Loading...
1291 Balsam Tr EAPR/18/2014/FRI 12:35 AM Elder Jones Building �City or6apn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675: Fax: (651) 675-5694 FAX No, 952 854 4909 P, 002 Use BLUE or BLACK Ink For Office Use permit Fee: /05D5 Date Received: I 94 Permit #: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: Pa 14 7%l ivu% Phone:G S/ f `/S�/. 74 5"? r� Q f� / Address / City / Zip: ` / Or T l 4� a f 5 . M. 7'7'a r l LG Sr Applicant is: Owner --Contractor Type of Work Description of work: 82 4.)16 do C.} !'t► p /6 (i jr) tri -A- //1 it van)? yin, Construction Cost: R 1 4 i Multi -Family Building: (Yes / No --7 Contractor Company:_ Contact: Jt) di 912/3 Y S' • C. 1P7 _ THD At- Home Service, Inc, Address: 2690 Cumberland Pkwy, Ste 300 cit': _ — Atlanta, GA 30339-3913 State: Lic — # CR268257 Ph. 763/542-8826 License #: __. .te #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) q 7 S In the last 12 months. Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would penn/t the City to concludethat they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateanwcall.orq 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 thls 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 Tint 54AJnf Applicant's Printed Name pplicant's Signature Page 1 of 3 CITY OF EAGAN 3796 Pilot Knob Rood Eagan, Mlnnesota SSIT.Z Phone: 454-8100 Date: ? ebruary 14, 1978 Site Addreu: 291 East Balsam Trail Lot Block _ Sub/Sec. _ '"1R Et}' Name ?'11sen Hvmes Inc. . ? Address ?70. City . Paul 55116 Phone: Neme %• Bindez & Son, Ir,c. . ? Address 720 E. Butle=' Ave. ? ?c?t St. T'3u1 c' - City Phone: This Permit is issued on the expreu condition thot all work shall be Minnesota Stotutes ond City of Eagon Ordinances. PERMIT No. 10] Receipt No.: Single ResidenYiol Multl Res., Comm./Ind. I New/Alter. /Repoir Cost of Installation ;» Permit Fee - SurcFwrge ' Tota I done in accordance with all applicable State of Building , - - ' cirir oF EAc,AN 3795 Pilot Knob Rood Eagan, Mlnnasote 56122 Phone: 454-8100 PERMIT , -,? - Dote: L 7 ,-- 1 Receipt No.: $ingle Site Address: Residential lot Block ? Sub/Sec. _ Multi Res., c I Name t) ; ' - New/Alter /Repoir Address City Phone: Cost of Instollotion Pertnit Fee 0.00 ome I.miis 'T, P-t'AT' C'n Surcharge _ ? Address ?. ra•,(t 0 V City Phone: Totol This Permit is issued on the express condition thot all work sholl be done in accordance with all appliwble State of Minnesota Stofutes and City of Eogan Ordinances. No. ? ri 5 3 X Building Offitiol CITY OF EAGAN ' ` - . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for Est, Value Date Site Address ` Lot Block ` Sec/Sub. Parcel No RGm (sTN a rvame z Address 0 City Phone 4s4-7659 . o Name • ?a ? ?.wnursAMK JsW,iFCS o Q Address S 5 City Phone U? ?t' ?' U? y? W Name F W Address `W City Phone 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. Signature of Permittee A Building Permit is issued to: __ on the express condition that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Fdotprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. OM. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks TOTAL Psrmit No. Permit Holdar Date TeIsphone * Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Commsnts Footings I i Z Footings II L Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. DiaR rv 4 o. ? - ? PERMiT Dote: 11-21-£30 Site Address: Lot ? Blotk _Q-? Sub/Set. Nome . g Address ? City Phone: Name ? ? Address ? V Ciry Phone: This Permit is issued on the express condirion that oll work sholl be Minnewta Stotutes ond City of Eogan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: New/Alter./Repair. Cost of Installation Permit Fee Surcharge - - Totul done in cccordonce with cll applicoble State of Building Official pac,?? 'aD ` CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4658 PHONE: 454-8100 BUILDING PERMIT ReceiPt # 70 ,6e k GA rs: _ Est. Volue Date L S . 19 Site Address BAI's WTs `I'x. Erect p Occuponcy Lot Bfock ` Sec/Sub. t` hth A1ter ? Zoning ? k Parcel # '.`"15 090 r, 1 Repoir ? Fire Zone . Enicrge ? Type of Const. ?•' w Name i'19TTlEY Move ? # Stories ? Address Demolish ? Front 5 7 ft. Ir:.., Grade fl Depth ft. 0? Name ,o Z ? V < Addre: F" !':s.. 1 hereby acknowledge that I have read this application and state that the information is correct and ogree to comply with oil applicoble State of Minnesota Statutes ond Ciry of Eagan Ordinances. Signature of Permittee T Assessment _ Woter & Sew. Police Fire Eng. Pianner Counci I Bidg. Off. _ APC Fees Permit ???•" Surchorge Plan check SAC Wofer Conn. Water Meter '- j• L Total 940.50 i x • A Building Permit is issued to: I _n nme.s , nc. on the express condition that ofl work shall be done in accordonce with ull applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officiol Pennit .# Date Issued PWMI"" - Plumbing /e ???? '? /1?- -- ? 8 ?_r'?? ?• Mechcnical INSPECTIONS DATE INSP. Rough-I n Flnul Footings -) Date Irnp. Dote Inap. Foundation Plumbing FromeJins. -- y-7 Mechonical Finol Remarks: uf (Orrupanry titp of (Eagari Ilrpttrtmpnt nf ?ixiXditt?q lnavprtirnc This Ccrti ficatt isaued pxursuuru to tht nquirements o f Sectron 306 a f the Uni f orm Building Codc arti f ying that at the time o f ij.cuarue this structurc wus in com pliance wrth the various ordinanu.c n f thc City rcgulating huilding conJtruction or use. For thc fnllo-uinK: uw ctsunauon Single Dwelling BIdg.PermitNo. 4658 O-panq Type I Type Constmct3on V plK Zone 3 Zoning District R 1- a„kraTilsen Homes Ixi,Q,,627 Snelling Ave. So. ft: e„uu,ngo+ficw p,te: 5-1- 7 8 ? IN A CqyB?ICUOIl1 ?C[ 1M CITY OF EAGAN Remarks AdditiQn WILDERNESS R[TN 6TFI ADDITION Lot 9 Blk 2 Ownertd"? (L ??Ad ?[. -t" u L Street 1291 • Q Ral a m T ai 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 161.21 8.04 20 112.85 A005962 5 9 78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 6,56 15 140.54 A005962 519/78 STORM SEW TRK 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 9052 2-15-78 BUILDING PER. 4658 SAC PARK S •.7G 5 - OF EA6AN pitor Kaob Road i, MN 55122 WATER SERVICE PERM17' NQ.: DATE: No. of Units: No.: to eomply wit6 the City of Eogan Connection Charf Account Deposii: Permit Fee: - Surchorge: MFsc. Charges: _ Total: Dote Poid' SEWER 5ERVICE PERMIT CITY OF EAGAN 3795 °ilot Knob Road PERMIT NO.: Eagan, MN 55122 DA7E: Zoning: No, of Units: pwner: Address: Site Address: Pl umber: 1 agree to eamply vrifi+ fhe City of Eagon Connection Chorge: prdinances. Accaunt Deposit: Permit Fee: Surcharge: ,By Misc. Charges: Date of InsP•, - Total: ' Insp.: Date Paid: RESfDENTIAL BUILDING PERMIT APPLICATION ,? 311b6 ? CITY OP EAGAN ????? 3830 PILOT KNOB RD - 55122 651-681-4675 C41ka *40"01 NewConstructionReauirements RemodellReoairReauirements ? • 3 registered site Surveys showing sq. R. of bt, sq. N. of house; and all raofed areas . 2 copies of plan (20% maximum bt coverage ailowed) . 1 set of Energy Calculations for healed additions • 2 copies of plan showing 6eam & windax sizes; poured found desgn, etc.) . 1 site survey for enterior additions & decks • i se[ of Energy CalculaGons • 3 cooies of Tree Preservafion Plan if lot platted after 7/1193 • Rim Joist DeWil Opuons selection sheet (bldgs with 3 ar less units) /1,_ ?J DATE VAWATION (EXCLUDING LAND) ??2 ?v ? ? JOB SITE ADDRESS I 29 I L, T3?AL S,flr-. `fiQA I C, IF MULTI-fAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER PKk- d- ?AA0 1 L ?'j TYPE OF WORK VbCGt? Apn lT12J`J FIREPLACE(S) ?0 _1 _2 _3 APPLICANT :?6Gfr , LAJ-i;W60rR C0.N6i2vK'216n/ PHONE# qSZ- 14q 6- 3°tT (J ADDRESS kG2'6 tA k \L6 L?1 5 NP?40 fC15 Nil-I ZIPCODE S S3 _7?j PAGER# CELLPHONE# 6fz-?17-6zL3 FAX# 75- 7 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY re (check one) - Residential Ventilation Category 1 Worksheet n - Energy Envelope Calculations Submitted Plumbing Contractor. Pltiinbina SysCeiti Includes: Mechanical Contracior: Mech.uiic.d Svslem Includes: Sewer/Water Contractor: Air Conditioning I-Icat Rccovery Sys[cin Phone # Phone # orY, Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. 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 Ordinances. n` ? Signature of Applicant Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _ Upda[ed 1/01 _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Watcr Sottencr L.awn Spruiklcr Water Heatcr No. oFR.I. Baths No. of 13adis OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage p 22 Porch/Addn. (4-sea.) ? 04 OZ-plex ? 10 08-pfex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory 81dg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi P 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 (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy ?? MC/ES System Census Code ?X Zoning ? City Water SAC Units (?r Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width _ Footings (new bldg) Footings(deck) ? Footings (addition) Foundation Drain Tile Roof Ice & Warer Final ? Framing Fireplace _ R.I. _ Air Test Final ? Insulation _ Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved Bya-If_, 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 REQUIRED INSPECTIONS FinaUC.O. Fina]/No C.O. _ Plumbing HVAC /d m - G?o ?L c fZ //-5-?e/g s 6u) u.7U--x?i? 0 his request voi 18 months from G/*.3 Date of this Request 3_8_78 r 6 9 7 9 7 I, as?30 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1291 East Balaatu City Lagan Section Township Range County Dakota Which is occupied by rPi I TTnmpn onz) (Name of Oc<uDany Is a roughin inspection requiced on this job? No ? Ye9s Ready Now ? Will Call 12X Power Supplier Dakota Cty. Address Farmixk:,ton Electrical Contractor O.B. Thoripaon Eloctric Co. Contractor's License N#33735 (COmpany Name) Mailing Address Authorized (etecn¢m concracnur or own 5li RM o 01M ??ply bYtka xo. 933-2521 This inspection request will not 6e accepted 6y the State Board unless proper inspection fee is enciomd. Minnesota State Board of tlectncity ' 19A University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHC,CK BELOW WORK COVERED BY THIS REQUEST P 69797 Type of Building New Add. Aep. Check Appliances W'ved Foc Checlc Equipment Wired Fm Home 7X ? ? Range 310 Temporary Wiring ? Duplex ? fl ? Watgr-H"te[ ' ? Lighting Fixtures 19C Apt.dldg. Commeicia181dg. ? ? ? ? ? ? j t,. Dryrl/; / ['urna,ce? ce' IM ? E]ectxicHeating SiloUnloadet ? ? Industrial Bidg. ? ? ? Au Cendi?igaZt'? `??/- Bulk Milk 7ank ? Farm ? ? ? List List Di ?3( Di == hetsI Other ? ? ? sp. Here s Re COMPUTE INSPECTION FEE BELOW Semice Entrance Size: # Fce FeederslkSubfeedecs: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0[a 30 Am eres ]Ol to 200 Amps. 31 to 100 Amperes 31 to 300 Am e:es Above 200_Amps. Above 100 Amps. Above lOQ_Amps. Transformers RemoreConVOlCirc. Partialorotherfee Signs I ll Special Inspection Minimum fee Remarks 441 ? TOTALF a,Q(J 40•50 I, the Electrical Inspector, hereby cer,i??at 1? j?sp?n has bee (Rough•in) v"? Date 15" 7 y (Final) ? ,?.4) Date z This request void 18 months from 20 1 ? NewConatruct(on ReaulremeMs • 3 iegisleredsile surveys shmving sq. R. M fot sq. R. W house; and all rookd areas (20% maximum kt coverage allowed) • 2 copies of plan showing beam & wimkw sizes; poured found desgn, etc.) . 1 set of Exrgy Calculafions • 3 copies of Tree Preservation Plan it lol platted after 711193 • Rim Joist Defail OpUons seledion sheet (61dgs wiUi 3 or less units) DATE IcL-73ll'n.9 • 1?a. RES!DE!ITIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 JOBSITEADDRESS Ia!jj IF MUlil-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER?a*V.c_V. TUC+`.as(' TYPE OF WORK FI APPLICANT_1?n1A-Nc.ma_-)&6tYN* Zr6j0.1I? 'Qk`> % r ADDRESS L1CCv CC>>ob &.Z2lt A1 YSak.l •. A?F?o.n?-G.. GF1. PAGER # CELL PHONE# fAX # NCIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY I (check one) - Resfdential Ventilation Category 1 Worksheet Sub TjUNl ?- Energy Envelope Calculations Submitted MIlVNESOTA RULES 767E 3 ZOOZ New Energy Code Warksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanlcal Contractor: Mechanical System Includes: Sewer/Water Confractor: Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge thpt I hove read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes pnd City of Eagan Or inance? Stgnature of Applfcant /nz? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required - Updated 2002 _ Water Softener _ Water HeaCer _ No. of Baths 70-0-6 RemodeURevair Rauuirements • 2 copies of plan • 1 set of Energy Calculations far heated addilions • lsitesurvayfarexterioraddilians&decks • IiWicate N home served 6y septic system for additions VAlUAT10N I ?fY3401?> _ 0 _ 1 _ 2 PHONE# %3•5J;1 • "3%o16 ZIPCODE.:h93? Phone #: Lawn Spiirililer No. of R.I. Baths _ Air Condirioning _ Heat Recovery System Installed Siding andl*N&PspOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Vatley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are liinited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30`' day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 30"? day of M/1r`f , 2002. "- ?) 4 ? d? David . z 3WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`-' day of May, e. Notary blic in for the Stat of eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobh Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT CITY OF EAGAN N° 14 2 4 7 _ • 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8 100 g.pO?-- n Receipt # / 7obeusedfor GARAGE/DECK Est.Value $5,700 Date OCTOBER 5 87 19 Sife Address 1291 E SALSAM TRAIL OFFICE USE ONLY Lot 9 Block 2 Sec/Sub. WILD RliN 6TH OnSaeSewaee _ Occupancy Parcel No. MWCC System _ Zoning On Site Well _ (Actual) Conat a Name PAT TLiRNER Cirywater _ (alloweble) ; AddreSS SAME PRV Requiretl _ # of Stories 0 City Phone 454-7659 BoosterPump _ Length D th ep , o Name FIRST LANDMARK BLD6S S.F.7otai ? Q Address 611 S SNELLING Footprint S.P. ? City ST PAUL phone 699-3135 APPROVALS FEES ?Q W W Name Engr./Assess. - Permit ? 65.50 Address Planner --- Surcharge - 3.00 aw CitY Phone Council PlanReview _ Bldg OH SAC Cit . . , y I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC _ information is correct and agree to comply th all applicable State of Water Conn Minnesota5laWtesantl ofEa 8 yyrdin@@ ces. . -- (, Signature ot Permittee Wate? Metei FIRST LANDMARK BLDRS A Building Permit is issued to: Road Unit _-____ ___ on the express condition that all work shall be done in accordance with all Treatment P1 applicable State of Min°nyey(p? t a Statutes and CVof Eagan Ordinances. ? ? Parks 68 50 ? • /`?e`l??i ____ __ Buildin90ffiCial `?" L?" -{?----- - TOTAL . $ y ,• _ ., . ' ? qz47 . 1987 BDILDING PERNIIT APPLICATION - CITY OF EAG6N SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PL6NS, 3 CERTIFICATE3 OF SO@OEY, 1 SST OF IIJERGY CALCOLATI09S NOTE: ADDRESSES FOE CORNER LOTS - CONTRACTOR/HOME06iNEH MIIST DESIGHATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCS BIIILDING PEAMIT IS ISSQED. M[TL.TIPLE DWELLINGS - RESZDENTI9L RENTAL VAITS FOR SALE i1NiRS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STHUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS, $2,000 LANDSCAPE BOND To Be Used For: f)""" Valuat ion: S']00=° Date: Site Address 1,2 OFFICE QSE ONLY Lot Block 2-- 1 On Site Sewage Occupancy M-1 - - __ MWCC System Zoning 1Z- 1 Parcel/Sub bi??? On Site Well Type of Const City Water (Actual) U- N Owner?f'??nep, (Allowable) V-0 0 of Stories Address Length Depth City/Zip Code S.F. Total Footprint S.F. Phone ??? ? APPROY9I S FEFS Contractor Assessments ' Permit 6 S.So {? //? Water/Sewer Sureharge ,oJ Address J c , M? Police ` Plan Review Fire SAC, City City/2ip Code pp? Engr SAC, MWCC / Planner Water Conn f Phone Council Water Meter -?? Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL ? City/Zip Code Phone A f ? ?i,r ? Th NDMARK BUILDERS, INC. 699-3135 Permit by Le9al Des WORK ORDER HOMEPHONE:I? NAME ZeLU1111-7/N BUS. PHONE: ,.JOB ADDRESS-129 ? BLDG CODE AREA? -° -? Add'n_ SALESMAN.?''I'?hSL?-CONTRACT DATSIZE o Value Type Const. POR OFFICE?USE ONLY SLAB: 19-By F,rst La,,tlmark _._."" r_..... ._...? ._. . - .. 7.._. .. ._-. . . 1 . .. .. ,' ? BY Owner APProx. _ , . ? In . . . . .... . . . ,, . . . 2-STARTING POINTS ONLY 111&y?l t S.P.L. . . . . ' . ._ . _ j. . . . . . I : . . . ? . . . .. . . . ? I S.S.P.L. . i . . . . ! . . . . . . . . ? . . ?. . _ ( ' . .. ? I R.P.L. . . . j , . ? . . i . . , _ ? . ,. . . . t . _.. AIIeY . . ? . . . . . , . ? House __'.._!____?_?._..?___.._.?__.._____"' F. Street . . : . . ...,. . __ ' . _ _ i ? Other . , . .. . . . . I . ? ? i ? • quare With s ? + ? ? i ' ?od Rem. - B . . . . . ' ..., . ... . 1 . . . _ . . . . ? . . ..: . ? _ i '. ?A.BU ?GGrade Point ?Condui3""'"C?BV "_ h8locks ?BY Owner FLM . I . . . . . jry. ?1l lT C,_ 1? ? Wtr proof. [38Y Own. CIBY FLM ? BackfilL EIBY Own. OBY FLM -f 1 ? Maintain 8' Total Wall Height p, . . ? . : . , . , ._ . ? Including Blocks Ofl r'. ' ? Maintain 8' W211 Height on . . . ; .. . . ; ? . , ,. . . . . ? . . . .. '(,?'?? ?, '' ToP of Blocks ....,?... -? : ; ' .. Block Sae (Top course) ? ? - - ? - '---- - i ? ? . ? - ? - -- ? - - a ?- r - I ?a•• ?s° ?a • ;('?h M ----------------------------- ? ? _. ?,,?'-. o Wall Height other than 8' ? Frame with full wall height soldOR t?.. ? Cut studs as required for OHD clearance j . .. _ . . . . . ! I ' I i ! ! &5.0. Location . indows Igj? +l.? i I I i Ontt Gar Root Tie-in Drawn on attached pictures Existinggarage: No ? ,....._I.. _...... .___ . -.r?_ ..._..?i. ?... ?I?.-«-,- ... . j . - ; i i ? Detached ? t[ached Y s ?1 ? ? ? -.? Y+.? ? ? • ? '- i I " 1 f -+ ? Size of existing:Q_x_ 14 ???'r? ? • • . ? : ' i -? Existing garage will be' ? Left as Is U Converted to L.S. ? By owner . . . . . ` ' . ? . ... ? . . . ? . . ?.' ? . -; ' - ' ? ? ' ' fiRemoved Bv: Owner F-re: L'andnark { j Junk Must Be Removed By Owner . , . . . . ? . . . . I ? ... . . , . . . . ? SPecify removals bV L;ird„+, k - I . . ? . . . . . ' . . . . . . , . . Owner - trees, 6ushes, etc. ? Show aPProx. dist. garagc to If '?'? i . . . . i . ? . . . . ? . . . , ? house and all prop. lines Stakes visible - C Yes ? No + ' Survey available ? O Ves ? No Good ? Special instructions from . ??y•?F''i? . '. . . . . . . . . j owner: }[ Poor . ? .. . . . . . . . . . . . . . . . . . ? ! . PUflCHASER'S INITIALS r DiaEC7iON Y ROOF: BL REVERSEGABLE - HIP- EAVE OVERHANG: 02 `'F fANDM?ARK RAKE OVERHANG: BUILDERS, INC. SEAL DOWN SHINGLES WIT LYWOOD R ? OXBOARD ROOF SHEATHING A LB. FELT Roof Sheathing Seal Down Shingles Tnm Manufactured Trusses --/ 2" x 4" Double Top Plate Manufactured trusses engineered to minimum 40# live load per sq. foot. t? FaSCIft 1?:6 R3bf)IILi1 Soffil F?edwOOd .' Covc 2.. x 4., Stud' $IC!i 1C NOTE: 7I Roof approved by Minn. State Building Dept. at meeting Minn. State Cndc Requireinents of 301b. snow load. 2) Flip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8" nip rafters and no plywood gus;ets are used. RAFTERS: Trusses @ 24" O.C. 2x " C.C. 24" O.C. STUDS: 2" z" J1?. , 24" O.C. WALLSHEATHING:? ?(s?? ??9/NY;(J S I D I N G: c&m.L,WUn.'?'? w CJ"ac.?-Pn OVERHEAD DOOR HEADER: Double 2" x 72" or ue am bea , x e" z 7` Nnchoi Holt Slab on grade conshur.tinn approved per Minnesota Slaie Code. Rr,ferto State Building Code LeRer Number 11. SLAB? 4" WITH MESH 6" x 6" 410 Gauge 45 ` ,,- 2" x 4" Troatcd Bottom Pla!e o GraUe - L-( a 0 ?? ? ?? CITY OF EAGAN . 3795 Pilot Kno6 Reed Eegan, MN 55142 N? 465a ` PHONEs 454-8100 BUILDING PERMIT APPLICATION $45,000. Receipt # 9052 To be ueed for SF ikelg. traro_ Est. Value Dote Feb. 151 - 19 78 ? Site Address 1291 E. Balsem Ti. Erect 0 Occuponcy T Lot 9 Block 2 Sec/Sub. WR bth Alter p Zoning Rl Parcel # 70 R4955 090 09 Repair ? FireZone 3 w Name Pat Turner 3 Address o _ _ a Nnme 'L'i150II Homes, Inc. ?Q Address 627 So Cnelling Avc St. Paul o?.,_,. 698-5501 Name _ Address I here6y acknowledge that I have read this applicafion ond state ihot the Informotion is corred and agree to comply with oll applicoble State of Minnesoto Statutes and Ciry of Eagon Ordinances. Signature of Permittee - A Building Permit is issued to: all work shall be done in acco Enlarge ? Type of Const. V Mave ? # Stories Demolish ? Front 5? - ft. Grode ? Depth ft. Aenrovals Feea Assessment - Water & Sew. Police Fire -- Eng. Planner _ Council - Bldg. Off. - APG Permit iLB,UU Surcharge 22.50 Plan check SqC 500.00 Water Conn. 2A0•00 WaterMeter ko•00 Total 940.50 ' Tilsen mes, Inc, on the express eondition thct with ull,aaol+cobl State of Minnesota Stotutes and City of Eogan Ordincnces. Building Officiol Poo nATE A -I0'JS BUILDING P£RMIT APPLiCATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. +?a-?- r. To be used far Vaiuation Site Address; /a ?/ "r'. 'epz" n?d'z 9 C? Lat Block Ohmer 'Att Address /A(?/ Sec. Sub, Parcel Number 10 $YA5?? d9d o 1, Contzactor ?/Yl? p??7YL[3Q .pyiw • Address ,, MY? cj-Q?_ -0vn Arch./Eng. Address Erect Altez Repair Enlarge Nmve nemolish Grade OFFSCE U5E Aate of Approval & Initial Assessment Water/Sewer P019c0 Fire Eng. Planner Council J Rldg. Off. ? e A.P.C. Telephone Telephone ?, ?5 <f ? Telephone OFFICF. USE Occupancy Zoning Q / Fire Zone 3 Type of Const. y # of Stories Front f7 Depth 43 . S FEES Permit Surcharge PZan Check SAC water Conn. 47ater Pfeter TOTIiT, !i ? .? u ..oE,9k.. 4eriDERTY LwE N : . Pul , ? ? M ? ! 1°?eoP?erv LiN? I ? E::i ? ? M u? L-- ?I -zaaa-&.ry UN?? i 0 1.J i I i ? 6?0-'v-P.10 l4r?,c- Lor ?] BLack [? r7loncT._?RoPF(O-TY _LIIVE ? ?I 1=? V?- LOT -PL AN Cities Di i? ta1 Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. (fr a &WOLCCed t/rtty dwllias,;)?._; . , > --r te. a _ i4_ ?.'?.?..+?* - 4•Sx ?.? _ ? ?Z ? 3-? i N?i. O??TxONT "U" talw 7I acea FJM 1 -,. ? . r. sb..c. z. ?t •0" vu.mt : aw ? t ?y . . y . "U^ Y. N w ? a. , r ? .: q.. • yw • ? ?!- ? tItL wM I C(b AYG. '1T' . , aR'. . . : . r 'AllkV& '4!° .,27 oe low !ew 1 i t iaoily Mwl'jltp ,•• • - E21 er loss fes sll otkor WldlW ?ItsIL?G: i 'eWAy eM i 1'?jL?o M? ft. -.-.) ? above ??. y q +ipcipW+q ; ?' ? x?A? S S . '348 p. [c. - , sa• N. t`• : ft.I ? N• . '--?'--- - ?1. ?t?.?.?--•= _ ?4.4 ' N.lit.`' . ?k`''??I , s .. .le. M ? ? ? _y ? -? A????• a ?? i . ? t!} „ ' ? 7f s a. ? . y. ?' •. ?'??xi'?' - ....:3?.? ,. '? ?. p. . .. Li. q: t c . ¦ #4? ? y *q• tt? ? F N• ??? ? ?] d. Q . ? ?{?. `?• ?. . M. [?. ??• . ? : ? u ?' ? . . • ::?; ? -, k „ • :r: '?.:?e . ..? Moo3,1 nftowes ?vMo n ' !TA 1 s(. ?!? ----- + ?. ??^ ?qt? ? • ?l?oiaM iT,_ p• • ft' - - , .? wq Oi '7" .OS ioe wmelatMM ewtY . ,- r ? . LO ftr all otbae ewittwttiw R- talw 1. Qerra u-1.0 AjAD7 -? „/'7 2. + 3. 1div ?.. V c.,i.w S 4.5. 6. • 3. "23 r w?MIMC: R- ..Lu. 1. 2. 7. 1 ? S L.I F?T la l wll, -? [?? 6' y O 10' 043 c ? ? S. ? p , g. ? . ?•. I[ n*rage "V" values a• ealeulated abows dA uoc rst CI+e. &DOW Cod• nquisemrtat tbe "Alteetiu 6nvelops Design" a• outlined te SDC 6006 (g) way be uaed. AdditioYl oM"to ry be usod to shar ealeulatlans. . ' • "' °'-,. . ' - . ..'r . , , . . . h . : . . e;•y',y? . . _ ? ., * i... • A0 ? .] ? L p gL Z CITY USE ONLY RECEIPT #: `T5'-? O SUBD.?? Cp? DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction X Add-on fumace Repiace existinq X Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Replace Ddt@: April 8, 1996 l ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL $20.50 SITE ADDRESS: 1291 sast salsam Trail OWNER NAME: Marie 2urner PHONE #: 454-761ig INSTALLER NAME: Fredrickson Heating & Air Conditioning, Inc. STREET ADDRESS: CITM: Eagan PHONE #: ( 612 ) 452-2775 STATE: MN ZIP: 55122-1003 3650 Kennebec Dr., #1 Use BLUE or BLACK Ink r________________- I For Office Use /h] I Permit v City Of Ea Rd~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (017, S~I Site Address: IZ~I ~3wlkm Unit Name: Phone: 454. 445-L.'76sc1. Resident/ Owner Address/ City/ Zip: l v1, l &A-A^ 1-r-.", Er,~c+•iS! 23 Applicant is: Owner Contractor Type of Work Description of work: (tero04- d-- r _sAe Construction Cost: ZD, aG V Multi-Family Building: (Yes / No ) Company: t~~ Contact: l vdL Address: Ave- City: 7 k*/V1VtGAv Contractor State: Ad Zip: M4 Phone: License ~ & Lo_Sw 14 Lead Certificate t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to I conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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 A, NA t, x ov~~ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117869 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 1291 Balsam Tr E Lot:009 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-090 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick R Turner 1291 Balsam Tr E Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature