1319 Balsam Tr ECITY OF EAGAN Remarks
Additi WILDERNESS RUN 6TH ADDITION Lot 1 eik _
Owner?.?;• ?•`. 1??:? r:? ;? U?i{'i > screet 1319 East Balsam Trail
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 A005731 3-27-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162.14 .?C&," 15 140.54 A005731 3-27-78
' STORM SEW TRK 197$ 277.38 ' S 277.38 C003482 -12-77
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC .-a -77
PARK
CITY OF EAGAN
3795 Pilot Kcwb RooE
Eagon-MN 55122
Zoning:
Owner:
Address- _
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Site Address:
Plumber;
Meter No.: -
$ize:
Reader No.:
1 agroe to eomply wit6 the City of Eagan
Ordinances.
By
Dote of Insp.:
p Z LtT! tit Y
Connection Charge:
Account Deposit: -
Permit Fee:
$urcharge:
Misc. Charges:
Total:
Dote Paid:
cirr oF EAGAN
3795 Pilot #-b Road
Fagan,'MN 5,122
Zonfng:
Owner: _ - - t`
Address:
Site Address:
Plumber:
I agree M eomply wif6 Fhe City of Eagan
Ordinanees.
R..
Date of I nsp.:
Insp..
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
TOtal:
Dote Paid:
CITY Of EAGAN
_ 3795 Pilot Knob Road Eagan, MN 55122 N2 4208
' PHONE: 454-8100
BUILDING PERIIAIT Jgp, o ou, Receipt #
To be used fer . r am 0- ' :? t t. [' a t' V'. Dcte
Site Address i.a=a? s:j ir• Erect [] Occupancy
Lot - Block - Sec/5ub. -= `'cne S5 (?utt E;. C. ": Alter ? Zoning
Parcel # Repair ? Fire Zone _
Enlarge ? Typs of Const.
oWC Nome •? ? "*?f' 4 '•. . ? `•til?hn s Move ? # Stories
3 Address Demolish ? Front ft.
?
Ci Phone Grade ? Depth ft.
? Name .. ? .. . ? Approvab Fees
o ' -
??
a Address
w
?- r:+., -
Nome _
Address
I hereby acknowledge thot I hove reod this opplication and stote that
the information is correct ond cgree to comply with all applicable
Stote of Minnesoto Statutes und City of Eagan Ordinances.
Signature of Permittee
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner _
Countil -
Bldg. Off. _
APC
Permit
$urcharge _ ? • = -
Plan check _
SAC
Water Conn. ' ? `? • ??''
Woter Meter ???• t''3
Total 920.50
A Building Permit is issued to: _ on the express condition that
all work shall ba done in accordance with all opplicable State of Minnasoto Statutes and City of EoSan Ordinanc?s.
Building
FMnM # Dab lawd hr?kfM
Plumbing ??9 77 ` •
Mechanitol _
INSPECTIONS DATE INSP. Rouqh-In Final
Footings Date Irap. Dats Irap.
Foundotion Plumbing
Fmme / ins. Mechanicul
Finol 1
Remarks:
cIrr oF E?G?N
3745 Pilet Knob Rood Eoqaw, MN 55121
PHONEs 454-8100
BUILDING PERMIT
To be used for Est. Value
SitB Addrm •• ii G 1 S:?. i
Lot Block ? Sec/Sub.
Porcel
oc Nome
W
z
Address
? _. -
w Nume
,o
?? Addre:
W
Nome
I hereby acknowledge that I have reod this opplication ond state that
Yhe information is correct ond agree to comply with all applicable
State of Minnewto 5tatutes and Ciy of Eaqan Ordinonces.
Signature of Pennittee
N° 4879
Receipt # _A?g 91
r"-._ 10
Erect ? Occuponcy
Alter ? Zoning
Repoir ? Fire Zone _
Enlarye p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Appro vala Faes
Assessment -
Water & Sew.
Poliu
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit _
5urcharge
Plan check
SAC
WQt@f COflfl.
Water Meter
Total
/1 Building Permit is issued to: on the express condition that
cll work sholl be done in accordance with all applicable Stote of Minnesota Statutes and Ciry of Eagan Ordinances.
Bullding Officiol
PureM # Oalr lasod hnMillM
Pi umbing
Mechanicol
INSPEGTIONS DATE INSP. Rouph-In find
Footings Dcte Insp. Date Irup.
Foundation Plumbing
Frome/ins. Mechoniool
Fincl
?
Remorks:
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RESIDENTIAL
BUILDING PERMIT APPLICATION d,
l?A CITY OF EAGAN 75
? 3830 PILOT KNOB RD - 55122
651-681-4675
v ConsW ction Reaulrements RemodeVRewir ReauiremeMs
3 registered site surveys showing sq, ft. of lat, sq. fl. of house; and all roafed areas . 2 copies of plan
(20%mazimum lot cove2ge allowed) . 1 set of Energy Calculations for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, alc.) . 1 site survey for e#erwr addilions 8 decks
1 set of Energy Calculations . Indicate'rf home served by septic system for additions
3 copies af Tree Preservation Plan if lot platted afler 711193 Rim Joist Deta7 Optiors selection sheet (bldgs witti 3 or less units)
?
4TE 1 1- O g '01 VALUATION 71? ?
)B SITE ADDRESS / 3/ J F. Adf S'ern ?'.¦ iz
MULTI-FAMILY BUILDING, HOW MANY UNITS?
;OPERTY OWI
PE OF WORK
{
'PLICANT
)DRESS
\GER #
_1 _2 _3
ZIPCODE 5`S/o23
Nr1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
=nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contwctor:
Plumbing Syslem Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Confractor.
_ Air Conditioning Fce: $70.00
_ HeaC Recovery System
Phone # n?i ?? I??f I ls I
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the inforn
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant/?j?!??
l
:rtificates of Survey Received _ Tree Preservation Plan Received
Water Softcner
_ Water Heater
No. of Baths
Phone #
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
is
Not
ply with
Updated 1101
CELL PHONE # FAX # 120-.3?2-c,7661
v
CITY OF EAGAN
_ 3795 Pilm Knob Read Eagan, MN 55742 N2 4208
: • ` PHONE: 454-8700
BUILDING PERMIT APPLICATION $500000. Receipt # 4-i2w- _
ro be used For Sine . Fam Dw12. 3 Att. Gare. Dote Jan. 21, 1977
Site Address 1319 E. _$a caLnTi. -_ Ere<t Occupancy
Lor 1 Block 3 Sec/Sub. Wilderness Run 6th qlrer ? Zoning _
Porcel .# - Repair ? Fire Zone
E
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t
5
n
arge ? ype o
ons
.
z Name ?amac W- HiiRhPC Mave ? # Stories
Z
0 Address Demolish ? Front 6$ ft.
Cit Phone Grode ? Depih 44 ft.
p
p Tilsen
Name Homes, Inc. ApDrovals Fees
ot
ur
Nome_
Address
I hereby acknowledge that I have reod ihis aDPlication and state that
the information is correct and agree to comply with all applicoble
Stote of Minnesota Statutes on?,1 City ?o/f Eagon Ordi? onces?.'?j
Signature of Permittee L?°-.I3Rb'"`°-_-?---°y-_-
Assessment -
Water & Sew.
Police -
Fire
Eng.
Plonner _
Council -
Bldg. Off. -
APC
Permit 14V -7v _
Surchorge 25,00
Plan check
snc 475.00
Woter Conn. 220,00
Water Meter 60.00
Toral 920.50
A Building Permit is issued ta: on the express conditian that
oll wark shall be ' acc danc i oll epplicable State of Minnesota Statutes and City of Eagan Ordirwnces.
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• 3795 Pllot Kno6 Road Eagen, MN 53113 N? 4679
PHONE: 4548100
BUILDING PERMIT APPLICATION rtecei
t #
p
To be umd for SW]'lll. p001 Est. Volue 7273 Dote 7/11 --, 19 7-
Site Address 1319 E. Balsam Trail Erect 6 Occupancy
Lot J_ Block ?.- Set/Sub. //? le j? YW` Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
w Name Jl?l E{UQtI@S Move ? .# Stories
3 ?re? 1319 E. B815ad1 pemlish ? Front ft•
? Ci a9an Phone 452-1028 Grade ? DePth fr.
? nn. g. PPOdUCtS Approvala Feee
ZF Name St. N.
?? Addre ? '
.
F r:?.. DM...,
Name _
Address
I hereby ocknowledge thot I have reod this application and state that
the informotion is correct ond agree to comply with all epplicable
State of Minnesota Stayt?ute and City of Eagan ODrdAira?nces.J
Signature of PermitteE `A?-??--?'?
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off.
APG
Permit °
Surcharge -
Plan check _
SAC
Water Conn.
Weter MeMr
roml 31.00
A Building Pertnit is issue ro: on the express condition thot
oll xrork shall be done ',6tcorda oll appliwble StaM of Minnewta Statutes and City of Eogan Ordinances.
Building Official '.??'?"e? --;. A -
?f -A yM
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BUZLDZPdG PERMIT APPLICATION
Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatiohs.
To be used for aluation
Site Address:
Lot Block Sec. Sub. Parcel Number /,,4 9Y_4?6'S jJ/O 03
uJ
n ??,?3 R ?-
Oamer l?(ir? (?yi?e&?&?J Telephone
Contractor ?j' ?
Address l,9;,t? -
Telephone 7 70 ' % 313
Arch./Eng.
Address
Erect
xlter
P.epair
Enlarge
Nbve
ilemoYish
Grade
OFFZCE USE
Occupancy _
Zoning
Fire Zone
Type of Gbnst.
fl of Stories
£ront
Depth
OFFICE USE
T)ate of Approval s Initial
Assessment
water/Sewer
Police
Fire
Enq.
Planner
Council
Bldg. Off.
A.P.C.
FEES
Pezmit '=?17 '""V
Telephone
Surcharge 7,
Plan Check
SAC ?
t4ater Mnn.
47ater Meter
TOTAL
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2005 RESIDENTIAL BUILDING PERNIIT APPLICATION 7V
City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcllon Reaui2ments
3 registered site surveys shmvirg sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 coples af plan showing beam & window sizes; pou2d found design, etc.
1 set of Eneyy CalCUlalions
3 copies o( Tree Preservatbn Plan'rf Iot platled afler 711f93
Rim Jo'st Detail Options selection sheet (buildings wM 3 or less unils)
RemodeUReoair Reauirements Otfice Use Onlv
? 2 coDies of plan Cert of Survey Recd _ Y_ N
7 set of Enertgy Calculafions for heated addilions Tree Pres Plan Recd _ Y_ N
?7 site survey far additions 8 decks Tree Pres Requlred _Y _ N
AddNOn - indkate ff on-sife sepfic sysfem On•sile Sepdc Syslem _ Y_ N
Date Construction Cost
Site Address
Unit/Ste #
Description of Work ])?'?e k?lw?l 4i T-tt3 aL'hO
Multi-FamilyBldg _ Y?-N Fireplace(s) ?01 _ 2
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Contractor
Address
State Zip ??! a 3 Telephone # (e-') t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
A
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
approval of plans.
? ??S f / ' i
(itL I "n .1 3icanVs Applica nYs Printed Namignature
OFFICE USE ONLY • A.
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 /X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ 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 ? 48 Windows/Doors
? 34 Replacement 'Demolitfon (Entire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy /3-3 MCESSystem -
Census Code 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) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Water
Roof AidGas Tests
Ftgs
Final Pool Final
?
_
Framing _ =
=
- Siding Stucco Stone Br ick
Fireplace
R.I. _ Air Test _ Final _ Windows
_
_
_ Insulation Retaining Wall
Approved By:
Base Fee ? '
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
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LAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118950
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 1319 Balsam Tr E
Lot:001 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-010
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
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 -
Richard A Mushel
1319 Balsam Tr E
Eagan MN 55123
(651) 688-7937
Ryan Windows & Siding
Box 5937
Rochester MN 55903
(507) 281-6363
Applicant/Permitee: Signature Issued By: Signature