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4303 Metcalf Dr -.; C1TY OF EAGAN ? 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE:4548100 sUILDING 'ERMIT $6 ,soa 10249 Receivt # L? Eteet U OccupancY Sit? Addrea ' .i5J ,1 • l k L /S S y'S.Fr Remodel ? Zoning Lot ec ub. B x --- p?ir ? Type of Const. Parc?l No. Enlsrge ? No. Storiea Move ? Length Name D lish ? th D emo ep ? ? Addro ? ts Grede ? Sq. Ft. City Phone Install ? ? Nama Su Addrea. 0- Citv ? Phone '-, Name Addrsu City Phone thot I haw reod this appliwtion cnd atote that rrect ond ogree to tomply with oll applicable teeuees ond Citv of Enaon Ordinonus. Sipnotun of Peemiftes ' . A 8uildinq Pem?it is issued to: ' dl work sholl be dorn in accordance with oll opplicnble Stoh of Buildinp Offidal Assessment Water b Stw. Poliu Fin En0• Plorww Coundl??. 81dg.Off. ' APC Var. Date Permit Surchorge Plan Review. SAC Wotar Conn. Water Meter Rood Unit Parks Toial ' on t!w expr?ss canditlon tha+ Statutes ond Gty of Eopan Ordinonces. Pwmit No. Ponnk Holdw Dou Tele hone i Plumbinp H.VA.C. EMeMc Soiternr Inspsction Oate jlnsp. Otha? Footinyt J'3?lP'S? Foundst n Framino Roofinq Rouyh Plbo. Rough HVA Inwlation Final Plbp. Ftnal HVAC Final Grt/Ooe. Wahr DNeribe lacstion: YINII Savor Pr. Oap. BUI,LDING PERMIT CITY OF EAGAN 3795 PiloF Knob Rood Eagan, MN 55122 PHONE: 4548100 • $499000. Receipt # Sil1g. Fam Dwilg. b Gerg• Date ::n Site Address 4303 ?'e L? :•.; ;? Lot Black Sec/Sub. Ln Parcel # J & Name z Address tiU 1:? i7Clt St. St1ite 192 '-t-I i na 31-021 a: Name _ ?? Q Address ? ~ Cit - uW W W W Name _ F x? Address I hereby ocknowledge thot I hove read this upplication and state that the information i5 Corred and ogree to comply with a!I app:icoble 5tate of Minnesoro Statutes and City of Eagon Ordinances. Assessment - Water & 5ew. Pol ice Fire Eng. Plonner Council B!dg. Off. _ APC Permit 1 .11. ]V _ Surcharge 24.50 Plan check SAC 47 S. Ot? Water Conn. 2? D Woter Meter h r? • 00 Total W82.00 Signoture of Permittee I A Building Permit is issued to: on the express condition thot oll work shall be done in occordance with all opplicable State of Minnesoto Statutes ar?d City of Easan Ordinances. Building Official ' - - ? . N2 4360 l3, ,e 77 Erect p Occuponcy t Alter E] Zoninq ' Z Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front it. Grode ? Depth ft. Approvols Fees ? PwmM # paM luaed hraWfM Plumbing 'r :? ._ ir.,. - --, *7 - -i ? c -, Mechanical Q?? G-/G r 7 7 INSPECTIOMS DATE INSP. RougMln Firal Footings ? Date Ir?sp. Dote (rop. Foundotion Plumbinfl 1.,?-3> Frome/ins. Mechanioal Final Remorks: CITY OF EAGAN ? 8795 Pilot Knob Road . . Eagon, Minnesoto 55122 Phone: 454-8100 t Hl'AT I hC, _ PERMIT Date: June 16, 1977 4303 N?etr_alf rxive Site Address: Lot y Blxk 3 Sub/Sec. RH 9tM No. 9 Receipt No.: r?401 Single I Residential x Mufti Res., Comm./lnd. I Name new New/Alter /Repafr . . ; Address Cost of Installotion _ O ',di»a Ci Phone: - 2a. p?. Permit Fee Pay N. Welter Heating, Inc. Name - • 5?? Surcharge ` ? } 4637 Chica(.tc) nye. Address e p 20.5^ City _ Phone: Total This Permit is issued on the express condition that all work sholl be done in accordance with all applicoble Stote of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN .? 3795 Pilot Knob Rood `„•' , Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Dote: June 14, 1977 Site Address; 4303 Metcalf Dr. Lot 'Block Sub/Sec. RFi 9th Nome ' lndso= UeV. C7Q'-"'> . ; Address O City Phone: -Wame Thompson Plunbing Co. ? Address 0 r V City _ Phone: This Permit is issued on the express condition thot all work shall be Minnesotu Stntutes and City of Eayon Ordirances. NO. 2'1 r Receipt No.: - " r?? _.., •?,-;??• 5ingle Residential ' Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Installation Permit Fee 20.00 Surchorge ' So Totol '-1?10 ril.'_ed done in accordance with all applicable Stafe of Building Officiol CITY OF EAGAN Remarks Addition Riv'er Hi_ I s Qfh Lot ? aik 3 Parcel ;1W 6hhoo 010 03 Owner"' '' ; • - L. ";- Street 4303 Metcalf Dr, state E'agan,MN 55122 Improvement I Date I Amount I Annual I Years I , Payment I Receipt I Date STREET SURF. STREET RESTOR. GRADING SAM SEW TRUNK ?'. *SEWER LATERAL WATERMAIN . WATER LATERAL 1976 3 WATER AREA STORM SEW TRK STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT : WATER CONN. SUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3795 Piiot Knob Road PERMIT NO.: Eogon, MN 55122 DATE: % ?'•' Zoning: No. of Units: 7 Owner; _ " - Add ress: Site Address: i'Y' 7-1 Plumber: n r` i•' - - - Meter No.: SiZe: Connection Charge: Account Deposit: Reader No.: Permit Fee: _- 1 agree to eomplp with the City of EQgan Surcharge: .'Yt} 1 1113 Ordinances. Misc. CFwrges Total: gy Date Paid: Date of Insp.: _ Insp:: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Piiot Knob Rood PERMIT NO.: Eogon, MN 55122 DATE: Zoning: No. of Units: Owner. ? Address: Site Address: i ''le r-', Plumber: ??•F ?3' ? i7?'. J`! ? . I ogree fo comply wifh Fhe City of Eagan Connection Charge: ?75 -`lh i1c' Ordinaneea. Account Deposit: Permit Fee: Surcharge: BY -- Misc. Chorges: Date af Insp.: - Total: Insp.:_ _ Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION ??I ??v I 3830 PILIOT KNOB RDN 55122 $( 0• V O ? 651-681-4675 HewCOnstructfanReauiremenfs RemodeVReaairReauirements ???'oI • 3 regislered site surveys showing sq. ft. of bt, sq, ft, of house; and ail mofed areas • 2 copies oi plan (20°h maximum bt coverage allowed) . 1 sel of Energy Calculations for heated additions • 2 copies oi plan showing beam & window sizes; poured found design, etc.) • t site survey for exlenor atlditions & decks • 1 set of Energy Calculations . indicate if home served by septic syslem foraddAions • 3 copies of Tree Preservation Pian if lot piatted after 711193 . Rim Joist Detail Options selectian sheet (61dgs with 3 or less units) ?- 1 DATE l-P? ? a C4 ?I VALUATION (EXCLUDING LAND) !tanGl JOB SITE ADDRESS q303 Ae/CaM vY'll4if IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 0ja0r4e (Z I~1'Z?XP J^ TYPE OF WO APPLICANT ADDRESS PAGER # CELL PHONE # ZIP CODE FAX # NEW RE3IDENTIAL BUILDING ONLY - FILL OUT GOMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGOR'? (check one) - Residential Ventilation Category 1 Worksheet • Energy Envelope Calculations Submitted _ MINNESOTA RLJI.FS 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing, System Includes Water Softener Water Heater No. of Ba(lis Phone #: Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Mechanical Contractor: 1-iY'PS?OLP C` rMP4 ?//iPrYTlI"eSo Phone # Mechanical SysCem Includes: Air Condirioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # AII above information must 6e su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances ? Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ tEPLACE(S) _0 1 _2 _3 PHONE# Updated 1/Ot OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bidg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demulitian (Entire Btdg only) - Give PCA handout to appl icant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS _ FinallC.O. _ Final/No C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding SNcco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Tatal ? CITY OF EAGAN 3795 Piloe Kne6 Road Eagon, MN 55722 N2 4360 , PHONE: 454-8100 , BUILDING PERMIT APPLICATION $49 000 Receipt # 6331 , . To be ueed for Sing. Fem Dwlg, d Gat'g. pate .Tvne 13, _ 19 77 Site Address 4303 MetcAlf Erect Octupancy I L I B n; v ? o ?; l 14 l k S S b Alter ? Zoning Rl ot ?,y_??_ th oc _ _ ec/ u . _?,.?ttr T, Repoir ? Fire Zone Parcel # _ Enlar9e ? Type of Const. V z Name WindsOl DOV. Move ? # Stories ; Address 4660 W. 77th St. Suite 192 oemolish ? Front 54 k. ? ne - Zl7 Grade ? Depth 44 4t. Citv Phone Ce.nn Aeo,mals Fees p Name _ r ?? Address ? r:.. Name _ Address I hereby acknowledge that I have read this application and state that the infortnotion is correct and agree to comply with all apDlicable State of Minnesota Stotutes ond City of Eagun Ordinances. Assessment _ Water 8 Sew. Police - F(re Eng. Plonner _ C.ouncil - Bldg. Off. _ APC - Permit iil ,jv Surchorge 24.50 Plan chetk 5nC 475.00 Woter Conn. 105:00 Woter Meter 60.00 Sew Trunk 180.00 Totol 1082.00 Signature of Pertnittee ? 1 A Building Permit is issued to: WiIIdSOI Dev, Corp, on the express condition that all work shall be done in99ccordon¢r,w1fF?ill appliwble $tate of Minnesota $tatutes and City of Eogan Ofdinances. Building Official CITYOFEAGAN N0- 10249 3830 Pilot Krrob.Road, P.O. Boz 21-199, Eagan, MN 55721 PHONE: 454-8100 ??`l?/ BIdILDING PERMIT seceipt # g° Ta M w"d For 3-SEASON PORC& Value $8. 500 pate MAY 20 , 1 q 85 4303 METCALF DR Erect 0 Occupancy SireAddren 1 RIVER HILLS 9TH Remodei 3 Q Zoniny Bixk lat SeclSub. Repeir ? Type of Const. Pareal No . Enlarge ? No. Stories CHUCK FISHER Move ? Length W Name Demol{sh ? Depth ? qddrecs SAME Grada ? Sq. Ft. City Phone lnstall O ? Neme T.C. BUILDERS ?G qddms 2109 GRAND AVE ? citv ST PAUL pnone 690-2239 GW Name ?W Address Ww City Phone 1 hereby xkiwwlWgs iFwt I huw road Ihis eODlitution ond stata thot tha inlormation is correct and ogree to fAmply with oll npplicuble Stote of MinnesoM Statule Ciry f Eagon QcdirwrKxs !? r-? ?/ ? Sipnoturo of Pertnittaa ? A Buildinq Permit Is issro: dl work shall be done in xrnrdonce with ell Stote ?Of l?iT Buildirq Offidal ?y_• Assesament Water 3 Sew. vdio. Fira Enp. Dlonner Council 8ldg.Off. 5/20/85 APC Var. Date Permir ' • . • . . Surchorge 4 • 50 Plan Review SAC Water Conn. Woter Meter Road Unit Parka TMaI $ /g'uu_ on the sxpreas condiHon thot Stoh.tes and City ofEnpan Ordinancet .. . '?Ree'$ ?n Stree{ ? :' , '= h1UNICIPAL MINNEG SCO PERMIT N0. ? > Iylp?s.0 ?" ?SERVICE,INS ALLA.TION ORDER NO. IC:>16 Sub.'?.?. . EAGAR ; E-N0. 9:?O Map,No 922 Old? N4K Bldq. Class b Customer's Name ' ViadeoL Dei Colq' Tel. ?` Instdllotion Address' ' ' ive - ?#,Legal}Deacr?ption ? L'ot No .81ock No. 3 Addition Conti's Nama- Tel. . Contr's'Addrosa Owner"s Nome . Tel. Owner''s Addreas Date Ordered 7-16-77 Max. Demand,:2Qf?t CF/Hr. Taken By Main Auth. No. $ervice LocaTion: Right ? Left;M Front 0 Add'I Info. 5/8" TR-41a Serv !k" Tll-418 hFain 9` ?T9L 1975 T?'l Mii 5" ' . ? ES.L- ? + D6tc' CqmpleTed FoFeman's Name To the iCity Engine%? ' 1City Council?';`:. ` ? ' (Village Councii ; - ?. ? (Town 696rd ., ,. •yC . '. ...a Yi... " _? . . ., .-: ..? t ' The Minnesota Gas Company hereby requests permission to perform : the work mdiceted above. ? pcommenCSd torRppibvaC? , earie6Taoo RoseNE, ANoERU+f ? MINNESOTA GA$ COMPANY j . ' & ASSOCIATES, INC (. ey `? (ChisfDasipn.Engfneer). - - ' .. . . . - . ' . . " I_ 416 ? To the Minnewta Gas Company ? Permission is hereby grented th e Minnesota Gas Compan_y to perform ` the work indicated above. ? of ? .. s;?... _ ,. . . . .. . . ' . . . ?-i=-=- , Date ; - . . : gy ' ? (Authori:ed5iynatursJ ? ? ???a- .. ' . , . . . . . I FORM 5k8R E/ 69 , . . ,- WINDsoR DEVELOPMENT CORPORATION June 6, 1977 City of Eagan 3795 Pilot Knob Road Eagan, Mn. 55123 Attn: Dale Peterson Dear Mr. Peterson: Enclosed find a check in the amount of $1082.00 for building permit fees, surcharge, SAC, sewertrunk, water connection and meter on: Lot 1 BLock 3 River Hills 9th Addition, 4303 Metcal£ Dr. This home will be a Model 76-22 Elevation D, and will include a full basement. Allocation of funds is on the eheck stub. Proposed plot 'plan is enclosed. Thank yov for your cooperation in this matter. Sincerely yours, WINDSOR DEVELOPMENT CORPORATIONti Mj?????+K chael McCOrmick Vice President MM/dk encl, SUITE 192, 4660 WEST 77TH STREET, EDINA, MiNNESOTA 55435 • PHONE (612) 831-0717 . LOT ? BLOCK '?,^..L ; & SP.CTIOid PNP9S3ER IF Ui1PLRTT$D GF Datee 1SDDITIOtT _/?/ OCCUPAP7CY .I USE cS?f= L?,-?-- __.. 371,,11 TELEPxaruE ivo. '.;,,}rL:sn LOid'iP.BCTf A TELEPHONE :70. MC?ZESS Notee Include site plan, building plans, and energy calculation5 w=th th+.?- application Signed. BUILDI'tIG PEkIIi APPLSGATIOid OFFICE USE ALUi1TTOi1 C:,:PN?:C`:'IOYI 2*JIM_TNG PF.RliiIT FEE '7IRCH1',RGE FEE a LAPT Cu&:CIt FEM PARSC DEUICATION FEE OT,.aR - S e u.1 e t Tr czn k :2(7111yar ?/ 50 j,Q,, ao ?'-- '-1.^p"C?`IR7,S : -':177ISSi-9i,.:T C:,ERK SUILDIIJG DEPT.p?+i? DEPT. ^? ...'..T?'R E SEWER Dr,P^s . FIFL DEPT. PARK DEPT. C? ?U NOTE: ALL CONTRACTORS MUS? BE LICENSED NITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS ._a 3 CERTIFICATES OF SURVEY ToT?-?°7 SET OF ENERGY CALCULATIONS To Be Used For: ? Scq co, &15?0reL ValuatioJ ?Date: Site Address; ,30 Cr ?• Lot: / Block 3 Sect/Sub Parcel l1 Owner C-Yi K(I,t y' 1 Si?' kA Address '3 Inp L (20??4 ??. CitylZip Code U Phone Contractor 0,,4 4c?-P r g Address u L U e , City/Zip Code S?: ?G u f -?r5 / OS? Phone ? Q(j ? a2a-? ? Arch./Engr. Address OFFICE USE ONLY Erect x Remodel _ Repair Enlarge Move Demolish Grade APPROVALS Oecupancy Zoning Type of Const It of Stories Length Depth Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Of tO' Parks APC Treatment P1 Variance q 7 TOTAL CitylZip Code Phone # 3 /.Lt .a.a- u c.t` o-!'h?, RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 a? \So - ?) NewConstrucllonReauiremenh RemodellReoairReauiremenh G???, • 3 regislered sile surveys showing sq. R. of lot, sq. ft. af house; and all roWed areas • 2 copies of plan (20% manimum IM coverage allowed) • 1 set o( Emrgy Calculations for heated addflions • 2 wpies of plan showing 6eam & window sizes; paured found design, etc.) • 7 site survey for exterior additions 8 decks • 1 set of Energy Calculatiore • Indicate if home served 6y septic syslem for additions • 3 capies of Tree Preservation Plan'rf bt platted after 111/93 • Pom Joist Detail Options seledion sheet (bldgs wBh 3 or less units) (-A DATE 7 VALUATION SITE ADDRE3S ? itL v(C- MULTI-FAMILY BLDG _ N TYPE OF WORK I E?R- FIREPLACE(S) _ 0 1 2 APPLICANT STREET ADD TELEPHONE SVLWU STATE l"N ZIP-SS-3 ? FAX # PROPERTYOWNER?n3 n7 i t' 9l CAele TELEPHONE?-???0 ..COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATGGORY 1 MINN `7` (4 submission type) • ResidenGal Ventilation Category 1 Worksheet Submitted • N o? 1? . e? i. • Energy Envelope Calculations Submitted JUl_ 2 9 2002 Plumbing Contractor: __________________ Phone # Plumbing systein includes: Water Softcncr _ Lawn Sprinkler tB_y Water Heatcr No. of R.I. Baths No. of Baths Mechanical CoMractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Hcat Recovery System Phone # Phone # ree: $70.00 ----°---------------------------°------------------°°------°--------------------------------------------------°----- I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan 'fdir n s. Signature of Applica °------__.....____--°----------°---------------------°------------------------...-----°-------°--- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous O 31 New 0 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 ? 46 Windows/DOOrs ? 34 Replacement "Demolition (Entire Bldg only) - 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVpC _ Drain Tile pther Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newReplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 15 s° 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. - -- -- - ? 5 ? STEFFEL, GORDY Date 072AO - 4303 METCALF DRIVE Site Street Address EAGAN, MN 55122 Ufilt # (651) 882-6560 Property Owner `-- -- - - - - - - -J Telephone # ( ) NORBLOM PLUMBING CO . Contractor 12 0 Telephone # ( ) ) 8274 033 City Address State Zip MINNEAPOUS, MN?5540? O h t er The Applicant is: _ Owner ontrac or _ Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Sepiic System Abandonment _WaterTurnaround (add $125.00 if a 5/8" meter is required) Oiher: Water Softener _2L Water Heater $ 15.00 _ new ? replacement. Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ IS. SO I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appro ?d. ?l e? N mrbl?n r 11 f ? ' ; !? ?? ? ? ApplicanYs Printeci Name s Signature J ate of Survey forw . . r? ' DSOR DE ` -- ..._.. ... . _ . . ; _, ,- ,.. ?j?1S(<1%'! ?. iV ??i?OGt'.. ?7 / ??•-?,`'_j? ( 90 o T Xz _- , DENOTES ORAINf O DENOTES IRON ELEVATION GAR PERMIT City of Eagan Permit Type:Building Permit Number:EA122823 Date Issued:05/20/2014 Permit Category:ePermit Site Address: 4303 Metcalf Dr Lot:1 Block: 3 Addition: River Hills 9th PID:10-64400-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Joe Soucek 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 - Adam C Wilkens 4303 Metcalf Dr Eagan MN 55122--192 (952) 217-4877 Trend Construction Inc 8160 CO Rd 42 W STE 300 to 319 Savage MN 55378 (952) 440-4440 Applicant/Permitee: Signature Issued By: Signature tJse BL.UE or BLACK Ink � . r�.__----_'_--------� . t For Office U � I � � Cit of�ao�n ; PB�� ; � 6 � � I I Pertr�it Fee: 3630 Pilot Knob Road � i Eagan MN 55122 � o�g�� Phane:(651)675-56T5 � � � Stati: � Fax: (651)675-5694 �----------------- 2015 RESIDENTIAL PLt1MBING PERMlT APPLICATION _--- _ f.{�� !�!�� Date: Site Address• �C�- Tenant: ��#: ResidentiOwner Name: . W • � �f� Phone: � �l– � �c�.! �� Address/City/Zip:_____ �� p��S� (/ �'7� Name, Lioense#: (- 1 L�3 � !�oZ C011�"dCtO� Address:C� f 1.�./ l,'O�. � J� ' City: ��C�v� � Q.L� ' ��- ata- sas3 State: Zip: � Phone:__ Contact � � �� Email: ^ ' �'u✓�'►� � �tJ "��•C a�"� Type Of WO�k —New c� Replacemeni _Repair _Rebuild _Nbdify Space _Work in R.O.W. Description of work: �O 2✓ �� ✓l. �-ft�-�, RESIDENTIAL Water Heater Water Softener Permit Type Lawn Imgalion(___RP2/_PVB) Septic System Add Pfumbing Fixhxes{_AA�ain!_Lnwer Leve1) N� Water Tumaround � _Abandonment � RESIOENTIAL FEES: 560.00 Water Heater,Water Softener,or Water Heater and Saftener(includes$5.00 State Surcharge) $60.00 Lawn Irrigahon(incfudes$5.00 minimum State Surcharge) � $60.0�Add Plumbing Fixtures, Seatic Svstem Abandonment,Water Turnaround'(includes 55.00 State Surcharge) `Water�umaround(add$200.00 if a 5/8"nreter is required) �'�15.00 SeDtic Svstem New($10.00 pe�as budt)(inGudes County fee and a5.00 State Surcharge) TOTAL FEES S CALL BEFORE YOU DIG. Call Gophe�State One Call at(651�454-0002 for protection against underground utt�ity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orQ i hereby acknowtedge that ihis infortnalion is�omplece and aocurale;that Ihe work will be in confortnance with the ordinanoes and oodes of the City of Eagan; Mat I undersFand this is no!a pertnit, bul onfy an application for a pem�it. and work is not to start without a permit;tha[the work will be in accordance with the approved plan in the case of work which requires a review and approval f p s. r X ��-� � ��:�o�cl� x � Applieant's Printed Name Ap can ignature FOR OFFICE USE R viewed By: Date: Required Inspections: Under Ground �ugh-In Air Test Gas Test �Final Meter Related tbems: Meter Size Radio Read Manometer Staff: ��d d90�S09150qa� PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137982 Date Issued:08/02/2016 Permit Category:ePermit Site Address: 4303 Metcalf Dr Lot:1 Block: 3 Addition: River Hills 9th PID:10-64400-03-010 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 - Adam C Wilkens 4303 Metcalf Dr Eagan MN 55122--192 (952) 240-4877 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature