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1226 Balsam Tr ECITY OF EAGAN 3795 dot Knob Rood Eagan, MN 55122 Zoning: . Owne r. ' Address: Site Address: Plumber: Meter No.: Size: ' Reuder No.: 1 agree to eomply wit6 tha City of Eagan Ordinonoes. By Date •of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Chnrge: Account Deposit: Permit Fee: Surchorge: Misc. Charges: Total: Date Puid: I nsp.. S R I W E PERMIT cinr oF RAa,N 3795 Pilot Knob Road E E SERV C PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: $ite Address: Plumber: I egree fo eomply wiHh t6e City of Eogon Connection Charge: Ordinanees. Account Deposit: Permit Fee: Surcharge: BY Misc Charges: . Dote of Insp.: Total: Insp.: Date Poid: CITY OF EAGAN , • , 3795 Pilot Knob Rood Eagan, MN 55122 N2 5613 , PHONE: 454-8100 BUILDING PERIMIIT Recetpt # Te be used for Est. Value Dnte , 19 Site Address Erect C7 Qccupancy Lot Block Sec/Sub. Alter [3 Zoning parr-el ,# Repcir [3 Flre Zone Enlorge [] Type of Const. _ oWc Nnme Move ? ,t?' Stories ? Address Demolish p Fronr ft. p - . , Ci 'Phone G?ade ? Depth ft. °C Name ?o Approvols Fees u? Address Assessment Permit ~ Water & Sew. Surcharge Ci Phone Police Plan check ? W W Name Fire SAC ? r E5 Address Eng. Water Conn. u a W Ci phone Planner Water Meter Counci I I hereby acknowledge that I have read this application and stote that gldg. aff, the information is correct nnd agree to comply with all opplicoble APC Totol State of Minnesota Statutes and City of Eagon Qrdinonces. Signqture of Permittee A Building Permit is issued to: on the expreu condition thut all work shull be done in accordnnte with all applicable Stote of Minnesota Statutes and City of Eogan ardinances. Building Officiol P.+mk # I Do% bsS" I . P«mkee. I NSP. .d Final Remarks: T.er#ifirttft of (Orrupttury Citp of (Eagan DpparYmrtt# nf Nuilbittg -Inspprium Thit Certi ficatc rssrud pxrsrant to the rcquinmentr o/ Sutiox 306 0f the Uni fo?m Buildrrg Codc cntifyiRg that ot t& tin?c of i.r.tuanu tbrt structure wat in complianct wiih the various ordinancu o f the City rcgulating bxilding conttfuttion w x.u. For tix follouring: uscIMOLSMti,. SF Dwlg jGarage Bldy hmdt No. 5611 Oavp-ry Typ R3 7yp C.qroctimV? Pi. Z. T T T Z,ru4o„u;cI R l aw 5/i4/8o CITY OF EAGAN . ' • 3796 Pilot Knob Road . ? Eogan, Minnesota 55142 ` Phone: 454.8100 PERMIT Date: h{; Receipt No.: -, r Single Site Address: Residential Lot -- Block - Sub/Sec. _`y7''-'??-'''•?'-?'? ? ?'== Multi Res., Comm. INome New /Alter. / Repcir v e a Address City Phone: Name "117 ?"'`n ? Cost of Installotion No. 171!' 56 Ind. Pennit Fee ?,?•?' Surchorge ? Address e , - 0 City Phone: Totol This Permit is issued on the express tondition that oll work shall be done in accordonce with alf applecoble State flf lvlinnesota Stututes and City of Eagan Drdinonces. vt. Building Official • l.F?? No. T,tTr!ff3 T, _ cirir oF EA"N 3795 Pilof Knob Road Eayan, Minneseta 65122 Phone: 434-8100 PERMIT Dote: ?- - Site Addreu: 1 . "ilc?e.ri t-•3s Lot Blxk Sub/Sec. NCme °e Address ? 'tinneaPolis, "" " •' -- 514 ?! City Phone: r?•'.Z;' ?'7? I'l Name ' . ? 14745 So. ?2oY:c-r. `. Trl. g Address e ? .+r7:'..?."?'.l.-,t-: •j. --rr'? City Phone: This Permit is issued on the express condition that oll work shall be Minnesota $tatutes and City of Eogan Ordinances. 1NSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 18476 Receipt No.: Single Residentiol New/Alter. / Repoir Cost of Installotion Permit Fee , r"•Surcharge ' Tntnl done in accordance with all applicable State of Building Officiol CITY OF EAGAN Remarks e,,.,M,,,, Wilderness Park street 1226 East Balsam Trail Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 17 .0 8.80 20 105.65 A009080 5 21 80 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 160.00 10.66 1 117.36 A009080 2 8 STORM SEW TRK 110 1981 25 251,16 C005458 6/9/80 STORM 5EW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 9UILOING PER. 5AC PARK 120 00 ? . 111 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ! t 11 0, d i'3; ', . 1'AKk PERMIT SUBTYPE: ? I ? I trI r r ft f; - ; .?--- ON PERMIT TYPE: Permit Number: Date Issued: APPLICANT: F'A.7A! A RIZ8fRl ( 6 11-1 ) : 97--3f, 1 '4 TYPE OF WORK: NF1? f M M A1 [31.I1 1 [l'[M(J g-40 7 03 08/.'. 7 191 ? I? Permit No. Permtt Holder Date Telephone # ELECTFiIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PlUMQ4NG PLBG AIR TES7 ROUGH HEATING GAS SVC TEST INSUL GVP BOAflD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG /V j DECK FINA4 /? ?s? CITY OF EAGAN 9795 Pilu Kno6 Reed Eagan, MN 53122 N2 5 613 PHONFs 454-8100 /7 // BUILDING PERMIT APPLICATION Receipt # ? n ? ? - ro be uaea Fe. SF Dovlg/Garage Est. Value 55 ,000.00 oote 2/14/ , 1980L_ sita Address 122 E. Balsam Trl. Erect Cg Occupancy R3 l.or 24 Bi«k 1 See/Su6. Wildernes's Pk lst qlter ? zonin9 Rl Repair ? Flre Zone III Parcel # Enlnrge ? Type of Const. V W Name S. Peterson Constr. Inc. Move ? # Srories ; Address 4'01 W. 110th St. Demolish ? Front 52 ft. ° Ci Mpls. , 55437 ph 884-5144 Gmde ? Depth Zg ft. one w 0 Name Same ApDrweh Fees ? ?U Addren ? r».. Name _ Address I hereby ecknowledge that I have reod 's ihe intormation is correct and agrea on Stote of Minnewta Statutes ond ' of Ea Signafure of Pe ee ? A Building Permit is iaued M: Sveri P? all work shall be done in accorduncei?th ali Buiidirg Official ond state thot Asseament ?/ 11/ au Water & Sew. Police permit - Lko . uu Surchorge 27 • 50 Pion oheck 74.00 Fire SAC 525.00 Erg. Plonner Coum;l Water Conn. 305.00 Water Meter 60 . 00 Rd.Unit 185.00 gidg pff, Park Ded.120.00 , APC Total 1,444.50 on tha express mndition that State of Minnewta Statutes ond City of Eagan Ordinances. 171L`19T 191 cdv- IY 7 76 ,-.?s Sf/rs? /'7 3u CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERI41T APPLICATION set of energy calculations. 4 /-? 0 Tb Be Used For ?? Valuation Date Site Pddre55: 1,2,2 q L S Ja OFf'ICE USE ODII,Y ZI BlOCIC -? S2C./SUb. --(.?'- - Ipt.. FrECt P< -OCCUp3RCy ._ . ?? Parcel #: - - - - Alter - Zoning Repair Fire Zone Paner,j' • 7?E7?e S ?-,? C' o.v3c-,c?uc=rr v,? Enlarge _ 7ype of Const. , # Stories p bve Pddress: T-t` s-?_ Demolish Front ft. , City/Zip Code: /y?g S S SL/ 3 7 Grade Depth Phore # : 'f?,Y Y - v ' APPRdUAIS n FEES d Contractor: // 7 Permit Assessments ?, ? Surcharqe a 7 "? Water/Sewer Address: police Plan Check City/Zip Code: Fire SAC glq, Water Conn. Phone #: Planner Water Meter (p0-? Arch./Elzg.: Council Roa U t f. ?2 / 8'S ffJ? Bldg. Of 1-U T,Tccrlw Acidress: APC City/Zip Code: Phone #: TCTAL ?? ??? ac Ponths from 93 ? Reqstebruary 12? 1980 s 4 2 9 3 1 PlAcensed"Ele-arpidal Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: ??-J?.y?? _} ' J} - UtJ?.24Cr-4+z?..? ?. Street Address or Route No. 1 226 E Ral sam 'Pr- L.T 94 RI k l City-F$,g$j? Section. Township Range County Daknta Which is occupied by Svend P raon ons rur ion (Name of Occupant) Is a roughin inspection iequired on this job? No 6d Yes ? Ready Now ? Will Call [R Power Supplier Dakota El.ectrie Asn Address 8.M 3rd St. Farmtngton.,-MN 55021, Electrical Contractm Kan Snranenn E1 Frtri r Contractor's License NoA?R/.R3 (COmpany Name) - MailingAddress8070 12th Ave. So,. Bloomineton. D'Qd 55d20 Authorized Signature ?? JLfl??I.?? Phone No. 854-?i70 (Electrical Controctoi or Owner Making This Install lonl ??4??? ????? ????p This impection request will not he aceepted 6y ffie '? State Board unless proper inspecGon fee is enclosed. , Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55704-Phone 645•7703 REQUEST F _ELECTRICAL INSPECTION CFVCK BELOW WORK?VERED BY THIS REQUEST /79?34 s 42931 Type of Building New Add. Rep. Check Appliences W'ved For Check Equipment W'vod For Home ? ? ? Range ? Tempocary W'uing 14 Duplez ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryex ? Electric Heating ? Commeicial Bldg. ? ? ? Fumace ? Silo UNoadei ? industrial Bldg. ? ? ? Air Conditioner ? 8ulk Milk Tank ? Fum ? ? List ! List O her ?+Y+ ? ? p Heiels} 1 OQ'ers? H f COMPUTE NSPECTION FEE BELOW Service EntranceSize: # Fee 1 1 Fceders&SubPeeders: # Fee Ci?cuits: # Fee 0 to 100 Am s. 0 to 30 Am res r 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200 Amps Above ]00 Amps. Above 100 Amps. Transformers RemoteControlCirc. Paztialorotherfee S' ns Special [ns ection Minimurti fee Remazks ?stall Temporary Service TOTALF E . ?, I, the Electrical [nspector, hereby certify that the aboye inspection has been*he. (Rough-in) ? t Date ?_ Date d ,c9G 4 (Final) VQ-A, This request void 18 months from This request void 18 months from 9,* Date of this Request S 4 2 9 3 6 I, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: 8? ?? /?? Street Address or Route No. 1226 E. Balsam Trail Lt 24 Blk 1 City EaganSection Township Range County Dakota Which is occupied by Svend Feterson Construction . ' (Name of occupanQ Is a roughin inspection required on this job? No ? Yes 12 Ready Now ? Will Call Ja Power Supplier Dakota Electric Assn Address 821 3rd St. F MN 55024 Electrical Contractor Ken Sorenson IIectric Contractor's License No.A384.83 (COmpany Name) Mailing Address 8070 12th_ Ave. So., Bloominl;7tpn, MN 55420 Authorized Signature No. 854-4470 S? {j ?? BOARD CO?? liff This inspection request will not be accepted 6y the ? State Board unless proper inspeetion fee is enclosed. ` Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST -/r/ q 7 ? 42:1.] C] .Type of Building New Add. Rep. Check Appliances W'ved For Check Equipmrnt W'ved For Home Duplex Apt. Bldg. Commercial Bldg. Industrial Bidg. Fazm 0 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Range IN Wat _.tex ? Dry " ? Fu Au ndi List All) h Temporacy W'ving ? Lighting Fixtutes ? Electric Heating ? Silo Unloader ? Bulk Milk Tank ? List Other ? ? ? ers? SP?$ ?e Rtheis? - ete COMPUTF?INSPECTION FEE BELOW Service Entrance Size: a Fee Fceders&Subfeeders: # Fee Cucuits: # Fae 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 2 0 Amps. 31 to 100 Am res 31 to 100 Am eres 2 $00 Above 200 Amps. Above 300 Amps. A6ove 100 Amps. Transformers RemoteControlCirc. Paitialoiotherfce Si ns Speciallnspection Minimum fee $0 Remazks Camplete HOL1Se W127S1g T07ALFE ,? 29 ,$0 1, the Electrical Inspector, hereby 'f ? that e above inspection has been a e. (Rough-in) ce Date? ? (Final) i? ,,, ` Date ? ?S'` This request void 18 months from " LOT: a'1-± BLOCK: SUBD./P.I.D#: W-??V"? \ Gill 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN i3 3830 PILOT KNOB RD - 55122 651-687-4675 New Consiruchon Reauirements Remodel/Reaair Reauirements ? 3 regtsfered site surveys showfng sq. ff. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculalfons for heated additions Y 2 copfes of plans (show beam S window sizes; poured fnd. design; etc.) 1 sRe survey for exterior addiflons 8 decks ? t sef of energy calculatlons ? 3 copiez af hee preservaHon plan H lot platted affer 7/1/93 ? Rtm Jolsf Detail Opttons selecHon sheet (buildinas wNh 3 or less unMsl DATE: /Z • L O G a CONSTRUCTION COST: (`Zto' 7• u U Z ? DESCRIPTION OF WORK: 77,/?2 0/' N/ n/' U D/5 If multi-family bidg., h ow many unffs? STREETADDRESS: / Z ZG /= q,.(T j 3 41 r ,1 7- AIL ,t-?(; A?i , ,(4 ,v S?S /2 3 4 3 13 Name: A ,? AG 1{ Phone #: o/ / PROPERTY 1.6n Flrst OWNER Sheet Address: ) Z Z- K l? 4CZ- 1-741-Cff M 1V 411- City State: 10.6- , Zip: {?"/ z 3 Company: /" J d IZ lt tT f4dQ G.),re,?.o,zL .P /PSSne #: c/ SZ F9S 9 2?8' (areo code) CONTRACTOR SheetAddress: P 9/ Q LA )2 (f 4i r,.CTlZl -9L 13L vi7Lfcense# 7 6 Exp. 3- 31- 0/ city llall.vS1/i?z, l= state: zip: -?.?` 33 7 ARCHIiECT/ ENGINEER Telephone N: ( Name: SheeT Address: Regishafion #: CNy Sfafe: Sewedwater licensed plumber (if installinsa sewer/water): Phone #: Zlp: I hereby acknowledge that I have read this application, state that the informotfon is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicant: OFFICE-USE ONLY Certificates ofSurvey Received Yes No ??_ •'-' ;;,__ Tree Preservation Plan Received _ Yes _ No _ Not Required ? p?T 1 2 2000 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement VALUATION Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg O 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 42 Demolish (Foundation) ? ? 36 Move Bidg. ? 43 Reroof ? ? 37 Demolish (Bldg)` ? 44 Siding ? 38 Demolish (Interior) ' Demolition (Entire Bldg only) permit - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width INSPECTIONS REQUIRED MC/ES System Ciry Water Booster Pump PRV Fire Sprinklered 45 Fire Repair 46 Windows/Doors _ Foorings: New Bldg _ Insulation _ Windows - new/replacement _ Footings: Deck _ FinaUC.O. _ Siding _ Foorings: Addition _ FinaUNo C.O. _ Stuceo/Stone _ Foundation Fireplace: _ r.i. _ air test final Roof: _ ice & water _ final _ Framing Pool: _ ftgs _ air/gas tests _ fmal APPROVALS Planning Buiiding Engineering Variance Base Fee Surcharge Plan Review MC/ES SAC City SAC . Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N •?? l m;jzY? ? F'J, ,..,.. ,... ...'..r? i ? +;?....? *. ? ., ' t e i ? . . ..:.... ...... ,::_.;,..,.., .?.... ..? . ._. .. _ . . bf.. PERMIT CITY OF EAGAN 3830 t'ilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 3 I0703 ? c (612) 681-4675 Date Issued: 0 8/ 2 7/ 9 7 SITE ADDRESS: 1226 BALSAM TR E L07: 24 BLQCK: 1 WILOERNES5 PARK P.I.N.: 10-84250-240-01 DESCRIPTION: Bruild:i;ngrmit Type ?`Suilding W6^rk`7YPe = Census Coda ?.? F? 7..i., k.Y,_ ..,. . .l DECK N_EW 434 ALT. RESIDENTIAL -'-F REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES (2) $_50 Surcharge $.50 Total Fee $51.00 Subtptal $50.50 CONTRACTOR: OWNER: _ Applicant - PAJALA R08ERT ? 1226 BALSAM 7R E EAGAN MN . (612)297-3513 ?.. , I,her",,y acknowledg,$ thax-L Ftave, reathij? appljaation $nd s,tate,ythat the infiormatinn is correct end a.qree to comply with a1t-' a'ppltcatr.le S'rate pitf Mn. Statutes and City af Eagan Ordirrances., J ? ? ? APPLI AN IOTEE SI AiU BE ISSUED Y: SIG TURE ^'? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3? ( 02) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Reauirements RemodeURanair Reaui2menls 4s i. 00 ? 3 registered sde surveys ? 2 wpies af plan ? 2 copies of plans (InGude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addRions & dedcs) ? 1 energy calculatlons ? 1 anergy plculations for heated additions ? 3 eopies of Vee preservation plan if lat plalted aRer 7/1/93 required: _ Yes _ No ' DATE: 19-uo-9:1 CONSTRUCTIONCOST: DESCRIPTION OF WORK: ZUIL? ID?x lZ,? ])EGK ON 13A6k ('F-('ECXJSi? STREETADDRESS: «-?O E-, 1KA-L?A_M -l-V?Af ?- LOT a7 BLOCK SUBD./P.I.D.#: '^) 'Q PAT+4 L?4 T;?_v C3LWT PROPERTY Name: ZEDi11lk9K K4Tt1C.? Phone#: OWNER u.. m„ --9_7- 3 5I3 ,q Street Address: 1Z26 F- 13f1 LS,4A-t :L:E:?-j L City: EA-G-AN State: _ tt,(Zip: ?S123 coNrRaCTOtt Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.^ed plumber (new construction only): and lot change are iequested once permit is issued. I hereby acknowledge that I have read this application and state that the information is State of Minnesota Statutes and City of Eagan Ordinances. Penalty applies when address change agree to comply with all applicable Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ITree Preservation Plan Received _ Yes _ No Not Required OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ,. , i . . 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ' MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building vo- Engineering Variance Permit Fee Valuation: $ 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 S?- Totai;???? r % SAC , SAC Units •. .....r.._._.._. . A ? ? - ,?7 3 - 3- / s ?..??. l 3 f ? _. S. PETEASEN CONSTRUCTION, INC. 4701 WEST 110rx STREET 884-5144 6LDOMINGTON, MINNESOTA 66437 . . ,r 7, 6 i I l I 1 - ; ? + ? v i Y r An° k, ' I ? g ?.,r?;-<--'-'^.-- • ,.. ?:I, n•V• ??it?="`. . r ...? . yN t i ..`... . ._.. _ .. _ ? ??./?. .•• f .. . _'1. y. Q? o ? / •,i r. ,, . i C f" '-"?' 3-3-/ D 1 S. PETERSEN CONSTRUCTION, INC. 4701 WEST 11[?rx STRF.F.T 884-5144 BI.OOMMGTqN, MINVESO'PA SS494 ? - I ? ? ! ? t ? V ?.a I I .? ? . •_" i -,_, ? ? _._. _ , ? i No 1: ? o ? h 7 ? ? PERMIT # RECEIPT DATE: - I -o j RF-.SIDWIITIlkL PL1JM$INfl PEiiMIT APPIICATION crrY oF K,tsAx 3$30 PILOT KAOB RD Slk6AN, bilY 551 EE 651-6$1-4675 Please complete for: D single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: / p?o?6 OWNER NAME: :/)ii?,h /dC L ?pKp4-1/ S l/ TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: STREET ADDRESS: (AREA CODE) CITY: pSTATE:/lZa1___ ZIP:S ?IO Place a check mark next to the oermit work tvoe _ New residential dwelling unit under construction and not owner/occupied $ 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 • waterturnaround Nature of work: e?14 /Y? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ ,hQ,ST Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge tna[ I have read this application, state that the in(ormatlon is correct, and gree wmply with all applicable City oF Eagan ortlinances. It is the applicant's responsibility to noti(y the property owner that the City of Eagan assumes lia6ilit for any damages caused by the City during its normal operational and maintenance acUvitles lo the facilities constructed under this permil withi Cit?rty/righFOf-way(ea?eTl"ent. GNATURE'G7F PERMITTEE Updaled 1/01 .7?2779 2006 RESIDENTIAL PLUMBING PERnnir aPPUCATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /S,6D Date (?Z (? Site Street Address ?a( o ?X'tilco-fY-) A,Q_ ? Unit # i Property Owner Telephone # ( (p5J ) (p'JD - 5 g`7 ' Contractor UC IXL IX A? ? 4 `A/GI?,Y Telephone # ((?S) ) _tp9d - Jr97F " Address 1ai?,tr ? 1?<am Cih ?/l S!ate r'IIJ Zip 6S/,2.? The Applicant is: _ Owner ?Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling, $ 50.00 ;. _ Add plumbing fixtu[es.'. This fee includes installation of a water softener and/or water heater at the same time. ff you are insta!ling onlv a water sottener and/or water heater, do not complete this section; move to the next section and check lhe appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $130.00 if a 5/8" meter is required) Other: X Water Softe ner _ Water Heater $ 15.00 _ new ?_ replacement _ lawn Irrigation _RPZ _PVB ? _repair _rebuild $ 30.00 State Surcharge Q19 D'10p6 $ eo 3 . Total $ IJ?,_?(l I hereby apply for a Residential Plumbing Permit and acknowledge that the informafion is complete and accurate; that the work will be in coniormance with the ordinances and codes of the City of Eagan and the plumbing codes; that i understand this is not a permit, but only an application for a permit, work is not to start wilhout a permit and work will be in accordance with?the approved plan in the event a plan is required to reviewec#?id,apC'ved. f ? Applicant's Printed Name App' anPs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126124 Date Issued:08/13/2014 Permit Category:ePermit Site Address: 1226 Balsam Tr E Lot:024 Block: 001 Addition: Wilderness Park PID:10-84250-01-240 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 . Jackie Terrell Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott M Lewis 1226 Balsam Tr E Eagan MN 55123 (612) 467-5545 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171602 Date Issued:08/24/2021 Permit Category:ePermit Site Address: 1226 Balsam Tr E Lot:024 Block: 001 Addition: Wilderness Park PID:10-84250-01-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Scott M Lewis 1226 Balsam Trl E Eagan MN 55123--170 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature