834 Bald Lake CtIAddress 834 sala T.ake %;ourc Zip 5512 3
LAt $ Blk 1 Sub Gardenwood Ponds 4th
TEIESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: r 1j? Z000 Yes No Inspector:
Final gtade (6" from siding)
Permanent steps (garage) X
Permanent steps (main entry)
Permanent driveway
Permanent gas )K
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the bwlder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potenUal exisu.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy
l'o yF:V:xtA ?KY,?Y;$` Y'{.4fm,Ko ;,k},Y.:;SK`!6m*k:>$
CIi'V r:}F F^-,GAf!
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,
'1 ^
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:ittt,E, 9379 834 F_tAi_D l..AKE E: f.GC).OQ
3422 9001 884 L;A1...D !...A.iE C: 1.gCt79.::0
i?rr5 9ceC1 B34 PAl.D i_f'+i:'e: C b(]::11'i.50
3446 9001 044 BGiLrl LAI<E r ' a.O.:iCF
e155 9001 834 Wx. i_u i_.nKr:: c; ? ne::;o
3743 9220 E394 F3til__D l.Fl!.F: r; , 50.00
Ri.;"i5 .`:00z 13:34 E:6§L.D L.AKr G' lDC3.,`';6
M0 9E'.e41 8M ki,^-i'D ._Ak:t: C: 468.0t1
:uR I 19M *w CnNr zMuE
ucER zxia aAN W* CONrrNUE
I`CIN'1'SN'JE
CSTV i)f= L:AGAiJ f;A:311If:F:,-, :IF3 TL.1"iM:f.NAL. Pill; 762
=Kii't:a L:1./0019 iI^fFa (JE3s0":f,;Qh
h'Ai"E.^, TJFi I-IOiI"Oht :I"NC,.
,i37°:l.F, 9arG 834 Y.•As.;`i C..C,KG. i; i-:.4.,00
3Q 9q2O 8N FiAI..X? 1._AKk: C
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`
I
il
T(l'1:7l Rg^eSrA'}, A15:C11.1ntA 1,5j"NGa
.JJr., .i De
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN 'i
Q 3830 PILOT KNOB RD - 55122
(651) 681-4675
(c)'' l 11
New Construc[ion Reomrements RemodellReoav Reowrements ? 3 registered sde surveys ? ? 2 copies of plan i
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (ezterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 711/93
required: _Yes No
' ?a /'
DATE: '? i ?IJ 1 V? CONSTRWCTION COST;
? ?
. . ,? . ,
DESCRIPTION OF WORK:
STREET AD.DRESS: D')( /U r71 I
?
LOT: ? BLOCK: SUBD./P.I.D. #:
?
PROPERTY
OWNL:R
coN'i•xncToR
ARCffiTECT/
E V GIPIEER
Nemne
Lvs[
rust
Yhone k:
Street Address:-------------- " --+------- --------
- -------------------- ? -
.
-------------- - - - - Sta[e: _ _ ? - - - ? p' --------------
City - - - - - - - -
Cnmptiny:? Yhonc
- /z9
Streetrlddress:'7'71____ IA LA`,{?I i?'L??_
Cit}' ---- ? -----------
SUcet Address:
City
1
a?-_?e70? License #`ZbdSbS:z_Lsp. 7ma_
---i ?! Z Z
Sta[e: ° Im - lej ------- ?Zip: ------------
State:
, Yhone #:
Regis7atiou #:
Zip:
Sewer & water licensed plumber (new construction only): 'r}? f I /J SP I;! li P. fe- i. Penalty applies when address
c,hange and lot change is requested once permit is issued.
I_hereby acknowledge that I have read this application, state that the informati I is correct, and agree to comply with all appiicable
3tate of Minnesota Statutes and City of Eagan Ordinances. I,
Signature of Applicant:
?ia ?53 ?383
OFFICE USE ONLY A?-?? a V'U
??,,?
.?-- ca--?k? l o-? i'
?,"L `e , ?- V.'??pyp
Certificates of Survey Received _ Yes _ No kj
?
Tree Preservation Plan Received _ Yes , No _Qoot Required _t4D
OFFICE USE ONLY
BUILDING PERMIT TYPE
- ,.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
O" 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allo
bl
) VN, Basement sq. ft.
M
i
l
l
ft 1?7 Census Code
SAC Code
wa
e a
n
eve
sq.
.
UBC Occupancy sq. ft.2 Census Units
Zoning ? T sq. ft .?JO??f? . Census Bldg /
# of Stories
Length sq. ft.q??,
sq
ft! MC/WS System
City Water ?
.
Width ? Foatprint sq. ft. ? Booster Pump
pRV
Fire Sprinklered
APPROVALS
Planning Building ? Eng ineering Variance
Permit Fee Valuation: 9
$__.2
00c?
Surcharge 1
" !
Plan Review
??a
li ?
? ??_
?•S?C:?`
Lcen
MCNVSSAC .
,
City SAC
Water Conn ?r??Gx J<"Gr - ??? J? ?
.
Water Meter ;
Acct. Deposit
S/W Permit
S/W Surcharge ?
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: Sj (o a-?
1
;
% SAC
SAC Units
LOT SURVEY CHECKLIST FOR RESIDENTIAL
j BUILDING PERMIT APPLICATION
PROPERTYLEGAL: H?? ? ffA?W /
DATE Of SURVEY: k) ° 7 c?
LATEST REVISION: I) "GVI ?
OOCUMENTSTANDAROS
? ? Registered Land Surveyar signature and company
? ? :
Bwiding PermR Applicant
? • Legal description
e' ? ? • Address
? ? ? • North arrow and scale
v ? • House type (rambler, walkout, split w/o, splR entry, lookaut, etc.)
? : Directional drainage arrows wdh slope/gra?ent 96
2' ? Proposedlebsting sewer and water aervices & invert elevation
? ?
? ? • Street name
¢
o ? • Oriveway
r?
o ? • Lot Square Footage
v
o ? • Lot Coverege
ELEVATIONS
Existina
1/a ? • Sewer service (or Proposed)
? ? • Property corners
r?? ? • Top of curb at the diiveway
ua?o 9 • Eteva6ons ot any ebsCng adjacent homes
o c1I? Adequate foobng depth of structures due to adjacent utilfly henches
Prooosed
bl ? ? • Garege floor
? ? ? • First floor
e? ? ? • Lowest exposed elevation (walkouUwindow)
IV ? ? • Properry comers
q? ?? • Front and rear of home at the foundation
PONDING AREA ('d apdicable
2/ o ? • Easement line
a/? ? • NWL
Di/ ? ? • HWL
q/a? ? • Pond # designation
? ?' ? • Emergency Ovefiow Elevation
DIMENSIONS
t/a a • Lot GneslBearings & dimensions
ar/? ? • Rightof-way and street width (to back ot curb)
?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', parches, etc.
(i.e. all structures requiring permanent footlngs)
e( /?? • Show all easemenls of record and any Cily ufilitles within those easements
c? o p • Setbacks of proposed structure and sideyard setback of adjacent epsting strudures
??? • Retaining wall requirements,'rf any // j
Reviewed:
J Date
,
March 1968
cnnicieLoovaMr.Fn+
?l ki,r??td ??er?ivuv?x?. J''?w. I
14750 Galaxie Ave. Suile.104
Apple Valley, Minnesota 55124 .•
(612) 432-2044
F.X7TRIOR IIdVF.ilJPE AVERAGE: "U" COM['UTATION
T?AP9E p.f.? . Hr 2T0 N PLAN NUMBEEi 14 A&7PT4,+V
Detennine wor}drg square footage of each
1. Total exposed wall area...... 3,)^Z sq.ft. X .11 ?l34,?z
2. Total roof/ceilirg area. ..... sq.ft. R • 0Z6 9 0. 2 7
Total exposed wall area above floor = 3S "'?
a. Total orall window area ..................
b. Total door area .........................
c. Total sliding glass door area...........
d. Total Tireplace wall area ...............
e. Total wall framirg area (average 10%)...
f. Total net wall area above floor.........
g. Sota]. rim Joist area ...................
;? 7,1 9
?!-
?',
i j `4
Total exposed foundation area = 9'7
h. Total fourdation window area............
1. Total net fowndation area above grade... 9`7
Deternii.ne "U" value of each wall segnent
a. gflUn .52
= i-? o? ?•?
b. g nUn .139 = %.ZS
c. X nUn .52
d. r X "U" .68 = -"
e. X "Un .096 ? ;?? •ry ..
r. gIfUlt , 043 = 0 v. 9! --
9, X IlUtl . o41 = I ? . `7 14
r. x ifUlt .52 Q ?.
i. X uUn ,082
3. `PCm.Li .. . . . . . . . . . . . . . . . . . . . . . . . . . . . -3 9 ?z ,9 `i
If itan N3 1s the same as, or less than iteri #1, you have
met the intent of SBC 6006 (c) 2.
-1-
,
^ Total exposed roof/ceiling area = `5 ?+ ? ?. -•
Total gross roof/ceiling area = -
1. Total slyliy,ht area ..................
k. Total rroof/ceiling framitg area....... ?
1. Total net insulated roof/ceilirg area. -•, ) •? u.4
Detenntne "U" value for each roof/cei]Srag se@nent
.1. X "U" _
k. X l'U" .024 1. X"U" .022 = F 4:.7 ?I
4. TO'i'AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r -7 n-?
If total oT #4 is the same as, or less than #2, you have
met the intent of SIIC C006 (c) 1.:
To utilize the total envelope systen methal, the values
established bp the stan of itPms 93 and #4 sha7.l mt be
greater than the sum of itens #1 and 112.
1. ?I7z. + 2. vr.-? -I = S2T 19
3. 9?.9 ? +4. `7-7.07
P•taterials Thermal resistance "R"
Sxterior air.........
S3ding materiaJ.......
k Sheathing............
Insulation...........
Sheetxock............
Interior air.........
,9tituin. 1. . ". . . . . . . . . .
Rim .................
Concrete blocks......
-2-
CITY USE ONLY
LOT ? BL RECEIPT #:
SUBD. CDCC,,? v? l,\SC`??F1 PUAL ? KKECEIPT DATE:
MECHANICALPERMIT# 1999 M£CHANICAL i'ERMIT (R£SIDENTIAL)'
crrY oF Ens,4rr
SgSO PILOT KNOS RD
ERfiAN 11N 55122
Date: fz- (651) 6$1-4675
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied. '
• HVAC: 0-100MBTU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
$ 30.00
6.00
ro .Ctc>
.50
$ A/-,?,56
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New
Fumace
_ Air exchanger
SITE ADDRESS:
State Surchazge
Total
` Air conditioning
_ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
OWNERNAME: PHONE#: rc+f?;/ - h?-
AREINSTALLERNAME: C.,?c3nJ?nn??olJ? ir PHONE#. AC?/ -
1/? (AREA CODE)
STREETADDRESS: ?TC1d?) 1fiUe
CITY: ??iT ???% STATE: /,V,;I/?J , ZIP: ?7 C7?'Y
il
IGNANRE OF PE MITTEE
g ' L CITY USE ONLY ' RECEIPT#: q--1 sc-l
L fe? ?-p
SUBD. ( , RECEIPTDATE: l I'-?-3 "9 /
I PERMIT # I?3 R?O LJ
1999 PLitM$INH PEfiMIT (RE.SIDENTI?cL)
crrY oF EAsnx .
3830 Pu ur Kxos ctn
gAfiAN, bIN 55142
?
(651)651-4875
Please complete for: ? single family dwellings I
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH 1 #
TOTAL
Bath tub $ 3.00' x = $ -
Floor drain ? 100 x $ GD-
Gas i in outlet ' minimum • 1 3.00, x $ ?
Hot tubis a 3.00, x I = $
Kitchen sink 3.00, x = $
Laund tra 3.00 x = $ ?
Lavato 3.00 x 1-5
?
=
$ -?
Minimum fee alteratlons to existin dwellin 30.001 x I = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00' x $
Private Dis osal S stem abandonment 30.00i x = $
RPZ new installation/re air 30.00, x = $
Rou h o enin 1.50, x 3 II = $ ?
Shower 3.00, x
Under round s rinkler if dwellin is under construction 3.00 x i = $
Under round s rinkler if existin dwellin 30.00' x = $
Water closet 3.00' x i = $
Water heater 3.00, x = $
Water softener If dwelling under wnstruction 5.006 x $
Water softener if existin dwellin 30.00i x I = $
Water tumaround 30.00 x ----i = $
State Surchar e .501 --? ----? ----> $ .50
TOtal ->' °? ---? ----> $ oO-
Reminder. Call for inspeetions of alterations, i.e. water heaters; water softene ?rs, etc.
y g pp pplicable Ciry of Ea9an ordinances.
I hereb adcnowled e that I have read this a? licetion, state that fhe mformation fs correct, and sgree to compty with ell a ????
It is the applicanCs responsibility to notlty the property owner that the City of Eagan assumes no liability for any dam i ages causad by tha City durin9 its
nvrmal operational and maintenance aclivities to the facilitles constructed under fhis permit wifNin City property/right-of-way/easement.
.? _ /1 /1 _ i . n I
SITE ADDRESS: O J-i CG?-eLJ l SA-ti-e- l./
OWNER NAME: : ?? ?&TDI'i TELEPHONE #:
INSTALLER NAME:
TELEPIHONE #: (OSI
STREETADDRESS: 1W I?5 Sg(Lf CY{'a°fl- f,JE-
CITY: _tp(A wn I _Ylr STATE:
ZIP: JDC.L7
OF
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reamrements RemodeVReoair Reamremenis
3 registered site surveys showing sq fl of lot, sq ft. of frouse, and all roofed areas 2 copies of plan
(20% mmimum lot coverage allowed) 1 set of Energy Calculations for heated addihons
2 copies of plan showmg beam & window srzes, poured found design, etc 1 site survey for addihons & decks
1 set of Energy Calculahons Adtlih'on - indicafe if on-sde sephc sysfem
3 copies of Tree PreseroaUon Plan if lot planed aHer 71153
Rim Joist Detail Options seiedion sheet (buddings with 3 or Iess units)
pO
l7ffics L+se.Ohiv
Ce`lQ1'SurYeyRecd
y N
FreePrasPl&rR2ei1 - i N_
FrBeFres#tewired. Y N
C7n?siteS6plisSyslem ._Y q
lll't "(4, -
Date ?l t' l ?a.DO Construction Cost a5, ?c %
Site Address UniUSte #
? u
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0? 1 _ 2
Property Owner tr`'1 ??V'?- ? Telephone # ( (oS? ) lo vU - ?? ? ?
?
?
?
?c
Contractor J
? ?
Dttv ???? .
?
- F
_
i
Address IrCL( Vcg
b ? 1i
City
ac.,1
State ZipaLLia- Telephone # ((61 `7
Cell ! '??? - ? 7/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Mmnesota Rules 7672
Energy Code CategOry Residential Ventilation Gategoty 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge 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
permit; that the work will be in accordance with the
pproval of plans. ? J
I ,
an application for a permit, and work is not to st? r: ` ant a
annroved..olan in phe case ¢f wopk ?vhieki-requir?s a('rev?ewl?nd
? VU4 0 C; 7005
Applican s Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
? 03 01 of _ plex ? 09 07-pfex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ect. Ait - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MWti Misc.
? 05 03-plex ? 11 10-plex ?!S, 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous '
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)k 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demoiition (Entire 81dg) - Give PCA handout to applicant
Valuation 00 Occupancy MCES System
Plan Review 100% or 25°h
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const V 6 Width
_ Foodngs(new bldg)
_ FooUngs(deck)
_ Footings (addition)
Foundalion
Drain Tile
Roof Ice & Water Final
1C Framing
Fireplace )( R.I. ?( Air Tes[Final
? Insulalion ?T ?c
Approved By: -T -2-,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
other
Total
REQUII2ED INSPECTIONS
FinallC.O.
? FivallNo C.O.
_ Plumbing
HVAC
O[her
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
L.L r-Gvv&h, ?i 0v a
? 7Q ?
?183? if> So.so
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
nate I Os - ?
Site Street Address 19 1?> y ? Lv ?i? Uni
e-on?r4c'tu? o. ,,
Property Owner
[A QSStay. Se.f
Contracto
r Telephone# (4 9 1 ) 651-8252
?
/
Address P. P a a?? a City Q State mN Zip SS
The Applicarrt is: _ Owner _ Contractor _Other I
Alterations to existing dweliing L,L_Q 4 1 6,z <.k 1? 50.00
Add plumhing fixtures (excludes water softener and/or water heater--complete neut
saction if installing these appliances).
_SepticSystemAbandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other.
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn irrigation _RPZ _PVB _new _repair _rebuild ? $ 30.00
State Surcharge , $ 50
Total $ SG' • S°
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances an'd codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in'accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,rti, 1149 S I?A t) 1 41- //I . 1_
Applicant's Printed Name 'ApplicanYs Signature
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) $(00,50
? 133? ? CIT, aF ?,? 3830 PILOT KNOB RD - 55122 Calkd ?ai
851-881-4875 $
New Conshucflon Reailremenh Remodel/Reoalr Reaulremenh J.hM
- .??? ?
? 3 registared sIte wrveye atwwlnp sq.11. oi bt, sq. H. of hwae
and gfi roofed areaa (20X mmdmum lof covemae allowe?
> 2 copies of plarxi (alww beam 8 wlntlow sizes: pouretl hW. design: etcJ
> 1 set W enargy calCUlaHOna
> 3 copies of iree Preservatlon pan It lot PkMetl aMer 7/1/93
DATE: 10I l` co
DESCRIPTION OP WORK: .
STREET ADDRESS' 3
c,e.> ? Pc ? W
C
2 copiea ol Pian ?i
1 set ot energy cafculaMons for heafed adcgHOns
7 aRe wrveY for extedor aOtllHans 8 decka
CONSTRUCTION COST:
r / ,
?l
?
LOT: ? BLOCK: SUBD./P.I.D. #: 4 l!n
Name: '510 ^Gc, Phone A: 67) d ?I'J -71c77
LCMI Pirsr
PROPERiY /
OWNER
Sheet Address: 3
c[tv Sta?e: P14 zlp:,? /a 3
companY'4tL5; N ,?, ?'/?/ f?ll//?P6rJ Pnone N: 65%I C?(J D9SO 7
(area code)
COMRACTOR Sheet Add??? /(?' ?-f Liceroe #, b? ? Fjcp. 3 -U f
city ?a ?i ?t•v _ srare: zip: 5:?"ia 3
ARCHITECT/
ENGINEER Comparry: Name:
Telephone #: ( }
Sheet Addresa: Re9lshatlon M:
Ciy State: uP:
Sewerhvater licensed plumber tlf Installina sawer/waterl: Phone * '( )
I hereby acknowledge Ihat I have reW lhis applicatbn, deft thM the ie conect. a agree comPH wNh ap appilcable State
of Minnesofa Stalutes and CMy of Eagan Ordinances. C)
Signalure of ApplicaM: J ^
Certificates of Survey Received = Yes
OFFICE USE ONLY
_ No
Tree Preservatlon Plan ReCeived - Yes - No
? Not Required OCT 11 2000
? I
??:.? ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundffiion ? 07 05-ptex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 lo-plex
? OB 04-Plex O 12 12-plex
WORK TYPE
?b 31 New
? 32 Addition
? 33 . Alteration
? 34 Repair
? 13 1&plex ?
? 17 Garage ?
18 Deck ?
? 19 lower Level ?
Plbg _Y or _ N ?
? 20 Pool ?
21 Porch (3-sea.)
22 Porch/Addn. (4sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demoiish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMA710N
SAC Code ?
No. of Units /
No. of Buildings ?
Const. (Actual) r=
(Allowable) _5"-4/
UBC Occupancy
Zoning
# of Stories
length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVAL5
Planning Building
Permit Fee
Surcharge
Plan Revfew
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
4?4 Engineering
Valuation:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
variance
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 834 Bald Lake Ct
Lot: 8 Block: 1 Addition: Gardenwood Ponds 4th
PID:10- 28803 - 080 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
ctures are not acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Robert J Straka
834 Bald Lake Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA079516
08/29/2007
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142044
Date Issued:04/12/2017
Permit Category:ePermit
Site Address: 834 Bald Lake Ct
Lot:8 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 Straka
834 Bald Lake Ct
Eagan MN 55123
(612) 910-0951
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature