862 Bald Lake CtRESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
I 3830 PILOT KNOB RD - 55122
651-681-467
r Construction Renuirements RemodeUReoair Reauiremen4s
3 registered site surveys show(iig sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lot coverage allaxed) . 4te6eK94wUCalculetbrs for heated additbns
2 copies of plan shovnng beam & window sizes; poured found desgn, etc.) . 1 sRe survey for extenar addNions & decks
1 set of Eneryy CalcWations . Jagie?rved by septic system for addi
3 copies of Tree Preservatian Plan i( lot platted aNer 711/93
Rim Joist Detail Optians selection sheet (aldgs vrith 3 or less unils) f?
170,00
C.ZU4
4"''
4TE ZjtQtfZJ/ 200 l(v VALUATION
)B SITE ADDRESS?( ?(pL CS(!R ?e? ( '?c,w(
MULTI-fAMfLY BUILDING, HOW MANY UNITS?
;OPERTY OWNER?(;1/IGC ? crec','t
TYPE OF WORK FIREPLACE(S) S1_94??6 /
'PLICANTV al!1 NW_5Le_ PHONE#x `f
)DRESS 96 Z
\GER #
ZIP CODE s,3?
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
=_nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor. _
VIechanical System Includes:
Sewer/Water Contractor.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
applicable State of Minnesota Statutes and City of Eagan Ordinanc ?
Signature of Applicant ? i
:rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE # 051'
Water Softener
Water Heater
No. of Baths
Phone
Lacvn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Updated 1101
OFFICE USE ONLY
Ot Foundation ? 07 OS-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 0 22 Porch/Addn. (4-sea.)
04 02-plex ? 10 08-plex y 78 Deck ? 23 Porch (screened)
05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
31 New
?32 Addition
33 Alteration
34 Replacement
duation
:nsus Code
kC Units
n. of Units
rc. of Bidgs
pe of Const
w
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Foorings (new bldg)
Footings(deck)
_ Footings (addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
ise Fee
ircharge
3n Review
3/ES SAC
ly SAC
ater Supply & Storage
',W Permit & Surcharge
eatment Plant
imbing Permit
:chanical Permit
:ense Search
ipies
her
ital
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
FiaaUC.O.
'ys FinaUNo C.O.
? Plumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco _ Stone
_ Windows (new/replacement)
Approved By Building Inspector
?
BUILDING PERMIY
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454•8100
Receipl # _
te M uwd for ' Est. Vulue 1+ '1. Dote '- , 19_
SiteAddress - '?%'? ^'• ?•-++--'` 'Erect ? Occupancy
:r(Remotlel ?
rt"° J Zoning
Lot Block ;.
Sec/Sub.
Repair ? Type of Const.
Parcel No. ?
Addition No. Stories
- ;? Move ? Length
9
W Name '
Demolish ?
,
..
..
.
Depth
;
b Address . . ? ?
?
'
'
Int. Impr. ? Sq. Ft.
City - .
Phone Install ?
a AvVrorab Faea
o Name • '.!?'..:' .
ZG Address
-
, Assessment Permit
??
? i`
City - Phone Woter 8 Sew. Surcharge -
Police Plan Review
Fw Name Pire SAC
?? Address _ Erp. . WaterConn.
'w City Phone Planner WaterMeter
Council Road Unit
I hereby acknowledge lhat I have read this application ond state that Bldg. Off. Tr. PI.
the inlormotion is mrre[t ond ogree to comply with oll applico6le
StaTe of Minnewlo Statufes and City of Eogan.,Ordinances. AP? Parks
? Var. Date Copies
Sipnature of PertniMee
??"?'•" " ? ? i. . .,,,
; Total
A Building Permit is issued fo: ' on the exDress condifion Ihal
.,,- •112u2
oll work sholl be done in ac<ordance with all aDDliwble Sfate af Minnewte Statutes ond City o4 Eogun Ordinances
Buildinq Offlciol
Permit No. Permit Holder Date Telephone tF
P6umbing
H. V A.C.
Elearic
Softenar
Inspection Date Insp. Other
FooHngsl
Footinga II
Foundatlon
Framfng
Roofing
Rough Plbg.
Rou9h Htg.
Inaul.
Fireplaee
Final Htg.
Ffnal Plbg.
Final
CerVOcc. f
Weter ??ibe Location:
Wall
Sewer
Pr. Dlap.
Address 862 BALD LAKE COURT Zip 5512 s
LAt I Blk t SUb GARDENWOOD PONDS TH
TI-IESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder lhe removal of roof test caps from the plumbing system and the shutoff of water supply to
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
#Rt i?;:x:N'M1t:k***0M* *?'d;t:?*W,?v,dtX:>K**r.c* AY,:>k*%.?'>k;?:?k
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i
CA:i:i:iE:l1c J5 1'1=1±t1INAf_ !!(]s 897
IU'frEe 02125/00 l1:Ml-: 10.4C1:'.r'6
IUr.
N1ME: L!f•; I-IOftfON ;:NC.
i2252 9..'.2p 062 BALD L.A..E C 30„00
^ai'iL 9001 £3Gr EftLD LA:'N? i: 1751,005
38E56 9:379 862 RAl.Ct i..f1l•fE f: 00.00
3422 ':jC!O:I,. 862 BAU:? ?Lili{E `., 984.46
2275 9220 862 z•n3..r; I...hK!" [; qIt0::3„00
3446 9001 862 HnLa::, 4.Fvl<F: G li..QO
205 900i 862 71SI'll..Xl LAIiI. C 0.50
3743 9220 A t:{6q'..I) i._A!:I G 50„00
205 9(]01 862 LiAU1 I..,AE'.I:_ l: 96,.50
3968 3220 f.sr,? BfM_D I._AI(E: f:; 492.I70
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CITY t;)p LFd.;AP!
J , i1=:RMINFlL NOe 01.37
D4Y1I::u 02/25/00 TI11E: 0:400'7
SIi r.
NAM-.: z,R Hof,rrira :r.nc.
3; :tG 9220 862 Ztr'd..D i._r-lE,l'r:: r: 114 .OD
3713 9220 E;E,c'.. HAi_1? L_AI;E C; W.f)C?
:?^ufs;i 92R0 £362 SAi.ri I...hI:fC C !Pq(].f:lD
Toi:a'I. fier..F?pt, (-tm.r.u.arzi,; Sp3'i'd.lli
C6'123324
l.I^[::fi StJS :?AN
z ?
s requesf'void 18 months from
„ ?--? -----/'?°?p
Date of this Request /-?/ 7 v . S 1o? J6
I, as 31?icensed Electrical Con actor ? er, do hereby request inspection of the above electri-
cal wiring installed 2 Z-
?
Street Address or Route N
Section Township
_.. ,
Which is occupied by . i IL
Is a roughin inspection required on this job? No
Power Supplier
Range County _
Yes ? Ready Now O Will Call ?
Address
Electrical
r ,....,. ,
Mailing Address [O n ?fl) ') _ , -?A-'y,,-
(Electus,aYCPntractor o1r? wner Making This Installatlon) /
AuthorizedSignature ? '1.?,?_ls? PhoneNo. r?'"L/* ?l
(Electrlcal a. tracto r Owner Making Thlz Inatallatlon)
?[? ???D ? ?0??.lJ . This inspection request will not be accepted by ffie
(????C, g,? D r?- t,? State Boerd unless proper inspectian fee is andosed.
? Minnesota State Board of Electricity
1954.'Jniversity Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
CHECIC BELOW WORK COVERED BY THIS REQUEST
??'* &0
S n
Type,of Building New Add. Rep. Cheek Appliances Wired For 1 1 Check Equipment Wi[ed For
.Home
Duplex
Apt. Bidg.
Commercial Bldg. ?
?
?
? ?
?
?
? ?
?
?
? Range
Water Heater
?ryec
Fumace ?
?
?
? Temporazy Wving
Lighting Futuces
Electric Heating
Silo Unloader ?
?
?
?
Industrial Bldg.
Other ?
? ?
? ?
? Air Conditionet
List
Reher) s? ? Bulk Milk Tank
List
Oehe[s?
f1 ?
COMPUTE INSPECTION FEE BELOW -?'-?N
Service Entrance Size: # Fee Feed s$e$ubf eis: # its: u Fce
0 to 100 Am s. 0 to d`" ` es m cxes
]Ol to 200 Amps. :,to_1 aQ ies m eres
Above 200 Amps. Amps. Amps.
%Above
Transfo:mers i-•?- Circ. he:fe
Signs V/ Spkiallns ection e
Remazks f??? ? I, the Electrical Inspector, hereby certify
(Final)
This request void 18 months from
r?
been ade.
e
e
CITY OF EAGAN
N_ 11232
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100 ?
BUILDING PERMIT Receipt #
ROOFING
$70,500
SiteAddreu 3800 BALLANTRAE RD Erect ? Occupenty
Lot 2 Block 2 Sec/Sub. SALLANTRAE 1ST Remodel ? 2oning
Parcel No.
W Nme SENTINAL MGMT CO
? Address 5151 EDINA IND BLVD
city EDINA phone 831-5002
g Name W»KER ROOFING CO INC
ou addreu _ 2701 36TH AVE SO
u? citv I"PLS Pnone 729-2325
Name _
Address
City Phone
Repalr A.A Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impc ? Sq, Ft.
Inatall ?
Aovroveh Fae.
Assessment _
Warer 8 Sew.
Police _
Fire
Erp.
Plonner _
Council _
Permit Z>-14b _ 1111
sumnaree -is - Sn
Plan Revlew
SAC
Water Conn.
Water Meter
Road Unit _
1 hereby ackrwwledge thot I have read this applicotion ond state that Bldg. Off. Tr. PI.
the inlormotion is correct and agree to comply wiih all opplicoble AP? Perks
Stofe of Minnesota Stotutes and ity of Eoga9g Ordinonces.
c A'? Var. Date Copies 3
Si0nafure of PermiMee ? 7otai
T WALKER ROOFING CO INC .50
A Bullding Vertnit Is issued to: on the expresa cadiHon Ihot
all work sFqll be done in acmrdance with all opg(icabla Stah qY70iinriesafo Statutes and City of Eoqan Ordirwnces.
Buildlrp Ofliciol A Ae
?
? BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 ?
NawConaWdionReauUements RemodeNtenahReaulreL?
D 3 regklered efle surveys showing sq. R of lot, aq. R of houce 2 copbs of plan
and ell roofed areas (M _maxlmum bt eovanae allowad) 7 set of energy akulatlone for Aeated addkions
? 2 wpies of plans (show beam 8 wlndow eixes; poured tnd. design; ete.) 1 site wnay for axterior addtdons & decks
? 1 set of energy wkulatlons
? 3 eopks otMee preservatlon pbn if lot platted aftar 7MR3 Dare: Z -21- 2c-ryv
DESCRIPTION OF W
STREET ADDRESS:
Name: Phone q:
Last Fist
LOT: I BLOCK: -L_ SUBD.IP.I.D. #: CaC?nu)m-y4 {-?a /'y4S 4?k
PROPERTY
OWNER
CONTRACTOR
ARCHRECTI
ENGINEER
Street Address:
City
Stata:
cosr,j ll0 ? , I !?S
Zip:
Company: I'.,.Z . C? v+?tOr Phone #: 69S I Zrj lo --] J,acj?
(area code)
StreetAddress:>?9 /.?1QSLt?rroifOh Qr Sj:j? License#Zaoasb5-2 Exp. 2%3i/2r,rn,
City ? SWte: 62l !'J Zip: 5Sl?,'7 -
Company:
Telephone #: (
Name:
Street Address: Registratfon #:
Cky
State:
Lp:
SewerBrraterlicensedplum6erfnewconeWctlononlv]: m?w SP.PtPP,- Telephone.ln(Z75?i:4-SZ3
Penalty applies when addreas change and lot change k requesfed once permR is issued.
I hereby acknowledge that I have read 1hls application, state fhat the iMormatlon is correct, ap to compy witli all appliceble f Mlnnesofa and CR
oi Eagan Ordinances.
Signature of Applicard:
" OFFICE USE ONLY
Certificates of Survey Received X Yes _ No
Tree Preservation Plan Received _ Yes _ No ? 1 Not Required `;
???
OFFICE USE ONLY
I
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
-P
02
SF 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
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
X 31 New ? 35 Tenant Impr ? 39 Gas Line Only O 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ?
(Allowable) }[? Main level sq. ft. 7 SAC Code ?
UBC Occupancy L sq. ft. No. of Units
Zoning ?L ,sq. ft. ir- No. of Bldgs
# of Stories ? sq. ft. MC/ES System
Length sq. ft. City Water
Width !E? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Buil ding Engineering Variance
Permit Fee
Surcharge
Plan Review
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:
Valuation: $
6d?"If- q
?4406-rL,
/7, -,,? --I -,)-•o I
sr L,' _ 9D 42,
i -
y,. 7 r
.
? ?0;a
,
SAC Units
% SAC
. ,
1& 2 Family Residential "Cookbook" h4elhoa
FMCEAD c55?7
Date
! -I i--
M1II1ri1LL[it CCtteC[H:
Rim Joist A-19 insulauon Foundaton Windows: Iasulated glas4;'172" air spaca wood or vinyl Fcamc
Enay doors: I'/i'inch solid wood with storm or better -
1 Window & DoorArea
Total VYmdow & Door Arca in Sq. Fcet
WINDOVJS.(i,.cluding fcunda3en windows):
Dimcnsions Qaty. . Area
ZI Co' X 5 d' -N+rl ? 5
Z 11-611 x Ld' I v
2x4?d` II
Z' (?0" X,9'-o" }k UN `? D
? 11 il
Z,_?. z51_o
l.
`X5 Lv `
x 5
x3?
z
x
X
DOORS:
4?. ? I
s L" I ?
Tota! Area of
VJ"indow & Doors
A
I '-e ID,6?
!i • lJ? ?D ?.D
Total Arca
Total Wall Arca in Sq. FL
VTaA Total Perimeter Hcight Area
STEP 2 Calculate area as a percent of w•a?
Box A(window. &- door ana) dividcd by Box B(tocal
V"a11 ara) timcs 100 cqua?s the window z^.d door ue2
as a pcrcent of wall arca (Boz C7.
aoxA q1 Xioo=
Boxa M9 c
I STEP 3 Design Features -1
ASSEMBLY
Fu).4E WAU.:
S-['ANDP.RD FRAbf!NG
ADVANCED I-RP.2.IING
CAViTY INSULATf ON
S}E.4TfiIIqG: LESS TIIA2'7 R-5
orTroN
R-S OR TlORE ? I
WII4DOWS (uccpt foundation windows):
U-FACTOR U-, Zj(p
From the table, determioe the maximum pcrccol wiodow
& door anca for the design op$ons sdectcd and cntcr the
valuc in hox D bclow:
I? p
I Boz C must be Icss than or equal to Box n
, .
F. The building must not exceed the maximum window and door area as a
percentage oF overall exposed wall area listed below for tlie combination
of framing tedinique, R-value of insulation within tlie insulate.d ca<<ity,
sheathing R-value, and ivindow Ll-factor. Other components must meet
the requirements of this subpart.
MAXIA4UM WWD01N AND DOOR AREA
AS A PrRCGNTOF OVERALL I:XPOSED WALL
' Cavitp . Windo%r li-Factor
Framing • insulalion ' Siieathing 0.49 636 0.31 0.27
STANDARD R-13 ?R-7 13.4% 17.8% 21.3% 2•1.3°.0
S'fANDARD R-75 ZR-5 12.9 1'. 17.1% 20.10% 219%
STANDARD R-18 . <R-5 , 11.1% 6.0;b . .78.8°o 22.01
b
STANDARD R-18 zR-5 13.51o 16.600 21.8:0 25.30.
ADVANCED , R=78 dt-5 ll.l;o 477.1% 20.1°6 23.4;?
ADVANCED R-18 2R-5 ' 13.5°? 19.2% 22.5°? 26.1"
STANDARD I;-21 di-5 11.8°0 ; 17.0°0 19.9% 231%
STANDARD R-21 ?K-S 14.0% 1930' 22.5% 26.10,1,
ADVANCED R-21. <It-5 I1.8010 18.1% 21.20' 2•1.6'L
ADVANCED R-21 2:k-5 . 14.00% 19.90a 23.?°? 26.90L
Subp. 3. Perfonnance criteria. Tlie combined thermal transmiltance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must Ue less Uian or
equal to:
A. 0110 Btu/h ftz °r for ivalls;
H. 0.026 i3tu/h ftz °P fnr roof/ceilings; and
C. 0.04 Btu/h ft2 °F for Floors.
STA7'AlflH: MS § 216C19
HIST: 18 SR 2361
7670.0980 RepealeA, 18 SR 2361
? .
A4inn. Rides Chapter 7670 26 ?...,., 1011,
, • - LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? PROPERTY LEGAL: LGT ?R?
? DATE OF SURVEY:
N
W
LATEST REVISION: J °/ '
?
o DOCUMENTSTANOARDS
og a
a
13 ? • Registerad Land Surveyor signature and company
^_ • Building PermitApplicant
o • Legal descripdon
a0 ? • Address
W?a ? • North arrow and scale
13 .? ? House rype (rambler, walkout, split w/o, spld entry, lookout, etc.)
9 ? Directional dreinage arrows wtth slopelgracrient %
?o ? • Proposed/epsting sewer and water servicea 8 invert elevalion
m/o ? • Street name
? a Driveway
y o ?
Lot Square Footage
a?? ? • LotCoverege
ELEVATIONS
? ExisGna
a? : Sewer service (or Proposed)
? ? • Property comers
?? Top ot curb at the driveway
Elevations of any ebsting adjacent homes
C3 ? • Adequate foo6ng depth of structures due ro adjacent utifiry trenches
Prooosed
to/o ? G
fl
•
arage
oor
4? ? ? • First floor
q?? ? • Lowest exposed elevation (walkouUwindow)
? ? • Property comers
?? • Front and rear of home at the foundation
/ PONDtNG AREA (if aooGcaWe)
? d' 13 • Easement line
? ? El • NVVL
a ? . HWL
? r,Yy • pond # designation
o m/? • Emergency Ovefiow Elevabon
?
? a
? ?
?? C3
Mr' ??
a &? a
DIMENSIONS
4Tf/
J
• Lot GneslBearings & dimensions
• Righto}•way and street width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. ail structures requinng permanentfootlngs)
• Show all easements of record and any Cily utitiUes within those easementa
• Setbacks of proposed structure and sideyard set6ack of adjacent existing structures
• Retaining wall requirements, iF any
Reviewed:
Mareh 1998
CRAKYBLDGPRMf.FM
City o+ Eayare - [onver_iv;,
Cdsfi Rc'CelC+t
Receipt 4ate 1'j;3:LS-al
Tiae FriMed • 12;'24:41
Receipt Nugt6er 1068
RHNOY L d40N50N M
$62 BALO LitliE CT
4101.2195
FF 43083
9011.4887 3536
PP 43083
Total Re[?ipt stfl[unt 36.58
llser HMC6RAW
CITY USE ONLY
L BL I I RECEIPT#:
SUBD. GQrGPVIYYO(1J POh(Ls "fTYI RECEIPTDATE:
PERMIT # 1130M
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGP.N, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tu6/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $ "
Lavato 3.00 x = $
Septic System new/refurbished * rayuires anac uc. 75.00 x = $
Septic System abandonment 30.00 X = $
RPZ new instailatioNrepair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under wnstruction 3.00 x = $
Underground sprinkler ifexisting dweliing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Watertumaround 30.00 x $
State Surcharge .50 -> -> --> $ .50
TOtal -> -> -> -a
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------••---•-•-------------- ----•---•--- -----------------------------------------°--
I hereby adcnowledge that I have read this application, sGte that the intormation is correct, and agree to eomply wRh all applicable City of Eagan ordinanoes.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City durin9 its
normal operetional and maintenanca adivities to the facilities construct¢,d under this pemXt within Cily property/rightof-way/easement.
SITE ADDRESS: e
OWNER NAME: : TELEPHONE
(AREA CODE)
INSTALLERNAME'?YO??K`J?w??h c?-p.-?? TELEPHONE#: & fZ' r? `4Le4
. *#A (j ?P? (AREA CODE)
cITr: SIATE: ziP: 54fy
SIGNATURE OF RMITTEE
CITY USE ONLY
LOT ? BL
SUBD. 17qr? _j
v3dOC? ?
eYl(qS J L?? PERMIT 1!:
"i RECEIPT #:
?looga m?,
I
RECEIPT DA1'E: 3 a'2)IB!)
2000 MECHANICAI, PERMIT (RESIDENTIAL)
Date: 3-17- LJL.J
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Totai
$ 30.00
6.00
3.cc?
.50
$39,?0
Complete this section onlv if you aze remodelin¢, addina to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair _ Other
_ Furnace
_ Air exchanger
Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for rnspections
SITE ADDRESS: (?c' A OWNERNAME: Qe, ??AN PHONE#:
INSTALLER NAME: PHONE #: (Cei - IW -
(AREA CODE)
STREET ADDRESS:
CIT'Y:
CITY OF &AGAN
3830 PIIAT IQiOB RD
EAGAN 2MI 55122
651-681-4675
; J STATE: 1,70ll) . ZIP:
SIGNATURE OF P RMITiEE
CITY USE ONLY
L BL _ RECEIPT #: / d I l I?
SUBD. GUrdcnWood pOYIdS RECEIPTDATE: vo
PERMIT it iS -! Y/ "I' I
2000 PLi7MBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required far each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x 2 = $ -
Floor drain 3.00 x = S °O-
Gas pipin outlet ' minimum - t 3.00 x 3-
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x I = $ =
Laundry tray 3.00 x I = $
Lavato 3.00 x zz? = $ I ?
Septic S stem newlrefurbished • requires MPC Iit. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rou h o ening 1.50 x = $ ?
Shower 3.00 x = $ ?-°
Underground sprinkler rfdwelling is underconstruction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $ o-°
Water heater 3.00 x = $
Water softener If dwellfng underconstrucGon 5.00 x = $
Water softener it existin9 aweumg 30.00 x = $
Water turnaround 30.00 x $
State Suroha e 50 -? -> -> $ .50
TOtaI o0
Reminder. Cali for inspections of alterations, i.e. water heaters, water softeners, etc.
U,''
----•--••----•-----ge --- --------• ---•--- -------- •---------- ------ ------------------- ----- ----------._
-
• is - corted, and agree to eomply - with - all - appli - w6le City of - Eagan ordinances.
I here6y adcnowled that- -I -have - resd this - applicatian -
- , - state • that • the - infortnatlon •
It is the applicant's responsbiiity to noGfy the property owner that the City of Eagan assumes na liability far any damages caused by the City during its
nortnal operational and maintenance adivities to the facili[ies constructed under this pertnit within Ciry property/right-of-way/easement.
SITE ADDRESS: -&:22- Pr?ftQ-p Cctk-?Q. 0 T-
OWNERNAME::? I-Ifi?t2.TI>I? TELEPHONE#:IdSI uC - LI{aL,.'3 e-JYji (AREA CODE) INSTALLER NAME: C)e? Z - Yl TELEPHONE #: L,4?;-i UZ-'J' 11, ykA
L TQ(_ (AREACODE)
STREETADDRESS: I\IqUS? Cp 1 j?
cirv:
TE: W?P3 ZIP: i?:??CAo
MAR 6 8 [C00
1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
CITY OF EAGAN
?830 PII.OT KNOB RD - SS1Z2
?
?--' (bsi) 681-4e75
r ?
New Construdion Reauirements RemodellReoair Reauirements ? qp
q 1?
? 3 registeretl sfte surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; po red Md. design; etc.) ? t site surveys (ettterior adddions & decks)
? t energy calculations ? 1 energy plculations for heated additions
? 3 wpies of tree preservaUon plan if lot platted after 711l93 ?
required: _ Yas No
DATE: I ' I? `? CONSTRUCTION COST: `O S
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: I_\FtUBD./P.I.D. #:
PROPERTY
OWNER
CONTRAC'i'OR
ARCHITEC'f/
ENGINEER
Street Address:
City
Street Address:_ _,'?°'???"1 ?,?? (? ,?? I y
/ STE
citi -
Company:
Sheet
City
Zip:
Sev3er 8 water licensed plumber (new construction only): 'M d'W Penalty applies when address
change and lot change is requested once permit is issued. ``t /??p, O
1 hereby acknowledge that I have read this appiication, state that the information is correct, and ?e to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. „
Signature of Applicant:
OFFICE USE ONLY
Certificates ot Survey Received -]?"es _ No
Tree Preservation Plan Received Yes No
Zip:
c-, x f
Phone?[??? ???'- 12?
License # 2(9(6(nS'7Exp.
ziP: S S ()-Z
?lot Requi?ed
?
?
? _
OFFICE USE ONLY
BUILDING PERMIT TYPE
I
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool
? 03 SF 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
)21,, ? 33 Alterations ? 36 Move
,
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) -?Tlv Basement sq. ft. Census Code
(Allowabte) :1-7:N Main level sq. ft. SAC Code
UBC Occupancy ,'-L4-/ sq. ft. Z Z Census Units 1
Zoning sq. ft.
y 7CCensus Bidg /
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building 7 Z-1 Engineering Variance
Permit Fee Valuation: $?G
Surcharge
Plan Review ?G 77 x jS' ` z S/S?-
License M
lE
A /L 7 7 x Sj =
C
S S
C
Ciry 5AC 11,52 XS?/ " G z 7t'Y'
WaterConn. G)c-) x J? ?7 20
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. ?
Trails Ded. .
Other
Copies
Totals a- y y'• ?j (?
% SAC
SAC Units
'A
I a3c"
soo6 RESIDENTIAL BUILDING emr*trc .a?rrLicATTOx
ctty orEapn
3830 Pilot Knob Road, Eapn MN 55122
Telephoee 4 641-675-5675 FAX # 651-675-5694
3 rep?led Z20y+aAowhB sq. R otkt sC. A at housa: arb 11 mofad amas
"ZC
BAoWYg bNm 6 xqndow di9t; Pawad fouM dasi eR.
2 topb{ ot?pIM? )
t 3GoSEn&VCdpdefime
9 cepln oF Trae Pmceivatlon Men Miol patlad aRar 1Al93
pim Joat Gbi OpUe" seb*n s6M (buAdMgs w4h 9 a 4as uhaa)
Minncgtxo mahenical ventliatlon form
S-7o.ao
OMM unone?
2ooleaoidm "W" 6*0.6eams.lobb CaRdSUHaP" . _Y._,N
1sBtofEnlryyc&bmm fo/MebdaddPonn TnaResPlanHaE .-.-Y,_N.
tsh neuaybrad01tiwm 8deda TiesPreaRequkad - Y._.N
Adgbn•dMkekNars@empfksyatam Qnsls6e.plfcBYshm .._Y >N
a1l-I .. alluj .-
Date 2 ! { l 04P Constnetion Cost `41 30, 000
Site Addrees lfI&'L Ba\4 1-aki C+, Unit/Sh #
DeleMptSon of R'ork
MqIN-Falnily BWg _ X ? N FtirepMcc(s) ? 0 2
Property Owoer 141m Sw[?LS ? Ti a ye d?r TelepBopc N(?51 j ?o ?o "' ?•95S
ConMactor
Address City Ka?erq;,,,
StAte = A 7,pp S Z eiopnone 1S ( 319 ) q'?L' '? ?op
COMPLLTE TNIS AREp ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesoia Rulea 7670 Catezorv 1 MkmasOu Rul84 7672
Eneigy Code Cetegory .ResWenUal VaMilaUon Categay 1 Wa*shaet . New Eneryy Code Workaheet
(JauMnlsslonrype) guymVAW 9uMUtted
• Eneyy Hraelopa Calwlatbro Submdtod
In ihe lasi 12 months, has ihe City oF Ea9on ksued a permi! for a similar plan based on o moster planV
_ Y _ N R yes, date and address of master plan:
Licensad Plumber
Mechanical Contractor
SewedWater Contractor
Telephor?E 0
?
Telephor{???FE??
Telephone #(
I hereby apply for a Residential Building Permit and ac)nowledge that the information is wmplete and aecurate;
that the work will be in conformance with the oxdinances end codes of the City of Eagan and the State of MN
Statutes; I imderstand this is not a petmit, but only an applicatiom foc a permit, and work is not to start withovt a
permit; that the wotk will be +n accordance with the approved plan in the case of work which reqwires e review and
appmva) of plans,
? ?nr?rl L?• ?.wc?s
Applicant's Printed Name A,pplicaia s ignatura
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mu16 Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 72-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 int Improvement ? 38 Demolish Interior O. 44 Siding
? 32 Addition ? 36 Move Buiiding ? 42 Demolish Founda6on O 45 Fire Repair
33 Afteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entira Bldg) - Give PCA handout to applicant
D@SCriqt10I7: WaterDamage_Yes
L
Valuation I
D Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width '
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
7y, Insulation
Approved By:
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utiiity Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
other
Totai
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
? HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Swcco Lath _ Stone Lath _Brick
Windows
_ Reraining Wall
Building Inspector
(2
o?
`\ 2006 RESIDENTIAL PLUMBING PeRnnir aPPLica,TioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722
651-675-5675
Please complete for modifications to existing residential dwellings.
14
Date :P? / a o206 6
//
Site Street Address F?a ? & /d ?I?? ( D a / (J Unit p
Property Owner 1CN rul e/" K5 Telephone #((Sl o295s
-Af Contractor /' Tf't? Telephone #(d1a) ?-
Address3,5 3 City State Zip 'sy[?
The Applicant is: _ Owner ?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alt
rations to existing dwelling
e $ 50.00
`
`
,?F Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. lf you are Installing onlv a water sokener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 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 ?
$3'D ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that tne
work will be in conformance with the ordinances and 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 requir d to be reviewe and approved.
/Vet-w
Applic s Printed Name Applica Signature
Barnes Plumbing
3923 Washington Ave. N.
fulinneapolis. MN 554i2
CERTIFICATE OF SUR1lEY
for
D.R. HO(ON
?
?
?
C?'
?
, .? .7
L
?
o^
\
M32-2213
Lot = 23,502 sq.ft.
House = 2,313 sq.ft.
oo? ,
.
? V1 ?v:`, ?8 ` ?886•0?
1(-08b•0? ,,'io
,p
` ,?o\
b/ \
6».oo Gaf slab 8 ti2 Q '
^ v? ?1 E1 ?4i91« Ja.oo $ 7.508 \
:N ? ?,gy, S J 5F : \
o ? ! + Y.pjM?`?co?'Se S \ ?
,.oo pt-op{S `J
ei
'o /
o
?I
31 5g'?\
s79-1 7'20,•e
566?t.78 Drainage & \
4324 e\ utility
? easement
?
-0
.?/
?
C)?
. ?
`
0
0)
:
M'
?
.?
I hereby certify that this survey, plan, or
report was prepared 6y me or under my direct
supervision and that { am a duly Registered
L.and Surveyor under the Laws of the State
eg. No. 8140
(??13:3oj ? ? ? 1
? 1 ?..
Top curb to Gar. slab
Top block = MLS
Lowest bsmt flr = _??t-s 19-
\\? \
?
9?o2
626,
,826'
e '
?
Scale: 1" = 30'
12
Y??V
^?'h
2
?
?
862 Bald Lake Court
DESCRIPTION
Lot 1. Block 1.
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearinqs shown.
o Denotes iron monument
Existing-, Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(?) 435-1966
?
Suite 206
M 32- 2213- 00
E
CERTiFICATE OF SURVEY
for
D.R. HO 0 ;
?
` • ?
QJ
?
(.?
.?
?
a?
c
h M
?,.--
?
to
)0(0
°p
?
/
I
I
? 10
• ??
,
d? \
_? 1't?•- ?L Y>5'6? ?
? -
0
L yE?V p? ?5
i
'r.1.. \
?g ? 886•4?
, '..
?or s?ob S
$.50 $
$jk
? ' Q.RM?"Fiovse
P(°p°Se $gI09
N gsmt e1
".W2°l0
?.
M 32- 2213- 00
RE°V tWffiq ;
By
Date
lEr9,GA].V ENGICK^r:EIt7NG IDPF1:
Lot = 23,502 sq.ft.
House = 2,313 sq.ft.
s? ? ? Ftwc?
?
\
? ?g4-A 8$5.9Z j
?
\ N?
10/
?
? A
- < S 9??0
?s
?
31.59 -? MnzNr,?r? S(URCES
s?97 ?'2o"E FRom 8
\ \,pssr??. ? Drainage & ?oT ? ?? FM ?
utility ? 6RA?E Tm E' A?
easement P4SL41ZE
' ?S ? . ? ? ? \ \ ° RAx MAGE
,
) ??, ? \ F C?3A?K YA20 .
?
?,e \
w ?
ar?
Top curb to Gar. slab = 3.59
Top block = a-9kS-
Lowest bsmt flr =
- lO
`-+ (y
?-/
?
Scale: 1" = 30'
862 Bald Lak
,°t{ 1
_ s
.
?
?
r)
.,
,
^-qb ?
.- ?
. ?
? ?.
ourt
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
eq. No. 8140
Lot 1, Block 1,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown.
o Denotes iron monument
1 -_
?. Existing j Proposed
BRANDT ENGINEERING &
1600 West 143rd Street,
Burnsville, MN 55306
(612) 43.5-1966
cTn
SURVEYING
Su ite 206
M 32- 2213- 00
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 862 Bald Lake Ct
Lot: 1 Block: 1 Addition: Gardenwood Ponds 4th
PID:10- 28803 - 010 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Daniel H Iwerks
862 Bald Lake Ct
Eagan MN 55123 -2480
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
Building
EA081054
11/13/2007
ePermit
'Dom TiAkeir Ar q. Yhteit..Qe,S1J►.ek+(4
. SOktew.Aeon.k riy41n
lien}- *Ate I Co hirr os( -40f
A FOUNDATION WALL MOISTURE
i 'jC#IBARRIER IS REQUIRED BETWEEN
INSULATION AND FOUNDATION WALL
FROM FI OOR TO GRADE
2t
VAPOR BARRIER MUST BE
INSTALLED ON THE WARM SIDE OF
ALL WALLS AND ATTIC CEIL.I
MUST BE
Fr NED WITH
BOARD -
-ry
-Rooth
Tfl WITH ILLUMINATION 1
THE TOP LANDING.
1
gi.a� a+rts� zs S t
wed.
co.,nj1
-
•"-
is ?Ave
R„ocvv,
tri
, ,'f, OF THE HOUSE
IALL SLEEPING ROOMS. NLEE LS
a z
TAINING.SLEEPING AREAS.
LOCATE SMOKE DIN HALLWAYS.
DETECTORS
2.'
'r+iry ace /EA Iii- / . Ruo,A
Cuvk w t 4a.+�4 e
FIRE STOP SOFFITS AND ALL.
OTHER DEAD SPACES
24°6-
-01‘ CeA\ O 4'i atl
4 1'e. �' S' &•'4".114- s‘Aikxtd
50 br area WJ i 3' 4,J tO C /fir,
clrteck rock` 1;' _
BY:
REV I ED
"-ATE:`
z-.IILDING INSPECTIONS DIVISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153308
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 862 Bald Lake Ct
Lot:1 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-010
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Daniel H Iwerks
862 Bald Lake Ct
Eagan MN 55123--248
(651) 341-8922
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature