1212 Balsam Tr EV IIJ1GAN
ilot Knob Road
MN 55122
SEVYER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Address: -' • ,. , r?_,? _ Y ?(` ^a
ber. _
ee to tomply wilh the CifY of Engan Connection Charge:
iances. Account Deposit: _
Permit Fee:
Surcharge: __ -
-- Misc. Chorges: -
of Insp.: ? Totol:
?
100.OC pr7
?-.? .... _,
cinr oF :aae?H WATER SERVICE PERMIT
3795 PitoF dnob Road PERMIT NO.: 2142
Eogon, MN 55122 DATE: 5/IO/?7
Zoning; No. of Units:
Qwner: '
Address:
Site Address: ' . -' " •? y"? R`' ' ..
Plumber. ??. - r'?•L•?:T' 7'11
Meter No.: Connection Charge: '
Size: Actount Deposit:
Reader No.:
Permit Fee:
1 ogree to comply wifh fhe City oi Edgan Surcharge: •'?' ?'?
Ordinanees. Misc. Chorges:
Total:
BY - Dote Poid:
Dote of I nsp.: _ I nso.:
CONTRAC
PRICE
? Name
m
? Addre
c City _
c?y
CITY OF EAGAN
T 3830 P7f4;T KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
FEES
COMM.lIND. FEE -196 OFCONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES `
TOWNHOUSE & CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
CITY OF EAGAN
PERMIT #
DATE:
BLDG. WE WORK
Res. New _
Muft. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: •?
NO. FIXTURES TOTAL
Water Closet - $3.00 $ ,
Bath Tubs - $3.00 ?
Lavatory - $3.00
?
Shower - $3.00 .?
Kitchen Sink - $3.00
UrinaVBidet - $3.00 ?
l.aundry Tray - $3.00 .?
Floar Drains - $1.50 - ? - ?
? Water Heater - $1.50
Whirlpod - $3.00
Gas Piping Outlets - $1.50 ,
(MINIMUM -1 PER PERMIn ?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Spnnkler System - $12.00
PERMIT FEE: ?5O ?
STATES S/C:
GRAND TOTAL: ? ?
PERMIT #
MECHANICAI PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MH 55122 DATE: _
PHONE: 454-8100 FOf OffiCe l
Block
m Name
? Address "
c City Phone
? Name -'
c Address •
p City Phone "
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets #
FEE:
s/c:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A1C ON NE1N
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 APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
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FOR: CITY OF EAGAN
• ` " • • PLUMBING PERMIT
CfTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address / -` ' -'
Lot-;, tg Block
? Name
? Addre
c Cily s
? Name
c Addre:
p CNy /
3
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIM:JM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000,00)
JqWW_WW_q?1
n
PERMIT #
RECEIPT #
DATE: -
WORK DESCRIPTION
Res. ?
Mult
Comm.
Other
FOR CITY OF EAGAN
?
New _
Add-on
Repair,
NQ. FIXTURES
? W
t
Ct
t
$3
00 TOTAL
s ' `? ?
a
er
ose
-
.
7-
Bath Tubs - $3.00
_?__Lavatory - $3.00 T
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
?Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
• : " c,
FEE
STATE S/C: 'r a
GRAND TOTAL• J?'?
.,
• ' . - CITY OF EAGAN
3795 Pilort Knob Road Eagen, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tn 6w u.d ier ;S>-•. . ` - • ;, ' ;;8rg• Dnte
Site Address ''? ? •= ' ' ° ' r' am Erect ?
Lot Biock Sec/Sub. :1 1 d:,g?? r't' Alier ?
Parcel # Repair p
Enlarge ?
W
Nome
'
FY?F
Move
?
+L.
?
Address _-.? - p':.,.. ? I l.. t'-?. F.?J C•
Demolish
?
0 _. Y ., ?. rrnrAo I-I
?
? Name
.
o Address Assessment -
?
u
~
Cit Phone
Water & Sew.
Pol ice
F _, I
Name _
Address
I hereby acknowledge thot I have read this application ond stote that
the information is correct ond ugree to comply with all opplicable
State of Minnesoto 5tatutes and City of Eagon Ordinonces.
S' t f Perm'tt
Eng. -
Planner _
Council _
Bldg. Off
APC -
Fees
Permit
Surcharge
Plan check _
SAC
Water Conrt. ?
Water Meter
Total
igno ure o ? ee .
A Building Permit is issued to: an the express condition that
all work sholl be done in occordonce with all applicoble State of Minnesota Stotutes and City of EaSan Ordinonc=s.
:Building Official ? -
N2 4261
rt` . 1
Occuponcy
Zoning
Fire Zone
Type of Const.
# Stories
Front - ft.
Qepth ft.
?
Paemif # Dah laued PvsiltM
Plumbing 80 ? ? i ?j/y ? ?, - - = _Z/• t ?- ?? CI...,ti
Mechanical y?7'
.?'
411,
INSPECTIONS DATE INSP. Rouph-I» Flnaf
Footings ' Date Inep. Date (nsp.
Foundotion _ Plumbing
Frame/ins. ??97 Mechanical a:_ -22
Remorks:
?' ' - - - CITY OF EAGAN
•' . ? 3795 Pilot Knob Rood
Eogan, Minnesota 55122
Phone: 454-8100
PERMIT
Date: ;ril 11, 1977
Site Address: '- "-
Lot Block 7 Sub/Sec. _= Pai?`
Nome 't=omes i::c.
3 Address __'27 S° • Snelling Ave.
O
City , - . Pau]_ Phone:
` Nome Louis H. Peter M.
P Address 1?354 Granc'. 7.-7enae
0
City; r Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statutes ond City of Eagan Ordinances.
No. "n3
Receipt No.: ?
$ingle I
Residential `Multi Res., Comm./Ind. I
New/Alter./Repair. ? f.
Cost of Instollution
Pertnit Fee ?
Surcharge Total ?.il . 50
done in accordance with all applicoble Stote of
Building Official
' ? - • CITY OF EAGAN
3745 Pilot Knob Rood
` Eagan, Minnetota 55122
Phone: 454-8100
AT_T:dG _ PERMIT
Date:
Balsam Trail
Site Address:
Lot Block ? Sub/Sec.
Name - ?mes? -,...
? Address • FA> • 5ne17.? n?• '+•-r. .
City r` ?]Z Phone:
Name _ ?znler F 5on
Receipt Na
Single
Residential
No. -
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Instollation
-, -
Permit Fee '
r.
Surcharge '
2: I Adtlress - _. ` - . .
? City ' J' Phone: Total ,
This Permit is issued on the express condition that all work shall be dane in accordance with oll applicable State of
Minnesota Stotutes ond City of Eagun Ordinances.
Building Official
? - CITY OF EAGAN • ,?
;• •?:., 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BWLDING PERMIT Receipt#
To be used for t'AI•i I L Y ::C'Oi-.Est Value Y 4 U i 0 U0 Date , 79 '• b
Site Address 1212 ;-- F3ALSiu ?`l :l Erect ? Occupancy
LotU Block -1 Sec/Sub. `jI J16NL'S °ELRKRemodel ? Zoning
ParcelNo. Repair ? TypeotConst
Addition Q; No. Stories
Move ? Length
¢ Name ?.iw• .?Ai:l3Ut.i:
W Demolish ? Depth '
o Address S?'QF ? Int Impc. ? Sq. Ft i
.o
zl?-
o?
UQ
?
?
? W Name_
? z
Address
i Wz
City -
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 o( Permittee
A Building Permit is issued to: L. i i.. : i:SC)i. 1:t7
all work shall be done in accordance with all applicablg State of Minneso
Fees
Water & Sew. Surcharge
Police Plan Revie
Fire SAC
Planner
Water Conn.
Water Meter
Road Unit
Tr. PI.
Var. Date I Copies
Total ,' 'i
on the express conditlon that
Statutes and Ciry of Eagan Ordinances.
Building
PWmM No. Permit Molder DoW TMWphone 7t
?umbi,g
H.V.A.G.
ei.ctric ?83 <V) Z k ? -
sononw
Inspectlon Oab Imp. Commenb
Footlnqsl
Footlnqsll
Foundatlon
Framiny // k G.?[ • GW 1'.0r ,SQ 3 t?c l?ra ?a ? 3?
RooHn9 S/i f? 1lw y.?J -f 7 c•?,
Rouyh Plbp.
Rouyh Nty. PAW 4,7- 00/ e -#„y
Imul. wr - 8
Fkeptace
Final Hty.
Final Plbp.
elaa. Fm,l G: t r ?, ? cro? i T cf
c.rc occ. F 7 L? .
Deck Ftp.
Dsck Frmp.
WNI ?• lu,i,, - W (1?t,t_ 1?-c?t.
Pr. Dhp. - - - ?
??/? ?
CITY OF EAGAN ?,?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l?f : 8952
PHONE: 454-8100 (f ), , , r
I BUILDING PERMIT Recetpt
To be wod for ;'t„)T p' T, Est. Volue 13,000 pate n?> r? --, Ii , 19 `:
-
Site Address 1212 7. '
Erect 6
Occupancy
Lot l Block Sec/Sub.
Alter (3 i'
Zoning
Parcel No. 10 - v 4' 2 5
Repalr ? m I,
Fire Zax
'
E'T:!) Enlcrqe ? Type of Const.
.
,
W Name
'?'J
Move ?
# Stories
; Addres?. , - - • - '
• DemoHsh ? Length
b City Phone J - ` ?' `
Grade ?
Depth Sq. Ft.
m
N Approvals Fees
a
e
O
,
'
o? Address
u Assessment Permit
S
? City Phone Water 8 Sew. urcharye
5 t_ . C 1'O
V Police Plcn check
jW Name
y
?Z .34t l nr;.
" Firo SAC
x- Address
?z 7 E;
?h
Ci Enq. Water Conn.
ty
one planner Woter Meter
Council Rood Unit
I hereby acknowledge that I hove read this application ond sfote thot gldg. Off.
the iniormotion is correct und qgree to comply with all nppliccble
Sfate of Minnewto $tatutes und City of,&ogan Ordinantes. ^PC Tofol
5lqnoture of Pertnittee
.
'.f7(?`
A Building Pennit is iuued to; - on tha exprcss condifion thnt
all work sholl be done in accordQnce wifh all applicobls Stote of Minnesota Statutes and City of Eaflan Ordinonces.
8uitdinq Offlciol ? '
Permit No. Permit Holder Misc. Permit No. Holder
Plumbinp
H.V.A.C.
V
Well
Water
Disp.
S?war
Ekctrie
WO?S10 W411rt?t- $?. `i•1?f-fl?E 3v. m?
Inspeetion Dste Inap. Other
Footinqs
Foundation
Frsminp
. (
Rouyh Plbp.
Rouph HVA
Insulstion
Final Plbg.
Final HVAC
Final
Water Dsseribe Location: .-?
VYell
Sevuer
Pr. Diap.
CITY OF EAGAN Remarks
Additio Wi1 , Lot 20 Blk 1 Parcel 10 84250 aoo 01
owner ` kmlfu street 1212 East Balsam Z`s`a31 State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 176.o5 8.80 20 132 . 05 A004366 -8-77
SEWER LATERAL
i
WATERMAIN
WATER LATERAL
WATER AREA -A.L' 1 1977 16 0 10.66 15 149.34 A004366 7-8-77
STORM SEW TRK , JS ' 1983 2 o. 06 16. 00
STORM SEW LAT ?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 #05616 4-11-77
6UILDING PER,
sac 475.00 05616 4- -7
PARK
REQUEST FOR ELECTRICAL INSPECTION EB-UUWI-Uq
' See instruetiona for completi ?" this form on back ot vellow copy.
MARRIA2 "X" Below Wark Covered by 7his Request
Add Type oi BuilEing "AOP?irincea Wiroe Equipment Wired
Home Range Temporary Service
k M
# Fee ServicaEntrBnceSize k Fee fexders/Subfeedars # -Fee Cfrcuils
0 to 200 qm s 0 to 30 m s ? 0 to 30 Am 5
Above 200 qmps 31 0,40 qinps 31 to 106 Arops
Swimming Pool Above 100_Amps Above 100_/>mPs
TransiormerS Irrigation Booms Partial•'Other Fee
Signs SpeciallnsUection
T TAL F
Pemerks _ :?, ?er
I^the Elac_ ical I
sPectoq y
- ? -ertify Met the above
Final Dnte ?ngpection has bee.
This reQUesi void
18 rtqnths fmm
nt nR17.c;n?L?-o.b?
5-( -1 y
w;Pd . PK ?.v,U-D
- . ? .._. ?.d.. .., ,..,...... ...
-
`, Q `' flequired? ?Aeady Nuw?iWll Notify, InsVer
• T'?Y - U 7 ?yev nNn lor When Peady
icensetl Elechical Contractor I hereby re0uest insoection ot above
Owner elec4icel work installed at
SVeeI Address. Boz or Houtna No. ?7
I 2.t Z?, ?J YpF?j ?' I'h ` l?J& lL_ Ciry
17, f4 N'
ecbon o. Township Name or No. RanBe No. Gppu ??ty
!?q KO ? ?-
?? u?nt IPpINT? Phone No.
Power Supplier Adtlress
El)e?ct?)ic/a1l?Contractor ICompany Name)J
?/
LR Co/n'tr?aIc,tor?s Lice?nQse No.
I,%
PL
Mail)ing Address (Cont <m/r?or ?}O?w?ner Makinp Insta?il\a[ion)
?7 ? l.V ?Y ?LH?? 'U
Aut?orized iBnamre (COnhac wner -ng Installation) Pfo?Numbe_ ?
S? U
MINNESOTA STATE BOAPD OF ELECTROV THIS INSPECTION REQUEST WILL NOT
Grigg9•Midway eltla. - Aoom N•191 BE ACCEPTE? 9V TME STATE BOAPD
1821 Univarsity Ava., SC Peul, MN 66104 UNLESS PPOPEP INSPECTION FEE IS
...--- 1e.11 1e-,.,,.. ENCLOSED.
REQUEST KA ELECTRICAL INSPECTION R es-oooot-o<
' Seo inatLuctiona tor com0Ieting this torm on back ot yellow caDY.
? p o??k7' `
Belo e e'
d by This Request
Fdd R80. Type Of 0viltling Appliances WireO EquipmBnf WiraA
Home Fange Temporary Service
- Duplex Water Heater Lightiny Fiztures
Apt. Building Dryer Electric Fleatin
Commercial Bldg. fumace $ilo Unloader
Intlustrial Bldg. Air Conditioner 8ulk Milk Tank
Fenn thar peo y thr.r ISUecity?
t er Specity Ner 011er
I N I Fea I ServiceEntranca5iie 1 N 1 Fee I Fnxtlers/Sub(endnrs I N I Fae I Circuits I
I I I fkoove <uu qmpsi I I 3 7 to lUU Amns 1 I I 31 to 10U Amus I
TOT
-% .e
nouen-in
o???
??'
,cna eiaci.ioei
Insoecxm, nereby
Final
P
' y.
_(? O' cer?ily thet the above
inspection has been
meda.
This request void 18 monllq iram -
? g?s?- aoss
019 2 ?i?rcc?
Request Oa?e Fire No.
` ??? ??
J Rough-in Inspection
Repuiretl7
? Ves No
Reatly Now ? Will No1ity Inspector
When Ready?
I licensed contractor ? owner hereby request inspection of a6ove electrical work at
Job Adtlress (Street, Bro?x or Route NoJ ??,n ^ f?
I ? I ol ?' . ?.?'^`?4'""'' '0?1? . Ci
ry
SecM1OrvNo. Township Name or No. Ranqe No. CounI
Occupanl(PqWT)- ? .
,zi Phone No.
Power Supplier Adtlress
Eleclri ajCantta<ror (Company Name
1.?., Q. + ze-- . ?-?- ? Coniractor's License No
o .46 ,14'ys
Mailing Adtlress (COnhaclor or Owner Making Instal Lon)
IQ53 ?a-?a+?e.. Q• , rnn• 5s! a2.
Au?M1prjz€?Slo?naWre lCO c 4 er M' in Instulation?
` ? ' Phone Number
?sa - $8 8 CP
MINNESOTA STqTE BOARD OF ELECTflICITY ? THI$ INSPECTION REQUEST WILL NOT
Grlggs-MfUway BICB. - qoom 5-113 BE ACCEPTED BY THE STATE BOARD
1821 Unlverely Ave., SI. Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PMne (612) 612-0800 ENCLOSED.
l
000192
REQUEST FOR ELECTRICAL INSPECTION
? See ins[rucl? for comQleting vhis lorm on back ol yellow copy,
'X° Below Work Covered by This Request
? EB-0001-07
ew Add Re . TypeofBuiltling AppliancesWired EquipmentWired
1 Home Range Temporary Service
,
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specity)
Comm./Industrial FurnaCe
Farm Air Conditioner
Other (specAy) Conimclor5 Remarks'.
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee N Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps /Q,Q
Transformers Ahove 200 _ Amps Above 100 _ Amps
Si9ns InspeclorS use only: ? 70TAL
Irrigation Booms
lV ' 7?
/S1SU
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT
Other Fee o COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certiFy that the above inspection has
been made. F,,,ai
t Date ??
OFFICE USE ONLY
This reQUest voiE 18 monihs Irom -
D e4 a= oid 0 6 8 3 0 2 ?`a ?o ,B
,,' 6 SsG?
?,
Request Oate
?^ /
p -1z Fire No. RouGh-in Insuection
Reqa A?
s ?No
?Roatly Now ili Nnlity Inspec-
tor When Reatlv
P`f',censed Eleclrical Contractor ' I hereby requast inspeccion ot above
? Owner electrical work installed at
Streef Address. Box o
Route No.
r Lity
?
T
8
?
°L/
'
G
A- ,
°
ecLOn o. Township Name or No. qange No. County
Occopant (P(iINT) Phon N
??z - 2 So8
Power $upplie.r Address
A- O A- ?C
Elecvi a! ConVacmr iCOmpan Na ) Coniractor's Licenso No.
O z /38 S
Mailing AAdress ontrec or Ow e Ma inp Ins[ailatioN
A ipnature Con[racwr/ r Makin h?stallation) Phnne Numbxr
.? z6 -4?..rr
MINNES STA E BOARD OF ELECTNIGIT THIS INSPECTION NEQUEST WILL NOT
Griggs•MidweY Bldg• - Poom N-197 BE ACCEPTED BY THE STqTE BOAflD
1821 UnivarsitY Ave., 5t. Pqul. MN 55104 UNI.ESS PXOPEX INSPECTION FEE IS
Phone (612) 297.2711 ENCLOSEO.
Clty 0f EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
Date
Tenant:
Suite #:
gf
9^? /{/ii a "J Ph
N
RESIDENT/OWNER i/
one:
ame:
Address ! Ciry / Zip: ? Z?Z j3'AL.Si?} /'-1 7-72A/(
Name: J'-?H'-i-5'o "j License #:
CONTRACTOR
Address: 71 yf DIq rlC 6919"P .50
City: ,`?C-A 4, -elcl State:?Zip: J-.rJ' ? 7
Ph
t
t P
6 / 2- 2 7
3 5 0 C
erson:
one:
on
ac
,
TYPE OF WORK ? New _ Replacement _ Additional _ Alteration Demolition
Description of work:. 1 r"' J7-4L( '`/ 6 f ?C°
NOTE: Soth roof mounfed and ground mourtted mechanical equipment is required to
be screened by City Code. Please contact the Meahanical lnspector or one of the
Planners for information on errnitted screenin meihods.
RESlDENTIAL COMMERCIAL
PERMIT TYPE Fumace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ EXterior HVAC Unit
* HVAC units must be sCreened
_ Heat Pufm?p
Other Under / Above groundTank L_ Install /_ Remove)
When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repaif (replace burned out appliances, duchvork, etc.) (includes $.50 State SurCharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $J-d0 0- (/D x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases 6y $.50 for each =$ State SurCharge
$1,000 Permit Fee (i.e. a$1,001-$2,OOD Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowletlge that this information is complete and accurate; that the work will be in conformance with the ordinances and cotles of the Ciry of Eagan; that
I undersiand this is not a permit, 6u[ only an application for a permit, and work is not to start without a permit; that the work will be in accortlance with the approved
plan in the case of work which requires a review antl approval of plans. ?
x ?,MR2 l[ ?O 6?/v Sv'j x ?/1/ ?
ApplicanYs Printed Name ApplicanYs Signature
I For Offce Use I
I
? Permit #:
? Perrnit Fee: .0
I v'? I
?
? I
S- a8 '
? Date Received: ?
? Staff: ?
L_________________?
2008 MECHANICAL PERMIT APPLICATION
Site Address: IZI2 T04fC
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final '
_-
?--------------
? Permd #: 77? ??1 O i
I Permit Fee: ?
I o ?2i??! I
I ?
? Date Received:
? Staff: _?? `zr I
L - - - - - - - - - - -------I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDEN7/OWNER l ? P
A7?^j
N
f
ame: v
c
l
hone:
Address/ City/ Zip:
CONTRACTOR Name: -?7-d H/JfCi 'f Y Le7 Lt- 1?e7-1, License
Address: ???? d/??? G? vJ ??y ?? Sd
City: ?2? Ci1 ?t ? State: Zip: Tj-7 a2
Phone: Contact Person: oik(C
TYPE OF WORK _ New _ Replacement _ Repair ?, Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTlAL
? Water Heater Y Water SoRener
_ Lawn Irrigation A Plumbi Fiutures ? RPZ PVB
-
? M
i
Lower L
vel)
)
(
a
n
e
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $_50 State Surcharge)
`Water Turnaround (add $136.00 if a 5!8" meter is required)
$100.50 Septic SysteiYl New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace hurned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
TOTAI FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the-0ity 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 wihe a¢roved plan in the case of work which requires a review and approval of plans.
X -?w X
ApplicanYs Pri ted Name ApplicanYs Signature
POR OPFICE USE? ReVleWed By 'i ` ?j?` Dete: ` =
1i ii ii
?Reqwredlnspections:? UnderGrounii Rough-In A1rTest jdGasTest ?=PmaI?G???` _,u '
City of Ealan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675u694
Date:
Tenant:
F -For-- Offic-e-us-e ----------i
?
j Permit#: I
I ?
? Permit Fee: ?
i
j Date Received: ?
i ?
I Staff: ?
I
- r - J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 11 12
Suite #:
RESIDENT/OWNER Name: Phone:
Address / City/ Zip: 1212 C--oj /
Applicantis: _Owner --)?Contractor
TYPE OF WORK Description of work: OF-r 4G57W4, 00-k"'
Conshuction Cost: ?3 Multi-Family Building: (Yes No)4j
CONTRACTOR Name: iFPC-fir,-rz?ii?'? L?-?- ! La7rvu ? License#: 00'5-Z`17511
Address: Qen F-,14
Ciry: ?fcElsio+- State: rn/,( zip:
Phone: (c 1 Z4 6 F- 3S "7 (c Contact Person: 'ZA +'"? '13erk"'I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
CBtBgOry Submitted Submitted
SubmiSSion type) • Energy Envelope Cakufations Submitted
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:
Mechanicel Controctor: Phone:
Sewer & Water Contractar: Phone:
N07E: Plans and supporting documents that you submiT are considered fo be publlc intormafion. Portions of
the informatlon may be classlfled as non-pub/lc Tf you prov/de speclflc reasons that wou/d peimit the City to
conclude that fhe are trade secrets.
I hereby acknowledge that this information is complete and accuraDe; that the work will be in conforrnance with the ordinances and codes of the City of
Eagan; that I undarstand this is not a permit, but only an application for a permit, and work is not.Yp start without a permit; that the work will be in
accortlance wi[h the approved plan in tlhe case oE work which requires a review aixJ approval oF p
X LCZivYLj GL?t7.i'?'? x r'? ,'2/G1i7?
ApplicanYs Prrlnted Name Ap W1 anYs Sf ature
?
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
X Single Famlly
? 01 of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
? 05•plex ? 16-plex ? Accessory Building ? Pool
? Obplex Q Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07-plex ? Garage ? Porch (4-season) ? Ext. AIL - SF
? 08-plex ? Deck ? Porch (screeNgazebo/pergoia) ? Multi Misc.
? 70-plex ? Lower Level 0 Storm Damage
? 12-plex ? Miscelianeous
WORK TYPES
? New A Interior Impravement
? Addition ? Move Building
? Alteration ? Fire Repair
? Replacement
DESCRIPTION:
?
'
'
Valuation i b0e
/
? Occupancy
Plan Review Code Edition
(25% 100°/> Zoning
Census Code L}?j?{
-r-? Stories
# ot Units Square Peet
# of Buildings Length
Type of Const. v Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addRion)
Foundation
Drein Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. Air Test Final
? lnsulation
? Siding ? Demolish Building•
? Reroof ? Demolish Interior
? Windows ? Demolish Foundation
? Egress Window ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
InaI/C.O.
Final/No C.O.
? HVAC
- anar:
Pool: _Footings _AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: Crm&- Building Inspector
RES/DENTIAL FEES:
Base Fee
Surcharge lu :?
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page2of3
CITY OF EAGAN t?Ip 11602
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 v- BUILDING PERMIT PHONE:454-8100
GREENHOUSE & Receipt#
,7o be used for FAMILY ROOM Est Value $40,000 Date MARCH 11 1986
SiteAtldress 1212 E BALSAM TR Erect ? Occupancy
Lot 20 Block 1 Sec/Sub. WILDERNES PARK Remodel ? Zoning
ParcelNo. 1ST ADDITION Repair ? 7ypeofCOnst.
- M S '
Name SKIP SANBORN
Address SAME
Phone
Addition No. tories
Move ? Length
Demolish ? Depih
Int Impr. ? Sq. Ft.
Instell ?
o Name L.M. PETERSON CO APW°v;
29 VIKING DR
$ a nddress Assessment _
'¢' City LITTLE OPMADA 482-1880 Water & Sew.
a
_ W Name
0 ? Address
a W Ciry 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 C'ro?( \Eagan nces.
Signature of Permir ?
A'BUilding Permit is issued to: L. M. PETERSON CO
aIL. work shall be done in accordance with all aoulicahW'State oi Mil
Police _
Fire -
Eng._
Planner
Council
Permit YG?V.VV
Surcharge 20.00
Plan Revievl19.00
SAC
Water Conn.
Water Meter
Road Unit-
BIdg.Off. " ??' "" T. P.
APC Parks
Var. Date
I
Copie 377.00
Tn+.I
on the exprass condition that
and Ciry of Eagan Ordinances.
Building
r-
j/ ?oC, ?7
.DING PERMIT APPLICATIOA ?
POTE: ALL CODITltACTORS Mp3T BS LICSNSED TiITH THS CITY OF SAGAB
COMII7ERCIAL SINGLE FAMIILY DWB[.LINGS
To Be IIsed For: Valuation: '-l v,o o cz? Date: --S-\\
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS? ?
$2,000 LANDSCAPE BOND
3??..? .., ?.
Ce,,.L Zo,?n <.v s 2„ Site Address \ Z ?'2 ? ew. ?vLot 9Q Bloek 1
Parcel/Sub " op( ?
Owner
Address I
City/Zip Code `x
Phone
Contractor
Address 2 9 V',1t ?? ? r
CityfZip Code
Phone ),\,% Z -. \?4 v
Arch./Engr.
Address
City/Zip Code
Phone U
NOTE: ADDRESSSS FOR CORAER
ADDRESS IS DESIRh'D.
IS ISSDED.
OFFICE IISE ONLY
Ereet _ Occupaney -
Remodel _ Zoning
Repair Type of Const
Addition ?C # of Stories
Move Length
Demolish _ Depth
Int.Impr. Sq Ft
Install
APPROV9L3 FEES
Assessments Permit 2 3g -
Water/Sewer Surcharge ZD .
Police Plan Review ? 19.
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off .??-3 ab Treatment P1
APC Parks
Variance Copies
TOTAL ?i l l
Lice'?/x? 25.
¢O"L .
LOTS - CONTRACTOB/HOMEOWNEB MOST DESIGAATE WHICH
HO CH9NGES SIILL BE ALLOiiBD ONCE BIIILDING PERMIT
ot
?
a - ;
?
?
Fi
1
?
n
W
W
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?14N8oRn1 To ?y?ooFZE ?S7
I
0
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f5foX 279 ' Af ".'eI&
X? t X? f f X??? F F x?%%?? F x x x x x x x x x x x x x i x? x x x
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 766
DATE: 04/25/00 TIME: 11:21:34
ID:
NAME: CENTURY ROOFING INC
3210 9001 1212 BALSAM TR 125.25
2155 9001 1212 BALSAM TR 3.00
Total Receipt Amount: 128.25
CR127461
USER ID: JAN
t?++*+++??*+***+*********?******?***++*
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
.53? cirr oF Eacari _
3830 PILOT KNOB RD - 55122
851•681-4875
New ConshuaNOn Reauiremenh
> 3 reglatered sIfe wrveys ahowing sq. fL of lof, sq. 8. ol lwuse
and gH roofeC areaa (20% maximian bf eoveraae aNOweN
? 2 caples of plans (show beam d wlndow sizes; poured fnd. design; efcJ
> 1 set W energy cWculaNOns
> 3 copfes ol free preaervaBOn piqn If lot plaMed afler 7/1/93
DATE: c- a's"CIC, CON5fRUCTION COST: i?
DESCRIPTION OF WORK: ?.P?ta'ffi w?d `er'? ?? 4- 619,,""?
STREET ADDRESS: / ;?O- e%S/ ?
LOT: a? BLOCK: ? SUBDJP.LD. M:
$modeVReoalr Reaufremenh
2 copies ol plan
1 set ol energy cdcWaMa+s ror heated addinona
1 site survey for extedor additlons 8 decks
?:10
?
Name: wP'CZ TD2Spj? Phone #:
PROPERTY Last Fi
OWNER ?r
Sheet Address: 1), lr?- 1-f?,7 O?Sf
CNy Stdte:
AMJ
Zip:
Company. C,si &o fiWlr Phone M: 6?1,2 ! -s/33
(area code)
corrreacroR a«?93lG? ?..??r
Sheet Address: /2 license #
Clty kix oe( State: MN Zip: y437y;??
ARCHITECT/
ENGINEER Company: Name:
Telephone C.
( )
Sheet Address: RegishaHon #:
City Stote: Zip:
Sewedwater licensed plumber (if installina sawerhvater}: Phone #:
I hereby acknowledge that 1 have read 1hk applk:aNon, slate thW the infomiatbn is corteet, and agree to comply with aN appncable S1ate
of Minnesota Statutes and Cify of Eagon Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No , 25
Tree Preservation Plan ReCeived _ Yes ,_ No _ Not Required
, cirr oF EAcaN
3795 Piloe Knob Rood Eagan, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPLICATION $561000, Receipt #
To be used fw Sing, Fam Dwl,g d Garg. Date Ap
N? 4261
5616
1 11 ,,, 77
Site Address - 1212 E. B81Sam E
t onc
I
O
Lot_20- Block_I_ Sec/Sub.Wiltipypb.gg _
rec
..Pgrk Alter ? y
ccup
Zoning Rl
Porcel .jk Repair ? Fire Zone _
V
Enlarge ? Type of Const.
w Name Tilsen Homes Inc. Move ? # Sto.ies
z
g Address 628 So. Snelling Ave,
- pemolish ? Fronr SZ ft.
?
Cit S t. Pdul Phone
6mde
?
DeDth 34 fr
? N S b Approvab Fees _
0 ome -eorge an nrn -
d Addreu
r
Name _
Address
I hereby acknowledge thot I have read this opplication and state that
the informotion is correct and agree to comply with all opplicable
State af Minnesota Statutes ond City of Eagan Ordinances.
Signoture ot Permittee
Til en Homes? Inc.
A Building Permit is issue to: _
all work shall be done ' Gcordon ` wit plica tate of
Building Otficioi _
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Otf. _
APC
Permit
Surcharge 28.00
Plan theck
snC 475.00
Water Conn. _ 230.01
Water Meter 60-00
aLP- c?Don-T20:00
Toral 1062.50
on the express condition that
Statutes ond City of Eagan Ordinances.
Datee - ? ? 7;7
BUIIJI'tiG PLRP32'i P.,T'PLICFTIO_i
LOT 2 a BLOCIC a 1L"JDTTIC0 PatzcFL P, sr..rmrnrT rTrrsnFn TF iTi7PT,4TTF(1
IUJDRES
70tir,?G
ESTL??7F,.Eu COS_
Ot^T?-!?]R Q=46 4 za TELEPFIOEdE iVO.?
C0?4TRACTOR
TELEPF30P7E :10.
t.ote? Include szte plan, huilding p2ans, and energy calculations with tlv.s
Gn,.nlication
Signed
GrrTCE USE
v4,c??rxa±1 ?
?.?? 820?
S2'.C
- ?cJ
?
FirI;ER COiTi'7F,CTIOiI g?30
?
r:7 ,2'ER UfETEAZ ? - --
a
BvxLDarrc PrRk:zrT FEE
SDRCI3ARGE P:sE's
FL.d1Ti CFP•.CiC FNE
PTiRK DEDICRTIO?.d FLE [ ?Z 0 ?_
OT.^nR
f br--
TQTAL*
APPP,OVAT,S:
'2.55ESSi+M;:'S` CLEPSZ $DILC1IivG D T POLICE DEP2.^_
r'7ATSR & SEF:ER DEPa. FIFL DEPT. PF1i2K DEPT.
?
1
en Homes, In
SOUTH SNELLING AVENUE
PAUL, MINNESOTA 55116
PHONE: 698-5501
SuhjeCt ?-?? '??.(h??? oate
Menaia a.e??e& ?c.ecc?.(?c ?C"?-c a C1?r?cO '4-t ola'7L)
(.? ia
a.?'Le.?lh,?rL2
PLEASE REPLY TO o- . ( "L6 )y Ot/" ?
Reply
Signed Date
Form No. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL 8E RETURNED WITH REPLV
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CITY OF EAGAN
?*TT
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721 ; 8952
BUILDING
PERMIT PHONE: 4548100 ?
L
Receipr # ?
-
Te ba owd for SWIM POOL Est. Volue $ 13,000 Date APR T7. 9 , i9_8A_
Site Address 1212 E. BALSAM TR. Erect IE] Occupanty M
Lot 20 Block 1 ceclSub. WTT.D _ PK _ Alter ? Zoning Rl
ParcelNO 10-842 50 -200-01 Re
oir ? FireZone N/A
. p
Enlorge ? Type af Const. _
ee Name GEORGE C. SANBORN Move ? # Stories
z Addre s E. BALSAM TR. pemolish ? Length
?
452-2508 _
City Phone
Grade ? Depth Sq
Ft
.-
.
? SAME AvDrovab Fees
o Name
?? Address
1- City Phone
,?uw Name St_ CTO1X p00l5 1RC.
Address 13481 no. 60th st.
??z, c;tY stillwaterPnone 439-4476
I hereby acknowledge that t have re d this o?
the informotion is correct and ee c
State of Minnesoto Sfututes a ; o
SiBnature of Permittee
A Bullding Permit Is issued to• GEORG
etl work sholl be done i acco e with all
Building Officiol C""? -
ition and stote that
with all oDVliwble
Ordinonces.
Assessment _
Woter & Sew.
Police _
Fim
Enp.
Plonner _
Council _
Bldg. Off. -
APC
Permit 11 y o • ? U
Surchorge 6.50
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol 105 . 00
C. SANBORN on the express corditlon thnt
lbcable Stote of Minnesota Statutes ond City of Eagan Ordinances.
CITY OF EAGAN Include 2 sets of plans,
1 Certificate.o£.Survey &
BUILDING PIIRqT APPLICATION 1 set of_ enerv cal.culations.
si,.,>, N,., , ,v 6
To Be Used For Pooj- Valuation#
/3? o0o I,
Date
Site Address: /21;z E. (gAts,qr- TRR I L OFFICE USE ONLY
Lot ? o Block Sec./Sub. W.? Yutrs Erect Occupancy -
Parcel #: U ??r Zoning -
Repair Fire Zone
Oaner: GEo,C6L C. ?,?ltjo/p,V Enlarge _ Type of Const. p?
Move # Stories
Address: /R)1 E. $qL-_Ai„? TRp?c. Den-clish Front ft.
City/Zip Code: E?q LcA/? SS1 a.3 Grade Depth ft.
Phone #: '/S .2 - 7, S o 6 APPR?1AI,5 FEES
?
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i
?
Contractor: $f. Cxlo 1 X ?cA. 5 SN e,
Address: 139,719 i No. „!o-" S'.
City/Zip Code: S7r L L wA?2?iC S5-09 Z
Phone # : 4/-39 - i-/'? 7.(
Arch./Eng.: _
Address:
City/Zip Cocle:
Phone #:
Assessazts d ?
Pezmit
-
?
Water/Sewer Surcharge
?,
Police Plan Check
Fire SAC
Shg. Water Conn.
Planner Water Meter
Council Rpad Unit
Bldg. Of£.
APC
?
Z+DTAL 7ZT
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.
MECI?IANICAL
vml
452•1565
FAIf (812) 45240367
PLUPABING
HEATING
AIR CONOITIONING
SEWER ANO WATER
VENTILATING
SHEET METAL
COMMERCIAL
RESIDENTIAL
WILLIAM TROESKEN
1212 EAS7 BALSAM TRAIL
EAGAN, MN 55122
RE: MYDRONIC HEAI'ING SYSTEM CHECK 4-27-93
DEAR BILL:
FOLLOWING IS A LIST OF INADEQUACSES WITH YOUR SYSTEM.
1. CONTROL. pANEL - DOES NOT COMPLY TO CODE -
CONTACTS ARE ACCESSIBLE TO CHILDREN - NO'f SAFE
NIGH VOLTAGE
2. OpEN LOOP SYSTEM WITH GLYCOL STORAt3E TANK LOCATEb INSIpE -
THE COVER SHOULD BE SEALED AND VENTED TI] THE OUTSIDE WITH LARGE
ENOUGH LTNE TO EXPEL VAPORS. THERE IS A LEAK ON THE WELDED
HEADER FROM TANK.
3. BOILER LOCATED OUTSIDE DOES NOT COMPI..Y TO CODE. 7HE BURNERS
ARE NOT pCCESSIBLE FOR ADJUSTMENT AND TE'.iTING. TNE PIPE IS 3/4"
ON SUPPLY AND RETURN. THIS IS T00 SMALI_ FOR 145,000 BTU INFUT.
YOU ARE NOT GETTING YOUR EFFICIENr_Y FROM THE BOILER AT ALL.
4. EOILER - CFIIMNEY pOES N07 COMPLY TO COpE - 5INGLE WALL VENT
MATERIAL I5 NOT ACCEP7ABLE. THE INSTALI.ATION IS NOT SAFE OR
EFFICIENT.
5, POOL MEATER - CHSMNEY DOES N07 COMPLY TO CODE. SINGL.E WFtL.L
VENT MATERIAL I5 NOT ACCEPTABLE.
GENERAL OBSERVATION - AN OPEN SY57EM OF 7HI5 DESIGN IS OUTMODED
AND INEFFICIENT. I pOUBT IF THERE WERE PERMITS AND INSPECTIONS
MADE ON THIS INS7ALLATION.
SINCERELY,
??- -a Alla-
C.8_ JONES
WENZEL MECHANICAL
1959 $hawnee Road • Eagan, MN 55122-1096
HouseMaster of America
"The Home lnspection Professiona/s"•
8135 Kellogg Ave., Suite 222, Minneapolis, MN 55424 +(612) 928-9949
I N V O I C E
May 6, 1993
Sill & Marcia Troesk,en
1212 E: Balsam mran
Eaqan; IMN 55123
L1ATE QiARGES & CRIDI45 P,Ng70Nf
5/5/93 Hourly Inspection- $430.00
Dispute foxmatt $254 lst hcnir-
$60 each Sc'd3.tiCnal hout:
(4 tatal haur9 i.rsVO:lVed)
PrcP6rt:Y Addresa: 1212 E. Balsam Trai:i
Ea9dnr M 55123
`
InsPiacUoh Mmber: D-10496
5-6-93 AM-CiN'P NC7F1 DL1E $430:00
niank yW tor the opporbtrlity of servinq you. If yoni have azny questions,
please 0611 our tiffioe (612) 926-9949.
._:.?_ , _ . . . .. . _ _
WAIICPAAaC+'pY your Local Home fnspecfion Pro/essiona! With a Nationa! Faputation"
-- - --
oirw" Of Amerka mmmin
-` ' HouseMaster of America
'The Home Inspectlon Professionals"O
8135 Kellogg Ave., Sulte 222, Mlnneepollc, MN $5424 •(612) 926-9949
IIdSPECi`IC7N REPbFt7.'
PROPEM 1212 E. Balsam Tr.
ADL&2F55 s Eagan, MN 55123
STYI.E: House
c[1FWS Bili & Mamia Txoesken
OWNER(s) : Bill & Marcia Tiroesk,en
INSPEGTION 13M I3wne Inspection Sexvice
COMPANY: 6135 M].logg Ave, 5uite 222
MiTUieapolis, MN 55424
IPFIROWG'PIOfT
INSPEGTIOAI OA'IE: 5-5-93
AGE: Estimated 16 years
INSPEGTIOTI: D-10496
INSPEClC)R: CYristqphex Ueland
TELEPfICNE: (612) 926-9949
44is teport reflects the inspection cxmg)any's professional opinion of
various itms listecl belaa cn the date of the inspection: 'Ihe inspector is a
Mizmesota re4latered azrhiteat. The Yepr?rt is based on a special limited
gcoPo- inspectfon atd has been performed acrooxding ta industry stardaixls. No
r+ater; air; soil or material analysis; iricluding those for health or
mnvitvrilmental considerations, wetB perfoxmed for thia report.
The '3wpectian may involve a dispute. If the dispute proceeds to a
level requiring more detailed docultee.ntation such as reseazeh, measzrements,
drawimge or other evidence, additiamal work arxi fees may he reeded.
Shalil.d there be any questionable arezs regaxding this report, they
shauld 1^- promptly resolved. Please cail our office if you have any
questiotis:
offiERVAT2oNs
Solariwn
-51 of 61 glass panels are defective (wer 80$), plus fixed portion of patio
door is defective, as indicated by cbnden,sation and fogginess between glass
layers. Extensive mildew and mold noted between some glass layers indicates
91ass Panelg have been defective for a long period of time. (Est: $4,500-
$5;500 to replace defeetive glazing panels.)
_.. : ..? .. _ . .
"YOUr Local Home fnspecfion Prolessional With a National Repufation"
HouseMaster-- -----------------_-------_____----____------..
? ?
ossinan of Amerka amodo
HouseMaster of America
"The Home Inspection Professionals"
6135 Kelbgg Ave., 3uire 222, Minneapolis, MN 55424 •(612) 9269949
-Mokori.ied $liacle§ do not descend miformly as designed. 5 plastic guicles in
tzackg for shac'1es inissinq. These may ar may rot ba cause of scane shades
h?rg tV &fid isot clescetxli.ng. Shades have water stains throttghaut itxlicating
prior leakage or drippirsg vondensation.
Half bath Pschau.st fari discharges into aolaritm+, ahould exhaust to exterior
par piwnbig/code reqiiii-einents. (Estt $200-$3aO to oorrect)
-Opet1ing bn 2.-Ast wa11 for solariwn exhaust fan is nvt flashed to prevent.
61'dtEt' p0net.t'd'tiOTt jS1to iwall. (Estt $30-$50 tCi cOYT-ec.`t, 1'10 ddfidtJe faivd)
-11atxl3tq ritetal light fixture atxwve spa is noti per code, is wsafe; and is
iapxoperlj: bh eame citcait as spa pwnp motor: (Est; $50-$e0 to oorrect)
beck At+ea
-Peelincj Paint thmUghout deck area. Unable to verify decay resistant wood.
-beck is Wihken nean couse an3 solaritun. Dec]t appears tat attached to
solaritm/hoUSp and relyinq on cantilever stntcture which appears to have
faj-7.ed tlue to tieeay ar mt heing on deep fivst footings: (Este $500-$1,000 to
Y'epa1Y' s4:Yticturet reoan6teend obt8;niM firm quote.)
gtclosed FYee Sfardi.,e Stxucture.s
'screel F.om11, Iuay house/storage house, heater/boiler sheds arsd other
erclosuietl; are inproperly ccn'istructed. F'lake boaxd was u_4ed as exterior
aiding Atid floorinq which should only be inside; pxot.ecW fz+cn vteather;
water and shoistut+e: Roof fiaming at edges is water c3amaged/deteriorated due
to impxoiDdr irisEal.lation, it had deterioxated and damagecl particularly near
gmand. Rbff,of playhouse has substantial leakage and stYVCtural damage to
sheatnit?q itx?i.i?t3rx? oo?lete ieplacenent is likely ?mcessary. sirce these
strucbmmg appear to be using the flake board as an integral part of the
stsvctuYal constxuct.ion; it appeare substantiai reconstruction ot all
strUcttit`es ot111 likely be necessray; (Eat; $3; 000-$5, 000) :
'P1aY?m taicanY 16 dec;ayed and potentially unsafe and guaYd xails have
=safe 00-0-ings far dzildren azxi do not conform with any codes ar standaxds
far eafety:
-Electrical wiring for outlets artd lights apgeats nonflux,-tioxaal and unsafe.
GFI iYi storage./play house will rmt stay on indicating a ground fault/shart
circuit ar defective deviae. iaw exterior liqhts appear to be powexed by ilo
voltage wirtrg usi„g inprqoer materials urderground ana outsiae as eaiaent at
lic,hts and in storagA Yvom (Al[t type Rmmt which is only for inside dry
loaations; not far outside; wet, or undesyround itistallatian). Also where
bottcnn of arie light fixture was checked; cable sheathing is impropexly
stripped at conduit without pratective bushing. other mxlergrm-d cmmections
HouseMaster
i? of America r?j
"YOUr Local Home Inspection Prvfessionaf Wifh a National Reputafion"
HouseMaster of America
"The Home lnspectioR Pro%ssionals"g
8135 Kelbgg Ave., Suke 222, Minneapolis, MN 55424 •(612) 92fr9949
at 11qhti fixbureb may have similiar defects. f5cpact deteriorstian inay be ;
cxuss oi' GFI trippirg ciTCUits off. Noted rnnnfft-ais open spllCes wde,rgrarid ?
belclt,i A plh§tic.bucket which may also be a cailse of stmit oireuit trippingc
Ciost ttf doi?on is uiilaxowrt but expected to be very high.
-4oa1 rstairling i6alls iVioperly installed at south arid taest sides of pool
withwt dead heads. Walls are leaning su6staniaaily arid it appears same areas
may c0118p96 if enxjh hydrostatic pressure diyvelaps. nwse retaining wa11s
are cnrer 4€eet fiigh at S.W. wrner and shoulti have been desiqned by licensed
professiaai9l egiiwr as they wili noa have tn be when oorrected. (Est: $900-
$11200):
-Draititile next. to south side of retaining wall and pool is inproperly
ingtalled Such th8t it has rnmierous lciw; rcn cirainj*m area9. Drain tile has
cane apart at tme secticn next ta retaining wall and is imt fluitiortal.. (Est:
$300-$500 tC coYY+ect)
-Stnnp fivade of pl2istic garbaga can for drain tile located zsext to pool
equiPlreht Whed is pattially collapseci. Drain tile dischaxge is fttll of wdter
i.27diCat3YKJ itlgd2quate slop9 end cloggecl, baclcs up into stmp and does itot
dischaiye at otitlet tear city stoxm dxain: Appeoxs sianP mal' have a].so beexi
u? b ?aclaoash?(Este ck$ ot $5 because? is clogged it
catna?ot be
-Wooc1 6' liigh fence is leaning and oollapsing, particularly at west side.
Posts are ciecayed at growld and at other fiaming placaa; it appears decay
reeistaxit ltmd3et` was not t]sed. (EstS $2;000-$2,500 to x+eplace all posts end
repair femix,g) :
-Itao h8ae Wgvts at 5.47, corner of pool arxi spigat at play house do not
fluictioh. Piping is not acceASible and msy need oonplete replaoenent due to
possible fY+ost splitting of piping. (Est: $150-$300).
Pbol Equi?
=Hoiler do2s not have gas pilot lit; unable to test. Boiler has press relief
valde which appezirs to be wrong type. Fbol ptmp is missing as well as
backWaeh diScharqe. Inadequate fire clearance to rmod far single wall metal
Chinney+ (Este $200-$400)
-'i4iough wot'kmnship of wiritxJ is neat, exposed llo voltage wiring ooruiwtioms
eke exposedi imprq:)ere d[]d UriS2lfe.
ot' Hoiler for Sba and Hause Ac'dition fsolaritmi. Den, Mster Bedsnoan
-Hoiler lacks pressure safety valve. Temperature reading was 115 degrees, 0
pxessure: Iriadeqmte fire cleararce to wood for sinqle.wall metal chinazey,
goiler appeas a§ if it cail.d work buC unable to opexate at time of
inspeeticn arxi appears improperly configured.
H0u5Qp?aSLQr Your Loca( Home fnspect'rqn Professional With a Nafional Reputation"
IV? on D-10496 Pag?
?,iir of qmerlcaai
HouseMaster of Arnerica
6735 Keilogg Ave., Suite 222, Minneapolis, MN 55424 •(612) 926-9949
--NO b]9tlj.iS j W]7@fe alectSiCdl Y'CHmeX WiY'iYKj f7it61TB C707a]it:
?
-Ga? piping may hava saiaerea oopper cov,ectiams at outsiae boilari tteae are
tzarmeillji liot pennitted: (Est. $50-$100 to neplace corniections with pmper
tYFe)
-Elictrical dieoo¢nect autside laclcs an iivier panel to cader wires whicli are
e.xpoeed; rtommand an itmet oover plate or lock discoraiect shut far safety.
'Irrproper lamp cosd wiring inside wall cabinets for iu-Ader cabiriet fluoresoent
lights:
izxteriar Stairs
-8tairs lack cjuani railing at cpen side near bottcan landing at main floor and
at b6setoent floorx (Fst: $50-$100 to carrect for safetyc)
nectrical Sezvias
-206 Amp, 220/].io voltaqe serviae feeaing into iange sea].ed ,netal box ie in
??ifeeds to two cireuit breaker paneis eac3i rated at 150 anp
-Lefft panei has 40 aP bxealcer on lo qauge «7pper wiring, it stmu.ta be so
a'P breaker Ox' g qauge ifirincl. Not'.ed two 110 volt 15 amp citCuits arxi one 220
volt 20 mV ciz+cait far undaj? wirinj {,o outside;
-Ri9ht paufel has gaps in brealcers whic.h lac,)c safety owexs. GF'I cixcuit
bi+ealaex is defect.ive, iminrent failure irXiicated.
-Garage wiring, Rainex between tnusses lacks nuuter boatds and is twt clamped
at fltmzesaent fixtures;
'Groundin9 wire is nat clanoed to water pipe on street side of water metsr in
b&seiment (ie srounains 3umper missing).
Hasement Wirina
-Overfilleri opeii jwmtirni box at N.W. corner of utility rocen is hazazdaus. 4
outlete iri &.E: tnam have reverse polarity. 5 outlets in rec ivwn have
xe'veise polarity: C12Yps are m{,saitxj for wiring at fluonesaent fixtuxes.
EPXed eplioes are at open jwr-tiai boxe§ in eevetal areas: AwriliazY panel
HouseMaster
s6iiaiiii" of amerka - ?-'-
"YOUr Loca! Home lnspecfion Professional With a Nationa! Reputatidn"
D-10496 Paga 4.
G
HouseMaster of Arnerica
'The Nome lnspection Professionals"
. 6135 Kellogg Ave., Sui[e 222, Minneapotls, MN 55424 •(812) 926r9949 .
moimted cai metal ductwork: ihis panel appeszs not grntuxied pivperly and
qTOUe?33txj boriddctoYS are bemded to iieutral wires1 and imptroper cloubled ttp
witiitg insic`le . ihsulation mi reiri feeder is mel.ted itd.i.aating aver heating
(Pire rihk) a Hav Radem wiring noted iri u'tiiity roadm. outlets in utilityare,a
am rot iAr.+iarling qeh 3unction box at S.E. oorner iuder eo].aritan ana opes?
splicec] liq}iti flxtuf'e is tmsafa. E'xposed kiAre high voltage wiring for
lightiing aM spa is hclnanade of neat worlananship but w1§afe: Auxiliary panel
at 'spei piping area not accessible which violates oode, atid was rwt checked:
Auiciliaryi pane1 at simp has doubled up wiring and is wer filled with wires
tiat pzapez'ly haoked up or Y.esminated.
-NOtecl bed in ecutheast basemertt irocan. Windows are too high and too mtall for
aT axeas of baseonant to be used for sleeFin4 bY codes. 'Ihis is a faur
bedrOdllt hotme.
Hbseme'tt Watpr ?ttati??
-NoW stains atxl mildew at S.E. oorner, stains and effloresoence at rear of
Sol.ariun basement and stains and water damaged walls at west side iixiicata
pri.oz' watat penetratioai. (Est: $500-$1;000 for regrading and/or gutter
inprova";)
Basenant F#eatirr? & Vehtilation
-HasOartt 1ack§ oetstial heating/ventilation outlets for finished mcm. /
Wtaiist fok b$se'nent bathLrocan dischatges impz,operly into ceili.ng spaoes
shauld diOdAtgd to exterior by code: Fresh air supply for furnace i;rvppxly
installedi it is too far away and by restj,nq on basemerit floor, air flow is
bloc]t+eiii this fs a health/eafety risk: Noted air-to-air heat oehanger is
aPe? cn top and i7IpYi7pP.2'ly omracted to heating system such that it litaely
dow not pdrfform the fuiction for which heat excharrger was manufacttued,
(Est: $400-$600 to cortec.-t heating and ventilation.)
-8tozatje tanks hoiding glycxoi has vent which does not extend to exterior.
Pltanbitig eppears inprcperlY installed. Noted six circulating ptmps to direct
water or glywl fluids to spa or variaas heating equipnent: Parts oP syste,m
are rak a s"led systgn arid rio relief safety valve fauxi: iJnable to verify
how systea? funCtions or that it is isolated xaoperly fY+can dcanestic water
etpply ot f2mt water to spa ia properly isola.ted by daable wa21 heat
exchangar fYOatt glyool both of which could be a healtb/safety ooncern. Wall
sink ig sag93ne1 1marby and drainage is by an irpmper tunventeel "s" trap.
(Est: $200=$400 ta oorrect sink, cost to boxzeet hydxmic heating is imlaxm)
_.t... .. . _ __
HouseMaster 'YOUr Local Home Inspection Prolessionaf With a Nationaf Reputation"
5.
ali? oFnmerlca? InsAectiolt 610496 Pag.
` . HouseMaster of America ?
"The Home lnspection Pro%ssionals"
6135 Kellogg Ave., Suita 222, Mfnneapolis, MN 55424 •(612) 9269949
St=
`GUIV PW ie Pmistal tYle, (recamloand aftnersible type for greater
Yel.iability) : 8tmP constantly filling fzrmt dtain tiles and ptmping aut;
?l a?eaxs to be i?roperly uphill. (Eat: $150-S200 to reairect
Sasemnent Insulatiar?
-Nhnneiaas areas of rigid plastic-type insulation noted, shauld be covered
wit2h nohflamable wall board for safety, or replaoed with fiberglass
iissulatioi. Also, at floor overhang at rear, it appears that oold air can
??inmila ?? jmakinq?)of floor above cold. (Ests $150-$250 to replace oint 1: 2hia propextp has subetantial rnanber of defects which have exsisted far
ah iXtsrded pe-tiod of time. Soane defects are due to impraper installation,
defectivs inanufaeturing ef products; or iqropex materials with aubsequent
dieteriaratia9z that would have been obvious for several years. Genexal.ly the
defeciewiag clo mt appear to be result of original hane ocrostruction but
instead c'Lie to Yemodelinq and additians made to the hcane such as
94m5ek ?' finishitq basenent areas, dez?lsolaritmyIoaster bedroom
ticiditiaa?, and all work dcme autside at xear 8nd sides (pool, deck, fe.rx:es,
retainitxJ uta1# 5azebo, playhouse etc).
2: Oortection of all defects is estimated to be quite substarrtial, in the
tem of thmueatxls of dollars to bring the def'ects to minimnn usable ard/ar
safe ootiditicns:
3. tfisaft 6taructtual elments include playhcrtase baiootV, stairs without
railirxys an operi siaes, retainii,y walis, wllapsixg/leaning fe.txms, and
st,zucbural deak 2leficiences. In addition to the risk of fence falling mito
scaleonea; if t2e feiice shculd fall wer it might be possible for others to
entex` the pool area un3rnrited, a safety/liabilfty rislc.
4. 2hfte ig so mxh evidetroe of iTqroper and wnsafe wirincJ in 9ara5e,
basement; gtslarivm/denlmaster bedroad aclditionn, and outside that there is
hlgh pi^obability }2?at other rm-visible electrical work which has bem added
aince original coxmttik-tian is also ittproper and unsafe: It is x^eoumnmded
4'hat All outsidej ac'kil.tiarii basenent and gaTage electrical wu1'k be c1ieCJced
and Corrected by highly skilled and luiawledgeable liceised electrician(s) y
and g].1 coizectimis be irspected bY an experiexioad electrical inspector: in
pazticular it is recdmwned tlhat all wtside airin4r eqeciallY 'atdergrmrr.i
irxl, be ieplaoed or; where possible, covarted to low voltage liqhting use
_.?.v,....?n,,._ .?..._..._
HouseNlaster
amaniiu of America' ?-- '
"YOUr Local Home lnspection Prolessiona! With a National Reputation"
Ir10496 Paqe 6.
HouseMaster of America ?
"The Hame lnspection Professfonals°?
8135 Kellogg Ave., Suite 222, Minnespolis, MN 56424 •(612) 9269949 -
and that a'L1 expased arrunections be made safe. It is possfble that other
areea may al.so need to be entirely rewired to be assured of correet and safe
operation: S'uch coMlete rewiring will be veiy costly+ Until sucii a detailed
anaiySfs ancl, elecFsical work is c;mipleted, the prnppxty may be ccrosidesad
taieafe fmirt botri fire arrl eleckrical shock causes; _arxl tkiez+efore questimable
winstlier it stmv.a be ocxViea particulariy by cnil.aren:
5. The boiler - glycol/hot water heating far spa and additions seem unsafe,
averly odVlex 9nc1 wasteful. It is recrnmmexied that boiler be relocated
insidg near ohlmney to pmvide tat water Eor spa as needed atid have lioeiised
lb?Wl. 8n91tiser detexmine feasibility of providing tontrolled forced air
treatirsg (And aooling) to den; solariinn and master bed.moan areas. It is
11106tAtiti8 for Fiealth,/safety that azty boiler heatinq syatem, hoth hat ivater
awar gly661 piping be absolutley separated frwa house dcmestic water piping
aiid fYYxri t,rater qoing into spa.
6: Iti is recxmaiiarxied that cost estimates be obtairied for ieplacing solariian.
It may be more cost effective to replaoe solziritna structure than replac
itidividual glass panels whir.h will include lClOts of lineal feet of glazirg
jaihtg (it is cioubtful, such substantial mtnurit of glazing joints can be
teplired Vith att scane ].eakage).
...--.-._,..,._ -..._
HouseMaster Tour Local Home Inspection Prolessional With a Mational Fepufailon"
--
ai+Yiiirii of Amerka t"riiiiii.6 I?t ? D-10496 Pag
20-1 1 Lo•P1?I°±
On Wednesday, Sune 23, 1982, Gary Moore of 1216 E. Ba2sam Trail called the
Building Inspection Department. He spoke to Donq Reid, Assistant Building
Official. He had a complaint about a two-story playhouse heing built at the
George Sanborn residence. 1212 E. Balsatn Trail. He asked that a record of this
complaint be kept on file for both addresses noted above.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108864
Date Issued:01/18/2013
Permit Category:ePermit
Site Address: 1212 Balsam Tr E
Lot:020 Block: 001 Addition: Wilderness Park
PID:10-84250-01-200
Use:
Description:
Sub Type:Residential
Work Type:Inflow and Infiltration
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Mark Johnson
7145 Oakland Ave So
Richfield, mn 55423
612-243-3965
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
RYAN JOHNSON
1212 Balsam Tr E
Eagan MN 55123
Johnson Plumbing & Heating
7145 Oakland Ave. S
Richfield MN 55423
(612) 243-3965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176964
Date Issued:06/08/2022
Permit Category:ePermit
Site Address: 1212 Balsam Tr E
Lot:020 Block: 001 Addition: Wilderness Park
PID:10-84250-01-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott & Kris Omalley
1212 Balsam Trl E
Eagan MN 55123
The Window Store Inc
2924 Anthony Lane Suite 115
Minneapolis MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176978
Date Issued:06/09/2022
Permit Category:ePermit
Site Address: 1212 Balsam Tr E
Lot:020 Block: 001 Addition: Wilderness Park
PID:10-84250-01-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott & Kris Omalley
1212 Balsam Trl E
Eagan MN 55123
The Window Store Inc
2924 Anthony Lane Suite 115
Minneapolis MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature