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838 Bald Lake CtI ----------------- ? ? Permit #: 9-D CZ,--?) / ? I pyRnitFee: ? I ? Date Received: ? I ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S'_7I - Q i6 Site Address: 4 Jq 6 KL kck L k (- ` 7enant: Suite #: RESIDENTlOWNER Name tC p ?nhrSo v-? _ Phone: EiSI -4_I?`I 'q bclO Address ! City J Zip: ? 3 g g,4[cQ C_v C4 Applicant is: _ Owner _?_ Contractor TYPEOFWORK '-'k1f Gkr 4- 'refoo-C Description of work: _T4 Construction Cast: /1, Multi-Family Building: (Yes NoX_ CONTRACTOR Name: ck :5w..o ? C Q,nS? License #: Address: ? `-I 03 13t? S'E- /1 ".J City: ?v?vi?v?c?UL State:?LZip: V?3 D ? Phone:? (0 3' ?(o O' y S-a L° Contact Person: s-e G(-1 COMPLETE THIS AREA ONLY IF CONSTRUCTWG A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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: Pfans and supporYing documerits that you submrt aie considered to-be publec iqformatiQr_i:; Portions of , tdeb : ? t6e infon»ation may be classffled as non public.if you p'rovide specifie reasons that wouid permif ty to__s , , . n II 41in- a 'fg` concturle that the are tradeseerets I hereby acknowledge that this information is complete and accurate; that the work will be in conformance Eagan; that I understand this is not a permit, but only an appliwtion for a permif, and work is not to sl accordancN with the approved plan in the case of work which requires a review and approval of?ans. x 6 C 2q (S ApplicanYs Pri d Name iinances antl codes of the City of a permit; that the work will be in ? Page 1 of 3 Clty of Eapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675•5694 ---, ? For OHice Use ? I Permit #: ? ? ? PermitFee: JD ?• I ? I ? ? Date Raceived: ? I ? I stan: I - - - - - - - - - - - - - - - - - 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: O JO ba?iA VA?A LT Tenant: Sulte RESIDENT/OWNER Name: RY'i-h'r Phone: Address / City / Zip: ?"a r/-ow m ? CONTRACTOR Name: n p' Address: City: "mi9l)iX State: Zip: ic)Z" Phone: (1)5v1.Lk?^00i Contact Person: TYPE OF WORK _ New 4_ Replacement _ Repair _ Rebu(Id _ Modi(y Space _ Work in R.O.W. Descri tlon of work: PERMIT TYPE RES?DENTlAL V Water Heater _ Water Softener - Lawn Irrigation Add Plum6ing Fixtures RPZPVB) ? Main _ Lawer Level) Septic System • _ Water Turnaround ' . New Abandonment RESIDENTIAL F6ES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (inGudes $50 State Surcharge) $50.50 Add Plumbing Fixtures, SeptiC System Abandonment, Water Tumaround' (includes $50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter isTequired) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ? TOTAL FEES $ 5? • ..,,..4,.,....n,P witn inw nrdinances and codes ol the Ciry ol I hereby aCknowle0ge that inis inrormauon is compiate ano accura.e, um, ???? ••..? ••• ?? ••• -------- -- ---Eagan; that I understand Ihis is not a permit, but oNy an application lor a permi4 and vrork is not ta start without a permit; that the?°rk will be in accordance withjhe approved plan in the case f work which requires a review and approval of plans. - /\ I\ X? 1 0 \ 1? 0, ? ? X??? 0 tll l ?/? ?,7.. Appl canYs Printed Name ApplicanYs Signature FOR OFFICE USE Revlewed 8y: Date: iiequired Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final SO . August 12, 2003 Ed Johnson EdJohnson 838 Bald Lake Ct. Eagan MN 55123 RE: Vertical Wheelchair Lift Residence: Johnson, Ed Residence 838 Bald Lake Ct. Eagan 55123 Dear Sir/Madam Department of Administration - Elevator ID# -09334PT03-06R The Minnesota Elevator Safety Code provides that the Minnesota Department of Administration, Building Codes and Standards Division, Elevator Safery Section issue a letter of approval for all elevators, dumbwaiters, escalators, moving walks, wheelchair lifts and manlifts (endless belt lifts) before they can be legally put into service in Minnesota. We received a letter stating that all recommended corrections have been addressed. We will acknowledge that certification. This letter will serve as official approval for you to operate your elevator. If at any time we find that the recommendations were not corrected, we will take action to assure compliance with statute, rules and adopted codes. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS '?z 1?. Jim Weaver State Elevator Inspector jgw/rkr (CE-4) c: Schoeppner, Dale Access Lifts, Inc. R., BO, Ciry of Eagan D.S. Trudeau Construction, Inc ElFOrmCE4R Building Codes and Standazds Division, 408 Me[ro Square Building, 121 "Ith Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929 N m ? a a 4'fc3/8' lags 4ht3l8'lags Dc6 sluds w/ tull glass insul 6 8 m. vaEwr bamer N m Ln LO m uo c ti uO Ln ti Deck Frame Comnactlon DeteB ri ? m m m N ? v m LO m 4 518" Deru Calas Goltl Frebarrier Exterior Shealhhng ? 40 mG vinyl flashing Deck Boards m m ? 202 trested decks pisls d header G.I. Jdst Hangers 40 mG vioyl Hashing D4 virryl sidimg ?? ! fj -IN D. S. Trudaeu Constructlon Ine Genera! Contracdor 1385 FamxAale qd. St. Paul, Mn. 55118 456-1238 sca1e gy DST pate 613/03 none Revised Date TItlB DDCI[ C011118CUOfF DOMI B11ViI1g M 838 Bsld Lake Court job « ?? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bidg. O 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 0 34 Replacement `Demolltlon (Entire Bldg) - Give PCA handout to applicant Valuation ? Oeo O ccupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units l Sq. Ft. PRV _ Nbr, of Bldgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) Footings (deck) ? Foorings (addition) Foundation Drain Tile Roof Ice & Water Final X Framing Fireplace _ R.I. _ Air Test Final Insulation ?-. ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By -T 7- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ccy sAc Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -?-?- s" 7'4,,/" ??V ? ??'?-1" ?' • ?. j? X ? X 3 fLVLZ%-S -, 90 x S` ----?? 3 D ,y 6?-y ???dvo " RESIDENTIAL BUII.DING • ? Permit Application LJ C? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaulrements RemodeliReoair Reauirements 3 registered sHe surveys shaving sq. ft;of bt, sq. ft of house; and all roofed areas 2 copies oi plan (20% mazimum bt wverage allowed) 1 set of Energy Calculalbns for heated addiGons 2 apies of plan sMwing 6eam & window sizes; poured found design, elc. 7 stte survey for addNOns & decks 1 set of Energy Calculatlons Add'dion - indicate ifon-sde septic system 3 copies of Trae Preservatbn Plan if lot platted aiter 711193 Rim Joist Dehail Options selection sheet (bldgs with 3 or less unifs C ?X?`J Office Use Onlv CeA of Survey Recd Tree Pres Plen Reoi Trea Pres Not Reqd _ On-site Sep6c System Date G 3 Construction Cost v a q., Site Address YN ?/? ? L1?Ci L 6" UniUSte # Descrip[ion of Work I/ E V,4 ? 2 i f"' Si 7P? L 7?y "^- I' Multi-Family Bldg _ Y - N Fireplace(s) _ 0 _ 1 _ 2 Property Owner «01^? ? T?Ifi)," 1 ? Telephoce # ! 3 Contractor " Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone # ( Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN Statutes; 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 wh7require a review and approval of plans. L F4.v,s"-, a /C . Applicant's Printed Name Applicant's PAT GF.AGAN Mayor PEGGY CARLSON CYNDEE FIELDS MIKE MAGUIRE MEG TiLLEI' Council Members 'CHOMAS HEDGES Ciry Adminiscraror Municipal Cenmr: 3830 Piloc Kno6 Road Eagan, MN 55122-1897 Phone: 651.6755000 Fax: 651.675.5012 TDD: 651.454.8535 Main[enance Faciliry: 3501 Coa<hman Poinc Eagan, MN 55122 Phone:G5l.G75.5300 Fae: 651.675.5360 TDD: 651.454.8535 www.ciryoFeagan.com THE LONE OAK'CREE The sym6ol of s[renyth md growch in our community Apnl 14, 2003 MR EDWARD JOHNSON 1950 BAYARD AVE ST PAUL MN 55102 RE: ELEVATOR INSTALLATION ?838 BALD LAKE COURT Dear Mr. Johnson In response to your inquiry regazding installation of an elevator at 838 Bald Lake Court, please be advised that: 1. The City does not object to the installation. 2. Installation must comply with the MN State Building Code and City codes. 3. You must own the property prior to applying for a permit. If I can assist you further, please do not hesitate to call me at 651-675-5679. Sincerely, 7 Teny Zelenka Building Inspector TZ/)S cc: Dale Schoeppner, Chief Building Official D R Horton Inc, 3459 Washington Drive, Eagan MN 55122 *******??????????********************** CITY OF EAGAN CASHIER: SS TERMINAL NO: 673 DATE: 09/08/00 TIME: 11:01:53 zn: • NAME: VALLLY POOLS & SPAS 3210 9001 838'BALD LK CT 223.25 2155 9001 838 BALD LK CT 6.50 Total Receipt Amount: 229.75 CR137163 USER ID: JAN AddIess 838 Bald Lake Court ZlP 5512 3 Lot 7 Blk I Sub Gardenwood Ponds 4th THESE Tl'EMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECITON. Date: - 1 N,0 p Yes No Inspector: Final gtade (6" ftom siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ,Z( Trail/curb damage ? Porch 1< Basement finish Deck Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply ro the outside lawn faucet before freeze potendal exisfs. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Conlrac[or Copy 2000 BUILDING /--! '?'":S- cl q New ConsNercMon'ReaNremenh PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4673 n J reglEferetl alte wrveys alwwing eq. tt. M lol, sq. H. of house and 21 roole0 areas (20X mmdmum lot coveraae albwetll ? 2 copiea of plana (ahow beam & winWw si:ea; poured 1nd. desfgn; etc.) ? 1 eet of energy catculadons ? 3 coples ol hee preservaMan plan H IW plattetl atter 7/1193 DATE: S/AIDO DESCRIPTION OF WORK: STREET ADDRESS: LOT: 7 PROPERTY OWNER BLOCK: (RESIDENTIAL) Rertwtlel/RaoairReaul? ? ? O? ? 2 coptea of plan 1 sel W energy calculaHOrM for tiealed addNtans 1 aNe wrvey lor exiedw addiXOns & decka (,`QfT: OOd Name: A6?-f7-?? N567?/- Phone #: Laet Firsf Sfreet Address: ?? ? Z?C'o CT Cly 146'?/v State: /ay Zip: Company: Phone M: 05a b94- 1481) LX'"( ?ACj (crea code) CONTRACTOR Slreei Address: &z,, .eell Licertse ri ?? 9--ExP• Gty l6e, l2-?t4 Lcl.State: ?zl Zip: ARCHITECi/ / ENGINEER Company: Name: Telephone i: ( Sheet Address: Regishaflon Jf: CNy State: Sewer/water licensed plumber (if Imtallina sawerlwaterl: Phone #: Zip: 1 hereby acknowledge Miot I have read this applicaHon, aFafe thot Ihe infortnafion Is conecl, and agree to comply wNh all applicable State ol Minnesota Slahates and City of Eagan Ordinances. Signafure of Applicant ?4 / OFFICE USE ONLY Certificates of Survey Received _ Tree PreservaUan Plan Received Yes _ No Yes - Na - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? OB 08-piex ? 77 Garage ? 22 Paroh/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex O 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex PI6g _YOr_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex i?P 20 Pooi ? 30 Accessory Bldg. WORK TYPE PP 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demotish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) [3 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0( # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings ? Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning - 1 sq. ft. Booster Pump PRV Fire Sprinklered MI3CELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building U6 Engineering Variance Permit Fee Valuation: $a,?)/) Surcharge L Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Tot81: ? 31'" Ext'Alt - Multi ? 33 Ext. Aft - SF ? 36 MuRi ? SAC Units % SAC I? 5 , ',, ' `,r eq,ry 0 o ? e.zy 10 co ? &i 0.? ' 1 745.02 N84• 02'37"W / :n • ? n ! _ _ 6'' ?`. iIrp .\-72,7 ? i ,hC`? - l House = 3,099 sq.ft. ? w?o? ! Lot = 44,716 sG.ft. t(j_ . ? ; ? /11o a ? ? ., . ? _ . ?. :• ?? R, E,WED *?********?**?**********************?** CITY OF EAGAN CASHIER: JS TERMINAL NO: 765 DATE: 08/14/00 TIME: 07:22:58 ID: NAME: COMMERS CONDITIONED WATER CO . 3212 9001 83Q BALD LAKE C 30.00 2155 9001 838 BALD LAKE C 0.50 Total Receipt Amount: 30.50 CR135698 USER ID: JAN CITY USE ONLY L ? BL RECEIPT#: SUBD. l7HC'4V11.JO0J ,O4S RECEIPTDATE: PERMR# ya O y? 2000 PLUI+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN, MN 55122 651-681-6675 Please complete for. ? single famity dwellings D townhomes and condos when pertnits are required for each unK ? baekflow preventer tor underground sprinkler system eirnIoec eeru !E >TOTAL Aitera6ons to ebsting dweliing - minimum fee Describe: $ 30.00 Bathtub $ 3.00 x = $ Floor drain 3.00 x = $ - Gas piping outlet • minimum -1 3.00 x Hot tub/s a 3.00 x Kitchen sink 3.00 x = $ ' Laund tra 3.00 x $??'•• Lavato 3.00 x = $ 58ptIC S Stertl newlrefurbished •requires MPC Ila 75.00 X = $? Septic S stem abandonmeM 30.00 X = $"'"W"* RPZ new installation/repaidrebuild 30.00 x = $' - Rou h o enin 1.50 x = $' Shower 3.00 x = $ Underground sprinkler 'rfdweiling is under conaWGion 3.00 x = $ Underground sprinkler nexistin9 dwelliny 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ = Water softener If dwelling under conatruetlon 5.00 x = ' $ Water softener ir axisung dwelung 30.00 x = $- Water tumaround 30.00 x $ ' State 5urcharge .50 .50 TOtal -> -' -' -' $ Remindec Call for inspections of alterations, i.e. water heaters, water softeners, etc 1 hereby acknoxrledge that I heve resd Nis application, state that the lii/oirnation ? correct, and agree to wnipy with au applicable Ciry of Eagsn oiduierices. It is the applicanPs responsibility to notify the property owner thet Ne City of Eagan assumes no Iiability for any damages caused by the City during ils normal operatloqal and maintanance adivities b the faditties consWded under this permit wkhln Ciqr propertylrightof-way/easement SITE ADDRESS: ?3 a 2)aAei OWNER NAME: TELEPHONE INSTALLER NAME: STREET ADDRESS: crrY: CA? 3 . (AREACODE) 6?-L TEIEPHONE #: 7lv 3 ? 71-D v I? , (AREA CODE) ' . ? . ?.? ATE: SIG RE '_fERMiTfEE l? .. ... ,?. . . ??*****************************?**?**** CITY OF EAGAN CASHIER: JS TERMINAL NO: 765 DATE: 08/14/00 TIME: 12:04:10 ID: NAME: SCOTT A BERTSCH 3210 9001 838 BALD LAKE C 60.00 2155 9001 838 BALD LAKE C 0.50 Total Receipt Amount: 60.50 CR135730 USER ID: JAN -• 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? r,' ? ?CITY OF EACAN ?? 3830 PILOT KNOB RD - 55122 14 a-?- ( (0 851-881-4875 d M New Canshuctlon ReaulremeMS Remotlei/Reoalr Reauiremenh C?IIil I U" > 3 reglstered tlte wrveYs aMwin9 aq. R o( lot, sq. R. of haue 2 cop(es of plan S` and go roofed areas l20% maxlmum lot coveraae allowedf 1 set o1 energy caleulaHa?a 1or heafed addlflons ? > 2 coplas ol plarn (ahow beam d wintlow sizes: poured tnd. dedgn: efc.) 1 site wney for exfedor adtliHOns & tlecks > 1 set W energy calculatlons > J capiea ol hee prewrvatlon plan II IW plaMed alter 7/1/93 ' ? DATE: r? /D /00 CONSTRUCTION COST: IS-_ oo p^ DESCRIPTION OF WORK: oFCk STREET ADDRESS: ?, 3 g 8.* L- C?w,L LOT: ? BLOCK: ?_ SUBD./P.I.D. Y: C- -70 - (L-) 8-l5 Name: (36- /- Ttc- ir SLOTT Phone u: 6! 2- 6?s - 04'7S- PROPERTY taat Fliat OWNER COMRACTOR ARCHITECT/ ENGINEER Sheet Address: 'l 3V a h (-D L it/tic C7 ' ?S / 2 3 City E/f ErfiA? State: '''! N vp: Company. Phone #: _ (area code) Sheet Address: license # Exp. CBy State: Company: PL ?*? c o Name: ? a Telephone g: ( 6r / ) YS Z- 0 '7 2 Sireet Address: 3 7 3f- k? rs rf i - ?- Te,v P/t r v e' RegishaHon p: Lp: ciry, stcte: /'1 ,v zip: S-'sr Z 2_ Sewerlwater Iicensed plumber (If installina sewer/waterl: Phone #: I hereby acknowledge fhat I have read this applicaHon, afate thal Ihe hfomwtbn is cor?ect, and agree to eo wilh aA aPPd?ae State of Minnesota Statufea and CHy ol Eagan Ordirwnces. Signafure of Appticant OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No ' AUG 10 2000 Tree Preservation Plan Received _ Yes - No _ Not Required BY:4D - OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex 0 10 08-plex ? 05 03-plex ? 11 1 aplex ? 06 04-plex ? 12 12-plex WORK TYPE V 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? fji 18 DeCk ? ? 19 Lower Level ? Plhg _Yor_N ? O 20 Pooi ? 21 Porch (3-seaJ 22 Porch/Addn. (4-sea.) 23 Poreh (screened) 24 Storm Damage 25 Misceilaneous 30 Accessory Bidg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair ? 42 Demolish (FoundaGon) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ir No. of Units _L No. of Buildings ? Const. (Actual) (Allowable) UBC Occupancy R -_3 Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee 5urcharge Plan Review License MC/ES SAC City SAC Wafer Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies Total: SAC Units % SAC sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building ? Engineering Variance Valuation: $ O 31 Ext Alt- MuRi ? 33 Ext. Aft - SF ? 36 MuW ? 3y J \ J . c/z-6-7o-08'?.? S89126.?9,W fr- ZC-- --•?-k???._? . . '' 472. 6 a .? ; . ? r a?,y / . ? ?. a ' e ? J ???' "` ? ? - .. . J , , . _ . .. / . ?v.^? ?Y?Y?'(Yf.Yl.'M;kW? 'M?(?X:YkY,<:?XC>k?tk(1?7(Y??K:?(?,(?".1X>X>X>kY,: 'M>XKCY,(?,th'? czrv c:fF Enc:AN rGS?I.T.1=.Fie 7S 7ERMTNAI._ NOs 78'i' AFiCE?? 0210/00 l':I:MIE; 12:50026 ?U: . NAM!_„ Iil. I-I(II,TUN ]:Nr. 2252 9220 8:38 BLA?1 LK C'f 30.00 3ci.Cl 3001 838 SI_FtII LK Ci c ;r'.?4c „SS 3866 9379 839 HL.P.tt I_tC .r,T 00„00 3431:1 9001 838 Bl_Ali LK C'1' Cl.%'5 3422 9001 83E3 Bl...At) LK t;7 1,457.66 2275 9220 838 BI...AU LF. Cl' 1708J.00 3446 9(701 838 isl...(5I:! I...i: (:T Wnn 2155 9001 038 BLAD L.F; CT O.FSQ 3743 9220 838 BI._AI' LK 1;;1' SCl.O!] 2155 7001 839 kI...Ai? I..I: C7 161.50 CF.:t23645 (.;OAdTINUF= IJSI::I: 7:D: .IAN ?M CON"i]:NUE: W??k??K>k?, YF?k?kSs?K? ?Fvi;?k?W.$<M?k?kmW?"F?iMY>X?F>K?K>XM>k'M&.?t cnNTlNuE C:I:T'Y C?I=' 1=AL;r-1M1! CA!iI;:I:EFt;; 7, 71'=!?hfIPlAL N(). 7E:3i' DA`fk::a 0207/00 T:f.ME=: 0:50e26 TI? t . NFlMF'; Ilk I-IQRTON TP,SC;. 3868 922Cl 838 BI...Aii L}; [;T 492,.00 37:!.6 9220 838 PLAT..i L..F: C1' 114.00 370 "')?__'_U 038 i;L.A,"_t I_I: CT 50.00 3965 3220 838 FL..AIJ I...K CT 840.00 ? i'ot,a:l 6:eceipF, Amoun+.: Qt:,34i3.46 CF':I.E:3645 UsF_R :r.D: aAN m)Rri:*'k, )? Y,< *Y,t?k7k*yF?dr'Mn':ti<$<>k''?`Yi>XV? fd?k* *ikYFYr:>k* * 3Fa'<Y,<*X< (aO 02? a;SW"BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 7 851•681•4675 NewConstrucHon Revutrem=ftl RemodellReoairReauire mnts? O 'D D 3 ragiatered eNe surveys showing aq. lt of lot, sq. R oi fwuse and all.rooted areas 120%maximum bt coveroae allowed) D 2 copies oi pians (show 6eam 8 vAndaw shes;.poured fid. dasign; etc.) D 7 sN of anergy calculaUons D 3 copiesottree preservatlon plan R bt pWtted afier 711193 DA7E: 1 ? ? - z-bZTri DESCRIPTION OF WORK: STREET ADDRESS: 2"), h)U 1 C 1 LOT: -1 BLOCK: f SUBDJP.i.D. #: PROPERTY DWNER Wst F6st 2 topias o( p18n 7 set of anargy calculalione for heatad addrtions 1 sMe suney Tor eztedor addWons & decks co?21 1, 79 L_ Phone i: CONTRACTOR ARCHITECTI ENGINEER Street ChY State: Zlp: Company: ?• l?i 1--?hr-?-?n Phone #: L?L Z??(o -`7/ Z 9 (area code) ?i, Street Address: ? Jq 1,1? I r-) 'Q- ?V - Lfcense # 2=: i, --7 Exp. ?za?o-vv ? 54-e- 2e-j` ? City f? n.c?i-1State: d?AI Zip: v Company: Name: Talephone #: ( ) SUeet Address: Ragistration #: City State: Zlp: <-, Serrer& weter 6censed plum6er (new consWction on 4 L lv): ?'V7 ? '1'j, )10 iTelephone p: '= Penally appiies when address change and Iot change ie requated once permk is ksued. I here6y acknowledge that I have mad thia applicatton, state that fhe infomnelion is corred, and ree to comply wtlh all applkabk Sfate of Minrresota Statutes entl CR of Eagan ONinances. ? 42 Signature of qppiicant: g iY > OFFICE USE ONLY r- Certificates of Survey Received ? Yes _ No Tree Preservation Plan Received _ Yes _ No ot Required FEB 1 0 M OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) P( 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE )K 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Akeration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC cicy sAc Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Capies Total: SAC Units % s,ac k _V/V Basement sq. ft. rrf Main level sq. ft. I /o sq. ft. ?sq. ft. sq. ft. sq.ft. Footprint sq. ft. Census Code ZOr .S? SAC Code 40L No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Building '(? Engineering / Variance Valuation: $i?r ??? ? ?- ? ? rr Z,' = S Si •?`ot? 61 ?/ . 114 ?,X a 3,Zo2l yr?" ? G- c.- 4 G, WG6 l7?0 - Y/u&Ia Yla„o u ? ?11, :x. 14750 Galaxie Ave. Suite 104 Apple Vailey, Minnesola 55124 , (612) 432•2044 EXTt'RIOR F.NVELOPF. AVff?AGE "U" COMPUTATION N11ME: ID, P., ?-)DrT~eN PLAN NUNIDER Wrc??/ 1tvt? ??r,!PG, Determine worldng square footage of each 1. Total exposed wall area...... y,7"'r sq.ft. X .11 2. Total roof/ceiling area...... 4? r.? sq,ft. X .026 ?J3,z Total exposed wall area above floor = v") 90 a. Total vrall vaindow area .................. b. Total door area ......................... c. Total sliding glass door area........... d. Total fireplace wall area ............... e. Total ivall framing area (average lOq)... f. Total net wall area above floor......... g. Total rim joist area.......... r.......... Li s4y -7( , 4 Total exposed foundation area = h. Total foundation window area............ - i. Total net fourdation area above grade... Determ7.ne "U" value of each wa7.1 seE.pent a. X flUff ,52 = z< z %' b, x "u" .139 = ?,25 c. X nTTir .52 a. x "u" .68 = - e. X "U" . 096 = L+Z , ? u f. X nUu ,043 = rt+q . E. ]t "IIu ,04J. h. x nUn .52 i. g °Uff .082 = 9, t 3. 2GT,aL .............................. 512, .2Z? If itan #3 is the same as, or less than itan #1, you have met the intent of SBC 6006 (c) 2. -1- J- k, 1. Total exposed roof/celIing area = - i?, 5y ' Total gross roof/ceilirg area = - Total skylight area ................... - Total zoof/ceiling fxamirg area....... w?5.4 Total net insulated roof/ceilirg area. '191 -f,. & Detezmine "U" value for each roof/ceiling seEment J X liUii _ k. X nIIu .024 = ! O. ?f u 1. X "U" ,022 _ U,-2- 4 . moTar .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , If total of #4 is the same as,.or less than #2, you have met the intent of SHC C006 (c) 1.. To utilize the total envelope system method, the values established by the swn of itans #3 and #4 shall not be greater than the swn of itans 1.11 and N2. 1. Szl2.?? t 2. 3, + 4. 9b.?,?? Ma.teria.ls Thermal resistance "R" Exterior air......... Sidi7g material...... Sheathir,g ............ Insulation........... Sheetrvck............ Interior air......... sCutia.........,...... FZ17I1 .................. Concrete blocks...... -2- • •` LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERiY LEGAL: 6-vr ? DATE OF SURVEY: ? W LATEST REVISION: 7 "ILl ?C7 0 ? LV DOCUMENTSTANDARDS P ? a ? • Registered Land Surveyor signature and company ?a ? a a ? • BuildingPermitApplicant n • L l d ti { / esc p ega on - yr ? ? • Address ? ? ? ? • North artow and scale H bl lk li l k ? G .? • ouse type (ram er, wa out, split w/o, sp t entry, oo out, Mc.) m/ ? ? • Directional drainage artows with slope/gredient % (P/ ? ? • Proposed/ebsting sewer and water sernces 8 invert elevafion a-/ ? a • S7eet name yY ? ? . Driveway ?p ? • Lot Square Footage ? ? ? • lot Caverege ELEVATIONS Edstina 1:1 ? • Sewer service (ar Proposed) [y?a ? • PropeAy corners v/ o ? • Top of curb at the driveway PI-? ? • Elevabons of any ads6ng adjacent hames ??/ ? Adequate footing depN of sWctures due to adjacent u01ity Venches Prooosed 5?41 ? - Garage floor r?/ ? ? • First floor ? ? ? • Lawest exposed elevation (walkouVwindaw) G? ? o • Property corners r?? ? • Front and rear of home at the foundation / PONDING AREA Id aodicaWel m? W ? • Easement line q/a ? . NWL 7/ ? ? • HWL W/ o? • Pond # designation ? ?' ? • Emergency Overflow Elevation ?o ? c?o ? m" ? ? *i ? ? ,R' ? ? ? DIMENSIONS Lot IineslBearings & dimensions Right-of-way and sVeet width (to back oT curh) Praposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requiring permanent faotings) Show all easements of record and any Ciry utditles within those easements Setbacks of proposed structure and sideyard setback of adjacent ewstlng structures Retaining wall r--°`----'- `--y Reviewed: March 19BB cnnxveLoovaMr.FM l CITY USE ONLY ?/?/ L ? BL `RECEIPT #: I a f b 3s SUBD. P046 qk- RECEIPTDATE: ad7`a(2 ' PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT tINOB RD EAGAN, TAI 55122 . 651-681-4675 Please complete for. A single family dwellings ? townhomes and condos when permits are required inr each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ F{oor drain 3.00 x = $ Gas piping outlet ` minimum - i 3.00 X = $ - Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ - Laundry tray 3.00 x = $ Lavatory 3.00 x = $ I Fs? SeptlC St@r11 newlrefurbished ' requires MPC lic. 75.00 X = $ SeptiC System abandonment 30.00 X = $ RPZ new instsllatioNrepaidrebuild 30.00 X = $ Rou h openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ifdwelling is undercanstruction 3.00 x = 8 Unde round sprinkler ifexisting dwallirg 30.00 x = $ Water closet 3.00 x = $ `? Water heater 3.00 x = $ ? Water softener If dwelling under consWCtion 5.00 x = $ Water softener if existtng dwening 30.00 x = $ Water tumaround 30.00 x $ State Surchar e .50 -> -> --> $ .50 T4t8E -> -> -> ---a $ S? Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I ------------------- i-h-at - I •-• •----------------------s-tata ----th the infortnation ---at ---------------is- c-----------------ortect, and agree -to with --c---orri-p--ly-------....--------ity of ---------Eagan ---- ord-------. inances- hereby acknowledge have read this epplication, all applipble C It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages pused by the City during Its normal aperational and malntenance activities to the facilfties consWcted under this permit within City propertylrightof-way/easement. SITE ADDRESS: OWNERNAME:: E _TI YQ, TELEPHONE#: LOSI LIS?"- UCOU33 (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE#: ??? ?/aJ-I I`+-4 A (AREA CODE) CITY USE ONLY LOT +7 BL PERMIT#: "f O3J? m? SUBD. ?qrdC?n'11n)C7C? { D Y1 G1 5 ?l ? RECEIPT #: E5 a ? RECEIPT DATE: 1 "3 ' 00 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ? ? /c, L..t 1 Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owaer/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 15?dL1. .50 Complete this section on if you are remodeline, addine to, or renairine an existing single-family dwetling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair Furnace _ Air exchanger Other Air conditioniag Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNER NAME: PHONE N: 65'1- (pREA CODE) INSTALLERNAME: C?i??d1 CC.-PHONE#: 6 -51 -?gc 0? r (AREA CODE) STREE'I'ADDRESS: aI?I? ?QTt3ea1 ,cv'e CITY: cirx os sa.cnx 3830 PILOT IINOB RD EAGAN bIDi 55122 651-681-4675 STATE: 90 ZIP:' -:(5Q Oo`L?. i etJ'C/Ytl/ SIGNATURE O PERMITI'EE ?3ald ? ., ?-?ke Courf --?- -- __ _ 0 0 0 ? C C T -? 1 0 o -? ? ,. ---? 0 O ? 0 ? . ~ t ~ , ~ ~ ~ I~i :m~.~.~,~~ , ~.,~T~,N ~ ,~,A~ ~ ~ ~,a ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . ~ ~ , ~ ~ ~ ~ ~ , ~ ~ , ~ ~ ~ ~ g ~ RECi ~ ~ RECE1VED ~ ~ ; ~ ~.~n~ ~ ~ ~ ~ ~ ~ FE~ ~ ~ . FES 14 2000 ~ , _ ~ , i ~ ~ ~ ~ ( i ; ~ I~. r ~ f I ~ , ~ , i ~ ~ , 1 ~ ~ ~ I ~ I I 1 -J ! ~ -5,.,,_ - ' , ~ . ~ y . ~ \ ~ ~ 4fD ~ .~1 ~ ~ ~ ~ , ~ t d ~ , I' ' r } n v , 1 ~ ~ ;L) ' ,~~;r , ~ , S89°26 39 W ~ ~ I ~ ~ ~ ~ ~ - r~'I n r ~ ° ~ A~i2.J6 i' ~ f ~ ~n~~- ~ t~ , . ~;so~' i _ ~ ~ ~ ~ ~ i', ~ i"i ~ .?~s~ m'-~''- - - -~cz. y _ _ _ - - - - - ~ i Q J ' ! r , g - ~ ~ ,~J ~ , ~j~~ ~ ~ ~ , ~ ~ ~ ~ ; ~ ; ~p, ;N; ~ i ' ~ 44.up ;ry ~ i ~ , > ti.% ~ ~ ~ y ~ rci~v2~~~ ~ ~ a ~1 ; ~ o ~ q o t ~ ~ U ~ °I(~~ o ~r'-~ ` ~ C ; 9 . ~ i~ ~ ~ ~ ~ p~ ~~E , "u a,. , ~ ' r"' = ~ ~ ~ ~ r n ~ \ 1 k ~ p. p , ti $ ~ ~t 1 , r~ , , ~.i ~ .s i* ~ ~ , ~ _ r/ C~ ~ o ~ ~ ~ Q r~°'~ o C~ ~ Q s^~-- p;._ ~n ~ O ~r ~ I~ v ~l ((i ' ~ ~'9 ~ ~ , ~ J< ~'a ~ ~ ~ CJ ~ dfl~ , ~.po ~ p ~ , ~ a 0 r ~ - , ~ , r,~o ~ ~ ~ ~ ~i ~ ro ~ o ,~1+ ir -~oo ~l r~~ , ~ _.-,o V.~ ~ 1 ~ 0 ~ ~ H ~ ~ ~ ~ ry ~ ~ ~ ~ u ; ~ ~~~v ~J 1 ~ ~ , ~ , ~,op w ~a e ~ ~ ~ , ,~'6~}~ ~ , , ~ - v ~ 4 , ~ ~ ~ - ~ ~ ~ r- ~ ~ ~ ~ a F ~ , ~ i r~ ~ ~J~ a ~ ~ ~ ' ~ - i p, ~ \ N / m ~ r,, l,~` ~~ry ~ j ~ n ~ ~ 4~ 1~ l~ ; ~ < Q . A . ~ ~~~r'~, ~ . M ~ / . ~ ~ ; ~ L1" ~ ~~5,a ~ ~ , i.p ° Q; Q : ° ' ~ i I 2 i,` ~~o. ~ ; ~,-°~z ` ~ _y ~ N8$° ' ~ ~ ~37,~2 ~ i ~ ~ Q ~Ea t,~,; . 02 37 vV >9 i i q _ q. 1 ° ~C C r-" ~ S ~ k8 tN ~ ~~~j ~ ' 'd~~ y ~ ~ tU o .x ~.pp r%% Cv I'• o rn ~ b'°_ d ~ ~ ~ ~ ~ ~ ~ 1 ~ , ~ r~ . . ~ J / / ~,2 ^r ~ ~ r(~,{~ ~ ~ . ~ ~'"E ~ ~.pp ~ ~6 I, !"i~~~ ; 6`~b i L/ ` ~ .,F~ i ~ J~~a,.+~~^,.r.,,.~.~.-..b. . / ~ . ~2( , ~ . r.~~ ~ . i . :3 ~ ~r a~ ~ ( ~ ~ r~ 0 G ~ ~ ~ ~ ~ ~ ~ ~7 ~ ~ ~ ~ ~o F ~ F 7 ~ ~ ~ ~ " _ ~ House ~ 3 099 s ,fi. / '~r '0 ' ~ / ~ <0~ _ ac. F - ~ Lot - ,,7i6 sG, t. . , ~ ~ _ ~ . i _ . ~ - ~ ; ~ ~ , / ~ Top cur~ tc Gar s;ab =__a~~_. / T ~ _ cU (r 1 ~ o ~i~~~ - ~9~_~b ~ P . ` ~ ~ ~ ~ Lewest bsmt flr = 0 ~1 ~ / i i ~ ~ ~ ~ ~ ~~~5~ ~'G'~~ i_~~~ '~U~I~'`~~ pESCRIFTION ~ ~ Lot ~1, ~Eock 1, ~ GARQE~l~'~OOD~ PO~ID~ ~Ou~i'~i iH ~ ~ L7ako~~ County, Minnesofia r laj: ~earings shown ~ o qenntes 1r~n monum~~t ~ ~ ~ Existing Prop~sed ~ ~ -._-__.._d / „ ~ a~ t ~ ~ ~ ."t ~,~.t~ ~ r-~ ~ ~ . . Wi'il„~ l~ ~ ~5 ~ ~ a~~~,~ ~~s~.~!~;~~~~~~~.~; ~ I h~r~by c~rtify that this survey~ pEar ~ Survey, pian, or ~ report~ was prepared by me or under my~ u under my uireet ` sup~rvisio~ an~ that ~ am a duiy R~e~gi~~ E~cnd ' Surveyor under the Laws of fhe ~ duiy Regi:tered ws of fhe State af Mi soia. c~ e !`~~~3 ~ !~e . No, ! 1 ~ ____Reg. No, 8140 `~.~aJ 1 ~ ~r ~ ~S~ Z~ ~ . I 99 ' ? . ~ . . . . . . . . . SCa!eo ~ - ~Sfl ~ ~ ~ ' SURVEYINC ~ r I !v-~ ~ ~'~r ~ ~ ~1 ~a~-1 ~~~~rn~c~~~~~~~ ~~~~~~wo _~~i~~~ `u(S U1~e ~ i~- ~ ~ ~ ~ ~ ~ ~ ~ ~ - 1 ~ ° ~~~s ~ ~ ! ~?lJ,~p~V1~~~:.~ 1Vf~ ~7u~~~ ~ ~ q ~ ~ ~12 ~~~6.~ ~ , Use BLUE or BLACK Ink ----------------, � For O�ce Use I I � �� ol �� I Permit# �1�� I I �r�,,�-^� 3830 Pilot Knob Road � Permit Fee: lQ�� - C/h 1 j Eagan MN 55122 I ) � � Phone:(651)675-5675 � Date Received:�- �`"I� I� � Fax:(651)675-5694 � \� j MAY 14 2015 � Staff: �'(J � ��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 5/8/15 Site Address: 8 3 8 BALD LAKE CT EAGAN MN 5 512 3 Tenant: Suite#: F� ��u� �' r = .., G��°� City of E: 3830 Pilot KRoad Eagan MN, 22 Phone:,(651) 675-5675 Fax: (651) 675-5694 RECEIVED AUG 2 2 2016 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: ID 0 • Date Received: Staff: 110 2016 MECHANICAL PERMIT APPLICATION EJ Please submit two (2) sets of plans with all commercial applications. Date: 8/16/2016 Site Address: 838 Bald Lake Ct. Tenant: Ed Johnson Suite #: ResidefttlOwrter ;` Name: Ed Johnson Phone: 6514544690 Address / City / Zip: 838 Bald Lake Ct. _.4 Name: K & S HEATING AIRCONDITIONING & PLUMBING INC License #: 43689 Address: 4205 HWY 14 W City: ROCHESTER State: MN Zip: 55901Phone: 507-361-2332 Contact: HEIDI BROWN Email: hbrown@ksheating.com New Y Replacement Additional Alteration Demolition Description of work: Furnace and air conditioning replacement OTE oof amtedounand ground mounted mechanical equipment isrequired to boscreened byCity: Code'. Plese contact the.Mechanical Inspector for iinformatlon on;?permlftted screening methods RESIDENTIAL Y Furnace Air Conditioner Air Exchanger _ Heat Pump Other COMMERCIAL _ New Construction _._W_.. Interior Improvement _ Install Piping _ Processed Gas Exterior HVAC Unit Under/Above ground Tank L_ Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge _ $ 60.00 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ _$ Permit Fee Surcharge TOTAL FEE 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 pian in the case of work which requires a review and approval of plans. x BRIAN KEEHN Applicant's Printed Name x i A� App icant's Signature FOR OFFICE USE Re•quired Inspections • Underground. l Rough In ; AirTest Gas Service Test = In -floor Heat IVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA157351 Date Issued:08/15/2019 Permit Category:ePermit Site Address: 838 Bald Lake Ct Lot:6 Block: 1 Addition: Gardenwood Ponds 4th PID:10-28803-01-070 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 - Britt L Johnson 838 Bald Lake Ct Eagan MN 55123 James Barton Design/build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature Smoke and CO detectors affidavit for Building permit final I Neil Kruchten have tested all the required smoke detectors and Carbon Monoxide detectors, At 838 Bald Lake Court on this date 6/24/20 manufacturer's installation instructions and operating. They are correctly located as per the There are working smoke detectors in every sleeping room, in every hallway leading to a sleeping room and on every level of the house. There are working Carbon Monoxide detectors outside of every sleeping room, within 10' Permit # EEA1573551 )).a0 Signature //1D 7-