858 Bald Lake CtRECORD OF COMPLAINT
Date: 7/12/00
Type of Building. X Residential Apartment _ Other,
Name: Carman Bock
Address: 858 Bald Lake Ct
Phone number: 651-454-9496
Complaint: Foundation is in, but framing was the next step to inspect. Please look at the
structure/Stabiliry of the foundation.
Comment:
Action Taken By: Mandy Boudreau
60?ed 7-13-00
RESIDENTIAL
BUILDING PERMIT APPLICATION
- - CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 n
? kP
New Consttuction Reauiremenb
• 3 registered site surveys showing sq. N. of lat, sq. ft. of house; and all rooied areas
(20% maximum lol coverage allowed)
• 2 copies of plan showiig beam & window sixes; poured tound design, elc.)
• 1 set of Energy Calculatrons
• 3 copies of Tree Preservatlon Plan if lot platted after 7/1193
• Rim Joist Dehail OpQons selettQl sheet (bldgs with 3 or less uniLs)
DATE l?-
7 ?-
SITEADDRESS Z141.6 MULTI-FAMILYBLDG _Y _N
TYPE OF
i-°
APPLICANT
FIREPLAGE(S) _ 0 _ 1 _ 2
erv (C-e,
STREET ADDRESS ?S?_l7'Q=z-K-- '1?{C , CITY /7eLL-t/-J
TELEPHONE CELL PHONE #&Z43 -I7 1/S' FAX #
?i? /2 2
PROPERTYOWNERRnek TELEPHONE#?r?l 4P2c
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RiJLES 7670 CATEGORY 1 MINNE p?
- IC
(d submission type) • Residential Ventllafion Category 1 Worksheet Suhmitted D ?F?.y , d_. kshi
. Energy Envelope Caicuiations SubmiHed •?? SEP 1 1 Zp02
Piumbing Contractor: ____
Plumbing systcm includes:
Mechanical Conhactor:
Vleclilnical system includes:
Sewer/Water Contractor.
_ Air Condiuoning
_ I-Ieat Recovery System
I hereby acknowledge that I have read ihis application, state
with ali applicable State of Minnesota Statutes and City of Ec
Signature of
OFFICE USE
correct,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
RemodellReoairReauiremanh ??,Le n n`? Q
• 2 copies o( plan
7 set of Eneyy Calculafrons for heated adtlilbns
• 1 site survey kr extenor add0ion5 & decks
. IrAicate if home served by septic system for additions
VALUATION
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Pee: $70.00
agree to comply
?
Updated.
OFFICE USE ONLY
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AcsasaorySldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6R. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 13 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex PS 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex O 12 12-plex Pibg_Y or_ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
,0 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolition (EnUre Bldg only) - Give PCA handout to applicant
Valuation zrD°Q Occupancy lZ'? MC/ESSystem
Census Code Zoning City W ater
SAC Units Stories Booster Pump
Nhr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? n Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
?a Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
,a s
i
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater x Ap 5MFT i-^ 6E$ ;r'z 0
Eumace
Ce,,.tferr ?+[qef
4 "Ik12-5
I2?eoo
Dryer X uH:k n ew ?. 150
,
Siteaddress Lot_ Block- I Subd. ?t+rdrxweeo':.?°^e1f
'4yy
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation:protection, air ?:
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following'information be '
submittetl pnor to issuance of a Certifcate of Occupancy.
,
_ This sVucWre: is constructed to meet minimum requirements of,the Mn Energy Cotle, Chapter7670'
?. OR <RTi4S+'OR Y ?.;
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
y4_-UENTED `
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's res ' No
Kitchen kitchen x .
Bathroom 1 WIS i r EX F4 'jt?
50
x
Bathroom7 VPPr'f ? ?ra X
Bathroom 3 V10 17t / ti SD )G
Bamroom 4 $0 X
Other
_pr,
,
.. ..C'k?... ?:"'
I hereby acknowledge that the above intormation is correct and agree to comply with the Minnesota Energy Code and;City of Eagan
requirements.
Signature. Date
AR No z f o.?: 4s;?
Company Name
" This form is the responsibility of the General ConVactor. '?> +
FIREPLACE S
LOCATION
GAS
WOOD
MANUPACTURER
MODEL
BTU'S VENTINGI '
DIREC7 ATMOS
! Ma;:. X Mr-?-4Za - SZ 750 a3,D? x
MAKE-UP
AIR
MQDEL
TYPE
C,
FF1 s
7? V? n wt ?t ? ,2; I-f ?
6
?. . . . . ? . . . YJ ??
Yd
CITY USE ONLY
`? 7 7
L ? f? BL ? I RECEIPT #: / 3?7
SUBO. 1 ?'c?"Y-jQN La4 G a ? S I ?L RECEIPT DATE: (O 00
PERMIT# Z SG _
8000 PL[JM$INfi PE$M1T (RSIDENTI/kL)
crrYoF gasnx
saso Pu.or xxos an
SAHAN,1fN 551 EE
651-691-4675
Please complete for: ? single family dwellings
D 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:
5 30.00 I
i
Bath tub $ 3.00 x 2. - $ - I
Floor drein 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ 3"° ?
Laund tre 3.00 x = $
Lavato 3.00 x = $ !8 °-
Se tic S stem newrrefurbished *re ulres MPC lia 75.00 x = $ !
Se tic S Stem abanaonment 30.00 X = $ I
? RP2 new installationlreair/rebuild 30.00 x = $ I
Rou h o enin 7.50 x = $
Shower 3.00 x 2 = $ ?f-,
Under rounds rinkler ifdwellin isunderconswction 3.Oa x = $
Under round s rinkler if existln dwellin 30.00 x = $
Watercloset 3.00 x = $ 12?'
Waterheater 3.00 x = $ ?
W ater softener if dweliing under conatruction 5.00 x = $ ?
W ater softener if existin dwentn 30.00 x = $ ?
Waterturnaround 30.00 x ---- _ $
State Surchar e .50 --> --> ---> $ .50
Total --> --? ---' ----? S 2E-°
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------•---------- ----....- ----------- -----•-----------•-------------•-------•-------
I hereby acknowfedge thal I have read fhis appliptlon, state that the information is wrrect, and a9ree to comply with all applicable Ciry of Eagan ordinances.
I[ is Ne applipnt's responsibility to notify the propeRy owner that Ne Cily of Eagan assumes no liability for any damages caused by the City dunng it5 normal
operetianal antl maintenance activities to the facilities consVUCted under this permit within City propertyfnghl-of-wayleasement.
SITE AODRESS: O?p f'?7GtYa? I.Cll ? Q? CT -
OWNER NAME: :?t-??f?"S71 TELEPHONE #: lDrJi US?-1 ` ?-11ot0?
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CIT`f:
I L4 "'?
" t?13 ZFIP: ?5'?-Q
CITY USE ONLY
' LOT ? BL PERMIT #: G L ll? l??
SUBD. C? ,rrl PiYI 00f'Lj ?05 RECEIPT #:
RECEIPT DATE: ID ? G
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: 7
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required Q$3.00 ea.)
5tate Surcharge
Total
$ 30.00
6.00
C;,o
.50
Complete this section oftlV if you are remodeline, addine 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
_ Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
OWNERNAME:
INSTALLER NAME;
Repair _ Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .SO
Total $ 30.50
PHONE #: .51/
(AREA DE)
PHONE #:
(AREA CODE)
STREET ADDRESS: -7IC' ? A.i? AUe
CIT'1': STATE: ZIP:,
SIGNATIIRE OF P RMITTEE
?
CITY OE EAGAN
3830 PIIAT IRIOB RD
EAGAN bIIQ 55122
651-681-4675
Address 858 s a i a r. a k e c r Zip 55123_
IAt z Blk i Sub Gardenwood Ponds 4th
THESE ITEMS WERE !WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: `/, 6 6 . p,-0 Yes No Inspector:
Final grade (6" from siding) ?
Petmanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sptinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'-? I 1 y'?)
laal
New Coentnmnen RaaWremenh ?I Z)l 5Li 0
D 3 reylaPBred Yta eurve efwwin ?0 ?OD
aid ? roofed areat (147L m dm?um bf (ova?raae al jgn0
D 4 copies ol plans Www beam & Mntlow szeK Po+retl hd deslprr etcJ
? 1 set d aneryy cdculadont
D 3 coples ol hea Presen plan M bt ploMed pryar 7/1/93
oA,E: A
DESCRIPTION OF WORK:
SiREEf ADDRESS: T) Ll U `u(,t \ a ?
LOT: 2- BLOCK: SUBD./P.I.D. i:
PROPERTY
OWNER
Cl SS , (I I :?. (?-
C--2L?!? ?CN
Remodei/Reoair ReauiremeM3-
??
2 caples ot plan
1 set w enerpy caculanons ror neafta aamna,s
t tlte wrvey tor oxteiwr addmons s aeeb
cosr: 14???.32I
Phone #:
cirr oF EAcAri
3830 PILOT KNOB RD - 55122
651-681-4675
FlM
Sheef Address:
City
State:
Zip:
. CompanY Phone A: fn6/ 2z? (o
(area code)
corrrRAcroR sNeetnddress: UmSh l "-\ -t)r.? o ucensa #2n=-'j?Exa•'? i
c.ny -E-stafa: rn t?-1 zip: ? 5t 22
ARCHITECT/
ENGINEER
Telephona 8: (
Name:
Sfreet Addreas: ReglshaHon 1t:
citY
State:
Zip:
Sewer/water litensed plumber (if lrreWllina sewerNvatarl: YYl ?. k SP i i r_ ? Phone #: (LI Z )-S1' 4AZ3 -tj I hereby xknowledqe fhat I have read Ihis appikation, slafe fhaf the WortnaHo
k rtect. and agree to comWY wNh aa appBcable sraFa
W Minneaofa Stahites and Ciy of Eayan Ordinances. n
` .f/?
Signalure of AppUcanr `?(.!?
Certificates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No . IIPAY 3 0
No ? Not Required A6
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.)
X 02 SF Dwelling O OB 06-piex ? 17 Garege 0 22 Porch/Addn. (4-sea.)
E3 03 01 of _ plex O 09 07-plex O 18 Deck 0 23 Porch (screened)
O 04 02-plex 0 10 08-plex O 19 Lower Level O 24 Storm Damage
O OS 03-plex ? 11 10-plex Plbg _Yor _N O 25 Miscellaneous
O 06 04-plex ? 12 12-plex O 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition O 37 Demolish (Bldg)` 0 44 Siding
O 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair
0 34 Repair E3 42 Demoiish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code _19L # of Stories dti sq. ft.
No. of Units Length ? sq. ft.
No. of Buildings Width " Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) M in level sq. ft. MC/ES System
UBC Occupancy A ? sq. ft. J -7 1 . City Water
Zoning oed- sq. ft. ?LL-e:j_ Booster Pump
PRV
Fire Sprinklered
MISCE pE0LUILIb„SPECTIONS
? LOc C) Wft
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
ciri sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
rJiQ s2t/ Engineering Variance
/
Valuation:
? 31 F_xt.Alt-Muw
0 33 Ext. Alt - SF
O 36 Mutd
? Yd-5 2? 7 o-a
?i?'?r? l 7 1 rO V s"`J = 92, 3`? a
0 l y????
? 12
, I s?
7--j- (I I .4:? ?
SAC Units
% SAC
High Efficiency Heat
Recavery Ventilatars
Venmar High Efficiency (HE) heat
recovery ventilators have the best effl-
ciency on the market; up to 95°/o. The
HE uniYs unique design was carefully
engineered to ensure noise redudion.
Because the duct ports are located on
the top, the units can be insta4led any-
where and take up very little floor
space, only a 2' x 2' area is needed.
\X%A L L C O N T R O L S &
Venmar for controlled comfort!
Your lifestyle has an impad on ihe quality of
thc air you brea[he To help maintain a con-
sistently good level of alr quality, the HE units
require one central wall control such as.
The Supra controi offers a mainlenance light indi-
cator and three operating modes:
• Iniennti[ent 20 minure exthange
• Low zpeed continuous exchange
• Hlgh speed mnnnuous exchange
?
7he Ultima mntrol offers three adtl lbonal settings.
• Intermlttent 20 min, excFange / 40 Fc?
min. filtration ?
• Low speed mntinuous fllCation ?
• Hlgh speed mntinuous tiltration ? a>
All High Effitiency units have the
patented "HomeShieldT"'" automatic
defrost system and maintain neutral
pressure within the home, no nega-
tive pressure is created.
The High Efficiency units are exwp-
tionally quiet; 50% quieter than com-
petitors. All are equipped with the
"SilentSureTM" system which reduces
noise and vi6ration thanks to the in-
yenious positioning of the motor.
REMOTE S W'ITCHES
Ookional Remote Switches
20/40160 minute push 6utton: ps k
Press once, twice or three times for up '
to 20, 40 oi 60 rninutes of high speed k,.
exchange. Press once more to deacti- 'O vaie_ Ideal for use ln bathiooms,
kilchens and laundry rooms.
20 min. wireless push button is ideal
for renovation projects. This remore
mntrol tums the unit to hiqh speed
when excess humidity is detected.
The HE uses a polypropyJene
crossflow heat recovery core
thai recovers the heat from the
stale outgoing air, and transfers
it to the fresh incoming aic It is
a simple, yet eNective way of
reducing window condensation
and provrdinq continuous fresh
air during the heating season.
FILTEREDAIftTO STALEAIR
Bl11LDING X FROM BUILDING
I S Y E (I I F I C A T I O N S I
.:,?iremmre^,':upe?aungsyscem ,... .,... .??.... ......
? "'HomeShieldT"",defrosvng s}rstem
. _ .:. _. . . ..:. ? ..'._. '. ?..:.. , ; ' ....:. ' ...:....
?.S year warrariTy on all part£-
.__. _,.__... . ..:. ..__.. ?' _._..._ '._..:._....
? Lifetime warranty on core ' ? -'. .•- • • -
SPEOFICATIONS. . ? ? . .. . . . . .
Apparent 5ensi6le etticiency at 32°F
. .
.
. 92% 95% 94%
_._
_...
4pp
Apparent sensible efficienry at -13°F .___...
89 % .......... ....
11
- 89% ..._._
89%
Sensible efficiency at 32°F .......__
g1 oa
gq%
8 p6/?
Sensibleefficiencyat-13°F 69% R%a 740 ..
Eahaustairtransferratio 14'0
Airflow at 0.4 in.wg. Maximum speed 130 cfm 197 dm 265 cfm
Dimensions:
................ `- ----"
Height 27 in (68b cm) 42.75 in. (108.6 cm) 4275 in (1086 cm)
Width
............. ........ 21 in. (533 cm)
. 23 in. (584 cm)
... 23 in. (SSA cm)
.....
...
Oepth 2415 in. (61.6 cm) 24 in. (61 cm) 24 in (61 [m)
Weight SO Ib. 720 Ib. 120 Ib.
TYPE oF rNsTei.i.ns;oT
Fully ducted
°'1??1 a]
Fxhaust ducted system
With over 600,000 units
installed, we provide
innovative air quality solutions
4__
v?r-I maR•
C ?` US ??' C ?L R
Available at:
AVS by Venmar is ihe nM genera[ion o1 protlucts previ-
ously soltl under vanEE 6y Venmar (U.S. antl JaDan) and
Flair 6y Venmar (Canada and Europe) currenity available
ihmugh your HVAC con[raCtor.
?
r
N
rn 7 72371 04545 a
..
Sunplified
LOT SURVEY CHECKLIST FOR RESIDENTIAL
. - ' BUILDING PERMIT APPLICATION
? PROPERTY LEGAL:
H DATE OF SURVEY: -?' - -"?' "'6L2
?y LATEST REVISION:
?
o DOCUMENT STANDARDS
O
¢
O?
y? ? ? Registered Land Surveyor signature and company
g?p ? Building Permit Applicant
? legal descriplion
p ? : Address
d?? ? • North arrow and scale
a . ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? Directional dreinage arrows with slope/gredient °k
?
? ? Proposed/existing sewer and water services & invert eleva0on
Z ? . Sheet name
? ?
? ? Driveway
Lot Square FooYage
v ? • Lot Coverage
ELEVATIONS
Existin
/
m' ? • Sewer service (or Proposed)
? ? • Property comers
W, o ? • Top of curb at the drNeway
G?a ? • Elevations ot any exiss6ng adjacent homes
?g-"o Adequate footing depth of sUuctures due to adjacent utiliry Venches
Prooosed
/
m'/ o o • Garage floor
c?' ?
? ? • First floor
o ? • Lowest exposed elevation (walkouUwindow)
P??° ? • Property comers
?' ? ? • Front and rear o( home at the foundation
? PONDING AREA (if aodicaWe)
? p • Easement line
? ? ?
? V a • NWL
HWL
? ¢'?° - Pond # designatlon
? ?' ? • Emergency Overflow Elevation
DIMENSIONS
/
? g ? Lot GnesIBearings 8 dimensions
? : RigM-oi-way and street width (to back of curb)
m? o o • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
/? ? • Show all easements of record and any Ciry utilides wRhin those easements
Q' ? • Setbacks of proposed sVucture and sideyard setback of adjacent ebsting strudures
? ? • Retaining wall requirements, 'rf any
Reviewed:
.
!
Mareh 19BB
GRAM.91133PRMrt.FM
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Pennit #
Checked by/Date
couNTY: Qay?ck-
STATE: Minnesota i,
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-14-2000
TITLE= Hampton Flat Lot
COMPANY INFORMATION:
D.R. Horton - Minnesota
COMPLIANCE: PASSES
Required UA = 788
Your Home = 561
28.8% Setter Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
--------------------------------------------------------------------
CEZLINGS: Raised Truss 3472 38.0 0.0
WALLS: Wood Frame, 16" O.C. 3972 19.0 0.0 2
BSMT: Conc. 8.0' ht/7_0' bg/8.0' insul 1480 0.0 10.0
GLAZING: Windows or poors, Above Grade 368 0.370 1
GLAZING: Windows, Foundation, > 5.6 ft2 8 0.370
DOORS 51 0.230
HVAC EQUIPMENT: Furnace, 90.0 AFUE
------ -------------------------------------------- -
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the,?requirements-of the Minnesota Energy Code_
Builder/Designer_
?
Date '? &
. ,'::! . ....
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Site address: Q V,e ?.k • Lot -)- Block ? Subd. L R f0,61A 0-7? Bb1Yl.'I ?h
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following Information be
submitted prior to issuance of a Certificate of Occupancy.
? This structure: Is constructed to meet minimum requirements oi the Mn Energy Code, Chapter 7670
OA
_ This structure: wlll be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
.65M 1
Fumace , \ k a?? ^ t /? ??
Dryer n ? • ? ?
EXHAUST SYSTEM
LOCATION
TYPE
MOUEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
Bathroom 2
8athroom 3 5 U ?
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
W000
MANUFACTURER
MOUEL
BTU'S VENTING
DIlIECT ATMOS
MAKE-UP AIR MODEL TYPE CFM's
i-f P, v I ? til . (I I ? Z, 'f '2-e5
i
I hereby acknowledge that the above information is correct and agree lo comply with the Minnesota Energy Code and City of Eagan
requirerpEnts.
r? ? ? ?Sign?t?re? Date
A J ??
CompanyName' ?upA.;,r.? ,
W,
' This form is the responsibility of the General Contracloc C?z") 2St, -?a'5
PERMIT#
RECEIPT DATE: 7° 3 T21
iiE.SIDENTIAI. PLUM$IRfi PERMIT APPLICATION
crrY oF EAsAx
S$SO PII.OT KNOB RD
enenx, Mv ssi s$
651-8$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
• single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for irrigation system
BOCH,CARMEN
858 BALD LAKE COURT
EAGAN, MN 55121
(651) 454-9496
05
TELEPHONE #:
(AREA CODE)
TELEPHONE #: (LPI2) 927'403?3
(AREA CODE)
CITY: (?YI f7IS STATE: M N ZIP: 55 1 -I
Place a check mark next to the oermit work tvoe
New residential dwelling unit under construction and not ownerloccupied $ 90.00
? Add-on, modification or alteration to exfstinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work:
J
Septic System, new/refurbished - $ 225.00
• includes Counry & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
T
l
ota
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicaUon, state that the informatlon is correct, and agree to complywilh all applicable City of Eagan ortlinances. It
is the applicanPs responsibility to notify lhe property owner that Ihe Cily of Eagan assumes no liability for any damages caused by the City during its nortnal
operational and maintenance 2c6vities to the tacilities constructed under this permit within Ciry property/righl-of-wayfeasemenl.
SIG? E OF PERMITTEE
Updated 1/07
2007 RESTDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenls
3 registared sile surveys showing sq. fl, of laL sq, ft. d house; and all roofed areas
(200% maximum lot coverage allowed)
i Soils Report'rf proposed buildifg is l0 6e placed an dislurbed soil
2 mples af plan shawing beam & window sizes; poured faund design, etc.
1 set W Efrergy Calculations
3 wpies of iree Preservallon Plan 'rf lot platted afler 7N193
Rim Joist Detail Opfions seledion sheet (buildings with 3 or less units)
Minnegasco mechanical ventilaflon form
4qo - 06
?.
2 30 RemodeVReoairRequiremenis - Officellse0nlv
2 copies of plan showing faolings, beams, Joists Cert of Survey Recd Y_ N
1 set of Energy Calculations far heated additions Soils Report _ Y_ N
7sitesurveyforadditiam8decks Tree Pres Plan Recd _Y N.
Addffion-indiwteifon•sifesepticsysfem TreePresRequired _.Y _N
On-sileSeptic5yslem _Y _N
Plans are considered public inforn,ation unip--.q unii craro rnpu aro +.a,lo ao,-ro+ mnrJ +I,c
Date Construction Cast '/G s3
Site Address UniUSte #
Description of Work
Multi-Family Bldg _ Y/I N Fireplace(s) _ 0_] _ 2
Property Owner Telephane #(6S! ) Y.S -Lf - aiYQ 6
Contractor
Address City
State w Zip 0-1'/ o?: Z Telephone #(6,i /) o
COIdIPLETE THIS AREA ONLY IF CONStTRUCTING A NEW BUILDING
Energy Code Category. - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
' (J submission type) • Residentlal Ventilation Category 1 Worksheet . New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer plan?
_ Y _ N If yes, date and pddress of master plan:
Licensed Plumber Telephone #( J
Mechanical Contractor Telephone #( )
Sewer/Water Contractor 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 an application for a pernut, 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 which requires a review and
approval of plans.
?`"/?/??°_.?hee?`7'o l/ •
Applicant's Printed Name App cant's Signature
t
?-?
? CERTIFICATE OF SURVEY
for
? ?s D.R. HORTON
G ^ ?o.
.7o? ?
4C3.
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Nr / S 3 ? ? / ,ry?'
7 ?a 0
p 0\
Q?0 cc``' a8
Y
?
?
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i
?h
/ 70
/
/
Lot Area
27,281 SF
Hause Area
2,511 SF
EACx.4.P; EiZ„C i?Z?7,E F;1+TGI3EPT. Top curb to Gar slab = 1 S
Top block = ??67
M32-2317-00
• ?N7'AzN JRqINAGE 5f,Vp4
A,rGf1 '(iqCiC Ta FRANT oC LoT
z7a GRqbE OMTN.)
i ?
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\
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FENc115 ?
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IA
RE? ?`1 ? EV ll
$y
- ?- \ /
/ 70 Lowest bsmt flr = Isv--%
Scale: 1" = 30'
?
?
?
/
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
of Minnesota.
Date
No. 8140
.?,
858 Bald Lake Court
DESCRIPTION
Lot 2, Block 1,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(952) 435-1966 M32-2317-00
RECEIVED MAY 3 1 2000
,
SCT
I
q ?
?
` ? ? 'Q) Y 9
-o p
e
'\ I
Q?? oye
?8
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i
? 0
k!
I
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?/' ?
y \ ?
A
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\ !y
?
?
?
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Ss -r- \ \
?
FEt
Z ?? oto??o9\?tiy
\
aa ?
House Area
2,511 5F
Top curb to Gar slab = 3? 5 _
Top black = _??6Z
? CERTIFICATE OF SURVEY
? for
?J' ?s D.R. HORTON
ia .
?
o rn
?p,
1 Oa c? , %
\ . ?
a ?
M
RE'V' ? 1l @I
/ 70 Lowest bsmt flr = Sli-196
Scale: 1" = 30'
?
?
?
/
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 Surveyar under the Lows of the State
of Minnesota.
Date
No. 8140
858 Bald Lake Court
DESCRIPTION
Lot 2, Biock .1,
GARDENWOOD PONDS FOURTH
Dakoto County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsvilie, MN 55337
(952) 435-1966 M32-2317-00
Lot Area
27,281 5F
/
/
M32-2317-00
- )?A"NTA" -T)Rq1rvA6E SWAte
FRa"' BACK Ta FRCwr oF Lo-r
'4?- 2`?o GRqOE
,
i
?
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i 11o
/ i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139068
Date Issued:10/06/2016
Permit Category:ePermit
Site Address: 858 Bald Lake Ct
Lot:2 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Kevin J Bock
858 Bald Lake Ct
Eagan MN 55123
(651) 454-9496
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139411
Date Issued:10/21/2016
Permit Category:ePermit
Site Address: 858 Bald Lake Ct
Lot:2 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-020
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 -
Kevin J Bock
858 Bald Lake Ct
Eagan MN 55123
(651) 454-9496
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157306
Date Issued:08/13/2019
Permit Category:ePermit
Site Address: 858 Bald Lake Ct
Lot:2 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-020
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 -
Kevin J Bock
858 Bald Lake Ct
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169394
Date Issued:05/25/2021
Permit Category:ePermit
Site Address: 858 Bald Lake Ct
Lot:2 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Kevin J & Carmen L Bock
858 Bald Lake Ct
Eagan MN 55123--248
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171444
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 858 Bald Lake Ct
Lot:2 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-020
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 -
Kevin J & Carmen L Bock
858 Bald Lake Ct
Eagan MN 55123--248
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature