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
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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
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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 =
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Atem I F343_4+1
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Date
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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
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M1t;NNESOTA REGISTRATION NO. 8625
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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