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4527 Scott Tr - ~ c~rr oF Eac,AN ~ 3795 Pilot Knob Raod Eogon, MN 5512~ N~ 6 4 4 3 PHONE: 454-8100 BUILDING PERMIT Receipt To bs uNd for Est. Volue Date , 19 Site Address ~ Erect ~ Occupancy Lot Block Sec/Sub. Alter ? Zoning Parce1 # Repair p Fire Zone Enlorge ? Type of Const. aWc Name ' Move ? Stories Z Address Demolish ? Front ft. ~ - , _ Grade ? Depth ft. Ci Phone ~ Name ApProvols Fees 0 Address Assessment Permit E' G Phone Water & Sew. Surchorge Police Plan check ~,w Na^~ Fire SAC Address Eny. Water Conn. ~u~+ ~ p~e Plunner Water Meter Caunc(I Rood Unit I hereby ackrrowledge that I have reod this cpplicntion and stote thut Bldg. Off. the information is wrrect and agree to comply with all opplicoble APC Totol State of Minr~esota Stututes and City of Eagon Ordi~ances. Signcture of Permittee A Building Permit is issued to: on tfie express condition that oll work shall be done in accordante with oll appliaable State of Minnesota Statutes and City of Eagon Ordinances. Building Of4iciol ?Nwk # pah t~Md P~rwMfN Plumbing Mechonical 2,2,3.~ / - - d ~ Y9,1 ' _1-~r- - tNSPECT10N5 DATE INSP. Rough-In F~nal Footings Date Insp. Dote Irup. Foundotion Plumbing / ~ Frame/ins. Mechonic4l Finol ~ ~ ~ Remarks: ~ i ~/~~t'~' ~ ~'L ~5 %~I ' ~ . cir~r oF ~?caN 3795 Pilot Knob Rood ~yan, M~n~esota 5512Z INSPECTOR NOTIFICATION No. Phene: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIOMS ! ~ i~, Dote: ~ Receipt No.: , Single I ~ ~ ' ' Residential Site Add~ess: Lot Block ` Sub/Sec. Multi Res., Comm./Ind. I , , Name ~ ~ ~ New/Alter./Repair ` ' i i .J ? ~~.~'e~ l ^r'. ; Address Cost of Instcllution O , . ~ ~ City ~ _ ~ . Phone: Permit fee ' - ' T;3 i,'; r r- ~ Nome ~ ~ ~ Surcharge ~ ~ Address < _ , ~ . . V - _ , Ciry ~ Phone: Total This Permit is issued on the express condition that oll work shall be done in accordance with all opplicable State of Minnesota Statutes ond City of Eagan Ordinances. Building Officiol ~ , x r ~.y~.r,.~?''"~ ``.~,~~'~'°~"~`~,r,' ~'~?~,ri".r~'~''~~-~'° ~"~°`.,~;~./~~'~?.,~-~',~~.?..~~t. ~ ~ ,,4~~ _ ~ ~ _ : ~ R~~ - : - 5 ~ - _ _-c. ___Q..._~ ~ ~.-s, _ -a~ L--~~ _ _ .~,Li~~•i••~fi_,~ 3S'? ` .~L~'- s. i - ~ ~ ~ r'A _ . . ~ C~~rttftr~tf~ ~rf (~rru~ttnr~ ~ ~C, ~"3 'd~ ~r', ~Citp of ~agan j~ ~ ~ ~ ~e~ttr#mpn# nf ~iuil~ing ,~ttappr#imi ~ ~ ~ ~ i: i Thu Ccrti ficate issued pursuant to tbe rcqr+rnaunts of Sation 3U6 of tlx Uue form Buildeng ~ ~'r Code urtif~ing that at thr ti~e o~ i.rsuserxe tbis str~ctun was in complrance u~ith tbe variaur : f~!~ t~ ~ ordinancrs o f tht City rcgrilating bxilding connruction os r~.re. For the f ollouang: ~ ' ~I ~ , ~ ~r~"• ~~I ~ 6444 ,i ~ l ~r ~ Us ClnilicNim `~~I+~ eldy hrmic No. ~ , ~ ~J ~ i- Oaupae~p TYP~ ~ 7y'A Coe~auctlw V Fi~e 3 Zoniiq Oisuicc 1 ~~~•u H s ,~7760 Mitchell Rd Ed~en Prair'~ o.~e?~redna:~ ZaChIIlan Ctile ~an • ~ L6,B2 Cadar Cliff 8u~4qAd 4529 Scott Tr I,a,,;~ • ~ i' ~ o~ u.«: 1-23-51 ~ r ;,'I e'°'°~n` ' ~ ~ ~ ~ rost iw cor~ncucu• nw[[ _ _ _ . . Y~ ~~i_`"' ~"1.'.~„1~'i~L:::J...' -t.~....~~T- - ~,..~~~i. ~~a.La~.\ ~_-~L:J.~'iA`i ~.~.~Lj:'~.:~~1 ~ r ~A 1~ µ ~ w , ~a~` rr : "I~, _ ~ ~.~I'~;...aw .ll. ~~1~ «I. ,~~1.~~ .1~ 4_ ~j,~?.~ ~''P~. -.~~~i~~?'°t 6rirr/r~ +~/Y~ "~~yrr~I ~ri~ ~~:s ~Qo.o., ,w ~ - ~ - - - ~ ~ - - ~ cinr oF ~?~AN • ' ' 3795 Pilot Knob Rood Eagan, MN 55122 N~ 6 4 4 4 • ' PHONE: 454-8100 BUILDING PERMIT Receipt # To bs ~ed fa Est. Value Date 19 Site Address Erect Q Occuponcy C~c1::1' ^,l . Lot Block - Sec/Sub. - Alter ? Zoning Pa~~ # ' " ~ Repoir ? Fire Zone Enlarpe ? Type of Const. W Nome , . . = Move ? # Stories ; Address ' ' Demolish ? Front ft. b C~ „ j ~ ~n~ ~ 7- Grnde ? Depth ft. ~ Approvals Feei p NOme „ u~ . ~ Assessment - ~r Permit F C~ ~ng Water & Sew. Surcharge Police Plan check ~W Na~ Fire SAC Address Eng. Water Conn. tW ~ p}~a~ Planner WaterMeter Council Road Unit I hereby acknowledge thot I hmre reod this opplicotion and state tfwt g~d9, p{fi. the information is rnrrect and agree to comply with all applicable A~ Total Stnte of Minnesoto Statutes cnd City of Eogon Ordinances. Signoture of Permittee A 8uilding Permit is issued to: ~ on the express condition thot oll work shall be done in acwrdarxe with oll opplicable Stote of Minnesota Statutes and City of Eogan Ordinances. Buildiny Officiol ~Ma~if # OaM Isa~d PaslMw Plumbing Mechonicol ~ p ~ ~-C~t ,c~ T i .,2 ~ s/ ~c _ A ~ INSAECTIOMS DATE INSP. Rouph-In Flnal FoOtings Dote Insp. Dcte Insp. Foundation Plumbing ~ Frame/ins. ~ Mechanical ~~T Finol Remorks: l~2 ~ /0~~a y.