4376 Orion Lane .,?r.4s. . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor Est. Vatue Date AP=` 7 , 13
Site Address j? `?f=r>Fl.tIL LJ
Lot Block = Sec/Sub. ,?a'+.P" OFFlC EU5E4NLY
Parcel No. •? ?d'' Occupancy - FEES
Zaning
W Name ?O?% (Actual) Const - BIdg.Permit .?4
8 Address 437 a Gi?Ii1Y? L?: (Allowable)
h
S
urc
arge
ty
Ci EA+±AN PhOne 452-3257 #ofSiories -
Plan Review
Length
o M1lame 'i'A',: L'$ kO2if !?.;A.INTT-aiANCF Depih - SAC
City
'
' ,
?Q '
Address 4
- 1{ Y'1??'?VhY R S.F. Total - MCW
SAC
C
? City ''??NT?APIOLI= Phone "'122, ••C'756 S.F. Footprints - .
C
Water Conn
On Site Sewage
p-
F W Name On Site Well - Water Meter
?? Addt'eSS MWCCSystem -
Acct. Deposit
¢ W City PhOft@ Ciry Water _
S/W Permit
PRV Required -
I hereby acknowiege that I have read this application and state that the Booster Pump S%W Surcharge
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: Pianner - park Ded.
on the express condition that all work shall be done in accordance with all Council ?•???
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
3 7•ijo
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING ?? ?/ ;( • M ( r.? ?'+ /7??
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul. U-I
Fireplace
Rnal Htg.
Final Pibg. ?-
Const. Meter Plbg. inspector- Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp_
i,ws,.-I
CITY OF EAGAN
3795 Pilet Knob Road Eo9se, MN 55122
' PHONEs 454-8100
BUILDING PERMIT Receipt #
Te 6 e wed for Est. Volue
? Dcte , 19
Site Address Erect ? Occuponcy
Lot Block $ec/$ub, Alter ? Zoning
Porcel # Repoir ? Fire Zone
Enlarge ? Type of Canst.
e
o Name Move p # Stories
w
; Address Demotish ? Length
? r ^:.., 01.,,..a Grode ? Depth Sa. Ft.
gx
o
Name
?? Address Assessment _
Wofer 8? 5ew.
~ C+ Phone
??
Pol ice
Nnme f
FW ire
? Addrass Eny.
u
?W Ci phone Plonner
Countil
I hereby acknowledge that I Fwve read this application ond state that gldg. Off. -
the informofion Is torrect and agree to comply with all opplitnbla
Stnfn ef Minnasnfn Stntutae nnA CiFv nf Fnnnn C]rrlinnncec. APC
5ipnature of Permittee
A 8uilding Pertnif Is issued to:
ell work shall be done in occordar?ce with all
Buildiny Officiol
Permi t
5urchnrge
Plon check
$AC
Water Conn.
Water Meter
Roud Unit
Totol
on the express conditlon tFuao
opplicable State of Minnesota Statutes ond Ciry of Eogon Ordinances.
Psrmit No. Permit Holder Misc. Permit No. Holder
Plum6ing Z??L?"?? YlZ° 3-?? •
H. V.A.C. ?? ? ?/1.?. - f. /?. 3 ?? ?•r
wau
Water
Disp.
Soer
Electric
?.osg
E.v?sa?
-t1 3
inspeetion Date Insp. Other
Footings
P i
Foundation
Framinp AR3
Rouph Plbp. - G - 2 -
?
Rouqh HVAC 3d-? Ae
Inwlation
Final Plby. ? -
Final HVAC 6
Final ?
Water Dsscribs Location:
Well
Sewer
Pr. Disp. -
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
10 N : ANr
w; i. r)cPaFS;; PARk zNO
APPLlCANT:
t 6.1 J.? ] - . t? fi i' £i
PERMIT SUBTYPE:
TYPE OF WORK:
OF `,l'hi1.PTY[ih!
iV i't ' .
I FIh1Al
F€? Apl 1 Nt.i
E N ,
Na.w
t !Ni'1 I?f'?b
?
Qs
Permit No. Pertnlt Holder Date Tele{shone #
ELECTRIC
PLUMBING
HVAC
Inspectfon Uete Inap. Comments
FOO7INGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
' -
PLBG
AIR TEST
ROUGN
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK RIVAI.
CITY OF EAGAN Remarks
Addition wILDERNESS PARK 2ND ADDITION LoT 2 BIk 2 Parcel 10 84251 020 02
Owner i, - - r street 4376 Orion Lane _ State Eagan, MN 55123
improvement Date Rmount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK A014650 10-5-84
SEWER LATERAL
WATERMAIN
WATER LATERAL
* WATER AREA 1979 631.00 63.10 0 25 .40 46 0 10-5-84
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 21+0.00 33813 1- -83
WATER CONN. 420. OO
8UILDING PER. 7744
• SAC
PARK
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of UniYs:
Address:
ber.
r No.:
er No.:
ea M eanply wiHi Hha Citr of Easae
of Insp.:
Pllet Knob Read
. MN 55122
Connection Charge:
Accourrt beposit; _
Permit Fee:
Surcharge:
Miu. Charyes: ?
Totol:
Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
Na. of Units:
Address: ""t1.o'Z L
ibCi: _
eo to soMplr wlth tha Cihr af Eagan
of Insp..
Connection Charoe:
Accaunt Deposit: _
Permit Fee:
5urcharge:
Misc. Charges: -
Totat:
Date Poid:
100.00
, .. ? .,,,
?i'? :%i.?c,< ;.! ',L?c_?.?'r.? ?
. ??
?,
CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
?`?
6?J
F p
} BUILDING PERNIIT APPLICATION 1 set of
I?a?' _ er?erc' calculations.
a
/?
Zb Be Used For Valuation 0
Date -b'L
Site Pddress: df ?j 7? l? ? f c) v L/? OFFICE USE ONLY
LOt
"?- B1oCk Sec./5ub.j?A,pK9C?/JdD
Erect
OcGt?cY
I
Parcel #: LO 2E?A O ao pD Alter Zoning
- Repair Fire Zone-
Ovmer: Ca Enlarge _ Type of Const.
Move # Stories
Pddress: yZ o i cv a?- DeimYish Fmnt ? ft.
City/Zip Code: MP43 S?y 3 7 Grade Depth ? ft.
Phone # : S / v v APPROVAIS FEES - --
Contractor: .s?j y`tL
Acldress:
City/Zip Code:
Phone #:
Arch./IIng..
Address:
Assessments Permit y/S _czr
Water/Sewer Surcharge y z
-
Polioe Plan Check 6-7 ?
Fire SACC ? ?-
Eng. Water Conn.e? ?'
Planner ' Water.Meter
Council lmad Unit ? y0
Bldq. Off.
APC
City/Zip C.ade:
rn? #: ?,
? ?O o
Q4? P ?
C 0
5
Cy
R CITY OF EAGAN
.. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ,
BUILDING PERMIT
To be used for BASEMENT
Est. Value $1, 500
Receipt #
N° 16262
y 89
Site Address 4376 ORION LN
lot 2 Block 2 Sec/Sub. WILDERNESS PARK
Parcel No. ? NJ)
wlName TOM HOOGERVORST
z
0 Address 4376 ORION LN
Ciry EAGAN Phone 452-3257
o Name PAUL'S HOME MAINTENANCE
?? Address 4218 PILLSBURY AVE 5
City MINNEAPOLIS phone 822-0756
Name -
Address
Clty _
Phone
I hereby acknowlege ihat I have read this application and state that the
informaiion is correct and agree to comply with all app cable State of
Minnesota Statutes and City of E n Ordinances.
Signature of Permitee
A Building Permit is issued to: PAUL' S HOMLY MIIINTENANCE
on the express condition that all work shall 6e tlone in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otficial
Occupancy
2oning
(AcWaq Const
(Alloweble)
# ofsfories
Lengih
Depth
S.F. Total
S.F. Footprinls
On Site Sewage
On Site Well
MWCC Systam
City Water
PRV Required
8ooster Pump
APPROVALS
Planner
Council
Bldg. OH.
Vanance
OFFICE USE ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC,MCWCC
W aler Conn
Water Meter
Acel. DePmii
S/W Pertnit
SNJ Surcharge
Trealment PI
Road Unit
Park Detl.
Copies
TOTAL
36.00
1.00
1.00
37.00
v.
BUILDING PERMiT
CITY OF EAGAN
9795 PIk1 Kno6 Reed Eagan, MN 55121' ND 7744
PHONEs 454-8700
Receipt #
e
Te M wad for SF DWG'/GAR Est. Value $94.000 Date .1a nuarv 5 _, 19-aS_
Site Address 4376 O110n LSlI2 Erect a Occuponcy R-3
Lot 2 BI«k Z Set/SubW3ldeTnesB Psik 2IId qlter ? Zoning R-1
P
l 10 $4251 020 02 Repoir ? Fire Zone NA
arce #
E
l T
f C V
n
arge ? ype o
ontt.
W Nome S. Peteraea Const.. Inc. Move ? # Sro.ies
z Addreu 4701 W. 110th St. Demolish p Length22-
9
r:.,,MD18. 66437 M___ 884-5144 Gmde f'1 Depth42_Sa. Ft.-
d Name _
? Address
"...
Nama _
Address
I hereby ockrwwledge that I have read this-*licotion and state thaf
the inlormotion is correct nnd ogre e?tOl mply wi oll Spplicable
Sfote of Minnesota Statutes ogo rd" es.
SIOnature of Pertnittea
A Building Permit Is issued to: .S. Petersen Conet., ne
oll work sholl 6e done in acmrdonce with nil ooDrismble Stete of ?Idk
F.es
Asseument Permit 415.00
WaMr & Sew. Surcharga 47.00
Police Plan check 207. SO
Fire SAC 525.n()
Erp. Water Connh2.0.DD--
Ptanner WaterMeter 6n -nn
Council Road Unit -240nn
Off
Bldg
,
.
APC
.
Torol $1914.50
1d
_ an the express condition thni
ard City of Eoyan Ordinances.
Building Official
00b-'a?
.? ? -
`_?b-I D I
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 l
651-881-4675
New Conatructlon Neoulremente
• 3 registered sNa surveys slwwing sq. ft. ol bt, sq. fl. of house; end ?II roofed areas
(20% maudmum bt coverage albwed)
• 2 copies ot plan slrowing beam & windax s¢as; pourad found design, etc.)
• lselofEnergyCalculatbns
• 3 coDles of Tree Preservatbn Plan @ lot platte0 afler 7/1193
• Rim Joist Depil Options selectbn sheet (bldgs with 3 or less untts)
DATE S 2/ "D'
_ Water Softener
_ Water Heazer
_ No. of Baths
AULTI-FAMILY BLDG _ Y ? N
FIREPLACE(S) _ 0,,X 1 _ 2
STREETADDRESS ?64M CITYA{(MO???STATE"ZIPLE47
TELEPHONE #25-Q. 702-4?M CELL PHONE #66o? ??O-ObG9 FAX # 9r,2 7fJ,Z-,W'rJ?
PROPERNOWNER 6604 &d& TELEPHONE# 957.,c-ySn2
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIA?NESOTA RLJLF.S 7670 CAT'EGORY I MINNESOT.H RUL1S 7672
(4 submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor. __
Plumbing system includes:
MechaniCal Conhactor.
Mechanical system includes:
Sewer/Water Confractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
D ?P ?O ?
3 2002 ?
?
-------------------------------------------------------------------------------- ?---___________ __________ L .
rr ?.rnd agree to comply j
I hereby acknowledge that I have read this applicatlon, state that the information is c(
with all applicable State of Minnesota StaTutes and City of Eagan Ordinances. '----
Signature of Applicant
OFFICE USE ONLY
HemotleVPepaU Beoulrements
• 2 copies of plan
• 1setWEnergyCalcumtionsforheatedaddttions
• 1silesurveyforaMerioraAdmons&decks
• IndkateMhanesarvedbysepticsystemforadd"Abns
VALUATION 9 /0 0 . 0 0-)
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
APPLICANT /y171Prfi(',Qll ?[li?it?! ?tYTf7'h.(:-fD(5 .Z/K.•
OFFICE USE ONLY
L3
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace O 21 Porch (3sea.) ? 31 Ext. AIt - Mulli
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-plex 0 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plax O 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Bullding Inspector
Copies
Other
Total
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3530 PILOT KNOH RD - 55122 ??.. ? o C)
7--1 II (---] 851-681-4875 _, n 0 .,
New Conshuctlon Reaulrements i -s-3,93-7
> S regptereG 9te wrveya ahowlnp aq. H. of lot, sq. 0. of houae 7-6-6U
and ga rooled areaa f4076 mmclmum bf coveraae Wlowed)
v 2 copies of pfans (show beam & window slzea; poured fnd. desiqn; etc.)
> 1 set of energy cdculaHOna
> 3 coples of hee preservaHaf plan If lol platled after 7/1/93
a-° 0
DATE: ,.l tt ? L' ??J 1 Zc7 00 CONSiRUCiION COST: ? o
DESCRIPTION OF WORK: RE P? A-CG
STREET ADDRESS: Li 326 D Qt 0 N L?4 VI 2
LOT: ? BLOCK: a SUBD./P.I.D. #: w
4?, k E 65 1
or ' RA) q S a V5?'D
Name:
Phone $:
PROPERN wn Fl'st
OWNER c.( ?7 (o O!e 10 N
Sheet Address:
cm, CPV5 Kr r state: Wl /J Zip: S S 1 Z 3
. Company: Phone #:
(area code)
COMRACTOR
.
Sheet Address: '
License #
Exp.
?-_-
Ciiy State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regishaflon t:
Ci}y State: vP=
Sewedwater licensed piumber (if insWllina sawerlwater): Phone #:
I hereby acknowledge ihaf I have read this application, siate ttiat Me iMomalion b cortect, and agree to comply wilh aq appUcable SfotE
of Minnesoto Stahitea and Cily of Eagan Ordinances.
Signahue of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No .,'?I% 2 9
Tree Preservation Pian Received - Yes - No Not Required
- -e(o
---7 '-s- Q V
4 copiea of plan
1 sel of energy cdculaMOns for healed addiflons
1 site wrvey lor euteAOr adtliHons & tlecks
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex 0 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex --Sr' 18 Deck O 23 Porch (screened)
? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex aibg Yor_N ? 25 Miscenaneous
? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
)Sr 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demoiish (Foundation) ? 46 WindowsJDoors
• Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
_0 t # of Stories
o Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee ?' (, D s U
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
Total: 10
zo
17
Engineering _
Valuation: $
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
i .. Wi
? 31 Ext Alt - Multi
? 33 Ext. Aft - SF
? 36 MuRi
SAC Units
% SAC
. ..w u i z (; u ?
xae I,ccaln For:
701dWeste110thCStreet DELMAR H. SCHWANZ
ioom3ngton, F4d 55437 LANDSUqVEVpqS,J„/G,
Reqistvb Vntlb Uws a1 TM Stato of Minnesob
2978 - 106TM STREET W. - BOX M qOSEMOUNT, MINNESOTA 660g8
W
z'
J?
Y?
?
?
st,
?
30
SURVEYOR'S CERTIFICATE
47/45
64?4/
PHONE 812 423-7789
--??- -
io I ti
- -
- --
?5
3
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f ?OPoff.,? /1 / •
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24
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lo ,_.__
- 0.--- -
- --- -
---- _ I
_ 5
v. ? ?
?- 3U.0
' • Denotee aet iron pipe I O
o D eno tea foun d iron '= 3
o N
?C C
I hereby certify t.riat this is a true and correct represent`d?ion of
t.)t 2, Block 1., WILDEPNFSS PARK SECOND ADDITION,.according to the
recorded plat theraof, Dakota County, Minnesota.
Dated: Ju1y 25, 197q
Approvet9 .°or IhAnn & Curry Real Estate. Management, Inc.
by:
<•.:=r:.:
House.staked August 14, 1980.
House ataked December 20, 1982
.?44
mrf - ?r
,
?1 ?? ? ?,, °. ; .i
MINNESO7A REGIST TION N0.8625
?S?k;k?>XM?F:'XNX?>k9F.l'?'?n?F'?M8'?k::H'k??F::gA:W,.k? %kY,o#?fi8r u;:?'kk4!•$:
C.L7Y OF E(aGAN
3.y -fG:F'M7:NFJ... Nf.Jc 96
T;A1'!_.a 08/0/437 (':i:N,'L-"s 7.5c4:{.cE0
1Du
NAi;f ^ ;:•AP,?E.L.t_;f;Fd';' O(T t"i?! T??C
32'.I.U 9001 4376 ORItaN L^,t:+E 137„25
8::5 9001 4376 or:r.nM i...nz•?E a,.On
..?
.,r
T.: , , ?,r.,
r,* ,.....L ? c.t _,_ ?;::>?., , ? r: I. Arr,t?ui:: ?r:l
CPt:ti9i83
!lCai`.'n' .I.7?a NAfJC?Y
PERMIT ?
x CITY OF EAGAN
. `k3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BurLozNG
PermitNumber: 030590
Date Issued: g g/ 12 / 9 7
SITE ADDRESS:
4376 ORTON LANE
LOT: 2 BLOCK: 2
WILDERNESS PARK 2ND
P.I.N.: 10-84251-020-02
DESCRIPTION:
REMARKS:
?;''"`-, _ (INCL DECK)
B'?ilt3ingv-Perm3t 7ype SF PO RCH
_ ?
iBuilding Wo.i'k 7ype
NEW
z I Census Code 434 ALT. RESIDENTIAL
.-,
n•
'
;
,
-. ?
.
l"
?f ?4
t (
?
l b ?#i
? (
i
?
y
3
.
Ni
hY i? a i 'h e
t.;.i 6? ?
.y?"?>? f i ?
` S
?'.t
3 ?
`?' ¢dx"
£ ?PE 9 i"
» aL
1
. .
.._.;
..
_,,.
FEE SUMMARY:
VALUATION
Ba&e Fee
5urcharge
Total Fee
$137.25
$4.00
$141.25
$8,000
CONTRACTOR: - ,qpplicant - sT. LIC OWNER:
?'ANELCRAFT OF MN INC 17216628 0002179 HAKE BRIAN
`?3118 3NELLING AVE S 4376 ORZON LN
MINNEAPOLIS MN 55406 EAGAN MN 55123
+(612) 721-6628 (612)452-4580
r - . . ? -,rr s . t
I-hereby ackn;owledge that; J`have rsad this epplication and state that the,
infiormation is cornect and agr2e to'"corrtplq° with'alf applica$1e' State oi" M0°.
L Statut?s; andCity tsfi Eagan Ordina-ribes,,, =
"Li
/9-
LICANT/PERMITEE SIGNATURE - -TISSU?U??:?AT ? E ?I}I'?I ?
CITY OF EAGAN 3&5q 3830 PILOT KNOB RD - 55122
01996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
RemodeVReoair Reavirements
?
?
?
3 registered sRe surveys
2 copfes oi plana (inGude beam 8 window sizes; poured fnd. design; elc.)
1 energy celeutallona .
3 copiee of tree preservatbn plan N lot plaHed after 711193
required: _ Yes _ No
DATE:
DESCRIPTIO OF WORK: "? SZG3 Q n n:
? 2 wpies of plan
? 2 site surveys (exterior additfons 8 decks)
? t energy calculations for heated additions
CONSTRUCTION COST: 4) 70AQ nn
STREET ADDRESS: 7-A r n L a n:e
LOT 9_ BLOCK eZ. SUBD./P.I.D. #: wJJd???? ??l
PROPERTY Name:.H ct 1C - 11f"+ ci A Phone #: ? S=2
OWNER "7°'
StreetAddress: 7A e--l rl es-) n zq-2e
City: State: 2'L0. Zip:
CON7RACTOR Company: m Phone #: AJ 728 79
RS License #: 2;Z9
Street Address: /)q
,
St
t
City: a
e:
ARCHITECTI Company: Phone #:
ENGINEER (
Name: Registration #:
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY =BY:
Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No
- -
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Dupiex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
,d 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
woRK nrPe
3 St,%Lsu,
V31 New
? 32 Addition
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
0 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
/Decl?
? 33 Alterations ? 36 Move
0 34 Repair o 37 Demolition
GENERAL iNFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buitding Engineering
? .
?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. ?r3 y
SAC Code o 1
Census Bidg ?
Census Unit G'
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment Pi.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation:
g V o ,%o . -- _._-?-------`
7, 7GO. --
% SAC
SAC Units
.
o?lo . A
36•00+
1•00+
1•00+
3 8•OU*
1
-1989 HOILDIAG PSRMIT APPLICATION - CITY OF BAGAN
SINGLE FAMILY DNELLIAG3 ? ? ? G Qv,
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
4.
NOTEs ADDRESSF.S FOR COAN6A LOTS - COPTRACTOA/HOMEOWFIER MUST D$32GN9TE flHICH ADDflB3S
I3 DESIRED. NO C89NGES NILL BE ALLOWED ONCE BUILDING PEAMIT I3 I3$OSD.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS / OF UFIT3
INCLODE 2 SETS OE PLANSp CERTIPICATE OF SURVEY - CHECR WITH BLD(i. DEP2.t 1 SET OE ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
t".c,,ti:?„(.. -p- 1 '
To Be Used For?`??-?W Valuation: 45 u0 Date:
Site Address 4.3 7K oT(o h, u? OFFICE USE ONLY
Lot t_ Bloek ?-
Parcel/Sub \-W)
Owner n. r ,:U 4-5 ?
Address -76 d/'1 o f" Lpt"-4'
City/Zip Code ?/'•y/a-+'- ss1?3
Phone
Contractor a7'{n
Address ! ?'q
City/Zip Code
Phone (9 d 2 -' ? -2
Areh./Engr.
Oecupaney FEE3
Zoning '5 / D ?
Actual Const Bldg. Permit ??
Allowable Sureharge i.TQ\
0 of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage_ S/W Permit
On site well S/W Sureharge
MWCC System Treatment P1.
City water _ Road Unit
PRV required Park Ded.
Hooster Pump _ Copies I.DO
TOTAL ?Dd
APPROVALS
Planner _
Couneil
Bldg. Off.
Varianee
Address
City/Zip Code
Phone 8
NOTEs Sewer & Nater Permit fees and account deposit fees xill be included in the building
permit fee. Processing time for serrer and water permits is tWO days onae a licenaed
plumber hae applied for a permit at City Hall.
? Certificaie for;
Dunn & Curfiy
House Location For:
Svend Peterson Conat.
4703 West 120th Street DELMAR H. SCHWANZ
Bloomington, MN 55437 LANOSURVEVORs,Jr/G,
- fiegisNraC Untler Laws af TM StaU ot Mlnn*mp
2978 - 146TH STREET W. - BOX M H08EMOUNT, MINNESOTA 66088
SURVEYOR'S CERTIFICATE
7i
.._t 1
0?
Y I
ol
yA
l
?
47/45
41-414/
PHONE 612 4231769
30 30,0 ?.1 ?s.?o N 89°57??_S"?
ENT
-41
F
?2
0 y.o40 H " I 0
'' ?Z 4 z
z I
? I
o ? 0
0
-7
141
I
I
0 GAK•
I
...2 ?
- N
I
i,?;i.nb ?d R'9°i''"lY?° F
• Denotes set iron pipe I,l; 30
o Denotea found iron I?,
(? e
I hersby certify tnat 'triis ia a true and correct represen?Gion of
Sot 2, Block 2, WI:ID?.?NESS PARK SEGONA ADDITIQN,,?aecording to the
rccorded plat thera«f, Aakota CnunGy, Minnegota, .
Dated: July 25, 1970
Approved for Dunn & Curry Real Estate. Management, Inc.
by ia
House staked August 14, 1980. .
House ataked December 20, 19$2
rr;
????1 ?? ? ?'
?
MiNNE50TA REGIST TION NO 8625
S. PETERSEN CONSTRUCTION, INC.
4701 WEST 110rtt STREET 884-5144
BLOOMQdCTON, M[NNESOTA 66437
_ 1D6,
7??rar_c.--------
?
Oi
\i
?
?
?
ze I
-z1 -
e
0
b
ti
f
k I I %
?.? _.?.. _.. ?. _
0
.o
?
,oo-
&2Fs' i o ? .? ?/ ?.___?.......?._..._.._.?.
Y.
EXTERIOR ENVELOPE AVERAGE `°U=` COP7PUTATIOPI
OUINER V? T?.eSE,? C'dn?s? ?'cJC?T?i?.? ?,?v ? .
SITE ADDRESS Z/.3.2& /7?i o nl 4? i? G `?Z -?-? ;U/?? vi=.!>.v? ss
CONTRACTOR S, DAT? ?-/y .Jd'HONE
i:-
Determine vrorking square footage of each.
1. Total exposed wall area ....? ??` y aq. ft. x.17
2e Total roof/ceiling area .... 14 sq. ft. x.05 -"3-
Total exposed wall area above floor =
a. Total wall windoea area .................
h. Total door area.. . e....... . yr?
c. Total sliding glass?2rea ............... .P.D .
d. Total fireplace ora12 area ....... . 16
e. Total wall framing area (average 10%):,. Z 6 2
f. Total net wall area above'Ploor'........ 'yVd
g.. Tota1 rim joist area . .,... 111S
Total exposed foundation area
h. Total foundation window area .......... -?
i. '£otal net foundation area above.grade .,?Y
Determine "U' value of each wall. segment.
a.?. x ?;Us: . ?, 5 .9 =. ... ?S
b.lo X Uc; ,n,y ?- - ?
`
' c. Pp X. nUs? "0'_ Jcy- ? . . . .
_ H.y _
D.
//O X vV' O. ? 3'
e ..??.Z. X bUrf ..c?./l9
f•_.2o5's' X ,'u" 0-01/9• _ /n v
g. ? 5~ X "U" ooy 7 = 8
h. X '°U'` 3
. .
1.?
X
FiU
F: ?.
(
%
3 ........... ...... ........ ... ....Total = 1 7
If item #3 is the same as, or.less than item,#1, you have met L-he
intent of SBC 6006,(c)2.
Total exposed roof/ceiling area = /•`3 C. _. .,......
J ,._ Total..skylight.area....:_ :..:...:._ .......
k. Total rooF/ceiling,framing area (average 10% %50
_l ... . Total nez insulated . rooE/cel-ling area
Determine "U' va-lue.for --each raaf/ceiling seginent. \
? ?. X Yyr4Y,- ' .. ? . .. . . . .. V
k. G `3 x.;V,
1. X. „uu ? n?3..
4 ...................................:..:.:Tota1
If total of #4 is.the same ass or Iess t.hari12, you.?-have.'met the
intent of SBC 6006(c)1:
. : , ....
Alternate Buildi;ng Envelope.:Design '
To utilize the total.envelope system method,"the'values established
by the sum of items #3 and #4 shall•nDt :be greater.:than,th.e sum of
:.;:.
items #1 and #2. ...
1. +. 2,.
---?---
3 +. 4. _ _T_ ,
100'
? PROPOSED PORGN
?
25'-m"
121-0" 13'-0" PROPOSED DEGK
?
? ?
? ?,
EXIST.
- i i CsAZEBO
c0 L ----J
t SPA
za'-m"
? 44'-011
m EXISTING
- NOUSE 4
GAR.4GE
?
?
v
a?
20?_m?? , =
SMOKE D P-, .CTJRS !Hattery operated o.k.)
pgZ M,^U'sr^:.; LEVEIS OF 1'HE HOUSL
AND I;: `:.Er°,PI,::: :<f;0It4S. ON I.EVEIS
(oDITA1NIIdG SLEE£:I4v AREAS, CENTRALLY
IoCiTE SM KE DETECTORS IN HALLWAYS. ;
ORION LANE
APPROVED PLANS PAUST
REP/IAIN ON JOB SITE
LEAVE DfR7 ON 51TE OUJNER
OWNER lUAN75 IT.
PUT TRA5H TUB ON SIDE OF
DRIVEIUAY OL1T OF OIUNERS
IUAY
SFp
9?p N.O pF9M
IJ ll? ?'/ Q?Q? 9j?(
°
BY /
DP,?E ? • S-R7
? BUILDifVG IiVSPECTIONS DEPT
?
N
w a E
s
51TE FLAN
SCALE: I" = 20'
.p?"1050
BRIAN NAKE
4316 ORION LANE
EAGAN, MN. 55123
452-4580
: JOB NUMBER
: GUSTOMER NAME
: STREEt
:' GITY
: NOME PHONE
: U10RK PHONE (HIS)
: WORK PNONE(HERS)
: CONSTRUGTION TYPE
: SALESMAN
= PROJEGT MANACsER
: DESIGNED BY
: DATE
463-5585
WA
14' k@' TEMO t 8'-6" X II' CEDAR DECK
SGOTT RUNQUIST
TIM WERTISH
m BOB LUBINSKI
6-75•91
8•4-Sl : DATE
-,41 ?
x
?
CONTRUCTED BY PANELGR.4FT OF MINNESOTA, INC. BJL
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117747
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 4376 Orion Lane
Lot:002 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-020
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 .
Jayme Meyers
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 -
John S Martin
4376 Orion Lane
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature