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1248 Balsam Tr ECITY OF EAGAN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SANSEWTRUNK - 19-73 1 6•0 , $.80 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1 7 7 160.00 10.66 15 10-17-77 STORM SEW TRK ; STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. . AP . SUILDING PER. ? SAC ,c, o - 7 PARK _, - • GTY OF EAGAN 3795 P11ot Knob Road Eagon, MN 55124 NO PHONE: 454-8100 BUILDING PERMIT Receipt # 6 7 E>':' To be used foe g• pote s 19 Site Address - 7- ' Erect p Occupancy '- Lot 4W Block Sec/Sub. ``(- Alter ? Zoning ? Parcel # _ Repoir ? Fire Zone _ ?. Enlorge ? Type of Const. ' Nome ?tl F'e:E?' tiE:T? Move ? ?, 5tories W Z Addreu - 3 :• Demolish ? Front _ ft. ? Ci Phone Grode Q Depth ft. ? Approval: Fees Name o u Assessment Permit '•'??' Address U - _ SU = Water 8 Sew. . Surcharge Ci Phone Police Plan check _ W W Nome W Fire SAC 475.00 `= x? Address - W Eng. 2 30 . 00 Water Conn. 60.00 Cit Phone < Planner Water Meter Council 120.00 I hereby acknowledge thot 1 have read this applicaYion and sta;e that gldg. Off. the informotion is correct ond agree to comply with all applico ble I?35 5? State of Minnesota Stotutes and City of Eogan Ordinances. APC . Total . . Signature of Permittee :.on A Building Permit is issued to: _-- `-' 4<< on the express condition thot all work shall be done in accordance with all opplicable State of MinnesOta Stotutes and City of Ea,on Ordinances. Building Officiol __- 4416 ?amk # Deb Iwwd PouIMM Plumbing 7 7 ??./ - • Mechanical .,- INSPECTIONS DATE INSP. Rouph-In Rnd Footings 606 Dote Irup. Dafe Imp. Foundotion 7 Plumbing ovrf?,> Frome/ins. ?-017-77 Mechanical i( Finol - -1 ? Remorks: No.: to comply wieh the City of Eagon WATER SERVICE PERMIT PERMIT NO.: DATE: No. of UniYs: Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Chorges: _ Totol: Date Poid: CI7'Y OF EAGAN SEWER SERVICE PERMIT 3745 Pilof Y(eob Rood Eogan,- MN 55122 PERMIT NQ.: Zoning; dATE; Uvner: - No. of Units: Address: Site Address: Plumber. PA l:?atr, • _. . ? , ----- ! ogree fo eompry with O Ehe City of Eagan Connection Charge: -- ?dinaneas. Accvunt Deposit: Permit Fee: BY Surchorge: Date of Insp.: ?isc• Charges: insp.:--`_ - Total: - Date Paid: ? "<>? :e. ?::•cr ??_ ? , " Dote: Site Address: 1248 E. Balsam Trai 1 Lot Biock - Sub/Sec. w Name , . : c:: , _._ ?:'et:f•,?.-.-. . . ; Address 4701 t''r• llflth St. _ O City `'1uoningtor. Phone: ` Name r'en:s-Ryan Plumbing & Heating Inc. 0 P Address '! a745 So. I:obert Trai1 C O V ?:r;SF'i :.:.?1nt- City Phone: This Permit is issued on the express condition that all work shafl be Minnesoto Statutes and City of Eagon Qrdinonces. CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Receipt No Single Residential No. -c Multi Res., Comm./Ind. ? New/Alter./Repair Cost of Installation 2 t; . Permit Fee Surchorge TOta l done in accordance with all opplicable State of• 8uilding Official ?: - - CITY OF EAGAN • 3795 Pilot Knob Rood . Ecgan, Minnesota 55122 Phone: 454-8100 . , PERMIT No. ? 'Y l7 Dnte: Receipt No.: ' = ' Single I Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. I Name ' New/Alter./Repoir. ? 3 Address Cost of Installation O City Phone: `_ Permit Fee r? Name ;erz-FVZ_z Plur.t?iing & ?T?- ?r,C. Surchorge .-' , ? .. Address 14745 So. P.obert Tt'3i:1 e 0 V - - - -, .. ?. City Phone: Total . This Permit is issued on the express condition that oll work sholl be done in accordance with oll applicoble State of Minnesota Stotutes and City of Eogan Ordinances. Building Official Receipt MECHANICAL PERM17 Permit No. CITY OF EAGAN Fee Fill rn numbered speces S/C Type oi Print legib/y Tot. 4. Date 2. lnsta!lation Cosi 3. Job Address Lot 1 i Blk. Tract 4. Owner 5. Contractor Phone ' 6. Address 7. CitY Staie Zip 8. Building Type: Residential ? 9. Work Description: New ? Commercial ? Insti#utional ? Add ? Alter ? Repair ? 10. Describe Fuel Type 1 11. No. Equioment 9TU - M. Ea. Forced Air No. Equipment CFM Handli Ai Mfg. r 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 all ordinances and codes governing this type of work. Signed : Rough Inspections: Date Insp. for Fina Date i Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? fI {?? i?a: t/11h PERMIT SUBTYPE: ; ,1..- ! I I : , 1 I IVI• I I ', II f A1 illpd PECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: .. ? ?? kl nr r, ? , APPLICANT: TYPE OF 1NORK: t : ? . i , , . . . l1 i I1 I t i II ? N :I .} fy1V,? I IKAM 1 N+l f INAI J Permit No. PermR Halder Date Telephone M SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footingsl Foundation Framing Roofing Rough Pibg. Rough Htg. 1/?t ?/?'3 ?,w f r? G lsul. Firepiace Final Htg. Orsat Test Fnal Plbg. Pibg. Inspector - Notiiy Plumber Const. Meter Engr./Plan Bldg. Finai 4 Deck Ftg. 0es- I/ Z ? Deck Final ip Weli Pr. Disp. ' RES9DENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConswction Reauirementa • 3 registered site surveys showing sq. ft. W IoL sq. R. of house; and all mofed areas (ZO% maximum lot coverage allaved) • 2 copies of plan shawing heam 8 window s¢es; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Poan if lot plalted after 711193 . Rim Joist Detail Options seledion sheet (bldgs wilh 3 ar less unfls) ;ffg RemodellRaoairRenuiremenh . 2 copies of pan ^ • t set of Eneqy Calcutadors for heated additions - ? • 1 stte wrvey for exterior additions & decks • IMicate if hane served by septic syslem for additions DATE _JULY Lj 2601 VALUATION ? L60066 JOBSITEADDRESS 12l1t EAST gALSA.wI TRAIi- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WOItK D FiR'c?LAC'ctSj _ Q _ i _ < APPLICANT RVEiLC?TY 131d.R5 ? M ILLGuoaJC, XNC, pHONE# 501-4145-05511 ADDRESS Qok -7 98 MA?u 54'1 b[F.e$TRPfNP M rN0 ZIPCODE 55053 PAGER # CELL PHONE # 567- G49 - tG 59 FAX # 567- 3314 ^Gq7Z. Nf1V RESIDENTIAL BUILDING ONLY - FILL OUT Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Conhactor. _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # ? ?a, -?,.. ? "?UI-3 D'Z06? .. /( Fee: $90.00 Fec: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaqart'? di ance J Slgnature of Applicant _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Suh - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener Iawn Sprinkler _ Water Heater _ No. of R.I. Baths _ No. of Baths _ Air Condiaoning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ?31New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof X 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation C901 Occupancy k-3 MC/ES System Census Code ?/? Zoning - z City Water SAC Units O? Stories Booster Pump Nbr. of Units Sq. Ft: PRV Nbr. of Bldgs ? Lerigth Fire Sprinklered Type of Const • W idth ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding Stucco Stone ?j Windows (new/replacement) Approved By Z?tx , Building Inspector REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) FinaUNo C.O. Footings(addition) Plumbing Foundarion Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? OS 0&plex ? 16 Fireplace O 09 07-plex ? 17 Garage ? 10 08-plex 'V18 Deck ? 11 10-plex ? 19 Lawer Level ? 12 12-plex Plbg_Y or _ N FinaUC.O. ? HVAC T,??m X'tr?dl_ "ix cF/ze F,U r 6 7 7 21 ReQU 5f Da ttt 1 `? Flre No. Rough-in Inspection Re ired7 OFeaOyNOw Notitylnspector lO ?? ` ? es u N. han Reetli ensed contractor ? owner hereby request inspection of above electrical work at: JoD ess ?SVee?. Boa or Route No.? ?J`- x.`--" "" '' Ci Section No. Townshio Name or No. Fanqe No. Go Occupen (PAINT? ? Phone Na. ,.? ne Power SuOP'ier - .?? FtlOress ?._. Ele ¢al ConVacbrlCOmO Y? e) ? ? ?? Gontractor5 License No. . ??V Madm A e IC tor or Own r Making Insl al n? ??? . AuIDonx Slqnawre IConttac?orner Making Inslallalioni Pho9G ?N w e r"' ?1..1 -Jj 4r1 / j ?? Q MINNESOTA STAIE BOAPO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gtlgqs-Mitlway eltlg. - Foom 5-173 1\ BE ACCEPTED BV TME STATE BOARO 1821 UNVergHy Ave., St. Peul. MN 55104 ? UNLESS PROPER INSPECTION FEE IS Vhone(612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION }i0 `-?? ee-ooooi?oe ? ^ See inshuctiore for co =plelinq Ihis lorm on beck ol yellow copy 67, 7 21 - - ...? ??- ?y "X" Below Work. -Covered by This Request ew Aao ReDl TypeofBuiltling AppliancesWiretl EquipmentWired me Range Temporary Service plex E Water Heater Electric Heating Apt Buiiding Dryer Other (Specity) omm./Intlustrial F Fumace arm " Air Contlitioner pt r(s .,14 Coniractor's Remarks: Compute Inspection Fee Below: k Other Fee # Service Enirance Site Fee # Circuits/Feeders Pee Swimming Pool 0 to 200 Amps D to 100 Amps Transiormefs AboVe 200 _ Aitlps Above 100 _ Amps Signs Inspectar5 use only. 70 L - Irriqation Booms ? Speciai Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCO NECTED IF NOT Other Fae COMPlETEO WITHIN 18 MONT ? I, the Electrical Inspector, hereby certify that the above inspection has been made. R°°qn-m c:f 7 r 17 a oaie i OFFICE USE ONLY ? This requestvoitl 18 mon[hs Imm inis request void 18 months from ¢z e ' / 9 f . Iln;e of this Request Jul.y 29, 1977 P . 14801 I, as 0 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Wilderness Street dress or ute No. 1 8 alsam Tra' + C Run Sectioii Township Range County n?tota Which is occupied by Svend Peterson Construction 884-5144 (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? PowerSupplier Dakota Electric As:,n, Address821 3rd St, arminet=? °D? Electrical Contractor Ken Sorenson Electric Contractor's License No. (COmpany Name) MailingAddress 8070 12th Ave. So., BloominFton, Md 55420 Authorized Signature -l-.e_.2 ,Phone No. S5b-4/?70 (Electrical Contractor or Owner Ma Fft g 7his Installation? U?BQQD COPY Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPE,CTION C ECK BELOW WORK COVERED BY THIS REQUEST 14801 Type o[ Building New Add. Rep. Check Appliances W¢ed Foc Check Equipment Wired For Home ? ? Range ? Tempoiary Witing Duplex ? ? ? Water Heater ? Lighting F'uctuies ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commereial Bldg. ? ? ? Fumace ? Silo Unloader 0 Industrial Bldg. ? ? ? A'u Conditionei ? Bulk Milk Tank ? Fazm ? Q ? List ) List Othef ? ? ? p y Hehersl p Hereers? COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fee Fceders&Subtceders: Ciccuits: # Fee 0 to 100 Am s. 1 00 0[0 30 Am erov\ 0 to 30 Am eres 101 to 200 Am s. 31 to An ' A3 ..;r ?:,f ? 31 to 100 Am eres Above 200 Amps. Above 100!Y Aio ` 3.'i? ::?'' Above lO?Amps. Transformers RemoteGinVO`@irc. Partialorothetfee Signs Special I"- ection Minimum fee $5.00 Remazks Temporary Service TOTALFEE 600 I, the Electrical lnspector, hereby certify that the abov inspection lias been made. ? 6p (Rough-in) Date (Final) . ? Date - /ro- 7 ? This request void 18 months from ` This,Pquest void 18 months from ,#2°0 7-Z, // P 14805 Date of this Request AuP,ust 23. 1977 I, as 13 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street A dr s or Rout No. B saM ' City-lagan Section ?Townstup Range County llakota Which•is occupied by Svend Feterson Constxuction (Name oT Octupant) Is a rougliln inspection requiied on this job? No ? Yes Fg Ready Now ? Will Catl 0 PowerSupplier Dakota Electric Associati.Afldress 821 9rd,, Farmington, Mid Electrical Contractor Igen Sorenson Aectric Contractor's License No.32934 (COmOany Name) Mailing Address 8070 12th Ave. So. Bloomington M 55/+20 (Electrita-l?Cyp?n?tracto or Owner Making This Installatlon) AuthorizedSignature ?ja --O,ff//.! PhoneNo$54-4470 (Electrical Gontroc?or Ownef Makln9 This Initallatlon) SU47?jE BOARD co¦ il ' ' Minnesota State Board of Electricity :854 University Ave., St. Paul, inn. 55104-Phone 845-7703 ? REQUEST FOR EL'EC CAL INSPECTION CHECK BELOW WORK COVEREU BY THIS REQUEST vmtJ°y -? // p 14805 Type oi BuOding New Add. Rep. Check Appliances Wired Fox Check uipment Wiied For Home 99 ? ? Range ? . Temporazy Wiring ? Duplex ? ? ? Watex Heater v? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ' . ? Electric Heatlng ? Commeicial Bldg. ? ? ? Fumace ' ? Silo Unloader ? Industtia] Bldg. ? ? ?- Au Conditiorier ? Bulk Milk Tank ? Farm ? 1-1 0"'? , QL? i"7??hwasher St s s?- List th rs? Othe: ? ? ? - as? ?i e ie H ?----- e ? COMP2ITE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Sub[cedeis: # Fee Citcuits: s Fce 0 to 100 Am s. 0 to 30 Am res ,. 0 to 30 Am eres 101 lb 200 Am s. X 31 to 100 k. perla ? . 31 to 100 Am res Above 200 Amps. 106 ?'?NAm 's. . 1, Above 100 Amps. Transfotmeis IFetnC' " Ci{' Partial or other fee Si s S ial I 'liectirlV Minimum fee S5.00 Remarks Complete House Idiring 'IOTAL FEE I, the Electrical Inspector, hereby cert?y E?,at the?o e intpection has been made. Q.O 0 (Rough-in) ?? 4 Date -% -7 (Final) Date i/- .731,- 77 This request void 18 months from ;. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 o , C) 651-681-4675 ?? New Canstruction Reauirements RemodeUReoait Reauiramenta . 3 regislered ske surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas . 2 copias of plan l f I0 (20%maximum lot coverage allovred) • 1 set of Energy Calculffiions for heated additions T • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for extenor addlGOns & decks • i set of Energy Calculafions . Indicate d home served by septic system for additions • 3 copies of Tree Preservatiun PWn if lof platted afler 711193 . Rim Joist Detail Options selection sheet (bidgs with 3 oriess units) DATE fl P R? t? 7J3 7,002, VALUATION ?Ct F?-D JOB SITE ADDRESS ?oZ 4 S ?ALS,4n? R.p i? CAsr IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERT'( OWNER JA,uer cJAGKSotS TYPE OF WORK -TEC K FIREPl.ACE(S) _ 0_ 1_ 2 APPLICANT ?fUER. C'? tT4 ??ic?jge.s f M?u.tuosObL.? ?rqG, PHONE# 507•61t5• 46-S 1 ADDRESS QS Ml400 S+ Me1257RA1010 M,fu4 ZIPCODE 545053 PAGER # CELL PHONE # FAX# 5o-i•334-6972 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/W ater Contractor. Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. Fee: $90.00 Phone # Fee: $70.00 Phone I hereby acknowledge that I have read this application, state that the informatio `"' , omply wiih all appiicable State of Minneses and City of Eagan Ordinances. ? Signature of Applicant ` ` - Certificates of Survey Received _ Tree Preservation Plan Received _ Not equired _ Updated 2002 _ MINNESOTA RULES 7670 CA1'EGORY 1 - Residential Ventilation Category i Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water 5oFcener Iawn Sprinkler Water Healer No. of R.I. Baths No. of Baths OFFICE USE ONLY . , ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex 1116 8 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ,Q 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 037 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg on4y) - Give PC/A handout to applicant a? ? Valuation Occupancy MC/ES System Census Code Y3 Lf Zoning City Wate'r SAC i;nits ? StozIas 9ooster PtmF Nbr. otUnits • ? Sq. Ft. PRV ., Nbr. of.Bidgs ? Length Fire Sprinklered ' Type of Const, V? Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Shtcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector o U! i 04i032005 10:40 ERGRN ENG+C0M DEV e 507 334 6972 N0.578 at,e Yoti r! =,' eterson - +• ,. !{'°:°?'?'eat 11?th.8treeti , . ngton, Mn: 55437 DEIMAR H. $CHWANY 1.11,140 svaveron P40i0p/Y unO11 61w490 TM 5We ss M.nn0104 • . 1461{ SOU1N R009iii iPA14 P.O. 009 Y P09E!lOUNT. MIMN$60iA 660N PMOM! 412 472-11M SUBVEYOR'S CENT1i1CATE y ----? S-T ? .? ? .?.oo seoap?•?, n° v ` ? ?Arainago 8 utlllty I eaeemonb ? Y 30 ..;.5 ? ? .. o h ? W /2?0/ i?NO rofi u? N o/?NOyy? N 1W O ? 0 ?y V a? q Lu•r = 28 LOT 29 m n u ? a i 9CALE, 1 inoh • 40 Pest o Denotea Lrop monumant - 9z.66 9060E945"E -?--? . . I hernby certity that ttlle lt a trua end oorrect ropretentatlon af, e awwey oC the boundarlse o[t i,ot 29, Hlook l, wILDMa9 PARK AUD1R'YON, eecording ro ths recordad plat theraoC, Aakota Countiy. Kl.nneeota. Aleo uliowing the lccation ot e prupoied house Btaced tnerson. Aa survayed vy me this 26th dnY of Junet 1977. ? • ?? ? MINNfSOiA REOISTRAII0N 4 0? • D02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConeWction Reouiremenq • 3 registered site surveys shovnrg sq. R. of l04 sq. ft. of hause; and all roofed areas (20°k maximum lol coverage allowed) • 2 copies ot plan showing 6eam 8 window s¢es: poured fourM desgn, etc.) . 1 sel of Energy Calculatbns • 3 copies of Tree Preservatlon Plan if lot platted afler 111f93 . Rim .loist Detad Options seleclion sheet (Wdgs with 3 ar less unAs) DATE / -1/-DA / ??- 7 S Kemooeuneoair rcwwremeno . 2 copies of plan . t set M Eneyy Calculatiom for heated additions • 1 site survey far rxterior addi0ons & Cecks . Indicate if home served 6y septic system for aOEiUons VALUATION SITE ADDRESS ? 3118 e(.LST L?_WaQM I hUtL MULTI-FAMILY BLDG _Y V/N TYPE OF WORK rei Y(XJF FIREPLACE(S) _ 0_ 1_ 2 APPLICANT L-L l'"[CG? I U Wf "'? t 14-L? L vf 1 STREET ADDRESS 43D AalV . CIn U I STATEAln ZIP TELEPHONE # Q"?Jd'qOrJ'/c?CELI PHONE # °- FAX # qo"?D?I PROPERTYOWNER TELEPHONE# aJ?? -77` ------------------------------------- =--- -°--...._..----------------------------°------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTa RULES 7670 CATEGORY 1 MINITNESOTA RLILES 7672 (J submission type) • Residential VentilaUon Category i Worksheet Submitted • New-EuerSy_Code-WO!ksheehSubr 2n?P ?' . Energy Envelope Calculations Submitted D I r ?Ir ?? L11_ I? IR SEP 1 7 2002 ? i ? Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mectilnical system includes: Sewer/Wafer Contractor. _ Water Softener _ _ Water Heater _ No. of Baths rtir Condiuoning Heat Recovery $ystem Phone # Fee: $90.00 Fee: $70.00 .._...-°------°°------------------°-----------------------------°-------------------------------..._..---°--------° I hereby ocknowledge that I have read this application, state fhat the information is correct, and agree to compiy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ,S2??? OFFICE USE ONLY ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ , Updated 4102 _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # , FA ;' '. t 1?/(? r R Ai f?j'r At6 1'OTi eteraoa • ,: _ ,d. .. ?,. f: * ;:.{ ? -?eat 114h.Street ington, 14n: 55437 , r? - ?. . ?? . . . . ' . DELMAR H. $GHWANZ > ? LANOSuRYEVUR Re9estqe0 Unou LAwf ol TM $111. ol MinnMOlb . ' 11616 SOUTM ROBERT TRAIL P.O. B01f M ROSEMOUNT, MINNRSOTA 66088 YMONE 417 473-178Y SURVEYOR'S CEqTIFICATE o- - se0009,?„E , ,°„ ? ? V ~ 1?? ? A Drainage & utllity 240 eseement "10 G4q ?B ? .. t? 1 iPq4PofFa V4 a ( . ?O 0 ..p?? HOb3E ? .aa 0 a Q? N z ?, ?-u 'f P?C?efk Peo 4 ; • ;t;,,a j? 9CALE: 1 inch es! 40 ftet LOT 29 o Denotea lron monuwent h ' I? co M b ? n ? S 88°09'43 I hereby certlPy that ttiia ls a true and qorrect representation of a survey of the boundarlsa oP: IAt 29, Blonk l, wILDERNFSS PARK ALDITIOH, acoording to the recordsd • plat ttierdof, DBkota County, Minnesota: - '} Alao atiowing the loaation of a propossd houee atuked tnereon. Ae aurveyed Uy me this 28th day of June, 1977, ? i r L G?t/ Gt? '- ' MINNESOTA REli15iR4T10N NO 8626 DR1tOTA (bUTAY TA7(iIJALUE IWFORI(YfIOM SYSTt77 Requested an: 06/28/2881 at: 09:52:23 For pROPERiy 1D Xweber: 38-84258?290-81 Faxed to: 651-714-4808 Phorre: not entered Ect: sklpped Reqlt: waB7 Dakota County prwides this data as a sarvice only and does nwt warranty or otherwise guarantee the aecunacy or the correc{ness of tha data in any mannar. If apw have questions or nead more ;nformation, pleasa call 651-438-4576. I 1 ? ? L ' - . . RIVER CITY BUILDERS & MILLWORK, INC 98 Main Street - P.O. Box 7 Nerstrand, MN 55053 phone (507) 645-0551 FAX (507) 334-6972 City of Eagan 3830 Pilot Knob Road account number 7/26/2001 phone # 651-681-4675 FAX # FAX page _ Attn: Barry Subject: Appiication of I Barry, I don't know if you'll recall our conversation of last week, but here is the plan for the deck addition we discussed. Also, please find enclosed a copy of our Contractor License, site layout, and proposed deck location. You had mentioned that there may be a site survey on file at your office, since that house really isn't that old. If not, please let me know so something can be worked out. We would like to start the job as soon as possible. Thank you very much for your help. Sincerely, ? ??: . _ . . . . . . ;,?i ". • SKETCH/AREA TABLE ADDENDUM ' Case No 0071172949 File No 30011000 ProAdtlracs- 121E BaWm Trall East City an C Dakom Sffi[e MN Zip 66127 .. Borrower Janet Oruek LerulerlCOeM Irw4i Mortpapa C atlon UC Atldroa 7000 Cn Rd E YWst - V28o, BhorcvMw, MN Sb1 Appraser Name Appr qddress 2189FouM Streat / 26.0' o Family Dining 19.0' Bath Bedroom Living Room Kitchen WIC 0 c6 N Bath Bedroom Bedroom Den WIC WIC 31.0' 12.0' Deck 3.01 Garage 24' PERMIT # yk,u RECEIPTDATE: -) `J USIDENTli4L PLUM$INfi PFfiMTf APPWCATION crrYoF F_AsAv S$SO PILOT KNOB i{D eaenx, Mrr ss1Es 651-6$1-4675 Please complete for SITE ADDRESS OWNER NAME: : INSTALLER NAME: STREET ADDRES: CITY: I_ (I l. ` % single family dwellings : townhomes and condos when permits are required for each unit D backflow preventer for irrigation system Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Septic Systern, new/refurbished - $ 225.00 • includes County & Consuliing Inspector fees • requires MPC license n r q State Surcharge r? APR z 4 Z? $ .50 , U Total ?Y S $?? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledga that I have read this application, slate lhat the information is cortect, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicanCs responsibility to notify ihe property owner that the City of Eagan assumes no liability for any tlamagas caused by the City during its normal operational and mainlenance activilies to the facilities consWCted under Ihis pertnit within City g.Qperty/rightot-way/eae nent. _ ?? SIGNATU E OF PE MITTEE Updated 1101 z ('0 oSs/?'G S "'1-?j? ? SG7 Tatal Fee Collected _Check If Double Fae ?l SJ V ? ? d ? VI ?J V ? ?^? ./" S ? ? QPOroved: Data: The untlersignea herBby makes application fof a pefmit to do work as herein specifieE, agreeing to tlo all wolk In sflitt accortlante witn all Ortlinances antl cotles of the ortlinances antl cotles of the Town of Eagan. ?` b?'? ^?wr?r?-E- ??ooo ?'E 4? Lza??31, ta?p, IS? 1%?pt aIITOWN OF EAGAN"I"5V ? 5£"} ??"`??`k rG r I ?a5 , ? 3796 PILOT KNOB ROAD -^{?au ?L k0.VE b£E v'l S?a ST. PAUL, MINNESOTA 55171 RECEIPT NO. DEPARTMENT OF INSPECTION AND ZONING pERMITNO. Oate of AOPiitati0n 1 n/ ?4/ c,? /? i Nama of Owner ??If?f/J? /"( (sPi"",? Name of LiCeh50C COntrdct0r?////r/??til'?7°A'?/ T? a? oa Estimatetl Cost of work ?7"zyC AtlEress SJ ? Add,e,= S o i Work to ba tlone Numbe?/??5? Street Side Connecting Streets Wl PYBmi5B5dt: Wartl Lot Block AtltlRion ar Tract Structure: New Oltl Brick I Stone Frame Brick Veneer Stucco Cem. Blo<k Metal Wofk to be Done: Builtl Install Atltl I Alter I Repair Move Wreck Hang Storie5 Front Oapth Hei9ht I Built of To be usetl for Builtling Masonry or Fin e ent 8lacktop Sign Plas[er8tucco r Wall Elevator Fance Driveway Roofing Natura of Work: Air Gontl. Refri9eration Plumbin9 VentilaSlon Sheet Matal Gasfitting Gas Burner Warm Air Ht. Steamfitting Olher (Name) PLASTER-STUCCO-DRV WALL SIGNS anC BILLBOARDS GAS 9URIVER NS.P. Permit No, Date Erect New 51 n Number ai Burners to be: InStalle0 ? Repairetl No. VOS: Int. ReOatrOltlSi9n Alteretl Conrertetl IIIUm. TrdtlB Name `? ??- Ext. Non-Illum. ?a Ges Unit Si2a No. _ B,T.U. Input /? On0 Roof Gas SuOGIy Piping to be InStalletl: Ft. Pro)BGtln9 Type of Heatin9 PIenL Steam Warm Air PLUMBING olizontal Hat Watef Vapor No. VerSiwl Connectetl Loatl B.T.U. G ? b Water Claset in Inches) a Size (Diam P tl V t Fl Combinetl Horiz. & Vert. . rapose en u Bathtub T e of Cons[ U i l Other yp . Chimney Flue: Oimenslbn5 r na Remarks: Showar - Lavato Kitch. Sink 51o Sink MECMANICAL STEAMFITTING SpaGlal AOP?ications Bar Sink Oi h h N1arm Air Heatin9 PlantS: No. Item . s was er Launtlr Tr. PipeX_ Pipele55 Steam Boiler Drk. Fntn. x Fan System Hat Water Boiler MiSC. Fix. ? PYB $ t G St SSUIG yE afll High Pressura Boiler as ove Gas Opn. Matorizetl Unit Hoator arb Dis NO . Unit Ventilator A.C. Unit s Dr O Tr tl N Sf N Steam Hot Water Heater . a ln«n• a e ame zo o. Manufacturer Steam RaGiator Gas Wat. Heater Dlam. of Grate Incnes ? Hot Water RaEiator MISC Gas B.T.U. Input: -" oHBat Los Floor Dr Oil InpuL Gal Por Hour . Gar. Flr. Dr. . CLh. BHS. COn. Warm Air Heating: Cravity i Forcetl Ai Rat ng SepTankGesspool Ventiletion DuU Work Sq. Ft. CaD of H W Ratliator Hou58 Sew. Ref.Drn. Refri 8ratton O Ft.Ca of5teamRatliat. Sq Fin. Wat. _ p General Sneet Metal . H P LeaCers No. . . Mlacellaneous APPLICATION I n5pector APPI icant BUILOING PERMIT IS VOI D if no work Is tlone above the Toundatlon for a periatl of six (6) months from the tlate of issuante. ALL PERMITS VOID unless work is completetl antl tinal inspection maae within ona (1) year of issuance. crrr oF EacaN , 3795 Pilee Knob Raad Eagan, MN 55122 N? 4 4 ? s PHONE: 454-87 DO BUILDING PERMIT APPLICATION $45p000. Receipt fk 6769 ____ 7o ba used for Sing. Fa, Dwlg. S Garg, pate July 20, , 1 q 77 Site Address 1248 E. Balsam Ti. Erect 13, Occupancy I 1_49 aW Block 1 sec/s.b. Wilderness Park Adc(qter 0 Zonin9 RL Parcel .i{' Repair ? Fire Zone _ Enlarge ? Type of Const. V z Name lbg- Svend Petersen Move ? # Stories z ' 4701 W. 110th St. Address Demolish ? Front ft. ? Cit Mp1s' Phone 884-5144 Grade ? Devth tt. p Nome _ ?? Address r .-:... Nome _ Address I hereby acknowledge thot i have read this cation ond state that the intormotion is correct and agree t ply ' appli able State of Minnesota Stotuand gjtq? ' Eag Ord' a e Signature of Permiitee - /? A Building Permit is issued ro: Svend Petersen COASt, all work sholl be done in acwrdanc?-with oll appliwb Stote of Minn Building Officiol ? 1? e• <«, - P? Assessment_- Permit +ca,vv _ Water 8 Sew. Surcharge ZZ •$0 Police Plan check Fire SnC 475.00 Eng. Planner Woter Conn.?30.?0 WaterMeter 60,?0 Coundl Park Don 120.00 Bldg. Oft. nPC Toral 1035.50 _ on the express condition that sota Stotutes and City of Eagon Ordinonces. a.e.. /J ? 7 .. Da.. BUILDIIIG PERM2i APPLICATiO?i I,OT Z2 BLOCK ADAIiI0i1 .???/??S? 1(71 '%:.'.:C: T. & SP.C!'I017 I•NI913ER IF Ui1PLATTED fl?:L''::53 Gi' , : 4?--pCC[7PANCY / USE s ? . .._._,.. O?•?! ??ia L? G?c9 ?1? ?? / c= T? S Ez?/I/ TELEPH04iE iVO. _ _.. _---.... COL;sR?:=:R TELEPHOt1E 110. ,.. M:'PESS - c?oten Include site plan, building plans, and energy calcula 'on r?ith ih`.- application Si ed ?11 ?? OFEICE USE 7ALUATIO11 X/5 6 a 6 q 95 00 t:.".3NECTSO't1 A31) ':i?CPc:R ?3E'SER ???.?... .:iJYM3idG PSRIdiT FEE 5 b 71RCNP.RGE FEE ?;,i1II CeTCK E'EE p_n.s.K DEUICI1TIOl4 FEE I a i? ? o2HER I U 35.?.. . ..i:.J* Z+..P?'["jl;T•.$: =.?>?SS;+Iu:?T CLERiCBUILDIIQG DEPT. POZICE DEFT._ & SL'47ER De^,PT. FZAn DEPT. PA12K DSPT. .,._.?. . / ,% C:::.??-?.'ie?.i.? Yax•: [.r'?t(?' 47,'], [ic3t 113th..5treet 3iaoman,rton, ttn,` 55437 ? . DELMAR H. SCHWAN.Z ' LAND SVRVEVOR - Fepiit!/ptl UnOer Laws o1 The Stata of Minnesota 14518 SOUTH ROBERT TRAIL P.O. BOXM ROSEMOUN7, MINNESOTA 56068 PMONE 812 423-1789 SURVEYOR'S CEHTIFICATE M etge & utility aement L 0 Y 30 3CALEc 1 inah • 40 feet o Denotes iron monwnen4; F horeby cort3fy that tYcin Se a true and eorrect t°eAresontmtlon nf a susvoy oP tho boundariea of : L,ot 299 IJ3ock 1, WILDERNESS PAFtK ADDI'I'ION, accordinf; tsl the recamed plmt thoreoP, Dakota Countq, Minnepota. A1no showin, Che location of e proppaeti nouve ot-:_cd tr.ereflr.. Ao eurveyed by ma tkiia 24th day of June, :•iNvesora FIECIsrHnrinru No 8625 ? k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 022215 10/13/93 SITE ADDRESS: P.I.N.: 10-84250-290-91 PERMIT 1248 BAL5AM TR E LOT: 29 BLOCK: 1 WILDERNESS PARK DESCRIPTION: ? ?-' ? -? 4-SEASONf10x14 DECK B.u)ild'ing_Permit Type SF PORCH Building 4lork Type ADDITION 'UBC Occupancy.? R-3 - ?? ? J 1 REMARKS FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUA7ION $234.00 $152.10 $11.50 $397.60 $23,000 CEQNTRACT$R: - Applicant - ST. LIC O?VNER: ERJAC C NST INC 14368517 0002473 KO EHMAINEN JAN 1668 STRAWBERRY HILL RD 1248 BALSAM TR E AFTON MN 55001 EAGAN MN 55123 (612) 436-8517 (612)454-4032 I Hereby acknowledge that I haue read this application and sCate that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordi,nances. L ?e? 0o(WA APPLICANT/PERMITEE SIGNATURE ?f?id R.eu:?lE ISSUED B : S? NATU -1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LpT: 29 B L 0 C K: 1 APPLICANT: 1248 BALSAM TR E ENERJAC CQNS7 ING WSLDERNE3S PARK (612) 436-8517 PERMIT SUBTYPE: SF PQRCH TYPE OF WORK: DESCRIPTSON euxLorNG 022215 10/13/93 ADpITION 4-SEASQNJ10x14 DECK INSPECTION FOOTINCr ., . FRAMING .A INSULA7ION FINAL ?. .. -. . _. _ L .--. __. _ . . . _ ..,,: . ? °... ... ? J REAL7IYATE -------------- C17Y OF EAGAN P€RMii,# 1993 BllILDING PERMiT APPLICATION 451 , 6 0 681-4675 SINGLE b MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. , COMMERCIAL 2 sets of architectural 3 structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 1 b / I Yaluation of work Site Address: ?? G?? k?? ?`^ ?« ` 6iREET SUITE Y Tenant Name: (comnercial only) LOT q BIACK ? SUSD. bj ? ? ?? P.I.D. K ?.Gh, v ??d, J Descri tion of work: The applicant is: ? Owner 05-Lontractor ? Other (Deecripe). i Phone 4 ZZ41"403 a- wV- vc? N ame Property z LAST FIRST Owner ? Q?JSC''VA ?C Address ` STREEi BiE f City State Zip s??a3 Company ?0jL1?4 A?. _ Phone ???"SOna. Contractor Address lLTg `vi ecw?3wK`+ 104 1 License # 04473 Exp.a-c2S City 4;7`q bW State tA ti, Zip S Soco ? Company Phone Architect/ Engineer Name Registration t Address City State Zip Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. r--,? 1 ? `^'?k ui R - _ Signature of Applicant: OFFICE USE ONLY . . ? _ BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16.6asement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? D3 5F Addition ? OS S-Plex ? 13 Garage/Accessory ? 18 Coam./Ind, ?`-:04-SF- Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Rlisc. ?p 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public fatility ? 21 Nisceltaneous WORK TYPE O 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demalish `[gf-32 Addition ? 34 Repair ? _36 Move / GENERAL INFORMATION Const. (Actual) Basement sq. ft. NWCL System (A1lowable) lst F1. sq. ft. tity Mater ; UBC Dccupancy rz 2nd Fl. sq. ft. PRV Required ? Ioning 5q. Ft. total Booster Pum p / of Stories Footprint Sq. ft. Fire Sprink ler Length On-site well Census Code ? Depth ! i On-site sewage SAC Code / APPROVALS ? Planning Building Assessments Engineering Yariance REOUIRED INSPECTIONS ? S-c??a? ? Site ? Fooiing ? Framing ? Insulation ? Wallboard ? F inal ? Draintile ? fireplace Permit Fee v,iL.tia,: $ 23 600 ? Surcharge ??2c0 - Plan Review /c 2 6= 36 c1 XS?-{ ? 1 °I E•5? License MWCC SAC city sac Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge ) ------- - ? Treatment P . X/r k /0 Road Unit ? Park Ded. Trails Ded. --? " Z Z 4 3C-, ies er M Tatal: SAC % SAL Units "a * ilcate Y'oTt ?l;ns1 Petereon 101 Weat 123th.Street ? f.iloomlngtun, Mn.-' 55437 DEIMAR H. $CHWANZ ' 1AN05URVEVUR ReqistNaO UnUd, Lawf ol Th<$tab of MmnesoU 1w6 SOUTM ROBERT TRqIL P.O. BOX M ROSEMOUN7, MINNESOTA 66088 SURVEYOH'S CERTIfICATE L il i 30 M ?-_ 92.00 gBOa o ? os ,5?= ? .,?? ---- PMONE 612 429-1760 „ Drainage & utillty easement rip i2q ? 96 0 W /21.0: /?FyOPoS,ED Kp eq h 45 o ? 1 • „ a o 2 ? n ? I..U T r Le ?Q Z j g A?PC6 1'rerl 9CALEs I 1nDh +. 40 feet LOT 29 o Denotea irop monument h M aj M n nz.66 S86059'43"-? E I hereby certiPy that thia Se a true and qorrect repreaentation of a aurvey uf the bou:idarlee oP: Wt 29, block 1, WILUF.RNESS PARK AIiDITTc)N, according to the recorded plat Lhereof, Dakota County, Mlr?nesota. Also stiowing the lccation of a propose(J huuse stalced tnereon. A8 aurveyed Uy me this 26th day of June, 1917. , J ? u MiNNESOiA ryEi]iSTRAtIDN NO 86-i1i? ...+.. . (? 06/29/93 08:35 FAS 612 627 0823 SCHERER BROS. ++? Medbery 2nd Flr &XTERIOR ENVELGPE AVStAGE "U" COMP[]TATION DATE OWNER ?b ? P?IY?9?°yI e.N?L SITE ADDRESS CONTRACTOR ENEiZ -..1A C- CbN ST PHONE (Doo2ioos Determine working Square Footage of Each. 7 ( 23?.?p{o 1, Total Exposed Wall Area 0 Sq. Ft. X ,10 .. .11 = 2. Totai Roof/Ceilinq Area .. Q?? Sq. Ft. X .026 = t -' OS =? 3. Total Floor/Cant. Area . x Sq. F .. . Total Exposed wall Area Above Floor = 19 °1 0 a. Total Wall Windov Area. . . . . . . . . . b, Total Door Area . . . . . . . . . . . . l? ? c. Total Slidinq Giass Door Area . . . . . . d. Total Fireplace Wall Area ... . .. e. Total Wall Framing Area (average108) .. f. Tatal Net Wall Area Above Floor ....:? g. Total Rim Joist Area. . . . . . . . . . o Total Exposed Foundations Area = / h. Total Poundation Window Area . . . . . . '?- i. Total Net Foundation Area Above•Grade ..? petermine "U" Value of Each wall Segment. a, a6O X "U" •(00 b. (q'3 g Itu ?? . ?3 a '.l c. (05 x "v" a, x "uto -- - -- e. X ??014 = 23,8n f . x „o" o = S'9 q . x "v" .O 2 = 7 8 h. X "U" i. ---r? X "U" .07 = SUBTOTAL = 4, TOTAL = 1 3. 4701 If item #9 is the same as, or"less than item #1, you have met the intent of SBC 6006 (c) 2. ?„?.. - ' ?._ . .,.. ,..,,.... i• k. l. M. n. Total ToCbl Total To Csl Total 2o tal esposed RooF/Ceiling ACea ' I ?OW akyliqht area . . . + . • ? - Elat rooE/ceiling,traming aroa nat insltad llaC raof/cailing area . ! vault rooE/aeiling framfng apea-10% net iealted vaulc roof/detitng area Detecmina •U• value for each roof/ce111ng ea4ment. rVr ?- J k. X •U• i07_S ? S X 'U" rOy {,n 4 M. Y. ?1?? .42 A. ?7 SC Z "U" ,tigo,P. o ° W. 5. TOTAG `?j7Ja. 1 I I1 itea IS fs the eame aa, or.leas than Stam f2r you have met the inCent o! SeC 6006 (c)'1. , Total Exposad Floor/Cnrtt. Areas o. Tocal floor/cant. Praming area (avrg. lOV) _ --- P : ---- area • --- -J -- -- - • Determine 'U• valua tor eaoh tloor/cant. sagment. o. x 'U` ? - . p. x "u• 6. TOTAG ° If total of 16 ia tha eame aet or laae than 13, you hava met tha Sntant at sBC 6006 (e) 3. • ! ALTEAHJITE BUTLDIHG BNYEGOPB PESICN To util,,lze tha toGal envelapa ayaGOm method# the valuaa eatedliahad by [he ?um oF iCema 14,r IS and 16 ahall n?,o?t 6a•graater Chan the aum of itams 11, t2 and 13. . 2. 54 7'? 3. ? 2- 7?P.QG, r93_ Lq 5. 6. ?'/.r"? 4. Prapatrad 8y Dare ? ?r ??? !'z- `"`'? Iti `'?? ? 4 '. - f. /JtEp TYPICAL YtALL SEGTION "R" M ARc:h No. 1 : r ?i.ARFA No. 2 ,-.? 5ftL Fscnte? ;. '? rcripncr«L F1nIIr??14al]..1,? \; . ;; _? •??`I; ?'oA, U' ArCr:k iJoL 3 v• FGUA' i?a'LON -i?• p ? t\ • . +aAwL f? • tl' • ?0? ?t A y f ? ,ry•?? ' :?.•'?'• 9 AoOF/CEILING Mi:5h N0. 4 ,. ' Vllt+'1' ? ` ? _.....? ? Y L I ' µ•nr flmr . :, /4 (,) / 1 ! Z ? 9 1. Interior / l?m -4 7.. Interior ?1?ea?n?' 3. Insulation k. Exterior Sheething 1.3 a- 1 v U` 5. Exterior Slding EJtvm. •(0 1 R 6. Exterior Air FiTm- _.y/2... 2ota1 ?7a U= •?? STUD & HEAOER AStEA To[al Area No. 1 Less Insulation "R" Ylus 3k" Softvood U Total t! _./a RI?f JOIST AREA 1. Interior Air Film •?g 2. Insulation 3. 1k" Softvood ? 4. Exterior Sheathing 5. Exterior Siding 4"-? ? U 6. Sxterior Air Fllm I 1 R Total--- -- - -- ?U FOUNDATION WALL AREA 1. Interior Air Film • f$ 2. Insulation • 3. Insulation (81oek) U 4. Exterior Air Film x Total ?3 r3 u =p,? ROOF/CEILINC AREA i. Interior 2, Interior '1. fnr.ulnCfon h. LxLcrioc Alr PLIm ?L? K= U (SC111) Total °?i`? h CITY USE ONLY PERMIT #: "I 7lq? RECEIPT DATE: ? ? 1 ftESIDENTiAL 1KECH"CAI. PFIiMIT APPLICATION crrYog EtsM ssso Pu.oT xPOa gn gt48AA HIV 551 EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ? SITE ADDRESS: s alk-kn OWNER NAME: TELEPHONE #: (AREA CODE) INSTALLER NAME: J.,lrLnl?'^,;YII?'1.1 ", r ?? ??,r•J1I IG,7111U Co. „` ?- -r 9 cacE T ` :- TELEPHONE #: -. j ....a7r _. . _?- twI;uNEwPOi.IS. MIN 5540a•299s (AREA CODE) STREET ADDRESS: 612-824-2S56 CITY: STATE: ZIP: Ol.?nn ? nMnnL w?.?rL nnv# tn #Mc nurmi4 wnr4 #vnn New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existin4 dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: 62? - ? State Surchar e $ .50 Total Reminder: Ca!! for inspections. . .. 1082 Payne Ave. St. Paul, MN 55101 651 /772-2449 LAST cmr . ,, . _ GAS WO?C , RDER STANDARD 410 W. Lake St. y b HEATINC Minneapoiis 612/824 2656540$ & AIR CONDITIONING A Blue DoC' Service Co. EQUIPMENT INFORMATION ? FIRST ? ZIP /,-Q I HM PH C/S-L/- 710 j WK PH TECH S,C t? DATE q - //- D/ TYPE MAKE MODEL SERIAL INPUT p ? ORSAT TEST RECORD C02 5,5 % METERED INPUT p" Cfh CHIMNEY TYPE 02 10,5 % LIMIT SETTING p 0 FLUE SIZE 111. CO O % PILOT OUTAGE ` SeC CONNECTOR SIZE If1. NET STACK TEMP 0 0 TOTAL CHIMNEY INPUT po c7 btuh zg2o 1?o4 _ aoo7RESIDENTIAL BUILDING pExMiT nrrLlcnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWC6o Re uirements 3 registered site surveys showing sq. R. of IW, sq. ft of house; and all rooted areas (20 h mawmum loi coverage albwed) 1 Soils Report if proposed building is to be placed on distuNed sal 2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree Preservation Plan if lot plaked after 711193 Rim Joist Detail Opfians selectlon sheet (6uildtngs witli 3 or less units) M'innegasco mechanical ventilatlon form f RemodellReoair Reuuirements Office Use OnN Y 2 wpies of pian showing fooGngs, 6emns, joisfs Ced of Survey Recd ' ._!N 1 set of Energy Caiculafions fa heated additions Sols Repat _ N Y 1 site survey for additions & decks Addifion - indicafe if on-sRe sapfic system Tree Pres Plan Recd 7ree P2s Required . - - Y_ N On-site5eplic:5ystem _Y;=-_N ??' 0[ . ..?.,F,. +Na., nra }YafIP SP_f'YP.f aYiU LhB Ce aSOrl, Plans are consiaerea uouc inromiatiun wuGoi .... G•v•? ?.•- - -- - Date Construction Cost 26 !m' Site Address ?";t %e Unit/Ste # Srf v ofWork i ti wvL f.i xA,n t???&Vw Descr p o : Multi-Fag _ Y_ N Fireplace(s) _ Q _ 1 _ Z Telephone#(&11 )q14 7'70'1 PropertyOwner I Contractor A-s'L/4<7sf ??)(, Address ??'3"( /?? City U/ IA4.1 W m 144) d& 6eIJ Zip I Telephone #( 6S'0 6S.? ?d&4!7 s _ State c //l COMPLETE THIS AREA ONLY IF CONSTRU CTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 - , ryew Ener Code Wo?icsheei 9y Energy Code Category . Residential VentilaGon Category 1 Worksheet Submitted (d submission type) Submitted . Energy Envelope Calculations Su6mitted - In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: , . Licensed Pivmber , ? Telephone #( ) ,` ,-. Mechanical Contractor Telephone #( ? 6 2nn7 Sewer/Water Contractor Telephone #( ? d ? I hereby apply for a Residential Building Permit and acknowledge that the information is complete an accurate; thatthe work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; Punderstand this is not a permit, but only an application for a permit, and work is not to start without a gp ; th t he work vtiti?it b in accordance with the approved plan in the case of work which requires a review and 'pt of pl Aplicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16•plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Ffreplace ? 21 Porch (33ea.) ? 31 Ext. Alt - Multi ? 03 Dt of _ plex 0. 09 07-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 E#. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types YI) 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration _ ? 37 Demolish 8uilding* ? 43 Reroof ? 46- Windowsl4oors ? 34 ReplaCement "Demolition (Entire Bldg) -,Give PCA handout to applicant,- . DeSCf7ptiOfl: WaterDamage_Yes Valuation 7-01 bop.,D"c,. Occupancy MCES System Plan Review 100% or 25% Census Code 3 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ' Width , REQUII2ED INSPECTIONS _ Footings (new bidg) _ Sheetrock _ Foo[ings(deck) _ FinaUC.O. _ Footings (addition) _ FinaUNo C.O. . Foundation HVAC Drain Tile Other Roof _ lce & Water _ Final 10 Pool ?0 Ftgs 'A AidG as Tests W Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: ?? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Appiicant Name: CTQ,,4 `0PJSan- ? m ? GENERAL INFORMATION s U x o a z b Q ? ? Applicant name and contact information fd° ? ? Properry ownername ? ? Address of properiy ? ? ? North arrow, scale (1" = 30' or 40') ? ? ? Site Plan, drawn to scale showino location of house, pool, and other existing or proposed structures, including retaining walls. ? ? Location and name of all streets adjacent to property ? ? & Directional drainage arrows (existing and proposed) ELEVATIONS V Existin ? House corners ? J0 Property comers ? fZ( ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed t Jd ?A Finished pool deck comers ??,;d Top of proposed retaining walls (if any) and at each different elevation (if it changes) ,01 ? A Pool bottom (or max. depth) DIMENSIONS Existin ? ? ? All property/lot lines ,P.l ?? All Easements on the property Proposed ? ? Pool ,H ? ? Pool plus integrated deck/patio ,Z ?? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Z0 Name 7/y/ ,7te G:FORMS/Pool Pe[mit Checklisd02-13-07 15 10:40 ERGRN ENG+COM DEV ? 507 334 6972 , N0.578 1?02 a6e Coi', etereon • ? . ? J1,1 ' [JII?`?" ?`, ' eat 113Lh.3treeE ;:'•" a8ton, Nn: `?513T : /? . , ?e ?? ? DELMAR H. V:HwANz . /? • LAMOSVNVEvon . Unou uwS or iM iuu ei Mnn?wu ? pMOME Si1 421-I744 1161f SOU1M NO§ERT TRAII P.O: OOY q R08EtlOUMT. NINNB60fA 66M SURVEYOR'S CERTii1C1.TE .?T B j Oa_? VEAGAN GINEEKi1VG UEPT. i Yt.Op o o SBOa??„E M . EAQ?AVwN ?O J5 o Atainago & utiiity ??g???? 'eaeemanti ' (/0.7•.. Lq,2,uj "'i DABV?IS. C'a 1fdSPECYIOR?^s D SUONI 1/?(?/ ? 11S JlJ _O Y ci ?1 0 LO'r ; ?. ~ _ ?8 9CAT.E, 1 inah ip 40 Pest ? Denotea lrnn roonumant f , , n ? ? ?/L=?? ,Orl?p ? ..9? ?e l{SC ?D/'c[a5 ? A m n ) . ? ? a G??3oE o /?ec:t 13 U/atil? ?Z r ?\ 3 ' J ??6FCP'r_ "re- TA b/= ?f 9Rr,?1.?..j Ll?x/L ' ? ?8 " ? eertN,,,S 92.86 9 5660 09 I hernUy certity that t?tile it a true d oorroct ropresentation ot D?r . L.? a aurvey of the boundarise oc: ????f_ ??'-?? ' $ ? f-2 /,l// 5>DES tot 29, Blook i. wILDEitISF59 PARK AUDITTON# aeaora?ng to hs reoorded • plat EheraoP, Aascota CounEy, NU,nneeota: . '? Alao uiloNing the._]acatLanof a pro{roi4d houso st??ked tnerson. Aa eur y d by mt thls 26th d?Y of June? 147?. AAAiLTO: PARAGON POO1.S P.O. BOX 294 WILI.ERNIE, MN 55090 3 ? Yd / M?NNFSOiA Nk??SfRAIION M? 697! • , __ _,. PERMIT City of Eagan Permit Type:Building Permit Number:EA116659 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 1248 Balsam Tr E Lot:029 Block: 001 Addition: Wilderness Park PID:10-84250-01-290 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 . Elizabeth Hess 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 - Janet C Jackson Tste 1248 Balsam Tr E Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139468 Date Issued:10/25/2016 Permit Category:ePermit Site Address: 1248 Balsam Tr E Lot:029 Block: 001 Addition: Wilderness Park PID:10-84250-01-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Janet C Jackson Tste 1248 Balsam Tr E Eagan MN 55123 (651) 454-7707 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature