4313 Orion Lane
Use BLUE or BLACK Ink
r
For Office Use
City Ol Ea Permit#:~p fl ` rl` d ` 0 a " Lijitj I I
1` 6 I Permit Fee: czsa-z~'
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J' I Site Address: I ::~S I - U~ 1 0~ SAY 1~
Tenant: Suite
RESIDENT/ OWNER Name: ( c L'A Phone:
A
ddress /City /Zip.
Applicant is: X Owner Contractor
TYPE OF WORK Description ofworr_-K-`Crlp
Construction Cost: C)I 0OL) Multi-Family Building: (Yes No
)
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before 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.
x II x
Applica s Printed Name 4bK Y" y Applica i a e
1v1~ Pa 1 of 3
- CITY OF EAGAN
, 3795 Pilot Knob Rocd Eagan, MN 55123 N2 4484
PHONE: 454-8100
BUILDING PERMIT . ReceiPt #
To be used for pote 19
Site Address Erect ? Occuponcy
Lot Block Sec/Sub. ? Alter ? Zoning .
Parcel # _ Repair ? Fire Zone _
Enlar
e p e of Const
T
g .
yp
w Nome Move ? ?' Stories
Z
-?-_ o Address - _? Demolish
- [I Front -- ft.
-
City Phone Grade ?=; Uarth ft.
o Name G.rpnd Pr+teT!;= `
?a Address "t.i(: ;
°: -? 34- :a i 4 -4
I'_ f :r.. ' . .. P4..,.,o
Nome _
Address
I hereby acknowledge thot I have reod this application and state that
the irtformation is correct and ogree to comply with a!I applicable
5tote of Minnesoto Stotutes and City of Eagan Ordinances.
Signoture of Permittee - ?
A Building Permit is issued ta
all work shall be done in nccordance with all applicable 5tate of Mirn
Assessment
Water & 5ew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Fees
Permit ISI.X) _
Surcharge 29.00
Plan check
SAC
Water Conn. 00
Woter Meter ?r,'.40
Total '1f}, 50
on the express condition thot
Statutes and City of Eagan Ordinanc_s.
Building Official
Permk # Dats laoad PerwNtN
Plumbing c? ?_J1?
Mechanical ?
G
'-
INSPECTIONS DATE INSP. RougMln Final
Footings Date insp. Date Ir?tp.
Foundotion p???ing 7 ?
Frame/ins. Mechaniool -
4? U-7',f- )
Final
?• .i?ae?Zn.a ?i.e-et
Remarks: ?,,-..?.aT`rf?-?"'r'e ?i.?s?'•.'?°-Q ?""p' 'c^?7 144111"1
CITY OF EAGAN
3795 Pilat Knob Road
Eogon, Minnesota 55122
Phone: 454-8100
PLUh(BIhG
PERMIT
No. 's
Date: 15, 1977
.?L3i 3
Site Address:
Lot Block ? 5ub/Sec.
W Pk 2
Name Svend Fetersen
?
Addreu A"§{ 47;11 lr'. 110tti'1 St.
3
O
'.?om2ngtc:; Phone:
ty
Name "(,nz-Fyan Plur.tbinq ; ileating Inc.
?
Address ?!•,. :;c: _ : o'?;?,_ y.??-,
e
City Phone:
This Permit is issued on the expre55 condition ihat all work shall be
Minnesota Statutes ond City of Engon Ordinances.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
,' i? W
New/Alter./Repcir
Cost of Instalintion
'Permit Fee
ISurchnrge
Total
done in accordance with all applirnble State of
Building Officlol
CASH RECEIPT
CITY OF EAGAN
.
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
eeceIvED
FROM
AMOUNT $ I
& DOLLARS
?oo
E)CASH E]CHECK
FCR
BY
?y .
NUMERICAL FILE COPY
CITY OF EAGAN
3796 Piloe Knob Rood
Eagan, Minne:ota SSIu
Phone: 454-8100
'LPERMIT
Dote:
'??..(n ;.aTe
Site Address:
Lot a Block Sub/Sec.
?-
Nome -
' `37 FLlCm-r10oc? ? ?L •:3
e Address
? -t- ?y.f
City j A . ? n . ? ..
Phone: ? No
Receipt No.:
Single
Residentiol X
Multi Res., Comm.llnd, I
New/Alter./Repair. Cost of Instollotion
Permit Fee
r, • r , --I
Name Surcharge `
.
?
? Address
e
0
V -
City Phone: Total
This Permit is issued on the express condition thot oll work shall be done in occordonte with all npplicoble 5tate of
Minnesoto Stotutes ond City of Eagan Ordinances.
Coff AIR WLJLR'?s
Building Official
CITY OF EAGAN Remarks
Additi n WILDERNESS PARK 2ND ADDITI Lot 2 glk 1 Parcel 10 84251 020 01
zl '? ' street 4313 Orion Lane state Eagan, NfN 55123
? t.? ,? ? f .?? ('.? ?. 112 r,,<. ! I?,sr? ,?e..
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 107.95 A006121 6/8/78
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1
? STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
QL-
SAC 75 Cl:' _ / -
PARK
CITY OF EAGAN SEVNER SERVICE PERMIT
3795 pilot Knob Road PERMIT NO.: -
DATE
Eogan, MN 55122 :
Zoning: No. of Units:
Owner:
Address: --
Site Address: -
Plumber:
I agree to tomply with the City of Eagan
Ordinances.
By
Date of Insp.:
I nsp.:.
OF EAGAN
Pilot Kneb Rotid
MN 55122
Address:
iber:
?r No.: -
ler No.:
ree to aompip with the Citp of Eagan
naneea.
of Insp.:
e:
Char
ti
g
on
Connec
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Total:
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
_ Connection Charge:
_ Account Deposit:
_ Permit Fee:
Surchorge:
Misc. Charges:
Total:
_ Date Poid:
ya-
J
Repoest Date
1 }
?- GJ ire No. Pough-in Inspection
Requiretl?
eady Now ? Wul NotiTy Inspecror
- Wh
R
tl
?
J'?
/ v C??es No en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet. Brix or Route Na.) CIty
ai? F "6
Senion Na. TownsMp Name ar No. Range No. County
Occupant(PRINT) Phone No.
7? yrY-1`?G o
.
i
Power Supplier Atltlress
?
ElecViGal Conlraclor (CompBny Name) ConheCtolS License No.
MaihngAddrass onVeotororOWneeMakinglnsiella'n)
?I & t
- N/r/'5
-
AuUO Signamre (C nVadonOwner Making Instanation) PhOn2 Number
- G o -Gy/L
MINNESOTA STATE B O ELECTRICITY THIS INSPECtION REOUEST WILL NOT
Griggg-MiEway Bltlg. - qoom 5473 BE AWEPTEO 6YTHE STATE BOARD
1811 Univerelty Ave., St Paul, MN 55104 UNLESS PROPEP INSPEQION FEE IS
Phone (612) 642-0800 ENCLOSED.
S 9a- REOUEST FOR ELECTRICAL INSPECTION ?"CC a= EB-00001 08
.5' ?
-? - 62711 ? See Ins[mctions for completing ihis form on back ol yellow copy. 5?£=-I
'X" Beiow Work Covered by This Request
ew Add Rep. TypeolBuiltling AppliancesWired EquipmeniWired
Home Range Temporary ServiCe
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Condi[ioner
O[ner (syecityl ConVaclor5 qemaMS:
Compute Inspecfion Fee Below:
8 - Other Fee # ServiceEntrance5ize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Sigr15 Inspeclor's Use Only: T07AL
Irrigation Booms
? Od
..J d
Special Inspection
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has
been made. Finai ? oai, ?
OFFICE USE ONLY ?
Tnis requesl voitl 18 months Irom
This reguest void 18 months from
? '..
Date of this Request Augzst 16, 1977 ?P 14 80 4
I, as M Licensed Electrical Gontractor 0 Owner, do hereby request inspection of the ahove electri-
cal wuing installed at:
Orion L City T?
Street Address or Route No. 431
a
&-? /
Section Townslu Range County Dakota
WhlChisoccupiedby .?"ivend RetPrann Gnnetrnr+inn
(Name oT Otcupant)
Is a roughin inspection required on this jo6? No ?
Power Supplier Dakota ELectric Assoc
Yes 29 Ready Now 0 Will Call IN
Iress 821 3rd Farmington, MN
Electrical Contractor Ken Sorenson Electric Contractor's License No3 q3L•
(COmpany Name)
Mailing Address 8070 12th Ave. So Bloominp_ton. MN 55420
(Electrlc,a,l?c onift of Owner Makln9 Thls Installatlon)
Authorized Signature?M:t_'rct.?T CX ?'til.as_. Phone No. $54-4470
/ (ZIBCtrlcal Contractor or Owner Makln9 7hls Installatl
Minnesota State Board of Electricity
? 1,956 University Ave., St. Paul, Minn. 55100.-Ppone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
,--it 0 71 fi--2
p 14804
Type of Building New Add: Rep. Check Appliances Wired For Check Equlpment Wired For
Home pq ? 0 Range ? Temporary Wiring ?
Duplex ? ? ? Watec Heatet ? Lighting Fictuies ?
Apt. Bldg. ? ? ? Dryer ? ElecVic Heating ?
Commercial Bldg. ? ? ? Furnace ?. Silo UNoader ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List D• , List
Oth ? ? ? p
eie13? 1 O p
Hehe g(
er . H
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size:
#
Fce
Feed Subf • r-.
#
. Fee
Cvcuits:
#
Fce
0 to 100 Am s. 0 to 30 e 0 to 30 Am eies
101 to 200 Am s. 3 LAc-LOO . 31 to 100 Am eres
Above 200 Amps. A' v,. 0???' Above IO?Am s
Transformers 1 1 Re ' teC ft o Cira - Partialoiotherfee
S' ns 1 1 S e' Inspec on Minimum fee $5.00
Remazks Complete House 47iring TOTAL FEE 0 0
1, the Electrical lnsPector, herebY cer '-.?at t?a te fns e t?on has bee made. (J+aO
?P
/° li ?J
(Rough-in) ?? ?? Date 4
(Final) Date
This request void 18 months from
CiTY OF EAGAN
3795 Pilot Kno6 Road Eegun, MN 55122 N2 4484
PHONE: 454-8100
BUILDING PERMIT APPLICATION $58,000. Receipt # 7402
T. i,. ..,.A s... Sino_ F m Ik.,le. d Gare. oarP September 13,19 77
$ite Address ?Ji? "Ly°" Erxt E)C Occuponry 1
Lot Z el«k 1 sec/sub. Wilder ss Par
??
Alter
?
Zoning Rl
Parcel .j{' Repair ? Fire Zone
E
l
r ? e of Const
V
T
n
ge
o .
yp
s Nome Rebert E Davis Move ? # Stories
3 Address Demolish ? Front 86 ft,
Grade fl Death 36 ft.
? Name Sv nd Pat rren
?? Address 4701 W. 110th St.
?,.;,,, Mp 1 s p,,,,„0 884- 5144
Name _
Address
I hereby acknowledge that I hove read
the information is correct and agree
State of Minnesoto Statutes ond '
Signnture of Pe itte2- /I?-?:
A Building Permit is issued to:
all wark shall be done in occo nce v
Building OFficial '
and
Assessment _
water & Sew.
Police
-
Fire
Eng.
Plonner _
Council -
Bldg. Off. -
APC -
Permit lic. iv
Surcharge 29•00
Plan check
SAC 475.00
Water Conn. 230.00
Water Meter 60.00
roral 946. 50
CSeII on the express condition that
State ofAinnesoto Stotutes cnd City of Eagan Ordinances.
.
?
Da2e e
? SUILDItIG PSRDIIT P.PPLiCATIO?i
LOT ? BLOCK ADDITION AV'L
?
"!.I:^r ; E ST'CTIOP7 INIIIIER IF Ui1PLATTED
-- ? ,
J) ^? I -7 ?
ORI
,--11 ? I OCCUPAPdCY ? USE??? ? - -----
x.?
TEr,EPxoNE ivo. ? --.- - .
;.i;,
c:0?1'::RACtC?.?I?EA?O f?TC?i'Stii/ C90,flS4-'-TELEPHONE 110.
p.1).T';;ESS Z17C / (Il 1l0 z-" S4-- /Y14'4 S S SE3 7
riTOte° include site plan, building plans, and energy calcula ' I ?eith ihl.-
application
Sig _.__---
OFFICE USE
CA-?n?, -
JI?LLUZ?TIOiI M
(lCil?
? ''iL.T.2 C^,?SNRCTIOPl
'*JItD3AIG PEF261IT FEE
"TJR^NT.E?GE FEF.
PI.APT Ci=FCIC FE$
:t?EtI< DEUICl-.TIOT7 FEE
OTT:F,R
?:•'??: v"?
02.
?
' ..y T_ .`_..?-.?....
n^P?cnll?.T.S:
. :? i?SSi9u:?T CI.ERK BUILDING DEPT
& SM'?ER DF,PT. FIUn nrpT
POLICE DEFT
pARK DEPT.
0
C!-:rtYS.'1".?t6' S'o2'.
_ iVGYid T'Ct'iY"3oPt
"*47^i WnL•t 11I?:h SZ'ec ; i
Bloomin."tor_, 'ir.. lii`,37 S-
DELMAR H. SCHWANZ
LANDSURVEVOR'
FeqiitereE UnOer Lawt oF The Slate OI Mmnesom
14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088
SUHVEVOR'S CERTIFICATE
30
?
l,d l
f1 ?
30
PHONE 612 423-1788
.?iCA1..13: 1 5 TCit
O 1'?..°1'.'r'.^J ).YY1n ilo}: ,.ti`.!;-
I heseby certlf,y that thio la a trize and corec*rfi. o:
a survPy of the boundaries of:
's'h? south 11n.n^ feet af the noxth 2I('„1r) fect nf' S.hc
feeC of the Southeast Quarter oP the \TorfihoA-2 c'u:..r?r:r
27. Towr.Bhip 27, Fange 23, Daknta County, r-I.J.r.n- •?t;:., ^h?ti° a.?, ?-.'?
21, Block 1, on ':JilderneDe Park Second A;diti,:*l ;o:<?.? :9.•?^.t° c;i -.i..
Also ahowirg the locabion of a propoc:,al
Ac surveyed by me tk•.ia 16th d:.y of JLu1e, .'.`J/•.
!
?
N.IM1NESOTA REG1tiTFAT,ON KO 6625 ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131613
Date Issued:06/29/2015
Permit Category:ePermit
Site Address: 4313 Orion Lane
Lot:002 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas W Hardy
4313 Orion Lane
Eagan MN 55123
Gold Star Contracting
2124 Swallowtail Dr.
Shakopee MN 55379
(612) 308-3878
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165299
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 4313 Orion Lane
Lot:002 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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:
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 -
Thomas W & Beth M Hardy
4313 Orion Ln
Saint Paul MN 55123--185
(651) 295-3099
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171795
Date Issued:09/01/2021
Permit Category:ePermit
Site Address: 4313 Orion Lane
Lot:002 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-020
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 -
Thomas W & Beth M Hardy
4313 Orion Ln
Saint Paul MN 55123--185
(651) 295-3099
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172133
Date Issued:09/16/2021
Permit Category:ePermit
Site Address: 4313 Orion Lane
Lot:002 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Thomas W & Beth M Hardy
4313 Orion Ln
Saint Paul MN 55123--185
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature