1229 Balsam Tr E
Use BLUE or BLACK Ink
r
_For Office use I
Permit
City of Ear
d b 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: I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION J
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name:Phone:
Address/ City/Zip: C---$V5 T'
Applicant is: _X_ Owner Contractor
TYPE OF WORK Description of work:` ~i°Ci9 G~/r~TE ,C~A1~ts~dGE-
Construction CostX~e,%,,0 Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
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.aoi)herstateonecall.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.
x .~~~e%& 6ECI&-e- x . ~z~
Applicant's Printed Name Applicant's Signature
Page 1 of 2
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 / oao Occupancy ,r? 3 MCES System
Plan Review yc r Code Edition MNSBCd007 SAC Units
(25%_ 1000/ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V13 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
✓ Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
V- Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: AWL- L , Building Inspector
RESIDENTIAL FEES
Base Fee S/. S
Surcharge • SO
Plan Review 3 3.3 /
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTA 8S D~
Page 2 of 2
CITY 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of I nsp.: I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges: -
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No. 1 <i
Date: Receipt No.:
Single
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
T
Name New/Alter./Repair
c Address Cost of Installation
City Phone: Permit Fee
Y' ?
N e - Surcharge
Address
c
o
V I
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
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
H A T'e i _ PERMIT No. 1555
Date: October. 1, 1 Receipt No.: X51;?
1229 F. a sam Trail Single I X
Site Address: Residential
Lot Block Y Sub/Sec. _ s Multi Res., Comm./Ind.
Name :uzi,is~117e ~OIISt>!:Ct o'r New/Alter./Repair
c Address Cost of Installation
O
City FurasviI le Phone: Permit Fee 210 • 01.
Name 77"k- i..alt-Li11' CO.
Surcharge
Address
z
0
City Phone: Total
This Permit is issued on the express condition that all work shoil be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road Bogen, MN 55122 N2 5338
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Address Enact ❑ Occupancy
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name Move
❑ # Stories
Z
0 Address Demolish ❑ Front ft.
city Phone Grade ❑ Depth ft.
a: Name Approvals Fees
0
uu Address Assessment Permit
city Phone Water & Sew. Surcharge
Police Plan check
U oe
~W Name Fire SAC
~7~ Address Eng. Water Conn.
a W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: 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
' T
P0mit # Date Imed Pmdt1M
Plumbing S(? 7--
Mechanical 1,555-
- !J
n ? R 9 _ c -e.(c
INSPECTIONS DATE INSP.
~ Rough-in Final
Footi ngsa Ie' Date Insp. Dote Insp.
Foundation y Plumbing (0•-7Q 7 O ~
Frame/Ins. y 7 Mechanical 12 -
Final
Remarks:
CITY OF EAGAN Remarks
Addition , Wi l dprnp.GS Park Lot 6 Blk Parcel 10 81L2 50 060 OIL
Owner ]aAC &,j Street 1229 East Balsam Trail State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 176.o5 8.80 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA g 10.66 V15 11736 C0059ni 1 n/1 s.180
_
STORM SEW TRK 328-110 rnnsgoi 10
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
road i 75.00 15370 8/1179
WATER CONN. 270.00 it
BUILDING PER.
1;3 S,
SAC 525.00 15370 "
PARK
00
L r Xperfif ratr of 004ruvaury
Citp of eagan
1991pttrtmMt of Nnilhing 3nopprtion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building j
v Code certifying that at the time of issuance this structure was to compliance with the various
y~ .
ordinances of the City regulating building construction or use. For the f alloeering: '
'y uflcktrecsom SF DWG/Gar 5338
v &d; limit No.
R3
Rl
b O-PU7 h9* Tyre Comm m Om Fiffe Zoee Za" Dntricl -
Owwwrar.raa:g Ed & Laura Hannesc~~,,«t r; .
H' 1 29 E B lsam Tr.tY Wilderness ark is
9-3-80 J
otnda
Diu:
►OfT rN • OdaMUOUf R~Cf
~l_a`=`-~~ia~~'.~'.-_~ '~ti.~='- _ a:~:_ ,::..a~aa-~~~s_s ~st~:i.i5. a'~a~.';s'r
~j
a 1
AL AL
RESIDENTIAL
BUILDING PERMIT APPLICATION
LI a ~/I CITY OF EAGAN ' l a
T ~p 3830 PILOT KNOB RD - 55122
V ,
New Construction Requirements 651-681-4675 RemodeVReaair 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 saes; 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 V lot platted after 711/93
. Rim Joist Detail Options selection sheet (bogs with 3 or less units) -7
DATE I'+R ~CJIJ~ D VALUATION ((EXCLUDING LANND)), 7 /
JOBSITEADDRESS
IF MULTI-FAMILY BUILDING, HO ANY UNITS?
PROPERTY OWNER ~eOiNG`~ C`R o )
TYPE OF WORK - FIREPLACE(S) _0 1 _2 3
APPLICANT t ~l`p~ KS Ta Per`1~R C~ rtt R PHON# 95~'~~L
ADDRESS 11712 Lgreo T1~uSl~)Fj( ~lU r~u2NSalr~(~t~ ZIPCODE ~^-33
PAGER # CELL PHONE # FAX # q. ~a " 9 S 7Y'11
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(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 77
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, Le__t~j
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
❑ 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 (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Yor-N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Cede Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile /
Roof ~/Ice & Water ✓ Final Other
- Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Fireplace R.I. - Air Test - Final _ Siding Stucco _ Stone
- Insulation - Windows (new/replacement)
Approved By , Building Inspector
Base Fee I q - a Is-
Surcharge 3 • S~
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total (1
This request void 18 months from / ~p cc 3
Date of Request 9. $ 0 7 99
I'm
I, as censed Electrical Contractor wner, do hereby request ins ction of the above electri-
cal wiring installed at: 6L+
( ~R~®®yt~~t [L~-
Street Address or Route No. ~a A .(~11L {,a6t,ou J CA
Secilon Township / /R/ange County
Which is occupied by k i/!t/.~~t9~
(Name of occupant)
Is a roughin inspection required on this jjoobb??~ No ❑ Yes ❑ Ready Now ❑ Will can ❑
Power Supplier Address
Electrical Contractor `d :9rZ77h 4" IF fc~:E- CpptrantQrbb~~jcgnse No.
Mailing Address fi_&4T P {may ° y q~l-l Q}~~yp4,llll ~ 331~~Lf AV V
G11`!C I` i~B`1V L`K'YC ring This Installation)
Authorized Signature
(Electrical Contractor or Owner Making This Installation)
SUM BOARD 00PV This inspection request will not ti accepted the
SUM jf State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity /
'1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 (!:;o
'REQUEST FOR ELECTRICAL INSPECTION
CFIECK BELOW WORK COVERED BY THIS REQUEST S 9
Type of Building New .Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ Range ❑ Temporary Wiring ❑ /
Duplex ❑ . ❑ ❑ Water Heater ❑ Lighting Fixtures
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑
lgdustrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
Farm ❑ ❑ List List
p p )y
Other ❑ ❑ ❑ Hehers) Heie s)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am
Ps. 0 to 30 Am res 0 to 30 Amperes
101 to 200 Amps. '31'to 100 Amperes 31 to 100 Amperes
Above 200_A )a'.*y y> Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Si Special Inspection inimum fee $5.00
Remarks '`Ql1 OTAL FEE $0 1
I, the Electrical Inspector, hereby certify~• e i as been made. ..S45
(Rough-in) / f Date
(Final) 61e. a-
This request void 18 months from
This request void 18 months from ~'GJ / / ,4 4o3vGf
'b GZu 7~ R 76946
Date of is Request
I, as Licensed Electrical Contr ctor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No, zg,;2 6Gt-eQ.. City Section Township ~Range ,y County
Which is occupied by [ iia r of uo--t
[Name of Occupant)
Is a rlpughin inspection required on this job? No ❑ Yes ❑ Ready Now ❑ Will Call ❑
Power Supplier V4 MZA~" Address
t
Electrical Contractor? Contractor's License No.
Mailing Address d etLEC C A36591
U4540 FE o ac r r h n5 A
Authorized Signature )ei«er to in o~~'" o
QLS BOARD ~~~This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1954aUnive[sity Ave., St. Paul, Minn. 55104-Phone 645-7703 G.0
REQUEST FOR ELECTRICAL INSPECTION R' 76946
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ ❑ Range ❑ Temporary Wiring
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Futures ❑
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
Farm ❑ ❑ ❑ List List
Other ❑ ❑ ❑ Here rsf Herters~
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee 11 Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. A res 0 to 30 Amperes
Ol to 200 Amps. 31 0 0 re 31 to 100 Amperes
Above 200 Amps. - A e 10 Above 100 Amps.
Transformers R ote no Partial or other fee
Signs Special Ins ec[ion Minimum fee $5.00
Remarks
TOTAL FEE
00
I, the Electrical Inspector, ereby cer fy that the above inspection has been ade. g .OCR
(Rough-in) s Date
(Final) ate Y-y7-7Y
This request void 18 months from
,f ~ can
2005 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 RemodsllReoair Requirements Office Use Only
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd - _Y _N
.
(20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N
2 Copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition -indicate if on-ske septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan If lot platted after 7t1193
Rim Joist Detag Options selection sheet (buildings with 3 or less units)
Date 7 7
C~ of str~uction Cost
Site Address It
#
44-
3 f
Description of Work
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner G_&" Telephone i/ (lc5 r~ I ~ - 31:57 3
Contractor
Address C~ City
State ~X]n Zip yc~ Telephone # (76 ,5.37-77~.
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
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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 not a permit, but only an application for a permit, and work is not to start without a
of work which requires a review and
permit; that the work will be in accordance with the appr p&n
approval of plans.
Applicant's Printed Name Applict s Signa e
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N4 5338
PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt #
To be used for SF Dwlg & Garage Est. Value 74,000. Date 8-1 1979
Site Address 1229 E. Balsam Trail Erect [T Occupancy R3
Lot 6 Black 4 Sec/Sub. Wilderness Park 1StAlter ❑ Zoning Rl
Parcel # 10 84250 060 04 Repair ❑ Fire Zone 3
Ed and Laura Hannesch Enlarge ❑ Type of Const. V
W Name Move ❑ # Stories
Address Demolish ❑ Front 78 ft.
o city Phone 435-6535 Grade ❑ Depth 26 ft.
Sunshine Construction Approvals Fees
p Nome
Address 1017 East 157th St. Assessment Permit
City B r Ville Phone Water & Sew. Surcharge 37.00
Police Plan check 87.75
uw Name 525.00
rW-w Fire SAC 70.00
Address- Eng. Water Con
City Phone Planner Water Meter 60.00
Council Road Unit75.00
I hereby acknowledge that I have read this application and state that Bldg. Off. Park 120.00
the Information is correct and agree to comply with all applicable APC Total 1x350.25
State of Minnesota ~Ve1u s and ~Cit~/pf '~go~n Ordinances.
Signature of Permittee \XI°~
A Building Permit is issued to: SUns 1 truction on the express condition that
all work shall be done in a rdan wit all op iw tote of innesota Statutes and City of Eagan Ordinances.
Building Official
J' ~3 31
c ude 2 sets of plans.
CITY OF EAG~N
I cite plan w/elevations b
BUILDING PERMIT APPLICATION 1 set r.f energy calculations.
Date 7~3~1~5
To be used for 50UG4f,9M&✓ Valuation
Site Address 9 ~/1 CShH -?-kA iL OFFICE U'--E ONLY
Lot Block y Sec. /Sub. U^atde"OSS PAK1, 111 Erect __,4 Occupancy
Alter Zoning
Parcel 9 Y/la sA OGn n~ Repair Fire Zone }
Enlarge Type of Const.
Owner: Fh Au,, Lhufla AlAaaESC/f Move $ Stories {
Demolish Front $ ft.
Address: -
Grade Depth ft.
~Q
Phone g: ~3~-(o53j~ Approvals Fees
Contractor: 45Var I"a ic c a ri i- L T Onj Assessment 73/ Permit /7S
S'T Water/Sewer. Surcharge _37
Address: U f 7f7 Plan Check°~'
Police
1v sd S33 Fire SAC S aS
D Eng. Water Conn. ~ )O
Phone A: PlanneWater Meter (d ~
Arch/Eng.: Council RUnit 7S7S
Off. ~d >ao
Address' A% Bldg.
APC
Q
TOTAL
Phone Q'
i-. SZ TESIEP.1TUi / $ega Total
v'rJ DALE ~.lJ7~1 PACE,
07
d0B_ SE~rth-~i.~ 3C LOCATIO:t / "f?,L7/ //tee
VINDG':S A;D CCOS WINCO'..S K;D COORS 13'A~•,~
S0. SI c IC .C{ !rL \0. SI7c C."_tCK I 1 1.
-)X is 17T ~,f. ISL7c I
I I I k! -
a -
I `c. sTJ I - I
GR. MALL A c/
GLASS
NET WALL k . l ) I ,.ter •'Ar' I_o ( I .
- CEILI2;G' 507
FLOOR I I IF COR - I I f I
1:::,T L US I. . - AT
j o s I M
i r
I t
U0. S c,_ r I _ 1 NO n S _ c'
l
INFIL 'I
GR.KAU
GLJ S S ~i/ r
NET WALL j t I I' 'L
CEILING
FLOOR
TMOR
I 77.
:'-A! M7..,. 1 I j :GAT LOSS I 5.1....JnJ _ ~ I I ~rl<II ~ nl: l n'.. I man;
'
No, S, ZE I`:itL. I ''r' I~.rl•- `~l~~f .,'iL I I
OR. WALL
CLASS
itLr HALL l;
. 1 I -
CEILING 4 -5
O O 1 o=Vgn)
FL00~ 1 i 1 F-: CC;I I
LOSS u. -7. HEAT LOSS
k
l~y1 f f
+ DESIG+f TaC LB/Arurx cr lj paEe Total L`
~ZIF1tT , ,/7 / ? (y/ d - DATE ~l ACr 0
JOD,~St~~AJ LncarlD:r~
VINI-c:s :o DCORS -'COX CCOG's
• AD. S?C.. ~~~Cl' ) ...CJB ~ 1 ti0. , S?.'.=' i C^',Gb: i .,l I
17,
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I
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NT 7
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FLOOZ '~'~~r,9 J 11 r I i i'.Cc?
(r~^ r, I r> ~ ~ fre.T 1.0>i ~ i
may'-/' rl
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' LEVEL• iD
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LOCATION
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101 Q 1 qy ov 11 34
p1. ke I r I Ir^ pdSS/ GARAGPERQPOSED
1 HOUSE m
,e N ,1
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` IP O \ Q ~ ' /
10♦ UTILITY EASEMENT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112598
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 1229 Balsam Tr E
Lot:006 Block: 004 Addition: Wilderness Park
PID:10-84250-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Ricky Longnecker
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 -
Mark S Engel
1229 Balsam Tr E
Eagan MN 55122--170
Rick's Roofing & Siding Inc
13736 Johnson Street NE
Ham Lake MN 55304
(763) 269-8022
Applicant/Permitee: Signature Issued By: Signature
For Office Use 2°
,
Permit#: /Z, .. .v
s /
Permit Fee: � 0-6
IE C IE; v Date Received: 2./ ,6 - , 0
.,
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 APR 2 8 2020 Staff:
buildinginspectionsAcityofeagan.com J
BY:
2020 RESIDENTIAL BgUIL i P vnT APPLICATION
Date: 4 f ZT f 0z0 Site Address: /22( CALTAlit4. rFeL E. Unit#:
Name: N4e#t �jlt.4 El— Phone: 65/• Z6/ ' 133,1
Resident/ I ZZ. 8 A L-SAnit. Ti2'4z t. Ea S r1 ,646-AA,
Owner Address/City/Zip:
5.3'V Zi .
Applicant is: x Owner Contractor
Type of Work Description of work: AW-PeA ce ,eo TZ'Q 4-k 4 Pas TT Z IX- /4640
Construction Cost:4e4IDee. P1/C P.OD Multi-Family Building: (Yes /Nor) i
Company:
''pp Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I
P
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:
r
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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-•ublic if ou .rovide s. cific reasons that would•ermit the Cit to conclude that the 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 www.citvofeagan.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.gopherstateonecall.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.
x /"i tAve ..ci6- - x Jre L
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /20iSkqkfl n iT� / ' /LS
SUB TYPES
Foundation Fireplace _ Porch(3-Season) X Exterior Alteration (Single Family)
_ Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
x Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy 74kC- \ MCES System
Plan Review Code Edition g c, c SAC Units
(25%_ 100%_) Zoning -\ City Water
Census Code `f3`I Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction >7 Width
•
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: A4,Fso.-- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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