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4344 Orion Lane Use BLUE or BLACK Ink r----------------- For Offue, Use City of Ea Permit ~zw I Permit Fee: O 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z 7.010 Site Address: ";V/ a 17 2,4 Tenant: ~ri scr f emi Suite RESIDENT / OWNER Name: 1'~ PO" em'b J~j Phone' 4-9. 25f . ' ZAb Address / City / Zip: 4344 0r+11o^ L.t~ Applicant is: Owner -A Contractor TYPE OF WORK Description of work: C ~ 4,a d d_ej ( / A / Construction Cost: o'0-4 3f Multi-Family Building: (Yes / No ) CONTRACTOR Name: j6" GLVa rE' y4') r/A ~ V -1 License a0~ Address: '7 IS / & t j~Q /1,S' City: 5cy State: Zip:!;--9-1/ 3 Phone: Lt Z. Z". -7/7-7 Contact:, ~ r i,S f Email ~ Cam/ 1 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.aoi)herstateonecall.orci 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 pjans. X X _k' Applic nt's Printed Name App 's Signature Page 1 of 2 CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ F-] ooL-L.aRs ,oo ? CASH ? CHECK NUMERICAL FILE COPY ? I BY . ? .? . . ' . ) . BUILDING PERMIT cinr oF EAcaN 3795 PIlof Kno6 Rood Eagan, AAN 55122 PHONEs 454-8100 $SZ9OQ0. Receipt # ci .. _ Anr? 1 74 Site Address - ? --, •• ` ••,•• Lot Blxk 2 Sec/Sub. ?,,'Ilderne?? Park Porcel #k ? Name j'ott': 7,artal?Ue W ; Address b Ci i E a s C.[ n i; s Phone ? Name A1 ;: i n!, n au /?ddress ??A?':?. v? ro«.. ??;?stings? oa,,..,e ?7-9?07 Name _ Address I hereby acknowledge that I have read this al the infortnation is correct und agree to con State of Minnesota Statutes ond City,7 of Ea Signature of Permittee A Building Permit is issued to: oll work shall be done in occordance with all Building Official - Fees Pemtit • ; Surcharge ! (, . U Q Plon check SAC `)()0.00 Wuter Conn. 1P•00 go . n(! Wcter Meter f'.c,ad Uni ? 7 5.'v`0 Toroi 1054, 50 on the express condition that Stotutes ond City of Eagan Ordinonces. N! 4761 l%v:) Erect ? ` Occupancy 1 Alter ? Zoning Repair ? Fire Zone ' Enlarge ? Type of Const. v Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Sew. ? Police - - Fire - Eng. - Plann2r _ Council _ that gldg. Off. able APC - PamM # paf* loaad perwMfr Plumbing ,//S/d 6 --Z/ - 74 Mechanical /ae2 c? (¢ ad' 78' INSPECTIONS DATE INSP. Raph-In Finol Footirgs ?a'. Dote Insp. Dore Irap. Foundation r ?? l? • ?Y _ Plumbing - )?• /?-tfi- Frume/ins. -! •7 Mechanicol t Final I Remarks: T-//',Pr- 141,1444w1I/ /A drlMT IYIJrr.M'1 ! rs rto%,, ` Cjrwd? f* °typ o cc vey r ?l ow n•.V cAR.z -d ? ?-t" i ?4.?, , o ? ltiA -r? rn 0'4 r-x . P?v c?-?.r., _ e, ? cA--? d.? ? i?; ?? CITY OF EAGAN o 1 Q 31 Q 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Re«ipt # To be rMd fOf , . e . . ? i ?it i n Est_ Velue •. . . ? . . . nnt? ., l:;] 'i Site Address Erect 0 Occupsncy Lot Black Sec/Sub. Remodel ? Zoning Psrcel No. Repair ? Type of Const. Addition ? No. Storias ?.!,•..lf?.. _?.1? '•1'.: ? Name Move ? ? Length W Demolish Depih Address ? Int Impr. ? Sq. Ft. City Phone Install ? A Name vu Addre H clrv SAME w Assessment Water 3 Sew. Poliu Fin E?g. Plonnsr PermH " ` Surcharpe L '?- Plan Review SAC Water Conn. Water Meter Road Unit I hereby acknowled9e that I haw read rhis cpplicaran and state thot gldg. Off. Tr. PI. fM infwmation Is comct ond agree to comply with oll appliwble A? State of Minnesota Statutet and City of Ea9an Ordinonces. Parks Var. Date ??i? Sipnoturo of Permittee ?- Total A Buildinq Pem?it {s iswed fo: on the exprast cordiflon thot all work sholl be donw in occo.danco with all opplicoble StaM of NUnr+esoto Stotutes ond Clty oS Eopon Ordlnancss. BuiWinq Official , Permft No. Pwmk HoWK DOb Tslephone ? PlumbGq H.V.A.C. EMet?ie 8o1tww Impection Data Insp. Other Footings I • ?? . FooUn9sll Foundatlon Framing -'11 Roofing Rouyh Plby. Rough Htg. Insul. Finplace Final Htg. Flnal Pibq. Ffnal V CerVOcc. Watsr ??ibe Location: w.o s.w.. Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eagon, Minnesofa 55122 Phone: 454-8100 i PERMIT '1-6-79 Dote: Z, .i44 7ria2 Site Address: Lot Block ' Sub/Sec. L! 24 1594 Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I Name New/Alter./Repoir ('r}-in-1 ; Address Cost of installation ° •??ctar_ 452-2A03 7. r," City Phone: Permit Fee &'Y PdY'l.ck3m i ?'bq. & 7VC . ? l? Name " Surcharge . LiOatz i 1ri ryt- P Address L V ??, ;? r,r i')'• _ ?.? `-?^tC, ? t:?l City Phone: Total This Permit is issued on the express condition that all work sholl be done in accordonce with all upplicable Stote of Minnesoto Statutes and City of Eagan Ordinances. ("JCI44JSIZQJ AM RMCrnQ) No. Building Official i ?'. 'v 9 • CITY OF EAGAN ' 3795 Pilot Kwob Roed Eagon, Mianesofp bSiZZ Phone: 454-8100 PERMIT No. 1224 Date: Receipt No.: Site /lddress: 4344 C?rion iane Single Residenticl ?ddern.?ss i-'ark ? I - I Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Na^'e New/Alter./Repcir . 3 Address Cost of Installation o - • ,, rJr, City Phone: Permit Fee Fredrickson ,:eatio " .5C Nome Surchorge . Address V Jl- City Phone: Tota I This Permit is issued on the express condition that cll work shall be done in accordonce with all applicable Stote of Minnesota Statutes and City of Eagan Ordinances. Building CITY OF CAWN ? 3795 Pilof Knob Rooa Eagon, Minnesofa 55122 Phona: 454-8100 PERMIT Dote: 6/21/78 Site Address: 4344 uxior. Lot Block SublSec. 4L)4 .J.PD--C1 ; Address O City Phone: . , . 7!. r ?a:cota Plumbis,c, _ Name _ No. 114 Receipt No.: . Single I Residentiol Multi Res., Comm./Ind. I New/Alter./Repoir. " Cost of Installotion Permit Fee • `'?' Surchorge - ? naoress e City Phone: Tota l This Permit is issued on the express condition that all work shall be done in accordante with all applicoble State of Minnesota 5tatutes and City of Eagan Ordirqnces. Building Off(ciol CITY OF EAGAN AdditiOn VV1LLL Owner kDDITION _Lot- 6 Blk 2 Parcel 10 84251 060 02 street 434,4brion Lane - stte Eagan, PlIIV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 9,2J 1973 15*0 7.. 1 20 107.95 A006348 7-20-78 SEWER LATERAL WATERMAIN WATEFi LATERAL WATER AR EA .? STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT oa nit arge 75.00 4-24-78 WATER CONN. 250.00 - - BUILDING PER. ( sAC 500.00 9745 4-24-78 PAR K CITY flF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - -- - -- - Address: Site Address: 4 ?- - °"•1' '' Plumber: Meter No.: Connection Charge: Size: Account Deposit; Reoder No.: Permit Fee: 1 egree to eomply wifh N+e City of Eogon Surcharge: Ordinanees. Misc. Charges: Total: gv Date Paid: Oate of Insp.: _ Insp : . cinr oF EaGAN SEWER SERVICE PERMIT 3795 P11ot Knob Road PERMIT NO.: Engon, MN 55122 DATE Zoning: No. of Units: Owner: --- ArMroec• Site Address: Ja 1t Plumber. I agree to eomplp with the Citry of Eagan Ordinanoes. By - Dote of Insp.: Insp.:_ Connection Charge: Account Deposit: _ Permit Fee: Surcharge: -_- Misc. Charges: - Tota I : Dote Poid: oo.ov pd nn nn „r 'a - : . BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eegan, MN 55721 PHONE: 454-8700 Recelpt ?j - $2,700 p SiteACdrws 4344 ORION LN 1.ot6 elock Z Sec/Sub. ?"?ILD PARK 2ND Percel No. W I Name THOMAS DONAHUE ? qddmg SAME citv Pnone 452-2803 }? I Name SAME s? Address ? ctr, Name _ Addresc Phone 456-5185 (W Phone I hereby ackrrowledge thet I hova read this applicotion ond srote that ths inlormation is corcect ond agree to comply with all applicabla Stote of Minnewto Stot?y,ts/? City o?ff flan Ordiphnces. Siqnature of PermiMea 51?°' ?"4?°"°'?"' ? A Building Permit is issued W: THOMAS DONAHUE dl work shali be done in acaordarxe with all q661#onbls State q(FITi Erect 11 Occupaney Remodel ? Zoning Repair ? Type of Conrt. Addttion ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq, Ft. instau E3 Avorevab Ftn Assessment Permit Y'J V. J V Water S Sew. Surcharge 1.50 Poliw Plan Review flro SAC Erq, WaterConn. plonner Water Meter Council Roed Unit BId9.Off. .S 29 8 Tr.PI. APC Parks Var. Dete Copies $40.00 rotal on tM exproff cordiflon IW 4oro Statutea ard Ciry ofi Eapan Ordirqncsa. N_ 10330 ..5 ?3Ar- . 8uildfnp Official cnrr oF EAcaN , 3795 Pilot Kneb Read Eagae, MN 55137 N? 476 ? ` PXONE: 4548700 BUILDING PERMIT APPLICATION $52 000 Receipt # 9745 . , Te 6e uaed for §F D`'l.g ? GarMt, Vclue Date ApTi1 24, 19 7$ -- Site Address ? 4344 OT30R Erect ? x Occupancy. I Lot 6 e i«k 2 Sec/Sub. Wilderne§§ Park qlrer ? zoniny Rl Parcel .fk Repcir ? Fire Zone 3 Enlarga ? Type of Const. v c Name Tom Donahue ? Move # 'Stories ; Address Demolish ? Front 66 ? Ci Nastines phom Grade ? Depth 40 h. p A1 Ci h APProva6 Fees p Name . r+ an o? Address 16190 LeRoyAve. " 437-9707 Hastings, e?„__ Name _ Address I hereby acknowledge thot I have read this application ond state that the informotion is mrrect and ogree to com 1 wit{(ail applicable State of Minnesota Statutes a Ci i of Ea?i `O?rwnces. f Signnture of Permittee /- A Building Permit is issued M• A e e all work sholl be done in occ nce wi all q pl)cable State f Mii Assessment worer & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 14J_7V__ SurcFwrge _ 26.00 Plon check SAC 500.00 Water Conn. 2%D•00 WoterMeter ?•?0 Road Unit 75.00 Torcl 1054.50 on the expreu condifion that Statutes and City of Eagan Ordinances. Building Off(cial ^ Minnesota State Board of Electricity i'rJ59 University Ave., St. Paul, Minn. 55104-Phone 645-7703 @19EQUEST FOR ELECTRICAL INSPECTION CHECK-.BELOW WOAK COVERED BY THIS REOUEST P 71299 Type 'f 8uilding New Add. Rep. Check Appliances Wired Foi Check Fquipment W'ved For Hume ? ? Range ? Temporary Wving ? Duplex ? ? Water Heatet ? Lighting Fixtuies ? Apt. BldB, ? ? ? Dry Elecvic HeatinB ? Commeicial Bldg. ? ? ? Fu Silo Unloadex ? Industrial Bldg. ? ? ? A'v . nditi? Bulk Milk Tank ? Farm o o pLis[ }) ers Lpist 1} hers O thec ? Hei f f He COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fee FeedersdSubfeeders: # Fee Cvcuita: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Am s. 31 to 100 Amperes 31 to 1Q0 Am eres Above 200 Amps. A6ove 100 Amps. Above 100 Amps. Tiansformers Remote Control Circ. Partialoiotherfee Signs Special lns ection Minimum fee Remarks aoi0 ^m? h+ u TOTALF ECfO' ,* I, the Electrical Inspector, hereby c° ?hat < ove inspection has been 8 (Rough-in) , Date ?a /'4 '2 (Final) _ Date Sg v;?J- - This request void 18 months fro c_. - This request void 18 months from /D a Date ?is Request / - / ? - 7? P 71299 I, as f?Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wmng installed at: , /? ,,? /? Street Address or Route No. ?-/?i ?o - /? °'f` K?1CJGk 2 QP'J On 64 City Ea? Section Township Range County!Ja/10 faa Which is occupied by fYL JlQBl1/1_L-liq ti Is a roughin inspection required on this job? No ? Power Supplier &A ElectricalContractor /fadlfz G lEG. (COmpany Name) Mailing Address Itttrlcal C cto Authorized Signature Yes 9( Ready Now Af Will Call ? Address Fd%"/h/120/&0 333oa Contractor's License No. _ No. ('?? /'?W?? 0????? ?Q?? This impection reqP Pwill nPt he eccepted 6y tha J State Baard unless ro er ins aetion fee is enclosed. Minnesota State 8oard of Electricity / o P$? 1854.itniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION ? 712 g? CHEQK BELOW WORK COVERED BY THIS REOUEST TYr.ot Building New Add. Rep, Check Applisnces Wired Fo? Check Fquipment Wtted For Home Duplex ? ? ? ? ? ? Renge 0 Water Hea[e[ ? Tempocary Wiring Lighting Fixtuxes ? ? Apt. Bldg. Commexcial Bidg. Industrial Bldg. F ? ? ? ? ? ? ? ? ? ? ? ? Drye ?- -. Av Gonditio, Fum nl:A Lvst 1 . Elec[ric Heating Silo UNoader Bulk Milk Tank List J ? ? ? y? Other ? ? ? p y _ Heielsl p y Here?sl COMPUTE INSPECTION FEE BELOW Service Entnnce Size: x Fee Feedecs&Subfeedecs: x Fee C'vcuits: # Fce 0 to 100 Am s. 30 Am res 0 l0 30 Am eres 101 to 200 Am s. ] 00 Am eres 31 to 100 Am eies Above 200=Amps. e ]00 Amps. t Above 100 Amps. Transfotmers RemoteC'-trolCirc. Pattialorotherfee Signs al lns ction Minimum fee $S Remaxks TOTAL FE , 6U I, the Electrical Inspector, hedby certify that the above inspection has been ma e. (Rough-in) f Date (Final) & DateJ?- z .-.- This request void 18 months from This request void 18 months from / o 057 s... ._ e4=16 -?? 71288 Date of this Request I, as g Licensed Electrical Contractor O Owner, dq here y re st ins{?ection of the above electri- cal wiring installed at: ? Street Address or Route No. ?? ?/ ??k? 2 Q???? ? City_6 7? Secuon Township Range CountyWhich is occupied by A2 e?7q Ld/) S7` (Name ai ccupant) Is a roughin inspection required on this job? No O Yes ? eady Now Will Call O Power Supplier L /7 Address O?Q/`M445440(0 Electrical Contraetor ?Qi?'D- Contractor's License ?Yo?'?? Mailing Address Authorized Signature ?Phone No. ?37-??/ ????? .??j,??? This inspection request will not be accepted by Me 0???j ? • State Board unless proper inspection fee is enclased. ******i*****?************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 748 DATE: 08/21/00 TIME: 11:45:14 ID: NAME: FIRESIDE CORNER 3210 9001 4344 ORION LANE 60.00 2155 9001 4344 ORION LANE 0.50 Total Receipt Amount: 60.50 CR136139 USER ID: JAN 2000 FIREPLACE PERMIT APPLiCATION CiTY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 I Date: "vS ti Description of Work: 1-`? Construct neK, fueplace L-dis Mesonry _ Alteradons to existing _ Insrall pas ixsert onlv Install pas Une onlv Other Jobaddress: 73`? 0.v L Ll ka h10, Lot: Block: Subdivision/P.I.D.#: _qy1I d er neS.S pAl"k L4 Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name:?C1 ? f1L c l? ? Phone #: G l ? PROPERTY LaM girst OWNER Street Address: // `/ 3?"I q City ??. State: ;l/ . Zip: Company: Phone #: S?' ?ZG OlSB FIREPLACE (area code) INSTALLER Street Address: Cit}' ro. Stete: Zip: ss=33? GAS LWE INSTA,LLER Street City sa V/7 Phone k: (area code) State: Zip: 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,gnd Citypf,fagan Ordipances. OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New O 33 Alterations O 39 Gas L'me ? 32 Addition O 34 Repair ? 40 Gas Insert GENERAL INFORMATTON Census Code 434 SAC Code Ol . REMARKS Chimney/flue must be inspected before concealing. O 41 Wood Stove CITY USE ONLY , LOT 1,9 BL oZ ? RECE[PT #: C k, CA g(,, -I U SUBD. tA? RECEIPT DAT'E: 1998 MECHA1VICAL PERMIT (gESlDENTIihL) CI'fY OF $AfiAN 3$30 PIL07 KNOB RD E4flkN MN 551EE Q Date: 2d (612) 6$1-4675 Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 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 aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reguired for alteration/add-on to ductwork in existing residential units; but is required for the following: V---'install fumace ? Install air conditioning instal3 air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge Total: $ 20.50 SITE ADDRESS: OWNER NAME: &)vQC./ PHONE #: ?3S- AIlO 3O _ INSTALLER NAME: zsUl l[,-? dTT1lD f ll-/? PHONE #: 997 `00O S STREET ADDRESS: CITY: JS/FORMS BLD/MECH PERMIT (RES) - 1998 STATE: ZIP: 2a U SIGNANRE OF PERMITTEE L BL _ SUBD. APPROVED BY: 1998 MECHAN[CAL P£{tM[T (COAlM£itCIAL) CI1'Y OF EAHAN 3$30 PiLOT K1VOB RD £i46AN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTR.ACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL ------------------------------- SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY); INSTALLER: ADDRESS: PHONE #: CITY: CITY USE ONLY , RECEIPT #: RECEIPT DATE: ($.50 per $1,000 of DeRnit fee due on all pennirs.) PHONE #: STATE: ZIP: SIGNANRE OF PERMITTEE ql??I DATE ? BUIT,UIIdG PERMIT APPLICATION Include 2 sets of plans, 1 Site plan w/elevations and 1 set of energy calcWetions. To be used foi ?i Site Address: -YYW zous? Lot Block Sec.y Sub. Owner o-ww ' A ?.,Address Ol/i _h?h contractor Adaress Arch./Eng. Address Valuation Parcel Number/, . / Te2ephone Relephone Telephone OFFICE USE Fxect Alter ? Repair Lnlazge Nbve Grade OFFICE USE Date of A roval & Initial Assessment vaater/Sewer Police Fire f,hg . Planner _ Council Aldg. Off. A.P.C. Occupancy Zoning Fire Zone Type of Const. # of Stories Front (o Depth G? FEES ren,,;ts </3 Surcharqe o Plan Check SAC Ot? A?ater 4onn. t]ater eter (pp?F? TOTAI, ?; ERICKSEN ELLISON AND ASSOCIATES INC ¦ 1310 RANDOLPH AVENUE 0 SAINT PAUL M4NN 55105 A PHONE 698•0316 14?s.69 .? - co.+suLnNa ENCINEERS HASTIN6S LUMBER MART Third & Bailey . Hastings. MN 55033 JOB REF: 6LinibLs-i?0 - ,??Jp41t?E 6entlemen Date: The above building or structure has been checked to determine compliance with governing energy codes. The farms intlqde necessary adjustments so that the original specifications are now acceptable. Additional comments relating to above refer'enced structure: Y ty yours eif Wm Ericksen PE Minnesota Registratfon No. 3448 I certify ,tha3 the above strl+cture ;. complies witl, tAe Energy Cqnservation besign Criteria of the Stat'e euilding CoGe (Section 6001). , . . • DATE JOB N0. I47E./c4 ENER6Y'COMPCTANGE CALCULATION -fNFURMMTiON W?ME.1'/L Ji0Sc?+x, - .L/e"A..FNt?c - t,r A.l .5-P'1t+ aooaess y s .vr- s cp t TELEPHONE ..NO ? ?I -- QI// ' ? . . . 1?05 - o o?u l F ?: LHW ' +?a cn ,v rCM fq? ? SNY NUI Wp lE n ergy Conservation Supplement To Buiiding Permlication BUILDING AND SAFETY DEPARTMENT ' CITY OF DATE: 'This supplement 1s provided to assist the applfcent in computing the EXTERIOR ENVELOPE AVERAGE "11" FACTOR INFORMATION. This infortnation is requlred so ihe BUILDING OFFICIAL can determine that the submitted plans comply with the ENERGY CQNSER.VATION DESIGN CRITERIA of the STATE BUILDING CODE (Seetion 6001). It is the APpLICANT'S responsibiliry to accurately and completely compute the data; reflect the proper DESIGN r CRITERIA in the plans; submit product specNication, as needed to support the "•R" and "W" factas used; end to assure that construcUon fs sccomplished per the apprwed plans. JOB LOCATION OWNER(S) CONTRACTOR A. Dbtermirre the Total EacpoaeQ WaFt Area as follcws:• . 1. Total wail window area 2. Total doa area 3. Total stidirp q*e dmur x" 4. Total tirepleee wall srea 5. Total wall iraminp area (averoge 10%) S. Total net waN AM8 abcvr flpm. 7.. Total r(m Joiat aroa . Subtotal: Total ezposed wafl erett gDOVe f{ear 8. Total (oundaUon window erea 9. Total net toundatlon area above yrade Subtotal: Total expased toundation area; GRANO TOTAL EXPO3E0 WAIt AHEA B. Multipty the GRAPtD TOTAL EXPOSED WALL AREA X.17 PHONE PHONE .. " aw+MY:.:;.•sxa ? ?.>6:x'+; ,? _ ? C. Detumine the 7ota1 Exposed Root/Ceilinp Area as (oliowsc 10. Total skyliyht aree 11. Rotat root/ceiliny lraminp area 12. Total net insuiated root/cetlinp area - 121 Z GRAND TOTAL EXPOSEO ROOF/CEILING AREA ??Muttlply the GRAND TOTAL EXPOSED POOF/CEILING AREh X.OS = -? ----._....?--- --- ------------ --?-- ---- Atem I F343_4+1 llaa II ?= Date 1-?L? ?... . . ' 'G1L!1']}.L Cf :%'1f;Cfi i 30 I ..a DfLMAR H. SCHWANZ LAfJD SURVEVOR Reqiztaretl UnCar Lsws o1 Tna Stats oi M,nnesota 2878 - 145TN STNEET W. - BOX M ROSEMOUNT, MINNESOTA 65088 SURVEYOR'S CERTIfI CATE T- ? ? ?I m 0 g io z I O I L I 135.00 30 N89°S7' 28 ° E - ?- - - - -I ; ?. L 0 T Ig Z L'rrzSr:??;c & ut;31i ??+ I °o ? c?wment $ ? ---?? ? N89087'2 8 °-E ??'l' I PXONE 872 4231789 SCA Ll:: 1 1!1 ('ie .. : ; 7=.: `. T here'o;; C:'-Z't:LL'y :11nt ti+'.J 1.'.l 8 S:S''dC :?SId CJS7'3C:. 7'^'litC:C:• •.. :?, fA : 6, ,'7i3t'.IL c l !?YL7E:RI:'"?'?3 ?A`.:K Si:CO1•.'D AUAT:; _'li', ,.•.CC.:I"_i. ?_. ? .? ' . PoCoP'i'a^f, pla'C ';h(.m:C?'a )i.SOt3 (;C11T:t:?Ja :".J.^.RO::JI`.?.. An11.1 13, 197.', ? ? M1t;NNESOTA REGISTRATION NO. 8625 Y, i 3 3 ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS lIUST BE LICENSED NITH THE CITY OF EAGAN ?? ?4 , INCLUDE 2 SETS OF PLANS ??' 3 CERTIFICATES OF SURVEY 1 S;T OF ENERGY CALCULATIONS To Be Used For: SC127900) Poae14 Valuation: 8 274 Date: Site Address: 114 C& I 0ru LqNi.. OFFICE USE ONLY l" t_a4/LNi$ 9 Lot: ? Block z, Sect/Subynk vt?p{y> Erect Y?, Occupancy Parcel Ik Owner / ldUMpS Udn/Rti9°d Address W344 pCGlOrJ j,,,od•L Clty/Zip COde 14?0,.1 rs- fZ? Phone `(S 1- -AO'? w,rt.K 43 SfQ3 Contractor S Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Remodel Repair Enlarge Move Demolish Grade APPROVALS Zoning. Type of Const ll of Stories Length Depth Sq Ft Assessments Permit ?jgj,50 Water/Sewer Surcharge J,--o Police Plan fteview Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 1 arks APC Treatment P1 Variance TOTAL -V-(9 --jJ"0 Permit # 0 C! Receipt Date: cs?-- ?C? -H- s ? v 3 7 CITY OF EAGAN SEWER/WATER REPAIR OR DISCONNECT PERMIT 2003 Date ""7 f0- 03 Sewer Water/K- Address/azea to be repaired U3?0 / (2n LA?l - Fee: $50.50 Description >r SvC? ?e /l Owner. JD }'? Ot ? ci n e? Telephone: /OS l Street Address: '1 3 '7 y or 1 d n L? ?') Zip Code: Installer: I 1?? 11 P1L)N16)h$ 1 ?Ce 7 b Telephone: (area code) . Address: ? J??lv r Ll2 v L1114 city S7 N Zip Code: 3 J l 0 - -- , ` ? ? •i ?? : C . ` ? G,12V?? --', Applicant's Printed 14aine A?lica s ignature ! 22 - Y 77 PERMIT City of Eagan Permit Type:Building Permit Number:EA162417 Date Issued:07/14/2020 Permit Category:ePermit Site Address: 4344 Orion Lane Lot:006 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Deborah J Pembleton 4344 Orion Lane Eagan MN 55123 (612) 382-0332 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168444 Date Issued:04/21/2021 Permit Category:ePermit Site Address: 4344 Orion Lane Lot:006 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-060 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 - Deborah J & Herbert Pembleton 4344 Orion Ln Eagan MN 55123--183 (612) 382-0332 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172445 Date Issued:09/30/2021 Permit Category:ePermit Site Address: 4344 Orion Lane Lot:006 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-060 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 - Deborah J & Herbert Pembleton 4344 Orion Ln Eagan MN 55123--183 (612) 382-0332 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature