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