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1211 Balsam Tr EtlF EAfiAN Pilor Knob Read MN 85142 Address: No_r !o complY wiNi 1he City of Eagon of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: A Connedion Chorge; Actount Deposit: _ Permit Fee: Surcharge: Misc. Charges: ? Total: Dote Poid: il?YAn ?1rwwrA -??v..? ? VITY Vr ot Kno6 Rosd PERMIT NO.: 8795 Pil MN 55122 DATE: Eagon, i ' No. of Units: Zoning: Owner: By M oemplp with the City of Eagan i_JUX) pd Connection Chorpe: Account Deposit: Permlt Fee: ? ' • Su?charge: Misc. C.harges: Totol: i CITY OF EAGAN -• ^ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 } PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for ? Est. Value Date ' - `r ` • 19 ' Site Address 1 ? 1 ? ? • ? " ? ' ?' ' OFFI( Lot Block ' SeGSub. On Site Sewage _ MWCC System _ ParCel No. On Site Well _ City Water _ oc Name L W 3 Address . 0 City 1Phone -? -• • °C Name o o u Address U ? Ciry Phone V¢ ?y W Name F W Address a ZW ? City Phone 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. Signature of Permittee ? i :1. ' . ,. . A Building Permit is issued to: all work shall be done in accordance with all applicable State of I Building Official Occupancy Zoning Type of Const (Actual) (Allowable) # Of $tOf18S Length Depth S.F. Total Footprint S.F. APPROYALS FEES Assessments Permit Water/Sewer _ _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC Treatment P1 Variance _ Parks Copies TOTAL on the express condition that linnesota Statutes and City of Eagan Ordinances. I I Permit No. I Parmit Holder I Dete I Teiephone #k I I Plumbing I H.V.A.C. Electric Softener inspection Date Insp. Comments Footings II Foundation Framing Roofing Rough Plbg Rough Htg. IsuL Final Htg. Final Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Pr. Disp. cirr oF E?GAN ` 3795 P11af Knob RooA Eayan, MN 53122 PHONE= 454-8100 BUILDING PERMIT , ReceiPt Te ba wed for Sr llwG/GAR Est. Value y73.000 pate `ay 4 _ t9 ?3 Site Address 1111 E. Ba:lean Trail Erect (?JY, Occupor,cy F`_3 1:t Lot 4 idf lderness Park 1gt Blotk See/Sub. A lter ? 2oning F-i Parcel # 10 II4250 10U•04 R epdir p Fire Zone `3A e No E ??ennis Gelliar nlarge Q Type of Const. ?'t o me M ' ? ove, ? # Stories ? Address ? olte 2 D emolish ? Length 67 C; dGregur 55 7G0 pt,one 768-•243 7 32-0000 G rade ? Depth 3? Sq, Ft. ce ,4 Name OwZer Approrols Fees u? Address Assessment Permit ~ Cit Phone Water & Sew. Surchorge ? Police Plan chec ?Z Nnme Flre SAC - ?? Address Eny. Water Coi oc = [ W Ci Phone Plonner , t Wnter Meter ? Council Road Unit ,. I hereby acknowledge that I hnve reod this applicotion ond state tFwt Bidg. Off. I'Fttk '1ed. 120. 00 the inlormuFion is correct and agree to comply wifh all applicnble APC Torol '196`?. 5?? State of Minnesoto Stotutes ond City of Engan Ordinonces. w 5iqnoture of Pertnittee erin s=e .xar ?'?G ? ? A Building Permit is issued to: on the express conditi thnr all work sholl be done in acoordance with oll npplicable Stote of Minnesota Stotutes and City of Eagon Ordinances. I $uilding afflcial . ` Permit No. Permit Holder Misc. Permit No. Holder Plumbi?g ??AZj( 7,? H.V.A.C. O Zll? c)Eh?. c jG -(z-g? w.n Water Disp. Sewer Electric wo$z??a ?.?.ndr{?ck. /0-?1--g3 Inspection Date Insp. Other Footings - Foundation Framinp Rouyh PIb9. Q Rough HVAC Inwlation ' Final Pibg. Final HVAC ? Final Water Describe Location: Well ? Sewer ? Pr. Diap. CaRRECTION NOTICE , Address ? Owner/Agent Nos. and Corrections - Correct By DATE: , • Site NariY?? -+-_- ak ; , ?' ( • r ,? ' !u ? ...-? .f ?Tr? ? ; Z/ (flrl? A4 . _+ • ? ' ?L?vS' For reinspection 2Cgan Dept. of Inspection InSpeCtOr. 3795 Pilot Knob Fd. Eagan, Minnesota 55122 454-8100 Dept.: ? Receipt _1 IPLUMBING PERMIT Permit No. ? -) ? CITY OF EAGAN Fee FiN in numbered spaces S/C - Type or Prinr legibly --? Tot. ` 1. Date 10/4/83 2. Installation Cost TS' . ` (? ?_%' d % !';1,- -?' 3. JobAddress 1211 E. Balsam ?[,15t `O Bik. 7 Tract 4. Owner Dennv Geihar 5. Contractor Wenzel Mech. Phone 452-1565 s. Address 3600 Kennebec Dr 7. c;ty Eagan state Mn Z;P 55122 8. Building Type: Residential KI Commercial O Institutional ? 9. Work Description: New U Add ? Alter ? Repair O 10. Describe 1 11. No. .? Fixtures Water Closet No. Fixtures Cesspool/Drainfield _L Bath tubs $eptic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet Other WATER HEATEi? / Laundry Tray Floor Drains Drinking Ftn. Slop S+nk Gas Piping Outlets 12. I hereby certify that the above informatian is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ? ? /i ;? "•? for ' Rough , Final Inspectlons: Date Insp. Date Insp. This is your permit when numbered and approved. Approved __ ? _____?____-•i CITY OF EAGAN 454,8100 '4- Receipt MECHANICAL PERMIT Parmit No. (/ - ~ `- CITY OF EAGAN Fee Fill in numbered spaces S/C ' Type or Print legib/y ? Tot. _. a •! i 1. Date 2. InstallatioeCost 3. Job Address j? ????? ot ?O Blk. ? Tract?',^• J 4. Owner ? 5. Contractor Phone i 6. Address = (v 7. CitY ?- U- ?- State Zip 8. Building Type: Residential ? Commercial 0 Institutional O? ? 9, Work Description: New k Add ? Alter O Repair 0 10. Describe ? Fuel Type , 11. No. ? Equioment 8TU - M. Ea. Forced Air / 0 b), No. Equipment CFM Ai H dli Mfg. r an ng: Boilers ? Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with al ord' j;ard c es governing this type of work. Signed : for ? Roug ?- Final Inspectin' s: Date tnsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 r Receipt gl??-?Igy PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Permit No. i Type or Prini /egib/y 1. Date ? 2. Installation Cost 3. Job Address Lot ( U gik,(' ? 4. Owner Fee S/C Tot..j ? c ' / 5. Contractor (/1 1? Phone 6. Address 7. City State Zip f - 8. Building Type: Residential ? Commercial O Institutional 0 9. Work Description: New ? Add ? Alter )ST Repair ? I 10. Describe t 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic Tank Lavatory ? p ftner S Shower o Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Orains Drinking Ftn. -- Slop Sink Gas Piping Outlets - ` 12. I hereby certify that the above information is true and correct, and I agree to ? comply with all ordinance5 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 CITY OF EAGAN Remarks Addition Wilderness Park Lot • 10 eik-b Parcel 10 84250 100 04 I, Owner'-' street 1211 East Balsam ``rail 5tate Ea8r1,1tiIl1L55123 Improvement Date Amount Annuaf Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAM SEW TRUNK 1973 1 70.45 3 1-23-84 I.ATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK /,S` ?1983 2?9: l4 19.28 250.58 83 1-23-84 STORM SEW LAT _ CURB & GUTTEFi SIDEWALK STREET LIGHT 250.00 3.5649 5-4-83 WATER CONN, 450.00 n n BUILDING PER. SAC 525.00 M „ PARK R REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See ins4uetions for completine this form on back of yellow copy. N "XU BeloHbtlf go%od by This Request 3 qozq e .Oed'd Rao. Type oi Building Applinnces wirea Equipment WireA Home Range T mporary Servico Duplex Water Heater Lightiny Fixtures Apt. Building yer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm oinF, peo y mP, (su";fv) I P,f (S{IfCI y OLM1Cf O1hCf Compu[e Inspection fee Below N Fea Service Entrance Size k Fee Feetler5/5ubfeetlers k Fee Circuits 0 to 200 qm s 0 to 30 qm s to 30 Am s Above 200 Amps 31 ta 100 Amps 1 to 100 A s Swinvning Pool Above 100-Amps Above 100_P.mps Transformers Irrigation Boorcis lcj Partial.'Other Fee ! Signs . Speciallnspection Remar D 1Z` T S?j_o ! T Roueh-in ? • Final ' ???d Di1e ??/(Q I Dxte ?? ? I, ihe ectrical Inspecto h ereb ce.li(y thet the nbove nspectioi? has been maae. iNS requeat vold 18 monlhs Irom .-tns(rom u /d?y L L0 1 j5q ( Wf Il1Cr!\?gg W 082440 Pack I sA- 390Zq 3g -sd Raqy est Date !'"l ! O? 4f j ` Q Fire No. RooBh-in Inspection Re9u' ' ?ReadVNow?IWh pec- tR d ?Ni? es en ea y ?icensed EI¢cVical ConRactor 1 hereby request insoection of above ? Owner electricel work inatalled at: . SveJet Atldress, 8ox Roote / Citv .? ctwn o. Township Name or No. 11 Ranyo o. Co y O)gnt (PRINT) • ^ N a?? PZJ11,No/,? D C)06 i J L P. suooi? aaa? Electrical on r c a d ? ? 14540 v Cont c r's License No. Mailin4A?l?ppjfCpqtV ror wner lvl?rffg n) a?,s d'L+f.'. Y, Rd1V 55124 Aut•horized SiOnature IConVacror Owner Making Installationl. Phone Numbor MINNESOTq STATE eOAPD Of ELECTAICITY THIS INSPECTION qEQUEST WILL NOT Griggs-Midway Bldg. - Noom N-191 gE ACCEPTED BV THE STATE BOAflD 1821 University Ava., St. Paul, MN 66704 UNLESS iPOPEN INSPECTION FEE IS o.--- 1e1e? no, e.« ENCLOSEII. HOUSE ATING TEST RECORD /? ?? ? ° ' ADDRESS, /?/? ?Sf /SlI/Yf ai??/ ppT.-FLOOR CITY SU8UR6( V . OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD 8Y Electrital Work 6y _ TYPE OF HEAT GA Modsl MAKE v^ C ,_,` GASDES!,?N MAKE OF Modal E 934W Model - Sxiai SS ?v l•???'T ??? 7? Max. BTU INPUT IvOI ?? MAKE OF CONTROLS THERMST? ?T ?TTA?! yy? t pJ,?y Va Ive Limit ? Limit S.Nin ° b Fan ' Pilot Type Pilot Make.Sn rr Mi C Oh - Pilot Model Vent Size _ KIND OF l Droff Hood ALLED BY Line By BURNER_ Rating _ FURNACE SIZE NONE Fiifers Siza_ Chimney Loeation Chimney Construction our.iae $moke Bomb Wiring? Pilot Timing Draft Teaf Tap Y L.W. Cut Off Door Pressure Lighting inat. G Pressure Per<ent COZ Dote Tesfed y InPUt CFHP Percenl 021? Company Testing?ir.,7_ i (A>IIliC Stuck Tem PerceM CO Name of Tsstar 1S]tS ?- h?t ?Pr Form 235 FA _HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER CON V E RSION Regulator , , .. . - -------------- i ?c?rs?tce? i ? Permit#: i PercnitFee: ? pate Received: ? ? I ? Staff: I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATI?ON,,(/^ Date: O Q^ Q Site Address: I?k L? Tenant: /,i /'OE?45 -FR ?A!5f Suite #: RESIDENTlOWNER Name: /?7/K6 f??O?OZ`i Phone: Address / City / Zip: Applicant is: _ Owner "e- Contractor TYPE OF WORK Description ofwork: 'Rj5,rAC6 Qt.D ?'L'i' -• '3!/14?p N6l? g f?i ??f?G R'yD Construction Cost Multi-Family Building: (Yes _ I No ? CONTRACTOR Name: License#: 7_0r737I I Address: C'//zL'L'c / ' "L Zip: City: State:n Phone: &', 2/59 7-Contact Person: 01'D t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted 5ubmission type) • Energy Envelope Calculations Submitted 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: ered to be public information; ?aYtions of 70'lVOTE• Flans and'supp'orting tlocumen#s lhat you submit are consid _ the rnforinaLon may_tie classified as non-public'±f you provide spec?frG reasons tfiat wquld permit the Crfy;ta j _ '111._111 M. 'I ? Ak: _conc)ude fhit the ?are trade;secrets"-? I hereby acknowledge that this information is complete and aceurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliration for a permit, and work is not to start witho a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv plans. Q X/C4 ?v .7 '5f':E/???"' AMMlicanYs Printed Name ? ? ? W [E D AM' icanYs Signature , Page 1 of 3 - JuN 1 0 2008 ati/ DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3season) ? Ext. Alt - Multi ? 01 of _ Plex ? 07-plex O Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-plex y Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04PIex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* 19 Addition ? Move 6ui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows El Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - 9ive PCA handout to appiicant DESCRIPTION: .? ' Valuation 3z9v Occupancy JoGA MCESSystem - ? Plan Review ?-_ Code Edition SAC Units - (25%_100%? Zoning CityWater Census Code Gf3? Stories ? Booster Pump # of Units ^ Square Feet ? PRV # of Buildings -' Length ? Fire Sprinklers -' Type of Const Width /?• ? REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size : ? Footings (deck) FinallC .O. Footings (addition) ? FinallN o C.O. _ Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _AirlGas Tests _ Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _A ir Test _ Final Windows Insulation Retaini ng Wall , Reviewed By: _ Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S8.W Permit 8 Surcharge Treatment Plant Copies Total Building Inspector /3o m ? Page 2 of 3 I . v• uviN ?r v .AKE, MINNESOTA 55372 DNE (612) 447-2570 1 (612) 447 -3241 , % , ., \ 7op Iron EL 90-i5 N7352 ? .. , . ? ?? . ?. l ?J J ,(I I k' - e Ao 00 - e Y w , , , , Exisrrnc Houst ? / Top Block ; EL. 98.77 i .. '.. (? s? ,?. <N \ 90.7 x ? •\ ? \ 7op Hub 9-3-5 L 92.26 \ X? 9F ? J • ? a?G) ? ? ?l f O? l ? ' / ? . l ! ?\ / 4 ? 96.5 ? /° V . . 7G EL.i 9726 x%" le, ;. ? . i 4b _. _ . \+ .. ii' oyyF__ . . . . . .'.. . ._ , ;,- % ? , hr ? ? ? ?? SoJS ?O \ \ 93.9 PVF' x p \yo ?P QOoQ? ? ss O0SQ ?. ?a?• ? /9,// ,3yFsm 7a r ie. Top Hub EL. 94 19 'X ? EAGAN Top Iron ?- ??VEWED EL 96.67 ?? %? . Bv:-- TC E O S sz72 ?,ONS DIVI N Z/ IX / ?CP0 `? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3630 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsMuctlon Reauhemems • 3 registaretl sae surveys showhg sq. tt. of iot, sq. N. of house; and II roafed areas (20% maximum bt coverege alwwed) • 2 copies of plan showing beam & window 5¢es; poured found design, eta) • 1 set of Energy Calculetions • 3 copies of Tree Presenation Plen H bt pletted aNer 7l1193 • Rim,bistDaUilOptWnsselectlonshaet(bldgswith3orlessuntts) ? ? • ? ? HemodeVReoair Neaulrements . 2 copies of plan ? 1 Set of EnergY CakulatiOnS fOr heatBd eddl • 1 stte suNeyfor eberbr addtlions & decks . Indicate if hame served hy septic system lor DATE VALUATION SITE AQDRESS !0? /! MULTI-FAMILY BLDG _ Y NPE OF WORK_ t*- - X'P' FIREPLACE(S) _ 0_ 1 APPLICANT ?r STREET ADDRESS 17 71S /a ? 09?? ? J CITYZT TELEPHONE # CELL PHONE # ?.?•T G ?S ?-?/o`L FAX # _N _ 2 PROPERTY OWNER>?!?' TELEPHONE # leS1- ??r- --°--------------------------°--------------------°------°----------------------°---°---- COMPLETE THIS SECTION POR -NEWa RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY MINNESOTA RULES 7670 CATEGORY 1 MINN I tqS ?6T (4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New rgy Code Worksheet ut • Energy Envelope Calculations Submitted MAY 2 3 200Z Plumbing Contractor: Phone # BY ? Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conkactor: Mechanicalsystem includes: Sewer/Water Conhnctor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and with all applicable State of Minnesota Statutes and City of Eagan OrdinancPS-?y, „ ?- Signalure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY OF EAGAN : 3830 Pilot Kno6 Road, P.O. Box 21 •199, Eagan, MN 55121 N0 13 7 7 3 ` BUILDING PERMIT PHON E: 454-8100 Receipt # ?7 q ?j ? ,?i/ Tobeusedfor DECK Est.Value $5,300 Date .1UNE 12 1987 SitaAddress 1211 E. BALSAM TR Lot 10 Block 4 Sec/Sub. WILDERNESS PK 1ST OnSiteSewage MWCC System Parcel No. On Site Well City Water a Name JIM MURLOWSKI ; Address SAME 0 City phone 735-8346 o Name MIDWEST FENCE 0Q Address 525 E VILLAIIME AVE AppROYALS ? City S ST PAUL Phone 451-2221 qasessments ? U WaterySewer W W Name Police zg Address Fire ?w City Phone Engr, Planner Council OPFICE USE ONLY _ Occuoancy _ Zoning _ Type of Const _ (ACtual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES _ Permit $65.50 _ Surcharge .1 flfl _ Plan Review _ SAC, City _ SAC, MWCC _ WeterConn. Wa[er Meter 1 hereby acknowledge that I have read this applicaty'on and state Bldg. Off. _ Road Unit thattheinformationiscOVectan greetocomplywiKallapplicable APC _ TreahnentPl State W Minnesota 5tatute City of FaBan inances Variance _ Parks ? ? e Copies Signature of Permittee TOTAL ? A Building Permit is issued to: MIDWEST FEN on the ezpress condition that all work shall be done in accordance with all applic4bie State of Minnsspta Statutes and City of Eagan Ordinancea Building Official ..? ? l? 1987 BIIILDING PERMI2 APPLI TZON - CITY OF SINGLE FAMILY DWELLINGS IBCLIIDE 2 SETS OF PLANS, 3 CfiRTIFICATBS OF SIIRVEY, 1 SET OF ENSRGY CALCOLATIONS BTOTE: ADDRESSES FOB COSNEH LOTS - CONTRACTOR/HOMEOiINEH HUST DESIGBATB WHICH ADDRBSS IS DFSIRSD. NO CHANGSS WILL BE ALLOWED ONCfi BQILDING PERMIT IS ISSIIED. MQLTIPLE DWELLINGS - RESIDENTI9L RENTAL IIATfS FOR SALE UHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMNIERCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, > o $2,000 LANDSCAPE BOND ?? r., ? ??.J? . ??e-i-?? ?? To Be Used For: ' Valuation: `q' ?,0?`--? Site Address 1;?2 // 'AC-4 <-(-- 6lOk. ??Ai ?l OFFII Lot ? C Block ?? - On Site Sewage_ MWCC System Parcel/Sub On Site Well Xfth. ^ nQ ` City Water _ Owner U.YL.C? Addres l Q( 1 City/Zip Code ,r&n,h ll'I['IVW 5,s?a3 Phone???'?,3?? ApPROVALS ?r Contractor ?_Q?,? ? Assessments ,o 1 Water/Sewer Address Police City/Zip Code 'Planner Phone Council Bldg Off Arch./Engr. A96F 0aq, 61 APC Address Variance City/Zip Code 1 _ Phone # Date: C!) - /(i O-? Occupancy Zoning Type of Const (Actual) (Allowable) # of Storiea Length Depth S.F. Total Footprint S.F. FSES Permit Surcharge Plan Review SAC, City SACO MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOT9L (OS, so 3. cirr oF E?caN ?T? 7990 3795 Pibf Kno6 Rmd Eagan, MN SS141 , PHONE: 454-8100 BU9LDING PERMIT 2eceiPt # To 6e wad fe. SF DWG/GAR Ed. Va1ue..$73,000 n,,,, May 4 83 Sice Address 1211 E. Balsam Trail Erect MC Occupancy R-3 Lor 10 BI«k 4 Sec/Sub.Wilderness Park 1stAlrer ? Zoning R-1 Parcel # 10 84250 100 04 Repair ? Fire Zone NA v Dennis Gelhar Enlarge ? Type of Consr. u°Ci NO? Move ? # Stories ; Address Route 2 pemolish ? Length 67 8 p dGreQOr 55760 pho„e 768-2487/432-0000 Grode ? Depth 30 Sq. Ft.- ? ?? Address Assessment Permit 352.00 Cit Phone W°ter & Sew. Surchorge 36.50 1- ? Police Plon check 176.00 2w Name P. Fire SAC 525.00 ?? Address En9. Wafer Conn.450.00 iW Cf Phone Clonrcer WoterMeter 60.00 S Council Road Unit I hereby ocknowledge thafI have read this opplication ond state that Bldg. Off. Park Ded. 120.00 the inlormotion is correct ond ogree to comply with all applicoble APC $1969.50 T l Stote of Minnewto Stofutes ond City of Eogan Ordinances. ota . Sipnoture of Permittee Dennis Ge ar , A Building Pertnit is issued to: on the exDreSS Conditlon that 4 o oll work sholl be done in accordonce with oll aDDI' e S fe Statutea und Ciry of Eapon Ordina?ces. Building Officiol p Nome OWner Approrals Fees . ? CITY OF EAGAN Include 2 sets of plans, , 1 site plan w/elevations & BUILDING PERMiT APPLICATION 1 set of energy calculations. 'Ib Be Used For 51?ug-/? ?- v?,k,tion ??.3, ?t? sire AddreSS: Sav-?- OFFICE USE ONLY Lot IC) Block ? Sec./Sub, i'1dFcriEsS Fs'ect x Occupancy Parcel #: 10 $q'Z-,-C> (oo og Pa?k- l?? Alter Zoning _ Repair Fire Zone 5 Owner: 'V->E-nn0S GA0. ? Enlar4e _ ZYPe of Const. TT Nbve # Stories Address: Pcti cxA£- '2. Demolish Fmnt ?7 ft. Grade Depth ?D ft. city/zip Code: M\r-Cor?or 1557 faL? Phone # : 32 -Obta b APPROVAIS FEES Contractor: Assessments Permit ,316:z ? Pddress: Water/Sew?er Surcharge ?G 7 Police Plan Check 176 City/Zip Code: !A, re SAC Phone #: water Conn. UcSd 4• anner Water NSeter ? ? Arch./IIzg.: uncil Road Unit 9? dg. O ff. ?im P,ddress- J?z ApC City/Zip Cade: 4 hone #: 5 =3_ 'IbTAL -4olcl ? . . ., Ajl*-? Oetemrne woncing squarc ra,%..y. .,. e.?W). 1. Total exposed Ma11 area ...... 10115,S sq. ft. x 2. Total roof/ceiling area ...... IU33,Sl! sq. ft. x .04 = 1,3? ?. Total exposed wall area abore floor ¦ If09 a. Total wall window area ....................... ist (SZ b. Total door area ................................. c. Total stiding glass door ares .................... . y d: 7ata1 fireplace wall •rea ........................ e. Tota1 wall fraroing area (average lOS)...:.... .... f..L f. Tota1 net wall erea above floor ................. ! i. g. Total rim foist area ............................ 134 7nta1 exposed foundation area - $ 5's A. Total foundatioa window area ..................... ? 1. Taat net toundation area above grade ............ Determine "U" value of each via11 sayment. a. 15Z x "u" 'S5 -- 3.10 b. 3 0 x•uK ,13q = 5.Z8 C. yq x "u"?_ • 22 d. ? X "U" - ? - e. jq(e. Z. X "U"?Q? ` .-..,a.?..,,i f. 13 ?S. a x°uN • oIL' _. 4.tf , - 9. 134 x Mu° _'.09 ^ ?-5:' . n. - x NuN - I. 85.5 x Mu^ q?o - qo .6 cl ` 3. " ? q.l S : 5...... Total - ? ................... If ltan t3 is the same as, or less than item /l, you have met the letent ot SBt 6006(c)2. Total exposed roof/ceiling area ? ! C 3 3. SB .. Total gross roof/ce11 ing area ? 1031S B J. Tota1 slSylight area ........................ - ? k. Total roof/ceiling framing area ............ 1. Total net insulated roof/ceiling area....... q30.22L Determine "U" value for each roof/ce111ng segment. . . ' J. " .. x MY 11M f ? k. 103 358 x•u• . 035 • 3•l? 1 ? ? 1 . q3o,7.zZ x Nu° Z9.9 4 ..................1.Q3 ?. -.Jr.4 ......Tota1 If total of 14 is the same as, or less than #2, you have met tfie lntent of SBC f,006(01- To utiltzed the total envelope system method, the values established by the sum of items /3 and ?4 shall not be greater than the sum of itens /1 and /2. 1. t 2. 3. + 4. 1fJITlRIALS Extezior eir siQios MAterial an•athivq I:ssulst ion StieatxocJc InLeria2 sir Ytuds RiR Ceno. iiks, ?•rr. Eeai?tana? "8• 145 I& ? . Use BLUE or BLACK Ink r For Office Use $t I City of Evan , Permit r I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: , 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:40G~ .201/_% Site Address: Unit Name: Phone: Resident/ 7 1~ Owner Address / City / Zip: 12 11 b y t~ Applicant is: Owner Contractor Type of Work Description of work: 11;!I~ / did {IA-1- ,►M.4_ Construction Cost: 4e3. Multi-Family Building: (Yes / No ) Company: /vs' .c,- fontact: `V '!1 Contractor Address: .41-4- Jul' City: v State: A4A Zip: Phone: License Re'-! 76Lead Certificate 14 7 A /O .f 1,9,`- 1 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: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit i suance. x / .p.,. Applicant's Printed Name App ca Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � C� � Permit#: ��7� I lty of �� Permit Fee: �� '�J � 3830 Pilot Knob Road j �� I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � \;l�C � � SiteAddress: �� !L ,C 5f� ��f�it, r i/ Unit#: Name: 1"►�r� �4r 'e Phone: ��i" 7.f�' 7�/.f,[ Resi�ientl / Qyy�� ' Address/City/Zip: / 2 /l .��Jd ��5��"+ �J"�e � ' Applicant is: Owner Contractor ' Description of work: Mcvic e,��Q ,�iht,k,�/ ,�` ��/� �✓�7 `�/'h��J Ty�e Of Wi�Ck , Construction Cost: /��. �o Multi-Family Building: (Yes /No �� '��, Company: f� �. �� Contact: ��1CU.S "�>�1�� , ` Address: � 77� S �� i1!� /v City: l(//�wu� �or�tractor State:�Zip: S�yy� Phone: ��3 r �S-317 s�Email: �/�f � iCi�vS E✓LAs-v -c:c.� ,� � � ' `'�� License#: � 70 Lead Certificate#: ��0 5,,��C'� � 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: Sewer&Water Contractor: Phone: Nf?TE'.Pfans and.�upp�rting do�umen#,��h�t yau su�►mit are�onsidered tr��ie;public t'nfr�t�m�ti'r�n. Portic��is a� fhe informativr�'may be'classl�ed as�a��ub/ic';if you�rovide specifi�reasrrns that wc�ufd permif the City';to ��'�� G'�iac�ri�`e#haf:t�re �r��'��.fr�de��e�rets��: :� 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.caopherstateonecall.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 permit issuance. �,.... X %� vs � .-----.__..__. ,� X ApplicanYs Printed Name App nt's Signature Page 1 of 3