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4361 Orion LaneCASH R ECE I PT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 rtccEIveo FOR DATE 19 AMOUNT ? I ? CASH ? CHECK DOLLARS 1 oo YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy 4ank You ?? BY : z CITY OF EAGAN ?• 3796 Pilof Knob Rood Eagan. MN 55122 PHONEs 454-8100 BUILDING PERMIT To be uted for Site Address Lot Block 5ec/5ub. Portel # oc Nome W 3 AddresS .. $? Na?+e - ? ?? Address r.., ??,,,.,e Name ?anken Add rc? ;.de Lu.e? I hereby ocknowledge thot I have read this applicotion and state t the informotion is correct ond agree to comply with all applicc State of Minnesota Stotutes und City of Eogan Ordinonces. Signaturc of Permittee ` A Building Permif is issued to: l' 8' all work sholl be done in occordance with all applicoble Stote of Buildiny Officiol Receipt # N! 4945 78 Erect 0 Occuponcy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? * Stories Demolish ? Front ft. Grade ? Depth ft. Aparo rah Fees Assessment Water 8 Sew. Pol ice Fire Eng. Plonner Council Bldg. Off. APC Permit _ Surcharge Plan check SAC Water Conn. Woter Meter Total on the express conditian that Stotutes and City of Eagon Ordinances. „ ?e,. 314S8o 4rnrn E-L-L?, PM111f # OOf! IflMd ??iltN Plumbin9 I /['-.,J_(r L Mechonicol / C) ' 3) ' G? j-c,- A . hC3 10--aS-l? ? t C&e . 314-[) c G." . INSPECTIONS DATE INSP. I ? oupfi-In Finol Footings Dote insp. Dote Insp. Foundation _ Plumbing Frame/ins. Q? " -/,v - /r- Methonical Finol -17 ' Z.Zzrui I Remorks: ,(-17, 7 Q if 01^ ?T s v'vi al e/ ?c-4 0 CITY OF EAGAN 3796 Pilot Knob Reed Eogan, Minnesota 55122 Phona: 464-8100 ;fEATI`;r ?1-78 Date: Site Address: !4**(t/c 4361 Orfnn ',Ane ? t"' ?nd Lot PERMIT _ Block Sub/Set. CUKBUSTI(aN AIR REQUI1tF.D Na 1336 ?'I i.: ??4 Receipt No.: $ingle I Residentiol Y Multi Res., Comm./Ind. I Name New/Alter./Repoir •ii. P'[JX 3 Address Cost of lnstollation ? .?oj',?.5.• le?. "?1 ", '''..?:?. City Phone: Permit Fee y ':. ::rel?er I'a??i,-?, , • ?, . i , ame ' fi- SurcFwrge ? Address 1' 37 (;hicagc? Av ? . 0 ? City -,- Phone: Totol This Permit is issued on the express condition thot oll work shall be done in accordance with all cpplicobte $tote of Minnesoto Stotutes and City of Eagnn Ordinances. Building Official CITY OF EAGAN 3795 Pilot Kno6 Road Eagan, Minneaota 55122 Phone: 454-8100 PLtTi?BING Dcte: 10-28-78 PERMIT Site Address: 4361 O^'i oxt 1.'ane Lot ' Block ' Sub/Sec. _ 'WrP 2 Name '-?rn8z & I.CklmBTi Address ?x 1211 CItY i; ?i Q.. 2 C? 15 Phone: No 1251 Receipt No.: a Single Residential x Multi Res., Comm./lnd. I New /Alter. /Repair Cost of tnstaftotion ?rt•?r, Permit Fee Nome PI'O jECt Plumhing f'o, ` Surchorge \A Address ''4 ; 11 utIlb Oid t ?+ur:, -'c?. a 0 City Phone: . . . Total This Permit is issued on the express condition that all work shall be done in atcordance wifF? ot( appficabie Stote of Minnesota Stotutes and City of Eagan Ordinonces. Building Ofticial 1NSYLC:'1'lUN KL(.:UKI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: , , „' i ?k f. ANE k.J11 I?L-P Nk •.?', f'iilti. :'NU PERMIT SUBTYPE: i APPLICANT: ? ! . . , , ..f•i?t i ?iri! „II ? ? ( f,! .' t ?lE... !,'?•?ts TYPE OF WORK: I 1 tI I.N It ? ?:14a4 f OtiliH/()Ft . eEx ?,_ ? „_.,__, ? ..,>> ? ?? ?? ? _. ? ?:?? , ------------ hF S r I r ! 1? I 1 0 P! I tl . h 11 F (rI fri! /, , ! r,kM Permit Holder Date Telephone u PLUMBING HVAC Inspection Date Insp. Cammenta FOOTINGS FOUND FRAMING ROOFING 17- 9 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIF TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTivirv TEST NYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD ? Control No. jJ CITY OF EAGAN PERMIT TYPE: 001tplNe 3830 Pilot Knob Road Permit Number: i1 i 16 ti Eagan, Minnesota 55123 Date Issusd: 49E 12/92 (612) 681-4675 SITE AQDRESS: 1 ort eti HLOCk, 1 APPLICANT: 4361 4Ri1lN LAMI: 1, PETERSON REMt1QELIMA WSLbERNES3 pARK 2Np (612) 926-6411 PER?lT SUBTYPE: TYPE OF WORK: NIEW 4 ? T s PermR No. Permn Holder DaCe TNsphone t S/iN PLUMBING HVAC ELECTRIC ELECTRIC InqNCdon Wte Insp. Commerna Footinga I FoundaQion F?aming Roofing Rough Plbp. I Rough Hig• I Isui. I Freplace Fnei Htg. Orsat Test Fmal Plbg. Plbg. inspeotor - Notify Pfumber Const. tiAeter EngrJPlan 91dp. Ffisl DeCk Ftg. ? Deck Flnal ? y a I r- 9 No - L Well Pr. Dfap. alr- CITY OF EAGAN Remarks Addirion WILDERNESS PARK 2ND ADDITION Lqt g Blk 1 Parcel 10 84251 OSO 01 owner IN??'? stree, 4361 Orion Lane State Eagafl, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF. STREET RESTOR. GRADING SAN SEW TRUNK I?, j 1973 Z ? 1 8-I6-78 SEWEF LATERAL WATERMAI N WATER LATERAL WATER AREA ? STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT 75.00 11358 8-18-78 WATERCONN. 250.00 11358 8-I8-78 BUILOING PER, # SAC PARK ' 1 11358 $-1$-78 CITIf JF EAGAN SEWER SERVICE PERMIT ' 3795 Pilot Knob Road PERMIT NO.: DATE: Eagon, MN 55122 Zoning: _ No. of Units: ? --- - pwner: - A d - -- ress: d Add ress: Site : Pl b - er um ? ,. .. ' ? I agcee to eomply with the City of Eagan , -. . Connettion Charge: ? Oedinaneea. Account Deposit: ? Permit Fee: Surcharge: _ g Misc. Charges: Y _ Dote of Insp.: Totol: : ' Ins Date Paid: p. CITY OF EAGAN WATER SERVICE PERMIT 319S Pilot Knob Roed PERMIT NO.: MN 55122 k DATE: agan, Z of Units: No oning: - . ? Owner: - - Address: Addre Sit s: e s Plumber. Connection Charge: Meter No.: _ g1Ze; Acwunt Deposit: Reader No.: Permit Fee: Cit of Ea an h fh i l Surcharge: ? y g e y w t 1 ogree fo eomp Oedinances. Misc. Charges. TotaL• D te Paid: gy a CITY OF EAGAN 3793 Pilot Knob Road Faqan, MN 55122 N2 4945 . ' PHONE: 434-8700 BUILDING PERMIT APPLICATION Receipt # 11358 _ To be ueea foSF Dwlg. 8, Gar. Est Value 50,000 Dote-$. /],$_..---, 7978._- Slte Address 4361 Orion Lane Erect K] occupancv I Lot 8 Block 1 Sec/Sub. Wild Park 2nd Alter ? Zoning Rl Porcel # 10 84251 080 Ol Repoir ? Fire 2one _ 3 Enlarge ? Type of Const. v z Name GTOSZ & Lehman Move ? #Srories ; AddreS P.O. Box 1211 t V e C n _ Demolish ? 66 n, Front - 48 o UT S Cit Phone Grode ? ft. Depth Aeeeeveh Fees p Name _ ? ?? Addreav ? r?... Nome Spence Sanken Addrea Southside Lumber I hereby acknowledge thot I this application and state that the information is correct nd agree )to comply with all applicable 5[ate ot Minnewm Stat es and Ci of Eagan ggtinances. Signuture of Pertnittek??T- A Building Permit is issued to: GYOSi cll work shall be done in accardance with oll Buildirg Officiol Water & Sew. Police Fire Eng. Planner CAUndI BIdg.Off. B 18 78 APC Permit i'^•? _ Surcharge 25•00 Plon check snC 500.00 Water Cann. 250•0? Woter Meter 60.00 Road Unit 75.00 Taal 1050.50 daHIl on the express condition ttwt Stote of Minpesota Stmutes and City of Eagan Ordirances. 7'h?s r€ylff. void 18 months from ir -=-:r &/g 'r - / ?/ - 7;1 P 94061 Datebf this Request I, as N Ucensed Electrical Contractor QOwner, do hereby request inspection of the above electri- cal wiring installed at: ? 2.0 p„4449'y? Street Address or Route Section Township Which is occupied by Is a roughin inspection required on ? ? v Range CountY job? No P Yes ? Ready Now,$ Will Call ? Power Supplier Z?44c/Address Electrical Contractor Contractor's License No/9A111 (GO pany Name) Mailing Address p?/ D dlf4? (Ele ital C r ar Owner Makln9 Thls Installatlon) Authorized Signature ? Phone No. 6 9? ? - - or owne. - rnis (?????? + (°pj ?D????? ???? -This impection request will nat 6e accepted 6y the ? State Board unless pmper inapection fee is endosed. Minnesota State Board oT Electricity .. Vwniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 i? '" REQUEST FOR ELECTRICAL INSPECTION P 94061 CHECK BELOW WORK COVERED BY THIS REQUEST Type of 8uilding New Add. Rep. Check Appliances Wired Foc Check Equipment W'ved For Home ? ? Range ? Tempotary Wiring JR Duplex ? El ? Water Heatei ? Lighting Pixtuxes ? ApL Bldg. ? ? ? Dryer ? Electric Heating ? Commetcial Bldg. ? ? El Fumace ? Silo UNoader ? Industrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ? Farm Othec ? ? ? ? ? ? Lpist Heiar.,?e? _ pList Hehers? COMPUTE INSPECTION FEE BELO?? ?% U DI '11 101 [o Abovc TOTALFEE I, the Electrical Inspector, hereby certif that the ab ve inspection has been ma o (Rough-in) ? r Date _ c • / (Final) ' Date This request void 18 months from This ceynest void 18 months from f -/CJ?a2/ji/ 44 acoo 'R 71973 Date of t' Request -30- 7? I, as icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Range Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now 0'-'Will Call ? Power Supplier Address Electrical Contractor L l`-' G• C6' Contractor's License N??7s (COmpany Name / Mailing Address ? '(-t. / w 0 CL prl, 0 a' Authorized SVfii1VE BOU??D M Phone No. ?4?2-r/d This inspection request will not 6e accepted by the Stete Board unless proper inapeetion fee is enclosed. - , Minnesota State Board of Electricity 1941 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION Ct1ECK BELOW WORK COVERED BY THIS REOUEST R 71973 Type of Building New Add. Aep. Chmk Appliances W'ved For Check Fquipment Wired For Home- ? El ? Range ? Temporary Wiring ? Duplex ? ? ? Watei Heater ? Lighting Fixtures ? Apt, Bldg. ? ? ? Dryec /' ? Electric Heating ? Commerciat Bldg. ? ? ? Fumace ?, S8o Unloader ? Industrial Bldg. ? ? ? A'v Conditioner L?J Bulk MIlk Tank ? Fazm List List Othex ? ? ? Rthers Here Rthers Here COMPUTE INSPECTION FEE BELOW SeNice Enhance Size: n Fee 1 1 Feeders&Subfeeders: # Fee C'vcuits: # Fee 0 to 100 Am s. 0 0 Am eies 0 to 30 Am etes 101 to 200 Amps. 31 UIW Ares ? 31 to 100 Am res Above 200 Amps. Ab ?-'0 Above 100 Amps. Transformecs R te Partialorotherfee Signs Special lns ection Minimum fe Remarks TOTAL EE?.Q I, the Electrical lnspector, hereby certify that the above inspection has been ma e.'S'&, s-D (Rough-in) Date (Final) b Date S ? 7- ?$"U Ttus request void 18 months from '3'his tgquest void 18 months from i ;? 49,.IG 3 r ,.,l R 34580 Date of this Request Ze? [, as P(Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: ? 4„ Street Address or Route No. Section Township Which is occupied by Is a roughin enspection required bn this job? No ? Yes, Ready Now ? Will Call/ V Power Supplier -? ? 95e ?n Address Electrical Contractor??++?+ ?(/?f!? Contractor's License No.Ab7e/ (COmpany Name) Mailing Address lk Q Q//A-? Authorized Signature t.iecancan i.oniraccar or ?w SVQ?? o(DQQD m7y No. t?z '? - elp,??' Installatlon) nspection request will not be accepted by the Boerd unless proper inspection fee is enclosed. ' Minnesota State Board of Electricity 1954 4Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY TH1S REOUEST i a y461?s 'R 1a5n Type of BuBding New Add. Aep. Check Appliances W'ued For Check Equipment Wired Fox Home ? ? ? Rangc ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting F'ixtures ? Ap[. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloadei ? Industrial Bldg. ? ? ? Ait ditioner ? Bulk M8k Tank ? Farm ? ? ? List List O[her ? ? ? th Rer Oerethers H ( COMPUTE INSPECTION FEE BELOO A#b4 k fi XI Service Entrance Size: # Fee Fceders&Subf ee Ciccuits: # Fee 0 to 100 Am s. 0 m 30 Am eres 0[0 30 Am eres 101 to 200 Amps. 31 to 100 Am e[es 31 to 100 Am eres / Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Si ns Special lnspection Minimum fe 0 yp, t0 Remarks 'fOTAL 0 ? d I, the Electrical Inspector, hereby ce ' that ovp inspection has been ma e. - (Rough-in) 1 q?,?_ Date ?1- 16' ? (Final) ? Qn? Date -3. 2? This request void 18 months from This reiluest void 18 months from ? R 53613 DaYe of this Request_ I, asoLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wuxng installed at: Street Address or Route No. Section Township 1Which is occupied by Range County Is a roughin inspection required on this job? No ? YesX Ready Now ? Will Call)< Power Supplier ZA? 22L&rtddress S Electrical Contractor ??rxir-? Z49&-Y? Contractor's License No 3s yd4 (CO lany Name) Mailing Address 0 ? (Ele Ical Con actor or wner Making This Instellatlon) Authorized Signature Phone No. 6V- ylr'3? IElectrical Contractor or Owner Makin his Installatlon) NAVR ?? /? (?? ???? This inspection request will not be accepted by the ?C, );°,]?' State Baard unless proper inspection fee is encloud. Minnesot,a:3`tate Board of Electricity 1'p?l University Ave., St. Paul, Minn. 55104-Phone 645-7703 - " REQUEST FOR ELECTRICAL INSPECTION CEGCK BELOW WORK COVERED BY THIS REQUEST ?3zo? 53613 Type of 8uilding New Add. Rep. Check Appliances Wired Foi Check Fquipment Wirod Fot Home ? ? Rartge 0 "Cemporary Wiring ? Duplex ? ? WarerHeater ? LightingFixtures ? Ap[. Bldg. ? ? ? Dryer ? Electric Heating ? Commeicial Bldg. ? ? ? Fumxce 0 Silo Unloader ? Industrial Bldg. ? ? ? Ait Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Othei - 11 ? ? Rehersl re Here?s? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Fcedeis&Su6teeders: # Fce Circuits: # Fce 0 to 100 Am s. 101 [0 200 Amps. Abovc200 Amps. 0 to 30 Am eres 31 t m s Abo. ps 0 to 30 Am eres 31 [0 100 Am eres Above100 Amps. -- Tcansformers Re eCo c . Partial or other fee Signs Spe 1 Ins tia Minimum fee $S Remarks ? TOTALFE ta,c7Ci sd l, the Electrical Inspector, hereby cer' at t ve 4nspecti on has been mad? Y (Rough-in) Date 3 ? Y (Final) _ 1, Date 7?1 This request void 18 months from PERMIT Co" o"o 0935 ? Cl"TY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001256 08/12/92 SITE ADDRESS: 4361 ORION LANE LOT: 8 6LOCK: 1 WILOERNES3 PARK 2ND DESCRIPTION: ,-13uilding Permit Type 8u3ldin6"-Work 7ype ' ' U.BG tlccupaYi"cy Building Length /f BUildingW£dth3;_.. tA t . s. f- ? t DECK NEW R-3 24 12... C 1 ? ? -1 1:.,t ti.? , ,.?' ? ?::::? REMARKS: 0- pQU 3 53 FEE SUMMARY: Base Fes 5urcharge Lic. Search 5ubtotal $25.00 $.50 Fee $5.00 $30.50 COPIES $1.50 Total Fee $32.00 CONTRACTOR; - Applicant - ST. LI L PETERSON REMODELZNG 18255917 000621 5533 CHZCAGO AVE 3 MINNEAPOLI3 MN 55417 (612) 825-5917 OWNER: HERNDON SYIVIA 3461 pRION LN EAGAN MN 55123 (612)452-8396 ? I hereby ackaowledgs that T have read this appiicataon and staCe that the informatio-n is correct and agrea to camply with all appliaable Sta.te ofi Mn. Statutes an:d City of Eagan Qrdinartces. APPLICANT/PERMITEE SIGNATURE fl.,C(?,Q &p r,? j 171,1? --rSSUEO W. S NATURE-? INSPECTION RECORD CI7Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: t,or: s 4361 ORION LANE WIIDERNESS PRRK 2ND PERMIT SUBTYPE: DECK 1- Control No. 0 (S 3 ? BUILDING 001256 08/12/92 B1.OCK: 1 APPLICANT: L PETER30N REMODELING (612) 825-5917 TYPE OF WORK: NEW ? ilii ? . ? I•.i ? .i,l, ?J .?:ti??????i ? . n•?? ?, ;???. r rl ? ? ^ I (?, ; I ll ll ?.. . l PEKMI i #• REACTJ4VATE ' 1%6 fir CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION qU6 10 RECo SINGLE & MUITI-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 when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lat chan e is re uested once ermit is issued. Date le / 1G / g 2 Valuation of work #dv 9 10O 0 • _ c13 Site Address: ?W6! Csi2iorj L-w STREET SUITE / Tenant Name: (commercial only) IAT BIACK ? tA) SUBD . P.I.D. N Oescri tion of work: JJCCIt- RC, Ln - oLD OC; The applicant is: ? Owner ED Contractor ? Other coesersbe> Name "ooN pA?N Sy(.uia Phone yS)- 139C Property LAST F,RS, Owner Address ?`I G l r?2io? 2?? STREET STE A . City L p6P w State y''`Zip SS12j Company L011 EleJ?Y o Phone S.l.S S?j {? COntfBCtOf s Address S_5'33 Cl.lic.Ac-cA u6 License #aoaiiaExp.3 3i/'7Y City v-• PC5 State PN I'll - Zip SJy( 7 Architect/ Company Phone Engineer Name Registratlon # Address City State Z;p Se?ver 3 water licensed plumber . Processing time for sewer d 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 torrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant:. p?-- ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. WORK TYPE ? ? 31 New 32 Addition O 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Ist F1. sq. ft. UBC bccupancy P, -? . 2nd F1. sq. ft. Zoning Sq. Ft. total M of Stories Footprint Sq. ft. Length 9_y , On-site well Depth ?Z On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS , O 5ite [3 Footing - O Mallboard P Final ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory O 14 Fireplace q 15 Deck E3 35 Tenant Finish E3 36 Move ? Framing ? Draintile 14.3 11 ? Insulation ? Fireplace Permit Fee ;15 ,?o Yaluetim: Surcharge Plan Review License ?,pp MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit S/N Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies _ 1„Sa Other Total: S ? i w "?4 TLD lfi asement F i n i s h ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump fire Sprinkler Census Code SAC Code Assessments SAC 96 SAC Units FERMIT CIiY OF EAGAN ' 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLozNs PermitNumber: 032947 Date Issued: 08/18/9$ SITE ADDRESS: P.T.N.: 10-84251-080-01 4361 pRIQN LANE LOTa 8 6LOCK: 1 WILDERNESS PARK 2ND DESCRIPTION: r:o. ? ?ERooF/srnRm Bu?jPermit Type STOR(N DAMAGE B?S1is{?ng Wczx k 7ype REPAIR "c'"a175U•s. C' Odie"434 ALT. RESIDENTIAL - sa ta?x `?n J9' ? I4 deq FA k fl, gO?Q?' 4 '?ffi ?JL il. REMARKS: FEE SUMMARY: APPLICANT/PEFlMITEE SIGNATURE _ 1998 BUILDING -?-) a9 4`1 New Conshuction Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 RemodeVReoair Reauirements ? 3 registered ske surveys ? 2 copies ot plans (inUude beam & window sizes; poufed fnd. design; etc.) ? 7 energy wlwlations ? 3 copies of tree preservatlon plan if IM pWGed after 7/1/93 requi d: _ Yes _ No 6l DATE: D RIPTION OF WORK: /CCJO?DY"T /1 D?. STREET ADDRESS: I 1/L ? 2 mpies of plan ? 2 sRe surveys (exterior addRions & decks) ? 1 energy calculations for heated addkions CONSTRUCTIONCOST; LOT: BIOCK: I SUBD./P.I.D. #: Name: Phone #: `/Jq' ' ?? %J PROPERTY Last grst ^ aWNER Sls3?/ ??'io?/ /?a? ? Sueet Address: City ?/lz!7/// State: P/AO Zip: trS?rX51-1 Company: Phone#: 7s? +.? O CONTRACTOR Street Address:_ License # City State: Zip: ARCHITECT/ ENGINEER Company: Nazne: Street Address: City State: _ Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Phone #: Registration #: Zip: Penalty applies when address chang 1 hereby acknowledge that I have read this application and state that the intortnation is cortect and agree to comply with all applicabl State of Minnesota SWtutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY E ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 _-piex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ConSt. (Actual) _ (Allowable) UBC Occupancy Zoning ' # of Stories Length Depth APPROVALS Planning 0 11 AptJLodging ?` 16 Basement Finish ? 12 Multi RepaidRem. ?; 17 .Swim Pooi O 13 Garage/Accessory ? j 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Qemolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MClWS $ystem City Water Fire Sprinklered PRV ' Booster Pump Census Code. SAC Code Census Bldg, Census Unit Permit Fee Valuation: $ Surcharge Plan Review Lle,Bt?SB ! MC/WS SAC ? City SAC ? Water Conn. Water Meter ' Acct. Deposit SM! Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. ' Other Copies li Total: °k SAC SAC Units D+TE HUII,17Ii4G PF.RMYT APPLICATION Include 2 aete oE plans. 1 site p18g W/elevations and 1 set of energy calculatiana. . ? Ta be used for R?S/1? L C f7?0?lF_ Site luldrast; yj(i/ Lot Block See Sub. F / W/CDE?P.VG'SS ?if' Owner G 05 d ,rH/v/ff.) - Adr]ress /?. ?aX ?L?i??1ISJiG?? . ?iRl. h"5?32_ rontractor Address Rrch./Rng. 512? 1dE 5HA1KEe Addrass 56U7f-/ 5/PE [il/qgE/r Valuation ? ParcelIdumber /m y4"a51 pEvd D/ a 4JP 4vPti Telephone TeleQ}ione Telaphone OFFICE USE Erect ? Alter Repair Enlarga 6boe nemolish Grada Occupancy Zoning h'/ Fire 7•one 3 Type of Oonst. # of Stories Front ? Depth OFFICE USE Rate of ApprOVa2 & Ir%itial lassessment S wnter/5ewer ' Police Pire Eny: Planiler Council A2$g. Off. A.P.C. f, £EES - Permit L ? Surcharge P3an Check Sr,C F!ater 4bnn. 6o VTater Meter G.'G 'P"?'T/ . ,f 75- R'OTAL / 0 S b• ? Yl ??`/ '7G?o .?g ? ? Sb 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651•675-5675 Piease complete for modifications to existing residential dwellings. Date Site Street Address ? Unit # Property Owner Telephone #4-') e?q3 -? Contractor Telephone # (5Y ?4 Address CityState_ J?-Zip fm? The Applicant is: _ Owner Contrac _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 ?CWater Softener _ Water Heater ?T _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the ev nt a plan is required to be reviewed and approved. r-4 / ApplicanYs Printe Name - Applicant's Signature is- GRosz ?/361 OR I ON Lfl N? 130• 0 N W ? Q ? O Q I3o' , .. 0 ? GRa s z -tl- L Ef-r r-r A" ??4,1 OR/ON LftNE /30' ? N ? Z ? ? 0 ? /30' Use BLUE or BLACK Ink r-----------------I I For Office Use i oi Eakan Permit City I Ios-.3 I { 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: 3 64 ( j Phone: (651) 675-5675 I Fax: (651) 675.5694 Staff: I L----------------~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O Site Address: _ / -ey 47'D19 Litter/ - Unit Name: ~iyry'C f7'G/p/1 Phone: R"1/ / Owner Address/ City /Zip: Y3~~ D~ibK G•ac'C Applicant is Owner HI_,e!!!!00'Contractor Description of work: ~Coft' G~,c K lpQ 'f p of lttlork Construction Cost :~~Y7s 4 Multi-Family Building: (Yes No Company: GXt~t,~1'vK Contact: _/Ado &,,a- Cenrc+~:r Address: 3® i. ~QD City: __~-dC~cl~On State:_ Zip: /~1~ a- Phone: _N (SIo/;zy° ~~yQ License # ,BG/y~6~6 Lead Certificate NAr- 4/Q; ( - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: AG~JT'E ~?F~~rs ar~d stf~rpo>~~r~q dAexr~r~:e~t~ f~a# y~arr srr~fE ~x•ecer~es~~errea[,t~ be ~~c ao~} ~c~ie~ns c f~re~~~i`er+x~a~`a~ :ray be, clai$~fied as r►tzn,ptabtf~ if ycx~r,~n~vlde :~eo~t~ rs~ate~ that 1n~at~ltt ~~itf t` Git~ t© acx~~stt'tde fi~:t~tt~: see f~at~s ~ect~. - ~ALL 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.aooherstateonacall.ora 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. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. X. ,U/~i( ~~ni► Applicant's Printed Name Ap cant' ignat e Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158059 Date Issued:09/24/2019 Permit Category:ePermit Site Address: 4361 Orion Lane Lot:008 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patric S Herndon 4361 Orion Lane Eagan MN 55123 (651) 452-8395 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature