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1265 Balsam Tr E C11 Y OF EAGAN WATER SERVICE PERMIT ;795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: Zoning: DATE: No. of Units: Owner: Address: Site Address: Plumber: i agree to comps, with the City of Ea 4an Connection Charge::' Ordinances, Account Deposit: Permit Fee: By Surcharge: _ Date of Insp.: i - Misc. Charges: Insp.:- Total: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N0. 4741 PHONE: 454-8100 , ri)tiCi. Receipt # BUILDING PERMIT To be used for } cS Gar,-, Est. Value Date April 1 ` , , 14 Site Address 1265 E. Balsam Tr. Erect m Occupancy Lot Block Sec/Sub. WR 6th Alter ❑ Zoning F.I Parcel 10 8=4355 230 0 Repair ❑ Fire Zone Enlarge ❑ Type of Const. rr Name Cary Houghton Balsam Move ❑ Stories z Address Demolish ❑ Front ft. 's o city Phone Grade ❑ Depth ft. °C Nome Approvals Fees 0 o" Address .1.,:. r Assessment Permit 01 City Phone Water & Sew. Surcharge 20.50 F~ Police Plan check F? Nome Fire SAC u1 Address Eng. Water Conn. <W 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 948. ^ State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Inc ° on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Penult # Dab laved penuittee Plumbing _Mechoniwl INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Inap. Foundation _ Plumbing - Frame/ins. ~/YF-)ff Mechanical Final I Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 i _ PERMIT No. r r Date: ?%pril 197' Receipt No.: 09782 Single I 1 ? s i I'ul: x.r. Trail Residential Site Address: Lot Block Sub/Sec. ViR 6th Multi Res., Comm./Ind. I Name ilsen EQIY. CS Inc. <<~ New/Alter./Repoir. 3 Address -;7)7 Snelling Ave. So. C Cost of Installation _ City 1 Paul 55116 Phone: Permit Fee 20 -00 Name xZL_..lph s Plumbinc Surcharge 0 x Add ss `)9 0 0 Keswick 1, ~ . C O V City 1 ! , Phone: TotoI - n This Permit is issued on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EA"N * 3795 Pilot Knob Road Eagan, Minmsoto 55122 Phone: 454-8100 PERMIT No. Date: Receipt No.: Single I Site Address 5 Ba ] a: ' T: a Z Residential Lot Block Sub/Sec.Wlz 6th Multi Res., Comm./Ind. Name e iionles TNew/Alter./Repair. ~ Address Cost of Installation City Phone: Permit Fee Name 1-der & So:~ n Surcharge Address V City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota S atutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Additio WILDERNESS RUN 6TH ADDITION Lot 23 Blk 4 Parcel 10 84355 230 04 55123 Owner'?ter Street 1965 East Ral-cnM Trai 1 State Eagan, Minnesota V Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 161.21 8.04 20 lo4-7q A007694 4-10-79 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA -341 1977 162,14 ,YD$$(T 15 1-29 74 A007624 4-30-79 STORM SEW TRK S 345.90 23..,Q6 15 299.7g A007694 4-70-79 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 0, 9613 1-12-78 BUILDING PER, -3U0.00 9613 SAC 4-12-78 PARK S , INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I Ia ' I, I h1 n. t APPLICANT: [ flfil ;t hl I t• tt`, i 1111 1 ~~1' i=rl~lf 1 hl+~ 111i[i1;I11'. l~tlN +,1it i d', t3-~1 'I PERMIT SUBTYPE: TYPE OF WORK: ~•1 1 . ~ , [ t~l, t I INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. I I MAI t f l'UM IIAMW; tI4A I i t F IL Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD [FIREPLACE I -FIREPLACE AIR TEST r- FINALPLBG FINAL HTG ORSAT TEST d BLDG FINAL 117 '?SMT R.I. -I • ,SMT FINAL j :FCK FfG 'ECK FINAL PLUMBING PERMIT DATE: 6/5/91 (U.G. SPRINKLER) RECEIPT: 013732 SITE ADDRESS 1265 BALSAM T_ ATT. Unit # Permit # 11 L 23 B 4 Sect./Sub. WILDERNESS RUN 6TH AFFORDABLE PLBG. & HTG.-936-0027 INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC > 61-0 "a-am INSPECTION DATE INSPECTOR COMMENTS Qs request vos9 months from ~ ~ 9886 Date of this Request 4-5-1978 P 1, as ®rLicensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: ~'a. 46 1 Street Address or Route No. 1265 Y Balsam dy SS 3 ` y CityEagan Section Township Range County Dakota Which is occupied by Tilnen Homes (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes U Ready Now ❑ Will Call EF Power Supplier Dakota Cty. Address Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License No. ALD5 (company Name) Mailing Address 12201 Mtka Blvd. Mtka (Electll I C tractor o wn king This Installation) y Authorized (Signature (Electrical BOARD contra Q®pI Owner Making This InatauaupnPhone No. 933.2521 ly This inspection request will not accepted cl the MA K State Board unless proper inspection fee is enclosed. rvunnesoia grace eoaru or necirimcy 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 G 94 a'7 ,REQUEST FOR ELECTRICAL INSPECTION 69886 t?~ECI 13EL-OW WORK COVERED BY THIS-REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range (C Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ on Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List Other ❑ ❑ ❑ erersj Otereers COMPUTE INSPECTION FEE BELOW 1 FHI Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Am s 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Ins coon Minimum fee Remarks Hall TOTALF Et6,!! 40,50 t, the Electrical Inspector, hereby cerf hat a vedrispection has been 99i~ade. (Rough-in) Date A/- - 7Y (Final) f Date j~,, a 7'7 This request void 18 months from ~I'I ;L3 RESIDENTIAL BUILDING ? Permit Application Jf I~~o3 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roofed areas 2 copies of plan -Cad of Survey Recd (201% maximum lot coverage allowed) 1 set of Energy calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition-indicate ifonsite septic system _On-site Septic System 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units c~ r Date S / 74 (J_2 { Construction Cost U U o Site Address 1 (off ~~1~_Q Nv ~C 9 C Unit/Ste Description of Work C___o Multi-Family Bldg _ Y _ N Fireplace(s) - 0 _ 1 _ 2 Property Owner , «Y 1~O V~o, t U T~ Telephone # ( ) Contractor n i V Y ~t U i (y p S ~1 X11 ~~i 0'f ~(S Address T Cj Isar City State _\~A -e_Y`sVYG U_& YYIU zip SQ i Telephone # 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 (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone Mechanical Contractor Telephone Sewer/Water Contractor Telephone # II I C (I 1 1' nro II I hereby apply for a Residential Building Permit and acknowledge that the infonLon-is- W ]ete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the-Sfffe 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.. f/ Applicant's Printed Name Applicant's Signature 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 ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex O 09 07-plex K 17 Garage ❑ 22 Porch/Adds. (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 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy U I MC/ES System Census Code N Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length 3 Fire Sprinklered Type of Const U r, Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final o C.O. Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. _ Air Test _ Final _ Windows Cnew/replacement) Insulation _ Retaining Wall Approved By Building Inspector - Base Fee Surcharge /8,Y 3 ~ k ~ ~ tf E Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 05i01/2006 1248 EAGAN ENG+OOM DEV 507 334 6972 NO. 028 D01 QEAk.. QQppERTY LrvE I I k n I N~hl GAR AG~ s ~ No SCG\t~ i I LiN~ /af„ a dr9C1/Y~ q 66106 LOT BLocK f ` ! 'Pi n-r r aN SITE PLAN (q 1265 East Balsam Trail Eagan MIN. x;10 - L e / W ' F m - - - - ro / 401-0 \VLk I~ 49 J 74'-l 112„ 25'-~0 7J2' s FRONT PROPERTY LINE CcuSLks b1. C-bov-*- 0Lc1 _~§n w - 3,00.3 RESIDENTIAL ~-O-j-Q ° BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Requirements Remodel/Reoair 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 shoving beam & window saes; 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 plafted after 7/1/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE BAY 'LOO -3 VALUATION O Z ~L'000 " JOB SITE ADDRESS_ /Z t S EAST Age-sAtif r2,9-/e, IF MULTI-FAMILY BUILDING, HOWL~ /MANY UNITS? PROPERTY OWNER- add Y /-7O&L69-7oA/' TYPE OF WORK CHAR 46rC4AQ/T/oN FIREPLACE(S) ✓0 _ 1 _ 2 APPLICANT 1VC-2 C/TY /3y/egF/2 - 1c4zg0/terS,Tiue PHONE# Sol-GNS`~S3 ADDRESS 100. 0OX -7 1Y 6&S7 ANO /qr"v^;p ZIP CODE s0,S3 PAGER # CELL PHONE # FAX # Sol- ,334-&~9a NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Ballls Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning ree, --1 0.00 Heat Recovery System Sewer/Water Contractor: P uEne!WMI 5 2002 11 1 All above information must be submitted prior to processing of application. By - 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 Eaga rdin s. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 2002 05/01/2006 12:46 EAGAN ENG+COM DEV + 507 334 6972 NO.028 D01 qp .PEAR. La4c~l~lERTY LrvE I k JAL fy uNr ; , n ~ n N ~ n I P,QovEervt~ I ~Pi 6U 'CP. ga/)n 3 !!~MWEaaT a BLoek Q 1 13Y c Ldch~n2o~ `P~~ L G ~ OATE e ;c'`' TJNG INGPE TIONG DEPT ca.2nJ ~lom~A, ~n e, k rkONT'„pa ~E2TY _ dbig !45 "PI nT -Pi AN 3 RESIDENTIAL '-A 3 BUILDING PERMIT APPLICATION 5 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements Remode lRegalr Requirements • 3 registered site surveys showing sq. N. of b6 sq. ft. or house; and all roofed areas • 2 copies of plan 4.7 (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 Oetail Options selection sheet (bldgs with 3 or less units) DATE 7-4Z--12a VALUATION IjO t)56 SITE ADESS JaZ .,E -ff& 2&d y MULTI-FAMILY BLDG _ Y N RIV TIYQP11E~0 O ~D i a, q5" FIREPLACE(S) _ 0 X 1_ 2 APPLICANT IdDo.-T'Acz STREET ADDRESS CITY ;V16 STATEAW ZIPS32?7 TELEPHONE # ?_52Z07- S9 CELL PHONE # FAX # -e" PROPERTY OWNER llf (A /I TELEPHONE#~iSL~/S~/l~ ~9Ls~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MIINNESo'rA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _~n) Plumbing system includes: _ Water Softener Lawn Sprinkler - lee: 5 90. 00 Water Heater No. of R.I. Baths 1111 17 2002 No. of Baths Mechanical Contractor: Phone # By .VIcch.utica Scstent includes: Air Conditioning Fee: 570.00 Heat Recoccry Systcm 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 Ordinanc Signature of Applicant Ku X' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 3'02 r. 4W z /o '6 q 6?E1902 oleoOERTY LwE I I I ~ LJNE~ i ~ S& I ' ~ / a2 6 LINE ~ I LOT OLac k t`E u~~/~ . n.eo jylue, rllonc r ?AopFrLTY _ LINE (PLOT -4 LAN CITY OF EACRAN 3795 Pilaf Knob Road Eagan, MN 55122 Ir9 4741 PHONE: 454-8100 BUILDING PERMIT APPLICATION $41,000. Receipt # 9613 To be used for SF Dwlg. & Garg. at. Value not, April 12, 19 78 Site Address 44 1265 E. Balsam Tr. Erect ® Occupancy I Lot 23 Bloh Sec/Sub. WR 6th Alter ❑ Zoning Rl Parcel # 10 84355 230 04 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V w Name Gary Houghton Move ❑ # Stories z Address 1265 E..Balsam Demolish ❑ Front 58 ft. City Phone Grade ❑ Depth - 44 ft. o Name TILsen Homes, Inc. Approvals Fees o~ Address 627 So. Snelling Aye. Assessment Permit 118.00 _ u~ city St. Paul, Mit Phone Water & Sew. Surcharge 20.50 Police Plan check ww Name Fire SAC 500.00 Address Eng. Water Conn. 2 0 00 aZ" city phone Planner Water Meter 60.00 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 g0'_ State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Tilsen Homes+ Inc. on the express condition that all work shall be done in accord ~~~qqq wit all ap Able State of Minnesota Statutes and City of Eagan Ordinances. Building Official Q~ P~5 io2.. A i~ DATE BUILDI14G PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. a0 To be used for Valuation '`6/000 Site Address ; /2 6 c 1,3,a za o- ~3 Lot Block / Sec. /Sub. Parcel Number 1,4 6-0 a3D D 5f Owner . OC ~uLp C C,fJ/ LC ~7? / Telephone Address' U MA06 a c L~ / / Contractor J)tjrl, Telephone Address J' G Arch./Eng. Telephone Address OFFICE USE Erect Occupancy / Alter Zoning f~l Repair Fire Zone Enlarge Type of Const. V Move # of Stories it Demolish Front 6-V Grade Depth yy OFFICE USE Date of Approval & Initial FEES . Assessment 2 ~J7~ Permit / Water/Sewer Surcharge Police Plan Check Fire SAC Sa c Eng. Water Conn. 4?S'6) Planner Water Meter O council Sty Bldg. Off. f( A.P.C. TOTAL - (J /I Cities Di ig tal Quality 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. f • ; ~ ^ il, a y~ .a+r.,~+w...~~' • .v 1 '",a • (TO bo iabstitted. with buIMISS ~r . eAtl~ - .I; 110< tiro goodly err,llffaqOmer lf~e ,1, site 4"rew~~ V.n&Bteot" e Data Pbew a~ 6 340" BT. C7 , . TOTAL 1~OS>m r :*W_M NALL CO:;STMXTWN: "U" vniua R nr~o t' .:v" II Oqo it, I,JA ft. ICI S, 1 skE4AU reform es 'Illy„ u oq. ft. ftrra eq, ft.L.. ft, "a eqo ft. - t" _.~II sq. !t. m i°: it `Ir VALUE R Arno w ` s w ft. 4:2 -1 ra , AJ- sq. f t. rq.lQ. ;Ayr f" typo qi ft. 3 t_2Au oq. ft. 1-7. ;z Oqo last. TOT" .E~ or 1co,~ ?oa r~..:~ " k ~3L'~ 'fin e y~ `'>£2 OQa ft. C "9 ~ f' O ft"'!~~~1!!S~1 i~rm8 n R - __~_~z yn~~~•s~ sq. Sto -i fto r eeIa s a . t 14'2. x . m ° 04 s~ In, . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan; Minnesota 55122-1897 Permit Number: 0 2 7 8 5 2 (612) 681-4675 Date Issued: 06/12/96 SITE ADDRESS: 1265 BALSAM TR E LOT: 23 BLOCK: 4 WILDERNESS RUN 6TH P.I.N.: 10-84355-230=04 DESCRIPTION: (ROOFING) Buildin§~ Permit Type SF J(ASI~£~) pBuilding Work Type REPAIR ''-Census Code 434 ALT. RESIDENTIAL z l Al t ? ' r .,'i REMARKS: STORM DAMAGE - NO FEE FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: OVER THE TOP ROOFING 14584133 2006067 HOUGHTON GARY 9120 JAREAU AVE S 1265 BALSAM TR E COTTAGE GROVE MN 55016 EAGAN MN (612) 458-4133 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 Mn. L Statutes and City of Eagan Ordinances. APPLICANT/ ER WI TEE SIGNATU ISSUED BY: IG URE T~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (f y~j~LC~ 1qt611996 BUILDING PERMIT APPLICATION (RESIDENTIAL) UvV 681-4675 New Construction Reauirements Remodel/Repair Reaulrements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured find. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 7 energy calculations ♦ t energy calculations for heated additions ♦ 3 copies of tree preservation plan N lot platted after VIM required: _ Yes _ No DATE: CONSTRUCTION COST: 7J DESCRIPTION OF WORK: I I-'? Off ? 'f r0 ° f STREET ADDRESS: S , Ac, (S)lR ~ L ~ LOT BLOCK SUBD./P.I.D. #:/AAG~DI(/1V~A '\111 0` PROPERTY Name: (4,,,k Phone OWNER MST Street Address: 126S . I:L I LI AZ City: GAS 5 State: r Zip: Ai cyo -65' 3 3 CONTRACTOR Company: eo~~(rn~ Phone 4/J_ g' Street Address: 2.0 Jo rPa u Q ve So License City.. C o 6 $e G y o ~e State: 1r Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state thaation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Receipt # e 43 713.2 Date (eIZO/ Permit # - Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. - Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). - Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. WORK DESCRIPTION ) COMPLETE THE FOLLOWING: vu, NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON A SHOWER 3.00 REPAIR ^ ~C WATER CLOSET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: E Ipt ~~dn~ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 SITE ADDRESS:- Z~S 3~ls~~n jr(4+(_ HOT TUB/SPA 3.00 " WATER HEATER 3.00 LOT: d-1 BLACK SUBD. LC/JA&0gtt& 6 FLOOR DRAIN 3.00 GAS PIPING OUT. ' INSTALLER: _ t41=C>Rt)a~~E llld 1c r(MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS:- ZLO 2 OTHER _ _ WATER SOFTENER 5.00 CITY: 5-'(cu S P AO( IV A) ZIP: PRIVATE DISP. 15.00 PHONE 16 2'7 X U.G. SPRINKLER 3.00 SUBTOTAL $ C ~l ST. SURCHARGE .50 S GNATURE F PERMITTEE TOTAL: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) CITY USE ONLY PERMIT U ' RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3630 PILOT KNOB RD IrAHAN MN 55182 651-661-4675 Please complete for: ➢ single family dwellings r~ townhomes and condos when permits are required for each unit Date: SITE ADDRESS: ~'~L(QS0.5G1 \ C ~r OWNER NAME: I O TELEPHONE M ] S S C( INSTALLER NAME: TELEPHONE M STREETADDRESS: CITY: ~O STATE: ZIP: ~U Place a check mark next to the permit work type Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: 'R p D~Q P, ~~q,,j C~ State Surcharge $ .50 Total $ .5C7 I = 0F PERMITTEE U02 Use BLUE or BLACK Ink I For Office Use I I n My I Permit ~F~ of Eapn I I Permit Fee: 3830 Pilot Knob Road I I I Date Received: Eagan MN 55122 j Phone: (651) 675-5675 I l Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: G~ L\ \ l ~ Phone:' RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor i TYPE OF WORK Description of work: 'al ' Construction Cost: s Multi-Family Building: (Yes / No f2 0 Company:, \a- Contact: - Address: 3A"[ City: r t il_' Off CONTRACTOR ' State: lt Zip: Phone: License 1 d Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 $ Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org 1 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. Exterior work authorized by a building permit issued in accordance with the Minneso State Building jCodeust be completed within 180 days gf permit issuance. x x. l' Ap li t' anted ame A plicant's ignat Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA112561 Date Issued:08/19/2013 Permit Category:ePermit Site Address: 1265 Balsam Tr E Lot:023 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-230 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 - Gary D Houghton 1265 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA119971 Date Issued:01/07/2014 Permit Category:ePermit Site Address: 1265 Balsam Tr E Lot:023 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Gary D Houghton 1265 Balsam Tr E Eagan MN 55123 (651) 454-6913 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135923 Date Issued:04/12/2016 Permit Category:ePermit Site Address: 1265 Balsam Tr E Lot:023 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - Gary D Houghton 1265 Balsam Tr E Eagan MN 55123 (651) 454-6913 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:EA157806 Date Issued:09/09/2019 Permit Category:ePermit Site Address: 1265 Balsam Tr E Lot:023 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-230 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Gary D Houghton 1265 Balsam Tr E Eagan MN 55123 River City Builders Millworks 98 Main St P O Box 7 Nerstrand MN 55053 (507) 645-0551 Applicant/Permitee: Signature Issued By: Signature