4386 Metcalf DrINSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADbRESS: t , APPLICANT:
?' ?•t ? I t? i I f i) k I? l i r•? ? i i', •. ?,?? w
0 tviIk' iiii?•, ki 1 14 t,4?, Itinti
f1',11 t fi
t+li i i E1 t nF?
1-f" ltalH
Hri /:",
PERMIT SUBTYPE: TYPE OF WORK:
, ?fE IIatct
?rt .?; 1 1' t 1 t)hl ( S A', Nt ". ) .
Permft No. Permit Hoider Date Telephom N
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspect{on Dats Inap. Comments
Footings I
Foundation
Framing !%?! 61 1r?
Roofing
Rough Pibg.
Rough Fftg. ,
Isul.
Fireplace J
Final Htg. ?
Orsat Teat
Finai Plbg. Plbg. Inspector - Notify Plumber
Conat. Meter
EngrJPiBn
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp_
CITY OF EACaAN Remarks
Addition.-ftiver H.11],S 9'tYl Lot Blk ? Parcel ?? al)[.00 22o n1
Owner L-&2rLL ?f lf2de?& Street 4386 Metc l f Th^ State FAg1t17MN??,i5122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
.XSEWER LATERAL y/
WATERMAIN
*WATER LATERAL 1976
WATER AREA
? STORM SEW TRK 1976
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREETLIGHT c13 1980 67.80 13.56 5 67.80 C006644 0-15-79
WATER CONN. B
+
;
BUILDING PER. 8 ? Q 0-7
s,ac
, 00
1450 8.5
10-2 -7
PARK
CITY OF EAGAN 9333
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ` • '
BUICDING PERMIT Receipt #
?
Ta 6e uvd {ae pOOj' Fef Vnl uo $8,000 nnes 2 4 1* ..•
Site Address
Lot 2 2
Parcel No. -
W Name
; Addre
b
O Name
uu Addr*
H Citv _
Name
Address
I hereby acknowledge thot I have read this opplication and stote that
the information is torrect ond ngree to comply with oll oppiieable
State of AAinnesoto Statutes and Ciry of Eaqan Ordinonces.
Erect 'd Occupancy R 3
Remodel ? Zoning
Repair ? Type ot Const.
Enlarge ? No. Stories
Move ? Length 17
Demalish ? Depth 35
Grade ? Sq. Ft.
Appr orals Feas
Assessmenf
Water & Sew.
Pol (C6
Firo
En0•
Planner
Council
Bldg. Off.
APC
Var. Date
Permit „"• ?''
Surcharpe 4 ' 70
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Perks
Total • • )
Sipnature of Permittee I
A Building Pennit is issued to: CL'STOM FOQLS on ths azpress oordition ihat
oll work shall be done in accardorxe wh o11 appliwbls Stote of Minne?otn Statutes ond City of Eogan ?dinonces.
r
Buildinp 4tflciol ' '
Permit No. Pe?mk Holdsr Dste •
Plumbing
H.V.A.C.
Elactric (,(J L jY c; U
Softener
InWection Date Insp. Other
Footings
r
Foundation
FraminQ
Rough Pibg.
Rough HVAC
Inwlation
Final Plbg
Final HVQC
Final ? S
m
Cert/Occ.
?
Wster Describe L tion: ?
Well
Sswer
Pr. Uisp.
CITY OF EAGAN ic 114466 "04 61
3795 Pllot Knob Reod
Eayon, Mienasota 55122
P6one: 454-e100
SUFTEULR
PERMIT
Dote: 3/ 3/7 L
Site Address: 4,?36 "ietcaff irr.
Lot Block Sub/Sec. _
Laniel t,'irtz
Nome
. :?. _
a
City ?a?ufl Phone: 890-5301
_ Nur„e ...... ;?,r:.
No. -
1 ?
230
Receipt No.:
Single
Residential 1t
Multi Res., Comm./Ind. I
New/Alter./Repoir ? 0 Vr
Cost of Installotlon
5. .,r
Permit Fee
Surchorge & Rtltlress
V
City Phone: ` Total "
This Permit is issued on the express condition thot oll work sholl be done in occordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
oo °I'tLUDE 12 SETS OF PLANS,
CERTIFICATES
O
? \ CALCULATIONS
NERGY
To Be Used For: Valuation:?? Date: 7 Zr?f?
Site Address: ?/,3 /, > 17141
• •
Lot: ?a Block: / Sect/Sub• Erect: X Occupancy:
Parcel #: Remodel: Zoning: fZ-I
Repair: Type Of Const:
Owner: 7- Enlarge: # Stories:
-
Move: Length: ?
I
Address: Demolish: Depth: 35
City/Zip Code: Grade: " Sq. Ft.:
Phone
Contractor:
Address: A?E Assessments: Permit: 50
CitY/ZiP Code: Water/Sewer: Surcharge: g-, e
Police: Plan Rev.:
Phone #: 933 ZZ??r Fire: SAC:
Engr.: Water Conn:
Arch./Eng: Planner: Water Meter
Address: Council: Road Unit:
Bldg. Off.: Parks:
City/Zip Code: APC:
phnnp*- Variance: ? 79,50
HOUSE HEATING TEST RECORD
ADDRESS ?T3S? Me-OtC.MF nnVP. ApT. -1 F'L'OORITY a?Ll
OCCUPANT CA Qfl'P OWNER V
HEAT LOSS DATE HTG. INST.
SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER
Electrical Work ey HARRISON ELECTRIC Gas Line By
TYPE OF HEAT GA -FA X HW- STEAM - SPACE HTR. UNIT HTR. OTHER
. GA5.DESIGN - ' CONVERStON ?
Serial
INPUT
0
THERMOSTAT ° - ? -? Heat Plug
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type -
Pilot Make _
Pibt Model _
Pilot Timing _
L.W. Cut Off _
Pressure ? Z- Percent COZ
Input CFH ? Percent OZ_
Stack Temo. Percent CO .
Form 235
MAKE OF BURNER
M>adel
Max. BTU Rating
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER? l SIZE _ NONE
Drafl Hood Regulator
Filters Sizqz.x-,?? I Number
Chimney Location ?y,de ? Outside
Chimney Construction ?
Smoke Bomb -? Wiring _
DraR ?l . Test Tag
Door Pressure ? Lighting
Date
Company Testing
Name of Tester_
This rRquest vmtl r I?U /1 ?
18 manths Irom y y
W082480 Laa 3, Q,?-,
& -1 18y
30 . ou
____- --._ _ .... __?.. ... ...?.__...,..
Requiretl7 (DReady Now QWill Nolify, InsPec-
?Yes ?NO tur When Ready
? Licenscd Eleclrical Contracmr I hareb
y raqueat inspec<ion ol ubove
Owner alectrical wark instellad et:
Sireet Address, eox or Roure No . Ciry
3" 1144' cqz11`r lq? F6z
z,ectiop o. Townshlp Name or No. Nange No. Coumy
Occupam (PflINT) Phnne No.
P-t ?
Pawer $upDlier Address
Electrical Conuactor ICOmoany Namal
' ConVactor's Li cense No.
L. c c co Q
Mailin Adijess (C tracmr or Owner aWnp Instailationl
r? Nr ?
AuMorized Si nture (C nhactor/Ow r Maki ng Installation) Phone Number
4WM ? ,..5W- 76 ?
MINNESOTp STATE 90ANO OF ELECTRI TY THIS INSPECTION REUUEST WILI NOT
Griges•Midway Bltlg. - Room N•197 ' BE qCCEPTED BV THE STAiE BOARD
1821 UniversitY Ave., 5t. Paul, MN 56104 UNLESS PNOPER INSPECTION FEE IS
ow,.__ 1a11, vn, ?'ll ENCLOSED.
???+ ? V REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi.oa
/ ' Sea instructions for completiM this form on beck oi vailow Coay.
o 84o
? t
""X" Below ork overed by This Req?
FAtl Rep. Type of Building AOPliances Wired EquiPmant Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric He2tin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm mrr Peu v oinpr (s4,?c,iv)
t er Uecity ther Oth"
Compute lnspection Fee Be/ow
H Fae ServiceEnhanee5iie k Fee Feeders/5ubfeatlers # Fne Circuits
0 to 200 qm s 0 to 30 Ain s 0 to 30 Am s
Above 200 qin>y. 31 to 700 Amps 31 to 100 q g
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs Speciallnspection S s6
flemarks
C'ri r."uV1 dL, r N/= J9,, ri
4 TO L FEE
z_ ,,.? )
RouBh-in ( Dace
'
1, eha eel
?
7j Inspector, hereby
Final c ify
lhnt the above
pection has baen
• (j ade.
Thin -mef vn41 tR mnntha tmm
rs-- iuc? ? 5 ,3
J 62652 ? ? `o
Request Date ? iFire No. Fough-inlnspection
Require0?
Zfeatly Now O Will No?ity Inspec?or
-i yes IKAVO Whan ReaEy?
Ii)Kcensed contractor ? owner hereby request inspection of above electrical work at:
Job Aeoress (SVeeL Box or Poute No.) Ciry
4 rel 7' c n[. r- 1' ?
SecUOn No. TownsMp Name or No. Range No. Counry
Occvpanf(PRINT)
* Phone No.
Z
V A_^j_
Power Suppber Atltlress
? w '
, V ?
Elecvicai Gonrcac?a ?Co y COntredoh Licanse No.
12803 FLQ8IQA t A
Mailinq qtltlrass ICOnfracLL! ?QrLekqgl?s?llyioyl, I
?'" ??? ??`??l.tT, MN 55124
Au?nonzea Si iure IComractonOwner Makinq Insiallat n) Pnone NumOer
-- -- -?-- -- L I --6 ? G y
MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPECTION REDUEST Wlll NOT
GAggs-Mitlway'Bldg. - Hoom 5413 BE NCCEPTEO BYTHE STATE BOAqO
1821 Unive,slty Ave., SL Vaul, MN 55ID4 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ENClOSED.
(P !?/y'?- REQUEST FOR ELECTRICAL INSPECTION Eeoooowa
J????? ? See mJs(mcfions for completing this form on back oi yellow copg /O& ?s3
'X" Below Work Covered by Thrs Request
e Add Rep. " Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Intlusirial Fumace
Farm Air Conditioner
O?nersyeciNl Conlracto,'s Remarks'.
Compute Inspection Fee 8elow: '4 CIJ? 4:7
# . Other Fee # ServiceEntrence5ize Fee # Cirahs/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov i00 _ Amps
Signs Inspector's Use Ony. ? TOTAL 47
Irrigation Booms ,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i Ro.qn, oate
cert
ry that the above inspection has
been made. oa+
?p-
OFFICE USE ONLY
?Tnis repuest wid 18 months Imm
CITYOF,EAGAN N? 9333
3830 Pilot K nob Road, P.O. Box 21•199, Eagan, MN 55721
PHONE: 4548100 N
' BUILDING PERMIT Receipt #
Te?ba wad fer. POOL Est, Value a$ ,000 pote JULY 24_ 1 q 84
Site Address 4386 METCALF
+ DR Erect 43 pccupancy R 3
-
Lot _ZL Block 7 Sec/Sub. RIVA.R HILLS 9 Remodel ? Zooing R I
Paroel No. Repair ? Type of Cans[.
Enlarge ? No. Stories
W Name TIANTRT WTRT7 Move ? Length 17
' Z 4
A
R
R Demalish ?
TV Depth
35
9 1R6 MFTC
T.
TI
Address F
Grade ? _
Sq.Ft.
City - _.EAG9N_Phone_ R9?-54n7
o Name ('fTSTOM PAOT.S
Address 607 F R7CCF7.S7(11R AVA
? City HOPRTNC Phone ..931-72 55
Name
Address
City Phone
ADOrorala Fses
Assessment _
Water 8 Sew.
Police ?
Fire
Erg.
Plonner _
Council _
I hereby ackrwwledge that I have read this opplicorion cnd stote that gldg. Otf.
the inlormntion is correct ond ogree to wmply with all opplicoble AP?
State of Minnewta Stotutez ond City of Eagan Ordirances.
. . . Var. Date
Permit _
Surchorge -
Plon check _
SAC -
Water Conn.
Worer Meter
Road Unit _
Parks
Total 7Z.$0
Sipnature o4 Permittee I
A Building Permit is issued to: CTISTOI''I POOL$ on the exprese conditlon thot
all work sholl be done? a?cm//r_donte w}(h oll oppiicoble Stote of Minnesota $totutes ond, City of Eagen Ordinonces.
Buildiny OFficiol • L -??
- CITY of EAGAN
BUILDING PERMIT
Ownez .... . ....`.J...... ....-?x. ..............................
........ '--'-'-'-.... ........ ..... ...
Addrees (Psasan!) .`.???L..".-.....T?11..Z?_..?.-?..??.1?....°.?
Huilder ...................... .................... ......................................................
Addrau ................................................-.----........................................
DESCRIPTIOIQ
.? .. ,
N4 3783
3795 Piloi Knob Road
Eagan, MinnesoSa 55122
454-8100
. _ 1?- 7.S'_
Dale ... / p .
.................. ....... ........._.......
Bfoxiee To Be Used Fos Fron! DepSh Haighi Esl. Coo! PermitF?a Remarlts
//.3
-yzw-.?-?--L- `7 r'-zJ LOCATION /.j 17;-s °
3tieet, Aa9d or olhes Desciiplion o[ LOeafion I LOf lSlOCiC AQC121on O! TiiCt
42'r 6 AL"L'- y
Thic pesmit does nof auihoxise the use of streela, roads, alleys or sidewalka nos does il give the oavaer or 6Ss agsat
the :igh! !o creale anp situalion which is a nuisanee or which presenls a hasard !o the healih, sdelp, eoavsalsaes and
geaexal welfare fo anyoae ia the communifp. •
THIS PERMIT MUST HE KEPT ON,THE PREMISE WHILE THE WORK IS IN PROGRESS.
? i
T6is 9s !o cerlLip, thai°----.`.•'::`•c-t`..`...`..'.-----??.`.:??----...---haspezmisston !o a:ec! a._:5?.......:?::-:::?1._`::.?j° ............ upen
the above described premise subjeci !o ihe provisions of all applieable Ordinances for ihe C9Yof Eag6n.
.0.----.-.............. ra: .........._.............----..(lLu-?.---??-....?.....----....---.-.
............................... ......._Mayor........ Huildinp Inapaclor
?
r--)
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNIIT N0.
z-,#- ?
768
The City o£ Eagan hereby grants to Nay N. Welter Heatinq & A/C
of 4637 Chicago Ave. So.
a HEATZNG
Permit for: (Owner) Windsor
at 4386 Metcalf Dr. , pursuant to application dated 11/26/75
Fee Paid: S20.00 dated this 10
.50 a c
day of Dec. , 19 75 ,
Buildirig Inspector
Mechanical Permits:
Bid Total:
x?,V-erh;iis 9"11
czTY cF r
3795 Pilot Knob Foaa
Eagan, Plinnesota 55122
PER;vaT Iv'0 i :
The City of Eagan hereby grants to Thor.wson P1uvlk.inR Co.
ef 12201 MinnetonY.a 91vd.
a prajra?Tn,r: Permit for: (Owner) Windsor llev. Corp.
?
at? ? zaC._pqetcalf r?r , pursuant to applieation dated 10/29/75
billed
Fee jkkA,X $4n.no da.l;ed this Zg day of October , 19 75
1.00
Building Inspecter
i;echanical Permits:
Bid TotaL•
YILI:AGE OF E4GAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1880
Eogon,MN 55142 DATE: 10/29/75
'Loning: _RII No. of Units:. ?
Owner: Windcnr nPV
Address:
Site Address: 4Z8? Mat
Plumber: ??moCQn Plnmhinq Co. Meter No :
???L
_ Connectlon Charge; 205.00
pd
Size: A
D
ccaunt
eposit
Reader No.: 6'7;7 6419 Permit Fee: 10.00 hllled
? C9rca b eo DlY we't
h the Village of Eagan Surcharge: • 50 billed
/
Ord1°O°O°'' Misa Chazgesle??
Total:
BY Uate Paid:
Date aFinsp.:
Insp.:
VILLAaE OF EAOAN SEWER SERVICE PERMIT
3795 'rilot Kncb Road PERMIT NO.: 2638
Eoyan, MN 55112 DATE: 10/29/75
Zoning: RII No. of Units: 1
Owner: Windsor Dev. Corn.
Address:
Sl[e Addrese: 4386 Metcalf Tlrive L72B1 RFI 9
Plumber: Thomoson Plumhincx Co
I ograe ro eomply with Ths Yilloga of Eagan Connection Chazge: 425• OD pd
Ordinances. Account Deposit: Permit Fee: 10, 00 billed
Surcharge: •50 billed
BY' Misc Chazges:
Dare of Insp.; Total:
Inep.: Date Paid:
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
?-----------------
? For otr?e tise i
?
Permit #: 9a'79 7 ?
? Permit Fee: `/ O,
i Dale Received:
I Stait:. ? I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oace: 5' 9-0 sne aaamss: _q?ML M?411F Dr, vf,
Tenant:
Sulle #:
RESIDENTlOWNER Name: IA V? 5?.?. Phone: !(/??-04 '
Address / City / Zip: `7'30? ?I/f Ajc? bP/ vE
ApplicaM is: _ Owner Conhac[or
TYPE OF WQRK Description of work: ?
Construction Cost: ?/)iqv) Multi-Family Buikfing: (Yes _/ No
CONTRACTOR Name: ?S7i ?-i / ?i/?/ G1?C License #: 6? ??&5f /S
Add,ess: cU??
Ciry: 1) K-?T State: MN _ Z'p ?J'?
Phone: ?/[i°3-
????3? C
t
P
?
??"?
?
? V
)
on
(?
j
_
,
act
erson: V
//,
Ld
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code • ResideMial Ventilation Category 7 Worksheet • New Energy Code Wwksheet
Category sutmmed
submined
(d submission type) • Energy Emelope Calculatlon.s Submitted
In the last 12 rrronths, has the City of Eagan issued a permit for a similar plan based on a mster plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone-
Sewer & Water Contrector Phone•
NOTE: Plans and suppotting dxuments that you submit are considered W be perti/tc litformatrort Portions vf
[he ir?ionnation may be classi/"?ed as non-public if you provide specific ?easons ihat wou/d permit fhe City to
co»clude that rhe are trade secrets-
I here6y acknowledge that this iMormffiion is complete and accurate; thffi the woiic will In conFOrmance with the ordinances and cades of the Ciry of
Eagan; that I understand this is noi a pertnit, but only an appiication for a permfl is not to start withou[ a permit Mat the work wiH be in
accordance with the approved plan in the case of work which requires a review and val of
x JtUI/ ?` (J???"' ?? AppllcanYs PrirKed Name An ,,,
Pape 1 of 3
(a 6 s39
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Please complete for, Single Family Dwellings
Townhomes and Condos when pcrmits arc required for each unit
3o-S-0
Date Ct / a1 / 0`i'
Site Address -73 g W `' l42f WA-e? Unit #
Property Owner Telephone # ( (qs! ) FSD $ - 1 7 W9
Contractor
18400 2SiH AVf. N I128
Street Address PLVMOM MN 65447 City
State Zip Telephone # ( _763 ) 4-I ?p • jQct ?J_
The Applicant is _ Owner ?\ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit ? 30.00
?
furnace replacement
air exchanger
? air conditioner
other
4 2004
State Surcharge .
By? $ '50
Total $ _,bo?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accuratc; that the worl; will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; [hat I understand this is noi ?
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordancc witli ihc.
approved plan in the case of work which requires a review and approval
L i sq ya'^q
Applicant's Pri ed Name
MECHANICAL (COMMERCIAL)
Permit AppHcation
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commerciaVindustrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Address Unit #'
Tenant Name (it applicable; Previous Tenant Name
Preperty Owner Telephone # ( )
Contractor )"'!(iM
85 t! NIVA H:?S Dtn:d(
Street Address KGECity/p5/ ,pi2~11
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work lype
New construction ? Underground Tank _Install _Remove
Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Perroit Fee $5050 Minunum Fee (includes State Surchsrge)
Contract Value $ x t% _ $ Permit Fee
• Ifpermit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
- $ Total Fee
I hereby apply for a Commc.rcial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance witb the ordinances and codes of the City of Eagan and with the Mechanical Codes; that T understand this is
not a permit, hut only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval oFplans.
Applicant's Printed Name
ApplicanPs Signature
Approved By: ' , Inspector Date:
, f
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITYOF EAGAN
3830 PII.OT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date to ! 10 I `r
Site Street Address Y3s ? M;-{-ca. (-{ Df Unit #
??D-?? IyU
Property Owner Telephone_# (651
Contractor?Jn? M&( i1i?v?bi? Telephone#(?L-51) Y5'I-23-5?
Address ?-2O City Qe-.R211 State/'1J - Zip 5'5655
"
Contractor _Other
The Applicant is: _ Owner -Y
Altecations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
?
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener ? Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild
-
$ 30.D0
State Surcharge $ .50
Total $ /5' S c)
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 approved plan in
the event a plan is required to be reviewed and approved.
0.rv%?ts 12.mJ{{'
ApplicanYs Printed Name Applicant' Signature
? OCT Y g 2004 I!
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' cinr oF EncaN
3830 PILOT KNOB RD - 55122
651-681-4875
New Cautnicflan Reaulremenri Remodel/Reoair ReaWremenh
? 3 reglslered aite wrveya Elwwlny fq. f1, of lot. aq. H. of houae 2?P? a P? ??'? 91.51 ??
and gfl roofed areas Cm% mmclmum bt coveraoe Wlowedl 1 sel ol energy caleulaNOns for heated addiHau ?
> 2 coplea of plans (atww beam 8 wlndow sizes; poured hM. dealgn; etc.) 1 site wrvey tor axtedor addlNOns & decks
? t set ol e ryy Iculatlom
a 3 coples o?hepretervaMon plan it lot platted aner 7/1/93
DATE: (( I J/ ?-C l CONSTRUCTION COST:
DESCRIPTION OF WORK: fiL \
STREET ADDRESS: 2S ('7 !' }C- ( C ". /'-/
LOT: ? BLOCK: SUBD./P.I.D. #:
Name: ? ? ) h ) ? ? ( l? ??• SC'd"l 1 Phone #:
PROPERTY Lasf Flrst
OWNER . 1 ?r7 ? G-, I ->
Sfreet
City 6Stote: Nl ti7 21p:
Compan?? Phone Y: GS 1
f? (area code)
CONTRACTOR Sheet Address: License # 3 7 Exp.
CNy
ARCHI7ECT/
ENGINEER
Company:,
Telephone #: ( )
Name:
Zip:
Sfreet Address: RegkhaHon #: _
CNy Stote: ziP:
Sewer/water licensed plumber (11 installina sawerlwater): ?-PrfaPe M
I hereby acknowledye Hwt I have read Ihis applicalbn, sfate that the
of Minnesota Stalufea and Cify of Eagan Ordinanees.
Signature of ApplfaQnf: :
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _
State:
ta cortect
y wHh Qp appUedble State
?I' 1- 2000
P-•s?.
Not Requi[edLI,ti --
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUon ? 07 05-plex
? 02 SF Dwelling O 08 06-plex
? 03 01 of _ plex ? 09 07-plex
7 04 02-plex ? 10 OS-plex
O 05 03-plex ? 11 10-piex
? 06 04-plex ? 12 12-plex
WORK TYPE
31 New
t7 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex
? 77 Garage
,a 18 Deck
? 19 Lower Level
Plbg Ya_N
? 20 Pool
p 21 Poroh (3-sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessary Bk19•
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (interior) ? 45 Fire Repair
O 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demoiition permit
GENERAL INFORMATION
SAC Code 4 ?
No. of Units
No, of Buildings ??
Const. (Actual) S ?/V
(Allowable) =1?
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 44
Engineering
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
Variance
O 31 Ext. Alt - Multi
O 33 Ext. Aft - SF
? 36 MuRi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
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C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(672) 681-4675
(SA5HES)
B,ailditiA??,Permit Type
Buileling ?rk Type
?
.
x
0
01?l< <,)
/s
BUILDING
02181s
08/25/93
SITE ADDRESS:
4386 METGAIF OR
LOT: 22 BLOCK: 1
RIVER HILLS 9TH
P.I.N.: 10-64400--220-01
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
ToCal Fee
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SF (MISC.)
REPAIR
C='?h,
d S{
?
VALUATZON
$63.00
$2.00
$65.00
$4,000
CONTRACTOR: - APPlicant - sT. Lrc. OWNER:
TWIN CITY STORM SA3H CO 15468160 0003090 WIRTZ DANIEL
10825 GREENBRIER RO 4386 ME7CALF DR
MINNETONKA MN 55305 EAGAN MN
(612) 546-8160 (612)890-5301
k I hersby aoknowYesdqe that Thave wead t:h%s iwpplicatioh and sCake that tha I
: informstian ;Ls car'rect and agree. to aamply with al1 appticable Si:ate oi Mn.
, Statutes and &ity bf Eagarl Driciinanoerw.
L I
APPLIGANTlPERMI7EE SIGNATURE
L,ot, '.d. t "
ISSUED BY SI ATUR
REACTIVATE
PERMIT k ?.?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
,
Add
Sit
e
ress:
STREET SUITE f
Tenant Name: t-commercial only) Z_?t a v.??
?-- .
IAT BIACK ?_ SUBD. /`)'i`?f'?/.
I }fW1/?. ? 1 I' `? P.I.D. If
Descri tion of?work: ? ar2???'?cQ 'Ii^k:
The applicant is: 14 Owner ? Contractor ? Other (Deccribe)
Name Phone?2/j - J?D?
Property LAST FIRST
Owner /4 /?? ?
Address
iTREET - ° STE A!
City State Zip
Company TWIN CITY STORM SiaSK IPvOW. Phone
Contractor MiNNETONKA, MM 55345
Address ??? ...?„ License #;kq0 Exp.z?_
J
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approVed.
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. ?
Signature of Applicant:
OFFICE USE ONLY
x
BUILDING PERMIT TYPE
?
01
Foundation
? 06
Duplex
?
11
Apt./Lodging
? J k{
16..asem t Fih
:
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? ,
17 _
-"Swim ooT"
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actua l)
(Allowable)
UBL Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5ite
? Wallboard
Baseii6nt 5q. rt.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
MhCC S;stem
Lity Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Dra{nttle ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuas;m:
SAC %
5AC Units
COMPLIANCE INSPECTION REPORTS
TO 8E USED ONLY IN EVENT OF OESERVED VIOLATIONS -
PERMIT NO. DATE Of INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVEO.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
COMPLETION OF CERTAIN IMPROVEMENTS
WILt BE DELAYED 8Y CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the atove in which 1 have no interest preunt or prospective, and that I have reported herein
all significant conditions observed 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:
MASTER CAftD
LOCATI ON
OWNER fj(JI pt C/foe,
STRUCTURE AND
LAND USED AS 7 f? ?I I?
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING 3
4.2
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 76
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTI NG L/ SE PTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTqICAL
HEATING
7J DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBWG
WELL ?
SANITARY SEWER
_ /NuI J- O-
Vio!ations Noted
on Back
COMMENTS:
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A. FLLOw 24 CdTRN OUTSlDE
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oFE &YSEO ON TN/S Po/N7
(/N£R NOCDfR
Rouan! u? tou? 4p?nuw woes
,um aKUU'wMS .
? 4 geupe WlvanizeC strel pariels boked on 3 inch cantxs with 5l16 x 7/8 galvanixed sdal m.rs
end baltt. Panel Yn.,? 1.7/2 inchn on all 4 lides. Pim anpla 12 gauge gelvanizd Sroei.
qurved pemb reinfwad on 3 foot centtrs with 12 pupe qNanizetl steel niffirers. 9craighx
pmih minioruA on 2 foot can+ers wiM 12 geuge gelvanired stool stiHners. Ponels mhored on
y{out .? $trygM aetions are Eraad on 6 toot eenters wiYh braee atwmbly.
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SCALE i =1'-0"
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? I? SfCTION B'?B? I p..JANO AkN.
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No diving boartls m be umd unbv meetinp Diving EQUipmanx ManufxNUrers Specilicatiom. Local Codzs and N.SP.I.
SUndmds.
Follow all lacal building codes aaE regulatiom.
Kvep poa tilled wiM water n NI ames. Comun inrall.r for w{nmri:ine Prwtices.
fOLLGW P:. IOCL_ Rul.ll'NG fOOlS
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SURfNIE MPf9 - 537 36. Fi.
YfRU9ErfE - 90 £7.
YOCUME - 7A.800 5NL'l. (4//M
°TYPE II p00L,•
l/NYL 1INfk 17ECL POO[
17 '. 35"48[dN6 - 3?" mmtts
3a=1.0° I!o-zo-72ISP-29i- C
rov view /
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35• Z••
s3¢
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TOP YIM NNLLF
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52 .O..'. HI-RATE SAND FILTERS
PF SERIES WITH MULTIPORT VALVE
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
PF35 331/2', 16;• 18" 251/2" 273/2" 91. 20,.
PF-50 331/2" 16" 22" 291/2" 311/2" y., 20"
PF-100 373/a?1 22" 30„ 357/8- 417/8- 133/8" 247/8"
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
PF-35 851mm 406mm 457mm 648mm 699mm 229mm 508mm
PF-50 851mm 406mm 559mm 749mm SOOmm 229mm 508mm
PF-100 959mm 559mm 762mm 987mm 1064mm 340mm 632mm
1
s'cL eaH ruaemC Ve cov=_G
izlMM
PF SERIES WITH PVC BACKWASH VALVE
MODEL ADIM. BOIM. CDIM. DDIM. EDIM. FDIM.
PF-35 331/2" 16" 18• 251/2•• 31/4•• 11"
PF-50 33112" 16" zz,• 29112" 31/4" 11"
PF-100 373/4" 22" 30" 371/2„ 75/8" 15r/e
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM.
PF35 851mm 406mm 457mm 648mm 83mm 279mm
PF-50 851mm 406mm 559mm 749mm 83mm 279mm
PF-100 959mm 559mm 762mm 953mm 194mm 391mm
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PF SERIES SKID MOWNTED WITH
MULTIPORT VALVE AND PUMP
MODEL A DIA, BDIM.
INCHES METRIC INCHES METRIC
PF-35 w/42 H.P. RPZ-590 18" 457mm 28" 711mm
PF35 w/'/z H.P. RPI-591 18" 457mm 28" 711mm
PF35 w/3/4 H.P. RP2-590 18" 457mm 28" 711mm
PF-50 w/3/4 H.P. RPZ-590 22° 559mm 32" 813mm
P. RPI-591 22" 559mm 32" 813mm
F-50 w/ 1 H , RPZ-590 22" 559mm 32" 813mm
FILTER DATA
?
TURNOVER IN (HOURS) FILTER MEDIA
FILTER FLOW PEAGRAVELWITHSANO
MOOEL AREA RATE 6 8 10 12 PEAGRAVEL* SAND"
Sq.Ft, MZ GPM Liters Gallons Liters Gallons Liters Gdllons Liters Gallons Liters Povntls Kgms Pountls Kgms
5
p 2]22
PF 1.8 .16] 35 132 12,660 4],916 16,800 ]1,158 21,000 79,485 25,320 95,836 40 18.14 -
69 29.48
120 56.46
PF50 2.6 ,242 52 19] 18,]20 ]0,655 24,960 94.4]4 31,200 118,092 3],440 141,]10 80 3628 1=0 5896
PF100 4.9 .41] 100 3l9 36
000 136,260 48
000 181,600 60,000 22].100 ]2,000 2]2,540 120 50.43 z60
0 121.01
, , 3
0 136.08
*Pea Gravel size 1/e" to i/a" dia. 3.17mm to 6.35mm
**Sand size .018 to A22 partide size .45mm to .55mm partide size , 2/22p6
h QEAF TO REmIpVE COVEP.
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UV i w? D? V-P? e/rIf
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179344
Date Issued:09/29/2022
Permit Category:ePermit
Site Address: 4386 Metcalf Dr
Lot:22 Block: 1 Addition: River Hills 9th
PID:10-64400-01-220
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 -
Beverly Ann Stark
4386 Metcalf Dr
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature