1280 Balsam Tr E(g.ertifirtttt of Orrupan.ry
Citp of (f agan
Eppttx#mpn# nf Bttilbing 3nspertinn
Tjltf Ctt'tf f icate is.rutd pur.rnant to tlx requirements o f Sectron 306 of the Unr form Building
Codc urti f ying that at tix timc o f it.tuanu this struaurt wus in com pliancc auith the various
ordinanccs of the City rrgulating building conttruction or use. For thc folloee4ng:
L%e Single FAmily Dwg/Garage dg. re,rWt No. 6652
Oaupaocy'type=l-TypiCoamwtiao V Fire7 . RA ZaningDistrtct RI
a„M,omm„„tTilsen Homea, Ine. Aaa. 627 S_ Snelling;_St. Paul
BuBNogAddras 12$0 E. Belsem I,aa,Y I,ot 80Block l.Wilderness
?,: Run 6th
? jp
Bwlatngoffid.l SA- Dau: JtiLv 29, 19E31
?T IN A COM?CU011{ IRACF
u.S.A.
CITY Of EAGAN
3795 Pilst Knob Rood
Eo9an, MN 55122
No.:
to wmpir with the City of Eagan
PERMIT NO.:
DATE:
_ No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcho?ge:
Misc. Charges: -
Totol:
Date Poid:
Insp.:
SEWER SERVI CE PERMIT
CITY OF EAGAN
3795 Pflot Knob Rood PERMIT NO.:
DATE
Eugan, MN 55122 :
Zoning: No. of Units:
Owner:
dd
ress
A
Site Address:
Plumbei
1 agree to eompip with the City of Ea9un Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
gY Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Poid:
WATER SERVICE PERMIT
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued: ' !? I /`?Q
(651) 681-4675
SITE ADDRESS•
• i ;, i s: .? ? ??; r
?.!'a, i,r,I "AM I ir i"
41l l i1F f2hft:S$ kIIN F; i Ft
? APPLICANT:
( ?, I .' 1 ? '•? i•] ; ?.? ? Ei
PERMIT SUBTYPE:
TYPE OF WORK:
; i'Arl
It0(11
INSPECTION .ATE INSPTR. INSPECTIO .A
Ir-
l?
?
J
PermR Holtlsr DaUe Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inapectlon Oa[e Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFINQ
77
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOAAD
FIREPLACE
FIREPLACE
AIR TEST
FIIVAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
cMoucrivrrv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
,
' . CITY OF EAGAN '
.
• ' 3795 Pilot Knob Road Eagan, MN 55122 No 6652
' PHON E: 454-8100
BUILDING PERMIT Receipt #
To be aad for Est. Vnlue Dcte , 19
Site /RddresS Ered ? Occuponcy
Lot Block Sec/5ub. Alter ? Zoning
Repalr p Fire Zone
parcel #
E
l T
of Const
n
urge ? ype
.
W Name Move ? # Stories
= Address Demolish ? Front ft.
0
Ci
phone
Grode ?
Depth
ft.
°C Nome Approvals Fees
o v' Rddreu Assessment Permit ?
~ Ci Ph Water & Sew. Surchorge
one
?
cl:
police
Plon check
Z NO^ne
F Fire SAC
?? Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council Road Unit
I hereby acknowledge thot I have reod this applicotion and stote thot Bldg. Off.
the informotion ts correct ond cgree to comply with oll applicable APC Total
State of Minnesata Stntutes and City of Eagan Ordinances.
Sipnature of Permittee
A Building Permit is issued to: on the express condition that
oll work shull be done in occordance with all opplicable State of Minnesota Statutes and City of Eaflan Ordinances.
Building Official
rwok # Dah Irmd Pu?FMM
Plumbing ,3
Meche 'cal 7 ?
iElEt_ z?ccL 73c?`773. -z-? T
INSPECTIONS DATE INSP. Rouph-In Final
Footings Dote Insp. Dote 1
Foundotion Plumbing
Frome/ins.
o Mechaniwl
Final l w
Remarks: (?
CITY OF EAGAN Remarks
Additi ? Wilderness Run 6th Lot 8 eik 1 Parcel 10 84355 080 01
Owner? A?Li..- V ? `?:i?,l ,A`Ltu?,? r street 1280 East Balsam Trail state Eagan, MN 55123
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK -Q1 $ 88.67 A01o439 8-4-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA / 1977 162. 14 ??O $-??- 15 $108•14 A01043 8-4-81
STORMSEWTRK 24.52 15 $269•85 Ao1o439 8-4-81
STORM SEW LAT _
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
-
24633
BUILDING PER.
SAC 95-00 2 4 6 -4 5-12-81
PARK
:i
" . ab
> 7 5 -y
I I
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
1. Data-J f? f D/ 2. Installation Cost
?
, .
3. Job Address- ? Lot Blk.
? r
4. Owner I
5.
6.
7
Permit No. ?
Fee
S/C ?
Tot.
Tract
i ,-
Phone IV._ x/ -
State
S. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New)C Add ? Alter ? Repair ?
10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Ces
l/D
i
fi
ld
? Bath tubs spoo
ra
n
e
Septic Tank
? Lavatory Softner
Shower Wel I
? Kitchen Sink
Urinal/Bidet Other-?
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify thai the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type af work.
Signed : I for
' Rough Final
. Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN '
Fae
Fill in numbered spaces S/C Type or Print legibly •
Tot.
1. Qate ? 2. Installation Cost ?
I 3. Job Address Lot BIk.
Tract
4. Owner
5. Contractor Phone
1 6. Address
120 E. Butler
1 7. City ;'= paul
Gr1 '1:
State Zip
I S. Building Type: Residential ? Commercial O Institutional O
1 8. Work Description: New 0' Add ? Alter O
1 10. Describe
111.
Repair ?
Fuel Type
No. Equioment BTU - M. Ea.
Forced Air 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 all ordinances and codes govern(ng this type of work.
Signed: for
' Rough Ftnal
? Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
00
This request void ?a ad,A
18 months from
Date of this Request $M29-1981 Fire No. T 39973
I, as Znicensed Electrical Contractor ? Owner, do hereby request inspection of the above electd-
cal wiring installed at:
Street Address or Route No. 1280 Eaet Baleam City Ea?
Section Township Range County Aakota
Which is occupied by Ti18@n Elomee
Is a rouglun inspection required on this job? No ? YesIk Ready Now ?
Power Supplier Dakota Cty. pddress FaSmizlgtori
Electrical Contractor 0•$. Thompeon EleetxiC Eo. Contractor's License No. M2?02
(COmpany Name)
Mailing Address 12201 Mtka Blvd., Mtka 5511343,-.,
Authorized
Will Call ME
g This Installation) ]
. . n.. A_ ?i_ 9).3-?
(elecbical Conhactor tir'Owner Makin9 TMs Installatfnn)
D This impectian request will not 6a accepted 6y the
??aTC? ? OQQD Q0pU State Board unless praper inspection fee is endosed.
v
mmnesota 5tate uoard ot Electncity
Griggs Midway Bldg. - Room N191
1821 Universiry Ave.. St. Paul, Minn. 55704 - Phone 297-2711
?-REQUEST FOR. ELECTRICAL INSPECTION
CHECK BELOW W9itK COVERED BY TH1S REOUEST
EB-00001-02
.;? t{QOd
T 39973
Type of BuOding New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Home NXI ? ? Rangc 194,00 Temporary Wiiing ?
Duplex ? ? ? Water Heale[ ? Lighting Fixtures Ja7C
Apt. Btdg. ? ? ? Dryei ? Electric Heating ?
Commeroial Bldg. ? ? ? Pumaw W•OO Silo Unloader ?
Industrial Bldg. ? ? 0 Air Conditioner ?49QQ Bulk Milk Tank ?
Faim ;, o
, ? ? Lis[
Othexs ?9-1.?}
}8}3.36F List
Others
?
Othei ' ? ? ? Hexe 1 Here
COMPUTE INSPECTION FEE BELOW
Semice EntranceSize: # Fce Feeders&Subfeedets: # Fee Circuits: # Fce
0 tu 100 Am s. 0 to 30 Am eies 0 ta 30 Am eres 110 ??• o
101 to 200 Am s 31 to 100 Am
res 31 to 100 Am eres
Ab 0 ps. I
Above 100
Tra s [ RemoteContro Partialorotherfee
Sign $pecial Inspecti Minimum fee $5. ?
RemarRs Ha11 TOTALFEE 0-50
I, the Electrical Inspector, hereby certify/ the aboye'in{pection has been made.
(Rough-in) Date C.?r?-S??
(Final) /E -i?Date
This request void "
18 months from
2004 RESIDENT'IAL BUILDING PERMIT APPLICATION
/ City Of Eagan Go
93830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reauirements
3 registered sife surveys showing sq. %. of lot sq. fl. of house; and ali roofed areas
R m??Reoair Reauirements
2 copies of plan _ ....................
Ofics h Dn?
(20% maximum lol coverage allowed) 1 set of Energy Calalations for heafed additions TF62 Pr9§ Pl0 ReCtl _ Y N
2 copies of plan showing 6eam & window sizes; poured Pound design, etc. . 1 sile survey for adcritions & decks
$
ii?S
l
t?
l
?
N'
_Y-
1 5etofEnergyCalculations AddiHon - indicafeAonsitesepficsystem e
ep
ys
¢
r?si _
3 copies of Tree Preservafion Plan if bt pWtled afler 7/1/93
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less unAs
Date I I_ / V_ /
Site Address
Description of Work
Multi-Family Bldg _ Y _ N
Construction Cost
Unit/Ste #
Fireplace(s) _ 0 _ 1 _ 2
Property Owner /TA/f: C)RQkr ;:?_CGE j.AGEJ? Telephone #((??
Contractor _
Addresa _
State _
C.Oi
COMFORT
SYSTEMS, INC.
122 Third St. W., Hastings, MN 55033
651-437-0338
Fireplaces
FREE ESTIMATES • 24 HOUR SERVICE
VISIT OUR SHOWROOMS
www.haleycomfort.com
c;ty
Telephone # (
ISTRUCTING A NEW BUILDING
- mumesora xwes io iu t;ate¢orv i _ N1imlesota Rules 7672
Enefgy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J su6missian type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constrvcted a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone
Telephone
I hereby apply for a Residential Building Permit and acknowledge that the infor ion is complete_a?accurate;
that the work will be in conformance with the ordinances and codes of the Cit agari and the State of MN
Statutes; I understand this is not a pemut, but only an application for a pernut, 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 reyuires a review and
approval of pians.
u5R wEI L-AKAn
Applicant's Printed Nam Applica 's Signature
Telephone #(
PERMIT
CI7`S'( OF EAGAN
52°0 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.I.N.: 10-84355-080--01
1280 BALSAM TR E
LO7: 8 BLOCK: 1
WILC]EF2NESS RUN 6TH
PERMITTYPE: guzLozNG
Permit Num6er: 033811
Date Issued: 10 / 2 7/ 9 8
DESCRIPTION:
HeaanF
Bu41ding"_Permit Type
Bu'ilding Work Type
C'ensus Cpcle `
-?
(.
? ?..
?
_ ..,?. ?' . .
STORM DAMflGE
REPAIR
434 ALT. RESIDEN7IAL
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lrc. OWNER:
HtlRI2QN ROOFTNG 1$903900 20012795 SCHLAGEL STEVE
1333 LflRC ZNIJUSTRIAL BLVp 12£30 F3ALSAM TR E
BURNSVILLE MN 55337 EAGAN MN
(612) 890-3900 (651)452--3093
S hereby acknawledqe Chat I hawe read this
infarmatian is correct and aqree tv comply
Statutes and City oh Eaqan (lydinances.
?
APPLICANT/PERMITEE SIGNATl1RE
application amd state that the
with all applicab3.e State of' Y7n_
ISSUED BY: SIG ATU E
I
1998 BUILDING PERMI?APP?LGC?ATION (RESIDENTIAL)
3830 PII.OT KNOB RD - 65122
681-4676
New Construdion Reauirements RemodeVReoair ReoutremeMs
• 3 registered ake surveys
? 2 copies of plans (inGUde beam 8 w(indow sizes; poured fnG. design; etc.)
? 1 energy plwlations
? 3 wpies of tree preservation plan iF IM platted after 711/93
required: _ Yes No
DATE: JO la/ ly g"
DESCRIPTION OF WORK:
? 2 copies of plan
? 2 site surveys (e#erior atlditions & decks)
? 1 energy calculetions tor heated additions
L/500 . 22
STREET ADDRESS: _} oZS? E ?i SCLYYI 12I 1 V'
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: SI?I i 1 QQ ?I A ? Q U (L Phone #: '-/ 52-;30/3
PROPERTY l.ast Fvst
OWNER ?
Street Address:1oZ96 E 'p ,/)GI5(aj/y1 / ?' I •
City State: YYI Zip:
Company: Horizon Exteriors Phone #:
CONTRACTOR
License # D Q? / (52- 7!s
ARCHITECT/
ENGINEER Company: Phone #:
Name:
Su eet
1333 Larc industrial Blvd. I
Street Address, Burnsville, MN 55337
(612)890-3900
?
City State:
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: /z_
/
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No Not Required
Zip:
Registratian #: _
State: Zip:
CITY OF EAGAN
3795 Piio! Knob Rood Eagan, MN 55724
PHONE: 454-8100
BUILDING PERMIT APPLICATION
N9 6652
Receipt .# 2 44, ?), 3
To be uced h. SF DVYG/GF1R Est,Volue 79,000 oote 5-12 1981_
Site Address 80 E' ? ain Erect $J Occupancy R3
Lot 8 Blak 1 Sec/Sub. Wild RUri 6 Alter ? Zoning Rl
10 84355 080 Ol Repoir ? Fire Zone NA
Parcel #
E
l T
f C
t V
n
orge ? ype o
ons
.
w Name Ti 1 cpn Hroma Tn - Move ? # Stories
? Address 627 S Snelling Demaiish ? Front 56 ft.
o C
St. Paul 55110
698-5501 Grade ? Depth 31 ft.
i ,0m
?
o Name
- - ADOrorole Pees
?? Address
Nome _
Address
I hereby ocknowledge thot I have reod this application ond state that
the information is rnrrect and agree to tomply with all applicnble
$tate of Minnewta Statutes ond City of Eagan Ordinances.
AssessrA'ot 5-7-81
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
50
39
Surcharge •
Plan check 92'00
525
0
SAC '
Water Conn. 335.00
Woter Meter ?
Rovd Unit
rotol 1,420.50
Signafure of Permittee I
A Building Permit is issued to: T11S2I1 HQRES IriC on the express condition that
all work sholl be done in accordan? w?ith//pII ap/pli?yQble State of Minnemm Stotutes and City of Eagan Ordinances.
Building Official ?L/ ? ? ?• - ?
? I Z?I
de 2 sets o£ plans.
C ?' FAGAN Inclu
tiors s
i
I eva
1 siteplan w/e
Y atice?s '
lcdl
'
IT,`APPLICATION
BUILDING;PE? .
ca
1 set of ener9
?
7.b Be Usei1 For
1
valuation Z/?7
Date
1?.&-?
ire Aaaress o?zcE usE «a.Y 4 ,
: ?
.
, . .. _ . .
- , jpC. ?'S1.OCk`?. _..r,.
$BC./SUt?•. 6?)7'YZ, .1?--- ..FY2Ct x? ?
.
OC.'CUpdt]C57
, • /n Oi/6c-z
Pazoel # s ?i?-6 ' it.PiJ 07 ' ? ?' _ Alter
gEpair zonirxJ
Fire Zone
?
: T LSe
?/o.vf c s Entar9e ?
?T,s ? of Const
'.7YPe
,
owr?er
Address .; -, ??l
S S NGII/N?,_ LkitlO sh 5tories
Fmnt
4ty/ZiR.Code: iUt rivN ?LL6 Grade DePth
Phone APPF20VAiS FEES --aa-
Contractor: . Assessmerits, ? Pern?it ? /f?4/
? - Surcharge . 3
?aater/Sewer
Po11ce
Pla[s,6l?eck??` . .
Tilsen Homes, Inc.
627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116
PHONE: 698-5501
!
$UDJBCt -Date 5 8 .81.Message
Please find enclosed our check for Bldg. permit at 1280 E. Balsam Trail.
PLEASE REPLY TO ? Sianed mTT cUnT unntRc TN/'
Rppry
..
?`?.'3;? r.
Sianed Date / /
?
.. . ?` 0. - _?
?? -
I ??
i
/
%
1 ?{1
I
1
w
.c,?CAR- AOoAeATy Lwr- ?I
pe?
\ \
?
G ` *?SN A
COCA
??.?
UNE?
`
W
1 ?
A IiL?
'Z - S
/ I
}.. ' 1
SEWER INVERT ?
? . ,? _ TILSEN HOMES INC. ,
LOT AND BLOCK l S /3 ?fI
ADDITION ?? : l? • ? 1
NAME J C7?1 h (?Olf
ADDRESS
CTTY
konrT,_?ROiaF_fZTY _LINE ? I
?
P
??JT1 --_ •
-PL AN
i
eZ
? . ?? y
EXTERIOR ENVELOPE SPACE "U" COMPUTATION
(To be submitted with building permit application) '
)ne or two family dwelling ? O+'neT
k11 other
?
Site Address
?ontractora".L ?? ; ?t?-• Date .4- ?- ?j1 Phone
LINEAL FT. OF
+
EXYOSED WALL 4n?+
_+`+ X? ft. above grade= 3oZ ?4 4syC9r
_
?-?.b??.?2Xc?- ZZ3Z,TOTAL EXPOSED WALL AREA SQ. FT.
3?.5
1-73. ao+ -7.5+ ib.5+ 1,04 3.5+c3_4
OPAQUE WALL CONSTRUCTION: "U" Value X a rea Z4p,?"j.9 ?3Q6
4-1 Xs q
Q412?c ??UA?-
0 319$
t??
.
'lull
. f
,
"U.r g sq. ft. _ (U) (A)
Detail reference Zpwc• 'CQAtv1E ? ALL . lUll_ X sq. ft. ?-7?U) (A)
_ (U) (A)
from +
F
4 "U" X sq. ft.
?X sq. ft. (U) (A)
llUll
C
attached shee[s p 4 Q-?
SLUCC __,
__
° tU) (A)
"U" g sq. ft.
_ ?U) (A)
"U" X sq. ft.
P , o t:?CoR` • rnlEAr40R sH«LED
WINDOWS : "U" VALUE X AREA ?? ?? Mcu i16 %
'z G of2iE,LY+1JS.•W2)Cul?? r-) sqg.? •fc:
sq. f[':
sq. ft.
sq. fE.
sq. ft.
?sq. ft.
?eq. ft.
Make & type 2 - lU" ,:2ib . X aq. ft.
t lU??_?X sq. ft.
L 'p"?X aq. ft.
? j]n X SCj. ft.
?,S ,?-i?-C `'?1"----A,_ >c
DOORS: "U" value X area
Make & Type VEASE
i? i? ., l` ?.?? i?U?? •?.? X 9Q
"U" X sq
n X sq
11 Ft ?Fullsq
Jc? -3 = (U) (A)
(0) W-
(U) (A)
15 . _ '7i 1 (U) (A)
ft. ?` ?? ? 2aI0 ?U) (A)
ft. a (U) (A)
ft. , (U) (A)
ft. d. (U) (A)
TOTAL (U) (A) VALUES 3(?,, :3.5 TOTALS .3-2-]'4.'-t sq. ft
DIVIDED BY TOTAL WALL ARE8"z"74.4 AVG. "U"
AVERAGE "U" .17 or less for I& 2 family dwellings
.22 or less for all other buildings
ICONSTRUCTION FRAMING R-Value
1.
2.
3.
4.
5.
6.
4 , q-7
tu> (n)
` ' I
Z97-
. a -
ROOF/CEILING:
TOTAL AREA: sq. ft.
Detail reference "U" -(X sq.
from "U" X sq.
attached aheets ITU" X sq.
Describe openings ? "U"i_ X sq.
in roof "U" X sq.
ft. 0 « = ZR:2. (U) (A)
ft. _ (U) (A)
ft. _ (U) (A)
fc. (A)
ft. _ -- -?U) (A)
TOTAL (U) (A) VALUES -2R ,;z OTALS 1??- 9 s4• ft. c?f•c?' U) (A),
DIVIDED BY TOTAL ROOF/
CEILING AREA l
AVERAGE "U" .OS for ventialated roofs
. .10 for all other construction
BOOF/CEILING: R-value
1.
2.?I(a
3.??Sson.ac,
4.???: c?a P,?GZ -h l
6. 3=?
NOTE* If average "U" values as calculated above do not meet the Energy Code Requirements,
the'"Alternate Envelope Design" as outlined in SSC 6006 (g) may be used. Additional
sheets may be used to show calculations.
s,
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiructian Reouirements
3 regislered site surveys showing sq. ft. of lot sq. ft. of houu; and all roofed areas
(20%maximum loi covorage ailowed)
1 Soils Report if proposed building is to be placed on disWrbed soil
2 copies of plan showing beam & window s¢es; poured found design, etc.
t set of Energy Calculations
3 copies of Tree Preservation Plan if lol platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechaniCai veNilation form
Remodel/Reoair REduiremenis
2 copies of plan showing tootings, 6eams, joists
1 sel 01 Energy Calculalions for heated additions
1 site survey for additions & decks
Addifion - indicate A on-sde sepfic sysfem
?VY
Otflce Use Onlv
Cert otSurveyRecd _Y _N
Soils Repod Y N
Tree Pres Plan Recd Y N
TreePresRequlred _Y _N
On-siteSepficSystem _ Y _N
MAR 0 4 2009
Da[e 3 / 2 1 ? I ConstructionCos[ 3,-)L GC- () (D
Site Address 12?? 0. ?`?? Y'Yl I f Ct? UnidSte #
Descriptionof Wcrk wJhicl (?
bU I
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Multi-Family Bldg _ Y i
? N Fireplace(s) _ 0
_ 1 _ 2
Property Owner U Sch I ci q e I Telephone # ( )
Contractor LQrI'??Y'? ?}(? ?`j (? f? C
Address ITSIO
State
l?1N 7,ip 3 City (???f/' 'l?j t ll Qc(?
Telephone # (?S 1) 15 - 73 tOdU
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category I Worksheet • New Ener9Y Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lasi 12 monfhs, has the City of Eagan issued a permit for a similar plan ba=.ed on a master plan2
_ Y _ N it yes, date and address of masier plan;
Licensed Plumber Telephone #( ?
Mechanical Contractor Telephone #( )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permi[, 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.
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Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117391
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1280 Balsam Tr E
Lot:008 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-080
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephan Schlagel
1280 Balsam Tr E
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
Date: /02
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2911 RESIDENTIAL BUILDING:PERMIT APPLICATION
Site Address: /oZIW :...6-457-..5602 7-1? unit #;
RESIDENT /
OWNER •
Name:
Phone; 6/0...-- 76g_ ..
Address / City / Zip: /2,g6 A5T. E/44/4A1
Applicant Is: .Owner .,XL.Contrector • . •-•
TYPE OF WORK
Description °two& r7g
Construction Cost:
44.6- 6ortlesit-eys, ;4!of,/e.
CONTRACTOR
Mult1-Famlly BtOding: (Yes / No k. )
• • „ • • ., •• .
License #: • 4)42 ?re9d9,1;01; • •,aW#: Ah44-7:- 73'f9
If the project Is exemptfrom lead certIfIcatIcin4please.ex.pla.In,Oyc(e90Ppp 3 for additional information)
A.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
. •
In the last 12 months, has the City of Eagatillislied a permit for,a similar plan based.on a master plan?
. . .
Yes No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:.•
Phone:
Phone:
NOTE: Plans and supportIng.documon4 tp:tg•yoy•:stibmIt•ary.c9p1:Idered,to: be public Information. Portions of
the information may po:classIlleq43:0,944,140,10,$/.00 ko..);09:,:$604.reasons that would permit the City to
• • ••-• . • • '•
• • • • ,
CALL BEFORE YOU DIG, Call Gopher Slits Ono.Cill et (51) 4y--0002 for:PrOie4Onagalnsi underground utility damage. Call 48 hours
Georg you Intend to dig to receive locates of undarground.uttlitlas,• wommoohisns.laleoctecall.Org'7...
1 hereby acknowledge that this Information Is complete and acCurate; thit the Work Wil.be In conformance with the ordinances and codes of the C:ry of
Eagan; that I understand this Is not a pe.rmlt, but only en application for, a permit, and„work is not to start without a permit; that the work WQ I be in
accordance with the approved plan in thecase work Mich requires a review and approval of.plins.. •
Exterior work authortzed by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. . •
7?„ X
Applicant's Printed Name ,
•, , Applicant' Signature
Page 1 ol 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154347
Date Issued:03/14/2019
Permit Category:ePermit
Site Address: 1280 Balsam Tr E
Lot:008 Block: 001 Addition: Wilderness Run 6th
PID:10-84355-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Stephan Schlagel
1280 Balsam Tr E
Eagan MN 55123
(612) 708-9031
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature