4542 Scott Tr EAGAN WATER SERVICE PERMIT
Pilot Knob Rood PERMIT NO.:
"~~~~an, MN b5122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: At~unt Deposit:
Reader No.: Permit Fee:
1 agree to eomply with the City of Eagan Surcharge:
Ordinanaes. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
EAGAN SEWER SERVICE PERMIT ~
Pilot Knob Road PERMIT NO.:
E.~gon, MN 5512Z DATE:
Zoning: No. of Units: ~
Owner;
Address:
Site Address: -
Plumber:
I a9res to eomplr with the Ciry af Eogon Connection Charge:
Ordinonas. Account Deposit:
' Permit Fee:
Surcharge:
BY Misc. Chorges:
Dote of Insp.: Total:
Insp,: ~ Dote Poid:
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~F~iMX`#iZ1Ftt~ Af ~llt~~iltQ .~1t8~1Pi'~[itti y
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Tbu Cnti f icate i.rsued rsuunt to tbt ~tquircmetttt o f Section 306 0/ the U»i
f orm Building '
, 'r:? . . ~ . . . . .
Co~le urt:
f~rng that at thc ttnu of u.cuann thu ttructurt wa.r rn cmnpliance wrth tix uanou.t i~
~~,L ordinances o f the City segulating bxildixg coxnruction or ure. For the f
ollouring:
~
~
65k3
~ u: c~rt~.u~ SF DWG a~ag. e~~ xa. I j
R3_1y'Pe Comt~uctioa~ Firc T l~ Zonie6 Diurict R.l ,1
~ ~P~YTYP~
~'mr : ; o.a. ~r~na~e Zachman Homes „ea~ 776~ Mi~chell Road ~ `,°4i .
~ s.{ ~~s~,,~„ b542 Scott Trail Lot 7, Block 1, Cedar Clif
,'a 3 ;
ti'! ~Q~~p. t" t ~Pr'~.- ~ ~ June 5, 1981 ~ ~ ~
g"~ ~u~,~ore~.~~ n,e~: ~ ~i
~ ~'i ro~r ih • coMV~c a n.~cc 4~
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' • ~ ' CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN SS1 Z2 N9 6 5 4 3
• PHONEs 454-8100
BUILDING PERMIT Receipt # - -
Ta M ~sed fo~ Est. Value Date , 19
Site Address ~ Erect p Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Nome Move ? 5tories
Z Address Demolish ? Front ft.
~ G - P~~ ' Grode Q Depth ft.
~ Nome Approvals Faes
~ F - r _ _
llddress Assessment Permit
Cj Water 8 Sew. Surchorge
Police Plan check
~W Name Fire SAC
Address Eng. Water Conn.
<W Ci ph~ Planner Water Meter
Countil Road Unit
I hereby ccknowiedpe that I have read this applicotion ond stote that g~~j, Off.
the informotion is correct ond o9ree to comply with all applicoble A~ Total
State of Minnesota Statutes and City of Eogan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with ull applicobie State of Minnesoto Stotutes and City of Eagan Ordinances.
Building Officioi
' r . ~ ~ -
~mnk # Dat~ IaoM ~~Mh~
Plumbing .,~.r 5 r s- ~ /
Mechanical ~ g/ /7_ 7 _ ~ ~ ~J
I T,Z9/.22 ~Y-.Zs-dl ~
INSPECTIONS DATE INSP. Rough-In Fi~ol
Footings Date Insp. Dete Insp.
Foundution Plumbing
FrGme/ins. ,~~Ql- Mechoniwl
Finol
Remarks: ~ /~~.~1.<in~~d~-Gs~~~OL~
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fse
fill in number~d speces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract " '
4. Owner ~ . ~:S
5. Contractor T . " - Phone `~3 , ~
6. Address 37 . . . .
7.Ci .
tY State Zip
8. Building Type: Residential ~ Commercial ? Institutional D
9. Work Description: New ~ Add ? Alter ~ Repair ?
10. Describe Fuel Type
11. No. ~uinment B TU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
~
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
' ` Rough Final ~
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
~ ~ ' CITY OF EAGAN
~ ~ 3795 Pllot Knob Reed
No. Easen, Minnesete sslu INSPECTOR NOTIFICATION
P1~o~.: 4S4-s~oo REQUIRED BY LAW
PERMiT FOR ALL INSPECTIONS
Date: ' ~
Receipt No.:
Single I
Site /lddress: ' ~ ~'~Y'- ~ ' Residentiat
Lat Block Sub/Sec. flr'`~`~'i Multi Res., Comm./Ind. I
Nome ' New/AlTer./Repair
.
~ Address 7~ ~
Cost of Instalfction
Cify ~ Phone: ~ Permit Fee .
` Name ~ r'",.T.T'lk:~~ ' Surcharge
y Address ; •E,,-..-. , , . ~
~ -
Ciry - - Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in xcordante with all appllcable 5tate of
Minnesoto Stotutes ond City of Eagan Ordi~onces.
Buildiny Qfficiol
, CASH RECEIPT ~~y""~
~ CITY OF EAGAN ~ ~
3795 PILOT KNOB R~AD
EAGAN, MINNESOTA 55122
DATE 19
w¢ei~ven
FNOM '
AMOUNT $ I
~ ' 8 DOLLARS
~eo
CASH CHECK
--Jy,~. .6=' ~ /J
FOR ' `r -i'3RY'.-.. r V I ~ ~
~ -
FUNO COGE A~.10UNT
Thank Y~ou
~
~ BY
. , r
' White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
y.+il~
CITY OF EAGAN ~ - +3 ~ ~
~ :
!7!S PiMt Knob Reed Ee~en, MN SS122 "
PHONEs 4S4-a100
BUlLDING PERMIT Receipt
Te b~ wsd ior Est. Vclue ~ Dote 19
Site /lddrcu E?ect ? Occupancy
Lot Block Set/Sub. ~ ~ , , ~ ~ - Alter ? Zoninp
Parcei # . Repoir ? Fire Zone
Enlar~s ? Type of Const.
W Name Move Q # Stories
; Address Demolish ? Length
b ~i p~,~ Grade ? Depth Sq. Ft.
~ Appro~als i•as
~ Nome
Address Assessrr+ent Pertnit
t. ~e Wofer 3 Sew. Surchorpe
Police Plan check
GW Nome r r Firo SAC
lldd?est Enp. Woter Conn.
~ W Ci p~~ Plonner Woter Meter
Council Road Unit
1 he~eby acknowledpe thot I have reod this appliwtion and state thot g~dp. Off.
the informorion ~s correct ond ogree to comply with all upplicoble Total
Stota of Minnesoto Stotutes and City of Eaqon Ordinonces.
Siynature of Pertnittee
A Buiiding Permit is Issued to: ' on th~ express condlfion tFu,~
oll work sholl be done in accordonce with nil opplicable State of Minnesoto Statutes ond Ciry of Eoqan Ordinances.
8uiidinp Offfcial
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t;ITY OF EAGAN Remarks
Addition ('edar Gliff Third Addn ~ot 7 Rik 1 Parcel
Owner ~I~'~~' Street 4542 Scott Tx'ail stace Eagan, NIN 55122
Impro~ement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~ ~ 1982 1496.39 299.26 5 1496.30 C0072i7 9-23-81
STREET RESTOR.
GRADING ^ G~ 19 HZ ~18, 5H, i 1 3. ~Z . C
SAN SEW TRUNK 9 !!j, A010280 6-9-81
~ISEWER LATERAL ~ 1982 - -
WATERMAIN
~MIVATER LATERAL I9 2
WATER AREA j p„S 1 6-9-81
* Service Stubs 1982 5
STORMSEWTRK 5~ d2~v~n ~r~~~ ,3y~ .~y I~~1~28~ 6-9- 1
~6TORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 2
WATERCONN. 335.00 23817 -2 -8
~UILDING PER.
SAC ' -
PARK
~ void ~ 7 B/ P.l~. 3 ~ ~ ~ ~ ~
rom ~ 2 912 ~
Date of this Request 1 4- 8 1 Fire No. T
I, as O Licensed Electrical Contractor ~ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
StreetAddressorRouteNo.~~rq~ S~A~~ T~~E$ ~~~y ~aQQ~
. Section Township Range County jZ~~A.~&
Whichisoccupiedby Zachman Homed
(Name of Occupanq
Is a roughin inspection required on this job? No ? Yes Ready Now 0 Will Call ?
Power Supplier Da h n.tn ~A¢,t _ Address
Electrical Contractor C~, vr n~,A g~ b~~,~g~ ~ N~ Contractor's License Nog y~~
(COmpany Name)
MailingAddress 4120 83hd Ave. No. Mp~h,M2vtn. 55443
(Eiect~iwl Conttacto~ or Owna~ Makln9 Thls Installatlon)
Authorized Signature Ke~..th R Ha,t P,r Phone No.~~
(Eiechical Contractor or owner Making Thlz Installation)
6on~.D ~l~.~~ Thisinspectionrequestwill~notheecceptedbythe
[~S Cnl _ ~ State Baard unless proper inapection fee is enclased.
Minnesota State Board of Electricity
Griggs Midway Bldg. - Room N197 ~ EB-00001-02
^Q?1 University Ave., Sqr~aul~._Minn. 55104 - Ptwne 297-2111 vj a2
UEST POR`EL~CTRICAL INSPECTION ~ q r~
Ch ~ BE OW WORK COVERED BY THIS REQUEST T~~ 1 L Z
Type of BuAding New Add.. Rep: Check Applisnces Wired Foi Check Fquipment W'ved For
Home ~ ? ? ~ Range ? Tempoiary Wiring ? ~
Duplex ? ? Water Heater ? Lighting Fixtures ?
ApL Bldg. ? Drye: ? Electric Heating ?
Commercial Bldg. ? 0? Fumace ? SIlo UNoader ?
Industrial Bldg. ? Air Conditioner ? BWk Milk Tank ?
Faxm ? ? List ' List
? ? ? Oehers~ Hereers~
Other ) ~
COMPUTE INSPECTION FEE BELOW
Servire Entnnce Size: # Fee Feeders&Subfeede~s: # Fee Circuits: # Fce
0 ro 100 Am s. 0[0 30 Am exes 0 to 30 Am eres ~ Q
101 to 200 Amps. 1 to IDO Amperes 31 to 100 Am ies
Above 200_Amps. A6ove 100 Amps. Above 100 Amps.
Txansformers RemoteCuntrolCirc. Partialorotherfee
Sign.. Speciallnspection Minimumfee . 0 •
Rema ' °
TOTAL F E
I, the ctri Inspector, hereby cectify ~t the v inFpection has been ade
(Rough-in) Date ~
(Final) Date 7
This request void '
18 months from
_ . . . . . _
cirr oF Eaw?N N° 7137
` S79S Pilaf Knob Raad Eagon, MN SS1I2 -
PNONFs 454-8100 ~
BUILDING PERMIT Receipr # 7
re ee ~.se GARAGE ~r. vai~ $5,000.00 p,re March 19 ,~v82
Site Address ~+5~+2 $COtt ~aL Erect ~ Occupanq R 3
Lot _L_ Blxk Sec/Sub. ~d Alter ? za,~„g R-1
Porcet # IO 16602 070 Ol Repolr ? Fire Zone ~
Enlaroe ? Typa of Const. V
rc Name ~k D• Move ? # $tories
~ Addrex 4~i2 ~Ott ~ail~ Demollsh ? Length_~
Fa¢an 55122 ~,o,~ 454-6345 ~roa~ O Depth~-Sq. Ft.-
~ Nama ~1ET ADV~ovals Fee~
i~ ~ Assessment Permit _
o~' Addrett 2 r)(~
~~n Water 8 Sew. Surcharge
~ CIt Phone
Polica Plon check
Gw Name Footinr~s m~st be a mininxm F~ro SAC
i? Address of 42~~ ~ E~. Water Conn.
~
<W Ci phcne Plonner Water Meter
Council Road Unit
1 here6y ackrwwledge thot I hove read this application and state that Bldg. Off.
the information is correct and agree to wmply with all upplicable AP~ T~a~ ~_~n
State of Minnetoto $tatutez and Gity oi Eogan Ordirwnces.
Signoture o4 Permittee
A Building Permif Is issued to: ~ on the express corditlon thm
atl work sholl be done in xcordont ~ ith al ~i~ f,Minnewta Statutes and Ciry of Eapan Ordinances.
8uildinp Official ~ ~
~ a~L~S 41 l'~\cx v~ sf c~ I~ rn?-~ ' o'~ N~
` ~ C OF EAGAN ~p j Include 2 sets of plans,
~ - °J~ ~~I site plan w/elevations &
BUILDING PERMIT APPLI 1 set of energy calculations.
To Be Used For ~A,~~ ~ vaiuation ~~J~~'- nate 3~/ q' g~
site naaress: ,2 ~~c~ ~,ca ~ L OFFICE USE ONLY
Lot 7 Block ~ Sec./Sub. f` Cli'. Erect Oc c i
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y J~
Parcel ~C7 j~P~D 2 OZt~ G~ 1 Alter Zoning ~
Repair Fire 2one Q~
Owner: /~iQ.C A%~ ~ t'P~P2 E~lar9e _ Type of Const.
Nbve # Stories
Address : 1/ 'Jt~/~ S~~~G- q~,~c Ile~rolish Front ~ ft.
City/Zip Code: y, Grade Depth ,Qt{ ft.
Phone # : ~S7 APPFOVI\L,S FEES
(AritS'dC~'AT: p ~
~ L ~ Assessments Pezmit ~Q
Address: Water/Szw~r Surcharge d*' ~
Police Plan Check
City/Zip Code: Fire SAC
Phone ~9• Water Conn.
Planner Water Meter
~h ~g : Council Road Unit
Bldg. Off.
Address• APC
City/Zip Caie:
Phone ZoTAL S'.j
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55124 N4 ~ 6 5 4 3
PHONE: 454-8100
~ BUILDING PERMIT APPLICATION Receipt # °~3~1J
To be mad for SF UFX'/ Est. Value 37,000 Dare ~-~0 , 19$~_
Site Address 4542 Soott Tr Erect Occupa~cy ~
Lot ~ Block 1 Sec/Sub. CeadY Cliff 3 Alter ? Zoning ~
pa~~~ # 10 16602 070 Ol Repair ? Fire Zone ~
Enlarge ? Type of Const. U
z Nome Zanhman Hrnna Move ? # Stories
3 qddress 7760 MitCh211 Rd Demolish ? Front 36= rc.
o C. Fderi PYdi.Ti.@ phone 937-9520 Grade ? DeDth 26 fr.
Name ~ ADP~orale Fees
O
Address Asuss~~t~-11-R1 Permit '
~ Water & Sew. Surchorge 18. S~
Ci Phone 54.00 ~
Police Plan check
525.00
~w Name
w„~ Fire SAC
Address Eng. Water Conn.335.00
aw Ci Pho~u Pianner WaterMeter 60.00
Council Road Unit ~'$S•Q~
I hereby ocknowledge that I have read this application and state that Bldg. Off.
the information is mrrect and agree to comply with all opplicoble APC Toto~ 1,285.50
State of Minnesota Statutes and City of Eaqan Ordirwnces.
" Signature of Permittee ~
A Bullding Permit is iuued to: Zachmatt H[m~PC 'Ln _ an ihe express condition that
all xrork shall be done in acwrdance itvr h ail appli_wble St_ ate of MinResoto Stotutes and City of Eagan Ordinances.
Buildirg Officfol ~°.r-__ t
~4%-~ds~?
' _
~ ' ~ ti~ 3 ` ~PISt O£ EAGAN InclUde 2 sets of Plans,
~ 1 site plan w/elevations ~
- B
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PLICATION 1 set of enetc3Y calculations
7b Be Usecl For - Valuation ~-p-~ , Date
Site Address: OFFICE USE OrII.Y .~``/~`t~~
Int ~.J Slock L_ Sec./Sl~b. ~ Erect Occupar~• ' ~ 3 -
Parcei # : : _ ~,/,~,,~.2 ~~~~~~~~A1ter zoni,x~ /
~e~~r Fire Zone
Owner: ' Enlaroe _ T)~pe of Const.
~ M~'e ~ Stnries
Pddress_ /n(~ m l~~. A_-~nlish Front
Grade ~p}~ - ~ 6 ----ft.
City/Zip C.ode_ 9=91~.fA 1 0~ a
6 ft.
Pr~~ 9~3-i-4s~~~ ~.p~~
~
Contractor: Pssess~rnts , 2-~
Permit J 6 8"
Pddress: ~ ` Waber/Sewer Surchasge ~ ~
~~.y/ZiP Code: If Police Plan C~~ec]c y~~
Phone ~ Fize SAC ~ .i
~9• Y;ates Conn. 7.7
Plarv~er Water Meter „C, ~
Arch./E7ig.. ~ Council Ro~ Unit /
Address: Sldg. Off,.~
PYC
City/Zip Ccxle:
Phone S:
~C7TAL / ~ ~ 5 • S~~
. ~
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CALVIN H. HEDLUND 9608 Olrard A~~~~~ so~rn
~ Bloomtnqfon,Minn~wTO 55431
Land Surv~yor Civll E~qin~~r PAon~:BBB-20B0
surve~or`s G'ert~f~cate ,
JOB NO. I68
SURVEY FOR~ Zachman Homes
j DESGRIBED AS~ ~t 7, Block 1, CED~AR CLIFF 3RD ADDITION, City of Eagan,
i Dakota County, Minnesota, and reaerving easementa of record.
00.0 9~•0
f 1 - 85.~~ . ~
_ ~ ~ ~ ~ ~ ~
. ~ ~
~ ~
~ ~ 7op of Fou~dation = 9D2.3
~ ~ 13oiStmtnt Floor : 899.1
~ ~ Gara9e Floor = 901.4
~ Proposed Elevdtions O
~I ~8 Exie+in9 Elevations _
Denotes Orainaye
~o~ oi. ol. Denotes Lot Corntr p
36 ~
I
~o'~ stakes ~ F"+• aaer~naQ~ ~o'ps+akes
~ Gar N sp6+ leve{ NI
' ~ ~ uroex ~ 5c ~
L-C' E? I i- Z
901.
~ z'~.,t a. • ' ~ ~,P7,y
I d~~ve o I
~ --~-`~--I `~O.
899.7 1a.8 61.35 849.4
~ S~~b = -
~ ~ 5.5, e~QV~ $~3q.d
gqq.4 ScoTT TRAIL 899.1 '
~ERTIFICATE OF SURVEY
Z hereby ceriify thot on Z-ZO-B~ I surveyed ihe property describsd obove and thaf
t~a above plot is o correct represe~tation ot said survey.
~a.~+-.- 5`7. Sv'-~-..5~
, \ Calvin H. Hedlund, Minn. Req. No. 5942
~
.
CSALVIN H. HEDLUND ssoe o~~a~a n~~~~~ somn
Bloominqton,Minn~wfa 55431
Land Surveyor Clvll Enqinesr P~on~:8B8-2080
surve~or~s G'ert~,
f
"~cate
JOB N0. ~b$
SURVEY FOR~ 2achman Homes
~ DESGRIBED AS~ ~t ~~k 1, CEDAR CLIFF 3RD ADDITION, City of Eagan,
1 Dakota County, Minneaota, and reserving easementa of record.
~
,
D0. D q~.o
` 1 ~ 85.00 _ - - ~
. i ~
~ I
~ ~ ~ Top of Fou~da+ion ° 902.3
I ~ Basement Floor= 899.1
! I ~ Gara9e Floor = 901.4
{
~i i$ Proposed Elevdtions O
~ ~ E7cierin9 Elevations ~
`v~ Denotes Draino9e
~ o~. ol• Denotea Lot Corner O
~ I zo 36 ~
ip
ID~~stdkes ( ; ~a NSP~R~~e;~~Ni IDps+akeS
~ ~ ~ vNEx~~ ~SC~ ~ ~
_I '
L_::"; - E,~ ~ -qo~. . 1. v tio
I Z ~^t ~''s~~',y
I d~~ve 1 - ~ - II
I r _ ~ i 30•
~ - - - - ~4
899.7 14.8 61.35 a`~'4 _
~ J 5~~6
M ~ 5,5, e~ev, 884,0
$qq.4 Sco7T TRAIL 699_~
CERTIFICATE OF SURVEY
I hereby certify thof on 2-ZD-8r I surveyed the property descNbed above and thot
the obove plat is a correct representotion of sold survey.
~~a.lu...s~
Calvin H. Hedlund, Minn. Rep. No. 5942
ti
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C'lY OF i_.Fit,.',AT~
1LASI-I]:rR: S ?EI"ii?S'JA!-- i~~r)^ ~36;3
DATEe O:iJ:l.'7/`..a`-i 'Y:i.h(I_: t4,^,~t]~:I.i'
IC~ ^
N61tiF..:; '.iiUNUFi;'At~l t;Fil' tiJ+::
32117 ~noi. ~s~a s'r('lT'7 1'ft 11.:~..,'.r.'.:;
~:tss ~~c,o:i. ~;:;4a ~~rr:,r._~. .r~:
~
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,..;Xc}X'rnYFYR:;<YF%;ti~ ~t7nYFiYY,:;"`I„in7~;:rh~>kX?'k:;;%4d'cneMi~:~tinm:"=;'~c~:+k
~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~ 3 3/
CITY OF EAGAN -Q 3'
3830 PILOT KNOB RD - 55122
~j~ 9 ~ 651-681-4675
New Conshuetlon Reauirements Remodel/Reoak ReauiremeMs
? 3 reg~stered sMe surveys showfng sq. H. of lot, sq. H. of house Y coples of plan
and gll roofed areas (20% maxlmum bt eoveraae albwed) 1 se} ot encvgy ealculaflons for heated addMions
> 2 coplef of plans (show beam 3 window slzes; poured ind. design; Mc.) i:Re s~rvey for exlerior addHions a decks
? 1 set o1 energy calcu~aNons
? 3 coples of hee preservallon plan 8IW plaHed ofler 7/1/93
DATE: S-~ L~ - Q r CONSTRUCTION COST: ~P S~
DESCRIPTION OF WORK: Q-Q, b
a~~. ~
STREET ADDRESS: U 5 ~I . ~
LOT: BLOCK: ~ SUBD./P.I.D.1k: C Q c~l Q, J` ~~D
Name: ~ Vl I~iV l. Phone Ik: ~a S/- 4 5 4- S~j~ ~j
PROPERTY ~art FUr
OWNER p ~ .p
i Sireet Address: ~ ~ ~ _ _ /d~c'1--~ ~l ~
City ~.O~M State: _/~'1 ~ Ztp: _ sS 1 0~ o~
Company: ~ .ca X ~f.vi X~, ~L~n.~c:•~ Phone ~0 1 oZ ~l - ~S a 3~
CONTRACTOR (areo code)
Street Address: Q 7 0~ ~-Qmrr~ Qn.~2. ~~~ense # LI o~ ~
~~P•
City s,~e: m N Zip: SS4 3/
ARCHITECT/
ENGINEER Company: Name:
Telephone l~: area code ( )
Sheet Address: Registratton N:
City State: Zip:
Sewer i wafer Iicensed plumber (reauired fw new conslrueHon onivl:
PanaHy applies when address ehange and lot change Is requested once permN Is Issued.
1 hereby acknowledge fhat 1 have read fhis applicafion, sfafe fhat the InformaHon is cortect, and agree to comply wNh all applicabl
Sft~te of Minnesota Sfafutes and CfFy of Eagan Ordinances.
Stgnoture of Applicant ~ ~V~ ~,K~
OFFICE USE ONLY
~cr~~a~~~~~~,
~~i
CeRificates of Survey Received _ Yes _ No ~ i
i~.. ~
Tree Preservation Ptan Received _ Yes _ No _ Not Required ~°IAi ~ 7
I._ ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-piex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffitslFascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demoiish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/E5 System
Length sq. ft. City Water I
Width Footprint sq. ft. Booster Pump '
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded. '
Trails Ded.
Other r
Copies
Total:
SAC Units
% SAC
Oct 08 2008 2:26PM HP LRSERJET FRK p.2
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3830 Pilot Knob Road j i
Eagan MN 55122 ~ Date Received: ~
Phone: (651 ~ 675-5675 ~ I
Fax: (657) 675-5694 i Staff: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( O~ ~~`G~ Site Address: L~ G(~ G~
Tenant: Suite -
RESIDENT/OWNER Name: Gu e Phone: S( ',~L13_Q G
Address / City / Zip:
Applicant is: _ Owner _ Contractor
~
TYPE OF WORK Description ofworic: e~~ ~
g~C~G ~o
Construdion Cost: ~ Multi-Family Building: (Yes No
CONTRACTOR Name: C ' G License ~~J e~ ~„~~1
Address: L ( ~ C L ' ~ ~ Q~ ~P ~ ~
City: ~ ~ '"r State: "'L ~ Zip:
Phone: ~6~' ~ ~0~~ Contact Person: /~G~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
CategOfy Submitted Submitted
submission type) • Energy Envelope Caiculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan hased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water ConVactor: Phone:
NOTE: Plans and supporting documenis thaf you submit are considered to be public informafion. Portions of
the iniormation may be classi~ed as non-public if you provide spec~c reasons that would permit the City to
conclude fhat fhe are trade secreis.
I hereby acknowledge that this information is complete and accurate; that the work will 6e 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 wili be in
accordance with the approved lan in the case of work which requires a review and approval of plans.
X r~~~ ~~y~~ x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4542 Scott Tr
Lot: 7 Block: 1 Addition: Cedar Cliff 3rd
PID:10- 16602 - 070 -01
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
Quesetions regarding elec
952- 445 -2840
Crystal Cochran
7501 Washington Ave S
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
- Applicant -
Owner:
Mong H Le
4542 Scott Tr
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA086683
10/07/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113707
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 4542 Scott Tr
Lot:7 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Teri Morris
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 -
Bay Vo
4542 Scott Trl
Eagan MN 55122
(651) 239-4035
In Ex Designs Roofing
7809 Southtown Ctr #537
Bloomington MN 55431
(952) 888-4400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138152
Date Issued:08/12/2016
Permit Category:ePermit
Site Address: 4542 Scott Tr
Lot:7 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Bay Vo
4542 Scott Trl
Eagan MN 55122
(651) 239-4035
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172166
Date Issued:09/17/2021
Permit Category:ePermit
Site Address: 4542 Scott Tr
Lot:7 Block: 1 Addition: Cedar Cliff 3rd
PID:10-16602-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Bay Vo
4542 Scott Trl
Eagan MN 55122--235
(651) 239-4031
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature