1303 Balsam Tr E
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087916
Eagan, MN 55122 . Date Issued: 01/06/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1303 Balsam Tr E
Lot: 3 Block: 3 Addition: Wilderness Run 6th
PID 10-84355-030-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Joseph Germane
1920 County Road C West 1303 Balsam Tr E
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 3 B~lk 3 Parcel 10 84355 030 03
~ ~
Owner~DU4: ? Street M3 E04.4 ~5qA,- 1.~~-4 State Eagan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
121.U8 CUU3448
SAN SEW TRUNK 1973 161.21 8.04 20 gap/
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162.14 .XP4646 15 154.08 CUU3448 1-19-11
STORM SEW TRK 9-12-77
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. V - no S797
BUILDING PER.
SAC pD -7 -5707 PARK ,4
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: c `r'' I "b
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897
Date Issued:
(612) 681-4675
SITE ADDRESS:
c „ i , ~ „ ► APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
F
I
L
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
rORSAT
TEST
BLDG FINAL
BSMT R.I.
"SMT FINAL
DECK FTG - I
i
DECK FINAL
i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 r APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
;~I ! 44-- .'B40 lit (0VVII IN4- I I I It,' IC.A1. Vf fiP!11 AND IMSf F.C I ION
L
3333
Permit Holder Date Telephone e
PLUMBING i
HVAC
Inspection Date Insp. Comments
FOOTINGS /S~Qg
FOUND
FRAMING IC4DO~ y015T 14O ®d ti/GicT
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH `Lc [1iJGT3 a O
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY iff EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Road PERMIT NO.:
'Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: I nsp.:
CM bF FAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO_:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: -
Plumber:
agree to comply with the City of Eagan Connection Charge: -'j > >-j
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: _ Total:
Insp.:- Date Paid:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4294
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Dote ' 19
Site Address 1 Erect 1] Occupancy T
Lot - Block Sec/Sub. LI; Alter ❑ Zoning t
Parcel # Repair ❑ Fire Zone Y _
Enlarge ❑ Typ? of Const.
W Name Move ❑ # Stories
3 Address Demolish ❑ Front c- ft.
O City Phone Grade ❑ Depth ft.
Nome - Approvals Fees
O
oa Address _ Assessment Permit • _
Ul Water & Sew. Surcharge `4. 5`'
city Phone
Police Plan check
F W Name Fire SAC • OU
234.00
u~ Address Eng. Water Conn. j
<W City Phone Planner Water Meter ~0.OQ
Council z 120.00
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable 1047.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
r` tt I Ctit'a' ~ Lil C. •
A Building Permit is issued to:. _ ► _ on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
i
Ptnwit # Deft hwed p0malbe
Plumbing _ ojC 7 7
Mechanical ur-9 - 7 7 may, _ _i -
INSPECTIONS DATE INSP. Rough-In Find
Footings Date Insp. Dote Insp.
Foundation _ Plumbing - 7)
Frame/ins. Mechanical
Final 7
Remarks:
r't
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No.
Date: Receipt No.:
Single
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter./Repair. Address Cost of Installation
C City Phone: Permit Fee
Name Peter P : u.-:, 5,
Surcharge
g A~dd t c;Yand
City . _i.; Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
A CITY OF EAGAN
3795 Pilot Knob Rood
40 4 Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No. ;.4
Bate: 1'' 77 Receipt No.: >5F
Single
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name - e ; C. New/Alter./Repair. '
Address Cost of Installation
G V City - Paul Phone: Permit Fee 20. 00
Nome -finder & Son 1:i-. Surcharge ~
Address E• Butler
e
city ' Phone: Toto1 2
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Off iciol
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Name Mult Add-on
Comm. Repair
Address
c City Phone Other
FEES
L Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent M B
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
4 FEE:
SIG TL1RE F P _
SIC:
TOTAL FOR: CITY OF EAGAN
CITY OF EAGAN
3795 Pilot Knob Road _
Eagan, Minnesota 55122
Phone: 454-8100
T.":i:'% OFT?:F PERMIT No.
Date: Receipt No.:
Single
Site Address: , / Residential
Lot ~ Block _ Sub/Sec. L 0A Multi Res., Comm./Ind.
Name - - New/Alter./Repair '
Address Cost of Installation
a City Phone: Permit Fee
` Name filbert Cullicizi:: Surcharge
Address '21 Marie orc-.ntie
0
V
City ~O - Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
RESIDENTIAL `,i
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-6814675 3_0,b--k 0a00 -^007
New Construction Reaulremenla RemodelRieoalr Reouhememe
• 3 registered slte surveys showing sq. fL of lot, sq. ft. of house; and pp roofed areas • 2 copies of plan
(200/6 maximum lot coverage allowed) . 1 set of Energy Calculations for heated addtibns
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & docks
• 1 set of Energy Calculations • Indicate 1 home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bklgs with 3 or less units) f M
DATE VALUATION
SITE ADDRESS I/ ea3ULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK_ K JCOOF 3 0 FIREPLACE(S) _ 0 _ 1 _ 2
c age, 6
APPLICANT 1Z~~ C0F11?Q
STREETADDRESS L,?Qt S YnnrQt-)eeL 7-rQIL CITY STATE M ZIP _253L/7
TELEPHONE 054 -9,?3- aOZ2 CELL PHONE # FAX # 983 -407
651- &e& -
PROPERTY OWNER Sos~P6 Ce_rMO."- TELEPHONE# '1056
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 submission type) Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: = Water Softener _ Lawn Sprinkler D OTT
_ Water Heater _ No. of R.I. Baths
No. of Baths I5 200 2
Mechanical Contractor: Phone # 01.
Mechanical system includes: Air Conditioning :
Heat Recovery System
Sewer/Water Contractor: Phone #
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 Eagan Ordinances. /~~n r1
7s Signature ofApplicant I f( r~ r u `1r~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 3 3 8
(812)'681-4675 Date Issued: . 0 9/ 2 3/ 9 8
SITE ADDRESS: 1303 BALSAM TR E
LOT: 3 BLOCK: 3
WILDERNESS RUN 6TH
P.I.N.: 10-84355-030-03
DESCRIPTION:
4 SEASON
Bu `14i'h,qr Permit Type SF PORCH
B.o3.Id ng`14Qr-k Type NEW
ehsLis Cdde141 434 ALT. RESIDENTIAL
~ x
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6I.4
F 4 re ce. r. sffim~e~'
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REM?P":REVIEWED BY BILL ADAMS.
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
FEE SUMMARY: VALUATION $9,000
Base Fee $149.75
Surcharge
Total Fee $154.25
CONTRACTOR: ~QLWNEwR - AppljcOnt -
F 1.303 iv BALSAM TR E
EAGAN MN 55123
l (651)686-9050
I herob; dckno Ledge that T haue.read this apjpl%cat1;0't -and state ,th-attlae
fQrnaLZCn,is correct ar^rdi ayree`to: cortply with all„appliclable_;Gat'afCn
` ~tt`Utes' and°ityi of 6aga~ OrClf~ces, '
%
APPLICANT! ERMITEE SIGNATURE -6ISSUED BY. SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF PAGAN
3830 Pn OT KNOB RD - 55122 r~
681-4675 -S S
New Construction Requirements Remodel/Repair Requirements C n Ct . a " -CI
• 3 registered site surveys ♦ 2 copies of plan aX.
♦ 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
• 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
/ )
DATE: / l X CONSTRUCTION COSTA 16-d 1 S q ~6
,
DESCRIPTION OF WORK: ¢c as n cr dd i TJ oh
STREET ADDRESS: 13 0 3 . 7~Q / s a n I ra r I
LOT: 3 BLOCK: 3 SUED./P.I.D. V~kQ
c1
Name: GE'Y mqn r o e Phone q
0 / 0sd
PROPERTY Last First
OWNER
Street Address: 13 0 3 ~ , , f g ct p, / Yo f l
City 0.q cj h State: 11-74) Zip: S S1,213
Company: J4~ 11 @ Phone
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: 3 u P17 e Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: r. _
OFFICE USE O LY IC~IVED
Certificates of Survey Received Yes - No
Tree Preservation Plan Received - Yes - No Not Required BY'
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
Rk04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
X 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 -146L Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCIWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
E
A-Pr AbAERTY LntE 0
I
I .i
U
U,vE~ I
i
~ Q
r
\ N I
N
TI~sk
r
C '
~~opEery 1 80 3 Z t3~k a tL,a~ l
l~ Odd. '
L oT
E,,
Dr-T'c
L'JILOIN INSP CTIONS DEPT.
Wr ?A
_J r
.o
l~ ~i1r hw1
CITY OF EAGAN
C(`cili:L[!i° S TERMINAL NOt 62
DAIE". 08/15/96 TIME: 16c0 `H)
IDI I
NAME, METRO SIDING INC
3210 9001 003 BAI...SAM TR 99.75
2155 9001 1303 BALSAM TR 2.50
Total Receipt Amount: 102.25
C.R062954
USER Iii, NANCY
~~,X ~~~~A~>k,%~X~>K~#>X#kt~k>k,X%~>k~k%~>X>k~~>K~,k>k%c**~X~k~
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028558
(612) 681-4675 Date Issued: 0 8 / 15 / 9 6
SITE ADDRESS:
1303 BALSAM TR E
LOT: 3 BLOCK: 3
WILDERNESS RUN 6TH
P.I.N.: 10-84355-030-03
DESCRIPTION:
(SIDING)
,HIUA~dtnN.,Permit Type SF (MISC.)
BUG€€F~ng Q r k Type REPAIR
CriU`s Cod:'e 434 ALT. RESIDENTIAL
L;
y §
t „3 ~ ~ a g zv S
dt ~
"4i gi~IP~b
re~g IE u~;:...
~ ~7raa aes~ 'z rr nu.'s
?m
~n i"u ..as § $ ~i ~r vs m a x P
gxte e, 0
w
REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
CONTRACTOR: - Applicant - ST. LIC.OWNER:
METRO SIDING 15571808 0004861 LINK BOB
2750 NIAGARA LN N 1303 BALSAM TR E
PLYMOUTH MN 55447 EAGAN MN 55123
(612) 447-1808
i ttierehy aCk tou~edgd t~t'1, S haul read, that "agplcaion,and sxstl=6 that, the
infdrr4atacr=n„ s turi etl nst ogre( to c tnpiy ,w thx a; I ap1 d110 le tat a1
Statutes aM#~D>tY l~ ~a Ot lames
4
APPLICANT/PERMITEE SIGNATURE tISSUED 6 SIG ATURE
CITY OF EAGAN
3830 PILOT KHOB RD
RD - 55722 1-906 996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
B81-4675
New Construction Reouiremenls Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam 6 window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ I energy calculations ♦ I energy calculations for heated additions
♦ 3 copies of tree preservation plan tf kit platted after 7/1/93
required: _ Yes _ No
DATE: III, jgca . CONSTRUCTION COST: co
DESCRIPTION OF WORK: iStiP_;0S,(.C 40
STREET ADDRESS: 1:308 ~ Aaj a-m 1MJJ
LOT BLOCK SUBD./P.I.D. w~A d J f17 ~O
PROPERTY Name: Phone
OWNER
Street Address- Z303 (5• l"saim Tr
City: Ua2Ctn State: ~N Zip: 557x3
CONTRACTOR Company: Nf)lrr ZGC:" zlic . Phone 557 /806
Street Address: _a750 lU1rAc 1% License W61
City: 1 'U{mCX I State: -11t) Zip. 55482
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #
Street Address*
City: State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the i rm ion is correct d gree 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 Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE `d
o 01 Foundation o 06 Duplex ❑ 11 Apt./Lodging o 16 Basement Finish
o 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. o 17 Swim Pool
o 03 SF Addition ❑ 08 8-plex o 13 Garage/Accessory o 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ❑ 10 = plex o 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations o 36 Move
0 32 Addition o 34 Repair o, .37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. IvlCIWts 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 Engineering Variance
Permit Fee 9• `?5 Valuation: $ d4 o
Surcharge 0?. 50
Plan Review
License
MC/WS SAC
City SAC
Water Cann.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: /Oa.a5
% SAC
SAC Units
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4294
PHONE: 454-8100
BUILDING PERMIT APPLICATION $49,000. Receipt # 57H'7 _
To be used for Sing. Fam Dwlg. o Garg. Date April 29, 19 77
Site Address ]--,A E. Be1Sam Erect fl Occupancy I
Lot 3 Block 3 Sec/Sub. WR S2~kL Alter ❑ Zoning Al
Parcel # Repair ❑ Fire Zone -
Enlarge ❑ Type of Const. V
w Name Rohoyt 1-4"k Move ❑ # Stories
Z Address Demolish ❑ Front 52 ft.
0
City Phone Grade ❑ Depth 31 ft.
o Name Tilsen Homes, Inc_ Approvals Fees
ou Address 627 So. Snelling Ave. Assessment Permit 138.00 _
V~ city Phone Water & Sew. Surcharge 24950
Police Plan check
Fw Name Fire SAC 475.00
14 Address Eng. Water Conn. 230.00
6"' City Phone Planner Water Meter 60.00
Council Park Don 120.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable 1047.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to. Tilsen Homes Inc, on the express condition that
all work shall be done in acc / nce with all. ap able State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Dates zz 7
BUILDI iG PERMIT APPL•ICF.TION
LOT 3 BLOCK C1 ADDITIO0 /
PARCEL & SECTIOIT."NUMBER IF UOPLATTED
A-13DRESS OF PARCEL) z-
70e3]:':'.G / OCCUPANCY USE, r.'? Xy3 A I
ESTL`iA 7-D COST
C7"7itL'R _ + TELEPHONE N0.
ADDRESS
COs,71RACTOR y TELEPHONE 11.0
ADDRESS
Note- Include sits plan, building plans, and energy calculations with this
application
Signed - _
G~^FICE USE
V&LLIIATIO?7
SAC
TIATER COiiNECTIO}:1 P~
VATER METER
BUILDING PERMIT F!79/ o
SURCHARGE FEE _e7 y
PLbui C'=K FEE
PARK DEDICATI 4 FEE
OTUMIR
TOTAL* 7
APPROVALS:
ASSESSIM41T CLERK BUILDING DEPT. POLICE DEPT.____
''LATER & SmIER DEPT. FIfM DEPT. PARK DEPT.
. i4
AxAc AepApe ry L,w c t~
V) ~GB'd/Y
UNE~
~ I
n o I
a
~~OPE~PT'Y X03 ~3 o.an. a~
I ~
LOT Moo K I
i
-PLQ-f "a L Pik
>k%c:~CXc~#>k>kX~ ~k~#>k vFX~rFV~>Kw„ ~~~~~~~>k~~ N~?XWB;>~X~?~~XVa~
CTry OF EAGAN
CAf HIE_Rz S TERMINAL. NCI: 889
DATE,: 09/25/98 TIME: 15:14::18
ID:
NAME; JOE:. E GEMANN
300 9001 1303 DAI...SAM TR 149.75
205 9001 1303 BALSAM TR 4.50
r
Total Receipt Amount: E5405
CRO97 7 (:39
USER ID: NANCY
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PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA102299
Date Issued: 12/01/2011
OR Permit Category: ePermit
41~ it~ of E3
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Site Address: 1303 Balsam Tr E
Lot: 003 Block: 003 Addition: Wilderness Run 6th
PID: 10-84355-03-030
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Renae Freimvald
2200 Hwy- 13 W
Burnsville. mn 55337
952-767-1870
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Genz Rvan Plumbing & Heating Dorothy J Edwards
2200 West Highway 13 1303 Balsam Tr E
Bumsville MN 55337 Eagan MN 55123--175
(92)767-1000
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA102978
Date Issued: 02/10/2012
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1303 Balsam Tr E
Lot: 003 Block: 003 Addition: Wilderness Run 6th
PID: 10-84355-03-030
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Insert
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Glowing Heath and Home LLC Dorothy J Edwards
100 Eldorado Dr. 1303 Balsam Tr E
Jordan MN 55352 Eagan MN 55123--175
(952) 492-9276
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110880
Date Issued:06/03/2013
Permit Category:ePermit
Site Address: 1303 Balsam Tr E
Lot:003 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Dorothy J Edwards
1303 Balsam Tr E
Eagan MN 55123--175
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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For Office Use e-
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City of EaEd~ 1 Permit ' d
Permit Fee: I
3830 Pilot Knob Road I
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Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: s
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner 'I Address / City / Zip: S "VVA w•
Applicant is: Owner Contractor
Type of Work ;Description of work: Q f K %A 42-1 X S ®0s.0
Construction Cost: bC9b Multi-Family Building:- (Yes / No )
Y Company: V 4-0-,j 4.e S Contact: a,~ .i✓
Contractor 'Address:„ S E, ✓ t• S City: ~-E t t ~Jox-~e ~n
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State: vAOl vol- Zip: S~6 S'e; a Phone: e~ t CS-
I License #J~ (A(*T Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: _ _ Phone:
- m v.... ..-yo _ _ _
NOTE: Plans and supporting documents that u submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.__
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name A plicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146992
Date Issued:11/29/2017
Permit Category:ePermit
Site Address: 1303 Balsam Tr E
Lot:003 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-030
Use:
Description:
Sub Type:Fireplace
Work Type:Free-standing Stove (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Dorothy J Edwards
1303 Balsam Tr E
Eagan MN 55123--175
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167548
Date Issued:03/22/2021
Permit Category:ePermit
Site Address: 1303 Balsam Tr E
Lot:003 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Dorothy J Edwards
1303 Balsam Trl E
Eagan MN 55123--175
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature