Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1309 Balsam Tr E
CITY OF EAGAN Remarks Addition WILDERNESS RUN 6TH ADDITION Lot- Owner /t?-?i Street 1309 East Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK pQ1 1973 161.21 8.04 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 •$:-Bb 15 STORM SEW TRK 285.04 9-12-77 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230-00 7873 0-35-77 BUILDING PER. SAC - PARK -633 7 1 . ?. ? CITY OF EAGAN WATER SERVICE PERMIT 37e?"Pilof Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owne r: _ Address: ' Site Address: ?.. ' Piumber: Meter No.: Connection Charge: Size: - Account Deposit: Reader No.: Permit Fee: 1 agree to wmply wi+h the City of Eugen 5urcharge: Ordinanees. Misc. Charges: ' Totai: By Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 379? Pilot Knob Road PERMIT NO.: Ea?g?on, MN 55122 DATE: Zoning: No. of Units: Owner. - ? Address: _-- Site Address: _ -r Plumber: 1 agree to wmplr with the City of Eagan Connection Charge: , . Ordinanees. Account Deposit• By Dote of Insp.: Permlt Fee: Surcharge: ___ Misc. Charges: - Total: Date Paid: CITY OF EAGAN , - • 3795 Pilot Knob Road Eogan, MN 55122 N2 4544 PHONE: 454-8100 BUILDING PERMIT Receipt # TO b@ Yfld f0r fi D4tE 7. Site Address - Erect ?•... Occuponcy Lot Block Sec/Sub. 4• Z?'. Alter ? Zoning -:"?- s Porcel #. Repoir ? Fire Zone _ Enlarge ? Type of Const. W Name Move ? # Stories 3 Address Z Demolish ? Front ft. 0 Cit ?v- . Phone Grade ? Depth ft. m N Approvais Fees p Ome -- - - ? ?;ve uQ Address ::2.r' • ? F- r:... . . ,. . .. ? e?,._„ . . .. _ i. 7 ii I. Name _ Address I hereby acknowledge thot I hove read this application and sta;e that the information is correct and agree to comply with oll applicable State of Minnesota Statutes ond City of Eagan Ordinonces. Signature of Permittee A Building Permit is issued to: _ oll work shall be done in accordot1'ce Building Official Asssssment - Woter & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit -O?' _ Surcharge Plon check SAC ' Water Conn. •} Woter Meter • ?U Total . on the express condition that all applicable State of Minn=sota Stotutes and City of Eacan Ordinances. Permit # Data laued P?kfiN Plumbing 5?7!S`/ // - / 7 7 Mechonical yo o -..w /o- /7 - INSPECTIONS DATE INSP. Rou h-In Finol Footings ? g Rate Insp. Date Insp. Foundation Plumbing 10-31• Il -.7a ~ ? Frume/ins. i O-/•) I Mechanical •7 Finai 1 I ? Remarks: ?-7t?r.t_t I:•;. Date: PERMIT Site Address; ?309 East Falsam Trail Lot ? Block 3 CITY OF EAGAN 3795 Pilot Knob Road Eogon, Minnesotn 55122 Phone: 454-8100 Sub/Sec. w'R 6 t h No. 5 Receipt No.: ` Single I Residentiol ? Multi Res., Comm./Ind. I "E'n Homes Inc. Name New/Alter./Repair Snelling Ave. So. ; Address Cost of Installation O City Fal'"l Phone: Permit Fee ??n Jn r .; t?U15 11. t eter ('O. ` Name " Surcharge g Address I `j?" r'ralu: Avc^ue e 0 V - -r ! r?.? ??- City . • . :. Phone: Total L . This Permit is issued on the express condition that all work sholl be done in accordance with oll opplicable State of Min to Stotutes and City of Eogan Ordinances. Building Official ??.-- ? ? r s ? ?.. CITY OF EAGAN 3795 Pilot Knob Rocd Eogon, Minneaota 55122 Phone: 454-8100 PERMIT Date: Site Address: • ?,aiS.m `ira Lot Block _ Sub/Sec. • czr. Nome i 3 Address _ O Phone: City Name A. Bir.der & Son Inc. ? '• ". Address Butler Ave. ,? - C O City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes and City of Eagan Ordinances. Receipt No Single Residentia l No. Multi Res., Comm./Ind. I New /Alter. /Repair Cost of (nstallotion . )C Permit Fee Surcharge " ?' ^ r? TOta l done in accordonce with all applicoble State of Building Officiol ;5 !>.^' --?5?b77 ?+e quest void 18 months from o7q-5/4 P 36686 Date of this Request 10-20-77 I, as EkLicensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or R te No. 1 309 Eyst Balsam Cityba?an 47 lor•? Section Township Range County Dakota Which is occupied by Tilsen Iiomes (Name oT Occupant) Is a roughin inspection required on this job? No ? Yesfa Ready Now ? Will Call a, PowerSupplier Dakota Cty. Address Farcvngton ElectricalContractor O.B. `1'hmmppsnn FlPr.t.ric Contractor'sLicenseNo.AU7 (COmpany Name) Mailing Address 12201 -,ttk? nf+k-i ?;?3n3 Authorized Signature /il/CtiilL?i? ?[Jr"'"" """ Phone No. (Electrlcal Con or or Owner Making This Installatlon) STAYE BOARD COPY ^dew Minnesota State Board of Electricity •' 1954 University Ave., St. Paui, Minn. 55704-Phone 645•7703 FiEQUEST FOR ELECTRICAL INSPECTION *114Mi-BEMW WORK COVERED BY TH1S REQUEST a79e14 p 36686 Type o Building New Add. Rep. Check Appliances Wired Fm Check uipment Wited Eoi Home }13 ? ? Range ? Tempoxa[y Wiring ? Duplex ? ? ? Watet Heater Lighting Fixtures ? Ap[. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bidg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. 11 ? ? Au Conditionei ? Bulk M' nk . 0 Fazm ? ? ? List is L . .. Other ? ? ? p Heie13I er ..s ? COMPUTE INSPECTION FEE BELOW Service EnhanceSize: # Fee Fcedeca&Subfeedets: n14 F- C¢cuits: # Fee D to 100 Am s. 0 to 30 Am eces 0 to 30 Am ies 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am res Abave 200M@mps. U .14.001 1 Above 10 Amps. Ol q6ove 10?_Amps. Transformecs 1 1 RemoteCon[rolCirc. Paztialorotherfee Signs 1 1 Special Ins ction Minimum fee $5.00 Remazks ^ ^ ? "'?3],1 TOTALFEE 73•50 I, the Elec[rical Inspector, h cerf? I?iFie, ?abpy? inspection has beFff•g?tia e?? 73.p? ' (Rough-in) '? =' ._ D` `?A" Date (Final) Date v2- This request void 18 months from SEDGWICK HEATING & AIR CONDITIONING CO. HEariNG JOBNO. 8910 WENTVJORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD ADDRESS 3 o ? r `r CITY F- Iq v'* 4 OCCUPANT ITO uS 1 'tI f? r OWNER _C? V-7 0,94 ~- SOLD BY S?Z c? Ll 111 CINSTALLED BV MAKE SERIALNO. Llj?122? MODEL _ INPUT_ VENT SIZE (5-3 z v3 -7 S- 72 f 6 6 b ? ? 6 -?? THEfiMOSTAT ) N , -/G? ?? VAWE l. L ` ` LIMIT r '1 t z t/o LIMIT SETTING ? ? LAI ? FAN SETTING ` Y /- ° ? PILOT TYPE T G/ D J C Ot/ IGNITION MODEL ry f??' 7` PILOTTIMMG R- PRESSURE PERCENT COi ? 6 INPUT CFH PERCENT Oz 1 D STACK TEMP. 2 b PERCENT CO FORM 235 (REV. 111e9) TYPE OF LWER U L ?. ?. , F f?FL ? T ? JAN 1_ .^, 2003 LINER SIZE FILTERS: SIZE NUMBER-=L WIRING 1-1, rd`C J 0 TEST 7AG LIGHTING INST. DATETESTED L I COMPANY TESTING ?c- IQ t ??. ? ICG G Z'? NAME OFTESTER FORMOISTRIBUTION: WHITECOGY - JOBFILE VELLOWCOPV - pTY ? - d173s pERMFr #: CITY USE ONLY RECEIPT DATE: 2002 $ESIDFNTIAL MECH4NICAL PEftMIT APPLICAT[ON crrY oe Eas,alv S$SO PILOT KNOB RD f.AHAN MN 55128 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: /`'Uc?- SITE ADDRESS: I„7 UGl &??.?y7 6 OWNERNAME: TELEPHONE#: 6V I ' N41l-SyroL INSTALLER NAME: .SECG';uIC;C 1:=.:?Il!G Fi e91?: C0II+1DIT10wi7"EP.H0NE _ 80? 0 VYenlworth Ave. So, Ninnezpolis, G;?J 554? STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the permit work type ? Add-on, modification or alteration to existin dwelling unit • furnacereolacement ,?_Zf $ 30.00 • air exchanger • air conditioner • other Nature of work: YY ? State Surchar e $ .50 Tot81 $ J/_sb -776w SIGNATURE OF PERM t/oz xwxFxxxwwxwxwwwwwxxwxxxxxx CITY OF EAGAN CASHIER: JS TERMINAL NO: 770 DATE: 04/18/00 TIME: 13:40:55 ID: NAME: MINNESOTA RUSCO INC 3210 9001 1309 BALSAM TR 251.25 2155 9001 1309 BALSAM TR 7.50 Total Receipt Amount: 258.75 CR126733 USER ID: JAN 1i11Fii+i+++4iti+kkthiiiiii#it4#****** 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?ITY oF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Hsw Conahuclbn Reaufremenh ?' -.Z]i?T?'?711?]?T.•7II:7'.?1?'? uF1 D S registered alte aurveya Nwwing sq. (t. ot lot, sq, ft. of house 2 copies of plan and q,?l roofed areas (20-9(, rtwximum lot coveraae allowedn 1 set of energy calcWaHons Por healetl cddlXOna ? 2 coples o1 plans (show beam 8 wintlow dzes; poured (nd. tlasign; efc.) 1 tlfe wrvey for exterior atltllXOns & tlecks ? 1 set of energy calculalions . ? J coples of hee preservcHon ptan It loi plaltetl aHer 7/1/93 DATE: CONSiRUCTION COST: I71 rI06 n . . . DESCRIPTION OF WORK: Name: JLChr°h Phone #: Lctst Flrsf meetAddreu: /407 Cny Z aaaj!- state: Iy , zip: 5??a5 Company: G Phone #: ? g.?.?-9?0?02 ? ?8 ? ? (area code) street address: Mfnnetonka. MN 55343 ucense #2/ i E,cp. S7REET ADDRESS: LOT: )' BLOCK: SUBD./P.I.D.#: Vv"IGCrY{,eSS KUh Vttl? PROPERTY owNEe CONTRACTOR ARCHfTECT/ ENGINEER ay stare: ComPany Name: Telephone #: ( Sfreet Address: Regishation #: City Sfate: Lp: Zip: Sewerlwater Iicensed plumber (if installina sewerlwater): Phone #: (? I hereby acknowledge lhot I have read Mis applfcalbn, slote NwF the Wortnalion Is cortecf, and agree to comply wilh a0 applicable Stafe of Minnesota Stalules and City of Eagan Ordinances. Signalure of Applkwnf: l?- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 8 Tree Preservation Plan Received _ Yes _ No _ Not Required CITY OF EAGAN 3795 Pi1M Knob Raad Eagan, MN 55112 N2 4544 PHONE: 4548100 BUILDING PERMIT APPLICATION $41,000. Receipt 7873 _ # _ To 6e usad fer Sing. Fam Dwlg. 6 Garg. Dote October 25, 1977 Site Address 1 404 F._ Aai cnm Tr- Erect ?X Occuponcy ? Lot 2 Block _ 3 Sec/Sub. WR 6tl7 Alter ? Zoning Parwi # _ Repair ? Fire Zone _ l E ? e of Const T 11! n ar9e . yp rc w Name Stpupri Fi t h Move ? # Stories 3 Address 879 E.)essemine Demolish ? Front ? ft. ? Cit $t. P8U1 Phone 771-2933 Grade E3 Depth _44 ft. Q: Na e Tilsen Homes Inc. AD°fO`'a1s Fee3 p m f o? Address 627 So. Snelling Ave, u 1- r:... C? Name I hereby acknowledge thut I have read this application and state that the information is correct and agree to comply with oll applicable State of Minnesota Stotutes ond City of Eogan Ordinances. Signoture of Permittee - A Building Permit ?s issued to: Tilsen Nomes, all work shell be done in accordo ce wi all ap ' able State of Building Official , Assessment - Water & Sew. Police - Fire Eng. Planner - CounCil _ Bldg. Off. - APC Permit 118_00 _ Surcharge 20.50 Plon check sAC 475.00 Water Conn. 230.00 Water Meter 60.00 Toral 903. 50 on the express condition thot Statutes ond Ciry of Eogan Ordinances. ` r5-4A? Date : BUZLDTIG PERiLiIT P.PPLICATIO'? LOT ? Bi.OCK f) 10DITI00 ? 7t?' el PAItCEL & SECTZOPS 101i9ER IF Uc7PL:ATTEll ADua'Ss 't".OiSI::?G E5TI:^?SA't'r:u VuSa' ZWnaESs ?':;LEPHOh7E "rSO. n????J Note: Include site plan; buildiag plans> anrl energy calculations caith this application l Sianed ? OFFICE U9E VALU.,TIo:: _ 91 SAC ?;•liEZ CO?a:?EC`SIO;+ F3ATER M=:2 BU2LDIP7G P;1ti iIT FE? SURCHARGE FEF PLt1:T C:'T'.(:it ?T:i PFPSC DEL'IC.ATIG,•? FrE OT:'s^•R TOTfiLx J/7'?.?t7 fZ =Z /). ?') i ., Le APPROVALS.: / ASSESS;+IE,-T CLER:< BUILDIAiG DF POLICE DEP'I` '.']A^4It S 53h'ER 9FPT. FIAT:--DEPT. PAI2K AEP;'. ?1? ,?_ # -VIe?_ - RECEIPT DATE: RE.S1DENTiAL PLUM$llVFc PEiMIT APPLICATIf1N CITY OF FAfiA1V 8$80 P1LOT KNOB iZD Eafltuv, Mx 55122 651-661-4675 Please CITY: FITTERER, DOUG )RESS: 1309 BALSAM TRAIL EA5T - EAGAN, MN 55723 NAME:: (651) 454-5412 for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system eR NaMe: NORBLOM PLUMBING ADDRESS: (612) 827"4033 a check mark next to the oermif werk fvne ? -f4-a2 s? TELEPHONE #: (AREA CODE) TELEPHONE #: ? (AREA CODE) STAI"E: ZIP: Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00 areas or additions Modification/alteration to existin dwelling unit, including: $ 38r99 • new installation/repair/rebuild of RPZ ?S• °? • lawn irrigation system • water softener, water heater, air conditioner Nature of work: ?- ?j Septic System, new/refurbished - $ 225.00 I • includes County & Consulting Inspector fees . requires two sets of plans • requires MPC license Abandonment of septic system $ 50.00 Water turnaround - existing dwelling unit $ 50.00 ? • 5/8" meter (if required) 118.00 ? State Surcharge $ 50 f ? Total $ I hereby ac nowledge that 1 have read this application, state lhat the information is correct, and agree eo complywilh all applicable Cily oF Eagan ordinances. It is the appli anCs responsibilily to notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its normal operationa and maintenance activilies to the facilities constructed under this permit within City propertylrighbof-way/easement. SIG A RE OF PERMITTEE 1r02 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 1 1 ?-77 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: b o�ag ,r, 14 e•i .e ✓ Phone: Address / City / Zip: / , �, Q �j©? Applicant is: / Owner Contractor Type of Work Description of work: PQ.rf©o-t Construction Cost: a©© Multi -Family Building: (Yes / No) Contractor , // rr Company: I t l Ta �yt -t ✓1 o.1 S Contact: eCk.A..) b V..� c' Ip 1S 0 1 t 1 Address: ' .4r ✓ -f- City: C , 1 l_to�+Q� State: O/l, NA Zip: 5O Phone: e §i 4/9/ c (,5, / License #: /✓ 1--rpt4, '7 77 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.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 Minnesota State Building Code must be completed within 180 days of ermitt issuance.''tt C c, --t C t✓ so Applicant's Printed Name x Applicant's Signature Page 1 of 3 01/25/2016 15:25 952-935-9544 MN RUSCO 44* City of Eon Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.5894 RECEIVED JAN 252016 r PAGE 02/05 Use BLUE or BLACK Ink For Office Use (�/ �. Permit #: / q 1 Permit Foe: / ' &I) Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION 1.25 • + j 10 Site Address: - Unit #: • 'CI2"rY�''r'4'•;!::. q,+ b Vin" ..., ! '`�` «G{r j:ry� ��: rryfr'"{�, Mrd ► � A ,.52... Name: D6 �`�� L.�i,-N0��� „ Phone:„,,. 7 Address / City / Zip: `% al 123 Applicant Is: Owner Contractor R, ` fr riT ; .'bo6' �"WA,."' ,„07, i,,, ° ,,. ;,,,, Description of work: B4411 J-IMG/412 Construction Cost: Multi -Pamir Building: (Yes /No ) ff�•'Jie''� 1/4,nJi•.w•Ar ai)Y' •.,Ii; MC'cY'..,i ✓ ,y a l .4”' 1' L? `'r,''�' �,�,� r r 6 ti�a to' , ', rl, `tst r y,�,4, i.a{I4Tki IiY,, •Y,Y!�1 iviT,• 'i1•�:;.i oti‘` • Company: ii II! 1 (I AI . 4.i Contact: 1 U�� �I b�A� rn�t A .-1 Address:.G�� � ��X. big- I� 1 �� City: �V1�1►..�i State: r I I Zip: S34J_ Phone: "! 435 gEmail: 7 Y.s' I L: rn•/�5oimi ,e -re M r r License #: ooz Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor. Phone: Phone: Phone: rVN0r7` >f P ae s" af4: f)• p.. g.9 locum rats, that. oil.:subin/,, y, „',tions,dererf'to;:ber , , Af,,. '6 " ./boli %;Port%ns;:af .1X7 p,r�.. +�_..r. ,..8:. 'n,:x.,y. :•+::1 ,. rnu. +p,r,q ;. ¢qr•.., ';�r,,. .,,f,: :,y:�r, �r'+;.I^:', rq.,,'f;•. .'N�� 'n•yP;nr�:�,,. I'•;Iq''rry''W,f,S.acvi ern •!• !./"., ..;y,,h. r;"'�:;+Y,.', r;%r. ,, :/ '.�. :+ ', r .,Y .r. ', ; ;e /Ia 6,40 i ,- a:cl ssrfie:,a-lon, u,. #. f,�yout:O. .?O.:0 Yflc:ireas'on':thei�W.,R,„: 'at.,,,1 , it^',;fo:` w . ,01,./44, 'ry� 4. ra. r , ,< , ,r,;•r:;,:, /,,. "o ywse„ .,:q•'+'Y' +';. i7,e,': • aror�•r.+;'• s, ,,;.,"r:.r r ,. .:x, ;?•,.. a +t,v J• iy.r..� Za�.JZ', •, r:,i, ra?.'•. .„ r.,„ , !s .'• ,•-a' ren!,r A. a* �>'„^• i z' . r t„ .s�.1�' , .%i .V' ! s5e' GifICI(iw G'`•; �+'°� � EC' E1:5; r:. , n ,. r ..� +r�, .;;; w-, .. • ... ,... d t?iaf,.,;tfiey�rs:l�r�d s P .,..c..,. tiu'r'1.•:...:?,n i,.,c.f •+•.(r;Jc9-�+• r.; Iw},r „1,, r• .,r...r, . r,.. ti %� x . .... CALL BEFORE YOU DIG. Call Gopher State One Cali 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.cooherstateoneoall.ore 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 parmlt, 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. ' voks x Applicant's Printed Name x Applicant's Signature Page 1 of 3 01/25/2016 15:25 952-935-9544 MN RUSCO DO NOT WRITE BELOW THIS LINE PAGE 03/05 '349/C SUB TYPES Foundation Single Family Multi 01 of_ Piex WORK TYPES ___.. New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review `fir (25%_ 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building' Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC , Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 113 Page 2 of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c12*#&\[*##&E)7'8W&"2#=2K&?3&X F2A#,&^3 L,&FZ&&::'7797:''X2.2+&FZ&&::7UU Q;\\'\]&!7\\9WWU!Q\\:7\]&!:!9:!7U 5&M,3,>@&2$%+ C#,).,& M2 &5&M2L,&3,2)& M*=&2AA#*$2 * +&2+)&= 2 ,& M2 & M,&*+O 3K2 * +&*=&$ 33,$ &2+)&2.3,,& &$ KA#@&C* M&2##&2AA#*$2>#,&/ 2 ,& O&F*++,= 2&/ 2 1 ,=&2+)&G* @& O&X2.2+&J3)*+2+$,=N (AA#*$2+ D4,3K* ,, &/*.+2 13,5==1,)&"@ &/*.+2 13, PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147238 Date Issued:12/19/2017 Permit Category:ePermit Site Address: 1309 Balsam Tr E Lot:002 Block: 003 Addition: Wilderness Run 6th PID:10-84355-03-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Wells Fargo Bank Na Tste 3217 Decker Lake Dr S Salt Lake City UT 84119 (715) 781-5187 Yours By Design Heating & Cooling Inc 1543 126th Ave NE Blaine MN 55449 (763) 546-7377 Applicant/Permitee: Signature Issued By: Signature rn For Office Use , * i I ' ' y1 EAGAN , ....... ,..„, _:_.4. 9 .-.• 901, Cc__ Permit Fee: .1:-.......--......,.. ....(et --- 7 a-cD REC;EVED Date Received: / I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD, (651)454-8535 I FAX:(651)675-5694 2 1 2018 Staff: ...i_ . I buildinginsceotionsPcityofeactan corn JUN L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 6/22/2018 1309 Balsam Trail E, Eagan MN Date: Site Address: Unit*: Resident/ _ { Owner Ashley Grzybowski hone: Name. Address/City/Zip, 3 - 1309 Balsam Trail E / Eagan / 55123 I P 1._ ,,,,,,, _ __ _., x Applicant is: Owner _ .,..... Contractor - --- Basement Renovation Description of work: Type of Work 00 000'$15 Construction Cost: ' Multi-Family Building: (Yes /N ) ,- . ------- ---"------ , Company: Contact: Address'' City: Contractor State: Zip: Phone, Email:. License rt: Lead Certificate A: 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. _ I Licensed Plumber: Phone: i 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-«litho if you provide specific reasons that would«::rmit 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 en email update on the City's website at www.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. vwm.nooherstateoneceit 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 appr v I o it. i i I . .1 Ashley Grzybowski w• , i .1 i ,... Applicants Printed Name Apillica 's igna i .,: i .306,7 ' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch(3-Season) 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 I Alteration s, Fire Repair Windows Demolish Foundation _ Replace Repair Egress Window Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation I /0 Occupancy „Ik_rk,"0,.. MCES System d Plan Review Code Edition \ 14„, pltj ,LN SAC Units (25% 100%4\ ) Zoning ado_ City Water Census Code Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required _ Footings (Addition) -----A- Final/No C.O. Required Foundation Foundation Before Backfill )( HVAC Gas Service Test -Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final NF. Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding:_Stucco Lath Stone Lath Brick EFTS 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: /clet , Building Inspector RESIDENTIAL FEES .. .. Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge V C x /3 - - i 2 o (1 0 S&W Permit& Surcharge I Treatment Plant Copies TOTAL Page 2 of 3