4367 Andromeda WayCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt# ?
To be used for ??{=g?SpN gnmp Est. Value 51,000
Site Address 3 `'' 7
Lot i' 81ock ` Sec/Sub.
Parcel No.
¢ I Name_
? Address_
o (`;fv
, o Name VAtt LAEc:r 1.tr !:t1FlS7' . !• 1
ou Address VE
U
? Cify Phone yG -
W W Name
F W
? z., Address
Q W Gity Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicahle State oF
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ` on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officia
r
On Site Sewage
On Site Well (Actual) Const
City Water (Allowabfe)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROYALS fEES
Engr./Assess. Permit '
Planner 5urcharge
Council Plan Review
Bldg_ Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Psrmit Holder Data Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
s I
s II
7
ion
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg_
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. GtJ,e
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition WILDERNESS FARK 2rid ADDITION ?o 16 Ik 2 Parcel
OwnerL?f`? 10 84251 160 02
T? , 4367 Anarome a ay State Eagan, MIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 107.9$ A005901 5 2 78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 648.26 72 9-11-78
?E STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Cities Di ital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? CASH RECEIPT ?
.
CITY OF EAGAN
3795 PiLOT KNDB ROAD
EAGAN, MINNESOTA 55122
DATE 19 OE% }ZECEI V ED
FROM •
AMOUNT $ I
[j CASH R CHECK
NUMERICAL FILE COPY
BY
CITY Uf EAGAN WATER SERVICE PERMIT
3793 Piiot Knob Rood PERMIT NO.:
f
Ecgan, 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 a9ree to comply with the City of Eagan 5urcharge:
Ordinonees. Misc Chorges:
By
Dote of Insp.:
Totol:
Date Poid:
Insp..
CiTY OF` EAGAN
3795 Pifot Knob Road
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber: I agree to eomplq with the City of Eagan
Ordinanees.
Rv
Dote of Insp.:
I nso.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
l?
Connection Charge: ?
Account Deposit:
Permit Fee:
Surcharge: _
Misc. Charges:
Total:
Date Paid:
rN
cirY oF E A"rv
. 3793 Pilof Keob Rood Eagan, MN 55124
PHONE: 45467 00
BUILDING PERMIT Receipt #
Dote pri I 24,
Sita A,ddress
Lot
Parcel # -
a Name
w
Z3 Addre!
b
Block Sec/Sub.
? o Name _
?a Address
z
Name _
Address
1 hereby acknowledge thot I have
the informotion is correct and a
State of Minnesotn Statutes ond
Signnture of Permittee
A Building Permit is issued to: ^
alt work shnil be done in nccnrclet
Building Officiol
at4
NS -aysa
Erect ?' Occuponcy -
Alter ? Zoning
Repair ? Fire Zone -
Enlarge ? Type of Const.
Move ? # Stories -
Demolish ? Front
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
and state that Bldg. Off.
oll opplicable APC -
ionces.
19
ft.
ft.
, Pertnit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
7otal
on the express mndition that
ond City af Eagan drdinances.
Permk Dot* Iswed PensiftK
Plumbin9 a ? s1- 7 _
Mechanical /; - 7 it
INSPECTIONS DATE INSP. Rough-In Finol
Footings ? Date lnaD• Dote
Foundation
Pfumbing j?
Frame/ins. - ? Mechcanicnl
Final ` -, z -7
Remorks:
??9 1
!
• arY oF Ee?G?N
3795 Pilot Knob Road
Eayon, Minwosota 33122
Phoee: 454-8100
Dote:
June 12, 1978
PERMIT
5ite Address:
iEATING No 1. 2 0 5
4367 Andromeda
Lot Block `
Sub/Sec.
Receipt No.:
Single
Residential
.
10354
Name New/Alter./Repair neW
3 /lddress Cost of Installotion
O
City an Phone: Permit Fee 2 n • Or, -
??-Ryati i'1 1:-?`,` -.)ci tt Fieaf?ir,(4
Name Surchorge ?
.
?
Address
?
u
Ciry ' - Phone: Totol
This Permit is i ed on the express condition that oll work shall be done in accordance with nll appliwble State of
Minnesoto Stot es ond City of Eagan Ordinances.
Building Official
. ' CITY OF EAGAN
• 8795 Pilot Knob Reed
Eogan, Mienesota 55122
Phone: 464-8100
1.iiM11p.I?I?"' _ PERMIT
Date: ?
Site Address; `4 3 ') 7
Lot Black _
Name '
? Address
City
Phone:
Name ' `T &
.
? Address % 45 `'U•
V
City . Phone:
This Permit is issued on the expreu condition tfict oll work shalf be
Minnesota Staiutes ond City of Eagan Ordirwnces.
?
Sub/Sec. I I
No. 11(lr)
,-, -
Receipt No.:
Single I
Residential l
Multi Res., Comm./Ind. ?
New/Alter./Repair?
Cost of instoilation
Permit Fee
n nn
i SurcFwrge
i
I Total
done in accordance with all applicable Stote of
Building Officiol
PPMP
FROM
DALEPETERSON
rf?P w??b?
? r, T I
r
d e, 1,?C r . . ?
??
G 3 3 5 8 316,z0,az,,w?
Request oate Frte No Hougn-rn Inspection
Reqmretl'
? Reatly Now SWill Nobty Inspedor
? Yes G No When Reatly'
I i] hcensed contrector 1!0 owner hereby request inspection of above electrical work at:
Job Atltlress (Slreet, Boz or Rovte No )
y?e i1/DrPonlE00s9 ?? Qry
$ection No. Township Name or No qanga No County y,?
Occupant (PRINT)
f Phone No
Power Supplier
l,/fffo7? ?C , AOtlress
Elecincal Conlrador (COmpany Name) Commdors License N.
Mdilir,g AtlOress (Contracbr 0r OwnB/ Mdking Inst211dlion)
Authoriieo SignaNra lCOnV ctor r Mauing In,HallaUOn) PM1One Numbar
MINNESOTA STATE BOARD OF ELECTNICITY f/ THIS INSPEGTION FEOUEST WILL NOT
Grlggs-Mldwey Bltlg. - Poom S173 BE ACCEPTEO BY TME STATE BOARD
1821 Univerelly Ave.. SL Paul, MN $5104 UNLESS PROPER INSPECTION FEE IS
Plwne(612) 892-0800 ENCLOSED
??S/s(2
C? 33583
REOl1EST FOR ELECTRICAL INSPECTION
? See msimc[ions for com0leMg ihis lorm on back oi yellow copy
"X" Be/ow Work Cavered by This Request
?Y?'?.? EB-00001-0]
e Adtl Rep ? Typeofemldmg ApphancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bmlding Dryer Other (Specity)
Comm /Indusirial Furnace
Farm Au Conditioner
Omer (specityl Conlrector§ Remarks ?
Compute Inspectian Fee Below:
# Other Fee # ServiceEntranceSrze Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers AGOVe 200 _ Amps Above 10Q _ Amps
Signs InspecrorsUseOnly ?a v TpT?L
sp
-
Irngahon 8ooms o
? ?
d
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspecror, hereby Rougn-in oare ga
certity that the above inspection has
been made F,rai oate
I
OFFICE USE ONLY
Tnis requesl voitl 18 manths Irom
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt u 5?5
To be used for _
N_ 14888
?5-?
;HEst.Value $7,000 Date APRIL 27 ,7g 88
Site Address 4367 ANDROMEDA WAY
Lot 16 Block 2 Sec/Su6. WILDERNESS PARK i
Parcel No.
a Name GREGG BECKSTROM
3 Address 4367 ANDROMEDA WAY
0 City EAGAN phone 454-0243
a Name VAN LAECKEN CONSTRUCTION I
0
oa Address 2990 EGAN AVE
?O? Cicy EAGAN phone 454-4148
W?Name
w I City
I hereby acknowledge that I have read this app6cation and state that the
information is wrrect and agree to comply wdh all apphcable State of
Minnesota Statutes and Oity of Eapan Ordmaqces 1-1-' ,
Signature ot Permrttee
A Butldmg Permit is issued to. VAN LAECKEN_CON$T
on lhe ezpress condition that a11 wotk shall be done in accortlance wdh all
applicable State of Mmnesota Statutesayn?d Crty of Eagan Ordinances.
8wlding OHicial ?•mR ,t1 t? y I?_P
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ lActual) Const
Ciry Water (Allowable)
PRV Required # ot Stones
Boos[er Pump Length
oepth
S.F. Total
Footprint S.F.
APPROVALS
Engc/ASSess.
Pianner
Council
81dg. Off
Variance
FEES
Permit
Surcharge
Plen Review
SAQ Crty
SAC, M WCC
Water Conn.
Water Meter
Roatl Unit
Treatment P1
Parks
70TAL
82.00
3.50
$$.$0
cIrr oF encaN
3795 Pllot Knob Roud Eegan, MN 55122
• PHONF:4S48100
BUILDING PERMIT APPLICATION 70,000. Receipt #
Site Address 436/ Andromeaa way Erect ?x
16 erness ar I
Lot Blotk Sec/Sub. Alter ?
Parcel # Repoir ?
Enlarga ?
Jo n
w Name Move ?
; P
Address 6 or Demolish ?
b ,.,_ Eaean .,?__ 454-3237 456-487rZde I-I
o jlstame Richard Wheler
?? Address
r
Name _
Address
I hereby ackrwwledge that I have
the information is wrrect ond a
State of Minnesota Statutes n
Sfgnoture of Permittaip
A Building Pertnit is issuW ro: _
oll work shall be done in accord
Buildirg Official
this applicotion and stote that
Assessment _
Woter & $ew.
Police ?
Fire
Eng.
Plunner -
Council _
Bidg. Off. -
APC -
N° 4758
97
78
Occupancy 1 -
Zoning RL
Fire Zone 3
Type of Const. V
# Stories
Front 71 ft.
Depth 32 tr.
Fees
- _ nd F
State of Minnesota Statutes and
Permif toy.Jv _
Surchurge 35.00
Plan check
SqC 500.00
Water Conn. 250.00
WMer Meter 60.00
Road Unit 75.00
Toral 1089.50
the express condition that
FE6aon Ordinances.
This request void 18 months from / O 7d /
Date of this Request June 24, 15r?8 P 7 417 9
I, as D:Licensed Electrical Contractor ? Owner, do hereby re14est ins ection of the above electri-
cal wiring installed at: L!/ ?
Block 2, Lot 16, •E?eu-??
Street Address or Route No.Eagan., Mn.r,{?(7 Eagan
Section Township
Range County
Which is occupied by Burford Construction, Inc.
• (Name of Occupant)
Is a roughin inspection required on this job? No ? Yes C? Ready Now ? Will Call
Power Supplier DEA Address
A 203
Electrical Contractor Lane Electric Company, Inc., Contractor's License No. _
(CamDany Name)
MailingAddress P. 0. Box 1086, Burnsville, Minn.
i (Electrical CorytractoDbr Ownm Making ThiS Installaqonh,-,n z/nn
Authorized Signature
(Electrlcal contractar or Own
SUVE o OQL3D 00pU
No.
This inspectian request will not 6e eccepted by ffie
SUte Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
_ 1954tJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
• PF:QUEST FOR ELECTRICAL INSPECTION
CHECR BELOW WORK COVERED BY THIS REQUEST
le7ol
P 74179
Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wued For
Home 91 0 C-1 Range 91 Temporary Wiring ?
Dupkx ? ? ? Water Heatex ? Lighting Fixtuxes ?
Apt. Bldg. ? ? ? Dryei KI F,lectxic Heating ?
Commercial Bldg. ? ? ? Fumace Ex Silo UNoader ?
Industrial Bldg. ? ? ? Air Conditioner Ex Bulk Milk Tank ?
F ? ? ? Lis[ IYishwasher List 1
arm
Other
?
?
? p
Hehe s? p
}
Heiels)
COMPUTEINSPECTION FEE BEL
Service Entrance Size: # Fee F SK e ee Ci?wits: # Fce
0 to 100 Am s.
101 to 200 Am s.
11
0. 00 1 0, 30
13 0 10 m 0 to 30 Am eces
31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfocmers RemoteControlCirc. PaztialorotherCee
Signs
Remarks Special lns ection Min?mum fee $5.00
TOTALFE 1?1?x
I, the Electrical Inspector, hereby fy t ab6ve mspection has beeq.m adeY,
(Rough-in) Date
(Final) Date 16 This request void 18 months from
This request void 18 months from
P 7 417 8
Date of this Request MaY 12, 1978
I, as)Q Licensed Electrical Co tractor OOwner, do ereby request inspe ion of e above electri-
cal wiring installed at: 6 7
. Block ?, Lot id, Eagan Hills South
Street Address or Route No. Wilderness Park, 2nd Addition Cit Eagan
Section Township
Range County
Which is occupied by Burford Hardiaare & Construction
(Name of Occupant)
Is a roughin inspection required on this job? No [23 Yes ? Ready Now ? Will Call M
Power Supplier
ElectricalContractor Lane Electric Company, Inc
Mailing Address
Authorized
Contractor's License No ?203
(COmpany Name)
P. 0. Box Number 1086, Burnsville, P9inn. 55337
No.
(??j+ /? ?? n '??j???S n? ???? This inspectian request will not 6e accepted by the
?? ?? ? State Board unless proper inspection fee is enclosed.
minnesota btate tsoard ot tiectncity
7954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
? REQUEST FOR ELECTRICAL INSPECTION
`CHECK BELOW WORK COVERED BY THIS REQUEST
P 74178
Type of IWilding New Add. Rep. Check Appliances W'ved Foc Check Equipment Wued For
Home
Duplex
Apt. Bldg.
Commercial Bldg.
Industnal Bidg.
Fazm. ?
?
?
?
?
? 0
?
?
?
?
? ?
?
?
?
0
? Range ?
W' exter ?
D r
F 4a,
)
List Temporary Wiring
Lighting F?ctures ?
ElecVic Heating ?
Silo Unloadef
Bulk Milk Tank ?
List
Othe[ ? ? ? }
p
Hehe?s) p
Heiers?
COMPUTE INSPECTION FEE BELOW
Servite Enhance Size: t Fee Feeders&Subfeeden: x Fee Cucuits: # Fee
0 to 100 Am s.i " 0 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transform s RemoteControlCirc. Partialor othe[fee
Signs Special Ins ection Minimum fee
Remarks TOTAL F .00
%'J $6. J`?0
I, the Electrical Inspector hereby certify that the above
(Final) -
This request
has been m?=C.
Date
))ace
,;; .,
1 ?
BUILDIIVG PERMIT APPLiCATIOA1
J/1V ? sq
D?? ? l"176 Y019
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
, 5F- o-o
Valu3tion
1b be used for jj&FiCc ?/'ica4rL. 4?clFLL1144
Site Addresc;
2-13G 7 ?-
Lot Block Sec. Sab, Parcel Number
% (r• 'L «: , k+crhsis 1?
Owner Telephone _
Address
contractor j o
Adaress Pc. 1i3i62
M
Arcn./Enq. Cd1. /Jr?iv? vr?
Address
Telephone 115 1!-3.?) 37 Lc'r L164 ° W77
Telephone
Erect 'X
Alter
Pepair
L•?slarge
Nbve
Demolish
Grade
OFFICE USE
Occupancy ?
Zoning /
Fire Zone ?
Type of Const. !/
# of Stories
Front 7
Depth S .2
OFFICE USE
taate of Approval & Initiai
Assessment
Water/Sewer
Police
Fire
Eng.
Planriex
Council
Rldg. Off.
A.P.C. -
FEES
?
Permit
??
-
Surchaxge 3-5-
Plan Check
SAC S'"D 0
4!ater Conn. aS'8
I-7ater Meter (00
.9r,. ... ?„-
TOTA2.
CITY OF N' M $UILDL`iG DEP:IRT?1E?IT
EXTrRIO2 L:i`iELOPE AVERriGE "U" COi!:'UTATIOV ??
',g
(To 6e submitted wzth Suilding pzr3i_ applicaciot? 41r4I
One or two faulily dweliing--X-_ Owner
?17. other
Site Pddress
Contr.actor? '? 'D .??k(Cj VLTIONDate Phone
LI;VEe1L FT. OF UL A-71Ot+J
t'.XPOSED !iALL + + -F + =+
,OPAQUF. [JaLL
CO`15:RUCTIO:I: "U" value x area
FP1AM9- We.L.L FtG. l 'L„_Ijl,__x sq.
bb.SIL W6k-?. FlL- O7 x Sq.
;Detail reference RIM Jo S-r "U"LO 6 x sq.
from 1AM17 STUd .fiRRR?,? llII" x sq.
.a[tached sheaes ('o?,yo, F3LK ? FUApeiWr "ti"?x sq.
? "u" x s
Q•
"U" x s
4•
1,1LVDOWS: "II" value x area
ft.-'i'?q
= j,,}s-(II)
?
(A)
ft.-.?01.Q...
.
_° 1"70 (U) (?1)
ft. 2rv3 = t5
, 7 $ (u) (A)
ft. -40 = 2,80 (U) (A)
fc.--4 2„4 - I $•45 (u) (n)
ft. _ (U) (A)
ft. _ (U) (A)
Plake & tYPe Csa°,EMEirT 7AIPLE lU,? t5°p
x
sq.
ft. M= 74, 8'rv (U)
(A)
??
si 1101e,u„ 61-Ass QL fz 1° Sv. =L 5?
= 28.ro2 (U) (A)
21tD E IIGNT lU°.B5 x sq. _
ft. ? _ 'jfyg (U) (A)
sq. ft. = (U) (A)
DOORS: "II" value x area
tlake &
? type UlS= IDOGRS 11W ?i( x
?s sq. ft.
_3a (7•?(
n
h n "U'1 sq. _
:t. _ (u) (:1)
,u,y X 54- ft. _ (U) (A)
2oTat (u) (a) Vfu.uEs zoLALS 2hIZ. s fr. Zq9.$Z (u) (a)
299'?'Z ?? „ q.
,DIVIDED BY 'IOTAI. WAI.L AREr1 ?S ?` ?1VG. U
'12
'AVERAGE "U" .17 or less for 1& 2 family dwellings
s .22 or less for a11 otner buildings
;BOOF/CEILING:
TOTAL AREA: sq. ft.
'Detail reference Gg,I1.-INC?IS "U" rOZ x sq. ft. 2j,(VZ (U) (9)
r: fron "U"x sq. ft. ? _ (L) (A)
'ateached sheets sq. ft. _ (U) (A)
iDescribe openings "U" x sq. ft. _ (U) (A)
iin roof "U" x sq. ft. _ (U) (A)
:
j
?' Z? •?OZ ' TOTALS lZj6 l Sq. f t. 27•(oZ (U) (A)
OTAL (U) (A) V.?LUES "
"
OIVIDED BY TOTAL. ROOF/ AVG.
U
?EILING AREA
11
"U" .OS for ven*_ilated roofs
.10 for all other construction
If average "U" values as caiculated above do not meet the'Energy Code requirements, the
"41[ernate Envelope Design" as outlined in SBC 6006(g) may be used. Additional sheets
may be used to show ca2culatior.s. ,
S N??ft. above grade = 25 I 2
TO'PaL EXPOSED WALL A4EA SQ. FT.
HILLs
;
_. __ !SeCnWD . /+POi'rcN
_ -- -- ? _
C3 Crx?GC t l,
,
- ,
- - _ - ':
,
- -- - - - -?-?- -
?
?- ---
- - __ __ __- - - j - - -
- - -?-= - -- ' _
^ o
?- - f - -- - ;
- -- ? - -r1 o ai s8" w _ ? - - - -- -
__ _ - - •--- -/00,001 - - - --
---
- - i ? -- - - ;,_ ?
? '
r
? . ?. ?
. I N ?71
=q."y? J
SPI?TLEJFL ' . _' _ . . .. . . .
? i fRAMc y?E5?A4M.E '? 'I
? - ? - ' - -- ? - - `- I ? ? - - -- . - _ ' --'-- -
' i
FW%
10 ow+!tAn16e ?- ,
E:ASEw!lr?T ? - - -- --- - -?--- - p'?'
' ?
?
I-
1'? l_
?
- - -- -- ?_ - ? -;-
- ¢y??.0f2OtMvD A Ww'1Y.
- -- -?- ;- - ?
?? 1- 4- [?'-1 fZrOr? D CoN 5 i jZc1C77?, Sn c
-, CASH RECfIPT
CITY OF EAGAN $
3795 PILOT KNOB ROAD
EA AN,MINNESOT 55122 /7
DATE 19-?-
weee?veo
AMOUNT $ {?/
i
& DOLLARS
oo
E] CASH HECK
J
Thank You
BY
_ ryp 11149
z ii ,?/9 -
` N?dA?s
{ sseu
`
vpli V?N 00 5f1}qp96t
4
II I
i
?
.00 S ?
?
I
)o
ruo n aeu w.
PARK DONATION ESCROW - WII.DERNESS PARK II
LOTS:
4371 Kaufmanis way
Lot 9, Block 3; Wilderness Park II
4359 Andromeda
Lot 15, Block 2; Wilderness Park II
4280 Lyra Court
Lot 2, Block 4; Wilderness Park II
4367 Andromeda Way
Lot 16. Block 2; Wilderness Park II
4344 Orion
Lot 6, Block 2; Wilderness Park II
4326 Kaufmanis Way
Lot 14, Block 4; Wilderness Park II
4346 Kaufmanis Way
Lot 14, Block 4; Wilderness Park II
4385 Orion
Lot 11, Block 1; Wilderness Park II
1988 BUILDING PEAMIT APPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELL2NGS "
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS
NOTE: ADDftESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfIICH ADDHESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOft SALE UN2TS # DF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITA BLDG. DEPT.p
1 SET OF ENERGY CALCULATIDNS
COMAtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: .lea,re„ ArrK Valuation: ?._ Date: y aa --?
?
Site Address [/<3/ 7 ?'nd.vamejl/a k,?,_ OFFICE USE ONLY
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PLUMBING (RESIDENTIAL) SD
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 0 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date Z / Z? l 03
Site Address GUDZ, EHOR Unit #
4367 ANDROMEDA WAY
EAGAN, MN 55123
Property Owner (651) 688-6714 Telephone # ( )
cQntraLcor NORBLOIVI PLEJA!!B!l+lsa CO
.
(612) 827-4033
Address
S City
a.
•
State 8Up Telephooe # ( )
The Applicant is _ Ovrner $4, Contractor _ Other
Septic System NeW Refurbished Submit 2 sets of plans and MPC license ? 100.00
InGudes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ A6andonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
lK Water softener x Water heater FT $ 15.OD
replacement additional j? MAR 0 7 2003
I?J
State Surcharge Rv_ ? $ 50
To?si $ 15. SO
1 hereby apply for a Residential Plumbing Pemut and aclrnowledge 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 with the Plumbing Codes; that I understand this is not a
pemut, 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.
Je? NoCUG-Vv\
Applicant's Printed Name Aplrl s Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120316
Date Issued:01/30/2014
Permit Category:ePermit
Site Address: 4367 Andromeda Way
Lot:016 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Ehor Gudz
4367 Andromeda Way
Eagan MN 55123
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122070
Date Issued:04/24/2014
Permit Category:ePermit
Site Address: 4367 Andromeda Way
Lot:016 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-160
Use:
Description:
Sub Type:Fireplace
Work Type:Free-standing Stove (new)
Description:
Census Code:434 -
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 by law in ALL single family homes .
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 -
Ehor Gudz
4367 Andromeda Way
Eagan MN 55123
(651) 688-5714
Woodland Stoves & Fireplaces
2901 E. Franklin Ave.
Minneapolis MN 55406-0000
(612) 338-6606
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126751
Date Issued:09/09/2014
Permit Category:ePermit
Site Address: 4367 Andromeda Way
Lot:016 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Ehor Gudz
4367 Andromeda Way
Eagan MN 55123
New Windows For America
609 W County Rd E
Shoreview MN 55126
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
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