4353 Orion LanePERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128586
Date Issued:11/20/2014
Permit Category:ePermit
Site Address: 4353 Orion Lane
Lot:007 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-070
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.
Thomas Joshua Peine
815 Iglehart Ave
St. Paul, MN 55104
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 -
Robert R Martin
4353 Orion Lane
Eagan MN 55123
(651) 454-9039
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
CASH RECEIPT
• CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUIYT ? I
& DOLLARS
iao
E] CASH [:] CHECK
FOR
NUMERICAL FILE COPY
- - CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55122 N2 4526
PHONE: 4548100
BUILGING PERMIT Receipt #
.
ro be wea fo. ! r c? ? Date -- , 19 '
Site Address Erect ? Occupnncy
tot 81ock Sec/Sub. Af.ter ? Zoning ' .
Parcel # Repair p Fire Zone .? _.
?
Enlarge ? Type of Const,
ce
W Name
. .
. Move E] .#' Stories -
Z
0 Address , Demolish ? Front ft.
City ? Phone _ Grade ? Depth ft.
? Approvals Fees
p Name ? •
:ij- ; ?t)? .?Q Address
z
DM.,.,o
L
u? Addre55 _
aZ
Q"' Cit Phone
I hereby acknowledge that I have r
the infarmation is correct ond agree to
State of Minnesota Statutes and City o1
5ignature of Permittee i , -
A Building Permit is issued to: -
all work shall be done in a&rdonce witt
Building Official
Assessment
WoYer & Sew_
POlICE
Fire
state that Btdg. Off.
3ppticcble APC ?
? s.
Permit
5urcharge "
Plan check
$AC
Water Conn. 30.
;
Water Meter 60.0
Totul yV-Y•
on the express condition that
Statutes ond City of Eocan Ordinances.
Penalt # Date Iamsd P?eadttN
Piumbing 7 7
Mechanicol JO xs'- i'- i? - 74 . t' ?-?.? ?.? J1?•
INSPECTIOh15 DATE
Rough-In Flrsal
Footin95 Date I Insp. Dcte I Irqp.
Remurks:
' CITY OF EAGAN
3795 Pilot Kwob Road
Eayan. Minnesoto 55122
Phona: 454-8100
?:P•- - PERMIT
Dote:
Site Address: '
Lot Block Sub/Sec.
IName
.
? - ---
City Phone:
Name
No.
Receipt No.
Single
Residentiol
I Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Instollotion
Permit Fee
5urchorge
naaress
e
u
City Phone: Totol
This Permit is issued on the express condition that oll work shall be done in accordance with ali applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
4/ Building Official
CITY OF EAGAN
3795 Pilo! Knob Reed
Ea9on, Minnesota 55122
Phone; 464-8100
T,ti MAZNG _ pERMIT
DntP, 3cember 2:?, 1"7":
Site Address: ; t'?rion Lan-
Lot Block Sub/Sec. _
Nome
; Address
O
City . .' _ • a - Phone:
Name ."`1V.?"Z F'?umi•ln, ?
A.
Ti
g Address - • C '
e
0
V
City F' Phone:
This Pe ' is issued on the express condition that all work sholl be
Min to Stotutes and City of Eagan Ordinonces.
Receipt No
Single
Residential
No. ' i
Muiti Res., Comm./Ind. ?
New/Alter./Repoir. Cost of Instollation
Permit Fee
Surcharge '
Totol
done in occordanoe with all applicoble State of
Building Officiol
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
- I :,0 ? aNr
l.li 1 1?1 I;NI '.., !'AFtI? 'Nlf
PERMIT SUBTYPE:
, ;, ,
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
?;ii r t ?? r ???
04 1 4 f414
tzE??nt k
iir!,ciri.1, i 1 uw IkUOf lNtil
INSPECTION ., . ..
•rn?????? ? a 1? ? r? , ??: . ?
:
iR
,Affi s k9 A
Permft No. Permft Holder Dete Tslephona 1i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon DeM Insp. Comments
Footingsl
Foundation
Framing
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Oreat Test
Flnal Plbg. Plbg. Inspector- Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Rnal
Well
Pr. Disp.
CITY OF EAGAN Remarks
Additio,,`? WILDERNESS P K 2ND ADDITION Lot 7 eik 1 Pe,cei 10 84251 070 01
OwnerU..''. ?,-.• 'i . `_ _ u; .: streec 4353 Orion Lane state_ Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADiNG
SANSEWTRUNK 1973 7.71 20 107.95 A005287 12-8-77
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1979 638.31 63.83
?F STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 7765 10-1$-77
BUILDING PER.
SAC
PARK
WATER SERVICE PERMIT
CITY OF EAGAN
379rt Pilot Knob Road PERMIT NO.:
Engon, MN 55132 ? DATE:
Zoning: No. of Units
Owner: r. .
Add ress:
Site Address:
Plumber: ' --
Meter No.: - Connection Chorge:
Size: Acwunt Deposit: ?
Reoder No.: Permit Fee:
1 agree to eompir with the Ciey of Eagon 5urcharge:
Ordinances. A+1isc. Chorges:
Totol:
By _ Date Poid: -
Dnte of Insp.: Insp.:
,F EAGAN SEINER SERVICE PERMIT
ilot Iinob Road
MN 55122 ?
DATE:
PERlNIT iVO.:
No. of Units:
Address:
to wmply with the City of Eagan
of 1nsp.:
Conneciion Chorge: _
Account Deposit: _
Permit Fee:
Surcharge: -
Misc. Charges
Total:
Dote Poid: -
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
C???-- 3830 PILOT KNOB RD - 55122
651-681-4675 1 U' 3U ? j
New Canslruction Revuirements RemodeUReoair Reouirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20 % maximum lot coverage allowed) . 1 set of Energy CalculaGons for heated additions
• 2 copies of pian showing beem & window sizes; poured found design, etc.) • 1 site survey for exterior addifions & decks
• 1 set of Energy Caiculations
• 3 cnpies of Tree PreservaUon Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs wiih 3 or less units)
DATE 1?0 I VD r F V LUATION (EXCLUDING LAND) I 5?9?
JOB SITE ADDRES$ ff- 4! c?JJVrNLA5Z1 &M D
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
6rt
TYPE OF WORK FIREPLACE(S) _0 _1 2 3
APPLICANT lAr??C3 wto e#?5ib
ADDRESS ? ZIPCODE OI
PAGER # CELL PHONE # PAX #I6l'7R 3_90 SC)
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su6mitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumhing Contractor:
Plumbing 5ystem Includes:
Mechanical Contractor:
Nlechsuiic.il System Iiicludes:
Sewer/Water Contwctor:
_ Water Softener
_ VVarer Heater
No. oF Baths
Air Conditionina
Heat Recovery Sys[em
Phone #
Fce: $90.00
Phone
Ali above information must be submitted prior to processing of application.
I hereby acknowledye that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordin nces. ,
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receiv _ Not Required _
Phone #:
Lawn Sprinkler
No. of R.I. Badis
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Ait - SF
?7 04 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 OS 03-plex El 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04•plex ? 12 12-plex Plbg_Y or_ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Rooi ice & W a[er Final Gwer "
_ Framing _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Fireplace _ R.I. _ Air Test Final Siding Stucco Stone
_ Insulation _ _
_ Windows (new/replacemen[)
Approved By , Building Inspector
•-----------°--°------------------------------------ ------------ --------------------------------------------------------------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other .
Total
crnr oF enGaN
3795 PiIM Knob Rood Ea9an, MN 55122 N? 4526
- PHONE: 454-8100
YBUILDING PERMIT APPLICATION $50,000. Reteipt # 7 765
To be uaed for SinQ
F8rt1 DWL Date
d G
iQ
Y [)ctnhar 1 8_ 19---u
. p
.
.
Site Address 4353 Orion , Erect pX Occupancy --?--
W
7
Bl
kI
L
S
/S
b ildt+rnPaa p
k &I[er ? Zoning Rl
oc
_
ot
_-
ec
u
. r
Repoir ? Fire Zone a? _
Porcel # ?
Enlar
e ? e of Const
T
?
g yp
..
w Na^te T-iE9TFE8C-1! Move ? # Stories. I
Z Address 13th Avo Sn Demolish ? Front 64 ft.
0
l
St
P
S
Grade ?
Depth
28 4t.
O.
.
8ll
phone
Cit
w Approrels Fees
p Nome Mg i h[` t
?? Address 1201 Marie AVe.
So. St. Patb{,,,,,e
Name _
Address
I hereby acknowledge thoi I have read this application and state that
the information is correct ond agre to?e ?rt5ay with ail opplicable
State of Minnesoto Statut s a d ' F Ea n r i nces.
i` ?
Signature of Permitte r
A Building Permit is fssued tg p?,gF?6}i 6'BSk6C.
oll work sholi be dane in qCqordance`wytti all?appliwble Stote?ot Mjnr
Assessmenf Permit aaJ.w
Water & Sew. Surcharge 21.50
Police Plan check
Fire SAC 475
00
.
Eng. Woter Conn. _2-38:.80
Planner Water Meter _60.00
Council
Bldg
Off
.
.
APC
Total 909.50
on the express condition that
Statutes and City of Eagan Ordinonces.
Building OFficial
? Minnesota State Fioard oT tlectncity ?
': ?niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 G??G=
? E UEST FOR ELECTRICAL INSPECTION
CHECS BELOW WORK COVERED BY THIS REQUEST P 510 2?
TyFe of Budding New Add. Rep. Check Appiiaifies iViied For Check Fquipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Watet Heater ? Lighting FixtUres ?
Apt. Bidg. ? ? ? Dr ? Electric Heating ?
Commetcial Bldg. ? ? ? F. Silo Unloader ?
Industrial Bldg. ? ? ? A'v i[ ? e ? Bulk MIlk Tank ?
F
m ? ? ? Lis - List
az p
s?
rs?
Othei ? ? ? Here He[¢
COMPUTE INSPECTION FEE BELOW
Semice E'tnnce Size: # Fce Fceden&Subfeeders: S Fee Cirwits: # Fce
0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am ies
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfocmers RemoteControlC'vc. Partialorothetfee
Signs Special Ins ection Minimum fee
Remarks TOTALF p?? ?C s-
1, the Electrical Inspector, hereby Y fy th i ve ms ction has been made.
(Rough-in) ???' Date
(Final) Date 'f-
This request void 18 months fromLo'
'
This request void 18 months from p,?/,p 7 7
?''%'P 51026
Date of this Request
I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring instatled at:
Street Address or Route No. 'i ,{ J'3 L9_ A' / A,v S 7 City CGR M
Section Township Range County ,AAe
Which i's occupied 6y M,q ,P ic,?/ C G N d T
(Name of Occupanq
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call O
Power Supplier Address A I Cn%Y
Electncal Contractor ? //"a?..-? Contractor's ice ?No?
(Company N e) /
MailingAddress ,?c.w? 1
. lett??¢d?COntr toc'orOwner akingThlslnstallation)
G f
Authorized Signature 1 i ical con a io oi owner maki niz Iallatlon?one Noff
? This iirspection request will not be accepted by theSTATE BOARD ?0?? State Board unless proper inspection fee is enclased. .
Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
- : REQUEST FOR ELECTRICAL INSPECTION
CHELK BELOW WORK COVERED BY THIS REOUEST
O 47649
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved Fox
Home ? ? ? Range? 0 . Tempoiary W'ving
Duplex; ? ? ? WaterAeater ? LightingFixtures ?
ApL BIQg. ? El ? Dryer ' fl` Electric Heating ?
Commercial Bldg. ? ? ? ,
Futnxce ? . Silo UNoader ?
Industrial Bldg. ? ? ? AvCondiUOner',? Ely Bulk Milk Tank ?
)
List List )
Oth r
?
?
? }
p
Heiefs) }
Hehee1$1
COMPUTE INSPECTION FEE BELOW
Service EnUance Size: # ee Feeders&SubPeedexs: # Fee C¢cuita: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am tes
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 10(LAmps.
TransfoImeis 1 1 RemoteConUolCicc. Partialorothetfee
S' ns 1 1 Special Inspection Minimum fee $5.00
Remarks
r i
TOTALFEE
I, the Electrical Inspector, hereby thaj?qC9 d i , tion has been made. ?
(Rough-in) ' w Date - 'P' ?'-
(Final) Date /`,2r
This request void 18 months from
This request void 18 months from 7-/ 7
0 47649
Date of:this Request
I, as ?l.icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. `J :? s" 17 ?.?? 4t-e City ?' C A iV
Section Township Range County 4 ..?G
Which is occupied by &l-e? ?
(Name of Occupant) . Is a rougliln inspection requixed on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier R,6 Ar Address ? a
Electrical Contractor '??? f/-oe.-..? Contractor's License No. _
Mailing Address
s
Authorized SignatupvPhone No. s"/ 2F_
a/
i
1,. rv I g I RESIDENTIAL BUILDING
?? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodeVReoair Reauiremenls
3 registered site surveys showirig sq. ft of lot sq. ft. of house; and all roofed amas 2 copies of plan
(20°h maximum lot coverage allowed) 7 setof Eneyy Calculations forheated addiAOns
2 copies of plan showing heam 8 window sizes; poured found design, etc. 1 site survey for addi0ons & decks
lsetofEneyyCalculations Addition-irMicafeilonsitesepUcsystem
3 copies of Tree Preserva6on Plan'rf lot plaHed after 7/1/93
Rim Jaist Detail Options selecGon sheet (bidgs with 3 or less uniCs
?^l O ?
oKce use Onlv -!
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Sep6c System
Date _7- / / ? / C,>-T
Site Address q3.5 - 3 25)11- ',-, Construction Cost -3,SX.'' ,
La ? UniUSte It ?
Description of Work GeGQar A 0.-1<
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 x 1 _ 2
Property Owner r3.?8 Telephone #(/c51 )V-TeE/'r 9n39
Contractor ?LcJ1e?Gl C9{'I ISIn.,cf'TTah
Address /G i q y eR,..,.,
State
1?.,?r• ?r' o?e. ?
Grxc? City
?
Zip 6'5-c77 Telephone #(c,s-I ) 27.? y671
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeory I?7 rv 1 L? ??(? ?? esota Rules 7672
Energy Code Category , Residential Ventilation 9
Cale o 1 W ?? • N w Energy Code Worksheet
(J submission rype) Submitted Suhmitt ed
• Energy Envelope Calculations Submit(ea ?UL 1?p 20 C3 U ??
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( J
Telephone #(
I hereby apply for a Residentiai Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
??
Applicant's Signature
_ Tele? phone # (_ )
OFFICE USE ONLY
Sub Types i • I
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwel ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 29 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
Work Types
P 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation z/QO ° occupancy _ f Z?3 MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?j h Width
Footings (new bldg)
? Footings (deck)
_ Footings (addi[ion)
Foundaaon
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS ,
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By --(k , Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. i? ?
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10-84251-070-01
ass 4353 ORION LAN
EAGAN. MN 55123
,,
House #:. ?°'
Addressf-??-- a
PINF-? ?`?d
42
$219,900
03-Y. $194,1
i ms appucanon was aeveiopea by me uaKOta wunty urtice ot_us
in cooperation with Agsessina Services, 7reasurer - Auditor and PCOp_? Records Depadments
T ?
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?v' /OOSE& ?F? GOhJ?C'f'/CVI M
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*tK
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
851-887-4875
NewConatructbn HeaulremeMs
• 3 registered si[e surveys showing sq. tt. of bt, sq. N. of house; an0 pJ,l roofed areas
(200% maximum lot coverage albwed)
• 2 copies of plen stwwaig beam & wlndow shes; poured found design, etc.)
• 1 sel of Energy CalCUlatlons
• 3 wpies of tree Presenation Plan If bt pletled atter 711/93
• Rim,bist Defail Oplbns selection sheet (Dldgs wNh 3 or less unAS)
DATE /U' 7-
SIiE ADDRESS
NPE OF
APPLICANT
n
_071?1 _2
STREET ADDRESS CITY -STATE k -LP 37
TELEPHONE # IS Z-7P 7- G95?7 CELL PHONE # 'FAX #R.'??2
PROPERNOWNERTELEPHONE# f?rl- A_
y-207
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS aNLY
Energy Code Category _ MINNESOTA RI JLES 7670 CATEGORY 1
(d submission type) • Residential Ventiladon Category 7 Worksheet Submitted
• Energy Envelope Calculations Submiried
Plumbing Conhoctor: --------?-----?----------- Phone #
Plumbing system includes: Water Softener _ Lawn Spruikler
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Contracfor.
Air Conditioning
Heat Recovery System
MULTI-FAMILY BLDG _ Y XN
Phone #
Phone #
Fee: $70.00
-°--------------------°----------------.....-°-----------------------------------------°-------------°----------°---
I hereby acknowledge that I have read this application, staTe that me information is correct, and agree to comply
with all applicable State of Mlnnesota Statutes and City of Eagan Ordin^ ances. ?
Signaiure of AppliCanf `/twllytd
OFFICE USE ONLY
Bemode?lieoe&Reouiremems ? ??Z?
. 2 copies of Plan
• lsetofEnergyCalculatbnsforheatedadditlons
1 sHe survey for ez[eriw add'd'ans & decks
? "? T
. Indicate tl Fwme served by saptic system for addnlons ?- LS
VALUATION
JUN 2 5 2002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated M02
?
CIrtY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
PERMIT
BUII.DING
023331
0A/14/94
SITE ADDRESS:
4353 ORZON LANE
LOT: 7 BLOCK: 1
WSLDERNESS pARK 2ND
P.T.N.: 10-84251-070-01
DESCRIPTION:
5F (MISC.)
REPAIR
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y, ? ??? . r' ?.:_? ? ?? ? ? ? t? u
(ROOFING)
Bt1l 1d3rrq-_Permit Type
Building Wq,rk Type
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REMARKS:
FEE SUMMARY:
VALUATION
Bass Fee
5wrcharge
Lic. Search
Total Fee
$63.00
$2.00
Fee $5.00
$70.00
$4 000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
SHIIVGLE CREEK ROOFS INC 15292204 2003727 MARTIN BILL
810 N I.ILAC DR 4353 ORION lN
GOLDEN VALLEY MN 55422 EAGAN MN
(612) 529-2204 i hereby acknaw].esige that*T have read th5s applacation and statg'that the
information is correct and agree to comply with all epplicable SGate Qf Mn.
Statates and City of Eagan Ordananaes.
?
APPLIC /PERr?ESIGNATURE
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?ED B S[qNATURL- i
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLozNG
3830 Pilot Knob Road Permit Number: 023331
Eagan, Minnesota 55123 Date Issued: 0 A/ 14 / 9 4
(612) 681-4675
SITE ADDRESS: L o T : 7 B L 0 C K c 1 APpLICANT:
4353 ORTqN I.ANE SHINGLE CREEK ROOFS INC
WTLDERNESS pARK 2ND (612) 529-2204
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPHIR
DESCRIPTTON (RODFING)
INSPECTION
FRAMING ., .
ROU6H IN PLBG ,.
ROUGM TN HTG FINAL
F
L;
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ti CITY OF EAGAN
?M ' 1994 BUILDING PERMIT APPLICATION $? (?, ?1O
? 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: ?? ?-2i ? ic?i.t • ?.SE
SiREET SUITE tf
Tenant Name: (commercial only)
LOT ? BLOCK
1 SUBD. p
u? ,?,U?W?? wiv 44
P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner pddress ???J
n?
.
STREET STE #
City FAjj State Zip
Company c?7-11 G ??gL7L FS ?UC Phone
Contractor Address c916 L L!(_s6C. Oe::4 License #LM,?,?7 Exp._/?3//fs
zgt ± .?)' State NK. Zip .'n?7-r_
City ?<)t_lDf?AJ
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant.
? •- ? ?
/
OFFICE USE ONLY
BUILDING PERMIT TYP E
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 5F Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
;Y of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vawasim: $
SAC %
SAC Units
?
DATE (J ??
HUILDING PSWOIT APPLICATiON
IncluQe 2 sets cE p]ana, 1 cite plan w/elevationa and 1 aet of energy calculationa.
?
?? =
To be used fox ? Valuation o
Site Address:
Lot Block Sec. SUb. Parcel Number
7 j ?,•v? ??J
Owner
Addres
Contra
Addres
Arch./
Addrese
Erect ?,?'? Ti'?w7?LG'Z?"
Alter
Repair
P1nlazge
Move
Demolish
Grade
OFFSCE USE
Date of Approval & Initial
Asaessment
Water/Sewer
Police
Fire
Eng. .
Planner
Oouncil
Bldg. Off.
A.P.C.
Telephone
Telephone
Telephone
OFFICE USE
Occupancy 1
Zoning /f !
Fire Zone 3
7ype of Const. L?
# of Storiea /
Front `f
Depih c'LS
FEES
a
Pennit J
?.
Surcharge 19
/
Plan Check
SAC
UD
71,
[aater conn. .._
Water Meter 0
P
/
;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115721
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4353 Orion Lane
Lot:007 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
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 -
Robert R Martin
4353 Orion Lane
Eagan MN 55123
(651) 454-9039
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
r 1
For Office Use 81'7
E AGA N :::::
Rq •A
IECEIVEI Date Received: -i / ✓r
3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 AUG 14 2013 Staff
H H(i.i Jins__,ectHns, „cit c,f?aari in.cc m J `�
l
pay
2019 RESIDENTIAL BUILDING PERMIT APPLICATIONC .f
1
Date: Site
Address: Unit#: 0
Name: Phone: 61-2 o^Ala
lLf
Resident! l q- ----3 ! t _Owner Address/City/Zip: o i J(0 tel
Applicant is: Owner y Contractor
T of Work Description of work: Re L� r ,P.)c- i\C0zl'lC�Cj
YPe
Construction Cost: GC00 Multi-Family Building:(Yes /No h )
Company: KT-':06:CP. Ptti ,l/� CL Contact: &LL /4x U L
Address: / 10 /�� (AAL A ' City: fi--Zfilaililis
State: 1 Zip: ---(./y7 Phone: --C(7 k4Z7Email: rot a-11 c1ilf i b ,COI
License#:77C—Oh99.5— Lead Certificate#: //T<Z.�a--6 7' '`.Z-
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor Phone:
NOTE:Plans and supporting
documents that _. .. _ _ _..__,
you submit are considered to be public information. Portions of the information maybe
coed ss no pub"
•DO NOT WRITE BELOW THIS LINE LtS S 1 Qro -% 4�_ ITI)
�
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi )0Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair Demolish Foundation
_ Windows
?C Replace Repair _ Egress Window _ Water Damage
Retaining Wall `Demolition of entire building—give PCA handout to applicant
DESCRIPTION ej
Valuation '45 to ddr y°' Occupancy J-12 C—I MCES System
Plan Review Code Edition An 20 15— SAC Units
(25% 100% ) Zoning PP City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V cf3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: To/4 M Jc "f9 ,Building Inspector
RESIDENTIAL FEES 4 53, 5.11 • Pt 64is: o m sq . Fr
Base Fee
Surcharge P eC 1< d' 57dna$
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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