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
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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
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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
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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