EA182637 - Building - Siding & Windows/Doors - Issued Date 05/02/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd •-+•- •,•, Permit Number: EA182637
Eagan,MN 55122 •• EAGAN
(651)675-5675 1111111111111111111111111111111111111 1111H
www.cityofeagan.com * E R 1 8 2 6 3 7 *
Date Issued: 5/2/2023
Site Address: 1215 Balsam Tr E
Lot: 009 Block: 004 Addition: Wilderness Park
PID:10-84250-04-090
Use: * 10 - 84250 - 04 - 090 *
Description:
Sub Type: Siding&Windows/Doors Construction Type:
Work Type: Replace
Description: replace front door,siding and brick face
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $215.90 0801.4085
Valuation: 10,000.00 Surcharge-Based on Valuation $5.00 9001.2195
Total: $220.90
'Contractor: - Applicant - Owner:
Ray's Construction Inc Earl Ray&Carol Bauman Johnson
7814 13th Lane 1215 Balsam Trl E
St.Louis Park MN 55426 Eagan MN 55123
(612)202-8797
This permit shall be null and void if work does not start Within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature slued B : Signature
-------------i
r For office use
I 1
Building Permit#: 1
SMPermit M
EAGAN I I
Permit Fee:
Ch-,12,2) 1
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
I
I I
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued: 1
buildinainsoectionso_citvofeaaan.com 1---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `� �� Site Address: � If Unit#:
Applicant is: ❑ Owner �P CQontractor
Name.za Z' 6,2kl 41 X12f-&-7
Homeowner Address: 22 A6city:
State: S Zi Z Phone: Em61
Description of work: At2 /J co
Type of Construction Cost:
Work
Type of building: Single Family ❑Townhome, of units ❑ Twin Home
Company: r Contact:
Building Address: 3A 4" Q City: - GeLi
Contractor /
State:lkpll-z/ ip:` Phone: vlZ�o� �7� ail: G� S'f (� !'!tel • �`'
License#/ G / Expiration Date: 1,2-0
Sewer$ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
understand that Plumbing,Mechanical,and Fire Suppression work require separate applications.
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.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)4540002 or www.aoaherstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby ac edge 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 nderstand 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 the approved plan in the case of work which requires a review and approval of plans.
x x
7'plfcarrre Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Site Address: Permit#:
SUB TYPES
_ Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
New _ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
_ Alteration _ Water Damage _ Windows _ Demolish Building"
Replace _ Egress Window _ Solar *Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated Valuation Occupancy MCES System
Plan Review 025% 0100% Code Edition SAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
Framing: 1 Hour Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wall Sheathing(prior to house wrap) Pool:_Footings Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Radon Control Other:
Drain Tile
Grading Final/No C.O.Required
Final/C.O.Required
Reviewed By: , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply&Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00