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1215 Balsam Tr E. ? . ? CITY OF EAGAN 3830 Pilri Kn b R WqTER SERYICE PERMIT o oad P. O. Box 21199. PERMIT NO.: Eagan. MN 55121 DATE: `'- •?' ? ??• Zoning: R 1 Gelhar Homes Owner: 1 No. of Units: Address: S;te Addren; 1215 E Balsam Trail L9 B4 Wildernesa Park Plumber. Wet17.e1 ?fec_: AAeter No.: Connection Char9e: 4 0.00 pd 5iu: Acwimt Deposit: 15. p Reader No.: Permit Fee: . n 1son@ to oaewly wiNi !IM City of [""¦ Surcharge: •• pd Oedt.awa.. Mlac. Gwrpes: 63.0 pd mEter Totol: BY Date Paid: Dcte of Insp.: Inap.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilof Knob Roed P. O. Bor, 21199 PERMIT NO.: Eagan, MN 55141 DATE: Zoning: No. of Units: ' Owner: i'Oc e S Address: Site Addi Plumber. 1 agne h ossPb wilM Nw pyr ef Eesom Ordiugnen. Bv Dote of Insp.: Connedion Charge: 425. 00 nd Account Deposif: . .. Permit Fee: Surclwrps: . . ,`! Misc. Chorpes: Totol: Dot* Po1d: , ?otal exposed raof/ceilinq area = (70o.OU j. Tota) skyliqht area............................. k. Totai roof/ceiling framing area (average 10%),.. 1. Tota1 net' insulated roof/ceiling area,,,..,,.... 1t O D-4 2?, Determine "U" value for each roof/cPilinq segment. ; X Vull s ?• k. X "U" . s 1, () 04•DU X"Uu ?D f = GS?,w 4... . ...... , .? ?,OO:DO .. . .... ......Total = S GU Y? If total of 14 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Oesign To utilize the total envelope system method, the values established by the sum of items +!3 and #4 shall not be greater than the sum of items 01 and t2. 1 v ? ??• ?2 + 2 e2 _ O 232, . 3. Z17-30 + 4, 6 S'.Od = 282•3d WEPJA CO. P£.AN SERViCE ED ANDERSON ARCMITECTURAL DESIGNING AND PL.ANNING 5397 Upper 147th Street Apple Valley, Minnesota Resitlence: Office: 423-5658 423-3775 CITY OF EAGAN WATER SER I 3830 Pilot Y.nob Road V Cf PERMfT P. O, 3bx 21199 PERMIT NO.: Eagan, MN 5512 i DATE: Zoning: No. of Units: Owner. ?AddfQ55: C Site /4ddress: " "t^ Ptumber: ? ? .... ,;: ?•. ._ ._.. , _, eter No. , AA ?/ SI L u C nection Chorye: ,?.? ? ,,? ? ZE: Vn1' DBpCSiX: _ Reoder' No.: Permit Fee: imgeN to oomPlq wilb !lN Citr of Eayan Surchorge: ` . ' 0?diaenea. ? 5 `'^'' c Misc. Chorfles: _ . Totol: BY Date Poid: Dote of i nsp.: Insp,; ? ???5 , CITY OF EAGAN ?Q g??l .°' 3830 Pilot Knob Raad, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING PERMIT • - ReceiPt # T, L_ ..?_J L?? •,? L7WG/Vl1S: r_' ••__ Y/S, OOU .. . JUIVL. ZL .? 84 Site qddress Lot Parcel No. . aWc Name ; Addre b City _ I fiave read this opplicotion ond state thaf and a9ree to comply wiYh oll applicable :s and City of Eaqon Ordinances. Ered Alter Repcir Enlorge Move Demol i sh ? ? ? 0 ? O ? Occupancy ,• Zoning r Fire Zone Type of Const. # Stories Length_= Depth Sq. Ft. Assessment Water b Sew. Police Fire Er?p. Planner ar 1731 Council Bldg. Off. APC Permit Y J J V..... Surcharge 3 7. 5 0 Plan check 179.00 SAC 525.00 Water Conn. 470.00 Rood Unit u v ` 0 Totol Signuture of Permittee I nFltiNls c;? ?,; /1 Building Permit Is issued to: on tha expreu condition thor ell work sholl be done in accordonce with all appiicoble State of Minnesofo Siatutes ond City of Eo9an Ordlnonces. Building Official . l,;,S m 4 ' S ? 0 z r(l m ? ? +- r m Q J ? 1 a Ag W O V ? v. J S v y?y j? \ ? ? J B •? T M y\ c _ n ? Co = ci ? d 0 u o ? ? 0 ? v > o .?' c7 > im a . ? W ? C , e $ .? a, c = fb d C S C C m _ . ? ? 6 A U. IL U. ? ? C ILL LL V- ? ? ? a PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egrbly 1. Date 2. Installation Cost 3. Job Address LotBik. L? Tract", I ?.- ?.'?r? 4. Owner ?,Z, 5. Contractor Z Phone -/: , 6. Address Jl C?Li 4z Iii„ /.; .. /.i . 7. City State Zip 8. Building Type: Residential Ga 9. Work Description: New C? ! 10. Describe ! 11. Commercial O Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank - Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other J Laundry Tray _ i Floor Drains ' - / • , ? ? . / . . / r Drinking Ftn. Slop Sink Gas Piping Outlets - --- ? 12. I hereby certify tfiat 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. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Permit No. Fee ? •L-! S/C ' Tot. 1> I 'K, ? +13 MECHANICAL PERMIT CITY OF EAGAN Frl1 in numbered spaces Type or Print legibly Ir- r- ^ ! No. ' 7 7>? Fee S/C ' Tot. 1. Date '-/' -f 2. Installation Cost • 3. Job Address /-? /?? ?c r. 'Lot" Bl k. Tract 4. Owner /'?rQY''?q l ?1? ` 5. Contractor i?IJP_A z P 1?)e? h Phone 6. Address .?,? Q 0 l? en N e p f' (- ? y?r? 7. City ?2 S?h State ///h _ Zip 8. Buiiding Type: Residential Q? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter C? Repair ? P,71 ras 10. Describe?P L`-, yFuel Type o? 11. No. ? Eaui?ment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg, r an ng: Boilers x Mfg. Meth. Exhaust J? Unit Heater ??? Mfg. !1 Other Air Cond. Mfg. Gas, Piping Outlets ? 12. I hereby certify that the above information is true and correct, and I agree to comply wit II rdin apq! s governing this type of work. 5igned: ? for ? Roug Final Inspectio s: Date sp. Date Insp. This is your permit when numbered and approved. --Approved _ CITY OF EAGAN 454-8100 CITY OF EAGAN Lot ? Trai1 State Eagan,MN 55123 /2S•C \.1 L Q ckt-4 .I ea.d le , .J2-, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 176.o5 8.80 20 .2 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TR K yl STORM SEW LAT CURB & GUTTER StDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 11 " BUILDING PER, SAC PARK I *j49 x? HOUSE HEATING TEST RECORD 6`I N1 Id PK ? ADDRESS '? s v?;??? /'?• APT. F 00 CI SUBURB OCCUPANT OMN?{ER ;2 ?-S HEAT LOSS DATE FITG. INST. 50LD BY iNSTALLED BY y Eloeerieal Work By Gos Lin. By TYPE OF HEAT CA FA _r._HW STEAAA SPACE MTR. UNIT HTR. 2&-OTHER GAS DE51GN COtiVERSiON MAKE MAKE OF BURNER modol GAod.l SMial Mox. BTU Rotin9 " INPUT MAKE OF FURNACE AAodel , i CONTROLS THERMOSTAT Hect Pluy VM1 SIZf Yalv KIND OF LINER Limit Goh Hood L;mit yt?:ng Fi Itws Si Fon Sottiny aimeoy Loeatfen Inside Oufside Pilof Type Chimney Construetion Pilet Meke Spillage , v Pilot Modol S+noke 8omb Wiriny P;lot Timing D?aft T.st Tdq L.W. Cut Off Dow Pressure Ligkfin9 (nst. . , Pressure •reen1 CO2 Date Tested 6 Input CFH Poreont 02 Componr Teatinq e? Stvek Tomp. Pere.nt CO NanN of Tester Certificate of ll ompentency # CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? 11. r,"I f,Jl I 11 t i+Nl '.'. IA k ? PERMIT SUBTYPE: 1:111 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ; t APPLICANT: ? F ? , r•j i l?, ?. ? 4?: ?. ?, ca , rti TYPE OF WORK: t;u i i 0 1 Ni? ci.• 1 4 r.rr H: /1 A1 ? i ?1111 i 1 i lira INSPECTION .A • .A ? F ? ? Permk No. Permft Holder Dete Telephone # S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commsnq Footings I Foundation Framing RooHng Rou9h Pib9• Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr.IPlan Bldg. Final Dedc Fig. 7)14 Deck F,nal Well Pr. Disp. This request void 5./?,ry 18 monffis fmm / ? 6 612 8,t. 9??! / 6Ci' e7 d' ? Fira No. Rough-in InsOection ftequrtetl? OReatly Nuw Will Notffy InsVec- «?r Wh n R (? !J ?Yes ?NO e eatly 0 Licensed Elecbical Contrac[or I hereby request inspection ol above Owner electrical work installad at: Slree[ Atldress. Bon or Route No. ? ? . sQ.ii Tra. ? City ? ? all ecLOi o. Township Name or No. Aenee No. County 6 Occupnnt I%iINTI ? E C Phone yNo. J I Q E G rr1 Z?.X.?, CL ,Gt ?Y U Power Supvlier Address Eiectrical ConVactor IComPany Namel Convar.tor's License No. Mailing Address ICOntractor or Owne.r Making Ins[aiiationl u I ? & sa rtYc ai c. uthoriied Sienamre Convactor?Owne,Making Installationl Phone Number i y - y 9 0 MINNESOTA STpTE BOAflD OF ELECTfl1ET1Y THIS INSPECTION NEQUEST WILL NOT Griggs-Midway BIOg. - floom N-791 BE ACCEPTED BV THE STATE BOAHD 1821 Vniversitv Ava.. St. Geul. MN 55104 UNLESS PflOPER INSPECTION FEE IS on....e r9111 Fav.nann ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-_o/s ? Sea inshuctions lor campletinp this lorm on beck of vellow -oov. '?SG S d' n- ')Pf, 19 R - "X" -Below Work Covered by This Request N ? AAd " Xeo. --- Tvoe o( Builtling - WireA Equru??en? Wi.ed Home Tempnrary Scrvice Duplex Lightiny Fixtures Api. Buildinc? V Electric HeaLn Commercial Bldg. 5'l° Un1°adP` Industrial Bldg. 8utk Milk Tank Farm ? t mr SVCUi y ho, Olher urv ae rnspecvun ree orl Fae ServicaEntranca5iza fl Fee Fexdars/Subfeeders # Pee ._ ,..... . n .,. zn n.,...? 0 to iu we1 $igns TSpecial lnspection OITOTAL6E1F,_'? .pr? ?Hertv?rks / t L I /N Nough-in D?1Le .I/ /,'y <he Elecvical heraby InsOector P , artify thni ihe above D ??' ingpection has Eeen Final ? mede. TMS requeat voi01B mvmn+o°^' ? 1-, a c (2- ? f? fI?QUEST FOR ELECTRICAL INSPECTION FIB'O00°'? ?•t'f See {mtructions for wan,letirg this fwm on beek ot Yeliw cooY. ?/ ?3! b y "X"' Be/pv Work '??;ivered by This Request A ?638?4 ` fjAd Rao. Tvoeo/BUiltlins AootiaaeeaNired Euuiomonti6ired Water lo Ik p Fee ServfeaEntrenca3i:e p Fee Feeders/5u4teedera p Fee Cireaiis U to 200 Am s 0 to 30 qm 0to 30 Am Above 200 Am , 31. to 100 qmps 31 to 100 Ang3s Swimmin Pool Above 100_ Amps Above 100_ArtqAi Transtormer5 Irngation Booms ? Partial: Other Fee l Signs Special Inspection Aemerks 5 00 TOT FEE -J Noiqpn-in r 471 l hicel -, 6 peet m. I?eraby W rUh «t tM a0ove Final Yeetian haa ben .. This reQUast wid g ?'L%3 ? g y 18 ttLnths 7run A 063854 ?I164 W;td PK 34.s?O H1eqy? s[ Datyyy??? Fire No. Mugh-in Impeclion // . / ? ReQUir ? I ?NeaAV N. ?II Notify. Inspec- s No br Wh¢n Ready i icensed Elec[riwl Contrac[or 1 Mreby request irrepection of above ? Owner electr:cel wmk :mtalled at Sveat A res/s. Box or Ro e No. /A) C/l • ' City ^ ?P G1,+A) ectron o. 7ownship ame or No. Hanpe o. Coumy OFJd?/VN? / ? /, . mZ NoOo Q? Vo SupPI ? AdAre Elecvical Contractor (COmparry Name) T{ENDRiCK E?.EC'a 1?IC onvac r's L' ense No. O? 9 fl?ry?qq(dq ik ry?/nytL i,?apqrt? Mailing Aadres1q 4C7 ?q[?ptpr?yL,JVP1lJl,1? aftv? l/ r AuMorized Plwre NLmb¢r YINNESOTA gTATE BOqpD OF EIECTt11CITY THIS IIYSPECTION flEQUEST WIIL NOT Gripgs-Midway Bidg. - Room N-781 ? ACGEPiEU BY THE STAIE BOARD 1827 Univaraity Ave., St. Poul, MN 55700 UNLE55 VROPEp INSPECTION FEE LS Phone 18121 287-2111 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 2:?-o o l ? 651•661-4675 Naw Construetlon Reauiremants • 3 repistered sile surveys showing sq. fl. of bt, sq. R. of house; and ag roofed areas (20Me mazinnum bt coverege albwed) . 2 copies ol plan gwwing 6eam & winUOw shes; poured founG tlesign, e1c.) • 1 sat ol Energy Cakulatbns • 3 copies ol Tree Preservatbn Plan B bt platletl afler 717193 • Rim ,bist Deteil Opibns seleclbn sheet (6bgs wtlh 3 or less unAS) DATE 5- IZ E, 1 b .;k' RemodeVHeoeh ReaulremeMS • 2 copies of plan • lserofEnergyCakulallonsforheatedadtlNions . 7 site survey tor e%terior atldilions & decks • Intlbafe R home served by septk system lor aatldbns VALUATION S 8 WgO SITE ADDRESS 1 a(`J MULTI-FAMILY BLDG _ Y _ N NPE OF WORK ge - SZrxk fIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS I_2_)(5_ IZ`t Ao.c. IN) CIN N? m1 STATEtu)_ZIP TELEPHONE # CELL PHONE #(olf--k- LRS -GIOL/ FAX # PROPERTYOWNER ? P-A. ?21 TEIEPHONE# COMPLETE THIS SECTION FOR °NEW,• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIIVNESOTA RULES 7670 CATEGORY 1 r (J submisalon type) • Residential Ventilation Category 1 Workshaet Submitted • • Energy Envelope Calculations Submitted Piumbing Conhactor: Pltunbing system includes: Mechanlcal Conhactor: _ Mechanica] system includes: Sewer/Water Conhacfor. Phone # Phone # MAY W7? Fee: $90.00 Fee: $70.00 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 Ordinanoe?. Signalure of Applicant OFFICE USE ON`LY _ Water Softener _ _ Water Heater _ _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 ,0 . -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date issued: B,UILD NC, 021966 07/14/93 SITE ADDRESS: P.I.N.: 10-84250-090-04 DESCRIPTION: 1215 BAISAM TR E LOT: 9 BLOCK: 4 WILDERNESS PARK 81,u3lding?-.Permit Type Building 4iork Type %'UBC pccupancy,,\ ? Bullding Length,, Building Width !.? i \ ` ! .- DECK ADDITIDN R-3 14 12 ?J REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharqe $.50 Total Fee $25.50 CONTRACTOR: P K CONST 2718 LAKE LITTLE CANADA (612) 483-6078 - Applicant - 14836076 SHORE AVE MN 55117 OWNER: MELNYK DEAN 1215 BLASAM TR E EAGAN MN (612)688-2947 I hereby acknowledge that I have read this application and state Chat the informetion is correct and agree to comply with all applicable State af Mn. Statutes snd City of Eagan Ordinances. ??' 19?on si I APPIICANT/PERMI7EE SIGNATUFE 4SSUED B SI NAT E? J INSPECTION RECORD CITY OF EAGAN . PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: y aLocK: 4 APPLICANT: 1215 BALSAM TR E P K CONST WILDERNESS PARK (612) 483-6078 PERMIT SUBTYPE: DECK TYPE OF WORK: BUILDING 021466 07/14/93 ADDITION 7 REACTIVATE A ?j????'/ ?u GITY OF EAGAN PERNIT+. ' 1993 BUILDING PERMIT APPLICATION ?1?' •Jr? • l 9 681-4675 - - _ SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: AgG15uw ?.? ze-sl SiREET SUtTE I Tenant Name: (comnercial only) IAT ? BLOCR ? SUSD. ?,J xu I. D. k Descri tion of work: pi«4 r?> The appl i cant i s: 0 Owner [&Contractor ? Other coeaor;be> Name &?A /7e l.; i Phone 6??'- Property LAST F[RST Owner Address f3o15G? -4,' n. t? STREET STE i' City ye o' State Zip Company Phone y83-6o? 8 Contractor Address ???$ Lu( e Sl'i?c a? License #ocA - ?xp. 'pe City State Zip Sr`/2 Company Phone Architect/ Engineer Name Registration M Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of A"licant: OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation D 02 SF Dwg. ? 03 SF Addition 0 04 SF Porch O 05 SF Misc. ? Ob Duplex ? 07 4-Plex ? OS 8-Plex O 09 12-Plex ? 10 Multi. Add'l. WORK TYPE [3 31 New I?.32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging 14' 0 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace q 15 Deck ? 35 Tenant Finish O 36 Move . ' . ,_ `? 16.8asement Finish 0 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Canst. (Actual) Basement sq. ft. MWCC System (Allawable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Length ? Footprint Sq. ft. On-site well Fire Sprinkler Census Code ? Depth On-site sewage SAC Code ? APPROVALS ? 0 Planning Building Assessments Engineering Variance REQUIRED INSPECTI ONS O Site V? Footing ? Framing 0 Insulation ? Wallboard ?tFinal ? Draintile 0 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: u .7 I v.tuac;an: SAC % SAC Units . , SIOMA SIJFaVEY1NG SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 \ 9a p6 l . . . 'o" LAKE ? '. ? 0.? m., ? i - ? ' -N- /u ? LOT Certificate For: GELHAR s FO 0. S?? \ , I ? ? 4wO1 o-F w W '•?O\ - ? r 44.9 ? /.. HOMES 11? IPA- 4;4 Q ( L. ?I S_:. ?xfstin0' -_ - , ?- ?^ ` _+ b `? i • .? ?? ? ' w\l 1?? / ' O Y ` . !/ 4r:.ei 'r g ? ? 'P • yag /?`? qs 91.4 ,'•' / 3 ! pe? ? \ L _, / d ?SDr"? . / C.b:, PKOPOSEU GARAGE FIAOR ELEV. = 101.00 PROPOSED TOP OF BLOCK ELEV. _]01.3 Scale: 7, inch = 40 fee[ PROPOSED BASEMENT FLAOR EIEV.= 97.9 w/o ° Denot:es Wood llub Set %99.96 Denotes Existing Spoc Eleva[ions ?.,- - Deno[es Surface Drainage - PROPERTY DESCRIPTION - Lot 9, Bluck 4, WILDERNESS PARK ADDITION, according to [he recorded plat thereof, Dakota County, Minnesota. I hereby cer[ify thaC Lhis survey, plan or report was prepxred by me or uncler my direct supervision, Chat I am u duly Registered land.Surveyor under the laws of the State of Mimiesota. Wayne D,?Cordes, Minn. Reg. No. 14675 Date: .lune 13, 1984 ? ? ? L CITY OF EAGAN N. ? 92Oi 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ? PHONE:454-8100 BUILDING PERMIT Receipt # O Te M uted Mr SF DWG/GAR Est. Value +575,000 pO1e J[JNE 22 19 84 SiteAddress 1215 E BALSAM TR Erect ? Occupancy R3 Lot 9 Block 4 Sec/Sub. WILD PK ADD Alfer ? Zoning R? NIPi Percel No. 10-84250-090-04 Repalr ? Flre Zone Enlorge ? Type of Const. V oc Name DENNIS GELHAR Move ? # Stories z Address ROUTE 2 pemolish ? Length 6 ? City MCGREGOR phone 432 8756 Grode ? Depth 28 Sq. Ft.- GELHAR AOMES Avvrovab Fees Name oo ? Address ? 6$ W 150TH ?°r5 City ?PLE VAL phone 432-8756 Name _ Address City _ Phane I hereby acknowledge rhat I hove read this op0lication and stote that fhe information is correct ond agree to comply with all opplicoble State oi Minnetota Statutes and City of Eagan Ordinances. Assessment Permit 41 338.UU Water & Sew. Surcharge 37.50 Police Plan check 179 _ 00 Fire SAC 525.00 Enq. Water Conn. 470-00 Planner Water Meter 6.3 - QO Council VdT 1/3/ $Road Unit 76n _ no Bld Off g. . 0 APC Tota= Sipnature of Permitfee I A Building Permit Is issued to: DENNIS GELHAR on the expreu conditlon th<i+ ull work shull be done in ac ifh all opp(l?eobT?ai Stafe af Minnesota Statufes and City of Eagan Ordirwnces. 8uildinp Off(cial cor t ?1,--Q-? ? ?? ? 51TE Pc.4q : U?-Ly- Fa ?-4ewt??-f .L1 LCq.1eiL To Be Used For CITY OF EAGAN cALGS BUILDING PERNQT APPLICATION Include 2 sets of plans, 1 Certificate.o£ Survey & 1 set of_ ener9y cal.culati4ns• Valuation "i-Y Date Site Address: S- F e/J L-S,l'!1 TQ - f A-f ,? OFFICE USE OfII,Y i.ot ? slock sec. /Sub. ?t/l j f?-f r rM' ?J Erect occupancY Q- 3 Parcel #: L -• ? zla S a • Alter ??o - C ? ge air Zoning _ Fire Zone p O D- EnlaYge _ 7y(e of CAnst. ?L aneT: ? t ? - Move. # Stories Adaress: R ? rnC ? v v`??' Denolish _ Front ft 9 City/Zip Code: Grade .?y.<, . ? Depth 7 Phone #: # ),;L _ V 5-[!i Lsa?'YYI? APPRDVALS /? Contractor: 0-c kj"' 3 ?u eI44 ?- Address: "xGSS ?-'i S ? ??/? City/Zip Code: S ? 0-tt Phone #: Arch./Ehg.. Address: Assessaents Water/Sewer Police Fire Eng. Perntit Surcharge Plan Check SAC Water Conn Planner Wate Council -3-7 ?? Bldg. Off. APC r Meter Unit w ? ? ? cv City/Zip Code: ?7 G Phone # : TYPAL ?{?? n ? v= [23zx ?? 2'2- x24-= , I? 44 .j ?266) i ? ?.- -? 0 . F?. ssa•o?+ 37•<c+ 1 ; 9 0 + 525•OCi 470o0C+ 6 3 - 0 r + 2 E C• G i F 7592^`G* 041NER SITE AODRE55 EXTERIOR ENVEL'OPE AYERAGE "U" CDMPUTATION CONTRACTOR ?„ Cl,. j av DATf PHONE ¢ 32 L757 -0etermine working square footaqe of each. x 1. Total exposed wall area ...,,,?o 5T sq. ft, x_?,1-1?4 ?o ] 2. Total roof/ce?ling area .....,sq. ft. x.4Y • ????] ,o2c? 33..v tc Total exposEd arail area ebove floor • j- 4Z_,?v a. Total wall window area ........................... b, Total door area 7 p! c. Total sliding ylass door area ................... o.o?- d. Total fireplace wall area........................ ._ e, Total wall framing area (average 10%),,.,,...,... [ Ao.? L?- f, Total net wall area above floor ................. rr' g. Total rim joist area ,,,,,,,,,,,,,,,,,,,,,,,,,?.? !, o Totat exnosed foundation area = 74-o d ? h. ToCai famdaticn window area...... .............. '-' i. Toal net fotmdation area a6ove grace ,.....,...., "2 y_ed Determine °U" value of each rratl segment, ? a. ?S?llr? z ??VA F sSr ' ?-7/ b,z °U° %3 = }.q 1 c. 4 e.d2 x„r - 5r = 204-0r d. X ltUil ? e. !g0-6 ? X „v r.?,q x"Un , a v 9_119 4a x°u• . ov . 47 91 - 4 -73 h. ? A liUp i, 74_00 x "u^ '4-7 • 74,719 3........... (v.Q(0-.?r ................7ota1 • "ZI . X If ttem f3 is the same as, or less than item il, you have aet the intent of SBC 6006(c)2. seGMA SUFdVEY1NG SEFiV1iCES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 9a p6 N73: 1?0 ?•? ? LAKE I 0 \4t4p . ? I 91.?• O V4J. ? ? 46.01 1 -N- Certificote For: GELHAR , ,s HOMES ` G 1 O ?4. I , /u ?r n ?.?.. 4. ` l? ? III? -- ??. y Fr •?t. / Scale: 1 inch = 40 feet ° Denotes Wood Hub Set x99.96 Denotes Existing Spot Elevations _?--- - Denotes Surface Drainage 1414 ? ?.. 1o , uP ?? = =_ ?" s}fnq?-_ \ G % ?o ; -}? ? A y? • ??. i i PROPOSED CARAGE FLOOR ELEV. = 101.00 PROPOSED TOP OF BLOCK ELEV. = 101.3 PROPOSED SASEMENT FIAOA ELEV.= 97.4 w/o - PROPERTY DESCRIPTION - Lot 9, B1ock 4, WILDERNESS PARK ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, I hereby certify that this survey, plan or report was prepared by me or under my direct supervision, that I am a duly Registered Iand Surveyor under the laws of the State of. Minnesota. Wayne D. Cordes, Minn. Reg. No. 14675 Date: June 13, 1984 i .. - W . rd _.. F wr 2/84 ' % . CITY OF EAGAN ; ? APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIODI ' (PLEASE PRIHT) . PF20PER'PY ADDRESS: 1.2 /5' ?,pc?sa?n r- LGGAL DESCMPTIO[V: 9 5l rili?e?arn?ss ?Fl-Rte" 'Ir? (Int/Block/Subctivision or Tax Parcel I.D. Ntunber) If' F"{I?,.' •.., S^_"D,?? _L, ,__ 03, or =71 ,. 2:G rZP.IIT I'_...._.. PRESE.^VT -?[^.iII1r,/PR!OPOSED USE: tg R-1 SINGLE FPMILY ? R-2 DUPLE.Y (TWO UNITS) O R-3 TOWNFiWSE (TI-IfiEE + WITS) ( UNITS) C] R-4 APAi2tt=/COrIDQmINILM ( U[VITS) ? C(kM'fEftCIAL/RE,TAIZ,/OFFICE ' O IMUS'IRIAL ! ? INSTIIUTIONAL/C;OVERI+PEM . Z.) AppLICA,T (PLEASE PRIMT) NAME: ?7e/fJCcr 7i?m?, ' ADDRESS: _7(e (0 9 GcJ. /So ''-' Y6 CITY, STATE, ZIP: , PH(hNE: - 3) pI,UMBER NR PLEASEPPINi) ME FOR CITY USE ONLY : .? ADDFtCSS: a'<E !' F,;7 ta ;,: ^ PLUM RSLICENSE: 2 vM? E?8161, ai?v 557 CITY, STATE, ZIP: 3500 Kcr 452-1565 1565 Active Q Expired MASILR Q N t f-tucord - PHONE: PLUM9EA LICENSE N CO/cf% a ni ia 4) OLC[Tppd•Tp/aINEf2 (PLEASE PRINi) , NAME: ?P.? OF 7`?imr c ? ADDRGSS: CITY, STATE, ZIP: pHorrE: i I 5) INDICATE WHICH PERMIT IS BEINC: REQUESTEp: ? CONNECPZON 'IO CITY SLI-JER CONNEK.'PION TO CITY WATEEt - ? pTiEEt (PLEASE DESCE2IIIE) 6) L'?1DIGITE O;v'E: ? PLEASE HOIZ1 APPRWID PERMIT fYllt PICK-UP BY ONE OF 11BOVE PLFASE MAIL F?PPROVED PERMIT 7Y) 1, 2, Q 4 IIBOVE (Circle one} 7) SI=NRE: ? DATE: /4?7 ? oiiwrriwi?;?i?r?ir*?iM!!?, ? F O R C I T Y U S E O N L Y i PERMIT # ISSUED FEES: - $ Io.Sd $ S $ $ LS', ?-G $ 117v . ..?-? $ $ S $ $ . . SEWER !'ERMIT ( INCLliDE SiJP.CIIARC,E) WATER PERP4IT (INCLODE SURCFIARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT GEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL SENEFIT/TRUNK SEWFR LATERAL BENEFZT/TRUNK WATER OTHER $ TOTAL $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGi3T OF WAY? ?S IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGIP2EERING_DIVISICC:.. LZST P,5 A CONIIZ- -- - TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119874 Date Issued:12/30/2013 Permit Category:ePermit Site Address: 1215 Balsam Tr E Lot:009 Block: 004 Addition: Wilderness Park PID:10-84250-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Crystal Cochran 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Catherine Christie 1215 Balsam Tr E Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PRONTO HEATING TEST RECORD yR JOB NO. l ADDRESS-_ A"- CITY OCCUPANT OWNERS 1 mfr /Y ; SOLD BY td INSTALLED BY MAKE rr r. . MODEL tea. F `t°~ y t f' i r . SERIAL NO. INPUT' THERMOSTAT VENT SIZE VALVE TYPE OF LINER LIMIT LINER SIZE r; LIMIT SETTING FILTERS: SIZE FAN SETTING"' ! ,F WIRING PILOT TYPE TEST TAG e. IGNITION MODEL p ' LIGHTING INST. PILOT TIMING PRESSURE ~ 1,C` PERCENT COP COMPANY TESTED INPUT CFH PERCENT 02_ _ m NAME OF TESTER - STACK TEMP 5296~ PERCENT CO DATE TESTED ' f`~ Use BLUE or BLACK Ink � r—————————————————+ I For Office Use � • � ; � I�V � � Permit#: � CltV Of �ao�Il ' . �-a ' J 6 � Permit Fee: J � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: o��/�/� Site Address: Unit#: �� ; , } �:� � � ��� � � ,•�, Phone:GZS/"�,�� � ' �" Name: 9 ��� z � ' R,es�dent/�� �� /' ��� ���� � � �.� � _. �� ,�.%�✓ �� �Ownec address�city�z�p: /o2j� �t9 ,� Q; �,, � ��� � ������-.,,�;a, , � , Applicant is: �Owner Contractor � � � ��� � � e� � � , � � `� � £ Description of work: Lt� � � �Type of��Work� � � >x� � �,�. � � r t Construction Cost: ,�D��' Multi-Family Building:(Yes /No�) � �������� � . n � ,��`� � _ ����� ' Company:� �4� ��`�X !N/if�fG�.�ra o���act: .� titr� � � `��. �� � � � �3� r� �� ' �} Address: ` City: � Gontractor � � �� �� �,� �. �� � 4 �` � State Zip �_ Phone: " Email: ��Q��C�J"7/ 9' ���� � ��� �— �,� � ,���,�` _I✓�G/�� 1 �, License#: 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 s, 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'tlocc�me�ts thaf you subm�t are�or�s�dered�t�b�e pu�/►c►nformafian Por�ions+� � �, �� ����� � � the�r�fa;niat�on�nay�e c�ass��ie�a�non pubi���f you prov�tle spe��fia re�sqn�:�a woul p+eXm�t�`:�Ct�jr` o� ; I �� ��� �, a ^�;� :�. � ,.�°'�z�r � �• 2� r r .� � C � � '� �`� �-t.: .. .� � � ,:� � ,� '� � � t��'� > ''� � #�' .; � ._�� .:�; � ,�� ��� conclude tf►at;��►ey are�traaie secrets ° �� �m; ..���..� � �.,..�.. ��.����:�.��v. . _, - � ,� �..�. �..�. . .v�,.r 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.qopherstateonecall.orq 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 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x �� x ApplicanYs rinted Name Ap icanY Si ur Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178431 Date Issued:08/16/2022 Permit Category:ePermit Site Address: 1215 Balsam Tr E Lot:009 Block: 004 Addition: Wilderness Park PID:10-84250-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Earl Ray & Carol Bauman Johnson 1215 Balsam Trl E Eagan MN 55123 (405) 880-6100 Northface Construction Llc 18332 Joplin St NW Elf River MN 55330 (763) 433-2269 Applicant/Permitee: Signature Issued By: Signature