1370 Balsam St ECITY OF EAGAN
3745 Pilof Knob Rood Eogan, MN 55122 N2 6 138
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be usad for Est. Value Date , 19
Site Addreu ' Erect Q Occupancy
Lot Blxk Sec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
Enlorge ? Type of Const.
oWc Nome Move p # Stories
Z Addres
O s ' Demolish ? Front ft.
r;,,, -
Grode
?
Depth ft.
c'? Name
o
?? Address
F ?:...
Assessment _
Woter & Sew.
Police
Firo
E+9•
Plonr?er
Council
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit _
I hereby acknowledge that I have read this applicotion ond state that Bldg. Off.
the information is Correct ond agree to comply with oll applicable AP? Totol
State of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Bullding Permit is issued to: ' on the express condition that
all worfc shall be done in occordance with all appticable Stote of Minnesoto Stotutes and City of Eagan Ordinonces.
Building Officinl
Ieenit # Osh lawd PmniMw
Plumbing
Mechonicol
INSPEGTIONS DATE INSP• Raaph-In Finol
Footings Date Insv. Date Insp.
Foundution Plumbing
Frame/ins. Mechonicol
Final
Remorks: Let 1t'+?
Ni: ?.C?iab/? Sfj?c?
Pi ?? %?L4? •
CITY OF EAGAN Remarks
Addition Wi] derness Run 5th Addition Lot 9 Rik 1 Parcel 10 84354 090 Ol
owner?4j?7i-.? ; ? U.%.aI : 64,,C(CUi;;i; Street 1370 E. Balsam`' State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUMK 1973 $132.60 $6.63 20 ? 77
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ig]] 160.00 LQ. bf! 15 . 3 0. ' 1- 7
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER. ?
SAC o0
PAR K
.
;
CITY OF EAGAN
3794 Pilot Kno6 Rood Eegan, MN 55122
PNONE: 454-8100
BUILDING PERMIT APPLICATION
value
Site Address 1
Lot 9 Block
Parcel #
E
1 Sec/Sub. Wild. Run 5th
500
re Name Patriek J. Callahan
; Aedress 1370 Balsam St. E.
0 _ , _ /F7 4'/Grf
°' Name _
0
2E? Address
1- r:...
Nome _
Address
N? 6138
Receipf #
Erect XM OccuponcY n s
Alter ? Zoning ?
Repair ? Fire Zone 3
Enlorge ? Type of Consf. V
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approwb Fees
Assessment Permit 9.00
Water & Sew. Surchorge 1•00
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bidg. Off.
APC Totol 10.00
an the express condition thaf
e,?ta Statufes ond City of Eagan Ordinances.
I hereby ocknowledge that 1 hove reod this opplicotion ond state that
the information is tArrect und agree to comply with all opplicoble
State of Minnesoty\4 utes an ity of ago O a s
Signofure of Permir?? ,-- ?t???a°-?? ?
A Building Permit is iuued to: ' rick J. Callahan
all work shall be done in accordan with oll apv le tate of Minn
Building Official ??
.f .,?( ) ?
?
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For ? e C-= Valuation Date ?j°T Z /S6J
Site Pddress
?A s,v pFP'ICE USE ONLY
Lot ? Bloclc Sec./Sub. WKS?-= Erect Occupancy
Parcel Alter Zoning - -/e ?
Owner: Repair
Enlarge Fire Zone
2ype of Const.
Acklress: _
Abve # Stories
City/Zip Code: CffG?N
-57S /J-?3 Derolish
Grade Front ft.
Depth ft.
Phone. #: ?? ? ( JS
Contractor:
Pddress:
Citp/Zip Code:
Phone #:
Arch. /B7ig. .
Address:
APPI3DVALS FEE,g
Assessments Permit 9,oa
?aater/Sewer ? Surcharge j, o0
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
Phone #: TOTpL /p_ 6d
I
j c 21;1°
. cT.TY GP E1G.a1V
3797 Pil.ot :t.r.oo Road ??? 5 •
Eagan, olinnesota 55122
PEffivL1 NO.: 749
The City of Ea,I,an hereby grants to Thomnson :lu'.ibina Co.
of nlinnetonica 'finnesota
- .-:.i i,c.i:? : Ye:mit for: (Owner) ::arell Construction Co.
1?7' Deerwood Drive and
;;a1s ?1 " , pursuant to application dated 111`)
billed:
`=P 3€?c n cated this 9 day of ;wver:?l_r , 19 76
1.J0 o/c see Statment 1024
Building Inspector
i:ec'.lani::al Pere;:iL.:
a;d To+al:
CITY.OF EAG'aN
3795 Pil:ot Ir.r.ob Road
Eagzn, Minnesota 55122
? / lj.?? .?S'
PER'vIIP N0. : R ? a
The City of Eagan hereby grants to Rav ?J` G7P?r1tPr Hs.w}inrt rn
of 4637 Chicaao Ave Mnis Ssan7
a fIEP.TIt?G . Permit for: (Owner) 29arel1['on. strnntinn rn
at 1370 E. salsam St. ? pursuant to application dated 7 t ii ?ivr. _
Fee Paid: $20.00 dated this 16day of November r 7r •
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
? - + CITV of EAGAN
BUILDING PERMIT
.LL, INC.
Owne: .... MA.RE.
.......................................................................................
. ndale Ave. So.
Addresc (preeeni) ...... 1 . 0 - 8 . 0 . 0 .... Ly .
."' ..............................."-"......................
Bvildar .....MARELL, INC. -
.. .. ..........................---'--..........----............
10800 L ndale Ave. So., 132COmington
Addreu .................... ...........•--...... .X...---...............---..........................
DESCAIPTION
?
n,ja
N°_ 4125
3795 Pilo! Knob Road
Eagan, Minnesofa $5122
959-8100
11?4/76
Dats ..........
5loriea To Be Used Foz Fron! Depth Heigh!
- Eel. Coo! Permi! Fea Remaska
S/F pwlg. & Gar. 48' 39' 1 1 32,000 35.50
16.00 ?
TION
Sireet, noaC or othei Uescsipilon oi Locailon I Lo! I S14tI[ I- AGEifiotl oi TIBCt
1 I Wilderness Run Sth
This permi2 does not avthorise the use of slreels, zoada, alleys oz sidewalks nor doee it give the oaasr or L!s syea!
the right to creafe any siluafion whieh is a nuisance or which presenfs a hmerd !o the healfh, safelp, tonvenIenea and
general welfare !o anyone in the eommunifp.
THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGRE
MAR.RE°
Thts ie !o certify. !hal ... .----_.. 83. -
_L--L °°°. INC ........................... has permissioa S/F .... Dwl . g .. & ... G . ar...... Y^yp?
..--........ !o e eat-sr,,.. ....._ ....... ... .....
the above desc ' ed premise subjeci !o the provisions of all applicable Ord' ces for fh? Ci of a
... ...--' ""... `" ..................................... "-....... Par ..................... .. ...... ...:... "'.......... """ ........,...........
N ayor , uQdinq Inapectot
Date: n
, 'i.... BqILD217.G P: RiS2i P.PPr.rCRil^."I ?
LpT_, .?-'--'-- I;I ,CIC 1 ADilT_TIOii L(_/? ??J`l7J P' C ,1 v A!
F'I1RC-"L Fa SuCi'IO'.'7 1 1tJJiTjL,i2 jN' UIIP1,1i7ED 1 _.
137c L _ K/ ? /.S/7"i?"? \ 1 L- }`?"i? ?J /•-??+ ! ___
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1=IMA^LD C0'-T- X 39
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CO1dTRnC'lOR / Vi A-U,Q // . /--rylc TELliPI3OdiE :10.
G'M!Ii
rilote? Inciude site plan, huil.ding plans, and energy ealculat.ioas with this
apnli.catioa
Siqned
OI"FICE I7SE ?
vALaA^, zoA_
sAC
C0?:3NI:C^.IOi?1
GIP.T?IR J1I;':k;R
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slE!:T CI.FZK-.-121OILUSNG DEPT. POLICE llE;PT.
!.'FMR & Sli'?li;: DEP^. .^IRS DLP'P. PARK D£P:.
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DELMAR H. SCHVIOANZ
• LANpSUAVEYOR
Feqtslered UnGer LI+'s 01 1he State o+ Mmnewte
14515 SOUTy ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55068 PMONE 612 423•1769
r+
SURVEVOR'S CERTIFICATE
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...TLT).,.,.V. 7.ci ?r? an rrr?„?. ^i-ir'1 .^^r t,. ?. ?}?
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L!??. . . . .? ? . . . ? c..t:: i ll!1 ., . i *1 iL:?t .
nl.^,O .^1!Oaf:Tlr. '.,7:^ !.^.C£t` i^II Of.' U,^;'fPOSCd nppnti R^t; t,.'i":4'rw tiy.. _(-..
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"'NNESi?TA RE;i!,iRdPCiN NO H62` ,
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MASTER CARD
1370 E. BALSAT9 ST. L9 B1 WR Sth
OWNER MARELL INC.
STRUCTURE AND
LAND USED AS S/F Dwlo,. & GdY.
Permii
No.
Issued Issued To
Con}ractor Owner
BUILDING 4125 11/4/76 Marell, Inc.
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLWG ?
SANITARY SEWER
OTHER
07HER ?
Items Approved I
(Initial)
Date
Remarks
Distance From Well
FOOTING I SEPTIC
FOUNDATION I CESSPOOL
FRAMING TILE PIELD FT.
FINAL
ELECTRICAL
NEATING DEPTH
OF WELL
GAS INSTALLATION ?
SEPTIC TANK I
CESSPOOL
DRAINFIELD I
PLUMBING
WELL i/?i._."'t/
? ? ??-?r?
SANITARY SEWER
i? ?- -
Violations Noted
on Back
COMMENTS:
` CZ7V flF EFlGAN
CAS'-!:CE'kr. :IS TF_RMYMAI_ NC: 'ob
DaT?? i.o/i4i99 r:,ME: 14 .i24::;5o
rr;
A'AME.z r.,W iOHN:ON r11MST!2Ui:TILDP? L'0.
381,0 :9001 1370 PF`.1L5AR.?h: :;7
?-?I.JJ '?CICJ:I. 1.?7[? ]?A4n]i-1'1 SY
'? .. i. . .. .. ,
.a ?`?. . . . - ,
,. Ye,. .. . . . .
r`iot al RereiFt Mnuhi . _1°7t s i'4i
Ck11@31°9 ?
USEFf II1
? 1999 BUILDING PERMIT APPL{CATION (RESIDENTIAL)
^?? CITY OF EAGAN
` ? 3830 PILOT KNOB RD - 55122 4
651-681-4875
New Conshuctlon Reautrements RemodeUReoak ReaulremeMs
? 3 registered sBe furveys showing sq. M. ol lot, sq. ff. of house
and all roofed areas (207, mmdmum lot eoveraae allowed)
? 2 coples of plans (show beam S window sizes; poured ind. design; etc.)
D 1 set of energy calculWlons
? 3 copies of hee pr servaHon pian B IM platFed afler 7/1/93
DATE: 1 G`'?.d Y
DESCRIPTION OP I
STREET ADDRESS:
2 copfes of plan
1 sef ot energy calculaHons tor heated addfllons
7 sHe aurvey for e#erlor addNlons & decks
CONSTRUCTION COST: ?'Z=-?
l Y?
LOT: ? BLOCK: SUBD./P.I.D. #: ? 1 tyVv S f (n,A ?
Name: FPFE'mAn) 7sN iJ Phone #:
PROPERTY Last Fhst
OWNER 5- Q
. _Sk??rlrlraac• 1?'0 G, I?jqC..cSAfy) '??>,T . .
Ciiy ?bA1J tate: mJl? Zlp: .?i5(ZZ
?p \ ? Company: l?.W' ?o?'?"NSonJ Phone?? 477 - Zc>39
l (area code)
CONTRACTOR ' I
Sheet Address: aS0? WIL-5N I Qc B4 J? License 16 ExP.
City mou 0 1> State: Zip: ri5 34t,
ARCHITECT/
ENGINEER Company: N A" Name:
Telephone #: area code ( )
Sheel Address: RegistraHon #:
City
State:
Zip:
Sewer 3 water Ilcensed plumber (reaulred for new certsttuctlon onNl:
Penalty applies when ,address change and lof change Is requested once permit ts iszued.
I hereby acknowledge fhat I have read lhis application, sfafe that the informafio s conect, a d?agree to comply with all appncabl
State of Minneso}a Statutes and Cffy of Eagan Ordlnances. ?
i
St9nature ot Appllcant
OFFICE USE ONLY
' XY, 4 ,
Certiflcates of Survey Received , Yes ^ No
Tree Preservation Plan Received _, Yes - No _ Not Required
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.•
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Lea- Date Paid:
Date of Insp.: !� r� / p - 7 Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.:
Insp.: r , Total:
P ate Paid:
Use BLUE or BLACK Ink
For Office Use
Eaiall i4/6S-
City of f :::
#Fee: jOJ'
3830 Pilot Knob Road
Eagan MN 55122 Date Received: / '311
Phone:(651)675-5675
buildinginspections(rDcityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION ff
Date: \42)/ u1 Site Address:\31C) . ��t cc1 �`r Unit#:
Name: Phone:LO�"b-1 I
er • Address/City/Zip:‘3--tb elkTh
Applicant is: Owner Contractor
Description of work: S
Tye Two
Construction Cost: J —1.� Multi-Family Building:(Yes /No )
�
Company:(j eM� � �7r
%-ktz, y2 Contact:\,3 "`��c,e..A. ""
71-°cc% -ti C`C +' p
'1�k5 "CG mac, �`0- City: c-. 11�w3�-i
Address:
State:f(Y.1 Zip:,,553-'l1 Phone: • Email:
' .."
License#: $�"L l '�1�3 Lead Certificate#: \As- 1'l)we —cczkin
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE lP ans and supporting°documents ou submit are odlisidOidillo itiiPubrialliformation.
information may be classified as den-pubtiO1yOvidenon-public ,sdeotik moans that would permit the,cify7to fr
are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at wvrw.cityofeagan.com/subscribe.
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.
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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance -'th 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 to I 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 ofAre -Y�
teirl'
xn x
Applica 's Pri e 44464 Name Ap `are
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163858
Date Issued:09/14/2020
Permit Category:ePermit
Site Address: 1370 Balsam St E
Lot:009 Block: 001 Addition: Wilderness Run 5th
PID:10-84354-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Jennifer B Rusert
1370 Balsam St E
Eagan MN 55123
(651) 295-8581
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature