4306 Metcalf DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: `'" 1 t 0 " "6
3830 Pilot Knob Road Permit Number. 0 " f; •' OM
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUGANT:
? ?? ? ?? i???. ?. ?
? :. hlt I I fil.I Oli . ??i,•,1??f- 'i kriiI l t i4 14 [( I
1.1, Itt+l', `l11t -:_i4 10
i
?
:
?
PERMIT SUBTYPE: TYPE 4F WORK:
:,, , ...r. If PA I R
i.+i ? I f : i:ip3 I h!)feF I hlls)
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL H7G
ORSAT
TEST
BLDG FINAL
-
BSMT R.I.
BSMT FINAL ? q
:?
---
DECK FfG
DFCK FINAL
CITY OF EAGAN
Street
State F''agan,,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET FiESTOR.
GRADING
SAN SEW TRUNK G? 1973 1 8 2 9.91 1
*SEWER LATERAL 1
WATERMAIN
*WATER LATERAL 1976
WATER AREA
STORM SEW TRK alCl t0 B SVllle
STOFM SEW LAT 1976
-
CURB & GUTTER
SIDEWALK
STREETLIGHT 1980 67.80 13.56 5 67.80 C006643 0-15-79
WATER CONN. BrnsV-Ue ZO OO
RUILDING PER. 141 1-15-26
sac 0.00 2655 -13-76
Raurar Rl"YI.S'Vl 1 R lAn _ nn ar1Ai ti rmal awar t.rnnk
RESlDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reouirements
• 3 regis[ered site surveys showing sq. h, of bt, sq. R. of house; and ail roofed areas
(26°k maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• i set of Energy Calwlations
• 3 copies of Tree Preservation Plan ii lot platted after7l1193
• RimJoistDetailOpfionsselectionsheet(bidgswith3orlessunib)
DATE I L Ii
JOB SITE ADDRESS '
iF MULTI-FAMItY B!!!!D
PROPERTY OWNER V
TYPE OF WOR?U
APPLICANT -, Y"C
PAGER #
HOW MAlVY.UNITS?
6?n 0,4
r21c ctiP yc, 3?ic
CELL PHONE #
<t -? p_db
RemodeVReoair Reauirements
• 2 copies of plan
• i set of Energy Calcula6ons for heated addi6ons
• tsitesurveyforextenoradditions&decks
VALU,A?TIO)N (EXCLUDING LAND)
r
I r bYU
" J-Iw:r I
> ?h a
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory ? MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
PlumUing System Includes: Water Softener I.awn Spruikler ree: $90.00
Water Hcater No. oF R.I. Baths
No. of Baths
9 oo ? 00 -6 75P)
MechanicolContwctor: 1
xjx Phone#
Vlechanical System Includes: Air Cocidi 'oning Pee: $70.00
- - Heal Recovery System
?
Sewer/Water Contractor. Phone #
I •?I?? ??? I,
-
u
I
All above information must he submitted p rior to processinq of application. ?v
'
I hereby acknowledge that I have read this application, state that the information is c orrect, a d gree tp. y with
all applicable State of Minnesota S tatutes and City of Eagan in n s.
Signature oF Ap icant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
6tREPLACE(5) 'V YES NO
PHONE # ?iZ-g?ID /-75
?'?? F?A7X #
Updated 1101
OFFICE USE ONLY
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-ptex ? 18 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mul[i
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repalr
? 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 Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new 6ldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plum6ing
Foundarion HVAC
Drain Tile
Roof Ice &
? Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Stone
_ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tatal
Building Inspector
VIU1sGE. QF EAGAN WATER SERVICE PERMIT
3795 Vilot Knob Rood PERMIT NO.: 1950
Eagan,MN 55122 DATE: 4114/76
Zoning: RI No. of Units: 1
Owner: WiTldeor D2v. COlp.
Address:
Site Address; 4306 Metcalf Dz./I ,2B1 RN9
Plumber:
er No.? 1 p?-
Size: Connection Charge?05.00 pd
Account Depositr
Reader
1 ogrce Rp,?o
??. ifh the Villaga of Eayon Permit Fee:10. 00 billed 696
Surcharge: • 50 billed 696
Ordinancea.?
°? Misc Charges: 60.00 pd
To[al:
By Date Paid:
Date of Insp.: Insp.:
YIL1,4flE OF EAOAN SEWER SERVICE PERMIT
3795PilotKnobRaad PERMITNO.: 2707
Eogan, MN 55144 - DATE: 9/14/76
Zoning: RI No. of Uni[s; 1
Owner: Windeor Dev. Corp.
Addreas:
Site Address: 4306 Metcalf Dt. L2B1 RH9
Plumber.ThmPBOn P1umb{nq op
4/13/76 #2655 100.00 pd
350.00 pd
I agraa ro eemply wifh tha Villaga ei Eayon Connection Charge:
Ordinoneea. Account Deposl U. 00 b11Ie?St ??
1
Permit Fee:
.50 6--
Surchazge:
gy; Misc. Charges:
Date of Insp.: Total:
Inyp,; Date Paid:
.
CITY of EAGAN N;4 3884
BUILDING PERMIT
)r n 3795 Piloi Knob Road
Owaes 24 !..l.d?:.......?-/.iL`c.?.? ................................... Eagen, Minneso2a 55122
77z?/, ? .
Address (Presan!) :t??.?i..Q.? ?•----------- --- n ?--??!??zr..._--.. 454-8100
Suildee ...............?'....?`...?-:?z.2.?.................................................. ..........
Dsla 7.. ..............••_-•.....
Addsees .............................................................................................. '
DESCRIPTION
5fories To Be Used For Fson! Depih Haigh! Eei. Coaf Permi! Fae Aemaska
- -?
ioo °?
??f°,'?
' 0 a LOCATION
Slreel. Road or ofher Deseripiion of Localion I Lo! Sloek Addition os Trae!
'/,306 2 / iPr4l 9
This perroit does not su!'?tariza the use of sireels, soads, alleps or sidewalks nos doas it give the owaer oc LSs agen!
the sight to creaie anq siluation which is a nuisence or whieh preseals a 6asazd fo the heellh, safely, eoaveaieaes ead -
ganesal weltare !o anpone in the communifp.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WOAK IS IN PAOGRESS.
TMa is fo cestifp. !hal..ZC?t.?:?.c??.:-?,.:.:St :............... haspermission !o ereci a_'5?s?[s. .......... _upoa
the above described premise subjec! So the provisions of all appliaable Ordinanees for ihe Ciip oEegan
??`.`'.t•'"`?ts:l .................. .......... ..""'.........._..... ._-?.?:.?'..^-?..??........................
...
Mayor Sulldinq Impeclo?"<'
CI'I'Y.OF EAC;4rS
3 i 95 nil-ot I'^cb Hoad
Es;,;.n, .•^.ir.neeota 5j'.22
F?EMIrt' n0o
The City of Ea.gfln hereby grcn-??s to Pax N. Welter xAa ina I-W-Cp,
of
a Pe-:rit for: (Owner)__ wtr r neo_ rrro_ _ _.._.-
at .__ 4,306 rn., ,,,,if pursuait to application dated 5410176
Fee Paid: $2n_np dated this jj___day oi _NAY 9 19, ------ .
.50 s/c
L'uilding Inspeoto-r
P'aehanica.l Peimits:
Fid 'I'G1;ai:
,
CTTY C^ I'.F.G"AN
Fi].ot KncU road
Eag,n, Niinrr:sota 55122
FF..°S"IIT NO.: 670 .
T'_ie City oi E.3.lpn hcr2by gra.nts to Thomson Plimbinq Oo.
o£ 12201 Minnetonke Blvd.
a RLUNIDING P= rrit fcr: Owner) iJlndsor Dev. Cozp. , , 4306 & Metcal
pursuant to appiic2tion dat-ed ? 4/14/76_
billed $siia3z 1$ 60.00 de.ted thia 14 day o: April
4.00 s/c I
?6 9 ?. . . I.
&uiiding Inspercor ;
Lia zot .l:
k
7
° ? y
J 575 8 ae ,1 9?- ?s
Request Date
Z Fire No. Rough-in Inspection
Requiretl9
?Reatly Now ? Will Notify Inspecror
?
Wh
F
E
G Yes 9 o en
ea
y
1X 1icensed contractor ,] owner hereby request inspection of above electrical work at
Jab Atltlress IStreeL Box or qoute NoJ
3 0 Co IY rL7L
? F
L7 ' City
E
c a r. 4 e-.,
Seclion No.
3c Township Name or No.
z7 Range No.
?--3 Counly
? cupam (PqINT) Phone No.
r-,-, o r
Power Supplier `
D z ,f. F.oL • Atltlress ?
?a r-v+-+ i -., ?o
Elxmcal Comracmr (Gompany Name)
L
' Gontractor5 License No.
oe
i-»,-;,. 6
L.¢c . Ao 7
Mailinq Aotlress (ConVactor or pwner aking Installalion)
/' g-l / E s. dt C? 7? fi
?l o L`a
l,ua A L
Aut gnalure IGonVaMOr/Ow aking Install mn?
a-r?- ?e.a mbe
o Nur
15?X2 - C/3-28
MINNESOTq STATE BOARO OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlway Bltlg. - Room S-173 BE AGCEPTED BY THE STPiE BOARD
1821 Univergity Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phane (612) 6E2-0800 ENGLOSED.
(?/???eZ REQUEST FOR ELECTRICAL INSPECTION
.? See mwmWons lor compleling tos form an back ot yellow copy
J 5 .75 38• . "X" Be/ow Work Covered by This Request
EB-00001-0e
ew Add Rep. TypeofBUilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtlinq Dryer Other (Specify)
Comm.llndustrial Fumace OP-F PE t`I C T
Farm Air Conditi0ner
Other(syeciN) CanVaclor's Remarks'.
Compute lnspection Fee Below:
# . Olher Fee # ServiceEntrance 5ize Fee # CircuitsfFeeCers Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspecmr5 Use Only: TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication TMIS INSTALLATION MAY BE 0 E ISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 1
6 MONTHS.
I, the Electrical Inspector, hereby
if
th
t
h
i Rougn-in oe?e
cert
y
a
t
e above
nspection has
been made. Final
OFFICE USE ONLY
This request voitl t8 momhs Irom
DEVELOPMENT CORPORATION
April 9, 1976
Mr. Da1e Peterson
City of Eagan
3795 Pi1ot Knob Road
RE: Lot 2 BLock 1
4306 Metcalf Drive
Eagan, MN
Dear Mr. Peterson:
Enclosed please find a check for building permit application and
fees as allocated on the check stub in the amount of $1,036.50.
This home will be a Mode1 75-10 Elevation D, and will contain
the following:
- Brick front (under cant only)
- 2 fireplaces
- Finished fam rm LL
- Ceiling vault LR & DR
- False ceiling beams
- Appliances
- Patio doors and 8' x 26' sun deck with stairs
- Marble vanity tops
- 23-2 ton central air
Attached also find a copy of the proposed plot plan.
Sincerely,
WINDSOR DEVELOPMENT CORPORATION
N(,'(uQ'ti' i 1 ajy"«,.??
Warren R. Anderson
Vice President
WRA/ks
Enclosures
SUITE 192. 4660 WEST 77TH STREET. EDINA, MINNESOTA 55435 • PHONE (612) 881-0717
MASTER CAR.D
LOCATI ON
OWNER ?
.L a,¦,..?„?_
STRUCTURE AND _ .w . .?
Permit No. Issued Issued To '
Contracior Owner
BUILDING 3 ff 84,y
PWMBING G 20 ,, • ?
CESSPOOL - SEPTIC TANK
VVELL
ELECTRICAL
HEATING
?-
93Q ,{?^/Z 7/
?
/itiLf?
GAS INSTALLING .
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING y9f SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD fT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
<
Violations Noted
on Back
COMMENTS:
?
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IH EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
O&SERVED.
? ACCEPTABLE Sl18STITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY. '-
ITEMIZED AND DESCRIBED AS fOLLOWS:
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REqIJIRED
REINSPECTION REVEALED
REINSPECTION
CERTI FICATION -1 certify that I have caretully inspected the abwe in which I have na interes[ present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific repuire-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING I
DATE
v
.01104.
. ? PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 S 2 0 8
(612) 681-4675 Date Issued: 0 7/ 0 8/ 9 6
SITE ADDRESS:
P.I.N.: 10-64400-020-01
DESCRIPTION:
6uildi
sRuildi
Census
t
v\?.? lyERb
t????r.'b t17
4306 METCALF DR .
LOT: 2 BLOCK: 1
RIVER HILLS 9TH
(ROOFING)
ng-.-?Permit Type 5TORM-DAMA6E
ng W'ork Type REPAIR
Catie ??a, 434 HLT. RESTDENTIAL
? ? \ f
1..,3PW? jL b. F::t
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC.OWNER:
DE CHANEY ROOFING CQ 17533410 2001387 ENGFER VERNON
18520 JIVARO ST NW 4306 METCALF DR ANQKA MN 55303 EAGAN MN 55122
(612) 753-3410 (612)894-4426
I hereby acknowledge that I have read tfiis application and sCate that the
infaC'mation is bor'reat-.:and agrez to ccsmply wlth alk; appiica6le StaCe af Mn,
L Statutes and City ofi Eagan U-rdinances.`` J
APPI.ICANT/PERMITEE SIGNATURE ISSUED ; GNATURE
CITY OF EAGAN V); 1? b g?'? S• l?
ifiles 3830 PILOT KNOB RD - 55122
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675 --
?
NeW ranslmcti,n Reauirements RemodeVReoalr Reouiremenh
? 3 regis[ered ake surveys ? 2 copiea of plan
? 2 copies of plana (Include beam 6 window sizes; poured fid. design; etc.) ? 2 aite surveys (exterior additions b deeks)
? 1 energy eakulations ? 7 energy celculations fw heated adddions
? S copiea of tree preservalion plan X bt platted efler 7/1193 ?
?aqu'ued: _Yas - No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
lOT ? BLOCK
CONSTRUCTION COST: 7• ?? ?
5+0
o (
SUBD./P.J.D. #:
PROPERTY Name: ` Y 1 1110411 Phone #:
OWNER '"" Street Address, ????'?L'?
City: 4;?4. State: Zip*
n/?/
coN7Rl?c7oR Company: ??'¢ ?? ? ?lf..,L ?6 Phone #: ?
? (J4J ??lCmf-Fibh
5treet Address: ?.J )? a K o St License #*
City; Pr N o KHf State: Zip. •5-S 3 ? 3
ARCHITECT! Company: Phone #'
ENGINEER
Name: Registration #'
Street Address,
City; State: Zip•
Sewer 6 water Iicensed plumber:
chanqe are requested once permit is issued.
Penalty appiies when address change and lot
I hereby acknowtedge that I have read this application and state that the irtfo ron is conect and agree to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinancea.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes No
Yes Na
i ?
z
6 -?
v' ?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o OS 8-plex
D 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 _ plex
WORK TYPE
a 31 New o 33 Alterations
n 32 Addition o 34 Repair
GENERAL INFORMA71aN
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE U5E ONLY
? 11 Apt./Lodging o
0 12 Multi RepairlRem. ?
0 13 Garage/Accessory o
a 14 Fireplace ?
0 15 Deck
0 36 Move
0 37 Demolition
., < .
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MCNVS System
City Water
Fire Sprinkiered
PRV
6oosfer Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License T
MCNVS 5AC
Ciry SAG
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
(o G'?SI `-r
2004 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.
Date ! ?
,
Site Street Address Unit #
Property Owner ?
Telephone # ?-r
contractor A/2 G T pnone# F/'°S`?-- s9Y-?3G
address 3 y_(V ?C4 /j( City
-
5tate/eZ6-)
zip ,L3?o
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_X replacement _ additional
Lawn Irrigation System RP2_ new _ repair _ rebuild $ 30.00
State Surcharge ? $ ,50
Total ? g
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?an is r?equ're?to be reviewed and approv1" I ln?
??
7
pplicant's Nrinted Name / ApplicanYs Signature
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
F ---it -ice-ll-se -----------
? For O I
j Pertriitq:--?? I
I o ?
I Permit Fee: !I o 6
?
I
? Date Received: ?
I I
I Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( 0 -1 d g Site Address: M 0fC.4=L F 17 E. ?A- C-, 2t(j f. M/1 -
Tenant: V jEEN iF tj 1- FPq ? El? Suite #:
RESIDENT / OWNER Name: VF r N LN F ? Cs ag Phone: ? SI - 99 Y`?/
Address / City / 2ip: 730b M FtC/T LI De ?EA?A-A/ M 1 1/ ()
A
li
t i
L_,*?O
C
pp
ran
s:
wner _
ontractor
TYPE OF WORK Description of work: lP
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: SF-G- F License#:
Address:
Ciry: State: Zip:
Phone: ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . pesidential Veniilation Category 1 Worksheet • New Energy Code Worksheet
Category submined sunm+ned
(4 submissiOn typC) • Energy Envelope Cakulations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y
If
_
es o
yes, date and address of master plan:
licensed Piumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: P/ans and supporting documenfs that you subm(f are considered to be publlc intormation. Portions o/
the Inrormation may be classlfied as nonpubllc ft you provide specttic reasons that would permlt the Clty to
conclude that ihe are trade secrets.
I hereby acknowledge ihat Nis information is complete and accurate; ihat the work will be in contormance with ihe ordinances and codes of the Ciry of
Eagan; that 1 understand ffiis is not a permit, 6ut only an application for a permit, arM work ' ot to start without a permit; that the vrork will be in
accord8/1]Ce with the approve/d p]lan in th case`oz} w/ork w/hich ruires a review and approval plans.
X I,fi' \/• ? / !/ /, f / i?'' \ Y??- C-
ApplicanTs Printed Name ApplicaM's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117992
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 4306 Metcalf Dr
Lot:2 Block: 1 Addition: River Hills 9th
PID:10-64400-01-020
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 .
Laura Gillespie
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 -
Kari A Grinnell
4306 Metcalf Dr
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129859
Date Issued:03/19/2015
Permit Category:ePermit
Site Address: 4306 Metcalf Dr
Lot:2 Block: 1 Addition: River Hills 9th
PID:10-64400-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Applicant: Thomas Joshua Peine
815 Iglehart Ave
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kari A Grinnell
4306 Metcalf Dr
Eagan MN 55122
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147376
Date Issued:01/03/2018
Permit Category:ePermit
Site Address: 4306 Metcalf Dr
Lot:2 Block: 1 Addition: River Hills 9th
PID:10-64400-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Kari A Grinnell
4306 Metcalf Dr
Eagan MN 55122
(612) 239-4194
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature