1245 Balsam Tr ECITY OF EAGAN Remarks
Addition Wilde ss P k Lot 3 Blk ?L Parcel 10 842,50 030 C4
Owne' street 1245 East Balsam 'I`r'a3.1 state Eagan}MNL_5K123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK -? 1973 16.0 8.80 20 132.05 C003470 8-12-77
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 149.34 C003470 8-12-77
STORM SEW TRK qqL 19 ZH O
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, pip
BUILDING PER. aqt
SAC , Lb
PARK
CITY OF EA"N
3795 PUa! Knob Roed WATER SERVIC E PERMIT
Eogan, MN 55122 PERMIT NO.:
Zoning: DATE:
------
Owner; , No. of Units:
Address: --
Site Address:
Plumber.
Meter No.:
Size: Connection Charge: '
-
Reader No
: Account Deposit: ?
.
I egroe to eomph, With the Ciry of E
Permit Fee: . ,?
• ?
'
agan Surchorge: •'
?
Ordinanees,
Misc. Charges:
By
ToYol:
?
Date of Ins
p" D°te Paid'
Insp.:
OF EAGAN
Pilot Knob Road
, MN 55122
SEVUER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
to comply wilfi the City of Eagan
of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge: _
Misc. Charges:
Totol:
l. 00 pd
CITY OF EAGAN
3793 Pilot Knob Rood Eagan, MN 55122
PHONE: 454-81 d0
Na 4327
BUILDING PERMIT ReceiPt #
_
To be vsed foe Date , 19
Site Address - Erect ? Occupancy
Lot Block Sec/Sub. _ Alter ? Zoning -- -
Parcel .# Repoir 0 Fire Zone
l
E =
f Const
T
n
arge ? .
yp
o
e Name Move ? # Stories
?
3 Address Demolish ? Front ft.
? r:.. .
o?'-- Grade I-l Death - ft.
'Name _
0
uQ Address
z
F 1-:-.
Water &
Police ?
Fire -
Eng. -
Planner _
Council _
Permit ? > `•' `-_
Surchorge
Plan check ?
•r
SAC _
Water Conn. '
Water Meter
, c s " ?%. !?4
I hereby ocknowledge thot I have read this opplicafiion ond state that g;dg. Off.
the informotion is correct ond ogree to comply with a!1 opplitabte
5tate of Minnesoto $totutas ond City of Eagan Ordinances. APC Total
$ignature of Permittee
A Building Permit is issued to: on the expsess condition tfiot
all work shall be done in occordance with all applicoble State of Minnesoto Stotutes ond City of Easan Qrdinonces.
Building Official _-
Sew.
Pennit # Deta Iewed Pwns[!tN
Plumbing 7
Mechonical f i' 0'2 0 ?o -? r- 7
INSPECTIONS DATE INSP. Rough-In Fihal
Footings ?z Date irisp. Date Inep,
Foundation Plumbing
Frame/ins. Mechanical ?
Final > w- J7
Remarks:
CITY OF EAGAN
3795 Pilot Kwo6 Road Eagen, MN 55122 N! 4803
PHCNE: 43467 00
BUILDING PERMIT Receipt # "
To be used far Est. Vulue Dote , 19 '
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repair p Fire Zone
Enlarge Q Type of Const.
99 W Name Move p # Stories
3 Address Demolish ? Front ' ft.
0..,._ . ..?. .,?---- -. . •r s ? . Grode n Deoth ' ft.
? o Name ??. .,A
?
?a Address
?
Pti.,..e
Name
I hereby acknowledge thot I have read this aE
the information is correct ond agree to con
State of Minnesota 5tntutes and City of Ea
.
Signoture of Permittee
A Building Permit is issued to:
ail work shall be done in acmrdance with all
Building Officiol
that
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
5urchcrge
Plan check
SAC
Wcter Conn.
Water Meter
Totnl i 0 • ofa
?' ??;r.•%?c,.,- .
on the express condition that
>le State of Minnesota Stctutes and Ciry of Eagan Ordinonces.
Panrit # DaN Issued ' Poesltf»
PI umbing
Methanicol
INSPECTIONS DATE INSP. Rough-In Find
Footings Date Inav. Date Insp.
Foundation Plumbi ng
Frome/ins. Mechanical
Final .
i
Remorks:
• . GTY OF EAGAN
? 3795 Pilof Kno6 Road
r Eagan, Minnesofa 55122
Phone: 454-6100s
_ PERMIT
Date: - 21, 1977
Site Addreu: 1215 Sast Palsam 'i'rail
Lot Block Sub/Sec. ? r?
No.
Receipt No.: ,s>453
Single I .
Residentiol
MulYi Res., Comm./Ind. I
Nome '.ser1 Fomes IriC. New/Alter./Repair. ?
?
3 Address SnelZinq P,ve. Go. Coyt of Instollotion -
O
City ?'t. Pa-'- Phone: Permit Fee ?n. nr)
??
A., Bind??r & San Inc. . ??'l
? Name Surcharge
?
? Address ? 0 E• r.u`lcr
e
? City . 1' ;`I' Phone: Total 20.50
This Permit is issued on the express condition thot all work shall be done in accordance with all appliccble State of
Minnesota Stotutes ond City of Eogon Ordinonces.
Building Official
. ..
?
Date: `
?? .
Site Address:
Lot Blotk
I Name
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MinnesoM 55122
Phone: 454-8100
PERMIT
Sub/Sec.
v , . ?_:....
7 Snellina Ave. So.
Phone:
/
Name ; ?; ` F'• u,_ _ - 'o.
No.
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter. / Repai r
Cost of Instalfotion
Permit Fee
?n
v I City . , _ Phone: I Totol
This Permit is issued on the express condition thot all work shall be done in accordance wlth oll applicable Stote of
Minnesoto Stctutes ond City of Eogon Ordinonces.
Building Official
FEATIl'it 7,
Date:
Site Address:
Lot
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesola 55122
Phone: 454-8100
PERMIT
11-6--79
1245 F •
Block Sub/Sec.
:.•,,t°9nL?
Name
0
c
Address T a s ^ --,^ -,-, =_ 1
3
0
City Phone:
k''
Nome
Q.
T/
P Address
e
V
.1 ? . . , .,-.
City Phone;
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes ond City of Eagan Ordinonces.
? + i
No
iA90
Receipt No.:
Single I r
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Instollotion
., i . ?tir•
Permit Fee
•r,h
Surcharge
Tota I
done in accordance with all applicable Stote of
Officiul
This request void 18 months &om
i ? 4??7
Date U?tl 'Request /(i¢ZL; t, s 25689
I, as EfLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal w ' iring installed at:
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on this job?
Power Supplier _
Electrical Contractor
Mailing Address _
Authorized Sienature
No. SLq'J_25+4d
?? o O nW?D ?{?5??? This inspeetion reqP stwill nPt be accepted hy the
?G??
u J State Board unless roper ins ection fee is enclosed.
M14innesota State Board of Electricity
-T954University Ave., St. Paul, Minn. 55104-Phone 645-7703
KEQUEST FOR ELECTRICAL INSPECTION
CNECK BELOW WORK COVERED BY THIS REQUEST
/6 6s7
S 25689
Type o[ Building New Add. Rep. Cheelc pppliancea W ned For Checic Equipment Wired Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixluros ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Silo Udoader ?
[ndustrial Bldg. ? 11 ? A'v Conditloner 0 Bullc Milk Tank ?
Fazm ? ? ? List List 1
Other
??
0
? O
Heiel?+ ? Cl p
}
Heie?sf
COMPUTE INSPECTION EEE BEibSX i
Seivice Entrance Size: it " 3?@ bbfeeders: # Fee Crtcuits: # Fee
0 to 100 Am s. ro 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 1 to 100 Am res 31 to 100 Am exes
A6ove 200 Amps. Above 100 Amps. Above 100 Amps.
Transformecs RemoteCont?ol C'vc. Paztial or othei fee
Signs Special Inspection Minimum fee .00
Rematks TOTAL F p
v •
?i?
I, the Electrical [nspector, hereby certify that the above inspection has been mae?.
(Rough-in) ' Date
i
(Final) 4/00-11 ate
This request void 18 months from
)y.??U -- I Zyano
This request void 18 months from
O OOOOO
Date of this Request 6^24-77
[, as tILicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street A? s Ro3?t N?, 1? ?.st Balsam CitY Eagan
Section To?slup .
Range County Dakota
Which is occupied by Tilsen Homes
. (Name of Octupant)
Is a roughin inspection required on this job? No ? YesZl Ready Now ? Will Call U
PowerSupplier_ Dakota Ctv. Address Farminpton
Electrical Contractox O.B. ThomUSOn Electric Co. Contractor's License No.?3
(COmpany Name) .
Mailing Address 12201 3aitka Blvd.. iitka 55,'43
Authorized Signature
xo. 933-2521
or
.. Minnesota State Board of Electricity
• 1954 UnivOrsity Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELECTRICAL INSPECTION
? CHECK $ELG."C'WORK COVERED BY THIS REQUEST
-a-' D e" 9 S' `?
O SOOOS
Type of BuOding New Add. Rep. Check Appliances W¢ed For Check Equipment Wired Fox
Home EY ? ? Range X-Q • Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Pixtures 12
- Apt. Bldg. ? ? ? Dryer ? Eiectric Heating ?
Commercial Bldg. ? ? ? Fumace 2• oo
? Silo Unloadei - ?
IFQlus[rial Bldg. ? ? ? A"u Condilioner ? Bulk Milk Tank ?
Facm ? ? ? List List
Other ? ? ? Rehelsf 1Sp. le $thers#
eie
CbMPUTE INSPECTION FEE BELOW(ZT',?1
Service Entrance Size: # Fee Feede ' fe0legig Cireuits: # Fee
0 to 100 Am s. 0 to 30, m ws 0 to 30 Am eres 0 20.00
101 to 200 Amps. 31 to 1 Am eres 31 to 100 Am eres
Above 20 mps. 0. Above 100 Amps. Above 100 Amps.
T[ansformeis Remote Control Cixc. Pa[tial oi o[her fee a
$igns Special Ins ection Minimum fee $5.00
Remazks
H8,11,
TOTAL FEE
I, the Electrical Inspector, hereby ?i?€{? thaY{J?boje inspection has bee?masie ?
(Rough•in) ??? ?-??l? Date 'a ?-2
(Final) Da ;a/-?Z_
This request void 18 months from fn ?
?-----------------
i
? Pertnit#: ?
? Permit Fee:
? Date Received: ?
I I
I Staff: I
I------ ------------------
2008 RESIDENTIAL BUILDING PERMIT APPLIGATION
Date: s - (o- 06 Site Address:
Tenant:
Suite #:
RESIDENT/OWNER `
Name: Phone: C51 -667 ?t:)q-7d
Address ! City / Zip: A-l.5
Applicant is: _ Owner Contractor
?
TYPE OF WORK Description of work:
Construction Cost ?q 3 ? Multi-Family Building: (Yes No ?
CONTRACTOR t '
Name: License#: GD
. Address: ??-rl-6 Sb -S .s 2.vA.pM 1
I
City: \ State: 4k? Zip:
Phone: Contad Person: ,Cb -f-`1-
COMPLETE THIS AREA ONLY IF CONSTRIJCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Woiksheet • New Energy Code Worksheet
Category Su6mitted Submitted
(4 submission type) • Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
= NOTE: Plans and supporting;docum
be; publrc mformatiori= Fortron
`s
":of '
ents thaf you:submit are consrdered to
_
_
t
;
the information
<t
y be
l
s
fi
th
ni+t fh
t
!!
d est
on
ubl
=if
id
e
o
t would
i
ma
c
as
r
e
a
e C1
y
o
n
p
?c
you prov
e sp
ffc teas
ns
per
c
'^r?? ' ? cotrctirde that the are trade secrets. 4,?1l , _ _W. ... '
I hereby acknowledge that this infortnation 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
acwrdance with the approved plan in the case of work which requires a review and approval of plans. ----- ----? .
/
x Q6?JLVLi ,?-Niq?? X- ---_y--__._..--
-
ApplicanPs Printed Name ApplicanYs Sioi re
Page 1 of 3
`y RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN `j ?
?-- 3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681•4675
NewConstructionReouirements RemodeUReoairReauirements
• 3 registered sAe surveys showing sq. R. ol lot, sq. ft. of house; and all roofed areas . 2 copies a( plan
(20°h maximum lot coverage allowed) . 1 set ol Energy Calculations for heated additions
. 2 copies of plan showing beam 8 vnndow sizes; poumd Pound design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served hy sepNc system for additions
• 3 wpies of Tree PreservaGon Plan if lot plafted after 711193
• Rim Joist Detail Oplions selection sheet (61dgs with 3 or less units)
G?
DATE r7 VALUATION F2=-
SITE ADDRESS 11C) ISQh'I Ff . E, _MULTI-FAMILY BLDG _Y _N
TYPE QF 1MORK Xh a1 /? S pl?`v? 2`?UeK?i N 3er? RH? FIREPLACE(5) _ 0?! 1 2
?- Nu„ eLYYS ,tie ?xrsfiH9
APPLICANT F7 i r P se n Y, vL y`
STREET ADDRESS _?r(5` (') I17, Gv U ?? CITY ,Cfu!^Gtl'U/IIPSTATEAVZIP _553.3
TELEPHONE #9514FC)- O`ISa CELL PHONE # FAX #
ny? II ?0?? ?L 8Q??y
PROPERTY OWNER K iC? ;[ y 1 I 1iK CJ ,,QJL TELEPHONE #
kl/
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CA"I'EGORY 1 VfINNESOTA RLII.h:S 7672
(d submission rype) • Residenlial Ventilation Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contracfor:
Plumbing system includes:
_ Water Softener
Water Heater
No. of Baths
_= Lawn 3p?kler
No. of R. . Baths
Mechanical Contractor. gz?'f B S?' (a.P_ e n V' v1 a V' Phone #
Mechanical systccn includel: Air Conditioning
E-kat Recovcry Systcm
Sewer/Water Contractor: Phone #
$90.00
?7?
Fcc: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
wiTh all applicable State of Minnesota Statutes and City of Eagan Ory4jances. , n ,
Signafure of Applicanf
OFFICE USE ONLY
. New Energy Code Worksheet Submitted
,?4 SFP o s ?002 i?
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4l02
, CITY USE ONLY
PERMIT#: # JMS5 RECEIPTDATE:
USIDFIVTIAL M£CH"CAI. PERMIT APPLICATIOft
crrYoPEAsAx
S$SO fII.OT KPOB RD
KAHAN MN 551 EY
851-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:Z2 [p Q??
?
SITE ADDRESS: L
OWNER NAME:(?
INSTALLER NAME:
STREET ADDRES:
CITY: HQ.P.a
PIaCe a check mark nezt tn the nPrmi} wnrk }vnr+
?
TELEPHONE #:
TELEPHONE #:
_ FNew residential dwelling unit under constructionand not ownerloccupied $ 70.00
_ Add-on, modification or alteration to existin dwelling unit $ 50.00
. furnace replacement
• air exchanger
• air conditioner
• he
Nature of work: J"IODk- LdA k2ci4eA^ i V1 Glaraa e
State Surchar e $ 50
rotal $ '50 50
Reminder: Call for inspections.
4,L .
SI NA PE TTEE
Updated 1/DI
*?*****?*************************??*?**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 678
DATE: 08/16/00 TIME: 13:59:51
ID:
NAME: RICI=iARD OR PATRICIA DILLINGER
3210 9001 1245 BALSAM TR 97.25
2155 9001 1245 BALSAM TR 2.00
Total Receipt Amount: 99,25
CR136006
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. . ? C,TY oFEACM
3830 PILOT KNOB RD - 55122
651-681-4875
New Conshuctlon Rearlrementa RemodeVRaoalr Reau(remenh
* 3 reylsfered sNe wrvays ahowiny eq. R. ol bt, aq. f1. of howe 2 coptes at plan •'
arrd gtj rooled areas M"6 maxlmum l01 eovamae allowe? 1 set of energy caladaNons tor healed additlons
? 2 caplei oi plans (ahow beom & wlndow sizes; poured fnd. tleslgn; etc.) 1 site wrvey fOr exfeAOr addfHOns & decka
? 1 sel of anergy calculalloro
* 3 Coples of tree pres nalla plan tl lof platted aMer 7/1/99 ,
?
DATE: ? r?J d CONSTRUCTION COST:
DESCRIPTION OF WORK: ?4r4°i??L^ 14 P19l
STREET ADDRESS: 17?P.
LOT: J BLOCK: 'q SUBD./P.I.D. #: 1MId4YYWS K par Iv
Name: Il/LG/AlG&X ?ICf174.Cb Phonelf: &.57-6gr-7-0074
PROPERTY Lost flrst
OWNER Sheef Addreas: /o;t 154`GS'19/1'1 71f •
City k?66 4N State: 'V? Zlp:
COMRACTOR
Sheet
City
State:
ARCHITECT/
EN6INEER Company: Name:
Telephone #: (
Sheet Address: Regishaflon #:
City
State:
Sewedwater licensed plumber lif iriaWllina sewer/water): IA Phone
Zip:
Zip:
I hereby acknowledge Mw1 I have reatl this applkaHon, atafe that Me Infortrwiion is corract, ond agree o comply wHh aU applicoble State
of Minnesota Stalutes and Cffy of Eagan Ordinanees. ,
Signature of Applicant
v 7
OFPICE USE aNLY
??CEI?IED
Certificates of Survay Received _ Yes _ No A?G 1 5 Zo??
Tree Preservation Plan Received Yes No Not Requir I -?
- - - BY: ?
Phone #:
(area code)
lJcense N Exp.
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatlon O 07 05-plex O 13 16-plex O 21 Poroh (3-sea.)
? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 5torrn Damage
? 05 03-plex ? 71 10-piex Pibg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool OP 30 Accessory Bldg.
WORK TYPE
?1 31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)` ? 44 Siding `-"
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair .
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code, # of Stories 59• ft•
No. of Units ? Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) S- Basement sq. ft. Census Code
(Allowable)
a - M in le ef sq. ft.
ft
? MC/ES System
Water
Cit
ncy
UBC Occup .
sq.
x y
Zoning ? sq. ft. Booster Pump
PRV
Fire 5prinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Gfi Engineering Variance
0 31 Ext. Alt - MuRi
? 33 Ext. Att - SF
? 36 MuRi
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
m?
Valuation: $??=
4/ s8 y ° ?
Ki??
SAC Units
% SAC
-._.--?•=?..,sssc.c=n'c ,?K:_ .?...,?.
?
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" 3795 Pilot Kno6 Rwd Eayan, MN 55122 NR 4327
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReCe1Pt #
-
$59t000. -
7o be uwd 4or Sing. Fam Dwlg, d Gaig, pate HeY 20. , 79 77
Site Address 1245 E. Bala_Am TL_ Erect 19 Occupancy I
Lot 3 Block 4 sec/sub. Wilderness P8lk Alter ? Zoning RL .
Porce1 #. Repair ? Fire Zone
l
E
? e of Const
T
n
arge .
yp
w Name Ra+mo nd E GiaCek - Move ? .fk Stories
; Address Demolish ? Front 76 ft.
S City Phone Grade ? Depth 44 ft.
o Nome aiisen nomes, anc.
Address 627 SO Saelling Ane
~ Cit St. Paul phone 698-5501
?-z
Fw Name
?? Address
6w Citv Phone
I hereby ocknowledge that I have read this appiication ond stote that
the information is correct and agree to comply with oll opplicabie
State of Minnesota Statutes ond City of Eagon Ordinonces.
Signature of Permittee
A Building Permit is issu
oll work sholl be done ir
Fees
Assessment_-
Water & Sew.
Polite Permit 1")3.UU _
Surchorge 29.50
Plan check
Fire SAC 475.00
Eng.
Plonner
Council Water Conn. 230i0
WoterMeter 60•00
Psrk Don 120.00
Bidg. Off.
APC rotol 1067.50
Tilsen Homes on the express condition that
. witFrpll apDlicable StaXe of Minnesota Statutes and City of Eogan Ordinances,
Building Official _X
7
,
"e?`o?
Da-te:???? _
BUILDSCdG PERY°lIi P.PPLICr',TTO'd
,eT C?) a:,ocx ADDIT200
_,WZ, /' Ps?
?
:?,.'•.'.C?; & ST;C^SOId hN17AF,R 7R iSi7DT.A'V°I'RD
.:._.,._:;:.....,? .. -.m
?jr-ryry;gg'P;M'n C/?' ti e TELEPHORIE NO.
JOi;_ R .CTr,a
' i?IRESS
TELEPHOP7= YdO. d -/
[iatec Inclv.de site plan, building plans, and energy calculations or?.th ih:.?
application
Signed
OFFICE USE
mF>
JdiLUATIOI7??????
:*JY?,D?D?G PEfit•IIT FEE
-7iRCNT.R3E FLF.
;?:.a'ta! Ce:P'.CiC FLE
PAR.i.t DEDICATSON FEE
OT:IuR
'.-?"PRO`TTLS:
. i?i ;SSi"L,SdT CLERK BUIL[lIiJG
DEFT.
& SEWk;R DiPs. FIIL DEPT.DEPT. ,.. .?-
?
OAAIY?
-?7.s? ?
..-----
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.. --• 9795 Pilot Knob Rood Eagan, MN 55122 N9 4803
PHONF: 4548100
BUILDING PERMIT APPLICATION $1+220• Receipt # 10040 _
Te ba uaed for Deck Est. Value pate MSy 18, 19 78
Site Address 1245 E. Ba158m TI. Erect [Qt Occuponcy I
Lot 3 ei«k 4 Sec/Sub. Wilderness Yarl,klrer ? zonin9 Rl
Porcel # Repcir ? Fire Zone 3
Enlarge ? Type of Const. V
s Name RBYmond E. GT8CeT Move ? # Stories
? 1245 E. Balsam Tr. 19
Address Demolish ? Front
Ci Phone 454-31F(1 Grade ? Depth iZ
w ApDrovah Fees
Z0
V?u
?
Nome Ren C3arubba
Address
c;ty Lakeville
Name
Address
Assessment _
Water & Sew
Police _
Fire
Eng.
Plonner _
Council _
Permit 9.00 _
Surcharge 1.00
Plan check
SAC
Wafer Conn.
Water Meter
I hereby acknowledge that I have read this applicotion and state that gldg, pff.
the infortnation is mrrea end agree to mmply with ail opplicable APC Totol 10.00
State of Minnesota Stotutes and City of Ea?g.a/?n, Ordirwnces.
Signature of Permittee l- ?I ?• ?Lnew-AJ
A Building Permit is issued to: Raymond E. GTaCet on the eupress condition that
all work shall be done in acmre??r}/?e-w?i,th all p Ii le State o Minnewta Statutes ond City of Eagan Ordinances.
Buiidirg Offlciol ?., ??
?
PATE 15=/ S` - > 8'
SUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatioins.
To be used for ,i eQk_
4_a„„ Z?, ,
Site fiddresE; ggej
Lot Block See. Sub.
3 4 w;u?,.Fss P?,I??
Ota,ner -? fl ' vrc' 11
Address i;), A5- 1E.= 1 ccl Sc??vt ?T'i2 _
Contractor §?? ,? LcLr r i? hbcz_
Address
Arch./Eng.
Address
Erect
Alter
P.epair
Lttlarge
Nbve
ilemolish
Grade
OFFICE USE
Date af Approval & Initial
Assessment
ttaater/sewer
Police
Fire
Eng.
Planner ^
Cbuncil
Rldg. Off.
A.P.C. _
Valuation I
Parcel Number
Telephone '45-A- -N 60
Telephone
Telephone
OFFICE USE
Occupancy ?
zoning R ?
Fire Zone
Type of Const.
# of Stories
Front / f
DePth 0 -
FEES
Petmit
surchaYcle -------- -- r ?_
al.an Check
SAC
Fiater Conn.
4°7ater MeLer
TOTAL
. I - -
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2005 RESIDENTIAL BUII.,DING PERMIT APPLICATION
.?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
t-io 5p,
Ce?x?e?.?lg - ?,?
PA . v? s?
New Cons6uction Reauiremenls RemodeUReoair Renuiremenis Ofice UseOnlJ
3 registered sAe surveys showirig sq. ft, of l04 sq• ft. a( house; and all roofed areas 2 copies of plan Ced of Survey Reo] _ Y_ N
(20°h max'vnum lol coverege allowetl) 1 set of Energy Calculations for heated additlons Tree Pres Plan ReaJ _ Y_ N,
2 copies of plan showing beam & wintlow sizes; poured found desyn, etc. 7 site survey for addition.a 8 decks Tree P2s Required _ Y. _ N
i set of Energy CalcutaGons AddHlon - indicafe if on-sBe septic system Omite Septlc Systam _ Y_ N
3 copies oi 7ree Preservation Plan'rf lot platted after 711193
Rim Joist Detag Options selecUon sheet (buldings wBh 3 or less unKs)
?7
Date ? / dR /
Construction Cost
?/° J,. O 4CJ
Site Address /d ?/S ? h f?[S? TlZ E- UnidSte #
zFl?6of.(,
Description of Work iF7G!/CD/iV 6 CL
Multi-Family Bldg _ Y_ Fireplace(s) _ 0_ 1 _ 2
f?0/zsc
Praperty Owoer K i G#"f 'e- L) JJ / L L/Al /s e'7C
' Telephone # ((oSl ) ta?7-L941?41'-
ix- o ?c &s - s$-?s 3
Contractor S C? ?
Address City
State Zip Telep6one # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BtJILDIMG
- Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category .- Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envebpe Calculations Submitted
Hove you previously constructed 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 #(
Telephone #(
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 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.
- R /G/T?"iFD -J-)/ GG?.t? G tsYC
ApplicanYs Printed Name
OFFICE USE ONLY
r'
Sub Types ,
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Parch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex CI 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35
)61 32 Addition 0 36
? 33 Alteretion ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Int Improvement 0 38 Demolish Interior ? 44 Siding
Move Building O 42 Demolish Foundation ? 45 Fire Repair
Demolish Building' ? 43 Reroof ? 48 WindowslDoors
"Demolitlon (EnUre Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
/ Footings (new hldg)
? Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
/ Roof Ice & Water Final
? Framing "w DEr-*_
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: V , Building Inspector
----------------------------------------------------------- ------------ --
Base Fee ?
Surcharge ?
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7?lr
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For Office lJse I' '
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DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
`ZSingle Family Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
r Alteration Fire Repair _ Windows _ Demolish Foundation
—
Replace Repair — Egress Window _ Water Damage
—
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION d,
Valuation $ 2, tibc.. ~ Occupancy ":_177Z C- t MCES System
Plan Review Code Edition PA 12 pis SAC Units
(25% 100%J Zoning &- City Water
Census Code Stories Booster Pump
#of Units ' Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) C Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
rInsulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /� N'` 1 k!in- , Building Inspector
RESIDENTIAL FEES
Fee 7-26e.Base #1,`A ; vni
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL 1
Page 2 of 3
r For Office Use
i i Permit#:
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
JUL 15 2019 Date Received:
(651)675-56751 TDO:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsc cityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 7/15/19 Site Address: 1245 East Balsam Trl
Tenant: Suite#:
Resident/Owner '
Name: Patricia & Richard Dillinger Phone: 612-669-1256
- 1245 East Balsam Trl Eagan, MN 55123
Address/City/Zip: g
Name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: 55337 Phone: 952-314-9885
Contact: Wendy Rache Email: wrache@uspatiosystems.com
T e of Work New 1 Replacement Repair Rebuild _Modify Space _Work in R.O.W.
yp_ .
Description of work: replace shower pan, valve, surround, toilet, vanity top, vaucet
_ ••• •
Water Heater Lawn IrrigationRPZ 1 PVB)
9 (
Water Softener
V Add Plumbing Fixtures(✓ Main/ Lower Level)
Description Septic system
shower pan,vaive,surround,toilet,vanity top,faucet
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System(includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$60.00
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.aooherstateonecall,org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
I hereby acknowledge that this Information is complete and accurate;that the work will be conformance with the ordinances and codes of the City o
Eagan; that I understand this Is not a permit, but only an application for a permit, and wo is not to start wi t 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 ans.
x Wendy Rache i&jflIçX
Applicant's Printed Name Applicant's Sign lure •
Page 1 of 2