1659 Hickory Hill
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Y1 ,GE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 1436
Eagan, MW 55122 DATE: 4/26/74
Zoning: PUD No. of Units:
Owner: 'floodgate New Horizon Homes
Address:
Site Addresti -61 -59-57 Hickory Hill
Plumber: WhouPson Plumbing (7o.
Meter No.: Connection Charge:
Size: Account Deposit:
pd
Reader No.: Permit Fee: 10.00
pd
1 agree to comply with the Village of Eagan Surcharge: .S0
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.:: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795- Pilot Knob Road PERMIT NO.: 1 2196
Eagan, MN 55122 DATE: 4/26/74
Zoning: t'srrn
Owner: Wood , ate — New . Horizon He ac
Address:
Site Address: 1 663 --61 -- 59 Hickory Hill
Plumber: T11*. • - on P1t>nbing Co.
I agree to comply with the Village of Eagan Connection Char
ge'11U pd 12/32
Ordinances. Account Deposit: 7
posit:
Permit Fee: 10.00
Surcharge: .50 Pd
BY. Misc. Charges:
Date of Insp.:
Total:
Insp.:
Date Paid.
I—
For Office Use
t • • • Permit#:
, EAGAN
..,
Permit Fee:
flECEI
VE Date Received: ��7 7
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
40
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 6�A„R ' Staff: ���s,
buildinoinspectionsc citvofeagan.com 7 2019
2019 RESIDENTIAL lig MIT APPLICATION-5-9f/ 6�
Date:__ 1 l ( , 1 Site Address: ! 57 �`G CC r 11/ X-fiCl u� Unit#: / ... 3
Y
Name: V✓Odd Cj(xie t II41e 01✓�t/'S ft .s QC 'o►is-
Oil Phone: 6 57 - '151-73 Y7
Resi end /6 �'1 /4. c ko✓` et :" 11 O,— Eay 41� 35 I oz).Qyy�f Address' /City/Zip:p:
Applicant is: Owner X,Contractor
Type of Work l
Description of work: ' `� lQ7C I 'ar 0 12'C sam r 'ep /a((�
Construction Cost:/ / 0.0 Multi-Family Building: (Yes X I No )
Company: Ind rhtat nii B r'fi i-er$ C_ctnfectct'+fp tact: ---Ift irt p0l-r►lgn1
Address: / 7 5-73 Fox 6Olb C City: �al✓''t• hi "61
Contractor Cl�If'6/(A" p 368
State:11\1 Zip: . '-' �` ( Phone: Sg / ` ail:
License#: & [ ` 00 . Lead Certificate it:
If the project is exempt from lead certification, please explain why: _ I I
why: , �a:1 �— q, l A-00 P. ,
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 s 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.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.aooherstateonecall.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 5.4 reel A0rr►ianvl x 1. ,
Applicant's Printed Name Applicant's Signat re