4532 Scott Tr
I L SEWER SERVICE PERMI?
' ' 'i'TY OF EAGAN
3795 Piloc Knob Road PERMIT NO.:
Eogon, MN 5S12Z DATE:
Zoning: No. of Units:
Owr~er.
Address:
Site Address:
Plumber;
I egree fo eomply wifh !he City of Fagon Connection Charge: -
p~~~~~, Account Deposit:
Permit Fee:
Surcharge:
gy Misc. Charges:
Dote of Insp.: Total:
Insp.: . Date Paid:
WATER SERVICE PERMIT
OF EAGAN
3795 Pilot Kndb Rood PERMIT NO.:
Eagan, MN 55122 . DATE: '
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
S~Ze: Actount Deposit:
Reader No.: Permit Fee:
~ cgree to eo~nply with the Ciey of Eagan Surcharge:
Ordinanees. Misc. Chorges:
Total: ~
By Date Poid:
Date of Insp.: ~~SP"
CITY OF EAGAN
. 3795 Pilot Keob Rood Eogen~ MN S51 ?.Z N~ 6 5 0 5
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te ra wed for Est. Volue Date , 19
Site Address ~ Erect ~ Occuponcy
Lot Black $ec/Sub. Alter ? Zoning
Pcrcel # Repofr ? Fire Zone
Enlcrge ? Type of Const.
o~,e Name Move ? # Stories
Z q~~~ Demolish p Front ft.
3
~ Grode ? Depth ft.
Ci Phone
~ Name Approvals Faes
,o
Address Assessment Permit
F' Ci p~~ Wuter & 5ew. Surchorge
Police Plan check
FW Name Fi~ SAC
Address Eng. Woter Conn.
<W G Phone Planner Water Meter
Countil Rood Unit
1 hereby ocknowledge that I hwe reed this application and stcte thct g~~.
the informotion is correct and agree to comply with all applicoble APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signatum of Permittee
A Building Permit is issued to: on the express condition tfiot
oll work sF?oll be done in accordance with oll applicable Stote of Mlnnesota Statutes and Ciry of Eagan Ordinances.
Building Officfal
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Plumbing o~ 9 ~~.c..~
Mechunical 2,~ j
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INSPECTIONS ~ DATE INSP. Rough-In ~ Fincl
Footings Date Insp. Date Insp.
Foundotion Plumbing ~ ~ ~
~ „
[~rame/ins. ~^,3-$/ Mechcnical ~i'' ;j~/
Finol ~y-~jl
Remarks:
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.`'I This C~rti 'cate i.csued ur.ruant ao tht re uirementr o Section 306 o the Uni orm Buildin
rtfY p 9 f f f g e'
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4;~; Code certif
ying thut at the time o f issuarrce this structure wus in com plianu with the various
ordinuncer o f the City regulating building conttruction or use. For the f oltou7ng: ,
~
u~~e~ SingZe Family T~?elling 8ldg.PermitNo. ~~0~ I ~
.
~yy~ r i p~~~y'~,p~ R~q~rpe Camstnxtion~ Fire Zone ~ 2oning Discnct RI ;
OwnerofBuOding ~achpan Homes. Inc,~,~~ 776Q Mttchell Rd , Fden Pr t.~
4532 S~ott Tx'a~Z L~;ty IJo~'3 Bl oek 1~ CPAar Cl_~ ff i
~ i ~ Bwldtag Addre~ I ~
; 5~~,~~,,;,a
~~F;" ~ o 5eptember 19813r~ ;
~~i.~ g
~ `Y~ 'Ol~T IN CON ~ O S PLAC~ S
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~ ' 3795 Pila~ Knob Rood
Eosen, Mineasota Ss122 INSPECTOR NOTIFICATION
N~. P~O"': '~S4'~~~ REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
~e~ Receipt No.:
~ Single I
Site Address: ~ Residential
i ~ ~.1 ° I
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Nome . . _ ~ • New/Alter./Repair
r >~~1 i~j - i
; Address t ,
Cost of Irutallotion
O CIYY ~ . , n i r ~ e"~ Phone: . . - ' . ' Permit Fee .
' :'~ll£ ~.LI?_':' .r _
~ Name Surcharge
~ ; ,
~ Address - ~
~ .
City . , Phone: Totol
This Permit is issued on the express condition that all work sholl be done in xcordance with all opplicuble Stote of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Offitial
• CITY OF EAGAN 7 ~'1'
~ 3795 Pilot Knob Roed ~ `
No. Ea9on, Minnesoto SS1?~ INSPECTOR NOTIFICATION
w~o~.: 4S4-S100 REQUIRED BY LAW -
~ PERMIT FOR ALL INSPECTIONS 15
~
Dote: , ' Receipt No.: -
Single I -
Site Address: ' , ' x ~ Residential -
Lot Block - Sub/Sec. Multi Res., Comm./Ind. I
Name w,:1 l r ; T~-~~. ~
New/Alter./Repair
i "J','F l ' gi ' Q
3 Address Cost of Instcllation ; Q
O
City `iC~l rX,'~.rj_E' Phone: ~ Permit Fee
Name ~(?~.t;F,r ` ; _ _
~ Surchorge
Address ~
~ Y -
s
City Phone: Totol
This Permit is issued on the express condirion thot oll work sholl be done in xcordance with all opplicabie State of ~U
Minnesota Stotutes and City of Eagan Ordinonces. -
that
Building Officiol
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: y~S 4i :i
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ~ ~ ~ ~ ~ s ' 4' ~ ~ ~ APPLICANT:
~ ~1 _t +i~ Ilf 1 1
. t I1`(7 T}: ! f. i~rt17 i r I
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PE{~~~SUBTYPE: ~'e1LCN ' „ ~ ~ f /~,,r~ TYPE OF WORK:
~Tkl~ = fOR Z y 1'i~~'~ s. i
LNtcK ~t~,zt~1 f tit bc~~ r~ .
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Permit No. PermR Holder Data Telephone ~
ELECTRIC
PLUMBING
HVAC
inapoctlon ~ab Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIAEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK Ff(3 ~3'2'e~ ~v'~'r`~ ~''b"~h~ /
- -~17
DECK FINAL ~ ~7
1N ~YLC:'1'lUl~l K~(.:UKI)
CITY OF EAGQN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: `
Eagan, Minnesota 55122-1897 Date Issued: ~ r'~' '
(612) 681-4675
SITE ADDRESS: E ~ t~~ c r ~ APPLICANT:
, ~i { i t F~ , , , . ,z
i . , ~ , i , i 1~ ~ . •
PERMI~ S~~J;Q,TYPE: TYPE OF WORK:
, , ,
. .
, .
~ _ ~
~ ~
I
Permit Holder Date Telephone k i
PLUMBING I
HVAC I
Inspection Oate Insp. Comments I
FOOTINGS I
I
FOUND I
FRAMING I
ROOFING y/7 ~
I
ROUGH I
PLUMBING
PLBG I
AIR TEST I
ROUGH I
HEATING I
GAS SVC
TEST
INSUL I
GYP BOARD i
FIREPLACE I
_ I
FIREPLACE I
AIR TEST
FINAL PLBG I
I
FINAL HTG I
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition 6~~~ ~.~~g~ ~~~.rd ~dd~ ~ot sik 1 Parcel
Owner ~ " ~ Street 4532 SCOtt TY'ail 5tate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ~I 1982 1496. 30 299. 26 5 a!~ p _~2
STREET RESTOR.
GRADING 1982 718.58 143.72 S 1~,8 A010 1 -2-82
SAN SEW TRUNK 5~ ],5 3.18 A010 1 -2-82
~SEWER LATERAL j9$2 2 4, 5 22 .82 A~].~ 1 -2-82
WATERMAIN
*WATER LATERAL L9SZ
WATER AREA ~L~.2 AOZO 1 -2-SZ
* Service Stubs 1982 5
STORM SEW TRK ~`7~ r~~y 2 6. 6 A010 1 3-2-82
*STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
This request void ~ J q~ uo
18 months from ~ ~ ~
Date"of this Request ~-~-7-81 Fire No. 1~~+ 0~~
I, as O Licensed Electrical Contractor ~ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Addressor Route No, ~53~ ~cott Trail ~~tY Eagan
Section Townstup Range County Dakota
Which is occupied by Zachman Homes
(Name at OccuDanq
Is a roughin inspection required on this job? No ? Yex~7 Ready Now ? Will Call ?
Power Supplier Dakota Electric ~ pddress
L
'ElectricalContractor ~~rise E ectric, Inc. Contractor'sI,icenseNo.~78
(COmpany Name)
MailingAddress 4120 83rd Ave. No. Mp1s~Minn. 55443
(Electrical Contrac[or or Owner Making This Installatlon)
Authorized Signature Keith R Hesli Phone No. 566-8600
(Electrlcal Contractor or Ownef Making This Installitlon)
(7~~ -~"~gD 7his inspection request will not he accepted by the
~3j ~ ~ State Board unlass proper inspection fee is enclosed.
mmnnSOW ~ll"dle OOafO oi CIBCLlIG1[y
Griggs Midway Bldg. - poom N791 ~ ~ EH-00001-02
~;_~1 dlniversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 3~ y~ ~
R~QUEST FOR ELECTRICAL INSPECTION ~ T 2903Q
CHE ~ BELOW WORK COVERED BY THIS REQUEST
Type oP Bullding New Add. Rep. - Check Appliances Wired For ~ Check Equipment Wved Fm
Home ~ ? ? Range ~ ? Temporary Wixing ?
Duplex ? Water Heater ? ~ Lighting Futures ?
Apt. Bldg. ~ Drye~ ? F.lectric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Sil0 Unloader ?
Industrial Bldg. A's Conditioner ? Bu1k Milk Tank ?
Fx~m ? ? ? pList Lpis[ 1}
Othe~ ? ~ ? Hehels~ Heheisl
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Fee . Feedecs&Subfeedecs: # Fee C'vwits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above ~ . Am Above 100 Amps. Above 10~,Amps.
Transfo--~ RemoteControlCirc. Pa[tialotothertee
: Signs • Special lns ection Minimum fee
Remaik - ~ TOTALFE
~ /
I,the Electricallnspector,hereby c r ~hat e~'nsp ion has been ade.
r ~ ~,~c~ ~
(Rou~-in) ' Date 9~ ~
(Final) , /w~~) Date ~
This request void
18 months from
' c~rr a~ tAGAN
3793 Pi1M Knob Rood Eagan, MN 55122 N~ 6 5 0 5
~ PHONE: 454-8100
BJILDING PERMIT APPLICATION Receipr ~3~
To be ured for SF DI^7C' Est. Value 35~000 Dare 2-5 , 198L
Site Address 4532 SCOtt TY Erect Occupancy ~
~r 3 ei«k 1 Sec/Sub. C2ddY Cllff 3 Alter ? z«~~~9 ~
pa~~ 10 16602 030 Ol Repair ? Fire Zone _
Enlarge ? Type of Const. V -
rc Name 2achman Hares IRC. Move ? # SMries
~ Address 7760 MitChell Rc3. Demoush ? Front 36 n.
o en Prairie Ph~e 37-9520 6rode ? Depth Z`~= rr.
p Nome APVrovala ien
Z~ b{~ Assessme~ 2-2-81 Permlt 103.00
a~ Address
V~ Cit ph Water 8 Sew. Surcharge 17.5~
Police Plon check 51.5~
Ww Name Fire ~ SAC 525.00
~Z
Address 0 Eng. WaterConn33S.~~
' <w Ci hone Planner ~ Wuter Meter 60.00
Council Road Unit 185.0~
I hereby acknowledge that i have reud this appiication and state that gldg. Off.
the informotion is correct and agree to comply with all opplicoble 1 277.~~
$tate ot Minnewta Stotutes and City of Eagon Ordinnnces. APC Total r
Signature of Permittee
A Building Permit ia issued to: 2 IIn_ on tha express condition thot
oll work shall be done in accordance with I oppliw6le tot of Minnesota Stntute und Ciry of Eagan Ordinonces.
Building ~fficlal ~y - ,y•. ~
fwwH tf oaf~ Ia~N ?a~wMeN
Cl~mb~ng a~ ~ , . _
Mecho~~ca1 I 2~ 5(v ~-~3 ~,U^c\3 ~
F;. _ ~ I
r. j
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INSPECTICNS ~ OATE INSV. I Rouph-In I Firql
Foorinys I ~ Ome ; Imo. ~ Cor. lrqp.
Foundation I Plumbing I `f~ il
Frame!ins. ~ G~-
_Z-~l/ Mechcnicol ~/~,I ~
Final ~ _ I I ~I ~
I ~ ~ ~ ~
~ L:a~•.~.~st~~
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CITY OF EAGAN
~ ` 3795 %lot Knob Road Eagan, MN 55122 N~ 6505
PHONE: 454-8100
BUILDING PERMIT APPUCATION Receipt # ~.3~'!'
To be uted fer SF DY~C, Est. Volue 35~000 ' Dare Z-5 , 19$L
4532 Scott Tr E,e~r ~ Occupancy
Site Address ~
LoT 3 Block 1 Sec/s~b. ~~r Cliff 3 Alter ? Zoning ~
Parcel # 10 16602 030 Ol Repair ? Fire Zone
Enlarge p Type of Const. V
z Name ZdC~'IIllari HOITIB5 IRC. ' Move ? # Stories
3 Addre ~~60 MitChell Rd. Demolish ? Front 36 ft.
o C' PYd1T12 Ph~ 7- 520 Grade ? Depth z~' ft.
p Name 6~ AOO~ovals Fees
ZG nssessme~ 2'2'gl Permit 103.00
o Address
V~ CI Phone Water & Sew. Surcharae 17.5~
G~ Police Plan check 51.50
~Z Name Fire SAC 525.~~
Address Eng. WaterConn.33S.~0
<W Ci Phone Planner Water Meter 60.00
Council Rood Unit ~.8$.~~
I hereby ocknowledge that I have read this applicotion and stute that Bldg. Off.
the information is conect and agree to wmply with all applicable 1,2~7.~0
Stote of Minnesota Stotutes cnd City of Eogan Ordirwnces. APC Total
Signature of Permittee
A Building Permit is issued to: Z on the express condition that
all work shall be done in occordance with I apPliwble tot of Minnesota Stutute ond City of Eagan Ordinances.
Buildfng Official ~
i
/
A ~p~
~ITy pg FAGAN Include 2 sets of plans,
~ 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
~m Be vsea ForS, ~6 ~ fiaw, ~ t~uwva~uation ~ 3s o 0 0 ~ Date C u l
Site Pddress °453 r. ~ a i ~ _ OFFICE USE ONLY
e? p
Lot ~ Bloclc Sec./Sub. C'-a ~az.ci~=s Erect Occupanc3' 3
J}~
Parcel # : /n /J~_~7~
,IJ D / _ Alter 2oning /Q ~
Repair Fire Zone 3
O+mer: .Zb.r' ari ~a> s / /~G . ~~4e ~YPe of Const. V
Nbve # Stories
Address: 'ry rr-c~ r~~. ~--a ~lish Fmnt ~ ft.
tY/ P V~-~-~4--1~ " ' Grade De th ay ft.
Ci Zi Code: e~...,i 5~. , 4-~1 P
Phone ~ 2,'1- "1:~7 c~
APPROVALS ~'S
Contractor: Zttca>,•.~~.t~ l~~n~~= r,.fG. ~~S~n~ Pernut /D_3 °-4
Water/Seyrer Surcharge / 7 -
Address: Police Plan Check S/,~-
City/Zip Code: Fire SAC S3.S ~
g~q, water Conn. Z S" -
_ Phone Planner Water Meter ~b
Council Road Unit / 85
~~•/~4• ~ l Bldg. Of~
Address: ~
City/.Zip Code: ~
Phone 'PO~PAL / ~ 7 7 ~ Ga
CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 N°- 117 3 7
^ ' PHONE:454-8100 ~(~~/J
BUILDING PERMIT Receipt# ~S
To be used for GARAGE Esl Value $ 5~~ 4~ Date ~RIL 4 ~y8 6
SiteAddress 4532 SCOTT TR Erect ~ Occupancy
L'ot 3 Block 1 Sec/Sub. CEDAR CLIFF 3RIAemodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
w Name BOB VONWALD Move ? Length
3 Address 2608 W 110TH ST Demolish ? Depth
° BLMTN $$¢-29g7 Int.impr. ? Sq.Fr
~ CiTy Phone Install ?
a r~~E Approvals Feea
o Name
$a Address Assessment Permit 0.50
~
Ciry Phone Water & Sew. Suroharge
~ Police Plan Review
F W Name Fire SAC
i Address
~ ~ Eng. Water Conn.
< W Ciry phone Planner Water Meter
~ Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Ofl. 4/4/86 Tr.PI.
; information is correct and agree to comply with all applicable State ol
Minnesota Statutes and Ciry~4f Eagan Ordin/a,nces. 9 APC Pafks
Signature ol Permittee Nt w.^. i Var. Date Copies
Tota~ $53.00
A,Building Permit is issued to: BOB VONWALD on the exp~ess condiNOn that
all ~work shal~ be done in accordance with all applicabl ate innesota Statu es an C Eagan Ordinances.
BuNdin9 Official ~
PERMIT
C~TY ~F EAGAN pERMIT TYPE: B u i ~ o x n~ ~
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 3 5
(612) 681-4675 Date Issued: 8 8 J 17 / 9 8
SITEADDRESS: y5sz SCOTT TR
LOT: 30 BLOCK: 1
CEDAR CLIFF 3RD
P.I.N,: 10-16602-030-01
DESCRIPTION: REROOF/ STORhI DAMA6E
Bu„~bl:d3~rtg~Permit Type STORM DAMAGE
Bf~iidi;ng, Wt~rk 7ype REPAIR
,Census GodQ``~, 434 AIT. RESIDENTINL
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REMARKS:
FEE SUAAMARY:
CONTRACTOR: OWNER: - Applicant -
SISOMPHOU BONZA
4532 SCOTT TR
EAGAN MN 55122
(651)686-7482
I hereby aGknowledge that I have rea,d this application and state t:hat the
' infiQrmation is correct and agree to comply witfi all applicahle State oF Mn.
5tatutes ahd City oF Eagan Ordinances.
~ _ ^ /
~ ~~M.~% ~
I APPLICANT/PERMITEE SIGNATURE ED eV: SIGNATURE -
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(iAN
3~-~ O~ 3~ 3830 PII.OT KNOB RD - 55122
esi-ae~s I _°i
New Conshudion Reauirements RemodeVReoair Reouirements
• 3 registered sde suneys ~ ? 2 copies of plan
• 2 wpies of plans (include beam 8 window saes; poured fid. Aesign; etc.) ? 2 site surveys (exterior additions 8 dades)
? 1 energy calwlations ? 1 energy calculaGOns for heated add'Rions .
• 3 wpies of tree preservation plan H IM plaCed alter 7/t/93 ~
required: _ Ye No
DATE: I CONSTRUCTION COST; ~I ~ S C7~
DESCRIP ON OF WORK: ~ P _ R n~ ~T l~ ~ vV~ ~ C'~ V~~--~~~
~
STRE ADDRESS: ~S S C~,~ t: T7'~/a-F L
LOT: ~J BLOCK: I SUBD./P.I.D. CQ
c~1 n~~ C ~
Name: ~ t~c7 'YLq ~ rt'~t.l IJl~1n,~L~ Phone ~ ?5 ~i ~ JJ ~ ~
PROPERTY ~-%n First
OWNER
Street Address: S'~j~ ~ C£-~ ~ 1~2,/~1-~ 1
City ~..-~'/~(T~¢-~ State: ZiP: ~
Company: Phone
CONTRACTOR
Sh~eet Address: ~ License #
Ciry State: Zip:
ARCHI'I'ECT/
ENGINEER Company: Phone
Name: Registrarion
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty appiies when address chang
and lot change is requested once permit is issued.
I hereby adcnowledge that I have read this application and state that the information is correct and agree to wmply wRh all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
<
Signature of Applicant:
OFFICE USE ONLY D ~ ~ ~ ' ~ ~
Certificates of Survey Received _ Yes _ No {1~ I 2
Tree Preservation Plan Received _ Yes _ No _ Not Req
: ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling ? 07 4-plex ~ 12 Multi Repair/Rem. ? 17 Swim Pooi
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/W5 SAC
Ciry 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC ~
SAC Units
- I
AL1%IN H. HEDLU~ • g609 6lrard Avenue SoutA
Bloominqton,Mlnnssota 55431
. Survayor CWII Enqineer , ,p~on~:886-2080
Surver~vr~s G'ert~,~~cate
JOB N0. ~ 52
SURVEY FOR~ Zachman Homes
DESCRIBED A5~ Lot 3, Block 1, CEDAR CLIFF 3RD ADDITION, City of Eagan,
Dakota County, Minnesota, and reserving easements of record.
~
904.5 qo4.2
- - - 75. 00 = - -
i----------~
I i I Z -
~ I ~ M
~ i ~
~ I ~
I I
~ I 7op af' Founda+ion = 904.1
pl ~p Basemen+ Floor= q00•9
vi~ io Ga.aye F1eor: 903.7
=1 i~- I - ~ h
~ I'J Proposed Elevations, O
I~ 03. 903. Ex~sf~n9 Elevd~lons
~ r 20 ;~TT-\- ~ Denotes Drainage
~ \
qi F~, woo~NuesT iq Deno*es Lo1 Corne. O
10~0 s+dkes ~ `
GAR, a SP' '~04Pr ~•.~I ~ lo~p stakes
' ~ ' , ~
/ ~ \ ~~~I - ~ A
~ ~ ~ ~l_- - L_
t_ ~ 03.4 r ,
w ~ ; ;i
i
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, ' ~
9oi.o 5 oQ 9oo.b
O o
M M
4~a~ SCOTT TRAlL 900.3
I -
S~RTIFICATE OF SURVEY
I hereby certify thot on ~2-9-$ p I surveyed ihe property described obove and ihot
the obove plot is a correct repregentation of said survey.
~~G""^-' 7'~. ~`-r~scc~...s~
Colvin H. Hedlund, Minn. Req. No. 5942
. , z , , ~l ~ ~
~
1986 HQILDING PE1~IIT APPLICATIOH - CITY OF EAG9A
HOTS: ALL CONTRACTORS MOST BE LICENS~ NIT6 THE CITY OF EAG9N
SIHGLS FAI~IILY DWELLIHGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DTiELLINGS - HESIDE9TIAL RENTAL DNITS FOR SALE O~IITS
INCLUDE 2 SETS OF PLANS, CEBTIFICATS OF SQItV6Y - CHECg WITH HLDG. DEPT.,
1 SET OF BNEftGY CALCULATIONS
C014~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:~,5 OT~- Date: 2 °/f C
Site Address N S~~ Sc~ / 1"~'r~ OFFIC6 DSB ONLY
Lot ~ Block ~ Ereet ~ Oceupaney
2 Remodel 2oning
Parcel/Sub 1 Repair Type oP Const
d Addition K # of Stories
Owner /Jo~i'~- ~-nc, ~ )~o ~ ~c i~a ~d Move _ Length
Demolish Depth
Address ~ G O~ G~' 1 I U 5~. Int.Impr. _ Sq Ft
Install
City/Zip Code ~~c~~,~ l'h7n 5543/ -
Phone Q~$ a- 99 7 ApPROVALS FEES
Contractor Sq vxr Assessments Permit
Water/Sewer Surcharge 2.s-°
9ddress Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Treatment P1
Arch./Engr. S~jw ~ APC Parks
Variance Copies
Address 7bT9I.
City/Zip Code
Phone 7k
NOTE: ADDEESSES FOR CORNES LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNATB RHICH 6DDRBSS
IS DESIRED. HO CHANGFS WILL HE 9LLOAED ONCE BIIILDING PERMIi IS ISSIISD.
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C~ATE: L45/22/97 TIMF; 14.~3E,:?0
ID ;
+!AM.F..e YIANSEL SISONtF'HO~J
32ip 90ni 453i? SCQTT Tr~ 50.00
2155 9U0:1. 4532 >Cf3TT Tk 0.`;~
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_ ~
~ ~ . PERIVIIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z n~ ~
Eagan, Minnesota 55122-1897 Permit Number. P, 3 0 8 0 3
(612) 681-4675 Date Issued: 0 5/ 2 2/ 9 7
SITE ADDRESS:
4592 5COTT TR /
LOTc 3 EILOCKs 1 vl'~ ~
CEDAft CLIFF 3RD ~pti V4
P.I.N.: 10-16602-030-m1 ~
-G ~
DESCRIPTION: /~~I, ~t' L•~~Ahr
(REPLAf.EMENT) Y~ n' ~p
C$uildi~n~`~-~
ermit Type DECK V
,~,iw,ildzng 4J{~Y~k Type NEW
'"~2nsus Cqde 434 ALT. RESZDENTIAL
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REMARKS:
FEE SUMMARY:
Base Pee $50.00
Surcharge $.50
Total FPe $50.50
C TRACTOR: OWNER: - Appiicant -
~ SZSOMPhIOU DANIEL
+ ~ 4532 SCOTT TR
EAGFlN MN 55122
~ (612)686-7A82
I here~y ~~knowl~dg~ tha:~ Z Mave read thi~ appiier~tion ~nrS staL',e that the '
infarmation is corr~~t and agree to eomply with ell applicable State of Mn.
Statutev and Ci~y n'f Ea9an krdinance~;,
~ ~ ~ ~ ~
~
I APPLICAN P.fzfl EE SI URE ISSUED BY: - E--
Y 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) .~~D.g~
~ ClTY OF EAGAN
8830 PILOT KNOB RD - 55722 I(}
681~675 I ~
~r Construetion ReouiremeMs RamodeVReoair Reouirements
? 8 registared site surveys ? 2 c~ies of plan
• 2 copies cf Dlans pnGude beam 8 wlndow sizes; poured fitl, desgn; eta) ? 2 site surveys {exterior additions 8 tledcs)
• 1 energy calculations • 1 energy celculatlons for heated etlditions
• 3 copies of tree p~eservffifon plan If lot platted after 7!1l93
requlred: _Yes _ No ' ~
DATE: ~ ~ / ~ ~ CONSTRUCTION COST: p~
DESCRIPTION OF WORK: ~ d ~ 't~ ~ L < <n-t ~ +~c~ - V ~
STREET ADDRESS: 3~ S~
o..^r ~y~,,~.
~ Cr ,Q ~ LLy~J ~'~l~ 1
LOT _L BLOCK I SUBD./P.I.D.#: l~~t'~ N~~
PROPERTY Name: ~ o M-PI~-~-nu l~ b PhQn@ ~ ~ ~1/~
OWNER I
Street Address:~~~ ~ 1---
City: ~_,e-P~r.~ State: ~ ~ Zip: s ^
CONTRACTOR Company: rvt~(L~p~e~akvh.~~ nv,au,,Phone#: ~t~ 6~~7~~
Street Address: ~/[7~, ~ ~1 CA License
City: ~~a-cz-~ 1 State: Zip: ~1a
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construcdon only): . Penalty applies when address change
antl lot change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is eorrect and agree fo comply "th all applicable
Stafe of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
RECEIV D
OFFICE USE ONLY
iJAY 1 5 ~997
Certificates of 5urvey Received _ Yes _ No
BY:
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ~ ~
~ ,
BUILDING PERMIT TYPE j` "'~~Y g~'~ u
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory n 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscelianeous
? 05 SF Misc. ? 10 _-plex ~ 15 Deck
WORKTYPE /~lafL ' Fd+.~eRRt '~~~y ~~vutd:
~ 31 New ~ 33 Afterations n 36 Move ` FTy f~3L i~ c~ m
.i ~
0 32 Addition p 34 Repair o 37 Demolition 2 y
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. V 3~l
Depth Footprint sq. ft. 5AC Code o i
Census Bidg r
Census Unit ~
APPROVALS
Planning Building ~R- Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCM/S SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies - ' S
Total:
% SAC
SAC Units
. .
',,,e~V~N H. HEDLUND 9609 Gl~ard Av~nu~ SouM
Bloominpion,Minn~aora 55431
~and Surv~yor Clvil Enpine~r Phon~:888-2080~
surver~or`s G'~rt~f
"~cate
JOB NO. ~b~'
SURVEY FOR~Zachman Homes
DESGRIBED AS~ ~t 4, Block 1, CED~AR CLIFF 3RD ADDITION, City of Eagan.
Dakota County, Minnesota, and reserving easements of record.
9o4.z
75.3 z~oo ~.7
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I I 1
i J Top ef Foundd+ion= 903.~
~ f Basemen+ Floo~= 9DD.S
$I ~ Gara9e F~oor= 903.3
c~vl - Proposed Elevaticns O
1~ Ex~sttny Eleva+lons -
~ 903.0 12XID N Deno+u Drainaga
403.0 !
, ~ Zp .Dtnotes Lo* Co~ner O
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I ~ BRIARWOOO
GAR• N ! ~O~Q S}dKtS
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4oo.b~ Z .p~ 43.1~ ~
- - ' 400.3
5'rb °l;,.u ~00
~ O
M
900•3 S~OTT" TRAlL,
- - 90D.~
CERTIFICATE OF SURVEY ~
I hereby certity thot o~ 2-4-$I I'surveyed the property describad obove ond that
the above plat is a correct representatio~ of soid survey.
~
Calvin H. Hedlund, Minn. Rep. No. 5942
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117700
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 4532 Scott Tr
Lot:3 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Daniel Sisomphou
4532 Scott Tr
Eagan MN 55122
(612) 396-3620
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature