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1304 Balsam Tr E Use BLUE or BLACK Ink For Office Use I `DECEIVED City of Eap I Permit ) 661 Permit Fee: A l ` 3830 Pilot Knob Road RECEIVED I 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 JUL 2 7 2012 1 Staff: Fax: (651) 675-5654 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit p C C[ do Phone: ~ 5 / ~y 5 ~ • ~ $ 7 7 Name: RESIDENT 1 r 2 C set ! s 7- I OWNER Address 1 City I Zip: Applicant is: Owner --Contractor TYPE OF WORK Description of work: ! w 14 d/ 1D L Pt 2/0 1/ M JO CIO W~ 11/n Construction Cost: R IV 3 Multi-Family Building: (Yes / No ` Pella Northland Contact: J y d o Company: _ 15300 25th Ave N. Ste 100 CONTRACTOR Address: _ Plymouth, MN 55447 City: State: Lic # BC645090 Ph. 763/745-1400 g~2 3 . G D Y7 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan 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 publiccinfonnadon. Portions of. the information may be ciessified as hon=pubilc 1f you provide specific reasons drat would pe'rmrt the City to coiiddde'ahat the :are;trade secrets. CALL BEFORE YOU DIG. Cali 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 utillties. www.oooherstateonecalf.org [ 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 ~ /Y1 S C1i >r if x Applicant's Printed Name Applicant's Signature Page 1 of 3 1 -ice DO NOT WRITE BELOW THIS LINE 10577?- SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/GazeboMergola) _ 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 b;F l& 0 _ Occupancy MCES System Plan Review Code Edition S® SAC Units (25%T 100%_j Zoning- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings ---~j~- Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings - Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Lf p ' Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 T Use BLUE or BLACK Ink r For Office Use I Permit I City Of EaRd Permit Fee: I I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i~ Site Address: 17) ~ / ~Yl //G.J/ 1 ~AnAi✓ , I~~IV J~~/o~3 Tenant: Suite RESIDENT/ OWNER Name: SUSG ~n~ ► t~ CG~.4~C> Phone: (y5/ -',~6 -/U 3 ! Address / City / Zip: 13 _36-!SA( -Tr!:,, I . ca IAA). a/ate Applicant is: Owner Contractor TYPE OF WORK Description of work: C I_ / I / TV 0 Construction Cost: y b Multi-Family Building: (Yes / No,_) CONTRACTOR Name: kb1\COr- 22.-(A, ( pis License 3331 Address: 10-740 t.. A e AV Z S. ;City: u'C70✓yl r % LCD ~d 2~ ~5~~ `g' gS ~s 7s State: Zip: Phone: Contact: M~e~C 't,J AffL Email: A("k- ICJ &lcor . cp/ 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or ' an c es 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 with rmit; that th w ill be in accordance with the approved plan in the case of work which requires a review and ppro f plans. x~I E2, q7, D x Applicant's Printed Name v 2010 Applicant's Signature ~v1N~ 2 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 Occupancy MCES System Plan Review Code Edition A!P-P2 SAC Units (25% 100% Zoning City Water - Census Code A/ Stories - Booster Pump # of Units Square Feet PRV # of Buildings Length - Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) -40 Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector V11 1/1 4 RESIDENTIAL FEES S Base Fee 00 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 30 7r... sits n~~ HOUSE CERTIFICATE FOR.- SURVEYING SERVICES oe:+~.aBa 3508 Sibley Memorial Highway 510 Energy EIticient Howas Eagan, Minnesota 55122 .rrwr Phone: (612) 452-3077 CUSTOM ENERGY HOMES R E' yoq. # v 1J sc a~e , - 30/ d v j /lu w Lor -3 ~C ' ~x0b al y ~ 1 ~ + s 1 W -•a- s 3 ~`J aPog~\ ~A w t~ L~ N A y~ Ciwraye `1= r N\ I'~QVS N c e~ry~Q V s~tpz''K iw ~~]11 a \\~~a~~~~uw~u'{lEnpHUtll,,ii~ +ro ~ bq} ' < 2a - \ Yase.e ~ y\ Sj~b~7 O 0 ✓ ~i I 15 t / Q f WAYNE D. _ VI \Aaa N 2 Nousa GORGES I; ' ie ~z.rs \ i s z 861.4 K 14675 + t e • ~ r r 6 9 0 .0 vu % U no o lI/;J#JFJ##t'H~t1111\0 'r Oil .0 S 1 79. =01P; I i.y}q 111AT Cov%o4e- C,v-6 Q ~ / Vgtip n. 8 ~ M.K. O _ ~5 LSu 6 t4 M T T&F Y EVN. SS8.00 LEND - PROPOSED GARAGE FLOOR ELEVATION= O Denotes Iron Mawwnt PROPOSED Top of Block ELEVATION-_%1-15 13 C41 CAt ca, s f2~ cc5r ~ l7~e-s PLJ'Ilec~ 1 1 9dCJeL 5AAfov ~,~rt CIT' / OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan„ MN 55121 DATE: Zoning:. No. of Units: Owner. t :crgy um Address: - Site Address:1304 E. Balsam Tr. 113 1<<c,r~~r.ss ~.:1 Plumber. '2fte ^lunt Ong Meter No.: 7 -✓~D S/ CO. 10T'd Con Size: S/8 ' Ra • re 199:1n 4L4A5bfil"Db ? ' I~ F'' Reader No.: 1J/N l05/o O / TELEPHONE. 10. 00ro 1 some to on woly w" "m G~~s~ ear),~/ 711 QWhsson. f\t~\.1CVIIC i 1 Aus 1't? 00pd 7P sc. ryes: Total te-.r By Dot* Paid: Dote of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERM 3830 Pilot Koob Road P. O. Box 21189 PERMIT NO.: Eagan,.MN 55121 DATE: Zoning:. No. of Units: Owner: E? Q: . Address: Site Address: - Plumber. Meter No.: Connection Charge: Size: Account Deposit: 1c Reader No.: Permit Fee: 1 some to as Ph with the CRY of 14"M Surcharge: Orrlaanoee. Misc. Charges: Total: 'r BY Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: j Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ Address; 4 Site Addre~ Pl umber: t l - I agM h am* Wi ft the CRp of wagon Connection Charge: ordi.eaees. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: - t CITY OF EAGAN 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $86,000 Date NOVEMBER 25 19 85 1304 E BALSAM TR R3 Site Address Erect 11 Occupancy Lot 3 Block 1 sec'"/Sub. WILD RUN 6TH Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories W USTOM ENERGY HOMES Mole 11 Length 56 Name Demolish 13 Depth 5 n o Address 13209 PARKWOOD DR BURNSVJ T 4 31-6116 Int. Impr. ❑ Sq. Ft City A," Install ❑ o Name SAME Approvals Fees . - el- 31 Q, ¢ Address Assessment Permit 9 • 00 43 ' 00 City Phone Water S Sew. Surcharge a Police Plan Review 195.50 F i Name Fire SAC • 00 Address 500.00 = Eng. Water Conn. i W City Phone Planner Water Meter00 ncil Road Unit ' 1 hereby acknowledge that I have read this application and state that the CouBldg. Off. 11/25/85 Tr. PI. ~ 0 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permitter ? Var. Date Copies 50 Total - A Building Permit is issued to: CUSTOM ENERGY HOMES 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 Now r Permit No. Pw" Mohler Date TNephone M Plumbing ` nl HMA.C. t I 1-) I Y~ f ~ ,i ~ 3 1~ !o • 5 tiell.n.r Inspection Data Insp. Comments Footings I G Footings 11 fwd Foundation Framing Rooting Rough Plbg. --g~ /fL(4L -G' Rough Hill. Insul. !L~ Fireplace Final H19• VT Final Plbg. TD ec~ Bldg. Final XceesS Rea fve- .0 Cart. Occ. y .2 E 'EL ~ ` ce o Deck Ftg. Deck Frmg. WsN Des, be I.oeatlon: Pr. Disp. CITY OF EAGAN Remarks Addition Wildprness Run 6th Lot 3 elk 1 Parcel 10 84355 030 01 Owner ((wj Street 13n4 Fact Balsam Trail State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK QQ1 1973 161.21 8.04 20 5 -13 O/59 Y-5 ?5 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA AV 1977 162.14 ~Q 1 611,934 (4 D 159'15 STORM SEW TRK 197 362.83 24.18 15 14-?, 39 O 15 9 SIS ~-13- 85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 57841 11 25/85 WATER CONN. 500.00 BUILDING PER. 11353 SAC 525.00 PARK 5 7 :5 2 -77 CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11353 PHONE: 454-8100 BUILDING PERMIT Receipt # y To be used for SF DWG/GAR Est. Value $86,000 Date NOVEMBER 25 19 85 Site Address 1304 E BALSAM TR Erect 91 Occupancy R3 Lot 3 Block 1 Sec/Sub. WILD RUN 6TH Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories CUSTOM ENERGY HOMES Move ❑ Length 56 W Name Demolish 1:1 Depth 50 a Address 13209 PARKWOOD DR Int. Impr. ❑ Sq. Ft city BURNSVI44ge 431-6116 Install ❑ i o Name SAME Approvals Fees u Q Address Assessment Permit $ 3 91 . 0 0 City Phone Water & Sew. Surcharge 4 3 . 0 p a Police Plan Review 195.50 F = Name Fire SAC 52 5.00 X a Address Water Conn. 5 00.0 0 Eng. 63.00 W City Phone Planner Water Meter Council Road Unit 280 .00 I hereby acknowle4el read this application and state that the Bldg Off 11/25/85 Tr pl. 132.00 information is corto comply with all applicable State of g Minnesota Statute Ea Ordi s. APC Parks Signature of PermVar. Date Copies . 50 Total A Building Permit is is d to: CUSTOM EN RGY HOMES on the express condition that all work shall be don in accordance with all appl' le State o Minn of Statutes and City of Eagan Ordinances. Building Official Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Ainr legibly Tot 1. Date 7 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Eguioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4648100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces 5/C Type or Print legibly Tot. - 1. Date 2. Installation Cost 3. Job Address _ Lot Blk. Tract 4. Owner F 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 This request void ~.L 1B months from ✓ a 1 I J v Request Unto Fire No. Rough, Inspection Repu red? ❑ReadV Now 111 Notify Inspec- -~~'~(~~es ❑NO !or When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at Street Address, Box or Route No. City action No. Township Name or No. I Range No. County Occupant (PRINT) Phone No. Power Supplier Address Eley tricaI Contractor [Company Name) Contractor s License No. Mailing Address (Contractor or Owner Making Installation) Au thori d Signs ra er kin allation Ph ne Number MI K NESOTA STATE BOARD. E TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roo`inN--191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION /EB-00001-0A See instructions for completing this form on beck of yellow copy. /7 7 , 0 8 2 6 8 1 " Work Covered by This Request UUU/// / Hdd Rep. Type of Building Appliances Wired Equipment Wired -Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer Pm.Jy Llher Isocnfvl t er Socuty Other other Compute Inspection Fee Below N Fee Service Entrancesize # Fee FeedersrSubfeedere # Fee Circuits / 0 to 200 Am s I 1- 0 to 30 Amps 0 to 30 Am ~s Above 200 Amps., 31 to 100 Amps 31 to 100 An s Sw ironi n, Pool Above 100 Amps Above 100-Amps Transformers Irrigation Booms Portia l,'Other_Eee Signs Special Inspection if / 5 TOTAL FEE ~0 Remarks 10 J /1 Rough-in r D K I _VI I, the Elect I certify that ereby nsthe above Final D`epp ( inspection has been made. This request void 18 months from This request voitl~ I8 months from ~O l O~ ty- l 8 082684 -a oil d Request Date Fire No. Ro u0h-in Ins partign Required? ❑Ready Now C] Will Notify Inspec- ' ❑Ves ❑NO for When Reatlv Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at Street Address, Box or Route No.~ Citvv S ow s Lrij`7' Y / C/7 I- I ecuon o. Township eme or No. RIN.. Cowtty / _ Occupant IPRINTI Phonn No. L' G Dit2 tl Power Supplier Address E tri cal Contractor (Company Nature) Contractor's License No, OU ste J'oZ 7 6 Mailing Address (C Ontrac4u or Owner Making Ins[ailaGON T ~ GCS" [ or ¢ed Si,. B Instal lati nl PhonMI ESOTA ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwav Bldg. oom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 18121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form an back of yellow copy. 0 08268 "X" Below Work CoverBd by This Request Fdtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify the, ISp, fyl tw, Specify Other Other ornpute Inspection Fee Below It Fee Service Entra nce Size tt Fee Feedars/SUbfeeders. N Fee Circuits 0 to 200 Amps- m ps 0 to 30 Amps 0 to 30 A2A- SW Above 200 Ampsi 31 to 100 Amps 31 to 100 s imming Pool Above 100 Am s Above 100Am is Transformers Irrigation Booms Partial Ot ee Signs Special Inspection J~ reU A FE flemarks Rough-in ° . Date the rical Inspector, hereby certify that the nboye Final D inspection has been made. This request void 18 months from 4q4( RESIDENTIAL 190(p BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 196 4),5 New Conatructlon Reaulrementa RemodeMeoalr Reaulrememe • 3 registered site surveys showing sq. ff. of lot, sq. ff. of house; and go rooted areas • 2 copies of plan (200/. maximum lot coverage allowed) • l set of Energy Calculations for heated additions • 2 copies of plan showing bream & window sizes poured found design, etc.) • 1 site survey for exterior ad ilnons & decks • 1 set of Energy Calculations • Indicate r home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 00 DATE VALUATION ~~70D r SITE ADDRESS 1 -3c I SI2_~1'L rGl1_.~ C64S"_ MULTI-FAMILY BLDG _ Y &N TYPE OF WORK rf tP_!~ r-f !ltD f -,e t('hDf-' FIREPLACE(S) _ 0 _X 1 _ 2 APPLICANT &r,~'1ClC4,7&11r lttn 0 tm STREET ADDRESS l o aq l ~d 10,x- _CITY_--R_t.►: STATE I r«v ZIP TELEPHONE #qS'j0q -l12gSa CELL PHONE 'AX # CS' PROPERTY OWNER ~jQ,C ~Sc ,dee-`n TELEPHONE# I f-(Sy iIr COMPLETE THIS SECTION FOR uNEWa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 ('J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Frv'Fee: Plumbing system includes: - Water Softener _ Lawn Sprinkler go Water Heater No. of R.I. Bath't No. of Baths _r Mechanical Contractor: r Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor: Phone # hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Signature of Applicant Q V f c+ ILA) _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL S T BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 New Construction Requirements RemodelfRegair 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 shoving team & window sizes; poured found design, e(c.) . t ske survey forexterior 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 711193 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE (0 - VALUATION ,p `YaJo~. J SITE ADDRESSn 1F_fp-k`2afY1T17i41 1 MULTI-FAMILY BLDG _ Y. TYPE OF WORK ` V)b r FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT Air 2r. STREET ADDRESS 122-4 NICA~ rtVP, SM t CITY-STATE k1ZIF-C_A,' TELEPHONE AT.-70-1 -6191 CELL PHONE # FAX Z' 16b"qL PROPERTYOWNER Klr~ lei TELEPHONE# laSl`` ~~4 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 rltshfT ST i . Energy Envelope Calculations Submitted D uJI ~C, JUN 2 S 2002 Plumbing Contractor: Phone # _ _ _ Plumbing system includes: Water Softener Lawn Sprinkler By Fce . 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 # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant + llr~t t~ s OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 t. IcitV of eagan PATRICha E. AWADA April 11, 2001 Ma~or . 130V Rozanna Byers PAUL BAKKEN Treasurer-Auditor Department PE.GGYCARISON 1590 Highway 55 CYNDEE FIELDS Hastings, MN. 55033-2392 MEG TILLEY Council Members RE: Special Assessment Number 2969 Dear Rozanna: THOMAS HEDGFS Gp-Adminisraror Enclosed is a special assessment input form for a new special assessment number, 3222. This special number is being used for parcels 10-84355-030-01 and 10-84354-270-01. The new number replaces special assessment number 2969, which was attached to these parcels. Municipal Center: 3830 Pilot Knob Road The City of Eagan is processing refunding payments to each of the property owners for Eagan, MN 55122-1897 the collections in excess of the normal installments. With the new installments and the refunds, the property owners will be at the correct financial position for these Phone: 651.68L46o° assessments. Fix: 651.681.4612 TDD: 651.454.8535 Thanks for your assistance in correcting this situation. Maintenance Facility: , 3501 Coachman Point Sincerely,\ Fagan, MN 55 122 t Phone: 651.68 1,4300 Fax: 651.683.4360 Tom Pe per TDD: 651.454.8535 Acting Finance Director ww .ci[yofeagan.com TP/grw ENC cc: Mary Ann Olson, Linda Fink THE LONE OAK TREE Parcel files The sNmbal of srrengm and growth in our communin, age o[~. SPECIAL ASSESSMENTS Date L9 INPUT FORM - AUDITOR ,uxstlcr 14 sA- iru ~sIR 3a a sA-NUSe - - - - - J Z- 9 Dlszxz8-DZSr _ _ esc- o o c~ 0 O-YrARS 03 FIRST YEAR M, O !050 c7 AECULAR INTO D 9 O D =AL ASSESSMENT Lark Activity Z Et NF3i ASSESSMENT F-PMeGLS _ DELINQUENT ANNUALS ASSESSMENT UPDATE ADD/UPDATE PARCELS Division ASSESSMENT DEF EFF ACT- IIST PLAT LOT BLK ;'k-j- AMOUNC CODE YEAR ION =LEND 1 0 8 y 3 s5 03 3~ J a t, 6 D 0 1~ ACTICN ! D gy35~/ a~eZ /b o0a 19 A - Add C - Change. D- Delete P - Print booksheet O - Old Parcel (division) N - New Parcel (division) DEF. CODE S - Senior Citizen C - City. Deferred SPECIAL A88ESSMENTS ~9• QC Oates / INPUT FORM -AUDITOR 11=CT SA-NuiBEa sA-Nme DISTRIS-DWT BEG-YEAR O-YEARS FIRST YEAR INT.- REGULAR IN TOTAL ASSESSMENT :ark Activity NW ASSESSMENT A-P&gCR.S DELINQUENT ANNUALS ASSESSMENT UPDATE ADD/UPDATE PARCELS Division ASSESSMENT _ DEF EFF ACT- oIST PLAT LOT ELK SA AMOUNT CODE YEAR TON LEGEND. 7 ~ ZGas D x-Add 'sfi C - Change D Delete r-;c P = Print bookahee t O - Old Parcel - (division) N - New Parcel w .1 /J1 041 a (division) ~E,j C.. L4 w DEF,CODE . i ~ej 1~ ~ , « t 1 S:- Senior b Citizen C - City' . -Deferred `its t 4"WcitV of aagan PATRICLk E. AWADA April 18,2001 Mayor Stephen W. Wolff 4275 Carlson Lake Lane North PAULBAKKEN ! Eagan, MN. 55123-1767 PEGGY GARISON CYNDEE FIELDS Dear Mr. Wolff: MEG TILLER Enclosed is our check, number 065374 in the amount of $54.58, made payable to you. Council Members The partial payment you made on levy 2969 in 1998 was not properly processed in the County's accounting system, which resulted in you making overpayments in 1999 and 2000. These overpayments were discovered during the reconciliation of the amounts due THOMas HEDGES between the City's records and the County's records. Ciry Adminisrtator The balance due on levy number 2969 for your property was transferred to levy number 3222. The County was unable adjust their record for levy 2969 to the correct balance. Therefore, a new levy number was assigned for the balance due on your property. Municipal Center: 3830 Pilor Knob Road You will probably have received a tax statement for the year 2001 with the correct Eagan, MN 55122-1897, installment on it. Phone: 651.681.4600 If you have any questions concerning this matter please contact Jerry Wobschall Fax: 651,681.46 12 (651- 1-4624) at the City. TDD: 651.454.8535 Since elv, Maintenance Facility: f 3501 Coachman Poinr Tom epper Eagan, MN 55122 Acting Finance Director Phone: 651.681.4300 cc: Mary Ann Olson, Special Assessment Clerk Fax: 651.681.4360 Parcel File TDD: 651.454.8535 w .ciryofeagmcom THE LONE CAKTREF The smbol ofstrength and grovrrh in our communir)' 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF FAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND S SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS ' $2,000 LANDSCAPE BOND To Be Used For: 5t{,)6;z-~ t'HmiL valuation: 5(c,,000 Date: 0- 16 f. ~1 Site Address ( A;i ~ F'/ ~ OFFICE USE ONLY Lot 2 'B'`lock D Erect x Occupancy rZ 3 Parcel/Sub 1011,L 105 kuli 6th ALA) 177D t'J Remodel Zoning (L• i D Repair Type of Const C ~G~ ~larT]k Addition , # of Stories Owner U37D10 /L l7 Move Length SLs 1 Demolish Depth so Address 1~26 I 1144 064) fJjZ, Int.Impr. Sq Ft Install City/ZipCo//de l~'~' SUILu dY(r) Phone APPROVALS FEES Contractor USrbl,41i2hL~ifD1~1F$ Assessments Permit 591. Water/Sewer Surcharge 3, Address W~' 46b of Police Plan Review s° Fire SAC 525• City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit 20. r1 Bldg Off Treatment P1 3 Arch./Engr. q. y~LIE ~~'n APC Parks /¢i9? YIS /r~6 U Variance Copies Address TOTAL l City/Zip Code Phone # 7~,c 4~ = 11(0 ~c ~ ° Co93Co8 , g = -7 x q 4 3(Co8 3~xZq ~ ((o K (2 = q~~ Z lQxi.2 = x = Zszv x12 = ~rc> vv5(ol~0 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: d /Hf ~-U&FSi6111/J4G f ~4 99J1'Y<d5~ 14%0 SITE ADDRESS• CONTRACTOR: •~5~~✓1J6s7?¢j fl~6~ DATE: PHONE: Determine working square footage of each: 1. Total exposed wall area 1 a C) sq. ft. X .11 = a-o O~ 0 2. Total roof /ceiling area 1~ O N sq. ft. x .026 = 3 L 3 Total exposed wall area above floor = I3 / a. Total wall window area ...............'...Y.1....... Z b. Total door area 0 c. Total sliding glass area d. Total fireplace wall area e. Total wall framing area (average 10%) 111 I f. Total net wall area above floor "3 Sy g. Total rim joist area / 3 / Total exposed foundation area 5 d $ h. Total foundation window area o`~ U i. Total, net foundation area above grade Determine 'U' value of each wall segment: a. 1-3d x rut 55 = I.SD b. -~~~~j0---- x 'U' y = D c. x 'u' O d, x 'U' - e, Ist x'U' O 1 = S,3 f. x 'U' 6 3 c L.35 g. x' U' 0 5 _3 1 h . x rut i. y7 x 'U' ~.'~Y3 = a' 7 3 . Total - 119e O If item #3 is the same as or less than item I)1, you have met the intent of SBC 6006(c)2. Total exposed rooflceiling area = ~a j. Total skylight area k. Total roof/ceiling framing area (average 10%) / S o 1. Total net insulated roof/ceiling area 10 8L/ (OVER) Determine 'U' value for each roof/ceiling segment: j. x lul - k. x fu' o~.~ - 2 Y Y 1. t~> 5q x 'U' 0 0 4 . Y To al = g q y If total of 114 is the same as or less than 112, you have met the intent of SBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 113 and 114 shall not be greater than the sum of Items 111 and 112. 1. + 2. - 3. + 4. - NG HOUSE CERTIFICATE FOR: C E S oesiWw" a ewwero d al Highway Energy EHiGer11 Homes =8ble 55122 -3077 CUSTOM ENERGY HOMES I ' 1 - 0310 Nor~t1 ~ eR E V IV D I' 9 ,bias' ti 99 f r Fr 1 -l y '-ATE Z I ~JS i E I Wi S~JC•'] ~ .7' d nv Lor '3 w I h ~ m J J _ ~x0 I ro SLY of 4 4--172 s b i is O / 4\u _ _-JEI I rd Qj d Ciwc>ye J" , uQVS ~ V • ti 0b 4 1~ `859.9 .7- "~o1lE`SxOr/i m a. ~\s\~`• ..............••~`~~/ice ~ W~ eb ~F ~y~ p\\ /5 ~ Ex,6}in9 ;33p N p:~ M HOU$E ` WAYNE D. rl \aaa~ s 2 = CORDES %tzs _ 3wa\\ i $ I o'0 0~ 841.4 A 14675 t a~ %~~q4•.• • •~\r S / 8 A V 8629 `6 •e '////H✓~1~~~ t~~`~~~`~~4 I ~SY ~~Y_ ~ n. asoC°~~ ~ m l 2 rUL'liill{IYi ~ 9 [4;L47 N 82°31.1 O4 E 94,00 13.39 13.17 - ~y5 i1 r Conc.s~~. G..6 - .c `yY ti eepc O eh ,L 9 3 m 0- p M. H. e _ ` ~~ST 611LSU r~ -Fp\ L - - i ~ ~ .O TeP nw.k Nyd. 'O Elpl, e5B.D0 - -1.EG£ND- PROPOSED GARAGE FLOOR ELEVATION= 861.0 0 Denotes Iron Momment PROPOSED Top of Block ELEVATION- 8lof,J~ m Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEVATIONa~5l.5 x esv.9 Denotes Existing Spot Elevation NOTE: Verify all floor heights with Final House Plants. („sZ,,1 Denotes Proposed Spot Elevation ,,--Denotes Drainage Direction -SUgIE (]RS CFRNFICATfQN- I hereby certify that this survey, plan or report -PR)PERTY DESCRIPTICN- was prepared by me or under my direct supervision LOT 3 BLOCK i and that I am a duly Registered Lard Surveyor pAOfT1pN order the laws of the State of Minnesota. I~ILO~Ne31 RVr`1 SIXTN ry f - according to the recorded plat thereof, 1 ~rt,,_, C 1Y?' + rUd~~Date: 0 8 pad±a County, Minnesota Wayne D. Cordes, Minn. Reg. No. 14575 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDELIUE TO (R) I'ACTORS FP.OH rSIIR;,E MANUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (1lalls) 0.68 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (Walls) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or fluster board 5/8" 0.56 Extra a i.r Air Film (Vented Ceiling) 0.61 Plywood 3/8" 0.47 Interlor Air Film (lion Vented) 0.61 Plywood 112" 0.62 Exterior Air Film (Ilon Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" 1.32 Aluminnm Siding 0.61 Sheathing, reg. density 25/32' 2.06 Aluminum with Backer 1.82 Nail-hase sheathing 1/2" 1.14 Aluminum with Backer G Foiled 2.96 1/2 x 8 L:.p Sidinn (11ood) 0.81 Built-up Roofs 0.33 ,7116 x 12 hardboard Siding 0.67 Asbestos-cement shinnlts 0.21 Asbestos Sidings 1/4 Lapped 0.21 Asphalt roll roofing 0.15 Stucco (Br,.,,n and Finish Coat) Aspaalt Shingles 0.44 3/4" hood Sub Floor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood heathinq 0.62 Insulation: 3 1/2" Fiberglass Ih.00 1/2' Particle B.-rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWIIIG WOOLS - fir, pine t similar soft Hoods 1 1/2" 1.89 Approx. 3" 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 - 3 1/2" 4.35 Approx. 6 1/4" 19.00 _ 5 1/2" 6.87 Approx. 7 1/4" 24.00 " Approx. 14" - 30.00 - _ - Approx. 18" 40.00 - All other insulation materials must be - Filled verified (R Factor) - (R) Vermiculite 8" Concrete Block (S e G Reg.) 111 1.93 12" Concrete Block (S G G Reg.) 1.28 3.15 8" Light Weight 2.18 5.03 12' Light I:eight 2.48 5.82 ae-a ea nnx:~a::a an_.:-aa ~i: ee eons NOTE: (U) x Area Square Feet y1t)( All Windows - - -(w/Storms I" to 4" Space) .56 Removal Double Glazing (ROG) .55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2' air space .58 - (Other windows specifically tested can use better ratings) - 1 3/4 Solid core door .46 w/storm, wood .31 w/storm, metal .26 Pease SteeiDoor Ins1/l:/OL 7.45R .13 Sliding Glass Door, Wood -.65 - Mutal .715 CITY OF FAGAN / MININUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOC: Provide insulation baffles in every ROOF ! C`IL~NC, rater space. 5 ID WTEvt0~ AlF. F(l%I J 5(3 GYP ED. , ~ IhSULAj1oN w. r;1 j O EXjER;of~ RF FILM 11 I,U~, = lliZ = ozS -TOTAL (R}=13+'+ j VAL; 8 IN IcF-M Alt- FILM GYP.' BD.' = 4S O b ' WSULATION 5"Ir 14 ~u Q 25z it Y~L7; '1Tc A.6 L to a EX ; 101= Ate FJUJ .L ll pU~- 1~R = ~~f TOTAL CR}~.d3 iL IIITZ-'T10 - A\R FIu-1 11 13 6 511- INSUt-ATIO;a S q.uo 1 01 6 2 FIF- Rlr`l \~D1S`( ! 19 IS 15 f ~Z. 501ILT7fQ7T ~l >u f ~F;~r~lTe s►o1rG :b7 T AID FILM °o fOVDATiovI i3 IN eI7 0) VALUZ O I l~Iz Auc FIU~t db. ~ •Is Q 5%.`: INS - ,!''I o . a, jqc lcr AIR FILM b Floors over unheated spaces must have minimum R-factor of R-20 (tuck -under garages), j Floors over outdoor air (overhangs) must liave a minimum R-factor of R-33. ' 4 2/84 l CITY OF EAGAN ((1i APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP=- ADDRESS: 4 L)/ F Ca: LEGAL DESC.RT_PI'Im 4, 7`' 3 XX e / /14J (Lot/Block/Su✓ 1visicn or Tax Parcel I.D. N=,)er) QQ ]"c E iIS ~:G SI'RUC7=7-, DATE OF ORIGZL L EUIL.DIT.:G ?~_•ST ISS~P~C Zear; PRESL7 ~.,^`lI f /P POSE USE: Sz ,GL: F,tiffLY ❑ R-2 DUP= (7-''0 LsIITS) ❑ cR-3 =,7,\Tvtcr (Inm-= + L^1ITS) ( UNITS) ❑ P,4 AcA2? T/cc r~G „~Ir I ( LJ ITs ) ❑ can~c==,L/RE~II,~oFFI~ ❑ \'DUSiRIAL ❑ LNSTI'IG'I'ICNAL/GO=:' -,~M-T 2) APPLIc:%T (PLEASE PR141) Dw.m: ~j o r o ~Xc ✓a f y ADDRESS: /ODs c/ t CITY, STATE, ZIP: _~n✓t r lfmye /><T PHONE : 5/57 -,Yy 5l~ 3) PLLIB.`^.'D, (PLEASE PRINT) FOR CITY USE ONLY PDDRESS PLUMBERS LILrNSE: : f(f(.e,'y ~ .Nt+rTfl _ ctive CITY, STATE, ZIP: l <f//n.ilS~l ti9, h"t SS'01{ Q Ezp" ed ~~T""c" of cord PHONE: PLUMBER LICENSE H 00,D- E p_ q'm ' drr 1n1. 1 4) CCC-VPANrr/CT.'JTd1::12 C.,1 (PLEASE PRINT) NAIL: L-taJ ~ <•.r1 F~ r ~F V Ni~rJ e a' -~h ~ ADDRESS: /3a2by oo / 1c4fJooct n> CITY, STATE, ZIP: d4y.rnryJ'11e J✓(,an S3-?d7 Pf TE: 5) INDIC.".TE WHICH PER-JIT IS BEING REQUESTED: ® CONNECTION TO CITY SEWER ® CC)NN XTICN TO CITY WATER ❑ 071ER (PLEASE DESCRIBE) 6) IIDICA-12 U:: : ❑ PT.-v`,SE HOLD APPROVED PERMLIT FOR PICK-UP BY ONE OF ABOVE . PLEA NAIL APPROVED PER: LIT TO 1, 2, 3, 4DW7E f (Circle one) 7) SIC:.-%TCRE: .r~_ DATE: /--Z w M~LMIRJO:w i q ! i:gfti ! 1t 4 iwi i i f iii~:a a ! ft w~ra~as~ i ! ! ~ s iigy • F O R C I T Y U S E O N L Y J PERMIT u ISSUED FEES: $ n nc?MT•° •j $ /O-)'u WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - WATER $ SUO-L~ WAC $ 5 7 S. v v SAC $ TRUNK WATER ASSESS::ET $ TRUNK Sc:dER ASSESS::E`!T $ LATERAL BENEFIT/=U`IK S=_' $ LATERAL BENEFIT/TRU::K :PATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL `6 $ AMOUNT PAID/RECLI: _ se) v C 'S 51/~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C YES IF YES, THEN A "PERMIT FOR TWORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE F-7 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: wawa+~wi~wwwiwwr~ w=w0, wwiP{www.awaww~w s wwawwwwiw w±.■cwwfwwi PERMIT City of Eagan Permit Type:Building Permit Number:EA118721 Date Issued:11/06/2013 Permit Category:ePermit Site Address: 1304 Balsam Tr E Lot:003 Block: 001 Addition: Wilderness Run 6th PID:10-84355-01-030 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 . Scott Rise 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 - Donald R Mercado 1304 Balsam Tr E Eagan MN 55123 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature , t Use BLUE or BLACK Ink �----------------- � For Office Use � C' j Permit#:�� ___ j� �� Vl �� '�i��C;.�`��'c.�..� I Permit Fee: l �(�_�f I 383�0 Pilot Knob Road ik"�;,= i �j�� /� j Ea an MN 55122 �`��•'� � s° �� Date Received:____ __�[/ Phone:(651)675-5675 I i Fax:(651)675-5694 I Staff:_______ � I I � I V�� J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION "' � ,�� Date:_L t ^3 `� � ----Site Address:-----------------��._.__ - ---------Unit#:---------- . {' �J' "� �-- ��r�dr� � - �� ; Name:-- G�-- --------------------Phone: �,1' ��!`��.�_1 , , Address/City/ZiP�_��b�-l��W��—�✓��--------------------- Applicant is: Owner �Contractor `; Description of work:�t.�l�--!9°��SZ--��_��----------------- � , Construction Cost:_"'� I�V oo _____ Mufti-Family Building: (Yes____/No___) ,.., .: CompanY:- r�.�s��ir��,F%�_^Contact:-��`-�------------- ;. .. �;y �� ? Address:�QQ�_��L��i,nSLrL��,,��---City: ��yr�tr� --`–'��------- , ,+ _ �; �� State:!��Zip:.��.�y�C) Phone:��'��_�5_S�mail:__��_'c��r��_�421e.-_��ic%� .0 � ��%., License#:�L��L7�-------Lead Certificate#:��T�� —�------ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ------------------------------------------- �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? __Yes __No If yes,date and address of master plan:_�__�____________ _________________________ Licensed Plumber: _________ _______________phone:____ Mechanical Contractor:__�____�_�___ _______________ _____��Phone:___�__________w__ Sewer&Water Contractor:------- --- ---------------------Phone:----�--------------- '� �. �'� � �,I�F,�i�y�s.a q 3�4 �p,� I � 'u��.zty , � �, � �i I�j� �"''�,. �;.� �.,.,.s.� � I��a� 'ti��3r' h ��I y� �a� ".'�°�4. ;:�a. �:, �y�u�+kx�� .. �' s,�" � � _� , i F �„ I w � �� .x,'. �', WI ...M��i;� i I�'' f :' , ..AF. ^». L. ��'F*y,. ,�_'i r "�r �K� f . ..,u � .;��v,. t�'.• �'tl CALL BEF�RE 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.qopherstateonecall.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 t tart 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 o p ns. Exterior work authorized by a building permit issued in accordance with the Minnesota tate B Idi g Code must be completed within 180 days of�ermit issuanc . �'0��^�� 7( � `'� X_�a�GLL�_ i J�-------------- X---- ------------------- Applicant's Printed Name Applica 's ignature C�� j'(��/ �/ /'_ 9J Page1of3 l.J� "1 'C�� l.t�L/ ! . , '. � ��f � �� ' � /�,��4�� , I3 (�� 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(ScreenlGazebo/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 _ Replace _ Repalr _ Egress Window � Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 2 � ;� Occupancy �'� MCES System Plan Review Code Edition �,�p? �53 e. SAC Units (25%�_ 100%�) Zoning ��_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �� Width REQUIRED INSPECTIONS Footings(New Building) r Meter Size:_____Y_� � Footings(Deck) Final I C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC___Gas Service Test____Gas Line Air Test Roof:_�Ice&Water __Final Pool:___Footings ___Air/Gas Tests __Final � Framing Drain Tile Fireplace:___Rough In ___Air Test .,�_Final Siding:___Stucco Lath ___Stone Lath ___Brick Insulation Windows Sheathing Retaining Wall:___ Footings___ Backfill�_ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls � Other:___�________�__�_ _ Reviewed By:__�__� __ __�_____________, Building Inspector RESIDENTIAL FEES � Base Fee �2 X �� -�� Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies �1 TOTAL Page 2 of 3 _ . . . � j�, �'�� f� �� i�. - l�= � ., s�o n�,a � .� SURVEYINC� HousF CERTlFtCATE FOR: SE6�VlCE� , � o�s�,�.aa�a 3908 Sibley Memorial Highway �^�4Yfitic+e�f tioi»ea Eagan, Minnesota 55t22 ,��"` . . Phone: (6t2) 452•3077 CV'8Y`QNj Ej�ER1,�Y HO��s . � . � ^ . , r � � v 8z 00�'l0'' � ,r — r � _�-. - ,'� r e;�� ,� G i� �"" �° s f w�o�� ~- ,— ��` '� �,<� �o Y�� t'3 E V '� W � "0�\��S��y�-�_==��..�. _` --+.. " _ � � ��_ / ��. `"' i '�� 1',� ,� y �oq�b_ .—��" l$ �, :�� I I� Z t � �s r--� �� '"'�"— "f •""'9� L��` V�E l� N�°�-'" � l�P�� .%��y; � e c s�.ale.: i''=3o' -. . . �-� " � f Date: �I i � „�,.�J; R�,.'�, , � 1 � Eagan Buiid�g Ins ry s+,pivision ,,Q~ La�- 3 �� / c� � r � 'v ' � ' �9 �_�� " � n �fi I� ` . �- �. 1;� b J , � � �� _ , +�x0' � •, v,:� �� a' -..... ..�,�� w �- � s..� �9� � �, � e �,� � ��, �� ,�,�bv �� 6..,.;:", � _,�� o �. r$52•'� f �` `�~�� .-17^2 i^�b�'�� . . . 3.�I a r� \�\ `,, r � tv Ex:st��9 ` r I $ �`��`f�`\� .o '^ , : NneVS yi N I 1. r^� Gwraye � J N � '�'!Q v �.b;�f . JJ � , , b . � b�w ! .\ \ \_\� a 4� � �� . 111111St1[IlJ�lq!!//� �ro Q� t ZE= / � `\```,\�`�wl ES•O�'�f//j' M ,_ 0yb?�};; ��`'1,y f i�\ \\ �\\\ / O g r. . 1° VJ ♦ 'I1 ,�/ . : � '.. `, v d-r h r� I S. �. Exi61'in ��:? WAYlVE D. �.�� ,� �� n ��Ra� ��' . � Ho�s� _ � J 1N r,,� \� ` � _ t CORDES i� � _ .� ` \� ` - : �, ?z.zs 3�\\ ` -. " �-- '14675 ' � � ,.� - -�}, : $��..��,t ,-- „ t =� °�'� r,o �5�� ' � � /�� S ��s �';��y�• ''�ti` S �c° � o� 8!d sa y�b �a ,,,�r��.. � .�;�; 1 �. ,� � � �9� ��y4rq�;��.�n�1��ti��'�� i ��.� _ � �` Q,et° ��+'� m / o flr a,..a�� U�J�.-� ; Es•,,� i°� o � � �� .-..�. y 2 � � � r -- �v sz�°3�'o�r��E., ' ��.00 r. ,�.x.a, P:,. I i.'39!� �.��y � +13.1T — � •'�•' Cone�e�'e. Cur{o � � q , a. .� � �� . . . . .c,yq R, ,�.. -seoc O 0y �y � •9 m 0 3 M p�"=�� _ _ ��45�[' �G��1Lsu rh T��t t_.. fg _' � q Tep �M•ir Nyt. . '4 EV4v, SS8.00 � . -1.�C�END- PROPOSED 6ARAG� FLOOR El.FVAT IONw a� � Aenotes lron �/orxxr�ent PROPOS�D fop of 81 ock ELEVAT 14N� '8��S _ _ _ � � � � � I�� l�'a I -�'�5� �� 5�� PERMIT City of Eagan Permit Type:Building Permit Number:EA128715 Date Issued:12/02/2014 Permit Category:ePermit Site Address: 1304 Balsam Tr E Lot:003 Block: 001 Addition: Wilderness Run 6th PID:10-84355-01-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Donald R Mercado 1304 Balsam Tr E Eagan MN 55123 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature For Office Use B d r A 1 a d aE Permit*: g6�Aa d'� i y- g�-�y AGA (. ,, _ . Permit Fee: D j 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 JAN 2 2 2018 Date Received: / aZ � S (651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694L Staff: buildinginspections at citvofeagan.com7 _. 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: <11 G//9 Site Address: / 3 ° y L S4-K11 /7 1 Tenant: ( ,g4 S[L Suite #: Resident/Owner�� Name: S�}m Phone: 760'8 I 76/ Address/City/Zip:--C°1171-1C• 64441'U/ 1(1 -51S-7-F•3 Name: License#: 6/C 6`z' 90/ -' 9150 W 35W SERVICE DRIVE Contractor Address: B'AINF-MN 55440 City: State: Zip: Phone: 7-(;2--4 7 7 I Contact: LIS6- Email: New V Replacement —Repair —Rebuild —Modify Space Work in R.O.W. Type of Work — — Description of work: 0 ,11.4.4) RESIDENTIAL ; -~ -��-.._......._.._.......-.._..�.�........�..... t Water Heater i "Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type i Add PlumbingFixtures( Main/ Lower Level) s 1 Septic System ! — New Water Turnaround Abandonment • RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ (v0.0 G CALL BEFORE YOU DIG. Call Gopher State One Call at(661)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 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.cltvofeagan.com/subscribe. 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. Z1.s, Zi4 it) x f/&r/ Applicant's Printed Name Ap icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: