1365 Balsam St E? ? _. . . ._.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
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( IMi,FI !tl N1ti
?
INSPECTIQN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? ?, ? .? ? ?•? i ?,.;. '.
TYPE OF WORK:
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-- - - - - - - - - - - - - -
7
PermR No. Permlt Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspedor - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
!1-a5-9y CK3y3o?,
BUILDING
024895
11/25/94
SITE ADDRESS:
1365 BAISAM ST E
LqT: 12 BLOCKa 2
WILpERNESS RUN 5TH
P.I.N.: 10-84354-120-02
DESCRIPTION:
r-• ? (ROOFING)
Building2,Permit Type 5F (MI5C.)
4'uild'ing "r,k Type REpRTR
r ?
.,?
?
?i
REMARKS:
FEE SUMMARY:
vALuArzoN
8ase Fee
Surcharge
Tntal Fee
$63.00
$z.ae
$65.00
CONTRACTOR: - Rpplicant - sT. Lzc. OWNER:
ALLSTAR CONST INC 15935325 0003247 GEDITZ CRISTY
3315 N HWY 109 4901 W 77TH ST 119
MINNEAPOLIS MN 55422 EDINA MN 55435
(612) 593--5325 (612)593-5325
$4,090
I 1
I Mereby acknvwled.ga thot S have read tFtis aPPlicatzart and state that the
inFormatacrn is eQrrect an¢ agree ta cQmply wfth aXl applicablq State of Mn.
5tatutes and' Gxty of Ea9an Ordinances.
L I
APPLICANT/PERMITEE SIGNATURE
ANA RJ, & 1 rn.,r1
ISSUED B . SI ATIJR
INSPECTION RECORD
CITY OF EAGAfV
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: 12 eLocK:
1365 BALSAM ST E
WILDERNE5S RUN STH
PERMIT TYPE:
Permit Number:
Datelssued:
BUILDING
024895
11/25/94
PERMIT SUBTYPE:
SF (MISC.)
z APPLICANT:
ALLSTAR CQNST INC
(612) 593-5325
TYPE OF WORK:
REPRIR
(ROOFING)
DESCRIPTION
INSPECTION
FRAMING .. .
ROUGH IN PL86 .A
OUGH IN HT6 FINAL
r- -1
L J
j41" CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION OO
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 _ft_ /;?? 3 /? Val uati on of work 2 5?,h
Site Address: f31.5 Bk(su,,, t 4?
STREET SIJITE #
Tenant Name: (commercial only)
LOT 1,1- BLOCK I SUBD. P.I.D. #
Descri tion of work:
The applicant is: O Owner Contractor ? Other (oes«;be)
Name _ C r r Jf? /' s a/ /' ;f Z-- Phone
Property LasT FIRST
Owner pddress y9Dtl „? 77'?? fG S?,f£ 4/19-
STRFET STE #
City State 7/`TZip 'r-s
Company Con s? Phone -1QSWF5- S 93 s 3.;,
Contractor Address 331S y/?'wy i e v Li cense # 30? % 7 Exp. 113i /s
City TD?S State 'j/k ? Zip Z
Company Phone
Architect/
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.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 3F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex E3 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 Flreplace
? OS SF Misc. O 10 Multi. Add'1. O 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
O.5ite
? Wallboard
Basement sq. ft.
lst F1, sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 3? rai,,.t;a,:
Surchar9e ,?
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: Si;z'-
SAC %
SAC Units
S
0 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire 5prinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795•Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: j
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charge;:
Total:
By _, .4 ate Paid:
Date of Insp.: �i� , Insp.:
VILLAGE 'OF EAGAN SEWER SERVICE PERMIT
3795'Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.: - otal:
Insp.:
D ate Paid:
Use BLUE or BLACK Ink
I For Office Use
1 11
! 1
I
City of Ea in j Permit
I ,
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: 2- 743 1
Phone: (651) 675-5675 , I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /36S;
l~ z-- ~i
Unit
Name: Z ~47-~D Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: 'Q Construction Cost: 0< GC Multi-Family Building: (Yes / No )
Company: _/.2 Contact: L
Contractor Address: -5Z~ City:,
State: k/ Zip: -5Dy' Z Phone: (e~r
License Lead Certificate Alai
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
I 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:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: i
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
i 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 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 issuan
x - x
Applicant's Printe' Name Applica 's gn to e
Page 1 of 3
RMT Exteriors LLC
5725 Drew Avenue North
Brooklyn Center, MN 55429
763-535-7566
612-384-3452 cell
763-535-6298 fax
11/6/13
Attn: Jeffery Wheeler
City of Eagan
RECEIVED
NOV 04 2013
,844 SAM ST F
RE: 1365 Bim- 2r411.41/7-.# //J51y/
Bay window brace
The brace removed from bay window was a decorative brace.
RMT reinstalled brace using 2x4 cedar, #9 3 'h screws. Moved brace from bilt rite board
to now braced on studs.
Joe Peifer
RMT EXTERIORS LLC
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121088
Date Issued:03/12/2014
Permit Category:ePermit
Site Address: 1365 Balsam St E
Lot:012 Block: 002 Addition: Wilderness Run 5th
PID:10-84354-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Jim Culpepper
3857 Kings Wood Court
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 -
Mark E Howard
1365 Balsam St E
Eagan MN 55123
(651) 249-6578
Conditioned Air Inc
3857 Kingswood Ct
Eagan MN 55122
(651) 688-3444
Applicant/Permitee: Signature Issued By: Signature