1300 Balsam Tr ECity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1300 Balsam Tr E
Lot: 004 Block: 001 Addition: Wildemess Run 6th
PID:10- 84355- 040 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Window Store LLC
9909 S Shore Dr
Suite 270
Plymouth MN 55441
(763) 412 -4280
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Occupancy:
$88.50
$1.50
Total: $90.00
Owner:
Carole J Peterson
1300 Balsam Tr E
Eagan MN 55123 - -171
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089555
06/05/2009
ePermit
cinr 1'jWEaGAN - WATER SERYICE PERMIT
379A Pilot Knob Road PERMIT NO
:
Eagan, MN 55122 .
DATE:
Zoning: No. of Units:
Owner: ? ? ?- -
Address:
Site Address: , ??,• ?•
Plumber:
Meter No.: Connection Charge: - -
Size: _ Account Deposit:
Reader No.: Permit Fee: '
t agnee to comply with the City of Eagon $urcharge:
Ordinanees. Misc. CFarges:
Total:
BY Date Paid: _
Dote of Insp.: Insp.'_ -___
CITY Q14AGAN
3794 - Pilot Knob Road
Engan, MN 55122
Zoning:
f.
I Owner:
Address:
Site Address:
Plumber:
I a9ree bcomPh with the City of Eagan
Ordinontea.
By
Dote of insp.:
I nSR.:
SEVVER SERVICE PERMIIT
PERMIT NO.:
DATE:
No. of Units:
. . ?
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge: _
Misc. Chorges: -
Totol:
Date Paid:
(:ITY OF EAGAN Ftemarks
Addition-INi lriPrnecc Rnn 6th Lot 4 Bik ? Parcel 1n 84355 040 01
Ownerla= A Street 1300 East Balsam Trai l State Eagan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 $.04 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK • 22.11 15 323.01 C003482 -12-77
STORM SEW LAT
CURB & GUTTER i
SIDEWALK
STREET LIGHT
WATER CONN,
?0 7
• I - 7
BUILDING PER, i
sa,c G ? .
PARK ;24.
?
INSPECTION RECQRD
! CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612)681-4675
SITE ADDRESS: j:1 APPLICANT:
,.% ,
iti t tt; i lii . t:llhl 1,111 ? .. ,_ !-`a{91?'A j
PERMIT ,?UBTYPE:
TYPE OF WORK:
11E '",r1rrPi iIM
RliC,l' I Ncr
?
?_
Pertnit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDC3 FINAL
D
BSMT R.I.
BSMT FINAL
DECK FfCi
DECK FINAI
?
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 59122 N2 4405
PHONE: 4548100
BUILDING PERMIT
50*0pn! Receipt #
To be uaad for
? i nc t r n Gnr Date .I u ?
o " 19 .
Site Address Erect Occupancy
Lot- Block Sec/Sub. ? T4' Alter [3 Zoning
Parcel # _ Repair ? Fire Zone
Enlarge ? Type of Const.
Nome '(' ; ? r' Move ? '.,? $tories
W
Z
3 Address -
Demolish
? f1u _ ft.
Front
0 .-:... Grode (-l Depth ft.
o
?
Name 1: 1 e"" u....,...
o? Address -••'?' Sn_ Snel l!,, Assessment Permit -?
u?
Ci ' t• r'aul Phone
Woter & Sew. `
Surcharge `°•- .=?
Police Plon check
F
?uw
uW
Name
Fire
SAC 47-
?? Address Eng Water Conn. ?= 10 a tJd
. 60
00
aW Cit Phone Planner ,
Woter Meter
Council
I hereby acknowledge that I hove read this application ond state thot Bldg. Off.
the informotion is correct and agree to comply with oll applicoble
APC 925.`0
Total
$tote of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ?=urie5 , i.t'1G. on the express condition that
oll work sholl be done in accomance with all opplicable Stute o f Minnesoto Stotutes and City of Eacan Qrdinances.
Building Officiol
hnak # Doh la??ad ??MlM
Plumbing e !, f -/ z -
Mechanicol
INSPECTIONS I DATE INSP.
RoupMln
Ffnal
Footings Date Insp. Dote Insp.
Foundation Plumbing
Frome/ins. ? Mechanicol
Fi?,ai
Remorks:
? CITY OF EAGAN
_ 3795 Pilot Knob Road
, Eagon, Minnesotc $5122
P6one: 454-8100
- PERMIT
Date:
August 19. 1977
Site Address: 137Q E. Ba i s'irn 11- a il
No. '0-?r>
Receipt No.:
Singfe
Residentiol
Lot "• 61ock - Sub/Sec. -7'? `'-'- ' h Multi Res., Comm./lnd. I
I Name c.:: s_ New/Alter./Repair
Address Cost of Installction
City St •Pau= - Phone: Permit Fee
20.00
ome Jou f s P . f c ter L:'! . Surcharge ` - i1
?
.?
Y
? Address 854 CYca.-id Ave.
e
0
? . Paul 5510?? L'? .
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesoto Statutes ond City of Eagan Ordinances.
Buitding Officinl
CITY OF EAGAN
? 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454.8100
- PERMIT
DaTe: -Y 20, 1977
5ite Address:
Lot ' Block Sub/Sec
;n
Na _
Receipt No.: -
Single I „
Residential
Multi Res., Comm./Ind. I
Name :'?
/Re
air
New/Alter
.
p
?
;
Address
Cost of Instollution
O _
City '`-' 4• Pail ? -- Phone: Permit Fee " -
ame' • . .5(}
Surcharge
?
P Address
c
0
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordance with a!l opplicoble Stote of
Minnesota $totutes ond City of EQgan Ordinances.
Building Official
- • RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
IewConsWCtion Reouirements
3 registered site surveys showing sq, ft. of lot, sq. N. of house; and all roofed areas
(20% maximum lotcoverape allowed)
2 copies of plan showirg beam & window s¢es; poured found design, etc.)
1 set oi Eneyy Calculatbre
3 copies of Tree Preservation Plan tl bt pladed aRer 711193
Rim Joist Defafl Opfions selection sheet (bldgs with 3 wless units)
)ATE ?//v10 /
IOB SITE ADDRESS JC3 bO
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWN
'YPE OF WORK
aPPUCANT
4DDRESS
'AGER #
CELL PHONE #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT C
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical Systcm Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
kII above information must 6e submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the
all applicable State of Minnesota Statutes and City of Eagan Ordinai
Sfgnature of Applicant
:ertificates of Survey Received _ Tree Preservation Plan Received
-'? -lv.c;?
RemodeVReoair Reauiremenh
• 2 copies of plan
• 7 set of Eneryy Calculations for heated additions
• 13itesurveyforexterioraddilions8decks
. Indicate if home served by septic system for addiGons
VALUATION
?? Z,
'--?
?? ?f Ts ,P5 O?
Ij e? (6t0_C_ ? s?SPR?d ? Peic FIREPLACE(S
,1) Rv /? I?f?f 2 c?9r?J iPHONE #
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
) _0 _1 _2 _3
jz? " 5-3d
CODE
, IU
MINNESOTA RULES 7672 °Y 1' y
- New Energy Code Worksheet Submitted
Phone #: 1
_ Water Soflener _ Lawn Spiinkler Fee: $90.00
Water Heater No. of R.I. Bafhs
No. of 13aths
to comply with
_ Not Required _
e: ltn ?piv.w
Updated 1101
OFFICE USE ONLY
] 01 Foundation
7 02 SF Dwelling
] 03 01 of _ plex
] 04 02-plex
] 05 03-plex
] 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plez ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex 0118 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pooi
? 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 EM. Alt - SF
? 36 Multi
] 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
10 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
/aluation Occupancy ? 3 MC/ES System
:ensus Code ? Zoning 4-1 City Water
>AC Units Stories Booster Pump
Jbr. of Units / Sq. Ft. PRV
dbr. of Bldgs l Length Fire Sprinklered
/
'ype of Const s -,t Width
REQUIRED I NSPECTIONS
Footings(new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
? Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water _ Final _ Other
_ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By6&_, Building Inspector
3ase Fee
'urcharge
Ilan Review
AC/ES SAC
:ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
7eatment Plant
Ilumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
fotal
- RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?b
3830 PILOT KNOB RD - 55122 ? 7(? ?
651-681-4675 ?
New Construclion Reauirements
• 3 registered site surveys shaxing sq. R W bt, aq. ft ol house; anN rookd arees
(20% maximum bt coverage albwed)
• 2 apies o} plan showing beam & windav sizea; poured lound dasign, elt.)
• 7setofEneryyCelculations
• 3 copies W Tree PreservaUon PWn'rf bt platled after 7/1193
• Rim Joist Detail Opfions selection shee! (bkgs wilh 3 w kss unils)
DATE l
JOB SITE ADDRE 1_;?6n E• 1?'a 4
IF MULTI-FAMILY BUiLDINnG, HO^W,? f?ANY UNITS?
PROPERTY OWNER !.fl4U i(t1 _ I' P_fPV` C ta
TYPE OF WORK '
APPLICANT ri rP SJ.' 0 V`o P?1
ADDRESS _ 3gsr) L{J . fq L? (r I
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residentlal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculafwns Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Ptumbing Controctor: _
Plumbing System Includes:
_ Water 5oftener
_ Watcr Heater
_ No. of Baths
RemodeURewirReauirementa
. 2 oopies of plan
• 1se a( Eneigy CakulatiM fa heafed additions
. 7 site suney tor axterior additions & dedcs
. Indicale d Aome served by seDtlc system for additions
vAtuaioN ?--504200L)
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
MechanicaiContractor. APl 1r)nP1^_
Mechanical System Includes: _ Air Conditionng
_ Heak Recovery System
I; SewerlWaterConhactor:
Phone #
Fee: $70.00
Phone #
All above IniortnaGon must be submitted prior to processing of applicaUon.
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances I
? /
Signafure of ApplicaM ?%u \
Certificates of Survey Received _ Tree Preservatiort Plan Received _ Not Required _ . . . . t ? Updated 1101
REPLACE(S) _ 0 ? _ 2
PHONE#
?L&ZIPCODE _SS33?2
Thys ieques?void 18 months from
P 10364
Date of this Request _ 7-25-77
I, a99xN Licensed Electrical Contractor O Owner, do hereby request inspection of the above electd-
cal wiring installed at:
Str^eet q`d? es or ute No. 1300 alsam Az+€. 1 r = CityEahcin
SecUon Township Range CountyDakota
Whichisocwpiedby Tilsen Homes
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yesiclc Ready Now ? Will Call Ekc
PowerSupplier Dakota Cty. Address Farx:ington
Electrical Contractor 0.B. Thomnson Flectric Co. Contractor's License No. 32503
(CamDany Name)
Mailing Address 12201 Mtka T3lvd., IvItki 55343
(Elactrical Contractor or'Owner Making This Installatlon)
Authorized Signature
- Phone No. "
(Elxtrical Contractof or Owner Making This Installatlon) "''C+3TAVR BOARD Cornvi
Minnesota State Board of Electricity
"1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
- ' ,:REQliEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY TH1S REQUEST
?r,C9S°
10364
Type of Building New Add. Rep. Check Appliancea Wued Fot Check Fquipmmt Wued Fot
Home 12 ? ? Range PIK Temporazy W'ving ?
Duplex ? ? ? Water Heater YB2.00 Lighting Fintures XID
Apt. Bldg. ? ? ? Dryer ?fM. 00 Electric Heating ?
Commetcial Bldg. ? ? ? Fumace )B2. 00 SJv Onloader ?
Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Yank ?
Fum ° ° List L
ist
O her o o ? p
Hehers? S' - p
Heiers ?
COMPUTE INSPECTION FEE BELOW
Service Envance Size: # Fee Feeders&Subfeeders: Fce C'vcuits: u Fee
0 to 100 Am s. 0 to 30 Am eres'.. " 7K! 0 ta 30 Am eres 8 fi 00
101 to 200 Am s. 31 to IOO:Ampe-es'.'. i 31 to 100 Am res
Above200 ps. 14.00 l7Kba., 100?i'?ATn s. Above100 Amps.
Transformers emoteC 'e6` c. Paztialor otherfee
Si ns ? cial l?! etion Minimum fee $5.00
Remarks
, ,;ja,17,
TOTAL FEE
44. 50
I, the Electrical Inspector, hereby r?tha e ve ms tion has beery?n?de? 7 y?y aG'
(Rough-in) ? ? t Date 7-.7y-i?
(Final) L Date / a
This request void 18 months from ?`" r `v
RECORD OF COMPLAINT
Date: 7/12/00
Type of Building: X Residential Aparhnent _ Other,
Name: Dave Peterson
Address: 1300 East Balsam Tr
Phone number: 612-201-6570 (Cell) or 952-838-7024 (w)
Complaint: Sand barrier is keeping most of the water out of the basement, but an
inspector is requested to check the foundation.
Comxnent:
Action Taken By: Mandy Boudreau
RECORD OF COMPLAiNT
Date
Complaint taken by
Type of buflding s L !Q
?
Name
Address _/ ? r91-2
I.tgal description
Phone number rL 7 0 Z 9 ;"2. - E
Complaint Yl rt
?--`.
Action taken
Comments
LJ;i9? / 7? ???L G?.??1? ? ? ?J??I? _ ?? 5' /??t/?7
Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
?- - . I CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 j`{
651-881-4875
NawConstructfon peauhemeMs
• 3 repislered stte survays showing sq.8. of bi, sq. ft of house; and all roofetl areas
(20 % maxinum lot coverege alhwed)
• 2 oopies M plan showing beam & wintlow siies; pouretl tound tlesign, etc.)
• lsetofEnergyCalculatbns
• 3 copies W Tree Praservatbn Phan M Wt platled afler 7M/93
• Rim,bist DBtail Options seledbn sheet (bldgs wtlh 3 or less units)
DATE M 0\I O i? Z
NemodeVqeoeir Reaulrementa ?-
. 2 coplas of plan
. isetafEnargyCabulationsforheatedatltlttbns
• 1sftesurveyforexterroraddAbns&decks
. Ineicate'rf hame serre0 by septic system for addltions
VALUATION ?h. 1 LI ? . A -3
SITE ADDRESS 1 _? J n ? C? g? 1 5 at v^ rA ( Cn?)' MULTI-FAMILY BLDG _ Y
TYPE OF WORK C Le C a t?? FIREPLACE(S) _ 0_ 1
APPLICANT
?.
STREET ADDRESS 1b 1. Vi
TELEPHONE # G,12^]?Q^Q ?I?CELL PHONE # FAX #
_N
_ 2
iLn-v-zlp S ? 1.ti?
PROPERTYOWNERJCA ?)? ? \?Q?R(?ti) TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY I MINNESOTA RUI.ES 7672
(4 submission lype) • Residential Veniilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelopa CalculaGona Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Wpter Contractor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
pi 7F? 11 1!I ?
v M iv 1 Li
- -,-1------------------ - --
------------------------------------------------------------------------- -------- - --- - ---------
rm ?tl6n is correct, and to comply
I hereby acknowledge that I have read this application, state that the Info r
with all applicable State of Minnesota StatuTes and City of Eagan Ordinances gy
Signature of Applicant
n'-dfl/ --°•----.._._-'-°--°-°°-----°-----------------...?,..._......__..._._r.._._r.._........ ..
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 4102
Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 2 8 3 3 5
Date Issued: 0 7 j 19 / 9 6
SITE ADDRESS:
P.I.N.: 10-84355-040-01
1300 BALSAM TR.E
LQT: 4 BLOCK: 1
WILDERNESS RUN 6TH
DESCRIPTION:
STORM OAMAGE •
REPAIR
434 ALT. RE5IDENTIAL
.? ,.
ro?
J_ t
l i. ? y r
- ..? ?:..!
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT.
SHERIDAN ED ENTRP INC 14019010 5975
6150 CLUB VALLEY RD
SHOREWOOD MN 55331
(612) 401-9010
REROOF
uildi`n- Permit Type
?,_l
uilding Work Type
ensus cvde -,,
?..
OW`i'FEo N
1300
EAGAN
DAVID
BALSAM TR E
MN
I hereby acknowledge that I have raad this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
StatUtes and City,of Eag,an Ordinances.
APPLICANTlPERMITEE SIGNATURE
ISSUED : IGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55722
C) ?33< 1996 BUtLDING PERMIT APPUCATION (RESIDENTIAL)
681-4675
New ConstrudFon Reauhements RemodeVReoair Raeuirements
? 3 repistered site surveys ? 2 eopks of plan
? 2 copfes of plana (include beam 8 whMow saes; poured Ind. design; etc.) ? 2 ske surveys (exterlor addRions 8 decks)
? 1 energy calculatfons ? 1 energy caleulatlons tor heeted additions
? 8 coDies of kee presenation plen H bt PlaNed after 7/1/93
mquiretl: _ Yea _ No IF
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ???f-- - ?? DAI&A-G
STREETADDRESS: I 30c) G-' gor&-s ?m -roN}"
LOT 'Z BLOCK SUBD./P.I.D. #: /4" ?
PROPERTY
OWNER
CONTRACTOR
Name: ?),411 ?Q Phone
u.. FMo,
Street Address- -
City:
State: Zip,
Company: F--D Phone #: 401-" ?o"O
Street Address: Co?? ?OL3 VAlt-O'V 9Q License #• 5?-7,5--
City: 6hA-WO40 State: Ati) Zip. {
ARCHiTECT/ Company:
ENGINEER
Name:
State:
Street Address,
City:
Sewer 6 water licensed plumber:
change are requested once permit is issued.
Phone #:
Registration #•
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the in atfon is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. _/'? •? ,?
?
Signature of Applicant:
OFFIGE USE ONLY ::-VE-1
Certificates ot Survey Received Yes No Tree Preservation Plan Received Yes No ----
ciTr oF eacnN
3795 Pilof Knob Road Eagan, MN 55122 NP 4405
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipr # 6737
$50t000.
To be nead for Sin6 Fsm il.ai? R Gerg pate JUly 19t 1 g L7_
Site Address 1300 E. Saisam Tr. Erect 25 Occupancy I
Lot 4 Bbck 1 Sec/Sub. WR 6th qlter ? Zoning RL
Parcel # Repair ? Fire Zone - -
Enlarge ? Type of Const. _
z Name David J Peterson Move ? # Stories
; Address Demolish ? Front - 66 ft.
? Ci Phone Grade ? Depth 44 ft.
w..........1. Fawe
a I Name Ti-t Qo.. u.....es
Address 627 So Snellinoe Ave_
St. Paul pti„„o 454-4784
Name _
Address
1 hereby acknowledge that I have read this application ond stote that
the information is corrett and agree to comply with oll applicable
State of Minnesota Stotutes ond City of Eagon Ordinances.
Assessment _
Water & Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit 1»•Jv
Surcharge -25°N
Plon check
5nc 475.00
?
Water Conn.. 230.0
Water Meter 60.00
roral 925.50
Signature of Permittee - I
A Building Permit is issued to: T118HII HOrtteSt Ine. on the express condition that
oll work shall be done in acco lance x'th al? I,opplicoble State of Minnesota Statutes and City of Eagon Ordinances.
Building Official _
.'
.
,
4pa- q'7°?
Date : ?> ' 1);>
LOT ELOCK
SUILllI:?G PERP4Ii' P.,PPLICtI^tEO:?
AilDITIOeI _??l
PAI2CEL & SECTIOTd HU11T3ER IF U11PL:1TTEll
ADURF.'SS OF PARCEL 3O ,e d4D.d-&
? ?
ZOidI<7G --'e L
E5TI.'"iAi'ED COS'i•
TELEPHOPE L£O.
ADDRESS
6x
COIdTRRCTOR ?? TELEPHODIE :?O.
ADDcZESS
tdote•: Include szte plan; building plans, and anergy calculations with this
application
Sianed
OFFICE USE
VALU1122014 4r6 C),, QQ a
sac
co.reTEcTzo::
t71?TER !>YETE?
BUILDING PF.RL•iIT F£E
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the "Alternate Envelopa Design ¦• wtllned ia SDC 6006 (8) Y ba
sheats My b• usad to sho+r caleulations.
a.
PAUL H. HAUGE & ASSOCIATES, P.A. ?-
.'.'"".. ATTORNEVS AT LAW _ . . . . .?
3808 SBLEY MEMOHlAL HIGHWAY . , EAGAN IST. PAULI, MINNESOTA 55122 ' . . ' $
PAUL H. HAUOE
i;
BRADLEY SMITH AREA CODE 672
KEVIN W. EIDE ' TELEPHONE 464-4224 .
December 10, 1979 i'
Mr. Kenneth Ketchum
Attorney at Law
1456 Yankee Doodle Road
Eagan, Minnesota 5512I
KE: pavid Peterson - City of Eagan.
Dear Ken:
I talked with Tom Hedges concerning your letter to me on November 19th relating to
David Peterson who lives on Carlson Lake. Tom gave me a copy of your earlier letter
and he indicated that Mr. Peterson directly approached the City long after you had
sent your letter and suggested the $2,000 settlement. According to your earlier
letter, you requested $2,000 in damages plus $5,000 in additional loss to your client.
Therefore, I am surprised that you indicated in your recent letter that the claim was
only $2,000.
I assume that you talked with Mr. Peterson since the settlement has been reached
with the City and when he dealt with Tom Hedges directly, it is my understanding
_ that he did not discuss representation by an attorney at that time. If you have
? any other questions, please get in touch wit e.
' ery t ly yours,
Pa . Hauge
% HH:cdg
' / cc: Tom Hedges
V
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?-?
KENNETH P.KBTGHAM
OOROTNV A. REGI$
KETCHAM AND REGIS, ATTORNEYS
raee rwwKen oaooLa Rowo
EAQAN. MINNESOTA 55121
18 i 21 456-69e 1
November 19, 1979
Mr. Paul H. Hauge
Hauge &Associates, P.A.
3908 Sibley Memorial Highway
Iagan, MZ1 55122
Dear Paul:
Re: Settlement - Carlson Lake
?
?2? 64 s1.. /
DF C00Nl8L
JAME3T.9KpNNORD
In August of 1978, I represented Mr. David Peterson at a City
Council meeting rega_rding Carlson Lake. He again contacted me this
stiuruner and on Ju1y 14, 1979, I sent a demand letter to the City of
Eagan pursuant to M.S.A. 466. We asked for damages of $2,000.00 for
loss of trees and landscaping and an additional $5,250.00 for reduced
value and use of the property.
Your letter was transmitted to yoim insurance carrier, and my
claim was denied.
I then contacted an engi.neering firm regardinp, proving negligence
on the storm sewer design. My reaction was samewhat negative, and I
indicated to t*my client what the options were at this point. This was
the last week in October. r•s. Peterson then indicated he would probably
drop the proceedu?gs and cha]k it up to experience. I believe no definite
decision was reached by him. Shortly thereafter, he must have approached
the-City on his own with a request for ccunpensation. In the November 15,
1979 issue of the Dalcota County 'I`ribune, I saw the City authorized him
$2,000.00, which was my initial claim in July 1979.
On the surface, it appears the City cf Eagan has adopted a policy
that favors citizens who are not represented by counsel.
Let me assure you that I was not on a contingency basis with Mr.
°eterson on this matter, and thexe is no conflict regarding any fees.
• L'O MtIRPMY
MAYOF
THOMA$ EGAN
MNRK PARHANTO
JAMES 4.SMITH
THEOOORE WACMTER
CpVNCIL MENBEFS
November 14, 1979
CITY OF EAGAN
3785 PILOT KNOB ROAD
EAGAN. MINNESOTA
satzz
PXONE 456-8100
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Mr. Dave Peterson
1300 East Balsam Trail
Eacjan, MN 55122
464"', e,/" &4
.19aVW--al
•LYCE BOLKE
CITV CLEXN
RE: Payment for claim on damages caused by the high water
Ievel in Carlson Lake
Dear Mr. Peterson:
In official action that was taken by the Eagan City Council at
a regular meeting held on Wednesday, November 7, 1979, it was
agreed to make payment in the amount of $2,000.00 to you and
your wife,Carole, for damages to your property that resulted
from excess water overflow from Carlson Lake.
The City of Eagan constructed an outlet for Carlsan Lake; however,
the permanent pump was not installed until this year and, due
to the high water level and amount of precipitation, the City
is unable to properly control the lake level of Carlson Lake
until a storm sewer is constructed between Thomas.Lake and
Slackhawk Lake which allows for proper drainage within the
storm sewer plan.
Enclosed is the check in the amount of $2,000.00. Also enclosed
is a release that was prepared by the City Attorney, Mr. Paul
Hauge, for your signature. Please sign the release and return
a copy to the City in the enclosed envelope.
On behalf of the City of Eagan, we are certainly sorry for the
inconvenience this has caused you and your family during the
nast two years. . If you have any questions regarding the action
that was taken by the City Council, please feel free to contact
me at any time.
Sincerely,
Au-.'c
Thomas L. Hedges
City Administrator
TLH/hnd
Encls.
,
TNE LONE OAK TREE ... THE SYMBOL OF STRENG7M AND GROWTH IN OUR COMMUNITY. ,
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DAVID J. PETERSON and CAROLE J.PETERSON, husband and wife, '^f
of 1300 East Balsam Trail, Eagan, Minnesota ? • ~
fos emd ia cozieideration ef the sua of Two THOUSAND and no/100-----------------
(g 2,000.00 j U011aYS. Yhe Inn:3rf
which ie herebp acknwledg¢g do raleaee and forever diuchsrge the City of Y
E,ap?an, its agents or assigns
tzom e11 aixbt.litiea, ub'ligatioae, claima, or ohargns aris3zg out af ara
pw:svnat t:o titat certain claim for damages to the property owned by the under-
signed, whether real est roper y, resu n r m e g@W"
excessive water overflow from Carlson Lake, Eagan, MN, or from the Eagan storm
sewer system in Carlson Lake adjacent to the Peterson resi enc
iN FT'iTNESS WtEREOF. 8- ae have heaganto seC our Sand(s) aa<: n?aY(K;
??:9T`i iln ?MINNESOTA ?
) 89.
;:;Jr;; i ,-• ?x DAKOTA
Uc this day of November ? 119 79Y?
,;Pp,_,r,-d DAVID J. PETERSON and CAROLE J. PETERSON, husband and wife,
cuaks ?.c me ta bc the parson(s) Vamwi xu glO w6o esecuteu the a09tve P.eta:z.:a
azui acknowledged that they executed same ae their graa.. ?_ct sua
deed..
THIS INSTRUMENT DRAFTED BY:
Paul H. 2iauge & Associates, P.A.
3908 Sibley Memorial Highway
Eagan, MN 55122
(612) 454-4224
3-2; 7i
:lt..a..J :'r.:-`:•:
. .
Iiy co?iseio? exptree RoOin A. MccaREn
, NOTAitYPUBtIC°MINNESOTi? ?
ftmy HEN NEPIN COUNIY
anrtAsaWn Expinslley 23.1985
this ?W day of Novenber,
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CITY OF EAGAN
3795 PILOT KNOB ROAD
EAOAN, MI NN ESOTA 56122
THIS INSTRUMENT, WHEN SIGNED
8V THE TREASURER, SHALL 8E-
COME A CHECK PAVABLE TO THE
OHDER OF THE PAVEE NAMED FOR
THEAMOUNTSTATED.
00838
MID AMERICA NAT'L BANK 75-1429
Eagan, Minnesota 960
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PAY TO TNE OFlOER OF - DATE
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DAVID J PETERSON November 14, 1979
S
CAROLE J PESHRSON ?•• '"" ; . :`:`•' ,->, ?.- :
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CHECK AMOUNT
$2,000.00
. - .? .; MAVOF
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REMITTANCEADVICE
;,'ACGOUNT NUMBER
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GROSS AMOUMT
. ?EDUCTIONS`?` -?, NETAMOUNT
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526-00-232 Carlson Lake Project 2
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KETCHAM AND REGIS, ATTORNEYS
1486 VANKEE OOODLE ROAG
EAGAN. MINNESOTA 55721
(612) 484-89e 1
KENNETM P.KETCHAM
DOROTHY A. REOIS
July 11, 1979
2 y3r- 5"'
Mr. Thomas Hedges
City Administrator
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
10-t /? V?)Ael 6 `.x
Re: D PPtPr____._cnn `
1300 Balsam Trail Easr?l
Carlson Lake
Dear Mr. Hedges:
OF COUN6EL
JAMES T. SKONNORD
Mr. Peterson has again contacted me regarding Carlson Lake. I attended
one City Council Meeting on Mr. Peterson's behalf last Au,gust where Mr. Rosene
and the City Council indicat ed that the problem would be corrected.
I understand there is currently another plan in progress to alleviate
the problem, but due to the repeated promises without any action, this letter
is necessary.
Therefore, pursuant to Minnesota Statutes 466, we hereby formally give
notice that we have a cause of action against the City of Eagan on a tort
claim. This letter will constitute the start of the Statute of Limitations regard-
the commencement of our action in District Court. I do not feel that there is
any procedural problem concerning actual notice in this matter prior to this
time.
bir. Peterson has suffered the following damages as it relates to the
pon d :
a. Loss of trees and landscaping - $2,000.00
b. Reduced value and use of property -$5,Z50.00
Total $7>250.00
We would appreciate it if you would send a copy of this letter to your
insurance carrier. ?.
Thank you for your cooperation in this matter. .?. ?
Sincerely yours, JUL 13 1579
N
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Kenneth P. Ketcham ,
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Zoos RESIDENTIAL PLUMBING PeRMiT aaPUC,aTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
'3o. 6-0
Date ? ! ? ,;,- / c? C-
-?-;- /
Site Street Address /.5tC:' >'"?. Unit #
?
Property Owner Telephone # ( }
Contractor V ' t Telephone #
Address/?`?-?U ?r??,a.? ^S • 4u,? City State? Zip.S? 5c' i
The Applicant is: _ Owner -x4bontractor _Other
Septic System _ New ` Refurbished Submit 2 sets of plans and MPC license Incfudes County fee
$ 100.00
Per as-built $ 10.00
Alteretions to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
` new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ . ,
I hereby apply for a Residential Plumbing Permit and acknowledge 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 the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
ordance with the approved plan in the event a plan is required to be reviewed and approved.
/
ApplicanYS Printed Name J icanYs Signature
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuctiort Reauirements
3 registered site surveys showirg sq. ft. of lot, sq. il. of house; and all roofed areas
(20% mazimum bt coverage allow4
1 Soils Report rf proposed buildinq is to be placed on disWrbed soil
2 copies of plan showing 6eam & window sizes; pouretl found desiyn, etc.
1 set of Energy Calculations
3 copies of Tree Preservatlon Plan 'rf lot piatted atter 771193
Rim Joist Defail Op&ats selecGon sheet (buildings wilh 3 a less units)
Minnegasco mechaniqlventilationfortn
RemodeVRenair Reouirements
2 copies of plan showing foolirgs, beams, joisis
1 set of Energy Calculaiions for heated addilions
1 sfle survey for atlditions 6 decks
Add'rtion - indicate ifon-sde septic system
Y(A 24
1411 8A9 _ "IW)
Office Use OnN .
CedofSurveyRecd - _Y _N
SoilsReport ?_Y _N
,
TreePresPlanRecd.':.? -_Y _N.
TreePresRequired --Y _N
On-sAeSepticSystem -- - Y _N
Date !J 0? Construction Cost
Site Address 1 '3 DJ ?` - F, ?' - ?-a UnitJSte #
Description of Work ?.zw..., ?QJ ?cFl ? Y' S I / /lG9-tiU 'h7? J&Afi/.t..l
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (C5(
Contractor
Address ?) p 3av+ 't City
State Zip '5S1{/41 Telephone#( (r/? ?`?`? G? 7r7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mumesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy CodO Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Su6mittetl Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and addres*-ef r?_Q0pr,p4n?,??CM
Licensed Plumber Ilil'il LS ?Ui I? II V?/ I? I[Vj Telephone #(
Mechanical Contractor Telephone #(
Sewer/WaterContractor Telephone#(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand 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 with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's 5ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
)%- 02 SF Dwelling ? 08 Ofrplex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
e
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeboJperola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes n. 6,141 C) L
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building' ? 43 f2eroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DESCrIDtIOfI: Water?D"g¢=T Yes._-, ;
Valuation V('P Occupancy MCES System
Plan Review 100% or 25% .
Census Code tr't Zoning City Water
SAC Units Stories Booster Pump
# 04 Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Au Test _ Final
Insulation
?
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
?. FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Siding J Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: ? . , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
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75 S SY 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc1ion Reouiremenis
3 registe2d sAe surveys showing sq. fl of lo( sq. fL of house; and all roofed areas
(20°k maximum bt cove2ge allowed)
1 Soils Report'rf proposed building is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy CalcuWtions
3 copies of Tree Preserva6on Plan if bt plafled after 711J93
Rim Joist Oetail Optirns seleclion sheet (buildings with 3 or less uniGs)
Minnegasco mechaniral ventilafion form
RemodeVReoair Reauirements
2 copies oF plan showing footings, beams, joists
1 set of Energy Calculatbns for heated addillons
1 site survey for additions & decks
Addifion - indicate il on-site septic sysfem
-?a, oa
OPoce l7se Onlv
C?ak9fSurveyRecd 3??Y -?N
SoBsRepoR :: .Y N
Tree Frs? ff] i? Pres R "' i ? ?
Date )0 / ,Ao_ / 0!?
SiteAddress / 39? ? ???5?}-- r Construction Cost
? ?' • UniUSte 1}
Descriptian of Work ge
Multi-Family Bldg _ YA N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Ca„ o/n?P2'I eV cx?l\ ) Telephane #( )
Contractor ?2n....-?cx a `
? ?
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CodO Category . Residential Ventilation Category 'I Worksheet • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and aclaiowledge 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 the State of MN
Statutes; I understand this is nof,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 with the approved plan in th e work which requires a review and
approval ofplans.
// ?' Cl?y.? I uv? ??1.-,jL? ??
ApplicanYs Printed Name ApplicanYs Sign- aTure ---
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131704
Date Issued:07/01/2015
Permit Category:ePermit
Site Address: 1300 Balsam Tr E
Lot:004 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-040
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Peterson Carole Jane Living Trust
1300 Balsam Tr E
Eagan MN 55123
(651) 452-5326
Bayport Roofing and Siding LLC
1406 W. Lake Street, Ste. 208
Minnepolis MN 55408
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132032
Date Issued:07/21/2015
Permit Category:ePermit
Site Address: 1300 Balsam Tr E
Lot:004 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
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 -
Peterson Carole Jane Living Trust
1300 Balsam Tr E
Eagan MN 55123
(651) 452-5326
Bayport Roofing And Siding Llc
1406 W. Lake Street, Ste. 208
Minnepolis MN 55408
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138004
Date Issued:08/03/2016
Permit Category:ePermit
Site Address: 1300 Balsam Tr E
Lot:004 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Peterson Carole Jane Living Trust
1300 Balsam Tr E
Eagan MN 55123
(651) 425-5326
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156013
Date Issued:06/12/2019
Permit Category:ePermit
Site Address: 1300 Balsam Tr E
Lot:004 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
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 -
Peterson Carole Jane Living Trust
1300 Balsam Tr E
Eagan MN 55123
(651) 452-5326
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171227
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 1300 Balsam Tr E
Lot:004 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-040
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Scott David Peterson
1300 Balsom Trl E
Eagan MN 55123
(952) 465-8086
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature