1375 Balsam St ECITIf OF EAGAN
3795 Wlot Knoh Road
Eagan, Minwasofa 55122
Pbone: 454-8100
PERMIT No.
Dote: Receipt No.: ?
Single I
-
Site Addreu: Residential -
Lot AK_ Block °Z' Sub/Sec. _Cs ? C•? _ Multi Res., Comm.! lnd. I
Name
New/Alter./Repalr
, .., -.
_. .. ' ' , . 7?LlT'T ,
; Address - ? ! 5 Cost of Instullntion
O
City Phone: Permit Fee ?
Nome _,- Surcharge .
?
?
,°?, Address
0
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V
City Phane: Totol
This Permit is issued on the express condition thot oll work shall be done in accordonce with all upplicable State of
Minnesota Statutes nnd City of Eagan Ordinances.
Building Official
CITY OF EAGAN
Addition ilderness ]
Owner °f
14
1375 E. Balsam
10 84354 140 02
Eagan, MN 55123
Improvement Da e Amount Annual Years Payment Receipt Date
STREET SURF.
5TREET RESTOR.
GRADING
SAN SEW TRUNK 1973 2.60 - 6.63 20 PAID •
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Paid th W8tC'Y onnection 1 7j
STORM SEW TRK 1981 251.24 5 5
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 1888 12-18-75
BUILDING PER. #3815 1888 12-18-75
S,4C 12-18-75
PARK
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN S5122 N0- 6673
PHONE: 454-8100
BUILDING PERMIT Receipt
To be wed for Est. Volue Dote 19
,
Site Address Erect ? Occupancy
lot Block Sec/5ub. + Alter ? Zoning
Repair p Fire Zone
Parce1 #
Enlarge ? Type of Const.
Nome
Address
p Name
Zu
o? Addreu
u
rn.,,,,e
Name _
Address
Move ? # Stories
Demolish p Front ft.
Grode p Depth ft.
Appeova Is Fe"
Assessment Permit
Wnter & Sew. Surcharge
Police Plan check
Fire SAC
Enp. Water Conn.
Planner Water Meter
Council Road Unit
I hereby ocknawledge thot I hove reod this opplicotion and stote that Bldg. bff.
the informotion is correct and agree to comply with nll opplicable APC Total
Stote of Minnesota Statutes end City of Eogcn Ordinonces.
Signature of Permittee
A Buiiding Permit is issued to: on the express condition that
oll work sholl be done in occordanu with oll applicoble State of Minnesota Stotutes und City of Eogan Ordinances.
Building Officiol
hewM # pah lau? Mr?iMM
Plumbing
Mechonicol
INSPECTIONS DATE INSP. RoupF?-In Finol
Footing5 ?r Date Insp. Date Insp.
Foundotion Plumbing
Frome/ ins. Mechanical
Final /?
YILLAGE. OF EAGAN
3795 Pilo.'?.i'nob Road
Eogan, MN 55127
Zoning: R11_
WATER SERVICE PERMIT
PERMIT NO.: -1916
DA1'E: 12/19/75
No. of Units: 1
Owner: ma3.el1 ConStruction
Address:
Site Address: 1375 E. Sd13am
Plumber: Thompson Plumbing Co.
Meter No.:
Size: ?
Reader No.:
1 agree to ?co71p1Y with tha Village ai Eogon
Ordinoncesf/ ?
? i
By?
Date of lnsp.:
°' Connection
Account Deposit
Permit Fee: 10.00 p-Me6-
Surcharge: . 0 b?33e?
Misc. Cherges: ICO?6 z'
To[aL
Date Paid: ?
Insp.:
vIluoE oF EaoAN SEWER SERVICE PERMIT
3795 0of Keob Road PERMIT NO.: 2673
Eapon, MN 55172 DATE: 12/19/75
ZoniAIIS R7T No. of Unfts: 1
Ownei:-Marall CpncYrurYion
Address:
Slte Address: 1171; F._ Ral aam T.1 d R9 WR5
Plumber: 'rhnmocnn P7 nmhi ng Co
1 ogns ro compry with fhe Vlllaga ai Eogan Connection Charge: 42$.00 Pd
Ordinancas. Account Deposit:
Permit Fee: 10.00 billed
Surcharge: .50 billed
HY: Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Cities Di2ital Oualitv Control
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CIi C: ; GAN
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to z;:,i.].icai;ion c.ated
andC1375_F,_Aalsa^?.t?? ?
-.._ dat d this . l' -- daY of -?--- Inc.
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Billed:
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i D S793 531- /s/zi a?-
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czTt nr, ;.A?arr
i 7 9 5 pi l.:ot; Ifhcb Re.ad
E= S ^. , 55122
Ti,e Cii;y o:C Eagan he:cEby grants to Ray N. Welter Fieating &A(C Co_
csf 4637 Chicago Ave.
a HEATING_ . Pe.rmit fo=^: (:raner)^ Marell -''COnst.
at _1375 Balsam pursua:-?t to apnl.?cation dateu 2 76
P'ee Paid: $20.00 date3 this 23 day of January
.50 s/c
L'uiidir.g In:?pectoi
ivTCchar.:ics.-. 'reiiri+,,:
Eid Toi.alc
ad
cT,v oF rAc::N ??? ?
3795 Pi1ot Knci) F.oad
EaU=in, Min:;eso;;a 55122
Pr.D1IT NO.: 16
T'ie City o; Eagan hereby gr:;n ts to ronmer$ Sott Water
of 3801 Californ3a St. H.E.. Mpls. 55421
a Water Softener Permit for: (Oumer) David Auguetson
at ? 1375 E. Balsam St. , pu*^suant to applicction dated 3/4/76 .
Pe-- P:i ? da $5.00 dsted this 10 day of Mar•
.50 s/c
1''Jl'.1_C.l:i.g Iilcj.i`_'c':Ja ?-'
MeonDr_ical Permits:
Did Tot&le
CITY of EAGAN
BIJILDING PERMIT
oWOO: .... AlAz.4.1/........L.?_a.r?:f.:.r ........?.?.o. ..........
` ?
Addseu (Prasen2) •(..f0........WiN4H .3-:Jr420
Sullder ..............................G-ir/..?..................... ............................
Addrace ..............................................................................................
DESCAIPTION
N2 3815
3795 Pilo! Kaob Road
Eagan, Minnesofa 55122
454-8100
Dale ..I!Z..-/7?J .. .............
Biories To Be Uaed Foz Fxon! Da th Het h! Est. Cos! Permi! F e
R Aemarke
g? ,3?obo ° o
LOCATION
or
Thia permit does aot aulhoxise the use ot eiree2s, soada, alleys or sidewalks nor does i2 gIve the owaes ot his agen!
the righ! !o ereale anp silualion which is a nuisance or whieh presents a hazard !o the heallh, safelp, eoaveaianee and
general walfate to anyone in ihe eommunify. -
TFIIS PERMIT MUST BE K.$PT ON T/gE PREMISE WHILE THE WORI{ IS IN PAOGAEnSS.
Thio is !o aertify. !ha!_-.-,.GS.L?.L°..?1 ............. d:0................. hes parmission !o erect a....... . -•°°-----...._..........---........._npon
the above descrihed premise subject io the provisions of all applicable Ordinances foc !he? C7iip f Eagan.
_-•-y'."."....?/Z.I..?L ......................................... Per ........!4!?YA?(..?tl..l.` .................................................
MaYor . .. Huilding Iaspector
CITY OF EAGAN
3795 Piloe Knob Rmd Eogan, MN 55112 N2 6673
PHONE: 454-8100 ? -
Bt91LDING PERMIT APpLICATION
Receipt # `?`?7 v J
Te be ased for DECK Est. Value 500 Dote 5-21. , 19g1--
Site Address 1375 F. Aal sRm Erect [A Occupancy R3
Lot 14 Block 2 Sec/Sub. W.R. 5th Alter ? Zoning Rl
Parcel # 10 84354 140 02 Repair F] Fire Zone NA,
E
l T
f C
t
B
n
orge ? ype o
ons
.
w Name 1 Ja'Vid Augni9tOn Move ? #$tories
Z
0 Address Demolish ? Front 12 fr.
Ci 55123 phone 454-1252 Grode ? Depth ff.
r? Name (hrno„ APProvale Fea
o -
?
?0 Address
f r:w.
Nome _
Address
I hereby ocknowledge ihat 1 have read this application ond sto?e that
the informotion is correct and agree to comply with all applicoble
State of Minnesota Statutes ond ZiR ofiF.beern Ordirwnces.
Signmure of Permittee r' -'(1 El,? V
-` 7
A Building Permit is issued to:
all work sholl 6e done in accorda tk with o. cable Slate of
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bidg. Off. _
APC
Permit a,(1(1
Surcharge 1100
Plen check
SAC
Woter Conn.
Water Meter
Road Unit
Total ?i n?: nn
on the express condition Thot
Statutes and Cify of Eagan Ordinonces.
Buitding Official
•?
CITY OF EAGAN
BUILDING PEF3IIT APPLICATION
?7b Be Used For
Site Address / 3) S" c= SAt5z9-y'v
Int /4( Bloc7c l Sec./Sub. W)Q ?.P-k
Parcel # : ? Y.3 J 'y / '-{O O 2-
Owmer: n?i71? ?G U 5T5o,c?
Acklress9
City/zip Code: -;AA/ ?S/ Z 3
Phone #: 4( 54 /2 ?-2
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./f?x3.
Address:
City/Zip Caie:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Valuation 5 oc) Date S--Z % - 9-1
OFFICE USE ONLY
Erect V_ oocupancy ,43
Alter Zoning r( /
Repair
_
Fire Zone jtA
FSzlarge _ Zppe of Const.
Nbve # Stories
Denolish Front ft.
Grade Depth a/ ft.
APPROVALS FEES
Assessments Permit
i4ater/Sewer Surcharge /
Police Plan Check
Fire SAC
Etig. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
P,PC
Zl7fAL ? /? `?
MASTER CARD
OWNER
SiRUCTURE AND T S?I
LAND USED AS `J,?j q y% /T
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ,14 t ?oit?!//Sar`
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING
GAS INSTALLING ?7C1G 74 f-Qzt
SANITARY SEWER I
OTHER I
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING ? SEPTIC
FOUNDATION
FRAMING
i?-- CESSPOOL
TILE FIELD FT.
FINAL T
ELECTRICAL
HEATI NG
? DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK . ?
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
CartIflcate For: ?
ZtRre12 'nc,
1C''1C'r ?,vnc!hle dvenue F.c.
ploomineten, Minriesota SSUO? DELMAR H. SCHWANZ
Lnnosuavevoa
Re4?steretl Untler Lzws of The Smle of MinnesOta
100'h MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55068
SURVEYDR'S CERTIFICATE
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• PHONE 612 423-1769
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' MINNESO A REGIStFATION NO 8645 `
l
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1375 Balsam St E
Lot: 014 Block: 002 Addition: Wildemess Run 5th
PID:10- 84354- 140 -02
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Pemiitee: Signature
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
Carbon monoxide detectors are required by law in ALL single family homes.
Owner:
David M Augustson
1375 Balsam St E
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
EA089829
06/22/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115533
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 1375 Balsam St E
Lot:014 Block: 002 Addition: Wilderness Run 5th
PID:10-84354-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Thomas Galbraith
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David M Augustson
1375 Balsam St E
Eagan MN 55123
(651) 454-1252
Capital City Exteriors Inc
1643 North Dunlap Street, #1
St. Paul MN 55108
(651) 755-0958
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r————————————————�
I For Office Use �
C' � Permit#:� ��� �� j
ity of ���a� I Permit Fee: ���"�� �
3830 Pilot Knob Road � T �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � 2 S �' 5 Site Address: � � �� �"- ' s �� �� � � � Unit#:
� � �� �
�
��' " �� �a�� x� : '�D�+�/�� ��`���� Phone: �b�` �"�..� � - � c�cj Jc�
Name:
�� � 13�S '�3�,s a�-�. 5-�-. ��
�l � � �i`� �
�, ��� �, �`� Address/City/Zip:
��� ��� `�f f���x �
� Applicant is: Owner Contractor
�a �; ` Description of work: ��� ���� g r�"1�� /1 w Y't� � �'�" S�'�`�� �
T������
����`�� Construction Cost: � � �� r Multi-Famil Buildin es /No X
� � �, Y 9� n' �
�
�� Company:C��"�� r/�'�''1 �����$ , ��•Contact: ��
�
��� x
�� ���� Address: ��D�-�'3 �✓►rl.,� G� S'�'"•/�� �'1 City: S�'� �CMj�
�
� .
' �� � ��� � State:�� Zip: �Jr I 0 Phone: IOS�I'1�S-09 Email: `�"OIM��G�'�'� °vK-'�''�GO✓i't,
��'��;,�t t i�qi1�4 s": V
, � : License#:� �}-bd �D (0 1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 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:
Fire Suppression Contractor: Phone:
`l� E���'�����?�f� ���rC3�l�r��f'��#���i���'��'� ��t�"�`���� 5 Af
� �� �� ������ ���������,�l������ � � . �����'�'������ � -�.
4
:'',..-e„ ....,''�.,. .,..i. ��' , :`'.,��,,,�•�J^`�,.�. �,E+���, ,..<„it�1�„�x�f3�> ',��.���,,., s,..�C..,, � �' � � „S`:"3,
.,"
S
' 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. wuvw.qoaherstateonecall.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 fi�r�_ �Gt�l b�'4.�-1-�, x ��
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
111 ,1
RECENT
� � eeeo �
MAY 21 2018 For Office Use
` �e+� .et�� Permit#:
EAGAN
Permit Fee:
�V
Date Received: i'd(-/ a
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinglnspectionsna citvofeagan.com L i J
201�j8 RESIDENTIAL
�JPLUMBING
� nPERMIT APPLIC TIN
Date: "" / 1°/ $Address: \ T 4 f.� S541' 11- . ,$f t'---'2'61'''1557P_:_7
Tenant
�7. „� 4 ' k � �� +� � Suite#:
at f Q i� Phone
esldent/Q •flea Name: I, r iDi i�
t � t : C 1` Address/City/Zip: — P.
)L' t1.. 1 I J ' iv
r�,� Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376
�" T Y 't -.
. } 4`. .- Address: 1801 50TH STREET EAST
Cont a.c o 3 City: INVER GROVE HEIGHTS
k
/ `'t 4-,�* State: MN Zi 55077 651-451-2241
,,. p Phone:
, � Email: 9 @ 9
,� Contact: BILL MILBERT loria.abas culli an4water.com
,: ky.e o A}or '� _New Replacement _Repair _ _Rebuild ^_ Modify Space —Work in R.O.W.
' t.-t „zk Description of work:
' tFr*,Y f `' ' RESIDENTIAL
c ▪ ,-, , M,,
, ` � fit —W ater Heater
t 447,b 4.',;'',744-0 X Water Softener
',. � "V _Lawn Irrigation RPZ/ PVB)
��Permit typeg (— —
no• r 2,,o,m ,A , , Septic System Add Plumbing Fixtures( Main/ Lower Level)
• ; ! � r —New Water Turnaround
�Arl,, 'r; ; f , ,, Abandonment
RESIDENTIAL FEES: ""`"'"
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 If a 3/4"meter is required)
$115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00
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.org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.com/subscribe.
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 t is nota pe it, but only an application fora permit, and work is not to start without a permit; at the work will be In
Gorda 5e ith the appro o pia in th_e se of work hich requires a review and approval of pia s.
x.
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x fAVI4 i
Applicant's Printed Name Applicant's Signature 1
OYO 's Sfr ] t11 4S jCS ":. 3 rt i� {$ S.`4`S fb'i. a S E to
R; FFICE USE. X44, I. U 4 k,1, Wed a' ,,' ' ' i- a ,D �,_ 4
yi '�; 't z � rr �kz R@Vie x a s +e.� k ���t b y�J ��� x y �
r� �r� x?r t t� ;<f , s �', Date � n
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