4350 Andromeda WayCITY OF EAGAN Remarks
Addition WILDERNESS PARK 2ND ADDITION Lot 5 Blk 3 Parcel 10 84251 050 03
oWner ''''• - 4350 Andromeda WaY State Eagan, 1NIN 55123
?' ` ' t • J Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK r 107.9$ A006487 $-11-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
* WATER AREA ?-
?
* STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 14062 5-3-79
WATER CONN.
$UILDING PER, #519
sAC 525.00 14062 -3-79
PARK
, CASH RECEIPT ,
I
CITY OF EAGAN
3795 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122 ?
?
DATE 19
weccrveo ?
FRpM
AMOUNT $ I ?
4 DOLLARS
foo
? CASH ? CHECK
voR ? .?' . - •:=..: _. ? ,?;:? .
l-+? ? ? . ? t?..ti'/ ??f'- ?- ?f ?? ? "
FUND CODE AMOUN7
'.?..
F. .
- 7:J 1
i C ..
Thank You- ?
? r
14062
BY
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
cirir bF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NQ.:
Eagon, MN 55122 DATE:
Zoning: - No. of Units:
Owner:
Address:
Site Address: __,-,__ -i ,•' ' -.
Plumber:
Meter No.: Connection Charge: '
Size: Account Deposit:
Reader No.: Permit Fee: '
1 agroe fo aomply with !he City of Eagan Surcharge:
Ordinances. Misc. Chorges:
Totol:
By Dote Paid:
Dote of I nsp.: I nsp.:
?
, CIT'Y QF EAGAN
' 379
S ritot Knei Rood
Eagan, MN 55122
Zoning; ?
Qwner:
Address:
Site Address: _
Piumber:
1 agree to eomply witli the Citr of Eugon
Crdinonees.
By
aate of Insp.:
SEWER SERVICE PERMIT
PERM f T NO.;
DqTE:
No, of Units:
Connection Churge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Totol:
bate Paid:
, cirY oF EA"N
`._ 9745 Pliae Kno6 Roed Eagos, MN 53122
PHONE; 454-8100
BUILDING PERMIT
& G.I:c
Reteipt #
5-3
Site Addreu 4350 Pre""' icy Ered :p Occuponcy
Lot Block ? Sec/Sub. '-.1=:?221"-CS Pe-"1L?: 2n.4lter ? Zoning
Parcel Repoir ? Fire Zone _
Enlarpe 0 Type of Const.
Name Move ? ?' Stories
W
Z Addr Demolish ? Front ft.
es s
3--4 9 ir Grode ? Depth ft.
0? Nnme
00
Addro
?
? r:...
Nome _
Address
1 hereby acknowledge tiwt I hcve read this
the informetion is correct and cgree to <
State of Minne9oM Statutes and City of
Signoture of Permittee -
A Building Permit is issued to:
oll work shall be done in occordonce with
Building Officiol
Assessment _
Water & $ew
Police
Firo
Eng.
Plonner -
Council
and stote thot gldg. Off. _
allapplicable
1 APC
N! 5193
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Totol
on the express condition that
State of Minnesoto Stotutes ond City of Eagan Ordinonces.
Ponek * OoN IssMd penNttoo
Plumbing ) 4 -
?
Mechonical ? -/,6-
7 (4 m?n EjQ.u.. .
INSPECTIONS DATE/ INSP. Rouph-In Finol
Footings / Date Insp. Oote Irap.
Foundotion
-- Pfumbing 4J =
Frame/ins. -
? ? Mechonicol
F'^ai
- - 79
,
Remorks: ?? "-),- 'p- ) ?
CITY OF EAGAN
3795 Pilot Knob Road
Eogon, Minnesofa 55122
Phone: 454-8100
Name
PERMIT
Dcie: a- 5"ifi"'79
Site Address: t22 4150 Atdrcineri,a ifty
"IV`'? ZC?P.1.^te48 PdLtC
Lot
e
3
O
?TIM"
Block Sub/Sec. l'?Q'!D71 pF.'42'"9C"'i T:lti .
Address :krc ? 35
?b`I'iC'N AIIt REfQUIRw
No. 141?
Receipt No.: 14216
Single
Residential 3C
Multi Res., Comm./Ind. I
Jew/Alter./Repaii
Cost of Installation
na--",drvqtnn ??F 3-4555 20,00
City Phone: Permit Fee
"'?e?e PLacr. & ?:t?.
Name Surcharge
?
'? ?cnc 23
Address
'o
City Phone: Totol `
This Permit is issued on the express condition that all work shall be done in accordance with all applicoble State of
Minnesoto Stotutes and City of Ecgan Ordinonces.
1
Building Officicl ?' '
cirr oF eaGaN
3795 Pilot Kno6 Rood
Eagan, Minnesoto 55122
P6one: 454-8100
PUMII'-'.f'?
PERMIT
No.
3.342
`rlfr79
Date:
Site Address: 4350 Ar4rccieda TlBY 11,
,
Lot Block _
:.i'' ` ?`'?'1F'S3
Sub/Sec. _-_
?E?1C
Receipt No.:
Single I
Residentiol X
Multi Res., Comm./Ind. I
Name New/Alter./Repair. - ;i!jx 2:z5
e Address Cost of Instailation
City ' Phone: Permit Fee
Nam/- ' Surchorge
.
? 1)0x 2?
Address
e
V° .,-„J?. ?', . ' , , ? ?_ .. ?..?•.f)
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in occordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
i
Building Officlal ' ,
This request void 18 months from /7d /4
? ?_?`?? _P 74190
Date o: this Request February 4, 1980
I, as f2 Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4350 Andromeda Way CitY'Eagan
Sectiort Township
Which is occupied by Nick Hanson
Is a roughin inspection required on this job? No 0
Range County
Yes ? Ready Now ?
Power Supplier Address
WID Call Kl
Electrical Contractor Lane Electric Company, Inc. , Contractor's License No.A 3817']
. (COmpany Name)
MailingAddress p 0. Box 1086, Burnsville, Mn. 55337
(EIectrical Contractvr or Owner Makine TNS Installatianl
Authorized Signature
??•
o oyn
Phone No. 890-4227
?j (??f [???? o???? ?0?? This inspection reqP Pwill nPt be accepted 6y tha
SStete Board unless ro er ins ection fee is endosed.
, mmnesoca a[ate esoara oT nectncity
_ 1954 iJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHEEK BELOW WORK COVERED BY THIS REQUEST
/7 9'/4
P 74190
Type otBuilding New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired Fo:
Home ? [E] ? Range ? Tempoxazy Wiring ?
Duplex ? ? El WaterHeater ? LightingFixtures ?
Apt. Bldg. ? ? ? Dryet ? Elec[ric Neating ?
Commercial Bldg. ? 0 ? F'umace ? Silo Unloadei ?
Industriai Bldg. ? 11 ? Air Conditioner ? BWk Milk Tank ?
Fazm ? ? ? List List
.
Othet El El D H[hets?
ere 1 Others?
ftere )
COMPUTE INSPECTION FEE BELOW
Sesvice+EntranceSize: # Fee Feeders3SubPeedeis: # Fee Circuits: # Fee
0 to 100 Am s. j 0to30Am ces
j 0 to 30 Am eres
]Ol to 200 Amps. -
31 to 100 s L 1 to 100 Am eres
Above 200_Amps. Above 100 p. bove 100 Amps.
Tiansformers Remo[e C ol C'fi- artial or othe[ fee
Signs Speciallns ection' iqunum fee
Remazks TOTALFE 8.50
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) Date
(Final)
This request void 18 months from ? ?
cInr ae Fncnw
3795 P:Ix Kirob Aoad Eagan, MN 55722 N2 5193
PHONE: 454-8100
BUILDING PERMIT APPLICATION RQceiDt #
-
Value 61, 000. pate
To be used for SF Balg & Garage Est 5-3 1 979.__
.
Site Address 4350 ArifZT'OIIl2d3 Wdy Erecr g7 Occuponcy R3
Lor 5 Biock 3 seo/s.b. Wilderness Park 2ndvrer ? Zoning _ Rl
Po?? # 10 84251 050 03 Repoir ? Fire zone 3
Enlarge ? TYPe of Const. V -
rc Name Qmmm PederSOn 711C • Move ? # Stories
Z Address BoX 235 OemofisA 0 Front 50 fr.
8 463-4555 Grade ?
i Depth 38 ft.
city Farm
nqtOR phone
p Name JQ11=
?Q Address
~ Ci
?w Nome
w
Address
Ci
I hereby acknowledge tFwt I
the inforrnation is Mrrect ?
State of Minnewta Statut?
Signature of Permittee J!!e
Buildinp Offlcfal Phone
A Buildirg Permit is isued t
uil work shnll 6e done in
reod this application ond stote that
?ree to comply with all aDPlicoble
I' A r
Fees
Assessment Permit ?oo.vV
Woter & Sew. Surcharge 30.50
Police Plan check 7$•00
Fire SAC 525.00
En9. Water Conn. 270•00
Planner Woter Meter 60.00
Council RJ1d LTT11t 75.00
Off
Blde
.
.
APC
Totul 1.
]94.50
n Tnr_ on the expreu condition that
Stute of Minnesota Statutes and City of Eagan Ordinonces.
ThLi reque'st void 18 months from
Date of this Request 5-3u-7'9 R 74983
I, as k] Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiang installed at: 1(ilderneas Park zad Addition
.cs ?1 .
Street hddress or Route No.4330 AndTOmefl8 Wsy, LjT? CityMagan
Section Townsltip Range County ?ota
Which is occupied by Ozmun Pederson
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier DakOt& E19CLT1C Address ggrm11'IBtOA
Electrical Contractor
Jemm &lectric
(COmpany Name)
MailingAddress 20400 3acquurd, I1aTceville
--? (ElectricayCOntra<tor or
Authorized Signature
Contractor's License No. 6?.,?`7ol
No' a69-k93o
? ??;?W?f? 001M p? Q? ?q This ipspection requett wili not 6e accepted 6y Me
NJ u? W3 ? State Board unless praper inspeefion fee is endosad.
Minnesota State Board of Electricity
•JA54?1Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
- REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOItK COVERED BY THIS REQUEST
R 74983
Type of Building New Add. Aep. Chmk pPPiianm {yired For Check Equipment Wired For
Home . 13 ? 0 Range Tempoxazy Wiring ?
Duplex ? ? ? Water Heatei
? Lighting Fix[ures I(
Apt. 81dg. ? ? ? Dryei Electric Heating ?
Commercial Bldg. ? ? 0 Fumace LD Silo Unloader ?
]nduslnal dldg. ? ? El A'v Conditioner m Bulk Milk Tank ?
Farm 0 ? ? List List +
Other
?
?
? Others?
Hete 1 Othe[sY
Here )
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee F Fee Cimuits: Fa
0 to 100 Am s. 0 to 30 Am eres 25a
101 to 200 Amps. 1 1.0 fl 31 to 100 Am ies j ZS
Above 200 Amps. Above 100 Am s.
Trans(ormers Partial or othei fee •
$igns Minimum fee $5.0
Remarks
r ,/! g
70TAL F 7?p
? SU
l, the Electrical Inspector, hereb fy t? b?v?e p'?spection has been yade, ?
(Rough-in) Date (D- Y- z
(Final) L, ? Date ?- ?20 - -2?
This request void 18 months from
This request void 18 months from
? . _.
Date of this`Request Oct. 10, 1979 ? 7010
1, as E Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ?J ;2
Street Address or Route No. 4350 Andromeda May city Eagan
Section Township Range County Daiketa
Which is occupied by Nick Hanaon
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes 00 Ready Now ? Will Call M
Power Supplier Address
Electrica,l Contractor Jemm Electric Company Contractor's License No. A38?64
(COmpany Name)
MailingAddress 20480 Jacquard alv. W.
Electrical ontWctar oraer Makin9 Thls Installatlon)
G?
Authorized Signature Phone No. 469-1+938
(Electr cal Contractor or Owner Making ThI istallatlon)
? '???J ' This insp tion raqPest will not be accepted 6y ffie
t_?: { 11'il V (?(? t?J L 1( State Board unless roper inspection he is enclosed.
wp? Minnesota State Board of Electricity
1954 Univerpity Ave., St. Paul. Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
- CHECK BFiLOW WORK COVERED BY THIS REQUEST
S .> ., ,. ! 01n
'Iype of Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wired Fo:
Home ? M ? Range ? Tempocazy Wuing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. dldg. ? ? ? Dryer ? Elecvic Heating ?
Commereial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'v Conditioneo-. ? Bulk Milk Tank ?
Farm [] ? ? Lut r'°e; L
ist
Other ? ? ? p
Hehels1'?:+ :`^? ? p
He[e13?
COMPUTE INSPECTION FEE BELOiY - J'
Service Enhance Size: # Fee F s eedeis: # Ece C'vcuits: # Fee
0 to 100 Am s. t Am res 0 to 30 Am res
101 to 200 Am s, to 00 Am res
Above 200_Amps. Kkkove 100 Amps. i
RemoteConvolCirc. m
S' ns Special on - . DO
Remazks 2 Inspections
- TOTAL F E 16_ 6G 16.
?
I, the Electrical Ins?ctor, hereby certif that aMiveins ection has been ma?e
(Rough-in) Date G - , ? 7
(Final) lo' Date _
This request void 18 months from " °
DATE
BCILDISC PERMIY AP?LTCATIO`:
Include ? sets of plans, l site plan w/elevations an3 1 set oE energy caicuations.
To be used for NIEX,.4
?pNST2??tTXgDN Valuation?Ir
Site Address: NY1d rd Yheda.. (.(JGt?/
/
Lo[ Block Sec.!Sub.
Ocrne r
Address -ajOX Z? a
Parcel \u-ber JO
?/??,g 4
? r
'Telephane - 4'SST
nr4'S??
Contractor 07Y?%,h{ Telephane y-(aa -A-<y'$S'"
Adiress
Archl£ng. Telephene
Address
OFFICE L'SE ONLY
Erect ? Occupancy
Alcer Zoning
r
Repair Fire Zone
Enlarge Type of Const.
Move ? B of Stories
Demo l i sh Front
Grade Depth ?3 'i?
Date of A roval and Ini[ial
y/??
Assessment 79
Watzs/Sewer
Police
R Fire
Engineer
Planner
Council
Bld 'fE,
p
Fees
Permit
Surcharge
Plan Check
SAC
Water Connection ;2
?
Water Meter 4 67
?
-- -
-??
l l??
??.??° - -.
?z_.? G (?,b
????
??a?r
?
,oo.o
?
,
. ?-
? N --?-- ?
0 ? ? p
? - ---- -- -'s--?
_ ?rn
zs-o
i
?
y1
a
Z ? ? IALE. ? ,
i
, IZ l ? 100- O ? .
,. ., _
0
a
.
' E\7'F.RIOR ENVf7.OPE AVERACE "ll" COMPUTATION
T z3? /??/
ner?z.???? ddress ?1y?/1,i/.'???T? Phon€'?J' ???J?
gal Description of Froper[y: Lot J Block 3 AdditionG?/Ll7?lU/ESSY?YC? fiate?( ??
te Address
AVERAGE LINEAL FEET OF
E%POSED WALL AREA ABOVE GRADE
g?
Lin level ZIC (
Lineal ft. of framed wall above grade?x height of wall 8
m joist area `
Lineal ft. of rim Z4?? x height of rim_--L_
wer level ,{
Lineal ft. of framed wall above grade x height of wall H" 5
Ltneal ft. of masonry wall ahove grade 8 x height above grade (
TOTAL wall area above grade including windows and doors
: 4, dv rt
? f 80?. d-D
LhDOk'S: Area x "U" value
ake b type sq. ft. ?O X? (U) (A,)
,r a 41/? sq. ft. iv XU,A)
.n .. 2 q. f[. u ?
sq. ft. X
y? ` V ( ? z q. ft. x 1FU (tY)
(A) ?? ? sq. ft. g? Uu----t--- a (U) (A)
? I.., Z=, ??) J sq. ft. X U (U) (A) ,
a u ."_ ?- i,v 60 sq. ft. 35, O g nVu?-=
x "lln (U).(A) ?
n n sq. ft. (U)(A) .
,f III sq. ft. x
(ll) ?A)
eq sq. ft. x °U" (U) (A)
u n sq. ft. x "U" X nUn ?U)?A)
n n sq. ft. X nUv = (U)(A)
u n sq. ft.??.X nUl. (li) (A) n n sq. ft. (U)(A)
x "U"
n _ u sq. ft.x nUu (LT) (A)
n v - sf{. ft.?x nUa = (U) (A)
n n • sq. ft._`_..._
.. _ ? ???, ZS ..??•--?
)OORS: Area x,"U" value „ n
take.6 type - 7 8 l?6 S sq. ft. 35. S? x 5-6 (U) (A)
gy. fc. l 1._ 7 _x 77 (u) (n)
11 ft. ?i5. S¢ x nDv •?'_? 3. 9d (U) (A)
? u -2 - Z 6Yl?L. rRTlD s9• - (U)(A)
x "U" -
n n sq.
.?.o•.-
)PAOUE WALL CONSTRUCTION; A7ea x"U" value X„U„ _ (l:)(A)
sq. ft.??.__
X IlUn ?y1 (U) (A)
20
sq. ft. p, x•Un ? L(U).(A)
uetail refer 4 R y? ,.- W L sq. ft. x"U° (t7) (A)
ance from ? ? sq. ft. „„ , D(i`)(A?
attached d 5 ?OL / sq. ft._ . -X „U
sheets sq, ft.?_.x „U„ ? (p)(A)'
sq. ft. (0) (A)
- ? °
TOTAL Wall Area Including ? ?`?
(.? J TOTAL (ll),(A) z!
Windows & Doors
A7.:. ^?r. • ? ? "--.,
tTC1TAL (B)(A) VAtiUES
GIVIDED BY TOTAL WALL AREA
AVERAGE "U" Minimum .17 or less for 1 6 2 family dwellings
Minimum .22 or less for all other buildings
NOTF,: ]f avprage °0" values as calculated above do not meet the Energv Code requirements, the ,
"Alernate Envelope ?esign" as indicated on Page 5 may be used.
Tt_?View
1Y6LL Sc;CTSUbs
bUTa: use lU;b ot apayue
wall area
f'or f'rami
membera
t
FRAMING MEMHERS IN WALLS
Exterior air_ film___._.
SidinB---- ----•------_-__
Shea[hing
Y"
Wr soft wood ?? Z
R-Value •
_...._ ' .11-
-- -e C / ,
32" dr.y wall • ?_ , :45
Inte??ior air film '68 ,
TaTAL R
a9'g
u=l/R U. 0
_ FRAMED WALL
(Z)
Exterior sir film
Siding
Sheathing
334" batt insulation
.ll
-G7
J9
v-0
.45
.68
TnTaT R?
u m 1/x u= , Q???
_ RIM_JOIST AREA— Exterior air film 17
Siding ? ? ? •
Sheathing
1.8$' ,
13" soft wood -
I. n .U:•, tq R
Interior air fi m .68
- - ..----------------
11" dry wall
Interior air film
TOTAL N
l1 = 1/R U ° ' a41.
24ASOAT,RY WP.LL
Exterior air film '17--,
12" con¢rete block 2?--
Insulation
Interior air f
U = 1/R
.68
TOTAL R
U ? --;-???- - -
1200F CFILING
Outside air f.61
- ?`---------- ----- - -
e(
Insulation ?Q GeZL ? ? : ?O '
----- - -??-?-? -`? `" -
35" Drywall .45
Interior sir film .61 .
TOTAL R
U= 1/R U=_.02 _
Outside air f11m. ___ __ .61
InsuYation ,__.. _.._ . ..
;5" Drywall .45 ---:
Interior air film .61
?
?TOTAL.R
iT=1/R U
Outside air film '17
a„t t r nP-sonf3iW-
Znsulation
Wood decking
Interior air film ? ..61
TOTAL R =
U = 1/R U
ROOF/CGILING:
TOTAL AREA:
Detail reference
from above.
DeaCribe openings
in roof
TOTAL (U) (A) VALUF,S
DIVIDED BY TOTAL P.UOF/
CEILING AREA
sq. ft.
° (U) (A) .
??
??
U x sq. ft:
- (L')(A)
^Un 8 sq. ft. _ .
- (U) (A)
llUlr x sq. ft. _
)
(U) (P
-lUol x sq. ft. _ .
- P') (A)
IlUff x sq. ft. =
-nUu
- x eq. ft. ?
= ?G)(A)
CU) (A)
?lUql x sq. ft.
TOTALS sa. ft. (lT) (
? z AVG. "ti"
AVf2LA(:E "C" .05 for ventilated roofs
.10 for all other construction
Nll'fF.: lf averaFe "i'" val.ues as calculated above do not meet the Engerqy Code requirements, th?
"Altcrnate Fnvelope' Design" as indicated on Page 5 may be used.
(3)
.r :
? ?,c? ?- - - ---
? 2 .
c
,?`?' `?.'•?``_``
\ 9?9
r? 5?Q
universal title a
companU
T0: City of Eagan
DATE: Sentember 25, 1979
J
901 • Chamber of Commerce Bwlding
eapolis, MN 55402 • 672/339-5185
PAYMENT OF SPECIAL ASSESSMENTS
Enclosed please find our check in the amount of $ 567.90 for
payment in full of the special assessment(s) for
on the following property.
II10-84251-050-03
Plat and Parcel
4350 Andromeda Way, Eagan, MN
Property Address °
Ozmun-Pederson, Inc.
Seller
HANSEN, Nicholas Ferers
Buyer
Please forward all receipts for payment as soon as possible with our file number
A14 01014 referenced on the receipt. Please forward to the address on the
letterhead.
If there is any question regarding the payment of this assessment, please contact
the undersigned immediately.
Thank you for your cooperation in this matter,
Sincerely,,
0
Ma'rtgage Closer - UniversalCTiffle Company
Phone No. 835-0313
uTF 3002
. . • ?,? ? ? 3
RESIDENTIAL
BUILDING PERMI7 APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD,'EAGAN MN 55122
651-681-4675 b
NewComhuctbn gggulremeMa pemodeVHeoalr Aeaulramenffi
• 3 registered site surveys snowing sq. k. of lot, sq. 8. of house; end glj rooled areas • 2 copies 01 plan
(20% meximum bt awerage albwed) • 1 set of Energy Calwmtions Por heated atltllGOns
. 2 oapies of plen showing beam & wlndow sizes; poured Muntl dasign, etc.) • 1 ske survay for exferior atltl8bns R decks
. 1 BetOf EnBrgyCalculffiionS • Iricate tl home servetl by sepNc system foreddition5
• 3 coples W 7ree Preservetbn Plan lf bt platled atter 7/10
. Rim Jolst Deteil Options seleclbn sheet (hldgs wMh 3 or less units)
DATE ?b' I Z-2-
SITE ADC
TYPE OF
VALUATION C?`(? 5L-:LOLf - ?
7ULTI-FAMILY BLD6 _ Y ? N
FIREPLACE(S) _ 0 Y- 1 _ 2
APPLICANTO?SG??!'?
STREET ADDRESS CITY.,&rfixU?IIP STAiE,'ZiP
TELEPHONE #?IQ 227 -&* CELL PHONE #? _ 3 FAX #6?1i-rPPIIZ
PROPERNOWNER__ TELEPHONE#
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAt BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
0 su6mission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl
• Energy Envelopa Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Wqter Contractor:
Phone #
Phone #
r.
Fee: 1190.00
?
OCT 0`1
i., -_--_-
V' Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ctry of Eagan inances. d?
Signature of ApplicaM
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
_ Lawn Sprinkler
_ No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage [3 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) O 36 Multi
O 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) Q 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDaors
O 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FuiaVC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R,I. J Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119329
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 4350 Andromeda Way
Lot:005 Block: 003 Addition: Wilderness Park 2nd
PID:10-84251-03-050
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 .
Michael Yoakam
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 -
Britton K Moore
4350 Andromeda Way
Eagan MN 55123
Great River Remodeling
15703 - 93rd Circle NE
Elk River MN 55330
(763) 241-9596
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179150
Date Issued:09/20/2022
Permit Category:ePermit
Site Address: 4350 Andromeda Way
Lot:005 Block: 003 Addition: Wilderness Park 2nd
PID:10-84251-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Britton K & Christine Moore
4350 Andromeda Way
Eagan MN 55123
(651) 604-7520
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature