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4335 Andromeda WayCITY OF EAGAN PERMIT TYPE: '."" i ?' i ar} 3830 Pilot Knob Road Permit Number; 1.830 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? ? };?,?:. i ; .,.. I SITE ADDRESS: APPLICANT: itir111h'0Mk IlA IJAY k I? i#A!<ii ( I I, ? ! i f ; ' i a ? . . i ;'•f . I- . • N f 1 , , i , . ? , . ,, i 1 1 . PERMIT SUBTYPE: TYPE QF WORK: ,-,?.? ? ?, r?? ; , - ii i .? , ? ? ; , .•ti i ???? f'nAMI tai, I I I rt4 ;1.11 ntlc?N ,????????? ? i•? ? ? ., . ? ra;, ? I ? ? Permit No. Pertnit Holder Dete TelephWN # ELECTRIC ff yr r.?' ,l N PLUMBING HVAC Inapectlon Date Inep. Commerris FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING 9 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG / FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ZJ 7/? .?v DECK FfG DECK FINAL BUILDING PERMIT To be used for K Est. Value $1 ? ?()0 Site Address ` , , " " , : ;'. , Lot Block Sec/Sub. Parcel No. Name ....?...,.... Address City Phone a Name ot Address • `-? ? City Phone <.? Address C ity I hereby acknowledge that 1 have read this application and state that the information iscorrect and agree tocomply with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Signature of Permittee Recefpt # Date ,19 On Site Sewage MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police Fire Engr. Pianner Council Bldg. Off. APC Variance OFFICE USE ONLY Occupancy Zoning Type of Conat (ActuaQ (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Plan Review SAC, City SAC, MWCC Water Conn. Water Meier Road Unit Treatment P1 Parks Copies TOTAL A Building Permit is issued to: ' on ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official CITY OF EAGAN . 3830 Pllot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHON E: 454-8100 Permit No. Ptrmit Holder Date Telaphone 7t Plumbing H_V.AC. E lectric Softener Inspaction Date Insp. Comments Footings I Footings II - Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CIaY UF?FAGAN `3830 Pilot Knob Road WATER SERVICE PERMlT , P. O. Box 21199 PERMIT NO.: Eaga'n, MN 55121 DATE: , Zoning: No. of Units: ' Owner: `?? e[ld Addr+ess: site Address: '?.#t3t f ?t? , 104y Pl o L r - 1 r t C t1 1T1bCf. FCJE . AA@ftr No.: 4 on Ciwrge: '+ i;1. ()Q j?d lSize: `1?Q? Deposir: 15 . 00 F; ead r No.: Permit Fee: 1 G. 00 pt'. 1 elree MrN6 ef Eeya Surcho.ge: . 50pd Ora Miae. CFwrges: _ 63 , ' V) p c : e i ; . Totol: BY ? Date Paid: Date of Insp.-: ' , Insp.: CIIY OF EAGAN SEVI/ER SERVICE PERMIT 3830 Pilot Knob Road P. O, Box 21799 PERMIT NO.: Eagan, MN t5T DATE: Zoning: No. of Units: 4wner: Svend Peters?::i l,ddress: ?,.? 3rK SitB Addre55: 4315 An ZO'.tlEliZtl [,12 1' i? Plumber: ?'eriz RyBn <:- . .: I egroe to eomplp wilh !6e Ciy oF Eogon Ordiuenees. By Date of Ir?sp.: Connection Chorpe: 42.5.00 ?,ci Account Deposit: 15. 00 Dd Permit Fee: - , . 00 pd Surchorpe: • 5 P`' Misc. Chorges: Total: Oote Paid: - . BUILDtNG PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan. MN 55121 PHONE: 454-8100 # $ 109 t 0(]fi Recetat 6, G.?Is....?. ? ti._ Site Addres: 4335 ANUROMEDA WAY Lot 12_ Block 7 SeclSub. w ILUFRNESS PARK II Parcel No. 1 Q- S 4251- L 2(q92 a; Name SVEND PETLRSEK ? Address 4701 W 11 Q th S t_ City ?p 1 5 Phone 884- Si 44 ?o Name ? Addresa V H Citv _ Phone Address City , Phone 1 hereby acknowledge that I have reod this applicotion ond stote that the intormation is torrect and ogree to comply with oll opplicable State of Minnesoto Stntures and City of Eogon Ordinonces. Sipnature of Permiftee A Building Permlt is iuued to: SVEND P' CUNSTk oll work sF?oll be done in occordmxe with o 1' opplimble 5?. f Buildinp OffiNol ?`?l-? N° M3 ?2 ??'-/ -) June 1 ,- 84 Erect ? ?: accupancy R- 3 /11ter Q Zoniny R- I Repoir ? Fire Zona NA Enlarpe ? Type of Const. Y Move ? # 5tories Demolish ? Length 54 Grode ? Depth 3LSq. Ft. Appr ovals Fees Assessment Water & Sew. Poliu Fire Eng. Plonner Council Bldg. Off. APC Permit 4 Surthor9e - Plon check _ SAC 52 Water Conn. Woter Meter Road Unit- Toral 2055. 7 5 i1" Cu Ih,' on tha expreas condltion that Stotutes ond City of EaQan Ordinances. 75 Psrmit No. Permit Holder Mise. Permit No. Hotder Plumbiny Li 3 9 ? C_ Z,7,..,? H.V.A.C. WeII Water Dicp. S?WOr Electric Iropsction Date Insp. Other Footings rp?1 - . ?r?2 ?.?C ?• ..,- • ,-?' Foundation Frsminq ::Ou W ? 1 F Rouph Plbg. uf ?. Rouph HVA Inwlation 94 Final Plbq. Final HVAC . ? Final Waar Duc?iba Location: YYsll _ Sewer ? Pr. DNp. + CITY OF EAGAN Remarks Addition Lot IZ Blk 2 Parcel l n R42S1 ] 7(] 09 Owner Street 4335 Arit1x'OIileCIa Way StateEag.SIL*_ A'IlV 55173 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN 5EW TRUNK 61.69 A014472 8-23-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 4041- 1979 635.84 63.58 1 254.36 A014472 8-23-84 STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIpEWALK STREET LIGHT Road Unit 260.00 #43748 -1-8 WATER CONN. 470.00 ii ri BUILDING PER. if SAC 995-00 PARK 0 073 285- 9/ria Ag I,)OaOMM6MJ?,.,? ,421) flaquast Date Fra Ifto ough-In Inspection Reqmretl Irwpeotion O[her Then Rough-In (U ? (VOU a t ?l mspaotor whan reatly) ? ? Ready Now ? Wtll No01y Insper,tor / v N. D2fE RBAtlY IXlicensed contractor ? owner hereby request inspection of above electrical work at Job Atldrass (Sireat Box or Rou[e No ) City ? .3 3.5 ?tc.? Section No Township Name or No Range No County Occupant(PRINT) D Phone No r PomprSuppher Atltlress Eleclncal ConVacror (Company Name) ConVadors License No C% ? s- Maihng Addmss (Conhector or Ow r bng Ins?sllahon) ? ? /4YaP--7LG?+/ "? • Authorrze ignature (COniractodOwner Making InsiTllation) Phone Number 7?3- a 79S 5t PaSMN85 ?NIpTY NIIII IuI III I? I?? UNLESS OPEP INSPECTION FEE Ph o pT na 6121 i862D800 ENCLOSEO I W II II II A N?^??? " REQUEST FOR ELECTRICAL INSPECTION jll?p See instmcnwns for cbmpleling this form on bnck oi yellow copy 0 073 285 "X" Be/ow Work Covered by This Request {EnB-0N,0007/-0?9 New Add Rep. Type of Budding , Appliewces Wired Equipment Wved Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specdy) Farm Air Condrtioner Other (specify) Contractor's RemaBS . 'tc?l.GL% Campute Inspeclion Fee Below: # Other Fee Jt Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove200 Am A 700-Amps Slgns lnspecmr's Use only. TOTAL _Jllrt Irrigation Booms ? • ?? ? S ecial Inspection Alarm/Communication THIS INSTALLATION MAY ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN TH r I, the Elecirical Inspector, hereby if h ROUyn-in V r ate cert y t at the ahove inspecnon has been made. F??a? • ?! 7 y OFFICE USE ONLV This requesl voitl 18 monihs from CITY OF EAGAN N a 13 6 9 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 ?////v ^ (} BUILDINGPERMIT Receipt# /`?`" p/ To be used for DECP- Est. Value $Z , 600 Date ,1 g-467- Site Address Lot 12 E Parcel No. a Name RARRY ANDRliSS # Address SAME ° City phone 4335 ANDROMEDA WAY c 2 Sec/Sub. WILDERNESS PK s Name RAIMD M. MIKKOLA 0 ?? Address P.O. BOX 8156 P City MPLC Phone 825-0868 a w z u z w Name_ Address City _ I hereby acknowledge that I have read this application and state that the information Is cortect and agree to comply with all applicable State of Minnesota Statutescqp?d./C? ty of Eagan Ord?in,a?nc}es. Signature of Permittee ?. d/I?.bf?a?c A Building Permit is issued to: RAIMO M. MIKKDLA all work shall be done in accordance with all applica e te of Building Official ? OFFICE USE ONLY On Sile Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const Ciry Waler _ (AC1uaQ (Allowahle) # of Stories Length Depih S.F. Total Footprint S.F. APPROVALS FEES Asseasments Permit $44.50 Water/Sewer _ Surcherge -1T Polica _ Plan Raview Pire _ SAQCity Engr. _ SAC, MWCC Planner _ WaterConn. Council _ WaterMeter BIdg.Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies ToraL 46.00 r on the express conditlon that and City of Eagan Ord(nances. CITY OF EAGAN 7?? ? 9?f ? 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 21 lr i .. PHONE: 454-8100 BUILDING PERMIT Receipt # ? $109,000 ud 4erSING FAM DWLG Te ba ?a d G ?.'Value Date June 1 84 19_ SiteAddress 4335 ANDRO MEDA WAY Erect ?X p??upancy R-3 Lot 1 9_ Block 2 Sec/Sub. WT7.DF.RN .SS PARK II Alter ? Zoning R-1 Parcel No. 1 G-R4251 -7 241i4 i2 Repnir ? Fire Zone NA Enlarge ? Type of Const. V rc Name SVFNn PFTF RSFN Move ? # Staries Z Address 4701 W 11 ? 0th St, Demolish ? LengTh 54 City mP7 s Phone R$4-9144 Gmde ? Depth 36 Sq. Ft.- ? Approrala Fees o Nama SAM u Address AssesSmenf Permit 455.50 ? l- City Phone Warer & Sew. Surchorge 54.50 7 7S Police Plan check? i Fw Neme Fire $AC 525.00 ?? Address Eng. Woter Conn. ?s00 <W City Phone plpnner WaterMeter63..00 I hereby ocknowledge ihut I have reod Ihis aODlication ond state that the inlormotion is correct and ogree to comply with oll opplicable State of Minnesota Stotutes and City of Eagon Ordirwnces. Signature of Permittee A Building Permif Is iuued fo: SVENI oll work shall ba done in accordance wilh Buildirg Of/iciol Council _ Bldg. Off. - APC - Rood Unit 260 _ OQ Terai 9055 7 s q W LLVI. on the express conditlon thni $fatutes and City of Eagan Ordinante5. CITY OF EAGAN Include of pK14,3 1 Gertificate of Survey,& BUILDIIIG PERMIT APPLICATION 5?? o?ener9Y,-calculations. ? ?-- --- ? Valuation ?b Be used For Site Address :133 5 i^E >v* '?4 y ((Ji L DrF'NCSs Lot /2 Block :,: Sec./Sub. A"9Erect Parcel #: Alter ? L!C./1 _ Fdepair Assessments [4ater/Sewer Police _ Fire Address: --?Y7p/ u/ pEmlish Front Gj¢ ft. City/Zip Code: l-/i?l ? /yj/v.' ?5k; y 37 Grade Depth 3Co ft. P]1UI12 #: v - :> / e/ L/ APPROVALS FEES Contractor: P,C1C1Y'0ss: l"--- ?G City/Zip Code: Phone #: Arch. /g'ig • : Address: City/Zip Code: _ Phone #: OFFICE USE ONLY n Occupancy _ Zoning (Z- ? Fire zone til h 'Iype of Const. ? # Stories E4 - Planner Council Bldg. Off. APC Surcharge _ Plan Check SAC Water Conn. Water Meter Road Unit 5 TO''AL a?U 5 S' 7 / O> ` l?. ? .? ? ? R 1? ? n ? ? 2o x 2(, = 52o x s4 = 280? 13x 3o ° '2A? o x '5 4= 210(, 0 I5.-? ZZ = 33o x 54- = 1?820 22 22 = 6 4-x (1 = 53Z4 -s3 ,c 2-7 _ 1 o°If x 4 I C?B, ?15 109, oc?, 0, .x 4 ?) 'i ° 5 0 i 54•SG<- z _ 7 7 5' y 525=CC' 470?pCt 5 ? ^ 0 0 + 2c0?JL,+ 2n5:-75+ Certificate for; _ , • ?vend Peterson DELMAR H. SCHWANZ L.ANOSVAVEVOAS? loC, qpisbrM Untlar Laws ol The State of MmnesoU 4978 - tA6TH STiiEET W. - BOX M HO6EMOUNT, MINNESOTA 56068 ?4a /?6. 2? 3 I 1? ? I h a ? ?aT ? ? yl I? ? lo3 ? PHONE 672 423-1769 SURVEYOR'S CERTIFICATE ? /o?.OS /'? f3'7 "} 7" ? B G -r01't?,?r'J ?y V 1?ON'?d `lE ? 3b ?u o ?` ? -? ( Draina.ge & 4 utility g [2asement' -?: 61 ?y ? ?W 2L ? -' T ,) ,u? ` ? ?:? c ?+ ??_ {• ??. Kti ?'fOP L4Qt??? a ? n ti f? i ?° IN ? 67.bs ? N 89-s7- 2Bc --- v? c I \ ?? xy2.r ? 1"?0 L'•??B t y ; , ; ? 4,° 0 SCALE: 1 inch a 30 feet Elevations shown are exieting ? Denotee set wood hub Proposed garage floor elevation I hereby certify that thia le a true and correct representation uY Lot 12, Block 2, WILDIItNESS PARK,SECOND ADDITIbN, according to the recorded plat thereof, Dakota County, Minnesota. Also Bhowing the location of a proposed house as staked thereon, Dated: May 24, 1984 ? f! r'/ MINNESOTA REGISTRA ION N0.8825 ?( I -- - ? , 1- J Iv?%-A "t_F: f , .. C7 . `S - - , fZT'1AL. T12AN5MITTANIGE - . `_ . : . S?? t'tDDRE55 . - . . . ?L : ',:: _ ? ?:,.. ? Go??TR?o? ? . = ',,`, ? owNER ? ?t.11LDfN?'fl'P? GF}?GK,OrI?? ,..? oNFoR'(WO,FAMi?7DUEl.Ur?t?;' ASSCM6LY vESc, wIF* tt? ?E` tO' u-.yAw? Ux a.? s?+ow ca?u? ,on? • , " INSUtAVD A? a s?rn..?c?+tfs T'r? . _ FW1NGt AREA ? 123 oTtN CbE5GW6E) , J7A AL?S aACl? d va?a r ?urr.?v?vau??l?r cEiuN PoF INsUuATEo AREA WIN00615,11'M DG? ?5 ,rO ??l?EPt? I?u' . . , :. ._ : ,: _ rouj4DATio1%l WAU. elpAm FotJNcAi ior-4 WttJWWS I17'PE SLIDIhI? GLA55 DOOR a?t?E R C?Es?r?? d?}}?(? (PESr.KI9E) E 4 I 232 1 ; .032 .04 . . . . - 1785 .061 108.9 .a 198 .067 13:3 203 .5E 103.5 38 .07 2.? ,:. •.; ?8" - --.??? :? s? ? - 1 7 .3 90 .47 ~?.. A?.3.: 4 40 _ 20.4_ ` ? ?- 2652 435;9 . 1.7 nd' ? U VPI.uE A r (o RE?UIgw EXPOSCD WALL . .I64 .19 ..? ?. -- ? . `? .. .I? .-, ?. ? . • s /? ? ?? 7987 BOILDING PERMIT APPLICATION - CITY OF fiAGAN SINGLE FAMILY DWELLINGS I9CLQDE 2 SETS OF PLANS, 3 CERTIFICATfiS OF SDRVEY, 1 SET OF ENERGY CALCQLATIOAS NOTE: ADDRESSES FOR CORNBR LOTS - CONYRACTOR/HOMEOiiDiSR MOST DESIGAAiE WHICH ADDRESS IS DESIRED. NO CH6NGSS WILL BE ALLOWED ONCS BIIILDING PfiRMIT IS ISSIIED. MULTIPLE DGTELLINGS - RFSIDENTI9L RENTAL OAITS FOR SALE Um1IY5 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CIiECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIl76RCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENEHGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: O'Pck Gnsfruclio.+ Valuation :t Z!'nao Date: Site Address ?335 Andromec?a- 0"1 Lot )4)-- Block Parcel/Sub Owner ?j?dpvey 4.U02UJ'J ? Address 4335 A'2jro mech 5 -27'86 On Site Sewage_ MWCC System _ On Site Well _ City Water _ City/Zip Code faadn ? Phone Contractor N. /A`.Ekola Address ft. ?3ox 8156 City/Zip Code /j')a?t /nn ?5908 , Phone 825--0868 Arch./Engr. Address City/Zip Code APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off _ APC Variance Oceupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Fooptpp?r?int S.F. 1 G?1N Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOT9L so ? , z4 Phone # CITY OF EAGAN ? 10 b J`-' 3830 PILOT KNOB RD - 55122 ? S' s a 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 1 ? 3 registered ake surveys ? 2 copiea o/ plan ? 2 eopiea of plans (indude beam & window saes; poured ind. design; eto.) ? 2 site surveys (exterior atlddions & decks) ? 1 energy Cakulalions ? 1 energy calwWUons for heated additions ? 3 copies of tree pmservation plan H bt pletted aRer 771/93 isquired: _ Yes _ No DATE: I IIfu k CONSTRUCTION COST: ?rX,0 D?CRIPTION OF WORK: 20^n.'j ? STREETADDRESS: `r 2-95 f?W'il)`knMe-O R w6 LOT ?O BLOCK ? SUBD./P.I.D.#: 2 PROPERTY owNeR CONTRACTOR Name: /1- r n i/" 9 V c.` ? ,,Iel..d e-. u.. -t FMU - StreetAddress• 433?' .unHo w, db4 X,1 City: CA-G p-TI State: M,oL Company: Street Address: City: ARCHITECT! Company: ENGINEER Name: Street Address: City: Sewer 8 water licensed plumber: change are requested once pertnit is issued. Penalty appfies when address change and lot I hereby acknowledge that i have read this application and state that the infortnation is corred and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Sunrey Received _ Yes _ No Tree Preservation Pian Received _ Yes _ No State: Zip: Phone - `?y-i 1 p u G ? Zip: 5 K 1?oz Phone #: License #* State: Zip• Phone #• Registration #• OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation o 06 Duplex o 11 Apt./Lodging &::::? 16 Basement Finish 0 02 SF Dwelling a 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. a 10 = plex o 15 Deck WORK TYPE ?33 Alterations o 36 Move 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq, ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ? Depth Footprint sq. ft. SAC Code ?L Census Bldg _L Census Unit ? APPROVALS _ Pianning Building Perrnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter ? Acct. Deposit SIW Pertnit S/W Surcharge Treatrnent PI. Road Unit Park Ded. Trails Ded. Other Copies Total: _ Engineering Variance .?- Valuation: $ % SAC SAC Units CITY USE ONLY L BL ? RECEIPT #: 5D ? SUBD. /?,1?XD?tinon? l.Yu?- a ? DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES -- EACH NO. TOTAL Shower 3.00 x = 3.a? Water Closet 3.00 x Bath Tub { 3.00 x Lavatory 3.00 x 3.0 0 Kitchen Sink pt5 3.00 x Laundry Tray ? 3.00 x ?= 3 ?a Hot Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping C7utlet * minimam - 1 3.00 X = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 _ _?o Alterations ' to existing 20.00 = ??? Water Tum Around 20.00 STATE SURCHARGE .50 s° TOTAL c?p'-/) ? SITE ADDRESS: `:z-SSS 4 K- OWNER INSTALLER ? STREET ADDRESS: ?.>-u? CITY: <Q?l 6'L STA PH0NE#:((v0.) 7777 Lv r ZIP: ???? R2,??•oc Oz6, OFFICE USE ONLY L _ BL _ RECEIPT SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: . all commercial/industrial buildings. & multi-family buildings when separate pertnits are DDI required fOr each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONS7RUCTION _ ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MU5T APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°h of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ppgaft fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: DATE: STE. # ADDRESS: an: PHONE #: SIGNATURE: STATE: ZIP: APPLICANT OFFICE USE ONLY I METER SIZE: 11 DATE: INSPECTOR: I PERMIT Mo.sos 8'5 ? CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 6 3 0 (612) 681-4675 Date Issued: 12 /06 /95 SITE ADDRESS: 4335 ANOROMEDA WAY LOT: 12 BLOCK: 2 WILDERNESS PARK 2Np P.T.N.: 10-84251-120-02 DESCRIPTION: Buildirrg. Permit Type BASEMENT FINISH fBuilding LJgrk Type ALTERATION " Census Code ?' 0434 ALT. RESIDENTIAL q` ,?' .._.?;'z::.'••?tFj a.-T,J _. =,...1?7;ii?_ ?u., ?t : .- I' ._.. .? •? __ REMARKS: SEPARATE ELECTRICAL & PLUMBING PERMI75 REQUIRED FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - PUYVELDE RICHARD 4335 ANOROMEDA WAY EAGAN MN (612)452-0412 I hereby acknowledge that I haye read tha,s,applicati.on an,d state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City o'F Eagan prdinances. ••. ? _ . _ P AN /PEFMITEE SIGNATURE ISSUED Y: SIGN E INSPECTION RECORD CITY OF EAGAN PERMiT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 026830 12/06f95 SITEADDRESS: P.I• N. : 10-84251-120-e2 APPLICANT: LOT: 12 BLOCK: 2 0.335 ANDROMEDA WAY PUYVELDE WILDERNE55 PARK 2ND (612) 452-0412 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH RICMARD ALTERATIQN INSPECTION FRflMSN6 ., . INSULATION ,. ROUGH IN PLBG FINAL REMARKS: SEPARA7E ELEC7RICAL & PLUMBING PERMIT5 REQUIRED ?_. . . .. _._,, _??._. ..?._?.. _. y ? 1 .. _ ' • t .. n . _ - . 1 ? * er.. ? } i ? - E t ?a.. ? ?. km ? ? ? _.. . ., tv ? -vo r.a.M. ??. t ? a ?-n.nuu ...... ..,?....m?..+.r .. _ . ..e ... _. __ .? . .. ... ...,?._ . . . PERMIT # RECEIPT DATE: LA 6c) VJ Please complete for: SITE ADDRESS: iiUIDENTLkL PLUM$INfi i'ERMiT APPLiCATION crrY of EasAv 3830 PaoT Krros Rn BA6RN, buY 55122 851-681-4675 % single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system OWNER NAME: : kc!( Vrt???v l1e?c?P TELEPHONE #: (p5\ -t (AREA CODE) WSTALLER NAME: mgG, IGRE & SONG TELEPHONE #: qr-)a - STREET ADDRESS: G3?- 9b?to 6a512th Avenue SeUth (AREA CODE) 010, q? l CITY: Place a check mark next to the ermit work t e STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work????? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total I $ PV\ fo. Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc I hereby acknowledge that I have read this application, state that che intormation is correct, and agree to tomplywith all applicable City ances. It is the applicanPs responsihility to noti(y the property owner that the City of Eagan Assumes no IiAhi14 : any damages caused by th ity dunn its normal ope26onal and maintenance activities lo the facilities constructetl under this per?? ?t within ily propertylri -of-way/easement. ITTEE Updated 1l01 2007 RESIDENTIAL SUILDING rExMIT arrLicaTtort City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWclion Reowrements 3 registered sile surveys showing sq. ft of lot, sq, ft, of house; and all roofed areas (20% maximum lot coverege allowed) 1 Soils Report A proposed building is to 6e placed on disNrbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 setof Energy Calr.ulations 3 copies of Tree Preservatbn Plan if lol platted aRer 7l1193 Rim Joist Detail OpGons selechon sheet (buildings wAh 3 or less umts) \,?4. ?K3 RemodeUReoair Reouirements Office Use OnN 2 cropies of plan showing foo6ngs, beams, joists CeA of Survey Reoi _ Y _ N 1 set of Energy Calculalions for heated additans Soils RepoR _Y _ N t s'rte survey for addilions 8 decks Tree Pres Plan Recd- --;_ _Y - _ N, AtldRion - irMkate ff onsde septic system Tree Pres Requlred Y _ N On-sileSeptlcSystem- _Y =N Minnegasco mechanical ven6'la4on Fortn a? ??-/? i7 sar _t and the reason. rIQ11J QIG VV??J?MG?YM Date - Construction Cost OCi"u Site Address ?J 'rJ UniUSte # A, tion of Work ? S?.%e vR N Descri +D rz G Y _ p Multi-Family Bldg _ Y__)< N Fireplace(s) _ 0 ?C 1 _ 2 Property Owner R(?-??AfiLg L'#rv 9 U? r i,?np Telephone #((05 T) L/ 57=? Contractor A ?p py:z: "r'Nn? Address 9 ZCi CU'v^ State ?? Zip ?. City JF4L An? Telephone #(?95? )qTZ - ?? f 2 0,112P (c lL -7-1 szp -l 66 So COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residantial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 months, has 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 Mechanicnl Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residentia] 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 ' out a Statutes; I understand this is not a permit, but only an application for a permit, and work ' jLmLUsta permit; that the work will be in accordance with the approved plan in the case of war D?c?"uReTa? ' and approval oFplans. AUUGG $ 12007 Applicant's Printed Name ? Applicant' Signa e By DO NOT WRITE BELOW THIS LINE Sub Tvaes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace X 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex g 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant DBSCriptlon: WaterDamage_ Yes /, IKG-) Valuation qGU Occupancy __A_?_ MCES System - Plan Review P"'100% or 25% Code Edition 2 q?6 Census Code Lf??/ Zoning Pd_ City Water ? SAC Units - Stories / Booster Pump # of Units - Sq. Ft. 02? PRV - # of Bldgs - Length Fire Sprinklered Type of Const v? Width REQUIRED INSPECTIONS _ Footings (new Uldg) _ Sheetrock Footings (deck) FinaUC.O. ?Y Footings (addirion) ? FinaUNo C.O. Foundarion HVAC Drain Tile Other Roof JL Ice & Water ? Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Laffi _Brick _ Fireplace _ RI. _ Au Test _ Final _ Windows _ Insulation f _ Retain'vtg Wall Approved By: Building Inspector Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W I?ermit &.Surcharge 1' _ Trealtment PI'ant ir ' License SearQh . ' +? • , :;1j:' Coples r OthEr Total g?? g? gg0 7" TiT- /ao 3 ,bdw< Q 05-,2, ane #_ lo`y610 3 d ? v -'blPicate for: .Z -,nd Peterson ?2 - ? DELMAR H. SCHWANZ . LANOSUNVEYORS? IFQIC, ? RpiBwM UnGer Liws Df The Sfat* Of MmnnOp 7876- 148TH STREET W. - BOX M ROSEMOUNT. MINNESOTA 66066 SURVEYOR'S CERTIFICATE y ??•`0 2'7 Ny?->"i- -8c -rnra?s ? ?i ?i 41 ? 4 ? 6 4 h - - _ i qt r4o ?a7- r hi 16-y . d ? ° I t ? ? Drainage & $? ( utiZity i easeraent r?. ? v' y X?r N N ? b r1 ?D• ? a? Af ? ? s n. o SCALE: 1 inch m 30 Peet Elevations shoxn are ezisting O Denotes set woofl hub . , PHONE 672 4231768 I S ?' - -? ? N , 1 ?. \ ?V V? ? Q r?? \ 1 I ? x y2.r ? TcV C?dB ? i ; i -i Propose@ garage floor elevation I hereby certify tha.t this is a true and correet representation ui' Iat 12, Block 2, W2LDERNES$ PARK 3ECOND ADDITI6N, accarding to the recorded plat thereof, llakota Couiity, l+li-nr?esata. Also showing the Iocation oP a proposed twuse as staked thereon. Dated: May 24, 1984 EAQAN G?EM(???? Bv: 7??L .-E: P"=,g 3__0z !'.';i,^JG iIJSPECT' ''!'dS DIVISIOft! i ? MINNESOTA REGISTNATION N % App - 131.111LUIN(i Kesiaential.pd* nttp://www.ci.eagan.mn.uslImages/uommunityuevelopmenvttuill ' Use BLUE or BLACK Ink I For office Use __-T_-_- I I Permit* City of Ear I 93 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 x Date Received: j Phone: )651) 675-5675 I I Fax: )651) 675-5694 1 Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4935 A W a Unit Name: Q: r awn Gt-t LAN )7~? Oia Phone: 51 -116 1 ~ Resident/ Q er 1 Address/ City /Zip: 3 S_ z ) Applicant is: Owner Contractor Type of Work Description of work: eL'J ~'tdk'e ^L Construction Cost: j 2' i oO o Multi-Family Building: {Yes / No I i e ~ Company: rz-- 41 V S V_. Contact: _ i 14 4 Contractor Address: 2s L v r+4 - -Y-pa L CRY: _L At.- AM I State: 1* j_ Zip: 5S-1 Z 'I _ Phone: 61 z - -ZA License V. C'2 ONS Li 5 7 (,~J Lead Certificate !2a ~1--! If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Vic) 0 ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a sirrdlar 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 i conclude de ha. that they are re trade _ ._,~..ade _ secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecail.or 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 53 e; C A-T ,h e 0 0,14 A Applicant's Printed Name 13 Appl s SignattifV- Page 1 of 3 1 of 3 4/7/2013 1:26 F uv ivv 1 YYMI I t bLLUW THIS LINE SUB TYPES t t335 Amkrnlt 'day ) o q q4 b Foundation - Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES New _ 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 l~ Occupancy( MCES System Plan Review Code Edition k- - SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge ; rR Plan Review f MCES SAC City SAC Utility Connection Charge Y SSW Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink I For Office Use I j Permit* City of Eap I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: cs Site Address: 4J 12L 1A )V~A, Unit M Name: R % C-M 9,, ` 1 Phone: Resident/ Owner Address / City / Zip: ICf~-W Applicant is: Owner ontractor Type of Work Description of work: _ , cs Construction Cost: _ Multi-Family Building: (Yes / No \ Contact: r _Z6 ,I I z - 'z.I Company: 1~ '0 TI-M 0&4 6n..,a~ Address: _ 92.0- City: -Ae~'t't-IJ Contractor State: Zip:v ~Z Phone; try ` Z- Z i O' ~n (o U License ' Lead Certificate A))4" ~i 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 permitfor a similar plan based on a1 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 aopherstateonecall.oro 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 t? C-i."s- t JJ~A cry ii/~ x Applicant's Pr ted Name- Applicants ignatu w Use BLUE or BLACK Ink I For Office UtsieQr(-~+_ ` j Permit* 1 l o vl W j City of Eajan 1 Permit Fee: O~as I 3830 Pilot Knob Road 1 I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 70 1:3 Site Address: An Unit M Name: 6 1 • n rArn~,r wy t& Phone:,6 ` 1-td ~ -72-41 Resident/ Owner Address / City / Zip: v i '..A, Applicant is: Owner Contractor Type of Work Description of work: 0zw_ VAS Construction Cost: *W-0 Mufti-Family Building: (Yes / No~Li Company: 4Aint,& m±y go,~ Contact: (5t_i " Contractor Address: 9-1-C C'A (4a- r City: •7 aza 2 State:M~J J zip: 1~? Phone: I ` 1D °-16 6 X License ~ 5 ~J tj -7 P Lead Certificate -6 t qCr-l " / )Vitt 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 S 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 tirade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 Wrinesota State Building Code must be completed within 160 days of permit issuance. X C Lk--N AL myAr-, X ut, fe~ Applicant's Printed Name Applicant! Slihature %V Page 1 of 3 , For Office Use 4 Permit#: %„:*... ./.# E AG A N Permit Fee: Date Received: :/ IF 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(@cityofeagan.com L. 1 .+ 2018 SEWER AND WATER REPAIR I DISCONNECT PERMIT Date: 5- 3,1 Fee: $65.00 Y City Sewer City Water r n iRe'pair Disconnect Description Of Work: R ply h t� CA, t-.L'I i 1: �J +Lunhau , , „u Street Address for Proposed Work L4ff) AA rOjfl(c L W to f Name: Van Pay yak_ Phone: .).0. Owner Information ' Address/City/Zip: c/ '.L_ i____ 1 Applicant is: Owner ✓ Contractor Licensed Pipelayer V Master Plumber Property Owner Name: fl\ ± D ✓ X W , l Phone: iii ).�a 34 8y Olg Address/City/Zip: ctt flL a i\\ c ' i[ ban,/ Pipelayer Training Certification Card#: 01. 5 or Master Plumber License#: I acknowledge that the information is complete and accurate and 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. It.)LVe_. a all t C _ Applicant(Print Name) Applicant's Signature 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.citvofeagan.com/subscribe. 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.gopherstateonecalLorq PERMIT City of Eagan Permit Type:Building Permit Number:EA161687 Date Issued:06/09/2020 Permit Category:ePermit Site Address: 4335 Andromeda Way Lot:012 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-120 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Samuel < Kidder 4335 Andromeda Way Eagan MN 55121 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature • A ECEIVE E AlG Jim" ID BY• 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buiIdinoinspectionsc citvofeauan.com Date: r \°"` For Office Use I 43 Permit j6�i�� (. #: / 2 Permit Fee: 3- l v 9 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Type of Work J Site Address: Unit #: Name: r/1 yvi /k'1 oldr€ Y Phone: a%S Z w p _ Ns / Address / City / Zip: 21335 A n c rO Yy,v+ ri et_ 14 ,/ Applicant is: Owner i-Contractor Description of work: * $ 4 �• f yrd Construction Cost: /g0c2r1 Multi -Family Building: (Yes / No ) Company: r.S h pr..4 p /1 14 r -L Contact: a in t g't I S i'.o' f Address: 31caL, ? Ca--/ S 4744 O ct P. City: I/41 L d eow /- 'R------ State:A/ zip: Ss/1 U Phone: 6/2-0 73 IpS Email: do,,taPrisIPrOShio&ltt.✓rrrim.Ji!„i License #: gr =17 !, 2 S 1' Lead Certificate #: /1)14-r - - 8 <( 2.0 —2_ If the project is exempt from lead certification, please explain why: 131,.11-4- 04'It, --, E' Cc. 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: 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. 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.citvofeagan.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. Cali 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.or. 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 r pr-e Applicants Printed Name Applicant's Signature e n Addition Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE „SUB IYPES Foundation Single Family Multi 01 of _ Piex WORK TYPES New _ Interior Improvement Move Building Fire Repair Fireplace _ Garage Deck Lower Level A yLio /6.2/6 _ Porch (3-Season) _ Porch (4-Season) Porch (Screen/Gazebo/Pergola) _ Repair q 340 T7 Pool Occupancy Siding Reroof Windows Egress Window 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 Code Edition MPG Z 02 Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final k Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test k Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required is HVAC _ Service Test Gas Line Air Test _ Hood _ Pool: _Footings Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162519 Date Issued:07/16/2020 Permit Category:ePermit Site Address: 4335 Andromeda Way Lot:012 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-120 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Samuel < Kidder 4335 Andromeda Way Eagan MN 55121 Lake Area Plumbing Inc 8999 305th Ave NE North Branch MN 55056 (612) 735-2317 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165785 Date Issued:11/19/2020 Permit Category:ePermit Site Address: 4335 Andromeda Way Lot:012 Block: 002 Addition: Wilderness Park 2nd PID:10-84251-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Samuel M & Sylvia F Kidder 4335 Andromeda Way Eagan MN 55123 Clear Cut Xteriors Llc 1979 Geneva Ave N Oakdale MN 55128 (651) 395-1370 Applicant/Permitee: Signature Issued By: Signature