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4561 Scott TrCity of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 13 2010 Use BLUE or BLACK Ink Permit #: O Permit Fee: '. 1) Date Received: Staff: J 2010 MECHANICAL PERMIT APPLICATION Date: . 5/ &/D Site Address: 4S -6l fi 4 j H(. () 55 '/ c9_ Tenant: Suite #: RESIDENT / OWNER Name: /S e4otnp X /4- Phone: �'/ '(f3. = 1220 Address / City / Zip: 4i Sc1,r G 1 , j14) S571-2_ CONTRACTOR Name: ‘C,--WeC I4't ...1.4% 5 a�: ©.33S S 607ueense / Address: �c� r,0-' N ' City: `)11h)0 State: 114^% Zip: SSS/cq Phone: — s , ii3- / zea /S`77 Contact: -J0 a�,.J Email:_ iatnc6 ,bmer- 2Z Cct--t TYPE OF WORK Additional Alteration Demolition' New ,(Replacement / Description of work: / 4*') .Q G'revt4Q,)T NOTE: Roof mounted and ground mounted mechanical equipment is. required to be.screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction _ Interior Improvement Air Conditioner Install Piping , Processed Air Exchanger _ Gas _ Exterior HVAC Unit ` Heat Pump _ Under / Above ground Tank ( Install / Remove) Other _ "When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ SO • D TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee -1f Permit Fee is Tess than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 _ $ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will 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 without a permjthat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xClit., Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Rough In _� _Air Test Gas ____>Exterior HVAC Screening Inspection . t . . CITY OF EAGAN • 3795 P~ot Knob Road Eogen, MN SS12~ N~ 6 4 6 7 PHON E: 454-8100 BUILDING PERMIT Receipt To be w~d for Est. Volue Date , 19 Stte Address ' ` Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoning Pa~~ # Repclr ? Fire Zone Enlarge ? Type of Const. _ W Name Move ? # Stories ~ q~~s, - Demolish ? Front ft. ~ Grude ? Depth ft. Ci Phone ~ Name Approvols Feea 0 Address Assessment Permit ~ Ci Phor?e Water & Sew. Surcharge F Police Plan check F W Na^'~ Fire SAC Address En~. Water Conn. [W Ci Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I have reod this application and stote that g~~. p~f, the information is correct and agree to comply with al~ applicable State of Minnesota Statutes ond City of Eagan Ordinances. APC Total 5ignoture of Permittee A Building Pertnit is issued to: on the express condition that oll work shall 6e done in accordance with oll appliovble State of Minnesota Stotutes o~d City of Eagon Ordinunces. Building Officlol ' • - t . ? # Dat~ law/ PwsiMM Plumbing ,n , ~ ~ Mechanical - / f, rv2C~ 7 / ~ - , INSPECTIONS DATE INSP. Rouph-In Finul Footings Oote I Insp. ~ate Insp. Foundntion Plumbing Frome/ins. ~30~ Mechonical ~ -I1 . Final ~ - ~ - Remarks: 3.~~/ ~Z f7 n 3 -aa-g~ D S. , ~.~,--T~->r'-~ ~~'.~~=:-cr - , • - ' CITY OF EAGAN 3795 Pilof Kwob Roed Eayan, Minnesofe s51~ INSPECTOR NOTIFICATION No. pho~e: 4S4-E100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: " Receipt No.: Single I Sice Address; ` Residential Lot ~ Block SublSec. ~ ` ' ~ ~ ~ ' Multi Res., Comm./Ind. I Name , . . . _ New/Alter./Repair • - , . - , ~ Address ~ - Cost of Installation . _ lY,i .~^a.t City . ' . Phone: J Permit Fee Name ` , j ~ ~ SurtMrge Address ' Q6 V City Phone: Total This Permir is iuued on the express condition thot all work sholl be done in accordance with all applitable State of Minnesota Stotutes ond City of Eogan Ordincnces. Building pfficial . . • • " CITY OF EAGAN 3795 Pllot Knob Roed No 6o9ew, Mlnnesote SS122 INSPECTOR NOTIFICATION ~e~.: 454-etoo REQUIRED BY LAW ~ PERMIT FOR ALL INSPECTIONS Date: ' Receipt No.: Single I ;;iJ"~~.:t: Residentiul Site Address: Lot Block ' Sub/Sec. Multi Res., Comm./Ind. , I Name ~..,r,T' • t ' New/Alter./Repair ~ Nddress 77 : ? `i.tc~E~J-]- • Cost of Instollation . ~ City T_. ~ Phone: 3 Permit Fee , . Nome ~7 ` - ~ SurcMrge ~ Address r `~3 r ~ ' "C ' . ` . ~ _ " City Phone: Totol This Permir is issued on the express condition that oll work sholl be done in xcordance with oll applicoble Stote of MinnesoLa Stotutes and City of Eogon Ordinonces. Building Officinl ~ ~ ~ . , ~.~~us. ~~Y. , . . L ~F ^~"I` l~~ ~~~I~ '~'a`-~ ~ '~GM^ ~b' ~ ~r~~ 1011? ~ ~ t- ~ -~r,~-r-°4~ .:~"r",~"' =:'t~ ~"'r~c _ ~ t~~ ~ ~ • ~ r~. ~ C~~r#~~t~rtt~~e ~f (~rr~~tt~r~ a, ~q ~ ~ ~ ~it of ~agan ~ ~ ~ p ~ - ~F ~P.purimPnt nf ~uc[amg ~Jn~~prr#inn a , ~ ~ ~ ~ ~ ~.1 Thir Cati ficatc itsutd pursuant to tbt ttquinments of Section 306 of tlic U»i fwm Buitdrng ,r t, Code ctrti f ying that at the timc of i.rsuance this .rtructure wus in com plianct with tht variou.r ~ ~ ~ ordinaruu o tht Cit n ulatin buildin to»rtruction or xlt. For thr otlouan : ' ~ f r 8 g s f g ` ~ ~F: ~ ~ ~p~ u~c,~.ti~ ~ nI~I~ ~de.~~xa. 6467 ~ ! o~w~r ~YP~ ~ TYw coost~ucsw V Fib zone 3 zo~;,tg rn.~,;M _R~_ ~~~~~'-1 7, P ' = ~ ow~ ors~~s ad~cna~n Aomes 7760 Mitc~ell Rd,~ rair, .~-t . 8~,,~aA,~, a~~~~t La,,;~Y L12,B2,Cec~7r Cliff 3 ' / ~ ~d~~GT~~4 L r ~`.a~ J ~ ~ ~ 3-23-81 t~ ~ - ~ da1 ~ Dam: ~ r ~ l'~ ~ { . . . . /G1~T N A OONf~ICVOU! 1'l.~C[ pi~ ~ ~ ~ b~:i.~.~i.....~~'~~..~. - ~ ~~..~'~v • ~ " _ ~ a ~ - __a~~`ll . _b ~ ! -h • r ~ , .,m. ~ .a~? ~.m. ~1~ ~a~ ~ '~iar.~'~ ''~r.~ ~I _ ~ _ ,'~r~' "~er ~ ~r/'~ _-_m~~.irS a!L . _ . 1.-1~0 N u.`:.0.. • ~ CITY OF EAGAN . . 3795 Pllot Knob Rood Eogun, MN 55122 N~ 6 4 6 6 ' ~ ~ PHONE: 454-8100 BUILDING PERMIT Receipt # To be psd hr Est. Value Date , 19 ~ Site Address . ' Erect Occuponcy L.ot Block Sec/$ub. Alter ? Zoning Porcel Repoir ? Ffre Zone Enlorge ? Type of Const. W Nome Move ? # Stories Z Address Demolish 0 Front ft. ~ . ~~::i1~ ~ ~ ' crade p Deprh ft. Ci Pfione Name Approvcla Fees . ~ ~ Assessment ~ Permit Addmss ~ Ci p~~e Woter & Sew. Surchorge Police Plon check ~ ~W Nnme Fire SAC Address En9. Woter Conn. tW C~ p}~~e Planner Water Meter Council Rood Unit I hereby ocknowledga that I have read this applicotion and stote thot 81dg. Off. the information is correct and ogree to comply with ull cpplicable State of Minnesato Stotutes ond City of Eagon Ordinances. APC Totai Signature of Permittee A Building Permit is issued to: ' on the express condition that oll work sholl be done in occordance with ali opplicable State of Minnesota Statutes and City of Engcn Ordinances. Building Offitfal r~~ # DaN Iw~d P~rwiKw Plumbing a / Mechonicol C~ ~ ~ <.t/ / - i ~~.-c,t,e~ INSPECTIONS DATE INSP. Rough-In Final Footing5 pote Insp, Dote Insp. Foundotion - Piumbing Frame/ins. ~~_~d~ f ~ Mechanicol d-$~ ~ Finol -1- . - - ~I~ ~ Remarks: ~ ,c ~ ~ J _~~;J G ~ _ . .f`~~- ~.C-~ . , ~ ~ crnr oF ~?~aN ~ • 3796 Pilet Knob Reed ' ' Eagan, Minne~ota 55122 INSPECTOR NOTIFICATION No. phene: 4S4.e~oo REQUIRED BY LAW FOR ALL INSPECTI4NS ~i r.~ PERMIT Dote: Receipt No.: ` Single ~ Site Address: - Residentiol Lot Block ~ Sub/Sec. T' r Multi Res., Comm./Ind. I Nome ' K~+`? ' f' ~ ~c New/Alter./Repair ; Address 7%rn *U-~C}2c~1 Cost of Installation O City ~ ~r~Y'~- Phone: Permit Fee ~ Name nrt-^i,_ . . ~ ~ ~ Surcharge Address ' ' r' ~ V ~ City ~ " _ Phone: Totai This Permit is issued on the express condition that all work shall be done in accordance with all applitable Stote of Minnesotu Statutes and City of Eagan Ordinonces. Building Officiol ~I ' c~r~r oF ~?~~N . ' ' . ' 3795 Pikf Knob Road ' ' [ogen, Mianeso~a S51ZZ INSPECT~R NOTIFICATION No. Pww,e; 464-a100 REQUIRED BY LAW FOR ALL INSPECTIONS PERMIT ~ ~ Dote: ' Receipt No.: 5ingle I Site Address: Residential Lot Bixk Sub/Sec. Multi Res., Comm./ind. I P1a?r+e ' " New/Alter./Repair ` ~ ' ":1. 3 Address Cost ot Installation O L . . ~ ~ . City , t Phone: Permit Fee ._•'j ~ . Nome , 1 Surcharge . g /~~rC55 ~ . . . . . T~-.,-r, . ~ ~ City Phone: Total This Permit is issued on the express condition tfiat all work shall be do~e in occordance with oll applioable State of Minnesoto Statutes and City of Eogon Ordinonces. Buildinq Offitiol , : .~-f-~,, ~..~~+„a ~ .,,~~5-~~.,~-~°-~,~"~1j~~-~~ : ~ ~ ~ • , ~ - . . : ~ ~ :~+ro~~'~ _ _ ~ ~ r:-:~c---.-- - ~ ~~:a'~~° - - ` - - - - ' . r;~ _ (~~er~tftr~~~e ~f (~rr~ ~nr , A ~ ~ ~ ~Citp of ~agan ~-R: ~ y~~ ~ ;9 . ~F}t~il'#lriPnt i1f ~1ttl~li2~ ,~1L9~iFt#tittl r ` ~~i"~ a . ~ yl~ 4 ~ Tbit Certi flCdil 15JtsCL~ ptpJ!lLifll t0 IhC fC91[IfCfliC1J~J 0 f Scction 306 o f dhe Uni form Building ~ i, Codc ctrtifying that at t!x ti+nc of issuana tbis strraturc war in comPlianct urith the variou.r ~ ' ~ i ordinu?ues o f thc City rrgxlatinj; building connruttion or use. For thc fo!louang: !;y ~ Sn ~ ~ „I ]P ~ u: craruew ~4 IX]P1~~ siaa. r~~~ No. 6 466 , oowP„wy Type ~-Tyy. coo,w~~._~~ Firc Zona 3 Zoniag Dixtncc ~ ,•j ~ Zactnn~n H~anes ,?aa,~ 7760 Mitc3yell Ftd,Fcl~? Prair, ~ ` ~ oMeer oc aaea;~g ; ~ 4563 Soatt Tr L12,B2.Cedar Cliff 3 ~ ~ ~ ~ ~ , ~~~.~y:~ ~~`-."`_t,re' -y7? ~ ~ ~ ~ s~oreri.~ m~e: 3-23-81 ~ ~ ~i l ~ r ~ ~ :i . ~ ' War w w enw~ncuous ruu . . ' : _ - _ _ r~i,b'~`~~¢r.?"y~1`~-~_1...:'~a:~*- =~:~iS,.,s.b ]e:;.r_..~_.~,...a~~:.. e ~ _ 1.. .1: . "f:u' °~~~1 , ~ r a ~ . . - , , ~..a ' . . . . . . „ , ~`';'~r .~A1.~ '1. at ..e~" ~'E , .l~' ~ ~ w ^~'g ~ ~s -~.~.~~`~1~l. ~~1 _ ~ "'iaei ~Occ.s ,ai . . - . ~ , urvuir~ ~s.n. CITY OF FAGAN Remarks ~ ~ y8~ Addit~on CEDAR CLIFF THIRD A~DN_ LotT 2 Blk 2 Perce~ ow~e? rv~~F ~~n~~1+!(j~~~~Street 4561 Scott Trail smte Eagan, 1Z2 Improvement Date Amount Annual Years Payment Receipt Oate S7FiEETSURF. 1 I982 748.15 149.63 5 748.15 C007325 10-1-81 STREET RESTOR. GRADING 1982 359.29 71.86 5 359.29 C007325 10-1-81 SAN 5EW TRUNK ' 1 1 iSEWER LATERAL ~ 1982 706.13 341.23 5 1706.13 C007325 10-1-8 WATERMAIN ~INATER LATERAL 1982 5 WATER AREA * Service Stubs 1982 5 STORM SEW TRK 1981 aid unde ori inal 1 t ~STORM SEW LAT 19$2 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CI~Y OF EAGAN Remarks y Addition ('edar Cli ff Thi rd Addi ti_on Loc ~'12 Rlk 2 Parcel Owner ~ a'1~~. f'~ ~ sc~eet_- 4563 Scott Tx'ail state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. L9H2 ~ .LS . - - STREET RESTOR. GRADING 1982 359.29 71.86 5 35 .2 C SAN SEW TRUNK 1973 1~5 28 7.~2 15 *SEWER LATERAL 9 2 O. C O WATERMAIN 3NVATER LATERAL 1952 S WATER AREA j97 94 7 6 32 15 * Service Stubs 1982 5 STORM SEW TRK ,S}j ` 1981 ~`7~ ~ r~6 " S - - *STORM SEW LAT 9 HZ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 1050.00 22462 12 18 80 PARK c~Tr r~ FqGqN , WATER SERVICE PERMIT 3T45 Pilot Knob Road PERMIT NQ.: Eagan, MN 53122 DATE: Zoning: No. of Units: Uwner: rlddresr. Site Address: Plumber: • Meter No.: Connection Charge: ' Size: ~ Account Deposit: Reader No.: Permit Fee: I eg~ee to eomplr with the City of Eagan Surcharge: ~ Ordinaneea. Misc. Charges: ' , Totol: BY Date Poid: Date of Insp.: Insp.: . ~i.~ E,~,~,,,N SEWER SERVICE PERMIT !~''95 Pilot Knob Rood PERMIT NO.: Eoqon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agroe to complr wifh H~e Gtr of Eogen Connedion Charge: Ordinonees. Account Deposit: Permit Fee: Surchcrge: By Misc. Charges: Dote of Insp.: Totol: Insp.: Dote Paid: a . ' :AGAN WATER SERVICE PERMIT 3795 Pilot Knob Rocd PERMIT NO_: Eayan, MN 55122 DATE: Zoning: No. of Units: Owner; _ Address: Site Address: Plumber: Meter No,: Connection Charge: Size: Account Deposit: ~ Reader No.: Permit Fee: 1 ogroe to oomply wi~h rhe Cify of Eagan Surthorge: Ordinanee~. Misc. Chorges: Totol: By Dote Paid: Dcrte of Insp.: Insp.: c~~ ,,;~c~?N SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN s5122 DATE: Zoning: No. of Units: Owner. Address: Site Address: PI umber: - 1 agrse to oomply with the City ef Eagan Connection Charge: Ordinaeeer. Account Deposit: Permit Fee: Surcharge: By Misc. Chorges: Date of Insp.: Total: Insp.: Date Poid: 2~6~~ 7 y~~ `o Requas~ Oate Fre No. Fough-in Insp 1~l'' ~ D a iretl? ? Reatly Now p/will Notity Inspector Yes ? No When Reatly? I licer,sed contractor owner hereby request inspection of above electrical work at: Jab AGtlre55lStrrel. Box or te No.) ~M ~ SMion No. Townshp Name or No. Range No. Coun~y Occ~t (Pfi~NTl ~ PMn . 1 Pawer Suppber Elec ' i Contrector ~Campany Name~ ConVactor License N~ O Ma~ling Adtlrgss (COnvac or or ~laking Installa~ion) A ~ V Au~M1Orized SI aNra nlracl rlOwn r Making Ilation~ Phon umber -5 MINNESOTA STATE B D OF ELECTFICITV THIS INSPECTION REOUEST WILL NOT Grlgge~Mltlwey BIE floom S113 BE ACCEPTEO 9V THE STATE BOAR~ 1021 Univenity Ave.. St. Paul. MN SS10C UNLESS PROPER INSPECTION FEE IS P~one(61s)6aY-0800 ENCLOSED. 5'~t~9D REQUEST FOR ELECTRICAL INSPECTION ~6r w"~& EB-OOODt-0~ c n t See instR¢~ions lor rompleting t~is lorm on back ol yellow copy s S~~ 2 C2117 0 'X` Below Work Covered by This Request ew Add Rep. TypeoiBUilding ApplianceSWired EquipmenlWired Home Range Temporary Service Duplex . 4Vater Heater Electric Heating Apt. Building~ ~ Dryer. Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner Ofier~spactly) ConUaclorE Remarks- MrNaa2 2EPi4~~i F ~c-Pc~~EL$~`/~ Compute lnspection Fee Below: A Omer Fee x Serv'iceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abo Amps SignS Inspx~or's Use Oniy: ~I TOTAL Irrigation Booms `J • 00 / S~ Special InSpedion Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oa~e certitythattheaboveinspectionhas Finai oare been made. OFFICE USE ONLY T~is request voi~ 18 mont~s trom This re~~ i void C, j z a}~~ 1$mo'~sfrom LIZ ! _ Date of this Kequest 2-2-81 Fire No. I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4561 Scott Trail ~i~Y Eagan Section Townslup Range County Dakota Which,is occupied by _ Zachman Homes (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ~ Ready Now ? Will Call O PowerSupplier Dakota Rlectric, Address ElectricalContractor S~rise Electric, In . Contractor'sLicenseNo.~28' (COmvany NameJ MailingAddress 4120 83rd Ave, No. Mpls, Minn. 55443 (Elect~ical Contractorf ~ wne~ Makin9 This I~ztallatlon) Authorized Signature KE ' h R e i l. / Phone No. 566-8600 (Ele<irlcal Contra<tor r owner Ma ng ~IS Installation) i~) ~ ~b his inspection request will not 6e aceepted by the ~ Liti1 ~ ~ State Board unless praper inspeetian fee is enclosed. mmnesota s[a[e noam ot t~ectnci Griggs Midway Bldg. - Room N191 ~ I6~ EB-00001-02 +°7 University Ave.. St. Paul, Minn. 55104 - Plmne 297-2117 n '~"~F~'F:QUEST ~OO EREDTBYI THIS EQUEST I~N T 2 0171 C 'CK BELG;.' W~`^ ' " Type of Build'v~g New Add. Rep. Check Appliances Wued Foc ~ Check Equipment Wired Fo: Home ~ ? ? Range ? Temporazy Wiring ? ~Duplex ? Watei Heater ~ Lighting Fixtures ? Apt. Bldg. ? Drye[ ? Elec[ric Heating ? Commercial Bldg. ? Fumace . ? Silo Unloader ? Industrial Bldg. ? Aic Conditioner ? Bulk Milk Tank ? Farm Lpist pLis[ Othec ? ? ? Hehe131 Here~~~ COMPUTE INSPECTION FEE BELOW Service Entrance Size: u Fee Feeders~Subfeeders: ~ ~ Fee C'vcuits: # Fce U to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 [0 200 Amps. 31 to lOD Amperes 31 to 100 Am xes Above 200 Amps. Above 100 Amps. Abave 100 Amps. Tran ` ~ s RemoteControlCirc. Partialoro[herfee Signs Speciai Inspection Minimum tee $5.00 Remaz : ~ TOTAL FEE I, the Electrical Inspector, hereby certify [hat th e in n 1Sas been made (Rougfi-in) (Final) Da This iequest void ' 18 months from ~o 17iis reo~~t void ~ /3.Z CC, ~ ( ~ 18 monLhs fiom ~ I2 ~ ~ ~ 3~ Date of this Request 2-2-81 Fire No. 0~~" i, as O Licensed Electrical Contractor ? Ownec, do hereby request inspection of the above electri- cal wiring installed at: ;Street Address or Route No. 45hj Sco+.t. Tra;'I City Fagan Section Township Range County Dakota Which is occupied by Zachman Homes (Name of OccuDant) Is a roughin inspection required on this job? No ? Yes ~ Ready Now ? Will Call ? PowerSuppliei Dakota Electric Address Electrical Contractor S~rise Electric , Inc. Contractor's License No. 3~8 (COmpany Name) MailingAddress 4120 83rd Ave. No. Mpls, Minn. 55443 (Elec[ri<al Contracto~ o Owne~ Making Thls Installation) Authorized Signature Keith R Hesli ~ Phone No. 566-8600 (ElaCtrl<al Contractor o1 Owner Makl g Is Installatlon) ~ l~ f~ '[,~0 ~ n p~~ This inspectiun request will not be accepted by the tl f~U t~ /hlG~ta State Board unless proper inspection fee is enclosed. Minnesota State Board of Elechiciry Griggs Midway Bldg. - Room N791 EB-00001-02 'I$2~i mversity Ave.. St. Paul, Minn. 55104 - Phone 297-2177 7, •~iEQUEST FOR ELECTRICAL INSPECTION ~ J ,'T' 20172 CHECK BELOW WOAK COVERED BY THIS REQUEST Type ot Butlding New Add. Rep. Check Appliancea Wired For Check FquipmeN Wired Fm Home ? ~ Range ? Temporacy Wiring ? !Duplex ? ? ? Wa[erHeater ? LightingFixtures ? Api. dldg. ? ? ? Drye: ~ Electric Heating ? ~ Commereial Bldg. ? Fumace ? Silo UNoadei ? ` tndustrial Bldg. ? A'u Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Others~ Others~ Other ? ? ? Here ) Here COMPUTE 1NSPECTION FEE BELOW Selvice En[rance Sixe: # Fee Feeders&Subfeeders: # Fee Cvcuits: # Fee 0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am etes 101 to 200 Amps. 31 to 100 Amperes 31 ta 100 Am eres Above 200_Amps. Above ]00 Amps. Above 100 Amps. ~ nst ers . Remote Control Circ. Partia] or other fee s~ Special lnspection Minimum fee $5.00 em TOTALFEE I, the Electrical Inspector, hereby certify that th~e insp ti a~s been ma~. / V'~ (Rough-in) ate (Final) te 6~ `3' 1 This request void ~ 18 months from ~C"ALVl~N HI. HEDLUN ~ 9608 0{rarE Av~n~~ Sout~ . BloominQton, Minn~sofa 85431 Land Surveyor Civil Enqinssr Phon~ : 898-2080 surve~or~~s G'ert~,f "~cate JOB N0. ~~4 SURVEY FOR~Zachman Homes DESGRIBED AS~ ~t 12, Block 2, CEDAR CLIFF 3RD ADDITIpN, City of $agan, Dakota County, Minnesota, and reservinq easementa of record. 906.0 4os.s 51.85 ~ Bdsement Floor = q04. I ~ Gara9e Floor = 903. 5 / I ~ Proposed Elevattons ~ ~ 5I.85 ~ Ex(etin9 Elevat;ons _ ~ ~ Derotea Drainage ~ ~ Denotu Lof Cornei O ~ \qti/ ~ ~ \ ~ ~~~~S I/~(PFCK \ I~ Y y ~Y MO' / ~ 4o3.e 1O 903. ~ / ~ P4 Oy¢~• 24•v~u I y / u~~~T e uu / ~ ~ ~ io'psta~s ~ 10~~ ~ siaktsl l_:.'• i . . ' ~ TIU 6qR T/a~ 4Nq I . 1 r_ _ y Y I 03. I 03. ~ DRIVE 06W! ~ ( L---------- - = 903.9 I~i.9 - - - qoi.8 0 0 m ~ 9o3.b _ SCOTT TRAIL ~ 02.0 ~ol.s 902.3 ~ CERTIFICATE OF SURVEY - I hereby certify thot on (I-Zb-80 I survoyed the property described above ond thot fhe obove plaf is a correct representotion of sold survey. ! ~a,~:-~- ~ Calvin H. Hedlund~ Minn. Re¢ No. 5942 iy Council A'.inutes ~ October ''1, 1980 Page Six C. DCCK::Onp TR1IL PRFT.I>iT?+:\2Y PLAT. Pl'D. ASID A~\L'AC RECIF!1 A. Prelimin~rv Plat. Mr. P.alph SJa~ner and ?fr. 7.ollie Baratz aopeared on behalf of [he application of Bar-e[t Const:uction Compa m• for amendment to the Ducka:ood Trail Planned Development Agreement, r2vised prelininary plat approval and annual planned development raview. The APC recommended approval sub,ject [o certain condi- tions. There were concerns about storm sewer and lake levels in the area and about the futuze construction of parkinR when needed across the street from the condo^~iniun urtits. It was susgested tha[ the timing of the parking would be required at [he grant of [he building permit rather than do i[ in the future as needed because of the in- a6ility to effec[ively~ make a demand upon the then owners. There was considerable discu;sion about the green space, the unstable soil in Che area, and Councilner~bers obj~cted [o the changes that were made to the layout resul[ing in parking across from the condo units. Mr. Barata stated that the developers would install additional parking south of the condos if required bv the Council. Parranto moved, t,Tachter seconded the motion that the prelininary plat application be approved subject to the following: 1. Parking on the 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 [he parking lot lighting be required in the parking across the street C;~ with automatic outdoor parking lot lighting required in that 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. That allowance of parking across the street not be a precedent for future multiple hausing construction; 5. That all other conditions of the Planning Commission be imposed; 6. Tha[ the property be cortunon property.and that the parking lot be [ied to the condominium property with the understanding that there would be a homeo;rners ' association with cocmnonly owned pro~erty. All voted in favoc, excep[ Smith who voted no. D 80-90 B. PL'D ~endment. Yarran[o moved, WachCer seconded the motion to approve the amendment to the PUD Agreement with all vo[ing yes except Smith who voted no. C. Annual Review. Egan moved, fdachtzr seconded the motion, to approve the annual review for Duckwood Trail PUD. All members voted yes except Smith who voted no. ~~i~~ ~ C.C. 1 ~ CEDAR CLIFF ADDITION WAIVER OF PLAT i„z~ ,7~ C 3 The application of Zachman Homes, Inc., for waiver of plat to subdivide 14 [win home lets for individual ownership located in Cedar Cliff Addition was next C considered. "tr. Sceve Ryan appeared for the applicant. The APC recommended approval subject to certain conditions. There was considerable discussion concerning the method of splitting lots and the request in [his instance was for a waiver of plat to handle all lots as [hey are developed. After the various methods were discussed, Parranto moved, Egan seconded the motion, to approve the application covering [he Lo~ ~~Z~ ~ CITY OF EAGAN ° ~ 3795 Pilot Knob Road Eagan, MN 54122 N~ / 6 4 6 ~ PNONE: 454-8100 ~{~~{,6~~ BUILDING PERMIT APPLICATION RecelDr # ~ To be u~ed fo. z DUPLEX Est. Vo~ue 40~000 Dote 12-18 ,~9 80 Site Address ~561 Scott Trail (Unit A~ Erect g] Occuponcy R3 Lot 12 Block 2 Sec/Sub. Cedar Cliff 3 A~ter ? Zon~ny R2 Parcel # Repair ? FfreZone 3 Enlarge ? Type of Const. V rc Name ZaChtn2n HOmes Inc. Move ? # Stories ; 7760 Mitchell Rd. 2L, Address Demolish ? Front ft. ~ Eden Prairie, ~n8 937-9520 Gmde ? Depth 42 fr. ~ Name Avcrwals Fees z° same A~u,,(~~ ~ 7_~ R_ft(1 Permit 115.50 Address F Water & Sew. Surcharge 20.00 Ci Phone 57 . 75 Police Plan check Gw Name Fire SAC 525.00 '=z ~05.00 x~ Address Eng. Wuter Conn <W Ci Phone P~c~ner Water Meter 60.00 Council Road Unit 1$5.~~ I hereby acknowledge that 1 have read this application and state that g~dy, pff, the informaiion is correct and ogree ro camDly with oll applicable APC Total 1, 268.25 Stote. ot Minnesoto Statutes and City of Eagan Ordinonces. . Signature of Permiftee A Building Permit is issued to: ZaChIIlflri HOID25 IriC , on the express cordition thot oll work shntl be done in accord~o ~e w/ith~ oll c ~fm/ble~ -S~tote of Minnesota Statutes and City of Eagon Ordinances. Buildirg Official ~-~`z`~-~- ~ ~k' J r~~/I~, ` CITY OF EAGAN Include 2 sets of plans, ` ' 1 site plan w/e]evations 5 BUI7~It3G PERhIIT.APPLICATION 1 set of energy calculations. Tb Be Used For '/L~~, Valuation _ Date Site Address: ~-,c.v ~..S~s-}~" qe~~Q ~Um.'~'"1~ OFFI(~ USE ODII.Y - ~,ot I ~ _ ; alocic ~ sec. /sub. (~t~ ~ Fsect r~ occu~cy _ ~ _ Pa~cel JU Alter zo„ing Repair Fire Zone Owner: ' ~az9e _ ~YPe of Const. ,y,_ , Move # Stories v ~ Address..: Dernlish Front 2.Q ft. City/Zip Code: Grade Depth 4 Y ft. Phone _7~`J-IS2d APP3~INAIS Fg~ Contract~or: Assessments Pet~nit Address: ~ Water/Sewer Surcharge _____1~ Polioe Plan Chec~c Ci~y/Zip Code: Fire SAC ~"2 ~~'r Water Conn. Phone C~.S~,_ Plaruier Wates Metes Airh./E7xJ : ~ CAUnci1 Road Unit D ! Bldg. Off. Address: p,pC City/Zip Cade: Pr~one ~rrar. ,Y .~l ,S~ r ~9 ~~`o , . CITY OF EAGAN 3795 Pilat Kneb Rood Eogan, MN 53122 N? ~ 6466 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # ~ To 6e ueed 4or z DUPLEX Est. Volue Li0~000 pote 12-18 ~9 80 4563 Scott Trail Unit B R3 Site Address Erect Occuponcy Lot 12 Block 2 Sec/Sub. Cedar Cllff 3 qlter ? Zoning ~ Porcel ~/eO~~i'J,~O 0~--- ReOair ? Fire Zone 3-- Enlcrge ? Type of Const. V Zachman Homes Tnc. a Nome Move ? # Siories Z Address 7760 Mitchell Rd. pe,r,oush ? Front 2~ fr. ~ Eden Prairie,M~~e 93~-9520 Gmde ? Depth 4~ fr. o Name ApDrorala Fee~ Address Assess~ 12-18-80 Perm~t 115. 50 Ci Phone Water 8 Sew. Surcharge 20.0~ Police Plan check 57.75 ww Name Fire SAC 525.00 ~ Address ~ Erg. Water Conn. 05.00 QW C~ ph~ Planner WaterMeter 60.~~ Council Road Unit 1g5.~~ I hereby acknowledge that I have read this applicMion and state thot Bldg. Off. the information is correct ond agree to wmply with all applicabie AP~ T~a~ 1 26$. z5 Stnta ot Minnesota Statutes and City of Engan Ordirwnces. , ~ Signature of Permittee A Building Permit is issued to: Z9.C17Ill8ri HOID25 IriC. on the e~rew condition that oll work sholl be done in octordonc ith II a/pp//licablg StatA of Mfnnesoln Statutes and City of Eagan Ordinances. Building Official / ,~'I. .JI. ~ ' .r '1' ~"I ~ CITY OF EAGAN Include 2 sets of plans, ~Y 1 site plan w/elevations ~ BUIIDING PERhffT APPLICATION 1 set of enes~gy calculations. ~ se Used For ~~nh~Yle t Valuation L/6, Go o Date site Pddress: ~{5103 ~'~~X{I ~~Uh~t" B~ oFE'ICE USE OHI.Y ~t ~ z B~~ z~) S~.,S,~. n~. ~ ~ ~ 3 Pancel ZO~~ ~ Z Rep3ir Fire Zone 3 Owner: h c¢.rt FYilaxge _ Zype .of Const. V Nbve # Stories Pddress: 77(p C /'/'I i~C~-L~ ~1 Da~olish _ Front ~ e~ ft. City/Zip Code:CGleii~/e ,~9t~ Grade DePth y2 ft. Phone y~'37-9SZC~ APP~7VAIS Fg'S Contractnr: Assessrents Permit //S..So Address: Water/Se.a~r Surchaz'9e 2 D.6 D Police Plan Checlc ~5-~.7,~ ' City/Zip Code: Fire SAC SzS, oo ~ " Enq. Water Conn. q~-, eo Phone Planner Water Meter da.oo Arch./F1~g.: Council Road Unit /BS, ao Bldg. Off. Pddress: APC City/Zip Code: Pho~ 1, .~~~-a s l,~ RESIDENTIALBUII.DING ~ 5~ ~5 ~ ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaui2ments RemodeN2eoairReauirements Office Use OnN 3 registered site surveys showirg sq. ft. of l04 sq. fl. of house; and all roofed areas 2 copies of pYan Cert ot Survey Recd (20°h maximum lot cove2ge allaxed) 1 set of Eneryy CalculaGons tor heated additlons Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey far additlons & decks Tree Pres Not Reqd lsetofEnert~yCalalations Additlon-indicateifon-sifesepticsysfem _On-siteSepticSystem 3 copies of Tree Preservation Plan'rf bt platted after 7l1/93 Rim Joist Detail Options selection sheet (61dgs wiN 3 or less unBs Date / ~ / ~ ~ Constructioo Cost ~ ~if~O9 • ~ ~ Si[eAddress ~~6 ~j ~cq!' ~ UniUSte # ~ ~Q Descriptio¢ of Wor Q ~ D~ ~,l ~c Multi-Family Bldg N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ~ N a/~ r s Telephone#( /7's~i / l~t ~ Contractor ~a h ''e-' Address City State ~ Zip Telep6one # ( ) . \,a, J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy COde Category . Residentlal Ventilatlon Category 1 Wwksheet • New Energy Code Worksheet (J submisslon type) Submitted Submitted • Energy Envelope Calculations SubmiNed Licensed Plumber ~ I ~ r ~ I~' ~r Telephone ) Mechanical Contractor ~ r~j 3 1?~r.? II Telephone ) ~~i~; J Sewer/WaterContractor I Telephone#( ) y „ I hereby apply for a Residential Building Permit 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 ork which requires a review and approval of plans. a 1~1 ~ ~ J ~ l~ +PS ApplicanYs Printed Name A licanYs Sign ur OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? i 6 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units • Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ ~0`~13 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodelrReoair Reauiremenis Oifice Use Onlv 3 registered sile surveys shawing sq. ft. ot l04 sq• fl. of hause; and ell roofed areas 2 copies of plan Cart of Survey Recd _ Y_ N (20°h maximum lot coverage albwed) 7 se[ of Ene~gy CalculaCons for heated addiCwns Tree P2s Plan Recd ~ _ Y_ N, 2 copies of plan slwvring 6eam & window sizes; paured found design, etc. 1 slte survey for add'N'ons & decks Tree Pres Required _Y N 7 set of Ene~gy CalcuWfions Addnion • indicete if ar-sfte sepNc system Onsite Septic System _ Y_ N 3 wpies of Tree Preservatlon Plan'rf lot pletted aftar 7/1/93 Rim Joist DefalOptions selection sheet (buildings with 3 or less units) Date~ 1~ ~~s(~, Od ~ / / d.s Construction Cost ~ i Site Address S C o~ _ nidSte # oM P S~ a~t ~x m^ ~ I? If I~~~ DescriptionofWork ~iC00~ ~~~eA,~ ~Al?.t6ri l+i~' ~~'r, a -Sl111 Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 , 2 o0J C S ~ . =_,~q~ Property Owner _~/~/~J/~/ ~q /y Telephone # (~f I ) o~/ - ~„~-Z~ ,7_,_ Contractor C / u~r Address ~ 7 a 6 l 3 r~ /`3Y{. City r/7DG! State ~/[irrtdk~. l'I'/~ Zip ~~~j ~I Telephone #(76 j).~ d30 ft COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitlad • Energy Envelope Calculalions Submitted ~ Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit 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 wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ,/~~cOt' i ApplicanYs Printed Name ApplicanYs Signa OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 79 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applfcant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4561 Scott Tr Lot: 000 Block: 002 Addition: Cedar Cliff 3rd PID:10- 16602 - 122 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 Total: $70.00 Owner: Rolando Garcia 4561 Scott Tr Eagan MN 55122 -2352 Permit Type: Permit Number: Date Issued: Permit Category: $69.00 0801.4085 $1.00 9001.2195 Issued By: Signature Building EA074958 08/31/2006 ePermit 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 with all applicable State Date: k City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fo.rOffice Use Permit#: 1a/% Permit Fee: f{' G.G.' `-' Date Receival: ( Staff: INFLOW & INFILTRATION PERMIT APPLICATION t/ Plumbing I Sewer & Water 1 )9,0 ` Site Address: t fro ' Tfc 1 Tenant: Suite #: RESIDENT / OWNER Name: Z4 AGil. C _O GG(Ci, Ck. Phone: c t a - 85 " ( 0 Address / City / Zip: `A5 r, i _SC c -.}1- Tr [ SS i a CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair Other: 2.e _ rc) i -e 1re:y(ctcP_d_p Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will 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 requi s a review and approval of plans. tigsr Applicant's Signature )\v�COACk cetrCi Applicant's Printed Name x FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In Final PERMIT City of Eagan Permit Type:Building Permit Number:EA138442 Date Issued:08/26/2016 Permit Category:ePermit Site Address: 4561 Scott Tr Lot:122 Block: 02 Addition: Cedar Cliff 3rd PID:10-16602-02-122 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Rolando Garcia 4561 Scott Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature 401 City of Evan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Office ForUse Permit#: ! % gg-s ` -�/'] Permit Fee: /q7 7 c O PAA_ Staff: rze Date Received: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 9 / 1 I n`L i k Site Address: 450,1 OW s51 aa Unit #: identl .' er 5- \aag0 Name: c,lc,4cic o. react Phone: I _ ‘,;,8:S Address / City / Zip: Lk SC, J, c.t 1- T' c "Q ivt 1 M N 5513? Applicant is: k Owner Contractor rp #, f Wor Description of work: -0 eCK Construction Cost: Multi -Family Building: (Yes / No X ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and su « documents t api/i submit are considerediiil- oto � ® ori►oris ' clas Pied as non- blic if you a �` ►rfic reasons that would permit the City to the int' � don m ��. PP Y A Con de that they de cress. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will 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 by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 9�0 k�A.Adc Cc -Arc -1°k. x Applicant's Printed Name Applicant's Signature Page 1 of 3 z -/6(f co %e. SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation $1 Plan Review (25% 100% }4 ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace _ Garage lO Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Interior Improvement Move Building Fire Repair Repair VB Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy 7C- \ Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) yo Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls M71n 20 i 5 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required X Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: Reviewed By: % a m tiv\ t K l F} , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL / ' p e oe_ - C �r✓I �, �� - S i h'%;2(Jr}Y Z96��- nr Page 2 of 3 CALVIN H. HEDLUND / 17 Land Surveyor Civil Engineer / a -cm jie- ,ky'ier Survcqor's Certificate 9609 Girard Avenue South Bloomington, Minnesota 55431 Phone : 888-2080 JOB NO. 144 SURVEY FOR: Zachman Homes DESCRIBED AS: Lot 12, Block 2, CEDAR CLIFF 3RD ADDITIQN, City of Eagan, Dakota County, Minnesota, and reserving easements of record. Basement Floor c 904.1 Garage Floor = 903.5 Proposed Elevations c Existing Elevations Denotes Drainage —. [Denotes Lot Corner O ic�znkiu..1 in ck,ic 4-oeLK 1 I._'\ror-n aex# &I/ r,o're 18 DRIVE DRIVE 0 403.6 gERTIFICATE OF SURVEY I hereby certify that on 11- z6-$30 I surveyed the property described above and that the above plat is a correct representation of said survey. SCOTT TRAIL -1 cl$22..0 902.3 0 M 901.5 _; 1 Calvin H. Hedlund, Minn. Reg. No. 5942 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143569 Date Issued:06/20/2017 Permit Category:ePermit Site Address: 4561 Scott Tr Lot:122 Block: 02 Addition: Cedar Cliff 3rd PID:10-16602-02-122 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 - Rolando Garcia 4561 Scott Tr Eagan MN 55122 (612) 685-1290 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147837 Date Issued:02/09/2018 Permit Category:ePermit Site Address: 4561 Scott Tr Lot:122 Block: 02 Addition: Cedar Cliff 3rd PID:10-16602-02-122 Use: Description: Sub Type:Residential Work Type:Alteration Description:Kitchen & Main Level Bathroom Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Rolando Garcia 4561 Scott Tr Eagan MN 55122 Majeski Plumbing 875 Spiral Blvd Hastings MN 55033 (651) 437-3823 Applicant/Permitee: Signature Issued By: Signature ER' -iq For Office Us s�+ Permit ft: / Permit Fee: Date Received: 3830 PILOT KNOB ROAD( EAGAN, MN 55122-1810 FEB 1 2 2018 �/— (651)675-5675(TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buiidinainspectionsCcDcitvofeaaan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _ Unit#: Name: O1an a Cl' ' Phone: G(Z 6$ l250 Resident/ rf Address/City/Zip: 56, JCS u r Applicant is: Owner Contractor Description of work: (" k1:,t y'4 vb t) hie s / Type of Work Construction Cost POU Multi-Family Building:(Yes_/No ) Company: V"2 L 1 h C M )y h D"1 Contact: L�1�Q /77Ri-ri Col ContractorAddress: 7 7V 5 S7 4 City: b^f U�e+'"6 [ql4 State:PIAl Zip: ?7 Phone: �cl ?y 11/7Email: CO22G1 e tp I -ec>-yl License#: LeadCEsrtificatb�: 3. If the project is exempt from lead certification, please explain why: l ) 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&Water Contractor: Phone: Fire Suppression Contractor: Phone: • fit O L i r fflxg documentst yousubmit are � to public j , r a lassified as ff" " , .._"1/1°reasons r 1x . •�, ; ,d: ,:; You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that understand this is not a permit, but only an application fora permit, and work is not to start without a permit; that the work will be in accordance 'th the approved plan in the case of work which requires a review and approval of pl ns. x Applicant'st'' Printed Na s rgnature `r E,,v ..��/ J/ (-)/-/.. /le---. /791 ! 7 w DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) ro Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazeiao/Pergola) Miscellaneous 01 of_Plex Lower Level — Pool _ Accessory Building WORK TYPES New Interior Improvement ` _ Siding Demolish Building" Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation zj�� Occupancy ) C—) MCES System Plan Review Code Edition I41/1 ado 1,5- SAC Units (25%_100% ) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1\13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) }i Final I No C.O. Required Foundation Foundation Before Backfill p HVAC_ Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool: _Footings Air/Gas Tests _Final ?o Framing 30 Minutes 1 Hour Drain THE Fireplace: _Rough In Air Test _Final Siding:__Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control r Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control ?� Shower Pan Other: Reviewed By: i` AA ✓Y1l - L04- , Building Inspector RESIDENTIAL FEES n/i��d/'� vy/ fe- -- Base Fee �/ Surcharge 3 59 , Plan Review MCES SAC City SAC 2e,aIli-G; , ( i I �‹v, e . Utility Connection Charge ^ 1S S&W Permit&Surcharge lrnn�'� T Treatment Plant Copies TOTAL Page 2 of 3 0 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174684 Date Issued:02/11/2022 Permit Category:ePermit Site Address: 4561 Scott Tr Lot:122 Block: 02 Addition: Cedar Cliff 3rd PID:10-16602-02-122 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Rolando & Silvia Garcia 4561 Scott Trl Eagan MN 55122--235 (612) 685-1290 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature