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1362 Balsam St Ecinr oF E,4c6aN WATER SERVICE PERMIT 379,& Pilot Knob Road PERMIT NO.: '!17 &goa, MN 55122 DATE: Zoning: _ No. of Units: Owner; Address: Site Address:, - ? .. . . . Plumber. R jP Meter No.: ' Connection Charge: Size: Account Deposit: I Reader No.: Permit Fee: ''• ? 1 agree to comply with the City of Eogon Surchorge: Ordinances. N+1isc. Chorges: Total: BY Dote Poid: Date of Insp.: Insp.: CITY QF EAGAN 3745'Pilot Knob Road Edyan, MN 55122 Zoning: Qwner: Address: Site Address: Plumber: SEVIIER SERVICE PERMIT PERMIT Np.: DATE: No, of Units: I agree !o wmpiy with Ehe City of Fagon Ordlnances. By Date of Insp.: F7, WR 5t Connection Charge: 1^ rk' Account Deposit: Permit Fee: Surchorge: Misc. Charges: Totol: Dote Puid: ? '? • ? MECHANICAL PERMIT "") e/ CITY OF EAGAN RECEIPT # y/?G ? / 3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE: p D ' CONTRACT PRICE PHONE: 454-8100 Site Address f ' ? - BLDG. TYPE WORK DESCRIPTION Lot_1Z Block ec/Sub Res. New ?, Name ' ?. ,44 Mult Add-on ]i Address 42f '' ' ? ? Comm. Repair c Ciry ?•?.:;• e'?-„(L,? Phone Other , FEES ? c Name A ' / "- ? - ° RES. HVAC 0-100 M BTU -$24.00 ' ddress . - • . ' ADDITIONAL 50 M BTU - 6.00 p City -' -Phone '?L (RES. HVAC INCLUDES A!C ON NEW ? GONSTRUCTION) GAS OUTLETS 1 PER PERMI MINIMUM EA ? ( . - ? - 1.50 TYPE OF WOHK _ COMM/IND FEE - 1°r6 OF CONTRACT FEE FOrCed Air ? M BTU APT BLDGS. - COMM. RATE APPLIES Boil TOWNHOUSE & CONDaS - RES. RATE APPLIES er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 V t STATE SURCHARGE PER PERMIT - .50 en . CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES ` Gas Piping OuUets # BEYOND $1,000) I q? 44 I ( ? n ? CITY OF EAGAN , 3795 Pilot Knob Rood Eogan, MN 55122 N? 4 3 6 5 . ? PHONE: 454-81 CQ BU1401NG PERMIT Receipt # To be used for ' . , . • - ` ? ? ? $ r ? Date ' 19 ? Site Address Erect ? Occupancy - Lot Block Sec/Sub. Alter Q Zoning Parcel # Repoir ? Fire Zone _ E l = of Const T n arge ? . yp Name Move ? #? Stories W Z Address Demolish ? Front ft. o City ' Phone _ Grode ? Depth ft. ? lx o .. ;I; ??,.: Name - s v RPr ~ ?? Address Assessme nt -- ~ Ci Ph Water & Sew. - one ? a Police F W Name Fire o Address - Eng. u a W Ci Phone Planner Council I hereby acknowledge that I have read this opplicotion ond state that gldg. Off. the information is correct ond agree to comply with all applicoble 5tote of Minnesota Stot•.?tes ond City of Eagan Ordinances. o ol A APC Signature of Permittee A Building Perrnit is issued to: oll work sha11 be done in occo Building Officiol Permit "t1. VV _ Surcharge 50 Plan check 5AC ?.40 Woter Conn. : 10 • 00 Water Meter Toral 809.50 _" - on the express condition that ice with all applicable Stote of Minnesoto Stotutes and City of Eacan Ordinances. PwmM # Dato Irswd r"Nltee Plumbing Mechonical jr9 G 6 - .,? - i -= . yj-.,c? .? ?C- INSPECTIONS DATE INSP. Rough-In Find Footings Dote Insp. DoM Irrp. Foundation Plumbinfl Frame / ins. Mechonica I Finnl Remorks: CITY OP EAGAN 3795 Pilo! Knob Road Eagan, Mlnnesoto 55122 Phone: 454-8100 PERMIT No. - Date: ' 3, 1977 Receipt No.: Single I Site Address: Residentiol Lot Block Sub/Sec. Muiti Res., Comm./Ind. I Name -?-`Aa.tl FIinLY,?ei_wricri?t. a?*c? or? - New/Aiter,/Repoir. ; Address ` • ?lsa?n ?'r'all Cost of Installation O City ^?n Phone: Permit Fee ; SC?it WdL;C. ` Nc e Surcharge ? ? Address ? 1 Cai . -or-.i??. « e t? - City `c . Phone: Total ' ^ n This Permit is issued on the express condition that nll work sholl be done in accordance with oll opplicable State of Minnesotn 5tntutes and City of Eagan Qrdinunces. \ Building Ofticial CITY OF EAGAN ti 3795 Pilof Knob Road Eogan, Minnesota 55122 , Phone: 454-8100 f " PERMIT Date: ??:'•tte 14, '.o77 Site Address: ' 'a''i 7r3? Lot - Block Sub/Sec. ? ?'•'?` c Name --- V ? Address City Phone: Nnme . ? Address e t? City Phone: This Permit is issued on the express condition thot all work shall be Minnesoto Statutes and City of Eogon Ordinances. No. Receipt No.: Singie Residential Muiti Res., Comm.llnd. ? New/Alter./RepoTr ??ew Cost of Installation Permit Fee SurtFwrge ' Tota I n : ni done in accordonce with all applicable State of Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 ' . Phone; 454-8100 ` . - PERMIT No. Dote: Receipt No.: _ Single I _ Site Address: Residential ' Lot Block Sub/Sec. t% r Muiti Res., Comm./Ind. ? , Namie New/Alter./Repair ? Address _ Cost of Installotion ? CitY tcr. .? Phone: . . Permit Fee T'. Welter Fieati;i; rc. Name Surcharge ` P Address 37 r'hiCacru +.r?•: . cq V -. r r, A 'l7 c?.. . City Phone: . ._ , Total This Permit is issued on the express condition that all work shpll be done in accordance with all opplicable State of Minnesota Statutes and •City of Eagan Ordinonces. Building Official CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 11 Rik 1 Parcel 10 84354 110 Ol Owner ?/&?Street- 1362EBalsam SA - State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK aa? 1973 $132. 60 $6.63 20 SEWER LATERAL ' WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1981 246.04 16.40 15 246.04 C006740 . 5-27-80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. , BUILDING PER. SAC PARK /?/O/O rJ O O S J J ? 77453 I ? ?"-? i -r , .? Request DaLe ' ? w? Fire N0. Rough-in Inspection Required? *Reatly Now ? WII Nofiry Inspecior R d 7 `Nh 1 ? y ? Yes No en ea y IX licensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress ' (SYreet, Box w? ±Route Noj.)? .J7 Z C I /a ? Ciry w !T /V Sectbn Na. Township Neme or No. I Renge No. CauMy ,/? (/ •? . /J p/ l7 Ocwpant Pfl NT) p PMnre No. D M a Pawer Suppiier Atldress Elecirical nvactor (COmpeny Name) ?J Coritrectork Licenu No. ,r- N ,e, Mailing AOtlress (COntraclor oi Ownar Making Installation) 1A-7 -5-44TIVIll c T f? p/ l/ Authonz ignaNre (COntr dOwner akirg InaWlleNOn) r Phone Ny'u^mbver / ?4 V ? (L., ,e-I ?- MINNE50 TATE BOARO OF ELECTRICITY THIS INSPEGTION REOUEST WILI NOT Grigga- way BIEg. - Noom 5173 BE ACCEPTED BV THE STATE BOhRD 1821 UnivereHy Ave., $L PoUI, MN 55104 UNLE$$ PflOPER INSPECTION FEE IS Phone (813) 692-0800 ENCLOSED. "13 /& REQUEST FOR ELECTRICAL INSPECTION EB-00001 Ol 1 ? Sea instmctions br wmpleWg this brm on back ot yellow copy. ?$J S ? 7 7 4 5 3. •X" eelow Work Covered by 7his Request e -d Rep. TypeofBUilding AppliancesWired Equipmen[Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (spedry) ontrectors Remarks: Compufe Inspection Fea Below: # Other Fee # ServiceEniranceSize Fee # CircuitslFeetlers Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transfortners Above 200 _ Amps Above 700 _ Amps Signs InspectorS use only: TOTI?Lr? Irrigation Booms ? ?J U Special Inspection Alarm/Communication ?0 • Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. pough-in F;,,y oam oar OFFlCE USE ONLY This request voiG 18 moMh6lrom ? arr oF eacaN 3795 %lot Knob Roed Eagan, MN 55714 N! 4365 PHONE: 4548700 BUILDING PERMIT APPLICATION $29+000, Receipt # 6361 i Ta ? ?sed for 5ing. Fam Dwlg, d Garg. Date June 14, 1977 Site Address 1362 E B8188 m Erect {] Occupancy I k L 11 Bl WR 1 S /S b $th qlter ? Zoning Rl ot oc ec u . Re air ? Fire Zone _ Parcel # ' p Enlorge ? Type of Co nst. V z Name M8LE11 COIISC. Move ? # Stories Z Add A i nn A e Demolish ? e Front 5$ ff. ress .... .,r 1.0 -°°° '°°ale- " e' °°' -- - ? ' Grade ? Depth 26 ft. Ci Phane ? Sgme APprovals Fees . 0 Zu ? Name _ Address Name _ Address I hereby acknowledge thut I have read this applicotion ond state thot the information is correct and agree to comply with all applicoble Stafe of Minnesota Statutes ond City of Eagon Ordinonces. Assessment _ Water & $ew. Police - Fire Eng. Plonner _ Council _ Bldg. Off. _ APC - Permit YV.UU _ Surcharge 14.50 Plan check 5nc 475.00 Water Conn.?30.00 Water Meter Total 809.50 $ignature of Permittee I A Building Permit is issued to: M8tC11 COIISC. on the express conditian that all work shall be done in accor ance with o ppliwble $tateo innesoto Stotutes and City o4 Eogan Ordinontes. Building Officiol ? C3` g e a 3G? . ,. nace : 6 - l -/' ,) ? BUILDI'rtG PERt•fIT P.,PPLZCAT30td r.ox ?l sLOCK 1 n»axio.s ;?4 2 .O? ? ?-? ? Pe:RCEL & SECTIOt7 NUMDER ZF Ui7PI,ATTEiJ ADURESS OF PA;2CEL ? 3 6,-? OCCUPP.RdCY ? uSE_c?1? r-Q.l.Lc•- - - - ESTZMAiED COST - 04'1IEit TELEPHOAIE iVO. COI.ITRACTOR&My(r,? &,,? TEI,EPHOP7E :?O. AllDRESS Notea Tnclude szte plan, building plans, and enercjy calculations with this application Signed bpm OFFICE USE VALUATIOi: SAC Bu'1zER CO:a't7EC.'20 ? VATEFi 19ETER AUSLDIPIG PERi-iIT FEE SUACBARGE FER PL'4S?i Ce:PssCK FL.^-.. PAP.LZ DEDICATIMi FEE OT:IF.R TOTALx ?*IF59 APPROVIaLSz ASSESS?3ENT C:.ERIC BUIi,DIIdG DEPT. P4LICE DEPT. ?^1ATSR & SE47ER DEPT. £I?L DPPT. PAi2K DEPT. Certificite For: P'.arr'el I:ic. ' 1Lynda;e Ave, So. Cert: tiu, 61 Bloor^i:igton, Mi.nn. 'j :>402 DELMAR H. SCHWANZ LANOSURVEYOP qegislaretl UnEer Laws of The State o/ Minnezota 14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 612 423-1789 SURVEYOR'S CERTIFICATE ." 0 ?S? ?I F% L. L__ I _ ?CURB LINE M N 89°55'45"E ? 86.00 q2eo - I -r -- ?n? Zq °p I ? Q ?I ?.,I)rainage & utility eaaenent 3 58. 66 51 3 ? ? 5, ?? 0 13.0 o Pfl OF E? OS GAR N . 14.34 ., a H/ H OUSE ? 0 Q / 0 200 38.66 ? a p o L_ O O ? Z z ? -1 L 0 T I I SCALF.: 1 inch = 50 feet 0 0 0 0 °a ° 9'6 o I 92o a N89°55'45"E 86.00 I he^eb; certify that this is a true and correct repreaentation of -Iot 17, Block 1, WILDERVESS RUN FIFTN ADDITIOtd, accordinF to the rer.orded plat thereof, Dakota County, M.innes7ta. Also show±ng the location of a propcsed house thereori. February 22, 197' ' MINNESOTA REGISTqAT10N N0.8625 ? *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 08/18/00 TIME: 13:45:25 ID: . NAME: RAMIREZ SERVANDO 3210 '9001 1362 BALSAM ST 30.00 2155 9001 1362 BALSAM ST 0.50 Total Receipt Amount: 30.50 CR136104 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?22?? CITY OF EAGAN ?> 3830 PILOT KNOB RD - 55122 651-681-4875 3 C) New Caufiuctlon Reaulremenh D 3 reglatered alte wrveys flwwlnp aq. IL p( bf, aq. H. ot house aM gff raofed areas (2076 maximum bt covemae ollowed) D 2 copiea of plana (ahow 6eam & window alzes; poured tnd. dealgn; eic.) > 1 set ot energy calcutaMans D J coples of hee preservaflon Plan n lot platted afler 7/1/93 DATE: I I DESCRIPTION OF WORK: STREET ADDRESS: LOT: 10 BLOCK: SUBD./P.I.D. #: COST: ! s?- C, o 40rrf Ll-- busL". Name:'QM j re, 3aVQ4Phone t: 4 4?a- L PROPERTY Lan First OWNER -- Sfreet Iddress: Cly aAQla State: Zip: 5,4-1623 CONTRACTOR streq Cly ARCHITECT/ ENGINEER Com Telephone Y: ( ) Phone ii: (area code) licerue ri Exp. State: Zip: _ _ Name: Sfreet Addreas: Regishation Y: CNy Siate: Lp: Sewer/water licensed plumber (if Ins4aliina sawarfwaterl: Phone #: L? 1 hereGy acknowledge thaf I have read fhis applicalion, stafe Nwt 1he Infortna is cortect. and agree fo comply wiih all a Fable Stat of Minnesota Stafutes and City ol Eagan Ordfiances. Signature of Applicant ? OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes _ No No AU6 18 Z000 Not 2 coples of plan 1 set ol energy calculaHons lor heWed additlons 1 aite survey for extedor addiNons & decka RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN v d? 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4875 New ConeWctian Reauirements • 3 registered site surveys showing sq. R. ot bt, sq, ft. M house; and all roofed areas (20°h maximum lot coverage allowed) • 2 copies oF plan showing beam 8 window sizes; poured found design, etc.) • 7 set of Energy Calculalions • 3 wpies M Tree Preserva6on Plan if lot platted after 711193 . Rim Jolsl Detail Options seleGion sheet (bldgs wNh 3 or less units) DAT SITE ADDRESS 13 (O(? MULTI-PAMILY BLDG _Y Y N TYPE OF WORK i5h70-P FIREPLACE(S) L/ 0_ 1_ 2 APPLICANT STREET ADDRESS /_7 (D pS C. C7[/ LYet TELEPHONE ? r QLL PHONE # PROPERTY COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNGSOTA RUU, S 7672 (J submission type) • Residential VentilaGon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing sysLem includcs: Mechanical Contractor: Mechanical syslem includes: Sewer/Water Conhactor. _ Air Condilioning _ Hcat Recovery System Phone # Phone # Fcc: $90.00 1? ? L"-? u?'? n? AUG 2 3 2002 I hereby acknowledge that 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 Ordinan s. ? Signature of Applicantj? ---.................................... ------.............. -- --............................. -------°'------------° OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 fAX # 8'T • -1 'Z3- Bqt4IP_':i,6V3 0 WNEf9Yj IU?L mlf eZ- TELEPHONE#(0Z?0 -9a.?n Water SofCener Water Heater No. of Bachs _ Phone # Lawn Spruiklcr No. of R.I. Baths RemodeVReoair Reauiremenb . 2 copies of plan • 1 set of Eneryy Calculatwns Por heated additiore • 1 site survey Por extedor additions & decks • IrMicate'rf home served by septic system for additions a ? VALUATION ?-??_?? ?'I Cld''?S 2006 RESIDENTIAL MECHANICAL rExMiT ArrLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomcs/condos when peimits are required for each unit ? Date L-:? l J_ l L?-v ? i Site Address Unit # Property Owoer L+-kC-- ?. Telephone # ( (p5l ( 1 ? Contractor Wohlers 3outhside Htg& Air, Inc. 6950 W. 146v' St; #106 . Street Address Apple Valley, MIlV 55124 City (952) 431-7099 State Telephone # ( ) Bond#: ?-Z05f"1'?q8,7 Expires: The Applicant is _ Owner X Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _>LReplacement _ New air exchanger Z- air conditioner _ heat pump ? other State Surcharge - ? 50 Total ? I hereby apply for a Residential 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 Ciry of Eagan and with the Mechanical Codes; that I understand this is not a peanit, 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. Q. Applicant's Printed Name ApplicanYs Signature. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1362 Balsam St E Lot: 11 Block: 1 PID:10- 84354- 110 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 Addition: Wildemess Run 5th e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Servando Ramirez 1362 Balsam St E Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA078878 07/18/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA117590 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 1362 Balsam St E Lot:011 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-110 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 by law in ALL single family homes . Matt Pietruszewski 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 - Servando Ramirez 1362 Balsam St E Eagan MN 55123 Rybak Brothers Construction Llc 2206 East 117th Street Burnsville MN 55337 (952) 405-8871 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143463 Date Issued:06/16/2017 Permit Category:ePermit Site Address: 1362 Balsam St E Lot:011 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - Servando Ramirez 1362 Balsam St E Eagan MN 55123 (651) 454-9250 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature 0811712017 10:17 Ron's Mechanical f AX)9524455O53 P.0011002 61- 0 P-6"--- 6-‘,it“`163 y rrlic )11r)//,ti .4f4in .T� GT7eW S \O Q 12779--7- f, 3 02 7,9r/Ce#9773fT Vi s 17O try PZ029-5 0811712017 10:17 Ron's Mechanical (F49524455053 P.0021002 657- 6 ?i 1 1Y • • mi • g u. • 4N4 ..: . 4 ir Wt► Ll1 O y W i N ` II eat a W V r w _• b ~ _ • I I- _ e I cc ito \; 5 • i, u° ° y �\� W d 0 I W CZ U ',, (" J f M W . 4 1' w• t • • v, 4 W WW Ju=� Q cZ w y 2' . • i 44 < O a < d o f • J '� w ',, Z N O M 0 e . i'e Z .?.• e 4 I Wim vi t c d N 1 A A 1 A i•cll66 6a & d $ �~ • . W ,`, 2 _ , I ps.�j �^�`M ' Nell 1'4 ','! • 8 ° 8 W u. 0 C F • ¢ Q I- g .y( i g Ldid . I 0 i ...y ,�til 16. • . oil R, _. y c O _14 i ''' '' '''' ;.Q tt • ,, Es w 8 � W d !<t 4 Wz 6 E c _ _ ! i 3 v 4 :- rfp,wb- • PERMIT City of Eagan Permit Type:Building Permit Number:EA148339 Date Issued:03/21/2018 Permit Category:ePermit Site Address: 1362 Balsam St E Lot:011 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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 - Servando Ramirez 1362 Balsam St E Eagan MN 55123 (651) 454-9250 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature