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4337 Orion LaneCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 1s AMOUNT $ I & DOLt_ARS •oo ? CASH ? CHECK FUND CODE AMOUNT Thank You BY Y ? . T White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN A2 173-06 3830 Pilot Knob Road,'P.O: Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DWK 6PORM Est. value Si2+000 Date NoV 1 S 1989 Site Address 4337 ObtIOti l.N Lot 5 Block I Sec/Sub. VII-DERM5 p421 Anu Parcel No. W Name DAVID AND DIAXQ dUDfl t Address 4337 OxION Ltl ° City RAGAN Phone 452-6765 o Name PENC$ 6 DBCK CO uQ Address 636 NBNDELSSOiN AVE N m 1-- City COLDZN YwLUY Phone 544-3395 Address City _ Phone I hereby acknowlege ihat I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature ol Permitee A euilding Permit is issued to: FEW8 b DECK CO on ihe express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy FEFS Zoning - 136'00 (Actual) Const - Bldg. Permit jAllowable) - Surcharge 6•oo # of Stones Lenglh ?k Plan Review ?•? Depth PbUb V? SAC, City S.F. Total _ SAC. MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ Ciry Water _ Acct. Deposit PRV Required _ SM/ Permit Booster Pump - SNV Surcharge Treatment PI APPROYALS Road Unit Planner ncil Co - park Ded. u BIdg.Ofl. _ Copies 210.? Variance - TOTAL Permft No. Pernnit Holder Date Tebphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC L??!?? G4-?,. ,?k"±.? • ??//?? ? ?Cv Inspection Date Insp_ Comments footirgs I Foundation Framing ?2./ Roofing Rou9h PIb9. Rough Hig. A Htq. Fnal Plbg. Const. Meter Plbg. Inspeclor - Notify Plumher Engr./Ptan Bldg. Final Declc Ftg. Declc Final ? - Well Pr. Oisp. CITY OF EAGAN • 8795 PUW Knob Road Eoqas, MN bslu N! 5103 PHONE: 454.8100 BUILDIN6 PERMIT Receipt To be umsd for rar`irR- Est. Value Date 19 " ?'-• ,?J"? ?'27 T.????, Site Address Erect ? .. -. Occupancy Lot Block ? Sec/Sub. T? TI Alter p Zoning Parcel # . . Repair ? Fire Zone ' • Enlcrga ? ? Type of Const. 0: Nome ? „' ?'?''?? • Move ? # Stories 3 Address c rt- " demolish ? Front ff. ? Ci ?,lt >-,'? Phone Grade ? Depth ft. °C Nome 0 Approvob Fees ?? Address Assesstnent Permit . ~ Ci Phone Woter & Sew. Surcharge Pollte Plnn check,_ Nome Fire SAC ?? Address <W Ci phone Eng. Planner Water Conn. . Water Meter , Council I hereby acknowledge that 1 have reod this opplication and stote that gidg. Off. the intormation is correct ond cgree to comply with all appiicable APC l Tot State of Minnesota Statutes and City of Eogan Ordinonces. a Signature of Permittee .T . , . r s A Building Permit is issued to: on the express conditlon thaf all work shall be done in cccordnnce with cll appliccble Stote af Minnesota Statutes ond Ciry of Eagon Ordinances. Buitdiny Officiol . N. f ?-? PennM # Dah Inwd ?M?Ift» Plumbing Mechonitol 4'-W'rl - INSPECTIONS DATE INSP. Rou9h-In Finol Footings Date irap. Dote Inap. Foundation Plumbing Frame/ins. er't.NA&s..e Mechanicol Fincl . s- Remarks: .'- • • CITY OF EAGAN 3795 Pitot Knob Road Eagan, Minnesolo 55122 `_y7"'r. Phone: 454-8100 •77 :ill`- PERMIT No. Date: Receipt No.: - $ingle Site Address: Residentiol Lot Block ? Sub/Sec. =ldernes5 Paxt T. I Multi Nome C" rttAws'n ConLtr° New/Alter./Repair 3 Address Cost of Installation O City Phone: , T . Permit Fee ?y Name r Surcharge . ? Add ress ''-tr a 0 City ? Phone: Total This Permit is issued on the express condition thot oll work shall be done in accordance with all applicabie Stote of Minnesoto Stotutes und City of Eogan Ordinnnces. Building Official . ? • . ? . ?- ? ri-- Dote: Site Address: -'`? T'?`•'? Lot Block , Sub/Sec. Name CYTistr"r-+-iCR OD• > Address r?trr-f t: 3 O -- r7l e City Phone: T•.?• _ , ', - , r -. e ' 7 rc?. _ ,.. ,- Address C O u .- . - City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes ond City of Eugan Ordinonces. Receipt No.: Single Residentiol ?Multi Res., Comm./Ind. I New/Alter,/Repair. Cost of Installation ,n ? ^n Permit Fee Surcharge ' Total . . done in accordance with all applicable Stnte of No. ' CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 P6oee: 454-8100 PERMIT Building Officiol CITY OF EAGAN Remarks Street 4337 arion Lane state Eagan, NN 55123 Improvement Date Amouni Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK 1973 1 1 fi-5-79 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA jedV, 1979 618.00 61.80 10 - 241) STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 13344 2-15-79 WATER CONN. 250.00 13344 2-15-79 BUILDING PER. #5103 sac 525.00 13344 2-15-79 PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: _ Owner: Address: Site Address: Plumber: Meter No.: - Sive. Reader No.: 1 agree fo eomply with the Cilry of Eagan Ordinanaes. By WATER SERVICE PERMIT PERMfT NO.: DATE: No. of Units: Connection Churge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: I agree to complr with the City of Eagon Ordinonces. By Date ot Insp.: i nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: Total: Qate Paid: -- -- cirr oF Er+caN 3795 Pilot Knob Road- Eagan, MN 55122 N2 5103 PHONF: 4548100 BUILDGNG PERMIT APPLICATION Receipt # ?_- rs M usnd fm SF DWlg & Garage E? v„i,,, 80,000. Date _ 2-15 , 1q 79 Site Address Lor 5 Parcel # - Name _ Address W I Name S nr] PPfarcen fYmct_ Z Address 4701 W.110th St. 9 w,r.,i:: Mcn177 oon_GInn ? 0 o? uS? ? Blttk 1 Sec/Sub. WP II 10 84251 050 01 Name _ Address I hereby ackrrowledge that I have read this applicotion and state that the infortnation is mrrect and agree to Comply with nll applicoble StaM of Minnesoto SMtutes and City of Eogan Ordinances. SignMure of Pennittee A 6uilding Permit is issued to: SV P2} all work shall be done in accord c9?i th all Erect $] Occupency hi Alter ? Zoning Ri Repoir ? Fire Zone 3 Enlorge ? Type of Const. V Move ? # Srories Demolish ? Front 66 fr. Grade ? Depth 40 R. Aeerovnlt Fees Assessment - Woter & Sew. Police Fire Eng. Plonner - Council _ Bidg. Off. _ APC Permit LOJa JV _ Surchorge 40. 00 Plan check snC 525.00 Water Conn.2$0.00 WaterMeter 60.00 Rd. Unit 75.00 rorol 1,135. 50 on the express condition that Stote of Minnesota Stotutes and City of Eogan Ordirwnces. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUIIDING PERMIT Receipt # 7o be used for DECK & PORCH Est. Value $12 , 000 Date NOV Site Address 4337 ORION LN Lot 5 Block 1 Sec/Sub. WILDERNESS PARK Parcel No. g IName DAVID AND DIANE JUDD ? Address 4337 ORION LN City EAGAN Phone 452-6765 fF IName FENCE & DRCK CO ?a Address 636 MENDELSSOHN AVE N ¢ City COi nFN VAI i FY phone 544-3393 ? Ww Name .1 ; Address aw City Phone I hereby acknowlege [hat 1 have reatl this application and state that Ihe inlormation is correcl and agree to compl with all applicable Stale ol Minnesota StaNles and Ci ol Eagan Ordi n s. Signature of Permitee ? A Building Permit is issued to: FENCE & DECK CO on the express contlition thal all work shall be done in accordance with all applicable Stale of Minnesota Statules and Ciry of Eagan Ordinances. Builtling Official N° 17306 C`1AVi OFFICE USE ONLV Occupancy - FEES 2oning - (ACWaI) Const _ Bltlg. Permit 136.00 (Allowable) - Sumharge 6-0 n R or stories Lenqth D2CIc 1" PlanReview 69.O(1 Deplh Pb2'Cll 16xl?f SAQ Ciry S.F. Tolal - SaC, MCwCC S.F. Footprints - On Sile Sewage _ `Naler Conn On Sita Well - Waler Meter MWCC System _ Acct. Deposit City Water _ PRV Required _ S/W Permil Booscer Pump - SrW Surcnarge Treatment PI APPROVALS qoad Unit Planner - park Ded. Council - BltlgAfl. _ Copies Varianca - TOTAL 210.00 j? j/1/r9 REQUEST FOR ELECTRICAL INSPECTION ? Sea insmdbns tor completing fiis farm an Deck ol yellow ropy. P 6 2 4 Z 1 J(" Below Work Covered by This fiequest EB-0Op01-0] Nft Add Rep. TypeofBuilding AppliancesWiretl EquipmantWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Builtling Dryer Other (Specify) . Comm./lndustrial Furnace , Farm Air Condifioner Other (speciry) Contrecloig Rgmarys: 'p ? ? t-^r/^ „ • , • Compufe Inspection Fee Bebw: y- # Olher Fee # ServiceEntrarnceSize Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 11 Above 100 _ Amps Signs InspectorSUseOnty: 17 MT Irrigation Booms ? g ? ' ° Special Inspection ? • - Alarm/Communication Other Fee I, the Elecirical Inspector, hereby certify ihat the a6ove inspection has been made. Rough-in e Date oate - i . OiFlCE USE ONIY • ? T?is request witl 18 montha from V' . o- I? 6 2 4 71 -,?? ? RequeStOate?? Fire o. Rwgh-inlmpection Requlretl? ??f ? Ready Now Jd'?? Noiily Inspeclpr ? Ve6 O No [ when qeady? I censed contractor ? owner hereby request inspection of above el?pt ca work at: i Job pOdrass (SVeel, Boz ar Fioute H.) ?? ? ^ t 4 / `? 1 -4 1- n.. -. SeMion No. Township Name a No. qa?ye No. County ? O?Paetl (PPo 1 & 1 Phone No. Power Supplier f Adyreu ElecM1ical Contr oi CEOmp2rry ame) CoMraMpt Liw?nIse No. > Mailing Atltlress (Contrador or Owner Me)aTgJnstylefion) I c \ ? ? 1 SO Aulhrnized 5' netu 1 onlrector er Meking Instellazipn) ? . Phone NumDe/r INNNESOTA STATE BOAqO OF ELECTqICRy THIS INSPEGTON REQUEST WIIL NOT Gripgs-Mltlway eltlg. - poom 5173 BE ACCEPTED BY THE STATE BOARD 1821 UMVereky pye„ yy. payl, MN 55100 - UNlE55 PROPER INSPECTION FEE IS P?? (612) 642-OBW . ENCLOSED. This request void 18 n, ahs from 117 en :;L, +y : ? Da f this Request September 15, 1978 R 2110 3 I, as IN Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4997 Orion Ln.- W'l d rnPna Par}c CityFo.ean SectiAn Township_ Range County llakota Which is occupied by Svend Peterson Construction (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier Dakota Electric Assoc. Address 821 3rd St. Farminp-ton. MN Electrical Coniractor Ken Sorenson laectric Contractor's License No.363 (COmpany Name) MailingAddress_4070 12th Ave. So,, Bloomingtonz b7N_ 55420 Authorized c'J116=SUE ° URLJ COlf`Y No. 854-4470 This inspection request will not be accepted by the State Board uniess proper inspection fee is enclased. MinnO.ota State Board of Electricity 1954 University AVWt. Paul, Minn. 55104-Phone 645-7703 - 14EQUE9i FUR ELECTRICAL INSPECTION CF}ECK BELOW WORK COVERED BY THIS REQUEST R 21103 Type of Budding New Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home 19 ? ? Range ? Temporary W'uing FKI Duplex ? ? ? Water Heatec ? Lighting F'ixtuces ? Apt. tldg. ? ? ? ? Elect[ic Heating ? Commercial Bldg. ? ? ? Silo Unloadei ? Industrial Bldg. ? 0 ? t o p Bulk Milk Tank ? FaxlA ? ? ? t List Other ? ? ? Heiers# COMPUTE INSPECTION FEE BELOW Sexvice Entrance Size: # Fee Feeders& Subteedeis: e Fee C¢cuits: # Fee 0 to 100 Am s. 0 to 30 Am eres to 30 Am e[es 101 to 200 Amps. 31 to 100 Amperes m 100 Am eres Above 200_Amps. Above 100 Amps. ove 100 Amps. t Transfocmers RemoteContcolCvc. rtialoxot herfee Signs Special lns ction nimum (eE Remarks TAL EE ?Od Install Temporary Service 6•a I, the Electrical Inspector, hereby certify that the above inspection has been ma (Rough-in) Date (Final) 712 y?,(??,n) Date ? This request void 18 months from q'hivrequest void 18 months from / ?? la /.? 4 'R 49953 Bate of this Request I, as fxLicensed Electrical Contractor OOwner, do hereby request inspection of tJte ab?ove electri- cal wiring installed at: ?? ?j ? (? )? Street Address or Route No. J4-337 City? Section Township Range County 1Yhich is occupied by Is a roughin inspection required on this job? No O Yes Ready Now ? Will Call,d Powei Supplier IL/.6_L-C.c. &&/ e2ae-4, Address J,1i 3tiLI -??4 s a.y Electrical Contractor Contractor's License No. ?S //`mm?anv Narnnl Mailing Address Authorized Sign .?O .? (r'O,f"??1? This inspection request will not be accepted by the ?? /? ?? 1l,1 ? 3 ?, }r ?? State Board unless proper inspection fee is enclased. .? Minnesota State Board of Electricity ?; 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 • #iEQUEST FOR ELECTRICAL INSPECTION ?IIECK BwLOW WOAK COVERED BY THIS REQUEST 'R 49953 Type of BuBdiqg New Add. Rep. Check Appliances W'ved For Check Fquipment W'ved Fm Home ? ? Range ? Tempotary Wiiing ? Duplex ? ? Wa[er Hea[er ? Lighting Fixtutes ? Apt. Bldg. ? ? ? Dryei ? Eiectric Heating ? Commercial Bldg. ? ? ? Fumace 91 Silo Unloader ? Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? Farm ? ? ? List ) ?, s k.;,,i List Othe:. . . .? ? ? p } Heieis) a- p Hehers? COMPUTE INSPEGTION FEE BELOW Se`vice Enhance Size: # Fee Feeder ubfeedets: # Fee Cvcuits: # Fee 0 0 100 Am?s. ?"to er 0 ro 30 Am eies O,op 101 [0 200 Amps. /O.OO '3T [o -m-e 31 to 100 Am eres teo Above 200_Ampa . Abov 00 Above 100 Am s. Transfo[mers Remote Conttol C'v . Partial oi other fee Signs Special Inspection Minimum fce $5.00 Remarks l: ?• r+??ar.?.r r•. ?R TOTAL FEE I, the Electrical Inspector, hereby certify (Final) This request void 18 months &om has been ?de?? ? ?Yate?-? Pate x C-5erfifirtttr nf Mrrixpttnrg Citp of Cagan Drpttrimrni nf iguilDing lnspertiun Thit Certif7CO0C /JJNHI pIIrztrqnt to the reqxinmenu of Sation 306 of the Uniform Burlding CoJc tertif png thai at the time of issnanrr thit sbruturr wat in romPlianrt wit5 the va+rour ordinaruts of the Ciry rrgu/atrng building ronnruction or ux. Far the (ollouvng: ux chdaah„ SF TDW29 & GaraaP Bldg. hmtiINo. 5103 oQUPmiyiyp R3-T?rPComuuctlonV-Pim7m• ? zw+,anM, Rl a..ors,uaw S. Petersen (7onst. ,,,,R. MinneaPOliS MN ft: .., May 23, 1979 .s. ,. . m,..K??. ..,u ?.?.. City a+ Eayan Cash keceipt keteipt Date 2014l68 M Time Printed 15:89:97 Receipt Nuc6er , 1115 ? CEDNR VpLLEY HENTING & fiIR 4337 ERFON LP@E 9001.2145 .50 tiP 43141 40fl1.4L88 30.08 i9F 43141 Total keceipt Amount 39.50 tlser Hi4CGRA61 kL CITY USE ONLY LOT ? BL ? PERMIT#: 1-131y/ SUBD. ? ? 9,95 Ar X n4 RECEIPT #: RECEIPT DATE: 8000 M£CRALNICAL PEiMIT (ft£SIDENTIAL) crrY oF E?sm S$SO f?LOT F[NOB itD SA6AN MP 551 YE Date: 651$$14675 Complete this secrion onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge , .50 Total $ Complete this section onlv if you are remodeline, adding to, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New ? Replacement _ Other ? Furnace Air conditioning _ AireKchanger ? Other ifel_A4f1(3. Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder.• Call for final inspection. SITE ADDRESS: 43-?D C) r imSl(1 L(? (lp ? OWNER NAME: PHONE #:?.Q?- 4^,y?• Lp`I p.S INSTALLER NAME: Q (.??.A cooe) C n ?7Cl `? 0 1? PHONE #: l.(). ?3--' (AREA CODE) STREET ADDRESS: q?DO 1* O ( A I g j? CITY: ?h'(la'f(? c?'(N?STATE: Y ? ?.! \ ZIP:SSIJ i l? SIG ATURE OF PERMITTEE i USE ONLY - - ey L BL SUBD. `/ APPROVED BY: PERMIT#: RECEIPT#: INSPECTOR RECEIPT DATE: 2000 M£CfANICAL P£RMIT (C011lbI£ftCii4L) CITY OF EkFA1V 3$30 PILOT KNOB iiD £AfiRN, MN 55122 651-681-4675 Please complete for: all commercial/indusUial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK 11'PE: New conswction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When installingl'removing underground tank, cal! 651-681-4675 for inspectinx by fire marsha[ and plumbing inspecton Description of work: Fees: 1% of contract price OR $30.00 minimum fee, wbichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPRO VEMENTS ONLY): calculate at $.50 for each $1,000 Base Fee . PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: (ARFA CODE) STATE: $ SIGNATURE OF PERMITTEE A o•* ? 136•00+ 6•00+ 68 • 00+ 210•00*+ ? • Y . ?1r 3INGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 AEGISTERED SITE SUROEYS 7 SET OF ENEEGY CALCS. 1989 HBII.DING PERMIT APPLICATION CTTY OF EAGAN 10730(* MQLTIPLE DWELLINGS 2 SEPS OF PLLNS REGI3TERED 3IT6 SQRVEYS - (CHECH iiITH HLDG DIV.) 1 SSP OF ENERGY CALCS. NULTIPLfi DWELLINGS RENT6L IINITS FOR SALE i1NTTS ? COlAtERCIAL 2 SETS OF ARCHTlECTORAL 6 STHUCTURAL PLANS 1 3ET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. # OF IINITS HOTEs ADDRESSES FOE CDNNER LOTS - CONTRACTO&/HOMEOYINER M[TST DESIGN9SE iiHICH ADDRFSS ZS DESIRED. NO CHANGES NII.L HE ALLOi1ED ONCE BUILDING PERMIT I3 ISSIIED.. SEiIER & iIATER PEAMIT FEFS ABD ACCOUNf DEPOSTT F6ES iiII.L HE INCLt1DED iTlTH THE HOII.DING PERMIT FEE. PROCESSIAiG TIME FOR SEWER 9ND WATER PEAMIIS IS TWO DAYS ONCE A PERMIT H9S BEEN CO[+IPLETED INDICATING 6 LICEN3ED PLDMER. PENALTY APPLIFS WEENs PEA!!IT IS NOT PAID FOR IN SAME MONTH IT IS REQDESTED. LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSIIED. ? D?cK ? To Be Used For: 7wo Szz:Ry p-,;Rcf-j Valuation: {??-5z9p Date: il Site Address ? ; ; ? Lot iS Hlock f_ Parcel/Sub Z'? ? •??. Owner , Address S<,,.--o_ City/Zip Code Phone `fC 7 - -1174l,' Contraetor f Q,?e_e fo t Addre93 F. ; /r &nA. ? City/Zip Code J& 114X4 Phone SUt.? ? 2 q 3 Areh./Engr. 9ddress City/21p Code /2 D n n OFFICE OSE ONLY Oceupaney FEES Zoning Aetual Const Bldg. Permit 136.00 Allowable Sureharge 6•O O U of stories Plan Review 6,00 Length P•KcH i c- x I U' SAC, City Depth n.7K rpx SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aeet. Deposit On site sewage S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road IInit PRV required Park Ded. Booster Pump _ Copies SIIBTOTAL 6PPR096LS Penalty Planner TOTAL I ? _ Council Bldg. Off. 11-tmph Varianee Phone 4 , xio __--- ??r? -_------- l66 ? -2o= 32nn _----'_-?--- 11? \ . :. . ILLW nEiMAR H.'.SCHVrlAl4x •+ _ LAF+b sutivevon ; ? .. . ? pNMrmd vMh"l¦wS er tnd fun of Minr?llee? :? . . 1?.?W%M Rd8EAA0UNT.MINNElOTAM06/:. ' ?HOM8Eit I23-176Y?. ?,':.-' .. , ' . .' . .. . " . " . . ;• . 84JRVEYDR'SCERTIfICA'iE ? 30, ? I3000 ? 89065?43."E - "? -`- § utlllty..j,, 3 ? naaem$ttti ,`. ?? a °? I 3 ? I r?c?R ? I I ? ? . ? iA O a? L0 ' • I o SCALE: 1 inch m 40 feet _ .0 I= ? ..?.c?? ?M u9tDd,? I O ' g 5I . q 110 g . - I ? nuo - I o?I ? I 13000 -' N 89 65 43 E I ? I ' I I I hereby abrttt'y that this is a true -+nd corrpot.reprcatntat.ton of Int 5, BloC3t 1, NTI,DERNE33 FARK SECOND ADI>ITTON, aeCOri.91ng to the recorded plat thereof, Dakota County, Minnesota. A1Ro showirig the location of a proposed }iouse as ataked thereon. vat,?d: ,ianuary 29, 1979 ? Q? ? -l P i ' ?C,G1 a f L'4"t ?U? ,. MINIIESOTA NE616TRATIQH Plb ? DATE r -.3i- '-) ; BIIILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcua?iy s. To be used for Valuation I Site Address: ?.?.?'7 Lot S Block ? Sec./Sub. Parcel Number - 7 OwnercJ /: ?E-??S ?7? C7G7/i?a ? Address/f ,7C-)i G? lU S ?- /'l?'G ? . S 5 `74 '? 7> Contractor Address . Arch/Eng. Address Erect _ Alter Repair Telephone ?? ? ? ? / 4z ?? Telephone Telephone OFFICE USE ONLY ? ? Occupancy Als 09 Zoning Fire Zone i Enlarge . Move _ Demolish Grade Date of A roval an Initial a/ - Assessment Water/Sewer Police ». Fire Engineer _ Pianner _ Council _ Bldg. Off. A.P.C. Type of Const. II of Stories Front l ? Depth Fees Permit s? f ? Surchazge ? P1an Check SAC Water Connection ? Water Meter ac TOTAL ? S % ?'???? . '`??7. i i? ' 3I ???"`? s--3-? ? ._____._ --- ?? ? ? ?--- ?> , ? . _ „. _ _ ., . DELMAR H. SCHVIIANZ LANOSVRVEYbR . R/fqistalotl Untlor Laws o1 The Slata of blinn¢sota 2878 - 165TN STA6&T W. - BOX M pOSEMOUNT, R91PtNESOTA 65088 SURVEYOR'SCE6iTIFICAITE ' 1 30 I 13000 N 89°55'43"E 3: m ? "m 0 O 0 z O G O J O - -- ? ?. N 6.0 4 0 I p? L.0 T a 5 Z H PROPCSED y 't HOUSEI- p I O 10 0 400 ' ?-- - -- - -- ?? ?s , -in ? 130 00 N8905573 E i 7-7 . iz -1s1,23 PHONE 612 6231789 ? u ". . . ; ' . . ? ? 30 ? ? .. . ?. . ._ '_? . °i?lt- ? '.i,- ,' 1 . . . . lt, r_'? . ? • .- . .'?' . . . , L ? i?i?., ?:'1... . ? 'i.,?•: ' <. _?; . !1 ? ? . ?:. : ?-- Y: ? . - . ,1? _ !:.? . ? . .. . _ I 7 / ? i /eeo / 'tINNESOTA REGIS7FATION fh.0 68'?5 OWNER STTE ADDRESS CONTRACTOR' , q ? ?. EXTEHIOR ENVELOPE AVERAGE `U" COP7PUTATIOPI ? ??-ja??SE=?? /?v?r.? -E- /iv" ?- . ---3 7 ...?/.?i ? .,. DATE Determine working square footage of eaeh. 1. Total exposed wall area ...-'I? sq. ft.. x. 37 = J O?', G`? 2. Total roof/ceiling area ... 0 sq. ft. x.05 Total exposed wall area above floor = a. Total wall windoer area / .. ? • ............ b. Total door area .,, . . . c.. Total sliding glass area :....:.......:." Qp . d. Total fireplace wall area ...... ^'/,y e. Total wall framing area (average.T:O%)...' 2gy f. Total net wall area aBove floor ......... ?3G 2 g. Total rim ioist area. ..?.5- Tota3'exposed foundation area = /? G h. Total foundation window area ........ ' i. Total net foundation area above ?rade .160 Determine "U" value of each wall segment. a ..aIV. X ;«U5?_ . ..5?._ ? 117: 70 b. 3-7 X'uUc; n sS = .Lv. 3S C. A(J... .X..tPUSi- O.'SS-. -'15', o.o..... . . . D,7 . X e _.?,9g X a:U,: f.., ._?3?X g "U`; .a OY9 . ° 11.5. 7y . 9• 2?S g "U`: Q.OY? = -. -!6 h. 6 X"U" O, s = 330 ' .. .. . . 1. /L. U X, ilUf: 7.5" z 3......a ..........., ............. .............. Tota1 If item #31s the same as, or less ?than item #1, you have met the intent of SBC 6006(c)2.. - - ?. G _ . ? . Tota3 exposed ro.of/ceiling area = " ?.: Total- skylight,- area .. ..:........ k. Total roof/cei3ing.fr.aming area (average 105 138. 1., . lotal net insulated roof/.ce3ling area q 2-" . Determine ."U. value for eaeh. z6of/c.eiling .segment. r- g . x. ../,3 ? x„Ul, ? 1./x??u', 4 .........................................Tota1 . If total of {!4 is.the same as, or less than k2; you have`met the intent of SBC 6006(c)3. Alternate Building Envelope'Desi&i, ' $'o utilize the total envelope system method, the va'lues estab:lished by the sum of 'items #3 and.#4 shall:not be, greater than the sum of items #1 an3 h2. 1. + 2. ? • 3 + k _ ? --T ,-' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ci G I 3830 PILOT 651_?OB?RD - 55122 O New Construclion Reauirements RemodellReoair ReouiremeMs ? 3 registered site surveys showing sq. It of /oS sq. ft o/house • 2 copies of plan and a!I roofed areas (20% maximum lot coveraae allowedl ? 1 set of energy calalations for heated additions ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? t site survey for exterior addidons & decks ? 1 set of energy alalations • 3 copies of Vee preservafion plan if lot platted after 7/1193 DATE: 3/25/99 CONSTRUCTION COST: $6, 900. 00 Fee waived for hail dama?e DESCRIPTION OF WORK: Tear ofF and reroof apply ice and water shield STREET ADDRESS: 4337 Orion Lane LOT: S BLOCK: ' SUBD./P.1.D. #: PROPERTY OWIv ER CONTRACCOR ARCHITECT/ ENGINEER Name: Judd Dave & Diane Phone#: 651-452-6765 Lut First StreetAddress: 4337 Orion Lane C;iy Eagan S[are: MN Z;p: 5512 Company: Right Way Roofing Phone#: 612-557-8678 StreetAddress:_ 14050 23rd_Ave N__ License# _ 3999 Exp. !L3-11-99 City _ Plymouth _ State: S[reet City ZiP. 55447 Phone #: _____ Regis[ra[ion #: _ State: -?-------- Zip: Sewer 8 water licensed plumber (reauired for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this apptication, 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: ^4-r"?-F7 OFFICE USE ONLY '??CEIVED Certificates of Survey Received _ Yes _ No I MAR 2 6 1999 Tree Preservation Plan Received _ Yes _ No _ Not Required BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ?. 03 1 of _ plex ?. 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level B 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) M 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq.ft. sq.ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System Ciry Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: $ 6,900.00 % SAC City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion ReauiremenLs 3 registered sile surveys showirg sq. N. of lot, sq. R. of housa; and all roofed areas (20°h mawmum btcoverege allowed) 1 Soits Report if proposed building is to be placed on distur6ed soil 2 copies of plan showing beam & wirMow sizes; pou2d found design, etc. isetofEnergyCalculaCwns - 3 mpies of Tree Preservalion Plan if lot platted after 711193 Rim Joist Oetail Options selection sheet (buildings wBh 3 or less units) f ?. &'7 _.._. RemodeVReoair Reauirements Otfice•Use?Onlv 2 copies of plan showing footings, beams, joists Cert of Survey.Real _ Y_ N 1 set of Energy Calculalions for heated additions Soils Repod _Y _N 1sitesurveyforaddNOns&decks TreePresPlan:Recd _Y ?N, Add'rtion-indicatei(on-sifesep6csystem T2ePresRequired _Y _N On site Septic System _ Y:- N Minnegascomechanialvenhlahon orm PIAr1C A1'P G011SI[IECP[I DII?]IIC Itl'FOCI718t1011 UIIIESS VOII StcltB tFi@V 8r2 tra e secre -and tgelrason. Date 1_0 / O 7 SiteAddress? ?33-( 0C?,: o Construction Cost \0 o 0 0 i= UnidSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 PropertyOwner l>.?' Telephone#((>5( )`10-LALI. Contractor Address \,a o(o State tq i? F?'? \?`K Zip S3 O'33 City C?ASe?a?c Telephone #(GS-\ )4S3 -7- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wwksheet (Jsubmissiontype) Submitted Submitted . . Energy Envelope Calculations Submitted In the last 12 monThs, has the City of Eagan issued a permiT for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby Building Permit and Telephone #( Telephone # ( Telephone #( that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and ut a permit; that the work will be in accordance with the approved plan in the case of wor??`'h ' s r and approval of plans. AUG 1`0 2007 ?c; ? ?: N? b ?.az '?'G-??? Applicant's Printed Name Applicant's Signature gy 2007 RESIDENTIAL BUILDING rERMIT arrLicaTiorr DO NOT WRITE BELOW THIS LINE Sub TVqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg Jd' 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. ,41t - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors O 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant DeSCflptton: WaterDamage _ Yes Valuation .56D . ?" Occupancy ? •3 MCES System Plan Review 100% or 25% Code Edition OOG Census Code Zoning City Water SAC Units ? b - Stories Booster Pump # of Units 0 Sq. Ft. PRV # of Bldgs ? Length Fire Sprinklered Type of Const ?-6 Width REQUIREDINSPECTIONS _ Footings(new bldg) _ Shee4ock _ Footings(deck) _ FinallC.O. _ Foodngs(addirion) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Wa ter Final Pool Ftgs A's/Gas Tests Final _ Framing _ Siding _ Stucco I,ath _ Stone Lath _Brick / Fireplace R.I. Au Test Final Windows Insulation Retaining Wall Approved By: Building Inspector -------- ----- ------ ----------------------- --------- ---------- Base Fee 30.00 Surcharge ' S o Plan Review MGES SAC City SAC Utility Connection Charge S&1N Permit & Surcharge- Treatment Plant License Searoh Copies Other. _. _ Total a . °-0 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4337 Orion Lane Lot: 5 Block: 1 Addition: Wildemess Park 2nd PID:10- 84251- 050 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Fee Summary: Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835 -7777 Quesetions regarding elec 445 -2840 Crystal Cochran 7501 Washington Ave S PERMIT City of Eaan ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: William C Forsman 4337 Orion Lane Eagan MN 55123- -185 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Mechanical EA088593 03/31/2009 ePermit cal Inspector, (952) PERMIT City of Eagan Permit Type:Building Permit Number:EA122793 Date Issued:05/20/2014 Permit Category:ePermit Site Address: 4337 Orion Lane Lot:005 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-050 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 by law in ALL single family homes . Tia Lindroth Valuation: 4,000.00 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 - William C Forsman 4337 Orion Lane Eagan MN 55123--185 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature 03/12/2015 11:26 FAa 651 451 7740 CULLIGAN 1�0001/0001 �'l��.cz,;,�>, �.?`i� � � ��c� l�c..�:G�4'� (c��.:� , �/. 0��'' -_ ,�_ o ,� <<y�. �� r_ ��i.",�j/ �5 / ,�• ��c L�/ ___ Use BLUE or BLACK Ink ,4 1 � ——, � For Office Use I ��IGGL'`- (�L'�..-- I Permit#� ! � / / O C � C�-/ C�ty of Ea�a� � � Permit Fee �� I 3830 Pilot Knob Road j � Eagdn MN 55122 I Date Received: � Phone: (651)675-5675 � i Fax: (651)675-5694 I stair: I ��J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: ;� x'^`;�+--� �tx�, t�' c,�—��a .�//�/ F ��t x�� '��-.th ,.;��'"�9� � L� �� /CJ`�/ 0 T" 7 f� � '�= Name: I � ��1(.L�C, Phone: J ` °aes�d�enU��`iN'n�r�,. �� Q �l /' � �� '. :`� ��:s.4��_ . Address/City/Zip: �{�� +��-�'___-- K "� Cj�/�'._) �H� T.L� S��,l P� ��ryi,}�� . ' . . �'��f � �'"`�� '. ►vame: M�bert Co�pany Inc dba Culligan Water WC641376 � ��' , ��,ly,�a�s� License fik' � ;�� '��u«�" ��s� Address: 1 H O 1 S Oth St East c��y: Inver Grove Hgts., F�� C��trac�a �� -��A'>; Y - 55077 651-451-2241 , �,��.� .� , � � State: Mn Zip: Phone: .� z ��',M�� ii `�,3�� 3��r � T� �� co�ta�r. William R Milbert Email: � y'r ��f�d� y� _New �Replacement _Repair _Rebuild _Modify Space _Wortc in R.O.W. p�&of��lvo � ��r��3 `Vy� ��i, L� . n ; Descriptionofwork: �s3''�''�,�� S��S ��` �. RESIDENTIAL s _� #L�� 7��y�"�� '��,��}�'�� Water Heater :, t �rN�' C�'\�j�' ; "��t t �`z��K�"r "'��`fi� �' �Water Softener �,ri�"�s��3 � ,a� _Lawn Irrigation(_RPZ/_PVB) -�sa P�'-mi f�y��° � ,��t� y t,��z`� � � _Septic System _Add Plumbing Fixtures(_Main/_Lower Level) �a��,t ��' �' ��,_ _ , ��,y� i,n ,, _NeW Water Tumaround T 5,�g � x�� '��'� ..}�,7i�s" �`�,�� Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water 5oftener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum Stete Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround(add$200.00 if a 5/S"meter is required) $115.00 Se�tic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) R O O TOTAL FEES$ �� CALL BEFORE YOU DIG. Call Gopher State One Call at(681)454-0002 fo�protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.ora I hereby acknowledge Ihat this infarmation is compiete and accurate;that the work witl be In conformance wilh the o�dina�ces and codes of the City of Eagan;thaf I undersfand lhls is not a permit,but only an applicatlon(or a permit, and work is not to ata�t wlthout a permlt that the work wlll be In accoMance with the approved plan In lhe case of wodc which requires a review and approval of plans. x W�i /�i l��[k� ��-°� x ' ` ApplicanYs rin e Name A ' anYs Slgnature .. ;, .. . �t �k � ,", �ti '�, � t a ::�� `1!'�v�.y „ q�i�, t , .� �r '� �.:e �a � '' � .'¢ ` �� , �; '''�' ; ��r� dl e I t'� ,e'. " �� '�. 4, � ,x= :, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130778 Date Issued:05/13/2015 Permit Category:ePermit Site Address: 4337 Orion Lane Lot:005 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - William C Forsman 4337 Orion Lane Eagan MN 55123--185 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169277 Date Issued:05/20/2021 Permit Category:ePermit Site Address: 4337 Orion Lane Lot:005 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-050 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - William C & Bonnie R Forsman 4337 Orion Ln Eagan MN 55123--185 Woodland Stoves & Fireplaces 2901 E. Franklin Ave. Minneapolis MN 55406-0000 (612) 338-6606 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174019 Date Issued:12/20/2021 Permit Category:ePermit Site Address: 4337 Orion Lane Lot:005 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-050 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 - William C & Bonnie R Forsman 4337 Orion Ln Eagan MN 55123--185 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174062 Date Issued:12/21/2021 Permit Category:ePermit Site Address: 4337 Orion Lane Lot:005 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-050 Use: Description: Sub Type:Fireplace Work Type:Wood Burning Fireplace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - William C & Bonnie R Forsman 4337 Orion Ln Eagan MN 55123--185 Woodland Stoves & Fireplaces 2901 E. Franklin Ave. Minneapolis MN 55406-0000 (612) 338-6606 Applicant/Permitee: Signature Issued By: Signature