4529 Scott Tr'S
Site �Ad&
Plumber:
Zachitan. Bones
itERMIT
PERMIT WO.: 4429
DATE: {2./1/CO
14o. of brats• ' rin n
4527 `;Scott Trail L6 82 Cedars- llff 111
St Paul Utilities
12/10/80 22322 100.00 pd
I epee teases* wash Hoe City ii lis jgi ( .': E 7 5.00 pd
Ate. Account Deposit
Parrnit.fee: 10.00 pr)
Surc rg .50 pri
Mlsc. L gran:
Date of
i
Tutor:
I„ar, • tote Paid
383{f Pilot Knob Road
Eagan MN 55122
Phone:
)676-6675
Fax:(66,)676-5694
Use BLUE or BLACK Ink
t
Permit #: 1► uq l3
Permit fee:
(3-a�
Crate Received:
114.111
2013 RESIDENTIAL BUILDING PERMIT APP I~ICAT ION
Date: \ I w' i 3 Site Address: LIS- raJ / Unit #:
Name: J r a- L k:: e S Phone: -7(2 1 7 3 ci ,-17
Address 1 City / Zip: 4-43--)-6/ Jia/ t .1-i' / SS (2 2_
Applicant is: Owner v. Contractor
bescription of wo e.tk>
Construction Cost: ulti-Family Bu lding: (Yes 1 l o
Company: - r� r Jv s Contact;/
Address: tcai i C" Ia i City:
Coftcta►t
State: f` t Zip: a Phone:
the project is exempt from read c+ertiiication, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW V BLHUM G
In the fast 12 months, has the City of Eagan issued a permit for similar plan baste! on a master pian?
Yes ;No If yes, date and: address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phor
Stever
& Contractor: Phone;
NOTE: P!ait ,erne sup irrej'.d urnenst that you strbr its rrt cl a d't t l t i tnr� t rn 1
their armafiort may claasil ed es i ra tubik if you protrid spm t wtr i d rlii Co
., _ c anctetd that learn trfe
CALL BEFORE YOU 01 9. Call Gopher State One Cats at {85t) 454-0042 for protection against underground uti lty damage. Gall48 hours
before you intend to dig to receive locates of underground utilities. gobrsgrst teonecall. r
I hereby acknowledge that this information is complete and accurate, that the work wriII be in conformance vwi the ordinances and cows of the ;City o
Eagan; that 1 understand this is not a permit, but only an appilcatlon for a permit, and work is not to start without a permit; that the work wit be it
accordance with the approved plan in the case of work which recsrkes a review and approval of plans
Ext r work auttxortzed by a building permit i in a rdance with the Mt Mato Bs itdtng Dade rrx�st be catrrys tthir
days of permit issuance.
Ap #cant's Printed Name Appficant`s Signature
wAuaNG 3U A i3O'
ABOVE ARBA BELOW REQUIRE GUARDRAIS
MINIMUM .36rIN HEIGHT AND DESIGNED
SUCH THATA4" SPHERE WILL NOT PASS THROUGH
ISTAIRS-S14AtJL BE P IOVIDED WITH ILLUMINATIONIN''
-THE IMMEDIATE: VICINITY OF THE TOP --L-A' , r G
STAIRS DOVOUrt OR MORE RISERS,;
.�;PA9LE. IANDRAILE JNALENT TO
To 2�q"�1 OIAMET A AND MOUr TED
_-.t 34$ TO or ABOVE"EAD -.
is REQUIRED NAT LLEA�ST-tig QNE-
ViSTARS,
= R MtJST"BE ATTACHED
UML 3 nx4"
WASH RS EfiY 16"
DATE
BUILDING
DIVISION
R 'QUIRE SPECIAL.
_vhSIE RS, HANGERS, AND
C ONTAC YOUR LUTtf-T.1
SUPFLiE.1 FOR MOR INFORMATION.