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1275 Balsam Tr Eu,n oF EAwN WATER SERVICE PERMIT 3795 "'!ot Knob Road PERMIT NO.: - Eo,r n, MN 55122 DATE: toi..ng: - No. of Units: Owner; - Address: Site Address: Plumber: - Meter No.: Connection Chorge: Size: ___ Acwunt Deposit: - Reader No.: Permit Fee: . 1 agroe fo eomply with fhe City of Eagon Surcharge: Ordinanees. Misc. Charges: Total: gy Date Poid: Date of Insp.: Insp.: CITIf OP EAGAN 3795 ?ilot Knob Road Ea,an, MN 55122 Zoning: _ Owner: Address: 5ite Address: Plumber: I agree to complp with the Ciry of Eogan Ordinances. By - Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: -- OATE: No. of Units: - 0 Hit e: nection Char Co ? r ? ° ' • g n Account Deposit: _ Permit Fee: ? e: Surchor g Misc. Charges: Total: Date Paid: _._ - , CITY OF EAGAN ' 3795 Pilot Kno6 Road ' Eagan, Minnesata 55122 ' P6one: 454-8100 PERMIT Dote: October 25, 1977 Site Address: 1275 East F3dls8m Trail lot 1 Block Sub/Sec. '"R 6th No. - Receipt No.: 07792 5ingle Residential Multi Res., Comm./Ind. I Nome ilsen Homes Inc-. New/Alter./Repair n ` f•27 Snelling FvA. ;o. 3 Address Cost of Installution O St. Pau 1 ? ?? . (10 City - Phone: Permit Fee `Name louls H. Peter CO. Surchar9e ? Address `54 Grand Avenue P8.17'. r??il ?r ryn. City Phone: Total This Permit is issued on the express condition that all work shall be done in occordance with all opplicable State of Minnesota Stututes and City of Eagan Ordinances. Building . ?, ' ?. - + .T .AT ING cirY oF EAGAN 3795 Pilat Knob Road Eagan, Minnesoto 55122 Phone: 454-8100 PERMIT Date: - ' '= ' • 1977 Site Address: _ r' 3 ?.''. 3 ; ° ` , •a °: - Lot Block Sub/Sec. ?-•'j' ??h Name _ =;eii IIotaes_ I:. ? Address 2'7 Snellinq Ave. Sc City `;Z• Pau1 55116 Phone: Name F.irc?-r & Sor. :Irc. . ? e Receipt No Single No-: ?1h . Residentiol Multi Res., Comm./Ind. I New/Alter./Repoir. - Cost of Instollotion ?„ - Permit Fee Surcharge ? I AtltlfBSS . .. "" `.` ,. . . City . ' t'} Phone: Total ,' - " 0• c>/-. This Permit is issued on the express condition that all work shall be done in accordance with oll applicoble Stote of Minnesota 5tatutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eogon, MN 551 24 N2 4522 PHOI+tE: 454-8100 BUILDING PERMIT Receipt #k To be und for _ Dat e 19 5ite Address = - Erect ? Occupancy - Lot, Block 5ec/Sub. Alter ? Zaning Porce( # Repair ? Fire Zone Enlarge ? Typ= of Const. W Nome Move ? $? Stories Z 0 Address _ Demolish ? Front ft. _ City Phone Grode [-? Depth ft. a 0 z oU u?a ?- Name _ Address Woter & Sew. Pol ice uuiW Name Fire ?? Address - Eng. <W Cit Phone Planner CounCil I hereby acknowledge thot I have read this application and state thot Bldg. Off. the informotion is correct and agree to comply with ali applicable State of Minnesoto Stat•at=s and City of Eogan Ordinances. APC Signature of Permittee A Building Permit is issued ta all work shall be done in accordance with all applicc Building OfficiQ! Fees Permit , . Surcharge Plan check SAC, , •"1 5?011, 'i(1 f1I1 Wuter Conn. 2 Woter Meter ?u Total on the express condition that Minnesota StotutES ond City of Eacon Ordinanccs. PeemM # Duh Iamed PoenAfh? Plumbing s,44 2 /o - at 5" 7 7 &. • Mechonical 7 ? u O INSPECTIONS DATE INSP. Rough-In Final Footings ? Date Insp. Date Inap. Foundation _ Plumbing >d - jo' y Frome/ins. lp P/?..?) Mechanical a Final - ? 7 Remorks: INSPECTIUN RECORD I ?°"t?°' "°.- 1121 CITY OF EAGAN ? PERMIT TYPE: pi116:31 3830 Pilot Knob Road ? Permit Number: Eagan, Minnesota 55123 ?• Date Issued: (612) 681-4675 SITE ADDRESS: t. o t t i 1; 1 5 HAI.wAM TIQ r I.I I l UE RNE S`, RUN b! N PERI??T?piAP?t, r.,Rv ? ? . =_ . . Bt. UCK ; 4 APPLICANT: ifJMUN IiLUkS INC (612 ) 4 31--5900 TYPE OF WORK: A!?f} I T I ON Permlt No. PwmR Hokier Dats TNspfqne 0 SJW PLUMBiNG MVAC ELECTRIC ELECTRIC Mspetlon OuRt fnsp. Commsnls F°°tlngs I Foundetion Framing Roofing Rou9h Pibg- ROUgh Htg. W. Rreptace Fnel Hkg. OreetTest Finel Plbg. Plbg. Inspec4or- Notlly Plumber Conef. Meter EnprJPlan Bldg. Final L..Va GiL!/b oeak Ft9. 9U? /G??s -Gocr? ?ra? -- ? Rnai weu Pr. Disp. CITY OF EAGAN Remarks Addition WILDERNESS RITN 6TH ADDITION Lot 1 Bik 4 Parcel 10 84355 010 04 Owner John P VLidQh Street 1275 .ast Balsam Trai 1 state Eagan, Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? 1973 161. 21 8.04 20 112.85 A005263 2-5-77 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA y? 1977 162.1 '. G' • 140,54 A 5263 2-5-77 STORM SEW TRK - 'S. 427.78 3-12-77 STORM SEW LAT ?. CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 7760 10-18-77 BUILDING PER. #4522 sa,c 475.00 7760 10-18-77 PARK Minnesota State Board of Electricity 1954 University P,ve., St. Paul, Minn. 55704-Phone 645-7703 REiOJEST FOR ELECTRICAL INSPECTION CHEC ELOW WORK COVERED BY THIS REQUEST .r,,;'y -/ Sd 36615 Type oP Building New Add. Rep. Check Appliances W'ved Eor Check Fquipment W'ved For Home EaK ? ? Range ? Tempocary Wiring ? Duplex ? ? ? Watet Reater 0 Lighting Fixtures ? ApL Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ?? ? Fumace ? Silo UNoader ? Industrial Bldg. ? 11 ? A'v Conditionef ? Bulk Milk Tank ? Farm ? ? ? List Lis[ ) Other ? ? ? p HerersI OehersF H 1 COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Fcedets&Subfeedapi t;; ; ee Circuits: . # Fee 0 to 100 Am s. 1 1 0 to 30 Am s:' . --? ' 0 to 30 Am eies 99 d. 101 to 200 Am s. 31 to 100 Aekes 31 to 100 Am eces .1 .00 Above 200 mp ' Above . ?? ps, Above 100 Amps. Transformers Rem u 'uc. Paztialor otherfee 0 Si ns Speci ecti n Minimum fee S5.00 Remazks Hall TOTALFEE 69 .?o i, cne niecmcaz mspec[or, nereoy/cer lly t tyi aoove i ecuon nas oeel;,m?te:7 (Rough-in) Date >a Z ? (Final) , c • "' `? ?y • -r- Date? This request void 18 months from by.DU - ?V??ou This request void 18 months from O `7 7 SG Date of this Request 10-4-77 . P 36615 I, as)N Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: , Street A dress Route No. 12']5 East 3alsam City E?.gan i ?? ??.r -a?-? Section Township Range County Dakota Which is occupied 6y 'Pilsen Homes (Nama ot occuoant) Is a roughin inspection required on this job? No ? YesA3 Ready Now O Will Callr2 Power Supplier Dakota Cty. Address Farming'in n ElectricalContractor n,R. Thomnscn Electricz Co. Contractor'sLicensexc?3335 (COmpany Name) MailingAddress 12201 1.1tka Blvd., 1vTtKa 55343 /FIeelrirnl !'nnlmel- nr hwnor M?41nn T1Je In<Mllafinnl Authorized Ck?e% PhoneNo. 933-2521 (ElectHCal Cantmcibror Owner P STAYI COARD COPY 2004 RESIDENTIAL MECIIANICAL Y]sRMIT APPLICATION City Of Eagaii 3830 Pilot Knob Road, Eag.i n MN 5-5122 ? Telephane # 651-675-5675 Pl"e complete for: single faroily dwellings & townhomeslcondos when permits arc required for each unit Date / e:) / 24,-'- / o ?/ Site Address ?7-S E,?'G???j 72 • Unit # Property Owner Telephone # ( C5-1 Contractor Street Address City c-i??f?/ State Jj'J? Zip <r1,?Z TeJephone # (43-/ ) ?y?'76 <<3 Bond #: Expires: The Applicant is Owner /?. Conh-actor Uther Add-on or alteration to existing dwelling unit $ 30.00 X furnace _Additional ZReplzcement air exchanger _ airconditioner _New _ Replacement other State Surcliarge $ .50 Total $ .30•J'JD I hereby apply for a Residential Mechanical Pemut and acknowledge that tlic information is complete and accurate; that the work will be in conformance with Ihe ordinances and codes of the City uf Eagan and ?\ i iIi the \[echanical Codes; tUat I understand tlus is not a permit, but only an application for a permit, and work is not to start withoui a pemur, that ffie work will be in accc"`lauce,.udth-thc` appruved plan in the case of work which requires a review and approval of plmns. O?(? N ? T ?` L v .tSJ'p,? ?/?i,??_a.? ?'c? T o a innn Applicant's Printed Name Applicant's Signature RESIDENTIAL BUII.DING Permlt ApplicaNon City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 A NEW BUILDING NewConsWCtlanReauiremenh RertwdelhteoairReaui2ments OfiCeUSeOnM 3 regatered site surveri shawin9 9Q. R ot bt sQ. R of houw. and d iaoGed arees 2 coDias ot plan Cen of Survey Recd (2(196 maximum bt aoverege allowet) t set of Frreigy Cakumtians (ar heeted aAdiuons Tree Pres Plan Reod 2 mpies of plan sMweg beam 8 wiMOw aizes; Wured faund desgn, etc. 1 sile wrvey faradditlais & deda _ Tree Res Not Reqd lsetalEneigyCakulafWre AddNkn-indkatei/onsitese* aY? _ Onade5ep6cSya0em 3 copies ot Tree PreservaUpi Pqn N bl pletted after 717193 _ Rim Joiet Oelail Opks aelectlon ytreet (bidgs wilh 3 w less uft Date Av ? / 2i0 / U L ff-D ' j Cons trucdan Cost Site Address 4a- :''s; IhFt L S AY1i1 I ?L L- , C . UnitlSte # Description of Wark A C I kQ_ w I NVAL Multi-FamilyBldg _ y XN Fireplace(s) _ 0_ 1_ 2 Property Owner ?J P 1t N t Telephone #((oS) )LIG ?k "' vZ I yS on.c Uk.. wuwow a awaro Contrector 74SQp ONwoft pd" Address 1 APPM F 31 q1 r1119 ? ax ?f?'t, )!f1 ?21i0 CitY State MN Lk.:A m0?011i . Zip Tetephone #(' ) - COMPLETE THIS AREA ONLY IF Ene Code C - Minnesota Rules 7670 Cateeorv ?1 I i? t_: I i ?y ??ry Residential Ventilation Catepory ? t (J submission type) ? 5ubmitted 11? " . EnergY Envelope Calculatlms S?m Ittetl ? Licensed Plumbar Mechanical Contractor Sewer/water Contractor ? s z??? I II II New Energy Code WoAcshcet SubmiCed Telephone #( I S/(o .Rs Telephone #( ) I hereby appfy 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 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. -j(4 t- 1 g P, vi !'1- N S /l?A 6-\, " --? ApplicanYs Printed Name Applicant's ature PERMIT CITX OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001537 09/30J92 SITE ADDRESS: 1275 BALSAM TR E LOT: 1 BLOCK: 4 WSLDERNESS RUN 6TH DESCRIPTION: Build'ipg Permit 7ype Building'Work Type UBC Occupancy Constructipn `Type Building Length , euilding Width ' GARNGE/ACCES50RY AOOITTON M-1 V-N 14 32 r f-.;? j ? ?{_[?l !r g i! ,... L:1 REMARKS: ? 0 ?? 10-7 $ FEE SUMMARY: Base Fee Surcharge Total. Fee VALUATION $99.00 4.00 $103.00 $8,000 CONTRACTOR: - A p p l i c a n t- S 7. 1-1 . pWNER: OZMUN BLDR5 INC 19315000 000104 UAGON JOHN 15136 GALAXIE AVE 1275 BALSAM TR k APPIE VALLEY MN 55124 EAGAN MN 55123 (612) 481-5000 (612)452-2145 I here6y acknowledge that S have read this application and stete that the information is correct and agree ta cvmply with all applicable State oP Mn. Statutes and City of Eagan Ordinances. ? Control No. 1121 I / ? APPLICAN? T/PERMITEE`SIGNATURE ISSUED EFYS NATU E INSPECTION RECORD C°"t °"° 11.21 CITYOFEAGAN PERMITTYPE: Ru:r.1. orNc 3830 Pilot Knob Road Permit Number: 001537 Eagan, Minnesota 55123 Date Issued: B 9/3 0/ 9 2 (612) 681-4675 SITEADDRESS: Lor: a 1275 BALSAM TR E WILDERNESS RUN 6TH PERMIT SUBTYPE: GARAGE/ACCESSORY F B L 0 C K: 4 APPLICANT: OZhIUN BLORS INC (612) 431-5000 TYPE OF WORK: ADpITION L? PERMIT # REACTIYATE _ I ri I I CiTY OF EAGAN ? 103, 00 1992 BUILDING PERMIT APPLICATION 681-4675 CG.??t? ?-,2q _SEP -2 9 RECo & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy r calcs. C OMMERCI AL 2 sets of architectural & structural plans, 1 set of ' specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by iast working day of month nin which re uest is made or lot chan e is re uested once ermit is issued. Date Valuatian of work Site Address:/,;;g?S-? SiREET . SUITE / Tenant Name: (commercial only) LOT ? BIACK ? SUBD. W'L?045WESph RuM (oTH Y. I. D. M Aoe Descri tian of work: / C??{/ .. The applicant is: ? Owner Contractor ? Other (Descrlbe) Name Phorse y-?? - ?/27(s' Property . ? T RST Owner Address s c? daz, ? STREET STE t1 City State f?/7 17 - Zip 3 ? Company Phone 'l!3 /- =5-??d Contractor Address License #CVo/oy</ Exp. City State )?'I/"/ - Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 5 water licensed plumber . Processing time far sewer 3 water permits is two days once area has 6een approved. • I hereby acknowledge that I have read this application and state that the information is correct and agree to comply all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , ? OFFICE U5E ONLY BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Piex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE ? 31 New -;R?32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMA710N ? 11 Apt./Lodging ? 1G Basftent Finish ? 12 Multi. Misc. 0 17 Swim Pool 2?13 Garage/Accessory ? 18 Comm./Ind. O 14 Fireplace 0 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public facility 0 21 Miscellaneous O 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) y_ N Basement sq. ft. (Allowable) v- N lst F1. sq. ft. UBC Occupancy M_+ 2nd F1. sq. ft. Zoning Sq. Ft. total N af Stories Footprint Sq. ft. Length ?- On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Foating ? Wallboard Final Iff Framing ? Draintile ? Insulation ? fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Water Meter Acct. Deposit S/N Permit S/N Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: MWCC System City Water PRY Required Booster Pump Fire 5prinkler Census Code SAC Code Assessments -IF3-8 I X4_ vetust;ane S r6 0 00 =' /4x3z= yysx /6 = r7/6a sac % SAC Units 1i&-it? m • • ? . . .., 8 .? ,CUSTOM HOMES & REMODELING ' A ple Valle , Minnesota 431-5000 ? ^ I 2-15 E I?- ?'-1 ? . - - M SCALE SHEE7 OF DATE ; 1?,t) c ? EASE:M-=Wr L 8L CITY USE ONLY RECEIP7 #: q-2a 7? SUBD. "? ? RECEIPT DATE: 15 01-6 /S d' 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT FINOB RD FnrnN, 1N 55122 (612) 681-4675 Please complete for: D single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ______?--------- ------- - - ____-------- FIXTURES °---------- EACH - -------------- # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hat Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet "minimum-1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. SprinklBf ' for dwelling under const. 0 = U.G. Sp?inklef ' forezisting dwelling 20.00 Alterations " to existing residence 21T. _ Water Turn Around 20.00 = Private Disposal System • MPC rc. 75.00 = (new and refurbished systems) Private Di5po5al Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL o2D• ?0 s-•-•-----°---------------? -ity of Eagan --------- ordinances---------.- -------------•------ that I have ------------•----------thsttheinfor -- allapp licable C I hereby adcnowledge read this application, state mation i cortect, and agree io camply wi[h tt is the appliwnPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused hy the City during its normal operational and maintenance activities to the facilkies wnstructed under this permit within City propertylright-of-wayfeasement. SITEADDRESS: tc;? 75 I ?-at I E OWNER NAME: INSTALLERNAME: Z CD, TELEPHONE#: STREET ADDRESS: iqS 3o C? ?- t?Ue-- f Vf? • CITY: VP ( q In, t) t? 1 STATE. K) ZIP: S S 9?/ cc) // 71 SIGNATURE OF PERMITTEE JSlFORMS BLDGlPIBG PERMITiRES1DENTIAL) 1998 L ? BL ? CITY OF EAGAN PI'U SUBD. /1/1411,dD MBING PERHIT (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: _,. _ORCiDN i 1275 EAST BRLS?M TRH1L . SITE ADDRESS: ERGFIN , M 55123 , H 452-2145 ^_ .6l?5?r'$6°2 -"._._ INSTALLER: ?- --- - -- ---- ' ADDRESS: 80U??_,.a?L3 PLUMBBN(a "MlPdldEARQLIS, M??gMgp7a ? H?nn, CITY: R." PHONE ?k: <7-dQ33 827-4311 CITY USE ONLY RECEIPT 9T? DATET ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLAWING: N0. FIX S EA. ADD ON 15.00 _ SH 3.00 _ WATER CIASET 3.00 _ BATH T[TB 3.00 _ LAVATORY 3.00 _ KITCHEN SINK 3.00 _ IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 _ FLAOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL / , 0 SIGNATURE OF PERMITTEE ^ TOTAL: S? ? 'vr, 5d COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR M[JLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER: ADDRESS: CITY: PHONE FOR: _ ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACN $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCNARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN ? cITr oF eac,nN 3795 Pilot Knob Roed Eagan, MN 55722 N2 4522 PHONE: 454-8100 BUILDING PERMIT APPLICATION $50 000 Receipt # 7760 , . 797 0ctober 18, p To be used f or Cine_ Fnm ih.+te_ d(:nro ate _ Site Address 1275 E, B815Am Ti. Erect [k Occupancy Lot} -_I B lock_4Sec/Sub.-;,,?.ro Alter ? Zoning . Porcel # Repair ? Fire Zone - Enlarge ? Type of Canst. z Name Tilsen Homes, InC, Move ? # Stories 3 Address 627 So. Snelling AVE. Demolish ? Frant ft. ? Cit St. Panl phone 454- 47A4 Grade ? De Pth ft. Approvals Fees ? O Name ?? Address Assessment - Water & Sew. Ci Phone w Nome Police - F F =Z Address ire Eng 3 ¢w Ci Phone . Planmr - Council _ I hereby acknowledge that I have read this applicotion ond state that Bldg. Off. - fhe informotion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordinances. '4PC Signature of Permittee - A Building Permit is issued ta: 011 work sho{I be done i occordaince vith al applicaKle Sta ofi Building Officiol Permit 140 5?0_ Surcharge 95,T„_.nn Plan check SAC _ 4..._.,.T7 S 00 Woter Conn. 230.,..13D Watec Meter (10?0 Total 930.50 an the express condition thot Statutes and City of Eagan Ordinances. r.. ? d 4 orY Date s QLL0, • c?, "?i -fj IA'r BUILDIf?G PERiy1Z'i' P.PPLICATIO?:t 1,.?J? v BIACK 4 lfi?DITIO.: J-?-?C?l.l'.VYLEQJ'L W ` Pe:RCEL & SEC`i'IOP7 1dUfIIER IF UiIPI,ATTEll ABURFSS OF PAeZCEL J1 rI,5 FO,(?,? 7j1CA_Q,Q,Q,?YYV ?UU.?.LX EOT?I.lG OCCtJPAAiCY USE ESTEMATLD COS^s 0?'Tt]ER 9 ,?A-(,1??y TEI.EPAOI4E iQO. ?5 i a ? COPPLRRC'iORAJJ? ?\AJu'oja?%k1'w-). TELEPHONE :70. 4,54 ` `rl ? rDvREss --r- ---r?-- TZOte? Include site plan, building plans, and energy calculations with this • application / OFFIC 0 a?o VP.LUATIOu,i sac S,::iiE?t CM7': EC_'IOz+ t•7?'fTER 13ETB3 BUILDIPtG PliIiLiIT FEE SURCHARGB FLf? P7AP: CEPCK FLZ PAFi.K DEDIC,'?TIOb? FEE OT:.'^r,R TOTfiL"' APPROVALS: ASSESSi+IEYT CLERK BUILDIidG DE -- apeo T^TA^ER E SIi67ER D$PT, FI1tL DEPT '7 30- z zs ? l ? POLICE DEPT PAItIC DEPT. Sianed?-? ? ?CV ? • ?-?-?/?-?-?/? ? ? i7z - ? , ,J S , ??- I? p M I M ? 'Y ? ,e ry LiN? ? 0 m [=:i ? ?r -?? L]I ? , Q . ? I ( h ? ?n4? /-- 2,6 LoT Ia`?s , (3a?1,ao,,??.. I"YWv?, 5 51'Z3 ' ? BLoc k ? I I I ? r?tcn?r _ ?xc5 •.? _T Y . ._ t_i.?l.€ ? 'I PLQie -P L A'kV ities Diiaital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 'i ,. • '` w , ?,q ?AW r I 4rl -P-j to, b dtted dtfi buildin /o dt':alPl ,V D ' e w o J C t IM ?e !?e ta?ily drelling_ (L O?ssr ? ? It som sieA Addi+de Dats 4 -'?'?-_1(A S _??` ?t. abaro Brido' ? ? ???.iiAt.L (?1fL¢:-5+?.¢j+ LiL?S.,j,?,? ?POSI? WALL AREA SQ. lS• , , aa x 3, s L is?- . 154. 4 T'•.. or1Qpi HA1i. COMSTRUCTIOFi: "U" talae E oruitu : 54. ft. - . • ? 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PLUMBING (RESIDENTIAL) Permit Application City Of Eagan (o 0'? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permiu aze required for each unit Datc ? ? I / ? ? ? 1/ ' Site Address 1 li l. Unit # 1 1 Property Owner Telephone # Contractor estiogWORKS Address ???DN 5AOA 51?. City State (651) 3651340 Zip Telephone# ( ) The Applicant is _ Owner j'' Con[ractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Altcrations To Existing Dwelling Unit, [ncluding _ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ re6uild $ 30.00 _ Lawn irrigation system _ Water softener YWater heater $ 15.00 Peplacement _ additional $ 50 Statc Surcharge Total $ 1 4=5, I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate; mat me worr. wm be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is noi ;i permit, but only an application For a permit, and work is not [o s[art without a permit; that the pr< will be in accordance wiih ihr approved plan in tl e ase of work which requires a review and approval of plans. Appli an;s rii'te az Appli ants i i PERMIT City of Eagan Permit Type:Building Permit Number:EA112980 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 1275 Balsam Tr E Lot:001 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jayme Meyers 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 - John P Dagon 1275 Balsam Tr E Eagan MN 55123 (612) 226-5456 Bayport Roofing And Siding Llc 10 South 5th St, Suite 700 Minnepolis MN 55402 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118709 Date Issued:11/06/2013 Permit Category:ePermit Site Address: 1275 Balsam Tr E Lot:001 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . 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 - John P Dagon 1275 Balsam Tr E Eagan MN 55123 Bayport Roofing And Siding Llc 10 South 5th St, Suite 700 Minnepolis MN 55402 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature 08/07/2�14 15: 54 7635371882 STGND�RD PAGE 01 .. 1 ,"'. _�q �..�u' I �'�-. ��,.,_� � Us�BLUE or BLACK Ink �..... �-/ � ForOfllceU�o------^'�� • . .- � Penr�fl M:��y� .� ..-� � C�ty of E��an ; . �.�y� ; Psrtnfl Fea. �� 3850 Pllot Knob Ro�d ��GEIVED � � Eag�n MN 681ZZ � oa�e Reaelvad: ��O�� j Pho�e;(867)876-667tl ��, �� i i Fax:(6e1)676-5894 I StaH: ,�, I I I �__......--------_...__., 2014 RESIDENTIAL BUILDING PERMIT PPLICATION O�te; 6 I7�I�'I 81b Add►�ss: �S � �� ✓ Unit�: Neme: Phone:�,0��' `�S�' ��`�` Rasidantl - 4Wflar , Addrose/Clty I Zip; �� ' Applloant Is: „�,,,r Ownar �Controctor Type ot Work Deecriptfon of wo�k.��rC�51,J� �nC�D� Construcllon Caet: � ��S Mutll•Fs Ily Bulldlnp:(Ya�„!No�) Compsny:�lTVJt'��4ha� �C1�C(� rf�Q� Con ct: Contl'ACtol' Addreda: _,r�7,�� I��an(� ��_Ci Stete;��„1ZIp��► phone; ��mell: Lloona�n:�C. DO(S ZZ. Lsed Certlllcab 11: � �a If the proJect Is axampt from lead certlllcatlon,please expleln why; (see Papa 3/ r additlonal Iniormetion) � � . COMPLETE THI3 AREA ONLY IF CONSTRUCTINO A E I In the I�st 12 months,ha'the Clty ot E�pan la�uad�parmlt lor�simllar plan b�a�d n a mott�r plan4 ,_._Yed _No If yee,dete snd addreds of inea�er plan: Llcenawd Plumbsr P pna: Maohanical Cont�actor: P on�: Sewer 8 Wete�ContncMr: P ona: NOTE:P.Isns and suppo'►ting documants thet you�sabrnit ene cona/der�ad to e Qubllc lnlormAdon. Portlonar�o/ the lnror'»►atlon►ripy ba clasalflad aa non-publ/C!/ypu proVlde apecll/c re ons flrat would pormit the�Ity to concludo.tM��t�the dre tr�dp aecrou. � CA��,�QFORE YOU bIG. Cei�Oopher 8tub One Cell et(661)46a-0004 fa proledion aytlne under�round utlllty Gemege. Cdl 48 hou�s befare you Intenp to Clg lo reCelve IOC9t8{01 u�delgrountl utIllUot. www.000herstateoneesll.om I heroby�cknowleCps Illel thls Intortnellon It complele ond eceurala;that ihe work wlll be In COntotma qe w11h the o►dlnenee��nd COtlAb of ths Glly of ! Eegpn;Ihe1 I undentand Mls 19 nol A p!l�rtlit,bul Only en eppllcAllon for e permll,and work I�not t �teA wllhoul e permll; lhet Ine wo�k wlll b�I� BCCOrdence wlth the epproved plan in lhe ce4e of work whioh requlres a tevlew and epproval of plene. Rxta►1or work authorizod by�bulidlnp po►mN I�suod In s000roenee wlth Ihs Mlnneeolq 6fpte 8u1 eln0 Ceea muet po oemplst�d wlthl�160 daya of p�rmlt losuanes. It x Ap csnt's Prf tod Nam� App c�nCt 6 n t h Pepe 1 ot 3 �°�`�� ,4�-�.� T�� • ` DO NOT WRITE BELOW THIS LINE /��.� � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Storm Damage � Single Family _ Garage _ Porch(4Season) _ ExteriorAlteration (Single Family) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of_Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Buiiding* _ Addition _ Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation _ Repiace _ Repair �Egress Window _ Water Damage _ Retaining Wall I�emolition of entire buildin g—give PCA handout to a p pli c a n t DESCRIPTION Valuation llv� Occupancy ��G MCES System Plan Review Code Edition �"� u'tiN�(,, SAC Units (25%_ 100%� Zoning jL—� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Drain Tile Other: Roof:_Ice &Water _Final Pool: Footings �Air/Gas Tests Finai � Framing Siding:_Stucco Lath _Stone Lath Brick Fireplace:_Rough In _Air Test _Final � Windows F'�`�ot,� Insulation Retaining Wall:_ Footings_Backfill Final Meter Size: Radon Control Q� Erosion Control Reviewed By: "�J �-- Building Inspector RESIDENTIAL FEES �� Base Fee Surcharge �`� ��'�� ry Plan Review MCES SAC City SAC Utility Connection Charge SS�W Permit 8� Surcharge Treatment Plant Copies � , TOTAL ' Page 2 of 2 I PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137110 Date Issued:06/16/2016 Permit Category:ePermit Site Address: 1275 Balsam Tr E Lot:001 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-010 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 - John P Dagon 1275 Balsam Tr E Eagan MN 55123 (651) 452-2145 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159230 Date Issued:12/03/2019 Permit Category:ePermit Site Address: 1275 Balsam Tr E Lot:001 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-010 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - John P Dagon 1275 Balsam Tr E Eagan MN 55123 (651) 245-7752 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature