1295 Balsam Tr E
CITY Q'F EA6AN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MH 55122 dATE:
Zoning: - No. of Units
Owner: --
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 egrepto comply with the City of Eagan Surchorge:
Ordinances. Misc. Charges:
Totol:
gy Date Paid: -
Date of I nsp.: I nsp.:
Yo eomply with the City of Eugon
SEWER SERYICE PERMIT
PERMIT NO_: -
DATE:
No. o# Units:
Connection Charg
Account Deposit:
Permit Fee: -
Surcharge: _
Misc. Charges: _
Total:
Dote Poid: -
n
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41
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PLOT 1- L AN
CITY UF EAGAN Remarks
,4ddition,- WILDERNESS RUN 6TH ADDITION Lot 10 elk 2 Parcel 10 84355 100 02
Ow?er -=V-' , v?j'?LL L{1l WL-Street 1295 East Bal sam Trai 1 state Eagan, MN 55123
tmprovement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 20 112.85 A006564 8-25-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162.14 ZO 6-96- 15 140.54 A006564 8-25-78
STORM SEW TRK 5 1979 348 - 96 348.96 C003482 -12-77
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGNT
WATERCONN. 250.00 10050 5-22-78
BUILDWG PER. #48O']
sac 500.00 10050 5-22-78
PARK , a (o
cirr oF EAGaN
7 3795 P11ot Knob Road Eagan, MN 55122 N2 5895
PHONE: 454-8100
BUILDING PERMIT
Te ba uMd fer
5ite Address
Lot Block Sec/Sub.
Porcel #
W ( hereby acknowledge that I have read this application ond state that
the informotion is correct ond agree to compiy with all applicable
State of Minnesota Statutes nnd City of Eogan ardinonces.
5igrroture of Permittee
A Building Permit is issued to:
ail work shall be done in accordonce with cll cppliwble State of Mii
Buiiding Official
Receipt .#
Erect ?
Alter ?
Repair ?
Enlarge _'[]
Move ?
Demolish ?
Grode ?
Jllri@ . 10 'Q
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ? ? ? ff.
Depth ft.
Assessment
Water & Sew.
Pol ice
F1re
Eng.
Plonner
Council -?_
Bldg. Off.
APC
Permit
Su rcha rge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
on the express condition that
Statutes and City of Eagan Ordinances.
Pennk # Deh laoed PermiM"
Plumbing
Mechanical
INSPECT10h75 DATE INSP.
Rough-In
Finul
Fopiings
? pate Insp. Oote Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final - - f%
Remarks:
BUILDING PERMIT
r_ yF
cirir oF EA"N
3795 Pilof Knob Read Eogon, MN 55122
PHONE: 4548100
Receipt #
D tg.
Site Address 1295
Lot Block Sec/Sub.
Parcel #
ae Name ' e. : :•
Address t Qr'
Ci Phone
? Name
0
u? Address 627 :'8u1 in • o?,....e
Ncme _
Hddress
I hereby ocknowledge that I hove read this applicotion and state that
the information is correct and agree to comply with all applicable
State of Minnesoto Statutes and City of Ecgon Ordinonces.
Signoture of Permittee
N2 4807
Erect ? r Occupancy 7
Alter ? Zoning
Repair ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? # Stories
Demolish
? ??
Front ' ft.
Grade rl Depth ft.
Assessment
Water & Sew.
Pol ice
Fi re
Eng.
Planner
Counci I
Bldg. Off.
APC
Permit " . ;'; _
Surcharye 2 2 . 70
Pion check
5AC
Water Conn. •' =?' ! • ? `?
Water Meter
Toral 960.50
A Buitding Permit is issued to: "S 12 ?) `Ir`C"' on the express condition that
all work sholt be done in accordance with all opplicoble State of Minnesoto Stotutes and City of Eagan Ordinances.
Buildir?g Officiol
HneM # aM Iswa he?11tM
Plumbing ii 76 ?- 2 -) -- -)l'
Mecfioniwl // 94• ? - ia - 7dF ?. ,Q?-,.?: ?J [? t cn .?.e-•-•.
INSPECTIONS DATE INSP.
Rouph-In
Find
Footings f,c-r, Dota Insp. Dote Irup.
Foundation T Plumbing
Frame/ins. 7 - - 7 Mechoniaol
'Finol
Remarks:
CITY OF EAGAN
, 3795 Pilot Knob Rood
Ea9an, Minnesote 55122
Phowe: 454-8100 ? ? •1 ? .
_ PERMIT No.
Dote: Receipi No.:
: ?95 E. - Sinyle I ,
.?ais..
Site Address: Residential
?C 2 I
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter./Repair. ? ; Addreu Cost of Installation
O
City V? Phone: Permlt Fae
Nome _ Surcharge
.
99CG i.e,wick Ave. :i.
? Address
0
0
u
City Phone: Total ?
This Permit is issued on the express condition thct all work sholl be done in accordonce with all applicable Stete of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Official
CITY OF EAGAN
?•• ?' 3795 Pllot Knob Road
Eogon, MinnssoM 55122
Phone: 454-8100
' =TrT.idG - PERMIT No. r
Dote: 1:' .
Receipt No.:
Single I
Site Address: L-'95 E. B31.SdTil `I'rc9.11 Residential :Lot Block Sub/Sec. _ ti' R Multi Res., CommJlnd. I
Nome BOI??:s i:;C. New/Alter./Repolr
.
; Address Cost of Installation
O
City ?.= -"dU1 5511C > Phone: Permlt Fee
Nome . ' :.1@r & `.SOtl SurcharQe , 1f
Q.
T?
? Address 12r) F. I?utler R7e.
e
0
V . .
City Phone: Total
This Permit is issued on the express condition thut all work shall be done in accordarxe with oll opplicable $tate of
Minnesoto Statutes ond Ciry of Eagan Ordinances.
Building Officiol
CITY OF EAGAN
3795 Pllot Knob Roaa
Eoyoe, 1Minnesoto 55122
Phoee: 454-8100
PERMIT
Date: September 11, 19',
Site Addreu
Lot JLO Block 4 Sub/5ec. _4)
Name • . - ? .
? Address T3dlsart
City • S - Phone:
Name . .. , . .?;- r•- , , . ,_. _'•
.
? Address 1 513`'i.e A: .
?
City Phor?e:
This Permit is issued on the express condition that oll work shell be
Minnesotn Statutes and City of Eegan Ordinances.
No.
Receipt No.:
Single I
Residentinl
MuItI Res., Comm./Ind. I
New/111ter. / Repoir
Cost of Installation
Permit Fee SurcFarge
. .,.... +
done in accordonce with all applicable State of
Building Official
v.7u--i7ci
request voi 8 months from
?o9s"9
-? ` P 87907
Date of this Request 7-12-9978
I, azfiLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
? /o .?a c?,? t, !??
Street Address or Route No. 1 LP95 Fast Balsa,-n Trail City Eagan
Section Township
Range County Pe.kota
Which is occupied by Tilson Noraas
(Name of Octupant)
Is a roughin inspection required on this job? No ? Yest5l Ready Now ? Will Call44
PowerSupplier Dakota CtY. Address Far'rtirtgton
Electrical ContractorO.B. Thonpeou ElcactricCo. Contractor's License No433735
(Company Name)
Mailing Address 12201 R?tka Bl
Authorized
SME BOARD COPY
Phone No. 933-2521
This inspection request will not 6e accepted 6y the
State Board uniess praper inspection fee is enclosed.
Minnesota State Board of Electricity
1954'Jnivessity Ave., St. Paul, Minn. 55104-Phone 645-7703
' :s QUEST FOR ELECTRICAL INSPECTION
Cfi£CK BELOW WORK COVERED BY THIS REOtiEST
P 87907
Type of BuilJing New Add. Rep. Check Appliances Wired For Check Fquipment Wired Fm
Home n ? ? Range IRX Temporaxy Wiring ?
Dupler ? ? ? Water Heater 0 Lighting Futures 30
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commeicial Bldg. ? ? ? Pumace ?$ Silo Unioade[ ?
Indus[rial Bldg. ? ? ? A'u Condi[ionei ?$ Butk Milk Tank ?
Farm ? ? ? List
I 'pi R-?.T, ish.Zr List +
Other
?
?
? p
}
Heielsl ?
- }
Hehers)
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size: # Fee Feedees&Subfeedeis: # Fee Circuits: # Fee
0 to 100 Am s. 0 Am es 0 to 30 Am res
101 to 200 Amps.2 M 3] A' es 31 to 100 Am eres
Abeve 200 Amps. Ab 0pK? Above 100 Amps.
Transfoime[s Re teC Ito " i Par[ialoro[hertee.
Signs S ecial lns ection Minimum fee
Rematks
?
.6
TOTAL EE L10
0,50
I, the Electrical Inspector, hereby cer t tiK m e n has been
(Rough-in) ` Date -'?j`Zrl?
(Final) I , ? _ . ^.Date /o - y - 2 a?
This request void 18 months from
0 0*7u"
This request void 18 months from
-;ez --, y3aF
? P 58896
Date of this Reqnest 3-2-78
1, as gkLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ;\ a//?, (? -?h
!c K ? %? icr. n a?
Street Address or Route No. 1295 Balsam Cit,?Ia6,an
SecUon Township Range County Dakota
Which is occupied by Tilsmn Homon
(Name of Occupant)
Is a roughin inspection required on this job? No ? YegO Ready Now ME Will Call ?
Power Supplier Dakota Cty. Electric CoAddress
Farmington
ElecMcalContractor O.A. '_i'homnaon Elactric Co. Contractor'sLicenseNoA.' ?5
12201 P,Z4amWvd: m,e)&Ytka 55343
Mailing Address
(Elect Ical oMrect?o` r o Making This Installation)
Authorized Signature ?f Phone No. 9312522
(Electrical Cont r or owner Making Thls In5tallatlon)
ST (? ?? ?????D ?O?Y _ Tbis inspection request will not be accepted 6y the
/? ?' -Stete Board unless proper inspection fee is enclased.
Minnesota State Board of Electricity
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOKK COVERED BY THIS REQUEST
y
P 58896
•Type of Buitding New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Hume ? ? ? Range 0 Temporary Wving30A1110
Dupleac ? El ? Water Heatet ? Lighting Fixtuxes ?
Apt. Bidg. ? ? ? Drye _ Electric Heating ?
Commercia181dg. ? ? 0 Fu Silo Unloader ?
Industrial Bidg. ? ? ? A'v nd=6J 1
Bulk Milk Tank ?
Farm ? ? ? List LJ List
Other ? ? ? p
Heiers# Others?
Here 7 _
COMPUTE INSPECTION FEE SELOW
ServiceEntnnce Size: # Fee Feeders&Subfeede[s: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps.
31 to 100 Am eres
31 to 100 Am eres
Above 200 Amps. 1 Above ]00 Amps.
1 Above 100 Amps.
Transformers 1 1 RemoreControlCuc. ParGalorotherfee
Signs 1 1 Special lns ection Minimum Fe
Remarks Hall TOTALF 6.ad 6.50
I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough•in) Date
(Final) r Date --3- 7_ -7
This request void 18 months rom
Minnesota SWte Board of Electricity
. 19,54 {jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
/ REQUEST POR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
/ eO la_o ?
5 , /MR
ype of Building New Add. Rep. Check Appliancea Wired Fm Check Fqui ment Wued For
Home ? ?$ ? Range ? Tempocazy Wiring ?
Duplex ? C]' ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commemiat Bldg. ? ? ? Fumace ? Silo UNoadex ?
[ndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm List > List
Other ? ? ? Others}
Ftete ) Otheis?
Here
1
COMPUTE INSPECTION FEE BELOW
Service Envance Size: s Fce Feeders&Subfceders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies a
l0l to 200 Amps. 31 to 100 Am res 31 to 100 Am etes
Above 200_Amps. Above 100 Amps. Above IOQ_Amps.
Transforme[s RemoteConvolCirc. Paztialototherfee L
Signs -:-? Special lns ection Minimum fee
Remazks
! TOTALF ? )),? <.J
I, the
(Final) -
This request void
the
Llo ? $?t cz ?.
has beenlnadC?
Date '3
Date /? y W
This request void 18 months from
_ , .
igo& o
Date of this Request __27-? - 8° , s 2 6 7 9 6
I, as ? Licensed Electrical Contractorfdl Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section
Range County
Which'is occupied
Is a roughin inspection required on this job? No ? YeS'Y? Ready Now ? Will Call?
Power Supplier.m.. Lr???EL ' Address
Electrical ContracContractor's License No. _
(COm/Danyy Name)
Mailing Address
Authorized
ar
NO. &
????? ????D r???/ . This impection request will not beaccepted 6y ffie
er f? i State Board unless proper insp¢ction fee is endosed.
crrr oF enc,AN
' 3795 iilae Kneb Raad Eaean, MN 55722
• PHONF= 4548700
BUILDING PERMIT APPLICATION. $45,000. Receipt #
r_ i.. .....A 9... SF D lg. d4.'PTv_,GaiP• n...e ?
Stte Add10
WR
N° 4807
10050
Erect ? X Occupanry L
Alter p Zoning Rl
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? front SZ ft,
Grode ? Depth 28 fr.
Approvah Fees
sam Tr
Lot 81xk- Sec/Sub.
parcel #. 10 8gill!355 100 02
Name George C. Lohmer Jr
? Z Addr 107 Northwood ?r.
o ?e woo a s -
Liisen nomes, inc,
??p Name Address 627 So. Snelling Ave.
F. i•:?. StDP8u1. MII e?___ 698-5501
Name _
Address
I hereby ocknowledge thot I have read this applfcation and state thot
the information is mrrect and agree to comply with all appliccble
Stote of Minnesota SMtutes ond City of Eagon Ordinances. .
Signature of Permittee _
A Building Permit is issued
cll work shall be done in c
Buiiding Official
Assessment _
Woter & Sew.
Police -
Fire
Eng.
Plonner -
Coun[il -
Bldg. Off. _
APG
Permit 128.00
Surchcrge 22.50
Plon check
SAC 500_00
WaterConn. 50 _00
WoterMeMr bo_on
Total 960 _ 50
Ti15Hn Homes InC. on the express condition that
nE-e with a liccble State of Minnesota Stotutes ond City of Eagan Ordirronces.
Ao?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc complete for. single family dwellings Bc townhomes/condos when pemnts are required for each unit
& ?o so
Date J / ( / ?
Sit
Addr
s it #
U
e
e
s n
I1
Property Owner \?.1 O h!? 1? ?+?. /
O. { `G ?
Tclephone # (?? ) qdS
-,3 9 ? 3
Contractor I7?Gs ! , ? ? *-I C-
Street Addms !/k
?? ?? •
Cit `e
s y ,
.
State ? Zip Telephone # ( '5sz ) 7,V 7 Z
Bond Expires:
The Applicant is _ Owner ? Contrac[or _ Othcr
Add-on or alteration to existing dwelling unit $ 30.00
x furnace _Additional _kReplacement
air exchanger
air conditioner New Replacement
X other
State Surcharge $ 50
Total $ .3c-So
I hereby apply for a Residential Mechanical Permit and acknowledge that the informauon is complete and accurate; that fhc work will
he in conformance with the ordinaztces and codes of the City of Eagan and with the Mechanical Codes; that I understand Ihis is not a
permit, but only an applica[ion for a pemrit, and work is not to star[ without a pennit that the work will be in accordance with the
approved plan in thec)se of ork which requires a review and approval of plans.
J Gl`r?GS i,/n5v'Z
Applicant's Printed Name Yj?pl ' 'gnature
6g?oG
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
$s a. so
Date 2 I En 1 .S
?^ ?^
Site Street Address /a C[C Ol?'1 / r? za-,2? Unit #
Property Owner ?Mii,C.Y vl? Telephone # (?)
Contractor KIL LQrSm? RGt rYIYJ/yi i
Telephone #(lp/a ) 31o3•d ?SB?Y
T
Address ?/?0 4op.Bv ?.A.?C? ? City 1J--ed<1pI1 State/f'J11) Zip 5S-33/
The Applicant is: _ Owner -XContractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge
$ .50
lu L? kv_) , , ,
rotal MAR 3 0 2005
g S(y. S Q
I hereby apply for a Residential Plumbing Permit and acknoLw? ?.ation 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 required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature
" 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremems
3 registered site surveys showing sq. @. of lot, sq. fl. of house; and ell roofed a2as
(20% maximum lot coverage allowed)
2 copies of plan showing 6eam 8. window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lol platted after 711193
Rim Joist Deteil Op6ons selection sheet (6uildings with 3 or less unifs)
RemodeVReoair Reauirements
2 copgs of plan
1 set of Energy Calculatians for heated addiGons
1 site survey for additlons S decks
Adddion - IrMicate if arsde sep6c system
-S (a q 3 .2 2-
c.'_QA'_Q 3 _y
Otficeruse...fkirr
CeRofSurveyRecd `-_Y.._N
Tree Pres Plan Reo! s._Y.._ N
TreePresRequired _Y_N
On-siteSepUcSystem _Y _N
Date '?? l y? ? l 6?'
n q
Site Address 1-.2 y$" Construction Cost Y.?'? 40y
?
UniUSte #
Description of Work
Multi-Family Bldg _ Yt-IY Fireplace(s) -?10 _ I _ 2
PropertyOwner =0& ap'A (:4 -7.IilaM,?.,,, Telephone#(6,,f/ ) `)DJ--.3??3
.?..
Contractor e4A
Address r 0 (. C2 u
State 49f/d .c.4u VL City _ 4¢4,0y,.
Zip .S-.S 3/7 Telephonek(?jS? ) 91 S -/6* 6 '7
COMPLETE THIS AREA ONLY IF CONSTRUCTING 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 p building in Eagan with a simiiar plan?
fee applies.
Licensed Plumber
Mechnnical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #( rrb
Telephone # ( Telephone # (
) ????u T ?
! FEg 2 4 2005
I hereby apply for a Residential Building Permit and acknowledge that the information is complete an? 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 u e tand this
permit; th the prkAvill,,
nt's Printed Name
)t a permit, but only an application for a permit, and work is not to start without a
6cordance with the approved pl ' the cas of work which requires a review and
?
App icant's Signature
S???9
Sub Types
OFFICE USE ONLY
• .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_ N O 25 Miscellaneous
WorkTypes
? 31. New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32' Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
,4T, 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34? Replacement "Oemolition (Entire Bldg) - Gi ve PCA handout to applicant
Valuation Occupancy - ?
Census Code Zaning
SAC Units
# of Units
# of Blilgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
__y Footings (addition)
? Foundation
Drain Tile
Roof Ice& Water Final
x Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Stories
Sq. Ft
Length ?
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinalMo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
--------------------- -------- ----------------------- --------- -1---
Base Fee
Surcharge
Plan Review
MC/ES SAG
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
a(,-l - --,
k P p";1,
IY?°
! ' - " -
?
3/2/2005 1:47 PM FAOM: 952-892-0971 Castle Gate TO: 1 651 615-5694 PAGE: 002 OF 002
RFScheck Compliance CertiTicate
2000 IECC
RESchecA Sokware Version 3.6 ReJease la
Uatafilename: C:\Program FileslChuk?RESchecklCustomerslmiller.rck
PROJEC'r TITLE: Addition
CITY: Eagan
STATE: Minnesota
HDD: 7981
CONSTRUCTION TYPE: Sin¢lc Family
WINDOW / WALL RATIO: 0.09
DATE: 03/02/05
DATE OF PLANS: 2-20-05
PROJECT DESCRIPTiON:
Miller Residence
1295 Balsam Tr. E.
Eagan, MN
DES IGNER/CONT R AC"i OR:
Casde Gate Constcucrion
COMPLiANCE: Fasses
Maxitnum UA = 118
Your Home UA = 86
27. 1% Tietter Than Cude (UA)
Permit Number
Chcckcd By.!IYate
Gross Cilazing
Atra or Cavity Cont. or poor
Perimeta R-Va ue R-Va1..F3GS.4L SZA
Ceiling 1: Raised or Energy Trvss 484 38.0 0.0 12
W all I: W oocl Frame, 16" o.c. 704 19.0 0.0 39
Window 1: Vinyl Frame:Double Pane with Low-E 60 0.370 22
Fioor I; All-Wood JoisbTruss:Over Unconditioned Space 484 38,0 OA 13
Fumace I: Forced Hot Air, 80 APtJE
COMPLIANCE ST'A"f EMENT: The proposed building design described here is consistent cvith the buitding plans,
speciScations, and other calculations submit[ed wiih the patnit applica[ion. The pmposccl building has been designed to
meet the 2000 iECC requirements in RESchedc Version 3.6 Releasc la (banedy MECcheck) and ro compty with the
mandatory requiremen s_!is ed in the RE rheck Inspection Checklist.
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BIIlLDIYdG PF.RMIT APPLICATION
Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
Ta be used far
Site Addresc; Ja¢,3 F, 13?- ?Q>
Valuation ?SLOd ?
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Address
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Telephone & C,/
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OFFICE USE
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nemolish
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OFFTCF. TISF.
bate of Approval & Initial
Assessment // r/7 V-
Water/Sewer
Police
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A.P.C.
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Type of Const.
# of Stories
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Depth FEES
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RECEIPT#: Y965 S
RECEIPT DATE: ry
1998 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, I•Ai 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 =
WaterCloset 3.00 x- _
BathTub
Lavatory x = `
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x
f
Floor Drain . x
Gas Piping Outlet " minimum • 3.00
Rough Openings 1.50 x =
Water Softener • ror Ilings under wnstruction 5.00 x
Water Softener or existing dwelling 20.00 x
U.G.Spflnk 'fordwellingunderconst. 3.00 = .
U.G. Sprinkler ' forexisting dwelling 20.00 =
AlterdtlOnS " to existing residence
20.00
= n?v?
cacr?
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) .
Private Disposal Systems ` Atandonment 20.00 =
STATE SURCHARGE 50
TOTAL ? p
-------------•----------- --- _ _._----------------------------------- -------------------------------- •- -
---------------------
i hereby adcnowledge ihat I have read this application-
_, s-tate that the infortnation is cortect, and agree to comply wkh all appliwble City of Eagan ordinances.
k is the applicanfa responsibility to notify the property owner that the City of Eagan assumes no liability for any damages ceused hy the City during its
nortnal operational and maintenance activities to the facilities construded under this permft within City Qmpertyldght-ef-wayleasement.
SITE ADDRESS: /,255 j6;414J-A0rs ?/V/L ZW-f 7-
OWNER NAME: 491146L
INSTALLER NAME: Ae ePLbTew- TELEPHONE #:
STREETADDRESS: aM0 C,4?7--tlJ 42 416
CITY: STATE: ZIP:
SIGNATURE OF
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
#
BUILDING PERMIT APPLICATION
re ee uma Fe. Addition F
Site Address
Lot 10
Parcel # -
Receipt #
N? 5895
as
Value
Block 2 Sec/5ub. Wild. Run 6th
W Name _
3 Address
a r_
Lehmer
g Name Tilesn Homes Inc.
ga Address 627 S. Snelling
w
? ?:... St.Paul. MN 5517.6_ 698-5501
Name _
Address
June 24 ,0 80
Erect p Occupancy Rl
Alter ? Zoning R'3
Repoir ? Ffre Zone III
Enlorge Type of Const. V
Move ? # Stories
Demolish ? Front 2 ' h.
Grade ? Depth ft.
Aoorovala Feea
Assessment Permit ?
Water & Sew. Surcharge ?
Police Plan check- ?
Fire SAC
Eng. Water Conn.
Plonner WaterMeter
Council Ropd Unit
I hereby acknowledge that I have read this application and stote that Bldg. Off.
the informotion is correct and agree to comply with oll applico6le APC Total 54.50
StaM ot Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: T7.150ri HoiIl2S on the express condition that
all work shall be done in occordance with uli applicable $tate qf?Minnesota St/qJPopes a. City of Eagan Ordirwnces.
Building Official ?? p0 l?GLTC?t,60-•r?
CITY OF EAGAN
3795 Pilo! Knob Rood Eogan, MN 55722
PHONE: 454-8100
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
Y BUILDING PF.RMIT APPLICATION 1 set of energy calculations.
? ? -
Tb Be Usea For Valuation Date
Site Pddress: ?y4 OFFICE USE OfII,Y
?
Lot 10 Bloc7c Z
Parcel #:
Owner: 6eo j,s e Sec./Sub.
l.?N ??tP1i.
naaress: ivts ? osa/sa..x
City/zip Code: ,sS'/t Z-
Phone #:
Contractor:
Address: _ 6L? S. ,si'Y!lr.R.r
City/Zip Code: .S7 6 S'S146
Phone #: 7op_ 5 SO/
Arch./Eng.:
Pddress:
City/Zip Code:
Phone #:
Erect Occupancy
Alter 2oning .
Repair Fire Zone
Enlargep/ Type of Const.
Nfove # Stories
Derolish FYOnt ol U'" ft.
Grade Depth , •, ft.
APPROVALS F'EES
?
Assessments
Water/Se«er
Police
Fire
En9 -
Planner
Council ?jv
Bldg, Off•
APC
PernLtt 1j°,3 ?„
Surcharge
CheckT?
Plan
SAC
Water Conn.
Water Meter
Road Unit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113603
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 1295 Balsam Tr E
Lot:010 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-100
Use:
Description:
Sub Type:Reroof & Siding
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.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jonathan Miller
1295 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
Use BLUE or BLACK Ink
. r----------------�
� I For Office Use ' �
� � Permit#: �� � j
Cit� of �a��� ; . � .�— ;ti
Permit Fee: ��
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2�s '�/'i S Site Address: i2-�� �t�',r�4M �'fLA-t� � Unit#:
� ��� � ,
��� � Name: .�t�►�' arra .��r� ��L1,�2- Phone:
� ���;
�� (�
� ;;.,
� ,, Address/City/Zip: 12`�S _._P�4� `���t_.. �
� , , ..,.
� £ '� ° Applicant is: Owner ��ontractor
� �� �� ��: Description of work:�T�.K��-+ � (L,��-nw���.. � `
Qf : .<
� �
}� ,�� K Construction Cost: O pc7� Multi-Family Building:(Yes /No�)
� � �`
� � �� Company: ��o,�P l,`� ��tkv'C�r'rc�` 'Q�n�w D�v'i"'�'Gontact: �`k��o'C ��o4-�C
��, �: �w
���"�"� � � � Address: ��^(`St ��l�►US � Ciry: �'ctl�'i�.O?��. ,
��� ��a�1tr�
� l . bc��4-��\, c����
� �� State: .LI�Zip: S �� Phone:�S'L Slo�f 52?` EmaiL ��"`�Q �
#�.
� ������ �#��
License#: p�C.G,3�'t3�'2 ' Lead Certificate#: N�T •- 12245 6`-1 �- I
If the project is exempt from lead certification, please explain why:
/ Ui�.; �� 7Y
1Z��
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: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N�T� `�I�ns r � * rr� .�►Q�� �i s������r�#� � , �� �c�� ��or��
� �
�fc� h i�� t
�� �.r+ y ���ed.� �b�_� ��rc���de spe���c�ast��n ,t�i! 't�e�C�
.. ,; �.�
� � � �� � �.x w�� �j �
. � � �t r . �.
�� n, n �.. �_ � ` �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.4opherstateonecall.ora
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.
E�cterior 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 �1..�Pr P i"�C ��(L(t—� �"7 ,
Applicant's Printed Name ApplicanYs gn ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE � ' �o • �
SUB TYPES �`���^^ �� �
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi _ Qeck _ 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 _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �
Valuation � Occupancy ZG�1 MCES System `
Plan Review Code Edition _�_ SAC Units --�
(25%_100% !/� Zoning `�,–t City Water --
Census Code y3� Stories ^ Booster Pump
#of Units ( Square Feet ^ PRV `
#of Buildings � Length `— Fire Suppression Required ---'
Type of Construction � Width ---
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
Roof: Ice &Water Final Pool: Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other: �,
Reviewed By: , Building Inspector ��,
RESIDENTIAL FEES
Base Fee 7„� �
Surcharge
Plan Review �" ��
MCES SAC �
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
09109�2015 10:44 MN Plumbing&Heating �AX�9524459401 P.001I001
j � __ Use BLUE or BLACK Ink
: i j For OiNoe Use j�'
1 �
• ; � ��,�r�: /�� �� � ;
C�6� O�����11 , : � pem�it Fee: C�' " `-' `� 1
3830 Pilot Knob Road � � i �
Esgdn MN S612Z � 1 oate Recaived: �
Phone: (651)675-5B75 I j ��. �
Fax• (6S1)675-5694 I I L----------------�
��RESIDENTIAL PLUMBING PERM..IT APPLIGATION
Date: ��8"�� Slta Addre�s: ��,� �7�(Sui+�. TYx+./ �T.et�/-
TenanG i Sulte#:
�. ..1- ' I
Neme• J v�^ 'f'��.. /ti'���4.i � Phone:
�' . � , i
�A
Address/Clly/Zip; �S Q'r'"'� '
"" /1/1' n�� AIa..L.:,r ,
Name: �a 'I� �•� .� License#: /��G y�bl 71°//��11
Addrese: �`?� ��� (.�� •City:� ���/
Slate:,�JJ Zlp; ��'�� Phona: ��'����
,/J �L, /I � ��
Contect:/�t�n�/�'�-/C �udl�(� Emeli: MS�j�il�Q� !.'�/���•�r.�'
'�• � New _Replacement �Repelr Rebuild � Modify 5pace Work in R.O.W.
; ► — -- — —
;°,'` Deecrlptlo�of workt art �WM� �'�` '/°y � � rE"µ*�r� /w�
��� k�, , RE3IDENTIAL . ;
' � �1�I�wb,�
'��''� Water Heater I
'� , Lewn Inigation RPt! Pve water Sdftenet
Septic Syslem
� , Add Plumbing;Flxtures�Mein/_Lower Levei)
^N�W Weter Tumerou�d
_Abandonment �
RE8IDENTIAL FEES: '
i
�60.00 Water Heater,Water Softener, or Water NeaEe��Softener Qncludes$6.00 State 5urcha�ge)
$60.00 Lawn Irrigation(indudea$5.00 minimum State Surchergej
$80,00 Add Plumbing Flxtures,�e� tr�ic System Ab�ndonment,Water Turnaround�(In; udes$5.00 Stete Surche�ge)
'Water Turnaround(add SZ00.00 If e 5/8"mater is requiredj �
$11S.00�eotic Svstem Naw($90.00 per as built)(indudes County fee and$6.00 State Surche�ge) /
� � ' TOTAL FEES 3 �P U
CALL BEFORE YOU DIG. Csll Gopher 3tata Ona Call et(851)454-0002 for protection ageinst undar�round uGlity damege.
Cell 49 hours before you intend to diq to tecelve locetea of underground utllltles. www.go�heretet�onecall.o�g
1 hero�y acknowledpe lhat this InMnnatlon la complete end�cc�,r�te;lhst lhe work wiil ba in co�formende with the ordinancee end codes of the City of
Eagan; thal 1 unda�stand this is not a permit, but only an appllcatlon for a permit, and work Is r�ot to 5tert w�hout e pertnit;thet the work wlll be In
aceordance wltA iAe approved plan In the cese ot work which roqulres a review and approval of plsr�s. �
''�
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139106
Date Issued:10/10/2016
Permit Category:ePermit
Site Address: 1295 Balsam Tr E
Lot:010 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-100
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 -
Jonathan Miller
1295 Balsam Tr E
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162582
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 1295 Balsam Tr E
Lot:010 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Jonathan Miller
1295 Balsam Tr E
Eagan MN 55123
(612) 749-0506
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature