4368 Orion LaneCASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onTe
19
RieIaveo
PROM
AMOUNT $ I
6 DOLLARS
1 ao
? CASH ? CHECK
roR
Tha ou
PBY
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
' 379! P11ot Knob Rooa Esgen, MN 55122 PNONE: 454-8100
4
BUILDING PERMIT Receipt # - "Ts 6? rr?d ie? SF ??JG/GA!: ?$106,010 n..?o r?t:tol;c r 17 ?o 33
Site I+ddrcu 4 soo vrion L'3ri2
Emct ??
Occupnncy
Lot ' Block 2 Sec/Sub.j'?ildex'nesF- Park ?nd^lter p Zoniny
Porcel # 10-84251--030--02 Repofr ? FircZone .'.`
Eniarge ? Type of Const.
oc Name -' • etr!rsen onst. , nc. Move 0 # Stori
?
Z
? ^??
' 4701 !; . ll 0=t: :'t . Demolisfi ? Length
?I-
b fp
Ci ls. 55437 Phone 884--5144 Grade ? Depth
Sq. Ft.
ac
Il ? T
Approra Is
Fees
p Nome _
?? Nddress
1- r;...
Name
/lddress
I he?e6y acknowledge that I have reod jhfi
the intormotion is torrect ond agr?to
Stofe of Minnesoto Stotutes ortd?Tty of
Sipnoture of Pe7lniffes ?-
A Building Permit Is issued to:
oll work sholl be done in acoordonce with nll
Buildirg Officiol
that
Assessment _
Woter 8 Sew.
Police
Flro
Enp.
Plonnar
Council
Bldg. Off. _
APC
Permit
SurcFar9e
Plon check
SAC 5 2 ?.„ 3
Water Conn. 450.013
Water Meter
Road Unif Totol ?! ? '
on the exprcss oondition fhnr
e of Minnesoto Statutes and City of Eagan Ordinonces.
Psrmit No. Permit Holder Misc. Parmit No. Holder
Plumbiny '3? `t l
H.V.A.C. A -
w.u
Wster
Disp.
Swrar
Elactrie ? -)
Irnpection Date Insp. Other
Footir?gs
r
Foundetion
Framinp ?
Rouyh Plbq. j? _ ry 3 3 ?' c/
Rouph HVA
m
Water de?criht Loeetion:
YWII
Sewsr -
Pr. Di?p.
f
Receipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee
Fi!l in numbered spaces S/C
Type or Print /egib/y Tot
1. Date 2. Installation Cost
3. Job Address lLot Blk. ?'. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential B" Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair El
10. Describe Fuel Type
? 11•
No. Equ'u m? ent STU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg, g
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.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
-
Receipt -? '-?- J PLUMBING PERMIT Permit No. v`> ? f
CITY OF EAGAN ....-
Fee -
Fill in numbered spaces S/C
Type or Print legibty
Tot.
1. Date - '2. Installation Cost
;(?v •----- : _ _, ? - - , . , ". ? ,,,, ; _
3. Job Address ? Lot -:5 Blk. Z Tract
4. Owner _ ??'?'•ti . _? c. - ? . ._ . ? , ; ; a -- -- . _
5. Contractor
Phnne
6. Address
- -, ,
7. Cit)• ., 7' ?. •_ State Zip
8. 8uilding Type: Residential -b Commercial ? Institutional ?
9. Work Description: New=? Add O Alter O Repair ?
10. Descrihe
11
No. Fixtures
Water Closet No. Fixtures
CesSpool /Drainfield
Bath tubs Septic Tank
- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Flcor Drains .
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the aboue information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
lnspections: Date lnsp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
GAS
1082 Payne Ave.
St. Paul, MN 55101
651 l772-2449
& AIR CONI
A Blue Dof'
LAST FIRSV CL
CITY ?zGtG,?i? ZIP ??? 3
HAA PH WK PH
TECH DATE
410 W. Lake St.
Minneapolis, MN 55408
612J824-2656
EQUIPMENT INFORMATION
TYPE 'r
MAKE
MODEL
SERIAL
INPUT ?J
ORSAT TEST R ECORD
C02 % METERED INPUT Cfh CHIMNEY TYPE ?U C
42 ? °J6 L1M1T SETTING p° ° FLUE SIZE in.
CO % PILOT OUTAGE sec CONNECTOR sIZE 07in.
NET STACK TEMP ( p 0 TOTAL CHIMNEY INPUT ? DUU btuh
CITY OF EAGAN Remarks
Addition WILD$RNESS PARK 2ND ADDITION Lot -3 Blk 7 ? Parcel 10 84251 030 02
Owner U= r ;' Screet 4368 _ Qri4g L3rie State Ea-aan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 61.69 A014482 8-27-8?
SEWER LATERAL
WATERMAIN
WATER LATERAL
'K' WATER AFiEA 1979 631.00 63.10 10 252.40 A014482 8-27-84
* STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO I 250.00 39320 10-17-83
WATER CONN. 450.00 ft of
BUILDING PER.
SAC ?t rt
PARK
CITY nF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zor?ir?fl:
pN,ner ?v: i'e?1-?rsen t
Address:
Site Address: 4368 Orior. La:ie
Plumber: .'_ :1;;
I'. ?. 7..,_
1 agree to oanVly wilh N6 Cily ef Eagae
Ordinaeea.
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: '-
Connectton O,orpe: - ' .
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
By
Dote of I nsp.:
I nsp.:
CITY OF EAGAN WATER SERVICE PERMIT
3$30 dilot Knob Road
P. O. Bax 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zaning: No. of Unirs:
Owner: Sven Petersen Const
Address:
Site Address: 4368 Or3on iAtte L3 B2 Wllderness ia7rk 2-nU
Plumber. GC ;Z ?l'L'71
Meter No,: Connection Charge: '
Size: Actount Deposlt:
k' Reader No.: Permit Fee:
1egrse W eomplp wifle Hhe City of Eogon Surcharge: •'0
Ordiwanas. Mist. Clwrfles: 6 0.00 is L:ete i
Totol:
By Date Paid:
Oate of Insp.: Insp,;
AN
... ? ob Road
?' P. O. E3ox 21199
Eagan, MM 55121
Zoning:
Owner, "?vpn,a
Address:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: - ?- '
?
No. of Units:
BZ Wdlderness
leter No.• 3.3 7/ 6? Connection Chorge: 450.00 PtI
ize: S " Attount Deposit:
eader No.: Permit Fee• 1?? •?'`? ?'"
agre? to M?e vO*` ?I ?;??jlltf@55urcharge: t':?
?W F,r?.t,() nd L1LCPr
GAS fi?tsc. Ct?a??es:
i9 Tntni-
/?ir ?/4
Paid:
of Inso.: ' • /.9 h / ?N' ??-'-
CITY OF EAGAN N? g5g7
4 3795 Plbf Knob Rood Eegan, MN 55122
t PNONEs 43M8700
BUILDING PERMIT Receipt
Te M uwd fer SF DWG/GAR Est.Value $106,000 pate October 17 1 q 8L
Site Address 4368 Orion Lane Erect yo Occuponcy R-3
Lot 3 BI«k 2 Sec/Su6.Wil dertnesG Par]c 2ndAlter ? Zoninq R-1
parCel # 10-84251-030-02 Repoir ? Flre Zone NA
V
Enlorge ? Type ot Consf.
w Name S. Petersen Const. , Inc. Move ? # Stories
;
b Address 4701 W. 110th St. Demolish ? Length 57
ci Mpls. 55437 phone 884-5144 Grade q Depth 41 Sq. Ft.-
p
0 Name OWReT Approvola Fees
0u AddresT Assessment Permit •
u? V?uter & Sew. Surcharge $3..00
Cit Phooe Police Plan check 224.00
F
Fw Nnme Fire SAC 525.00
zz Address Eng. Water Conn.450.00
aw Ci Phone Plonner Wafer Meter 60.00
Council Road Unit 250.00
1 hereby acknowledge thof I
icatio??a? tote that Bldg. Off.
p?
the intormation is mrrect oith al
agrempll ?toble $ZO10
00
?
4
State of Minnewta Sfa APC .
Total
Sienarure of Pe -
rsen oast Inc.
A Building Permif Is issued to on the expresa [ondiflon fhai
oll work shall be done in accordnnce with all pl" I Sta Minnewta tutes ond City of Eagon Ordinances.
Building Offlclal
1?Ef/i e.-7eC?. 9i31'rCF <95
01- CITY OF EAGAN ,//-y??? / ude 2 sets of plans,
??r?l 1 site plan w/elevations &
S F ?DWq
'Ib B2 US2C1 FOY
Site Address:
BUILDING PERMIT APPLICATION 1 set of enerc7 cal.culations.
Valuation Date
OFFICE USE ONLY
j/JIL1Jt?C'N?SS
Lot 3 Block sec./sub.
Parcel
Rwmer_ ?'?E-T?sas??? LDorv? ?.,ic
Address: y7v / Gv
City/Zip Code: AlPc J 5-?5-V 3 ?
Phone # : c?-Y V -
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Adclress:
City/Zip Ccde:
Phone #:
Erect ? Occupancy
Alter Zoning ///
Repair Fire Zone
Enlarge Type of Const.
Move # Stories '
Demolish Front ft.
Grade Depth ? ft.
APPROUAI,S FEES
Assessrients Permit
Water/Secaer Surcharge
Police Plan Check
Fire SAC S2 s 60
Eng. water Conn. yl $'-d
Planner Water.Meter ?
COlll1C11 OdCl Ull].t J 6-
Bldg. Off, p-
APC
TOTAL AD I d 'O 0
as
?
s-
S
? 3-2
?--??
?4t b
? OFo
o
y/
1616
l??
This request voitl
18 months Irom I O "/
W''0'58 972 Z 3 B? w;i? cl-I
Aaquest Da/ le I
(j y
?-` Ffre No. Rouph-in InspecUOn
fl re
eq id?
?Reatly Now ill NotitX I??sPec-
1o
Wh
R
O Ves ?NO r
en
eady
LicenseA Eleclrical Contracmr 1 hereby requesi inspecfion of above
? Owner - electrical work installad at
Sire t Address, Bux or qoute No. City
ecUOn o. Towrehip ame o No. Range o. County
fa?
k
, ¢
o
Occuuxnt ( I -
PI G
' Phone Na.
?s Y
o e, ,
e
ower Supplier Address
7p'ob
ElecVicel C cmr (CompanV Name) /
E
' Convuctor's License No.
a`41d 369
p
MailinB dJress Contrac[or or Owner MakinP Ins[ailationl ?
?Y
s
D
g
v
,!
o 0 0
' ze
Authord S?enat e ICon acmr wneI Mnking I taMi 1 Nuniber
r?
•n vl
/ r?ryr?
G`??Tµ T tl THIS INSPECTION REQUEST WILL NOT
?g BE ACCEPTEO BY THE STATE BOAND
t821 ? ivarsity Ave., St. Paul, MN 56t04 UNLESS PFOPEP INSPECTION FEE IS
oav i'll ENCIOSED.
REQUEST FDR ELECTRICAL INSPECTION .r« Ee
i Sea instrueFOns br com0leting this fmm on beck of yallow co,y.
058972
Below Work Covered by This Request '
d ReO. Type of Buildin0 ApPtiunces Wired Equipmen[ WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building yer - Electric Heatfn
Commercial Bldg.
1 F rnace Silo UnloaAer
Industrial Bldg.
4 Air CorMitioner Bulk Milk Tdnk
Fann [hxr peci v Ihe, Isnar.ifvl
[ er u?u y Otber pth,
Compute lnspectian Fee Below
# Fee Servi SL.Entra p Fee Fenders/5ubfeeders Fee Circuits
+ b t 20 m 5 0 to 30 Am s i at ) 0 m 30 Am s
Abo 00 Amn 31 to 100 Amps O 31 to 100 Amps
Swimming Pool Above 100-Am s 11
Above 100_AmP+
Trensiormers Irrigation Booms Pertial'Other Fee
Signs Special Inspection g TO
Rem?r? AL FEE ?
'7
W / v J"G [ J
Noueh-in Oate ?
, the cal
7 ^ Inspector, hereby
car 'ly that the above
Final ection has been
ae.
rbin rw-waf vMn 19 mnnlR5lrom
____ C?
?
. ?
City of Wan i Pepmit # ? ?? i
Prmit Fee: ??
3830 Pilot Knob Road I I
\ r? ? ? 1 Date Received: j
Eagan MN 55122 !1 a.
Phone: (651) 675-5675
Slaff: I
Fax: (651) 675•5694 ? i
'------------------
2008 RESIDE IAL BUILDING PERMIT APPLICATION
oate: ?? ?l U 8 Site Address:
Tenant: ? Suite
20
??- ??
? f
?`
RESIDENT I OWNER Tr/
Phone:
lLi
Name: 1
Address /City/ Zip: L/369 0)'1???"V1 610--?
Applicant is: / Owner _ Contractor
- /
P
TYPE OF WORK OO T
Description of work:
l
il
B
/N
-? ?M
4-(a(s
i
F
Y
??7
am
y
o
C
Mu
t
-
uilding:(
es_
ConstructionCosi:
W
CONTRACTOR Name: /License
Address: %
/
City: ' State: Zip:
i
Phone: Contaci Person:
r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
;
Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
Eneegy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
CategOfy Submittetl Submitted
(4 Subml55ion type) • Energy,Envelope Calculations Submitled
In the last 12 months, has the City oT Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plum6er: 1 Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are consldeie(f to be p,ublk lnformatiort. Po'rtions.of -
the information may be classified as nonpublic'if you:,provide speciAereasons that would permit the Ci#y ro
'conclude thaf the . are trade secrets.
I here6y acknowledge ihat this information is complete and accurate; that ihe work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand Ihis is not a permit, but only an applicatlon for a permit, and work is not to start wilhout a permit; Ihat the work will be in
accordance with the approved plan in the case of work which requires a review and appmval of plans.
: PlG..f ?- 'G U-,V%t,- X 6L-?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT # VN6
crrY o? ?ELAtv
3930 PiLOT KAOB iiD
$t48AA, 3lR 551EE
651-691-4678
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_?_ backflow preventer for irrigation system _
SITE ADDRESS:
OWNER NAME: :
RECEIPT DATE: 1-Zx-o1
MIDMIi4L PLUbI$INH PEiiMiT "PLICATION
BURKE, MARK/CHRISTINA
4368 ORION LANE
EAGAN, MN 55122
(651) 994-8920
TEIEPHONE #:
(AREA CODE)
INSTALIER NAME: NORBLOM PLUMBINiMM TELEPHONE #:
STREETADDRESS: t6yJaz7''4uJ4 (ARenCOOe)
2905 GARFIELD AVE SO.
CITY: STATE:
Place a check mark next to the ermit work type
ZIP:
New residential dwelling unit under constructian and not ownedoccupied $ 90.00
JL/ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• water tumaround
Nature of work: LqWPi WQ. f ff heLLT u
Septic System, new/refurbished - $ 225.00
• incfudes County & Consulting lnspector fees ,
• requires MPC license
State Surcharge $ .50
T
t
l $ 60, Ee
o
a
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I have read this appliptlon, state tliat the informadon ts correct, and agree to comply wilh all appiicable City of Eagan orclinances. It
is the applicanl's respansibility to notlfythe property owner that the City of Eagan assumes no Iiability for any damages pused by the City during its nortnal
operatlonal and maintenance activities to the facilities mnstructed under this permit within City propertyMBht-of-wayleasement.
Q!V
SIG RE OF PERMITfEE
Updated 1101
CITY USE ONLY
PERMIT #: RECEIP'I` DATE:
MIDENTUL Mi.'CHAN1CAI. PERMTf APPLICATIOft
crrYoF Easaiv
3830 PnoT Kvoe Etn
gABAR MR 55122
851$$1-4875
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: Q t?_
SITE ADDRESS: (/3 (r- l 1'V_)
OWNER NAME:
INSTALLER NAI
STREET ADDRI
CITY:
TELEPHONE #: ?c-
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE: ZIP:
Dl?.n n r6nr4 roar4 nuN }n #6n nurmiT wnr4 fana
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger ,
• air conditioner
• other /
Nature of work: Ll TA 1/f.
State Surchar e $ .50
Total $ O . Jb
Reminder: Ca11 for inspections.
SIGNATURE
3TfiEET
Updated 1101
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
COMMEitCI!!L MECR+41vICAL i'ERM1T Af'PLICATlONi
C1TY OF EAL&M , i
S$SO i'll.OT KNOB RD
EAeu4lv, 3iN 55i EE
651-6$1-4675 , I
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for e'lach dwelling unit
DATE:
STTE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
'
?
RECEIPT DATE:
I
PHONE #: - I
(AREA CODE) ?
i I
WA5 THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: ?
INSTALLER: ?
?
ADDRESS:
CITY:
WORK T1'PE: _ New conshuction
_ Interior Improvement
_ Processed Piping
SpecifyNature
Install U.G. Tank
Remove U.G. Tank ?i
,I
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater. li
Underground tank removal/installarion = m;nim„m fee
Contractprice: $ x 1%= $ (Base Fee) I
i
State surcharge calculate at $.50 for each $,I,000 Base Fee
I
TOTAL $ I
SIGNATURE OF PERMITTEE
Updated 1101
PHONE #: - _
(AREA CODE) 'i
STATE:
A ?,u ? "? 4
'"
LOT: '? L-? BLOCK: ? SUBD./P.I.D #: -C?? V`.t p
4@8A BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?-
651-681-4675
New Construction Reauirements
? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowedl
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculattons
? 3 copfes of tree preservation plan if lot platted atter 7/1/93
? Rim Jofst Detail Options seleciton sheef (buildfnps wffh 3 or less unitsl
DA7E: 12-Il'G6 CONSTRUCTIONCOST: ?)SiC)GG'e'G
DESCRIPTION OF WORK: ZC, T7\ Y-Ak??-cO If multi-family bldg., how many un'rts?
STREET ADDRESS:
Name: L)lt? C?G VY1d1? Phone #: ?C)
PROPERTY Las} First
OWNER •
Street Address: '?13GS Qv'iG n Lra r\ G
City ? r\ State: f3??U Zip: 27
Company: 2>u.?FrS Phone #: 4I3-?-
(area code)
CONTRACTOR A1 } or?1
?
Street Address: C?,r?? l C-J ? License # ??,tIn, ?Exp. ;3?U I
City ?I"tck? State: _j(wk1 Zip: sSo!;?'[
ARCHITECT/
ENGINEER
Telephone #: (
Sheet
CNy
- Name:
_ RegisiraNon #:
Sfafe: Zip:
Sewer/water licensed plumber (if installina sewerlwater): Phone #:
1 hereby acknowledge that I have read this application, state that the infor tion is c rrecf, and agree to
comply with all applfcable State of Minnesota Statutes and City of Eagan O ina ce .
Signafure of Applicant:
OFFICE USE ONLY D LS 2- a nn ?
U l?f
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not Required DEC ? j ZOOO
- - - ?
Remodel/Reaair Reauirements
2 copies ot plan
1 set of energy calculations for heated additions
1 siFe survey for exterlor additions 8 decks
OFFICE USE ONLY
r r w
,;! A
O 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? , 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage )W 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 145 Fire Repair
? 32 Addition ? 36 Move Bidg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)* ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
• Demolition (Entire Bldg only) permit - Give PCA handout to applicant
'
VALUATION ?
, Occupancy /r-` j MC/ES System
Census Code 4? Zoning '00-6 City Water
SAC Units eg? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
_ Foo[ings: New Bldg ?J Insulation _ Windows - ne wlreplacement
Footings: Deck FinaVC.O. Siding
? Footings: Addition ?j FinaUNo C.O. _ Stucco/Stone
Foundation Fireplace: r.i. air rest final Roof` _ ice & water _ fmal
? Framing Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Building ? Engineering Variance _
------ ------- ------------------------------------------------------------------ -
i ?a-j5-
?I . U l7 `
??? ?r?-
:Ck. FAMILY RESIDENTIAL BUII.DINGS PACKET
A ENERGY
1-1 Fami/y Residentia! Buildings
SUMMARY OF BASIC REQUIREMENTS
ROOF/ ILING WALLS. OOR •
• Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR
meet U-Value criteria as outlined in Exterior Envelope J-Values Worksheet.
OTHFR . OP . i'f'F' TAe
• Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline.
• Foundation walls must be insulated with R-10 minimum from top of wall.
• Loose fill insulation installed must provide the required performance at winter design conditions.
F.FFF. OF RF.(2iiiRFD TAFRMAi INC Ti ATION•
• Building design must meet Category 2 requirements far vapor retarder, air leakage and wind wash barriers, and
ventilation.
DUCT INCUi ATI011' Ni1 4FA IN•
• Insulation for ducts encased in cement or within ground must be R-5. Insulation must be installed on bottom and
side of plenums.
• Ducts installed in attics, garages, exterior walls or unheated crawlspaces must be R-8, minimum.
• Retum air ducts conducting air into a fumace through the same space as the fumace must be sealed continuously
airtigh[.
• For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints
must be sealed.
HYAC PIPF IN 7i.ATION:
insulation ThicFaess, Inches
Pipes i" and Pipes
System Runouts' Less 1-1/4'ta2"
Heating 1/2 1-1/. r I-%:
Cooting (Suction) %: 3/4
•Applies to runouts not exceeding 12 feet in lenqth to individual terminal units.
SERVICE WATER HFATIN•
• Either the first eight feet of both inletand outlet pipe must be insulated with %x inch thick pipe insulation or heat traps
must be installed.
• Energy requirements for swimming pools and spas are in Part 7670.0710, Subpart 5, page 55 of the code.
MATF. iA . INC Ti.ATION INFO MATION•
• Materials and equipment must 6e identified so that compliance can be determined. Completed insulation receipt attic
cazd must be supplied neaz access opening.
• Manufacturer manuals for all installed equipment requiring preventative maintenance for efficient operation must be
provided. "
• Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly
marked on plans.
This is a summary only. Other requirements may apply. Stt the Minnesota Energy Code 2/5/96
Questions? Call Departrnent of Public Service lnfotmation Center az 617J296-5175 or 1-800/657-3710. 9
?.
A!1 Buildings
SUMMARY OF BASIC CATEGORY 1 AND CAYEGORI' 2 BUILDING REQUIREMENTS
FOR INSULATION PROTECTIOr, AIR TIGHTNESS, AND VEN'fILA'IION
MINIMUM: All buildings must meet the following minimum code requirements:
VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operable windows) are
relied on to provide necessary year-round ventilation. If one or mom otthe Category 1 measures beloM• is
incorporated into the residential design, however, a residenHal mechanical ventilation system as speciTied below
must be installed.
VAPOR RETARDF.R: A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the
warm side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4mills or thicker. The code
requires a vapor retarder to be installed only on rim joisu that are susceptible to condensation from moisture diffusion.
ATR BARRiER: A barrier against air leakage must be installed to prevrnt leakage of moisture-laden air from the
conditioned spar.e into exterior ceilings, walls and floors.
• Plumbing and heating penetrations must be air sealed. An sir barrier must be provided behind any tub or shower that
is located on an exterior wall.
• Air sealing must be done at all dropped ceiling areas, chimney flues, ventilation ducu, and other fire stops that
penetrate the vapor retarder.
• Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the
service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated).
• Joints in the building envelope must be sealed, including around window and door frames, between wall cavities and
window or door frames.
• Tested air infiluation rates must not exceed 0.34 cfrn/square foot of operable sash crack for windows, 0.5 cfm/squaze
foot for residential doors and 1.25 cfm/square foot for commercial doors.
WIND WA H BARRiF.R : An air-impermeable banier must be installed at the attic edge (baffles must be rigid
material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows.
OPTIONAL: Category 1 Buildings meet all requirements as listed above p/ru the following:
RFSIDENTIAL MFGHANICAL NTI ATION SY T M FOR F ID NTIA B Ti DINS•
A system that, by mechanical means, is capable of introducing and distributing outdoor sir to all ha6itable rooms and
removing indoor air at a rate of not less than 0.35 air changes per hour or ] 5 cfm per bedroom plus another 15 cfm,
whichever is greater.
AIR i•.AKA .F. BA RTF'R: A barrier against air leakage must be installed to prevent leakage of moisture-laden air
from the conditioned space into the building envelope:
• Electrical boxes and fan housings must also be sealed.
• All rim joists, band joisu, and where floor joists or trusses meet oufer walls must be sealed.
• The top of interior partition walls that join insulated ceilings must be sealed.
• loints must be sealed between wall assemblies and their rim joists, sill plates, foundations, behveen wall and
roof/ceilings, and between separate wall panels.
WiND WACH RARRiF.R- All exterior joints in the building envelope that may be sources ofair leaks must sealed.
This is a summary only. Olhv requiremrnts may apply. See the Minnesota Energy Code. 2/3/96
Questions? Call Departrnrnt of Public Smia [nfonnation Centa et 612l296-5175 or 1-800/657-3710.
0
..? ?
1-2 Fanrily Residential Building
RESIDENTIAL "COOKBOOK" WORKSHEET
`
?1? O ?tun
MINIMUIIR REOUfRF.MF.NTC fnr µf nnlrhnnlA+ n..H.....
Entry Doors 1-3/4!' solid wood w/ stotm Ceiling with energy truss R-38" Rim joist R- 19
door br equivalent (Min. 7%:" top plate to sheathing)
Foundation Windowsf Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44*• Floor over R-24
wood or vinyl freme
• unconditioned space
Include square footege in celculetion of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
to determine above grade Window U-Value.
•sr......?...:,.., o__e ... A ENERGY CODE
7trc propoud building design'epreunled in ihese
documents ia consistent wilh the building plens,
speaificUions, aFid olher wlwlat{ons submiHed
with Ihe permlt application. The prupused
building hgs n daigrKd W meN ihe
tequircm?(t?1?e Minneaota Energy Code.
,
_•- .............. ...u.... walgu wuuurons
Wlndow and boor Area + 100 x 5'? S(X) +
Ae •h ot Biposed Wall Area Above Grade Wiedow and Grou Wall Area
FoUndaNooWlndow/Door Area
1
)5 %
W tndow/Door Area
?
?
I.
W[NDOW ll-VALOE : Q, ?
Sonree: NFRC or ASHRAE 1993 Handbook
w.r A vrSrt.Ui ?..r?........ .. -I ' -
Check Wall
.
WAI
I
TYPE ? n?M1111V111 ?iu?LVV?' V-Y ALUII.J
TypeUsed .
, MAXIMUM WINDpW A ND DOOR A REA.% OF EXPOSED WALL AREA
12% 14"/s 16°/s 18'/e 20%, 22% 24%: :26% 29% 306/o 32% 34%
TYPE A
' 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 036 033 030 0.27 0.25 0.23 0
22 0
20 0
19
' 7
YPE B
' 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.35 0.31 0.28' 0.26 0.24 0.22 .
0
21 .
0
20 .
0
18
!/ Tl
PE C
' 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.32 0.29 0.26 0.24 0.22 0.21 .
0
19 .
0
18 .
0
17
7
YPE D
' 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 L 037 0.34 031 0.28 0.26 0.24 .
0
22 .
0
21 .
0
20
7
YPE E 2x6 haming, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.34 0.30 0.28 0.25 023 0.22 .
0.20 .
0
19 .
0
18
TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 OA 039 035 0.32 0.29 6.27 0.25 0.23 .
0.22 .
0.21
--- •-'-
... ... c r.ncri5y ?ouc, ran 10 iv.ua7:1. Subp. 1.
This is a summary only. Olha rcquircmrnu may apply. Sa the Minnesom Energy Code.
Questions7 Call Depertment of Public Service Information Center at 612l296-3175 or 1-800/657-3710. 215196
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2A9"UILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN !5 ? ?U •? ?
l I?I ? 3830 PILOT KNOB RD - 55122
851-681-4875
New Construction Reauirements
? 3 registered site surveys showing sq. ff. of lot, sq. M. of house
and all roofed areas (207, maximum lot coveraae allowed)
S- 2 copies of plans (show beam E window sizes; poured fnd. design; efc.)
i- 1 set of energy calculaflons
D 3 copies of tree preservaHOn plan If lot platted aRer 711/93
: Rim Joist Detail Opiions selectlon sheet (bulldinas wHh 3 or less unitsl
DATE: I;? -II-G )
Remodel/Repair Requirements
2 copies of plan
1 set of energy calculations for heated additions
i sHe survey for exterior additlans & decks
CONSiRUCTION COST:
DESCRIPTION OF WORK: ?'i?? If multi-famiiy bidg., how many unffs?
STREET ADDRESS: AI3?
Name: Phone 99'?l - R9:-40
PROPERTY Last First
OWNER Street Address• '(I3r,5 OVIC) Y\
City I-?i?A State: M? Zip: -,) 27
Company: Phone#: /'03-'L/536
(area code) Qpr. ?
CONTRACTOR
StreetAddress: eos1'?CA Clu License# aW1? Ecp. ")-C?)
City State: (41 Zip:
ARCHRECT/
ENGINEER
ielephone #: (
Slreet
Cily
- Name:
_ RegistraHon
State: Lp:
Sewer/water licensed plumber (if installina sewer/water): Phone #:
i hereby acknowledge that I have read th3s appl3catlon, state that the information is correct, and agree to
comply with all applicable State of Minnesota Stcatutes and City of Eagan, ances.
?
Signature of Applicant: `
Certificates of Survey Received _ Yes
Tree Preservation Ptan Received _ Yes
OFFICE USE ONLY D??T p u?
No " DEC 1 1 2000
_ No - Not Required ??
OFFICE USE ONLY
? ?.
? Ot Foundation ?
07 OS-plex ? 13 16-plex j
30
? 20 Pool ?
Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace I
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of_plex ? 09 07-plex 17 Garage ? 22 PorchlAddn. (4-sea.) ?33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) '0 1 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage '
? 06 04-plex ? 12 12-plex Pibg_Y o r _ N ? 25 Misceilaneous !
0 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? I45 Fire Repair
PP 32 P.ddition ? 36 MoveBldg. ? 43 Reroof ?146 Windows/Doors
? 33 Alteration p 37 Demolish (Bldg)` ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior) ?
;
' Oemolition (Entire Bldg onl y) pertnit - Give PCA handaut to applicant I
VALUATION U O ? Occupancy A&" MC/ES System 6
Census Code Zoning +p?? City water'
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV i
Nbr. of Bldgs ? Length / Fire Sprinklered I
-?--
Type of Const ? Width
INSPECTIONS REQUIRED I
? Fooungs: New Bldg _ Insulation ` Windows - new/replacement
Footings: Deck FinaUC.O. ? Siding , I
Footings: Addition ? FinaUNo C.O. Y Stucco/Stone I
Foundation Fireplace:
r.i. final Roof. _ ice & water _ fnal
air test
?
Framing =
=
Pool: frgs =
air/gas tests Final I
I
APPROVALS !
Planning
------ ------------ ------- ----- Building &?6_
-- ------------- -------------------- Engineering Variance I
--------------------------- ------- ---------------- -----
--------------
?
Base Fee
I
Surcharge 3• Uv I C'
Plan Review
MC/ES SAC I
City 3AC '
Water Suppty & Storage ;
S&W Permit & Surcharge i
l
Treatment Plant i
Park Oedication I
Trails Dedication li
License Search \ I i
Copies c.?
Other I?
Total: I ?'J 0 -7 ? I
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!E S E 1/4 OF N.E. 1/4 ; ? 1O
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m
1030.00 ? so*oa'oo°w ry '
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,?
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' 9so , j en i? ? m in -m $; `- S0002 32 E
' ?.?9?•. !",°'e`;? 4-3lL' ? 43$0 ; 4388
?_ 90.00. J :_ 90.00__ _ ` _100.00-J ? O? 2? ` o `a z
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; . ? . _ r------ ies oo ----- s C° 04'0o 198 04 . .
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PERMIT# . ? RECEIPTDATE: -% I
PoESIDE1VML PLUM$1N& PfJtM1T A"11CATlON
crrYoPEAsM
3930 Pnor KNos ftu
LAfiAft, MN 551 EE
651-691-4675
Please complete for:
SITE ADDRESS:
3("y O/'r`a K
OWNERNAME:: j12f}M-- {gUr,ee- TELEPHONE#: 5'/ QQ4?-8f'a?
(AREA CODE)
INSTALLER NAME: PE(n &- P? TELEPHONE #: 65-/
STREETADDRESS: 1 PDPJOK 9 3 (AREA DE
CITY: (,),!S/`?r ! /,' 6e?_ STATE: OeY4 ZIP: (;-l'?? SJ-
Place a check mark next to the permit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
?
4 Add-on, modification or alteration to existinA dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: DPiT; U (,c o h
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Totai $
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowletlge that I have read this application, state ihat the information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanPs responsibility to no6fy the property owner that the City of Eagan assumes no liability for any damages raused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit wi[hin City property/ri9htof- ylea ement.
SIGNAT E OF RMITTEE
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Updated 1101
?
. C'ertific;ate for:
Dann ::c Curr^j
Svend Peterson ?
4701 Weot 110th St.
Bloomington, [Hn. 55437 "
DELMAR H. SCHWANZ
LAND SUAVEVOfi
Reqabre0 Untlar Laws oi The Sta[a of Minnasota
2978 - 146TH 5THEET W. - BOX M ROSEMOUNT, MIMNESOTA 66068
SURVEYOR'S CERTIFICATE
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69° 77 ZS" r-.
.30.O /?? -3 Elevatione shown are existing ?
0 ienotes set wood hub I''s 3(D
----
Proposed garage floor elevation S CQIe N
2 hereby certiPy that this is a true and.correct representation o'
Lot 3, Iilock 2, WILDERNFSS PARK SWOh'D ADDITI0N, accord":ng t.-) Vie
rded plat tYereof, Dakota County, R1lrinesota.
na .: : July 25, 1979
Approved for Dunn & Curry Real Fotate Management., Pnc.
by:
House ot0Cad and elEVationo shot September 27a ,;3
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MINNESOTAREGISTRA'C". .J 3075 .%
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VMONE 812 423-1769
Permit # C) 3 ? Receipt Date: ? - ? - C) ?
CITY OF EAGAN
SEWERlWATER REPAIR OR DISCONNECT PERMIT
2001
Date
Address/azea to be repaired
Description
Sewer Water -4< Fee: $50.50
Owner: pa_cr?, ?
Street Address:
Installer: ?t, p •
Address: I ? ? ? ? ? ?Vid C-r
11
Telephone:
Telephone:
C/J) ` -?100
City
Zip Code:
( CJJ 1
(area code)
Zip Code: J? 3 3
# 12
Si ture of Permittee
JUL 6 2001 "
Y= - -. _
LB
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124776
Date Issued:07/10/2014
Permit Category:ePermit
Site Address: 4368 Orion Lane
Lot:003 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-030
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 .
Christine Deutsch
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 -
Mark T Burke
3857 Big Timber Trl
Eagan MN 55123
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167315
Date Issued:03/09/2021
Permit Category:ePermit
Site Address: 4368 Orion Lane
Lot:003 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Patrick & Megan Tstes Mcnulty
4368 Orion Ln
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174105
Date Issued:12/27/2021
Permit Category:ePermit
Site Address: 4368 Orion Lane
Lot:003 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Patrick Mcnulty
4368 Orion Ln
Eagan MN 55123
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature