1438 Balsam StCITY OF EAGAN Remarks
d Street ?
Blk 5 Parcel 10 248$0 090 05
St. statP Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 175.00 8.75 20 Pa.'L(].
SEWER LATERAL
1 240,00 8 ao 4
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 • 3250 2-1 - 1
BUILDING PER.
SAC
PARK
i ? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 '
BUILDING PERMIT Receipt # ' -
To be used for CAFA('E Est. Value ttij Date , 19 ``
Site Address 1438 &4LSAN S?
Lot 9 Block 5 Sec,%Sub. t•`vTxtuREE'; OFFICE USE ONLY
Parcel No.
Occupancy
FEES
Zoning
W Name i''OYi{PU£P (ActuaqConst V+' BIdg.Permit 1'2•oo
o Address 1438 RA T C A'.' : (,allowable) V-??
e
S
h j? p{?
City E"41GA1' Phone # of stories - urc
arg
16, Plan Review
Length
p Name ?????, ?,A'f., Depth 2: City
SAC
z
00 Address 439o ??flr' i?i? S.F.Total ,
=
, MCWCC
SAC
CI? ??t Phone 454-3196 S.F. Footprints
Water Conn
On Site Sewage _
?
yVj
Name
On Site Well
-
Water Meter
W
~
=
Address MWCC 5 stem
y
-
U Z
Q W
City PhOn2
Ciy Water
_ Acct. Deposit
SiW Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the Boaster Pump S.,W Surcharge
Information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City,of ?agan Ordinances. Treatment PI
i ,
Signature of Permitee 11
APPROVALS
Road Unit
i
k.A??.ti
A Building Permit is issued to: NA lkAI"1
Planner
-
Park Ded.
on ihe express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota StaWtes and City of Eagan Ordinances. g?, pry. _ Copies
8uilding Official Variance - TOTAL $ S•001
Permit No. Permit Holder Date Telsphone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTFIC
InspecNon Date Insp. Commenta
Footings I
?
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Hig.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr.rPlan
Bidg. Final
Deck Ftg.
Deck Final
well
Pr. Disp.
? CITY OF EAGAN
3830 pilot Knob Road, P.O. Box 21-199, Eagan, MN 55921
PHONE: 454-81 UO
BUILDING PERMIT Receipt
^p S.; y -;!_
To be used for Est. Value Date J iINL .5
Site Address 1438
Lot 1= Block
Parcel No. BkLjA?,-4 `T
.
Sec/Sub. ?Vr:k!"RL'r:W ?Z21
W Name "[.OX"
' klEk-0
)
? Address 143H 1lAI.:;;AAf :;T
? City C•+GA Y Phone
?
D Name NAi iiAN PARN
o
u< Address DoDn Pr
u
? City Phone 146
Name -
Address
Cilty -
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued io: VHAV
an the express condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Occupancy
Zoning
(Actuap Const
(Allowable)
# ot stories
Length
Depih
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
OFFlCE USE ONLY
.?_
FEES
_ Bidg. Permit
- Surcharge
P{an Review
SAC, Ciry
- SAC, MCWCC
Water Conn
- Water Meter
Acct. Deposit
S/W Permit
Booster Pump - SrW Surcharge ?
7reatmenl PI
APPFiOVALS Road Unii
Pianner - park Ded.
Council -
BIdg.Ofi. _ CaPies i
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUM8ING
H.V.A.C.
ELEGTRIC
Inspection Date Insp. Comments
FooSings f ? .?
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Firaplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
peck Ftg.
Deck Final
WeU
Pr. Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
oWO.= C...w?-
.'..........'..' ............."......y......................................................
.._"
Address (Preaeni) ---........... -._......_...
Builder
Addreu ......
lv° 2386
Eagaa Towxuhip
Town Hall
DB,e :;??...................
:....
BSOSias To Be Uaed For Fron! Depih Heigh! Esl. Cos! erml! Fee Remarka
s?( cf ZL v1 `, i-e-e a3 /• `-` ?°'?-c?c.L. ?
` LOCATION 6fseei, Roe6 or olheL Deseziplloa of LoeaIiOn I Lo! I SloCk I ACdifion os Tsae!
This pesmit does aot aulhorise !he vse of slseels, roads, alleys or cidewalks nor does [t give !he owner or h[s egan!
!he righ! !o creafe aay siiuafion whieh is a nuisanee os which presenls a hasard to !he healSh, safefy, canvenienea and
general welfare !o anpone in !he Communifp.
THIS PERMIT MVST SEx?[?T ON THE PREMISE WHILE THE WORK IS IN PAOGR
This is !o cerfifp. !he!""w?........_.---..----_..??.^-?.._-?c?......--_-....hes pezmission 3o ereet a-_---'. ...'---------- ".. upoo
---....._.._
!he above described premise eubjeat fo !he provisioas of !he Building Ordinanea for Eagan Townehip dopted April 11,
1955.
.................................. ....° . ....._..?.:..../..?..?.--°'t--
.t..... Per ............................... ?.`.`._.....Q........-..?...:°Y:?. _.............
Cha rman oE Town Board Huildin Ins ecloz -61
?
MASTER CARD
• LOCATION
OWNER
STRUCTURE AND
IAND USED AS
u
C?
?
.J' 1r 'L.?
Permit
No.
Issued Issued To
Coniractor Owner
BUILDWG 23g
6 ???? I YIIrI?•?, I
PLUM8ING
CESSPOOL - SEPTIC TANK 7
?
WELL I
ELECTRICAL
HEATWG
GAS INSTALUNG
-
SANITARY SEWER 'n'
F
.?? S %?S•,? 1
OTHER -
-
67Y y ?
I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTWG •
SEPTIC
FOUNDATION i
CESSPOOL
fRAMING i
-r-N TILE FIELD FT.
FINAL
ELECTRICAL -
HEATING
rr>
?.? DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELO
PLUMBING
WELL
SANITARY SEWER
.
-1?-
Violations Noted
on 6ack
COMMENTS:
.
EAGFN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Februarv 19, , 1971
Billing Name:Tilsen Construction Co.
Owaer• same
Plumber: Luecken Excavating
.0--pT2/19/71
Connection MeteY Size
G,96d? H
Meter No,i,?,49,fga6
Pexmit Fee 10.00_pd 5/13/71
Meter Reading ,Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO I Total Chg.
Building is a:
Residence x7ac
I2ultiple Ao. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Number: 542
Site Address: 1438 Balsam Street 9-5-Evergreen Pk
Billing Address
iNSi,tiLLLD f:IETFR$.
Hq:
Chief iaspector
In consideration of the issue and delivery to me of the a6ove permit, I
hereby agree to do tte proposed work in accordance with the rules and
regalatious of Eagan Township, Dakota County, esota.
By.
Lveckea Excavatiag
Please notify the above office when ready for inspection and connectiou.
t ,;.
EAGEiN TO[dNSHIP
3795 Pi1ot Knob Road
St. Paul, Minnesota 55111.
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: February 19, 1971
OWNER: Tilsen Construction
PLUMBER Luecken Excavatixig
NUUMBER 701
Address 1438 Balsam Street 9-5 Evergreen Park
TYPE OF PIPE cast iron
DESCRIPTION OF BUILDING
Tndustriall Commercial[ Residential I Multiple Dwelling I No. of units
Location of Connectfone:
Inspected by:
Date
Remarks•
Connection Charge
Permit Fee 10.00 nd 5/13/71
Street Repairs
Total
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Toc•mship, Dakota County, esota
By??
Lueckea Excavatiag - Lorae L. Gallati, Jr.
No. St. Paul 55109
Please notify when ready for.inspection and connection and before any portion
of the work is covered.
CITY OF EAGAN N? 16617
3830 PiSOi Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE:454-8100 4??
BUILDING PERMIT Receipt # T ?
To be used for GARAGE Est. Value $6, 000 Date 19
Site Address 1438 BALSAM ST
Lot 9 Block 5 SeclSub. EVERGREEN PARK OFFICE USE oNLY
PefCBI NO. Occupancy M-1 FEES
Zoning
w Name LLOYD HEUER (pduap Const V-N Bldg. Permit 82.00
; _
Address 1438 BALSAM ST (niiowaeie) V=N
3
00
0 .
Surcharge
Clt EAGl1N PhOnO
y # of Srories _
16 ' Plan Raview
Lenglh
o Name-NATHAN RAHN oepm 24' snGCiry
i
?¢ Address 4390 DODD Rn sF.rowi -
1- City F.AC:AN Phone 454-3196 S.F.FOOtprints _ SAC,MCWCC
`Nater Conn
On Site Sewage -
Fw Name On Si1e Well - Water Meter
?a Addf2S5 MWCCSystem -
aw
Cify PhOIlO
CiryWater
_ Acd. Deposit
S!W P
i
PRV Required _ erm
t
I hereby acknowlege thal I have read ihis application and state Ihat the Booster Pump - SiW Sumharge
information is correct and agr to comply with a applicable State of
Minnesota Statutes and C? it?p( ganOrdi ance .?
`'?A Trealmant PI
SignaWre of Permitee ?? , 4 ?
? APPpOVALs Road Unit
NATHAN RAHN
A Building Permit is issued to:
Planner
-
pazk Ded.
on Iha express condition ihat all work shall be tlone in accordance with all Council
applicable State of Minnesota SlaWtes
and
City
o
f
Eagan Ordinances. Bldg. Off. _ Copies
I
?
?
?.
11 {
BuildingOtticial ?-N.?1 _DIl.l.l yy 111 Variance - TOTAL 85.00
v
SINGLE F9MILY DWELLIBGS
2 SETS OF PLANS
3 REGISTERED STTE SOR9EYS
1 SET OF EAEAGY ClLCS.
1989 EIII[.DZ6G PERMTT 1lPPLICATIOB
CTTY OF EAGAN
?
'GS ?
2 3ET3 OF PLAN3
REGISTfiAEB 3ITS SORVEY3 -
(CHM iiITH HLDL# DIV.)
1 SET OF ENERGY CILCS.
00M8lEACIAL
2 SETS OF IRCEITECTURAL
6 STHQCTOAAL PLANS
1 SET OF BPECIFICATIONS
1 SET OF EAEAGI CALCS.
lIULTIPLE DHELLINGS RENTAL DNTTS POA SALE ONITS # OF UBITS
B01'Es IDDRESSES FOA CORIQEA LOTS - COATRACfOA/SOMEOWNER !lQST DFSIGNATS iiHICH iDDAFSS
I3 DFSIAED. NO CS9NGFS WII.L BE ALLOiiED ONCE BOILDING PfiRMIT IS I330ED..
SEWER b F1TER PEAHIT FEE4 iND ICCDDNT DEPQ3IT F6ES IiII.L Bfi IliCLUDED 41ITH THE BOILDIN6
PEHHIT FEE. PROCES3ING TIME FDA SEWEli lAD W9TEA PEAMSITS IS TiiO DAYS ONCE A PERMTT HlS
HEEN CAMPLETED INDICATIPG A LICEtiSED PLLMER.
PENALTY APPLIES WHENs PERMIT IS NOT PAID F'OR IN S9ME MONTH I1' IS REQUESTED.
LOT CHANGE IS RERUESTED ONCE PEAMIT IS ISSUED.
A-1 i q:?:,H E717 J U N 0 6 5989
/ p
To Be Used For: r [,, V' a Qt_ Yaluation: W Date: ?P 0 p
Site Addres4y3Q ?a LS a-? f
,EVeK y re.e - P wIC ?;' .?
Lot ?? Block S
Parcel/Sub
?A??? .... ?....
Oecupancy M -I
Zoning
Aetual Const v-N
Allowable V-N
E of stories
Length ?
Depth 2V?
Osmer L,( P t1 e
Address Iy38 10S4m5f
City/Zip Code
Phone
Contraetor Al G.'T"L\ aw &u L. ti _
Addrese Y3 1a n o JJ (? d
City/Zip Code Ea?ry.,,
Phone y-P4 - 3 9 G
Arch./Engr.
Address
City/Zip Code
S.F. Total
Footprint S.F.
On aite aewage_
On site vell _
NWCC System _
Citq water _
PAV required _
Booster Pump _
FFf.S
Bldg. Permit 2-5L.af.7
Surcharge 31
?
Plan Review
SAC, City
SAC, MWCC
Nater Conn
Water Meter
Acet. Deposit
S/W Permit
5/i1 Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
3IIBTOTAL
Penaltq
TOTAL
uouneu
Bldg. Off.
9ariance
Phone 4
CITY OF EAGAN N? 16579
3830:Piiet Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100 G
A
BUILDING PERMIT Receipt # ?
6
GARAGE
To be used for FOUNDATION Est. Value Date JUNE 5 ,1989
Site Address 1438 BALSAM ST
Lot 9 Block 5 SeclSub. EVERGREEN PARK OFFICE USE ONLv
ParC@I No. Occupancy _M-1 FEES
w LLOYD HEWER
Name Zoning -
(ACWap Const
Bldg. Permil 1 5_ 00
Address 1438 BALSAM ST -
(Allowable) -
o Su¢harge
City EAGAN Phone # or stories -
ib' PlanReview
Lengih
F Name NATHAN RAHN Depth 24? saGCiry
i Address DODD RD S.F. rotai
Uw SAC, MCWCC
City EAGAN Phone 454-3196 S.F. Footprints _
t
r C
W
On Site Sewage _ onn
a
e
?
F w
Name
On Site Well
W
t
M
t
??
Address -
Mwccsystem - a
er
e
er
¢w Cit Ph0llB
y Ciy Water _ Acct. Deposit
PRV Required - SNJ Permit
I hereby acknowlege that I have read this application and state that ihe Booster Pump - ShV Surcharge
information is correci antl agree to compty with all applicable State of
Minnesota Statutes and City of Eagan O
rdinan?ce
s. Treatment PI
/
j
Signa[ure of Permitee I76 p4^ ?,n V4,.Z' T fF N/ APPROVALS Road Unit
A Building Permit is issued to: NATHAN RAHN Planner - park Ded.
on the express condition that all work shall be done in accordance with all Councii
applicable State of Minnesota Statutes and Ci of Eagan Ordinances. gid9, pry, _ Copies
Building Ofticial ' .FA(n ,?
r ? Variance _ TOTAL 15. 00
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795-8ilonknob Road PERMIT NO.: 2074
Eagan. MN 551I2 DATE: 11 /c/76
Zoning: Qr . No. of Units: 1
Owner: MARH'iL CON4TRTirT7(1N rn
Address:
Site Address: r
Plumber: Thompson P i q Co.
M ter No.•?'
Connection Chazge: 229 00 od
Account Deposit
Readet No.:
Permit Fee: -10. 00 bi7 7 Ad 1024
I ogrge to compi wifh The Vilbga of Eogon Surcharge: .50
d'?b Misc Chargesl'Q- A-O
J Total:
?
g' !
i Date Paid:
Date of
p.: Insp.:
VILLAOE Oi EAOAN SEWER SERVICE PERMIT
9795 G7otlf.nob Raad PEAMITNO.: 7824
eo9an. MN 55122 DATE: 11/9/76
?°ny°g; RI No. af Units: 1
Jwner: H'arell Construction Co.
- lddress:
:ite Address: 1370 E. 13alsam St. 79 Rl 4JH ith
'lumber: Thompson Plum}:,ing Co.
11/4/76 44500 100.OD pd
09hbe to wmply with Nha Villaga of Eayan Connection Chazge?50' Or) Pd
4dinonua. Account Deposit:
Permit Fee: 1Q.00 k;illed 1024
Surcharge: •50 billed
y° Misc Chargea:
ate of Insp.: Total:
]sp.: Date Paid:
1989 BiTZLDI9G PERMTT APPLICATION
CITY OF EAGAN
I4Sfi4
SIIiGLE FAMILY DiIELLINGS
2 3E'fS OF PLANS
3 REf3ISTERED STTE SORVEYS
1 SET OF ENERGY CALCS.
!&JLTIPLE DiiELLINGS
2 36T3 OF PL9NS
HEGI3TSRED 3ITE 3Qt1VEY3 -
(CHECg i12TH HLDG DIY.)
1 SET OF BRSAGY ClLC3.
COMEgRCIAL
2 SETS OF ARCHTfECTUAAL
8 STHOCTURAL PLINS
1 SET OF BPECIFICATIONS
1 SET OF F.NEBGY CALCS.
MULTIPL6 DAELLINGS BENT6L UNITS FDR SALE D82TS • 0F DHITS
rOTEs ADDRESSES FOA COAHER LOTS - COATRlCfOaBOMEOfiNEA !lOST DESIGN9TE YHICB ADDAFSS
IS DESIRED. NO CSAttG£S WILL BE lLLOiIED ObiCS BOILDING PERMIT I3 I3SITED..
SEfiER 3 R9TfiR PERMIT FEES lND ?CCOQNT DEPQSIT F6ffi IiII.L BE INCLDDED iIITB THE HOILDINa
PEAMIT FEE. PAOCFSSIBG TIME POA 3ENER AAD ii9TEA PEAMITS IS TiiO DAYS OACE A PERMIT HAS
BEEB CAMPLETED INDIC9TIAG A LICENSED PLIMBER.
PENALTY APPLIES NAENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQ[TESTED.
LOT CHANGE IS AEQQESTED ONCE PEflMIT IS ISSIIED. -
rDtiNr7NT70N
To Be Used For: Valuation/li?-=-9 Date: JuNE S, l:+?
Site Address OFFICE 03B DNi.T
Lot 0 Bloek 1 _
Yarcel/SuD
Ormer
Address ! 4 3
City/Zip Code Ea.Z?--,t
Phone
Coatraetor
Address
City/Zip Code L+ va-,., /Lry.,,
Phone +-? Sg- - -3 l ? ?,
lrch./Engr.
Address
City/Zip Code
Occupaney M -1
Zoning
Actual Const
Allowable
t of stories
Length ?
Depth Z4 `
S.F. Total
Footprint S.F.
Ori site sexage
On siEe well _
MWCC System _
City vater _
PAV required _
Hooster Pump _
EPPROVALS
Planner _
Council
Bldg. Off.
Variance
F'EFS
Bldg. Permit )5
Sureharge
Plan Review
SAC, City
SACO MWCC
Water Conn
Water Meter
Acet. Deposit
S/H Permit
S/ii Surcharge
Treatment P1.
Road Onit
Park Ded.
Copies
SOBTOTAL
Penalty
TOTAI. is "
Phone #
? -
TO6dtd OP' ZAGAN'
3795 Pilot i'nob .oad
SL. Paul, iiinn. 55111
r d ? 5? ?,?6 o J? ?? 5
x F?hIIT !d0 . -9e" Q 'r
The Board of Supervisors hereSy grants to _,T_ g_ gar?it R Spn,
of 990 West Montana, St. Paul 55117 _
PLUhtBINC Perc4.t £or: ,'Gcaner) Tilsen Nomes £?
4372 Seqnoia 7-6, 42q Sequoia 5-10
1444 Balsam 10-5- 6?351Balsam 2-5 , pv.rsuant to application dated
March 249 1.471
Fe? Paid: S80.00 ? DEtted this_ Zqtb,day o£ _ March _ , 1911_1_ -
Bt;il3ittg Inspector
?
,. . .
T041N OF EAGAN
3795 Pilot .tnob Road
St. Paul, Minn. 55111
PERMIT N0, 97
The Board of Supervisors hereby grants to ii2g
d hic Conditionina af 99 No Cna1line AyA??c_To l 55104 8
HF TING Pexmit for: (Owner) T41,42 C02a?=yct#0$ at
? 9-? , pursuant to application dated
_..A38 Balaam. Sw-gsns FeFk, Se?ee
3/31/71
Fee Paid: ?20:00 Dated this_7.th._day of A_„t?197_1.
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
J 1? 3830 PILOT KNOB RDEAGAN MN 55922
? 651-681-4675
Naw ConatrucUon Reauiremenla
• 3 registered site surveys strowing sq. ft of lot, sq. ft. of house; and all roofed areas
(20%mazimum lol coverage aUowed)
• 2 copiw of plan showinq 6eam & windaw sizes; poured found design, etc.)
• 7 set W Energy Calculalans
• 3 copies of Tree Preservatlon Plan i11ot patted after 711193
. Rlm Joat Detad Options selectiaf sheeq (61dgs wilh 3 w less uni4s) DATE ??I7I o2O8?
yq,`-1 S
ReawdellRaoalr Reoulrements
. 2 copies of plan
. 1 set of Eneyy Calculations for heated addiUans
• t site survey fa aderior addiL'ons & decks
. Indicale rf home served 6y septic system for addiFans
VALUATION
SITE ADDRESS / y3 8 .Ga I,$G r-A ST MULTI-PAMILY BLDG _ Y ? N
TYPE OF WORK cr(?? N? FIREPLACE(S) K 0 1_ 2
_
APPLICANT 4 G
e Ue
STREET ADDRESS I? 160L1 Sciwi ST CITY Faj a lt( STATE M K ZIP f 2-2
TELEPHONE #4S CELL PHONE # FAX #
PROPERTYOWNER L.G.ovd t`1 ?-.TOAMhlPS C He-LtE_'R TELEPHONE# 65L 'fS'f S,?a3
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA Ri?S_2672
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted -.--NINv rI?r?( C1?e o?S ?eet Submitted
• Energy Envelope CalculaUons Submitted ? n, ?? L.6 u ?
U
SEp 17 2002 ?u
Plumbing Confractor: Phone # `
Plumbing system includes: _ Water Softener _ Iawn Sprinlc{ .00
Water Heater No. of R.I. Bl?s_--
No. of Baths
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water CoMractor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Or i/n?ances.
SlgnatureofAppllcaM
OFFICE USE ONLY
- Air Conditioning
_ Heat Recovery 5ystem
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
llpdated 4102
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
9 S/ 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date/C) // 3 /-0 L?_
Site Address 54. CariN Unit #
PropertyOwner ? ?pt iA ?i,Le r Telephone#(?i,7
Contractor 10 D4 1-+2A 1N /" tC dl-ri j±j e? T IiG
?
Street Address 1)O1
':?4 SO.
- -
'
7-
?
City
State ?it? r( ?
5-5-0
Zip ? 2- ?` ,
Telephone #( q? 7) Y 3
G
/ S? ) C)
Bond #: Eapires:
The Applicant is ? Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional X, Replacement
air exchanger
k airconditioner _New Y-- Replacement
other
State Surcharge $ .50
T
t
l $
o
a FRIV
cT i 3 zoo4
O
uu ?.?`
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' m?ation is complete and ac?urate; that the work will
be in conformance with the ordinances and codes of the Ciry oF Eagan and with .__ ; tbat-.J understand tlris is not a
pemut, but only an applicaUon for a pettnit, 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 wluch requires a review and approval of plans,
G/?? F-l uQ 4e? . ) f4 1?.
Applicant s Printed Name Applicant's Sigiature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
\ City Of Eagan
3k30 Piiot Knob Road, Eagan NIN 55122
\ Telephone # 651-675-5675
Please comple[e for: wmmercial/industrial build1ngs imulti-family buildings when separate permits are not required for each dwelling uni[
Date
?
3
L
g
Site Street Address
y
6
S6LN1 Un
Q it #
,
Tenant Name (if applicable)
Previous Tenan6`Name
Property Owner ?? tl' Telep ? ne k(? 5/)
T?
Contractor 14o"T"C YkA'N Yf' cxT ,,`?N4`? G-
1+
?
I
Street Address J??1 eJ ?-ree lf?? 5iF _ S(3 , City ST• 11 WArtc?
i
State 4 !?s 0 Telephone# ( fj$ 1 ) ?3 '?j .?7C7
i
Bond #: Es 'res: %
/
The AppliCant is ? Owner , Contractor Othei
Work Type
New Construction U
ndergroun Tank Install Remove `*see below
?
Interior Improvement lnstall Piping _Processed _Gas
Nature of Work:
**When rnsfa(ling/removing undergroun tank, caJl for inspe ion by Fire Marsbal and Plumbing lnspector
Permlt FeCS: $70.50 Underground tank inata aHon/rertwval
$50.50 Mrnimum (includes S1ate Sumharge)
or
ContractValue $ x 1% PernritFee
• If nermit fee is $1,000 or less add $.50 => $ State Surchuge
If nemrit fee is over $1,000, ?dd $.SD for
every $1,000 nemvt fee ? $ Total Fee
r
I hereby apply for a Commercial Mechanical Pemut and acknowledge that ?he information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pexmit, but only an applicarion for a permit, and work is not to start without a pernut that the work will be in acwrdance with
the approved plan in the case of work wlrich requires a review and approval of plans.
z LvJ N H P iz P ? ?' ?? Ft
ApplicanPs P' ted Name Applicant'g Signature
Approved By: Inspector
?-----------------
i Fpf O?ce'??IJSe ?
? Pertnit
I Pertnit Fee o
? Date Received:
? I
? Staff: ?
L______________
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: -S c9/ 06 Site Address: IV3,Pl-?ql SCr •:. ST C 4?2 H 6"1 h{ ? S( Z z-
Tenant:
Suite #:
RESIDENT / OWNER Name: - L<- 0JCY /-1 'Yle i.t Phone: ySL/ -J
Address / City / Zip: iy3 g?1? 5( i:i )vI N Z z
CONTRACTOR Name. _ !i i ??'r77?T7? ? ?F[3s ? ??rtf?t?i Gcense #:
Address:
City Stattt-jffE? Zip:
Pho . ? Contact Person:
TYPE OF WORK X New _ Replacement _ Repair Rebuiid _ Modify Space _ Work in R.O.W.
Description of work: U O C-,2?,-OLfjj i L q (,,; ',
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
x Lawn Irrigation Add Plumbing Fixtures
? RPZ 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 $136.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowletlge that this information is complete and accurate; that the work will be in confortnance vrith the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X LLC? y? H/ e u E(? x`?,r??../????' ??
ApplicanYs Printed Name Applicant'sSignature
FOR OFFICE USE ; ReviewedBy; Datec
?
- ,
Required Inspections: ` Under Ground Rough In `" ' -Air Test ' Gas Test Final'k r
- - - ,; '-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114281
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 1438 Balsam St
Lot:9 Block: 5 Addition: Evergreen Park
PID:10-24880-05-090
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. 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 -
Lloyd H Heuer
1438 Balsam St
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127330
Date Issued:09/29/2014
Permit Category:ePermit
Site Address: 1438 Balsam St
Lot:9 Block: 5 Addition: Evergreen Park
PID:10-24880-05-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lloyd Heuer
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lloyd H Heuer
1438 Balsam St
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature