1234 Balsam Tr ECITY OF EAGAN
37'r ' Pilof Knob Rood
Eagon, MN 55122
Zoning:
Owner;
Address: -
Site Address:
Plumber:
1vleter No.:
Size:
Reader No.:
1 agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
CITY Of EAGAN
3745 Pilot Knob Road
Eogon, MN 55122
Zoning:
Owner.
Address: -
Site Address:
Plumber:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
9 F.
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
SEWER SERVICE PfRMIT
PERMIT NO.:
DATE:
No. of Unitr ' -
1 ogeee to canply with the City of Eagan
Ordinaeces.
By
Dote of I nsp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
` CITY OF EAGAN
. 3795 Pilot Knob Rood Eogoe, MN 53124 N? 4 31 1
PHONE: 4548100
BUILDING PERMIT Receipt #
To be used for Dot e , 19
Site Address Erect ? Occupancy
Lot _ Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
E
l t
T
f C
n
orge ? yp> o
ons
.
W Name Move ? .? Stories _
Z
0 Address Demolish p Front ft.
? Phone _ Grade ? Depth ft.
? I N Approvcls Fees
ume
Address ?- r - _
't
Name _
Address
I hereby ocknowledge that I have read this application and stote that
the informotion is correct ond agree to comply with all applicable
State of Minnesota Stat-ites and City of Eogon Ordinances.
SignatUre of Permittee
A Building Permit is issue
all work sholl be done in
Building Official
Assessment _
Woter & Sew.
Pol ice
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Perrnit _
Surcharge
Plan check _
SAC
Woter Conn.
Woter Meter
Toral ? =' 35. 50
1 '•'141, ' on the express condition that
rdonce with all opplicable State of Minneseta 5totutes and City of Eacon Ordinances.
v«mit # oot.
Plumbing J ..,L ? ?? /ir - ? y • _'4?? • ?? .
Mechanicol ..,
INSPECTIONS DATE INSP.
Rouph-In
Flnal
Footings Dote Irup. Date Irnp.
Foundation Plumbing
Frome/ins. Mechanical
_Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minneaota 55122
Phone: 454-8100
PERMIT
Date:
'une 16, 1977
Site Address:
1234 E. Balsam Trail
Lot Block Sub/Sec.
No.
Recelpt No.: Single I
Residential
Multi Res., Comm./Ind. I
Name '1 Yetersen New/Alter./Repair. ?
? Address ) t''eS `= 11C!th .. Cost of Instollation
? C?ty 1rx>[uqlnton phone: Permit Fee
- ?.--Ryan Pltunhing & HeaLi?,3 Inc. .
` Name '?-_" Surcharge
? 145 So. 2mhert Trail
? Address
e
City Phone: Total 20
This Permit is issued on the express condition thot all work shall be done in occordance with all opplicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
t .. ; CITY OF EAGAN
3745 Pilot Knob Road
? Eagan, Minnesoto 55122
Phone: 4548100
PERMIT
Dute: . 17, 197 -,
Site Address:
Lot Bixk
5ub/Sec.
Nome ''..-qd Petersen
I Address West
a
C;h, ; nqtoa2 Phone:
? Name - =t Plumkiinq Co.
?
? Address = !t AVe. C-o.
e
0
V
City Phone:
This Permit is issued on the express condition that oll work shall be
Minnesoto Stctutes and City of Eagan Ordinances.
No.
Receipt No.:
Single I --
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. '
Cost of Installation
Permit Fee 20.00
Surcharge
'? r1 w J ?
TDYa I
done in accordonce with all applicable 5tote of
Building Off)cial
CITY OF EAGAN
3795 Pilof Knob Rood
Eogan, Minnamota 55122
Phone: 454-8100
PERMIT
Date:
nuazy 31, 1978
I - =.a 1 r„3' . " -r,Z : ;
Site Address: `
Lot 2- Block ? Sub/Sec. /A 91 ?ff 40?
I Name
j
Address
City
- ?.
No.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New/AIter. / Repol r
Cost of Installation
Permit Fee
5.00
Name . :?f-v. :L' .
? Surchorge
? Address - caZ1fon:io. . . .
e
I City Phone: Totul
This Permit is issued on the express condition that oil work shoil be done in accordance with all appliwble State of
Minnesot otutes and City of Eagan Ordinonces.
j-Building Official
Reoeipt -?
I rn numbe
epe or Prin,
1. Date 2.
3. Job Address
4. Owner
5. Contractor •
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
1 11.
State Zip _
Commercial ? Institutional ?
Add ? Alter 11 Repair ?
Fuel Type
No. Equioment BTU - M. Ea.
Forced Air No. Equiament 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 governing this type of work.
Signed : for
Rough Final ?
Inspections: Date Insp. Date iA- Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Installatioi
I nr
A.F
RMIT Permit No.
LN
Fee
t S/C
Tot. I
it
Tract I
I
Phone
CITY OF EAGAN
Owner
Lot 26 Rlk 1 Parcel 10 84250 260 ol
street 1234 East Balsam 'I'r'ail state Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 176.0 8.80 20 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 3!l 160.00 66 12-9-77
STORM SEW TRK 0'9O? I - 3- S'
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 90?'
SAC YN,
PARK
? o Ca? 7 s?
This request void 18 months from
? 0 47971
Date of this Request
I, as [A Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address oar R/oute N. E• %?. City ?
GIA-
Section L-TdCn ? ? Range County J7a.%?°
Which is occupied by
. (Name of Occupanry
Is a roughin inspection required on this job? No ? Yes A Ready Now ? Will Call lk
Power Supplier-Dac..ko+a- Elee.?. f?ss„ Address 8-L! 3 rce . Sf. l-zt-rvx. o?q?
ss ZLf
Electrical Coniractor Ke.. -??-P y. sax C( e?'f'r<c Contractor's License No.3."?Y
(COmpany Name)
Mailing Address . o -?o t 2'h, 4-cs F - -'?6 ? ( e>o ;.,? /?'L n . ss={zr,
fElectrlceLCOntraalor or Owner Maklna This Iallationl '
Authorized Signature
xo. 9Sq-4+170
or
' Minnesota State Board of Electricity -
1954 Universiiy Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
,-*s o!o S7 ,L
0 47971
Type o[ Building New Add. Rep. Check Appliancm Wiied Foi Check Equipment W¢ed For
Home ? ? Range ? Temporary W'uing ?
Duplex ? ? Wa[ex Heater ? . Lighting Fixtures ?
Apt. Bldg. ? ? 0 Dryec ? Electcic Heating ?
Commeicial Bldg. ? ? ? Furnace . ?' Silo Unloader ?
Industrial B1Ag. ? ? ? A'u Conditionei ? - Bulk Milk Tank ?
Farm ? ? ? List Lis[
Other 1-1 ,• ? ? Rereeis? .. Oehexs? -
En4ance
I IUl to ZUU Amos. I I 11 31 to 100 Amoeres I 6 I II31-to 100 Amoexes 1.3 I I
Slgns 1 Special lns tion M'vtimum fee $5.00 Hv. 00
Rematks ?oxP1e? h??SQ ?,Y?Kq TOTALFEEo.}O
I, the Electrical Inspector, hereby cp'?ghat ] a veAnspection has been,made. ^/°e- p
(Rough-in) l Date
(Final) ___ ' PC?c.lt) Date p- aa -77
This request void 18 months from
SEDGWICK HEATING & AIR CONDITIONING CO. HeaTwc JOeNO G/36'
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADORESS k?, 4r
OCCUPAN7 I? ? L V G yO
r
soLo ev Wt 't/?
..7-^ t-s
cin C-7/lt t/
OWNEfi
INSTALLED BY
MAKE C C-VI v/ Q ?
SERIAL nl
9O
? ?-7'j-?-
L'! ' '
THERMOSTAT YO 00
116 el - y ?t
LIMI7 r ?
LIMR SETfING ?
FAN SETTING
PIIOTTYPE + T ?
IGNITION MODEI
• .
PIIOT TIMING I 1, l
PRESSURE ?r r? PERGENTCOz ?
INPUTCFH 6,9 PEPCEN70z
STACKTEMP. 179-
PERCENTCO v
FORM 235 (flEV. flr99)
MODEL ??v / ??? ? ?• " ?
00 O
INPUT e ?
VENT SIZE Z
7YPE OF LINER U G
LINER SIZE L! ?
FILTERS: SIZE NUM ?
WIRING ?
TESTTAG
IIGHTING INST. DATETESTED ` ~
COMPANYTESTMG S, " t,
NAMEOFTESTER
FORMOISTRIBUTION: WHITECAPV - JOBFILE YELLOWCOPY - CftY
cirr oF encnN
3795 Pifot Knob Raad Eagan, MN 55722 N? ` 4311
PHONE: 454-8100
BUILDING PERMIT APPLICATION S45tOU0. Receipt #
To be used for $iIIg. Fam Dwlg. Q ACL. 88ig. Dote Mav ? --, 197?
¦ ,X
Site Addrest -_1.2.34_E. -oar Erect u Occuponcy
Lot _2(L_ Block L Sec/Sub. W41dELAESg-Eglk AdQher ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const. v
z Name Move ? # Stories
; Address Demolish ? Front ft.
° Grode ? Depth 4t.
Ci Phone
? Aoorovals Fees
o Name Svend Petersen Ceast.
?? Address 4701 W 110th St.
t- 1.:.,. Mpls• o?..__ 884-5144
Name
I hereby acknowledge that I have read
the information is corred and agree
State of Minnesota Statutes ond Cihi
Signature of Permittee
A Building Permit is issua
all work shall be done in
Assessment -
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Wdg. Off. _
APC
Permit 110•WV_
Surcharge ZZ•SV
Plon check
5nC 475.u0
Water Conn. 230.00
Woter Meter 60.00
?'ark Don 120.00
Toral 1035.50
teen on the express condition that
applitable Oate ot Minnesota Statutes ond City o4 Eogon Ordinances.
Buildifg Officiol -?
'3! r
?
Date:
BUILDIiiG PERD3Ii P..lPPLSCATIO?]
LoT sLocK ? r.;»rTZO0 le''lZ
PARCEL & ^uECT20T.3 P3UIfIIER IF U3I.PLATTEil
AT]DE2ES5 QF PAZCEL yZ' 01,--L SX'/y %,h"/' / L _
ZO01':7G OCCUPPNCY
USE
E r
STMAiED COSt^ _ 0-bC7
Cr-7tiLR Z/Lz_/'//.> %?c- / ?' ?, S C?`? ?O /'v S tTELPs£'HOIdE IdO. Z/ ?
aDDam.s //7?? / %z'/ /lC> ?'?'`5 ?- /%G'L 5• ?? `f ? 7
COf,71PSCTOR
ADU.4ESS
TELEPFi027E STO. -
idotes Include siL-e p2an, building plans, and energy
application
tAFAn>
v"!?TCE USE
VALt71T207.: _ i`/L) C?
5P_C '5 . 02
Ys'21E':2 C6,TiC^_IaiT
C?IATEFF MI',."ER
BUILI]IPIG PERtdIT FMr?
SIIRCHAFtGE FEE
F?;t1Pi Cr:.CIt F=
PP.FtK DEDICATM:? FEE
0'PF..rSt
TOTAL*
APPROVALS:
ASSESST+lE:7T CLERIC BUILAIWG DEPT
1 y F'" ?'.
h
-f ? -.
POLICE DEPT.
?^/t1:ER & m!EF DFpT. FIRM DrPT. PARIC DEPT.
:. : L:_?."; _.S-:: i• ,r..
,,,C'"•ii?i ?.P?;?:C7'flJn
",7"'1 tiA:,t :1 't ; L?trseL I,
DELMAR H. SCHiA/ANZ
LHNDSURVEVOF Regii[eretl Untlflr Laws of The Stat< of Minnesota
10615 SOUTM ROBERT TRAIL P.O. BOX M pO3EMOUNT, MIIdNESOiA 55088
SURVEYOR'S CERTIFICATE
O 11?
. nl rTl-`? Tp.? _AIL
rv.56 ugpo R=45B.9p o
o 09?58???.y A=2°I8'22'?. ?
?=18.46
LaT
„-,
c. r
` atty ee5?'? ?
ROPOS
`// ?iOU$E
LOT 26
9881 N86059'45
i_0
W
O
?
,
? ..iT
0
? 25
z
IN
Q
?
N
PHONE 812 423•1789
SCAT-rE: . i7+C}7 = ? ;'•
o ^cno4:e: lz^c:r) -I v, ;.r. „?-
i her?by r.ertify that tkiSo ia a triz- and acrreat repreacnt=t.`.
Gurvcy of the bounduriea of:
Lnt 25, B1oCk 1, 1•+??.r„?'_1?5; WK AMITiC'',
thorcof, 7a!cot2 County, ;:inncsnt--. r'
.
Fz13o showin.- the loc'stion of a proPca.,(A4 house atwk^u
Ffc sarvc+/:u b;1 m2 t'r.ic :.th c'9,y of April, 2°77. q'J bi _.
. . MIN0.ESl'TP R'E'1.'TRA'00V%0 8625 .
? .S 7
May 19; 1980
City Clerk .
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55122 .
Subject: Notice of Special Assesment
Lot 26 Block 1 Wilderness Park lst
Improvement of Storm Sewer Trunk
Gentlemen:
We wish to appeal the Special Assessment for the improvement
of storm sewer trunk imposed on our property in the amount
of $321.98.
Our understanding is that we are beinq assessed for improve-
ments made to control the level of various lakes/ponds in
the area. The subject property is situated such that the
level of any and all lakes/ponds in no way affects the value
of our property and was a main consideration when purchasing
the property.
Since this does not improve or benefit our property, it is
our belief we are not subject to such Special Assessment.
Very truly yours,
Stanley, Maki
1234 East Balsam Trail
Eagan, MN 55123
i*
i?.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1234 Balsam Tr E
Lot: 26 Block: 1 Addition: Wildemess Park
PID:10- 84250- 260 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Permit expired without requ
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
equirements should be directed to Mark Anderson, State Electrical Inspector,
ed inspections. 4/9/2009 CE
- Applicant -
$50.50
Owner:
Richard B Runyan
1234 Balsam Tr E
Eagan MN 55122 -1706
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA085801
09/04/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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