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1340 Balsam St ECITY OF EAGAN Remarks addicion Wilderness Run 5th Addition Loc 15 sik 1 Parcell0 84354 150 Dl Owner '-.tii5treet 1340 East Balsdm a*1 State Eagan, MN 55123 7?'In.tt! -?i ? L Improvement Date L Amount Annual Vears Paymen[ Receipt Date STR E ET SUR F. STREET RESTOR. GRADING ?SAN SEW TRUNK 1973 $132.60 $6.63 20 106.08 A003294 10-15-76 SEWER LATERAL - WATERMAIN WATER IATERAL WATER AREA n 7 76 STORM SEW TRK 1981 363.00 24.20 $ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 7? D„Z 3-y -?Zs ;fC, SAC PARK YILA.AQE4E EpOAN 3795 Piloe Kne6 Road Eagon,MN 55142 WATER SERVICE PERMIT Pr.RMIT NO.: 2022 DATE: 7/26/76 Zoning: A7Z No. of Units: 1 Owner: ntarPt l ons *'u tion Cb Address: Sire Address: _134 Plumber: 'M+? Meter No.: -,? -`? " No.: 'r 9 S ?LG 8 with fM Villoge o4 Eagan By Date ESP.: Connection Charge: }§g 00- Account Deposit: Permit Fee: 10.00 billed 888 Surchazge: • SD billed 88 Misc. Charges: !':9-6 • Total: Date Pafd: Insp.: - VIL4.40E 47.EAOAN 3795 Pilot Knob Rood Eagon, MN 55122 SEWER SERVICE PERMIT PERMIT NO.: --a DATE: 7/26/76 1 Zoning: RT7 No. of Units:Owner. Marpl l COI15trUCt10A CO. Address: Site Address: 1140 E BalsamSt. L15 B1WR5 Plumber: Thomoson Plumbina Co. 100.00 pd I agroa to eomply with the Vflla9a o{ Eogan Ordinenem. By: Date of Insp.: Insp.: - Connection Chazge:350.00 pd Account Deposit: _-? Permi[ Fee: 10.00 b111-?Ce Surcharge: • 50 billed 888 Misc. Chazges: Total: - Date Paid: ,p ? ,- L% ??L5 ?'Cei.lo ? ? `?. ? o Reques Date Fira No. Rough-in Inspection Required? ti Ves C rb ? Ready Now ? Will Notity Inspector When Rea0y9 IDl'icensed contractor p owner hereby request inspection of above electrical work at Job tl ss 1 tre Box or te i City SecM1On No. Township Name or No. Farige No. Coun O nt(PRIN P?on No ^ PowerSUpplier . tltlre3s ' EI Iri al Contrac? r IC ptny N L, Co actor Li s o Mai g tltl i on ractor r wner Making stalletio ) Aot rixetl Si raWre IC V ctor%Owner Makin I a a?pn? \ CY' Ph o r 1 U? MINNESOTA STAE BOAFD OF ELECTNICITY TMIS INSPECTION FEQUEST WILL NOT Griggs-MlEwey Bldg. - Room 5473 BE ACGEPTED BY THE $TATE BOARD 1821 UnlveraHy Ava.. SL Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (613) 642-OB00 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION ? .6, Es ooom-oe ? Sae instmcnons Por completinq tnis brm on back ol yeilow copy. ?I 0 8 4 7 3 °X" Below Work Covered by This Request aw Add 7ypeofBuildinq AppliancesWiretl EquipmentWiretl Home Range Temporery Service Duplex Water Heater Electric Heating Apt Building gryer Other-jSpecify) Comm./Industrial Furnace Farm Air Conditioner Other(syecily) CoNrador5 qemflrks: Campute Mspeciion Fee Below: 8 Olher Fee # ServicaEniranceSize Fee # Cimuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SignS inspecior§ Use Only: ? TO Irrigation Booms Spacial Inspection AiarmiCommunication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, the Electrical Inspector, hereby if Rough-in oata cert y that the above inspection has been made. F;rai o OFFICE USE ONIY This request wi0 10 monIDS from CLTY Or EE;GAN 3795 Pilot Knob F.oad Eagan, Minnesota 55122 PEM'iIT NO.: 868 The City of Eagan hereby grants to Ray N. Re1Cer 8eatina Co. of 4637 Chicaao Ave. a 8eating Permit for: (Owner) Marall Const Co at 1340 E. Balsam Tane , pursuant to application dated 7/26/76 _ Fee Paid: $20.00 dated this 28 day of Julv .50 s/c Euilding Inspector Mechanical Permits: Bid Total: Z, /<-5-- / l Jle -J CiTY OF E(tGAN 3795 t'ilot Knob Foad Eagan, P:innesota 55122 PERNIIT NO.: 705 The City of Eagan hereby grants to 1 plumbing Permit for: (Owner) Marell (.bnstruction (70. at C=ft.'gg?gRjk ? pursuant to apnlication dzted 7/??aT?6 Fce p "A7CX:ed $40.00 dated this ?16 day of ?,u_?. 19,44_ 1.00 s/c Statement k686 Euilding Inspector. 7cchar_ca1 Perm:i.ts. 3id Total: Thompson Plumbing Cb. ,)p 12201 Minnetonka alvd. ? , cf. CITY OF PAG?N 3755 Yilot Enob Road Baf;r--, NL-ir.ne3ota 55122 PEStivIIT Pv'0 , : 7 6 Tne City of Eagan hereby grants to MILFiF.RT CO.=?CSJLLIGAN oi' 1001 fiP.RIE nVF • SO. F.ICHARP FiORSLEY a SOF ? R Per,nit for: (Owner) pAVID NELSON 134 F. Salsam eu 3782 So, xilZs Ct. , Pursuant to application dated 9/24/76 Fee Paid: S10.00 dated thie 21 day of October 1 1? 7b • 1.00 s/c E3uilding Inspectoi• P4echanical Permits: Bid Tota.le ? CITY of EAGAN BUIL/DIING own.: ... ?'.y.?-?..."`'"'•`' '-' ........j./??,,.y ........ .... Addreac (P=eien!) ..I...??.Q..?...C. .`?l???l•??.•-,'"? / suiiae: .............. Addrees .... -? ..... . . . . ........... .ff. . .. .:.......... ??7..?d PERMIT 4 ;• N°_ 4024 3795 Pilo! Knob Road Eagan. Minnesoia 55132 454-8100 a8:. /.....?..?Cfl.lJta. ri 5forieo To Used Fos Fron! Deplh Heigh! Eel. Coe! Pesmi! ZAA Asmuks ?? f 3 Per ...?..w:?-'...`l.Tl!?!Ll:?'?" .:............ Huilding Ieupaelor This permit does not avihoxize the use of alreeL, roads, alleys or sidewalks aos does it give the ownet os his agea! the :ighi !o creafe anp siluation whieh is a nuisance or whtch presenls a hasard to ffie heallh afetp, toaveniencs aad general welfare !o anpone in the eommunifp. THIS PERMIT MUST BE ON P EMIS WHILE THE WOAK IS IN PRO 8 This is Yo certif ihal ..... .. ... .......Y.k-......... has ermission to erec! a. .... ... ..??(/...j?..?u os the above descF?d premi;?3Sci io ihe provisions of all aPPpcable?sidinextees fos ii ?'iegan / _ p ?tbz 4/ a..t r ? DAmr: 7-A9, ?6 IIUTLAIPIG ?M°I"IT Ay: r?r,9?a ;'r?T C;IECK Lot_ /4 Slock j Addition_ jP ?j Parcel and section number Street ?dq idumUer_,Z , j Y(j Owner. ? Address Z'?l`'• ,._._? Developer Address Te =' Zone-Ordinance #52 Lot Size Platted Building Size X Occupar!cy Type of ccnstruction Setbacks: Street sides Sides Parlcng: Total area Parking area setbacks: I Street side , ftear Landscape approval Special. Assessms.ntse U uY.C charge Water areae Assessed T£ assessed: Connection charga If unassessed: Connection chnrge Lot clivisiona Additional assessments needed Lateralse Assessed Waiver of hearing; Naeded Tota1 area Unplatted g Tc :al -..rea IJPotGl spaces ?tv ? ?. ? 5ide? _ Bond required 59?r Q $1150.00 Unassessed ; ( ? Not needed Not assessed Not needed Assessment clk InTater 8= Sewer Dept Auilding Dept Police Dept Fire Dept (Coir¢n & Ind only) 1 MASTER CARD LocnrioN Cfa.a,7`; / 3!30 /3 -J W OWNER XkAAZ49o? STRUCTURE AND ?+// /?i? w/1 y, LAND USE? AS v?'",?J.il?Y E?" /?j d4A,__ Permit No. Issued Issued Ta Contractor Owner BLIILDING PLUMBING ?DK _ .?7 ?.b 76 ?Le1..Qnra 6? CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INS7ALLING SANITARY SEWER OTHER I . O7HER ? I Items Approved (Initial) Date Remarks Distance From Well FOOTWG ? SEPTIC FOUNDATION CESSPOOL FRAMING 7_?i? ?/ ??•" TILE fIELD FT. FINAL ELECTRICAL ? -? HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL SANITARY SEWER / . > . / ViolaTions Noted on Back COMMENTS: ities Di itg a1 Qualitv 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. • - - ? .ik1'? i''? ? '; i?i '. . .le rvenue Soo a\-s a55 ?? • ?nn c?:nr.>ao?a cereo 55?+n? Z/IP - ? 1M. SSCcaWAM:? ? 4AMOSURVFYOw ReBsa[uo0 UnQa LOe+4 ef TNa Stata of M1nnawol0 . --1 9G395 SOUYG9 P.ODERYYRAfd P.O. COIS C, nOSEl:70URfY. R71WRtESOYA 55C30 PHOCJE 893 433.tYW ? SUFLNEVOR'SCERYIGICA4a ^ \ T ? . . W \i L • ?rF?? . ,: r. ? . ? ? =i1\6 ? .?? . . ` , 717 ?r ?'> - e ? •, • `F0 -j • C O ?D ,a ` /7 ? f.?onk'EZ??. 9?? r 90 ? i hex°eb9 cer2ffy t?:aC Qhis is e Crue and coAreeC repreQenCaCioa oY Block l, ti'IY11RTth&1;s R'7?d F?FTH aDDTTIOa, DakoCr_ CovnCyn uinrpsaCae l?l Plso shoxfng Che Yeca2fon o4' a nropo:,-c mu423ing therecn. . 5_1f:-96 ? f?! c?.? 7 ?-.-------- ,? . • i1?-rn%1 MINtdESOTA REGISTFtATIOPI N0.8625 PERMIT# qN 50 k RECEIPT DATE: 2- /" fiES]I}ENTIAL PLUM$1Nfi PERM1T APPLICATION crrY or EAsAv 3830 PaoT xiuos Rn EikflikN. IrtN 8818E 651-6$1-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system HGR3LEY, NIYNNA SITE ADDRESSJ! 1340 eALSF,rn SrREe F Ea:;r EAGAN, MN 55123 OWNER NAME: : (ssi) 4e2-8727 TELEPHONE #: ' (AREA CODE) INSTALLERNAME: 0 rt??UW1?lU?VA61f1? TELEPHONE#: 1Z l?Z7"?0?3 STREETADDRESS: ZGIDS 6(.[4_4 Qld , SO . (AREACODE) CITY: STATE: MV? ZIP: SSqd? Place a check mark next to the oermit work tvae New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, inciuding: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ('S.eXr7iG.C?. IJcu_:17e,'r Fte-a.'GP--4 Septic System, new/refurbishad - $ 225.00 • includes County & Consulting Inspector fees . requires MPC license State Surcharge I! ? ???? ?? $ .50 ? III I ?I Ii ; ' - LJ1 Total fu ? 0 $ 50.5 R v Reminder. Be sure to schedule inspections of alterations, Ce, water heaCer;; water'softeners, etc. I hereby acknowledge that I have read this application, state that lhe information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It is lhe applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/rightof-way/easement. SIGNAT PERMITTEE Updated 1/01 i so RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAPI MN 55122 651-681-4675 New Construction ReauiremeMs • 3 regislered sile surveys showing sq, ft. of IoL sq. fl. of house; aM all roofed areas (20% maximian lof wveraqe allowed) • 2 copies of plan showing 6eam & window s¢es; poured found design, etc.) • t sel of Energy Cakulalions • 3 copies ot iree Preservation Plan If lot platted afler 711/93 • Rim Joist Det2il OpUons selection sheel (bldgs with 3 or less unifs) DATE ?"J' (S -D?Z 9q as RemodellReoair ReauiremaMs . 2 copies of plan . 1 set of Energy Calculations far healed addNOns . 1 site survey torexterbr additlons &decks • Indicate if home served 6y septic system for addiGons VALUATION ? ?? 700 , 06 SITE ADDRESS 1 3 ?O i /?nt cST• MULTI-FAhIIILY BLDG TYPE OF WORK_ RarO??-r ?C FIREPLACE(S) _ APPLICANT STREET ADDRESS TELEPHONE #" -66 7- 3 7002 "' Fax # SS/d PROPERTYOWNER.5•KlU"?? ?nW ? TELEPHONE#????B_?.2-7 --------------------------°-----------------------------------------------------------------.. COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contrqctor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Fee: $70.00 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 __..__.._ .............°•°--°-°--°-----__......_..------.._-----------------_--_--------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Phone # _ Water Softener Water Heater No. of Baths Lawn Sprinkler No. of R.I. Baths !/Y N _1 _2 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 -s ? Please complete for modifications to existing residential dwellings. Date a, -.41 /_/A8 / Site Street Address ???? Unit # Property Owner S Telephone #??-?'`'f Contractor Telep/h'one # ? Address City /r ?7/?,?2117?/?/GL StateLi2vZio The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 ? Water Softener _ Water Heater x replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv . ?d? ?k' ApplicanYs Printed Name ' ApplicanYs ' ure h APR 1 3 2004 D 7 7 s ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7n °° SV-70 .oU New ConsWCtion Reaui2ments RemodeVfieoair ReouiremenCs 3 registered sAe surveys showing sq. N. o( lot, sq. R of house; and all roofed areas 2 copies o( plan ne'`N (20% maximum lot coverege allowed) 1 set of Energy Calculatlons for heated additions 2 copies of plan showirg beam & window sizes; poured found design, etc. 1 site survey for addNOns 8 dedcs Tte? ies Reqtl6* 7setofEnergyCalalatbns qdo7lion-iridiaate8on-aitesepticsystem s:'•?Y;0 3 copies o( Tree Preservatlon Plan'rf bt plattad afler 711193 Rim Jolst Defail Options selection sheet (61dgs wiN 3 or less uniLs Date au Construction Cost Site Address 12,>4 90? S-? -izj GL?SO,YY1 ?'t UniUSte # Description of Work 1 a 9,Q 9 (.s?nAQ?xYj u3f? $^{i Inp„ Multi-Family Bldg _ Y x N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner Telephone#(IpSI) RMA HOME SERVICES, INC. Contractor Home Deopt Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 CitY State Atlanta, GA 30339 Tetephone #( ) 763-542-8826 BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy CodB Category . Residentlal Vantilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap roval of plans. o?c a ? ?r,Scs? '/4\ Applicant s Printed Name Apphcant s Signature Ins#alled Siding and Windows LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a]icensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Insta(led Sa!es loca±Pd at 660 Mendelssohn Avenue North, Croiden Valtey, M1V 55427, having a license number oF BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attarney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Powe: of fl:tcrr.ey are limited sotely to the express powers delineated herein and apriy solely to the Work. This Limi*,ed Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereo£ Further, the powe:s conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. W, WI'1_'NFSS WIIEREOF this Limited Potver of A±?orr.e-y is e.;,ecirtc:d this 21 st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. E Notary P t?hlic in for the State o eorgia b2y Commission Expires: 7anuary 21, 2006 3968i6.v3 - Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toli free (800) 79-DEPOT PERMIT City of Eagan Permit Type:Building Permit Number:EA118790 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 1340 Balsam St E Lot:015 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-150 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 . Chelsea Laughlin 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 - Lorelei J Remick 1340 Balsam St E Eagan MN 55123 (651) 336-6234 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149612 Date Issued:05/31/2018 Permit Category:ePermit Site Address: 1340 Balsam St E Lot:015 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-150 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 - Anders P Moe 1340 Balsam St E Eagan MN 55122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature