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1316 Balsam Tr E CI? EAGAN WATER SERVICE PERMIT 3831F 56i Knob Road P. IV. Box 21189 PERMIT NO.: Esgs46 MN 5512_1 DATE: Zoning: _ No. of Units: Owner: Tilsen Homes Address: - at=e g sk . Site Addreu: 1 316 E. ill, va- rn Tz. T.l 1~.V Wilrermess run kith Plumber: rah:. h_i1;x; Meter No.: Connection {horgo: SOi~ , Qi) p~ Slze:~~' - T Account Depositi 15.00pd Reader No.. j!). Oi)-? 1 some 1, te,.* w,a the City of Begee Surcharge: . 50pd Misc. Chorgew 132.00pd TP Totoi: 63.00rd meter BY Ae~ Dart Paid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. Box 21199 PERMIT NO.: Eapan, MN 55123 DATE: Zoning: - No. of Units: 1 Owner: i Z gea Homes Address. Site Address: 1316 E. Balsam ?r- '`4tin_ kith Plumber: Abrahamson ~lusr'r Meter No.: Connection Charge: Site: Account Deposit: 1 /l 7 n Reader No.: Permit Fee: t., _ ~r n 1 Arse to eoe*ly whir Ke City of Epee Surcharge: ordlownoes. Misc. Charges: , p Total: c' By Date Paid: Date of Insp.: Insp.: CITY OF-EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road _ P. U. Box 21199 PERMIT NO.: Eagan, MN 55,ji DATE: Zoning: No. of Units: Owner: T~ ~3Cri I > OiR°1 S Address: Site Address: 1316 Balsa-, - t,l 1'1 Plumber 1' -5 :7f ? x 7i :i 1 pre@ to eongltr with the Cky of Seven Connection Charya: 4 25 . 00 r) odiNness. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Dote of Insp.: Total: Insp.: Doh Paid: CITY OF EAGAN Remarks ` 7 Addition Wilderness Run 6th Lot 1 Rik 1 Parce0 4 L" ED 355 Owner i- riff Street 1316 Fact Ral sam Trai 1 State Eagan, HM 55123 CL; -5Improvement ID[A mount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK aat 60.84 8.04 20 aZ 7 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 161 , 78 40 15 53 - q A b LEM: Z-13- STORM SEW TRK I Q 7,q ?98 99 1-9-88 3 -7- -A 01 la 7 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 500.00 n of BUILDING PER. 1025 SAC 525.00 PARK ~r• ;L& . REA6TIVATED FOR DECK 3830 CITY OF EAGAN 9/85 - ANDERSON i C Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt ~qt To be saw for Est. Value c t Dote 19 Site Address 1 } Erect El occupancy Lot Blockc/Sub. Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories Move ❑ Length of Name Demolish ❑ Depth Z Address Int Impr. 11 Sq. Ft. City Phone ' Install El Approvals Fees Name u Address Assessment Permit } City Phone Water a Sew. Surcharge it Police Plan Review 0 LU Name Fire SAC it PUA uZ Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. j 3 r Tr. PI. ~ - % 0 the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Parks Var. Date: 5 Copies Signature of Permittee Total A Building Permit is issued to: on the ex .i. pros condition than all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Dab Telephone 4t Plumbing H.VA.C. I U 1J ' ~J ) ~C1 < cl Electric r) 3 C' cry / - 7 U Softener Inspection Date Insp. Other ofl ~ 9- 1~ D 1 1~IoT FY•••~syar - /3)j- TFroming- S - JY %Plbg.!O._Ib, _p, CprVOcc. LA ax-,~ Water Describe Location: Well Sewer Pr. Dlsp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill In numbered 4"S/C Type or Print leplb/y Tot. 1. Date r I 2. Installation Cost 3. Job Address Lot 81k. Tract 4. Owner 7 S. Contractor o 1 t. Phone 7-i7 --,046 6. Address 619 C l i . 0C1 7. City State ' zip 8. Building Type: Residential 0, Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type = 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlgs: , 12. 1 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 Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4644100 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. Receipt PLUMBING PERMIT Permit No. CITY Of EAGAN Fee ' Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New D Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory _ Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets I 12. 1 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 Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 This request void Cr~ 108 mon Ns {.-om ~3 J Request ate Fire No. id ii Req ire dl Ready Now ❑ Will Notify. Inspec- ~ Ves ❑NO ~ tnr When n Ready ❑ Licensed Electrical Contractor I hereby request inspection o1 above ❑ Owner electrical work installed at: Street Ad s, Box or Route No. City /3A ,6-5eWS,4&7 i L C,4 4n ectiOn No. Township Name or No. Range No. county Oi c pant (PRIN Phone No. Power SuPPlier Adtlress +2of A- ~ec4 r EI wal Contractor Company Namd Contractor's License No. OPT ~'/eafr,G 2 Mailing Add inss (Con actor or Owner Making Instotatio nl 16 7 .a/ ssu y A rized Signal a (C ntractor/Owner aking Installation) Phone Num er 3.5-- 4 f MIN SOTA STATE 80 40 OF ELECTRICITY THIS INSPECTION REQUE T WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION F E15-ou ot. 4 See instructions for completing this form on back of yellow copy. 3 ~5 ► p X" Below Work Covered by This Request Add Rep. Type of Building Appfume s Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FixttueS Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo unloader Industrial Bldg. Air Conditioner' Bulk Milk Tank Farm other peclly 01her ISpecifyl t , peciry Other 01her Compute Inspection Fee Below p Fee Service Eatranea Size ti Fee Feeders rSubfeeders k Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 317. ~100rnj~ - - Swimming Pool Above 100Amps Above 100_ Transformers Irrigation Booms t O Partial.' Signs Special Inspection S Remarks (/9•.!~ TOT F m Rough-in D e I th Iectr Ins Pec .by certily that the above Final Date inspection has been I~~v made. This request void 18 months from i CITY OF EAGAN N° 1 10 2 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 456.8100 BUILDING PERMIT Receipt # To Ire wad fee. SP DWG/GAR Est.Volue $81,000 Date SEPTEMBER 2319 85 Site Address 1316 E. BALSAM TR Erect 12 Occupancy R3 Lot 1 Block 1---Sec/Sub. WILD RUN 6TH Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. IT Addition ❑ No. Stories Name TILSEN HOMES INC Move ❑ Length 52 Address 627 SO SNELLING Demolish El Depth 28 Int. Impr. ❑ Sq. Ft. city ST PAUL phone 698-5501 install ❑ SAME Approvals Fees Name Address Assessment Permit • 00 City Phone Water 8 Sew. Surcharge 40.50 Police Plan Review 188.00 GW Name Fire SAC 525.00 uz Address Eng. Water Conn. 500.00 <W City Phone Planner Water Meter 63.00 Council Road Unit 280.00 1 hereby acknowledge that 1 hove read this application and state that Bldg. Off. 9/23/8 S Tr. PL 132.00 the information is correct and ogre comply with a I plicable APC Parks State of Minnesota Statutes yn ity f Eagain Or 'w S / Var. Date q /l 7 /A Copies Signature of PermiMee 'T°-r°° TILSEN OMES Total $2,104.50 A Building Permit Is issued on the express condition that all work shall be done in a rdance wi II icable Stole f MI sot Statutes and City of Eagan Ordinances. Building Official ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 19 SETS OF PLANS, CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation:_ B(,OOO Date: Site Address: J'Ji(, t, $a)9aN+'~ru~` • • Lot: i Block: Sect /Sub: Wilderv,e9SSaunErect: Occupancy:-3 Parcel iX kjck.Remodel: Zoning: -I Repair: Type Of Const: SL Owner: Uic4or ovA maner,decson Enlarge: # Stories: Move: Length: 52 Address: Demolish: Depth: 28 City/Zip Code: Grade: Sq. Ft.: Phone Contractor: TI Ian Address: (027 ~pr}h S,nF~UkAssessments: Permit: City/Zip Code: ~du S~,l (b Water/Sewer: Surcharge: 40,5-° Police: Plan Rev.: lob, Phone C%-~j Fire: SAC: 52S. Engr.: Water Conn: Soo, Arch./Eng: Planner: Water Meter (03, Address: Council: oad Unit: q-80. Bldg. Off.: Parks:TR- 37-. City/Zip Code: _ APC: 'I `7~~ a,y sU Phone#: Variance: 9-11-b15 RESIDENTIAL - t 3 O BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. h. of io1, sq, ft. of house; and all roofed areas • 2 copies of plan (20%rnwimum lot coverage allowed) • 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 7'•03'07_ VALUATION SITE ADDRESS 3 13 a l so lisi TvR f ~ MULTI-FAMILY BLDG _ Y X N TYPE OF WORK R e hao FIREPLACE(S) _ 0 1( 1 _ 2 APPLICANT V f C-'to V ` • A, /evSGh STREET ADDRESS 13 11 E • 8a Ir"07-rte, I CITY EgSRti STATE/MN ZIP SS123 TELEPHONE #6'7-45"7_-7362 CELL PHONE # FAX # PROPERTY OWNER V'c rav E. /~k~wsoth TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cade Category _ y1INNE:S(Yr.1 RULES 7670 C:CFE(;ORy t _ N41NNF.•S0'rA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc # _ Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. or Badis Mechanical Contractor: Phone # 'V[cch.uiic>il system includes: Air Conditioning c ~~•ttft Heat Recovery System t_~ ~1 I II Sewer/Water Contractor: Phon V 0 _7002 v I hereby acknowledge that I have read this application, state that the informatio cerreet=II comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n / Signature of Applicant mow`/ t • OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 LEGAL- L)v-5ckip-Tioo-o 1. o-T I ~ .Qc. k 71 bR~VEp/pe~ . 25 Z a Q7 djJ, i tl A , " - kO ~ . -tnE.E p. r u 4r _ ot4> i fix' f ~ _ _f t~-Q . 1 1 I fL3o.39~ `~cALE << P:XT'ER[OR. ENVE1,0PE SPACE "U" COMPUTATION iu (To be submitted with building permit application) A~ 1 7~, < w the °r two family dwelling Owner Utc ~~U_ V~~`~Q~~ r 1~ n ill, other Site Address ontractor Date g. ICj - ,J Phone a a ,iNEAL FT. OF _9.~ ' 'XPUSED WALL Z(o + + Z~+ +28l +5Z"+ sX~ ft, above grade= A~ TOTAL EXPOSED WALL AREA &Q P~.r r L4 IF-54. +_s+32.5x9=5535 +5~3•~ Ate. OPAQUE WALL CONSTRUCTION: ''U" Value X area 4 8ZJ.5 19 sq. V (U) AIR.il - - - (r') (A) BASIC £~-AN1F- WALLM3 k sq. ft. R.. nU" X sq. ft. refere_ncc (A from r~ $ WIfLLlUllsq, ft. lull ,ttached sheets uUn X sq. ft. ) (A , 41NDOWS:, "U" VALUE X AREA kol b~ ~ kel6e ~ . Zx24 aq ft - - @ x = t x,35 ` `TN a 8~ F~N4''N 's5ftl~1`R W S e a cc,.6in_~icmSlullX sq. ft. Raketpe ~ ~ (e lUn X sq. ft.•? °f i~ - n1J" .,Q/_ _.X sq. ft. _ ~.Q a {A,~+,A;~N u "ups 1(zX sq. ft. i Yqt. Ih 1 , BOORS;: ^U" value X area 1l M X/ 5 fi sake'¢ Type . ~ ) ( ) lQ 3° x(o- "U" 13 g sq. ft. I@ 2 X I's- :w„ 1~ X sq. ft. _s 41t) {d~ It lull X sq. ft. ~ r-YL°XL4Pu" •'Z~ X sq. ft. TOTAL (U) (A) VALUES 23fo.o TOTALS .O sq. ft. 2 ) (AY DIVIDED BY TOTAL WALL AREA 2O~ c0 Hv~ • u" AVERAGE "U" .17 or less for 1 & 2 family dwellings .22 or less for all other buildings CONSTRUCTION FRAMING R-Value FN 1. _Q~1 - C~ P~ r a 2. 3. 'aZ'._ • 2. 4. 1~1SULh~\ow1 IS, )0 001-3 04 1 ROOF/CEILING: TOTAL AREA: - L °~9' - sq. f t. ^ u..-~.~. ~ X sq. ft. IIQ~_=•Y (U) (A) Detail reference D._ (U) (A) from U" X sq. ft. _ (A) !attached sheets -_"U" X sq. ft. = N)' Describe openings _"U" X sq. ft. N: (A) in roof "U" X sq. ft. (U)'' (A) TOTALS esq. ft~(U) (A~ TOTAL (U) (A) VALUES DIVIDED BY TOTAL ROOF/ ' 3 CEILING AREA d. w Lf :j AVERAGE "U" OS for ventialated roofs .10 for all other construction T~4 s~ 8O(iiGEILING: R-value p~. 1. YO ~r-t'~tr-t'~tc1~~P,,~~~~J~~ti r - • 1 ' ~ s 3. v r--- Z ,P 4• l~1 t~~ airs fad ( 3 NOTE* If average "U" values as calculated above do not meet the Energy Co" the "Alternate Envelope Design" as outlined in SBC 6006 (g) may, be exued sheets may be used to show calculations. r' - ~~af t r b qr Fs; M1 `Y U„~ fi z 4 i' - "zY y. ~14k F "FA 9'm h ~ s F K4r~ z c t Y y T o -V 1 y „ - J T dos., • 1 1 (-ice I 2/84 CITY OF EAGAN APPLICATION FOR PERMIT IUIt SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: r i-r.,L DESGRIPTICN: t 1 ti/„ - tiolcri or Tax Farce D. IF Zy=---G ST..-- C^^ Er Della.. OF O,-lGi^.IAL E ILD=G T_SSUA R-1 Sz-.GLE FAMILY ❑ R-2 CUP= (InND LIMITS) ❑ R-3 :C:w\7?CLTSE (TI L - T-_TS) ( L II'S) ❑ R-4 APA T z~ t/CC ECi_Y I'`I ( LNITS) ❑ CCi n1EoC?AL/F2EfAIL✓C:T'I.^"-. ❑ I\'DLSTRIAL ❑ L`STITLTICNAL/GCVE-,`i•^ ;r 2) APPLIG=Z' IPLEA~E PRI;if) NAME: ACCRESS: CITY. S.':=-, ZIP: /L tJ~S i o r~/- J /r1t; PHONE: 3) PL[:MER ' n cc mil) LE" PRINT) FUR Y USE ONLY NF.•... ALMESS: i P iK • ~ CITY, STATE, ZIP: G~ PF.CNE: .aI ord PLUNRER LICENSE y~ q f ia 4) CCa'PANP/C!'uTER NA (PLE ASE PRINT) ~ • ADDRESS: CITY, STATE, ZIP- PHONE: 5) INDICATE '-ZlICH PER AIT IS BEUr REQUESTED: fa CON'• crION To CITY SErsm co- z ELTION TO CITY.%ATER ❑ OTIM:R (PLEA.' DESCRIBE) 6) L"IDIU TEZ C,:Z: ❑ PTT IIOLD APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE ali, ROVED PER UT TO I .C 3, 4 ABOVE (C a one) 7) Slmam-RE: r - DATE: 04'Z-" ' • • • u 7AIAII~aa1~1~W1•JI4•l~Td ~UT,i➢. ~ r:. u• ••a~. ' R AiM1lA ~ Iti d !~a]aw at S /+t Aires ~ s i iiii:~ a ! llll:ftlila f~ ~ It ~ YiR~g~ F O R C I T Y U S E O N L Y . PERMIT ISSUED FEES; 5-0 SEiiER PERMIT (ZYCLUD SURCHARGE) WATER PER1471T (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ( ~d ACCOUNT DEPOSIT - HATER $ 0~.7 y WAC $ S 3 S! SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESS'-LENT $ LATERAL BENEFIT/TRUNK SE::R $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL uc~ $ A<<IOLT::T PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION- SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE- OR awww~w ww Aft ww~q !=■!Mw ^ wssa MMAla MUM AlWiM Mpg MM•= w go M PERMIT City of Eagan Permit Type:Building Permit Number:EA116325 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 1316 Balsam Tr E Lot:001 Block: 001 Addition: Wilderness Run 6th PID:10-84355-01-010 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Victor Anderson 1316 Balsam Tr E Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156866 Date Issued:07/23/2019 Permit Category:ePermit Site Address: 1316 Balsam Tr E Lot:001 Block: 001 Addition: Wilderness Run 6th PID:10-84355-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Robert J C Anderson 1316 Balsam Tr E Eagan MN 55122 (218) 686-8840 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature