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1366 Balsam St E? CITY OF EAGAN ` 3795 Pilot Knob Road Eagan, MN 55122 N2 4213 PHONE: 454-81 QO ; ;• , BUILDING PERMIT - -, Receipt # t To be used for Dote ?• 19 ? Site Address ". 366 Erect Occupancy -; Lot Block x Sec/Sub. Alter ? Zoning y Parr-el # Repair ? Fire Zone _ Eniarge ? Typ2 of Const. oc Name ? ` '`?' ' '? ' • Move ? # Stories W Z o Address 'r?? , Demolish ? Front it. City Phone Grade ? Depth - ft. ? N Approvah Fees o ame ? ?? Addre ? r..., Name _ Address I hereby acknowledge that I have reod this application and the informotion is correct and agree to comply with ail State of Minnesoto Stotutes ond City of Eagan Ordinanc Signature of Perrnittee A Building Permit is issued to: - all work sfio44 be don3 in acsordonce w Building Officipl Assessment Water & Sew. Permit $urcharge ` Police Fire Plan check SAC Eng. Woter Conn. - ? • ?? ? Planner Water Meter ? Cauncil Bldg. Off. ' APC Total ``'? ', on the express condition thot of Minnesota Stotutes and City of Easan Ordinonc<_s. Ppmit # Date Issued POMktM Plumbing Mechanical tNSPECTIOMS DATE INSP. RougFrln Firal Footings bafe Insp. Dote Irup. Foundotian Plumbing Frome/ins. ? Mechanical Final ? Remarks: CITY OF EAGAN 3795 Pifot Knob Road Eagon, Minnesota 55122 Phone: 454-8100 PL(T1+I:3I'iG _ PERMIT No. 9, j i977 _•.;_.. ? ;?, ?-, Date: Receipt No.: Single I Site Address: '??'6 E. Aa1S.' Residential •Lot Block ? Sub/Sec. Multi Res., Comm./Ind. I Ncme ?..' rc? n;t , ro . New/Alter./ Repai r ? ; Address Cost of Installation O ?ity >_?.?omir.?ton phorke. Permit Fee 20, nn .50 Nome ? Surcharge ? Address Q . ...._ , -.('`.. e v •,.,La ?'? • ''? r i.ll yd City Phone: ToYal This Permit is iuued on the express condition thot all work shall be done in accordance with oll applicable Stote of Minnesota Statutes and City of Eagon Ordinances. Building Official - CITY OF EAGAN I' 8795 P" Knob Rood EagaA, MN 55122 N! 5070 PHONE: 454-8100 ( hereby ocknowledge that I h the information is rnrrect or State of Minnesoto Stotutes Signcture of Permittee - A Building Permit is issued to; oll work sholl be done in accc Buitdinq Official n? Permit . Surchcrge Plan check SAC Water Conn. Woter Meter on the express condition tfict Minnesota Statutes and City of Eagan Ordinances. vccupancy Zoning Fire Zone _ Type of Const. # Stories Front fi. BUILDING PERMIT ReceiPr # ? F Pemk # pate Isnad PwoMtw Plumbing 7?? Mechonical INSPECTIONS DATE INSP. Rough-In Fino! Footings Dote Inap. Dots Insp. Foundation Plumbing Frame/ ins. Mechanical Final Remorks: I, I r' 7 T c P a CITY OF EAGAN 3795 Pilot Knob Road Eogon, Minnesota 55122 Phone: 454-8100 -- PERMIT Date: Jmnk-uy 3, 1979 Site Address: 1366 Fast Halratn Trail Lot ? Block Sub/Sec. . _, a_: No. 12f?7 lY. ., , Receipt No.: Single Residential Multi Res., Comm./Ind. ? Nome New/Alter./Repair 3 Address . Cost of Instollation - ?ln City Phone: , Permit Fee ame ? Surcharge Address 0 [7 City Phone: I Total This Permit is issued on the express condition that oll work shall be done in accordance with all applicable Stcte of Minnesota Statutes ond City of Eogan Ordinances. Building Official ?:. IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: ? ,,.. f Nt 1 (?t IrNt •?. ?+nt S nM r I ir+IN ? 1 il ' PERMIT SUBTYPE: I . ? I 1 f, 1?. ?' i? ri :, • TION RECORD PERMIT TYPE: Permit Number: Date Issued: fill I 1 1,1 aIA *zKi: 1 e7 >0 irs6 ?? i ,,,?1 ? , APPLICANT: ?0 ? 61041K1 ?t.i.•? ?., ? ?...•Fy TYPE OF WORK: z:I ., ; c; , 1 1;11 ta<kj I I i, RF!'AtFt cstn rMr,y ? Pe?mit No. PermR Holder Date Tetephone A ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST IMSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PL6G FINAL HTG ORSAT TEST BLDG FINAL d ? BSMT R.I. I BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Addition Wilderness Run Sth Addition Lot 10 Blk 1 Parcel 10 84354 100 01 Owner rna%<.f Lt,? Street 1366 E. Balsam State Eacran, MN 55123 Af?e :? _ 1 S?A?t l i Lf 'r i?ir , .i, ' Ci rJ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK aa% 1973 132.60 $6.63 20 99.45 A003887 4-18-77 SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA 11/1 1977 160.00 10.66 15 149.34 A003887 -18-77 STORM SEW TRK 1981 2 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 220.00 2-28-77 BUILDING PER. #4213 sa,c 475.00 5361 -28-77 PARK GTY OF EACiAN 3795•-Pilot Kwob Road Eagan, MN 55142 Zoning: Owner: nAa,o«• WATER SERVICE PERMIT PERMfT NO.: DATE: __ - No. of Units: 0 EI WR Stt: Site Address: Plumber: _ Meter No.: Reader No.: 1 agree to eompFy with the Citp oF Eagan Ordinantes. By Dote of Insp. Connection Charge: Acrnunt Deposit: _ Permit Fee: $urcharge: Misc. Charges: - ToYol: Dote Paid: I nsp.._ CITY OF EAGAN I 3795^Pilot Ithob Road Eagon, MN 55122 Zoning: Ow ner. _ - - Address: Site Address: Plumber. _ I agree to eomplr wifh the City of Engon Ordinonees. By - Dote of Insp.: SEWER SERVICE PERMIT PERMIT NO_: DATE: No. of Units: Connedion Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Poid: 100. on ? ?-.? ..., _. ?iis request void 18 months from ?- - >•? R 5269 Date of this Request ? I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: ?I C. j?? I t?, -ytp-? Street Address or Route No, f--'3 L' G' Section Township Which is occupied by Is a roughin inspection required on this Power Supplier, ? Electrical Contr Mailing Address Authorized Sigr NIN Il E No ? Yes (COmpany Nama) Ready Now ? Will Call Er-' Contractor's License No. _ ? IectHCal Contracrof or Ownar Making Thls Installatlon)Jf-, ra ? ittrt? ?K " Phone No. /z -!9_Z« (Electrital Contr o of Owner Making ThIS Insiallation) o?(%'?j /} ?D QO?? This inspecvon request will not be accepted by ffie LUJ(,"ti1 Stata Board uniess praper inspection fee is enclosed. • Minnesota State Board of Electricity ' 195d-University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST R 5269 Type of BuAding New Add. Rep. Check Appliances Wved For Check Equipment Wrted Foc Home ? lir D Range ? Tempoxary Wiiing ? Duplex ? 0 ? Water Heatei D Ligh[ing Futures ? Apt. Bldg. ? ? ? Dryet ? Electric Heating ? Commexcial Bldg. ? ? ? Fumace Silo Unloade[ ? Industrial Btdg. ? ? ? Air Conditionex Bulk MJk Tank ? Farm List L ist Other ? ? ? p Hehers? p Heherg? COMPUTE INSPECT[ON FEE BELOW.r-. Secvice Enuance Size: # Fee Fcede tes: # Fee Cucuits: # Fee 0[0 100 Am s. 0[0 3" er Ks 0[0 30 Am eres /Lll 101 to 200 Amps. 31 to I res 31 to 100 Am etes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfo[mets RemoteConttolCtrc. Pattialorothexfee S' ns Special Inspection Minimum tee $5.00 Remarks TOTAL F ? I, the Elec[rical Inspector, hereby certify that the above inspection has been ml? (Rough-in) Date (Final) Date This request void 18 months from ` CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55724 PHONE: 4548100 BUILDING PERMIT APPLICATION $33,000. ? N? 4213 Receipt # 7o be usea for Sing. Fam W. Garg. Dote Feb. 8? ,19= $ite Address 1366 E- Ralsam _ Erect 7[] Occuponcy? Lot 10 Block 1_ Sec/Sub. WR Sih _ Alter ? Zoning . Porcel # w Name _ Marell Const. Co. 3 Address_10800nLyndale Ave. So. O ni__._ p Name _ t- ?u Address r r:... Nome _ Address I hereby ocknowledge thot I hove reod this application and state thot ihe information is correct and agree to comply with all opplicable State of Minnesoto Statutes and ity of ga Ordi nce Signature of Permittee Repair ? Fire Zone _ Enlarge ? Type of Const. v Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvala Fees Assessment _ Water 8 $ew. Police - Fire Eng. Planner _ Council _ Bldg. Off. - APC - Permit 70,uv _ Surchorge 16.50 Plon check Snc 475.00 Woter Conn.?Z0,O0 Woter Meter --40"-W Toral 809.50 A Building Permit is issued t¢ on the express condition that oll work sholl be do m acc r?nce wjp1?9J}?a?pliwble State of Minnesota StaTUtes and City of Eagon Ordinonces. .//3`, . Building Official `T ?._.._- 11J T3Li1' _07.bFG rERMTT dPPL'CR:IOId ??,?• upTSLOCI? ? ADDITiO1S °t'.I:CEL & 3r^^TOi.S '::Ji!P,;R 1^ ??iF.'•?aiTED ____._?__.. iaPiir,5e: ::P :?.'.RCrL-_7Z UC?'J.?+Z'_v''C3 ?r USE----am?'t?SlL-1 ° s^9 ,e ? ??.. O: iriS_:. TEI.?°t,??I?r iC0..__ r ili'03 ?C:G:LJ r1111]'.l iCTvTi mEr..EnFiorra iTO. AS)litiRO5 YTOt!:s It;Clvcz,: plan, bui].ding plar.s, and energy C81Cllla.ti0:;3 :'1:4C:t: L}11S appli.cction Signed ---- OFPICE USE i'AI,UAL•I0=_0; ?- SAC S92..i2:R COiTHIIEC:IO'tS i4 :VER ?S: TER BU:t.3:D'i:G FriV;-T r wE ,. ?F PL:JY1 CZCi: F= PP3RiZ D.:iJi!:zvnr,?:T FT'E O'.Ciz^R TOW.L* f a:^.-'? ° p'.7 i? ?. S: ) AuuES:,"1'?:JT CLFMC ?f. . BUYLDIIQG DEPT. POLICS llC.^-T. ?_ ?? ? T..1PaTPR & SLF?VR D3F"n. FI?2L TVPT, BZ112K DEI-IT. CertiYicate For: • _ L'arell Inc. . 16600 Ibmdale pvP, go. Bloor,icsgton, M3nn. 55402 Q Cert, #50 DELMAR H. SCHWANZ LANOSUPVEYOR Re9isterod Unaer laws of Tne State of Minntsota 14515 SOVTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA $5088 PMONE 812 423•7789 SURVEVOR'S CEHTIFICATE - ,, ?LVLe' / -60 z ???`i 1?e '?r- t r ? ?` ?o'uru?y c?,a3 a ??I ? O Joi7?. 6? X. l r; o N'di'?: 4?; I hereby cerLify that this is a true and correct reoresenation oP LotJ6. Rlock 1, PtIIAERNESS R.T.7 FIPTN ADDITION, Dakota County, Winnesota. Also showing the location of a proposed house and garage thereon. 3-26-T6 f, ? MINNESOTA REGISTfiAT10N N0.8825 / ( ? crrY oF R?"N 3795 Pilof Knob Raad Eagan, MN 55123 PHONE: 454-8700 BUILDING PERMIT APPLICATION N° 5090 Receipt #' -! °? S?Z? To be uced for F1ri15Y1 Ba.SHCl2ilt Est Value '] Date -11=28- --• 19-.-7g- R 1 1366 E B u onc O I d S8I Site Address Erect ? p y cc Rl 10 WR 5th 1 Al Zoning , Sec/Sub. Block Lot ter 0 3 Parcel # 10 84354 100 Ol Repair ? Fire Zone V Enlarge ? Type of Const. Name Albert Z]SiI[eZI[k1T1 Move ? # Stories rc W 1366 E. B71SdiR pemolish D Front N• 1 Address 452-1196 Ed?fall Ph GfO? ? ?Pth . ff. one Ci qpP„v,h Fees Name ?v RL11LOY'S ?? q?reu 44 So. 7tli St. t- i-:«. Mpls ptione 341-3067 Name _ Hddreu I hereby ackrwwtedqe th ihe tnformation is mrre State of Minnesota Smi Signoture of Pertnittee A Bullding Permit is issu aIi vrork shall be doneir Buildtrg Official _ stote that appiicable Assessment - Water & Sew. Police - Fire Eng. Planner _ Council - Bldg. Off. _ APG - Permit c`'•"" Surcharge 3.50 Plon check SAC Water Conn. Water MeMr roeal 27.50 on the express condition ihct Minnesota Statutes and City of Eagan Ordinances. DATE BUILD2NG PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations. To be used for Valuation Site Address: Lot Block Sec./Sub. / ? ?? ? • "? 'K_ s Owner ) ? Address-i- Contractor , Address ,?- Arch/Eng. Address Parcel Vumber PO 8+3S'q- f? C? O I Telephone ?-/- } v 1)cj L Telephone ,3 1 )',? 6 (°-7 Telephane OFFICE USE ONLY Erect Alter Repair Enlarge Move Demolish Grade Date of ADProval and Initial - Assessment Water/Sewer Police Fire Engineer Planner Council Bldg. Off. A.P.C. Occupancy Zoning Fire Zone ? Type of Const. $ of Stories Front Depth Fees Permit Surcharge ? Plan Check ' SAC Water Connection Water Meter TOTAL PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinneSOta 55122-1897 Permit Number: 029121 (612) 681-4675 Date Issued: 0 7/ 01 / 9 6 SITE ADDRESS: 1366 BALSAM ST E LOT: 10 BLOCK: 1 WILDERNESS RUN 5TH P.I.N.: 10-84354-100-01 DESCRIPTION: (SIDING) in.+g., Permit Type STORM OAMA6E i'Building t?ork Type REPAIR Census Cods -\ 434 ALT. RESIbENTIAL r'*-' ?'.. K ,. ? A n rf < ? ?.' J? ...i .. REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - S7. LIC.OWNER: EXTERIOR DESSGN SERVICES 15713220 0003237 ZIMMERMAN COLLEEN 6391 MtlNROE ST NE 1366 BAL5AM ST E FRIDLEY MN 55432 EAGRN MN (612) 571-3220 (612)452-9066 I hereby acknawledgie that I haue read this application and state that the information is corr''sct and agree tb- comply w1th al], applicab1s 5tate of, Mn. Statutes and City of Eagan Ordinances. APPLICANT/PEFMITEE SIGNATURE ..L? ?rt Im? ISSU D BY: SIG TURE ' CITY OF EAGAN lot" 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Re modeURenair Reauirem enis ? 3 registered s8e surveys ? 2 copies of plan ? 2 copiea of plans (include beam & window sizes; paured tnd. design; etc.) ? 2 site surveys (axterior additions 8 decks) ? 7 anergy calculations ? 1 energy calculations for heated addifions ? 3 copies af tree preservation plan N lot plaNed aRer 7/1/93 required: _ Yes ?D ? a No / g- ? 1O ST 7 a` O b Q DATE: CONSTRU : CTION CO ? S+ S4O r DESCRIPTION OF WORK: d i+'? STREET ADDRESS: ?1 3(Q L ? (3 6 ?? 1-1- ? BLOCK LOT 10 IP I D #: OJ SUBD ? x ? RAIn - 6- U _ . . . . - - Z?cAw,e.cK ? N Ob ((??--- (.s,? #: z Phone . -90(04? - PROPERTY ame: - X OWNER MT Street Address- t3?U E! 3 aLs a w? City: E' Ac "4,,,-- State: tM w Zip: CONTRACTOR C Phone #: x ompany: 6 3y? ???? Street Address: S'n- c License #- y7 3a 3-7 City: State: ?'?n ?.... Zip. 2 ARCHITECT/ C Phone #: ompany: ENGINEER Name: Registration #- Street Address, City: State: Zip : Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 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 Applicant: OFFICE USE ONLY . Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning ? "f? ?' • A4 1i?m? ir ,, ...:. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MGWS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code _ Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units 53 -3I q RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New ConsW ction ReaulremeMs • 3 registered site surveys sMVdng sq. R of lot, sq. R. of house; and all roofed areas (ZO% mavimum lol caverage allowed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 set o( Energy CalcWations • 3 copies of 7ree PreseNation Plan if lot plalted after 711193 • Rim Joist DeWil Options selection sheef (bldgs with 3 or less uniLS) DATE 7- i 9- oa ? 3600 - RemodellRemir Reauirements ? • 2 copies ot plan • i set of Energy Calculations far heated additions • 1 site survey for exterior additions 8 deCks • Indicate if home Served by sepfic system for additions VALUATION SITE ADDRESS &,54 l.? I S c?tivc? S? MULTI-fAMILY BLDG Y N _ _ TYPE OF WORK_)Z,e_ rc ?o E fIREPLACE(S) _ 0_ 1 _ 2 APPLICANT STREET ADDRESS / ,,dg CITY?STATE/?/1 ZIP-5---?azlL? TELEPHONE # 95?1 ? g14 ,Aa6?CELL ONE # 99':,) -a70 • 71 9 ? FAX # v PROPERTYOWNER TELEPHONE#CzS?J-5`S?- 90?'cs COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUL1iS 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calwlations Submitled Plumbing Contractor: _ Plumbing system includes: Mechanical Conhactor. Mechanical system includes: Sewer/Water Contractor: _ Air Conclitioning _ Heat Recovery System Phone # Phone # Fee: $70.00 -°---------------------------------°---°--° °----°---°----°--°--------------°°---------------------------------- I hereby acknowledge that i have read this application, state that ihe information is correct, and agre comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ?ces. Slgnature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 Water Softener Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths ?r ? ?r t Fee: $90.00 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171609 Date Issued:08/24/2021 Permit Category:ePermit Site Address: 1366 Balsam St E Lot:010 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Hp Minnesota I Llc 120 Riverside Plz S Ste 2000 Chicago IL 60606 (612) 827-7951 Tim's Quality Plumbing/a Aarts Quality Plumbing 225 County Road 81 Maple Grove MN 55369 (651) 454-1010 Applicant/Permitee: Signature Issued By: Signature