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4377 Orion LaneCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6CEI V ED FROM AMOUNT $ I. & DOLLARS toa []CASH E]CHECK FUNO CODE AMOUNT .. ') L.F , / .. . ThankYou ? BY u : .13950 YVhita-Payers Copy Yellow-Posting Copy Pink-File Copy ' • ctnr oF EAc??N • 3795 Pilot Knob Road Eegae, MN 55122 PHONtt 454-8100 BUILDING PERMIT Ts 6e u?d fer •_ 7' `Fr 004. N2 5169 Receipt # Sife /lddress ^ 77 ft"i-c v, Erect Q- Occuponcy Lot Block - Set/Sub. ;r-Alter ? Zoning - Porcel Repair p Fire Zone ? Enlcrge p TYpe of Const. W Nome Move ? # Stories z qddress ? Demolish ? Front ; ft. Ci Phone Grode p Depth ft. cc Name ?'- Approvob A ?? Addrcss Assessment Woter & Sew. Ci ph? r? Police ? W Namo Fire ?? Address Eng. <W Ci Phone Plonner Council 1 heroby acknowledge that I hove reod this application and state that gldg. Off. the information {s correct and agree to comply with cil opplicable SMte of Minnesoto Stotutes and City of Eogan Ordinances. r'-- APC Permit • '? Surcharge Picn check ?•" .'?t7 SAC Water Conn. Water Meter ^ ?n .. _ .i ? Total Signature of Permittee - . I A Building Perm+t is issued to• •?`??=' ?'"'' '`}nzt• InC• on the express condition that all work shall be done in eccordance with oll applicable State of Minnesota Stotutes ond City of Eogan Ordinances. Building Officiul - t ?asit # Deh Isa*a hrsuM" Plumbing j Mechonical INSPECTIONS DATE INSP. Rouflh-In Ffnal Footings m ` Oate Inrp, pote tnsp. Foundation Plumbing -S? Frcme/ins. ? 7 Mechonical Final + ! ? Remorks: CITY OF EAGAN , - -.r! * +?Tr. k±s+,-.nT?•-•, 3795 Pilot Knob Road Eagan, Minnesota 55121 Phone: 454-8100 Date: HEATrjir'? PERMIT Kety 1• 1979 Sire Address: `-37i Or_ iOn L&ne _ Lot Block Sub/Sec. _ WPk I' IName '"Wld PSterser, CUnSwL'12CtlOri . 0 e ? ? ? ? e 0 V TI M IiAddress ! 101 "- 1101th S-*. City ? "':'<MingtoA 55420 Phone: 9'84"5144 Name -:1nE-Ryut1 P;tmibiag & PPat].s1g InC. Address = 74745 So. Rabert ''x'a!1 City ? . ?' ti •-. .,?. , . Phone: iis Permit is issued on the express condition that oll work shall be innesota Stotutes and City of Eogan Ordinonces. NO. i430 Receipt No.: $ingle I Residentiol Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee -: ?-? Surcharge - Tota I done in accordance with oll opplicable Stote of Building Offitial . CITY OF EAGAN ' 3795 Piloe Knob Road Eo9en, Minnesoto 55122 Phone: 454-8100 PI.LTMSIYG PERMIT . Date: May 1, 1979 Site Address: 4377 Oti0I1 Laise Lot I ' Block 1 Sub/Sec. _ WPk II . e 3 O Name .3v°nd Peterem Constrnct3on Address `e 70I - 110t21 fit. City $1CxmingtA1n 5542t? Phone: 884-5144 Nome C',?n2-Ryar; Pluzabfrig & 'tieati.ng InC. ? .g 0 r Address 1'174S 80. Pabext 'rrail I No. 1337 Receipt No.: 14033 Single Residentiol x Multi Res., Comm./Ind. I New/Alter./Repoir r?elh, Cost of Installation Permit Fee Surchorge 20.04 50 'JI City , ,?f. -n? •.E, ? - :-,:.£s Phone: Total ^ , . This Permit is issued on the express condition thot oil work shail be done in accordance with all applicable Stote of Minnewta Statutes ond City of Eagan Ordinonces. Building Ofticial INSPECTIaN RECORD CITY OF EAGAN PERMIT TYPE: 1"0 1 1 !' ?NA 3830 Pilot Knob Road Permit Number: `' `O 170 Eagan, Minnesota 551 22-1 897 Date Issued: ;' 4± n (612) 681-4675 SITE ADDRESS: I APPLICANT: , c t ??N i rtt?? ;. . .. . ?r?•, i i N?.i ? i rt; tIF O ItRK ?Nrl ?a. 4.11. 9904+ w rtt x '? ? ??• ! ? r`?.? ?{:. , . PERMIT SUBTYPE: TYPE OF WORK: v'I hAl'C+ ??I •I• f i' 1 1?iN ( Ft(I(1rl11(1 ) Permit No. Permit Holder Dab Telephone I ELECTRIC PLUMBING ' i HVAC Inspeetlon Date Insp. Cammenta FOOTINGS ? FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING QAS SVC TEST INSUL GYP BOAFiD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FiG DECK FINAL CITY OF EAGAN Remarks Addition WIL.DERNESS PARK 2Nil AnDTTTnN Loc sik 1 Parcei 1 f) 84251 100 01 Owneryll' Acl 1 aba%: ?"? •? 5treet 4377 Orion Lane state Eagan, MIJ. 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTQR. GRADING SAN SEW TRUNK ) SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 4rhioc 1979 584.20 $8.42 10 S, STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 13950 4-23-79 WATER CONN. 270.00 13950 4-23-79 SUILDING PER. #5169 SAC PARK oF Fr?a?N WATER SERVICE PERMIT Pilot Keob Rood PERMIT NO.: , MN 55122 DATE: ? I: - No, of Units: ite Address: - o]C1021 ra3s2p, lumber. heter No.: - Connection Charge: ize: Account Deposit: eader No.: - Permit Fee: egree M eomply with tlie City of Eagan Surcharge: irdlnanees. Misc. Chorges: Total: Y Dote Poid: bte of Insp.: _ Insp.: rY o;. EAoAH SEWER SERVICE PERMIT 95 Pilot Knob Road PERMIT NO.: "n, MN 55122 DATE: nin9: No. of Units: ner: ? dress: -- ? Address: mber: } v• gree to eompfp witi+ the City of Eagon Connection Charge: ?,? ? ' linanees, Account Deposit: Permif Fee: Surcharge: __ Misc. Chorges: e of Irisp.; Total: ?•? Dote Poid: cITr oF enG?w 379$ Pilot Knob Rood Eogun, MN 55122 PMONl: 454-8100 BUILDING PERMIT APPLICATION SF DWlq & G3Ya4e Eo. Vai?e 55,000. N" 5169 Receipt # Sita Address 4377 OY].Ori I.c'll10 Erect [ Occupancy /R3 R - Lot 10 glock 1 SeclSub. Wilderness P ax'k 2nKWter ? Zoning $1 10 R4991 inn ni Repalr ? Fire Zone 3 Parcel .fk Enlar9e ? Type of Const. c Nome S. PetPS52T1 COT1S't. 711C. Move ? #Staries Z 4701 W. 110th St. ndd?ss Demoush p Front 64 ft• 3 ° Ci Mp1S $5437 phone 884-5144 Grade ? Depth 50 fr? Approvah Faes p Name Zou Addrew AsyesSment u? Woter & Sew. Phone Ci Pollce ?Z Name Fire Address . Eng. <'Z" Cf Phone Planner Council I hereby ackrwwledge that I have read t' upplic ' te th gldg. Off. the informotion is correct ond agre com ifh all pli e Stute of Minnesota Sta*'t?,d an Or '. e Sazre AP? Permit 14Zf.1/6 Surcharge 27.50 Plan check 74.00 sAC 525. 0 Water Conn. 270•00 Water Meter 60.00 Toral 1,179.50 $ignature of Permittee I A Building Permit is issued to: S. P2t.2Y5 bTIS . IriC _ on the express condit{on tfiot 011 work shull be done in accordaA 'itk o I' le State of Minnewta Stotutes and City of Eagan Ordinonces. Bulidirg Offlcint ?ope 1/4bc?-4/ This requeot void 18 months from 11 R 49967 Date of this Request Ma.4 31, 1979 I, as [S Licensed Electrical Contractor O Owner, do hereby request inspection of the ahove electri- cal wiring installed at: /_j 0 p,1 (t_)pa"\d Street Address or Route No. 4377 OS'1on F,n. CityEagan Section Township Range County Dakota Which is occupied by Svend Feterson Construction (Name of Octupanq Is a roughin inspection required on this job? No ? Yes D Ready Now O Will Call fZ Power Supplier _Dakota E1ect1'ic Asen. Address $21 31'd St Farmtneton?MN 55oz4 Electrical Contractor Ken SOreilson Fil.eCtTie Contractor's License NoA103 (COmpany Name) MailingAddress_gO7O 12$h AVB. SO.p BlpOIDirigtOri, Aua 55420 (Elect? C ntr tar ov Ownar Making Thls Installatlon) Authorized Signature?jaws.e9-rn Phone No. 854-4470 (Electrical Contractor a O ef Making Thlz Installet n) ((`?{ /? `t?? This iaspection request will not 6e accepted by the rJ Ll ?? ?? (?? ? State Board unless proper inspection fee is enclosed. :w Minnesota State Board of Electricity ,1964 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?`- REQUEST FOR ELECTRICAL INSPECTION CHECyK BELOW WOitK COVERED BY THIS REQUEST ,/ 'e71- ;R49967 Type of Building New Add. Rep. Check Appliances Wired For Check Fquipmen[ Wired Foi Home El ? ? Range ? Temporary Wiring ? Duplex ? ? ? WateiHeater ? LightingFixtu[es ? Apt. Bldg. ? ? ? Dryei ? Elec[cic Heating ? Commercial Bldg. ? ? ? ['umace N Silo Unloader ? lndustria] Bldg. ? ? ? A'v Conditioner 19 Bulk Milk Tank Cl Farm ? ? ? List D x List Other . ? ? ? Others Herc ) ?B Others?- Here 1 COMPUTE INSPECTION FEE BELOW • ? ,? Sevice Entrance Size: # Fee Fced Subf Fee Cixcuits: # Fee 0 tu 100 Am s 0 to 30 A 0 to 30 Am eces dE? 101 to 200 Amps. 0. 31 ro 100 Amper 31 to 100 Am eres Above 200 Amps. Above 100 Amp . Above 100 Amps. Transformers RemoteControlCirc. Partialorotherfee Signs Special lns ection Minimum Tee $5.00 Remarks CO3IIp].0t.8 a(3U88 wiY'iIIg -- ? TOTAL FEE ? I, the Electrical Inspeclor, hereby certify (Final) This request void 18 months from has been ma ? e?,od ?ate Date 4/? ;z-72f ?rr#ifira#P uf (Orrupttnrij eitp of Cagan igrpttrfmrni nf BuilDing lnsperiicm Tbit CMificate isrued pufraant to tfx nquiyemenu of Settion 306 o( the Uniform Building Codr eati(png that at the trme of irsuanca thir strurture wur in romplianct untb thc varioru ordirraara of tbe City ngulating buiJdirsg ronnrartron or nse. For tin f ollowing: SF DW1g &. Garacxe BIde.PemutNo. 51EI9 ?w rTra R3 TrPC.?? V 3 z.W,o;.Na Rl o,,,?,fB„o?, S. PeteTSexl Const. „aa. ???•mlis MP1 ?quswa: t 1, 1579 ,?(? ?? ? RESIDENTIAL BUILDING PERMIT APPLICATION cirv oF eacaN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 Naw Conetructlon ReauhemeMa • 3 registereA sHe surveys showing sq. N, of lot, sq, tt. of house; and all roofed areas (20% meximum bt caverage albwed) • 2 copies of plan showing beam & wtriaow s2es; pouretl found destgn, etc.) • 1 set of Energy Calculatbns • 3 copies o1 Tree Presenatbn Plen il bt platted atter 7/1/93 . Rim ,bist Detail Optbns selection sheet (bldgs wM 3 or less unks) DATE 710,2? SITE ADDRESS TYPE OF APPUCANT (.- ( ? c, 4' V)G , 0 STREET ADDRESS `/a / 5 e Na vc,f Z>? TELEPHONE # (rln 3?1'36 7( CELL PHONE # MULTI-FAMILY BLDG _Y J?N FIREPLACE(S) _ 0 _ 1 _ 2 (SO /1 STATE 1,4111P -y? PROPERTY OWNER jt icc, I/0. 0 h`o V-P _ TELEPHONE # 0 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CA1'EGORY 1 r (J submission type) • ResideMial Ventilation Category t Worksheet Submitted • • Energy Envelope Caiculatlons Submitted Plumbing Conhactor: __ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhacfor. _ Air Conditioning _ Heat Recovery System Phone ri Phone tl MAY 2 0 2002 ZZP Fee: $70.00 -------- ------------------------------------------------------------------ ------------------------------------ ----------- I hereby acknowledge mat 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 Eagan Ordinanc,e?s.j Signafure of Applicanf .•_-----°------°--------_._._._....••.-°.._._....._....._.?.._ .._??.??._...__. OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn SpruMer No. of R.I. Baths ^ / 7 / _7S n • 2 copies ol pian • 1setWEnergyCelculatlonBfOrheatedaAdttions • tsttesurveyrorezlerbraddroons&decks • IndkateNhomesenedbysepticsyslemPoradOAbns VALUATION Y 4 (& 5-6 ,Q Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex O 20 Paol ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex O 16 Fireplace 0 21 Porch (3sea.) O 31 Ext. Alt - MuRi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 E#. All - SF 0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N 0 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolitfon (EnNre Bldg only) - Give PCA handout to applicaM 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) _ FinallC.O. _ Footings(deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof °_.Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retanring Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Buiiding Inspector Copies Other Total CI7Y C?F F_AGFlN f:A£iH:I:ER: S TEI;MINAL Nn: 67 nArE: 06/04/37 T.T.MF_a 14:28e07 ID r NAN+E: LEVEL FDGE CONST TNC 3210 3001 4377 URTC1N LN 99.75 21.55 9110i. 4377 OkLON I...N 2e`0 k ? io+.a1 Receipi: Ainoun+,e 1!12.25 CROiA951. USER ID: NANCY ? G"IAF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: a u? ? o r N G ? Eagan, Minnesota 55122-1897 Permit Number: 030170 (612) 681-4675 Date Issued: 06/ 0'? / ? 7 SITE ADDRESS: 4377 ORION LAN[ LOT: 10 BLOGK: 1 WILDERNESS PARK ,%ND P.I.N.: 10-84251-1.00-01 DESCRIPTION: _> (RooFrNC) B,Ui?,dit_Permit T y p e ui,jdiCf? k,?kAi-I< T,ype ? tiert"sus Code n ?3 .. ...ch.4 ? .? '. ..r . - ..=rj T y?? n . i??.'«"'?.^y u.. f "t..:e`?'.-J P 1J}/ t .. cJ ? SF (MZSC.) REPRIR 434 ALT. RESIDENTIAL REMARKS FEE SUMMARY: VALuA7r.o'N $Sooae Base Fee Surcharge Totn1 Fee $99,75 $2.5m $192.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: LEVEL EDGE CONST INC 19454909 0006863 HNLLER MARY t190 W 123-1/2 57 4372 ORION LfJ SqVAGE MIV 55375 EAGAN MN 55123 .(612) 945-9989 (612)628-2565 1 ? I T Siei°eby ael<tlowlo d?gs that S f?6ve'rsad" thi,'s ap3fil€eatiam an? state that.the_ informakinn is ccarrect and agree to comply with ui1 appl,icublQ State af h9n. StatLites and CiGy, ofi'Ea¢a€t aradznaTtces. L l, R?J 1149 ? APPLICANTIPERMITEE SIGNATURE -r ISD : SI ATURE k REACTIVAT;,,- PERMIt # - 'A fni I CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SIN6LE & MULT1-FAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not plcked up by last working day of month- in which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date - - / / Yaluation of ?ork Site Address: )-h • 57REET fU1TE 0 Tenant Name: (commercial only) IAT BIACK SUSD. W t ?? N Descri tion of work: i ?eGY 'a The appl icant i s: ? Owner ntractor ? Other (Deseribe) , + Y\ Phone Name Property O lAST ?IRS7 ?3 -1 wner ? ? ? Address SiREEi fTE I 0"" State Z1p City Company LJ1> O 'rs, Phone S Contractor Address <14zl License dW Exp.3 31 City ?G-1P?RQ State Zip ? Z Company Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water 1lcensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information is correct and agree to comply wi al appli 1 State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: . ?? - OFFICE USE ONLY . . fl . ; „ BUILDING PERMIT TYPE ?' '?R O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O A, nish Basement ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. °.: 0,>17 Swim Pool ° ? 03 SF Addition 0 OB B-Plex O 13 Garage/Accessory O 18 Comm./Ind. E3 04 SF Porch O 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 30 Multi. Add'1. ? 15 Deck ? 20 Publlc Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish O 32 Additlon ? 34 Repair 0.36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC bccupancy Zoning i of Stories length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS O Site O Ma7lboard Basement sq. ft. lst F1. sq. ft. 2nd F7. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final MWCC System City Mater PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing O 'Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.lmcion: $ SAC % SAC Units Spr+ ? r? s /d.Z ? Gv i? n?'r2 rrim s s T'pn2 !-c C c) V?e T .? DATE BL'Ii.DI1C PE3MI1' ?,P°LIC:?TIO': Include ? se[s of plans, 1 site plan w/elevacions and 1 set of energv caicuations. ?- To be used for ?• Valuation Site address:.V-j77 DC: eyd:!F: S j?i?R d?C p'C N 4 Lot /0 Block ? Sec. /Sub. Yarcel \ur.,ber ?D 8./d/? //DD O/ - T Ocane0 L?ONS? / 0'V '+'Telephone ?? ?? ??T T Addressy70/ /z/ //U7-li S? `yGOL s . /YN S`a" 4/ a 7 Con[ractor Telephane Ac'aress Arch/Eng. Telephene ? Address OFFICE CSE OVI.Y Erect Alter _ Repair _ Enlarge Move _ Demolish Grade Date of Ao roval and Initial Assessment Wa[er/Sewer Police .. Fire Engineec Planner Council I Occupancy Zoning Fire Zone Type of Const. 11 of Stories Front At_ Depth ?,5b Fees Permit ? Surcharge Plan Check 7y gx SAC ?'s ? Water Connection Wat r Meter e L> ? ? J / 73- ? - --_.-- ---- - ? - ? ?? ?? ?a _.. ,-?'V. J o ?`? , ?o?? .?9?0 ? S?Y ? ? ? ' s?; c? ? a Cartificate for: ' Svend.Peterson 4711 Hest 110th Street Bx: 371111 Bloomington, Mn. 55437 ? DELMAR H. SCHWANZ LANDSURVEVOR Reqifbra0 Untler Lawa of Tha 5[ale ol Minnasob 7978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 68088 PHONE 812 4231789 SURVEYOR'S CERTIfICATE - RION - -T-$ !aT ? o ? so. oo N 0°os'sa "w 0 -------? I SCAI.E: 1 inch = 40 feet - - - -} 8.0 w n w W) a / 56,0 v n ? 0 ? vaoaoseo o A = '? HOUSE ? jN / / 36.0 o ' p? , iA z ?? ? ? 28.0 - b l ?Ig g g o M LOT 10 I ^? braina6e & utillY? ea3ement ? ?- - - - = ---?. 9Q00 N0°09'58"W I hereby certify that this is a true and correct representation of Lot 10, B1ock 1, WILDERNESS PARK SECOND ADDITION, accordlnG to 'che recorded plat thereof, Dakota County, Minnesota. Also shoNi.ng the location of a proposed house as staked therecn.' Dated: April 4, 1979 I /? b r b'? l 1 y I MINNESOTA REGISTRATION NO.B ^'" a 2000 BUILDING PERMIT APPLICATION (RESIDENTIAI) ll??b cirr oF encnr? ??#1??5? 3830 PILOT KNOB RD - 33722 651-881-4875 NewCanahucHonReaulremenh Remodel/ReoalrReaulrementa I /2B. 25 C'c,llrGl lv/laI UD M'N n 3 replstered Yte surveya ahowinq aq. R. of bt. eq. B. of house 2 copfes of plan pntl go rooled areaa f70X mmdmum lot coveraae albwedl --+seVePerwrgV-6ffculalians for heafed adtlHlons > 2 caplea of plans (ahow beqm & wlntlow sizes; poured Ind. deslfln; efc.) 1 aite wrveY for exteAOr adtlitlons d deeka ? 1 iet of energy calculallont a 3 copies of hae preservallon plan tt bf platted aMer 7/11/93 , DATE: ?O o CONSIRUCTION COST: DESCRIPTION OP WORK: SfREET ADDRESS: `I 377 C? tr ? m? L ti LOT: 10 BIOCK: ? SUBD./P.I.D. lf: 1?1 i(cL-1-15 Pw k 21o14841,-- Name: vQ`fl f16 V-Q- -TG-? Phone #: b S l- 68 $-1 S 6 S PROPERTY taat ?r Flrs? OWNER H ?1? ^ r Sheef Address: 113 7-7 Z? Ci}y State: M? Lp: S? l?3 - 7. Company: Phone #: (area code) CONTRACTOR Sheet Address: llcense # Exq• CBy State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheei Address: Registraflon #: Clty State: Sewedwater licensed plumber (N insWllina sewerlwaterl: Phone #: Zip: Zip: I herebY acknowledge Ihat I have read 1hb applicafbn, ftfe ihat 1he Intortnatbn B cortect, and agree b eomply wiM all app6cable Sfate of Minnesota Statutes and Clty of Eagan Ordinances. Signature of ApplicanY. -- OFFICE USE ONLY Certiflcates of Survey Received ? Yes _ No J ._1i Tree Preservatlon Plan Recelved _ Yes - No _ Not Required ??? OFFICE U3E ONLY BUILDING PERMIT SUBTYPES ? 01 FoundaGOn ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex 0 12 12-plex WORK TYPE Pk-'31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-piex -k'21 ? 17 Garage O 22 ? 18 Deck ? 23 ? 19 Lower Level ? 24 Plbg _Y or_ N ? 25 ? 20 Pool ? 30 Poroh (3-sea.) ? 31 Ext Alt - Muiti Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF Porch (screened) ? 36 Mutti Storm Damage Miscenaneous Accessory BWg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)" ? 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) O 46 Windows/Doors ' Give PCA handout to apptlcant for demolition permit GENERAL INFORMATION SAC Code 0) No. of Units o No. of Buildings i Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. 3 e ?.obsq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building sq.ft. 12 sq.ft. i2 Footprint sq. ft. Census Code MC/ES System City Water 14v Booster Pump PRV Fire Sprinklered Engineering Variance T vy LI3K Permit Fee ValuaUon: $ 6400_66 Suroharge Plan Review License (2 x 12 ??rN Xq0 5 ? 6 p MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Suroharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC .? C.?{ r ? rvew ?'j F?ehcti doo ?- a ;gOv g - ?q?e ec.S8m2eL? l-t, aco Lvv?ll?2r ? ??C LI?OOp ??n ?oJ a , Lc?6 y, 00 6 IICh? 233(F J7s 1 ?31 ie Fi 73? 21C ?I ?. . •son ?.a ' .c 110th Street Bk: 3711 1? ,,u.ngton, Mn. 55437 • A . . ? l?y . ? DELMAR H. SCHWANZ LANOfURVEYOP . qplsNntl 11n0u Nwi af TbS Siale OI Mlnnewto .. , , '. 2779 - 1467M BTqEET W. - BO% M HOSfiMOUNT, MINNESOTA 6600 PHONE 812 43b176p , SURVEYOR'S CERTIFICATE ?----?RF81V--'--- - -1-a;,:F . . ° ? sAOO N0009'88"W SCALF. 1 innh • 40 feet o , ? .., .. . , , .?---- --• s W : W ? 4 PROP09E0 a Q . ?„ . %110USE ?p?/n ?? 38 .O ! 2 ? ? . . Q . ?`28.0 , $ y ,Z o M LOT IQ M brain$ge & ut111 eaeement : '.eaoo No°o9 ae I he3^eby certify that thia le a true and correct'repre4entatl.At1 flf I,ot' 10 , B1ock 1, ,WII.DERNESS PARK SECOND ADDITION{ aacording bp`the rec4rCed plat theraof, Aalcota County, Minneeota. Aleo ehowing the Socation of a proposed houag as ataked thereon.' i. Dated: April 4, 1979 , I ?l cr tl 1 c1 ? yl -7 1? 3Gj 2006RESIDENTIAL BUILDING rERMIT arrLicaTioN City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 Nev+Construclion Reauirements 3 regktered site surveys showing sq. it oi tot, sq. ft of house; and all roofed areas (20% mazimum lot coverege allowed) 2 wpies of pfan showing beam & window sizes; poured iound d=sign, etc. 1 set oi Energy Calalations 3 copies of Tree Preservation Plan'rf lo[ plattzd affer 711(93 Rim Jast Detaa Options selecfion sheet (buildings wifh 3 or less units) Minnegasco mechanicalventllafionfonn RemodelRieoair Reaui2menis 2 copies of plan showing footings, beams joists t set of Energy Calcuhtions iw heated add'NOre 1 sife survey for addilions & decks Add'rtron - indicafe if on-site sepfk sysfem #?-7D 0d off?.u5e o?? ?C??erioPSuney?ecd y; ?' 7reePresYlan#?eoi .?'1"! ;N. 7reepresRequiied` `X!?.Fl Qo-sdeSeA4c..S.ystem _Y-"N Date o / 36 / Site Address &/S7 06 2 ConstructionCost Unit/Ste # Description of Work 5 i Cl? Multi-FamilyBldg _ Y ZN Fireplace(s) X 1 Property Owner Telephone # (Gs? ) 9?'r y- 11-2 Y ?- Contractor - Address State City Zip Telephone k ( ) COMPLETE THIS AREA ONLY IF CONSTRIJCTING ANEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Cafegory . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submiried In the last 12 months, hos the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor SeweNWater Contractor Telephone # ( Telephone # ( Telephone # [ I hereby apply for a Residential Building.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 State of MN Statutes; 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. l"?l/?2(? ?l?v?s?'-, Applicant's Printed Name "?/?--- Applicant's Signature DO NOT WRITE BELOW THIS LI1VE Sub Tvpes ? 01 Foundation ? 07 DS-plex ? 02 SF Dwelling ? 08 Ofi-piex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 'IU-plex ? 06 04-plex ? 12 12-plex Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex 0 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Mu16 Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors `Demoli8on (Entire Bldg) - Give PCA handout ta applicant DesGriptlon; WaterDamage_Yes Valuation Occupancy Plan Review 100% or 25°k Census Code Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundarion _ Drain Tile Itoof Ice & Water Final _ Framing - _ F'ueplace _ RI. _ Air Tcst _ Final Insvlation Approved By. MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock FinallC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs AirlGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wail Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Planf License Search Copies Other Total Use BLUE or BLACK Ink For Office Use I 'al Permit j City of Emu I Permit Fee: ~y 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite M RESIDENT/OWNER Name: Krh 1`G 1 Sc,--~ Phone: Address / City/ Zip: 1 J ?7 0 K1 U r~ Applicant is: Owner Contractor TYPE OF WORK Description of work: ~✓t~ f~i~ 1~~~ ('S'e ldoC. Construction Cost: CJ(J C) Multi-Family Building: (Yes / No 7 CONTRACTOR Name: License#: 64 Address: 1 (G S~ City: State:N Zip: Srl~l Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www:gopherstateonecall.org 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: L ~ X X Applica is Printed Name Applicant's Signature Page 1 of 3 4111/ C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: r Use BLUE or BLACK Ink For Office Use �^� (��� Permit #: 1 t V oa 14-DaPermit Fee: 0299 . 't)14- Date te Received: q Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 1'3) -7 ::,r, )L Lam. Name: r,-7,1AP/ (4si Unit #: 011:)0 Phone: (;-`l 79' 11 2V Address/City/Zip: 73`)-7 or'o,-, Al SS -113 Applicant is: Owner ° Contractor Description of work: a--) ss fru lro r-/aisil�f/ • /ix/s "Ale L Construction Cost:3 ?.,ACU Multi-Family/Building: (Yes / No X ) Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) PD 1°10 Civ c ✓ 1 78' 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org 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 TrRz" Pi v I Se in Applicant's Printed Name X -'M —. Applicant's Signature Page 1 of 3 L4-3-]-7 ()viol') DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation 1 Single Family Multi 01 of _ Plex WORK TYPES New Addition 44. Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 1 00% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 4/39 1 J3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Ne> Foundation si rk Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: t) 1iii Siding Reroof Windows Egress Window %Ic D Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump 72i PRV Fire Sprinklers I� Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /32 '5 -244 ys, st, @ 7/ °= r7� 01� Page 2 of 3 Use BLUE or BLACK Ink r For Office Use 4 11 100 City of ~n Permit#: 1 1/'id I b I ® #il I Permit Fee: Vl 3830 Pilot Knob Road i 3 Eagan MN 55122 I Date Received: r Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: C13?? d L~ Tenant: Suite Resident/Owner Name: e ` Phone: Address / City / Zip: Gl 's 7 7 0 o Name: License Contractor Address: City: State: Zip: Phone: Contact: Email Type of Work New _ Replacement _ Repair - Rebuild Modify Space - Work in R.O.W. Description of work: 6(, RESIDENTIAL Water Heater Water Lawn Irrigation RPZ PVB) Softener Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om 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. x ~/CI< ✓/5~-1 x .11,v , Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final I ~I 1 Use BLUE or BLACK Ink r For Office Use I Permit City of Eap 15-19 Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received:1 15 10 l Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: loo l .3 Site Address: Unit Name: I'~~2~L ~~/1.✓f~e-~ Phone: ~f-f 2 -O13,- Resident/ Owner Address/City/Zip: Applicant is: ,K Owner Contractor Description of work: Type of Work Construction Cost: ~y Multi-Family Building: (Yes / No,--- Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140360 Date Issued:12/13/2016 Permit Category:ePermit Site Address: 4377 Orion Lane Lot:010 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Mark R Paulsen 4377 Orion Lane Eagan MN 55123 (651) 329-0138 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140730 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 4377 Orion Lane Lot:010 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Mark R Paulsen 4377 Orion Lane Eagan MN 55123 (651) 785-3820 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature r Use BLUE or BLACK Ink `! For Office Us /.//0 cf,f,i h7 00 40/' City of Eaaafl ::::! ° r 1 _/1/7. 1 3830 Pilot Knob Road / 1 Eagan MN 55122RCEIVED Date Received: (O - . '7i" Phone: (651)675-5675 c' I Fax: (651)675-5694 JUN 2 , 2017Staff: /� 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: g1,-7 Site Address: Li Yr? 0r L—, Unit#: . Name: F3-r1Se,.. y►��+tr-� t� Phone: SSL 3 �7 -t,(3 gf' .Owner .. ,:r Address/City/Zip: 7 7 O�`AL_,,4_,,,, T'''--):::2) Applicant is: Owner Contractor 7 1144' r Description of work: 11-t4cL^ i4----,,,,,,,L( x �` �`' Construction Cost: i%<' �j�(�C Multi-Family Building:(Yes /No ) Company: Contact: "Contractor Address: City: State: Zip: Phone: Email: rt nSI License#: Lead Certificate#:A n If the project is exempt from lead certification, please explain why: l�,Jtiy,. 0,v1 if i 1,79 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: Fire Suppression Contractor: Phone: a TE Plans ani su ffi . = • ation Po Ens of �� ppoftin�rbcumen -. �# u subr,���ars :P � the information maybe classified . , non-public rf yours • de speci!f c e m n ro rld pearl ° rt to 4 r •n �toat rade : 5 . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora 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 Pi AQtG 1 0,6 e.., x,AIN•1` ,, Applicant's Printed Name Applicant's Signature Page 1 of 3 q7 •//7- &:Oirt DO NOT WRITE BELOW THIS LINE /4774/00O SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) p Single Family Garage Porch (4-Season) Exterior Alteration (Multi) __ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building WORK TYPES New 14 Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION _ Valuation 4 ~�V. — Occupancy 1-RC. 1 MCES System Plan Review Code Edition (/Mil 2O15 SAC Units (25%_100010()° ) Zoning ?Z City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \i' j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) S Final I No C.O. Required Foundation Foundation Before Backfill to HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick EFIS O Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: (O ifY1 /1r Kt Y Building Inspector RESIDENTIAL FEES d L.l3 Sq • f1-- Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit &Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r r ;•rL.ai June 20, 2017 To: Mark Paulsen 4377 Orion Lane Eagan MN, 55123 Re: Wall removal Dear Mark, Thank you for requesting Complete Building Solutions, LLC("CBS")to inspect your home at 4377 Orion Lane. You are planning renovations to this home and would like to remove the walls between the kitchen and living room and also between the kitchen and dining room. You have requested CBS inspect the home to verify whether or not these walls are load bearing. On June 20th, 2017 CBS inspected the home and took measurements and pictures to record our findings. Our inspection found that the roof assembly is supported by roof trusses.We have determined the trusses have 2 bearing points which are located at the exterior walls.We have determined the walls between the kitchen and living/dining room are non-load bearing and can be removed without any further structural support. If you have any questions or concerns, please feel free to contact us. Thank you for the opportunity for Complete Building Solutions, LLC to provide you with this service. Sincerely, , '` Bruce Polaczyk, P.E. =. MN License#10377 U0010830 **t; '0 10377 Ric