4385 Metcalf DrHOUSE HEATING TEST RECORD
ADDRESS APT. FLdOR
OCCUPANT L?r+ t) A P11'N0 01YNER
HEAT LOSS DA E - 1 5' -cs?'
CITY ?SUBURB
T IiTG. INST. S
?
SOLD BY ?"? ? • >>"??-?; ??J INSTALLEO BY Y
?>?? -S Pr'' ?- jq • ?'?
!
• E16e4Mal Work By Go¦ Lin• Br
TYPE OF HEAT GA FA Jrc H1N STEAM SPACE HTR. UNIT HTR. OTHER
r GAS DESIGN CONYERSION
MAKE 1AAKE OF BURNER
Model 4jTC ? kF/I I Madal
Soriol C13 PC-, Zf (o C 1C, ?, Max. BTU Roiinq
INPUT 42C,> C1-C2 C) MAKE aF FURNACE
C4NTROLS
THERAAOSTAT 4 ? Heaf Pluy
Valvo
Limit
Lim1T So?ting
Fan 5otfinq
Pilot Typs '
Pi lor AA'k*
Model
VeM Siz• 5O
KIND OF LINER SIZE NONE
Draft Hood Royularor
FiltKS Si:• PAX25)i 1_Numbsr
Chlmney Location (nside /` Oufmid•
Chimnsy ConsTructipn 0 - V.t.IGti.I..
Pilot Model Smok• 6omb MYirin9
Pilot TiminQ r"' OraFt T+st Toa
L.W. cut arF Dow Prossurs Liyhtinq Insf.
Preasure --' S Parcon1 C0? .2 ' Ll Dats Tfsted
Input CFH zgQ!eiPeruM d 7 r
?tr• Compon
Tostin
?
2 . g
y
?Stack Tamp ? ?d Perunt CO ?-? Name of Testor
.
Form 235
?? ?°-
_.,?TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
+ 1 FI
INSPECTI4N RECORD
PERMIT TYPE:
Permit Number:
7 Date Issued:
f:lltl (?113?
8?3'iF;lf,
y•r/-iN/V!
-, .. ., -.
APPUCANT:
f:i J-H/ f} 4!
F
L
-1
?
?
PERMIT SUBTYPE: TYPE OF WORK: ?
?? . ' ??AI•k
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
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
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permi# Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, I t?E t I I !1 ! I (1{?`
c? < <?r K ? . APPLICANT:
i : 1 ?'' r" I I 011A
li,I . ) 1itSi tif?,4
F
L
filiI I (1 1
0.-fa a»o
N1 l: `-? /?+6
?
I
PERMIT SUBTYPE: TYPE OF WORK:
r1 F' LJ '
j
AHC?1tE ?'sftUl4Nit)
Permft No. Permit Holder Date Telephone M
ELECTRIC
PLUMBINO
HVAC
Inapection Dete Insp. Comments
FOOTINGS
FOUND
FRAMINQ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
1
CITY OF EAGAN Remarks
Addition Lot 7 Blk 4 Parcel '"400 070 04
? 4385 Metcalf Dr. Ea
Owner Street State 9ari,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK "
* SEWER LATERAL 1976 2591.66 863.89 3 P 1
WATERMAIN
* WATER LATERAL 1976 3
WATER AREA
* STORM SEW TRK 1976
* STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT 1980_ 67.80 13.56 5
WATER CONN. 385.00 2803 4-30-76
BUILDING PER.
SAC 450-00 -2803 - 4-10-76
PARK
. CITY OF EAGAN
8795 Pilot Knob RaeA Ee9an, MN 55122 N2 5187
• PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed ior Est. Value ?^??• Date 19 ?ry
Site /Iddress ' Erect ? Occupancy
Lot Block Set/$ub. ?-'x'r i:J_llS ')Uh Alter ? Zoning T j
Parcel Repoir ? Fire Zone ?
Enlorgs ? Type of Const.
W Name Move ? # 5tories
Z
0 qdd?ys
Demolish ?
Front
ft.
.-!-. ` , ?--- Grade rl DeDth R.
o Name _
u? ??
f- rt...
I hereby ackrwwledge that I have read this application ond stote that
the informotion is correct and agree to comply with all applicable
Stnte of Minnesota Statutes und Ciry of Eoyan Ordinances.
Signoture of Permittee
A Building Permit is issued fo:
oll work shall be done in occordance with oll
Buildinfl afficial
Assessmerrt _
Water 8 Sew.
Police
Fire
Eng.
Plunner _
Council
Bldg. Off. _
APC
Permit
Surchcrge -
Plon check _
SAC
Water Conn.
Water Meter
Total
on the express condition thct
Minnesota Stotutes ond Ciry of Eugon Ordinances.
?.mk # Date I.we N.mMt.. '
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rouqh-I n
Final
Footings , Dote Irop. Date Irap.
Foundotion Plumbing
F rame / ins. MecFanical
Final _ t y 7 ?f
I
Remorks:
CITY OF EAGAN ?Q 17122
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100
BUILDiJNG R,ERMIT Receipt # v ' ?' J il 1
To be u?ed for 3"S? ?? Est. Value ?'i0,? Date SEP 29 , 19 89
Site Addrgss ?+385
Lot ? Block -
Parcel No.
W Name aICHARD A BR?D
; Address
0
City EAGAN Phone
Address
Sec/Sub
Phone
Name
Address
City Phone
I hereby acknowlege that I have read this application and state that the
infarmation is correct and agree to comply with all appliCable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permitee '
A Building Permit is issued to: NIDiiLBT REMDDELIliG
on the express condition that all work shall be done in accordance wfth all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Officfai '
_..,,, ...,.. ?
OFFICE USE ONLY
Occupancy
Zoning
(Actual) Cons1
FEFS
Bldg. Permit 117,00
Surcharge 5•00
# of Slori sk 11?c12
Length
Depih Porcb 1842
S.F. Total _
S F. Footprints _
On Site Sewage -
On Site Well _
MWCC System _
Ciry water _
PRV Required _
Booster Pump _
APPROVALS
Planner _
Council
BIdg.Off. _
Variance -
Plan Review
SAG City
SAC, MCWCC
Water Conn
Waler Meter
Acc1. Deposit
S!W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAI
122•00
. Parmit No. Permit Holder Date Telephone #
WATER
SEWER •
PLUMBING
H.V.A.C.
ELECTFiIC
Inspsction Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
Isul.
. e
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Ergr.lPian
Bldg. Final
Deck Ftg.
Deck Final P A
weu
Pr. Disp.
MECHANICAL PERMIT DATE: 4/I/91
RECEIPT: 100630
SITE ADDRESS 4385 METCALF DRIVE Unit # Permit # 12885
L 7 B 4 Sect./Sub. RIVER HILLS 9TH
MINNEGASCO _ 342-53 INSTALL DRYER
INSPECTION INSPECTOR DATE COMMENTS
.b.? v -e
CITY of EAGAN
BUILDING PERMIT
Ownax
Address (Prasen!) ...?Ct.Yl.l./..-........k'L!....??.?.'..K--.J...?.....
suiiae: ..... .... . .................. ... .. ............. . . ?. ^. /.-- ................
Address .?.?........?. .... f....._.?"1....J......???...
? DESCAIPTION
?
w:jr
N° 3918
3795 Pilo! Knob Road
Eagan, Minnasola 55122
454-8100
a 8:. ... .............
6losiea To Be Used Foz Froa! Deplh Haigh! I Eet. Coet iPermit Fea Asmarks
- -?.C-
-Z- _-
-o
LOCATION
Streef: Rosd or olhes Descr3D=ion of Loealion ? Lo! Block ? Addifioa or Tsaet
This parmi2 does not avlhorize the yde ot slrea2a, roads, alleys or sidewalkc nor does ft give !60 owaer os L!s sgsnt
the righf 4o creaYe any situa2ion which ls a nuisenee or wh[ch psesenia a hasard fo the healih, safety, convsnieaes aad
ganeeal weltaxe !c anqone in the communify.
THIS PERMIT MUST BE K PT 96 T8E/p REMISE WHILE THE WORK IS IN PROG
S$ ,
KIP
This is !o eerlifp. !hal.----- ................das permiesion !o erea! a. . . . _ ...?--- . .............. _nPOn
the above described pre 'se subjec! !o the piovisions of all applicab i s for ;the Ci!ag,
.. . . ........................
•'---'--?.--° ....,._......_..._ Pe.... ... ....... ??::._--.....----..
14ayor Buildinq Iaepector
/? <o VVIJC] U 7lJ G 5?
. CIT`.' GF ?.9G".N
K.?eb Fn?..d
E.'?.,g=7.t] , Ni1717!n ?O ?: 55122
PF,FETT nTO,: P,34
`I".,e City oi Eagan horeby grznts to _ggy_?'Welter weating Oo.
of 4637 Chicago Ave.
a FIEATING - Permit fer: (Owner) Windsor Tlev. Oorp.
?4385 Metca?' Dr. &
pursuant co appiic=tion dated 5/18/76,
• g?? n.?:iu: $40.00 datad this 20-- day of t-taY 19 _76M
' 1.00 s c ?
P?uii.'?.ng Il?spst:ko,? ----
S?ec...r:ic?.J. Ftrr;i_ts:
L1'.: IG ?;.i Y
s
CIT'f .OF L.O,?.'3r-T
3I95 1j1).O{; Y?^Ctl IjG7d
E?. ?,°.R I
P•Il=,30L'd j,' GZ
.
i
F'i1.:?fii NJ.:. 675 i
T:,e City of r,agan herery gr=i7ts toThomPecn Plumbing Oo. ?
r; lzaol Minnetonxa elva.
------ - ---tffnd?sor De- v: Zorp: ,
c: PLUHBING Pesxit for: ( Na2? Anderson, 6 NeM ?c1EOn ROnMe -
385 I?teEcaTf
?rsuant to aFol;_cation dated 5/5/76
billed
Tee J*kx: 160.00 dat;ed this S?Eiay oi MaY ? 19 76 .
4.00 s c
Statement R865 ?
Duiiciing Inepector
=:1i T:?cal:
7
/o 4;511oo 070 o sz
2t?-`?- /?0 9
CITY OF GAGt,V
5795 Pi1ot -,?nob P.oad
LaS:,^, iiinnesota 55122 PERvIIi NO::
The City o° Bagan hereby grants to Lindsav tyater Cond- co. ,
of 9215 Cedar Ave. So., Eaaan .55122 _
! C. O. Gordner
i?ater ;oftoneiPermit for: (Owner) R Yesteven _ _
3°O?6 Cinnabar Dr. -
nr,(? ?'etcc?l` ?r.. , pursuant to applicaticn da+ed 7/2A17fi
: r.e Fwid: $10.00 dated t}iis 4th day of Fuaust
1.00 s/c
5uilcling Inspectoi•
l:ec'.ianical Permits:
3id Total:
cITr oF EAcaN
3793 Pilet Kno6 Read Eagan, MN 55122 N? 5187
• PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
Te be used fer Pa?O D8Ck Est. Value 2,500. paye 5-2 , 1 q 79
$ite Addres, `t3oD L"ieLCdl=
Lor 7 sixk 4 Sec/Sub.RVer Ii1115 9th
Pamel # 10 64400 070 04
W IN,rn, Mr_ -n;..harrl Kaatmian
z Address 4285 Metca.lf
Fanan _.
o Name L V CA11St LriC.
?? Address
5428
Kellogg Ave.
?
p So. Mpls. Phone 926-5061
WW Name
f
Address
<'?" Cfri Phone
1 hereby ackrwwledge thot I hove read this application and state that
ihe informafion is correcf and egree to comply with all upplicable
SMte of MinnesoM Statut$s and City of Eagon Ordinonces. j)
SignaNre of Pertnittee -fN
. V.
A Building Permit is issued to: ?
all vrork sholl be done in accor a with
Erect ? Occupancy i"i
Alter ? Zoning Rl
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front k•
Grade ? Depth fr.
Aeerevel: Fees
Assessment _
Water 8 Sew.
Police -
Fire
Eng.
Planner -
Council -
Bldg. Off. _
APG
Permit i<.vv
Surcharge 1.50
Plan check
SAC
Water Conn. _
Woter MeMr _
Total 13.50
on the express conditfon that
Stctutes and Ciry of Eagon Ordinances.
Buildin9 Official
CITY OF EAGAN Np 17122
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING'PERMIT PHONE: 454-8100 Receipt# (? 4 qz
Tobegsedfor 3-SEASON PORCH Escvalue $10,000 Date SEP 29 ?g89
Site Address 4385 METCALF DR
Lot 7 Block 4 Sec/Sub. RIVER HILLS 9T oFFiCE use oNLY
Parcel No. occuvancy - Fees
Zoning
w Name RICHARD A BRIAND (nctuaqconst emg.Permit 117.00
o Address 4385 METCAI.F DR (Allowable) -
-
5
00
City EAGAN Phone 894-8022 :r of siodes .
Surcharge
-
D
k 1W2 Plan Review
QC
Lengih
F Name MIDWEST REMDDELING oevtn Porch 18x12 snc
cit
?
$u
Address 525 E VILL.AUMF AVE
S.F.TOtal ,
y
_
City s n r Phone 451-2221
S.F. Footprims _ snc. Mcwcc
Waler Conn
On Site Sewage _
r¢
W w
Name
on sie wen
- W
l
M
l
??
AddreSS '
MWCCSystem er
a
er
a
? z
a W
Ciry Phone
ary water Accl. Deposit
-
PRV Required - S/YV Permit
I herety acknowlege that I have read ihis applicalion and state Ihat the Booster Pump - SiW Surcharge
intormalion is correct and ee to comply with all applicable State of
Minnesota StaWtes and C ol Eagan?Qrd, ipylce
// ireatmenl PI
`
SignaMe of Permit V APPROVALS Road Unit
A Building Permit is iss ed lo: / MIDWES REMODELING Planner - park Ded.
on lhe express Condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eaqan Ordinances. Bldg. 011. Copies
}
11
8uilding Official [!A ?! 1? Variance - TOTAL 122.00
9<17j7
G 02058 61t?z- ? i'?
Requesl oai Fir No. Rough-in Inspection
Fe uiretl?
?
? fleatly Now '?flll Notily Inspector
Ves ? No When Ready9
I Xlicensed coniractor ? owner hereby request inspection of above electrical work at:
Job AtlOress (Sireet. Box or Rou?e No.? ?i?y
[F i v? E
Seclion No. TownsM1ip Name or No. Ranqe No. Counry
Oooupant(PRINT) Phone No.
- ? C? triL/JcQ,P.?
Power Supplier Atltlress
Eledrical Connaclor cOmpany Name) Contrector5 License No.
? Y
Mailing Atltlress ?COnvactor or Ownar Mekinq Inglalle[ion?
°?
•
Aot?on ec Si ur on ner aking Inslallalion) Phone Number
D -t
MINNESOTA SVATE BOARD OF ELECTflICITY TMIS INSPECTION REQUEST WILL NOT
Gtlgge-MlEway Blag. - qoom 5473 BE ACCEPTED BV THE STATE BOARO
1821 Unlverclty Ave., SL Paul, MN SStOL UNLESS PROPER INSPECTION FEE IS
Phone(612) 6a241800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See in5lmclions br completing Ihis form on back.y yBllow wpy
RE -0 2 Q 5 8 "7C" Below Work Grovered by This Request
iV?;1,;F 'J
ew Atld Rap. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Buildinq Dryer Other (SpeCify)
CommJlndustrial Furnace
Farm Air Conditioner
Omer (speciN) Conlractor's RemaMS:
3 3?r9an?v /J?R??f
Compute Inspection Fee Below:
# Other Fee S ServiceEntranceSize Fee #' Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Insoecmr§ Use Only TOTAL
Irrigation Booms 30, ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roo9n-m ?:?, oa?e ra y
.o
certify that the abOVe inspection has
been made. Finai oa
OFFICE USE ONLV
This request voitl 18 monihs Irom
2 PERM?
WATER SER 119
YILLAGE OF EAGAN 7
3795 Pilot Knob Rood PERMIT NO.: 5/5/76
124
S5
Eagan.MN ppTE:
1
?
R
i No. of Units:
--
Zoning:
WindBOY Dew• C01r •
Ownet:
Address:
4385 Metcalf Or B7 E4 RH
Site Address:
Th? Pson Plwabin9 ?°• 205.00 pd
Plumber Connection Charge: -?
Meter No.:-
/ Account Deposit10.00 b1 d11 Be 65
Si2
?/
:
Permit Fee
50 billed 665
,
Reader No.:.
I a9q? ?j ?°A??with flw Villa9a o4 Eogan 5urcharge: 60.00 Pd
Misc. CharKes:
?
Ordinyi?? Total:
Date Paid:
By Insp.:
Date of Insp.:
y?LLppE OF EI10AN
3795 Pilot Knob Roud
Eagan, MN 5513I
Zoning: TtlI
wi..A an
OWO¢L: -
AddTC86:
Sire Addn
Plumber: ThOMP'
E PERMIT
SEWER SERVI2730
PERMIT NO.: 5/5/76
DATE: 1
No. of Units:
350.0o Pa
? a9? p ?amyIy with Tha V{Ila9a °f E°g°^ Cannection Chazge: ----"-
Account DePosit. -10-0y e 5
Ord`^Onl Permit Fee= ?-5 y 0 5
Surcharge:
Misc. Charges:
BY Total:
Date of Insp.: Date Paid:
Insp.
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: eusLoxreG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 3 8 0
(612) 681-4675 Date Issued: 0 7( Z 5/ 9 6
SITE ADDRESS:
4385 METCALF DR
L07: 7 BLOCKm 4
RIVER HILLS 9TH
P.I.N.: 10-64400-070-04
DESCRIPTION:
(ABOVE GROUND)
Builtlin§?,Permit Type SWTM POOL
?Bu3lding G3ork Type NEW
? UBC Occupan y, R-3
Zorring R-1
?
Square F?et ?---, 576
Cen,sus CQ-de I 329 NONBLDG STRUCT.
r^ ?
[k ??, r? ?{ s'€€:?
.....# , _? ?... '_ .._.°a`?..._??S
REMARKS:
FEE SUMMARY:
% VALUATION $4,000
Base Fee $87.25 COPY $.50
Surcharge $2.00 Total Fee $89.75
Subtotal $89.25
CONTRACTOR: OWNER: - Applicant -
POOL STORE 17869563 BRZAND LINDA
10100 CENTRAL AVE NE 4385 METCALF DR
BLAINE MN 55434 EAGAN MN 55122
(612)687-8754
I hsreby ack4owle4e tha't T have 'wead `this applicatioA and ?staxa Chat.. the
infiormation is correct and agree to comply with all applicable State afi Mn.
Statut nd t of Eagan prdinances:
L
MA
? APPLICANT/P 51 N ?? ISSUED 81: SIG TU RE
/
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
"390,996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVRanair Reauirements
? 3 regislered sile surveys ? 2 copies oT plan
? 2 copias of plana (indude beam 6 wirtdow saea; poured fntl, design; etc.) ? 2 site surveys (ezterior addRions & decks)
? 7 energy calculetions . ? 7 energy celculations iw heated edditions
4 3 wpies ol tree preservation plan H bt platted aRer 7l7/93
required: _ Yea _ No
DATE
,T 14? I a
DESCRIPTION OF WORK:
STREET ADDRESS: ? _
LOT 7
BLOCK
SUBD.lP.I.D. #:
? qff
?
" LiVIA' #
Ph
PROPERTY
OWNER Name: 1
rl
,,..,
`"" one
:
og?-$7sS?Cw)
c
Street Address• 42 S ?d?? Ir . .
{?Ob ? i?5???? City: ? _ State:/? ?' Zip. s5-1 a a.,
a
eetart?eR Company: Pho -7
Street Address; A" License #• -
City:_Ujc? 5tate: M N Zip• ? 3
pRCHtTECT! Company: Phone #-
ENGINEER
Name: Registration #-
Street Address•
City: State: Zip:
Sewer & water Iicensed plumber:
change are requested once pertnit ia issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this appiication and state that the information is corted and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY L-J-U-LU--P-- Q?[?D
Certificates ot Survey Received _ Yes _ No ;996
Tree Preserv ation PWn Received Yes No _____
CONSTRUCTION COST: ?' llge-o
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplsx
a 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-piex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 90 = plex
WORK TYPE
o31 New o 33 Alterations
0''32 Addition o 34 Repair
G£NERAL INFORMATION
ConsL (Actual)
(Allowabfe)
USC Occupancy r2-3
Zoning R - i
# of Stories
Length
Depth
APPROVALS
Pianning
OFFICE USE ONLY r ?•-? ?^ ,
• i --?,
.,, .
? 11 Apt./Lodging o?16 Basement Finish Ir
0 12 Multi RepaidRem. r? 17 Swim Pooi
? 13 Garage/Accessory ? 20 Public Facility
0 14 Fireplace o 21 Miscellaneous
0 15 Deck
I
0 36 Move
0 37 Demoiition
Besement sq. ft.
Main level sq. ft.
sq. ft.
?OgnT sq. R.
sq, ft.
sq. ft.
Footprint sq, ft.
Building W09-
Engineering
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
li
?
,
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City 5AC
Waier Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies • So
Totai:
Valuation: $ "r/' 000 • vU
9b SAC
SAC Units
C.il'Y 0F F:F1GAN
CASH:I:Eh: S TEfiMTNAL. NC: 793
DA'PI_: 10102198 "f]:ME.: 15:06?33
IIIa
NAMEe :iEAL. GLIARD SYST[:M'.3 ]:NC:
32:l.p Jnpi 43F35 nr::r.r,nt_r- Dr, 87.05
21.:SS 9001 4385 MI=1'CAL.F Dr; 2.00
Tota1 ke?.?eip+, Amount,e 83.25
rFi097:380
Usi-R iD: nANr.v
PERMIT
, CITY OF EAGAN
3830 Pilot Knoh Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
4385 METCALF DR
L07s 7 BLOCKa q
RIVER HILLS 9TH
P.I.N.: 20-64400-070-04
PERMITTYPE: BuzLn7Ne
Permit Number. 033516
Date Issued: 0 9! 3 0/ 3 8
DESCRIPTION:
,?..? T.O. & REROOF
Bu?'J,Cfffftz Permit T,ype 5f (MISC. )
B?i 3 d,?.n m
? ?y?^k Type REPAIR
6#14su?s CA#3s°'434 ALT. RESIDEN7IAL
7"
°M?. ' ? _I6 k N.?rvW g°4T?" b M? ?
Ck??m?
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
VAI.UflTION
$87.25
00
$89.25
$4,000
?ONTRACTOR: - Applzcant - sT. Lzc. pWNEfii:
EAL GUARD SYSTEMS 17170700 20093688 BRIAND LINDA
9_199 CENTRAL AVE NE 43$5 METCALF pR
MSNNEAPOLIS MN 56434 EAGAN MN 55122
(612) 717-0700 (651)894-8822
(. i hsr'0 b y ack rrowLeidthat I Mt
3n'Fo,rmo`tip'rr js corve4,cta 4nd:
4'xutas' ind C?i ty,- af, E°a:?a?;,;IF€
APPLICANT/PERMITEE SIGNATURE
C
19-?T UILDING PERMIT APPLICATlON (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?0
681 -4675
New Canstruction Reavirements RemodeVReoair Recuirements
? 3 registered sRe suNeys ? 2 copies of plan
• Z copies of plans (indude beam 8 window s¢es; poured fnd. design; etc.) ? 2 site surveys (exterror additians & dedcs)
? 1 energy calculatians ? 1 energy calcutaticns for heated additlons
• 3 copies of tree preservation plan if tot platted after 717193
required: _ Yes _ No DATE: "I -olol -4b CONSTRUCTION COST
DESCON OF WORK:
ST ET ADDRESS:
LOT ?j BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: Phone #;
StreetAddress• qncJ ?riU?
City: F"saState: Zip:
Company: al l'?? lll! Y'? ?1S}pJ`.LS Phone #:
5treet Address: ? ??(? l Q,??GVI ?VQ IYL License #:4ZDM?0&
City: State: Zip:
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licer.^•ed plumber (new construction only):
and lot change are, equested once permit is issued.
Penalty appiies when address chznc
I hereby acknowledge that I have read this applica6on and state that the infortnation is correct and agree to comply with all applicac
State of Minnesota Statutes and City of Eagan Ordinances. ^
?J
Signature of Applicant; ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
? SUBD./P.I.D.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 .12-plex
? 65 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Aiterations
? 32 Addition ? 34 Repair
GEPiERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pao(
20 Public Facility
21 Miscelianeous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq.ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering Variance
Permit Fee , a? Valuation
Surcharge ?-6U
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: %ei' a<s
?
:.
% SAC
SAC Units
CITY USE ONLY
LOT ? BL ? RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIIV 55122
Date• (612) 681-4675
Complete this section only if vou are instaltine HVAC in single familv, townhome, or condos that are
under construction and are not owner loccupied.
• HVAC: 0-100 M B T U S 24.00
ADDITIONAL 50 M BTU 6.40
• Gas outlets (minimum of one required (a3 $3.00 ea.)
• State 5urchazge: .50
• TOTAL:
Complete this section onlv if vou are remodelinp, addine to, ar repairing esistine single familv
dwellinQS, townhomes, or condos.
XX Add-on fumace XX Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc, _ Other
Minnnum fee applies to all remodel or add-ons of eacisting residences $ 20.00
Sta:e 5urc.'?•ajge .50
Total: $ 20.50
SITEADDRESS: 4385 METCAliF DR
OWNERNAME: -LINDA BRIAND PHONE#:
INSTALLERNAME: RON'S MECHANIGAL, INC. PHONE#:
STREETADDRESS: 12010 OLD BRICK YD RD
894-8022
445-8585
CITY: SHAKOPEE gTpTE; MN ZIp; 55379
4_1 ?Ia 1,u?m
SIGNATURE OF PERMITTEE
? i:
ciTr use oNLr L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE: II
1997 MECHANICAL PERMIT (COMMERCIAL)
ClTY OF EAGAN II!
3830 PILOT KNOB RD
EAGAN, MN 55122 II
(612) 681-4675
Please complete for. ? all commetciaUndustrial buildings.
• multi-famity buildings when separate pertnits are no required for each dwelling
unit
DATE: CONTRACT PRICE: ,,
WORK TYPE: NEW CONSTRUCTION INTERlOR IMPROVEMENT ii
DESCR1PT10N OF WORK: '
FEES: P $25.00 minimum fee Qr 1% of contract price, whichever is greater. ?• Processed piping - $25.00 °
• State suroharge of 3.50 per $1,000 of rmi fee due on all permits.
CONTRACT PRICE x 1% ?i
PROCESSED PIPING '
STATE SURCHARGE
.
TOTAL
-
-
SITE ADDRESS: OWNER NAME: TELEPHONE
TENANT NAME: (InnaaovEnnerrrs oNLY) -
_ q
1NSTALLER: - -
ADDRESS: '
CITY: STATE: ZIP:
i
PHONE #:
' SIGNATURE:
SIGNATURE OF PERMIlTEE CfTY tNSPECTOR
: . o•A
? iii•aur
?lq, 5•ooT
? 12l•u0r
SINGLE FAMILY DWELLINGS
1989 HfTILDIHG PERMIT APPLICATION
CITY OF EAGAN
' el ' *1 L
lIDLTIPLE DWELLINGS
2 3ETS OF PLANS 2 3ET3 OF PLANS
3 EEGISTERED SITfi SIIR9EYS BEGISTERED 5ITE 3IIRtiEYS -
1 SET OF ENEEGY CALCS. (CHECg WITH HLDG DIV.)
1 SET OF EASRGY CALCS.
M[TI.TIPLS DWELLINGS RENTAL DNTTS FOR SALE DHITS
COMRMERCIAL
2 SET3 OF AHCHTlECTIIR9L
6 STBUCTOR6L PLANS
1 SET OF 3PECIFIC6TIONS
1 SET OF ENERGY CALCS.
# OF DNITS
BOTEs ADDRES3FS FOH CORNEE LOTS - COPTAACTOH/HOMEOfitTER MDST DFSIGNAiE WffiCH EDDEFSS
IS DFSIRED. HO CHANGFS iTILL BE ALLOftED ONCE BOILDING PERMIT IS ISSDED..
SEWER 6 WATER PERMIT FEES 9ND 9CCOiTNT DEPQSIT FIiE3 NII.L BE INCLpDED iiITB T9E HOILDING
PERMIT FEE. PROCESSING TIME FOR 3EWEA AND WATER PEAMITS IS TWO DAYS ODTCE A PEAMTT gAS
BEEN CONlPLETED INDIC9TING A LICEN3ED PLDlIDER.
PEN9LTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN 39ME MONTA IT IS REQiIESTED.
LOT CH9NGE I3 HEGIIESTED ONCE PEAMIT IS ISSDED.
To He Used For: ?5?????'C.rUa Valuation: 'd Dates Z'vL61e/
Site Address 3ei 127CTr_??i`O?(
Lot r] Block y
Parcel/Sub g\vER ciTIt ApDh1 .
owner ?'/CH?hFdi /?. P'•Pii4n/:?
Address ??,5 /?1G?Cf1L/% 1?•P
City/Zip Code
Phone
Contractor
9ddress
City/Zip Code S4L!>/?151'?//?r/L
Phone
Arch. /Engr. ?r??ly.e.7 ?U b? % /Cc-
9ddress SL$ ? /fi'LL
I q o00
Occupaney FEFS
Zoning
P
Bld
it
Aetual Const erm
g.
Allowable Sureharge O ?
# of atories Plan Review
Length n6r-1G IR X 12. SAC, City
Depth F'?(-H 18 )< /Z SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Sureharge
MWCC System _ Treatment P1.
City rrater Road Unit
PRV required _ Park Ded.
Booster Pump Copies
_ SIIBTOTAL
APPA009LS Penalty
Planner TOT6L
Couneil
Bldg. Off. ?qry8
Varianee
City/Zip Code SDLf?S?Io?El/?I?5So'r
Phone 6
- 1/A LV. oqj
?a l2Gl-l
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(r,
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-6100
FOR CITY USE ONLY
PERMIT #
RECEIPT # /DD ?•O
DATE:
PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUSRED FOR EACH UNIT.
-----------."------
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR _
OWNER NAME: J_)I'I6 (\(V. J\lC"C\ 6 l`o
SITE ADDRESS: MET Iclfl I F ?.Je LOT:L BLOCK ? SUBD.
INSTALLER:
At4p; JUd
ADDRESS: P,r!^?.?anaoro .?3??53g0
700 W. Linden Avenue
CITY: P n RoY z1f65
PHONE #: Minne^polis, MN 55444-1165
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
$15.00
24.00
6.00
3.00
6
SUBTOTAL: $ 1,?_oG
STATE SURCHARGE: .50
$ [ S? U
SIGNATURE M"VMMqqEE
?iQ}7M??tGIA?j?41?'q5?`R?A1.:;: PLEASE COMPLETE THIS PORTION FDR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
........................ ...
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE:
OWNER NAME:
SITc. AD^uFES.S:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:_
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
LLACH $1,000 nF PEgNrT ggF.
PROCESSED PIPING s $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
$
$
STATE SURCHARGE
TOTAL:
(SIGNATURE)
?
,
SCII.DIIG PERMIT .4P?LICATIO:;
naTE
Include °_ sets of plans, 1 si[e plan w/elevations and 1 set of energ}• caicua[ions.?
To be used Eor j' G1'?1t3 ?L°C? Valuation ? r5?C7?
Site 1ddress:
Lot B1ock Sec./Sub. Parcel Nuc.ber
-7 L? paxu? l4ub `l{.t--. Io 4-40 L^ 0 ? G 11 ` f
G'V,5'N Telephone
Address 2.3 6 J? fl-C^l3ll ?
Z4-4 G3 N
Cov[ractor ?1/ ?'C??IS ?? LJ?lG• Telephone f o? G'?d
Aul ?ress J l?g- ? ? ? ? Sep S .
Arch/Eng.
Address
Telephene
OFFICE CSE OPILY
Erect
Altar
Repair
Enlarge
Move
Demolish
Grade
Date of Av?roval and Initial ,
AssesSment
Water/Sewer
Police
Fire _
Engineer
Plannzr.
Council 01
B1dQ.
l p -
Occupancy P'1
Zoning R -
Fire Zene
Type of Const. ?
IF of Stories
Front
Dep Eh U \
Fees ?
Permit
Surcharge
Plan Check
SAC
Water Connection
Water Meter
i 6' ... Y- ___. .._.._.." - ... ?_ .._." _?. _. _-
. l . . . .. _ -. .. . . . . _ . . , - . ._ .. _ . . . _ . . . _ . ?
17
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Ai ?-. -17t7 ,'7
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t?--
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS ^
Permit
No.
Issued Issued To
Coniractor Owner
Bl11LDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING Q Z j?
? 3?o-? Al?
GAS INSTALLING -
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING r? SI? wo' ?6 SEPTIC -
FOUNDATION CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS WS7ALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD .
PLUM8ING
WELL
SANITARY SEWER
/3
1.0
Violations No}ed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANGE
O&SERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WIIL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
REVEALED
DATE OF REINSPECTION
CERTI FICATION -I certify that I have carefully inspected the a6ove 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 specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
3.
?
I A
DEVELOPMENT CORPORATION
April 27, 1976
Mr. Dale Peterson
City of Eagan„
3795 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Peterson:
RE: Lot 7 B1ock 4 River Hi11s
4385 Metcalf Drive
Enclosed please find a check for building permit application and
fees as allocated on the check stub in the amount of $1,027.50.
This home wi11 be a Model 75-20 elevation A,'.and will contain
the following:
= Vaulted LR, DR, and foyer
- False ceiling beams LR and DR
- Exterior brick per plan
- Fireplace in lower 1eve1
- 8x26 foot sundeck with stairs
- Lighted kitchen ceiling
- Finished lower level including 2 bedrooms, 3/4 bath,
family room and a wet bar
- Appliances
Attached also find a copy of the proposed plot p1an.
Sincerely,
WINDSOR DEVELOPMENT CORPORi1TION
mu? /Y Ori?`?/
Warren R. Anderson
Vice President
WRA/ks
Enclosure
SUITE 192, 4660 WEST 77TH STREET, EDINA. MINIVESOTA 55435 • PHONE (612) 831-0717
`703 c->3
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
le- /5 ) ??
Date s 1 4 1 05
site street Address q-Sg 5 M&r'Ct,Ir DY?- unit #
Property Owner L MU4 '"' (&n Telephone # (b5l
Contractor 1TP Telephone #( 651)
Address :3?07d ? Citv Faqah State MM Zip?
V
The Applicant is: _ Owner ?! Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If rL are instaNinp only a wafer softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00
State Suroharge $ .50
Total $ ??•??
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 will be in accordance with the aproved lan in
the event a plan is required to be reviewed and approved. ?.p?r? ?
I
?Tfs &46 O?.f, 2005
ApplicanYs Printed Name Applicant's Signature
_- 1-?--? '
44'
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 11'22-11
Use BLUE or BLACK Ink
For Office Use 1 g
Permit#: /1).
/ I C --
Permit Fee:
Staff:
90 -
Received:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: l-1",175 1v14_4- 1 Det
Unit #:
R SIDENT
OWNER .
Name:/111-so r- 1- 0966,` r„,„.7 Phone: 1-52- Z O . 6568
j�'�
Address / City / Zip: q-2)53--,5- ,'ii2 cry s.- . C 65— t 22
�$,
Applicant is: Owner x Contractor
TX Fw RKY
Description of work: / G -Rc�P
Construction Cost: 7i(900 Multi -Family Building: (Yes / No )6 )
ONTRACTOR
Company: / at_M ,,, v,®'1/i. )k - lir-vt..c Sri -vi ntact: Vale -1:,,` ,
c
Address: 1 4(Q y,,,451-1.;,, . 4,-,c- S City: %,.,,,, t . tk-ac_
State: A. Zip: g�� 3C, Phone: 7 5 2.- 2 f ) -23 d
License #: -ja 64375g2 Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
N TEi Plans and supportin- g documents that you submit are considered to be public information Portion o
the Information maybe classified as nou10f you provide specific reasons that would permit the =City to
v _`- conclude that theyare,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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
Applicant's Printed Name
Page 1 of 3
Date:
CityofEaQali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 7 �° ' "
Date Received:
Staff:
J
2011 RESIDENTIAL BUILDING PERMIT APPLICATION LE4 IIA-CA(1&
0-2 2 2 -11 Site Address: y 3 g 5 M.ef c.6.1 C V. Unit #: 1
RESIDENT /
OWNER
Name: /901..--e,„,... fAUX,', fT,.L-, .a
Address / City / Zip: z-/ 3 21-5
Applicant is: Owner ,jam Contractor
Phone:
4141 5 -
TYPE OF WORK
Description of work: i?z p.'i ,r D� 4c, hta-•� dt .p.� 1 s c1 -4:w, c1.4 eek r cc ,• fit ; �r 1,�
51, S <A../•d'-'et
Construction Cost: t 7, d 0 o
Multi -Family Building: (Yes / Nq�
CONTRACTOR
Company: i? 4-1„,„,„ /14,:z..1k 2. 14,44 4. Se i,..e4 ontact: /t a,� )t44
Address: 1 40 7 Yd✓ k s i .-4., /Ye - S.
State: 4441 Zip: 5S3v 5- Phone: q5 .2
License #: 4,37 59 2 Lead Certifi
City: /14§1.2,., 2-a.r., _Lac
If the project is exempt from lead certification, please explain why: (see
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 me considered to be public information
the information may be classified aswit-public if you provl de specific reasoms that would pill»
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilitiies.[www.aopherstateonecall.orgI
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 M accordance with the Minnesota State Sul
days of permit Issuance.
Applicant's Printed Name
completed within 180
Applicant's 9natu re
Page 1 of 3
(ft --c& (( ijt DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
. Single Family
Multi
01 of _ Piex
Accessory Building
WORK TYPES
New
Addition
L Alteration
_ Replace
Retaining Wall
_ Fireplace
Garage
Deck
Lower Level
Interior improvement
_ Move Building
Fire Repair
_ Repair
DESCRIPTION
Valuation 7000 *'
Pian Review
(25%_ 100%Z
Census Code /7 3Y
# of Units
# of Buildings
Type of Construction Z3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screbo/Pergola)
Pool
Siding
Reroof
Windows
_ Egress Window
Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy ,,j i2 -1 MCES System
Code Edition Ace? SAC Units
Zoning A-1 City Water
Stories -- Booster Pump
Square Feet — PRV
Length Fire Sprinklers
Width
Final
Meter Size:
final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _„ Backfill
Radon Control
Erosion Control
7 , Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
2=o
lea oN ZLAAIk
Show24, S&4400.41
.41
Page 2 of 3
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buildinginspections(c�cityofeagan.com
For Office Use
Permit #: /6/ R
Permit Fee: l� Op
Date Received:
Staff:
L
2018 RESIDENTIAL/PLUMBING PERMIT APPLICATION
Dater '/ / / i Site Address: -/ n t4e/tCc4
J
Tenant: Suite #:
Resident/Owner
Contractor
Type of Work
Permit Type
License #:
Address: City:
State: Zip: Phone:
Contact: Email:
— New — Replacement — Repair — Rebuild — Modify Space _ Work in R.O.W.
Description of work: ,mo i 1 $J A." P`,
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and 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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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
Applicant's Printed Name
Ap • icant's Sign . re
FOR OFFICE USE
Required Inspections:
Meter Related Items:
Reviewed By: Date:
Under Ground Rough -In Air Test Gas Test Final
Meter Size Radio Read
Manometer
Staff:
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA150322
Date Issued: 07/02/2018
Permit Category: ePermit
Site Address: 4385 Metcalf Dr
Lot: 7 Block: 4 Addition: River Hills 9th
PID: 10-64400-04-070
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
- Applicant -
Owner:
Abbie Emery
4385 Metcalf Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167123
Date Issued:02/24/2021
Permit Category:ePermit
Site Address: 4385 Metcalf Dr
Lot:7 Block: 4 Addition: River Hills 9th
PID:10-64400-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Abbie & Aaron Emery
4385 Metcalf Dr
Eagan MN 55122--192
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176782
Date Issued:06/01/2022
Permit Category:ePermit
Site Address: 4385 Metcalf Dr
Lot:7 Block: 4 Addition: River Hills 9th
PID:10-64400-04-070
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Madeline E Matsoff
4385 Metcalf Dr
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature