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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