4319 Metcalf Dr
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA096755
Date Issued: 11/01/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4319 Metcalf Dr
Lot: 4 Block: 2 Addition: River Hills 9th
PID:10-64400-040-02
Use:
Description:
Sub Type: e-Reroof & Windows Doors Construction Type:
Work Type: Reroof & Windows doors
Description: House & Garage
Census Code: 434- Occupancy :
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Windows Doors: If altering the opening size, a framing inspection is required.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed.
Fee Summary: BL - Base Fee S6K $132.75 0801.4085
Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195
Total: $135.75
Contractor: - Applicant - Owner:
Craftsmans Choice Inc Roger L Johansen
26219 Fremont Drive 4319 Metcalf Dr
Zimmerman NIN 55398 Eagan NIN 55122
(763) 633-1390
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• APPLICANT:
'
+ - ? Mf it:AI f' Af= + ? ! ? ?i; i?1r,F?? i f ?•??i , ! .?i
iilvf ft $11I ! 1. ?jr11 (E+12) 131M3449
PERMIT SUBTYPE:
j, ,, ,i.l
F
L
TYPE OF WORK:
f;l# t 1 n t wli
Hr 1 i;FrH
pfi/t0/qK
-1
I
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
oQ
FOUND
FRAMING
ROOFIN(i
ROUGH
PLUMBING
PLBG
AIR TEST .
dy .4?
ROUGH
HEATING T Ig
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
_ -__ _ _ _
NdTG_'
_ _ _- _ I
71
-- i
1v1,3 ? ?
j.??L' 6 _ _-w / !?l' aa T?`C7 0? - ?!n-O!J[N
?
?n "all -pw -Rr?- - --
? _ ? -1 - I - - --
INIJFLJCrI'lUN RLC;UK1)
CITY OF EAGAN PERMIT TYPE: 'M f 1 11 r aN
3830 Pilot Knob Road Permit Number: 0 33 K0
Eagan, Minnesota 55122-1897 Date Issued: <s ??/ s N, '?, ss
(612) 681-4675
69 ?1 G)
SITE ADDRESS: !'' -h 4491b t?i..
,? ? _ APPLICANT:
NI! l t r1i 1 it[
`{?. ?: ? ? ; •? :: I r.
1-Ai Ils °t
PERMIT SUBTYPE: TYPE OF WORK:
?
i?? ,? ?< ?:i r ??ra i?? _ t? ?;t? it?,?is
?
? _??;
Permit Holder Date Telephone R
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
O
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
7EST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Ri V.r ui U. 9th Lot 4 Bik 2 Parcel `644?? ?o o2
owner /6i ?.? .?,-?? "'•iii, scraet 4319 Mete alf Dr, scace Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK J 1973 1-4$ 2 9.91 1 P2,1C],
SEWER LATERAL
WATERMAIN
# WATER LATERAL 1216
WATER AREA
STORM SEW TRK g1d t.hTL1 BUI`I1SVllle
*STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREET LIGHT 1980 A7.80 13.$6 S 67-&9 10-15-79
205.00 519 6-75
WATER CONN.
BUILDING PER. 3624 19
s,ac 425,00 1 -2 -
PARK
YILLIIGE OF EAGAN WATER SERVICE PERMIT
3795 i'ilo?Xuob Rood PERMIT NO.: -1812
Eagan. MN 55121 llA"1'E: ._ 8/26/75
1
Zoninq: RI _ No. of Units:
Owner. Yljnds4t peV. CO
Address:
Site Address: 4319 Metcdlf
Plum),er. '17io?mp/s?o,.n.?. Plumbing
<
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nnec[ion Char
e:
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2
y
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ter
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0.
,} pd
Account De
osi[:
ize:
Reader No.: ?-:2-17 -41' 13- p
_
Permit Fee: 10.00 billed
• 50 b1112d
I agree fo eomp wifh the Village ol Eogan
/
Ordin es 'JS Surcharge:
Misc. Charges:fi?_no ?
Total:
gy Uate Paid:
_
Dace of Insp.: lnsp.:
/ILL40E OF EAOAM SEWER SERVICE PERMIT
179t Pilo} Knob Road PERMIT NO.: 2571
:ogon. MN 55122 DATE: _ 8/26I75
'oning: Rl No. uf Units: 1
)wnet: W1i1dSOI DEV !p
iddress:
ite Addmss: 4319 Metcalf
7umber:l'liompson Plumbinq Co.
agroe ro somplV with tha Villoqe of Eaqen Connection Chazge:425.00 pd
-rdinancea. Account Deposlt
Permit Fee: 10 _ nn bi 7 1 ad
Surchazge: qp bi 1 jnti
Y: Misc. Charges:
ate of Inep.: Total:
isp.: Date Paid:
YIILAGE L'F EAGAN
3795 Pilot Knab Road
Eogon, MN 55122
7.oning:
Owner:
Address:
5ite Address:
o i
Plumber: '.?-m s-og-El
Meter No.:
Size:
Reader No.: -
1 ogrn-to tomply wifh fhe Villa9e of
Ordinances.
ey
Date of Insp.:
nLuas nF EnaaM
3795 Pilot Knob Road
Eapan, MN 55124
ZoninB:
Owner:
\.
Addresa:
Site Address: ?-
Plumbei,. vm uia ? • -• -- ?-
?` o `ga?r.Co?pection Chazge:425 00 Pd
I agro? M comalT?wlM? 9o o -
Ordinanca3. ? Acwunt Deposit:
rmit Fee: 10.00 pd
.50 pd
Surc azge:
By, Misc. Charges:
Date of Insp.: Total:
Inap.: Date Paid:
WATER SERVICE PERMIT
PERMIT NO.: 1786
llATE: 8I5/75
No. of Units: -
_TF,nnnection Chazge205..00 pd
_ qoLbur eposit: ---
pe???ee; 10 00 pd
pan SurcharKe: 50 pd
, Misc Charges: rin n0 pd
Total:
_ Date Paid:
_ Insp.:
SEWER SERVICES4ERMIT
PERMIT NO.: 8/5/75
DATE:
No. of Units: 1
CITY of EAGAN
BUILDINC3 PERMIT
oWn.: Yz.n..dxv.p:..... .f..?..?.e.......,?.?.?...oR..p........................
Addsan (Presanl) Y?(.Q........ ?..1?....?1........fr..._
Bullder .....................??1Y..?...L'........................................... .............
Addrau ..............................................................................................
N4 3624
3795 Pilot Kaob Road
Eagen, MinneeoYa 55122
454•8100
Dals... `...... ? 7.?...?
...................
6torias To He Uaed For Fron! DeP!h HeS9h! st. Cost ermi! a Ramsska
r
/tfo?el 7?; =.?/? ,?
q9Plo q0
zsoa
LOCATION
SlieOl. Roed oT olhes DasCiiPIiort o! Loe6f3on I LOi . I g1oCY I AptliltOA or TSOC!
z-I h/?er-
Tkis permif doea aot aulhoxise the use of alzeels, roada, alleys or eidewalke nor doec it give llfe ownes ot 6is agaa!
the zigh! !o ereale anp situation whiah is a nuisanoe or whieh presenls a hazasd !o the healfh, affielp, conveniead and
general welfaxe fo anpoae fn the communify.
THIS PERMIT MUST BE. ?SEP? HE P EMISE WHILE THE WORK IS IN PRO . `
' 1i
This is !o eestifY. lhsA,i?e'y?s01.. . .Q_ _ A .............Las permisstoa !o ereet a......- - • •- - -... .................... _npoa
the above described pr mise subjecf 3o fhe )ro isioas of all applicable Or " ees fos the C' o Eagen
?`-?------------------------------ per ?.. . -..... .................................. -............................
Mapor Sulldinq Impeeios
2 9 4- 61 0 T ????C I1SE ONLY Thlz reqmst void 18 months Irom validafion dare pnmed in thiz box.
PLEASE PRINT OR 7YPE
Req sf Dote Rooghin lmpection reqoired Yea ? N. Inapetlion Olher Than Rovgh-In: 0 Ready Now il Call
? ?Yoo muet mll Me inspector whan ready) Dak Ready:
I icensed confractor ? owner hereby request inspecfion of the above elechiml work at:
lob met, Box, o Rouk No.? Ci Zip Cade
7V9 ? n-/
Senion Na. Township Name or No. Range No. Fire No. Coi.n
ry
J
O / PMrie No.
i7 fl?v,S d 7L/
Po»srSupp r Pddress
Eleci?tinl Conkatlor (COmpany N me) ? Conlmcror Limnse Npo. Maskr Lic No. (Plant Eletl. Only)
{/V ? O
M' n9 Addas Cwtm?yrpr Ow el? edo?ming inskllofion)
,?L
Au nzed 'gnotum(Camra rar, ingins
I
Ph naNo. //?
EB-00001A-10 6195 STAiEBOARDCOPY-SE NSTR ON ONBACKOFYELLOWCOPY
? ?? ?
III) I ?I I I?? REQUEST FOR ELECTRICAL INSPECTION 16I ?'
Minnesota State Board of Elechicity
?
1827 UnNersity Ave., Rm.?B, ?? , MN 55104
* 0 2 9 46 1 0 1* an«,e (612) e42-oeoo (p
me up Apt. Bldg. Oiher: New Addn
mmercial Indushial Fartn Remod Re air
Cond.
i Htg. Equip. Water Htr. Load Mgmi. Other:
er
D Ran e
Elet. Heaf
Tem . Service
"X" a6ave Me work mvered 6y ihis request. Enter remarks in fhis space and on fhe bock of the whife copy only.
Colculate Inspection Fee - 7his Inspection Request will no} be accepfed without the correct fae:
Olfier Fee ffi $ervice Enhance Srze Fee # Circvits/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Sfreet Lig./Traffic Sig. Above 200 Amps ove 0 Amps
Tfans{olrtler/(?ieneraiOr INSPECTOWSUSEONLY I ` TOTA
Sign/Outline Ltg. Xfmr. ??0 •?
Alorm/Remofe Confrol
Swimming Pool
1 hereb am that I ins eded Me electnml insiollvtion esm erein on the daks
sfokd
Irrigation n Boom ?,yh-i„ pey
$pecial Inspeclion
InvesTigative Fee fl.l Dvre
THIS INSTALLATION MAY BE ORDERED DIS ON IP NOT COMPLETED WITHIN TdM6NTHS.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
4319 METCALF DR
LOT: A BLpCK: 2
RIVER HTI.LS 9TH
P.S.N.: 10-64400-040-02
DESCRIPTION:
PERMIT TYPE:
Permit Number
Date Issued:
5WIM POOL
NEW
329 NONBLDG 3TRUC7.
?
C?,e,? r?
tY?,,,?"` ??[.?,???nS "?g?,'
°`?`t " ?,? ceF?
^ro 6v:dz
OXo.5 8s4-71
BUILDING
027650
06J10/96
REMARKS:
FEE SUMMARY:
VALUA7IqN
Base Fee
Surcharge
Total Fee
$174.76
$5.5@
$180.25
$11,000
CONTRACTOR: - Applicant - OWNER:
PERFORMANCE POOL & SPA 17313440 JOHANN5EN RpGER
1740 WEIR pR 4319 METCALF OR
EAGAN MN 55125 EAGAN MN
(612) 731-3440 ' (612)894-9233
(
I h
, ir+f
? .. '?tis
APPLICANTlPERMITEE SIGNA7LIFE
`" ?
-Nm ?_., ?
ISSUED BY; IGN RE
itI CITY OF EAGAN n
3830 PILOT KNOB RD - 55122 ? I? v•?J
L501996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
681-4675
nstrudion Reauiremenls RemodeVReoair Reauiremen
? 3 registered site surveys ? 2 copies of plan
? 2 copies o( plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy eelculations ? 1 energy calculations for heated additions
? 3 eopies of lree presarvation plan fi lol platted after 7l1193
required _ Yea _ No
DATE: S -?? CONSTRUCTION COST: ?Q 1 S?Q up
DESCRIPTION OF WORK: ln'ST?LC 6w<<'A?w% wl Por/L
STREET ADDRESS: y 3I ? (N1 ??t L r4 L ?` ??
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: P?Ari- Scw ?j oG`*(- Phone #: 19L(213''
us+ rirtn
Street Address:
City: v Statd""
Company: V ennHL\' Parl?S
Street Address: PD?'-t pn- License #: °h` IF` `E
City: Vv t-rD? N'?l State: Pjh-? Zip: ?(ZS-
Company:
Name: _
Street Adc
City: _
State: Zip:
Sewer 8 water licensed plumber: Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct ary8 agree to comply with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Zip:
Phone #: `7 3
Phone
Registration #:
_ Yes _ No
Tree Preservation Plan Received Yes No
D
RCCOdE
?
OFFICE USE ONLY
,.
. ?
BUILD ING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem,---O?17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 3 ?31 New
2 Addition
? 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
_ Basement sq. ft. MC/WS System
Main level sq. ft. City Water
_
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
sq. ft. Booster Pump
_
sq. ft. Census Code. 3 Z 9
_ Footprint sq. ft. SAC Code ?/ .
Census Bldg /
Census Unit o
Building Engineering Variance
Valuation: $
? yp /L
2.00
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Wnnesota 55122-1897
(612) 6M-4675
PERMITTYPE: BuzLozNs
Permit Number: 0 3 3 2 8 0
Date Issued: 0 9/ 16 / 9 8
51TE ADDRESS:
4319 METCALF DR
LOT: 4 BLOCK: 2
4e4r01 F CIR ?j \j'h_! `T' `?? ??'?••
P.I.N.: 10-64400-040-02
DESCRIPTION:
T.O. & REROOF
° °,..., ..
u"i idin?.,.Permit Type STORM pAMAGE
uilding 43o,rk Type REPAIR
ensus Coda ? 434 ALT. RESIDENTIAL
?
?? • -
r
?.
i-
-
•
,_
.;
.,
j
7 7
_? ._-. . .? . ? ? . .. ? _.
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - s7. LIC. OWNER:
R06LES BUILDERS LTD. 16494616 200$0681 JQMANNSEN ROGER
13120 C7. PL. 4319 METCflLF DR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 649-4616 (651)
T herehy acknowledge that S have read this application and state that the
information as cQrrect and agree ta c,omply with all applicahle State ofi Mn.
Statutes and City of Eagan Ordi.nances:
L
APPLICANT/PERMITEE SIGNATURE
'46SUED BY: SIGNATURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crnr oF EAaaiv
, O? p?
? 3830 PII. 81-467 RD - 55122 q-i( 1, ??
• ??3?-?
New Construction Reauiremenle RemodaVReoeir Requirements
? 3 registerecl ade surveys
? 2 copies of plans (InGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy wlalations
? 3 copies of tree preservffiion plan H lot platted after 7H/93
required: _ Yes _ No
DATE: Iq ?
DESCRIPTIO OF WORK: T?tR- oi =-
STRE ADDRESS: 3/ 5_/Y/-c tcW, f-
Name: 1=c CD clt- ? o ? '?, ? N S t'-'`) Phone #:
Last First
LOT: ''I BLOCK: ?- SUBD./P.I.D. #: 1` ???_ v, ? I,? S
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: -?/3 / g Mc%c-o 6 71
City 2- /,? !? Ati
• 2 copies of plan
? 2 site surveys (exterior addBians & decks)
? 1 energy celalaGons for heated add'Rions
CONSTRUCTION COST; 1? 3, % 0 0
i? ?7?-kQ ( VV 1
State:
m r/,
Company: a -6 t? S f? uk \9 4J1,::, L.'T'D . Phone #: (&(Z) GV`''!'V& / ?
Street Address: 131 20 ?T,?L- • License #°l. OO 004981
City Z N S U? 11`P State: M n'' Zip: 5 S 3'i :2
Company: Phone #:
Registration #:
Street Address:
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicatian and state that the info ation is correct ree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
' Signature of Applicant v
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
Zip:
Penalty applies when address chang
.SEP ; 1 !39g
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY
?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
[3 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
O 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
O 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnk
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCM/S System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Cade.
SAC Code
Census Bldg
Census Unit
MASTER CARD
LOCATION
?
OWNER I?LI, ? ?SA? ???
STRUCTURE AND
LAND USED AS A?OD ? z???D
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 6 4
PLUMBING CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING 7?'7 c
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Inifial)
Dete
Remarks
Distance From Well
FOOTING -?jr- SEPTIC
FOUNDATION
FRAMING V
,S CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL
HEA7ING
•l/• ?J
_ ,r
172 DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
'
PLUMBING po
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
a ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION
n,
?hr : ?.
REINSPECTION REVEALED
• ., r.
CE RTI FICATION - I certify that I heve carefully inspected the a6ove in which I have no interest presen[ or prospective, and that I have reported herein
all significant conditions obaerved to ba at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-sit= improvements relating to the property inspected.
F7 ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOft DATE
COMMENTS: cQz? ].
G3;Tl
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.
-?/S.S°
Ck Ha. IZIB
Date/ .1- /d:?, 1E /L-?,
site street Address 3 9 C' unit #
Property Owner 7elephone # (G??- ???-?"0?3
?
Contractor ,'{a-/iQ/P_
h6//Y??7 ,/
'? Te pho #
?
Address -? ? Z/,??f f(y ljiS StateT/ ///I/ Zip
The Applicant is: _ Owner ?Contractor _Other c-`
n'IL r, I- -----
AltereCions to existing dwelling ?
DEC b; 2
l?j 1$ 50.00
0 1
4
_Add piumbing fiutures. ?
/;
If you are onty installing a water softener and/or water heater, the fee is
$15.00 pius the L/
y
state surcharge - see next section.
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5l8" meter is required)
Other.
Water SoRener ,L Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
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 e in a or e approved plan in
th7A1VO'Z? nt a plan is required to be reviewed and approv
?
? D l ?
ApplicanYs Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118946
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 4319 Metcalf Dr
Lot:4 Block: 2 Addition: River Hills 9th
PID:10-64400-02-040
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 .
Amber Beard
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 -
Roger L Johannsen
4319 Metcalf Dr
Eagan MN 55122
(651) 894-9233
Craftsmans Choice Inc
26219 Fremont Drive
Zimmerman MN 55398
(763) 633-1390
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126780
Date Issued:09/09/2014
Permit Category:ePermit
Site Address: 4319 Metcalf Dr
Lot:4 Block: 2 Addition: River Hills 9th
PID:10-64400-02-040
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.
Thomas Joshua Peine
780 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 -
Roger L Johannsen
4319 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:Building
Permit Number:EA146854
Date Issued:11/17/2017
Permit Category:ePermit
Site Address: 4319 Metcalf Dr
Lot:4 Block: 2 Addition: River Hills 9th
PID:10-64400-02-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Roger L Johannsen
4319 Metcalf Dr
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature