829 Bald Lake Ct2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, CITY OF EACAN
' 3830 PILOT KNOB RD - SS122
851-681-4875
New Conahuetlon Reaulremenh Remotlel/Reoalr Raauiremenb
> 3 regiateretl aite wrveys showlny x} tt. of bt, sq. fl. ol house
and gff raoted areas ('lA% mmdmum bt covemae allowed)
* 2 coples of plans (show beam 8 wlndow slzes; poured fntl. design: eMJ
* 1 sef of energy calculatlona
> 3 coplas ot free preservatbn plan tl IW plaHetl alter 7/1/93
DATE: 5h I -W?
DESCRIPTION OF WORK: Df- GIC
STREET ADDRESS: 0 [ .4-rcr 0-T-
LOT: 13 BLOCK: ? SUBD./P.I.D. i: 5 rtRb.E-RI k)ZDS 41ul)5 f'O iJ iZT I4
Name;N RfZ1/k Y jiEFF Pnone #: -7
PROPERTY Lost Firg
OWNER p
Sh66tAddf6SS: (? 63p / ??4'LD f?4KY? GT
Clty I? pq-("4 rJ State: z1p: ?S I oZ ;? ,-
Company: Phone i:
(area code)
CONTRACTOR LJcense # Exp.
Sheet Address:
City
i 60, 5o
C'?w S-S-CO
2 coples a plan
t ser w energy cacwanons ror neafta aarntbns
1 aite wrvey tor exfedor additloru 8 decks
GON5fRUCTION COST:
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone M: (
Sheet Address: Regishatlon #:
City
.Sewerhvater licensed plumber
5tate:
I hereby acknowledye that I have read this applicafbn, stafe ttiot ihe Infortnation
,ot Minnesota Staiufea and Ciry ot Eagan Ordinances.
Signafure of ApplicanY.
OFFICE USE ONL
Phone #
Zip:
Lp:
and agree to compiY wNh atl appBcaWe Sfate
Certificates of Survey Received _ Yes _ No MAY - 4
Tree Preservatlon Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.)
? 02 SF Dwelling ? 08 06-p{ex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N O 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
? 31 Fxt. Att - Mufti
? 33 Ext. Att - SF
? 36 Multi
WORK TYPE
)<-'31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demoiish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interfor) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
SAC Code OL # of Stories sq. ft.
No. of Units 0 Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuat) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
9
Planning Building
(7 Engineering Variance
Permit Fee ValuaUon:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SiW Surcharge
Treatment PI.
Park Ded.
Trail5 Ded.
Other
Copies
Total:
SAC Units
% SAC
**?**?***??****************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 698
DATE: 05/08/00 TIME: 14:30:41
ID:
NAME: JEFF A HARVEY
63210 9001 829 BALD LAKE C 60.00
2155 9001 829 BALD LAKE C 0.50
Total Receipt Amount: 60.5C
CR129441
USER ID: JAN
C.T.7Y tJF FAGAN
CFlSH:I'Eh: ;IS 1EkMINAI... Nqe pfJi
AFSTE: 0705/99 TT.ME: 1:I..21:2E3
M,;
N.AMEa Sl,f:., HOF;TdNV :I:NC.
2252 9220 829 f.iAt.Ti L.AF;I:: C 30.00
3210 9001 829 $A!_D 1_AP:F C 11734.55
3866 3377 09 Pf-11.D LAKE C 1.[]CI.QQ
3422 9001 929 E+AL.I) I...A}:E C I.' 166.46
2275 9220 829 RFiL.D LAKE (: 1. y(:1$;3.50
3446 900:i 829 BAI_T..i LAKE G M50
205 9001 827 RF§LO LAKE t] O.SfJ
3743 9220 B29 PALTI LAKE C 50.00
205 9001 829 I3fal_CJ I.AF.E C 121.50
3868 922[:) 829 $Al_D LA(•'.F C 468.00
CRM451. CUN't'TNUF
UiE:ft TD: :1 AN f;ONY'.T.NUE
?NcR?Nc?C?t*kc?*?C;???C?C?kc%c?C?C?ta??C?Xc?Y?*?C?Ckc C:(JhlTIN.UE.
C7TY C1F .F..ALAN
f'AuH.T.ERe JS TEkMINAL. N0- OOi
A4\'TV=? 07/1.5f99 'ffMF": 9.A:i:?i.e29
ID:
NAC'fE: L1.R,. Ht3R'TCJNr TTdC.
3716 9220 E323 RALT1 LAKE C iifi•.00
370 9'r..'.i?U 823 IiAL.D l.Ak.F.. P. 50.00
3$65 4220 B23 SAI_D (..AN,F= C E325.00
7ota1 Fieriai.pi; Amc>unr,„ 5y770.L11
Ui:I1.34 ;i
l.)SfF 7:Li2 JF1N
• • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN % S-I rI O.C) I 1'L?
3830 PILOT KNOB RD - 56122
(651) 681-4675 i' 11
New Construction Reauirements RemodeVRe loair Reauirements
? 3 regis te r e d sRe surveys ? 2 copiels of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 7 sRe survays (extedo a d dRions & decks) '
? 7 energy wlculations ? 7 energy calcuiations for heated additions
? 3 copies af tree preservatlaa plan 'rf lot pla@ed after 7/1193 ?I
required: _ Yes ` No
DATE: lD - ff q CONSTRUCTION COSTA Iq?,63o
DESCRIPTION OF WORK:
STREET ADDRESS:
L
LOT: 1-3 BLOCK: I_ SUBD./P.I.D. #:
PROPERTY
OWNEK
Street
City
Ficst
State:
Zip:
Company: Phone#: &4 4?4-4(nL?j E;4. /29
CONTRACTOR • ?
StreetAddress: .?V{?59 l.t) Q Sj(r'lajpQ D r. .y' 1?.2?l.icense# 2(SDS6 51 Exp.
City State: ?? I v zip: ?J?J 12Z
,
ARCHITECT/
ENGINEER Company: ? Phone #:
Name: Registration #:
Street Address: 4
, City State: Zip:
Sewer 8 water licensed pfumber (new construction only): arl-/.rf /ek-JGr eU?CWL??• . Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the inform ' n, is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. j,
Signature of Applicant: I
D G C5 ? G V ?-' ,1?
OFFICE tISF ONLY
{?' 1
Certificates of Survey Received Yes _ No 6 ig59
II i?y,1I
? --
Tree Preservation Plan Received _ Yes _ No ? N o t Required ?_
i
Phone #:
OFFICE USE ONLY
SUILDING RERMtT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling O 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
?6, 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5" nJ Basement sq. ft. $ Census Code
-
(Alfowable) 2• ,.( Maplevel sq. ft. a SAC Code ?
UBC Occupancy Q- 2 u/ sq. ft. 3 Census Units
Zoning C?L"rt{aEsq. ft. Census Bldg t
# of Stories 2 sq. ft. MClES System
Length sq. ft. City Water
Width Footprint sq. ft. ? Booster Pump
PRV
Fire 5prinklered
APPROVALS
Planning Building C? ? 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
Tmatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total
O.O 1
ca2
valuation: $ ??b
1104x ts? -2-g,?Cob°=
( R84 x sq- = I a-7, (3 &o?,
1'l3"I x ?4 = ?l3 ?RB ".C'
74-1
% SAC
SAC Units
14750 Galaxie Ave, Suite 104
--- Apple Valley, Minnesola 55124
(612) 432•2044
EXTRRIOR F,NVRIAPF, AVERAGF, "U" C0MPiJTATION
r?At?; D.R, }Idr r"Ew PLAN NtJh'IBER ?nl?tLi.a1?Sf3ueG,
Determine iaorking square footage of each
1. Total exposed wall area...... ?,`?'?^ sq.ft. X .11
2. Tota1 roof/ceiling area...... j sq•ft• X •026 ?13.z
Total exposed wa11 area above f].oor = y") 90
a. Total vrall window area . . . . . . . . . . . . . . . . . . WAC?? ? "2.
b. Tota1 door area ......................... ,'r,u
c. Total slidirg glass door area........... -fG
d. Total fireplace wall area ............... -°-
e. Total wall framirg area (average 10%)... ?-;'?9.0
f. Total net wall area above floor......... T>`19
g. Total rim Joist area ................... y+.4 1?h
Total exposed foundation area = II1
h. Total foundation window area............ -
i. Total net foundation area above grade... ,k,
Detesmine "U" value of each wall segment
a. x "U" .52
b. x "U" .139 = S,zS
c. g ntJit 52
= . T 5?
d. x "U" .68
e. X ifUlr . 096 = uz , I u
f. X "U" . 043
9 X ,fUll . o4i
h. g nUn .52
i. X "U" .082 = 9,?
3. ToZ'Ar .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . S ? 2 . z 2?
If iten #3 is the same as, or less than itan #1, you have
met the intent of SHC 6006 (c) 2.
-1-
r
Total exposed roof/ceiling area = (-i359
Total gross roof/ceiling area
1. Total skylight area ................... -
k. Total roof/ceiling framirg area.......
1. Total net insulated roof/ceili.rg area, 9 q?.
Detexmine "U" value for each roof/ceiling segment
J. X nUn =
k. X uU" .024 _ 10, Ll u
1. X nUn .022 = V, Z
4. mrar .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If total of #4 is the same as, or less than A2, you haue
met the intent of SBC C006 (c) 1..
To utilize the total envelope systen method, the values
established by the sian of itens #3 and #4 shall not be
greater than the stan of items #1 and H2.
1• SZl?. 14 'I' Z• 1 I"Z' , Z - 6
3, S1 z.23 + 4. 9tn,4C1 = f,??,RI
hlateria.ls Thezmal resistance "R"
Fxterior air.........
Sidis)g material......
Sheathirg ............
Insulation...........
Sheetrock....,.,,....
Interior air.........
StU4411..............
ftim .................
Concrete blocks......
-2-
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT ? CATI ? ? r?
PROPERTYLEGAL. t ? / r
DATE OF SURVEY Lt??
Lp,TEST REVISION: 7,L9??y
Z,!
DOCUM NTSTANDARDS
t/ ? ? . Registered Land Surveyor siynature and company
? c ? • Bwlding PermrtApplicaM
Sl o a • Legal descripban
? ? • Address
?o ? • North arrow and scale
m/? c • House rype (remWer, walkout, splitw/o, spGrt entry, lookout, etc.)
,v e o • Dvectional drainage anows with slope/gredient %
?? ? • Proposedlewsting sewer and water serrices 8 inveR elevation
y? ? ? • Street name
rY a ? • DrrvevvaY
p-'? ? • Lot Square Footage
DY ? ? • Lot Coverege
ELEVATIONS
Existina
r,? ? ? ? Sewer service (or Proposed)
r,Y ? ? • PropeRy comers
v, ? ? • Top of curb at the drrvewa/
w- iiD?a • Elevatons of any eidsting adjacent homes
? ca?o Adequate foo6ng depth of shucNres due to adjacent uGkly trenches
Prooosed
ffk? ? ? • Garage floor
V fl n • First floor
g/ ? ? • Lowest exposed eleva6on (walkouNwindow)
li?' ? ? . Properry corners
Tr-? ? o • Front and rear of home at Uie foundaGon
PONDWG AREA ('rf aodkable
m--/a ? • Easement Nne
gr" ? ? • NWL
E3/ o o • HWL
Er' ? ? • Pond # designation
g'? ? ? • Emer9ency OveAlow Elevatbn
DIMENSIONS
? ? ? • Lot IinesBearings & dimensiona
C/ o? • Rightof-way and streat width (to back of curb)
?? ? • Proposed home dime?ions indudng any proposed decks, overhangs greater then 2', porches, etc.
(i.e. all strucNres requinng permanent foa0ngs)
L/ ?? • Show all easements of record and any Ciry udlitles within those easements
a/ a? - Setbacks ot proposed structure and sideyard sefback of adjacent exis6ng sUuctures
? m, ? • Retainmg wall requiremenb, if any "Oll
Reviewed:
Malth 19BB
GMN3IBLWPRMi FM
?
SUBO.
8L ?
CITY USE ONLY
-G(krd4 , PMaS q -r,?
RECEIPT #; I I ?
RECEIPT DATE:
PERMIT # 31 R4
1999 PLuMBtx? PFRMrr
C[TY OF EAfiAN
3830 Pv.oT xxos gn
EAettN,MN55122
(651)681-4675
Please complete for: ? single family dwellings !
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler systemj
FIXTU RES
EACH? #
TOTAL
Bath tub S 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet " minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $ 50
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ /Z
Water heater 3.00 x = $
Water softener If dwelling under construcUon 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
TOtBf -_> --' ----> ----> $ 00
RQmir}r1Rr' fall f'.r jncnuc4inne nf al4cratinne, i.o, ura}nr lieafgr¢u.n}nr enf?o.?org °1?.
'_____"""'_" '__""•""""'_'__'_______________"""_"'_""""""•'_•""_"__""""""____-__-
I hereby acknowledge that I have read this appiicatlon, state that the informahon is correct, and agree to comply with all applicable City of Eagan ordinances.
it is the applicanfs responsi6ility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operalional and maintenance activities to the facilities constructed under this permit within City property/righFOf-way/easemenl.
SITE ADDRESS: ?Zq ?OLO? LG2.kl Q_ I C'?
OWNER NAME: : TELEPHONE #: (on)_
(AREA CODE)
WSTALLERNAME: 'l."lPiylZ- R-(:IQVY1 TELEiHONE#:
. ? . (AREA,CODE)
STREET ADDRESS:
a
CITY: I?iYY? D .c-? STATE,:
i
ha, Q
ZIP: .? (D %
? ? IeCJ)(lY? ?1 r,t?.
SIGNATURE OF PERMITTEE
CITV ri.cF nxr.v
, LOT BL '
SUBD. W Y vW ? 6 ? V? 1/- I lyW
RECEIPT #: (1 -551D
RECEIPT DATE: L_ f k -I 1
MECHANICAL PERMITlt 32325
1999 MECi3ANECAi. P£RMET ($ESIDENTIAL)
CI7'Y Of EAifiAN
S$SO fILOT KN08 RD
£A6kN MN 55122
ess» 681-4675
Date•
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 $ ; U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Tocal
$ 30.00 '
6.00
9.?
.50
$ y??d
Complete this section ax/v 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 Alteration Repair , Other
Remirrder: Call 6814675 for inspections.
_ Furnace _ Air conditioning
Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITEADDRESS: AGa G-04 ,('T ,
OWNERNAME: r7??'e C._on9S'/-PHONE#:(?z';/
(AREA CODE)
INSTALLERNAME: PHONE#: C,,S/ -^?F? -
(AREA CODE)
STREETADDRESS:?/?/G
CITY: ?G? riV STATE: , ZIP: ?5 6 ci2y
??
SIGNATURE OF PERMITTEE
city oF eagan
PATRICIA E AWADA
October 28, 1999 McVor
PAULBAKKEN
BEA BLOM9UIST
PEGGV A. CARLSON
D.R. HoROn, Inc. - MN
A. MASIN
SANDRA
CoUncil Members
3459 Washington Dr.
THOMAS HEDGES
Eagan, MN 55122 Ciry ndministrotor
(651)454-4663 E.J. VAN OVERBEKE
City Clerk
RE: - Gardenwood Ponds 4'h Addit?n - Erosion Cantrol Concerns
3852, 3873 Big Timber Trail Bi $29, 830 Bald Lake Court
?'-? 0,1
The attached letter was written and mailed out to general conuactors on April 15, 1999, and has
been distributed with building permit applications since that time. The aforementioned permit was
issued in your name. A City staff person has ohserved the site where the pernutted work is taking
place and has found deficiencies in the erosion control efforts.
The City Code cleady states the authority oFCity staffin enforcing the removal of siltatioq diR, clay,
or soil (SILT) upon any street within the City (Section 7.05, Subdivision 5.1 ofthe Eagan City Code).
The following erosion control efforts should be taken immediately:
1. Removal of all SILT upon the street and walkways adjacent to said property.
2. Installation and maintenance of approved silt fence at curb & property lines.
You have 48 hours to bring this site into compliance with this section of the City Code. Upon your
failure to bring this site into compliance in said time, the Ciry's enforcement actions will be as follows:
1. Order street sweeping/cleaning activily 48 hours after initial faaed/mailed request
2. Charge/mail sweeping/cleaning invoice to development contract obligee or permit holder.
3. No further Letter of Escrow Credit reductions will be granted.
4. Place hold on buflding inspections until compliance and payment of invoice(s).
We appreciate your cooperation with our erosion control efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Chief Building Official
Engineering Section Dale Schoeppner, Assistant Building Official
Department of Public Works Stan Lexvold, Construction Supervisor
Ciry of Eagan
MUNICIPAI CENTER
3830 P0.0i NNOB ROAD
EAGAN MINNESOiA 551 22-1 897
PHONE (651) 681 4600
FA% (651) 681-4612
iOD (651) 454-8535
THE IONE OAK iREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
Equal Opporiurniy Employer
MAINTENANCE FACILIN
JSDI COACHMAN 701M
EAGAN, MiNNE50TP, 5.?`1ZZ
PNONE (651)681-4300
FAX (651) 681-4W
iDC (651)454-8535
I ? ?'Y?
2007 RESIDENTIAL BUILDING rERNuT arrr.icaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcbon ReawremenLs
3 regotered sde surveys showing sq. R of lot, sq. ft. oi house; and all roofetl areas
(200h maximum lot coverage allowed)
1 Soits RepoA if proposed buildmg is W be placed on tlisturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 Set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7l1193
Rim Joist Defail Options selec6on sheet (buildings wiN 3 or less units)
MinnegasW mechanipl venGlahon fortn
? 13
Ct4,?
RemodelAteoair Reouirements Office Use Onlv
2 copies of plan showing footings, beams, joists Cert of Survey Reaj _ Y_ N
1 set of Energy Calculations for heated additions Soils Report _Y _N
1 site survey foraddilions 8 decks Tree Pres Plan Recd _Y _N
Add'?Gon - indicafe if on-site sep6b system Tree Pres Requi2d _ Y_ N
On-si[e Septic System _ Y_ N
7-(-P Oa..Q.Q.ECu
Plans are considered public information unless vou state thev are trade secret and the reason.
Date---L/C)-/ Q
? ConstrucfianCost ?s?,?'J.,fn
Site Address IS2/
? Z"LA" 1}^IL UniUSte #
Description of Work ( I ?,, 6
Multi-Family Bldg _ Y_XN Fireplace(s) _ 0 4,1 _ 2
Property Owner oc?e/( ? c,? Telephone #(6ST ) tf S? Z;? 7'(
Contractar
Address City
State Zip ?95 (?-?: Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber 0 7P PV% ff Fp?
Mechanical Contractor N n 0 2007
Sewer/Water Contractor
I hereby apply for a
Telephone # (
Telephone #(
Telephone #(
and acknowledge that the information is complete and accurat
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. /
?rt?tc,
Applicant's Printed Name e13'CJz /APPlicariYs Signattir
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot 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 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolidon (Entire Bidg) - Give PCA handout to applleant
DeSCrlpti011: WaterDamage_ Yes
)
Valuation (.qV(7 Occupancy MCES System
Plan Review ? 100% or _ 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O. ?
_ Foundation HVAC
_ Drain Tile T Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
Framing i ? Siding _ Stucco Lath _ Stone Lath _Brick
?
Fireplace R.ff
? ?Air Tesi y Final Windows
Insulation ? -
Retaining Wall
?.--
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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? 2007 RESIDENTIAL PLUMBWG PeRMiTaPPLicaTioN ?
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do nof combine inside and outside
plumbing on the same application; separate applications and permits are required.
oate (-c, ! Ab 1 0 r7
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Site Street Address ? l? c?A ? Y-? c-. F C? Unit #
Property Owner Telephone # ( )
Contractor kCQo 430 Telephone #
Address Sv°)S l4 ?- Ya 4, K7fu City ArlnUe.-- State)h`h% 2ip 5DUK
The Applicant is: _ Owner & Occupant L-ticginsed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alteratio o existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a water soRener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 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 $
I hereby apply for a Residential Plumbing 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 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 6e reviewed and approved.
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ApplicanYs Printed Name Applicant's Signature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CansUUClion Reauiremenls
3 registered si[e surveys showing sq ft, of lat, sq. R of hause; and ail mofed areas
(20% marimum lot coverage allowed)
1 Sdis Report If proposed building is lu be placed on dislwbed sal
2 copies of plan showing beam & wlndoev sizes; poured found design, etc.
1 set of Energy Calculatlons
3 copies of Tree Preservation Plan if bt plalted after 711 /93
Rim Joist Defail Opfions seiection sheel (6uildingswim 3 or less uniGs)
Minnegasco mechanical venlilalion torm
Remodelfl2eoair Reauirements
2 copies of plan siwwing footings, beams, joisGs
1 se1 of Energy Calculations for heated addilions
1 sitesurvey foraddifians $ decks
Addifion - indicate if oneite septic system
Plans are considered nuhlic infnrn,afi.,., iinle?. ....?. ?a.,a,, au._..
9o co
Office Use Onlv
Cerl of Survey Recd Y _N
SoilsReporl _Y _N
7ree Pres Wan Recd _ Y _ N
Tree Pres Required
_ Y .
_ N
On-site Septic System _Y _N
---- -..-._....-..-.. WM ??•W L,ill- a, G iuaae secret ana tne reason.
Date '1 / I / 0 ConstrucHon Cost f r1, R/ f
Site Address UniUSte #
DescripHonofWork ReTnn?
Mul6-FamilyBldg _ Y r N Nlreplace(s) _ 0_ 1 _ 2
Property Owner + G 14F fec% P v f, ? j Telephone #((o,T t) vs<,(
Contractor ?oe ni p51?p? ?s
Address City - ?,
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State iv6iiv Zip Telephone#L( Q
COMPLETE THIS AREA ONLY (F CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cate o*y 1 _ Minnesoh Rules 7672
(J submission type) • Residentlal Ventilalion Calegory 1 Worksheet . New Energy Code Worksheet
Submitted Su6mitted
• Energy Envelope Calculations Su6mitled
in the lasf 12 monfhs, has fhe City of Eqgan issued a permif for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/WaferContractor Telephone#( )
Y}ierPhv anrilv fnr a RP?fAo.,+;?1 n.,:u:- __ .
-------? -rr-? -?- - ?•???+?_?.?.. Lu..uuig rUI.,.IL anu acicnowieage tnat the uiiormation 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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
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ApplicanYs Printed Name App canYs Signature ZI/
coznFlCATE oF suRVEY
for
D.R. HORTON
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Scale: 1" = 30'
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829 Bald Lake Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepored by me or under my direct
supervision and that I am a duly Registered
Lond Surveyor under the Laws of the State
of Minnesota.
Date Q Z3 TVNE 1999 Reg. No. 8140
Lot 13, Block 1,
GARDENWOOD PONDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing_,,, Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
M32-2017-99
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M32-2017-99 ?
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CERIIFlCATE OF SURVEY
for
D.R. HORTON
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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
of Minnesota.
Date
Reg. No. 8140
LpT PrREO - 17,167 SQ.?r.
0 L) SE 4kc-b _ 77 ?s s?, ?T
?bP CuRB ? MSLAB =Ad
TDP BLocr- _ eE2,76
LowESr RSMT FM = 6`75,o5
829 Bald Lake Court
Lot 13, Block 1,
GARDENWOOD PQNDS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
Suite 206
M32-2017-99
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109268
Date Issued:02/25/2013
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:deb larson
8815 209th st
Lakeville, mn 55044
952-469-6999
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jeffrey A Harvey
829 Bald Lake Ct
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130306
Date Issued:04/16/2015
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 by law in ALL single family homes .
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 -
Jeffrey A Harvey
829 Bald Lake Ct
Eagan MN 55123
(651) 454-2874
Sandstrom Enterprises
888 Burke Ave
Roseville MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131023
Date Issued:05/28/2015
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Jeffrey A Harvey
829 Bald Lake Ct
Eagan MN 55123
(651) 454-2874
Sandstrom Enterprises
888 Burke Ave
Roseville MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152719
Date Issued:10/29/2018
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jeffrey A Harvey
829 Bald Lake Ct
Eagan MN 55123
(651) 454-2874
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164967
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffrey A & Judith A Harvey
829 Bald Lake Ct
Eagan MN 55123--248
(651) 283-8242
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:EA171262
Date Issued:08/06/2021
Permit Category:ePermit
Site Address: 829 Bald Lake Ct
Lot:13 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-130
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 -
Jeffrey A & Judith A Harvey
829 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