 1 r~ Q c k Construction Cost: 96M, ✓ Multi-Family Building: (Yes / No Company: Lb erer5on (~nhS Yl tif)Dn ,.rj'lG Contact: ZI4Pley l` t-EJ O/V Address: 60.5 LYA,(A,( lJ~2 • City: /g)O' p- 4ae Contractor State: _1_! AI Zip: , f~_3 -7'Z Phone: to/2-360-3240& l~ 1License Lead Certificate / vA / - 1 / O 3I O 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 of the information may be ciassirted as non-public if you provide specific reasons that would permit the City to conclude that the ` 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 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 LACe,v r- irr ^Q x AJ &kq a4T~~-) Applicant' Printed Name Appli nt's Si ture Page 1 of 3 U tfi c k l c ti rLt DO NOT WRPBELOW THIS LINE 11531 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 'OV000 Occupancy Z R6 MCES System Plan Review / Code Edition SAC Units (25%100% v) Zoning ,!7 City Water ~ Census Code 3 w Stories Booster Pump # of Units ( Square Feet PRV # of Buildings l Length / Fire Sprinklers Type of Construction- Width Q 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 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: _ Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: zx~k on , Building Inspector K4 1 11-1\ I RESIDENTIAL FE Base Fee / d 3 Surcharge Plan Review 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ~m i . e 1 r Q"Q 1 j 06 I#b 4P ■ o e s T CID b 4 ~ - c ° v aiq D b . F m s t aA a a„v3,,. ~ °"arrr g.~ss d:ytypr• i `i h ~ 4'F ~ is 1 C ~'i ~`E9 j~ $ ♦ parr S r C •W mod,, . 'Ph w q I' -wk 1. "60 Is Z4 14 t R ' ,rsavasc ,~"°~l~• ~ tr~'~ ° ~ ~ ~~a~ pi ~ r - t='~ ~ ''a,, ~ `4' m ,arm ~ ~ e a ,d'~~ ~ n ~ ~ ° j w'O'Alab+'E N$, b O g 1 SYf X9S } .V'S+~ ~ ~ q 3 f ti 4 m fss a $SS /4p, S 1 ~ 6-der _r-_ • .gs~ Al A W/Y ye Z t C ~ "a ♦ ~1 w~s h ~ Sq g 'E ' Y~ r'" iI Ry ~ 4 p?brE ~ ~E Z w . Y 't7?~'r O ~ p ♦ ~.¢'1 r t '[V~ " c-.cne ss .t e. cses O tg k - ~ ~ <ci•,~~i k __~~.~-rs- ernes ;r ~ ~ y~ ~ ~ w.°• 6YALNVT : LANEq„ ~3 B3 p, f s 's v' g! ga e :s •YLVd'e9t' it c ~~AT26 d~7 g,vy ~ ~ o d !p ,g I~ Sa 1F NONCE `~M62 i~ ZT ♦ 33 E frl1k SY d dfr to Ftk.re L. 49 4 U1 Pr2~;~ /y" //~3~,/ l3' ~ l plc 70 Add U/.f AG N BY. 00 ~ 10 DIVISION -r v ~L I ~pv~l E- ED 01 'N,,rfiRU' ~ ~pA 4 ~ Why'' Q I f For Office Use S EAGA Permit#: /....577F1-7/ N Permit Fee: ZE '/" eivE Date Received: �,7- 7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 �.d► (651)675-5675 TDD: (651)454-8535 I FAX: (651)6 694.,R Staff: _. A buildinainspectionsCa Citvofeactan.com 1 7 2010 2019 RESIDENTIAL We • _ - MIT APPLICATION Date: 1 l 7— l 7 Site Address: /6767 76 Ft`C-ICC 174, Unit#: Name: WOOc( c4i ie 0VI41( Ass oc 'ot'{-`ph [Phone: v 5-1 - V541-73Y7 Resilden l 1 ( � lam/` 11 (1 19 r Ea9 q 53 102 Owner Address/City/Zip: ( Applicant is: Owner X Contractor Type of Work Description of work: ' `'- `ac l f ar 0 1!1C aim J ? !ac tz Construction Cost: ` J /aO Multi-Family Building: (Yes /No Company: Ind l rule nh D i' ��1S ��at.�'� tact: -5.4.Ve 13or.ng4 q . Address: 7 5 l 3 FOX 6Q�D C City: 1-ot rrrt• Ili -61 Contractor l[� 1 _ State* Al Zip: 5-' O ` Phone: 4.Gf a` 59 Em 68 License#: 6 17 D Q b 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: No /0011/4M _ q, j BOO r`h 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 sapporing 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. 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.cityofeaoan.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.aopherstateonecaliorq 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 S**Y8fi „gar/'i')Dirt!l x Applicant's Printed Name Applicant's Signat re �'-