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
?
?
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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 .
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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
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LAKE
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Certificate For:
GELHAR
s
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W '•?O\
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44.9
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HOMES
11? IPA-
4;4 Q
( L. ?I S_:.
?xfstin0' -_
- , ?-
?^ ` _+
b
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?? ? ' w\l 1?? /
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!/ 4r:.ei 'r g
? ? 'P • yag /?`? qs
91.4 ,'•' / 3
! pe?
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?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
?
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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 ?
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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 ?•?
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LAKE I
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I 91.?•
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? 46.01
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Certificote For:
GELHAR
,
,s
HOMES
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4. `
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y Fr
•?t. /
Scale: 1 inch = 40 feet
° Denotes Wood Hub Set
x99.96 Denotes Existing Spot Elevations
_?--- - Denotes Surface Drainage
1414
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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#:
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�:� � � ���
� � ,•�, Phone:GZS/"�,��
� ' �" Name: 9 ��� z
� ' R,es�dent/�� �� /' ���
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�� �Ownec address�city�z�p: /o2j� �t9 ,� Q;
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� ������-.,,�;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