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1369 Balsam St EPERMIT City of Eagan Permit Type:Building Permit Number:EA112386 Date Issued:08/09/2013 Permit Category:ePermit Site Address: 1369 Balsam St E Lot:013 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-130 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Jocina Hammer Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Warren Pickard 1369 Balsam St E Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3795 Pilot Knob Road No. Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: _ Residential Lot I Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter./Repair Address Cost of Installation O City Phone: Permit Fee Name Surcharge g Address V City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 1 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Dote: 10-f 19 7 Receipt No.: Single Site Address: ^ ' ' ° " - - Residential Lot Block Sub/Sec.'Aw- 2~ -~14' Multi Res., Comm./Ind. Name i--c:ra i.I r. New/Alter./Repair. Address 369 F. Balsam St. Cost of Installation C City aq an 5 511 3 Phone: Permit Fee NameT,indsay Water Co,:. i f_' r,i 1 n l'Q. ~ - Surcharge Address ' ~i5 Ceda.r V _ City ~n Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official INSPECTION RECORD I Control No. 0 2 4 4 CITY OF EAGAN PERMIT TYPE:"' I u MH 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 04/! 6/92 (612) 681-4675 SITE ADDRESS: I APPLICANT: .vt • 13 st.aC r.: t tr, BALSAM St E PICKARD "RUE* E WILDERMESS RON 6TH (612) 861-810 J PERMIT SUBTYPE: ~J~ C[ y~PE OF WORK: a / INSPECTION TYPE D ATE INSPTR. INSPECTION TYPE DATE F1)" r, N6 FRAMING tNSULATIAN f'INAL 6 i~F M F r r rat ► 111i, 1 8 x t ' UI r r Punk No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC IF,f. ELECTRIC Inspection Date Insp. Comments Footings l Foundation z 9p 65 Framing Roofing Rough Plbg. Rough Hig. ISO. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngOPlan Bldg. Final Deck Ftg. ~•~h fZ ~j GLldfl~►+G~ ~'7 Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition II Wildernacc Rim Sth Additinn Lot 13 Rik 2 Parcel 10 84354 130 02 Owner/,%V1_f it t ~ti~ F~ .u P(;( W Street 1369 E. Balsam S~-- State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK c,-,~,;) 1973 $132.60 $6.63 20 99, 5 A003349 -29-76 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA Paid ith water ion 76 STORM SEW TRK 198 251.24 16.75 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 3102 6-4-76 BUILDING PER. #3968 SAC $450.00 3102 6-4-76 PARK 4-769 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Requirements RemodeVReoairReguirements . 3 registered site surveys showing sq. ft, of lot, sq. R of house; and ll roofed areas . 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks 1 set of Energy Calculations Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) W DATE `/Z - J/ VALU[ION JOB SITE ADDRESS 15 9 A ~S Am S'T IF MULTI-FAMILY BUILDING, HOW M NY UNITS? PROPERTY OWNE h a.J G TYPE OF WORK J4 if IF W f Cg FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT & f / v~ si~rw PHONE# X05 f ADDRESS l (0 35 O41~d 9 /e A-e. bl/4_57 ZIP CODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. 1 hereby acknowledge that I have read this application, state that th formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag oral; es. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not equired _ Updated 1101 CITi'. CF LWIIA t /3 z ltJ 3795 pilot 1~-.(,,b -R-ad E,,-,n, Ninmcscta ~~122 Tne City of Eagan hereby grants toRayN. Welter Heating Co. - rf _MIS • a --neating_ _ Pe-rit for: (Owner)` Marell Cosnt.___._ at i 69 s Balsam St_pursuant to application dated 6/2/76 Fee Pair',: $20.00 dated this 10 day of June 9 1~ 76 _ .50 s/c Euilcin_g, lnspeotor IQachanica.J- permits; Bid Total: i CITY OF AC- %%T / 3 - r 3(-, Pilot b nob H",;,d LcJ~L P ' ',IT NO, ^ 684 Tl;e City o; Eagan hereby grants to Thomason Pl ina Co. f 12201 Minnetonka Blvd _ Windsor Dev. Corp.! a PLUMBING Po-mit for; (Owner) Marell Const. Co. 437-3-~~ ;iE, 36 East aam 4276 Smsnek *„ne _L___, pursuant to app lcation dated 006 R lled : - p'eex?E1paF 100.00` ditcd this 8 day of June , 19 L 2.50 s/C Euildin7 Inspector penrd' 3: -Rid `Fo`wl: 7 v CITY of EAGAN N2 3968 BUILDING PERMIT Owner ...~...(y. ......3795 Eagan, Pilot Knob Road Eagan Minnesota 55122 Address (present) .....fr(a~.....'... 454.8100 Builder .2...caG.i9..^.cer........................................ Dele ..3~{...1. Address DESCRIPTION Stories To Used For _Fron! Depih Haigh! Est. Cost Permit Fee Remarks LOCATION Street. Road or other Description of Location I Lot Block Addition or Tract l~ This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST B PT T PR IS WHILE THE WORK IS IN PROG This is to cariify, ihai has permission to erect a... _upon the above described premise subject to the provisions of all applicable O ces for f of Eagafi. c-a"^` Per dr Building Inspector VILI ME- OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1988 Eagon, MN 55122 DATE: 6/8/76 Zoning: RII No. of Units: 1 Owner: Ma nstructiOn Address: - Site Address: 1369 B. Balsam St. WR5 Plumber: Thompson Plumb Co. 6U UU Pd Meter Notx S Connection Charge: Size: " CJ Account Deposit: Reader No.: Permit Fee: 10.00 billed I agreq-}d a ly with th an Surcharge: .50 #B7$_ OrdindA~t/ 7 Misc. Charge -:f- Total: Pr Date Paid: of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2746 Eagan, MN 55122 DATE: 6/8/76 Zoning: RII No. of Units: 1 Owner: Marell Construction Address: Site Address: 1369 E. Balsam St. L13 B1WR5 Plumber: Thompson Plumbing Co. 6/3/76 #3102 c 100.00 pd I agree to comply with the Village of Eagan Connection Charge 350.00 pd Ordinances. Account Deposit: Permit Fee: 10.00 billed Surcharge: .50 #875 By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 8 912 ~ ~~7/~~ X0 2~?~/Zo 9G~ rcl1 Request Dale Fire No. Roughin Inspection Jul 20 1992 Regwod? oReadv NOw I96ady Y Yes No I I licensed contractor D owner hereby request inspection of above ele Ical wor a-0 / Job Address (Street. Box or Route No.l city am Ct Facr Section No. Township Name or Np. Range Np. County Dakota Occupant (PRINT, Phone No. Warren Piccard Power Supplier Address Electrical Connector (Company Name) Contractor's License No. Laughlin Electric Co. CA01109 Mallmg Address IComramor or Owner Ma0ng Installation) 980 North Dale St. St. Paul, MN 551.17 Aulhonaed ure Cmuraclo,ovt., Ma ng Ins1 11 tpnl Phone Number 489-1303 MINNESOT TATE BOARD OF ELECTRICITY THIS INSPECTION REODESTWILL NOT Griggs-M' ay Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0800 ENCLOSED. r~~ REQUEST FOR ELECTRICAL INSPECTION r^ ee-ooootoe ► See instructions for completing this forrn on back of yellow copy. yI /Q~ 1 - X' Below Work Covered by This Request " i'~£ ~p7a3 ] ew Add Rep.'' TypeoBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner other lspecdyl Contractors Remarks'. Basement Remodel. Our Job #980. Compute Inspection Fee Below: # Other Fee a Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps p c Transformers Above 20E/' Amps Abov Am sA' ` Signs Inspectors Use Only7j,,-~ TAL Irrigation Booms T~`'T.~/ ,JO •JO it', 16 50 Special Inspection ??I/ ~y Alarm/Communication THIS INSTALLATION MAY BE ORDERED [DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOMHS, ~ h 1. the Electrical Inspector, hereby Rocglem to certify that the above inspection has Final ~A4' / oats been made. OFFICE USE ONLY -loop This rebutter void 18 months from ~Ps{ DATE: BUILDING PEiuMTT AiePLIr-,!.TTClt CHECK Lot_ Block Ad•' ticn Parcel and section mzrber _ stye t_ N. >er Z 9' Owner Address Developer 1r Address Zcne-Ord-Inance #52 Lot Size X Total area Platted Un.platted Building Size X Total area Occupancy- Typa of ccnstruction Setbacks: Street sides near _ Side Parking: Total. area T:,tal spaces Pa'rki-=g area setbacks: Scrcet side 'clear S sas ~ ~ ~ Landscape approval Bond required Special Assessments: ,0'7 S PC charge @ =au.0.00 45 Water area: ~61 LuLa 16 6 Assessed Ur.•assessed If assessed: Connection charge if unassessed: Connection charge Lot division: Additional assessments needed Not needed Laterals: Assessed Not assessed--- Waiver of hearing: - Needed Not needed Assessment cli~ Water Sewer Dept Building Dept _ Police Dept Fire Dept (Corm & Ind only) Certificate Fors Vareel Inc. ,10800 tyndale Ave. So. Bloomington, Mnn. 55402 Cert. #58 ,I- DELMAR H. SCHWA_ NZ LANDSURVEVOR Registered Under Laws of The Stale of Minnesota 14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 912 423.1769 SURVEYOR'S CERTIFICATE I /l4 i I 17 l_I_r° I ri I hereby certify that this is a true and correct rerresntation of Lot 21, Block 2, WIIDFRNFSS RTTN FTFTH ADDITION, Dakota County, Minnesota. Also showing the location of a proposed buildinp, there-on. 6-8-76 Qh~ A MINNESOTA / REGISTRATION NO. 8625 MASTER CARD LOCATION L NOIrq /J4 T OWNER STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK 1 WELL ELECTRICAL HEATING i3q 7/ AAA Al U/jZ4,- GAS INSTALLING ( ~F(rJ~- SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION q CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL - DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK . CESSPOOL DRAINFIELD PLUMBING 1 "7~ G WELL F SANITARY SEWER Violations Noted L% on Back COMMENTS: PERMIT Control No. 0244 CITY OF EAGAN 3830 Pilot Knob Road pERMITTYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000265 (612) 681-4675 Date Issued: 04/16/92 SITE ADDRESS: 1369 BALSAM ST E LOT: 13 BLOCK: 2 WILDERNESS RUN 5TH DESCRIPTION: Building Permit Type RES. ADD/PORCH Building Work Type ADDITION UBC Occupancy., R-3 Construction Type V-N Building Length 14 Building Width 18 Building stories 1 2j REMARKS: 30l INCLUDES 18' X 12' DECK FEE SUMMARY: VALUATION $19,000 Base Fee $198.00 Plan Review $128.70 Surcharge $9.50 Total Fee $336.20 CONTRACTOR: OWNER: - Applicant - PICKARD WARREN 1369 BALSAM ST E EAGAN MN 55123 (612)861-8702 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 Min. Statutes and City of Eagan Ordinances. ~~APPL CANT/PERMITEE S GNATURE 1IS UUEDIB IIGNATURE~ INSPECTION RECORD Control No. 0244 CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000265 Eagan, Minnesota 55123 Date Issued: 04/16/92 (612) 681-4675 SITE ADDRESS: LOT: 13 BLOCK: 2 APPLICANT: 1369 BALSAN ST E PICKARD WARREN WILDERNESS RUN 5TH (612) 861-8702 PERMIT SUBTYPE: TYPE OF WORK: RES. ADD/PORCH ADDITION INSPECTION TYPE „ INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION FINAL REMARKS: INCLUDES 18' X 12' DECK L CITY OF EAGAN33 6,2"C') 1992 BUILDING PERMIT APPLICATION 681-4675 - , _ 1pR 0 e Rm SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once permit is issued. Date 41 / Z Valuation of work ~Z-/ d Ov Site Location:_ /3,<9 6AL-:s4 w'\ 5t, STREET STE # Tenant Name: fe /L-l</JKD LOT BLOCK 2- I SUBD.~~,_jD' s P.I.D. # Description of work: Ovv\- Ar~ 17~oy q c~~ The applicant is: M Owner ❑ Contractor ❑ Other (Describe) Name 'PIGI«t/zb bvAKRcrT( Phone 2- i j Property LAST FIRST a6/- $'WM- e Owner Address 130 6htszj?-, STREET STE # City State //MN Zip SS/ 2 3 Company D w ti c7~ Phone Contractor Address License # City State Zip Company ~_Ow vt~ Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. ff~~ Signature of Applicant l ti~ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ O6 Garage/Accessory 011 Res. Add /Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ .03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE ❑ 90 New ❑ 93 Remodel ❑ 96 Move rd' 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy Z-5 Basement sq. ft. MWCC System Zoning 1st F1. sq. ft. City Water Const. (Actual) V.N 2nd F1. sq. ft. PRV Required (Allowable) Y•N Sq. Ft. total Booster Pump # of Stories 1 Footprint Sq. ft. Fire Sprinkler Length -I rte- On-site well Census Code t 3 Depth Ig' On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS T;EMARKS : AL.So I S'x /Z' 7D EC K ❑ Site P. Footing tR Framing ;ff Insulation ❑ Wallboard j' Final ❑ Draintile ❑ Fireplace valuation: $ l9, 000 Permit Fee rl\earn Surcharge p Plan Review 116 10 1y%l6x (s3+1s= I'7134 License MWCC SAC DC-z,c; o ov City SAC Water Conn. Water Meter 1 S / 3 l' Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT JOB LOCATION 361' t~RnLS S~• L' tS ' tG ti OWNER (S)Jsflft ~TF 3 l~--4412 f PHONE /.-Z CONTRACTOR ~,qvr PHONE A. DETERMINE THE TOTAL EXPOSED WALL AREA AS FOLLOWS: 1. Total wall window area 2. Total dooe area L7, Lt 3. Total sliding glass door area 4. Total fireplace wall area o 5. Total wall framing area (avg. 10%) 7. S 0 6. Total net wall area above floor S' Z S•~/ 8 7. Total rim joist area Sa• - SUBTOTAL: Total exposed wall area above floor 7Z S fl1 8. Total foundation window area i~ L Qo V E 9. Total foundation framing area (avg. 10%),: µ L L • 80 ve' 10. Total net foundation area above grade ~a.•a a SUBTOTAL: TOTAL exposed foundation area SD•(w GRAND TOTAL EXPOSED WALL AREA B. Multiply The Grand Totd.1_Exposed Wall Area x .17 -ITEM 1 131 7 S Cxr,Determine The Total Exposed Roof/Ceiling Area As Folinws: 91. Total Skylight area 12-. Total roof/ceiling framing area ZS. Z~ 13. Total net insulated roof/ceiling area a a 7 GRAND TOTAL EXPOSED ROOF/CEILING AREA 2 S Z•7,D. Multiply the Grand Total Exposed Roof/Ceiling Area x .026 ITEM 1 L Sb E. DETERMINE The "U" VALUE of Each Segment (1-10) and Multiply by the area as FOLLOWS: olull 1. x 2. 17,72) x louts i Z/ 3 3. x louts O _ 4. X louts v = a 5. G 7,Sb X "u" 6. L4 7. SD t x „u„ O 'Y = Z - 8. C~ x nuts O _ O 40 9. e~ x tsU„ _ a 10. =S D X "U" l S~ = 7•So ADD 1-10 for total wall segments = Za ITEM 111 DETERMINE THE "U" VALUE OF EACH SEGMENT(11-13) and Multiply by the Area as follows: 11. O x ,j U" a = p 12. 2s, Z O x "u" .0 13. a•_ X „U,l 0 3 - L 8 I ADD 11-13 FOR TOTAL ROOF/CEILING SEGMENTS = R .93 ITEM IV If Item No. 111. is the same as, or less than Item No. 1, you have met the intent of the STATE BUILDING CODE 600.0 (ch)2. If Item No. IV is the same as, or less than Item No. 11, you have met the intent of the STATE BUILDING CODE 600.0 (ch) 1. Add Item No. 1 131.7 + Item No. 11 G S~ = f 3 Add Item No. 111 $ G • Za + Item No. IV `7 ~3 - 9 03 If the sum of Items 1.11 and IV are less than Items 1 and 11, you have met the intent of code for total envelope system. Signature DATE / z i R • Lo }Z - VALU C~ - r z V - YAd.IJ~ I1~1L. VA-Wv AjA Ag flI-A G~II.II.Lt II~I~Ul,. . 3 8 . sta If . re7 hit'~II..IC,1 • ~ ~~c`' P~ ~1~/A i2 VDJrU~ ~X~', AJ I I•,!n 3 .7S . o3 U • %VAWO 23.3 '~•VA~I~i......---_.. L1 • VALl1~ ~t1t~ Nt ;~l5 I~ ~11Z ~IWn . ~ 7 s~I1J~ A49 ti L.-/A - 44A JQ16~t VAJAJ 0. t1- vadaJt; iwf. rig .01 67 hIt71061 ~Z x COI ' Axe 70 VALLI~. 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CLEOMER LANES -F a.L u'a W r`e3 am mm ~ „ i.y~ .am VI6 W q! e•e° 1 t xLYY d um es.m~ F W Y~91''6 i Jell I ' ` x.LY•.6 tYF ) Q e 21 w` 20 19 2 18 IT E •Q lxeY)iM f. •j °8 I~ 11- °N°O - - OC Lz.m b° r II`°J ~ b'-' IL SSYxYC ~~8 i 8•b I b° s8 k^ G mm m.« mm ssm Imm iA 2 b° y $ lb R`M2,'2:L m~A + bA 3 Z" a $ B x E Y ° y 142 13 z 8 I m I $ r 12 iaen - y 8 1 1.3 3 h2p•i~ x a, aBR R . 3eny jj°pf mm !].m m.m - 1)a I.z.m n.ao Lsm Iza.Xa 7 ei vy R x.ers/U'F. x°m R IA, x. eYSi xa'L• aaosx R nnc..nF-7-nX,c rnCfsllC 1 6NC Issue Dale L6 T- I3 QL6UC Z W ~~n e-RTtCss Ru, A s L~ A til I a I ( - sNEO 1 lv, oo I IGIYfL S 17E I v 1 A2~/k = I~Zyp~ S' caSSO.Dri I EXISrInv- 5 ITt (-r'/ PI LA L~ R DO MOO ITIVN C6 U EP-A&6= > 16 9 3 ( I i PRoPose-~ ~ Irc I rRoPds~'D ME ~ 15.m) I ExlsTlnfL- q d N l=-XISTIM6, HOuSe ( O N C-AIZA&C- l O ~ I 7' l M Z G, oo I Y I ~ 6' 0O l l 1 In 9S_bo BA LSf~>~Yl 5T, Csr RESIDENTIAL BUILDING PERMIT APPLICATION J CITY OF EAAN 3830 PILOT KNOB RD, EACAN MN 55122 ~S 651-681-4675 1 New construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE In - ®Z VALUATION Ln -L-:19 . \.0(4 SITE ADDRESS 11~,q F. -gam MULTI-FAMILY BLDG -Y XN TYPE OF WORK -Ayfftc%V-0l, A t ( FIREPLACE(S) !!-0 _ 1 _ 2 APPLICANT egM a_kr- STREETADDRESS Z q `1 Ci \ CITY. M=UT STATEW! YJZIPUAL3 TELEPHONE # SQU'1,2fl'9~e&CELL PHONE # FAX #(C:U ' Z ('D PROPERTY OWNER ~c~t «t1 ~i ax ~~4 TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $1770.00 Heat Recovery System D T 2 r f 7 IJ D Sewer/Water Contractor. Phone # fill n I hereby acknowledge that I have read this application, state that the information is c o co ly with all applicable State of Minnesota Statutes and City ag rdin fie Signature of Applicat - _ OFFICE USE O Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Use BLUE or BLACK Ink r For Office Use I .-47 Permit#: City of '"a I RECEIVED I Per t Fee: _ pq• 6 3830 Pilot Knob Road./ Eagan MN 55122 APR 18 2012 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~~rRR cam( P I &J1 A 3 Phone: 6 s7 " S'Z 2.61 RESIDENT / p OWNER Address / City / Zip: /3 61 I, 5 /°)yw' 6 _ >LAN AA S'02.3 Applicant is: L Owner Contractor c , TYPE OF WORK Description of work: RE G(~ Ee 0AIC - 1f- ~Q Art- qq ~ , Construction Cost: 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) A 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.-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 w0RR tnu p<<~~ x f, ,1a AA /Dial/ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO 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 Occupancy TAC MCES System Plan Review Code Edition - SAC Units (25%_ 100% ) Zoning n•-~ _ City Water Census Code 3Y 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 FEE Base Fee 7.3 i Surcharge Plan Review 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117390 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 1369 Balsam St E Lot:013 Block: 002 Addition: Wilderness Run 5th PID:10-84354-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Matt Spalding 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 - Warren Pickard 1369 Balsam St E Eagan MN 55123 (651) 452-2615 Prescription Builders 1123 Drew Dr Woodbury MN 55129 (651) 503-3467 Applicant/Permitee: Signature Issued By: Signature