4516 Scott Tr - , CITY OF EAGAN
_ 3795 Pilot Knob Road Eagen, MN SS12~ N~ 6 4 4 6
PHONE: 454-8100
BUILDING PERMIT Receipt # _
To be wed for Est. Volue Date , 19
Site Address ' Erect Q Occuponcy
Lot Block Sec/Sub. ' Alter ? Zoning
pa~~ # Repair ? Fire Zone
Enlarge ? Type of Const.
W Name ' Move ? Stories
Z Address ' Demolish p Front h.
3
o . Grode ? Depth ft.
Ct Pho~e "
~ App~orals Fee~
o Ncme : . ,
Address , y Assessment - Permit
F' Ci p~~ Water & Sew. Surchorge
Police Plon check
~
F W Nome Fire SAC
Address Eng. Woter Conn.
Q W C~ p~ Planner Water Meter
Council Rood Unit
1 hereby ocknowledge that I have read this applicotion nnd state that Bldg. dff.
the informotion is corced and agree to comply with all applicable
State of Minnesota Stotutes ond Gty of Eogan Ordinances. A~ Total
Siflnoturo of Permittee
A Building Permit is issued to: on the express rnndition thot
oll work shcll be done in occordance with oll cpplicoble State of Minnesota Stotutes ond City of Eagon Ordinonces.
Building Official
PMndf # Dafe laud P~nalffM
Plumbing / ~ _ / - L~,
Ma aniwl .2 ~ ~ y _ ( -~C~
•.L2,c~ % 4 ~ ~ S /~r.. ~t-„_-~~~
~ '
INSPECTIONS DATE Rouqh-In Final
Footings Date Insp. Dnta In~p.
Foundation Plumbing
Frome/ ins. Mechanical
Final ~ - j~ /
II ' . - ~ Jr' •
Remarks:
~
~ ~ T ~ r. Y .
i P° „1 "1 r'' ~r,.
• ' ~ ~ ~r ~ ~~~r~~
~ '
~a~.'~'~a~ a~r~.~' ~',a~~nt~~rr.~
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C~~erftftr~tt~e uf (~rr~~ttnr~ ~ , ~
~
~ ~itp of ~Agan ~
~F~tMlfrilPttt D~ ~i11i1~tttJ ,~JriS~tPtfi~ttt .
. ~
~ i~
j ~
~ Thi.r Cc~tr ficat~ isaucd puruiant to tix ~equi~tau»u of Scction 3~6 of t~x Uniform Br~ilding
~ ,
+ Codc urti f
ying that at tix timc o f itttra~ea thit structure wat in com plianu with tix variour I ~
i
~,~r ` j~ ordinancu o
f tbe City rrgulrui~g bxilding connrr~ction or use. For tlx f
ollowing:
' ; il ~ 6446 ~
~ U~e C~6a~m ~ds. Permit No. j~
5
~ ~ oanp.scy Typs ~ 7YPe coo~wcuun V FU. un 3 zoni Dut~ict ~ ~
w-;~`i o.,~~reoua~~~CFIIik~ri I~les IncAed~ NLtt el~. Rd,~'Pn~-Ldi.I!,~ •
~ s~~ s,,,~,~~, 4516 Scott Tr ~,w„~, L1,B1, Cedar Cliff 3 ~i ~
~ _ ~ ~
~L_ P ~ .~c~ ' ~ .r,.. J - 8 ~ ~ ~
'r~• r ~ ~ B,~ta ~ n,u: IP ~ ~
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`-'~.:it''.,~~ .,a.~c . ` ~.~3..:.,~.:+«=t _-..y. , ~ ..a.i..: m. a•.::~.~~ s__:..'F.a . . . ` .__.+::~d:_J
~P~,~m~,~~ . ~~~,,~'w~rq~'~.,~"'°~r~~'„qr~+°.~-~s~~
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~~"~~~~''~r~.r/°" '~'1~1-~"1'~'L 1` i
DOO[S ~61 l~Th[~'N 11 5.4.
. ~ ~ CITY OF EAGAN
• 3795 Pilot Knob Read
No Eogon, Mlneesota SS122 INSPECTOR NOTIFICATION
Ptio~.: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
. . Single I
~ ~ ~ Residentiol
Site /lddress:
Lof Block Sub/Sec. Multi Res., Comm./Ind. I
Name ~ New/Alter./Repair
; Address ~ ~ ~
Cost of Instollotion
O
- r. .
City . . " . • - Phone: Permit Fee
Name . ' ~PZtC'.T'
~ Surcharge
~ Address `i:; .
e
~
City Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in occordance with oll oppliooble Stote of
Minnesoto Stetutes ond City of Eogan Ordinances.
Buildir?g pfflciol
. • cin oF ~?c,~?N
~ , 3796 Pilet Knob Reed
' Eayan, Minnaaota S512Z INSPECTOR NOTIFICATION
No. Phane; 454-8100
REQUIRED BY LAUU
' ~.a~~iS"~' PERMIT FOR ALL INSPECTIONS
~ate: Receipt No.:
Single I
Slte /lddress: ~ Residential
Lot Block ~ Sub/Sec. ~ Multi Res., Comm./Ind. I
_ ! "L'.,i , ~C , F . , .
Nome ' ~ ~ New/Alter./Repoir
3 Address - . ° ~ i_ , . .
Cost of Instollation
O
Ciry a~- l~ Phone: Permit Fee
Name 'rNt'- i 1: =1bi_
~ Surcharge
j ~ • .-,-.n, • -
~ Addreu ,
, ,
City - Phone: Total
This Permit is issued on the express condition that oIl work shall be done in occordance with all opplitoble Stcte of
Minnesofo Statutes ond City of Eogon Ordinances.
Buildi~p Official
INSPECTION RECORD ~ r i:~
CITY OF EAGAN PERMIT TYPE: Hu + i r~ r a~~
3830 Pilot Knob Road Permit Number: •~I i bs~~N
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675 ~ ~ .
SITE ADDRESS: r: 1 q~ uG K: i APPLICANT: ~
~6f6 SCUTt 7'R I~AR~{~'It PRANK
f.E(1AR CI TfF 3R0 (6!~') 227-a57~
PERMI~T~SU67'pY~,PEs~~aY TYPE OF WORK: ~~u
otsckrrrraM ATTACItfO
.
h uul l N~> ~~~AM1N8
fINAI
.atr - i - ~ L -P: :a.a:~~ J
J.+~ ~ r : ~~y.~t.. ~ A~
~f- r x.-. t ~Le- .irt~ S t .+G`i:~~prF ~ .1e~~` : a~ +;3~ .,~c~_ _ z ~
~ _ . . . . :r~. . . ' . . . - : " _ . - .
~
w~„a No. wnnn Howe. o.u Twprw~. r
SNV I
PLUMBING I
I
HVAC I
ELECTRIC ~ j ~ I
ELECTRIC I
I
tr~spsctlon Dets In~p. Cammsnt~ I
Footings I ~
~ ~ I
~
Foundetion I
FIHR1111Q O r ~ I
R°°fi"y /U ~ ~ - ~ -l,sr I
~
Rough Pibg. I
~ i~ 3 -
R~ ~9 I
I
Isul' I
~ Q ll /~l' y ~ ir .6f ~
~,"e' ' 1 - D
Orsat Tesi
Flnal Pibp. Plbg. Inspecior-NotMy Piumber
Const. Meter
81dg. Finel ~Q
Deck Rg.
Dedc Finel
Wall
Pr. ~lap.
~ ~~1 f3 '
CITY OF EAGAN Remarks
Addition G~~ar (:1 i ff' Thi rd Addn Lot ~ Blk ~ Parcel
Owner 1'~'~'~~ ~ ~ ' street 4516 Scott Trail State Ea~an, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 26 1 C ~2
STREET RESTOR.
GRADING (p?9 1982 718.58 143.72 5 718.58 C007276 9-23-81
SAN SEW TRUNK q ~ 5 7 03 15 A010309 6-18-81
*SEWER LATERAL 19$2 2 1~. 8. 5 CQ~]2]6 9-23-$1
WATERMAIN
* WATER LATERAL ' 1}HZ ' " S
WATER AREA ~ AOIO309 6-18-8
* Service Stubs 1982 5
STORM SEW TRK ~ S~ 5 A010309 f1- Lg-81
~ STORM SEW LAT 19$2 S
CURB & GUTTER
SIDEWALIC
STREET LIGHT
~ 12 1~ g~
WATER CONN. Q 22320 1Z lO HO
~UILDING PER.
SAC
PARK
- I . .a . .
i.:TY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: •
Fagan, MN 55122 DATE
Zoning: No. of Units:
~ Owner:
Address:
Site Address: -
Plumber:
Meter No.: ~ Connection Charge:
Size: Acaount Deposit: ~
Render No.: Permit Fee:
' 1 ogreo to eomplr with ths Cihr of Eagan Surcharge:
Ordinan~es. Misc. Chorges:
~ Total:
BY Date Paid:
Date of Insp.: Insp.:
I • ~ + .
` arY sf En?~aN SEWER SERVICE PERMIT
3795 Pilot Knob Road • PERMIT NO.:
Eagan, MN 55124 • DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agroe to ooaply wilfi fbe Cit~r of Eaga~ Connection Chcrge:
~1°°°~~' Account deposit;
~ ' Permit Fee:
Surcharge:
BY Misc. Gwrges:
Dote of Insp.: Total:
Insp.: Dote Poid:
' . ~ . . ~ ,t ~ 4 2/~ ' .
t' . . ~-1T •i~-. ~
, ; , . . 3.
r- . ~::.~~.t i . ~
_ ,~~Re;.~;,, ~
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_ ' :~..SM--...~!'.~, R, • ~
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_
. ~ ~ ~ a_' - ~ . .
ciTr oF eacaN ~
~ 3795 Pilof Knob Read MN SS122 N? 6446
` PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt # ~ ~TO
Te 6o ated for SF DWG est. Va~ve 35 ~ 000 Dare 12-10 , ~ g 80
Site Addreu ~+S1G SeOtt Tx'. Erect ~ Occupancy R3
Lot 1 elxk 1 Sec/Sub. Cedar Cliff 3 Alcer ? Zoniny Rl
Parcel # 10 16602 O10 Ol Repair ? F~re Zone 3
Enlarge ? Type of Const. V
w Nnme Zachman Homes Inc. Move ? # Srories
; Address ~~60 MitChell Rd. Demolish ? Front 36 ff.
° Eden Prairie ,~(g„e 937-9520 Grnde ? Depth 24 n.
~ J Approrols Fee~
p Name
Z'~ s2me Assess~cmt12-9-80 Permit 103.00
o Address
u~ Cit PFrone Wo~er & Sew. Surcharge 17. 5~
Police Plan check 51.50
~w Name Fire SAC 525.00
~z 305.00
Address Eng. Water Conn.
<W p~~e Planner WaterMeter 6~.00
Council Road Unit 1$5.00
I hereby acknowledge tMt I have read this application and stote thot g~dg. Off.
the informotion is corcect and ogree to comply with all applicable 1 zd7.00
State of Minnesota Statutes and City of Eagan Ordinances. AP~ Toial r
Signature of Permittee
_ A 8uilding Permit is issued to: ZBChman HOm2S IriC. on the e~ress condition thot
nll work shall be done in uccordonc/e„(/y'rth~all appliw~blye -S-tate of Mi1nnewta Statutes and City of Eagan Ordinances.
Buildirg Official ~?'~g ~t'~~ ~J
~ , 1~ ~ ,
~ CITY OF EAGAN Include 2 sets of plans,
i~~ 1 site plan w/elevations 6
~ BUIIDING PERhIIT APPLICATION 1 set of energy calculations.
Zb Be Used For _ Valuation ~315, d Q d Date ~o~ 8~0
site aa_dress: ~S /{y,_~5~~,. T/~4t l or~'zcE osB otux _
r~ot / ~sio~x / s~_/s~.C'e~eU~F3~~~ iP~3
_ ' alter zonvxJ .Q~
Parcel #:-i ~l1 / ~7~-(~/lL.il / ge Fire Zone
n3ir ~
' F~latge ~~e of Const. .
Nbve # Stories
Pddress: ~ J1 D~nlish Front 3~ ft.
City/Zip Code: - Grade Depth y ft.
Phone '7,37"~/S2O APPRC7VALS FEFS
Contractor: Assessrents Pesmit /03 ~
Address: Water/sewer Surchar4e J 7
Police Plan Check sJ
City/Zip Code: Fire SAC . s a'~
g~q, WatPr Conn. OS
Phone
Plaruier Water Metes
Arch./F~g.: Cotlncil I2oac1 Lfiit
Bldg. Off.
Ar~dress: APC
City/Zip Code:
Pnone ZDTAt ~~~r~~ ~ d~
~a ~~-s~ .0,~
Oa
This request void L~~ ~1, e`3 a s~ ~ ~
18 months from ~ .
Date of this Request 1z-i8-8o Fire No. J~~ v
I, as G7 Licensed Plectrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Strec4 Address or Route No. ~+516 Scott Trail ~~ty Eagan
Section Township Range County Dakota
Which is occupied by Zachman Homes
(wame of Occupant)
Is a roughin inspection required on this job? No ? Yes K] Ready Now ? Will Call ?
PowerSupplier Dakota Electric~ Address
ElectricalContractor Sunrise EI,ec tric, INc. Contractor'sLicenseNo. 39778'
(GOmpany Name)
Mailing Address 4120 83rd Ave No M~ls Minn 55443
(Electrical Contra<tor or Ownar Making T~IS Installatlon)
AuthorizedSignature Keith R Hesli PhoneNo. 566-8600
(Electrlcal contrattor or Owaer Making 7hls Instailatlon) ~
This inspection request will not he aecepted hy the
State Baard unless proper inspection fee is enclosed.
mmnesota Sta[e tloarq of Eiectricity
Griggs Midway Bldg. - Room N791 IC~ EB-00001-02
1821 Universiry Ave.. St. Paul, Minn. 55104 - Phone 297-2111 y ~
~~-~~QUEST FOR ELECTRICAL INSPECTION 9 L 2 5'?
C'HECK BELOW WOKK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Home ? ~ Range ? Temporary Wi[ing ?
Duplex ? ? ? Water Heatec ? Lighting Fixtuxes ?
ApL Bldg. ? Dryex ? Electric Heating ?
Cort~mercial Bldg. ? ? ? Fumace ? Siio Unloader ?
Industrial Bldg. ? Ars Conditioner ? Bulk MJk Tank ?
Farm ? ? ? pList y) List
Other ? ? ? Heie~sl Hehe~s~
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Fceders85ubfeeders: n Fee C'vcuits: # Fee
0 to I00 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transforme[s RemoteControlCira Pa[tialorotherfee
Signs Special lns ection Minimum Cee
Remazks TOTAL EE
Q ~ ,~?,/,,~id22 00
I, the Electrical Ins or,~i6reH f at theJ a ve inspecidon has been .
(Rough•in) L~ ~ ~ ~Date ~7.-~~-g~
(Final) %j~ ~''t
~ ~~Uaiei r . al,n
This iequest void ~
18 months from
C~~~~ ~
~4r5 s~i.~~ -f - 3 ~
Request Oate Fire Na. Roug~= pec~ron
L Re uirea? 6 Reatly Now E9
`J/GII Notity Inspecwr
s G No ~~WqBn FeeS/7
I] licensed contractor owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet 6ox or Route No.l ~^M ~
~ / .S~ T - ?t
Section No. Townshlp Neme w No. Ranga No. CouMjy~ (
.///~f't~~
OccuparillPRINT~r Phone No.
~Cl l~Jh~ Ci~ Y~ T ~f'~/ / ~
Power Supplier Mtlress
.
Eleclrical Coriiractor ~COmpany Name) Conhac~or5 Licerise No.
Maihng Atltlress ICOntractor or O.vner Making Installation~/ / ~J - /
~ ~ ~ ' / I1L^ Or/ /~~1
AN~orrzetl 5' onhaclonp.vner MJa~km~fnstellation) f Pbone Number
-L~ J i/ !d~'/~ ~
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT
Gtl99s-MiEwey 81Gg. - Haom S113 BE ACCEPTED BY THE STATE 90ARD
1821 Unlversity 1w., SI. Poul. MN 5510/ UNLESS PFOPER INSPECTION FEE IS
Phone (6lP) 6eY-08U0 ENClOSED.
y' y'~ REQUEST FOR ELECTRICAL INSPECTION ~°°~-~a Eaaoooi.oe
~ See Inshu<lions tor compleiing ihis lorm on back of yellow copy O Q//
~ ~ K ~P Y
~ ~ X" Below Work Covered by This Request ,~,`.k
ew Atltl Rep. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Tempora~y Service
Duplex Water Heater Electric Heating
Apt. Buildinq Oryer Other.(Specity)
Gomm./lndustrial Furnace
Farm Air Condilioner
Oi~er (syeary) Contraator5 Femarks:
Compute /nspection Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 10 Amps
Transformers Above 200 _ Amps A 100 Amps
Siqns ~nspector5 use only: ~ T 7AL~` ~T
' Irrigation Booms U
Special Inspection
Alarm7Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electrical Inspector, hereby Rough~in oa~e ~ Y
certity that the above inspection has F;,,ai oa~e
been made. ~ ~~-y-~
OFFICE USE ONLY ~ ~
T~IS repues~ v0itl t8 manihs Irom
. r
_ .
GALVIN FI. HEDLUND seos o~rora nwow soum
Bloominqton,Mfnn~u?o 65431
:.on0 Surveyor Clvll Eopinear . , _ P~on~ ~ 886-2060 . ~
` surve~or`~ G'ert~,
f
"~cate
„ ,1oB N0. f 33
SURVEY FOR:2achman Homea
DESGRIBED AS~ Lot 1, Block 1, CEDAR CLIFF 3RD ADDITION, City of Eagan,
Dakota County, Minnesota, and reaerving easements of record.
. I
I
qo2.3 I901.6 ; 9o4.a .
~ T . ~
3o r - - - - 94_bZ - - - - -T _ - _ n ~
~ I Z ~
~ ~
~ 1 Top of Founda+ion = 904.8
J I , ~ 13dsemeri+ Floor ~~101.b
Q ~ G areye F,Ioo~ ~ 904.4' .
~ - i I Proposed Eleve~~oos O
Q. I Exto+rr,9 Eieva±ro~s
' ~ ~ + I~ Denoles D~sinaye
~ ~ i ~ ~uj Denotes ,I.of'Corner ~ O
I 0 I r qo4, i 404_ ~ ~N
r?~, ,
~n , s ~1 ~
10 0 s aK~.s BRIAR oou 2O ~o~e stake5
\ \ \ \ Fuf.
i 3o t spbF Foycr N GdG 4y L_ ~
i P.
~ 904.1 04 + II
02.1 m ~ D•we ~I
-
.5,9 - - 74.i5 9oi.4
~ - - -
,~o s 90~.~
9oi.7 ~ o
~
SCOTT TRAJL _ ~901.1
CERTIFICATE OF SURVEY
I hereby certify that on 11-14-80 I aurveyed the prope~ty descrfbed above and that
the above plat is a correct representation of said survey.
~a~-~.1~`•
Calvin H. Hedlund9 Minn. Req. No. 6942
~ PERMIT ~°"t 115 8
~ CI,TY mF EAGAN pERMIT TYPE:
3830 Pilot Knob Road B u I L D.T. N~
Eagan, Minnesota 55123 Permit Number: 0 015 9 0
(612) 681-4675 Date Issued: 10 / 0 7/ 9 2
SITE ADDRESS:
4516 SCOTT TR
LOT: 1 BLOCK: 1
CEI]AR CLIFF 3R~
DESCRIPTION:
ATTACHED
Buildiag Permit 7ype 6ARAGE/ACCESSORY
" Buildirig'Work Type NEW
UBC Occupancy M-1
' Construction T.ype V-N
2oning - PD R-1
Bualding Length zz
Buildzng Width 32
'
: -
d
ri
~ r~ i r'~;1 i• ,~'71 T s("~ ~ F. 7 "~1
~ V`_'1if~ L~-~~~`_~~ Li
~
REMARKS:
C 0 Z ~ Iq -
FEE SUMMARY:
VALUflTTUN $12,000
Base Fee $135.00
Plan Review $87.75
Surcharge $6.00
Total Fee $228.75
II R; OWNER: - Applicant -
I CONTRACTO
BARGER FRflNK
4516 SC07T l'R
EA6AN MN 55122
(612)227-8571
I hereby acknowledge that I have read this application and staCe that the
infarmation is correct and agree to comply with all applicable 5tate ot Mn.
Statutes and City of Eagan Ordinances<
~ -
~ nc~ n~~,111~-_
APPLICANT/PERMITEE SIGNAT -~UED B: SI NATUR~
INSPECTION RECORD ~~-5 8
CITYOFEAGAN PERMITTYPE: aur~u:r.N~
3830 Pilot Knob Road Permit Number: 001590
Eagan, Minnesota 55123 Date Issued: i m/ 0 7/ 9 2
(612)681-4675
SITE ADDRESS: ~ a r: i B L 0 C K: 1 APPLICANT:
R516 SCOTT Tft BARGEft FRANK
CEDAR CLIFF 3RD (612) 227-8571
PERMIT SUBTYPE: TYPE OF WORK:
GAf'~AGE/ACCESSORY NEW
DESCRIPTION ATTACHED
. .
FOOTIN~ FRAMIN~
FINAL
r -
L - _
PERMIT # CITY OF EAGAN
eEacrtvaTE _ 1992 BUILDING PERMIT APPLICATION
< • f ~ 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date io Valuation of work ~ o0
Site Address.:~z'16 S~~ T~,~
STREEi SUITE f
Tenant Name: (c~mmercial only) ~
IAT _L BIACR _L SUBD. G~p~' G/ P.I.D. it
: . ~Ti % d - O Cl
Descri tion of work: f`+ i i A-~~5~ C qR~~~
The applicant is: ~ Owner O Contractor ? Other cn~8«t~~
Name .[~ara~r Y'rov,~ Phor~e N~G o~-77
Property ~~ST ~ FIRST - zz ~r ~ 1
Owner Address SG-d1~ Ti-bI ~
STREEi STE !
City ~rTarGV~ State ~JA/ Zip ~5`l 7
J
Company Phone
Contractor Address License ~ Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 6 water permlts is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~ 1 ~
I
OFFICE USE ONLY
w ~ ~ ~
BUILDING PERMIT TYPE -
O O1 Foundation ? 06 Duplex ? I1 Apt./Lodging ~ ` O~16 Basement Finish
? 02 SF Dwg. 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ~"13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~7,31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
~ 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System ~
(Allowable) ~v- N Ist F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning YD R-t Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Denthh ~ On-site well Census Code y 3~
P '~2 On-site sewage SAC Code •
APPROVALS ~`?~L`5 d
l~r~a~ +c~+%-t~
Planning Building Assessments.
Engineering Yariance
REQUIRED INSPECTIONS ~ria~+-~c
D
? Site Footing ~ Framing ? Insulation
? Mallboard S( Final ? Draintile ? Fireplace
Permi t fee ~ 3S, ~ ~ r,i,mt;,,,: g f~ C~ C-' ~
Surchar e • -
Plan Review ~7.~5 r-7
License ~7 2 ~C Z"Z = 1 D l-~ J~~ E~ 2~
MWCC SAC
City SAC
kater Conn.
Water Meter .
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % -
SAC Units
.ALVIN H. HEDLUND .~09 oi~ero ~v«w. so~m
Bloanln~ron,~/ImNwfa 5b1b1
~ana Surv~yor CIVU Enqin~~r PUen~:~~~-20t0
surve~or~~ G'ert~f'~cate ~
~oB No. f 3 3
SURVEY FOR~Zachman Homee
DESCR18E0 AS~ ~t 1, Block 1, CEDAR CLIFF 3RD ADDITION, City of Eaqaa,
~ Dakota County, Minnesota, and reservinq easements of record.
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90 2.3 I 902.6 4o4.a
T 3o r - - - - 44_62 - - _ - 'i
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~ I Top of Foundaiion • 904.8
J ~ I Liase~+~err1 Floor • 901.6
Q ~ Gar~ye ~F.loor• 904.4
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SCOTT TRAJL 90l.1
GERTIFICATE OF SURV r
I hereby certify that on II-14-$O I survty~d the prope?ty dtscriC~d a0ov and ihat
~he oDove plot is a wrrett representotion of said survey.
Zoa/,~..~~1~. ~-~.~.,...2
Calvin H. Hedluod~ Minn. ReQ. Na 5942
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126491
Date Issued:08/26/2014
Permit Category:ePermit
Site Address: 4516 Scott Tr
Lot:1 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Ball
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Mark E Dagendesh
4516 Scott Tr
Eagan MN 55122
(651) 688-8172
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138061
Date Issued:08/05/2016
Permit Category:ePermit
Site Address: 4516 Scott Tr
Lot:1 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mark E Dagendesh
4516 Scott Tr
Eagan MN 55122
(651) 503-7824
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature