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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