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4322 Metcalf Dr Use BLUE or BLACK Ink I FDr Office Use I of Eajan Perrnit#: ~ j City Ol -D j I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1Z l10 Site Address: 432,z 1-7&"Tto- Tenant: Inwo,- tT67q~0N Suite RESIDENT / OWNER Name: M-400 Phone: ~-I Address / City / Zip: 9527 A5-6 , Applicant is: 7X- Owner Contractor TYPE OF WORK Description of work: &Awaai, MnLA ice. A6:V)F1XMA S, %/L4F Construction Cost: ~45~a Multi-Family Building: (Yes No CONTRACTOR Name: -/0-/P .1~©License #:005-341 Ob-7 Address::~I,I/ 2 /2~►&4- C/A0GG~ 4C--- City: State: ! /`y Zip: Q;5,,. '-7 Phone: l2 "T~ " Z6 Contact -2 71)t 'O mail: TOiu @ //arw tt- • d741 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 4No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.aoaherstateonecall.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. x x ,ELI// /~rLSD~ Applicant's Printed Name Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool _ Miscellaneous 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 (0500. O,p Occupancy- MCES System Plan Review - Code Edition Z~o7Mc.A~6 SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units U Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction y Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) 7 Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings _Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows v' Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By:c Building Inspector RESIDENTIAL FEES Base Fee 141 54 Surcharge 3.`r0 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - > - I For Office Use City Eajan ;A ( ~11~1 I Permit Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: j 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: l° or ' 1 Nl Tenant: Ilt'Jl.l y l Suite RESIDENT / OWNER Name: Phone: U15) - V5_Rq(o~ ,nhl z ldj~ - - Address / City / Zip: zw==~Ln_a 19c, , _5-51 j BURNSVILLE HEATING & A/C, INC. License ~l~:~lC->~ CONTRACTOR Name: '~i 301 W. Burnsville a way Address: Suite 120 City: State: Zip: MN 55337 Phone: Contact: Email: TYPE OF WORK New _X_ Replacement Additional Alteration Demolition Description of work: Ly NOTE:'Roo# mounted an ground mayntemechanical eu ~merit;ls retluied tR screenQc I?y City Code. Please contact the Mechanical tet$pector for Irt#ottii t+ott ora perm)tted sf ening methp ts. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank C__ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: 5, fvN $50.50 Minimum Add-on or alteration to an existing unit (includes $State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ c VU TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Rurcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). 140T/4L FEE 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.gopherstateonecail.orn 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 wi the approved plan ~inCthe case of work which requires a review and approval of plans. x yJl~ CJ~d lt/.CJI l~ ~aLI lD~~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date; Required Inspections: Under Ground Rough In -Air Test '-Gas Service Test _Irn-floor Heat --Final Exterior HVAC Screening inspection. :. BUIilDING PERMIT Site Address Lot -? Block ? Parcel # cirir oF E?"N 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 i l'J . Receipt # Finish _ f3asemen t. _ W Name '?LxaLu LYCL?7Vil z 4322 1-4etcal f 3 Address o - .. . _ ` Name a+vic 0 ?a Address ? cti,,.,e to Stote of Minnesota Stotutes -i Signature of Permittee A Building Permit is issued to: all work shall be done in acco Building Official r ond state that all applicable N°_ 4805 10045 ley 19, 10 78 Erect ? + OcCUpanCy Alter ? Zoning Repair ? Fire Zone Enlorge ? x Type of Const. Move ? # Stories Demolish ? Front ft. Grnde ? Depth ft. Aaorovols Fees Assessment _ Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. - APC Permit Surcharge Plon check SAC Water Conn. Woter Meter Total U. on the express condition that h all applicable State of Minnesoto Statutes and City of Eogan Ordirwnces. ..e t e PsnnM # Dah luwd t0mMt» Plumbing Mechanicol INSPECTIONS DATE INSP. Rough-In flnol Footings Date Inw. Dats leup. Foundotion Plumbing Frame/ins. MecFwnical Final Remorks: CITY OF EAGAN 3830 Pilot K b Road P O B 21 199 E n MN 55121 . no . . . ox , ag? . PHONE: 454-8100 eU11.151ING PERMIT Re«+at # prYt( : . _ 5 . ? ?_ ?....? t?. ra v_?.._ - n..._ . i o Site Addrea - - -- . _ ? -. _ . ivi " Lat J Block ?'/5ub. A . ,? ? . Percei No. W Name 2 Addreas . b City Phone - - -?? Erect U Ocwpsncy _ Remadel ? Zoning Rapsir ? Type of Const. Enkrge ? No. Storiet _ Move ? Length Damoii:h ? Depth Grade ? Sq, Ft. ? Nsme w W ---------- t O? Addresr. u ? City Phone Assessment Woter b? Sew. Poliu ? Name Fin Addrosa Enp. "W City Phone Planner Council I hercby acknowlodgs that I how road this applicntion ond stata thnt BId9• Off• tht inlormafion is torrett ond ogree to comply with oll applicabla A? ,Eo9qn Stah of Minrrsoto Stctutes.oe?d City of; Ordinonus. . . f, d ? ??' .. . ._ .. 1f,ir. Date ?• 4 5lpn4ture of PermittM . Permit SurtFarye Plan Review S/1C Woter Conn, Watar Meter Rood Unit Parka Tatai A 9uildiny Wm+it Is Issued to: on M+e expross conditlon Ihot oll work sl+oll be dons in ocoordarce with oll npplioobl. Stare of Minnswro Srorutes ond Ctry af Eogon O.dirwe,ces. BWldlrq Officfol PWmit No. PNmk Holdw Dod Tets hone ?t Plumbino H.VA.C. Elecaic' Sohemr Irqpedion Data Insp. OthN Footinos 512? Foundation Fromina Rooriny Rouph Pibq. Rouph HVA Inwlation Final Plbo. Final HVAC Final ? CMt10oe. Wa"r Oacribe Location: YMdI Sower Pr. Ditp. CITY OF EAGAN 9795 Pllot Knob Roed No. lagan, Minnesotn 551? Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Dote: Receipt No.: ?- I r $ingle 1 SRe /lddress: `" • "'"1` ' ' " Residential i l/ ` I Lot ? Block ? Sub/Sec. Multi Res., Comm./Ind. ? Norne °Len•t Ivers . Address O City Phone: Nome i)!3:rt -011% ;: ? . . . ? Address City ' Phone: . , - This Permit is issued on the express tondifion rhat oll work sholl be Minnesota Statutes and City of Eagan Ordinantes. New/Alter./Repair Cost of Installotion ;. Permif Fee ?Surcharge Totol done in accordance w{th all opplicable State of Building Official INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "' ''?? ?• ' Eagan, Minnesota 55122-1897 Date Issued: • ? ' ' t' ' '' ? ? (612) 681-4675 ? ? ra ? v? ?, 4?? o? c? s1 s, ci y y SITE ADDRESS: APPLICANT: - +i i I r Ikl! i A1 i- ., ?•, '?.1• 11 1 i a (N (?.t. ? „•?ct c?lf>fi , ?' PERMIT SUBTYPE: TYPE OF WORK: I .,i rfRnl tnN W,;? ? .. _ _ ? ? . .. - . ? . .. -- .. .. - 1+1 MARkS • t'tITMNt Y/F'I UE MI I'; ( Ht= 1 N'?Pf t I i I? Hf F+twi= 1 01`41 1 At 1 MM, PermR Holder Date Telephone 11 PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI -- t I GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG - -- - - -- FINAL HTG ? I - - ORSAT TEST BLDG FINAL DOMESTIC METER IRFIGATION METER • FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition River H-i l Ig 9th Lot 6 eik 1 Parcel 10 61400 060 01 owner Street 4322 Metcalf Dr. srate Eagan,MN 55122 ??fr_ SDi'l Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK tq SEWER LATERAL 31161 WATERMAIN * WATER LATERAL 1976 WATER AREA STORM SEW TRK #. STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT ?j 19 O 67.80 13.56 WATER CONN, BlMq BUILDING PER. 1449 10-7 sac 1425.00 1 0-2 -7 PARK Y1U,A,E OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 1$79 Eogon,MN 5572$ DATE: 10/29/75 Zoning: RII No. of Units: 1 Owner: Windsor Dev. Cor Address; Si[e Addmss: 4322 Metcalf Driv L6B1 RH 9 Plumber: Thom p son Plumbinn Co. ? 7 Meter No.: Connection Charge205. 00 pd Size: Account Deposit Reader No.: ?oZ_27.? permit Fee: 10.00 billed I ogree to complr wieh fhe Villoge of Eoyon Surcharge: • 54 billed OrdinancesJ1! .' (? /} Misc Total: ? By Date Paid: Date of Insp.: Insp.: _ 'tl!,AOE VF EAGAN SEWER SERVICE PERMIT 795 Pilof Nnob Road PERMIT NO.: 2637 agon, MN 55122 DATE: 10/29/75 :oning: RII No. of Units: 1 )wner: Windsor Dev. Corp. Adresa: i[e Address: 4322 Metcalf Drive L6131 RH 9 'lumber. - Thompson Plumbing Co 09"'s' to comply wifh }h& yipayO of Eogon Connec[ion Chazge?25.00 pd O?j°O°0Of' Account Depoeit: - Permit Fee: '0 ineT I 1 e Surcharge; • 5TT Y' Misc. Charges: )ate of Insp.: Total: 19p" Date Paid: cIrY oF en"N 3795 Polot Kno6 Road Eagan, MN 55132 . PHONEs 4548100 BUlLDING PERMIT IhPPLICATION $1,000. ReCe1Pt # re 6e uaed fm Finid of.eement oare- Site Ad/c?ress- Lot?._!C- Block Porcel # W Nome -.o,.. _..._.,.,.. Z Address agan 4322 Metcalf 694-IZ8T- _ Name ? ?? Address F r:... Nome _ Address i hereby acknowledge that I have reed this the informotion is corr and agree to c State of Minnesoro SMtuke d City of '. N? 4805 10045 May 19, I0 78 Erect ? Occupancy ?---- Alter ? Zoning AL 3 Repoir ? Fire Zone Enlarge ?X Type of Const. I1 Move ? # Srories Demolish ? Front fr. Grade ? Depth fr. Aee,evele Feef Assessment _ Water & Sew. Police _ Fire Eng. -- Planner - Council _ and state that Bldg. Off. - alllapPiicable APG - Permit ° • vU Surcharge • 50 Plan check SAC Water Conn. Water MeMr Total Slgnature of Permitte f I ?Ut-u-V&I? xN *%c= ? - I A Building Permit is issued to: DOnald IVeison on the express condition that oll work shall be done in ac ance witN all plji pble State of Minnesota $tatutes and City of Eagan Ordirwnces. Building Officiul k ?'e-(/" ? r,` CITY OF EACaAN f?o 10298 3830 Pilut Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt jj Ts M uad im S'"REEN PORCH Est. Volue $2,5 0 0 pme MAY 3 0, . 19 8 5 SiteAeldresy 4322 METCAI,F DR Erect 12 Occ"p°nev LOt 6 Block 1 RIVFR HILLS 9TH ?ISub Re"'°del 13 Z°"'"9 . Repeir ? Type of Conrt. arcal No. P Enlerge ? No. Smries DONALD IVERSON Name Move ? l.enBth h h 0 W SAME Z Dept Oemolis Address ? Grede ? Sq. Ft. citY ano,e 894-6572 ,mtall o SAME m N Avyrm'ab F?et a e -- -- - Assess-eM Permit Q Addreas $S` Water S Sew. Surchnrpa 1. 5 0 ? Citv Polica Plan Review Name Fim SAC 2 z Address Enp. Woror Conn. City Phone Plonner WaterMeter Couneil Rood Unit 1 herebv akrow'ledpa thot I haw read this aPPlic'ation ond stare that eldg. Off. 5 2 9 8 5 parlcs Nx inlormofion is corcect and a9ree fo comPly%wRh oll nOplicoble APC Total $ 40.0? Stofa of Minnesoto Srotu e Cify of q n Ydinonus. ar. Date Sipnafuro of Permittaa A Buildiny Permit Is issued ro: ' OSCAR CARLSON CONSTRUCTION ?tM exvreu conditwn tho, oll work sholl be done in acco'dance wHh olVq'ppl{mble(Sfa" Minnesoro Statutes and Cily ot Eapan Ordironees 8uildirq Ofqebl ? A CITY of EAGAN ? BUILDING.PERMIT .;,?..-.-...... Ownes . ? ........................................ ....?....................... Addrea (presen!) 7-7 "'..."""""""""`......"""" s„ila e: ... ..... .............................. .......... .. ..... ..................... .. .....:. ..... .. . ... Addreu DESCRIPTION s i• N4 3782 3795 Pi1of Knab Road Eagan, Minaesota 55122 4sa-aiao Dals . ...... ?a-?) 8 -7.r" ................................_....... 6SOxies To Be Used For Fsonf Dapth HeIBhf Eal. Cos! Psrmit Fsa Aomarks I <,,,,??. -7{-- d-I LOCATION /41 a. rn SireeL Road or olher Desazipflon ot Loaaiton I Lw sloet Aaattion or Traa This permit does aot aulharise the use oi slxeefc, roads, alleya or sidewffiks nor doee it give !hs owaer os h& spen! the xigh! !o ereate anp siYuation whiah ls a auisanea or which presanls a hazard !o the healfh, safeip, tonvaniance and genexal welfare !a anyone in the aommunify. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is !o cezlifY. !La!_............... :`.:'.'..J...._-----.hmpermiuion !o ereef a...... ...... ? -- `---....y .!...._.._u P? the above described premise subjecf io the provisions of all applicable Ordinances fos fhe C' of Ea an ..... .......1........ ........................ A .-`.....U...-°-°- - -......-?...........---°--•------. Per ...............l?^?. V" t?-9-•-_-? -.................... ... :.....••_----'--...................... Mayor Suildiny Impaclor ?3 G - i p- /-/. 9 CI'PY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERNILT NO.: 762 The City of Eagan hereby grants to Ray N. Welter Heatina & A/C Co. of 4637 Chicacao Ave. So., Mpel. 55407 a FIEATING Permit for:(Owner) Windsor Dev. Oorp. . at 4322 DSetcalf Drive , pursuant to application dated 11/18/75 Fee Paid: $20.00 dated this 20 day of Nov. ? 19 75 . .50 s/c Building Inspector Mechanical Permits: Bid Total: a?v o/ CITY OF P:A!=?.N 3795 Pilot Knob Road Eagan, P•iinnesota 55122 PERt?IIT NOte 629 The City of Eagan hereby grants to Ttyomoson Plumbina Co. ef 12201 Minnetonka Blvd. a pTtrnnaiuc Permit for: (Ocaner) Windsor Dev. Corn. 4?4322L???, pureuant to application dated 10/29/75 billad Fee )FA)6j{g t: n.nn dated this Zg day of October ? 79 75 . 1100 Building Inspecttlr Meehanical Permitse Bid Total: .< - 1-- _ ? . 1012 717S-- o-? ???/3 ti ? - 0 ?-_1-? ?e-te?.s 0?, _ OS t- ? ? !r ?l. (? li ?7 . L ? / ( ? ?.? ? ? b'?l? ? (, l . . 9 7 Z.,_ S%' -?C)(--(? 6 .Co 4-„w c ?. f r-o ?.. ?-? ? 1•?/?- ? ?- ?-, e 7 ? ?- (J ?1?. ; I . b .. . Y?iVPt-?cl???/S' ? 3 w a w?- ? v/?-h- .° Z?r ? ,?' ?i ?_ ?--??, /, ?'G• h ? ? .? ? `?? e ? -? !r<'V 7-- ? TL)?S /rS Bl?, ? ? ?eGlj 1?'??''??pS ed Q! Ut7 ?0l?'?V rrS ?l? GIOS ?? l (/ I . ?/V i ?!-S d 1.. ? ? U [? l`? (/i'1-QVW (?B G-. U ? ,.; w??? ?? /?y7 PF1TE S r 4/ BUILOSNG PERMIT APPLICA2ION Include 2 sets pf plans, 1 5ite plan Welevations and 1 eet oP energy calculations. 7b be used Par &4441/ Site Address: q3?a- 11 ??' 1?'A l?- ?? k,N L?ot, B1ock Sec. Sub. w OW17er AdClY23S 1,? ?SJ_. Y1J t.N,J . Contractor Address _ Arch. /I7ig. AddTess EteCt Alter y/ Repair Ert2arge Move Iler.iolish Grade OFFICE USE pate of Approval & Initial AssessmenL water/Sewer Police Fire Enq. Plaruier Gbuncil Bldg. Off. A.P.C. Va3uation D ? 1Ufz, 55 /2Z Parce2 Number Telephone ?? V- I,?U 3 _ Telephone Telephone OFFSCE USE Occupancy p?-1= Zoning (( • / Fire Zone Type of Const. # of 5tories Front Depth rA,/?A FEES Pezmit Surcharqe Plan Check SAC ! F7ater Conn. tdater Afieter / TOTAI, I VF , r /O ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS kUST BE LICENSED 1fITH THE CITY OF EAGAN To Be Used For: C"Q'' CdP-eu INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation:A( (?6-°U Date: Site Address: ()'?Q?? 3 P? ? Lot: Block ? Sect/Sub ? Parcel # ???- Owneralu L -TU aN Address 'L3?? ov-TCJaLF 'l2 l? 8 c? J OFFICE USE DNLY Erect 7i Oceupancy Remodel Zoning Repair Type of Const Enlarge I! of Stories Move Length Demolish Depth Grade Sq Ft City/Zip Code F(?t ?1?? AA f4 ---------- _ $ CJ ?{- (,,Is r) APPROYAGS Contractor-'"' ? ? " - - \ssessments Permit Water/Sewer Surcharge Address U/ 1 Police Plan Review r-? Cit /Zi Code Fire SAC y p Engr Water Conn Planner Water Meter Phone Council oad Unit Bldg Off 1 Parks Arch./Engr. APC ---,?/ reatment P1 Variance Address City/Zip Code Phone Il TOTAL 1? ciTr use oNLv / L ? 8L ? RECEIPT#;•. S?- SUBD. RECEIPT DRTEt aI ?J L 1997 PLUMBING PERMIT (RESIDENTIAL)' CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)881-4675 Please complete for. , single family tlwellings ? townhomes and condos when permits sre required for each unit _ ? backflow preventer for undecground sprinkler syStem FIXTURES EACH lO.. T TAL, Shower 3.00 x = Water Closet 3:00 x = Bath Tub 3.00 x - Lavatory 3.00 x = Kitchen Sink 3:00 x = Laundry Tray 3:00 x =- Hot Tu6/Spa 3.00 x '. Water Heater 3.00 x Floor Drain 3:00 x = Gas Piping Outlet * minimum -1 • 3.00 x = Rough Openings 1.50 x = U"G:Sprinkler "krdwellingundercanst. U.G. Sprinkler ' forexisting dwelling Alte[atlOnS ' to existing residence Water Turn Arountl Private Disposal System ' Dak Cty lic. (new and relurbished systems) Private Disposal Systems' Abandonment 20.00 x 1 - _ ' ?d•bt) > ?---- 20.00 = 20.00 = ' . 20.00 = 75:OD = 20,00 - STATE SURCHARGE iS0 - TCTRL I hereby adcnowledgethat I have Fead this applicstion, sfste that the information iscorted, and :agree to complywith all apphcable "C;rty.. of Eegan oMinances. It isthe applicanYS responsitiility to notily,the.property owner tfiat the City ?offagan sssumes no`Ilatiility=forany damages caused by tlie Cily during m irrtenance.act'Nfties to the fadlities.consWded:under this pernitwrthin- .. City propertylright-of-way/easeme JOHNSOM MpRK 4322 METCRLF URIVE SITEADDRESS: EWJM . 55122 H 895-84E9 W 858-1135 OWNER NAME: INSTALLER STREET ADDRE55: CITY: NORBGCtI 1'LUh1B!`!3 ?0. DBA VENTCOlAPPUANCE INSTALLERS (612) 827-4033 LSFAINNGARFIELD EAF"OL S,?MN 55QOBH TELEPHONE #: ZIR: ?Mj U?f OF PERMITTEE e2yv IkLI ;yae??, 7-3 /4 ? CiTY OF EAGAi! CASHSEh: S TERMINAI N0; 636 DA7E: O8/10/38 TIMre 15:i.0:37 II': NFlME: AL.L.IEU FIFFSIIIG INC 321.0 9I701 4322 METCALF IiR 50.00 21.55 9001. 4322 ME7CAI_F Dk 0.50 Total Feceipt Amourit: 50e50 CF'036111 USER IU: NANCY ,-? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: auzLozNG Permit Number: 0 3 2 8 6 2 Date Issued: 0 8/ 10 / 9 8 SITE ADDRESS: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 P.I.N.: 10-64400-060-01 DESCRIPTION: F'errnit Type k?rk Type ? <A€?° ?;ssa, ?i n. R Lb$a+J ni?R 6? ??wp? t9+n?}4 3 e t FIREPLflCE ALTERATION 434 ALT. RESIDENTIAL 9u? 1i YEY "Sifi ? ??. yN .at6 u &4$t-^ W kW ry?T ?"j' wL.HIw o?'$f?`?'` ?p k ? ?? %?4 .Yme Gj ? REMARKS: CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEAIING. FEE SUMMARY: CONTRACTOR: - Applicant - s-r. Lzc. OWNER: HEA7-N-GLO FIREPLACES 18906758 2009091 . JOHNSON MARK 3850 W HWY 13 4322 METCALF DR B4JRNSVTLLE MN 55337 EAGAN MN 55122 (612) 890-0758 (651)895-8469 ? = Z ?ter"e`t?y' ?rckrr? i.rcformsti€sft 'a:s S to t{a n 9322 ME7CALF DR LOT: 6 BLOCK: 1 RIVER HTl.L5 9TH te ths?? ?T hay,e..? r?F ect aY1t1 ?4 gree.:t0 APPLICANT/PERMITEE SIGNATURE FERMIT Name: ?N?Ay\.S ('} A I " ` OLr ? Phone #: / Last First DATE: )qI.(rG1 . \n? I `1, ? DESCffiPT'ION OF WORK: _ Construct new fireplace Install aas insert onlv B ADDRESS: _ LOT: ? Other -Ct? PERMIT FEE: $50.50 _ Alterations to existing _ Install8as line only 143 ? J- M etr,?t I -f BLOCK: ? APPLICANT (circle one only): OWNER Company: 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. PROPERTY OWNER FIREPLACE INSTALLER CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 1998 FIItEPLACE PERNIIT APPLICATION 681-4675 r SUBDIVlSlON/P.I.D.#:Qk'?I--u- Iff ONTRACTO-k`, 1?? ? hp t Phone tl: iO' J`V , Street Address: 39,S (} ?W . H (// (4 1,7 License # oC 0C) city Atic? ? I ? ? state: ? ZiP: GAS LINE Company: Phone #: ? INSTALLER Signature: City State: -?fi2 141, Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New O 33 Alterations ? 32 Addition 0 34 Repair GENERALINFORMATION Census Code. 434 SAC Code 0] REMARKS Chimney/flue must be inspected before concealing. i ? .'_.o.?.J 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan C) 6 3830 Pilot Knob Road, Eagan MN 55122 C?? 10 , Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Requiremenis 3 registered site surveys showing sq. H. of lot, sq. ft. of house; and all mofed areas RemodeVRenair Reauiremenis 2 wpies o( plan 0(ficelJse F3tda F?! uf Svn+eYReed Y: N (20% maximum btcoverage allowed) 1 set of Energy Calculations for heated additions ?reeAte?A18p;ReCtl _Y; €N; 2 copies of plan showing beam & window sizes; poured fouid design, etc. . 1 sile survcy for addifions 6 decks #rBe Res #[eqyired Y. ;N isetofEnergyCalculalions Add"Non - indicaleAonsitesepticsystem 43r?5¢BSepticw2m ._.Y: 3 wpies of Tree Preservaiion Plan if lot platted after 7/7193 Rim Joisl Detail OpliDns selection sheet (bld9s wAh 3 or less unHs Date ?o Site Address y 3 Z Z /?,, -ConstrucdonCost ? d'c1C?Y? /'-Q ??,. -G_J?p? eIL IIniUSte # Description ot Work -e.- CC- Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner n'\cwA J,-?J? S ? Telephone#( Contractor Address State C{ CJ Q 5 City Zip ? >?Z?elephone#(b1%22? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope CalculaUons Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Conhactor Sewer/Water Confractor Y_ N If so, 25% plan review Telephone #( Telephone #( Telephone #( 04 I hereby apply for a Residential Building Permit and acknowledge that the inform ' n is cohVW and a urate; that the work will be in conformance with the ordinances and codes of the City %Wl aLl f 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 t proved plan in the case of work which requires a review and approval of plans. I"-!," 6, Applicant's Pnnted Name icant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screeNgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Buiiding` ? 43 Reroof ? 46 ? 34 Replacement "Demolition (Entire Bldg) -Give PCA handout to applicant Valuation ??'? Occupancy MCES System _ Census Code Zoning City Water _ SAC Units - Stories Booster Pump _ # of Units ' Sq. Ft. /"rl2 PRV _ # of Bldgs - Length Fire Sprinklered _ Type of Const ? Width Footings (new bldg) ? Footings (deck) _ Footings(addition) Foundalion Drain Tile Roof Ice& Water Final ? Framing - _ Fireplace _ R.I. _ Air Test _ Final _ Insulation r Approved By: _ v Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Copies Other Total . if., ? 3D Accessory Bldg ? 31 Ext. Att - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors REQUIRED INSPECTIONS FinallC.O. ? FinallNo C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ?? ., . , son',s V 091' E S. 1115 .73 --r--? 15MOO ? f r ' T T •?Y ? T ? T ? I ? ? 90000 )+()() _ .J r.. ?. 9O. 00 r09r`E. 0 441.00 ? ? ? ¦ • i . ? ? T ' T V 5E OO - w 7 + J ? ? ? WOO ? w i '`- 90# 00 - ? _ ? - '- -? r `'?0* r . . ' 2004 RESIDEN'1'IAL BUILDING PERMIT APPLICATION City Of Eagan ?v ? I? 1 3830 Pilot Knob Road, Eagan MN 55122 0 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuclion Reauiremenis RemodeVReoair Reauirements _...... tSfficee diiTu 3 registered sile surveys showing sq. ft. of bt, sq, ft. of house; and all mofed areas 2 copies of plan CerEr?FSVrvey Recd Y N (20°6 maximum bt coverage allowed) 1 set of Energy Calculations for heated additions TPOe Pres PIBti;R?CtI _Y _N; 2 copies of plan showing beam 8 window srzes; poured found design, efc. 1 site survey for additions & decks Tree Pt?S Recju.Ued Y 'N isetofEnergyCalculations - Addition-irdicaterfon-s8esepticsystem 6khsde50tiC:?ys?em 3 copies of Tree Preservafion Plan if lot plaped a%er 711193 Rim Joist Detail Opfans selection sheet (Wdgs with 3 or less unils Date `/ t / o Construction Cost ??00 Site Address 7 b 2, 2, UniflSte # ? i1j Description af Work L)5/71w 6A5 605L'97 Mulri-Family Bldg _ Y''? N Fireplace(s) _ 0 2 Pro ert Owner Telephone #(W2 ) C}?? p y n/? Y )E Contractor ? ?lk?1 I Address City State Zip -?;j 37 Telephone #( 9g) C5?7 5Z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Warksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Confractor Y_ N If so, 25% plan review Telephone #( Telephone Telephone vs I hereby apply for a Residential Building Permit and acknowledge that the infotcrratroms 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 se o work,Wkich requires a review and approval of plans. wo c Applicant's Prin ed Name Applicant' ignature OFFTCE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? '10 OB-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 ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Uni[s Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS Foolings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice& Water Final Pool _ Ftgs _ Air/Gas Tests Final _ grazming _ Siding _ Stucco _ Stone _ Br ick _ Fireplace RI. Ai rTest Final Windows Insulazion _ Retaining WaH Approved 8y: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building inspector IM5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirucdon Reauirements RemodeVReoair Reauiremenis Offios'Use 4niv 3 registered site surveys showing sq. fl. of lot, sq. R of house; and all mofed areas 2 copies of plan Certof Survey Recd ?,,,?Y _ N (20°k maximum lot coverege allowed) i set af Enargy Calculations for heated addillans Tre4 P?:PIanRecd ?.Y .:_ly 2 copies of plan shawing beam & window saes; paured PouM design, etc. 1 sRe survey foraddNOns & decks 7rea Pres:Reqmrad `_Y _ N isetafEriergyCakulations Add'Non-indicafeUonsllesepticsystem On-sfteSepdcSystem .. _Y _N 3 copies of Tree Preservation Plan i( lot platted after 717193 Rim Joist Detail Options seleclion sheel (buildings with 3 or less unils) Date 5 l?l ^ 0 ConstructionCos ?//l(?Ll Site Address y )? +?If ?J Unit/Ste # Description of Wo 6 ? Ar) Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 1?? rK Jahnran Telephone #(?' ? ??w ?? LSM Contractor ? ?p ? p? Address A? Vsft' UN 55124 1260 City State YM Lk• A 10HO427 Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheel (4 submissiontype) Submitted Suhmitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan wifh a similar pfan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical ContraCtor SewedWater Contrqctor Telephone #[ Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the inforxnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagap andthe State of MN Statutes; I understand tlus is not a permit, but only an application for a permit, and work 1is not to start wrthout 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. Applicant's mted N-?ameT ?- ApplicanPs Si ture -- ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex 13 13 16-plex O 29 Pool ? 36 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 O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazeho) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Enfire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. ?a'ss ?pv.?<.j Length n r,r) ,: r,.,f; r fo;*F,.fre Sprinklered = rt •.?ia V 1 . ?R1' hY1 1AQQA Width ,"??? i?P•'a^S3S ti'S . ;!J ;A21! REQUIRED IN5PECTIONS _ FinaUC.O. _ Final/No C.O. _ Plumhing HVAC O[her _ Pool _ Ftgs , Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ?---------------- ? ? Permit#. ? Permit Fee: , I ? ? Date Received: I I ? ? I I Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION Date: q 11-bv Site Address. MDfiC-G1-I i- ! a • Tenant: Suite #: RESIDENT 10WNER Name: JVIw(N< lJl !Imn Phone:' 0???'" Address / Ciry / Zip: N • . 5i a CONTRACTOR Name: Champion License #: Coi lZ4 651-365-1340 Address: 3670 17nrir ? Rd #1 BB Eagan, MN 5 512 3 - 1339 State: Zip: City: Phone: Contact Person: 1?? ?i , TYPE OF WORK _ New -kxeplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESfqENTlAL Water Heater Water Softener Lawn Irtigation Add Plumbing Fixtures ? RPZ PVB) ? Main _ Lower Level) Septic System _ Water Tumaround New Abandonment RES/DENTlAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (inciudes $50 State Surcharge) S $ TOTAL FEE I hereby acknowledge that this infortnation is complete and accurate; that the xrork will be in confortnance wkh 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 lhe approved plan in the case of work which requires a review and approval of plans. X v 04S Cl _X ApplicanYs Printed Name Applicanf's - natute , FOR OFFICE ll5E ?D ip City of Eap 3830 Pilot Knob Road Eagan MP! 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ---------------- ? For Olfice Use ? ???8 I Permit #: I ? Permit Fee: Date fleceived: ; StaH: ----------------- 2008 RESIDENTIAL PLUMBING PeRnnir aPPUCarION oate: -d Ske Address: ??ZZ v-i --fi c, s/F Pq iv E !`'b c• arO ? v++n1 sufte RESIDENT/OWNER Name: g`? Phone: K-FI -f ?r-d 74-0-S Address/Ciry/Zp: `fJZZ !'h ET.?-A"r /7lj1UK ?"b? &u . 1nh? ? CONTRACTOR s Name: ? I k?ls Li?nse#: o6'L'9b/ -&t'A Address: _1 S ZiJ° 6-5 /!r v ,Ul'C !L'G. City: 1'.S?Kn?J L/L?-ti State: d''1'0 Zip: S J-) 77 Phone: G?Z-5g7-6I5J? ContactPerson: !?`'+IkY- THe?I'J??'`? TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild A- Modity Space _ Work in R.O.W. Descri tlon of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation ? Add Plumbing Fixlures RPZ /_ PVB) L Main _X Lower Level) Septic System _ Water Tumaround New Abandonmerrt RESIDEN7IAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater n? Softener (includes $.50 State Surcharge) $30.50 lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround` (includes $.50 State Surcharge) 'Water Tumaround (add $136.00'rf a 5/8° meter is required) $700.50 Septic System New ($tO.OD per as built) (includes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEE5 $ I hereby acknowledge that this inAormation is complete and axurate; that ihe work will 6e in confortnance with ihe orclinances and cades of ihe City of Eagan; Ihat I understand ihis is rat a pemiit, but onty an applica0on for a permit, and work is no1 ro starf wiThout a pertnR; Mat ihe work will be in accordance with the approved plan in ihe case of work which requires a review arM approval M,? ,la,ns. rJSW ?i?!/ % s,. = l2IIJ?L ?O?., x ApplicanYs Printed Name AppticanYs SignaUire FOR OFflCE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final MASTER CARD LOCATlON OWNER STRUCTURE AND LAND USED AS / Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING ? SANITARY SEWER OTHER I 07HER I Items Approved (Inifial) Dafe Remarks Distance From Well FOOTING r? SEPTIC FOUNDATION CESSPOOL FRAMING 71P&g- FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING f- s r WELL I SANITARY SEWER _ Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS i0 BE USEO ONIY IN EYENT OF 08SERYEO VIOlAT10Ni PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS WSPECTION ? NO EVIDENCE Of NON-COMPIIANCE 085ERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. WITHOUT DELAY. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILL COMPLY ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY, COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DEIAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESGRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION -1 certify that 1 have carefully inspected the above in whlch I have no interes[ present or prospective, and that I heve reported herein all significant conditions oLserved to he at variance with ordinances of the Town of Eagan, approved plans and specificacions, and any specific require- ments for off-site improvements relating to the property inspected. F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED 6UILDING INSPEGTOR DPTE .(9? a a City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)675-5694 ?----------------- i Far.a?ziGsO i ? Pertnit#: ??[D OL/ ? I ? PermitFee: I I ? Date Received: ? I I ? Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z.. O Site Address: ?3-2Z f 1' I F: l??..1 1 tl r Tenant: Suite #: RESIDENT / OWNER N ?f ?? Ph kJ I VqS?qI1 ame: ?.-nJYVy(l ? one M Address / City / Zip: Applicant is: _ Owner 14. Contractor TYPE OF WORK Description of work: Construction Cost: -3sq940C Multi-Family Building: (Yes No ? CONTRACTOR Name: Wew Life Contrar?jng Inc License #: , 8030 Old CedarAve. S S4e. 119 Addr???g flqpl Sr.d75 0.A? tj8 t?Bs4?S86 Ph: 651-274-8g43 Fau: 952-405-6108 City State: Zip: Phone: David JOhnSO(1 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documenfs ihat you submit are considered to be public information. Portions of ''the informafion may be classiiied as non=public if you provide speciflic reasons that ouJd permif the City to concludethat the are trade secrefs I hereby acknowledge that this information is complete and accurate; that the work in c Eagarpf?a6lbupd? g??,?h? i?not a permit, but only an application for a permit, a d wo acwr?ance.yvitl? ffi'? a o?k?F11'aa?'ri t4e,case.of work which requires a review and app val of mair. newh econhactingCyahoo.curn __ `?U1Z9°.1l1P1fsffi'dh ?- codes of the City of the work will be in ApplicanYs Printed Name ? i µt? , .., . . . . t 4'.?,. Y „ ? Y;,, „ft??+?"•. r" O 0,o'i' ? . , A?? ' , . . ??.MllS??• ? . .. ,?.? _J'.? _._ ... .._. _. .. ..... . . ? . :, . . . .i 34ry t .t 1 l' 70 ( 1 Ut to6e70 qo ? , ? .. T .._ . .q I . ' .. . • . } a Y `?? ? ?. v . ,. . . .. .?et`? • i?k3 . ' ?.? ?? t rtiA ? 2 3 ,-?5-- 2 ?v --?---- ? 5` I g' .. . v . , . ? fi27 cA.dt .. ,y . ? FrMw??h0U5[ 2 CAL ? spl, ?? u jrtv il t ta4 l, od .. ...: ? J ` y fl? r . " J? ?I i .. L'A ?' a •1? ` M 4LJ ?1 . _ ? . . . ?r e:. - a -- _ _ - -- ----- ? -?- --- - ------ ? , ?, Y ? J 3 n 16' 1. ? • , ? ???: . . ? . . M . . . ? Cq ? b. b?. 90 00 s -- -- - - .- ?R ___ 4A , ,. . ? 4 6???ve _ ..?? _ - --- - - - ,-.- ??'? ? L.u i G 9l k ? R,?u cr ._.. _: DENOTES DBA, MOdeL G DENOT.E,S r .. , .,.?yy???,-• .. . . ? ^ .. f, ?. ? ,- - . .? , ? ,.. C?t 4 ) I' F ? ? - I • O O ? 5 .• ' .? 9Oqoo ¢ ?: ? . ? . • • •_ .?• ? ?l_ ? ,,y ' ?/ ? . . ? . .. '? ' G?*>? 7 / +]? ?: . .,?' } ! p " t ?. ? J ?. ' ?\ ?2 G?NL •? r ? I S, t ?'`f fy a a1N -, '!= . ? ? ? SPl,' { ?'Q?r? r ? ` '. ? ? d4i'I?Y . . . . wA ?1.? K,?S' + Bs ?_ T ? •, e I F ? W -__ F I : I r i?? {< ?Q1 y• , ? t: O? \ _.. ..... ` .: - _: ? ?h! ??G.... . Cl? ?G i . l f j?,( r Y i ? ' .• { 4 I`IJ?? . ? f . ? 4 yr r. ?aeG ? t ? 90 o P o ? % A l! ? Use BLUE or BLACK Ink r---------------- For Office Use I inan Permit City of EaEd , Permit Fee: 3830 Pilot Knob Road \ Date Received: Eagan MN 55122 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: 2010 RESIDENTIAL PLUMB NG PER IT APPLICATION Date: 10-IS-10 Sitei Address: r Tenant: _ ~ ~b Sfl Suite M RESIDENT / OWNER Name: dad K JC~1n t~S6 t'` Phone: 6 Address / City / Zip: ' %4~ a YYl t~ Cc- 0 y CONTRACTOR Name:-R,6- ame: R, 6- b ~yvi~oi 1 ( /,1 Licenns^e_#: 609 3 Address: P Lt(3 ( 1 t V City: ~^h 1(A Q{ State: AA/ Zip: 3 ~ Phone: M_cP d ('FD ( I Contact: 10 - Email: TYPE OF WORK - New ✓n Replacement _ Repair - Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.org o~ 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 a1~~ accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final A. Use BLUE or BLACK Ink I For Office Use I Permit City of Eap Permit Fee: 1-7 ~2 I 3830 Pilot Knob Road I - Date Received: Eagan MN 55122 7- 1 Zm Phone: (651) 675-5675 I staff: Fax: (651) 675-5694 I -S~G 2012 RESIDENTIAL BUILDING PERMIT APPLICATION I 2 Off- Date: Site Address: ft2Z METC Ag.~F JtV_ 6k N Unit Nip, Name: Mprp-k- Z-2) t-+'1ys0" Phone: RESIDENT / ~i OWNER Address/ City /Zip: -7?J2Z METCA-t.r- IM a , Mnl Applicant is: Owner ''i'ce Contractor TYPE OF WORK Description of work: 2Y VrCWF_7- V -T/l0M-L- Construction Cost: %~/a0~• Multi-Family Building: (Yes / No)C 1 Company: ~P UNI✓ 'aUIL'Di 'S- Contact: AI1Y. Net-SO CONTRACTOR Address: ~~Z )GNUU GI (ZE-LE ~ T City: IgAir-hism z- State: Phone: Lead Ce cate # If the pr sect is exempt from lead certification, please expl in why: (se e 3 for additional informationL ►~w~--r+~-tin,, t9?8 ~ ~ ' C~ 7 Ck►1 COMPLETE THIS AREA ONLY IF CONSTR TING A NEW BUILDING In the last 12 months, has _Yes x No If yes, date and address of master plan: Licensed Plumber: N NE__ Phone: Mechanical Contractor: "(1N11--- Phone: Sewer & Water Contractor: N0 f-.1..f'- Phone: [ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.aooherstateonecall.om 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 1 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 /offppermit i su nce. x ' ' Y Mt N~=Iw x Applicant's Printed Name Appli Signature Page 1 of 3 I DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) J Exterior Alteration (Single Family) Multi _ Deck - Porch (Screen/Gazebo/Pergola) ` Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool Miscellaneous Accessory Building r WORK TYPES fj 'YV 0 L.' _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length! _ Fire Sprinklers Type of Construction - Width QT REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation ~ HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final A Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -.Air Test -Final Windows Y Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock / Erosion Control Reviewed By: V , Building Inspector RESIDENTIAL FEES Base Fee ~L Surcharge ~i I 1 Plan Review Y1 ~vV\o)'VL MCES SAC City SAC Utility Connection Charge ( l 0 S&W Permit & Surcharge / Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114063 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 4322 Metcalf Dr Lot:6 Block: 1 Addition: River Hills 9th PID:10-64400-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Reinaldo Cintron 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 - Mark A Johnson 4322 Metcalf Dr Eagan MN 55122 Ralow's Roofing 4351 Parklawn Ave. Suite 108E Edina MN 55432 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature