4393 Orion Lane"- ? cirr oF E?"N
8795 Pilot Knob Rood Eogon, MN 55122
PHONE: 464.8100
BUILDING PERMIT Receipr #
Ta 6S wA (w F.t Vnl..n Mta
Sita Address Erect ?
Lot Block Sec/Sub. Alter ?
Pcrcel # Repair ?
Enlarge ?
W Naffm Move ?
3 Address Demolish ?
°
r-:.., oL..__ Grode ?
N4 5469
19
Occuponcy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
a' Ncme APVrovals Fces
,o
o? ?? Assessment Permit
u
F'
Water & Sew.
Surchorge
Ci Phone
Pollce Plan check
?09
FW Nome Fire SAC
?? Address Eng. Woter Conn.
<W Ci Phone Planner Water Meter
Countil
I hereby acknowledge that I have reod this opplication and state that gldg, pff,
the informotion is correct and agree to comply with all applicable
State of Minnesotn 5tatutes and City of Eagan Ordinances. APC Total
Signoture of Permittee
A Building Permit is issued to: on the express condition thot
all work shull be done in accordance with all appliccble State of Minnesota Statutes and City of Eagon Ordinonces
Building Officiol
w
rffmit # oa+e b...a wMhe..
Plumbin9 11 /
Mechonical i ? -?) G -? a
INSPECTIQNS DATE INSP. RougFfln Flnd
Footings Dote Inap. Dote Inap.
Foundation Plumbing 3-3$
Frome/ins. 3-3-7-0 Mechaniwi
Final -
Remarks:
To 44o? r ? .,?
CITY OF EAGAN Remarks
Addition WILDERNESS PARK 2ND ADDITION Lot 12 Blk 1 Parcel 30s???? ?,?801
Ownern(,te??ia.!.. ' '.-', .' ? ,. ?oGlk.kt ,
Street 4393 Orion Lane State Eagan, MN 55123
T _
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STAEET RESTOR.
GRADING
SAN SEW TRUNK a
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 11 11
BUILDING PER.
13469
srac 525.00 16339 "
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE: '
Zoning: No, of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Acwunt De
osit:
p
?---
Reader No.: Permit Fee:
1 agree fo comply wifh fhe City oF Eagon Surcharge:
Ordinances, Misc. Clmrges:
Toiol:
BY - Dote Paid:
Date of Insp.: Insp.:
CITY OF EADAN SEVYER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: -- - -
Address:
Site Address: -
? . ,_. 7 ' - -'.a t.e n . . _ 3 , .L-
Plumber.
1 ogree W eampfy wifh t6e City of Eogan
O?dinanees.
BY --
Dote of Insp.:
Insp.:
Connection Chorge:
Account DeposiY:
Permit Fee:
Surcharge: `
Misc. Charges:
Total:
Dote Paid:
cirY oF ea"N
' 3795 Pilet Knob Rmd Eo9oe,
PHONE: 4348100
BUILdIMG PERMIT APPLICATION
MN 53722 N? 5469
Recefpt #
70 6e med fer SF Dwlq & Garage Est voiue 69, 000. pate 10-18 1979
Site Address 4393 Orion La512 Erect $?C Occupancy R
12 1 Wilderxiess Park 2nc1 ? z
Lot Block See/Sub.
porcel # 10 84251 120 01
?
0
,o
ZV
uS?
r
Iter
Repair
Enlorge
?
?
?
Name ?v & C1riCIV ?P?CAY '
Address 762 E. Mr?ntana Ave.
More ?
Dertwlish ?
oninp
F(re Zone ''
Type of Const. V
# Stories
Front 50 ft.
CitY St. PdUl SSZOFiPhone 771-5220 Grode ? Depth 35 ft.
Name Same APVrovale Feee
Address
Name
Assessment -
Water & Sew.
Police -
Fire
Eng.
Pianner
Council
Permit '
Surcherge 35.50
Plan check 84.00
snc 525.00
Wmer Conn. 270.00
Water Merer 60.00
Road Unit 75.00
I hereby ocknowledge thnt I Rave read this apPlication and state that Bldg. Off.
the infortnation is correct and ogree to comply with all applicuble APC Total 1?21?.5? ?
State of Minnesota $totutes and City of Eagan Ord' nces.
Sfgnature of Permittee ( G? ? "?`J
A Building Permit is issued to: & C]ridI7 BOdP.kG'Y on the expreu rnndition that
nll work shall 6e done in accardance with?all applicoble Stpre of Minnesota Statutes and City of Eagen Ordirwnces.
Building Offidal
CITSI CF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
'ib Be Used Fbr"?'ik?? J?m. W ?as? Valuation Date
site raaress y3q3 ?•.?o,-. 1-c.v.e? pFF'ICE USE ONI,Y ,
?a?, ..<SS ?r??
Lot Block ? Sec./Sub.W.?rd Erect n, Occupancy
PdT021 vth'---A1t2L' 7Ariing . i
REpair Fire Zone ?
owner: Enlarge _ Zype of const. .
` Move # Stories
Address: Ti lo Demnlish Fmnt ft.
City/Zip Code: J?SSiG tc Grade Depth _ ft.
Phone #: '11t-Sd), O LLoo,k 9 31- 1J3G
Contractor: -j c- `?-
Pddress: '-
City/Zip Code:
Phone #: -
Arch./Eng.: Q\?:'?\c??S 4?c.r\ Se.N e-
Addr2SS: 1b-100
City/Zip Code:
Phone # :
APPRC7VAIB FEES
Assessrnnts C _ Permit . / ' -
T4ater/Sewer Surcharge -
Police Plan Check
Fire SPG -
Etzg. Water Conn.
Planner Water Meter
Council Rnad Unit i '
Bldg. Off.
APC
zo'rAL
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Cities Di itg a1 Qualitv Control
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126503
Date Issued:08/27/2014
Permit Category:ePermit
Site Address: 4393 Orion Lane
Lot:012 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-120
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 .
Elizabeth Hess
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrea C Perendy
4393 Orion Lane
St Paul MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink I1
r For Office Use �; I '
:::ee
M
/Clty 0�E� �Il 1 :
3830 Pilot Knob Road ` 1
Eagan MN 55122 Date Received: C j 3/ 1 7
Phone:(651)675-5675 ;
buildinginspections(a�cityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:3 LOI7 Site Address:
/7'393 ®� ®,v "" Unit#:
" Name:
J O H.KJ ? - Phone:
:Rewsident! { ` e
{Oer tr ' Address/City/Zip: 43.3304/0/0 SiNiE
Applicant is: Owner X Contractor
Type of Works
Description of work: �.()� `'YOAFL � AVt ��� �
t Construction Cost: 01500, 00 Multi-Family Building:(Yes /No R)
Company: z�F6e ��s. COMM
.Contact: Ic--i u.crt
# } lt? 1 urrtei vg,--r7 �jLC"r City: 4pt V�
Contractor Address: / / ��1 �'jp i/
} m State: Zip:55f2elPhone: 6 1 3# tJ O&mail: � d �s t+ofl��fG . cook
License#: Be, 63785$ Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I' D
1-16' t c' -o
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:
NOTE dans and support% ,doc rm tshat you submit,are considered o re publi,info matron Po ions f foie xro
informat an maybe classified as non public:if y au provide specific reasons het uld i fid City tc co o .,.. at they
are trade,secrets; {r `.. � :.. �"_
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeauan.com/subscribe.
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.
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.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 oif
Eagan;that I understand this is not a permit, but only an application for a permit, -i• _ •• rt withou permit; that the work will be in
accordance with the approved plan in the case of work which requires a review-•. approval 47
it
x
tcek._�ky.r-Fff._ x ' 1
Applicant's Printed Name Appl' ant's Signature
Page 1 of 3
i
E?C-1_3 Aie eill /1, DO NOT WRITE BELOW THIS LINE /1/6/:
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
)(, 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 _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
7( 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 Occupancy ' MCES System
Plan Review Code Edition A,, SAC Units
(25%_100%S. ) Zoning 14 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 15--- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) r Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests _Final
iC Framing X 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
.c` Sheetrock Radon Control
i( Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /
\ V , Building Inspector
RESIDENTIAL FEES r
'„
Base Fee �,ffii.b rt .
Surcharge �J 0 1, ,.
Plan Review 1,51 X
MCES SAC 1'.
City SAC ".,.
Utility Connection Charge s,<
S&W Permit&Surcharge � ��
0
9G 0
Copies { /
Treatment Plant ]/ q
,/ ,v, �'?
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167256
Date Issued:03/04/2021
Permit Category:ePermit
Site Address: 4393 Orion Lane
Lot:012 Block: 001 Addition: Wilderness Park 2nd
PID:10-84251-01-120
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 -
Andrea C & John Paul Perendy
4393 Orion Ln
Saint Paul MN 55123--185
Bloomington Heating & Air Conditioning
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature