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1355 Balsam St ECIT7•OF EACiAN 3795 Pilof Knob Rood ? Eagan, MN 55122 Zoning: _ Owner; Address: Site Address: _ Plumber. Meter No.: Size: - Reoder No.: I agree to eomply with fhe City of Eagon Ordinances. BY - Oote of Insp.: WATER SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: ' Dote Paid: I CITYAOF EAGAN I ,3795 Pilot Knob Road Eagan, MP1 55122 Zoning: Owner: Address: Site Address: i Plumber: I ogree to eomply with the Citr of Eagon Qrdinonees. By Qate of I nsp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ConneCtion Charge: ! Account Deposit: Permit Fee: Surcharge: Misc. CFwrges: I Totol: I Dote Paid: I CITY OF EAGAN I , • 3795 Pibt Knob Road Eagon, MN 55122 N9 4 709 gj PHONE: 454-8100 BUILDING PERMIT $40,000. Te kn umd fer DWig• & GaTP4 Vnl.m Site Address c .) » n. aaaasa Lot i0 Block 2 Sec/Sub. kTlt 5 Parcel # 10 84354 100 02 a Name "laLcs• auc Z Address 10800 Lyndate Ave. So. o _ oom ng otf _. c'? Name _ 0 Z ?u q Addre55 s r ?:... Name I hereby acknowledge that I have read this opplication and stote that the informotion is correct and agree to compfy with oll applicable $tate of Minnesota Stotutes ond City of Eagon Ordinances. Receipt # 942'i ... Mar. zz. ,., 78 Erect ['] Occupancy i Alter ? Zoning Tt1 Repoir ? Fire Zone -?? Enlarge p Type of Const. Move ? #k Stories Demolish ? Front 59 ft. Grode ? Depth ft. Appro v0l! Fees Assessment - Woter & Sew. Police -? Fire Eng. Planner Council Bldg. Off. _ APC Signature of Permittee I A 8uilding Permit is issued to: ilS8re11 7flC. on the express condition thot oll work shall be done in accordance with all opplicable State of Minnes?ta Stotutes ond City of Eagon Ordinances. Permit A L J? J" _ Surcharge Plan check SAC Water Conn. 2 '- Water Meter - Total 885.50 Building Officiol hnrR # DeN ipwd puwMfM Plumbing -?a - -;,?p , Mechonical 7 tNSPECTIONS DATE INSP. Rouph-In Finol Footings Date Insp. Dah Irnp. foundotion Plumbing -) $ Frome/ins. _ Methanicol - Fincl j Remarks: CITY OP EAGAN i - ' 3795 Pilot Knob Rood Fagan, Mlnnesota 55122 ' Phone: 454-8100 • . ?.1. . - PERMIT Date: r 17 8 Site Address: ? ' .. ; : ' . :1 1 Lot ' Blxk $ub/Sec. No. Receipt Na.: Single I Residential ` Multi Res., Comm. / I nd. I Nar„e 'reIl Constructic;r_ wf Alter / Re oi r N . p e 3 Address ' _T,VTldc1 ',_(? .^''+VP_. =.;c , . CoSt of Installation O ? 7gLOn Ciry '- Phone: l n Permit Fee • Name P?-Y Iv. Welter F:eatiny Surcharge ? - ? 37 Chic- .. , . ,yddre ? ? 0 V ? r ^ Ciry Phone: Totol " This Permit is issued on the express condition thot oll work shall be done in accordance with all applicoble State of Minnesota Statutes and City of Eagan Ordinances. V 8uilding Officiat CITY OF EAGAN • - ' 3795 Pilot Knob Road Eagdn, Minnesoto 55142 , Phone: 454-8100 "'. Ur1BI?'dG _ PERMIT Date: ` Site Address: '- ' S- P. F38 l5 a No. r : Receipt No.: 0 '? - Single I , . Residential I Lot ? Block - Sub/Sec. Multi Res., Comm./Ind. Name /Re air New/Alter . p . ; Address Cost of Installation O City ' Phone: Permit Fee Nome 5urcharge ? 'g ? Address _ 0 r V - : City Phone: Total .. . . t. This Permit is issued on the express condition that all work shall be done in uccordance with all applicable Stote of Minne o Stotutes and City of Eogon Ordinances. Building Ofticiol Raceipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee f J ? ? Fill rn numbered spaces Type or Prinr legib/y 1. Date 2. Installation Cost , 3. Job Address -. '1 r% ?-? •'` Lof ? Bik. Tract 4. Owner _ ,. ? ?. . e - 5. Contractori, Phone ,r:9 F' 6. Address ? .. -' 7. CitY 3tatLv Zip 8. Building Type: Residential Commercial ? Institutional O 1 9. Work Description: New ?47 Add ? Alter ? Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ? Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ? ? . -for, Rough Final Inspections: Date Insp. Date Insp. S/C Tot. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 10 Blk Z Parcel 10 84354 100 02 Owner -• street 1355 E. Balsam S-?t 5tate Eagan, NIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK , 19?3 132.60 ''6. b3 20 92.82 A005953 5 9 78 , SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA 1977 160.00 10.66 15 138.68 A005953 S 9 78 STORM SEW TRK 1981 282.49 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONIV. BUILDING PER. #4709 sa,c 500.00 428 - 2-75 PARK , RESIDENTIAL BUILDING PERMIT APPLICATION ? 70,75 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 CQII,d 7'X OI 651-681-4675 New ConsUUCtlon Reauirements RemodellReoair ReauiremeMS Hi/Yi • 3 registered sile surveys showirg sq. R of l06 sq. ft of house; and ail roofed areas • 2 cqpies of plan (20°k maximum lot coverage allaxed) . 1 set of Energy CakuWfions far healed additions • 2 copies of plan shaving 6eam & windmv sizes; poured found design, etcJ • 1 site survey for ezterior additions & decks • 7 set otEnergy CalculaUons • 3 copies of Tree Preservalion Plan i( bt platted aker 111193 • Rim Joist Detail Options selection sheet (bldgs wiM 3 or less units) DATE & -/I -C-? I VALUATION (EXCLUDING LAND) -?ar O(JUU JOB SITE ADDRESS ./,JJ?J j!:? S-f'. IF MULTI-FAMILY BUILDING, HOW MA Y UNITS? PROPERTY OWNER ?f?l.IS r d??.lo.?l9y ? TYPE OF WORK FII APPLICANT ' ADDRESS L? - /,e_.I <+ • i TY1 ? PAGER # CELL PHONE # EPLACE(S) _0 /-1 _2 _3 PHONE # (05 ZIP CODE S?lo? FAX # NE1V RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNE50TA RUI.FS 7672 - New Energy Code WorksheetSubmitted Plumbing Contractor: _ I'lumbing System Includes: Mechanical Contractor: Mechanical System Iucludes: Sewer/Water Contractor: ? Water 3oftener _ Water Heater _ No. of Baths Air Conditioning Hea[ Recovery System All abova information must be submitted prior to processing of application. Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant / °li4????v ` Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Updated 1101 OFFICE USE ONLY . ? 01 Foundation ? 07 OS-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 OB-plex xl?, 8 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous X' 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 only) - Give PCA handout to applicant Valuation Occupancy Q-? MC/ESSystem Census Code y3N Zoning City Water SACUnits 01 Stories I BoosterPump N6r. of Units O Sq. Ft. PRV N6r. of Bldgs ? Length Fire Sprinklered Type of Const :75V Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Poo1 _ Ftgs _ Air/Gas Tesu _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By &rri G , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total This request void IS months from -A{ o7 Date oj this Request ? 3/???? P 64 433 I, as M Licensed Electrical Contr ctor IJ Owner, do hereby request inspection of the a6ove electri- cal wiring installed at: C>1? o Z6?? _.y,e -- Street Address or Route No. 15U/J') CityL,?l Section Township Range County j!??? Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier ?S)CA h(ito, pCiAddress T( lQm I(1( tZ? Electrical Contractonir%/')%:- '5MC_-1?6 (-, Contractor's License No??? Mailing Address Authorized (Electrical Cdatractor ar SVW?E BVARD COPY or r maKing i nis ins[anaiwn) n Phone No. a ?0 ^ 7 ? 46 This inspection request will not he accepted by the State Board unlesa proper inspection fee is enciosed. Minnesota State Board of Electricity 1954University Ave., St. Paul, Minn. 55104-Phone 645-7703 . REQUEST FOR ELECTRICAL INSPECTION C'ftCK BELOW WOItK COVERED BY THIS REQUEST 7t,? Q c a7:/ P 64433 Type of Budding New Add. Rep. Check Appliances W'ved Foc Check Equipment Wired For Hume ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heatec ? Lighting Futuces ? ApL Bldg. ? ? ? Dryer ? Elec[ric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Indusinal Bldg. ? ? ? A'v Conditioner ? Bulk Mdk Tank ? / List Lis[ O her ? ? ? } p Here?sf p Fleie 5? nnumrmv r??cnanminv cr.c ncr ?38_? SefficeEn[[ance5ize: +lk Fee Y LF ? S et, ee Ci[cuits: # Fee 0 to 100 Am s. 0.'. 30 0 to 30 Am eres 301 to 200 Amps. 31 to 10 m 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above ]00 Amps. Transformers 1 1 Remo[eConGOlCirc. PartialorotherCee Signs 1 1 Special lnspection Minimum Cee $5.00 Remarks TOTAL F , d0 ? I, the Electrical Inspector, hereby ce at tiyc?b ve ?nspe 'on has been made. (Rough•in)_ r ' ?.?? Date - 6-? (Final) e_7) .. 2i - _ ito Date_ Aec /4"? - --- This request void 18 months from arr oF encaN 3795 Pilot Kno6 Road Eagan, MN 56122 ` PHONB: 4548100 BUILDING PERMIT APPLICATION $40,000. Receipt # To be uaed for Sf. Dwlg, S Gar&,, Value Date Mar Sire Address 1355 E. Balsam Lot 10 Block Z Sec/Sub. WR 5 paroei # 10 84354 100 02 ? Name Marel1 Inc i 10800 Lyndale Ave. So. 3 Address o _, oomington _, A Name _ ?Q Address rc Nome _ Address I hereby acknowtedge that 1 hava read this opplicotion and state thot the infnrmotion is correct and agree to comply with all applicable Stote of Minnesoto Stotutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit is issued ta: all work sholl be done in acco N! 4709 9428 22. ,0 78 Erect Occupancy I Alter ? Zoning RL Repair ? Fire Zone ? Enlarge ? Type of Const. Move ? .# Stories Demolish ? Front 59 ft. Grade ? Depth 26 ft. Approvola Peea Assessment _ Water & Sew. Police _-- Fire -- Eng. Planner - Council _ Bldg. Off. - APC Permit 117.7V _ Surchorge 20,00 Plan check SAC p p ? R Water Conn. ? ? ? ???• VO Water Meter Total 885. 50 Lnc, on the express condition that State of Minnesota Stotutes ond City of Eagan Ordinances. Building Officiol . ? -7? DATE HUILDIf4G PFRMIT APPLICATZON Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for ?JZ 1/ ?JA/f Valuation J? l?'1 ? T Site AddresE: ea ISD aV? Lot Id Block ? Sec, Sub. Parcel Number /'o a'445'51 Cf/R S Owner ?,?T eivIl ? h (' Hddress 14 4OQr ds /,- Contractor Address Arch./Eng. Address Erect Alter Repair Enlarge t+ove Ilemolish Grade OFFICE QSG I)ate of Approval & Initial ' ? 1/ Asses5ment B 7 AJater/Sewer Police Fire Eng. Planner Council Rldg. Off. A.P.C. Telephone Telephone Telephone OFFICE USE Occupancy y zoninq xo• / Fire Zone ,J Type of Const. I/ # of Stories Front C9 Depth 2,1, FEES Permit Surcharge 9 4 Plan Check SAC sOA? DTater Conn. ? 47ater Meter - n ?,an r TOTAI, ? - -j ? ? ? --- - - - ._ ? ? ?FS ? 7 .?..:._ ? -; i i ; I\ ? I \ i I \i i ? i, t 1 1 ? 1 1 i ; ? 1 1 ? `W 1 ' 1 l i i t t i L ? i ? ? 1 6 3 3? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conshuction Reauiremenb • 3 registerea site surveys showing ;q. R of'ot, sq. tt. of house: antl all mofed areas (20°6 maximum lot coverege ailowed) •? xpies of plan showirg beam& windcw sizes; poured found desgn, etc.) . 1 ;et of Energy CalcWations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detaii Options selection shee[ (61dgs with 7 or less units) DA7E 7- )1-O 2 SITE ADDRESS I33_''? IS0--1964"i- 11- Q_ MULTI-FAMILY BLDG Y N TYPE OF WORK P-f?Of (6?fjL'-0F7- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS I10?aO CITY [.°bil STATE Mv?LIP TELEPHONE # 1la7-? ? ? a? ?CELL PHONE # FAX # 3 P-F- PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yf[NNI:SOT.A RCLES 7670 CV"CE(:ORY l NIIVAI:SO"C:A Ltt'LL•:4 7672 (v submission type) . Residential Ventiialion Category 1 Worksheet SubmiCed . New Energy CoCe Worksheet Submittec • Energy Envelope Calculations Submitted Plumbing Contractor. ____ P1umUing system includes: Mechanical Conhactor: NIcch<utic>tl svstcin include,: Sewer/Water Contractor: --------------------------------------------------------------•-°•------------- I hereby acknowledge that I have read this application, state th the inf with cll applicable StaTe of Minnesota Statutes and City of Eaga Or r r Signature of Applicanf OFFICE USE ONLY Phone # Phone # Fee: $90.00 Fec $70.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ lVater Softener Water Hcater \o. of Bafhs _ Phone r I.awn Spnnkler vo. of R.I. Baths .\ir Conditioning Heal Rccocci}, Systcm RemadeURawir Reauirements • 2 ::pes af cian • t se cf °_nergy Caiculations "ror heated addltions • t;:;z survzy `cr extenor addiUons 8 Cecks . incicace t hcr, e served oy septic syslem for additions VALUATION - ? ? 1 Updated 4l02 PERMIT City of Eagan Permit Type:Building Permit Number:EA118049 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 1355 Balsam St E Lot:010 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-100 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 . Audrey Flattum 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 - Michelle M Deysach 1355 Balsam St E Eagan MN 55123 (651) 452-2326 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119089 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 1355 Balsam St E Lot:010 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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: 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 - Michelle M Deysach 1355 Balsam St E Eagan MN 55123 (763) 202-2323 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144908 Date Issued:08/15/2017 Permit Category:ePermit Site Address: 1355 Balsam St E Lot:010 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-100 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 - Michelle M Deysach 1355 Balsam St E Eagan MN 55123 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174611 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 1355 Balsam St E Lot:010 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-100 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Michelle M Deysach 1355 Balsam St E Eagan MN 55123--170 Wenzel Plymouth Plumbing & Heating Llc 1959 Shawnee Rd, Suite 130 Eagan MN 55122 (651) 452-1565 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177790 Date Issued:07/19/2022 Permit Category:ePermit Site Address: 1355 Balsam St E Lot:010 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-100 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Michelle M Deysach 1355 Balsam St E Eagan MN 55123--170 Wenzel Plymouth Plumbing & Heating Llc 1959 Shawnee Rd, Suite 130 Eagan MN 55122 (651) 452-1565 Applicant/Permitee: Signature Issued By: Signature