4330 Metcalf Dr
Use BLUE or BLACK Ink
i -
f n (I\ I cj CD~~~ j
City of i~~ ~li ~ ~ Permit . , , a~.~• I
j
3530 Pilot Knob Road S p L~ Il) i Permit Fee: I
"Eagan MN 55122 1 I
Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
2010 MECHANICAL PERMIT APPLICATION
Date:('1 Z~ - 10 Site Address: L),3 3 d~ c ~;,1 fir < v c
Tenant: c f d C CC' U 0 n Suite
RESIDENT / OWNER Name: 1-3 Ce r (2::1 C C" 3 ® Phone: 51-2-0 7- 3 30 3
Address / City / Zip: _ '-t 35 C~ V\'1 c A-C L t r "It
CONTRACTOR Name: M License
e9, ,
Address:
• N Inc. City:
A 46,'
State: Zip: 1814 ;l ~t
Minn: _ ..v54
Contact:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: _A2.e_P t c` LP__ X'If e-\A_ txz A- c-
NQbomdbted ar4 ground;twu mechxpftt _ut~snent reuired.ta ije ;SCened by, City
CO , Pte CSDrfteASf the *8c , }ical` ' spectof tcx fttto3 ttetiOR fitl f a or
r ring lllethpds,
PERMIT TYPE RESIDENTIAL COMMERCIAL
___)!PFumace S Bit- 1-d 6o c e5b New Construction Interior Improvement
Air Conditioner 2-%(A t'/t S Z'-t Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing,unit (includes $5.00 State Surcharge) a G
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 6o TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,01(T$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL 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.gopherstateoned II.or
I hereby acknowledge that this information is complete and accurate; that the work will be in nformance the inances 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 n start witho ape 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 e car, ~ f! o f In g z 1 ll.
Applicant's Printed Name Applica 's ignatu
DRKili`-c USE Revlewred 8g_
}Ree Insp~ons_ Und or Ground ° RPOgh, tom ~ % I L Senrrca Test to floor Fteaf Fins}
CITY OF EAGAN
. 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 3
? PHONE 454-8100
BUIL•DING PERMIT Receipt #
30
TO bQ USld f0? DFIC.K E5t VeIUB -?4-'buu Date +;u?Y tpl 119 36
Site Address 4 3.317 Erect ? Occupancy
Lot_05 _ Block 1 Sec/Sub.-PIV.I.:FZ ia lL1.e,__9_TR9emodel ? 2oning
Parcet No. Repair ?
? Type of Const
St
Addition No.
ories
a
Name ti,i. SlI??F? ;i?'_KI.F.R Move ?
= Demolish ?
Length
Depth
o Address?33O ?^lE`TGir1' rH Int.lmpr. ? Sq.Ft-_
City -?Ai+one H94-1?i50_ Install ?
o j?9• ApProvals
Name =3!?:L`;['?1-.Ij;?$(1Ij $j•D Feas
Z
_
0 ? Address 15025 gTPfR?i.q &VE So ASSBSSm@I1t Permit
? ciry Ti.P- i35-3478 Water & Sew. Surcharge
Police Plan Review
F Z Name FirB SAC
?= Address Eng. Water Conn.
< W City Phone Planner Water Meter
Council
I hereby acknowledgethatl have read this application and state thatthe
5
0 1I1Y Road Unit
i Bldg. Off-
information is correct and agree to comply with all applicable SNate of
Minnesota Statutes and City of Eagan Ordinances. ? APC . Tr. PI.
Parks .
g ` r ?J Var. Date
? Copies '
Signeture of Permittee - ' TOtal-? ? 6 •
A8uilding Permit is issued to: on the express conditfon that
all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Building Official
- ' ` '
, f
?? wrmn No. I r.rmn Hda.? I Date I TNepha» N I
comm«,a
CITY OF EAGAN Remarks
Addition River Hi I l G 9th Loc 8 Rlk ? Parcel 10 64oo 080 01
Owne?.9da.i'24/JI. 6,&La? street 4330 Metcalf Dr, state Eagan,MN 55122 _
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAQING
SAN SEW TRUNK /JY 148.72 9.91 1
SEWER LATERAL 2
WATERMAIN
#WATER LATERAL 1976 3
-
WATER AREA
STORM SEW TRK
#-STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREETLIGHT Z13 11 1980 b7,80 13.56 5 b7.80 C00b639 10-15-79
WATER CONN. 43 '
,L
-1-71,
SUILDING PER. Q ?
SAC
5 76-
PARK
>_• 4.. .•,- 7 r-? k J_?k?.?-?? K. ! 570 G'C' i?, 7J S°?-: t.
VILLAOE OF EA6AN WATER SERViCE PERMIT
_-30
3745 Piloi Knob Road PERMIT NO.: 24 . 9/ 4? 7 6
Eo9an, MN $5122 DATE: -
No. of Uni[s: 1
Owner: ••uge-r-De-V--Cax-P_•_---
Address: --
Site Addmss: t c zk1 fzI 8 B 1 RFL3
Plumber: __Th4IDP-S_Qn-P_JjgMbin CO• 205.00 pd
M ?No.: Connection Charge.
S. ? AccountDeposir. 10.00 b?lled
ea r No.:?-?'? ?O Permit Fee: .50 #a90
? a9re b????ith }Mg V{Ilage of Eogo? 5urcharge:
Orddes. Misc Charges: 60.00 $d IDtY•
ina
/ Total:
By Date Paid:
Da[e of Insp.: lnsp.:
SEWER SERVICE PERMIT
nti-AaE ov enoaN 1
3795 Pilot Knob Road PERMIT NO.: 278
/ 4/ 7 6
Eogon, MN 55122 g
DATE?.
?
Zoning: R T
? No. of Units:
Owner:
Address: ? AF?
?
B
Site Address: 4130 r P t c 1# ?'
?
Plum6er: Thom 100. 00 pd
8/3/76 #3677 350.00 pd
•
1 ug,ae fo comply wiih tl?e Villaqe o .
F Eagen Connection Chacge
Ordieanan. Account Deposit:
10.00 billed 890
PermitFee:
• 50 billed 890
Surchazge:
Miac. CharBes:
By:
Date of Insp.: Total:
Date Pald:
Inep.:
3830 Pilot Knob R d! P.O. Box 2G-A1 9, Eagan, MN 55121 N°_ 11913
'
Gj??j?/
BUILDING PERMIT PHONE: 454-8100 Receipt# Y
7o be used for DECK Est value $ 2• 6 00 Date MAY 21 19 86
SiteAddress 4330 METCALF DR`" _ Erect ? Occupancy
Lot Block 1 Sec/Sub. RIVER HILLS 9THRemodel ? Zonin9
Parcel No Repair ? Type of Const
. Addition ? No. Srories
a
i
Name- MS. SHEILA $ICKLER Move
Demolish ?
? Length
Depth lz
o nddress 4330 METCALF . DR_ _ Int. lmpr. O Sq. Ft.-17 _
City EAGH*hone $94-6850 Install ?
o N NELSON-JOHNSON BLDRS qpprovals Fees _
ame-
$a nddress 15025 STEVENS AVE SO
? city BURNSVI?d?E 435-3478
.Q
F w Name
_z
mo a Address
iz
w City phone
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council _
Permit $ 38.50
Surcharge 1.50
Plan Review
I here6y acknowledge that I have read th is application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota StaWtes an Ci o Eagan Ordinan?gs.
Signature of Permittee ?j'
A Building Permit is issued to: NELSON-JO SON BL
all work shall be done in accordance with a{F'VP-3ACab ,Siate ot Minn c
Water Conn.
Water Meter
Road Unit
Bldg. Off._ 5/21/86 Tr. PI.
APC Parks
var. Date Copies $ 40.00
r,..ei
on the ezpress condition that
Ciry ot Eagan Ordinances.
Building Official
I/
CITY of EAGAN
BUILDING PERMIT
own.:
Addraea (presea2)
.. ? ?-• ---...... ..........?
Builder ........................... _............. .....---......... ..... . .........- '.................
? ?1
aaa:e.s ......._._-- -- --..---....?cS-'.7.':3.1'?
DESCRIPTION
. :.
N0" 4029
3795 Pilo! Kno6 Road
Eagan, Minnesola 55122
454-6100
Dsls ..a-f...F..:I..//??
Slosias To Be Used or Froa! Daplh Haigh! Eet. Coe! Permi! Fe Remarks
--7- /;Iv
. LOCATION L{ ?
SSWel, Road or olher Deseripl3on of Localioa I Lof ' I Bloak I AddiBOa or Traet
This permit doas not auShorise the use of sireele, roads. alieys or sidewatks nor does it giva the ownes or his apent
the righ! 3o creflle anp sifualion whie6 ie a nuisance or whieh presenle a hazerd !o !he heallh, sefely, eonvanleaee and
general welfare to enpone in the eommunify.
THIS PERMIT MUST BE? ?K?EPT PREMISE WHILE THE WORK IS IN PROG$?S$ '17?is is to certifp, thal../?x,;G-x/?k. .!'f??P.?......._ .............has perauseioa !o eree! a._??:- - 1V...??(rew.c?:....._upoa
the above sGribed pre 'se subjecf !o the provisions of all appl' e Ord?n ees for !he City of ga ?
.....' ....... .... .... . "_""" """"...........
Y.°- °-°--°°---........ Per -- ?°- --... '--. ....... ---. .' . ...--°---.....L ...........
.."'.......?.-. or Suilding Impeuos
ff r T?1r 9
czTY or, r,nc_N
37:5 Pi1ot Knob Road
Eas.^-n, i+L.r.neueta 5'3122
FF,FMffT 170,: ani
The City of Eagan hereby k?ra;its to Q?*T w i r u +; .. ? ?? _
af My,.. n1js
a ??MTN,r Permit for: (Owner) WRA-ov Bev 6orp -
a`' -4339 aaetaa3-£ er. , Pursuant to application dated 9/3 0,1!;_
Fee Paid: 520.00 dated this 14 day of Se tember 19 76 +
.50 s/c
Building Inspector
Pdechanical Permits:
Bid Tota.l:
,.. /O (P ?? o a k'? a/
ez71 or r,Ac<,;.?
37,05 I'i'_ot I:nob R::ed
raar.^, .:linneeota 55122
PERNIIT PJO.;_7.oo ---
The Ci?y of Ea7an hereby grants to Thomrson Plumbing Co.
og 12201 Minnetonka Blvd., Minnetonka
g PLUMIIING Fe:mit for: (Owner) windsor Dev.'Corv.
223 Clark and
at 433b x?etcalf ? pursuant to application dated 8/3/76
billecl:
Fee W$J* 4o.nn dai;ed this day of A„g„ar r ?7-16 +
1.00 s/c
see statement A890
Building Inspecto?c
Mlechani.cal Permits:
Bid To?ala
REDUEST FOR ELECTRICAL INSPECTION
? See Insimctions tor completing Ihis form on back oi yellow copy.
J 63 149 8elow Work Covered 6y This Request
? h.?? EB-00001-08
tv C.e?s?ti
?S s/a8? 93
ew Atl ep., TypeafBuilding AppliancesWired EquipmeniWired
Home? Range Temporary Service
Duplex Water Heater Eleciric Heating
ApL Building Dryer Ofher (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
O?her (specity) Gonvactor5 Remarks
t? N (D 'U 1?-( (!t I p
Compute Inspection Fee Below: G??m v(?C??f?NM11?Q ?
?
Other Fee # Servic Envance Size Fe # Ciraits/Fee ers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps 100_Amps
SignS Inspecror5 Use Onty: TO AL
7?
Irrigation Booms ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Elechical Inspector, hereby Rough-in oeie
certify that the above inspection has
been made. Finai , oere S
OFFICE USE ONLY
This request voia 18 montps irom
?/3a'l a3 - Gy2 -7Sq 7
J 631 4 ? gd& s't?
Repuest 0 le Fire o. Rough-in lnspection
Requiretl. Reatly Now p Wili Notity Inspeclor
? Ves Na h'hen Reatl
Ilicensed contractor Downer here6y request inspection of above electrical work at: ? .
Jo A[?eys j4heet, Box or No.
J
2 Ue, City
Seclion No. Township Name or No. Pange No. County
OccuP PRI I P (I?JQ
V
Po S pl r Atltlre
EI Tal Con? actor ICo pany Name? ? ? ontrocWr3 License No.
Maili eares 1 mract o Owner Making Installation) ?
Aul tl g ture f on raclon e ak
? nst Ileuon? P r
'
ES TA STATE 90AH? OF ELECTNICITV A TNIR INSPFfTI(1N FFOI IFCT WII I Nl1T
(irigga-Mltlway 81Cg. - Room 54]3 BE ACCEPTED BV THE STATE BOAFD
1821 Univenlry Ave.. SL Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
Phone(612) 662-0800 ENCLOSED.
1986 BOILDING PEI?IIT APPLICATION - CITY OF EAGAN
NOTE: AI.L CONTRACLOHS MQST BE LIGENSED iiITH THE CITY OF EAG6N
SI9GLB FAFIILY Db1EL.LING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLII D{iELLINGS - RfiSIDENTIAL RENTAL DRITS FOH SALS OAITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SUR9EY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPIl4ERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: IDeck
Site Address 4330 Metcal£ Dr.
Eagan, AN
Lot -L Block ?
Parcel/Sub
Owner Ms. Sheila Sickler
Address 4330 Metcalf Dr.
City/2ip Code Eagan, MN 55122
Phone 894-6850
Contraetor Nelson-Johnson B'uildexs
Address 15025 Stevens Ave. So.
City/Zip Code Burnsville, MN 55337
Phone 435-3478
Areh./Engr. _
Addreas
City/Zip Code
Phone #
; $2;-6'00 Date: 5/19/86
OFFICE D3fi ONLY
Erect Occupaney
_
Remodel Zoning
Repair Type of Gonst T,i
Addition # of Stories
Move Length
,
Demolish Depth _ Y 7
_
Int.Impr. _ Sq Ft
Install
6PPROVALS FEES
Assessments Permit 38, o
Water/Sewer Surcharge i, so
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off
;Loc? h Treatment P1
.
APC Parks
Variance Copies
iOTAL
NOTE: ADDEESSBS FOR CORNER LOTS - CONTRACTOR/HOlIEOitNE6 MII3T DESIGNATE HHICH ADDRfiSS
IS DSSIRED. NO CH6NGFS WILL BE ALLOWED ONCE BUILDING PSRMIT IS ISSDED.
I
?`•?? `? ?'? `?
MASTER CARD
- '
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PWMBING
761 f(
v
r1G
CESSPOOL - SEPTIC TANK -
WELL
ELECTRICAL
HEATING
GAS INSTALLMG
5ANITARY SEWER
I
OTHER I
OTHER I
Items Approved
(Ini}ial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING
FINAL
ELECTRICAL
I TILEFIELD - FT.
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD . .
PLUMBWG
WELL
SANITARY SEWER
? -YG ?'_O, ? 26
Violations Noted
on Back
COMMENTS:
OWNER
STRUCTURE AND
LAND USED AS 2 JCV6? 0415 wwa
'n'- ?-
COMPLIANCE INSPECTION REPORTS
TO BE USEG ONIY IN EVENT OF 065ERVED VIOLATIONS
PERMIT NO.
CONOITIONS DF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED. O ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQLIIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATIDN -I certify that I have carefully inspected the above in which 1 have no interest presen[ or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
COMMENTS:
BUILOING INSPECTOR
DATE
DEVELOPMENT CORPORATION
June 30, 1976
Mr, Dale Peterson
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Peterson:
?
I
RE: Lot 8 Block 1
4330 Metcalf
Eagan, MN
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 wi11 contain
the following:
- Patio door - Dinette w/4x6 deck
- Marble vanity tops
- Appliances
- 1 fireplace in lower level
Attached also find a copy of the proposed plot plan.
Sincerely,
WINDSOR DEVELOPMENT CORPORATION
mGGV?' / ??a^a;?,?
1
Warren R. Anderson
Vice President
wRA/cj
Enclosures
?? .
1p4
SU1TE 192. 4660 WEST 77TH STREET, EDINA, M(NNESOTA 55435 • PHONE (612) 831-0717
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114767
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4330 Metcalf Dr
Lot:8 Block: 1 Addition: River Hills 9th
PID:10-64400-01-080
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 -
Jennifer Gordon
4330 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148641
Date Issued:04/11/2018
Permit Category:ePermit
Site Address: 4330 Metcalf Dr
Lot:8 Block: 1 Addition: River Hills 9th
PID:10-64400-01-080
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 -
Jennifer Gordon
4330 Metcalf Dr
Eagan MN 55122
(651) 207-8303
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175821
Date Issued:04/18/2022
Permit Category:ePermit
Site Address: 4330 Metcalf Dr
Lot:8 Block: 1 Addition: River Hills 9th
PID:10-64400-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jennifer Gordon
4330 Metcalf Dr
Eagan MN 55122
(952) 412-6535
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature