1380 Balsam St E
CITY OF EAGAN Remarks
Addition Wilderness Run 5th Addition Lot 7 Blk 1 Parcel 10 84354 070 01
Owner ~L Wreet 1380 E. gal gam st. State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK da \ 1973 $132.60 $6.63 20 F,,7
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ij 1981 260.60 17.37 15 260.60 17005-540
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 3100 6-3-76
BUILDING PER. #3966
SAC $450.00 3100 6-3-76
PARK
CITY OF EAGAN
3795 POO Knob Read Eagan, MN 55122 N2 4 813
PHONE: 464-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Address Erect ❑ Occupancy
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name Move ❑ # Stories
3z3 Address Demolish ❑ Front ft.
i 6
City Phone Grade ❑ Depth ft.
p Name Approvals Fees
u< Adder Assessment Permit _
Water & Sew. Surcharge
city Phone
Police Plan check
~W Nome Fire SAC
Address Eng. Water Conn.
U13
aW City Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnescto Statutes and City of Eagan Ordinances.
Building Official
I
Per=* # Deft laced FWM*fte
Plumbing
4 Mechanical
INSPECTIONS DATE INSP. Rough-In Flnal
Footings Date Insp. Dote Insp.
Foundation _ Plumbing
Frame/ ins. Mechanical
Final
Ct Remarks:
G.4
VILLAGE OF EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Road PERMIT NO.: 1986
Eagan, MN 55122 DATE: 6/8/76
Zoning: R1I" No. of Units: 1
Owner: Maypll [lbnafn farm
Address:
Site Address: 1?BD F_ Ral sam 4
Plumber: Thompson Plumbing Co.
bO
Connection Charge:
ie er No. pd
~St Account Deposit -i6~
:
d er No. Permit Fee: 10.00 billed
I a ree to cum .50 #875
9'f y with the Village of Eagan Surcharge:
Ordinbfifaa~ 7 Misc. Charges b • d"d
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2744
Eagan, MN 55122 DATE: 6/8/76
Zoning: RII No. of Units: 1
Owner: Mar 17 (bns iqn
Address:
Site Address: 1380 E... Balsam St L.7 BI WR5
Plumber: Thompson Plumbing Co.
6/3/76 #3100 s100.00 pd
1 agree to comply with the Village of Eagan Connection Charge: 350.00 pd
Ordinances. Account Deposit:
Permit Fee: 10.00 billed
Surcharge: .50 #875
BY: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
/d C>7U 6/
CITY ".OF F.A'4N
lia~j,'`..r'1~
PEK4IT NO,:-_ 82
Tire City of Eagan hers y grants to gay N. Welter Heating
cf 4637 Chicano AVe,~~--------.----
Windsor Dev. Corp.
a HE rTwr. Permit for: (owner)_mgre0 'onst,
at 1-480 salawm rxaaa pursuant to application dated 4/30/76
Fee Paid: $4n-nn dated this ___~__day of _ May 1.00 s/c
Euildi-nrz Inspector
M=_chsnica.l- Permits:
Bic' Total :
CITY OF TAr.`QT -7 - /
3715 Pilot Urb H" ad rv2 ~Ems. ;n, Minnesota 55122
PAMIT 684
The City of Fagan hereby grants to Thosson Pl inQ Co.
of 12201 Minnetonka Blvd----
Windsor Dev. Corp.
a PLUMBING _ Pormit for: (Owner) Marell Const. .Co.
4373-Matcatf- 1380 1376. 136 yxnr BAlzam r_
at _ _ _ pursuant to application dated _6,(ZP16
Fail led
FeexBDOW _ 5100.00 dated this 8 day of June 1976 .
2.50 s/c
Eaildinm, Inspector
yachoni_cal Permits:
Bid Tonal;
/d o 6l
CITX Or EACnN
3795 P-- ct ' no r Hoed
<i;rnesota 35122
PE UvaT NO.:_ 55
The City of Ea.gar, hereby grants to Commers_Soft. SQmtax-Cb;
of 3801 California St. N. E.
a Water Sn an r_ Permitsfor: (Owner) M Schano anA S rang
44-69 Woodgate Ct. and
at Ffae~t?F_ nataam 5'r pursuant to application dated .--7 6//'rS
Pee Paid: $In_nn dated this __2glday of my ~~?a
1.00 a/c
Building Inspector
eenani_cal Permits:
Bid ToBal:
v
CITY of EAGAN N2 3966
BU LDING PERMIT
✓ ~ 3795 Pilo! Knob Road
Owner ...tG Eagan, Minnesota 55122
Address 454.8100
Builder . / JJ////JJ ~ c,~ ^7 f
Date
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Eel. Cos! Permit rot Remarks
LOCATION
Street, Road or other Description of Location Lo! Block Addition or Tract
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does It give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE_ Off/#//J~Fi PRE I WHILE THE WORK IS IN PRO
This is to cerlify, that---~'1'' ' / c..fl, haspermission !o exacta _upon
the above described prerru" subject to the provisions of all applicable Ordi a Ciiy of E
Per
Ma or Bui ding Impactor
DATE: .4
BUILDING PF TiTT APPL TC-?"' Y CHECK
Lot_ Bloc Ad ti w, i
Parcel and section mxr«er_
Stre:ot¢Z4Z,,,
Owner] / Address Tai-' _
Address Tell
Deve:Lcper
Zone-Crdin2.ce #52
Lot Size X Total area
11 Unp7.atted
Platted ____(11
Building Size X Total area
OccupancSr
Type of ccnst zction
Setbacks- Street sides Rear
Sides
Parking: Total area Total spaces
Park. o area setbacks-
Street side Rear Sidcs.~
Landscape approval _ Bond re;yuiredG~~~,
Special Assess: e*sts:
SAC charge C~ $450-00
Water area: W
Assessed Unassessed 04
If assessed: Con_nsctien charge
if unassessed: Connection charge
Lot di~-3sion- Q,
Additional assessments needed Not needed- _ "V
Laterals-
Assessed Not assessed
tdaiver of hearing-
Needed Not needed _
Assessment elk Water 3 Seiner Dept Building Dept
Police Dept Fire Dept (Comm • Ind only)
'.te Per.
c! vp
_ny.;.,rl
Ep I.. s
LANUSURVEYOR
Repistereo Under Laws of The 5tateof Minnesota
100A MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55058 ' • PHONE 612 423.1769
SURVEYOR'S CERTIFICATE
13- .
f Yap ,~nl i .
X217 i _ 2~ Ic 'vr cIry E't ~r 11
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r8 I So
1JT 7 ;3LA 1
C/o o
.j h i?':7J ..:"Y,`.. i}':86. I:: ?'V:f., v d r o:::"k`.Ct of lxyt
Bxr;C'T 1, WY DFRNF F R'.']'' FUrrfl .'•I'IT:TnNT, Pakat,, ,rskj4y.: `>'Tme.t30t.6.
Al-v rh<y.-,• n,, "o 1.L'C_;I 1Cf o`'7^JT r"oii l.o: and garaF ?.:lC V$U3S.
rf i f
MINWECOTA. EOI RAVK}%"s 5025,,-
MASTER CARD~~~
LOCATION /3 OWNE/~~//
STRUCTURE AND ~G►-' F
LAND USED AS
Issued To
Permit No. Issued Contractor Owner
BUILDING 2Q/~ '7
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ~j{1^j i•~s x
GAS INSTALLING --v--✓
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING Al-.>- 7~K SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
T
Violations Noted
on Back
COMMENTS:
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N2 4813
` PHONE: 454-6100
BUILDING PERMIT APPLICATION $1,000, Receipt #t~~10021
To be used for Deck Est. Value Date-_W=_3• 19 L8_
r
Site Address 1.380 F.. Balsam ~-,5T- Erect [ Occupancy
Lot 7 Block 1 Sec/Sub. wR 5th _ Alter ❑ Zoning R1
Parcel # Repair ❑ Fire Zone 3
Enlarge ❑ Type of Const. V
W Name Steve Deeg Move ❑ # Stories
Address 1380 E. Balsam-,';-a7Ac Demolish ❑ Front ft.
b Ci Phone Grode ❑ Depth ff•
Zo Name Sa _ _ APPr H Feea
ou Address Assessment Permit 9.00 _
VSa
t• Ci Phone Water & Sew. Surcharge) .00
Police Pian check
uW Name
KZ Fire SAC
RU Address Eng. Water Conn.
a W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APG Tatal 10.00
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Steve Dee
A Building Permit is issued g on the express condition that
oil work shall be done in ce wi I applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official . zr /n .4 -ati-
Date:
BUILD2IG PEFMIT APPLICATIO`_T
LGT / BLOCK Iff-I ADDITIMT,~
& SUCTION IMIMER IF U TPLATTED
-/_LOCCUPANCY / USE C%
-7 7IS - wo2k
J? 'r 2~ 1"~VC Dew ~T TELEPHONE NO.
5„ 3 $ U C- AS P 611 c-sq,=y S -rR-rat'" _
CC_' R:AC 0R S E CF TELEPHONE NO.
i.i)T'-RESS .
DTotes Include site plan, building plans, and energy calculations With
application
Signed~~-
OFFICE USE
'IALUi TIOII
c~
-7i.T7rPTG PEMIT FEE
.5'-
^TJRCs7rS.GE FEE
9=.Aa CTXPCC FEZ -
PARR DEDICATIOia FEE _r...__.,.. - . _
147 SST XNIT CLERK BUILDING DEPT. POLICE DEPT.
7.7TR & SZIFR DEPT. FIRE DEPT. PARK DEPT.
RESIDENTIAL
BUILDING PERMIT APPLICATION ) a`~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New construction Requirements RenwdelfReoair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE T` I I d VALUATION 5 loo - UC)
{
SITE ADDRESS BQj,SCX_M MULTI-FAMILY BLDG Y N
TYPE OF WORK - O FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT r
STREET ADDRESS U CITY 1 7 ATEMNP '521-]
TELEPHONE # (6*71)- 4`1~)(o- CELL PHONE # FAX #6 ~ n2k rn
(qeC(o4S ~~11
PROPERTYOWNER Gone :1)KY1npn TELEPHONE# (O!51.-4iti'A
r7 b-74
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RtiLF_S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No, of Baths ~10 CI 1
V
Mechanical Contractor: one Mechanical system includes: Air Conditioning P P~ 20u i Fee: $70.00
Heat Recovery System ~u
-
Sewer/Water Contractor: -Phone #
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 Ordiii nces.
Signature of Applicant , a
' - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
J~3 RESIDENTIAL WELDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reauirerna~ RemodiiVReoeir Requirements oft use only
3 registered site surveys shoring sq. R of lot sq. R of horse; and ill roofed area 2 copies of plan _ Can of Survey Reod
(20% maximum lot ooveWe allowed) 1 set of Energy Calculations for heated additions -Tree Pies Plan Reed
2 copies of plan shah beam & wmMw sizes; poured found design, at, 7 site survey for additions 8 dedo -Tree Pres Not Reqd
Iset of Energy Calculations Add&n-nMknailon-sdeseplicsyslem _on-site se*System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Ielad options selection ahead (bldgs with 3 or less units
Date ~3 / 0 ISO/ ~ Construction Cost Ul f~
Site Address _ ~ o Yl . L UnittSte #
Description of Work Undo") ffco a 0 D n 0 (A
Multi-Family Bldg _ Y j2- N
Fireplace(s) _ 0 _ 1 _ 2 l ,
Property Owner ~1 PEA c~Lt~ Telephone #
Contractor
Address F)Q ' LF _YN \`(A\ i l,1D .r~ City l~IT1:LE l C.1 V1lQ~.rYrl
State 1 ` 1 y Zip j Telephone # ((p51) 'Lle>6'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber ~~1 l7 I u 1 ~tI ~tl
Telephone; )
MAI? i 4 I Ljjl~
Mechanical Contractor Telephone;#(i )
Sewer/Water Contractor Telephone~#6
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 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
approv of plans.
Applicant's Printed Name App l c is Signature
' Z
2005 RESIDENTIAL BUDDING PERNIIT APPLICATION 3 I /
City Of Eaganv
3830 Pilot Knob Road, Eagan MN 55122 I
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _Y _N
1 set of Energy Calculations Addition - indicate ifon-sde septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan d lot platted after 111193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
~J f~ QV
Date / 72-1 M Construction Cost I V O
Site Address 13 8 d ~An~ 1q LS fi wl Unit/Ste #
Description of Work Re,- PL ACS DSC-k Cam/ `L LJ G i2 ~~k RD D l7_!~e -11- f 1 ~ y2 a(e
Multi-Family Bldg Gk),-14, Y Y N Fireplace(s) - 0 - 1 - 2 / r~
Property Owner V QMNSoi~ Telephone # (651) Q1-_ C 924-
Contractor LR✓L~M Of ~iZ~t`l s ~Fj~LI 255oiy>
Address KC ~i L ST~2 6), tZ / City w az;, O co o o
State JAI (~-i Zip 13 S 33 ( Telephone # ((d2) Xge7 --444 /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone )
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 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 o ork which requires a review and
approval of plans. ) n n 11n
v~ t t2 55 ten/ i n S `1 L
Applicant's Printed Name Applicant's Sia 5 D
L u
g i
v
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ;W 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 08-plex ❑ 18 Deck ❑ 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 ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
A 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy 7 - G MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs / Length Fire Sprinklered
Type of Const V i s Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) - Plumbing
_ Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco -Stone -Brick
Fireplace - R.I. -Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee i
Surcharge
Plan Review f Y ~P
MC/ES SAC
City SAC
Utility Connection Charge 4a
S&W Permit & Surcharge Lr
Treatment Plant
000
License Search J
Copies m I
Other
Total
L v
DELMAR H. SCHWANZ
LAND SURVEYOR
Registered UnOer Laws of The State of MinnesUta
IWA MAIN STREET P.O. BOX M o ROSEMOUNT, MINNESOTA 55068 s PHONE 612 423.1769
SURVEYOR'S CERTIFICATE
4
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~T~ ILL f3 N t 11~" a /
1Al~t L i7S 2 P; ~r a iJ N A ~n ar , I »T - F
FROM :SOLARIUM ZlLr'r r DESIGNSq FAX NO. :9524709370 Dec. 02 2005 01:05AN P2
EXISTING' RIM JOIST-,
L DGER BOARD-' 1
STEEL ANGLE--
6X6X3/8 X 12" !
EACH SIDE
i~
GREENHOUSE FLOOR
CHECK I
f E ~
VU.t.. I'-IIS POST MAY eE RE MOVED
AFTER 1NS7ALLING THE
NEW HANGER AT THE HOUSE
/2" DIA. X 3"
LAG @OLT'S EACH- (6) i /2" DIA.
SIDE INTO LECJGcr< T'HRU Q0? TS
lY°tCAL_, LCZl_QN
I neraby oartity that this plcn. apw~'. apt~an cr °
raport aaa prYbpurrJ yy mr o< antler my niract T.. wj~i'~jT
WWASIan and thot i am n EWr ragiatared NC91 ]Ng
.tdwiawswwa~_~oam
onginarr raWr the to" of *0 atata of - i'RPJEL'1: 1550 BALSAM :ASST
Minnaaoto; £AGAN, 5fN
GR!ENH0USE REASiCN FW POST REMOVE SKI
8amle S:rofi. P.E. ~ Cole A"iN: B~!IL R"%tjgN (SOI.ARIVM VC&ON)
aea No. Pr tr$aa
~ 39Cd ?805b5ti99 6i:BZ S@BLIb VII
f, For Office Use I
4 t -My of ~f Psrrnif#: I
(J i
1
3830 Pilot Knob Road j Permit Fee: 30
1 I
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 I Staff: 1
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
_7L
Date: 011 Site Address: l d~ I ~L1~ I' E
Tenant: _ Suite
RESIDENT 1 OWNER Name: G-QA- S~ Phoneke
Address / City / Zip:
CONTRACTOR Name: YVL6
License
[r[J:~
Address: 3 U
City: _c---1 State: Zip:
Phone: ta Contact Person: (,6Y\
TYPE OF WORK New , Replacement Repair Rebuild _ Modify Space Work in R.O.W.
1 ~ F
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ 1I PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $_50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 ' of to start wi out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval p s,
x x
Applicant's Printer! Name 'cant's gnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections- -Under Ground Rough-In Air Test -Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114462
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 1380 Balsam St E
Lot:007 Block: 001 Addition: Wilderness Run 5th
PID:10-84354-01-070
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 -
Gene Johnson
1380 Balsam St E
Eagan MN 55122
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature