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1418 Balsam St CITY OF EAGAN Remarks SOW & Xtr corm rd, on 12-30-70 Addition Evergreen Park Lot 8 Rik 11 Parcel lo 2488o o8o 04 Owner 4§treet; 1418 Balsam State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 292 1 1 175.00 8.75 20 RAJ d SEWER LATERAL Sew 0 1974 &0,00 8.00 5 Paid WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK '~Z i, STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3121 12_29_70 BUILDING PER. SAC PARK City of Eapn Permit#~~~ v I Permit Fee: 3830 Pilot Knob Road I I Eagan MN, 55122 Date Received: Phone: (651)675-5675 Fax: (651) 675-5694 Staff: L-----------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -(25-0% Site Address: H)S oA Ahl T aCoRsli Mal FIZZ Tenant: `>1~ tE TlnJA , 9u~ Suite RESIDENT / OWNER Name: SFkgaIE `f UA ELL,-,ni)~, Phone: (oi 42 Address/ City /Zip: I41 E)ALS,-V ✓ CT eve ngAt c~rz Z CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK -New _Replacement _Repair _Rebuild Modify Space _ Work in R.O.W. Description of work: peeloc~4- PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation -Add Plumbing Fixtures (_RPZ/_PVB) l-Main_LowerLevel) _ 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 System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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. X X ~ e_ auPA. x 2" Applicant's Printed Name Applicant's Signature FOR OFFICE USE Date:, I Reviewed By Pi nia~ Required Inspections; Under Gr66 c ,-Rough fn Air Test] Gas Test' _Ffnal' ! 1 1" °'1 : - i r„oa offic~l --yy I City of Eap Pemit# 7. I (JJ Cwt J I I Permit Fee: 3830 Pilot Knob Road it Eagan MN 55122 Date Received: j I Phone: (651) 675-5675 Fax: (651) 675-5694 staff: t~ BUILDING PERMIT APPLICATION JJ'' 2008 RESIDENTIAL Date: -I' 2~br6 Site Address: I41~ SIiM Sr ZA&V4 MN X122 rv2 9 Tenant: ~1~/~7 I E a L r s a E ~w~t, Suite RESIDENT / OWNER Name: J,-\PmE + 1 rnJA, Phone: 012- S&' /L-42. Address / City ! Zip: ^f ~)AtSgrvl 1T SAGFw Mnj SSIZZ. Applicant is: -Y-Owner Contractor TYPE OF WORK Description of work: V „z W E )U ~KTERI o(Z L,>,4CL -d- SNEGTRoLK 0t/y~lbdL'Lf Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting'documents ttiaf you submit are considered to be public"information: Portions`bf y; the information maybe classified as on-public if you provide spearfic`reason`s that would perrrrit the City to conclude4hat they aretraddsecrets.:1u, 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. 4 Applicant's Printed Name D Applicant's Signature APR 2 5 2008 Page 1 of 3 1 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool 16 Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. -SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building* ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage ` Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation _ Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) V Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick _ Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall l Reviewed By: 'Z Building Inspector - - - - - - - - - - - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review VVV MCIES SAC ,1 L~ r City SAC Utility Connection Charge r f~^y~~"\ S&W Permit & Surcharge t Treatment Plant Copies Total Page 2 of 3 S CITY USE ONLY PERMIT C! RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN S$SO PILOT KNOB RD EAGAN MN 55122 651-6$1-4675 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: ILA 18 P` W SCE N St- OWNER NAME: -H e' 1 d-L -4o-za~tl) TELEPHONE (D ~~8 ILCZC~ INSTALLER NAME: Wolilers Southside Htg. & Air, Inc. 6950 W. 146'h St., #106 STREET ADDRESS: Apple Valley, MN 55124 (952) 431-7099 CITY: STATE: ZIP: Place a check mark next to the permit work type _ Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ~-hi 1IY . allay ran aG m~d~LJ o CL T 3o $ 50 State Surcharge Total SIGNATURE OF PERMITTEE 1/02 EAGAN TOWNSHIP BUILDING PERMIT N° 3189 Owner Eagan Township Address (present) Town Hall Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks LOCATION Street. Road or other Description of Location Lo! Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST 8 KEP ON THE PREMISE WHILE THE WORK IS IN PRO"G"RESS.. This is to certify, that--. ..........has permission to _upon the above described pre ise subje to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. 'n o P..... .h"'- ~ Per ---..._------!~t_'...t~Z................................ Tnwn~B. q,~ss InaP C irma~n of oard Building ectAr MASTER° CARD LOCATION SLR ~G1cN1. E~f, IIK / iI~CC~~,A IC OWNER STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: EAGAN TOWNSHIP BUILDING PERMIT N? 2365 Owner Eagan Township Address (present) -A-° .2 Town `Hall Builder a /moo Date /....a......g................-....---.:.... Address DESCRIPTION Stories p1 To Be Used For Front Depth Height Est. Cost Permit Fee Remarks _ •r a } LOCATION Street, Roa or other Description of Location I Lo! Block Addition or Tract a This permit does not authorise the use of streets, roads. alleys or sidewalks nor does it give the owner or his agent the right to create any situation which Is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PROOR SS. This is to certify, that P.- has permission to erect a..... _:....".p'....".~..~,.}'. -..........._upon the above described premise subject to the provisions of the Building Ordinance for Eagan Towaship 'kdopted April 11, 1955. . .....,y......,/.~ ` Per J~? aif T Charm of nwn Board ~ ~ ~ Building Inspector Eagan Township PERMIT NO. , d 3, 6 Dakota County, Minnesota - Date ---I_Z z Z o Application for Building Permit Type of building or work contemplated. Circle correct descriptions. . __Residential/ Commercial Industrial Other Bum' Enlarge Alter Repair Install Move Wreck Other_ Dim-ensions_.._ ~f x Cost v e ar Details or or remarks ~_--5.-...--- Location 0 Number Street Between what cross streets Size Est. Valuation Lo! Block Addition Rearrangement or Traci Owner ~ Address ...--.z~- Contractor Address The undersigned hereby makes application for a permit to - $ do work as herein specified, agreeing to do all work in strict Total fee collected. accordance with the building ordinance adopted April 11, 1955 by the Eagan Township Board of Supervisors. Permit fees are not refundable. Ck- Signed M TER CARD ~PLSP • LOCATION OWNER STRUCTURE AND LAND USED AS .4Q "A G ssued To Permit No. Issued Contractor Owner BUILDING y 9 / PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING y ' GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL a~ DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: SEA BLOMOUIST - - THOMAS HEDGES MAYOR - CRY AOMIgISTPATOR VAN OVER3EKE THOMAS EGAN CITY OF EAGAN EUGENE CITY CLEAN MARKATO JAMES A. . SMITH THEODORE wA[HTER 3795 PILOT KNOB RpAO' COUNCIL MEMBERS . EAGAN. MINNESOTA 53122 1 PHONE AS N10 DATE:NOVEMBER 22, 1982 SPECIAL ASSESSMENT SEARCH UNIVERSAL TITLE INS CO - RE: L8 B4 EVERGREEN PARK ADN 301 W. B'VILLE PKWY ~1k18 BALSAM ST _ 1 BURNSVILLE, MN 55337 A14-02156 Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original Amount Balance Due STM SEW TRK 15 yrs 1981 323.00 258.41 I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. Kind o Improvement A roximate date 'o Completion " Approximate cost NONE ._.:...WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, MN. 55033 Very ly yours, THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PERMIT NO.: 71 The Board of Supervisors hereby grants to F„_Fg_rre11.Q,Son Of ggn Liner MOntaUgt ,;t_ Panl 55117 a PL NG~_ /y-l,Y Sc7/Sdm ~7 Permit for: (Owner) T9tse On,tISStjon_Sj6 at ans ^L8-B4 E~erore Paskpursuant to application dated 12/10/70 Fee Paid: __$20 90 Dated this 10th day of December , 1970. Building Inspector t - TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PERMIT NO.: 83 The Board of Supervisors hereby grants to Neil d Hubbard Heating S Air Cond. of 99 North Snelling Ave., St. Paul 55104 a HEATING j~{I$ alsam St Permit for: (Owner) Tilsen Homes at. Sequpie e , pursuant to application dated 2/26/71 Fee Paid: $20.00 Dated this 2nd day of March 1971 Building Inspector EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: December 30, 1970 Number: i`I'I a1Sarn S-Y Billing Name: Tilsen Homes Site Address: -4396-Seaeeia - L8-B4 Owner: Tilsen Billing Address same Plumber: George J. Luecken Location of Connection Meter Size-'Y,&" Connection Chg. O p 12/29/70 Meter Noa✓~i a n Permit Fee 10.00 pd 12/30/70 Meter Reading Meter Dep. Meter Sealed: Yes Add'l Chg. NO Total Chg. GGG Inspected by r/? Date Building is a: Remarks: Residencexxx S25.03 E'E IPSO'! Iiti FOR Multiple No, Units- IMPROPERLY INSTALLED METERS. Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. George J. Luecken By: Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: December 30, 1970 NUMBER 686 J Lt N o M 5 OWNER:T11sen Homes Address 4 eot 2a-- L8B4 PLUMBER Georee J. Luecken TYPE OF PIPE casti iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xxx Location of Connections: Connection Charge Permit Fee 10.00 od 12/30/70 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnes to By George J ue ken No. St. Paul Please notify when ready for inspection and connection and before any portion of the work is covered. t~ G-> 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Oitice Ose Onl4 3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cer - 'U" eylReat * 'Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Ares FtaisRedd' _Y ' N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 6 decks T(ee PrPS Regllrr N I set of Energy Calculations Addition - indicate ifon-site septic system O,n-siteSepUC',SystamY"=N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation forth ty~ 2 Date Construction Cost Site Address ~z~LY~ Unit/Ste # Description oil Work Multi-Family Bldg _ Fire (s) _ 0 _ 1 _ 2 Property Owner Telephone # (&,S( ) Contractor Address City State zi Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (,'submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit~for r- similar plan based on a master plan? - Y _ N If yes, date and addresslof,raster plari:) I! Licensed Plumber JUN 1 4 ;?D06 bl,l Telephone J Mechanical Contractor Telephone # ( Sewer/WoterContractor Telephone ) I hereby apply for a Residential Building.Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is no e r , but only an application for a permit, and work is not to start without a permit; th t the work ill be in cco an e with the approved plan in the case of work which requires a review and ap r App icant's P ' Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of-plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex 13 11 10-plex ❑ 19 Lower Level ❑ 24 Storrs Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 0- 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water D,am"ag"e~_Yes Valuation _11Occupancy MCES System Plan Review 100%_or_25% Census Code ~T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const y1~ Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock _ Footings (deck) Final/C.O. - Footings (addition) V`7L/"F Final/No C.O. _ Foundation HVAC Drain Tile {,n,~L~ QOf~G Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco Lath -Stone Lath -Brick Fireplace _ R.I. -Air Test -Final - Windows Insulation Retaining Wall Approved By: +f Building Inspector Base Fee Surcharge 0 L3 Plan Review UJ/ZN MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1 00 - -100- T loo ! i + 7 a t i _ 00 V~ I[!` Fyn ` ~ ~l I v`v O ►i'; z ID Irv r 100 -106 30 '-j x(00 NORTH 0 9 0 39 I An hl nPT 14 up I I ` - - - - - - - - - - - - - - - - - y„ s I For Office Use I City of Evan o f I Permit L L ~O 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 Date Received: a Phone: (651) 675-5675 I c 1 Fax: (651)'675-569.4 1 Staff: z 1 i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Get, Tenant: Suite RESIDENT OWNER Name: ILi Phone: Address/ City; Zip: Applicant is: Owner ,KJContractor TYPE OF WORK Description of work Construction Cost: i Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: -5e-2-~ c?u City: _ State: ZQ ~ zip: Phone: n Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category _ Submitted Submitted submission type) • Energy Envelope Calculations 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: DOTE: Plans and supporting documents that you submit are considered to be public information. Portions of thin information may be classified as non-public if you provide specific reasons that would permit the City to conclude that ttrey are trade secrets. 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. x aJSP 11 l.~ L~`.1 x . . sjt~ J Applicant's Printed Name p ant s Signature Page 1,of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084050 Eagan, MN 55122 . Date Issued: 07/07/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1418 Balsam St Lot: 8 Block: 4 Addition: Evergreen Park PID 10-24880-080-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Repair Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Permit expired without required inspections. Letter sent 3/27/2009 CE Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Gopher Company Shane Edlund 2701 36th Ave S 1418 Balsam St Minneapolis MN 55406 Eagan MN 55122 (612) 331-1555 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For-Office Use 1 n 1 Citur of Wan i Permit ~ L d b I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: ll Site Address: l z Z" Tenant: 4 Suite # RESIDENT / OWNER Name: < .qj~_ Phone:cPs/ 7d?3 q-9-,6-0 Address/ City /Zip: l 8 L 6 -5-51 Z Z Name: i'c l w ^I L CONTRACTOR License ~ -r Address:4Y/qS'5/9Le-, State: Ar_ Zip: '55 j Z Z_ Phone:62g5-/ y9q 7o Contact: i nl _j TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE A~ Furnace. New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank C_ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract value $ 00 x 1% $55.00 Minimum (includes State Surcharge) _ $ ~O r UO Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 r - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee D-*> Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) ,r TOTAL FEE 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.gopherstatoonecall.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. x7RO nI SSA XP I x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r I For Office Use Permit City of EaI Z1,0 .s0 ; I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - 1 Z- Site Address: ~~ti S E V I Sa en Unit 6 a ILA Phone: Name: he- RESIDENT / p OWNER Address/City/Zip: tgl (6 LjaISaM G-~a+k ✓,im S75-17__L Applicant is: X_ Owner Contractor TYPE OF WORK Description of work: t ~ b' toa Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.clopherstateonecall.orcl 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 s of permit issuance. daF'J x NA ni - (L t lLOA-l t-_. x Applicant's Printed Name Applicant's Signature Page 1 of 3 '>+60 NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Storm Damage ✓ Single Family _ Garage Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Sao Occupancy MCES System Plan Review 0 • Code Edition MLs(W_ SAC Units Zoning " l City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V • ~j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings `Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Cm Erosion Control Reviewed By: _ e , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Feb-07-2012 01:57 PM UMMC-J 1-208 Radiation Oncolog 612-273-8459 2/3 Use BLUE or BLACK Ink - - - - - - - - - - -i For Office Uso I n n I Permit: t~1 City of EaEff Permit Fee: 1 3830 Pilot Knob Road ?Ic- I Z. 7, Eagan MN 55122 I Date Received: Phone: (651) 676-5676 ~1 I I Fax: (651) 675.5684 scarf------------- I S 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION A\ Date: Site Address: Tenant; Suite RESIDENT I OWNER Name: 1 lr c.L Phone: CPS Address/ City/Zip: 1 Z~ Name: Llcense CONTRACTOR Address: City: State: _Zip: Phone: Contact: Email: TYPE OF WORK -New -Replacement _Repair _Rebuild ZModlfy Space _ Work in R.O.W. Description of work; RESIDENTIAL -Water Heater Lawn Irrigation L_ RPZ PVI3) Water Softener PERMIT TYPE Septic System Add Plumbing Fixtures (~CMaln Lower Level) New _ Water Turnaround Abandonment RESIDENTIAL FEES; $60,00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (Includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 If a 516T'meterIs required) $105.00 Seotlc System New (510.00 pares bullt) (Includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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_ooeheratateonecall.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 acco ance with the approved plan In the case of work which requires a review and approval of plans. nn Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: „-Under Ground -Rough-In Air Test -Gas Test Final Use BLUE or BLACK Ink r I For Office Use I 0~ 7 4 2p City of EaEdn , Permit D I Zp I: I Permit Fee: . t 3830 Pilot Knob Road ~CE`q I Z I Eagan MN 55122 Date Received: Phone: (651) 675-5675 t 1 I Staff: I Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION - Date`. .1 Site Address: I L 1 CL Unit Name: S a AME: E,-,,wAJ 1 Phone: O5' I- L/L/ Q S-0 RESIDENT / OWNER Address/ City /Zip: 1q1% p3aISa M4 Sf- , zcl.la 4 Applicant is: _X_ Owner Contractor TYPE OF WORK Description of work: L vx ode.) `N4/ /erl,Q'A. * /C/&M Construction Cost: oo0 Multi-Family Building: (Yes / No )C ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate 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? it _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to it conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. X S)V\(pNQ ' x a4_dtr~ Applicant's Printed Name Applicant's Signature Page 1 of 3 i V- I q) S~- DO NOT WRITE BELOW THIS LINE 77 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy ZQG~1 MCES System - Plan Review Code Edition SAC Units (25%_ 100% Zoning- X City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in -Air Test -Final Windows Insulation Retaining Wall: ` Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES ~,3 ee ;.a 7C Base Fee Surcharge Plan Review ~G-°- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA103014 Date Issued: 02/15/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1418 Balsam St Lot: 8 Block: 4 Addition: Evergreen Park PID: 10-24880-04-080 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: - Occupancy: Zonin,: Square Feet: 0 Comments: JoAnne Burr 990 Lone Oak Road Ste. 114 Eagan. MN 55121 651-905-0105 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Window Concepts MN Shane Edlund 990 Lone Oak Rd =114 1418 Balsam St Eagan NIN 55121 Eagan SIN 55122 (651)905-010 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112204 Date Issued:08/01/2013 Permit Category:ePermit Site Address: 1418 Balsam St Lot:8 Block: 4 Addition: Evergreen Park PID:10-24880-04-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Shane Edlund 1418 Balsam St Eagan MN 55122 (612) 386-1672 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature 4111' City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: � Phone: 6Z 384,-- /at__ Address / City / Zip: t q„--- Contractor Applicant is: Owner Description of work: :fp Construction Cost: Contractor Multi -Family Building: (Yes / No ) Company: .- k (,"fet.,cj'p�' Contact: gTh city: Address: �. / t/ State: i Y J Zip: P�� Phone: tO t - i2°I t 6 License #: Dlf�-fl13L Lead Certificate #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: TE: Plans and supporting documents that you submit are considered to be-pui e information may be classified as non public if you provide specific ;reg conclude that: information. ; Portions of r! permit the City fo, 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.gopherstateonecali.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 Mi to State Building Code must be completed within 180 mit issuance. lic is x sm_ x 4Alp SIL 14"1" Applicant's Printed Name Applic Signature I Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152043 Date Issued:09/25/2018 Permit Category:ePermit Site Address: 1418 Balsam St Lot:8 Block: 4 Addition: Evergreen Park PID:10-24880-04-080 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: 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 - Shane Edlund 1418 Balsam St Eagan MN 55122 (612) 386-1672 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature