4350 Metcalf DrCITY OF EAGAN Remarks
Addition / ,?/ Lot 13 eik 1 Parcel 10 6lJi00 130 07
Owne{ 2lYJ?f R'<MStreet 4350 MetcalS Dr. State Eagan,rmr 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 197-1 1 1 1
3g5EWER LATERAL -
WATERMAIN
i• WATER LATERAL 1976 3
WATER AREA
STORM SEW TRK
*STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK 6 -1 -79
STFiEETLIGHT c?l3c?
1980
WATER CONN,
BUILDING PER.
Sac
PARK
CITY OF EAGAN
Addition Lot 13 Blk 1 Parcel_ 10 E11.1100 130 01
Ownefll? Street 4350 Metcalf Dr. State E'agan,rN 55122
n
iWiL , -t.E'.?.?
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 1
3?SEWER LATERAL
1976
2101-66
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
#STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK 6
STREET UGHT 4! 3 _
WATER CONN,
BUILDING PER.
SAC _no a
PARK
?INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) fi81-4675 ?
k
SITE ADDRESS: , „ i : t ; I I I
+„ r.
?
, APPLICANT:
I I I I R?o
144111 r?tNi,
H.'H i 4`)
N I /A:s l`'ifi
?
?
PERMIT SUBTYPE: TYPE OF WORK:
r4 F L1 ,
i t NC I UFt;k. )
Permlt No. Pertnit Holder Dete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Dat* tnsp. Commenta
FQOTINGS /p
T
FOUND
FRAMING /
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST .
BIQG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DFC.-1 r,,:,,,
?
777? 7hi!5' I`rt70t29~. lvA'16 ?
I?? I ?? I?K 0 I °r'l/vIlL //lJSO -- A
311- 0 5 4 0 OFFIC? US?ON/LY_ This reqvest? IB mon irom wlidaiion daro pnnkd in this boz,
O 9 7? Co ? a ? o 0
G
% ZIg
P J All
Reiu Rough-in inspecfion requir 4 Yes ? No Inapetlion Other Thon Rough-Im ? Reody Now Will Call
?Yoe mosr mll Ihe inspernr+hen revd?? Dorc Reod,
I, X, icznsed conhodor ? owner hereby request inspedion of fhe above eledricol work at:
Job Pddrev (Streel, Box, or Raub Na.)
113 s-v .L-1 C ?a L "r City
? 4 Gc.?l Zip Gade
5
Section No. T ship Nome or No. Ronge No. Fire No. C +0.
Ocaupont
C
- Phane No.
-
OA. D.
7
Po.er Sopplier
D ?- lddmss
ElecMml Contracm ?Compony Nama
; Con aor lia se Na.
R ?iqa Masror lic. No. (Plant Fect Only)
Mailing Pddreas lConMatlor orOwner Pedoiming Installalion)
1 0 L4 (el o Yje
, ?Sa v
wiN
hMorixed SigruNm (Canhacror or Ownm PeAorming InsmllaEOn) Phone No.
1
E8-010001A-10 6/95 STATEBOARDCOPY-SEEINSTIiUCTIONSONBACKOFYELLOWCOPY
REQUEST FOR ELECTRICAL IN5PECTION C0? ,. ??
?
IIII II II I I I I I III IIJ I I I I I I I II Minnesota State Board of ElecVicity
1821 UnNersdy Ave Rm S 1 8, St. Paul, MN 55104 ?.`.
* 0 3 1 1 0 5 4 1 * Phone (812) 642-0800
Home Duplez Apt. Bldg. Other: New Addn
Commercial Indusirial Form Remod Re nir
1
Cond.
7
Htg. Equip.
Water Htr.
Load Mgmt.
Other:
D er Ran e Elec. Heot Tem . Service
"X" above the work covered by this request. Enter remarks in this space and on ihe back af fhe white copy only.
w (0- 'r rQ •tc 44
Colculale Inspection Fee - This Inspection Request will nol be a<cepfed without the correcF lee:
Olher Fee # Service Enhance $ize Fee # Ciraiis/feeders Fee
Mobila Home Park $tall 0 to 200 Amps 0 to 100 Amps
Sfreet L}g./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTON'SUSEONIY T
$ign/Ou9ine Lig. Xfmr. O ?
Alarm/Remote Control
Swimming Pool I hereb ce? +hei
Irtigation Boom oogh.ln ' D?9
S
eciallns
ection
p
p F'
Investigative Fee u Z
THIS INSTALLATION MAY BE ORDERED ONNECTED IF NOT COMPLETED WITHIN 18 MO HS.
CITY of EAGAN
UILDING PERMIT
oWO.= .. ... , .. --.,
Addreu (PIB6BTS) ......Y.(....../.-l-........ ........<a
sunaa: ................ ?r...?.............. .... . . ........................
...- -.....,............'S...??.3.?
Add:ess .......
DESCAIPTION
v
e :a
N4 4069
3795 PiloY Kno6 Road
Eagan, NTnnesota 55122
454•8100
a.:. 4o'l-
To Se Used Fox Fron! Daplh Heigh! Eal. Cod Pesml! Fs¢ ? Remarks
n ir,? ?T
29 s?
11 ' l LOCATION / a 1
3lreel. Road or olhes Deseriptioa of Localion I Lo! I Slock I Addilion os Trsef
q9.?'O
This permit does nof aufhol$se !he use of slreels, roads, alleye or aidewalka nor does # give !he ownar or hie agen!
!he righ! Yo creale anp situafion whleh is a nuisanee or which presenb a hasard fo !he heelfh, sdefp, toaveatoncs aad
geaeral welfara !o anpone in !he communilp.
THIS PEAMIT MUST BE, 7I?ZpT N TrHS???p REM E WHILE THE WORR IS IN PRO . ?/ /?
This fa !o car2ifp, ihel..fpY.2a:'??.._ f?.?.::.......... has permisaion !o erea! .... ...?._7...`?J.. ?....... _upon
!he above descri6ed pre "se bjeoi fo ihe provisions of all applica r in s fox ! e Cilp ga? ?
....-_.....?,,..? ............ ........_.. ..??......-""'........_....._.. Per`4?:h3@???!'i.t...... ...."'.. ..... .
......... ..............................
yor Sulldtng Impactor
r Ik I
j4--(e??d 9
czTY oF EAc;?N
3795 Pilot ICneb Road
Eag?n, ivL'r.neseta 55122
FEMffT P70 .: 724
The City of Eagan hereby ?raiits to Thomps?o _n Plumbing Co.
cf Minnetonka
a PLtiMBING Permit for: (Owner) SQindsor Dev. Corp.
at 4350 Metcalf nr. ? pursuant to application da+ed 9/14/76
billed:
Fee iftjdd 20.00 dated this 14 day of September , 19 76
.50 s/c Statement No. 905
Iiuilding Ir,spectoi•
iKeehanical Permits:
Bid Total:
i0 (r ?/?C?? /30 D/
CITY CF E14GA^d
3793 Pilot Kiiob Foad
EzUan, A1ir,nasota 55722
PERNIIT 1J0.: 816
The City of Eagan hereby grants to RAY N. WF.LTEF HEATIT7G C0.
of 4637 Chicago Ave. So.
a HEATING Permit for: (Owner) WrNnsou riFV rpnn
at -43?W & 4350 Metcalf D; pursuant to application dated i n-liir
$20.00
Fee Paid: $20.00= dated this 22_ day of
$1.00 s/c
Building Inspector
Mec'.ianicul Permits:
Bid Total:
YILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 ?ilot Knob Road PERMIT NO.: 2795
Eagon, MN 55122 DATE: 9/ 14 / 7 6
Zoning: R i No. of Units: i
Owner. Wi ndSOr peV. COYP.
Address:
SiteAddress: 43 50 bletcalf nr. L13 R1 RFi 9
Plumber: Thom pson Plumbing Co.
9/14/76 #,4089 100.00 pd
I ograe te comply wit6 fha Village oi Eogan Connection Chazge: 350.00 pd
O.dinuncas. Account Deposit:
Permit Fee: 10.00 hilled 905
Surchazge: • Sn bil led 905
BY: Misc. Charges:
Uate of Inep.: Total:
Insp.: Date Paid:
VILLAGE OF.EACAN WATER SERVICE PERMIT
3795 Pilof Knob Raad PERMIT NO.: 2045
Eagan,MN 55122 DATE: 9/14/76
Z.oning: RI _ No. of Uni[s: }
Owner:. W1Rde?OZ Dev. or .
Address:
SiteAddress:_4350 Metailf Or. L1
PIu?Aer: Thompson Plumbing Co •
eter No.: 25243448 Connection Charge: 205.00 p
Siye; -5/8 Acwunt Deposit
5
Reader No.: 803643 Permit Fee: 10. 00 b1 e
-5 ? b-i??d?? 5
I ogree to eomplr wit6 fha Villuge of Eagan Surcharge:
P
Ord' onces. Misc. Charges:
' ?/ 7b[al:
/
By Uate Paid:
Ua[e of Insp.: Insp.:
bigyof
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,F 2e, 0 D
New ConStNGion Reauirements RemadeVReoair Reoui2menls Offlce Use Onlv
3 registered site surveys showing sq, k. of l06 sq. ft. of hause; and all roofed areas 2 wpies of plan Gen of Survey Recd _ Y_ N
(20% mazimum bt coverege allowetl) 1 sel of Enefgy Calculatbns for healed addBions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey fir additions 8 decks Tree Pres Required _ Y_ N
1setofEnergyCalculations Addifron - irMkateKon-sdesepfksysfem On-sReSepticSyslem _Y _N
3 copies of Tree Pfeservation Phan if lot ptatted after 711193
Rim Joisl petail Options selecNon sheet (buildings with 3 or less unifs)
Date / / O S Construction Cost ?_00
Site Address Unit/Ste #
C C AN ? Sj/ Ll
Description of Work '-
Multi-Family Bfdg _ Y '-N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 614.n/ Telephone #( G 5"])
Contractor E'1 S S?e ? i ?r Y, j n.r
Address I
`. ?O ? l_o, City I(JS'7J
State 'ad/ Zip S S7/ Telephone # (651 q.S/-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential VentilaYion Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Wofer Contractor
Telephone #(
Telephone # (
Telephone #(
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 codas 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 staR without a
permit; that the work will be in accordance with the approved plan in the case of work w k?;Y2 ' d
ap ro a plans.
P 7 2005
'-
AppIicant's Printed N ApplicanYs Signature
I B
OFFICE 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 ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 EM. Alt - SF
? 04: 02-plex ? 10 08-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_v or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34Replacement *Demolition (Entire Bidg) - Give PCA handout ta appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bltlgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining WaII
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Gonnection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other .
total
Building Inspector
-?---? C)'? I RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construetion Reauirements
• 3 regislered site surveys showing sq. ft. of lot sq. R. of house; and all roofed azeas
(20% maxunum lot coverage allowed)
• 2 copies of plan showing 6eam & wiMax sizes; poured found desgn, etc.)
• 1 sH of Energy Calculalions
. 3 cropies of rree Preservatlon Poart it kt platled after 7l1193
. Rim Joist Detail Options selecGon sheet (Wdgs with 3 or less units)
DATE 1//2 0I 0 Q_
RemodeVReoaUReauirements ?
• 2 copies ot plan
• i sel of Energy Calculalions far heated additions
• 1 site survey for e#erior additions 8 detks
• Intlicate if home served by septic system for additions
I;t ,'-fL4 o
2GDA C?)'? ?/hd
VALUATIOI# 9y
SITEADDRESS qJS U /J1 e J C1? I -rl-' ts?_ MULTI-FAMILYBLDG _Y (4 N
TYPE OP WORK_/Ln? ?? o- Si,9C ! W? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?-2 rU N. f C? v v? ST ?r C_
STREETADDRESS_?.3 3} Qc-fP dcC 4(le !rL-) CITY G-o/BL,y??//t?TATEh+W ZIP?
TELEPHONE CELL PHONE # C / -I - ? ?U-9 FAX #
PROPERTY OWN ER 9-'k"` o'l- e- / tC'?'' -g 41," Nri-e_ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOTA RULES 7670 CATEGORI' 1
(4 submission type) . Residential Ventilation Category 1 Worksheet Su6mitted
• Energy Envelope Calcula[ions Submitted
Plumbing Contractor:
Plumbing syslem includes:
Mechanical Contractor:
Mechaniril system includes:
Sewer/Water Contractor.
Phone #
Phone #
Nov 2 0 2ec2
Submitted
___?__Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the i or tion is , dvgre€tt? comply
with all applicable State of Minnesota Statutes and City of Eagan r, s.
Signature of AppHwant ?
OFFICE USE ONLY
Phone #
Water Softener _ Lawn Sprinklerlt
Water Heater No. of R.I. Baths
No. of Baths
Air Conditioning
Heat Rccovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
0 34 Replacement
)2b,,?
Valuation _
Census Code _
SAC Units _
Nbr. of Units _
Nbr. of Bldgs _
Type of Const _
? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ?
? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) 2,44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)' @: 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
5IA° ySo. r-
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
_ W idth
REQUIRED INSPECTIONS
_ Footings(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
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & 5urcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License 5earch
Copies
Other
Total
Building Inspector ?i.
,,,CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuxGOxNG
Permit Number: 028149
Date Issued: 0 7 J 0 3/ 9 6
SITE ADDRESS:
P.I.N.: 10-64400-130-01
DESCRIPTION:
4350 METCALF DR
LOT: 13 BLOCK: 1
RXVER HILLS 9TH
(INCL DECK)
Y1'g Permit Type SF PORCH
Yiy??rk Type NEW
?dYf? 434 A4T. RESTDENTIAL
?a ,-
? ?v ?i'g ? ¥? r `?'1 '??:,? L ?`? ??a £
t'?? n
'?? ??
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Lic. Search Fee
Total Fee
VALUATION
$149.75
$4.60
$5.00
$159.25
CONTRACTOR:
SEQUOIA CQNS7 19620431
6926 145TH AVE
FpitEST IAKE MN 55025
h;i
infa
APPLICANTrP ITEE SIGNATURE -
$9,000
OWNER:
SAKOWSKI
4350
EAGAN
- Applicant -
JOHN
METCALF DR
MN
?t
ISSUED Y: IG TURE
- ° CITY OF EAGAN
3830 PILOT KNOB RD - 55122
26141 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-0675
New GoneirudiaA R?auiremenls RemodeVReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam ? 2 copies of plan
& window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations 1 1 energy calwlations for heated additions
? 3 copies of hae preservation plan if Iot platled after 7/1l93
required: _ Yes , No ,
CONSTRUCTION COST: ?Z QUU
DATE:
od' ? Se?So.v RC?C? ? D-e C4-
DESCRIPTION OF WORK:
G?3sU ? ? r L??
STRE T ADDRESS:
LOT 13 BLOCK /P
I
D
#:
SUBD
.
.
.
.
- PROPERTY Name: ?Ll Lw s L ? ? -? Phone
OWNER '"" `I""
Street Address 41 -S s o m e? c k 0'
Ciry: State: Zip:
Phone#: 4?.2_ ov3%
CONTRACTOR Company: .S F1 g
Street Address: License #•
Ciry: ?2 f s? Le- State: //1?N Zip:
ARCHITECTf Company: N A Phone #ENGINEER
Name: Registration #:
Street Address,
Ci{y. State: Zip:
Sewer & water licensed plumber: /v A . Penalty applies when address change and Ict
change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: aA "-
OFFICE USE ONLY ? ??ENED
Certificates of Survey Received _ Yes No ? ??2 4 9S96
Tree Preservation Plan Received _ Yes _ No ' ??---?
BUILDING PERMIT TYPE
OFFICE USE ONL.Y
? 01 Foundation ? 06 Duplex ? 11
? 02 SF Dwelling ? 07 4-plex ? 12
,03 SF Addition ? 08 8-plex ? 13
(14 4
; SF Porch ? 09 12-plex ? 14
n 05 SF Misc. ? 10 = plex 15
u/
WORK TYPE
AptJLodging o
Multi Repair/Rem. ?
Garage/Accessory o
Fireplace 0
Deck
? 31 New ? 33 Aiterations ? 36 Move
2 Addition ? 34 Repair ? 37 Demolition
00-1
GENERAL INFORMATION
Const. (Actuai)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNN Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? ??-
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
Basement sq. ft. MCIWS System
Main level sq. ft. City Water
" sq, g, Fire Sprinklered
sq. g. PRV
- sp, ft, Booster Pump
sq. ft. Census Code.
_ Foatprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation:
/z x /6 = 1S2 x yo = 7 6 50
(?EGI? ' ?l
/
o?
n
R
% SAC
SAC Units
Frum: Jaseph C. Paar To: Joe M Eagan Date: 6124/96 Time: 16:41:42
Page 4 of 6
MASTER CARD
Permit
No.
Issued Issued 70
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELKTRICAL
HEATING Q 1/_ O? ? ?_ y?d
GAS INSTALLING
I
SANITARY SEWER
OTHER
OTHER
Items Appraved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT_
FINAL
ELECTFICAL
HEATING DEPTH
OF WELL
GA5 I NSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING
v^
-
WELL
SANITARY SEWER
xz?
Violations Noted
on Back
COMMENTS:
LOCATION /y 6]7 4o- /,3 -/ '
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPIIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE Of INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE OF REINSPERION
REVEALED
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 oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BLIILOING INSPECTOR
OATE
"?.. a.
653 ao
2004 RESIDENTIAL PLUMBING PERMIT APPLIGATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
i5.5d
Date(?, 1_-? 6 1'64/
Site Street Address V,3 Jrl) D"Y" Unit #
Property Owneg Telephone # (/Q51 ) 895 -99'`?14
Contrector Telephone # (/?j 345 - 13 S/C
Address,3400 City rv' State j'Y111. Zip ?3
The Applicant is: _ Owner Y Contractor _ Other
Aexisting dwelling
0 $ 50.00
Add fi 0 9 20
_
xtures to rooms, excluding water softener and water h t
? ?U?
'
`
_Septic System Abandonment
WaterTurnaround (add $121
uired)
00 if a 5/8" meter is re UU ??
_
.
q Sy
_Other.
Water Softener V Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new d $ 30.00
State Surcharge °? JUL 0 9 2004 $ 50
Total BY $ l5-5d
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work wilf be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
App icanYs Printed Name ApplicanY Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120268
Date Issued:01/29/2014
Permit Category:ePermit
Site Address: 4350 Metcalf Dr
Lot:13 Block: 1 Addition: River Hills 9th
PID:10-64400-01-130
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
John J Sakowski
4350 Metcalf Dr
Eagan MN 55122
(651) 895-9874
Purpose Driven Restoration LLC
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127613
Date Issued:10/08/2014
Permit Category:ePermit
Site Address: 4350 Metcalf Dr
Lot:13 Block: 1 Addition: River Hills 9th
PID:10-64400-01-130
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.
Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John J Sakowski
4350 Metcalf Dr
Eagan MN 55122
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150306
Date Issued:06/28/2018
Permit Category:ePermit
Site Address: 4350 Metcalf Dr
Lot:13 Block: 1 Addition: River Hills 9th
PID:10-64400-01-130
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Jason M Rhode
4350 Metcalf Dr
Eagan MN 55122
(952) 927-7194
Stafford Home Service
6225 Cambridge Street, Suite 30
Minneapolis MN 55416
(952) 927-7194
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151644
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 4350 Metcalf Dr
Lot:13 Block: 1 Addition: River Hills 9th
PID:10-64400-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jason M Rhode
4350 Metcalf Dr
Eagan MN 55122
Mc Exteriors Inc
3101 Old Highway 8, Suite 304E
Roseville MN 55113
(612) 221-0084
Applicant/Permitee: Signature Issued By: Signature