1664 Hickory HillRESIDENT / OWNER
Name: _SCFP 4. Le. &he Phone: (isl --,S '77
T
Address / City / Zip: /. LOA l ry tilt/ Or.
Applicant is: Owner )(Contractor
TYPE OF WORK
Description of work: 1f .k_ , h' bv( I(')
Construction Cost: 2_,- Multi- Family Building: (Yes )(. / No )
CONTRACTOR
Name: 9)IO) Tin/V.V. *1 PLIA, License #: 2 � O( p X57 11 /
Address: lc7os? Perm Ave 6 - City: 5''�.(,(�/�(ip TUo
State: MI) Zip: 5J 31 Phone: U/2 -72S 29 j
Contact: /UPLISka (1 I W c&J7 Email:
COMPLETE
In the last 12 months, has
Yes 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:
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 specific reasons that would permit the Ci to
conclude that they are trade secrets. ...
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x r- ax4 c 1 IVI C
Applicant's Printed Name
City of Eaali
JUL 26RUB
Applicant's Signature
Use BLUE or BLACK Ink
Permit #: q5'/
Permit Fee: / 3 6'
Date Received:
Staff:
Suite #:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION /- /nl'
Date: 0 1 /7-(QIl0 Site Address: it old--) t l 'L -k.c y H i l l to
Tenant:.. e..at-t- 4 cY Exdoe,9
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.
Page 1 of 2
1/
i& (04
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
Fireplace
Garage
Deck
Lower Level
WORK TYPES
_ New _ Interior Improvement
Addition _ Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100 %1
Census Code
# of Units
# of Buildings
Type of Construction
Reviewed By:
1 134
REQUIRED INSPECTIONS
Footings (New Building)
j- 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 Per '& - Surcharge
Trea ent Plant
Co es C
TOTAL
Final
/
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Siding
Reroof
Windows
Egress Window
ot yo /
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
,Z1& -- MCES System
ov SAC Units
P D City Water
Booster Pump
0y0 PRV
IA Fire Sprinklers ---
. ---_-_, / -.-3,,
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
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
3 c'
Page 2 of 2
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ViLINAGE EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1407
Eagan, MN 55122 DATE: 2/27/74
Zoning: PUT) No. of Units: 4 unit TB
Owner: New HOriZOf Homes
Address:
Site Address: 1658 -60- 62-64 Hickory Hill
Plumber: Thompson Plumbing Co.
Meter No.• Connection Charge billed
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 Bd
1 agree to comply with the Village of Eagan Surcharge: .50 Pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
8F EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2160
Eagan, MN 55122 DATE: 2/?
Zoning: PUT) No. of Units: 4 unit TE
Owner: Woodgatm -- New Horizon BOMBS
Address: i
Site Address: 1656-60-62-64 Hickory Hill
Plumber: Thompson Plumbing Co.
1 agree to comply with the Village of Eagan Connection Charge 500. pd 12/31
Ordinances. Account Deposit: 7
Permit Fee: 10.00 pd
Surcharge: .50 pd
By Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
1
For Office Use
e * t i ; o Permit#:
, �:: � „ EAGAN
�..g-9-5
Permit Fee: ( �(
Date Received: "V f�1�. U
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A n
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: M W
buildinoinspectionsa.citvofeagan.corn L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
N
Date: _)0— (3 Site Address:[6 5$ e 1660 -/.4,64)-.
j4,6)-. l6 611. Unit#:
y
Name:
Woe OdcC9Q fC_ /4001 ec"4"itr,_ A-Ss cc one: "t51.1- 7- ill
Resident/ 03�c Jr' /t
owner Address/City/Zip:
`,"---7------'.-_-,17 ` C CICOr /r `l (/ /'
Applicant is: Owner Contractor
Description of work: dd 1 e-Ctr C
Type of Work /
Construction Cost: (s 10)‘0 Multi-Family Building: (Yes /No )
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Company: �d rni dirt Conact: �t°(/e -Vra^�ta
Address: 17, -93 FC(,bffrd G' City: Far ;vigf lok
Contractor V/
seri,65-86
• State: Zip: ��� Phone: �' Email:
License#: ��� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
&Ct;(1 : lges
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?
i
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 information may be
classified as non-•ublic if •u •rovide s•ecific reasons that would•ermitt the Cit to conclude that the 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.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.00pherstateonecall.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 approv=I f plans.
Sf�rl A 0`�' Actl ti x /
x 4
,
Applicant's Printed Name Applicant's Signa ure