~' ~ j~~ G' s/~.,.~:~:-~~ r~~~ - ~ _ cirY oF ~?~,s?N ~ , 3795 Pilof Knob Reed ' Eaysn, Miene~oto b5122 INSPECTQR NOTIFICATION No. Phow~: 454.8100 REQUIRED BY LAW FOR ALL INSPECTIONS - PERMIT ~e. l.: l.~l-~U Receipt No.• - . _ Single , I Site Address: ~ ~ ' ' ' ~ Residential Lot Block ~ Sub/Sec. ' Muiti Res., Comm./Ind. I Name 1'~ -'~~1 New/Alter./Repair ~ Address ~~~-~~'~1 ra~• Cost of Insrallotian . Ciry ~ '1 = Phone: Permit Fee Nome . • , , tj; Surtharge ~ ~ Address ~ i ; City ' ~ r Phone: Totol This Permit is issued on the express condition thot oll work sholl be done in accordanoe with all appliaable State of Minnesoto Statutes and City of Eagan Ordinances. Building Officiol ? ~ ~.~a~,r.~~. ~w. ~ .~r''.~`~.~~.'`i~.~ .~r~~~~i~„'r~'~r~ ~ . , ~ + . + ~ y^-'T"~ ~N 4~?~ ~ ~~r.y~_ _ _ , --1: ~,~:y_ti - - - - :.°*:.i-~c::ti`°;: _ y ~ ~ r, ~ ~~~tif irttt~ uf (~rru~ttnr~ S i~ ~Cit of ~a an ~s~~~ , p g , ~ ~ ~ ~P:. r'a r~~ ~p#1M1'~I1lPItf IIf ~liZ~~in~ .~tt~~lPf~tlltt ~ ~ ~ ~ MS N7t lCalC 3JJlltli 1lfJT((iftt SO lIX 1t AltfMKiJtI 0 Scction 3116 o thc Uni orm Buildi~ a ~ ~ T C f P 9 f f f B t . ~'f-"~ I v.i Code artrfring that at thc tirRS of issxa~cc tbit nructara wa~ in rom pliance with tbe varioru ~ ~ ordrnanu.t o f thc City ngxlwtfn8 bailding constrattion ar xr~. Fo? tfx follou~ing: ~ ~ (-r. ~ ~ 6443 , ~ u. c~ec.um a~e~. ~e~eic Na. ~ ~ ; ~ ~PK!' T1'P~ ~ ~'P ~"~~OO V Fin ta~a 3 ZooinS Diurict ~ ~ yy o,~,,~,~,,,,~,,,~ ZacY~uaan Hcr~es 7760 r'litchell Rd,Eden Prair ~d~j 4527 Scatt Tr ~,~;nL6,B2, Cedar Cliff ~ ~4; ~ ~ ..a ~j _ ~ ~ ~L - - i ' &~ildin~Of&i~I Dau: r~ /O~~ IM A COM~?ICYOY~ R~C[ ~ ~ - - ` ' ~ ~_'~.,.~as.st'.i~i;i: - " ~a•~ `.-i"` ti :_,_r.iii:.~~:s...-_s~-s. ' i ~~+~-~.-~r~~*~~._._' ~,....~'~~~~~,~as~ F . ~r?'`~°•,:,,,,~~~~`..,,r~,~~"1~,~,~"t..,~,.~ L.,,~,-°~~11••~?.~i'~.,.,~,~'4.„~,,,~~;,~ Ooa.e .a ~ - " - ~ - .irrcw . S.a INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: K~ Eagan, Minnesota 55123 • Date Issued: ~ ~ ~ ~ ` ` (612) 681-4675 SITE AQDRESS: ~ ~ i,,, f, APPLICANT: f I I 1~ ll l iii ~li~l'~r l~J ! ~ I i IfN': i i ii1~i i I I~ i ~i i,, ~ ~ , ..i PERMIT SUBTYPE: TYPE OF WORK: i .,.it~,~ ~ - ~ ,Z~t~ ~~i ~ ! : i i , . ~ . ~ f , , ~ „ • • I ~flr~~ ~ ~ ~ ~ Permh nw. Permn Howsr omce relapnone! S/W PLUMBING HVAC ELECTRIC ELECTRIC InspecYlon DaM Insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. , ~/.j Frepiace ~ _ /v ~ Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector- No6fy Plumber Const. Meter Engr.lPlan Bidg. Fnal Deck Ftg. Dedc Final Well Pr. Disp. , . . . ~pc ~ CITY OF EAGAN Remarks Addition CEDAR CLIFF THIRD nDN_ ~oc~t_~$ik 2 Parce~ owner_~CDf~ f~) 5~uf f1,~i~L~nn,~ st~eet 4527 Scott Trai1 stete_ Ea~an. MN 55122 (mprovement Date Amount Annual Years Payment Receipt Date STREET SURF. . . . - - STREET RESTOR. GRADING I9 2 S . . - - SAN SEW TRUNK 1973 $Z . 64 3. S1 1$ ~SEWER LATERAI 9 2 . . - - WATERMAIN *4VATER LATERAL WATER AREA 1975 47.38 3.16 15 aid unde o i inal lo * Service Stubs 19 $2 5 STORM SEW TRK 1981 213. 90 42. 78 S aid unde ori inal lot ~STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. ~ SAC PARK CITY OF EAGAN Remarks • " ~''y~ ~ d~~lo - ~~~~-~~Ly~~~~ Addit~on CEDAR CI,IFF THIRII Anf)N Lot ~t- e~k ~ Parcel ow~sr~.~~-~~tA((,(th ~~~br~st~~t 4529 Scott Trail S~Le Ea n, MMNI 55122 f l~i ~,-4'_ ~r ^ Improvement Date Amount A~nual Years Payment Receipt Da~e STREET SURF. ~1? 1$2 ]48. 1.~? 149. ff3 5 , 1 C~ ~ Z( q- L- S/ STREET RESTOR, GRADING 1982 359.29 71. 86 5 , z~1 Coo - Z- 5AN 5EW TRUNK 1973 SZ 6 A1Cl Ullde OTl inal IOt ~+SEWER LATERAL j982 j]~6. ],3 3f}j.23 5 ~70(a . C ~2,1 q-2 I WATERMAIN ~l4NATER LATERAL j9$2 S WATER AREA ~17.d 11I1dB OTl inal lot * s rVi~ s~s i9s2 5 STORM SEW TRK lgg p aid unde ori inal lot dGTORMSEW LAT 1()8z S CURB & GUTTER SIDEWALK STREET LIGHT iss.oo 2a3z2 iz-io-si WATER CONN. 305.0~ 22322 12-1~-8i BUILDING PER. 6444 22322 Iz-1~-81 SAC PARK . , 3 Y OF EAGAN Remarks #10 16602 Ob0 02 Additfo iff Third ~ot 6 eik 2 Parcel 4527 ~ 4529 Scott Trail agan, Owner Street State Improvement Date Amount Annual Years Payment Receip Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ 4. 9 A009911 2`1~`81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA S'0..,~~ A009911 2 lO HI STORM SEW TRK ,ij3 ~ : 324, 24 A009911 2~10~81 STORM SEW LAT CURB & GUTTER 51~EWALK STREET LIGHT Road Unit WATER CONN. BUILDIN R. sac 1050.00 22322 10 80 K f.lTY- ~F EAGAN WATER SERVICE PERMIT 379., ,iot Knob Road PERMlT NO.: Eagan, MN 55122 DATE: Zoning; No. of Units: Owner; Address: Sifie Address: r P~ ~mber: Meter No.: Connection Charge: Size: Actount De posit: Reoder No,: Permit Fee: ~ a9~ to eompl~r with the City of Eagan Surcharge; Ordinance~. Mfsc. Charges: Total: 8y Dote Paid: Dote of Insp.: Insp.: - ~ ~•TY OF EAGAN SEVI/ER SERVICE PERMIT 3745 Pilot Kno6 Road Eagan, MN 55122 PERMIT NO.: Zo, ung: 1~ATE: pN,~~_ No. of Units: Address: Site Address: Plumbe~: 1 ag~ eompl~r wifb f6e ~y Eogan Connection Chorge: Ordinonees, Account Deposit; Permit Fes; gy Surchorge: Date of Ins Misc. Charges: p.. Insp.: Totol: Date Pa~d: C°n °F ~`cAN SEINER SERVICE PERN~~T 3795 ?ilot Knob Rood Eagan, MN 55122 PERMIT NO.: Zo~~~9: DATE: No, of Unies: Address: Site Address: Plumber: 1 ogrea to comply wtth !he Citp of Eagon Connection Chorge: Ordinonees. Account Deposit: Permit Fee: ey Surchnrge; Dute af Ins M~u• Chorges; R•~ Totol: Insp.: DQte Paid: C]TY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. ot Units: Owner: - Address: Site Address: ~ Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reoder No.: Permit Fee: ~ agree to wmplp wlth the Citp of Eogon Surchorge: D~~~a~~ Misc. Charges: Total: BY Date Paid: Date ot Insp.: ~ , - _ CITY OF EAGAN ` 3795 Pi1M Knob Reod Eagan, MN SSl'l2 N~ 6 4 4 3 PHONE: 454-8100 B~1ILDING PERMIT kPPLICATION Receipf # "~"~-%~~~J To be ueed hr z DUPLEY. Est.Value 40~000 pa~e 12-10 ~q 80 Site Addreu 4527 Scott Trail Erect ~ Occupa~cy R3 Lot 6 Block 2 Sec/Su6. CBdBT Cliff . 5 qlter ? Zoning Rz Parcel # 10 16602 060 02 Repoir ? Ftre Zone 3 _ Enlarge ? Type of Consi. V w Name Zachman Homes Inc. Move p # Stories ~ Address 7760 Mitehell Rd. • Demolish ? Front 24 fr. C~ Eden Prairie,p~ 937-9520 Grode ? ~eprh 42 fr. ~ Nume ApO~arals Feea o~ Address Assessm~J+i 12-9- O permit ~11S.S0 V~ Ci Phone Water & Sew. Surcharge 2~.00 F Police Plan check 57.75 Fw Nome Fire SAC 525.00 Address Eng. Water Conn. 305.00 <1° Ci Phone Planner Water Meter 60• ~0 Council Rood Unit 1g5.00 I hereby acknowledge that I have reod this opplication ond state thot Bldg. Off. the information is correct and agree to comply with all oppliwble AP~ T~a~ 1,268.25 State of Minnesota Stotutes ar~d City of Eagan Ordirwntes. $ignoture of Pertnittee A Building Permit is issued ta: Z3CYllri2I1 HOIri2s InC. on the express condition that oll vrork shall be done in accord/a''e with all applic~a le Stoce of Minnesota Statules and City of Eagon Ordinances. Buildirg Oificial N ~ ~4-~ ~ ~ ~ C C ` '~I _ _ ` ~ CTTY OF F].CY1.N ' Include 2 sets of plans, 1 site plan w/elevatior~ a BUILDING PERMIT APPLICATION 1 set of energy calculations. Zb He Used For C~¢`-n1C . valuation~'Y~ DD d Date $'$6 Site Address: ^ ~~-~-f' ~ OFFIC~ USE OHI.Y ' ~t 1~ sloc-x? ~'ec./s.,b.~'~_lc~ ~1;L, . ~ X occupancy /~3 Parcel JG~~,~-- l3/~O Z>o'L Alter Zoning a ~ ~ Re~; r Fire Zone .3 Q~mer: ~~Z /L~M~9: r1 ~'`~Y~O.~ 2LYt,_~ ~~e _ 'IYPe of Const'. ~ NY~ve # Stories Address. / r; , f..? Dmulish FYont ~rf ft. Grade Depth - yat. ft. City/ZiP Code_ ~ Y/~(11~)__r r~~l~ - Phone /~j`7 ` Z, d APPRfT1PSS F'F~ i Can:sactor: ~ Assessnents c~~ Pesmit Pddress: j J water/Sec.er surchaz5e ao Police Plan Check cT'~ ' City/2ip Code: 1~' Fire SAC ~'oZS ~ ~ E~q. Water Conn. OCS' Phone plannar Water Meter ~h.~g.: Council Rnad Unit / 85 Bldg. Off. I~dress: APC City/2ip Cade: Phone RUTAL a(v rl c~s . GTY OF EAGAN 3795 Pilof Knob Road Eaean, MN SS721 N? . 6444 ~ PHONE: 454-8100 ~ ~UILDING PERMIT APPLICATION Receipt # ~ ' Te ba u~ed for z DUPLEX Est. Va~ue 40,000 Dote 12-10 ,~g8~ Sire Address k529 Scott Trail Erect ~ occupa~cy R3 ~.ot 6 siock 2 Sec/5~6. Cedar Cliff .3 Aiter ? Zoning R2 porcel # 10 16602 060 02 Repair ? Fire Zone 3 Enlarge ? Type ot Const. V z Name Zachman Homes InC Move ? # Stories 3 Address 7760 MitChell Rd. Demolish ? Front ~4 ft. ° Eden Prairie.I~o„e 937-9520 Grade ? Depth 42 fr, ~ Name APProvals Reea Address S~e Asse~iedt~-9-~0 Permit 5. 50 ~ Ci Phone Wo~er &$ew. Surcharge 20.00 ~W Police Plan check 57.75 w Name Fire 5AC 525.00 Address Eng. Water Conn. _39~~ QQ ~w Ci Phone ~ Plcnner Water Meter hn . nn Council Road Unit l F35 _ CI(1 I hereby acknowledge that I have read this apv~~~otion and state that Bldg. Off. • the Information is correct and ugree to comply with all applicable qpC Totnl l~hR ~5 State of Minnesotu $tatutes and City of Eagan Ordinances. ~ Signature of Permittee A Building Permit is issued to: Z2.ChIRan Hom28 Inc, on the e~ryress condition ihot all work shall be done in accordance ith all appli~e S~of Minneso{/a S~ute~nd Ciry of Eagan Ordinonces. Building pfflciol ~ -e-~?J r . .f. ~ ~LG` ~ ~ CTTY OF' EAGAN Include 2 sets of plans, 1 sitP plan w/elevations s B[JIII>ING PERNIIT APPLICATI~1 1 set of enen3Y calculations. zt~ se osea ForTi~~rn [~~-m~ valuatio 00'0 ~ nar~e /o`Z - B'~ 8~ s~r~ r,aaress:: 5 aq n-~-- T2~+~ ~ or~eice vsE oru.Y ~t 1~ si~xZ ~~ib~~./s~. .e a~, ~ ~ ~3 Pazcel JQ l~~ /J ~o D D Alter Zonin9 ~ Regair Fire Zone 3 Enlarge _ 7ype.of Const. rbve # Stories Address. ,P D~nlish FYront 2 ft. City/Zip Oode: P ~ Grade Depth y ft. Phone ~ 5 Z d APP%~7AIS gEES Con;sactor: Assessments 9 Pesmit _ ~~5 ~ Water/Sec.er Surcharge a p Address: Police Plan Check ~ , City/ZiP Code: Fire SAC ,.5'aZ S' _ { Phone ~4• Water Conn. ~ Plaruier Water Meter / ~ Arch./Eng.: Council Road Unit ~ ~'S~ Bldg. Off. Pddress: ApC City/Zip Code: Phone ~TAL a ,S' ~°G~ e a ~,~.~c'~.~ ~~d ~a ~ This request void / ~ sc~ y 18 rom~;~rom - ^ Date~ofthisRequest 12-i8-8o FireNo. T I, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ~527 Scott Trail ~itY Eagan Section Township Range County ~akota Which is ocwpied by Zarhman Homes (Name oT Occupant) Is a roup#tin inspection required on this job? No ? Yes ~ Ready Now ? Will Call ? PowerSupplier Dakota Electric Address Electrical Contractor ~~rise E1ec tric , Contractor's License No. 39778 (COmpany Name) MailingAddress 4120 83rd Ave. No. Mpls, Minn. (Elect~ical Cont~acto~ o~ Owne~ Making This Installatlon) AuthorizedSignature_ uAith R uesi; PhoneNo. ~66-8600 (Elect~ical Contracto~ of Owner Making This Installatlon) ~~,Ej,~~~ tl~~~~ This inspection req~est will not be accepted 6y the ~?`TS State Board unleu proper inspection fee is endosed. mmnesota state eoara ot eiectncity Griggs Midway Bldg. - Room N191 . ~ EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - phone 297-2717 j~ , REQUEST FOR ELECTRICAL INSPECTION ~a~ T ~2,~, 3/ CHECK BELOW WOAK COVERED BY THIS REQUEST . V Type of Buildi~ New Add. Rep. Check Appliances Wired For Check Equipment W'ved For Home ~ ? ? Range ? Temporary W'uing ? Duplex ? Water Heatec ? Lighting Fixtures ? Apt. dldg. Dryec ? Electric Heating ? Commercial Bldg. Fumace ? Silo Unloader ? Indus[rial 81dg. ? ? ? A'u Condi[ione[ ? Bulk Mi1k Tank ? Farm ? ? ? pList F1 pLis[ 1y Other ? ? ? Eleielsl Hehetgl . COMPUTE INSPECTION FEE BELOW Service Entrznce Size: x Fee Fcedets&Subfeeders: # Fee Cucuite: # Fee 0 to ]00 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above lOQ___Am s. Transformers ~ RemoteConvolCirc. Partialorothertee Si~ns Special lns ection Minimum fee $ Remaxks TOTAL 22 00 I, the Electri In eto~ ~~tify tha abov 'n ectfon has been e. (Rough-in) e / - ~o (Final) te Y - a /-3-/ This request void ' 18 months from This request void ~p-~'/``""~~ 3 a a,j'~ l - ] 8 months from Date of-this Request 12-18-80 Fire No. T ~l ~~'i I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: St[eet Address or Route No. 4529 Scott Trail City Eaga~ Section Township Range County Dakota Which is occupied by Zachman Homes (Name of OccuDant) ls a roughin inspection required on this job? No ? Yes Ct Ready Now ? Will Call ? PowerSupplier Dakota Electric, qddress Electrical Contractor S~rise EI,ectric , Inc. Contractor's License No. ~'Z.8 (COmpany Name) Mailing AddresS ~}~3rr] AvP _ Nn. Mnl S_ Mi nn _ 551±~+~i (Electrlcal Contractor a~ wne~ Making Thls Installatlon) Authorized Signature Keith R, Hesli Phone No. 566-8600 (Electrl<al Contractor or Ownar Making This Installatlon) /a ~o~~ This inspection request will noi be aceepted 6y the State Baard unless proper inspection fee is enclosed. nnaaoay aaa~n wam uua: i Griggs Midway Bldg. -.Room N191 ~ EB-00001-02 1821 University Ave.. St. Paul, Minn. 55104 - Phone 297-2111 ~ ~~QUEST FOR ELECTRICAL INSPECTION p~ T 9,~, 24 CHECK BELOW WORK COVERED BY THIS REQUEST Type u[ Botlding New Add. Rep. Check Appliances W"ved For Check Equipment W"ved Fo: Home ~ ? ? Range ? Temporary W'ving ? Duplex ? Watec Heate~ ? Lighting Fixmces ? A$L Bldg. ? ? ? Drye~ ? Electric Heating ? Commemial Bldg. ? Fumace ? Silo Unloader ? Gdustrial Bldg. ? ? ? Air Conditione[ ? 6ulk Milk'Iank ? List List F~ ~ ~ ~ Others pthers Other ? ~ ? Here ~ Here ~ COMPUTE INSPECTION FEE BELOW Service Ent~ance Sue: it Fee FcedecstSu6fcedecs: # Fee Circuits: # Fee 0 ta 100 Am . 0 to 30 Am eres 0 to 30 Am e[es 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres A6ove 200 Amps. A6ove ]00 Amps. Above 100 Amps. Tra eis~ - RemoteConvolCirc. Pactialorotherfee Sign Special lnspection MinLnum fe $3 Rem TOTAL E~'J~ ~2 Q 3 ~ I, the Electrical Inspector, Fiereby certify that [he~ a ve i e iod has b en ma e. (Rough-in) ~ / 3- (Fina]) -~J- This request void ' 18 months from ~ r ' CALVIN H. HEDLUND 9609 Girard Avenu~SoutA ~ ' Bloominqton,Mlnmwta 56431 Land Surveyor Clvil Enqinssr Phon~:BBB-2090 sr~rve~or~s G'ert~f "~cate JOB N0. ~32 SURVEY FOR~ Zachman Homes DESCRIBED AS~Lot 6, Block 2, CEDAR CLIFF 3RD ADDITION, City of Eagan, Dakota County, Minnesota, and reserving easementa of record. 9os.o r--- So. r 90~ 8-- I i ~ ~ ; ~ I Bdsemen+ Floo~ = 902.5 ~ ~ ' Garage Floor = 90 1.9 ~ I 4 O ( Prpposed EIGYdtions ~ ~ - Ex~stin9 6levafions ~ ~p DQnotes Dra~negt 8 ~p Deno+es Lo+ Corner O y Ra2.2 ~ ~a2.~? - 2\ 24' 0'~i' ~ ~ ~ I UNlT O . UN T A ~ Q M 10~ ~ s}akes ~ ~ ~ I 10~0 stakes I ' ~ ~ L!J_~ _ I T/U (aAR•. T/U (aA4~~ I ~ i_i _ i~ ~ ~ ~ - J , ~ 9oi.b I I DR~vE I PRIVE I ~o - M ~ J 900.8 S ^ 4a.z 0 0 ~ M 9oo.s ~ SCOTT TRA; L 900•9 900.6 qop.7 ~ 4ERTIFICATE OF SURVEY I hereby certify thot on ~ ~¢-g0 I surveyed ihe property deacribed obove ond ihot fhe above plat ia a correci represenTation of said survey. ~ ~ Calvin H. Hedlund. Minn. Req. No. 5942 - r.,. , ~ ~ / ~ ~ S~"`" l~' Council D!inutes r+ Octobar "'1, 1980 ~'~''2~~' P3ge S i:c C DI'CK'..DOD TR\IL PRELI>iP::IRY ?LAT, Pl'D. A:'D A`\t'AL RE~.'IFSJ ~ A. Preliminary Pl~t. Mr. P.alph IJagner and ?Tr. 7.ollie Bara[z aopeared on behalf of the application of Bar-et[ Const:uction Compam• for amendment to the Duck~rood Trail Planned Development Agreement, revised prelininary pla[ approval and annual planned development review. The APC recommendzd approval subjec[ to certain condi- tions. There were concerns about storm sewer and lake levels in the area and about the future construction oE parkin~ when needed across the stree[ from the condoniniu*~ units. I[ was su~gested that the timing of [he par'~ing would be required at the grant of the building permit rather than do it in the future as needed because of the in- ability to efiectively~ make a demand upon the then owners. There was considerable discu;sion about the green space, the unstable soil in the area, and Councilnenbers ohjected to the changes ttia[ were made [o the layout resultino in parking across Erom the condo units. Mr. Baratz statzd that the developers would install additional parking south of the condos if required by the Council. Parranto moved, Sdachter seconded the mocion that the preliminary plat applica[ion be approved subject to the follocain~: 1. Parking on [he lot south of the condominiums be increased to provide additional parking adjacent to the building with a total of 225 parking spaces to be required for the 90-unit condominium project and 150 spaces adjacent to the, building; 2. That the parking lot lighting be required in the parkinp across the street C:,% with automa[ic outdoor parking lo[ lighting required in tha[ lot; • 3. That no berm would be allowed between the parking and the 90-unit condo- minium project so the vision for security would be obscured; 4. Tha[ allowance of parking across the street not be a precedent for future mu3tiple housing cons[ruction; 5. That a11 other conditions of the Planning Commission be imposed; 6. Tha[ the property be co~non proper[y.and that [he parking lot be tied to the condominium property with the unders[anding that there would be a homeosanezs association wi[h comnonly owned property. All vo[ed in favor, escept Smith who votad no. D 80-90 B. PL'D ~endment. Parranto moved, Wachter seconded the mo[ion to approve the amendment to the PUD Agreement with a11 voting yes except Smith who voted no. C. Annual Review. Egan moved, (Jachter seconded the motion, to approve the annual review for Duckwood Trail PUD. All members voted yes excep[ Smith who voted no. ~ ~ G'. C. ( CEDAR ('LIFF ADDITION WAIVER OF PLAT ~~i r, C 3 The applica[ion of Zachman Homes, Ine., for waiver of plat to subdivide la twin home lets for individual ownership located in Cedar Cliff Addition was next C considered. ?tr. S[eve Ryan appeared for the applicant. The A?C recomnended approval subject to certain conditions. There was considerable discussion concerning the method of splitting lots and the request in this instance was for a waiver of plat to handle all lots as they are developed. After the various methods were discussed, Parranto noved, Egan seconded [he motion, to approve the application covering the . 1_0 { lo , . R°90LUTI0'i CITY OF E1 G~:7 F7HEFWAS, a pablic hearir.g pursuaat to no[ice vas held at a meeting of the Eagan Advisory Planning Conaission on ~ _3~ ln~n concerniag the application of for vaiver of subdivision requlrements imder Eagan Ordinaace P1o. 10 covering t!te follocring described premises; , Lot 6 Slock 2 Cedar Cliff 3rd Addition, Section 30 T2) R23~ Dalcota County Minnesota ~E~, a na~ority vote of the ciesbers of the Advisary P~nning Corriission, with a quona~ beiag p'resent at the hearing. voted in favor of seea~mending approvzl of such,application; and, g re~c~lar ueeting of the Eagan City Council, Dakota County, Minnesota, vas held on October 21, 1990 at the City Hall at b•30 p,M, all me~bers beino present except: NOtd THEREppRg, uppa mptton of p~r-~nr.~ . seconded by ~°an all Council members voting ia favor except: none It vas RESOLVED that said appllcation for waiver of subdivision requirements coveriag the above described preaises be, and St hereby is. approved. DASED• Cc[ot~Nr ~1 lqoq CITY COU~!CZL - CITY OP EAGA;I EXC:•1PT FP,Oft STATE BY:,~~ ~~~_~~f~ DEED TAX S2A."~S ~ Its Mayor ~ C E R T I F I C A T I 0 N I' --n~••^^ a,l , Clerk o: the City af Eagan, Dakota County. YSnnesota. do hereby certify that the fozegoing is a true and correct copy of a RESOL(1TZON adopted by the City Council of the City of Eagan, Dakota County, Hinaesota ~ - 0~'nhcr inRn DRAFfED SY: • ~ ~c~~! (/,3a-J-~~J CIT7 OF EAGAN C+_Cy C1erK 3795 Pilot Knob Road City of Eagaa Eaean, Miimesota 55122 (SEAL) CALVIN H. HEDLUND eeo9 ~~ro~a Avsnu~ so~rn Bloominpton,Minnaaota 55431 " Ld"nti ~ Survsyor Clvil Enqinser P~on~ : 886-2080 surve~or~s G'ert~, f "~eate JOB NO. ~32 SURVEY FOR~ Zachman Homes DESCRIBED A5~ PARCEL A The West 40.00 feet of Lot 6, ffiock 2, CEDAR CLIFF 3RD ADDITION, City of Eagan, Dakota County, Minnesota, and reaerving easementa of record. PARCEL B That part of Lot 6, Block 2, CEDAR CLIFF 3RD ADDITION, C3ty of Eagan, Dakota County, Minneaota, lying east of the West 40.00 feet of asid Lot 6, and reserving easements of record. CERTIFICATE OP LOCATION Of 6UILDING ~ 1 here6y cerfify }Fio1 on~2-y~~p I mr,de a eurvey of the locafiun of tf;c 6uilding oa the obove cnscric^d ~;rcrerty and thct fhe Iccation of sniJ huiiciir.g is rorructly sho on 1he a~6)uv~o ~p/in}, - .~/~~.C~i~ / ~ /T 1//~ !1 N 89°54~14"W. Bo.oo - -9os.-o r _40.00 _ 40.00 qos s - - I ~ I I - - ~ ~ ~ i Basement Floor = 902.5 ~ ~ Gnre9e Floor = 90 1.9 ~ ~ I ~ ~ a Prpppsed EIGYe7tiOns ~ ~ ~ °o ~ Extsti~g 6levafions 3 O~ 2'~ ~p W Denotes O~ainage 4 ~p ~ Deno+es Lo+ Cor„er O `v,°- ~ ~ ~ ~ o ~ a ~oz.2 02: a o ~ za,~,,2,.\ , ta' o~ig~ ~ 2 x o ~ I VNfT 13 , • U/~iT A~ I I N ~ ~ \ I Z I I I I \ • ' ~ _ ~y `T~U (aAQ 'T/U GAR I 1 i 'i ~ - ; ~ I !_J. ( , 9olb I I( D~I. ~ ~ pK~vE oeivE I J C - - ^ - 900.8 .o0 40. q~~~2 go.oo S S4°54' 14" E o p f~ ~t1 Roo.s SCOTT -TRAI~~ , 9~9 • 900.6 4007 CERTIFICATE OF SURVEY I hereby certify ihat on )I - 14-80 I surveyed 1he property described aDove and that ~ ihe oDove plot is a correct representotion of sold survey. ~,G,;-~-- ~ ~~.,~.g ~ Colvin H. Hedlund, Minn. Req. No. 5942 ~ - C~G~ G CIT~! OF°nEAGAN PERMIT 6/~/~ 3830 Pilot Knob Road PERMIT TYPE: B U I L p I N G' Eagan, Minnesota 55123 Permit Number: 0 212 8 3 (612) 681-4675 Date Issued: 0 6/ 2 2/ 9 3 SITE ADDRESS: 4527 SCOTT TR 10T: 61 BLOCK: 2 CEDAR CLIFF 8RD P.I.N.: 10-16602-061-02 DESCRIPTION: SOFFIT/FACIA Brc~`~i3.din Permit 7ype SF (MISC.) ~~~uilding Wb`rk Type REPAIR ° ~ ~fr~ ~-`~1 t ~y~ , r1, ...~Y~ fl~+:~ k ~ ; v;y `~r ~ I~'t-'~'./ ~ /fr `i w ~C~~~~ ~ -~.Y REMARKS: FEE SUMMARY VALUA7ION $1,500 Base Fee $36.00 Surcharge $.75 Lic. Search Fee $5.00 Total Fee $40.75 CONTRACTOR: - APPlicant - sT. ~~c OWNER: CITYWIDE HOME INSPECTIONS 15292489 0003013 OURKOT RICHARD 1005 W BROADWA 4527 SC077 TR MINNEAPOLIS MN 55411 EA~AN MN (612) 529-2489 (612)452-3641 ~ 3 her~by ackn4uledge that T heue read this applicat3an dhd state th~t ttra ~,nfbrmat~,an is oarreCt and agrae to cnmp~y w'ith a11 app2iGable State nf Pin. : statu~es antl Gity of Eayan Drdi,roances. ~ _ _ APPLICANT/PEfiMITEE SIGNATURE ~SSUED 8Y: SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u x~ o x Ns 3830 Pilot Kno6 Road Permit Number: 021283 Eagan, Minnesota 55123 Date Issued: 0 6/ 2 2/ 9 3 (612) 681-4675 SITE ADDRESS: ~ 07 : 61 B L 4 C K: Z APPLICANT: 4527 SC077 TR CITYWIDE HQME INSPECTION5 CEOAft CLIFF 3Rp (612) 529-2489 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DE5CRIPTZON SOFFTT/FACIA . . FINAL r- - r - - ~ , - OFFICE USE ONLY , BUILDING PERMIT TYPE ~ ~ ; - ~ ~ ~ ~ ~ O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement finish O 02 SF Dwg. ' ~..07 4-Plex ~ 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous ~ WORK TYPE . ? 31 New . ? 33 Alterations ? 35 Tenant finish ? 37 Demolish ; ? 32 Addition ? 34 Repair ? 36 Move ~ GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage 5AC Code APPROVALS ; Planning Building Assessments Engineering Variance ~ ~ REGIUIRED INSPECTIONS ! O 5ite 0 Footing ? Framing ? Insulation ? Wallboard ? Final ? ~raintile ? Fireplace 00 Permit Fee ~35 Yaliatim: $ 5urchar9e ~ Plan Review License 5-o e MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ~ SAC % i SAC Units ' ,,i,u~.iiiu~ , . ~ L F) . . . . . EfV~ i.;dN ~ . . . : i'l~i ~ I t; 1 ~ . ~.'.V~~l~~~ J ~~:SNL -q~iDl~l :iIIIWYfT"~ N`f 17U~-. C`.,'1, t_stf;.-P~:a ff.fr,1 ;tsit ~i~r;J~J sjAVJ.; ~ ..`.'~,3Ft f..~c:TMt A1:~A,~~f r ~ ir2 41~,[-~~~T£{.,;~,U IN41 ~ 5~ zoo~ RESIDENTIAL BUILDING rE~iT arrLicaTioN ~ ~ ~j0 ' ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Reauiremen4s RemodeVRepair ReouiremenLS Office~Ose OnN 3 registered site surveys showing sq. ft of lot sq. R. of house; and all roofed areas 2 copies of plan shovnng footings, beams, pists CeR oRSurvey'Recd .~_Y _ N (20%maximum lol coverage allowed) 1 set of Energy Calculations for healed additions Solls Report. .._Y. N t Soils Raport if proposed buiiding is to 6e placed on disturbed soil 7 site survey for addifions & decks Tree Pres Plan Recd~ Y._ N. 2 copies of plan showing beam & window sizes; poured found desgn, etc Add"N~on -indicafe i/on-sife septicsystem Tree Pres~:Required. ~_Y N isetofEnergyCalwlations ~ ~nsite$eptlc5yslem .'.._Y.~._N 3 copies of Tree Preservalion Plan'rf lot platted after 711l93 Rim Joist Detail Op6ons selection sheet (buildings with 3 ar less uniLs) Minnegasco mechaniral venGlalion form OQ, , . /1 _ /1 ~ _ (J l_ lkX-~'1~d<1 Plans are considered ublic information unless ou state the are trade secret and the reason. Date / Q~ Construction Cost I,~~" Site Address 1 ~C.~~ ~ 0.~ ~ UniUSte # Description ot Work pU~'~inv~ q~Cl~ Multi-Family Bldg Y_ N Fireplace(s) ~ 0 _ 1 _ 2 Proper[y Owner ~ P~ L ~-cr Telephone # ((0l7 ) ~0 ~~Pa~S Contractor ~~~CC Address C~tY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (~lsubmissionrype) Submitted Submitted' • Energy Envelope Calculafions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber II ~~q Telephone ) IJ V ~ n Mechanical Contractor D I 1 Telephone ~ Sewer/water Contractor AUG 0 1 2007 Telephone ) I hereby apply far a Residential Building Permi and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ~ S ~~ac~ ~`l ~ U q-C ~ Applicant's Printed Nam A licant's Signature . DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? DS . 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ~ ? O6 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant DeSCI'IqtiOO: WaterDamage_Yes ~ ~ n ~ Valuation 3~ Occupancy /G'~ MCES System Plan Review jJ/~ 100% or _ 25% Code Edition ~.~L Census Code ~134 Zoning City Water SAC Units Stories - Booster Pump - # of Units Sq. Ft. 02 PRV # of Bldgs Length ~ Fire Sprinklered Type of Const ~!S Width ° ~oZ. REQUIRED INSPECTIONS Footings(new bldg) _ Sheeuock ~ Footings (deck) FinallC.O. _ Footings (addition) ~ FinaUNo C.O. Foundation HVAC Drain Tile Other RooF Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall ~ Approved By: , Building Inspector - ease Fee J ~O ~ Surcharge Plan Review ~ MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CALVIN H. HEDLUND 9eo9 ~~rara A~enw so~rn Bloominqton,Minn~sofo 55431 Land Surveyor Civll En9ineer . Phon~ ~ 8 88-2080 surver~or`s G'ertlj"tcate ~oB N0. 132 SURVEY FOR~ Zachman Homes DESCRIBED AS~Lot 6, Block 2, CEDAR CLIFF 3RD ADDITION, City of Edgan, Dakota County, Minnesota, and reserving easements of record, qos.o 80.0o Qp~ g - ~ ~ ~ - - - I ~[~~~Q4~/ - - - - I ' Basement Fioo~ = 902.5 ~~y~,~~~-v ~ Gara9e Floor= 901.9 BUILDIWG INSPECTIO SI DI!lISIOV~ ~ 4o I Proposed EIGYr7}ions Q ~ ~yC~ - Ex~sti~y 61e~ations ~ 8~ ~Y~X~7/ ' ~p Dehotes Oralnage Q) II - ~p Devo+es Lo+ Corne~ O ~ i ~O q 2 ' 02.-. I~ - 2 \ 24' o'/i' ~ ~ O I UN17 b.\ .UNIT A I ~ In f0 J stakes ~ ~ ~ ( ~o'O stakes ~ \ ~ L_:~ ~ - a~ I TIU GAR. ..T/U \GAR I ~ _ _ \ \ I ' -d ~ \ _ 01. 401.6 I I DRi~e + pa rv~ ~I . I~ M J 900.8 S . - ~ 90~.2 o p ri 9oo.s SCOTT 7RAIL 900.9 900.6 9o0.7t - CERTIFICATE OF SURVEY I hereby certify thot on ~~-~4-go I surveyed the property descriDed aGove and thot the obove plat is a correct represe~Tation of said survey. ~ ~i~.~-g Calvin H. Hedlund, Minn. Req. No. 5942 Use BLUE or BLACK Ink i For OtficeUse 1 I G14 Ia City of Ea Kermit I Permit Fee: I V ! 3830 Pilot Knob Road I ! Eagan MN 55122 j Date Received: 12 43 Phone: (651) 675-5675 ! 1 Fax: (651) 675-5694 1 staff: Lio I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ali 1'7 i'~_.__ Site Address; S Z-~ S(, o 4 f ~ a f l - Unit Name: SGT S Phone l Z ~i 5 3 Resident/ _ Owner Address 1 City! Zip:. ~C-c d %a Z - 2-Applicant is Owner 7- Contractor T Of Work Description ofwork ~~a ype -j Construction Cost: Multi-Family Building: (Yes l No ) Company: s~ 4 i st a , a > Contact:f Contractor Address: City: State: M. ~ Zip: ~ 5 Phone: License i Lead Certificate 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 & Mater 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-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. GALL BEFORE YOU DIG. Call Gopher State One Gatl at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work wild 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 bya building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuan X_ x Applicant's Printed Name Applicant's Signature ~~Page 1 of 3