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
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0811712017 10:17 Ron's Mechanical (F49524455053 P.0021002
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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