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4342 Metcalf DrCITY OF EAGAN Addition Ri OwnerL12.1-1 Ik 1 Parcel 10 64400 110 ol state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREETLIGHT ? 1980 67.80 13.56 5 67.80 C006634 WATER CONN. 2801 0- 6 BUILDING PER. 17 16o 2801 - Q-7 sac 450.00 2801 - 0- PAR K '??M1R'IF-?b'?;"' ?` ? rt?''"`. ^. ?nr+q+?r- ?r???* ?','. {??„r<<' . 1072 Payne Ave. St. Paul, MN 55101 651 /772-2449 LAST C ITY GAS WORK ORDER STANDARD 6HEATING09 & AIR CONDITIONING 1C ZIP ` L_ WK PH DATE Z ? " 1 410 W. Lake St. Minneapolis, MN 55408 612/8242656 EQUIPMENT INFORMATION TYPE MAKE MODEL O 02, A I A rA SERIAL INPUT ORSAT TEST RECORD C02 % METERED INPUT Cfh CHIMNEY TYPE 02 -7 °k LIMIT SETTING ' ° FLUE SIZE in. CO % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP ?C b 0 TOTAL CHIMNEY INPUT ZQ) U i btuh CITY OF EAGAN Y ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No. 8713 PHONE: 454-8100 .I U BWLDING PERMIT Receipt ?t ~ I? I I To b* wed for FIRE-PLAC^ Est. Value $2,000. Dote FEBRTJARY 2 , 19 S 4 SiteAddreu 4342 ML;TC_AI.F DR3V-?. Erect ? Occupancy R3 Lot 11 Block 1 Sec/Sub. _ R-T«1? r=T T.T.2 ? Alter ? Zonin9 R1 Percei No. 10-64400-110-01 Repair ? Fire Zone '-1/11 Enlo..oe ? TYPe of Const. V W Name DEAN & MARILYN MALLBERC_ Mave D # Stories ? Address 4342 METCALF DRIVr pemolish ? Length City EACAN Phone 890"09 80 Grade ? Depth Sq. Ft. S Name ?E ApProva 1a O ?` Addresa ' Assessment ? City Phone Woter & Sew. Police FW Name Fjm ?? Address Eng, t W City Phone Plonner Councfl Permit q L 1 . -j v Surchurqe • 50 Plan check SAG Wcter Conn. Water Meter Rood Unit I hereby acknowledge that I have read this applicotion ond stote thot Bldp. Off. the information is correct ond agree to comply with oll applicoble State of Minnesoto $totutes ond City of Eoqon Ordinonces. APC Tofal 5iflnoturc of Permittee /1 Building Permit is issued to: b'a1L'`T A'ALLTIFRG on ths express condition thm all work sholl be done in?accordonce with)oll appliaoble Stote of Minnesoto $totutes and City oi Eoqon Ordi?wnces. Buiidirg Officiol ;? . Psrmit No. Permit Holdsr Misc. Permit No. Holder Plumbing H.V.A.C. w.u Water Disp. S0""M r Elect?ie ` InWaction Date Insp. Other Footinpt ? i ? Foundation Framinp Rough Plbp. Rouqh HVA Inwlation Final Pibp. Final HVAC Final Warir Dese?ibe Location: wsu Sner Pr. D'ap. //-/ ,P, ff r7' CS'I"I On F?",G:3N 3(95 Pilot Knoo F'oad Ea.ga.n, Ni_ni:f,soca 55122 PEFMIT ItiTO.: $36 TI.e City oi Fa.gan hereby gra,nts to _ PaY N. Welter 8eating 4637 Chicaqo Ane. u HEATING Permit fcr: (Owner) Windsor Dev. corp.T 4342 Metcalf Dr. pursua.it to applic<tion da'eed 5/24/76 ? _..e Pwi_d.s ___ $20.00 dsted thic 26 day of `?'aY 19 76. ,50 s/c Duiiv'iiig ?:;oP= (?t. r Me.na. icnl Ferri.ts: Did Tot.-l. ? ? ? ?7 C) 3 CITY OF EAGIa..N BUILDING PERMST APPLICATION To Be IIsed For V' Valuation 4L? Site Address: Z/L, yg Lot Block / Sec./Sub"Erect L Alter Parcel # : Re pair Owner: ? Adlt? -tGLf?cTC Enlarge - Nbve Pddress: City/Zip Code: G?qyr S?S'/e2a Phone #: C>> ?D Contractor: ??j.,,""'e'J Address: s-??u. ? H,e?,-uc City/Zip Code: Phone #: Arch./Ehg.. Address: Denclish Grade Inclucle 2 se±s of plans, 1 Certificate of Survey & 1 set of enasg;! cai.culations. Date 7.,? oP, /'F k OFFICE USE ONLY Occupancy Zoning )r/ Fire Zone Type of Const. # Stories ' Front ft. Depth ft. APP7?OVALS FEES 0 Assessz[ents Pezmit H Water/Sewer Surcharge _4211'- Police Plan Check Fire En4 • Planner P.PC SAC Cotuicil Bldg. Off. Water Conn. Water.Meter Road Unit Gity/Zip Code: Phone #: nYPAL jaZ CITY OF EAGAN ?. ? 8793 ? 3830 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 111 ?? I BWLDING PERMIT Receipt .# Te bs med fer FIREPLACE Esr.Volue $ 2,000. pate FEBRUARY 2 1984 SiteAddress 4342 METCAL•F DRTVE Ercct Occuponcy R3 Lot 11 Block 1 Sec/Sub. RTVFR HTT. T.S 9 Hlter ? Zoning Rl ParcelNo. 10-64400-110-01 Repoir ? FlreZwve N/A E l F C t T V n aroe ? ons . yPe o rc Neme DEAN & MARILVN NL7+LL.B ER(; Move ? # Stories ; Address 4342 METCALF DRIVE pemolish ? Length_ b city EAGAN Phone 890-0980 Grode ? Depth Sq. Ft.- ? SAME ADOrovals Fees o Name ou Address City Phone Gw I Name ? xo Address ' .(uZ, City Phone 1 hereby acknowledge that I hove read this application and state that the inlormation Is correct ond agree lo wmply with all opplicable $tote of Minnesoto Statutes and City of Eagon Ordinances. Assessment _ Water & Sew. Police ? Fire Eng. Planner - Council _ Bldg. Off. _ APC - Permit a 11 . 7 V Surcharge •$0 Plan check SAC Water Conn. Woter Meter Road Unil Totol Z • 00 SiOnature of PertniMee I A Building Permit Is issued to: DF N A T.BFR(7 on the expreu tondition thnt oll work shall be done iryoecprdance wjfFaull, aDPlitable Stote of Minnesota Statutes ond City of Eagon Ordinances. Building Officiol . .:;. ? CITY of EAGAN N° 3917 Owne: BUILDING PERMIT -'... ................. . ... Address (Precenl) ...... !/.V....... /..<?.......?........... ........... . Suildes ....................... ........ ....... . .. . . ....... Address ........ ......... . . . ........ .......................... DESCBIPTIOIQ 3795 PiloY Knob Road Eagan, Minnesoia 55122 954-6300 Dale ....-J.?.-.zpl ............. Blo:ias To Be Usad Foz Froa! Depfh Hetghf Esl. Cos! Permi! F a Aamecks ?2 C7 g 6 _ I LOCATION /J a - 8lreel. Road or olher DescripYion of Loca2ion I Lo! Sloek Addition or 7'rae! 4? 4 z m, ?:? / / 1 ?__ ?-? ? This permii doas not suihorisa/ihe use of sireefs, soads, alleys ar sidewalks xos doea it give !he ownar os his agen! the righ!!o ereale anp silua2ion which is a xuisanee or whieh presenls a hasard !o the healfh, safely, convenienea and general welfare fo anpone in the eommunify. THIS PERMIT MUST SE? 3/Ep T N E AEM/I/sE WHILE THE WORK I5 IN PROGRESS. Thfs is 2o ceriifp, ihai..{lfl.... ??:..: .C'?a.?.....has parmission !o ereet a.__Sc:.F_... ........_npon the above described pre ise subjecY fo the provisions of all applicable Or for the Cily o! Eagan / .--°-.....? - ..... ---- °- -----................ Per ??___?' ??iK?••••..X'?...._....................... vr Buildtny Inapectos I CI`I'f.C?? E?f,0T 371S5 Pil.oi; I!ncb P.ce.d Ez-n, i;?;r.nebota 5';1.22 ? ? F;i.Pu" '9Ii NO.: 675 I , ------ ,-. -- T:Ie City of i,a.gan hereby grants to'P11amPeon plumbin9 On• iaaoi Minnetonxa siva. _?----- -Nin3sor ?e- v.Trorp: , a PLUMBING ne^7,it for: (Owner) wasren Anderson, 6 Nevt ISf 8a e . 4- -, , A'FFe?caI - +t334-Me? to aFnlication da ted 5 5 6 billed : e, k*kj; 160.00 dated this St-tlay oi maY ? 19 76 4.00 s c Statement #865 DuiidinZ Inspector 7 ' .. _ .... __.. __..__ _ .?.....?_. WATER SERVICE PERMIT OF EAGAN VILLAGE 1974 3705 Pilot Knob Road PERMIT NO.: 5/5/76 Eogan,MN 55122 DATE: 1 ZOi1111g: Al No. of Units: WindsoI DeV. ODtP. O wner: Address: 4342 Metcalf Dr. Lll 81 RH 9 sice nadre Plumber: ?SOn Pliotb1nQ 00• / p5.00 pd ? _v N? Connection Chazg eter i Aceount Deposit: 1p.00 b lled 865 No.:7// O 4z3 ead Permit Fee: ,50 b lled 863 comply with tha Villaya oi Eagon Surcharge: 60.0' QC? I ogreeo / . Ordinansl;,/? Misa Chaxges: Total: Date Paid: By Date of lnsp.: Insp.: YILUIOE OF EAOAN SEWER SERVICE PERMIT 2732 3753 Pi1vt K9ob Road PERMIT NO.: 5 56 Ea9an. MN 55122 DATE: RiI No. of Units: 7,oning: WindeOr Dev CotP Owner: Address: 4342 Metcalf Site Address: ThomP$on Plumb n4 00• Plumber. 350.00 pd I og.,a ta comply wifh tha Villoga oF Eagan Connec[ion Chazge: ----- Ordino?ce& Account Deposit: 10.00 ill a 865 Permit Fee: .50 billed 865 Surcharge: Misc. Charges: By. Total: . Date of Insp.: Dace Paid: Insp.: 6 »G lk RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 'New Construction Reaulrements RemodeVReoair Reouirements OH'xe Use Onlv 3 registered site surveys showing sq. R. of lot, sq. ft, of house; and all rookd areas 2 copies o( plan Cert of Survey Recd (20%maximum lot coverage albwed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Not Reqd 1 set of Energy Calculations Addifion - indicate i(on-sRe sepfic system _ On-site Septic System 3 coples ot Tree Preserva0on Plan if lot plaried after 711193 Rim Joiffi Deiail Optians selec6on shaet (bldgs with 3 or less unik Date 0 / -7! 5 Construction Cost ?nT' Site Address UniUSte # Description of Work Multi-Family Bldg _ Y_ N F}replace(s) _ 0 2 Property Owner yir(?II,(A u -_ ? Telephone # (+Q?? ) ??7 ' q Z`C p Contractor F1RSIbE HEaerH & HoME Address AUQN5YIk6€ AM cc??? City I ???? State L I C# 1 D d 9 0 91 1 'HONE 952-890-0758 Zip Telephoue #( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ • Residential Ventilation Category 1 Worksheet (4 submisslon type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Licensed Plumber Telephone #( Mechanical Contractor Q ?CQZ 1? Telephone #( Sewer/Water Contractor 111? Telephone # ( 1 -_ I hereby apply for a Residential Building 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 State of MN Statutes, I understand tfiis 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 y?feZ?pse of work which requires a review and approval of plans. ,. ApplicanYs PrintedName -xtlpplicanYs SiguYl!!Te? OFFICE i78E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Vrluation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Diain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RL Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK 0917_ / -C? -3e- WELL ELECTRIGAL HEATING GAS INSTALLING -I' SANITARY SEWER OTHER I OTHER I I}ems Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ? CESSPOOL FRAMING ? TILE FIELD . FT. FINAL ELECTRICAL HEATING DEPTH OF WELI GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - • f ?? ,4 ' .- - Violaiions Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 065ERVED VIOLATIONS PERMIT NO. DATE OF INSFECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. Bl11LDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REqUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to he at variance with ordinances of tha Town of Eagan, approved pians and specifications, and any specific require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR OATE Jjx?3 ?/l DEVELOPMENT CORPORATION April 27, 1976 Mr. Dale Peterson City of Eagan 3795 PiLot Knob Road Eagan, MN 55122 RE: Lot 11 Block 1 River Hills 4342 Metcalf Drive Dear Mr. Peterson: Enclosed please find a check for building permit application and fees as allocated on the check stub in the amount of $1,051.50. This home will be a Model 75-30 elevation C, and will contain the fvllowing: - Bath and 3/4 up - Finished family room behind garage - Patio door family room with sundeck - Fireplace - family room - Appliances - Full basement under family room - Hip roof in lieu of standard qable end Attached also find a copy of the proposed plot p1an. Sincerely, WINDSOR DEVELOPMENT CORPORATION Lva.w, /?, OJL? Warren R. Anderson Vice President WRA/ks Enclasure SUITE 192, 4660 WEST 77TH STREET, EDINA, MIN{VESOTA 55435 • PHOIVE (612) 831•0717 '"') J ? f M1 ?? P+1 H J6 ? F S.d.°. t i- M.?e "•&5 r L .'S 1 ?, r.. ?? . •??r ? ? f ' ,. .. ? k a , t ? .• ? - . - rS +wf? 4 4'.i ?:i?' ?3 O { fx - ' 4 ; < t ,? ,! r. x . x ; l? y ? ? i .f`? ,.. 5? ?,xfi: :; x .. .• ' " z1?z.oe_ •? ? , ,? ? ., : " 7d ? .a. ¦y ? Y? C f ,? i._ ? ? . `.?• rr p ? ??? r ? y M'? F r E, n y ? :t . war ' + ? . _ . ..: , e rq ?F ek ?? ( iV b5 ?`? } . e ? . fk } y ? ?? ?. ??;?A • .-3CJ? ? 2o v - i e ? i r ..F H a x5?F? y-1 ?.SOL.?FA?E.:. ?l 05 A? ? t 1 t{ w B <' Kt I.";t t:' • • Y 'i "y? 1?, ? 2i S r . ./Y ? z {?4! \gAFaa_9E N r ri N! r! t ? '° .} af a? .;i '? ;;• ?? ,.? «V'? k,: ? . ? ? x •? i ?? s u'v A ? ? 4 ?I ? ? / f. ??!? Y " • H T.. '?rorQbs`c? ? 44 ?'? x y.4 C. /1 ?} •??= r ..o i ?.. r ' ??? ? f H Z •Y V t •` . ? 'J. J ?. . F. f; r h?.::: ? l Y n J`' ' i f ? ? '.Y t ? n . . ? f ? a t i?y 't tV. • i y ?I 1 (? ? . r'H{'?:? 1 Y''t t)r? r ' r?` 4y\? ^° ? Y r V? .t ? 4 d ? : '? • ' . y ' i ,, . NlodeL n? ? ?i }•? >? iX? •? ? P,? ? 5? k' ? ??Y .' i i; i ? k ,v ?.' s4e 'i?t ?,r 7? I St E?T ?. T 4,, ,. \ r r s ? e •?.x C .: l?i .Y#A ? w . . v. h --°?--9rr?EfVOTES ORA ' ??'' k....a ?i v. ' w CITY USE ONLY . PERMIT #: "Y RECEIPT DATE: C) ? RUIDENTIlkL MEGH"CAI. i'FJMIT APPLICATION crrYog EAsM 3830 PE.or xxos Ru EAt&RP l!N 55122 651-e81-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit DaCe: ? ( ( 9 ?`?? SITE ADDRESS: OWNER NAME: tr- TELEPHONE #: 615Q `l?14157 (AREA ODE) INSTALLER NAME: $Tnronpnq yE4TINR& AlR COh1DITlpNINf, C(1 TELEPHONE #: 410 WEST LAKE STREET (AREa. cooe) STREET ADDRESS: MINMEAPOLIS, !UN 55408-2998 CITY: STATE: ZIP: _ GIn n6nnL ronr4 nev+ }n #hu?nnrini#?wnYV iVnn .. ? . . . . New residential dweliing unit under constructionand not owner/occupied $ 70.00 `X Add-on, modification or aiteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: (`9J ( C( ct- State Surchar e $ .50 Total ?--so Reminder: Call for inspections. F' PERMIT #: APPROVED BY: CITY USE ONLY INSPECTOR RECEIPT DATE: CiOMMERL'LAJ. ME?',ELAMCiA. PERMrr CTfY OF E1k6RN 3$30 PILOT KNOB ftD KAsM.1Hx 55 Y QQ 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not DATE: SITE ADDRESS: OWNER NAME: PHONE #: tAaE TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: I ADDRESS: PHONE#: -I (AREA CODE) II CITY: STATE: I' ZIP: WORK TYPE: i New conshuction Install U.G. Tiank ____ Interior Improvement Remove U.G. Tank - Processed Piping I? Specify Nahue of Work: I?I When installinghemoving underground tank, ca11 65I-681-4695 for inspectionll'by Fire Marshal and Pdumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minunum fee Contract price: $ x 1% _$ (Base Fee) j State surcharge calculate at $.50 forleach $1,000 Base Fee TOTAL ? Ii 11 SIGNA ITIURE OF PERMITTEE Updated 1/Ol d for each dwelling unit r - For Office Use I Permit City of Ea E I Permit Fee: 3830 Pilot Knob Road I F I Eagan MN 55122 j Date Received: ~l ? I Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: ..--------r. 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C6t& , G, Date: g " ( ~ ( Site Address: .2 LTG ~K Tenant: Suite RESIDENT /OWNER Name; kGW 1S 117154110162 Phone: 9,!U ' o?37 ' .7a2~pG Address / City / Zip: q 3 4,2 Ahe- 444 Q R Applicant is: X Owner Contractor TYPE OF WORK Description of work: "t. ~r lI~ Construction Cost: ➢i' • d~ Multi-Family Building: (Yes / No Xj !C i . CONTRACTOR Name:AL_ i~/4/Vl,~ ~I l~~i11 Licen/se Address: 110-7 City: Stater Zip: Phone: I k:z - K7!? Contact Person: Jh~ln, Mu jUAAJ5&-1/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 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. 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 pi ns. Applicant's Printed Name D s Signa Page 1 of 3 1 AU6 1 2009 111 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation - Fireplace _ Porch (3-Season) + Storm Damage Single Family _ Garage _ Porch (4-Season) T 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 T Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation T Replace Repair _ Egress Window Water Damage _ Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 0,- 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 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) 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 Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee 3r, Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , s t' + ?1F IyO l~ f A-l~ RtVE AN. 5 3,0 -Jey C r Use BLUE or BLACK Ink r Fur Office Us I I T76- I City of EafiGn ; Permit I / ~y I b V I Permit Fee: ` ~ 6 I I 3830 Pilot Knob Road Eagan MN 55122 Date Received: f-A Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 ; 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f " 1 f Site Address: fcd tr Unit Name: CAraf+ Ia Phone: RESIDENT / l ~J 3 L4 12 /_1 1 OWNER Address /City /Zip: Applicant is:- Owner Contractor Description df work: Qe rL~r vSQ TYPE OF WORK Construction Cost:©00 Multi-Family Building: (Yes / No ) Company: Contact: k1n ~'ty CONTRACTOR Address: C t c~ l/C Cl ' City: State: I V Zip: Phone: a(9_ ( 3 L9 1_-2, ~53 olo, 7 3-'2 License 26)0 L0 C-? 7 7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 _No 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.gol)herstateonecall.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 inthe case of work which requires a review and approval of plans. ly r /Z1 90k x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119735 Date Issued:12/16/2013 Permit Category:ePermit Site Address: 4342 Metcalf Dr Lot:11 Block: 1 Addition: River Hills 9th PID:10-64400-01-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Lewis P Miskowicz 4342 Metcalf Dr Eagan MN 55122 (952) 237-2242 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature A Use BLUE or BLACK Ink + r________�_______ � For Office Use � � � �� I ��+ �� �� (�� � Permit#: b� �� I I I Permit Fee: � � 3830 Pilot Knob Road /' I Eagan MN 55122 ,..... � Date Received: �i'/ ���� � Phone: (651)675-5675 ���.���=��!��+?� j I Fax:(651)675-5694 , I Staff: 1 . � . � :.; �„ I 17 i4; ��� ,� � ��.. .T `����������������J 015 RESIDENTIAL BUILDING PERMIT APPLICATION �ate: �� 0�Z���Site Address: Unit#: '' '4 ���.s �"'�iS��p�,.)J'C � ,�✓ 7 .���. ;: Name: Phone: 9J�, �� � R���C���'tl ��.` .;��W��C w Address/City/Zip: ����� f�''1�f��+ � �i� �i9(,�f� /�'� S��'�Z Z � ' Applicant is: Owner /� Contractor `' ° Description of work. �Q��- ��%��L ) `�l s e{�'������`��'2�,1i�✓� � aa���'���f����'�" ` � P � ' ' � a'� Construction Cost: �� ��� Multi-Family Building: (Yes /No� � k � $ ,�-, ,f� ' ��� ;„�._. ������ Company: �"`J � � �4 � � f�S � � Contact: ��/� ��Yr!E,�JI� �_ ;�( � �� ��,' Address: a��S��7 �,��, � �� �U� jl�. City: �r'll� C.��.�.�" �i�#�#t'1�"��t��. p H��� � State: /�� Zip; � SfZ�� Phone:�5'�� �7�����Email: �f�l'� � 1�f�l���h�'S�1.�� �� �� t� �/ ` License#: �/�a Lead Certificate#:��1/��.J/—��% — �� �C� If the project is exempt from lead certification, please explain why: 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 No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: .. Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: „_;Nt�T� F������[!d��,�e�ttir��d+����►������#y ,a # #, '�.��rti� � �� ��.�G � � �����"�'� � �r�����,,� �fi� ���c�f �t���f�l'#?7�fi��t tfls`� ry� �n �'�Sl�%�d r��#�� *�4r��#��Y���S�@��AC���V�i?T4�Y#?I#l�� t t��.'�tu�����l#,���°I o1�N. � r��� ��ya u, � 'n�� �, � �;������.`,�1�#��fFi�f�#@ �'��?�����,P,Cl7�f� '.,�. <µ 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.qopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mus be completed within 180 days of permit issuance. X �,�,� ��f�s�J X � ApplicanYs Printed Name ApplicanYs Signatur Page 1 of 3 . � DO NOT WRITE BELOW THIS LINE � �� ��j� ' SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ 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 Retalning Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 2 Valuation l� � 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 Suppression Required Type of Construction Width 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 Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �, Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control � Other: Reviewed By: � , Building Inspector RESIDENTIAL FEES . �,� �� �,� . Base Fee � �����`'� Surcharge � Plan Review MCES SAC 2 ,�' ,_., �,� � �� � � � � c�ty sAc > ) Utility Connection Charge SB�W Permit&Surcharge �������i� � +� � t� Treatment Plant �. •�'l �1 1 Copies �,�r�� � /� � TOTAL � �j � �'1 � Page 2 of 3 Use BLUE or BLACK Ink ------------, � For Office Use I I � � I / �1� Ol �� �� � PeRnit#: �����1 �' I I �jy� � � � Permit Fee: �/(.d- � I 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � staff: j Fax: (651) 675-5694 !________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L - Site Address: L,�� �n�Tr:19 j.,� ,jL� Tenant: Suite#: k- Re���d���wnex��`�� �a"'e: /_Dut� rn�sc r��z Pno►,e: ���— ���—��y� �� . : .. �<��,} -�: - Address/City/Zip: � � ;,��r� � j,� � rr'„ � �, � Name: `J"'�tx,�i ,��{,T �lil✓Ly�+�' Lzc, License#:�C'_ ���/[,'�S(,S� �6�U_ 4; s ����'3�f'�['�'�¢�`.. '� Address: ��P�"'yn�'�'P � �l� City: L.�t�l�➢57;,��'�'L ye�Yy. � •-�a� �f�— � �%�5����� : � , State� Zip: � Phone: �� ��.� � gr r �,�,; rc����' Contact: Email: " ����,� '� �� �' � � :: f �������� � , _New _Replacement _Repair _Rebuild �Modify Space Work in R.O.W. �y��4��"Q�.,. . ,`: — ,, .,.. ; _' : Description of work: �� RESIDENTIAL s� � t �� Water Heater ', � �. � , � Water Softener � ����,,�� � Lawn Irrigation�RPZ/_PVB) �� ,a��� �Add Plumbing Fixtures�Main/�Lower Level) � �� .k Septic System � �. � � `� _� � Water Turnaround �� f�� � � �� _New � �.�k A tu: �.A Ir4. � ', Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) 'Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and $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 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 �t��—`� 4�S�R.i y,���---- x Applicant's Printed Name Appl` t's S' ature � a� � ���� � ri.� � � � �_: . � f�r � . `��` ��' E � ,.� _ ; : 3 �"�t '�� '��'�"� t�a �������� �:T 6 �����"�����v�r �r�+a��•t �s �� rt,�� l . �}� :��� �'��'r�. . (-' `- - � 4 1 :. : 0 "��, ;3 6 `�`A^o-'�k^l d"�"���in . "�, ' �, x ' .3'n r t ,�i i .� a : a "� t�-�i` ��� r �y''��' - <�����'�t���?�'����� � ���l���JY?�1'lt� �, ���� �l �1 � ` �F� `��$�� ��� ����� ���� Y x �. � '� � � � a ,�� k '� �` r - �l `�'��. ��: � � w vf --s, - r �.� �,. i � �; ` „ � � _ ��'S� f�a � � �,�av�'�°�a�" � � # Mete�Ft�late�!tt�s� . I��t�r v�z� . ,,,;��`R��� �u�an���r ` �#aff �'^�� ���,t"�. �� ���; C!tyofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 REC7VED AUu 1 32016 Use BLUE or BLACK In For Office Use Permit#: / 1/CS � Permit Fee: +:6� 9• L 1Y Date Received: Staff: 0r/ r -/b 2016 RESIDENTIAL BUILDINGPERMITAPPLICATION Date: i�-Iz-16. Site Address: 14342../ule4c&-I1 �Pub t' Unit#: J Name: LOu.tS f Crts4y /V11S1COm/ tcZ Phone: 95e)—)37 - Address / City / Zip: 113 Li•Z 4 -c -ed /) r Iv e Applicant is: Owner V Contractor Description of work: Wu,. U — 1 r.4.-11 I$ X 3 (p S e ( w%Itth Vy ct! /lad Pao Construction Cost: ZZ 000 Multi -Family Building: (Yes / No _/) Company: VA/14l ?OO IS G,J se ,$ F Contact: Bran /1/(,tAk.-• Address: J301 E C 1 l Roc.A City: urh Sv >° 11t State: I/IN Zip: Z-337 Phone: -"$q / %yJJ(JEmail: YahJy 1/14%Eyp 5 • f� n• License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: N/4 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 No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: 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.00aherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesotte Building Code must be completed within 180 days of permit issuance. and lMCM�lL x Or. x L Applicant's Primed Name Applicant' ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE r SUB TYPES Foundation Single Family Multi 01 of _ Plex _ Fireplace Garage Deck Lower Level Porch (3 -Season) — Exterior Alteration (Single Family) Porch (4 -Season)— Exterior Alteration (Multi) _ Porch (Screen/Gazebo/Pergola) — Miscellaneous XPool _ Accessory Building WORK TYPES New_ Interior Improvement Addition_ Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% y ) Census Code # of Units # of Buildings Type of Construction C2 L) Occupancy Code Edition Zoning Stories Square Feet Length Width 16 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings X Air/Gas Tests k Final Drain ile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: °Rough In _Final Erosion Control Other: Reviewed By: 1' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 POOL PERMIT —APPLICATION SUBMITTAL REQUIREMENTS Address: 4-34Z /C .6/'_ J / Applicant Name: 4/1,1S r hl'�' S�nts.kokilez. GENERAL INFORMATION x ¢ b o z ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name )21 ❑ ❑ Address of property �' ❑ ❑ North arrow, scale (1" = 30' or 40') )21' ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. ,Er❑ ❑ Location and name of all streets adjacent to property Aa ❑ ❑ Directional drainage arrows (existing and proposed) ❑ Ja ❑ Lot Square Footage ❑ .0 ❑ Lot Coverage ELEVATIONS Existing ❑ ❑ House corners f❑ ❑ ❑ Property corners ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed )2' ❑ ❑ Finished pool deck comers C ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) fd ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines f2 ❑ ❑ All Easements on the property Proposed �' ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio JZI ❑ ❑ Shortest distance from outside edge of Reviewed: G:FORMS/Pool Permit Checklist/11-20-12 1 deck to lot lines and house Date I