1381 Balsam St ECITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 15 Rik 2 Parcel 10 84354 150 02
OwnerEQ11Qj& t•Cal.".ll 6ti1Alti , Street 1381 E. Balsam Sh" 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 PAID
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1 74
T RM
S d SEW TRK k?
1981
307.40
20.49
15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $280.00 12570 12-31-74
BUILDING PER.
$AC .$400 e QD 12.'r?70 12-31-7
PARK
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
i I,,] I I
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,£
ION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
H 4 44" Q ) 0 " APPLICANT:
if, Erto? f
TYPE OF WORK:
tFF '.1 It t{' I S UM
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Mspection Date Insp. Camments
FOOTINGS
FOUND
FRAMING
ROOFING
/D ? 5
PSIS
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
?
-- -
BSMT R.I.
BSMT FINAL I
DECK F7G I
OECK FINAL
?
!b93
YtLLAOt bf EAOAN WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.: -16.93 -/f _
Eogan,MN 55122 ??
DATE: -12/-3_/- a n T ..
d?IT?1=?_11?
Zoning: pIrn No. of Units: issylecL..
Owner: Marpll rnnctrnrtin n Cn .
Address:
Site Address:
Plumber:
Meter No.: connecnon chazge: 2 80.00 Td-,r .
Size: 5/8 Account Deposi[: .
Reader No.: 607878 Permit Fee:
I agrca to complr with tha Villoge of Eayan Surcharge: - 5
O.dinancas. Misc. Charges: 60.00 meter
Total:
By ?ate Paid:
Dateoflnsp.: lgsued 1/22/75 Insp.:
YIL'tApE'rft EAOAN SEWER SERVICE PERMIT
3795 PilotNnobRood PERMITNO.: 24SI-A
Eagan.MNS5127 DATE: 1-??-7S (79-47_T7ftn-i_)
ZoninB: 8[]I) No. of Unita:
Owner: ry,a,,j 3?;?,?strustica ?c
Addrese:
Site Address: 1 ?tnl E n 1^n1_SYseet
Plum6er:
I ogna te eomply wifh 1M Villoge of Eayon Connection Chazge: 280. f10 }]d.
Ordi^onc"• Account Deposit•
By: _
bate i
Insp.:
Perniit Fee: 10.00 /3d
Surchazge: .50 0-,R-
Misa Chazges:
Total:
Date Paid:
?S? ??i2,s'
czTr oF E:aGAN
3795 pilot Y,nob Road
Eagan, Minnesota 55122
FERPET NO.: h?q
The City of Eagar, here0y grants to ^,,, u_ r.Aiter flea incr rg=_A
oi :1637f•hicaao i,cg Lo
a xFATiNG Permit for: (Owner) A'arell rongtruction
at -13QZ E. t3alsam st, pursuant to application dated 1/7/75
Fee Paid: S20.00 dated this ic day of 7an.
.50 s/c
Building Insp2ctor
N:2chaaiica1 Permits:
eid_ Total:
11
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Nlinnesota 55122
PERM_TT NO.: 544
The City of Eagan hereby grants to marell Construction Co.
ol
a Plumbing Permit for: (Owner) taarell Conatruction Co.
at 1381 E. aalsam Street , par,suant to application dated 1/21/75
Fee Paid: 10.00 dal;ed this 23rd day of January , 19 75 ,
.50 s/c
Buildin; Inspector
N:arY:aiiical Per.mits:
Eid Totale
Y - .
CITY of EAGAN
BUILDING PERMIT
Oweex
°'°--' ........................... ..._--...... _.....-'----................__........`---
Addreu (Presen!) .........1?.9..'......._...=c!'.......?? .................
Builder ...............................
Addsese .............................
DESCAIPTION
Lz
. i.
N°_ 3505
3795 PiloS Knob Road
Eagan, Minnesofa 55122
454-8100
...................
Data ...? _?:.?.°%'..?.:..`
Btoriea To Be Used Fos Fronf I Depih
2?-- Haigh! Eei. Cos! Pesmi! Fee
S'on 7 y. o--o
? 2 S° Aemuke
/ o?
" LOCATION 70 a °
Sireaf, Road or olhes DascsipSion ai Loealion I Lo! Block Addifion or Tsac!
I 3 e"I c" ?-t-
This pesmii does aot aulhoriae !he use of slxeels, roads, alleps or sidewalks nor doea it give !he owner or LSs agen!
!he right fo creale any sifuation whiah is a nuisenee or which presenfs a haaasd !o !he healfh, safelp, eonvan[enca aad
general walfare !o aayone in the eommunifp.
THIS PERMIT MUST 8£ KEPT ON THE PREMIS£ WHILE THE WORK IS IN PROGRES9.
This ia !o eerlifp, thal....72.:!:^:S:u',,...e:.°u:2:.`_......... .haspermissioa !o erec! s?7 .?Q:`:.`.-.._°.`.:`?l.....:J_-..._upon
ihe above deseribed premise suhjecf fo ihe provisions of all applicahle Ordinances for !he Cf4p of Eagan.
.................. ......... Per ......--`........-.-_. C
'--... .........................
Y........................................... " Su ding Iaapaefor
?
Slirvey Fer i '
• '^arell Ine.
?1,?',?(' T}?T'if?E18 AV2• SO•
iBloomln.?ton, }!inresota _
DELMAR H. SCHWANZ
LANDSURVEVOR
ReqiSteratl UnEer Uws of The State of Minnasota
100Ya MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55068
SURVEVOR'S CERTIFICATE
'70
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------?_w?.. ?
{',EI't.
• VHONE 812 423-1769
SCALE: /'=Z/0'
o= IRaNS
w
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138 T VAL?1:?,;??,?
?
T herF.r-,, certi_ry thzt thi; io at"tru- anct cormct ^onrnrF'ntation oS a surve,j oY
Lot 1l3q B1PCk 21 W?LDEAIIE-IS Rt'A: PIr-"fH ADDIT?0:1, P&kcta Count;;, '-innesat'.
Aleo :,hor'?r.'; Lte looatin^ nf n p:o^oced ho',re an3 rsr;,.•^ th^reon.
I.ocat3nn revlsed
.
MINNESOTA REGISTRATION NO, 0626
J
MASTER CARD
Permit
No.
Issued Issued To
Coniracior Owner
BUILDING ? DS I?•?7??/
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(initial)
Date
Remarks
Distance From Well
FOOTI NG ? $EPTIC
FOUNDATION
PRAMING `
? 1-2 1? CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
?
Violations Noted
on Back
COMMENTS:
OWNER Mar p)1 L?m? sT
STRUCTURE AND
LAND USED AS "J( 1(' DNJ• y gA 101f
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1381 BALSAM ST E
LOT: 15 BLOCK: 2
WILDERNESS RUN 5TH
P.I.N.: 10-84354-150-02
DESCRIPTION:
PERMITTYPE: BuzLoxNG
PermitNumber: 027824
Date Issued: 0 6/ 10 / 9 6
ROOFING/WINDQWJDOOR 34-T-? _
' ??,_o_•ti`^-°.i.c
Buildxn?g-..Permit Type ?? 0?,
Building W'o.rk Type REPflIR
Census Code 434 ALT. RESIDENTIAL
,.
n r ?
REMARKS:
STORM DAMAGE - NO FEE
FEE SUMMARY:
CONTRACTOR: - Applicant - s7. LxC.OWNER:
BENSON CONST CORP, J 19200717 0004740 KROB LLOYD
7020 WALKER ST 1381 BALSAM ST E
ST LOUIS PARK MN 55426 EAGAN MN
(612) 920-0717 (612)454-0101
I
I hereby acknowledge that I have read this- appli,eation and st'ate that the
information is .eorrect and."agree ta camply-withsall applicable 5tata ofi Mn..
Statutes.and City of Eagan Ordinan`ees.
?^?` '??..c.t .. . . . .
APPLICAN ERMITEE SIGNATURE
.-? rn k4.t:A.f
ISSUED B SIG TURE
I
CITY OF EAGAN p?
11114 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
681-4675
n
? 3 registered sHe surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addKions 8 decks)
? 7 enargy ealculatbns ? 1 energy celculations tor heated add'Rions
? 3 eopies of tree preservation plan 'rf lot platted after 7/1193
required: _ Yes _ No
DATE: 6 -/O-q g CONSTRUCTION COST:
DESCRIPTION OF WORh
STREET ADDRESS:
LOT BLOCK ? SUBD./P.I.D. #:
PROPER7Y Name: Phone#: y?y O/O/ _
OWNER
? """
? N
o?
15
LaK c
t
Street Address: a
City: ?c4 ti State: Zip:
CONTRACTOR Company: ?I Qey soh 6KS `7.? Phone #: 9Z0-D7/7
Street Address: 7920 O4 M<<r S?, License #:
City: .Sf Lo..('s i"a, k State: /"MJ Zip_SSY2?
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penaity applies when address change and lot
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.
Signature of Applicant: 2y?? ?? '&"scxa 61s1C/
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
CITY USE ONLY Q ?7
L BL ? RECEIPT #: 7
SUBDt4-)
AJ90&A4t&aA 4-$11- d'll RECEIPT DATE: a 7°
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGPN, hID7 55122
(612) 681-4675
Please complete for: ? single family dwellings ,
? 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 =
Hot Tub/S a 3.00 x =
Water Heater 3.00 x =
oor 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. Sprinklef ' for dwelling under const. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
AltefatiOn5 ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ` Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
?/f Sj
TOTAL CT61
------------------- ---------------------- - --------------- - 6f E------agan - ord---- inances----. -
I hereby adcnowledge that I have reed this appiication, state that the irrfortnation is correU, and agree to comply with all applicable City o
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance adivities to the facilities construGed under this pertnk within Ciry property/right-of-wayleasement.
SITE ADDRESS: f3rP I Eig r T' gIR ( SR-'h
OWNER NAME:
INSTALLER NAME: ? b4 (Ir % c. 9I l.ti,h hiti?! TELEPHONE #: -uy' / /a LI
STREET ADDRESS: 7?? C-016 )4y4p r441-e ' S v •
CIl'Y: --01YJ
SIGNATURE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
S 33 -77
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canatruction Reauiremenb
• 3 registered site surveys showirg sq. ft. of IoC sq. ft. of hoiae; and all mofed areas
(20% mazimum lot coverage aliowed)
. 2 copies of plan sMwirg beam S window saes: poured fomM design, eta)
• t set of Energy Calculatbns
• 3 copies of Tree Preservation Plan A lat platted aNer 711193
• Rim Joist DetaJ Opfions selection sheet (bldgs wilh 3 or less unHs)
DATE ?/n(Da
SITE ADDRESS ?3g ` 00-1 SG.m S4`(?P.? ?
TYPE OF
MULTI-FAMILYBLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
ceiar Valley Exbeliors, Inc.
APPLICANT 992041141. S"et
STREETADDRESS n FtOdo, CITY STATE_ZIP
TELEPHONE#???3)'155-a311 CELLPHONE# FAX#0 LI3) -70'9 - S392
PROPERTYOWNER U09d KYDk TELEPHONE#((°??)L4sq `0101
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNI:SO'CA RliLES 7670 CA'1'I:GORY l MINNESOTA RULES 7672
(J submission type) • Residential Ventilalion Category t Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted ?? ,
n? ?--; ?;; ? nR
Plumbing Contractor: _
Plumbing system includes:
Mechanical Confractor:
iVlechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Hca[ Recovery System
Phone #
Phone #
JUl 1 7 2002
Fee: $9(
Pee: $70.00
-- ° --------- ° ------------° --------- --- ----------------------° ------------------------------ ° -- ° --------° -- °--- °--
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
Wacer Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
RemodallReoair Reauiremenb
. 2 co0ies af plan
. 1 sel of Energy CalcWations fir heated additions
• 1 site survey for exterior additions & decks
• IMicale i(home served by septic system foradditians
VALUATION451 a0 i . `?O
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
J1,73so PLUMBING (RESIDENTIAL) ? f5-- SZ)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when perxnits are required for each unit
Date?)-/I ( (
Site Address A7Z)% 1"? 7(DA.VtD x-?? ? Uuit #
Property Owner Telephone #(lQS l)? JLI -blD l
Contractor
Address City
State Zip, 0 ` Telephone# c1n -F?,Ol.lt`Cj
The Appticant is _ Owner ? Conhactor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
tnciudes County fee. Additional consulfant fees may apply.
Alterations To Esis6ng Dwelting Unit, Including $ 00
50
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener _ Wa[er heater
l .
D i ? ,? L?! n
$
15.00
rep
acement additional j
,
n
?
? n J U J
State Surcharge ? $ .50
Total ?_..__ ... _
$ 1
.5 • .57?
I hereby apply for a Residenrial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes oFthe City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of 7S.
Applicant's Printed Name ? Ap licant's Signature
f?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
e?
City Of Eagan
I ??
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 II, ?
New ConsWCtion Reauirements
3 registered stte surveys showing sq. R. of lot, sq. ft. of house; and all mofed areas
(20% maximum lot coveroge allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcutalions
3 oopies of Tree Preservation Plan if lol platted after 711/93
Rim Joist Detail Opfions seleclion sheet (bldgs with 3 or less uniLa
RemotleVReoair Reauirements ? Office?Use Onlv
2 copies of plan Cert ofSurvey Recd aY _N
1 set W Energy Calculalions for heated addNons Tree: Prns Plan Recd _ Y _ N
1 site survey for additions & decks TraePres Required _ Y _ N
Addfi'on - indicate i(arstte sepb'c sysfem Qo-site Septie Sysiem -_ Y _ N.
Date 11 / OS / 04 Construction Cost $3199 • o0
Site Address 1381. E. BALSAM ST. EAGAN UniUSte #
Description oS Work YARD SHED
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner LLOYD KROB Telephoneil( 651 ) 454-0101
Contractor SHED OP
kdk-
Address 81 N. VA ALIA ST. City ST. PAUL
State MN Zip Telephone#( 65? 738-7433
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) 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 3tate 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
perxnit; that the work will be in accordance with the approved plan ' the case of wo which requires a review and
approval of plan . ?
cT 11 2k 'E??
? ?
Ap ,91' ant's Printed Name Applic ' Signature ?
OFFICE USE ONLY
Sub Types
? 01 Founda5on r ? 07 OSplex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex . ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25-: Miscellaneous
Work Types
IKL 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Tr( 31 New , ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
'? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buildin g* 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant
Valuation '?-jqgv Occupancy ? MCES System
Census Code Li Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_
_
?c Framing _
_ Siding _ Stucco _ Stone _ Brick
T Fireplace _ R.I. _ Au Test _ Fina1 _ Windows
Insulation Retaining Wall
Approved By: Building Inspector
?-
---------------- ------------------------------------ ---------------------------
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge 0
Treatment Plant
License Search
Copies
Other
Total
1?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117129
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1381 Balsam St E
Lot:015 Block: 002 Addition: Wilderness Run 5th
PID:10-84354-02-150
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 .
Colleen Jacobsen
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 -
Lloyd E Krob
1381 Balsam St E
Eagan MN 55122
(651) 454-0101
1 derful Roofing & Restoration
2973 S Nova Rd
Pine CO 80470
(303) 984-7663
Applicant/Permitee: Signature Issued By: Signature