4369 Orion LaneCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
Rec cIven
FROM
19
AMOUNT ? I
C:] CASH r-1 CHECK
DOLLARS
ti
rOR
? White-Payers CoPY
? Yellow-Posting CoPY
Pink-File Copy
T ??You
," ? s v
cirr oF EAGAN
. 3795 Pilef Kwob Reod Eagan, MN 55142
PHONEs I54-8160
BUILDING PERMIT
-- -- ----, &-- sr Dwc/cAx
$79
Site Addrcss
Lot 13 Block 1 Sec/SubWilderaess Park
Parcel # 10-3i 251-090-01
ot Name `'• 1 c?ciacii ?.viao<.
Z Addross 4701 W. 113th St.
9 _ Mnla. 55437 _. R
g .,wuer
Name
?? Address
?- ri..,
Ncme _
/Wdress
Buildirg Officiol Receipt #
1 hereby ocknowledge that I hove read this applicotion ond stote thot
the intormofion is corred ond agree to comply with oll npplicCble
Stote of Minnesoto Stotutes ond City of Eagon Ordinances.
Sipnoture of PermiKee
S. , on ,
A Building Pertnit is issued to:
oll work shall be done in occo?dante with oll opplicoDlq 5tate ,of-Mb
?
Erett i0
/11ter ?
Repoir ?
Enlarfle p
Mave ?
Demolish p
Grode Cl
Assessment _
Woter & Sew.
Pol ice
Fire
Enp.
Planner
Council
Bldfl. Off. _
APC
lpownw". . : .,.7?
N <" 8 s:.?
') ( "/(% S'
i
OCCUpanCy .` ''
Zoning `
Fire Zone '
Type of Const.
# Stori?,,
Len gth 4.,-
Depth - " SQ. Ft.
Permit ., • •. . ".,
Surchorge .30
Plon check 525.00
SAC
Water Conn. 450. 00
Water. Meter?60*00
Rood Unit
Totol " ' 57
on the express condition thni
ond City of Eaflon Ordinonces.
Permit No. Ptrmit Holder Miac. Permit No. Holder
Piumbing 3q'0&
r
H.V.A.C.
w.n
w.t..
Disp.
Sawsr
Elactric 06,?'f i3 60Y-e-.,.5" q3 14'`{ q, ?J
Impsciion Date Insp. Other
Footinps ? _
Foundttion
Framinq _,"j. fry <Colf-
Rough Plbq. / • 7/, -
Rough HVAC
Inwlatfon ZI/
Final P16y. ?
Final HVAC
Final .? ?
Wamur Deyeribs Location:
MVall
Sewer
Pr. Diap.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C '
Type or Prini /egib/y Tot
1. Date ! 2. Installation Cost "
3. Job Address `Lot Blk. Tract
4. Owner
r
5. Contractor Phone 6. Address ' ? ,• .r- _ j
7. City State - Zip
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
I 11.
Type
No. Equinment STU - M. Ea.
Forced Air ` No. Equiqment CFM
Ai
Ha
dli
Mfg. r
n
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 F ina I
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
fill in numbered spaco
Type or Prini legib/y
?
1. Date Installation Cost _
,Y 4
3. Job Address
4. Owner
6. Contractor
6. Address
Permit No.
Fee ..:,..?,_.
S/C . ? ?
?? -'- Tot. -_049=?
N- i % r -
Tract
7. City'wrState -IV
8. Building Type: ResidentialOx? Commercial O lnstitutionat ?
9. Work Description: New.?J Add ? Alter O Repair ?
?"?
10. Descri be
11.
No. / Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
y! _ Laundry Tray j '•
?
Floor Drains
= ?? ', - •
Drinking Ftn.
F Slop Sink
Gas Piping Outlets
12. I hereby certify that the-above i?fptmatiogTs true and correct, and 1 agree to
comply with all ordinances a!rd ptides jqo4erning this type of work.
r /
Signed : for
Fjough Final
Inspections: Date ' Insp. date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
,,,,,,;,;,,., WILDERNESS PARK 2nd ADDITI
Nner , ?t 5treet
?hKJ,?.r i? ?''-. •,,. PL
ON Lot 9 eIk 1 Parce, 10 84251 090 01
4369 Orion Lane scate Eagan, NIN 55123
rf( c: , - -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK a 73 1 J 7,71 0 10-16-84
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1979 584.20 $
8.42
10
-
iE STORM SEW TRK 1979
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD [JNIT 250.00 39650 11-1-83
WATER CONN. 450.00 11 of
BUILDING PER. 8623
SAC 525-00 u 1t
PARK ? V
-
CITY QF EAGAN SEWER SERVICE PERMIT
' 3830 Ptiot Knob Road
P. O. Box 21199 PERMIT'NO.:
Eagan, MN 55121 DATE:
Zonin9: rli No. of Units: ?
owner. Svc:nd Pe*erson Cor.st Ir.c
Address:
Site Address: 43E9 02'ion Lane L-n B1 i"'il:rerzie?s pa-!'.
Plumber. - GL;1Z iy3l1
11._I.- 7,3 39 Ci:3n
1 egree to oemPy wkh the Citr of Eayew
Ordinenees.
ev
Date of Insp.:
? 7 ti
Conr?ection Charpe: 425. n
ACCOUht DCpQSIt:
Permlt Fee:
Surcherge: ?
Misc. Chorges:
Total:
Date Paid:
C4TY OF EAGAN WATER SERVICE PERMIT
3830 Puot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, Mfd 55121 DATE:
Zoninp: F"• z No. of Units: 1
? pwner; Svencl Fetersen Const Inc
Address:
5it,, ?resv 4369 Orion Lare LI) 21 Wildernees Park 2nd
?
Plumber:
Meter No.: Connection Charye: 450.00 Pd
Sixe: Acaount Depos(t:
Reader No.: Permlt Fee: I•;? . tl;q J
' 1 aorN to mnply ViA 11M Cky of E4?es Surcharge: - r
ordinenas. Mlsc. Cho?ges: 60.00 pd fzleter
Totol:
BY Dote Paid:
Dcte of Insp.: Insp.:
-"`N
3.,.,?. . ,,.,; Knob Road WATER SERYICE PERMIT
P. O. Box 21199 PERMIT Na.:
^ Eagan, M.N 55121 DATE:
Zoninfl: ' No. of llnits: 1
Owner: j'5c.:1-i ::onst IT;-
Add?lsS:
Address: Par?C 2n?7
ber:
'vv
?E-
No.:
:r Connectian Chorye: 450. OQ P-d
Size:
J°l?cou t De sit•
?+,, n po
Reader No.•
as P?rmit Fee:
1 agn? *o gtlch° rge: . 50 Dd.
Oedieaeow NVisc. Chor9es: 69.00 ')d Inetcr
Total:
gy Dore Paid:
D6te of Insp.: ?Z - I !`^- Wa Insp,;
S
N° 8623
BUILDING PERMIT tteceivt # J L'
r SF DWG/GAR
Te ba u?ad fer Esr. Volue
$79,000 Dare
6ovember 1
19_83
Slre Addreu 4369 Orion Lane Erea ? Occuponcy R-3
Lot 9 Block 1 See/SubWildemess Park 2nd qlrer ? Zoning R-1
10-84251-090-01 Repoir ? Fire Zone NA
Parcel #
E
l T
t C V
n
arge ? ype o
onst.
a Nome S. Petersen Const.. Inc. Move p # Srories
Z Address 4701 W. 110th St. Demolish ? Length 72
9
Ci Mp
ls. 55437 phone 884-5144
Gmde ?
Depth Z$
Sq. Ft-
p Name ?ner
Approrala
Feet
?
?u Address
Name
Address
1 hereby acknowledge that I hove read this applicotion and state that
ihe in(ormotion is correcl and ngree to comply with oll applicoble
State of Minnesoto Stotutes ond City of Eagan Ordirwnces.
$ignoture of Pertnittea
A Buildiny Vem,it Is issued to: S. Petersen onst. ,
oll work sholi be done in accordante with all opplica S afe of,
?
Buildirp Officiol !
cirr oF EqcAN
9793 Pilot Knob Rosd Eagen, MN 55121
VHONE: 454-8I00
Assessment _
Water 8 Sew.
Police _
Fire
Enq.
Plannar -
Council _
Bidg. Oft. -
APC
Permit
surcnorge 39.50
Plan check 185.00
snc 525.00
Water Conn. 450. 00
Woter Meter 60.00
Road Unir 250.00
Torcl $1879.50
_ on tha expreas condifion thnt
and City of Eogan Ordinances.
? CITY OF EAGAN Include 2 sets of plans,
z? 1 site plan w/elevations &
BUILDZNG PERMST APPLICATION 1 set of_ ena_r.cP7 calculations.
'?" ?? ?9??1a.1?. ,;?; ;f ;.'a.•"J /o
To Be Used For ? Valuation ?. Date
Site Address: (a 9 . ? +.r?,,- ? OFFICE USE ONLY
' iu'L ? M'?A
Lot ? Block Sec. /Sub. ^ Erect ? Occupancy
Parcel #: Ice)^ Alter Zoning
? Repair Fire Zone
Owner:
? c S? / NI Enlarge 'Iype of Const.
• %?cTc'72 lt C?c?c-- in. • -
--A7c?ve
Address:Z/7D/ GC? I/?) 77t De,molish
City/Zip Code: y'3'7 Grade
Phone #: ,?`G' 4? - ?,?tF Sl APPROVAI.S
Contractor: ?
Address: I
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
# Stories '
Fmnt 702. ft.
Depth o2g' ft.
Assessirents
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge _
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
CiLt
City/Zip Ccde:
Phone TOTAL ?l 0 ? (5-C-)
' ?t?^
' ?????
? J??
` ???
>???5cr
.
This request voitl ?3/? ?
18r.wnths Irom
W 058973 L°l PK
Raquest Date Fire No. Houph-in Insnection
Requi ? ?Ready Now ill Notity. Inspec-
?- es ?NO tor When Ready
ce?sed Eiectrical CoMractor I hereby raquest insoection of ebove
? Owner elecviczl work instelled ar
SV et AAtlress. Bou or Roiite No.
6 ri `
17
e--
/- City^
?= g a
StIctit7h o. Township Name ur No. Ranye No. Comrty
D
? o
Occupant (PRINT)
f'
C
f Phone No.
f? S/1
? on. ?p
Power SupDlier Atltlress
? L
?
?
/ a o D
Elecvical Conva tor (Company Namei
? Con«ermt's License No.
?
e e c, pYG
M ilinA A dress (Contracmr or Owner Making Instailation)
D v
Aut orized Signai (Con rct /Owner Making atf Phon umher
?L
MINNESOTA STATE BOAflO OF ELECTflICITY THIS INSPECTION XEQVEST WILL NOT
Griggs-Midwey BIdO• - Room N•181 BE ACCEPTED BV THE STATE BOANO
1821 UnivarsitY Ave., St. Paul, MN 56104 VNLESS PFOPEP INSPECTION FEE IS
..._ 1-1 ...-,..,. ENCLOSED.
? g REQUEST FOR ELECTRICAL INSPF?fTION es-ooooi-oa
' See instruetions fo, completing Shis form on beck of yellow copy.
?3
Beow or o
vered by Tiris Request
J Nep. Type ol Building Applinncne Wired EquiGmenl WireA
Home Ranye Temporary Service
Duple.x Water Hezter Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Cominercial Bldg. umace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tenk
Farm Othe.i peufy ther (Specify)
1 er Specify U[her Othur
Campute /nspection Fee Below
k Fee Servic trence5ize # Fee Fexders/5ubfeeJeus N Fee Circuits
0 to m 5 0 to30qm s 7 ?to30Am. s
Above 200 qmpy, 31 to 100 Amps p 31 to 100 q S
Swimining Poal Above 100-Amps bove 100_Amps
Transiormers Irrigation Booms PartiaLOther Fee
Signs Special Inspection $ ?-?
E
emarks
Fi
?
l T
OT L-F
E
J"Fl-0`0
r?rn
e. aase r n .
Rauyh-in O?te I, the Electrical
Insoectar, hereby
certify that the above
Final r ?P!e /[ t ' specxion hes bean
7 o maAe.
TninranunelvoialBmontRSfrom ? - ?' _vr?
S ? 1 s
; 2006 RESIDENTIAL PLUMBING PERMI7 APPLICATION
CITY OF EAGAN
3830 PILOT KIVOB ROAD, EAGAN MIV 55122
851-675-5675
?ase cornpleie for modifications to existing residential dweliings.
ite /?? 1
:e Street Address
% o?cL 5 ?"? ' _1
oPertY Owner Telephone#
Unit#
hone#
Tele
p
?
I,.
>ntractor
Zipty?
State?
?J
?"?
_
W
D
City
idress
ie Applicanf is: _ Owner X Contractor -Other
New ? Reiurbished Submit 2 sets of plans and MPC license
?ptic System Indudes County fee
_ $ 100.00
Per as-built $ 10.00
lierations to existing dwelling
7 $ 50.00
includes installation oi a water sofiener andlor water
Add plumhing tlxYures. This fe
? heater at the same time. 1f you are installing anf a water sofrener and/or waier
heater, do not compiete this section; move to ±he next section and check the
?. _
appliance(s) you are instalGng.
_SePtic SYstem Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softeoer ? Water Heater $ 15.00
new _ replacement
_ Lawn Irrigation _,RPZ _PV8 _new ^repair `rebuild $ 30.00
$ 50
;tate Surcharge
"
lS ? i
$
otal
hereby apply (or a Residential Piumbing Permit and acknowledge ihat the information is complete and accurate; that the
aork will be in conformance with the ordinances and codes of the City oi Eagan and the piumbing codes; that i
inderstand this is nof a permit, but only an application for a permit, work is not to s;arf. withqut a pe:mit and work will be in
Iccordance with the approved plan in the event a plan is required to be reviewed and approv??
applicanYs Printed Name Appl'( ant' Signa'ture
?
'5[o 4 q
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatrudlon Reaulrements
• 3 registered site surveys showing sq. ft. oF lot, sq. ft o( house; and all mofed a2as
(20% maximum lot coverege allowed)
• 2 copies of plan shaxing beam & windmv saes; poured found design, etc.)
• 7 set of Energy CalcWations
• 3 copies of Tree Preservation Plan if lot platletl after 1/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less unils)
DATE 57 ` ? (j- - (3 -z-
ULTI-FAMILYBLDG _Y )l-,N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
27?? C
STREETADDRESS tZz y"1 tCeCI, ?-,?va fo CITY Lri?TU, Yf. STATE,, l-I ZIPS js
TELEPHONE #?SZ-? ?7'L9T1 CELL PHONE # FAX # Ft z 761 S SeJ'
PROPERTYOWNER -t7Yq d- AhL I'- 4 t2nr f TELEPHONE#Cf/- 99? -r? <Y
............. ----------- -------------------------------°--------------°-----------------°---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF,SOTA RITI,ES 7670 CATEGORY 1 MINNI:SOTA RUI,ES 7672
(d submission type) • Residentlal Ventllation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Caiculations Submitted
Plumbing Contractor:
Plumbing system irlcludes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
VALUATION ?L d Gv- a-2
Waker Softener _
Water Heatcr
No. of Baths
Air Conditioning
Heal Recovery System
Phone #
Fee: $70.00
------°-------°-------------° °-------------•-------------° °---°'--------------------°----=--------°-----------°--
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EagaA/' nc s.
Signature ofApplicant
OFFICE USE ONLY
RemodellReoair Reauirements
. 2 copies of pian
. 1 sel W Energy Calculatians for heated additlons
• 7 sde survey for exlerior additions & decks
• Indicate if home served by septic system fir additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY . ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 AddNion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •DemoliGon (Entire 81dg onl» - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bidgs Length Fire Sprinklered
Type of Const Width '
REQUIRED INSPECTIONS ,
_ Footings (new bldg) FinallC.O. ,
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
, Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding SNcco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Water Supply & Storage
S&W Permit & Surcharge
Treatrnent Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
T
, Certlflcate Cor:
Sv-erid Peteraon
4791 West ll?th St.
Bloomington, Mn. 55437
DELMAR H. SCHWANZ
LP.NDSURVEYORS, IUC,
PayislereC Untle( Laws of The State of Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068
17.7/,
?RVEYOR'S CERTIFICATE
?-o i
I q
Drainage &
utiiity
easement
-IE-
6
._„ f _
?' s
;?- ---- - ??
i? ? ?
I S 1'
?
15
?r - -- -? - `?`
,oo
?.. , ? v
N
r.
?
-- ,_
? C
?.?
+
9?g as
_-_U4
//
9'-1 -9
Tar7 N?6
Proposed garage floor
elevation .
v? -7y j?
PHONE 612 423-1769 I i
, 0,
\
i
; OD
SC ALE:
1 inch = 3f) feet
O Denotes set wr .? :, .
o D2notes iron ., 1(
Eluvat+uc:; showh'are exiating
I hereby certify t!^_Y ;l,f ano eurl^ect r2preacntatior. of
I,ot 5, B?"), .TL'.??-Ni= x.`.,i> , 'JND ADDITIOr1, .rcordin,r; to :ne
C}lereof, Dakdt , Count;;,'r•13nneac2 i.
,llso showing the location of a proposed rrm:;n aa ataked thei•eon.
Dated: September 28, 1983
.
?' -
MINNESOTA PEGISTRA710N NO 8625
?
?
r ~ • 't
EXTERIOR EPMELCPE AVERAGE "U'' C041PUTATIOiI
OWNER 'Z:? ? ' S c
0
SITE ADDRESS G C> T
CONTRACTOR y'," L - DATE -?PFi011EdS''y-';'Yy"
Determine vrorking square footage oP each.
]l. Total exposed wall area ... ?sq, ft. x.14 =?70 ?z-
2. Tota1 roof/ceiling area ... /?Y?l sq. ft. x.Q4 = S7 7<-
Total exposed wall area above floo'r =
a. Total wall vrindow area ...... ........ /(,o
b. Total door area ............:........... ?_?o
c. Total sliding glass area .... ........//0
d. Total fireplace orall area ...... .. ...?4o
e. Total wall fraLning area (average 10%).... ?f7
f. Total net wall area above floor ........
g. Total riA.,joist area .................. .%34;z-
Total exposed foundation area = ?ZE_
h. 2'otal foundation window area .......... In
i. Totai net Poundation area above grade . t3d
Determine "U" value of each wall seEment.
a. /? p x
? °U`°
f,
:;
_
D.SS`
?,
, X U o.ss
c. 7C t,u:; o,ss = 42
?
D. R "U" o u - '2 z
e. 7 X '
U"
l'
`: 0 29 39 _
f. ]C U = 73,54
9. r32 x ,Su•. 0_d117 _ ?o
n. m x :.U,: o = o
i. ?8. x l:Ut,
3 ............................................Total = 6y 7
If item .#3 Ss the same as, or less than item #1, you have met the
intent of SBC 6006(c)2.
.. _ ?
? s
? ' .
1
Total exposed raof/cei].ing area = A/
yy
?. Total skylight area .. ... ... ... 0
k. Total roof/ceiling framing 3rea(average 10' /Vy,y
1. Total net insulated roof/ceiling area •••••• /,2.y_? G,.o
Determine "t3' value for each roof/ceiling segment.
J. P xI'U'r O a ?
1t - /4rz "U °' -70S
1./199_ 6o x'v', • OD 3 = 3d `?F ' 4 ......................................... Tota1 = ????, 0 7
. ?_
If total of k4 is the same as, or less than 92, you have met the
lntent of SBC 6006(c)1.
Alternate Buiiding Envelope DesiF,n .
To utilize the total envelope systers method, the values established
by the sun of items #3 and M4 shall not be greater than the sum,oF
items #l and i;2.
l.. f 2, s
3. + A. ?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4369 Orion Lane
Lot: 9 Block: 1 Addition: Wildemess Park 2nd
PID:10- 84251- 090 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12/11/08 pf
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Questions regarding electrical permit requirements should be d
952- 445 -2840.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Amy L Salinger - Schmit
4369 Orion Lane
St Paul MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
ected to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA083016
05/13/2008
ePermit
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Uae BLUE or BLACK Ink
� r..__________���__�i
I For Office Use ��
� � Pem►it#: ���v / Il_..-
C�ty of�a��Il ; . _�o ;
� Permit Fee: �� �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Rec�ved: �
Phane:(651)675-5675 � �
I
Fax: (651)675�694 ;�--------------i
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
o�: � l�Site Address: �r�� y �.� �t��, .��.�..�.��� �,���-�Z3
7enant• g,��#;
ResidentlOwner Name: ��`d h .TQ h,�c,S` Phone: l�S�- GY�`�Q��
Address/City/2ip: Y C'ar r`c� �a h.,�,� ;�-.� ,�,t,. �i� �"�""i�-3
�C C7C?C� Q,Z, Name: ��i.�Lv. �-��..rz�s o e,. �icense#:P��.���� 2. ..d���
k� �r
Contractor
address: C g�Yca L a��.v��e�v �rr�.r crty: .0-e.��r au�e k
stace:�zp: �i5�✓3f� Y 3.s'�- Pnone: `�.4"�.. <r?�4'--•Y'�3 `�'` '�
contact: 'ir5 z-1(/,2. s"� Ema��: /a� � tj w�cYs2`����E'cce �•�.,�'`'
Type Of WOHc �New fl Replacement P' �epair _Rebuild _Modiy Space _Work in R.O.W.
Description of work: �'C lll C+rt.. /-e q.��� M a c rt tn!a��� !!'��(J'a�..'
RESIDENTIAL
Water Heater
Water Softener
Lawn trrigation(,.,_RPZ/ PVB)
Permit Type Add Plumbing Fixtures(_Main/_Lower Level)
Septic System
_New � Water Tumaround
I .�
At�andonment �,
RESIDENYIAL FEES:
$60.00 Water Heater,Water Softener,or Water Neater and Softener(includes State surcharge)
$60.OQ Lawn Irrigation(includes State Surcharge}
$60.00 Atld Plumbing Fixtures,Septic Svstem Abandanment,Water Tumaround"(includes State Surcharge)
`Water Tumaround(add$210.00 if a 5/8"meter is required)
$115.QQ Septic Svstem New(inGudes County fee and State Surcharge)
TOTAL FEES$
CAL�BEFORE YOU DIG. Call Gapher State�ne Call at(651)454-0002 for pratectian against underground utility damage.
Calt 48 hours befare you intend to dig to receive locates of underground utiliUes. www.gapherstateonecall.orp
I hereby acktrowledge that this info�mation is c�mpl�e and accurate;tfiat the warlc will be in c:aMormance with the ordin�ces and codes of Ute Cit�r of
Eagan;that I understand this is not a permit, but only an application fior a permit, and worlc is not to start without a permi�that the wak will be in
ac�rdan�with the approved��in the case aF work which requires a review and epproval ns.
x t�nl'1 i'l Wr�{ Lt�1t,./`,s'�i�l. X
Applicarrt's PriMed Name Ap icanYs Signature
FOR OFFICE USE Reviewed By: Date•
Require�d lnspecticns: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer StafF:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150894
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 4369 Orion Lane
Lot:009 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Jason Jones
4369 Orion Lane
Eagan MN 55123
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature