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1405 Balsam St BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 R«eipt # _ Te !e w"d fer Est. Value i: ??. Site Address "'T Lot Block SeclSub. C? ji TJ'? Parcel No. d NemB W = Addreas t _ .. City Phone ' ? Name 4 7 Addreas ?- City Phone u? Name ? - aaa?u , , tW City Phone 1 hercby ecknowledge thot 1 how mod this application ond stote that tht informotion is torrect end egree to comply with all oppliceble State of Minnesote Statutes ond City of Eoqon Ordinoncss. Siqnoture of Permittes ' ',?.? A Buildinq Pertnit Is issutd to: ; oll work sholt be done in occordance with all oppliooble State of Mir Buildinq Offfcial ' Erect U Occupency Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demoliah ? Depth Int Impr. ? Sq. Ft. Install E] Apwovab Fea Asseument Water a Sew. Pol ice Fin Enp. Planner Council Bldg. Off. APC Var. Date on soto Stotutes and City o? _? ?VS PefRlit ""`•''v surcharge 3.50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. Pi. Parks CoPies Total ' the express CordiHon Ihw Eapon Ordinancn. ? ?'o s ro ? OC m = o ? d 3 o g M g w ? ? a S ? g on ; 0 ? ? M ? ? r R IV ? ? ? 0 ? s 0 $ ? . s v ) ? 0 i * CITY OF EAGAN Remarks ? Addition CARLSON ACRES Lot 9 Blk 1 10 16400 090 00 Parcel Ownerlfk?.,?!?e A-. A:2L.-!/t/ Street 1405 Balsam Sttec-r State Eagan, MN 55122 it ? . 60O k F / D /o S /AJS % rS Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRiaDING SAN SEW TRUNK ZZ,( 1973 175.00 9.75 20 Paid SEWER LATERAL WATERMAIN (5?? wATER LATERAL model 1972 230.00 11.50 20 Paid WATER AREA STORM SEW TRK [4c( y 344.02 ,4012023 -21-$ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT wATER CdNN. 260.00 3121 12-29-70 HUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?"' ,' J4 4, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: " (651) 681-4675 SITE ADDRESS: APPUCANT: r??i. ?? tt?ntr r.A Vs i !.0 a Ai itf `, --0100 PERMIT SUBTYPE: TYPE OF W4RK: . r A t ti 10 C? (' I pa 1-.1 j I:f=h1Hl;?;'ti: RC 10111; Iliklll?I r1Nli 61111-rAl;f ril1l 10 ?? i riplA IlAM/1l;( I F IL J Permit Holder Date Telephone N SEWER/ WATER PLUMHING HVAC Inspection Datc Insp. Comments FOOTINGS FOUND FRAMING ROOFING _I fQ ROUGH PLUMBING PlBG AIR TEST ROUGH HEATING GAS SVC TEST iNSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OFSAT TEST B4DG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY SEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL C2rlson /?cres TaWN OF EAGAN 3795 Pilot Knob Road 9t. Paul, Minn. 55111 , PERMIT NO.: 72 The Board of Supervisors hereby grants to 1. . F FaTrell d Son cf non woar g??g??_ Pa,? 54117 a PLUMBING ? Pe it for: (Owner) T; spU_LQnstryCjion Cn. at 1405 Balsam Stree<L9D-B9 E? _ rsuant to application dated UM/Ip_ Fee Paid: _$20,00 Dated this lOth day of Decmiber ? 1970 , Building Inspector 9- 0,A. TOwN OF EAGAN 3795 Pilot Knob Road St. Paul, Mizn. 55111 PERMIT NO,; 65 The Board of Supervisors hereby grants to _Ual-L-.liubbaLdliPwtii?g- Cf oq j.Jn? Snnlling AvnSt_ Panl Srj,104 a UF.AT70i(' Permit for: (Owner)Tjtae., u„mes ? at Park ?t pq,?j___,_, pursuant to application dated .fl.,.,arT,.6fLqI1-•_----._-_--• Fee Paid: $yn-pa Dated this .y1,y_ day of Jaqyar?, ? 197.4,. Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Ownex ._.......................................................... Address IBsesenll Huilder ..................... .................................................. Addsesa .. DESCAIPTION N° 2350 Eagan Township Town Hall Dale ... ????3r7o .......................... _....... Stoxies To Be Used For Fronf Deplh Heigh! EsS. CasS Permif Fee Ramazke l g"' 1L?e- 9ireei, noaa oi oines UeaCrlpiioR of LOCaflon I Lo! [_Mo9k Atldlilon ox TraM 'z 9 RCdfl This pesmit doea not aulhoeise the use ot sSreels, soads, alleys or sidewalks nor does it give the owaez or his agent the righ2 !o ereale any silualion whiah is a nuisance or which precenls a hezard !o the healih, safely, convenience aad general walfare !o anyone in the communify. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGR SS. This is !o cerfify. Shal.. ??,.[??a.?^?.1?=---z-?r ...... .......... has permissioa to erec! a .. ......... - ... ?.-- -'---.- . . . .. .'' . uPoa the above described premise subjeei !o the prooisions of the Building Ordinanae for Eaga Towncdip dop2ed Apr-il 11. 1955. ,?n, ?j ...-'-""'-'_'....._ . -M---.,/1 .1?..."-'-__ '-' -'_-------. Per ._._ ? '--'- _..._P............"""""'_"--"-- Chait4nan of Tnwn Board SuildingIns actor MASTER CARD • LOCATION ? a /s a r OWNER _ c ? , STRUCTURE AND r ? ? LAND USED AS Issued io Permit No. Issued Contractor Owner BUILDING PLUMBWG CESSPOOL - SEPTIC TANK V'?E lt ELECTRICAL HEATING ? J?? ?1t ? , ?Yhb GAS WSTALLING SANITARY SEWER 61q i? o I ? , ? oTHER rA? ?- , . O7HER ? I • 7 Items Approved (Initial) Dafe Remarks Distance From Well ' -GOTING SEPTIC FOUNDATION ( o Q CESSPOOL FRAMING _ : -C TILE FIELD FT. FINAL ELECTRICAL ? HEATING ? OF?WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAWFlELD PLUMBING WELL SANITARY SEWER j Violations Noted on Back COMMENTS: W , , EAGErN TO[dNSHIP 3795 Pi1ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE COIdNECTION DATE: December 21. 1970 N[NBER 679 57° Cr32-1S4IJ A-, OWNER:3lsen Homes Address 1405 Balsam - PLUMBER GeorQe J. Luecken TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industriall Commerciall Residential i Multiple Dwelling I No, of uniCa Location of Connectiona: ConnecCion Charge Permit Fee 10.00 pd 12/21/70 Street Repairs Total Inspected by: Date Remarks• Sy. Chief Inspector in consideratioa of the issue and delivery to me of the above permit, I hereby agree eo do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota CounCy, Minnesot By 2858 Minot, No. St. Paul, Minn. 55109 Please notify when ready for inapection aad connection and before any portioa of the work is covered. , .. ?. EAGFN TOWNSHIP 3795 Pilot Rnob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: December 21, 1970 Biiling Name: Tilsen Homes Numbex: 520 q - ov-JSv?.3 4' Site Address:1405 Balsam - Owner: same Billing Address same Plumber: Georee J. Luecken ??y-?iGaG Meter Size? Connection Chg.o2Lo.?? - ?..a+, ? --?-? `?9/70 Meter No. //a-1LaQ/_ Permit Fee 10,00 pd 12/21/70 Meter Reading IMeter Dep. Meter Sealed: Yes (Add'1 Chg. NO ' Total Chg. Building is a: ftesidence XX tRultiple No, Unit Commercia 1 Industrial Other Inspected by Date Remarks; $25.00 RN^!SnEi,T;GIf! fCE F0R Iir9PROFERLY iNSI.ALLEQ f?,fiEfERS. Sy: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regtslations of Bagan Township, Dakota County, Minaesota. By: George Luecken No, St. Paul Please notify the above office when ready for in.pection and connectioa. CITY OF EAGAN (y° 10 5 6 0 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Rece+ot # Te 6, uwd fer 3 SEASON PORCH Est_yalue $6,200 pate JUI,Y 11 19 8$ SiteAddresa 1405 BAL$p'M ST Erecl ? Occupancy Lot 9 81ock 0 sec/Sub. CARLSON ACRES Aemodel ? Zoniny Percel No Repair ? Type of Conrt. . Addltion ? No. Smries Name DAVID GRIGA Mova 0 li h ? D Lengtn h Z SAME G RA emo a Dept ? Address Int Impc ? S9. Ft. city Phone 452-4742 (W) Install ? g Name SAME 454-0527 (H) Aoinm"b F?a??•? oU Vl Address Assesunent Permit o? •?? City Phone Water S Sew. Surcharge 3. 50 Gw Pollce Plan Review o Nmne Firo SAC Z x? Address Enp - - WaterConn. City Phone I hereby ackrwwledga that I have read fhis applicarion and slate that tha inlormofion is torrect ond agree fo wmply wifh all opplicable State of Minnawla Stofutes ond City of EQrdinnnce:. Sipnaturc of Permittee Z? ,?^-?- A Building Permie is issuad to: DAVIll I 13i0 GA all work sholl be done in xmrdanca with cl app State of Mii Planrar Council 13Idg.Off.7/8/8 5 APC Var. Dete Water Meter Roed Unit _ Tc PI._ Parks - I CoOies 1.50 Totel $67-50 on tha exprea conditlon thw y 07 Eaqan Ordinonces. Bulldinp OHicial 16sol"o 4.-, 1985 BUILDZNG PERltIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS MUST BE LICENSED NITH THE CITY OF EAG9N INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ,{-? 1 SET OF ENERGY CALCULATIONS To Be Used For: 'C?G(Sp i f?Valuatiofit Q? Date: Site Address: q (,Sa,? OFFZCE USE ONLY Lot: ? B1ock d Sect/Sub ? Erect X. Remodel Parcel # ? Repair + ^ /? Addition Owner l? Move _ t Demolish Address I L)0?" ?cA ,p?rr\, Int.Impr. _ Install City/Zi Code Fq ?q,,. ti __________? ?Jr?-?f7'f Z Phane?? 57 ? ? ? W ar K ? Contractor z- A S ?LM, Address I t City/Zip Code Phone Arch,/Engr. Address City/Zip Code Occupancy Zoning Type of Const U of Stories Length Depth Sq Ft APPROVALS FEES Assessments Permit (07_ ?2 Water/Sewer ? ? Surcharge ? So Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council ?,c.. ,?? Road Unit -- Bldg Off 7/S//? ? ( Treatment P1 APC ? ?' Varian Parks C ies (3) -7 5,0 ce op TOTAL . tK :5' 0 Phone # «W?S?,? vi e- ? i VA . ?. ?S ' 30 to. (6 < ? ? , - ? l ??? -- ---- -- ---- _ _--..?6?oo -__??_o-ac)_-._. wYtirc/ i . - -- -._ . - ---- -- ? -?- ---_--__- - -?---'. ---- ? , -- ??? ----- ?"?",?? -- ?1?ZiJ-?u._ -- -?IG ???-- ?,?'-C.d. --/r??-- ? ?'? ?.P 41C ? 55-. 2-Z-- July 6, 1990 Mr. E. J. VanOverbeke City Clerk - City of Eagan 3830 Pilot Knob Road Eagan, Mn. 55121 ,,? o,?,, ? 1 #N • ? to- Subject: Special Assessment - Project #1OP466 &11-1 `??tfu Dear Sir: We, the undersigned, do hereby object to and appeal the assessments to our property. We understand that the basis for these assessments was derived from an engineering study which was done more than two(2) years ago. We believe that conditions have changed sufficiently since that time to warrant a reevaluation of the area. We further believe that a reevaluation will result in a more equitable distribution of assessments. Yours truly, Name ? 141 ?? a-L QC'ccV,(f?, Address Prooertv Descript on `/-z 702 :3'f-5)cta1W /J.C i0 --0bt ,?z?6 S ?? ? •?? M?. ?v , a VrVo -o so -r)a- 4(?:1? 7IkS-6 - 636 - v dt oa? -aa oa //? /f J /}1CfY -OC? Pd of /0v L{?S-?????? /dD - >c zfvoO?? 4jJ ?,---, ?-- ?-- ,o _.dII 74-?-C-Vj_ lo, ?`(5116 ?o?O z" 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3 3830 PII.OT KN ?' OBRD - 65122 i I? q q New Conshuction Reauirements RemodeVReoair Reauirements ? 3 registered sde surveys ? 2 copies of plans (InGude Deam 8 wintlow saes; poured tnd. tlesign; etc.) ? 1 energy plwlations ? 3 wpies of tree preservation plan H lot plaKed after 717/93 required: _ Yes _ No DATE: _ Ib " `t ' qi DESCRIPTION OF WORK: ? 2 mpies of plan ? 2 sile surveys (erterior add'Rions 8 dedcs) ? 1 energy calculedans for heated additions cos-r; ??( J[) ? --q STREET ADDRESS: ?rtv 5 ? A&AvN ?i LOT: U BLOCK: 0 _ SUBD.IP.I.D. #: Name: ???j `!-GWC.L Phone#: PROPERTY Lwt Fvn OWNER ?{ 1 Street Address: 1'C v S 1? C?. g Le4-?--? Si Ciry ?Ia- Q Li.,`J State: Zip: 55 1 z Z Phone #: CONTRACTOR StreetAddress: 1J3---,? lAyu 1"_/'lW iri c ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Ciry Sewer & water licensed plumber (new canstrucGon ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this applicadon and state that the infortnation is correct and agree to comply with all applicabl State of MinnesoW Statutes and City of Eagan Ordinances. Signature ofApplicant: 1AIDYiYb ?AN' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received _ Yes _ No L. License #cICAD r a 7? S^ State: Zip: 5J. l 3-7 State: ? _ NotRequired',??'I I ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minpesota 55122-1897 (651) 681-4675 PERMIT TYPE: P t J r L a F N G Permit Number. 0' 4 , 2 7 Date Issued: 01 J 19 J 9 9 SITE ADDRESS: 111 Os rALsAi=i sr i_ti'r: v ftLor.K: r,ARi.soN A("r?rs P.1.ti.: 10-164e0-09e-0e DESCRIPTION: ?--? RERODF 6}131d, no _I'ermit lvf) a FSuild'tnn Wc?,rk Type ["tensus Gade STORM DAP1AGF REPAIH 434 AI.r. RESTCIF'IMT7:Al. /, . . i, . . .. REMARKS: riF.rOOr? woUsF riiuu uuP 1" srowm nraraArE. FEE SUMMARY: CONTRACTOR: HORIZON Rt7DF1N6 1.'33 L.AR C BUftN5Vf.LLE (Gi2) 890-390 0 - Flpnlicant - 18903900 1 :1111) 115TWIA1. E3LV0 fQN 55337 sr. i._Tc ?_007.2%y OWNER: GRIGA SAftp ].40 5 EflLSHih S'I- FqGAiV Mh! 55172 (651)459--0627 T herebv ackriowledqe that :[ have read ttiis application and stii'Ce thaL' i'he intormation i, correct and ?iaree L:U comoly with d LL apolicablP Statr- of Mri. S f:atutes 6 nd Cit: y o'h Eaq.an Orei ina nr.es.. I , APPLICANT/PEfiMITEE SIGNATURE ? ?-` i ?.'. Dtr` 9 UED B? j RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3$30 PILOT KNOB RD, EAGAN MN 55122 851-881•4675 New ConeVuctlon Beoulremente • 3 registered site surveys showing sq. fl. of lot, sq. n. W house; and all roofed areas (20% maximum bt coverege albwed) • 2 copies of plan showing baam 8 wintlow sizes; pouretl found tlesiqn, etc.) • 7 set of Energy Cakulatbns • 3 copies ot Tree Preservatbn Plan M lot platletl atter 711/99 • Rim Joist Detail Optbns selectlon sheet (bldgs wfih 3 or less units) DATE • 2 copies M plan • lsatofEnergyCalculetbnslorheaietladdttions • 13i[BSUrv9yfOf87dBfi0f8dd'llbnSBdBCkS • Intlkxte ii hane served by septlc system for add'dbns z?- HemoEeVReosir peaulremente L4 ' -7 5 VALUATION cc SITE ADDRESS /?O.S &[r-S'( MULTI-FAMILY BLDG _ Y " TYpE OF WORK &&9"llLtl 41`3_?a,-/ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS /457/ `/ /,//i//Get TELEPHONE # ?O?S? 77W CELL # I ZIP_s_$W . PROPERN OWNER 6Pa f /,( $/,1.c/ TELEPHONE #I l0X 7 7,?r COMPIETE iHIS SECiION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTARULES 7672 ,; (4 submisslon typa) . Residential VanNlation Category 7 Worksheet Submitted • New Energy Cotle WorksFiaet Submitted • Energy Envelope Calculations Submitted I ??• ??/ u'7 2002 ? L) I lu ? . Ptumbing Conhactor: Phone # Plumbing system includes: Water Softener Iawn Sprinkler ? Fee: 90.0 Water Heazer No. of R.I. Baths No. of Baths Mechanical Contracfor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone N °-------°--------°-----------------------------------°-------------------------°------------------------------------- I hereby acknowledge that I have read thfs appBcation, state that me information is correct, and agree to comply wffh all applicable State of Minnesota Statutes and Clty of Eagan Or ' ances. Signaiure of Applicant A lIDM OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWdionReauirements RemodelfReoairReauirements OificeUseDnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies o( plan Cert of Survey Recd (20% maximum lot average a0owed) 1 set W Energy Calculations for heated addilions Tree Pres Plan Recd 2 copies of plan showing beam 8 windaw sizes; poured found desgn, etc. 1 site survey for addilions 8 decks Tree Pres Not Reqd lsetofEneigyCalculafions - Addi6on-indicateilon-sdeseptitsystem _Oo-siteSep6cSystem 3 copies of Tree Preservation Plan it lot platted after 711193 Rim Joist Detail Options selection shcet (bldgs wfth 3 oNess unNs Date 7 / L / Q3 Construction Cost-7*6 00 -' - Site Address ?Ll(?s fSa )s a u1 S t UniUSte # ?' • f6V<< ? Description of Work I 41 ?.qcP e X''.stne ?c +'Y?ar?J e• )h 2 WcvJ? vrv?'v.e e v ; l . Nluiti-Family Bldg _ Y vN Fireplace(s) _ 0 VIl _ 2 Property Owner ..5 P ? yr^ .? Fy" i e-i t Telephone # ( 6S () W2 7 -7 D- ? Contractor Address S?1 dalt S? - City Z_rka La k'?[ State Zip Telephone # (6 S ? ) 7 Jf S ? G '7'7 crlt C/i ?!!y 7go g''1 Dsco COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal VenGla6on Category t Worksheet • New Energy Code WoAcsheet (J submission type) Submitted Submitted • Energy Envelope CalculaUons Submitted Licensed Plumber Mechanical Coniractor ?i.. -i. v Telephone #( Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in confomtance 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. Xaovl Adersoig ApplicanYs Printed Name k/ le 7 ApplicanYs Signa[ure 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please completc for. single family dwellings & townhomes/condos when permits ue required for each unit Date 5 / 10 ? 04 SiteAddress 1405 Balsam Street Unit# 2 PropertyOwncr Jerry Friest Telephone#( 651-?88-7722 Contractor APnle-Lake N_eating & Air Conditioning, Inc. StreetAddress 207 Cty Road 42 City Apple Va11ey State MN Zip 55124 Telephone# ( 952) 431--4328 Bond #: 69579111 Eapires: The Applicant is _ Ouver X Conhactor _ Other Add-on or alteration ta eaisting dwelling unit $ 30.00 X furnace _Additional X Replacement air exchanger x air conditioner _New ?Replacement other Sta[e Surcharge ? $ .50 MAY 12 2004 Total L , $ 30.50 B I hereby apply for a Residenrial Mechanical 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 with the Mechanical Codes; that I understand this is not a pemvt, but only an applicauon for a permit, and work is not to start without a pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval a Beth Janohosky Applicant's Printed Name ?L( ? 5( 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? b City Of Eagan T? ? U 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauiremenLa RemodeVReneirReauirements 3 regislered site surveys showing sq. ft of lot sq. fl of house; and all roofed areas 2 copies of plan (20% maximum lot coverage aliowed) 1 setof Energy Calculations for heated addiUons 2 copf2s of plan showmg beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks 7setofEnergyCalculafions Addiflon - indicatei(on•sdesepticsystem 0,14 3 wpies oT Tree P2servation Plan H lot platled after 717193 Rim Joist Defail Opfioris selecdon sheet (bldgs wiN 3 or less units p 1 Date Construction Cost ?? Site Address I N 0 5? Isa m p 1 Unit/Ste # J Description of Work (i-} X N Multt-FamilyBldg _ Y?e Fyreplace(s) _ 0_ 1 _ 2 Property Owner tI eRR? Qnd S Uf, F21 t Ei Telephone #((g rj ?) 19D?" ? 7 ZZ Contractor r- Address Iq10 Gt-enda •V City State MN Zip Telephone#(qSZ) a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet (+l submisslon rype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( N If so, 25%. plan review I hereby apply for a Residential Building 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 State of MN Statufes, 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 wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1It? Applicant's Printed Name UL? ApplicanYs Signa r LI) V NOTICE OF BOULEVARD SIGHT DISTANCE OBSTRUCTION Name: Gerald and Susan Friest Address: 1405 Balsam St. Eagan, MN 55122 Date Issued: March 28, 2006 Deaz Resident/Property Owner The City of Eagan actively manages its right-of-ways and, by ordinance, regulates the installation and maintenance of trees, shrubs and landscaping within or affecting these areas. The ordinances are intended to protect and promote the safety and welfaze of the general public. Please be on notice that your property located at 1405 Balsam St. has been found to be in violation of the City ordinances pertaining to the installation and maintenance of trees, shrubbery or landscaping within the street right-of-way. Eagan City Code, SecUon 7.08, provides, in part: Subd I.D.3 Any trees, shrubs or landscaping planted or installed within a street right-of-way shall be at least ten (10) feet from the back of the curb or trventy (20)feet from the edge of the road surface where no curb or gutter exists. Subd. I.D.4 Trees, shrubs and Zundscaping shall not be planted or maintained on public or private property in such a manner as to obscure or impede the visual sight lines required to ensure the safe and efftcient circulation of vehicles and pedestrians on streets, intersectrons, trails, and sidewalks. Trees, shrubs or landscaping shall nat be planted as to block the visibidity of cmy regulatory, warning or street identification sign or block the illumination of streetlights... Your property is in violation because: ? Shrub(s) or landscaping is/aze impeding a sight line or creating a physical obstruction. (Removal or trimming by the property owner is required.) ? Tree(s) located within the right-of-way is/aze impeding a sight line or creating a physical obstruction. (Removal or trimming by the property owner is required.) ? Tree(s) located outside the right-of-way is/aze impeding a sight line or creating a physical obstruction. (Removal ar trimming by the property owner is required.) ? Other: (Over, please) Specifically, the trees in your front yard near the fire hydrant need to be trimmed - back to make the hydrant quickly accessible in case of emergencies. Also, the same trees are encroaching into the intersection cleaz zone (see enclosed standard plate) and must be trimmed back to allow for proper sight lines at the intersection. A copy of the City's "sight clearance" standard plate is included for your reference. If you would like more information on the ordinance, the City code is available on-line at www.cityofeagan.com. If you have any questions regarding this notice please feel free to contact me at 651-675-5641. Thank you in advance for your cooperation. Sincerely, Dave Westermayer Engineering Technician City of Eagan Enclosures: Sight Cleazance Standazd Plate 7 1? 9? 2007 RESIDENTIAL PLUMBING PeRmiT aPPLic,arioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date q_ I 2 / 0 site street Address / y/2 5 13A L. ,s p m Unit # Property owner r r L4 i 1 E„5' Telephone #(GJI) GeFY 7 7 Z ContractorK'?r,,t ?j?Lj?/1 G'C?1"PY` ?C'?YI.CY?LTIb j'11Y(?'j Telephone# y?7 Address ?{?(f?? :2L CitY N ? StateRIV ZipSS3 The Applicant is: ? Owner _ Contractor _Other New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a wa ter softener and/or water heater at the same time. If you are installing onlv a water softener and/or wafer heafer, do not complete this section; move to the next ou are installing liance(s) a section and check ?the EL? MIS E? . y pp , U - Septic System Abandonment APR 0 3 2007 Water Turnaround (add $136.00 if a 5/8" meter is required) Other: ? Water Softener _ Water Heater $ 15.00 _ new X replacement Lawn Irrigation _RPZ _PVB _new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total L?I $ I hereby apply for a Residential Plumbing Permit and acknowiedge 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 accordance with the approved plan in the event a plan is rezpliom?? Applint's Printed Name City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 --e.Us ---------, I Permit -7 7 7 I ?, ? Permil Fee: l? '?"' I j Date Received:au ? Statt: 4lI ------- ? 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ?V Site Address: ?? lJ-? I`YA l .Vr, J? Tenant: Suite #: RESIDENT / OWNER Name: - rJl Q A? ?r0A ST Phone: IO? I I OXn ?rJ- AddresslCity lZip: CL.?(m CONTRACTOR Name: PIIl YVIIOI AQ License #: al[ 13 v? 3 Address: l-?ju &V0 - v\ state: zip: SS 3S? Ci 36`f-jCI ry: . Phone: ?I DL ?ZO? 'q 100 ContadPerson:( )GlSbn _ TYPE OF WORK ly- New _ Replacement _ Repair _ Rebuild _ Mod'rfy Space _ Work in R.O.W. Descri tian of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener ? Lawn Irrigation Add Plumbing Fixlures L-RPZ /_y PV8) ? Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge ihat this intormation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Clry of Eagan; that I unders[and ihis is nol a permit, but only an application for a pertnit, and work is'le oithout a permft; that the work will be in accordance with ihe approved plan in the case of wodc which requires a review and approval ot la . 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' ~ U_I ~ , _ _ _ ~ • ~ , Q - ~ ~dQ ~ The Ea~t Half ~ - - - - - - - - _ ~ - - $ , I (~z) of Lot ~c I _ ~ ~ _ - - , too ! - ~ ~ , ` Lot N4_,r_~9) Carlson Acres, accozding to - - - - 200 I ~ ehe 1at rooarH NoarH P thereof now on file a~d on file and of record in tne office oi the ~ ~ ~ ~o~ ~ ~ - - - - - - - - - - - - - Pi L OT ~ ~ ~ ~ _ - - - - - ~ ~p~0e t~ Register of Deeds wi~hin and for ~tl ~ :hin and for sai.d County and State. ^ ~ ~ _ ~ _ , ~ 4 - City of Eag,all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ira303 Permit #: Permit Fee: :)-7a.11 Date Received: f ` 2-1 ' ( Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Type of Work Contractor Name: L 4 f 14' •V Phone: -64tS Address / City / Zip: 14 (;.s.)z`k_ ( C' �� !f'� 551/2 Applicant is: X Owner Contractor Description of work: yr- j \act. .57ieet J 2 Construction Cost: i -k Multi -Family Building: (Yes / No ) Company: Contact: Address: State: License #: Zip: Phone: City: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: I Sewer & Water Contractor: R 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Phone: Phone: Phone: Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x\ -\A Frlilt— Applicant's .il- Applicant's Printed Name Page 1 of 3 /S DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Single Family Garage Porch (4 -Season)_ Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* i' Addition Move Building_ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window_ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Plan Review (25%_ 100% I/ ) Census Code #of Units # of Buildings Type of Construction Jit / Occupancy j',kC - 4" MCES System Code Edition ACV? SAC Units Zoning R— / City Water Stories / Booster Pump Square Feet PO PRV Length AO Fire Sprinklers Width /01, REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control , Building Inspector Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies q& 0,3i TOTAL ao. atyo YO 7/zoo?: Page 2 of 3 k -V C * 11106 go1 &A' o•ozzl= , -Lv1:: PIG A 3d_ EAGAN R7, 7/43- 4-SPECTION DIVISION )3/9 u)/4/4 •1 ..11 • • • 0 3.1 Use BLUE or BLACK Ink I For Office Use I , Permit s City of Ea in I , I Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: _ Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff----- I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ICJ 1 Phone:) L is -~7p~ Resident/ Owner Address / City / Zip: _ 16' Applicant is: Owner Contractor lie Type of Work Description of work: r M Construction Cost: -l Mutt'- amity Buildin (Yes I N ) Company:: 0 'kntact: Contractor Address: City: State: YV Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: , j Licensed Plumber: I I Phone: I I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of i 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. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota St e uilding Code must be completed within 180 d4of mit issuance. x x 4Z As Printed Name s Si nature 9 Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA141320 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 1405 Balsam St Lot:9 Block: 0 Addition: Carlson Acres PID:10-16400-00-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Venting a bathroom fan, 80 CMN, adding heat return/supply 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 - Gerald L Friest 1405 Balsam St Eagan MN 55122 Affordable Comfort Mechanical dba Apollo Heating 6510 Hwy 36 Blvd N Oakdale MN 55128 (651) 770-0603 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink IV`s For Office Use / / 1°1)1 II C" 1 rernroli 0. 2 T 7 1 ,� a a� of �� I Permit Fee. /r ' ,67 I 3830 Pilot Knob RoadA. 1 v .m 1 Eagan MN 55122 4 bu ki tr t -° fti Ott Ll'@J, DateReceived.m ,,,..�. i Phone:(651)675-5675 d "' Fax:(651)675-5694 i staff, n� l 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r i aa 1 l 1 Site Address: 1� 0 i A-5cc.: "k"r a`: . Unit it: t 1 j Name: + ..3 CL.► Scti..5t�t.y�i &i 'T, Pone: 6251—to.: ~ 17 Z z-. I eieri �` OwnAddress//City I Zip: ... 11405- «.t Eta. . " e.' ` sr° a^3 r4.1,,:a 5512 2 Applicant is. Owner ''Contractdr Description of work: CO .t TR T i\lct .9 eecti 1s3 Qctser e r.,31 , Tyiork ...�.�. _ Construction Cosi: a 7 a (p o Multi-F=tirrtily Building: (Yes I No ) I ; Company: II c..0 1.r Ct kI eDr\ 'CrnO ta+ll5 Contact. ; - s n) { 1r,r_toT+rw.rr a Address: f..L1 Ue.. 5 Col tractor i_. _,__ ....__.._ .. City. ._.. t t-Tz��J t 3 State; rAr'J Zip 1) Phone: 7b347 Email: ,c.tec, lvsi acrl° ,trell License 13C 1,0 65-90 0 Lead Certificate#: T .--- f OS t 61 "` If the project is exempt from lead certification, please explain why: n ............. ,,...... --.._- .m ...,..... J COMPLETE THIS AREA ONLY IF CONSTRUCTINGA NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes .._ No If yes.date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE;Plans and supporting documents that you submit are considered to be public information Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. c:,,.'ww,gooherstateopecal.sa I hereby acknowledge that this information is complete and accurate: that the work will he in conlorniance with the ordinances and codes of the City of Eagan: that I underst and this is not a permit, but only an ;apple s-atIora for a permit, anti work in not to start without a permit dint the work will tie in accordance with the approved plan in the case of work which requires a review and approval of plans Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x . G35c ♦ .A . /L /Lsessi x , :s.criil Applicant's Printed Name Appli rat's ignature _ Pace 1 tet 3 / W/9-1, i-9-11/1 DO NOT WRITE BELOW THIS LINE /61/ 5 7 SUB TYPES — Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lp Lower Level Pool ____ Accessory Building Ff}'7, 00 WORK TYPES _ New — interior Improvement _ Siding ` Demolish Building* _ Addition — Move Building ^ Reroof _ Demolish Interior 1d Alteration — Fire Repair ____ Windows _ Demolish Foundation — Replace — Repair w Egress Window ` Water Damage _ Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation '4 A, dam. _ Occupancy 512C- 1 MCES System Plan Review Code Edition p1 h z o, S SAC Units (25%_100% ) Zoning R- ► City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length q ` Fire Suppression Required Type of Construction . i3 Width el REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 0 Final/No C.O. Required Foundation Foundation Before Backfill �0 HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests Final yd Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick—EFIS 16 Insulation Windows Sheathing Retaining Wall: Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 0" S`3 • fit/– Surcharge Plan Review i.•-,') U (c-ez: MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink .- For For Office Use Permit:e. City of EaalPermit ,9 D 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 I. 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 33/0 %90-5.-- �? Site Address: I L'Sillq ST Tenant: Suite#: I Name: CJE ea.. ) j/€ I IS 7 Phone: Resident/Owner /1 _ Address/City/Zip: I/O 8 SSA i c I �l p Q Name: Sc- L✓7 k J e (�y')8/)(fi License#: PC—6 V 8 9 8 I ,'�0, -5 /h�9 Alf City: A �UOC2b ' Contractor Address: i State: MO/O Zip: 53-10 7 Phone: 657-267 ` /02 y6 Contact: PM7 Email: ? 7A/( 56))4 .1i/( �t_OP).61a.16 .. New Replacement —Repair —Rebuild 1C. Modify Space Work in R.O.W. Type of Work — — — i Description of work: RESIDENTIAL I : E Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type f )(Add Plumbing Fixtures( Main/ XLower Level) Septic System i —New Water Turnaround 1 Abandonment i 1 RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x `Phr S77)t x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-'n Air Test Gas Test Final Meter Related ItemsMeter SizeRadio Read Manometer Staff: \ jUse BLUE or BLACK ine C t For Office Use C: s /Ll/ D ' Call LY f Eag "± .i t etnlx Fee: I ��' '/ ({/3830 Pilot Knob RoadYt `` t Ewan MN 55122rate Received: ' 3V Phone:(651)675-567$ I Fax: (651)675-5694 Staff: "1 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t' —17 Site Address: i LI a +,. C vvt `' " 2c c" Unit#: Name: Cyd,roc.IA A.,\Lb (A5 .r.) R le s .. f hor e. EL'( . - 7 7,90 k > 1 Owner Address.. City t Zip: i ` k le. r.3 5 t i Applicant is: Owner Contractor aC SS tG1 tc , Description of work. t ___ _ = Construction Cost: 1r9 Muhl-Family Building:(Yes 1 No ‘-//, ; Company: l L.,.�1,,} a i-t-~# t`tYal'v1E' [\.' 3ti-a,p f t.36contact. _ o c-- 1•)e.._ s o rd Address' �?......r t 4' tV - City: a.� .igf#T 1" ..._-. _., on r *o 1 t 5 6c-Nc-k ,ora e-4-t-) hon, K 'o �a "'J -; Stag: dila. Phone: ? s3' J :d 71 mast S ,d,., License# -0 Lead Certificate>,: --F- Lost -- t If the project is exempt from lead certification, please explain why. f...../\ i' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING . In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? 'Yes> ___..No If yes,date and tiddros>of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: • ,,,W,OT .-;:,--.Platte and soPpordog documente that you stibinit arensi r to public inr r atm: Portions of ti e : M dolt may be` it ss�ed'as non-public if you providecf ct a ons that would pent the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. y 'iw gcjjt?erseatgpr ec aal uw I hereby acknowledge thai this information is complete anti accurate,that the work will be in conformance with the ordinances and codes of the City of Fagan, that I understand this is not a permit, but oiaty err application for a permit, and work is riot to start without a permit,mot the work will Ia' in accordance with the approved plan in the case nit work which requires a review and approval of piano Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cade must be completed within 180 days of permit issuance. ,�` Os£-PH G 1. ll,) 1 c0 rj ,-.1, _� 4t,` x . , ,,�;t„ , -4.---. Applicant's Printed Name xApplic'ant'ssignature Patc ;1 of 3 '—f--- / ° • ' NO6 E(� IIL,i l/' t DO NOT WRITE BELOW THIS LINE / SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 4_ Single Family _ Garage __.. Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool — Accessory Building WORK TYPES New _ interior Improvement , Siding _ Demolish Building* —— Addition Move Building Reroof Demolish Interior Alteration — Fire Repair _ Windows Demolish Foundation — Replace _ Repair 4 Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1 2, p ,�.- Occupancy _7-'7 C- / MCES System Plan Review Code Edition 6/h4 2-0(5- SAC Units (25%_100% 7 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final I No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ace&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation j0 Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: '7 2) /� �1�`19' lc / / ,Building Inspector RESIDENTIAL FEES Base Feein _ Surcharge ` n j J � Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Aorki3Opie-0 1, '�/146 . a,444. l /III Friest Egress Framing Outside Elevation Sistered 2 x 10 for Header Block Wall Outside Rim Joist Outside Rim Joist Double Top Plate —30" — Block Block Wall 42 Wall Treated 2 x 10's . . (N.'N\--\\NN‘N 2 x 10 Outside Rim Joist I Block I Wall Block Wall / Sistered 2 x 10 for Header Treated 2 x 10's Friest Egress Framing Plan View PERMIT City of Eagan Permit Type:Building Permit Number:EA151331 Date Issued:08/20/2018 Permit Category:ePermit Site Address: 1405 Balsam St Lot:9 Block: 0 Addition: Carlson Acres PID:10-16400-00-090 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: 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 - Gerald L Friest 1405 Balsam St Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature