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1437 Balsam St CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt # % GARAGE 3S,A04 pC,'tOBU 19 90 To be used for Est. Value Date , 19 Site Address 1437 M1.SAM S3R88T 15 OFFICE USE ONLY Lot Block Sec/Sub. ParCel No. Occupancy FEES KEIi MEER zoning - ;72 00 W Name (Actual) Const - Bidg. Permit . o SAM Address (Allowable) _ 2 • 50 Surcharge City Phone ?e oi stories 1 Z? Ptan Review Length ? o VAI.LEY !liVES7?}ENTS L'ANST Name Depth • sac city = U 402 LEXING'tON. S Address S.F. Total , EffiNDOTA HTS 454 519 SAC, MCWCC ? - 1 CItY Phone S.F. Foolprints _ Water Conn r On Site Sewage _ ¢ ? W Name On Site Well - Water Meter Address MWCC System - a W City Phone cay wacer Acct. Oeposit - t S PRV Required /1N Permi _ I hereby acknowlege that I have read thls appliqation and state that the Booster Pump - S/w Surcharge information is correct and agree to comply with all applicabke State of Minnesota Statutes and City of Eagan Ordmances. • Treatment PI Signature of Permitee APPROVALS Road Unit VALIZY 1NVEsTMENT$ (O T Planner A Building Permit is issued to: Park Ded. - on the express condition ihat all work shall be done fn accordance with all Co+ncil - applicable State of Minnesota Stalutes and City ol Eagan Ordinances. Bldg. Off. _ Copies . Building Official ? Variance - TOTAL PermR No. Permit Holder Date Telephone f/ WATER SEWER PLUMBING H.V.A.C. EIECTRIC Inspection Date Insp. Comments Foolings I &5?/? wg" ( ?,& Foundation Framing Roofing Rough Plbg. ROUgh Htg. Isul. Fireplace Final Hlg. Final Plbg. Const. Meter Plbg. Inspector- NoG(y Plumber Ergr.IPlan Bldg. Final Cn`/F Deck Ftg. DeCk Final Well Pr. Disp. ? ?. L = ? CITY OF EAGAN Remarks -KF10 D11 Street 1437 B`LlS 2m 3 parcel 10 24880 150 03 State F'???MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRAbING SAIV SEW TRUfVK Z 1973 1 - SEWER LATERAL WATERMAIN ' WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. _2 ` 0 BUILDING PER. SAC PAR K MECHANICALPERMIT RECEIPT#: CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Name a i K, r, V Address J y r r'-, . 1< C Cil`7 ? Name _ 3 Address O CitY -? TYPE OF WORK Forced Air Boiler Unit Heater EKir Cond. ? 17ertt--- ---? Gas Piping Outtets # Sec/Sub Phone BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New Add-on X Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ? REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) M BTU M BTU M BTU M BTU CFM FEE: r - ' - S/C: SIGN RMI TOTAL• r n n FOR: CITY OF EAGAN cIrY oF EAGn?N 3796 Pllef Knob Road Eagan, MN 55122 N2 5237 PHONE: 464.8100 BUILDING PERMIT Receipt .# Ta 6e used for Est. Volue Dote , 19 , Site Address Erect ? Occupancy Lot Block Sec/Sub. - - •Alter ? Zoning Porcel # Repair ? Fire Zone Enlorge ?? 7ype of Const. w Name ` - ? Move ? # Stories W Z _ fc qddress Demo{ish ? . Front 8 Ci Phone Grode ? Depth ft. O? Name _ o ?? Address ?- r;+., Name _ Address 'Assessment Water & Sew. Police Fire Eng. Picnner Courtcil Fees Permit Surcharge Plan check SAC Water Conn. Watef Meter I hereby ncknowledge that I have read this applicution and stote thot gldg. Off. the infoYmation is correct and agree to comply with all applicable APC Total Stote of Minnesota Statutes ond City of Eogan Ordinances. Signoture of Permittee A Bullding Permit is issued to: on the express condition that all work shall 6e done in acr.ordance with oll applicable State of Minnesoto Statutes ond City of Eagon Ordinances. Building Officicl Permit ,# DaM Isued ParmiMM Plumbing Mechonical I INSPECTIONS DATE tNSP. Rough-In Finol Footings Date IrKp. Dcte Insp. Foundotion Plumbing Frome/ins. ? - Mechonical Final Remorks: %,7 - 3- j , TOidN OF EAG?.N - 3795 Pilot Knob : oad C. Gci'?<7L Eagan, Minnesota 55121 PERMIT N0. I2L' The Board of Supervieors hereby grants to Feil ? eiubbttrd Hn-+xrr- Of _ 99 ticrth :in^liir.rz Ave,+ St. Peul 55104 a 1;:3 Permit for: (Owner) 'filsen Comt-llC:.jOfP Cc), 8t L4"s ra}..^,_,m, 4249. 4295 ?: 4,47 LOV ? uant to application dated lun- •. 15, 1171 , Fee Paid: S'f?.CU Dated this 13t1h day of 3unn , 1971 , Bvilding Inspectmr ?3 TOi7N OF EAGAN 3795 Pilot Knob P.oad Eagan, Minnesota 55121 /D 1S0 6'3 f el- ??/? 1-br/G PERMIT N0, 131 Tfie Board of Supervisors hereby grants to J• F. rarrell d Son dp 990 W. t%?oiitunn Ave., St. Pnul 55117 a PLUti3It•:G Pexmit foi: (Owner) Tilacn, CoasCructior at h295 1- pursuant to application daCed 7 Junc 7, 1971 ? Fee Paid: $40.00 Dated this 7th day of June ? 197 1 Building Inapectmr EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Yaul, Minnesota 55111 Telephone 454-5242 PERNffT FOR WATER SERVICE CONNECTION Date: May 24= 1971 Billing Name: Tilsen Censtruction Owner• Plumber• Luecken Excavating Co. Number: 625 Site Address; 1437 Balsam Silling Address . 260.00 od stqf5/24/71 Read Out 636422 Meter No. 11398204 pexmit Fee 10.00 pd 7/27/71 Meter Reading000 000 Meter Dep. . 50 pd 7/27/71 s/c Meter Sealed: Yes_ I Add'1 Chg. NO ITotal Chg. Building is a: Res3dence x 24ultiple No. Units Commercial Industrial Other Inspected by Date Remarka; $25.00 'Rc-;;0SPrC7i0'J FEE fOR IMPROPERiY lP:STALLcD fti9ETtRS, By: Chief Iaspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tkm proposed work in accordanc with the rules and regulations of fiagan Towaship, Dakota Count inn ota. :'- / g l Luecken Excavating Co. Please notify the above office when ready for icwpecCion aud connection. EAGIaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SSRVICB CONNECTiON DATE; July 27, 1971 OWNER:Tilsen Construction Co. NUM$ER 840 Address 1437 Baisam, Eagan 55122 PLUMSER Luecken Excavating Co. TYPE OF PIPE Cast Iron DESCRIPTION OF BUIIDING Industriall Commerciall Reaidential I Multiple Dwelling I No. of units Location of Connections: Conaection Charge -0- Permit Fee 10.00 pd 7/27/71 .50pd72771sc Street Repairs Totai Inspected by: DaCe Remarks • By. Chief Inspector In consideration of the iasue and delivery to me of the above permi.t, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dakota County, ea ta BY Luecken Excavating Co. Please notify when ready for inspection aad connection and before any portioa of the work is covered. EAGAN TOWNSHIP BUILDING PERMIT Ownet """??---..y.'°-nra[c'...:----.....?.-''--o-" ...................... Address (prasent) ._i_?7.-----??..:__.... Builder ................---' ............................................ Addrees ........ -...................................................... --......-°'--°-...... DESCRIPTION 1?1T° 2447 Eagan Townahip Towa Hall Dete .... 'f?i8'?7z ................... Sioriee To Se Used For Fron! Deplh HeSghS Esf. Cos! 'Permi! Fee Aamarks '"? , ? .c?"??. a ? " LOCATION 8lreel, Road or olhes Descriplion of Loaa2ion I Lo! S1ock Addilioa or Tsao! / 513 7 JJ2,,,?J .&- I/s- 3 I ??-„- 6)?? This permit doea not au3hosise the use of alreelc, roada, allepa or aidewelks aor does it giva the owner or his agen! . fhe righ!!o create any situation whieh Is a nuisanee or whiah presenla a heaard !o the heallh, satety, conveaieace and general welfare !o anpone ia the communilp. THIS PERMIT MUST SE KE T? THE PREMISE WHILE THE WORK IS IN PAOGAE 5. This is !o cerlifp, lhat........ ....................?......._haspermission !o eree! a........_........ .... .... .._.._.. upon °- -------- _ the above desaribed premise eubjec! !o the provisiona of the Suilding Ordinanae for Eagan ownship a opled April 11, 1955. ..... ......"'''- ....... Per ........ ................ .AC?-?-- ..?T? . GChairman o Tnwn Board .b ? Suildin4 InsPeeSos n MASTER CARD • LOCATION to. r?1I u . OWNER STRUCTLIRE AND `n IAND USED AS ?v I T??! L 1/?R4 I? SL/?? ??A/ Permit No. Issued Issued To Contractor ? Owner BUILDING PLUMBING Hy7 2. ' - . .w d / - .' s !tw*?I It+ Al!1 C 1. CESSPOOL - SEPTIC TANK WELL i EIECTRICAL I HEA7ING ? GAS INSTALLING SANITARY SEWER ? I I i OTHER 'f J_7 ? ? I OTHER I _ Items Approved (Initial) Date Remarks Distance From Well FOOTING fOUNDAiION , V ? 3 -?•7 7 SEPTIC CESSPOOL FRAMING -- V -0---- TILE FIELD FT. F I N A L ELECTRICAL , I HEA7ING OFPWELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? ? ? I? • WEIL SANITARY SEWER -_ ? Violations Noted on Back COMMENTS: ciTr oF EaGAN 8795 Pllot Knob Rmd Easen, MN 55722 N2 5237 PNONE: 454-8100 BU ILDING PERMIT APPLICATION Receipt # To be und rer Back PoY'ch Est. Value 5,500. ONate 5-29 1979 Site Addreu 1437 Balsam $t.Yfl2t Erect ? Occuponcy R3 Lot 15 Block 3 Sec/Sub.EVe rqreen Park Addn•Alter ? Zoning Rl Parcel # 10 24880150 03 Repair ? Pire Zone Enlarge ?C] Type of Const. V z Name KP1'uletll G. KriePx p Move # Srories --- - i ? Address 1437 Balsam Street Demolish ? Front -- ? ?? ft. Ci EaQan Phone 454-8431 Grade ? Depth 1 ft. p Nome S aiC12 APDrovals Feea u? Addreu Assessment Permit 3. o0 Ci Phone ater & Sew. W Surchorge ?-?•50 1 Police Plon check i Name Fire SAC ? Address Eng. Water Conn. I hereby acknowledge that I have read this applicotion ond state thaf The Information is Correct and agree to comply with all applicable $tate of Minnesota $Mtutes and iry of E Ordinarices SlgnMUre of Pertnittee A Buliding Permit is issu/ed to: YenneYh KR22Y all work shall be done in oc nce (th a icable State of ' n Buildirg Official LZ- Planner _ Council _ Bldg. Off. _ APC Water Meter Toral 34.50 on the express candition that Statutes and City ot Eagan Ordinances. CITY OF EAGAN BUILDING PERMIT APPLICATION To be used for QACK f URC1-I Valuatfon -? -'S OC-) , `?j??3an? Include se[s of pls, 1 site plan w/eleva[ions fi 1 set of energy calculations Date S-v'-z 7- 7?? Site Address /V37 BALSAM ST. Lot ? Block 3 Sec. /Sub. &Az.l_ C ect ? Parcel # 0 Alter Repair Enlarge ' Owner: k,Eh/ li FT!-l C' I?NEEIZ Move Address: !y ? 7 8faLSiaLYi S % Demolish _ Grade Ei? Cr /a hl ^YYl h? S S l•?•? Phone ll: ?-I S'-1 - S S 3% - Contractor: Ot-u N EtQ Address: C A yrJ t Yhane IF: Arch/Eng.: ^11/ONE Address: Phone $: OFFICE USE ONLY Occupancy 9- Zoning ? - G Fire Zone Type of Const. , 0 Staries Front / ft. Depth ?- ft. Approvals F.ees _ Assessment Water/Sewer Police Fire Eng. Planner Council BTdg. Off. .? APC I i Permit ZI 8 Surcharge 3 Plan Check ?.-?- SAC Water Conn. Water Meter Road Unit TOTAL ZJ"j ? . :J I 1 • • • 0 CITY OF EAGAN NO ? 846? 3830 Pjlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT , PHONE: 454-8100 Receipt # ? ??? ??-1 To be used for GARAGE Est. Value $5,000 Date OCTOSER 19 19 90 Site Address 1437 BALSAM STREET Lot 15 Block 3 Sec/Sub. EVERGREEN PARK Parcel No. w Name _ ? Address KEN KNEER Phone o Name VALLEY INVESTMENTS CONST ?0 Address 2401 LEXINGTON S m P City MENDOTA HTS Phone 454-5191 Jr uW Name ?- ?, Address a W City Phone I hereby acknowle 1? I have read Ihis application and state that ihe iniortnalion is cor ect an agree to compl wifh all applicale Slate of Minnesota Stalut ?andCi Eagan Ordin ces Signature of •ti '? ???R?^--?- A euilding Parmit iVALLET INVESTMENTS CON on ihe ezpress coll work shall be done in accordance with all applicable State of Minnesota St Ntas and Ciry o/i E?aqan O/r mances. Building ONicial ? ?-LC? ?L?L? ? -5 Occupancy Zoning (AClual) Cons[ (Allowable) M of Slories length Depth S.F. 7otal S.F. Footpnnts On Site Sewage On sile well MWCC System City Watar PRV Required Booster Pump APPROVALS Planner CounCil Bldg. Olf. variance OFFICE USE ONLV 12, 23! FEES Bldg. Permit Surcharge Plan Review SAQ City sac,MCwcc Water Conn Waler Meter Acct. Deposit SiW Permit S/W Suroharge Treatment PI lioad Unil Park Ded. Copies TOTAL $72.00 2.50 04.so ? y 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 5O oa) ' 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL 3 REGISTERED SITE SURVEYS REGISTERE? SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. . PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. C-ApAvc A'oo'a, D To Be Used For:3?, G?Valuation: Site Address 1"-7 (gf}/?/.?yh ?*of'+F Lot 15- Block 3 I Parcel/Subo?(-?F; Owner ??/' 94r--P- Address /V?S-7 9A-(? &,h City/Zip Code 1?4c-/,LLz Phone Contractor Address / 6A,ji'7?Pv s City/Zip Code Phone Arch./Engr. ?///h A/(GU-19-yf7 Address City/Zip Code Occupancy 2oning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. COMMERCIAL &" ) 6 1990 OFFICE USE HPTJ.Y FEES M- I ?7-3 t On site sewage On site well ? MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner ? Council ? Bldg. Off. Variance Bldg. Permit 72+00 Surcharge 20$b Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Degosit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL .?ln Phone # c; ; . ? tq toT 15- a?.oC43 F, ,?6 Prj rn;NA). ;ll4R.4 14a??rivAl ?vEp Ggo RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851•881-4875 New Construction Reouirements • 3 registered sRe suneys showing sq. ft al bt, sq. fl. ot house; and QII roofetl areas (20% marenum bt coverege albwed) • 2 coples of plan shaxing Geam 8 window sizes; poured found design, etc.) • 7setofEnergyCelalatlons • 3 copies of Tree Preservatlon Plen d bt plaHed aker 717/93 • Rim ,bist De1ai1 Opibns seled'qn sheet (bldgs witli 3 or lass units) DATE LP - 1[) - 0 2- SITE ADC NPE OF APPLICANT STREET ADDRESS TELEPHONE # CELL PHONE # FIREPLACE(S) _0?,_D _ 1 _ 2 I y- `;-. -1 '-?- TEYv\ ZIP`ss113 FAX# 1P51-4b3°o21° PROPERNOWNER TELEPHONE# 1v5?Ao$1o-09? ---------------------------- ------------ ---------------------------------------------°-------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _MINNESOTA RL7LFS 7670 CA1'EGORY 1 MINNFSOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculafions Submitted Plumbing Conhactor: Plumbing system includes: Mechankal Contractor: Mechanical system includes: Sewer/Water Conhactor: Phone li Phone # Fee: $90.00 D?N??R , ---------°--------------------°-----------------------------------------------------°° --- ---- - B -------------------- I hereby acknowledge thaf I have read ihis application, state ThaT the Information is corr , e-to-caoo? with all applicable State of Minnesota Statutes and City of Eagan Ordin es. Signafure of Applica ` OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener Water Heater _ No. of Baths RemotleUReueir NeouhemeMe . 2 copiesof plen • 7 set of Energy Calculations for heated addiNOns • lskesurveyforexlerbraddNions&decks • Indicata N home served by septic syslem for addtlbns _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System AULTI-FAMILY BLDG _ Y VALUATION lo_E+_L?50 ' PERMIT# ?O ?/ Ll RECEIPT DATE: MIDE1VTilkL PLUM$INC PEgMIT AfPLICATiON crrY og EAsAx 3830 PwoT xxos gn E?sallv, ]tuv ss1 aE ?- is- o a 651-6$1-4675 5AD Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: 10 ?1 OWNER NAME: : p,? ? C?l?i.(?(l_;6?) t:TELEPHONE #: US- I lD&o -ncl ??k (AREA CODE) INSTALLERNAME: (r,>Q_0z TELEPHONE#: I0S I II?LI STREET ADDRESS: IL41 U? ayr?V, (AREA CODE) CITY: 'LUV'VAM t -y-IT- STATE: Piace a check mark nexf to the ermit work type Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00 areas or additions ? Modification/alteration to existin dwelling unit, including: $ --_ala.ta'` • new installation/repair/rebuild of RPZ • lawn irrigation sys • water softene -, water heater ir conditioner V2 >>'t- Nature of work: kp?j'? Q.3 _ __ Septic System, new/refurbished - 225.00 • includes County & Consuiting Inspector fees • requires two sets of plans • requires MPC license Abandonment of septic system $ 50.00 Water turnaround - existing dwelling unit $ 50.00 • 5/8" meter (if required) 118.00 Sta,te Surcharge Total $ 50 $ (5 -so I hereby acknowledge that I have read this application, state that the information is corred, and agree to comptywith all applicable Cityof Eagan ordinances. It is the applicanYS responsibility to notiTy the property owner that the City of Eagan assumes no Iiab Itty for any damages raused by the City during iis normal operational and maintenance activities to the facilities consVUCted under this permit withinwCity pr per[ylright-o(-way/easement. OF PERMIXEE 1/02 ' CITY USE ONLY PERMIT k: 4013 RECEIPT DATE: . . RESIBENnA3.16iECRANgCAL PEi$14IIT ?PPLICATION ` :: crrY oF ExCiArr 3$30 PPLOT KNO$ fZD £AHAeN iMN 55122 1- I 5- 02- 651-6$1-4675 S^? Please complete for: ? singie family dwellings townhomes and condos when permits are required for each unit Date: ?-?" ?2- SITE ADDRESS: OWNERNAME: fIULTELEPHONE#: (OS 1 ? (AREA CODE) INSTALLER NAME: TELEPHONE #: I ` ? - ? y 0 (AREA CODE) STREETADDRESS: ?fxlIq uC? ?-L`` CITY: I STATE: N,11 Place a check mark next to thp nermit wnrk tvne ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on?adi€ic,afion-0r alteration to existin dweiling unit $ •?? ??fu_rn?ac,e replacement L i R ' 30. 00 - I? ?S • airexchanger P • air conditioner • other Nature of work: State Surchar e $ 50 rotal 30 . o i Reminder: Cal! for ixspeciion:s. I City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1437 Balsam St Lot: 15 Block: 3 Addition: Evergreen Park PID:10- 24880 - 150 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. $88.50 $1.50 Total: $90.00 Owner: Robin E Fink 1437 Balsam St Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA092202 12/02/2009 ePermit Use BLUE or BLACK Ink r For Office Use I J I I City of Ea an I Permit I ~ I Permit Fee: l I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S" l'b _ I Site Address: l Unit Jb „ni v` Name: Phone: Resident/ i LE3 I~ t=Y( ~Pt S l Owner Address/ City /Zip: Applicant is: Owner Contractor Type of Work Description of work: ~_-C©oF- Construction Cost: bl 2oC~ Multi-Family Building: (Yes / No Company: ~E~a-~~ Cows ~T2UC~7 r a~ Contact: Do vL► ► a" 6 re e'er Address: k0ld-a City: SLdY1 ~t pr- Contractor ,,n State: 11A Zip: Phone: to 1-2 - 5bb - Ll) '-/7 License _13 C (p31270 Lead Certificate , Jfr f 1 15 3 3 '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: I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to 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.qopherstateonecall.org 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 Buil ' g C e must be completed within 180 days of permit issuance. x_~ Vv\ t 0 -A C~ Q C~ 'z9 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA142375 Date Issued:04/28/2017 Permit Category:ePermit Site Address: 1437 Balsam St Lot:15 Block: 3 Addition: Evergreen Park PID:10-24880-03-150 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robin E Fink 1437 Balsam St Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature