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4363 Metcalf Dr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I Permit City of Eano~dn I I I U I Permit Fee: Q ~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 31 ` 1 Z Phone: (651) 675-5675 _ I l Fax: (651) 675-5694 I Staff: I 2012 MECHANICAL PERMIT APPLICATION Date: 12 ' Site Address: 5~ I Z Z Tenant: C~IIv(,~~~ t Y/( t1 Suite RESIDENT /OWNER Name: ~U s -t'n Sir Phone: (i Address /City /Zip: q-& cv::~ Z z- Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: New Re`pl``acement Additional Alteration Demolition TYPE OF WORK Description of work: ~ yi,v _ _ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL ~rnace New Construction _ Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x I% $60.00 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 $10,010-$11,010 Permit Fee requires a$ 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.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. x AryY^) x Axuq- YA, Applicant's Printed Name Applicant' ignature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening CITY OF EAGAN Remarks Addition RivPr ui lls Lot z elk 4 Parcel 10 64400 020 04 Owner Lt' ?'? 1 ?? Ui? A- ??'. Street 4363 ME±tc al f pr 5tate Eacxan,N1N 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 5EW LAT 1476 CUR9 & GUTTER SiDEWALK STREET UGHT ?, .-3 _ 1980 - " 13.56 5 _ • C0087$9 7-17-$4 - WATER CONN, Qlj BUILDING PER. 5AC Do PARK 4 A ---- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ,. 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: -1 I -I ,3 W ft:Al F" 00 AHf: i' 1FR 1400F1N6 rn I; ?'•%t ?? II I! r? ? 1 ii i.? . ?}t.ct PERMIT SUBTXPE: TYPE OF WORK: ??? .?? . ; f E ? ???, ? . ,? :v ?:? ? ?,??; Permlt Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspectlon Date insp. Comments FOOTINGS FOUND FRAMING ROOFING V FOUGH P4UMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CANDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL . `'""'+'"'?a'F°9?? ? Y . . , . r . . ? , . _ • ,x ? CITY OF EAGAN Wp 18210 j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIIG PERMIT PHONE: 454-8100 Receipt # To be used for DECx Est. Value $1'00() Date 3ULY 31 19 90 Site Ad ess -?W? ?`?W W? ? I OFFICE USE ONLY LOt BIOCk SBC/SUb. PSfC81 NO. Occupancy - FEES DOE 8 ClUtOL FORD Zon1ig - 25.00 W Name (Actual) Const _ Bidg. Permit O Addfess (Allowable) - Surchar e ? ? EAGAN g City Phone # of Stories *?y Plan Review length s? ? ? ? Name Depth snc, city ;? Address S.F. Total - S C M w c ? , A c c City Phone S.F. Footprints - Water Conn On Site Sewage _ ? ? W Name On Site Well - Water Meter = ? AddreSS Mwcc s st?, y - ? <W City PhOn@ Cicywater Acct, Deposit - S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Boosler PumP - SMl 5urcharge intormation is carrect and agree to comply with all applicable State o( Minnesota Slatutes and City ol Eagan Ordinances, Treaimeni PI Signature of Permitee ? APPROYALS Road Unit A Building Permit is issued to: ?? ??WL FORD Planner - park Ded. an the express condition that all work shall be done in accordance with all Council applicable State ot Minnesota Statutes and City ot Eagan Ordinances. gldy_ pff, _ C0p'e$ 25 50 , Building Official Variance . - TOTAL :.:. _ -- °-- Permit No. Permlt Holdsr Date Teleplwne # WATER SEWER PLUMBING H.VAC. ELECTRIC Inspeetion Date Msp. Comments Footings I Foundation Framing Hoafirg Rough Plbg. Rough hllg- Isul. Fveplace Rnal Htg. Fnal Plbg. Const. Meter Pibg. Inspecya - Noti(y Plumber Engr.lPlan Bldg. Final Deck Ftg. Detk Final Well Pr. Disp. CITY OF EAGAN NO 18,210 y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /6 / I ? BUILDING PERMIT ? Receipt # ?? IS _ Q To be used tor DECK Est. value $1, 000 Date JULY 31 ,l9-9Q_ Site Address 4363 METCALF DR Lot Z Block 4 Sec/Sub. RIVER HILLS 9T oFFicE USE oNLv PefCEI NO. Occupancy - FEES Zoning - W Neme BOB & CAROL FOR? (ACtual)Const - BIdg.Permil 25.00 ; Addfess 4363 METCALF DR (Albwable) - Surchar e •SO 0 Cit EAGAN phone 894--7416 y soistories g 16, Plan Review Length a Name SAME oepm 1.91 snc, City , 00 Addfess S.f.TOtal - ?< ? City PhOfIQ S.F. Foolprints - SAC, MCWCC S H'aler Conn On Site ewage _ W w Name On Site Well - Water Melar i ? Address MWCCS stem Y - 0 Acct. Deposil aw City Phone Cilywater - S/W Permil PqV Required _ I hereby acknowlege that I have read Ihis application and state Ihat the Booster Pump - SM' Surcharge information is coffecl and agree to comply with all applicable State of Minnesota Statules and City ot Eaga n Ordinance Treatment PI e SignaWre of Parmifee ?? APPROVALS Road Unit BOB OR CAROL FORD A Building Permil is issued to: %a""ar - Park Ded. on the express condition Ihat all work shall be tlone in accordance with all Council appliwble State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Olt. _ CoPies BuildingOfficial_? 14 stl?f??l Vanance - TOTAL 25.50 - CITY of EAGAN BUILDING PERMIT Ownex WZNDSOR DEV. CORP. ................... .......................................................................... Addrece (PI08BT2) ...4660 W. 77th St., Edina ........... ............................................... ......... """...- Builder WINDSOR DEV. CORP. ...... . .............................. ................................ . ................. a,...55435 831-0717 Addreu ......_4660 W. ...Ed........................ .................... . . DESCR2PTIOIQ P' I q V, N°_ 4145 3785 Piloi Knob Road Eagan, Minnesoia 55122 454-8100 11/18/76 Dale ............................... Sloriea To Ba Used For Fron! Depih Heighl Eel. Coa! Permi! Fee Aama:ks S/F Dwlg & Gar 50' 34' 47,000 I 123.5 s/c Jj ,Sv or 4363 Metcalf Drive ?- 2 I 4 I River Hills 9th This permit does noi auihorize the use of slseets, roadn, alleps or sidewalks nos doee it give !6e oaaes or Lis sgent the righ2lo ereate aay sifuation which is a nuisaaae or which presenls a hasard fo the heellh, aafety, eonvenienes and ganesel welfase !o enpoae in the communify. THIS P£RMIT MUST BE REPT ON THE PAEMISE WHILE THE WORK I3IN PAOGAESB. T6is is !o eertifY, ihal.Windsor.jLfe.y....Corp .............haspermiseion !o erect a...._S/F .... Dwl . . g ........ & ..... G .. a . r ............_upen .................... the above described premi subjeci io !he provisions of all applicable Ordinances for !h ? p of Eagen . ?!?."--'--" ....... ??__ . ...?.. . . . . " Y' _ ... ..._... Per ..................... r?.?L ......................................... or SufldInq Inspeetor Ma CITY OF EAGAN 3795'Pilot Knob Road Eat-an,. Mi.nneaota 55122 PERMST NO.: 838 ri'he City of Eagan hereby grante to RaY N. welter HeaLing Oo. • of _ 4637 Chlcego ?. , , aBU_= Permit fors (Ownar) ' i wiadwi Dsv. i ?ab 4363 Melcalf p pursuant to application dated 3L Z/27/76 Fee Yaids $40.00 dated.thie..3 day of Jaanarp ? 19 79 , 1.00 s.c Building Inspector Mechanical Permita: • Eid Totcl: -- 2 -4 411 y'-t!/ CITY OF Er,GAN 3795'Pilot Knob Road Fagrsn,, Minnesota 55122 PERMZT N0. : 756 Phe City of Eagan hereby grants to Thompson Plumbinq Co. of 12201 Minnetonka Blvd. a PLtrM9ING Permit for: (Owner) fJindsor Dev. Corp. 2'55 Clark Coart a" 4 r- Metcalf *±r. , pureuant to application dated 11/1E/76 Yilled: Fes i$idcac $40.00 da(-.o3.this 19 day of ?'ovemF.er , 19 71?. 1.00 s/c Statement it1030 Building Inspector P:echar=ca1 Permi;s: Sid 1^uial: SEWER SERVIC efgRMIT VILL'f0E OF EA(iAN 3795 Pilot Knob Raad PEAMIT NO.: - 11/19/ 7 6 Eagon, MN S5124 DATE: Zoning: RT - No. of Units: 1- - owner: windsor Dev. Cor . Address: 4363 Metcalf Dr. L2 84 RH 9th SiteAddress: Plumbinq Ca• Plumber: Thom s on 100.00 pd 1/18/76 N4636 350.00 pd I ayna to eompy wifh the Vi1Mge of Eogon Connection Chazge: ? OrdinanCes Account Depos(ta 1 ea ? 1 Permit Fee: e ? surcnarge: 3y, Misc. Chazges: -)ate of Inep.: Total: Date Paid: nap.: WATER SERVICE YILLAGE OF EAGAN 2090ERMIT PERMIT NO.: /19/76 3795 Pilot Knob Road DpTE. - 11 . Eogan,MN S51I2 No. of Units: 1 zoning: ?indeor Dev. Corp- Owner: Address: 1 F nr I LL ny ?° 9t* Si[e Address: 4363 N - -- - plu„tget1 Thafmp?s--o-n Plumbing Co• ZO5.00 pd ? Meter No.!? Connection Charge: ` Account Ueposit -- sze:---.?-- 10-.00 Lilledl?, er No.:_'? ?---- permit Fee: , 50 billed y II a9 comply wiM the Villaga o1 Eogan Surcharge: 60. 00 pd-metez Misc. Charges: in nces. Total: By K Da[e Paid: . Dace of InsP.: Insp-: ??- . 3?- ?;.???.?LLf- tI W-? 7 ' ? d ? .. .... ' ---- -- ii CITY USE ONLY LOT ? BL ? f PERMIT #: a 7$ g ?"?? c? iM SUBD. 1 IIrIY Hi( l S 1 y,? RECEIPT #: . . RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: l - q _l/O Complete this secrion onlv if you are installir.g HVAC in a single family dwelling, townhome or condo under conshvction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surchazge .50 Total $ Complete this section onlv if you are remodeline. adding to, or reoairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ? _ New _ Alteration _ Repair _ Other ? Furnace _ Air conditioning _ Air exchanger _ Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for rnspections SITE ADDRESS: ?-310 NI V+Ca11' 1/( • OWNERNAME: V]m 4s IIGI 1912 7 G{-GI PHONE #: io5l - p(yd? -5?? I'] ,,/ / PHONE #: ? (AREA CODE) INS"CALLER NAME:W DY J I?,l?!f?S fG/ PiI?S `\0?7- ?+ ?l Ie STREET ADDRESS:wq ?J D W IU(D ? J?' vU I Tc I o (AREA CODB) ?,0 crrr: P-pnje Vot I lP,?J STATE:Mtj_ ZIP: ?5/0-4 CITY OF EAGAN 3830 PIIAT KNOS RD EAGAN EMI 55122 651-681-4675 sT?r? L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMRCIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, MN 55122 651-681-4675 Piease complete for. all commerciaUindustrial buildings muRi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When insta!ling/removing underground tank, call 651-681-4675 jor inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee ? Contract price: $ x 1%= S (Bue Fee) ? State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL a ------- - --- - ------ - ----------- - -------- - -- - --- - -- - ---------- - ----- - - - - 5ITE ADDRESS: OWNERNAME: PHONE #: - (AREA CODE) TENANT NAME ([IvviPROVEMENTS ONLI): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: , INSTALLER: , ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMIT'CEB 0.21 CI'Iy USE ONLY PERMTT #: RECEIPT DATE: WISIDERTIAL MECH"Clki. PMIT APPLICATION crrYoF $nsAx 3930 Pnor axos sn f.aiHA1Y MlY 55122 651-681-4675 Please wmplete for: ? single famfly dwellings townhomes and condos when pertnits are required for each unit Date: C3 1 srre a,ooRess: L4 fC'CL I ? Dr- • S?nc?b cHu-rc?. OWNER NAME: ?:YC'itf7-GS ? Vy_,?IcCYI TELEPHONE #: ?j,-Bqel'-) ' (AREA CODE) INSTALLER NAME: TELEPHONE #: 05.a I - (AREA CODE) STREETADDRESS: ( 0:1 9 -0-- 1 Q'p CITY: Q. r STATE: Mr-I ZIP: Place a eheck mark next to the nermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other NaWre of work: Le`)1 dl TiSf..i_I_1 A t "1nI,) ) 5rC State Surcha e $ .50 S ??? Total •- r n [f?? " ? Reminder: Call for inspecrians. II 'L?' II, ?.(?71n-,1 ?J ? IA?Ul1VOodl? SIGAAtTfiRE-OFPERMITTEE Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMFACU4L MECHlEN1Cl4I. PFIbIIT A"LICATiON C1TY OF E46iakN 3$30 PILOT KNOB !iD KA&M. bilv 55'18E 65 ]-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STl'E ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONL1): PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN TAIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP; WORK T'YPE: New consGuction _ Interior Improvement _ Processed Piping SpecifyNature _ Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-6814675 for inspecdon by Fire Marshal and Plumbing linspector. Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contractprice: $ xl%=$ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 B se Fee SIGNATURE OF PERMITTEE Updated 1/Ol PERMIT CITX OF EAGAN -3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: 4363 P9ETCALF IJR LpT: t B LIiCK: 4 k7:VfR NTLLS 9TH I'..I.N.: 7.0-64400-020-09 PERMITTYPE: B ua ?D I NCl Permit Number: 034089 Date Issued: 11J20/ 98 DESCRIPTION: T.O. 6 REROQr Bk3iid3fl.q?--[?ermit Tvpe S70RM DAMAGE euilcling Woi-k Type REPAIft ;"Census Cptie ?434 ALT. RESIDEN7IAL n_ 2 ??t F ??'?? 1?:7???Fi-?`? Jf+ ?'?- ?1= i REMARKS: FEE SUMMARY: CONTRACTOR: - flppiieant - sT. I_1e, OWNER: ADFTTER ROOFING CO 10.60:3326 201441.34 FORD CARDL 22428 CHIPPENDALE UNI'1" A 4363 METCALF' DR FARMINGTON MN 55024 FHCAN PIN 55122 (612) 460-3326 (551)894-7416 T hereby acknowledge thaC I have read this applieatian and st:aCa that t:he information is correct and ayree ta campJ.y with aSl appl3catale SLate o'F Mn. ? StstuCes and CiCV ofi Eaq.a:n Qrdi.nances.. . I APPLICANT/PERMITEE SIGNATUFE h..u..9 lio ISSUEDeY:51G A7URE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN /? p n 3830 PII.OT KNOB RD - 55122 1 l_ a Q-q ? ?? l?`? e81-4675 New Construction Reauirements RemodaUReoair ReGUirements ? 3 registered ske surveys • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • t energy plculations ? 3 wpies of tree preservation plan H lot platted after 7/1/93 required: _Yas No DATE: , DESCRIPTION OF WORK: ? ? 2 copies of plan • 2 site surveys (exterior additians & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; ? OJ? . ?? ,. _ _ ._ 19 _ _ /STO k'rn STREETADDRESS: 'J Cn:5 /e• k Cr1-9-/l/ ., LOT: a BLOCK: '-A SUBD./P.I.D. #: k?Vf ( IAI Is iE ??e Name: e ]) o.L.1 Phone PROPERTY Last First OWNER Street Address: j n C? ?Z_ F City State: /?/ y._ Zip: 55-/1? -r?- Company: ? beo'Lte-& ) &X-7%AAb_ Cob i Phone g: AS9_.?7 / ? `7 bD ??? ? CONTRACTOR sy l ?y ?/ # ?01?Y? -->2L Li Sh?eet Addtess: c?v cense City ? m) !V (3 77 ) 1V State: 1///U Zip: Q ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the i State of Minnesota Statutes and City of Eagan,Ordinances. Signature of Appiicant: Penalty applies when address chanc correct and agree to compry with all applicat 0 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No NOV :- 0 ?:;98 Tree Preservation Plan Received _ Yes - No - Not OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition 0 OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations [J 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? 12 Multi Repair/Rem. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 36 Move ? 37 Demoliiion ? 16 Basement Finish 0 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous Basement sq. ft. MC/WS System _ Main Ievei sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Foatprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Valuation: $ % SAC SAC Units 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGI'STERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIQNS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIOhS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. X To Be Used For: ec' Valuation: 1DOC) Date: 7-3 U- yrd Site Address -/7j/d„j fMGrCa(;?` Lot 2 Block y Parcel/Sub RfVe-+r 4111.$ I1--11 Aml?,,J ?- .? Owner aV? ?°cx r -1- vAddress4'??3 17??e&,(..t City/Zip Code &? e4 fa Phone 7-47V/({ ? Contractor Address Gity/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Zoning n Actual Const Sldg. Permit 'Allowable Surcharge 1570 # of stories Plan Review Length SAC, City Depth 12' SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ I S/W Permit On site well S/W Surcharge _ IMWCC System Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance r ) 0 7s' It l 20 s o' , . iZ'x e? ? - - - - - - , - - -- - -? ?? ? NE W CONG2ET6 SLA$ • i ` . ? ? i EXISTIPIG HoME ZD?.. i ) ? g G ls C A iZ0L -43 t63 MErc,qLF E A4AM MM. riE W - _ DEC K F 854-7C-1r ? FO I2 0 l7 12 . ( ! I OWN?i2S : 130i3 ? CARo1. FoR0 , 93?3 METCqtF oR. EA4A-M 2 I IZ? ? 10 C)rCK 15 8vP oFF Gi2oumi ? I L? X I(o, 1--"-%ECK LKg JOis'f HAhC,Ees on Au. JoiSTS LX 10? Joes T5 (TRE.4TFn) 14,"?0.c • RIM J015T; LA4 SCREwED To oOVSi; T121PPLE Z Xso aEAM I a' oUr Fec NousE ? ?ZXle CcDA+2 06cK v3osAe4Ds ?- 840?, FI?C?rl ?tA1??NC,s CcEAAQ? .. ? =t=-r ? _'_ : r •' ? " ?i ? 1 ? I i i i ? I ? ATR 'M Doo1Z Foo r I ?acs 9 X ?o G E DR 2 PosTs ?qLoEEP Foor,N4s (T-ONCREle?) ? -s1ppw-l GC12 N?7? 6J7 73-! WC---Ah'1 TRIPPLE ZYo° aVIC-'r l3Y NOJSTON GoNSTRUcT+ t3E+4M 177$1 JAMAicq cidur 2x10 :1cIST5 L14KErOtCG mJl/ 5s*49 ' 435 -8?b9 RAILrNG n ? BU'M7flG ?'8R^iIS e'.°PL7lCnI0N ADDTTiC'c7 P,?RCEL, & 3=1021 PTJMisR TF Ji:IP?:3i'PSD F'3'.lu•i?.1::3ll C:C;:+'" ?!.:: ti'C•.> :i '?•--- ?--'t'/?`'"_'?':"`"? "` _....... U TEL'3P.,Cc<c 1a. CO?, Plt?:C:'UR l-?>__?.?.??12.,? - q? )_ TELEPHOi?T: i17. _ g 3 i- AllP?k.:iS ° I;ot^_- Iuclu(Y? :>Jt;e p1zn, hui7.6in? plar.s, and energy calcula±:io:s -v:itl: i:.his anplicacion Sicrned OFFICE USE eAz,vrr,. xo:: sAc P:z': t'}:R C013Fi'C^SO`'t? 'eJATER 1:,.'iER su:i;.Dzr.G FPPJ:iT7' F_,L ^u 7itC.Fa7F.CrE 1':?E PI;l1S: Ci:,.C7{ FFsE "AEt"L DvD.ICMIG:T L'PE e9s:?,n :c2nL* APP4.OJALS : A55ESSi=T CLERK eAUILDIidG DEPT. POLIC% DPiT. :? ^ ?? Od 56.? ?r -._Lga._.-°-?,- ?( Zn 7?.S: 2- ? ? ? ? •:1'1mE2 & EL'snR DEPT. FI?M BEPT. PIjRK DEPT._ 0 WINDSOR November 16, 1976 NOV 17 1978 City of Eagan 3795 Pilot Knob Road Eagan, MN 55123 Attention: ?ale Peterson Dear Mr. Peterson: Enclosed £ind a check in the amount of $1076.50 for bvilding permit fees, svrcharge, SAC, sewertrvnk, water connection and meter on: Lot 2 Block 4 River Hills 9th Addition,.43F3-Metcalf Drive C? n u This home wi12 be a Mode1,75-30 Elevation A and wi11 include a rear walkout, full basement family room and a 4th bedroom. A1location of funds is on the check stub. Proposed plot plan is enclosed. Thank yov for your cooperation in this matter. Sincerely yours, SO 9oo v WINDSOR DEVELOPMENT CORPORATION U\aVN'- Warren R. Anderson Vice President WRA/jb Enclosure I Z;6,600 $0152,56) ;r A 9' o a ` 11A SUITE 192, 4660 WEST 77TH STREET, EDINA, MINNESOTA 55435 • PHONE (612) 831-0717 MASTER CARD 4363 Metcalf Drive L2 S4 RH 9th OWNER WINDSOR OEV. CORP. STRUCTURE AND IAND usEO AS S/F Dwelling & Garage Permit No. issued Issued To Coniractor Owner BUiLDiNG 4145 11/18/7 WZNDSOR DEV. COR .. PLUMBING co. CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OiHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION SEPTIC CESSPOOL FRAMING ? TILE FIELD FT. FINAL ELECTRICAL HE.4TING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIEID PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON{OMPLIANCE. 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 REQUIRED REINSPECTION REVEAIED DATE OF REINSPECTION CE RTI FI CATI ON - I certify that I have carefully inspected the ahove in which I have no interest preunt or prospective, and that I hava reported herein all significant conditions ob:erved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvaments relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: ?, ? ? 77574 2007RESIDENTIAL BUILDING rERMiT arrLicazzorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCGOn Reauirements 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20 % maximum lot coverege allowed) 7 Soils Report H pmposed building is to be placed on disturbed soil 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 sel of Energy Calculations 3 copies of Tree Preservation Plan if lot platted aher 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) RemodeVFteoair Reouirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated addilions 1 sAe survey for addNOns 6 decks Adddion - indicate if on-sfle septic system /30, m Cw" Office Use.Oniv Cert ofSurvey'Rectl. Y°. . N SoilsRepod.'- _Y _N TreePres.PlariRecd _Y _N_ Tree Pms Required _Y _N Oo-site5eptlcSysiem _Y _N Minnegasm mechanipl venlilation form &Wa d s 3 Plans are cansidered public information unless vou state thev are trade secret and the reason. Date (')'-! /67_ Construction Cost 10 ona Site Address ? At.-r_t? cA1? .,` Unit/Ste # Description of Work 'v26-? Multi-Family Bldg _ Y g N Fireplace(s) t!?- 0 _ 1 _ 2 Property Owner ?/dct, o Telephone #(?? ) 33c ?Q 7 Contractor Address e.Ee rnon City Rfel T?- State Zip Telephone # ( LS7) 3 L,:n, eQi, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted - Submitted • Energy Envelope Calailations Su6mitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber_ - rr Telephone #( Dl1 Mechanical Contractor Inl Telephone #( APR 3 0 2UU7-- Sewer/Water Contractor Telephone # ( T herehv annlv for a Residential Ruildin¢ Permit and acknowledee that the inform is complete and e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. 1 _?? Ll*dl?y ApplicanYs Printed N Applicant's Signature DO NOT WRITE BELOW THIS LINE ' Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New X 32 Addition ? 33 Alteration ? 34 Replacement ? 07 OS-plex ? OB 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex DesCfiption: Water Damage Valuation 306?9 Plan Review 100% or _ IV Census Code ?3y SAC Units # of Units # of Bldgs Type of Const ? 13 16-plex ? 16 Fireplace ? 17 Garage A 18 Deck ? 19 Lower Level ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 Porch/Addn. (4-sea.) ? ? 23 Porch (screen/gazebo/pergola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bldg 31 EM. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (EnNre Bldg) - Give PCA handout to applieant Yes Occupancy /Z -3 MCES System ?- 25% Code Edition -ZaV ZNG Zoning R-! City Water Stories Booster Pump - Sq. Ft. h ??( PRV ? Length Fire Sprinklered widm 3 y Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation ? Approved By: _ ? Base Fee Surcharge Pfan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinaVC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wa(1 Building Inspector O ' C.I'F y O$° C14 v?I'M BLJl4.DiNG PERMIT 3795 Pilo3 Knoh Aoad ? Eagan. Minnesofa 55122 ° S. OR . DEV. CORP.. ......................... IND. W--- . _ .... Ownas --...-- °' ............................. ........ 4660 W. Z7th .... St.., E ina Add:ase (P 454-8100 ...... resent) '................... .. _ ......... 11/18/76 V . CORP . .................. WINDSOR DE . Date ...._........................ Huildec ...... ...... ...... .....................Edina ...55435 831-0717 .... W 77th St ..................... 46 60 ..............................r................. ...... ? Addsasa ....... :.... DESCAIPTION Aemarks Es To Se Used Fo: Fron! I DepSh Heigh! l. Cos! I permit a Bloxies 13 3. OOI S/F Dwlg & Gar 50? s?LOCATION Addiiion os TreM r I I B?a?k I-?-"?- ot ofhec Descsiplion of Locaiion Loi I 9th gl=e0=, goad 2 4 RiVeY Hi11S 4363 Metcalf Drive This permii does no! sufhorize !he use of sfreeis. roada, a13eYs ar sidewalka nor doea it give !ha ownet oe hts eQea ihe zighi !o create any situation whiah is a nuisanee oc which presenfs a hasard !o Yha healih, cetelY• eoavenience and genesal welfare fo anyone in fhe communify. $/._ F ?W ..l...g. • & Gdt........... ^yppr . ? ............ THI5 PEAMIT MUST BW K?as ?N ?v p CoM ?E_ WHihas pe misOo Klos TB°p 80 ....., ihe :d?ances for th ?i q of Eagan This is !o ceriify. thai......_.?.-_ - eck io Yhe pxovisions of all applicable O above descxibed premi sub7 , .... Nia-?inf, C--??.?..... i/..:.........------------ ........................ ? , •.? :., :,.? ? ?' Pez ....-- ' ' Bulldin9 Inspeetos J...........:?1`3G PdO.......... .-• _ _ .__..._....--'_........... Mayor Zo-? ?' -- - - ? :AS . ?? ?31A3H ;.. ,. ,. ti - ???YC7 N ? ; ,. ? . , ?3A n • ?, 1 ^ 4 ? ' ? - " . ?- .-= 1 .. y . . ? i ; ? i ? . .. '-I` !??? ?? ".?? •?? ,. ,?.....?-•....?..° . .._ , .- - y, .. ? ..-. ... _-? .. ? .. . . _. .. ? .. ... ?? ? ;, f? ? 040 : ? ?1 pmb?- oo -t C) b r z F-Mi ? ? ? p-ql Nor 41 C>j ao (D r ? ? dmpL fT, L r%%> ,,Wr ql 4p op 00 .?L ?p OF rn 0 k 7 ? 0 qp 0 0 r1f - cAC-r r?A ? ? ? ? + C ?? ? ? ? ? ? ? I LT ^ Use BLUE or BLACK Ink - I For OfFice Use 1 1 Permit City of Eajan R Ecv4E® I Permit Fee: I I 3830 Pilot Knob Road I Q~2 I I 1 '2 Z 9 -I Eagan MN 55122 FEd 2 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5684 1 staff: Z I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date' Site Address: Unit Name: M "V) t"✓) t Moo Phone: f U J 0/ y RESIDENT / /I~p OWNER Address / City / Zip: Aj -3 Applicant is: Owner Contractor TYPE OF WORK Description of work: ~Nj ~dvYI'lQ VGA- 16V1 I Construction Cost: Multi-Family Building: (Yes / No Y-) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) e ' C4WrRA-w- ox Uls,T ' 0 27 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 yqu intend to dig to receive locates of underground utilities. www.aor)herstateonecall.ora 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 uildi Code m be com within 180 days of permit issue x a l ~~'l 9, x Applicant's ranted Name Ap icant's Signature Page 1 of 3 NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) - Storm Damage '.drslngle Family Garage Porch (4-Season) - Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) 01 of Piex 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 Replace Repair Egress Window - Water Damage Retaining Wall Vemolition of entire building - give PCA handout to applicant DESCRIPTION Valuation / em Occupancy e -12 MCES System - Plan Review Code Edition 7, a-2 SAC Units - (25%___,100%-Z) 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation _,Je HVAC Gas Service Test Gas Line Air Test 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 Final Retaining Wall: Footings Backfill Sheathing Radon Control Sheetrock Erosion Control Reviewed By: AO, , Building Inspector RESIDENTIAL FEES 7/0 01 & du OI ~y oZa Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink , for Office Use I { I Permit* Z Cit of EaEd Permit Fee: V I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: L- Z~'~Z I I Phone: (651) 675-5675 I staff. j Fax: (651) 675-5694 ! 2012 RESIDENTIAL PLUMBING -PERMIT APPLICATION Date: Q N Site Address: 'o U ~ 1 ~ nn t ka R ~ ~ Tenant: om Suite RESIDENT / OWNER Name: V\afA Ily1 AZ Am~ V\ 1 Phone: li! ~ X 1 J8 I - Address/ City /Zip: ` % b mutA+ 5751)-z Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK - New _ Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation (r RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 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.oro 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 o start witho a it; that the work will be in accordance ith the a roved plan in the case of work which requires a review and approval of x 02 a~ x Applicants Printed Name Ap cant's ftnatureV FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154583 Date Issued:04/02/2019 Permit Category:ePermit Site Address: 4363 Metcalf Dr Lot:2 Block: 4 Addition: River Hills 9th PID:10-64400-04-020 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 - Amedeo B Minutolo 4363 Metcalf Dr Eagan MN 55121 (651) 398-1269 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178747 Date Issued:08/31/2022 Permit Category:ePermit Site Address: 4363 Metcalf Dr Lot:2 Block: 4 Addition: River Hills 9th PID:10-64400-04-020 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Amedeo B & Stacy Minutolo 4363 Metcalf Dr Eagan MN 55122 (651) 398-1269 Viking Contractors Llc 7760 France Ave S Edina MN 55435 (612) 567-5522 Applicant/Permitee: Signature Issued By: Signature