1661 Hickory Hill Use BLUE or BLACK Ink
�-----------------
iFor Office Use �
C' j Permit#: �� ll��l 1 I
ity of �a�aIl � Permit Fee: �°�s �
3830 Pilot Knob Road � � I
Eagan MN 55122 � Date Received: � �� �� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
��������������-__J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: � Phone: ��`7�2�'7�
R�'SI�IeC1'�l `//� `
Qy���±r ' Address/City/Zip: �'� � ` ` ��� �L.. �.J
� �
' Applicant is: Owner Contractor
.r����,���� Description of work: � �°� —7�
Construction Cos. Multi-Family Building: (Yes /No )
Company:�C., C.S r�G� i��'� �Q��Contact: � � 11.1
_'��
��►t"�tC�YC'�€XI` ' Address: ����K� �Cc �f b�'' City: C_C.l�I/`Z°{�
State:�Zip: ����Phone: ���'y4���maiL a �������
License#: �("n3 s� I� Lead Certificate#: �^.1.. �[���'"'j t"'����oo�,
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:
J�t�TE:Pfar�s ar�d s�rp�crr�fng alo�e�men�s tha#yo�sub�nit a�cansi�etl tc►b�p�t��c�nfr�rrr���c��. �+a��,�qf '
th�ir��rmatior�r�ay be ct�ssi��cf a��r4r�pubilc�t'yae�proYrde sp��i�c re,a�c�����r�#wo�t#pet'tt���#�e.Gi�jr.�
co�clutl�a th�t fhe `ar��Erade secrefs.
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.qopherstateonecall.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 � x
Applican Printed Name ApplicanYs Sig at re
Page 1 of 3
øë
þýýü ûú ëú ÿ
ùüüýý ÿûûÿ÷
é÷
ù
íîá
þý
ÿþýüû ú
ù ýüû ø÷
û ú
öÿ ûõ ôÿõ ó ÿþ ò
û ñðï
ý
îî íî
ì ü
íð
ù ÷ óæ
ò
õ ëñêûõ ïé
è
í
èî
íí
öù
ÿó ëçé
è
ð
èð
õôóô
òñ
ûû
÷ ßú òüÞ
ü
î
íø ó æ ÿ
áá ü
ò ó òø
òø
ñðïíí ð
óþü ÷ ó
óæ óûû ó óå õ õûü÷ óûûþ
åò ÿ ú ü åäè
ûû à
õ ÿ
ÿü ÿ
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.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141130
Date Issued:02/21/2017
Permit Category:ePermit
Site Address: 1661 Hickory Hill
Lot:015 Block: 001 Addition: Woodgate 1st
PID:10-84600-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary Tste Z Pyle
1661 Hickory Hill
Eagan MN 55122
(651) 452-3459
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature
I—
For Office Use
t • • • Permit#:
, EAGAN
..,
Permit Fee:
flECEI
VE Date Received: ��7 7
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
40
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 6�A„R ' Staff: ���s,
buildinoinspectionsc citvofeagan.com 7 2019
2019 RESIDENTIAL lig MIT APPLICATION-5-9f/ 6�
Date:__ 1 l ( , 1 Site Address: ! 57 �`G CC r 11/ X-fiCl u� Unit#: / ... 3
Y
Name: V✓Odd Cj(xie t II41e 01✓�t/'S ft .s QC 'o►is-
Oil Phone: 6 57 - '151-73 Y7
Resi end /6 �'1 /4. c ko✓` et :" 11 O,— Eay 41� 35 I oz).Qyy�f Address' /City/Zip:p:
Applicant is: Owner X,Contractor
Type of Work l
Description of work: ' `� lQ7C I 'ar 0 12'C sam r 'ep /a((�
Construction Cost:/ / 0.0 Multi-Family Building: (Yes X I No )
Company: Ind rhtat nii B r'fi i-er$ 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