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4360 Orion Lane íü ôô þýýüûú ÿú ÿ ùüüýýðûòî ù íî î þý ÿþýüû úÿýüû ùýüû ûÿßÜ úÿúîî äÿûü Þ ôÿë ùóæååõõæçõñèèþóÿþæïû ý ÿõçõÿõæèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû õ õûæõ ÿæøò ã îá ä òûòøîòø ñãáïã ããî óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE rteceiv¢o 19 AMOUNT $ I 8 DOLLARS +oo E] CASH 0 CHECK .::2- BY L/ White-Payers CoRA(,- Yellow-Posting Copy Pink-File Coav Thank You CITY OF EAGAN . , 3795 Pilet Keob Roed Eeyen, MM 55123 " • /HONEs 454-8100 BUILDING PERMIT 'L Tf k =tA Receipt # XR;*T.j3R-,W .1 71 (E R $ite Addross Ercct ? Occuponcy Lot Black Sec/Sub. Alter ? Zoninq l j P Repoir ? Flre Zone # orce Enlcrfle ? Type of Const. Na?+'b Move ? # Stories W ? /lddross Dernolish Q Length Ci ptione Grode Q Depth Sq, Ft. a N Aporovob Feas ome 0 ?u Address ^ssessment ? Ci pho e Water b Sew. n N Palice ?W ome Firo LD Addmsa Enp. U W Pianner < I hereby acknowledfle that I hbve read this opplicotion ond stote thot Councf I Bidg. Off. the inlormotion is torrect ond egree to wmply with oll opplicable ?PC Stats of Minnewta Stotutes and City of Eaflon Ordinonces. Permit Surchorfle Plan check S^C Water Conn. Woter Meter Rood Unit Total Sipnoture of Permittee I A Buiiding Pertnit Is issued to: on the express oonditfon thnt all work sholl be done in acardonce with oll oppliooble State of Minnesota Statutet ond City of Eogan Ordirwnces. Buildirq Off{ciol Pormit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. z a ? ,, L?S 3 -u? -? W.?? ?„?.. Disp. S?vwr Elsctrie ? ?v f Irqpection Dats 1nsp. Other Foctingi 4 Foundstion Freminp y -? ?<, ? Rouyh Pibp. - . d• ,? , .c w p Ae C - Rouyh HVA Insutation Final Plbp. Final HVAC t Final ??? ? Water Wscribe Locstion: - VWII Sewar . . Pr. Dhp. Receipt MECHANICAL PERMIT Psrmit No. ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y - Tot. 1. Date r, - 2. Installation Cost 3. Job Address ' LotBlk. -•- Tract 4. Owner 5. Contractor ' Phone - 6. Address - ' ' 7. City - State ? Zip 8. Building Type: Residential C? Commercial ? Institutional ? 9. Work Description: New Ll" Add ? Alier ? Repair ? 10. Describe Fuel Type 11. No. Eauinment BTU - M. Ea. Forced Air No. Equinment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt ? MECHANICAL PERMIT CITY OF EAGAN FiII in numbered spaces Type or Prinf legibly Permit No. Fee ` S/C Tot. 1. Date 2. Installation Cost 3, Job Address ;J?ot ` t BIk. -? Tract 4. Owner ! ? ; ?1l/./ .? v ? /:'-i r' ?//f %i J 5. Contractor/ /,--,Phone 6. Address 1 7. CitY State / Zi;Z / Zip ? 8. Building Type: Residential Z? Commercial ? Institutional 0 9. Work Description: New ? Add Alter ? Repair 0 10. Describe ,•? J Fuel Type 11. No. Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ? Air Cond. Mfg. Gas, Piping Outlets - - ? 12. 1 hereby certify ihat the above informatfon is true and correct, and I agree to comply with,sll ordinances and codes governing this type of work. Signed : ? for ugh Final Inspections: Date RoS? Insp. /s , Date S Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EQGAN Fee Fill in numbered spaces 5/C Type or Print legib/y • Tn+ 1. Date 2. Installation Cost 3. Job Address tLotBlk. •='t' Tract 4. Owner 5. Contractor , - 6/ Phone ?- 6. Address 7. City State Zip 8. Building Type: Residential 0 9. Work Description: New El Commercial ? Institutional O Add ? Alter ? Repair O 10. Describe 11. No. - Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other % Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' for Rough Flnel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-$100 CITY OF Addition WILDERNESS PARK 2ND ADDITION Lot_4 _.-__-Bik? OwnerP,(; ` Street 4360 Orion Lane JLL,.t rA ,j . Co iW, 1s? , ., r( Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 0 15 . 7.71 20 77.11 A010917 2-9-82 SEWER LATERAL WATERMAIN WATER LATERAL WATERAREA 1979 631.00 63.10 1 38.6o A010 1 2- -82 STOFiM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 18 .oo #2 031 -1-82 WATER CONN. 335 • 00 BUILDING PER. 710 SAC n ?r PARK CITY Of EAGAN WATER SERVICE PERNItT 3795 Pibt Knob Roed PERMIT NO.: Eayeq, MN 55122 DATE: Zoning: - Na. of Units: Owner• Acidress: Site Address: '-7 nn - L 5 k. Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Penr?it Fee: I a9ree fo oompiy witfi t6e City of Eeyon Surcharge: Ordinanca. Misc. Chnrges: Total: BY Date Paid: _ Date of Insp.: Insp.: 3 cirir oF Ee,GwH SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: .,,.,,. . Eogin, MN 55122 DATE: Z?irkg: No. of Units: Owner: Address: Site Address: Plumber: . . .. , . ., : ?, . 1 agrae to eomplp wiTh fM Citp of Eagen Ordinonoes. a.. Date of Insp.: Connection Chorge: Account Deposit: Permit Fee: Surchcrye: Misc. Chorges: Totol: Date PoW: CITI' OF EAGAN N? 71Og 4 9795 PiIM Knob Rrod Eegen, MN SS112 - ? PHONE: 454-8I00 BUILDING PERMIT Receipt # Te M uwd 4or SF UB/GAR Est. Volue Y68,000 Dare 14aZ'ch 1 , 1932- Site Address 4360 Orian Iane Erect ? Occupancy R-3 Lot 4 Block.__2Sec/Sub.Wi1derneSS Park 2ildhlter ? Zoning R-1 parcel.# 1:0 84251 040 02 Repolr ? Flre Zone NA E l T V n arge ? ype of Consf. w Nome Stmshine GD'L1StYUCt 10T1 Move ? # Stories = ? Address 1507 Qemsrnl Gourt . . oernolish p l_ength 48 Ci Ea gaz1 55122 phoM• 454-7485 Grade ? Depth ? Sq. Ft.- ? 0 Nome Approrals Feea ? ?u Address f .-:... Nome PFwne 1 hereby ackrwwledge thut I hove read this npplicotion and stote that the inlormotion is torrect nnd ogree to tomply with all opplicable State of Minnewta Slatutes and Ciy of Eagan Ordinances. Assessment - Woter & Sew. Police - fire Eng. Pionner - Council - Bldg. Off. - APC - Permif Jif•VV Surcharge 34.50 Plan check 168"50 5,,C sz5_nn Water Conn. 115_ nn Woter Meter ?6?n? . rn1nn Road Unit +??2?SLS1? Totol $1645.00 . Signoture of Permittee I A Building Permit Is issued to: S1II15k1711E COT13tTUCClOT1 on the express condition thni all work sholl be done in accordance with all applicoble State of Minnewta Statutes and City of Eogcn Ordinancez. Building Officiol CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNIIT APPLICATION .1 set of energy calculations. 'Ib Be Used For J/ JI/ F ld?lrj Valuatian D G ' Date Site Address: ??? ?s?;? CG+n OFFICE USE ONLY ?(Ji ., rr='st/_ S ?•?M_?l Iot __?/ Bloc7c Sec./Sub. ?n?:t ?i?: Erect ?_ OccupancP Parcel #: /U Q? C i U4C L? ? A1ter Zoning / Repair Fire Zone /,/ 14 Qaner: ?7.14T/?._L.IC?IDfUEnlarge _ Type of Const. ]Z" Move # Stories Addres5 : 1.5-4) '7 i'Y.tSd N?. Deimlish Front ? ft. CityfZip Cocle: Grade Depth ft. Phone #: APPROVALS FEES . Contractor: Address: City/2ip Code: Phone #: Arch. /Eng. : Pddress: City/Zip Code: Phone #: Assessmnts Water/Sewer Police Fire Permit Surcharge Plan Check SAC Eng. Water Conn. ?_&3- Planner Water Meter ? Council Road Unit Bldg. Off. APC TO'I'AL '? ?LP? -?v tC? D i ? ?U l/ l?v q VJ I% '? ? o-- ? 8, 9yY ?;ssg ?3,s?? ,?- ?3 ?? -? ? ? ???`?'? i? ?? ?,??/ ?7 ? ?? - ? ? a ?? W? ? ? u? ? . ? This re4uast void 18 months trom n 1503 z4i &P,W,P p"?L .nql?S ? Reqvest Date Fire No. Roueh-in Insuection flequ?reAT ? fteady NowjaWiil Nneify Inspnr 3-10-1982 fkyes ?No mr Whnn Ready MCLicensed ElecVical Convector I hereby requestinspection of ebove ? Owner electricel work inatalled at , Sveet Address, Box or Foute No. Ciry 4360 Orion Lene ecuon o. Township Name or o. Range No. County Dakota Occuperrt (PFINT) PhoneNc. Sunshine Construction Power Supplier Adtlress Dakota Cty. Farmi ton Elecvical Convactor ICOmpany Namel ConVacmr's License No. O.B. Thompson Electric Co, Mailing AdJress IConvactor or Owner Makine In5tailatioN 12201 Mt% siva., IAtka 55343 4 Authorized Sig tur IContractor Owner M J?ng Inst aY'nl Phone Number 933-2521 ?,,,??? ? MINNESOTA STATE BOAqD OF ELECTRICITY ? THIS INSPECTION NEQUEST WILL NOT Grie9s-Midwey Bldo. - Hoom N•191 BE ACGEPTED BV THE STATE 60APD 1821 UniversitYAre., St Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS on- 16121297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSRECTION EB-00001-03 Soe instroctions for complx[ing this torm on back of yellow copy. _.J?Q3? ""?X" Below Work Covered by Thrs Request ??,( 1 -7 5- NCwi Adtl Hep. Type ot Builtling Appliances Wired Equipment Wired -Home Range Temporary Service Duplex Water Heater Lightiny Fixtures 1= Apt.6uilding Dryer ElectrieHeatin Coinmercial Bldg. Fumace Silo Unloader industrial Bldg. Air Conditioner Bulk Miik Tank Farm O[6er. peci y (her(SUec:ify) t er Speufy , tier . Oth.r Gompute Inspectton Fee Belaw k iee ServiceEntrenceSize kFee Fexders/Subfeadars # Fee Circuite 0 to 100 Am s 0 to -30 qm s 0 tn 30 Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 q s Above 200 Am s Above 100_Amps Above 100-Am s Transiormers RemoteCoMrol Circ. .50 Partial- 'Oth Signs Special Inspection - $ TOT O• Ramarks . .ret+f• D- 1D-rjO ALEE/ - Rouph-in Dete 1.. the Elecrricel Inspectaq herebv certily thet tha ebove Final Date i pection hes been ??. 3? /?' This request vnid 16 nronIDS fmm This re4ues[ vaid L? ? ( l?' 8A ?q -3 1. ? 18 months from CJ 1 F -- ?q e ?Q ?? 1529 Fepuest Date I Fire No. I qouNh-in Inspeciion Requ red? ReadY Now ?Jill NotifY lnspec- ? 3-29-?982 MXes ?NU to, WhenReady' ?Licensed ElecVlcal Contrac[or. I hereby request inspection oi above ? Owner elactricalwork insialled at: Street Address, Boz or Poute No. CitY 4360 Orioln Lene Eagan ecum o Townshep Name or No. Ranye No. County . Dakota ? Occuuent(PRINT) Phone No. Sunehine PowEr $upplier Adtlress Dakota Cty. Fa,imington Electrical Comractor (Company Name) Crmtracmr's License No. O.B. Thompson Electric Co. A40602. Mailing Address (Contractor or Owner Making Instailation) 12201 Minnetonka Blvd., SAtka 55343 Authorized Si at re IConvacmr OwnerN?14 inq In II ionl, ? ( / t0 Ph??o? ??mbe? 3?8?Aa(Se96 Z THIS INSPECTION pEQUEST WILL NOT MINNESOTA STATE BOARD OFELECTflICITY 6riggs-Midway Bldg. - Faom N-797 BE ACGEPTED BY THE STATE BOARD 1821 University Ave., St. PauL MN 65104 UNLESS PKOPER INSPECTION fEE I$ NCLOSEO. o?.....e iFt>I>97_4t1f. E /`?1 REQUEST FOR ELECTRICAL INSPECTION ee-o ooi.oa 5 2 J' / See instruc[ions for com letin this iorm on back af ?0 9 Vellow mpy. "X'" Below Wark Covered by This Request ,2 Add H.P. Type of BuildinA APpliancas Wired Equipment Wired Home Ranqe .. Teniporary Service ` Duplex Water Heater - Lightin Fixtures APt. Building. ' ?ryer E(ectric Heatin i mmercial Bidg. 01 Furnace 2.90 Silo Unloader ' -ustrial Bldg. Air Conditioner Bulk Milk Tank ? Farm Other oe11 7vl Other ISnecltyl t er SpecltV h O Other ' s Compute Inspeciion Fee Below "' - k Fee ServiceEntranceSize G Fee' Feeders/SUbleetlers k .Faa Circuits [ 0 to 100 qm s 0 to 30 qm os O 2•00 0 to 30 Am s -it . ? t to 200 Amps 31 to 100 qmps 31 to 100 qm s " Above 200 Amps A6ove 100-Am s Above 100_Amps Transtormers RemoteControl Circ. Partia4/Other Signs Special Inspectio? S 50.00 TOTAL F ?C1 y Remarks Seff N E ?. Fough-in . . O ? Date I, the Elactrical Inspecbr, hereby certify that the ebove Final t ???e. j``?d j" i spection hes bnun made. - This requesi void, 18 months from `(Itr#ifirtt#e of Mrrupxnry = Citp of. Cagan > . , ]PP#7MTtttlPrif Uf Blttlbtltg I1t6}tPtY111I1 Tbir Certi fiCAdL !fJ!!!d pXIJlIKAJ !0 tI# ffqAftIC10[r71S Of S[[1NH3 -W Of the Uni/orns Bvilding GoAc urtifring that at the time of irsuance tbir rtmrtme wal in complianci with the vasioa.r ord'maruer o( t& City ngulatipg 6aiJding ronttsuttion or utr. For the f o!lowing: u..ch..fmnm SF In%U/MR w'A Eail r.mut t+o7L0n8' ?PaY1YP- p"1 ?-1MCowlmctlao V Fwf LVC1 ZwiqOinNc1 ?LL. o. orbAdro Stmshine CAnstruct„aa,,.1507 Clemson (:t., Fagan ,,gdft,,,,,,, 4360 Orion Iane ,,W,,,LoC 4 Block 2.14ildemess BY Parl- 2nd ,.Wfto,ftw a,, April 29, 1982 .e.. ,. . m...K?. .,.?. -:? S t-i z1 ?; 305? 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 single family dwellings & townhomes/condos when pertnits are required for each unit Date `/n / i? l ?, :. Site Address ,i?f?(? Unit# Property Owner Telephone # (6'J ) 'yi _L- $,;t9'.2? Contractor /?i Street Address V/S / e1Z !/ .s. .14. ???. ,...mu- ? /h?iti ???' City ? i State n1nJ Zip Telephone k( G.i'/ Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration fo exisfing dweliing unit $ 30.00 1?r furnace _Addition al IZReplacement _ New air exchanger __,,-"'air conditioner heat pump other State Surcharge ? r ?IJ? $ .50 Total I-? 11 CT 1 1 2D06 $JL2 Lhereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 Ians. \-: IDGt=6L i At )fiJt ;3r_1 /cr Applicant's Printed Name Applicant's Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ptease complete for. commercial(industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephoue # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *`When installing/removing underground fank, call for inspection by Fire Marshal and Plumbing Inspector Pel'mlt Fees: $70.50 Underground tank ins[allation/removal $50.50 Minineum (ncludes S[ate Surcharge) or ContractValue $ x 1% _ $ PermitFee $ State Surcharge If nermit fee is less than $1,000, add $.SO IF ep rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercia] Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Required Inspections: - U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final ? (?4 -5 i-Iqx RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conetructlon Reaulrementa . 3 rep'stered s8e surveys showinp sq. ft of Wt, sq. N. of Muse; and ALI rooted areas (20% maximum bt coverege albwed) • 2 copies af plen showing beam & wiMOw sixes; poured fauntl tlesign, etc.) . 1 set ot Energy Cakuletions • 3 copies o1 Tree Preservation Plan X bt platled aRer 7!1/93 • Rim Joist Defail Optbns selecGOn sheet (bl0gs wtlh 3 or less unAS) DATE -I1- j??? SITE NPE rIULTI-FAMILY BLDG _ Y AN FIREPLACE(S) _ 0 ZG 1_ 2 APPLICANT e?& ?/Y/Y3 STREETADDRESS /??V' CITY.?i6'i?°?STATE,/%/h/LPSSr-?3Z- TELEPHONE 1i = 707-6959 CELL PHONE #iWQ9o-0n4 9 FAX # d9Sa ^?--4?jr&? PROPERN OWNER !/-- VI%W TELEPHONE # 6?f COMPLETE THIS SECTION FOR uNEWm RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residentiel Ventllation Category 1 Workaheet Su6mftted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: 5ewer/Water Conhactor: Phone #1 Phone # ---------------------------------------------------------------°-------°----------------°--------°-------------------- I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply wtth all appllcable State of Minnesota Statutes and City of Eagan Inances. SlgnalureofApplicant OFFICE USE ONLY Phone # _ Water Softener _ Water Heater _ No. of Baths _ Lawn Sprinkler _ No. of R.I. Baths _ Air Conditioning _ Heat Recovery System RamotlellReoefr AeautremaMe . 2 coples of plen • 7setotEnergyCatulafanslorheatedaddftbns • 1 site survey for exterior add'Abns & decks . Indicale M home served Gy septic system lor adtlitions M h ? ?,Ul? ,?? VALUATION /?, U Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex O 05 03-plex 0 06 04-plex O 07 OSplex O 13 16-plex O 08 06plex O 16 Fireptace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Paol ? 21 Poroh (3sea.) ? 22 Porch/Addn. (4-sea.) O 23 Porch(screened) ? 24 Stortn Damage ? 25 Miscellaneous .. ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mulli ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entlre Bldg only) - Glve 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 I NSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundstion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool. _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Smcco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT # Lt9 07 RECEIPT DATE: i 2002 RXsIDENTIAL PLUMBnvs? PERMrr APrLIcATIox CITY OF £Afii4N 3830 rn oT [cxoa {tn FAswx, Mx ssiEs 651-s81-4875 Please complete for: single family dwellings, townhomes and condos when permits are required tor each unit, backflow preventer for irriga5on system SITE ADDRESS: OWNER NAME; :\ Y141? 1'\Q?j1 TELEPHONE #: Gc7ak, VS? ar;?, (AREA CODE) INSTALLER NAME: n TELEPHONE #: (qREACOA STREET ADDRESS: 695 12?ti AvenuE SCutr huplailz), Vi CITY: STATE: ZIP: _ SEPTIC 5YSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consult2nt fees may apply • MODIFICATIONJALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5t8" meter if needed -$118) Other: _ RPZ: new installation/repairlrebuild $ 30.00 FMAR _ lawn irrigation system 7 20D2 ReplacemenUadditional: watersoftener waterheater $ 15.00 State Surcharge .50 Total Q?i??r ?j ,?, ? WUI ,6?r,m ?? w? ?? F-+tUKJ ?-? I hereby acknowledge that I have read fhis application, state that the information is correct, and agree to compl is the applipnYS responsibility to notify the property ownerthat the City of Eagan assumes no liatpii(y tor any operetional and malntenance actlvities to the faGlities constructed under this permit within City pro/rigpt all applicable City of Eagan ordinances. If ges caused 6y the City duriog its nortnal ylment.J SIGNATURE OR PERMITTEE ( % 1l02 Wtathrrntiq Jindows I Doon 'ee- o ?. Ycs-N Windowe and Guide Referenee 19_ and A.., Comeraction No. Int. WaN Ceilinv Roof F7oor I Kiou Ne. W1Cth olDana HeIgM otDa.a No. ot II?hU Llnql tL o[ettet A p.[t Coef. &a InfilUation Glaas Fap. wal( Net exp. wall ( lnl. wall -loor Ceil. V, Iotal [Stu. t %Zn Required sq. ft. ED.R. or sq. ins. W.A. Leader area FI•I nAS-t (\n RoomI LenqthlStN W1dch1*)'n' Hei:htA11" Windowa a nd Doors---Crackage and Area N0. wletn 0[ DaAS xeICnt Of DaAe No. e[ ,fAto L1eu1 tt. O[ GhOk wn. q. (?. \ L l 6A , Coef. Btu fnfiltration a CX:I Clas? Fsp. wall Net e:p. wall 4 b fnt. wall Floor ytil_ - 1 I otal Cta nn ? Required sq. It E.D.R or sq. ins. WA Leader arcs Fl101 k-rN Rom ILeneh 11`V watnw taeigh&o wmaoM a na uooraucsge aod Arca . . 4a wwte atpan, t[.iffne e[paw xe. ee I1g6b un?ai [L etenek sr.. q.tt. ?. COlf. littl a6ltration 7Jan - sxp wall \ 4et exp. wall nt. wall Floar ota1 tliu. ' I ??I LRAw-C.QRoomIlA Vlindows and Doors--X-r CQS tequired sq. Ft. E.D.R. n p. ins. wA I.eader ues ._` No, wiFte e! D.o. a.iret ef poee He 111 . ,. ?. ? " y . "Y t.. 4-.... .. ? Y % Ia6ltration ....... _.._.?, , . , ? . wall Exp .?? _..? , ... _.. ' .. - f Net exp. wefl M Int. wall .. : ...?....?.. 4 . . ?..Y .. ., ? L Floor Twel Btu. Requ'ved sq. ft ED.R.. a: T?.s. S"Jl;. i.n+cE ' FI.I i Lteeeh Ro?•: ?.. . Windowe and Doors--Crx r icc•:! ,•t;.i :}? a c:. .' .. _ . . . ? 1 Gtaes Fsp.wall ._._ ^ iVet e:p. wdll Int. wsll Floor cta. ... -..?,?.. , Toea1 Btu. ? Requued sq. k. E.D.R. ot `• . W Roc,;.?. Windowa snd Daorr wm?n x•?sui . : _. Na otp?na ol,Wn? Glasa £xp. wali Net exp. wsll Int. wall Flom Cdl: Total Btu. Reqvired sq. fA E.D.R..a: ; t ? Canshnetioa No. [nralation How Room Len ? .e ?......:.. i .?,??.t ?..4... .?.? ,- . . . . ..;ar. m....._,..?.?,.d. J' ?, r T.am,, SsT2F? `au?? . .s y ?}Y? 4 ? .?.:?.',.w.. ..,? _.......?...?_ ° ,? wi naowa ana voors-i.racn ge saa nrsa No, Width ef pwe N616 t ot p&sO Na e[ IIfEY nwl t4 et enalc wm p. [e. Coef. Btu In6laatioa Glau 4ci S 6cp. wall 1 Net exp. ws11 Int, wall Floo, u C-7. ' Tota1 Btu. area Requ'ved 1 h111p" Heieht$tij" 1 fil•i l1? _ ;, . . etu 17 . .,. ,..??~? K Coef. ?. : , ._°-- . .. ? .F,...,.e. L ?yp ?a.• . ?o•W?o ` C1 E?A ?c7ddCr aRII . . ?.i...+.? . ,...K' ? . ?T W ?? or aq. inti W.A. I.eader area im I L.eoqeh2a`V Width \1, wt naows an a wors ?acea ge ana nr ca Ho. Width of y.ve }Iefsbt e f aAM N. o! IIgLt. Llnul ft. oter?et wros p, fL ' rn ` , ` J ?„ t , t y?o" ?o" t Coef. 8tu It1blVdhOA ? O Glas? p 000 -- Exp. wall ret "P. Wau lnt, wall Flow Cta. Totai Bcu. HCL (b F quired aq, h. E.D.R. or sq. ine: W.A. Leader area •l.I p 1 Room I Length II' Ie" Width%d Windowa and Donrs-Craelcax wnd Arca Na Width o[ O??e H.IcEI o[,p?n. No. o[ Il??t. Lln??l fL ef ce?elt An? p. t!. ' ` " V` " 20 b CoeE. Bm Infiltration Glasn SO 6cp. waC Net exp. wall Int. wall ' Floor Cl9: Total Btu. - Reqvired aq. Et. E.D.R.,or w. im. WA. Leader area . St1RVEYOR'S' CERTIFICATE SUPJSHIPIE COIJSTRUCTION COMPIINY N / ,,,,,,, EXISTING NOUSE ,. t;1 I ? $ // eae.? L_;; "t 2.80 ! x 93.2?x2s.7o _?" ?k135.00 s.? N 89°57'28"E -? ? Xgo .Z I%B9P.8 993 ao ? ao.oo - , 48.00 _?e9?o / r- o?r----- ? 1f 3 10 I N i 1 ? p ? f? DRAINAGE AND I 5 ' ? I I g"?' a1' ,.6?j'I UTILITY EASEMENTq 3 PER PLAT ?y OD p22.33 ? ?I.PROPOSE• - I ? Q. .. DRIVEWA..?N j?- 25.67/ 'I 0 iLli ' 1 0 LOT 4 I o I PROPOSED. I Z ;-- j eazx 9?/HOUSE o i: Z O ? I 'J O o ? ° 1 g.lo?j% M Io 38.00 I i i 892.2 / I 95.1 ? I ? ?Q ? ol ; o? ?Q I cv I 1 L_ _? " ? ?J5 i x e90.e3 e?s ? 30.00 48.00 - x eaa.o -? x a9o. ?- ,9;.3 135.00 N 89°57'28"E ? , ,,; -• ?_ ?. ? 3 SCALE: 1 INCH = 30 FEET O DENOTES IRON NiONUMENT SET • DENOTES IRON PiOtJUMENT FOUND PROPOSED GARAGE FLOOR = 893.5 FEET E3 DENOTES WOOD STAKE PROPOSED LOblEST FLOOR = 890.7 FEET XOOO.C DENOTES EXISTIN6 ELEIIATION PORPOSED TOP OF FOUfJDATIOPI = 893.9 FEET I HEREBY CERTIFY THAT THIS IS A TRUE A"!D CORRECT REPRESEPJTATIOM OF A SURVEY OF TfIE BOUfJDARIES OF: LOT 4, BLOCK 2, WILDERfJESS PARK SECOND ADDITION, ACCORDING TO THE RECORDED PLAT THEREOF, DAKOTA COUNTY, P"IPlPlESOTA. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AP,'D ALL VISIBLE ENCROACIimENTS, IF APJY, FROM OP, ON SAID LAWD. IT ALSO SHOI+'S THE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS IITH DAY OF FEBRUARY, 1982. SIGPaED: JAMES R. HILL, INC. ? d-? BY: /??? 1 HFlROLD C. PETERSON, LAND SURVEYOR 14INNE50TA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE ,JAMES R. HILL, INC. 32105 FILE NO Zp/¢g Planners / Engineers / Surveyors . 8200 Humboldt Avenue South: FOLDER Bbornington, Mn. 65431 812-884-3029 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION V Plumbing / Sewer &Water Date: Dec. 2/- 20/2 -Site Address: 't3 Or1.017 Z-44 -C J Tenant: Suite #: RESIDENT OWNER.- Name: 06i• Vii at /-'lary it--14-7--7-5017Phone: 6,%/-Zt5Z - 62. 12_ Address/City/Zip: 't360 0rior1 L4PI-r �.,:pfFir/ /1,t .jY/2J Name: -3-14-," -rr'e e '/ism I,hy License #: CONTRACTOR Address: 3/85 Ter -p'1 t n 4/ V r City: /--fa 7 State: r- m/ Zip: 37.5/ 2/ Phone: Contact: nerve TAonnul Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building Repair envelope) Other: Other: DESCRIPTION Description of work: f tC 1 -Ott t f4"7 /0am, �r2-l/ C i -t -p t Lit le--f"Pr stn Yf FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /9a'rc/ /"1 a'7r--rj0h Applicant's Printed Name Applicant's Signature FOR OFFICE U Required Inspections: Under GroundRough-In PERMIT City of Eagan Permit Type:Building Permit Number:EA117838 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4360 Orion Lane Lot:004 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-040 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 . Chris Haqq 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 - David N Mattson 4360 Orion Lane Eagan MN 55123 (651) 452-6292 Abelard Construction 6200 Shingle Creek Parkway, #545 Brooklyn Center MN 55430 (763) 503-6610 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158267 Date Issued:10/04/2019 Permit Category:ePermit Site Address: 4360 Orion Lane Lot:004 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David N Mattson 4360 Orion Lane Eagan MN 55123 Silver Tree Plumbing & Heating Llc 1335 Mendota Heights Rd Mendota Heights MN 55120 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature