EA188641 - Building - Single Fam - Issued Date 01/09/2024 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd ®��;; %,;•;, Permit Number: EA188641
Eagan, MN 55122
EAUAINE
(651)675-5675 111111111111111111111111111111111111111111111 IN
www.cityofeagan.com * E R 1 B B 6 4 1 *
Date Issued: 1/9/2024
Site Address: 1316 Balsam Tr E
Lot: 001 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-010
Use: * 10 - 94355 - 0 1 - 0 10 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Kitchen&Living Room
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $149.70 0801.4085
Valuation: 5,500.00 BL-Plan Review 65% $97.31 0720.4222
Surcharge-Based on Valuation $3.00 9001.2195
Total: $250.01
Contractor: - Applicant - Owner:
Brynn Alden Interior Design LLC Robert.Joshua Campbell Anderson
8095 66th St CT S 1316 Balsam Trl E
Cottage Grove MN 55016 Eagan MN 55123
(651)283-5894
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 Issued By: Signature
r----------------------
I For Office Use I
Building Permit#: 1,
S&W Permit
EA i Permit Fee: S Do Q
E VE Date Received:
3630 PILOT KNOB ROAD I EAGAN,MNr55120
(651)675-5675 1 FAX:(651)675-5694 IFJAN 0 2 2024Date Issued:
buildlnginspectionsgcity�an. Mm I--------- ---------
RESIDENTIAL UT APPLICATION
Dace:*Jan 2, 2024 -Site Address: 1316 Balsam Trail E -Unit#:
Applicant is: El OwnerD Contractor
Name:Joshua&Jessica Anderson
Homeowner Address: 1316 Balsam Trail E Cltv: Eagan
State:MN Zig: 55123 Phone:651-470-9670 Email: anderson.jessicaann@gmail.com
kitchen remodel Including venting of.new range hood and veno-i of a wall.Plumbing locations remaining the same
Description of work:
o Construction Cost:
Type f $110,000 pli-69-F, VJ
Work
Type of building: 0 Single Family Townhome, of units 0 Twin Home
Brynn Alden Kelli Mickelson
Company: Contact:
Building Address:8095 66th Street Ct S City: Cottage Grove
Contractor i
State; MN Zip: 55016 Phone: 651-283-5894 Email- brynnaiden@yahoo.com
License ft:BC752343 Exviration Date: 03/31/2025
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State:_Zip: Phone: Email:
new construction
License Ex i—ti—n-
0 1 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
information
trade secrets
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or vMw.920_%%19_1teQD_Q11A1_j®r9 for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
Ihereby 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 e-,work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
x 11_�,V 7
Kelli Ann Mickelson ,- 7
Applicant's Printed Name Ap—prca is Signature