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1406 Balsam St CITY OF EAGAN Remarks Wtr & sew corn won 12-21-70 Addition EverL7reen Park Lot 10 Blk 4 Parcel 10 21880 100 Q4 Owner1 / ~ Street 1406 Balsc' m St. Eagan,MN 55122 State U' 9/.. Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 197 3 175-00 8-7q Pn rl SEWER LATERAL Sew onn c .L 1974 0.00 8.00 5 WATERMAIN WATER LATERAL 1972 230.00 20 Paid Mod WATER AREA STORM SEW TRK !l STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT -7 Addn, #3650 WATER CONN. 260.00 3121 122-70 BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i E t~ r r~R~ 3830 Pilot Knob Road Permit Number: ~i >t 0 s4 4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: %tkfikr is"N f'Ar k f 1 ~.t+l it i 1 PERMIT SUBTYPE: TYPE OF WORK: I ra ;t+ii% 11 A1 V INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DDATE INSPTR. t ,~ri! 1 Cdi, L~ Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING I HVAC inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING 17 p ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL I DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: E 3830 Pilot Knob Road Permit Number: " l Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: III kit I APPLICANT: 1401• IJAI'.rsoi t I Irl•IVIIs IJOIFJ '..'1 l:~If'i hl I Akh i i'+G9 PERMIT SUBTYPE:' TYPE OF WORK: !I ; f-tI f"ra INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. 11, AM I Nso 1 I I I, ~~IUl,ll ! 6''! li I ii I flr•,! I~ Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing ~d Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Pibg. inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. EAGAN TOWNSHIP ® gyp- BUILDING PERMIT Ne 2353 Owner .^..t: CYs--r!:: Eagan Township . Address (present) ...1_' .7....=.... Town Hall Builder Z O Dale .....................15...................... Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks 4~ LOCATION Sfre 44 Aoed or oche Description of Location Lo! Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT-ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is 3o certify, that .----^.:'!4............... has permission to erect a..... _upon the above described premise subject to the provisions of the Building Ordinance for Eag Township a4fopted April 11, 1955. / l yy//cc~ 1..~...-r..3- Per ....sac-.--~ Chairman ofi Tnwn Board - Building Inspector 100 100 - - loo. _10 a m 1 = 6 NI 7 r g m - o _ - - 4 i I -100 L - - 100 L 1 "100 30 30 200 NORTH y ~ I Cr) o 9 0 ' AOO _ -1 e 2 i s SECTIO N 20-T2TN-R23W 2634.3 NORTH l L MASTER CARD • LOCATION a IS OWNER A5- ~j STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING v PLUMBING 6 1 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING K SANITARY SEWER D / y OTHER 70 at OTHER rcv ~~V~ Approved Items (Initial) Date Remarks Distance From Well FOOTING I~PTIC FOUNDATION D ESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER • Violations Noted on Back COMMENTS: EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PEMUT FOR WATER SERVICE CONNECTION Date: December 21, 1970 Number: 521 /n, - ~f Billing Name: Tilsen Homes Site Address: 1406 Balsam Owner: same Billing Address same Plumber: George J. Luecken Location of Connection Meter Size. Connection Chg.,)- -O-Meter No, Permit Fee 10.00 Rd 12/21/70 Meter Reading Meter Dep. Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence xxx $25.00 RE-INSPEn' PON FEE FOR Multiple No. Units- N PROPERLY INSTALLED (METERS. Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minneso By:_ - Geor a Luecken No. St. Paul Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: fdt$ December 21, 1970 NUMBER 680 OWNER:Tilsen Homes Address 1406 Balsam, Evergreen Park PLUMBER George J. Luecken TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xxxx Location of Connections: Connection Charge Permit Fee 10.00 pd 12/21/70 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By Georg J. ecken No. St. Paul Please notify when ready for.inspection and connection and before any portion of the work is covered. CITY of"S&GAN N2 . 3305 BUILDING PERMIT 3795 Pilot Knob Road Owner c...........-.'^d Eagan. Minnesota 55122 Address .(present) ...1..'t !1...N........ s 454.8100 Builder ~cr.u Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION (o ,S v Street. Road or other Description of Location Lot Block Addition or Traci /a eva-w IP~. This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPTpN Pf~ PREMISE WHILE THE WORK IS IN PROGRE This is to certify, that..." t.:....~..~-.... .has permission to erect a-........... ............................upon the above -described premise subject to the provisions of all applicable Ordinances for the . rfy of Ea[g~a~jn P - Per k:~.~...... . . . MalYor Building Inspector riie CITY of EAGAN N2 3650 BUILDING PERMIT 3795 Pilot Knob Road Owner -`yy l Eagan, Minnesota 55122 Address (present) ~ L•t'L':::`-"~'"`J............ 454.8100 Builder t!- .........4!!":.`~":............ p 50's / Dale ...C1...: ~1...- Zr Address d----,w ` z DESCRIPTION Sloriea To Be Used For Frout Depth Height Est. Cost ermi! Fee Remarks LOCATION /o~. Street, Road or other Description of Location Lo! Block Addition or Tract /b ~ cut4 Ao - This permit does not authorise the use of streets, roads, alleys or sidewalks nor does It give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, .has permission to erect oz .....!?:P.... upon the above described premise su lect.to the provisions of all applicable Ordinances ,for the~ Citjof Eagan. ------v-- Per Mayor 7 Building Inspector 4-3 MASTER CARD C 7p LOCATION /11(0.~ OWNER 74~ V Q~h !G/'~~ STRUCTURE AND LAND USED AS On It. 27eC Issued To Permit No. Issued Contractor Owner BUILDING .dSO_ PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL - HEATING GAS INSTALLING SANITARY SEWER OTHER i OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: PERMIT CK 3z`131 ~~IT'l~ OF EAGAN 3830 Not Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 6 7 9 (612) 681-4675 Date Issued: 10/06/94 SITE ADDRESS: 1406 BALSAM ST LOT: 10 BLOCK: 4 EVERGREEN PARK P.I.N.: 10-24880-100-04 DESCRIPTION: 4 (BOW WINDOW) B,uilding'-Permit Type SF (MISC. ) Building W&r.k, Type ALTERATION x i ~p 1 REMARKS: FEE SUMMARY: VALUATION $1,200 Base Fee - $29.00 Surcharge $.60 Total Fee $29.60 CONTRACTOR: - Applicant - ST. LIC. OWNER: H K CONSTRUCTION SERVICES 15277390 0008169 ODEGARD ROBERT 3426 NEWTON AVE N 1406 BALSAM ST MINNEAPOLIS MN 55412 EAGAN MN 55122 (612) 527-7390 (612)681-9111 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 Mn. L Statutes and City o•f Eagan Ordinances. a n'r APPLICANTYPERMITEE SIGNATURE ' ISSUED BY SIG T~ CITY OF EAGAN 14C Iq 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of wonk 1201 - Site Address: ) 0 ff~og~ 6 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name ©1D Z a1 khrtp RD b gT Phone Lam) -`7)/ Property LAST FIRST Owner Address _ 40 (to &A_a4 ~ STREET STE # City State`^- Z i P Company Phone 5~J-~39d Contractor Address ~t7~ l/~C 14(~n/ License # `L / & Exp. / s City ~2AState Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Flex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ®"05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE Mqv, to i~AkAo ❑ 31 New El 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well . Census Code L`! - Depth On-site sewage SAC Code ~L Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing 'Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuatim. $ 12 00 Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028094 (612) 681-4675 Date issued: 0 6 (2 7/ 9 6 SITE ADDRESS: 1406 BALSAM ST LOT: 10 BLOCK: 4 EVERGREEN PARK P.I.N.: 10-24880-100-04 DESCRIPTION: (ROOFING) 8&!, d nng,Permit Type STORM DAMAGE 11i a ing U rrk Type REPAIR X- risu e C-o d, E ,11" 434 ALT. RESIDENTIAL 0 C E 'Ynk gy 7 4 Yx'~ IT W ~ gI ~ I k ~ ~q4 .-r LM~G Ise~.age ~ L T y, tl~e'° c ~ wra ams 'e~'nteid~. ti Y E S &s na IF M rt.t aLV,o s Eip M sa IsM°+€* Ex iMv. E .P T H~ ss a~wfr N' v ~IDUSi ~i 'Ei 2= k5 "cea+z a REMARKS: FEE SUMMARY- CONTRACTOR: OWNER: - Applicant ODEGARD ROBERT 1406 BALSAM ST EAGAN MN 55122 (612)681-9111 no. % ITerebyclttra~r)eB ,M1= xave read"tn=3s a)iPlicfarc;'titl s>se iha'tne nformatian€ 5re'`.rir# ~ssra$ to _ damn °wfx1 appahletB ta'f htt7, ~ IStatutee arrr): Ci+~ ~5~ ~agan `Ylydicta,nce~_ E, = a ~a( 7n I" ~(will R~r~ 1119 APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIG TUFF E~- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ot"44 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ i energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 required: Yes _ No DATE: Y/ C~ CONSTRUCTION COST: p i DESCRIPTION OF WORK: e- t'° ° 9,., fror SAO d STREET ADDRESS: 4 ~ 73,, .SU , C S~ n!1 LOT BLOCK SUBD./P.I.D. C 19UllihO ll Ynh~ PROPERTY Name: a e a I-, Phone-#: ~1' 6¢~' / 1 1 OWNER Street Address: City: Zr4,5t:a 09 State: V-,k Zip: 5 S J22• CONTRACTOR Company: SCC r .L Phone Street Address: License City: State: Zip, ARCHITECT! 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. I hereby acknowledge that I have read this application and state that th ion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc . l Signature of Applicant: OFFICE USE ONLY r Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No CITY USE ONLY PERMIT Y)_X RECEIPT DATE: RUIDENTIAL MECELAMCALPERMIT APPLICATION CITYOPi *GM 3830 PILOT KNOB RD iL'AGM MN 551 EE 651-681-4675 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: 7- ,'Q6 " o i SITE ADDRESS: ~~7("~ OWNER NAME: RO'&£'pl- I" X 'n ,lco TELEPHONE / 0 REA E) INSTALLER NAME: r! (3//P Q LL~ ~ TELEPHONE y RE J DE) /~6 STREETADDRESS: a/aI0 EQ 7~ti) A0 CITY: STATE: ZIP: ~S0,9.7 Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ~B rt~nJ , G State Surcharge Total $S ~S~ Reminder. Call for inspections. c I NATUR OFPERMITTEE Updated 1/01 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date/ / 05 Site Street Address ( 14Q6 (POI I S C1 I Y I R-t Unit # Property Owner hint nd d, Telephone # (bS-)) LEI Q 11 1 Contractor f I~Q wU~~J Telephone# (6S-I) 3W X34 Address -&-jC) DLL 0 12d city jaaqan State Zip 55 23 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 518" meter is required) Other: _ Water Softener Water Heater $ 15.00 - new X replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ J 5 so I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. "fGua t4Q I.t (h r~ R I, Applicant's Printed Name App is Si nature JAN t 9 2005 By v~ Use BLUE or BLACK Ink r ~Y _r For Office.Use Permit d Cif Olf Ea n I ka I Permit Fee: ` I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I j Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /z/o A&&a4x_) Tenant: Suite M RESIDENT / OWNER Name:- L / / Phone: Address / City / Zip: `7 0 4 Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: 14, 3!e p , ab Multi-Family Building: (Yes / No m CONTRACTOR Name: LLaTeyin License Address: L J'7 Ci : "/Lt.!) Stater N Zip: Phone: ceSl- 7 8 `i'- AZW1., Contact: Email: 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: NOTE: Plans and supporting documents'ihat y6tisubmit are considered to.be pabiic'irrform.ation, Portions of the reformation ,may.be classed as non-public if you provide specificreasons'-that would;perntit the.,Citrto II Gon~iude that tite p~ tratlp secretsf 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.gopherstateonecall 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 p rmit; that the work will be in accordance` with theapproved pI in tJhe case of work which requires a review and approv of plans. Applicants Printed N e Applican s ignature Page 1 of 2 PERMIT City of Eagan Permit Type: Building Permit Number: EA105090 Date Issued: 0612512012 itj of 0n Permit Category: ePermit R Site Address: 1406 Balsam St Lot: 10 Block: 4 Addition: Evergreen Park PID: 10-24880-04-100 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Estate Claim Services LLC Robert Odegard 934 Cromwell Avenue, Suite 2 1406 Balsam St St Paul MN 55114 Eagan MN 55122 (651) 309-1114 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 Use BLUE or BLACK Ink r For Office Use '7[a I Permit Q I I L City of Ea Permit Fee: a S') 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Addre s: r / Unit Name: ~ ( I Phone:.0 Resident/ ~~cJr~/.gym Owner Address /City /Zip: Applicant is: Owner / Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: es / No Company: ontact: Contractor Address: C^ity': ' r'l~ Stater Zip: Phone: /1~ ) License U 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: NOTE: Plans and supporting documents that you 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.gopherstateonecall.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 witlf the approved plan in the case of work which requires a review and approval of plan Exterior rk authorized by a building permit issued in accordance with the Minnesota ate uilding Code m co leted within 180 days o p mit issuance. x l j - x plicant's Printed Name li nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA171010 Date Issued:07/27/2021 Permit Category:ePermit Site Address: 1406 Balsam St Lot:10 Block: 4 Addition: Evergreen Park PID:10-24880-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert L & Barbara A Tstes Odegard 1406 Balsam St Saint Paul MN 55122 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature