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4370 Metcalf DrCITY OF EAGAN Addition Lot 18 Rlk 1 Parcel i CL61G1i.pA 180 01 Owner Street 4370 Metcalf.°Dr. State E2.P2ri.NN 55122 Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK J!? 148.72 9.91 ?pSEWER LATERAL 1 WATERMAIN *WATEii LATERAL 1976 WATER AREA STORM SEW TRK ? STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT 11311 19$0 67.80 13.$6 $ WATERCONN. BrnsYlle 205.00 2438 -lo- 6 6UILDING PER. snc 2 8 3-10-7 PARK 9Rn nn aAAfi+.finnal caut .r t.nm N 3848 CITY of EAGAN w°_ ? BUILDING PERMIT 3795 PiloY Knob Road Ownem S:/-t'???..._ ..p................................... Eagan. Minnesola 55122 Address (P=esani) a4cb.n..... 959-8100 Builder ............................................................................. Dele ............................ Addrea .............................................................................................. DESCRIPTION Blories To He Used Fos Fron! !h DeP Hei ht Esi. Cos! 9 Paxm[t Fae Remasl?m //-,u? q ' LOCATION A/3 OT /g I / This pecmif does not au2horize the use of sfreels, zoads, alleys or sidewalks nor doea ii give the ownas or his agen! the righ! !o cseate anp situation which is a nuisenea or which preseals a hezard !o the heallh, aafely, coavealenes aad genesal melfara !o anpone in the eommunifp. THIS PERMIT MUST BE KEPT ON TH?Er1 PREMISE WHILE THE WORK IS IN PAOGRESB. This is !o eerlify. !hal??_?.t,e??t.... ..................has parmisaioa 3o erec! Y.-:..._upon the abone described premise subjecf !o the provisions of all applicable Ordiaances foz the Cify of Eagan. .._..._............... ............... Per B.' id n0"InsPeefoz MaYOr /l. lQ 6? 51,1e) v ?k0 GJ IC, CITY CP Fe"sG:iiQ jl"•'S Pi1.ot K,cb r^.oad Eaga.n, D;inno»o;;a 557i22 PEFMT NO.:__fllo The City of BaJan hereby gr4nts to RaY x_Welter Heatina tb_ of 4637 Chicaqo Ave. So. Marell Oonst., D: Oleon Bldr., and :, _fiEATING __ pErmit for: (Owr.er) Windsor Dev. Co.tp. 1350 L'aster -ne. 1?4G Carleo T'aan a',.cPtion daced ?,? p?a ?r '• v e:ci?ccir---' n,,e p._i.::; S80.00 de:ted Ghi3 8 day o° Avril 1 .nn s/c - Buiilini6; Inspsc??, D1ec:z-iiical Perrr:its: E.i1 Tot?.i: ? CITl. CP E?.r,?l le 17' 3795 Yil.o1; P.^ob r,oad bYinn•acota 55,1.22 nrZUi NJ.: 675 Ti,e City of F.a,;an hereby grants toThOmPaon Plwnbing Qo. 12201 MSnnetonka Blvd. - - -WinWs--or-Dev.Z6rp.; a p ING Pe=it for: (Owner) W8n'en Anderson, 6 New Horizon Hamea 3 0 43?4 ? +#339-MRdnxyy-43?i i t to appli.cation dahed 5/5/76 _ billed Fee faik1: _ 160.00 dated this Stitlay of ?S' ? 19 76 _ 4.00 e c 3tatement #865 Duiic:in;, Inspeetor PAee.,.=ice7_ P2rmi+,s: Did Tota.l: -7 YILUIGE OF EAGAN WATER SER 11966 PERMIT 3795 Pilot Itnob Road PERMIT NO.:. 5?5-/76 Eogan. MN 557I2 DATE: 1 . Zoning: RI - No. of Units: Owner: wind80i DeV. COTP- Address --- -- " Site Address: _ 4370 Metcplf Qt'._, * 18 8E9 Plum6er: T11amBson Pltnubinq_Co- Meter No.24803918 Connection Chargc205.00 3 10 Size: -5L8-RWCk Accvunt Deposit: - 751171 Permit Fee: 10.00 billed 865 Reader No.: .50 billfld 965 I oqree tb comply wifh t6e ViUa9a oF Eogon Surcharge: 60 0? p? Ordinanws$?5/76 Misc. Charges: To[al: Date Paid: By Uate of Insp.: Insp.: SEWER SER VICE PERMIT wLu?oe oF EeoAN 2727 3795 PiloT Knob Road PERMIT NO.: 5/5/76 Eagan, MN 55122 DATE: 1 Zoning: RI No. of Units: Owner: WindsoY Ilev CO Address: Site Addreas: 9370 Metcalf Plumber: '1'hco Son Plwnbin 00• 100.00 pd ,3.50.00 p I ag.ee fo complY wdfh the Villoqe. oi Eagon Connection Charg Ordinaneas. Account Deposit: Permit Fee: 10.00 billed 66! .50 billed 86! Surcharge:By. Misc. Chazges: Date of Insp.: Total: [nsp.: Date Paid: DAT,r, ? BUTLD:NG PE'i,?i3"iT AFPT'[r,A':TO?? CIiECK ?. Lot_Z ig_ Block 1 Addition 2 w? V C? Parcel and sectian number ? Street ,f?c)iVumbar ey Owner Adr3ress Developer,Jl?.-•.C'/?,•;? Address'y?OI,?? Zone-Ordinance #52 Lot Size 96 / X /76,.Qs ' Total --?•-?----- Platted tll? Unglatted lfiiilding 8ize 6 y X ?-7 t5';1. Total area Oacupancy ?/F Type of ccnstruction. / Setbacks: Street sides Sides /g`-' i Parldngc Total area Parking area setbacks: Street s3de Rear Landscape approval Special Asaeasments: Sxt; charge, Water area: Assessed Total apaces S. des Bond required @ $1150.00 = . ro Unassessed If assessed: Connection charga If unassessed: Connection chxrge 4,,o-n Lot divi.sion: Additional assessments needed Not needed v' Laterals; Assessed fl? Not assessed Waiver of hearing: Needed Not needed ? Assessmant clk Water & Sewer Dept Building ?ept / /- Rear //H area ? Police Dept Fire Dept (Conun & Ind only) MASTER CARD STRUCTURE AND IAND USED AS Permif No. Issued Issued To Coniracfot Owner BUILDING PLUMBWG ?p CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTAILING SANITARY SEWER OTHER OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING v - $EPTIC FOUNDATION ? - CESSPOOL FRAMING ? TILE FIELD FT. FINAL ELECTRICAL HE.4TING DEPTH OF WELL GAS INSTALLATION SEP71C TANK CESSPOOI DRAINfIELD PLUMBING WEIL SANITARY SEWER - I ? Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTIDN CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON•COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYED 8Y CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBEO AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reponed herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and wecifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED ewLowG I s`Y' a. W_ "V U `~ _ _ ?y__P _ j?,•? ? ?V ? _ j?{a ? ? 'T._'- _'- ?- SI - I ? F i ? ? i I ` ??. ?? ?Y ?? ?F N 4°Q ? ? ? ? DEVELOPMEN7 CORPORATION March 9, 1976 Mr. Dale Peterson City of Eagan 3795 Pi1ot Knob Road Eagan, MN 55122 Dear Mr, Peterson: ,)'`" ? ? t';yr , ICf - MAR 1p 9?i? Enclosed p2ease find a check in the amount of $1,027.50 for building permit £ees, surcharge and hook on £ees as allocated on the check stub for: Lot 18 Block 1 River Hills 9th 4370 Metcalf Drive, Eagan This home wi11 be a Mode1 76-52, Elevation "C". Optional items included in this home will be: Fireplace lower Leve1 Appliances 3/4 bath off Bedroom #1 Stainless kitchen sink Vaulted ceiling LR & DR Marble laowl vanity tops The garage is being constructed on the bedroom end of the house per the buyers request. A prop9sed plot plan is enclosed. Thank you for your cooperation. Sincerely, WINDSOR DEVELOPMENT CORPORATION lViUnz.,. Y? ?L4,2.? warren R. Anderson Vice President WRA/ks Enclosures SUITE 192. 4660 WEST 77TH STREET, EDINA, MINIVESOTA 55435 • PHONE (612) 831-0717 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4370 Metcalf Dr Lot: 18 Block: 1 Addition: River Hills 9th PID:10- 64400 - 180 -01 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633 -2561 PERMIT City of Eaan Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Jocina Hammer BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Owner: Michael J Boulka 4370 Metcalf Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087969 01/13/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4370 Metcalf Dr Lot: 18 Block: 1 Addition: River Hills 9th PID:10- 64400 - 180 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Bloomington Heating & Air 640 W 92nd St Bloomington MN 55420 (952) 884 -3552 Quesetions regarding elec 952- 445 -2840 Scott Newgaard 640 W. 92nd St ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Michael J Boulka 4370 Metcalf Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA092011 11/12/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature .r Use BLUE or BLACK Ink I For Office Use Permit 1~~ I City of Ea ~a~ I CQ&)~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION \~nJ 7'/Z 3 4 3 70 7c~ l f~~ l U Date. Site Address. . ~ Unit Name: 6 D ~J l /T q Phone: X 7 Resident/ Lc 3 70 Owner Address / City / Zip: Applicant is: Owner _k Contractor Type of Work Description of work: / P q 001, d e t yo a /J 4P c b `4 N (0 Ly Construction Cost: d Multi-Family Building: (Yes / No ) PV/4 Company: e G~ e k* 0 S ~ /--7 C ~ Contact: 0 C/_~-~ - ~ e 7' Contractor Address: FQ °I ho P-7 /I el/'r city: A 40e (P Peo y State: Am,,p Zip: SS (2 V Phone: 2- - Ce 7 ^ Cl 57 License U C 60 Lead Certificate M 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 ~o 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 they 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.clopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. r t x / ~ /-T-P' C 'W O ( 'J x Applicant's Printed Name Applicant's Signature Page 1 of 3 ~"C1 Dr J~ DO NOT WRITE BELOW THIS LINE 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 Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 4-1 Final / No C.O. Required Foundation 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 Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit 8► Surcharge Treatment Plant Copies TOTAL Page 2 of 3 113 70 l",Dk-. ! 1 J~ O~ ~ ~l ty~~~a • j~ 4 'tee-~ i Oz) a o IocA 15, ?o 16 2CAy 3 i aH 9//`o fl N ~ I 4-16 S~ " - (rp V ~o . C 10 "v ,4 a . 4/ ~r b-I xv 4.4 mom Use BLUE or BLACK Ink ^ C ~F r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ E L G I V I For Office Use E L ~~LO j Permit ~A 7I City of Ea JUN Permit Fee. o~ I 3830 Pilot Knob Road BY. Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 ^ / Site Address: 3 720 m f , `f If A'-' Unit C9 /t- tlz Phone: C/ Name: j° Resident/ f Owner Address / City / Zip: Z 7 P / c, q f X17 , I ~ Applicant is: Owner Contractor P f a Type of Work Description of work: i j Construction Cost: Multi-Family Building: (Yes / No Company: CQ S n C Contact: 3,E 2 / 1~a h g of Alf, ° Contractor Address: City: 4 J /00, °1S2-~a7 qS~^© blroc4 1yo m~S State: Zip. . 1-Phone:~j Email: License J6 C 0 J S-5' / 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 l the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. ~ c 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.or-q 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 must be mpleted within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 ` Use BLUE or BLACK Ink . , �, . .. r-----------------� t� I For Office Use I � � Permit#: ����// � Clty of E���� � � � i Permit Fee: r� • I 3830 Pilot Knob Road RECEIVED Eagan MN 55122 � Date Received: � Fax: (651)675 5694 75 �'�� � � ?��'� I Staff: j � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �i�� �� Date: Site Address: Unit#: Name:l�l�`C�� 0�1�1 � �aI�U� D Lt ! (�Phone:�?�� '��� '� � �7 Res�de:nt! ::�� ��,OWn�r y ���'� Address/City/Zip: `{ � C � �P"s ��l � �, i' Applicant is: �Owner Contractor � f{ T e Of WOPk Description ofwork:I�-��y� ��,�c���, ,b atj� ,� �_�X � � Yp V� Construction Cost: Multi-Family Building: (Yes /No�, ' Company: Contact: ContraGtor � .. Address: City: .:,, State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � ���J 12--� 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 considereol to be public information. Portions of fhe inforrr►ation may be classifietl as.noi�-public if you proyide specific reasonS:that would permit the City to 1 . �. � � �� � � ����� .conclude f/iat the�,are traale sgcrets: , � �� �� � � ' � 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. uvww.qopherstateonecall.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. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X�t�, z��, �I . � aU �I�� �f� �•_ ._ App icanYs rinted Name A� ant's Signature Page 1 of 3 i ���7� ���� �' ��� J�� ,�` . DO NOT InIRITE BELOW THIS LINE �� � .� 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 _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION � � , �� Valuation ''7, v �`'"� 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) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) Final/ No C.O. Required Foundation HVAC Gas Servi est Gas Line Air Test Roof: _Ice &Water _Final � Pool: �Footings Air/Gas Tests �Final Framing Drain Tile �v t/� �,f��t� 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 Erosion Control Braced Walls Other: Reviewed By: I C/, Building Inspector RESIDENTIAL FEES Base Fee Surcharge � �/" Plan Review MCES SAC �'�� ��`'� City SAC ��� ��i'� Utility Connection Charge ✓ � S8�W Permit& Surcharge /'� tf}'� � �, C,� v Treatment Plant �� Copies TOTAL Page 2 of 3 POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: _ ����� 1����'���� �n .. � � Applicant Name: ������=1�t.�F?� � ��1���'�'�� ���i:.1��'� � � � � GENERAL INFORMATION � � b o z a ,,� ❑ ❑ Applicant name and contact information � ❑ ❑ Property owner name �` ❑ ❑ Address of property �( ❑ ❑ North arrow, scale (1" = 30' or 40') ,,�1 ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. ✓� ❑ ❑ Location and name of all streets adjacent to property � ❑ ❑ Directional drainage arrows(existing and proposed) .,� ❑ ❑ Lot Square Footage � ❑ ❑ Lot Coverage ELEVATIONS Existinq ❑ ,� ❑ House corners � ,� ❑ Property corners ❑ ..0'' ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ � ❑ Finished pool deck corners ❑ .P1 ❑ Top of proposed retaining walis (if any) and at each different elevation(if it changes) � ❑ ❑ Pool bottom(or max. depth� DIMENSIONS Existina � ❑ ❑ All property/lot lines � ❑ ❑ All Easements on the property Proposed ,!� ❑ ❑ Pool ❑�'� ❑ Pool plus integrated deck/patio ❑..� ❑ Shortest distance from outside edge of pool to lot lines and house ,�` Reviewed: r� l � N Date G:FORMS/Pool Permit Checklist/11-20-12 . __ __ - - -- ---_ - —�.- .__._ ___v. _ ._. �.__ - , - - .__._._ ____ ___._ . . ._ __ , ...� J � `4: � Y.� T�F S � 1 � . ` . ,. . . . . . . . . �.�� 1 . �'. .. . . � � .� . . � . 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' , � � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176255 Date Issued:05/09/2022 Permit Category:ePermit Site Address: 4370 Metcalf Dr Lot:18 Block: 1 Addition: River Hills 9th PID:10-64400-01-180 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Michael J & Kathleen Boulka 4370 Metcalf Dr Saint Paul MN 55122--191 Bloomington Heating & Air Conditioning 640 W 92nd St Bloomington MN 55420 (952) 884-3552 Applicant/Permitee: Signature Issued By: Signature