854 Bald Lake CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA111969
Date Issued:07/22/2013
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:1
Joanne Burr
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 -
Richard M Mencel
854 Bald Lake Ct
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
RESIDENTIAL
BUILDINC PERMIT APPLICATION
q ? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-68'I-4675 ?Q, 06
New Construction Reauirements RemodeUReoair Requirert+ents I ,z Q?.??/ZI
• 3 registered site surveys showing sq. ft. of lot 5q. fl, of house; and all roofed areas . 2 copies of pfan ?
(20°6 maximum lot coverage allowed) . t set o( Energy Gaiculations for heated additions
• 2 copies of plan showing 6eam & vrindax sizes; poured found desgn, etc.) • 1 site surveylor extenor additlons & decks
• 1 set of Energy Calculations
• 3 copies of Tree Preserva6on Plan if bt platted after 711/93
• Rim Joist DeWil Op6ons selectian sheet (bldgs with 3 or less uniGS)
DATE cJ CG4 & fJ(.S '
JOB SITE ADDRESS
IF MULTI-PAMILY BUILDINnG, HOW MANY UNITS?
PROPERTY OWNER f? l'[,?L Pl V?L? 4
TYPE OF V
APPLICAP
ADDRESS
PAGER #
CELL PHONE #
FAX #
0 IV 1 2 3
PcoDe SS33?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy 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 Su6mitted
Plumbing Contractor:
Plumbinn Sys[eiTi Includes:
Water SoYtener
, Water Heater
Nc. oFBaths
Phone #:
Lawn 5prinklcr
No. of R.I. Baths
Fee: $90.00
MechanicalControctor: e{l Phone# ????r9
Vlech.uiic.il Syslern Iiicludcs: Air Gonditioning Fee: $70.00
_ Heat Recovery 5ystetn
Sewer/Water Cantractor:
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinan s ?
C ?
Slgnafure of Appiicanf a
Certificates of Survey Received _ Tree Preservation Plan Received _" Not Required
VALUATION (EXCLUDING LAND) Ican
Updated 1101
PERMIT #
RECEIPT DATE: ?
RUIDEPTIAL PLUM$1NH PERMTf AMLICATION
crrY oF Fa?sAN
3$30 PILOT KROB iiD
Ewswx, auv 55122
851-6$1-4675
Please complete for:
? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for irrigation system
SITE ADDRESS: 854 BALD LAKE COURT
OWNERNAME:: RICK MENCEL
INSTALLER NAME: RICHFIELD PLUMBING COMPANY
STREET ADDRESS:
509 WEST 77TH STREET
TELEPHONE #: 651-405-9849
(:.Rci, COCE)
' -
TELEPHONE #: 612-869-7517
(AREA CODE)
CITY: RICHFIELD
Place a check mark next to the oermit work tvee
ZIP: 55423
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alieraiion to existin dweiling unit, lncluding: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Natur of work: INSTALL CLOSET FLANGE, INSTALL WASTE OPENING I STACKAND STUB 0
WATE PIPE , TUB NEAR STACK
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
F $50.50
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
)T.
l here6y acknowtedge that 1 have read this application, siate that the informatlon is corcect, znd agree to comply with all applicable City of Eagan ordinances. It
is the applicanfs responsi6ility to notiTy the property owner that the Ci[y of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit with property/right-of-way/easement.
r , /.'7-- A Z /?
SIGNATURE OF PERMITTEE
STATE: MN
Updated 1101
Addiess 854 Bald Lake Court Zip 5512 3
IAt 03 Blk 01 SUb Gardenwood Ponds 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date:
1113100 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W
the ouuide lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof•way or installing underground sprinkler system ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?k1'('?;?>Y?kN?A??;%kx(MM??%k:i: k:'??KB?n?F:X>$?8??7KYF*X::"nXci?.h't$<v?RiYF
CT7Y CI= E:FlGFlN
f:ASH:[EFc„ 16 T'L':F'MNfid_. i•!!J„ 74E;
DAT'c:, 08l30f99 iIMEa 0:03o50
TD:, I
NFlt41S° ; SioF't. HOF"tTpNy INC.
G:'.2°•lc? '?c.'.cU 054 FSqI..D L.K E{ 30.00
3210 9001 854 RAi_D LI: i'.T ip424.95
3866 937"9 854 BA1_17 L.F; CT LpCi.00
3422 9001 854 Fi/ll_D I...K C'i' 926,22
2275 9220 054 BAL.It L_I; CT 17 039„50
3416 9001 354 PF§i._Li L.I; CT 0,50
1'_II.JJ 9001 854 PAI_I? Li; CT 0.50
3743 5220 854 NAI_ri l..K CT SO„Ofl
c?if6:.', 9001 E354 F..;F1l.Li I...I. CT 98,50
3269 9£.'.2f:) 854 Hhl_A L_K CT 468.00
CR:i.J.i :,:l.89 COP?C'TNUI:::
USF:R :LX7r JAN SS L'ONT:[h111?:
YF1K'J,(?,y:i;:dN,(Y(•YF$tk<1K1F7N?Y:i%'K1lRC>kR W?kM:P>$>f n?F??'F??F?.>'F%rE'M#
??%fiX%t???MM`?(?I?Y,;:?F>n5n*3k7k?:;;1?t?::kMY,<WT;?)KM':k; C:ONT7.NUW.
G:[TY or- r:::FlrrN
i h'!3!'l:f.Eli N 1 S 7Ei:h21XNAl._ N0 c 748
DA7E. 09/30/99 15:(:)=E;;51
If:i c
NAME: D.R. HCtRT[)N, :f.NC.
3716 9220 854 BAA LJ: (':1 ].l4.00
3713 9220 854 F.tAL.r1 I._t; CT 50.00
3865 9220 854 BAL..L, I...h: Cl £"S?'_S.OU
e
Teh,al (?erei.pi; Amcsunt: 5 y:l27.17
f,KWH9
UF3Ei:R it?a .IAP!
?1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
`? (651) 681-4675
New Construction Reauirements / Remodel/Reoair Reauirements
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks)
? 1 energy caiculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation lan if lot platted after 711193
required: _ Yes ? No
DATE: ?- G? - 99 CONSTRUCTION COST;
DESCRIPTION OF WORK: N PW f 1?'rrUa n
STREET ADDRESS: 2.°S 64- r?)G \6 LQKL. r4-
LOT: J BLOCK: ? SUBD./P.I.D.#: CcC?Wo-t;?-j t'O%14,e ?q-?
PROPERTY
owNLtt
Lu[
First
Phoue H:
CO\TR•1CTOR
ARCHITECT/
ENGINEER
Street
Ciiy
State:
%ip:
CU[I1p.LIV':-_2l ' PIIOf1C ' r?:
-------/- ) -- ? -
StrectAddress:_???7 __ License #«=? ` 7 Erp. 1 b77t?
! ?-------- 1 ??
Cily -- ?'"?=??`- ? --------- State: -S rvl?v ------- "/.ip: Ss ?- _
? - -----
Company:
Slmct
City
-------- Plionc p: -----
-------- Re7,nsltation ----
------- ------
State: ----------------- lip:
i
Sewer & water licensed plumber (new construction only): W S° Wt" l? . Penalty applies when address
change and lot change is requested once permit is issued. ?
6:1 I a- -1 S 3-?-( 3 83
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
31 fiv?
.
' Aur?
Not Required
_?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
x 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5, rJ Basement sq. ft. 11 (IFO_ Census Code ( O(
(Allowable) !5 P4 Main level sq. ft. SAC Code 61
UBC Occupancy -2 3,u-I Lsq. ft. ? Census Units I
Zoning 91- I Ik2 . sq. ft. t94!?_ Census Bldg
# of Stories 2 sq. ft. MC/WS System
Length 1r 1?9 sq. ft. City Water
Width Footprint sq. ft. ?J !? Booster Pump
PRV
Fire Sprinklered
APPROVALS .
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
Clty Sp.C
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
valuation: $ I-77-,ovo-?---
I-7 I. OXIJ = ?1' bd ??
?Zla6 1C`S?' - 9 ?5-,6 4 0
8z-4 x 54 = 44,426
b4 4L Y. ((o - (0) 30*?
'rlT? 17(P, 24-U
i
?
% SAC
SAC Units
JuL -?t-i• PLHru-U, 1ItG. 1 612 452 :3659 F,02ie5
MINNE89U,_MmE ENFHGY CObF CAjQUL,BTIONs
HASEb ON CHAPTER S OF THE
. ML112TL EN,ERGY CODE ^ 198y .p
__r_TrON
, Adoption Effective
7wnet r. Uj? I E Phone Data
Site
contzF
Huilding Classification: Type A1 (Sing2e Pamizy & Duplex) -*
Type A2 (Residential, 3xtories qr iess) (over 3 stories) (other)
NOT2s Comqlgre Daaes 3 and 4 firat,
GENET?AL• iNFOi2MATTt1T7 G?6 r?
_
1. Building Perimeter 1t9 /?le?%,v6rpt,
2. W811 hei ht ??
g (ground to eave) ft.
3. 1. X 2. (abave) gross wall area mq.ft.
4. Huilding dimensions (L) -- X(W) sq.ft.roof 6 floor area
5. Sq. foot area of rim joist - F1 or joisk size (2 R.I?
X ?_(Pexlmeter) ? ?4A-sq.ft.
6. Doprs - Area 12
Thickness in U. factor t,
Type of construction Perimeter ft.
Manufaoturer
7. Totel door's perimetier ft.
8. Windows; Maltufacturerli) ?i_ LJC? G??YI ?, State approved
U factpr . ?2r/1
mYPE SI2E AREA (3q.Ft,) NUMBER OF TOTAL
EACH UNITS - SQ FEET
9. Total sq.ft, alass 3 1&
10. Fireplace areat Width X Height = X = sq.ft.
11. Expased foundation: Heigtat X Perimeter,(?XJJ& =? v'j sq.ft.
COMPLETION OF TIiI3 FpRM IS Y2E(ZUIRED FOEt p,I,J, NEW CpNSTRUCTION, MAJOR
REMODELINc3 AI3D BUILtl2tiG5 BEING MOVED WHERE ENERGY, DTHER TSiAti THE NItiIMAL
CODE P.I.LOWAHCE, IS USED,
-1-
JUL-c:l-1'jt:W 67:69 F'LNF+i:U, IIJG 1 612 452 3659 P.03i06
12. ?Fcaming area - l0t oP groee wall aXaa. #I4- 3?j7
13.% Gros's wall area
gq,ft.
Window area _gq, ft. U windows UXA = I Ie
Rim joist area A-3A4-sq,ft. U rim 041 L1xA =
Door area A -r7 sq,ft. U door area='(44
UxA = 7
other doars area JA ?
-O-_$g,pt. U other doorem ,4? UXA m j-9
Exposed fndit A_(Z5 gq, pt, U foundetian= .O
TUxA = _
I p
.,.
Ftaming area 3? gq,ft. U framing areaa•CJ-!? UxA =
. ?
Net Wall area A
( J aq.£t
U Wallm a? I7
3 ?
2
7
.
UXA - `.
-
(138) TpTAL . . . . . . . . . UxA= la "'_
14. Gross wall area x 0.11 (A--1 single family 6 duplex) = allowable UxA/COde
(13, sb)ve)
x 0.23 (A-2 other xesidentiel)
x .23 (other buildings)
x .28 (over 7 etoriag)
BTUH mast be larqer than or same
A?j?? L] ?] -
x U Coda
1 o
_
w, -
F. se 13B BbOVe
15, ceiling fraiaing area (At) equeia 101 oP ceiling area
15A, cross aeiling area = (L)_ - x ({q) ? Agq,ft.
158. Joist area (Ag) - 10$ ceiling area n ?J sq,Et.
15C. Net ceilittg area (A C) (15A - 15B) 5-rq,pt,
U ceiling x A? = 1 460 X?a 3j
v Yrami.ng X A f =.??,? „-117a44
15D. TOTAL U x A ..................
.....
32
.
. ....
_
16. ceillnq area (15A) x 0.026 (A-1 6ingle family 6 duplex)
= allowable UxA/cPde
x 0.073 (A-2 other residential)
x 0.06 (ather)
9TUH must be larger than or same
A(15A) Sx U Code
F. as 16B above
NoTE: Use U anti A values obtained from pagea 1, 3 and 4.
SZ$T JY,LQ&TJ
QHs I here6y certif
th
t I h
l
't
"
"Rlt -
y
a
ave cg
aulated the
U
factora and
veluen here.ln and that the building here described meet
d
s or ex
State of Ninhescyta Energy conservation Act. aee
a the
bgte
signature.
-2-
JUL-::A-1'J'J4 08:eJU PLHIJCO. 1NC. 1 612 452 3659 F.04i06
JUL-Z1-1994 68:00 FLRNCO, 1NC. 1 612 452 3659 F.05i06
? n rKGUt ' U YA4UE
. ?,nilda ¦is flt?o ,68 '
NAI.L t'.• . '
??nh6rivr wall :' ? ':
. • `?5 ;`(NaLU U ?
s :
S[CTiOf1
` ANEaehing
(?utslde ?tr fllw .17
, ?> , ; •
,?,.: .
!t TptAL •
• •
,
'' ?' • ,
xnside.alr Etlm ,68 •
STUd ? Intmrloc wall
SCCP1oN
stud R? '
?
?5 (O
r7 (Fruaing)'U ..
R ?
She?thtng .
.
.? 2.0[? •'
siatos
r
Outslde •lr [(im ' .17 .
?
.
'.
'?• :' : R 70TAL
iS• . .?
.i
? L7
-
e
.! •
L.hteFtor ++all
• .
SECT[OH. , Xnaulrt4on 1a11
U + R.
?-? S?l? r?'." ?
Z
;.
?
:kec? (pr ystt cover }• '
----^' ?." Extrrlac•slr. Elim'
'_' p -.ty ','
? .}y ; ?•
x atnG
;
.
• .
'?" =
:
?nterlot iaIr [!Lm ?
R? .69 :
RlM
JOIST `i
, ?> • , `
i,nch ;aft weod
N=l.88 ??1m U 1
+ it Q
Jolst}
Rheathing
' ?.00 ^
'
d??
? •
? ; - i
•
. xterlor:x¦?l covering .10-1 :j ,
r.?•
rxtetlor' etx f
tlm RD .17 «
, .
it' TOTAI,
.
? .
.
??CSrlor'ult f??IR
n° .68
.
' . .
"\?tliUloC?OR
. 'I•?
;roundatlan
. (Fdn.j U a ? =
?Itxt6rlor ¦i't tllm R• .17 ~
07Ca
F rornL ' I ? I t) --,
? .
?Ypused Block ;. '
a,'`?rade 3. ; .
i
?
,JI?L-,:1-1`yyt Ud?k11
FLHNCU, lrlC. 1 612 452 3659 P.06i05
Xl1.iJlililLIi J-4 W.l liU-LMiC?O.J-Li-CxiAlL11.-P YY iE
R VALU8
FRAHINU
R vrLuE
C6ILYtiG
A1TFilw 0.61
- ??• p Tnsulakion 44• p
18t ----
- o.s5 ceilinq 0,56
A1rFilm
.n2'?-? ? ? i/R . a22. ?
talndow inflltratlon e,8 cfm/lineal faot ot oraak
Residentiel door inflltratlon 0.5 cfm/square faat or door and minlmuta code
requirewent
11on-residential door inEiltratlon 11.0 aRm/linaal foot aE craok
ub 12" concrete blook no ineulstiaa n.47 R 2.1
l1u 1241 concrete block insulated cores ?.26 R ].8
1?b 12" llghtweiglit block ?.92 R 3.1
Uq la" 1Lghtwelght block insulatad careg n.12 R 9.3
U eingle glass - 1.171 with stoTpa w1ndoW 54
U double glaes - .55
U trlpla glass = .41
All exterior walle and ceillnye must heve q vapor barrler (0.10 perm max,).
vapor baYCler muat be on the 1Ytelde (heatad eide) aC wall.
Vapor barrlare oE the polyathelene thiw Rllm have no R value.
1
TOTAL P.06
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDAROS
i
t
d
R
Y? ? gna
ure an
company
•
egistered Land Surveyor s
q/o ? • Building PermRApplicant
q?// ^= ? ? Legaldescnption
ry ? ? • Address
?a a • NoRh arrow and scale
? a • House type (rambler, walkout, split wlo, splft entry, lookout, etc.)
d? ? ? • Directional drainage arrows wifh slope/gredent °k
?? ? • Proposed/ebsCng sewer and water services & invert elevation
q/ a a • Street name
g? ? ? • Driveway
? ? ? • Lot Square Footage
M' ? ? • Lot Coverage
ELEVATIONS
EasOna
tr/ ? o • Sewer service (or Proposed)
? ? ? • Property corners
? o o • Top of curb at the driveway
?¢? ? • Eleva6ons of any ebsOng adjacent homes
? d/? Adequate footing depth of structures due to adjacent udtity trenches
? Prooosed
? •
Garagefloor
Ek/ ? .
Firstfloor
IV ? • Lowest exposed elevation (walkouVwindow)
? ? • Property corners
?? ? • Frant and rear of home at the foundation
PONDING AREA (if audipde)
? ? • Easement Gne
? rfll a • NWL
? &' ? • HWL
? CR/ ? • Pond # designation
? 1?0 • Emeryency Overflow Elevation
/
' DIMENSIONS
di
i
(k
? o
d/ mens
ons
• Lot IineslBearings &
idth
b
k
f
b
t
o? ac
o
cur
)
• Right-of-way and street w
(
o
P" ? ? • Propased home dimensions induding any propased decks, overhangs greater than 2', porches, etc.
? (i.e. all structures requiring permanent footings)
sements
ifhi
th
d
Ci
CliG
e? ose ea
es w
n
any
ty u
• Show all easements of record an
? y • Setbacks of proposad structure and sideyard setback of adjacent epstng structures
?¢? ? • ReWining wall requiremenb, if any
Reviewed:
..,o / Date '
Mareh 19M
GMMyBLDGPRhR.FM
CITY liSE ONLY
LOT ? BL ` RECEIPT #: ? I -7 !7.q q
SliBD. Gal(/y?,{M?AJ Va P? f _ 1 ? RECEIPT DATE: 9 ^a? -
` ?
1999 MECHANICAL PERM1T (RESID£NTiihi) CTCY OF f.AlfiAN
S$SO P1LOT ISNOB RD .
f.l4flAH MN 55122
9 - ?? 99 (ss» 6$1-4675
Date•
Complete this section only if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30,00
o.DDiT?ONP.L 50 M BTU 5.00
• Gas outlets (minimum of one required @$3.00 ea.) 6'e0
• State Surcharge: .50
• TOTAL:
Complete this section ontv if you are remodeling, adding to, or repairing existing single family- dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New
_ Fumace
_ Replacement
Air exchanger, i.e. Vanee system, etc.
Renrinder: Call 681-4675 far inspections.
SITE ADDRESS:
_ Repair _ Other
Air conditioning
Other
State Surcharge:
Total:
$ 30.00
.50
$30.50
OWNER ri'AME: PHONE #:
ItiSTALLERNA'.vIE: PHONE #:
STREET.4DDRESS:-Q1p`??0 4aT8A? }tlJL°
CITY: AU ? STATE: ? ZIP: J Oo? ?
1SfORb1S BLD,hiECH PERbfIT (RES) • 1999
SIGNATURE OF"PERMITTEE
L BL CITY USE ONLY RECEIPT#: I I"I?1, a?]
?I 'f l ? i
SUBD. Giv?ijU1UVVl1L\ RECEIPTDATE: q-0-o' I 1
PERMIT #
1999 PLIJM$INti PERMIT (fiESIDENTiAL)
crrYoF Ensnx
3830 PaoT Ktvoe Rn
Ensna, Mrr 551E2
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH !/
TOTAL
Bath tub $ 3.00 x 2 = $ la -
Fioor drin 3.00 x = $ . -
GeS i in OUtIBt ' minimum • t 3.00 X 1 = $
Hot tub/s a 3.00 x = $
Kitchen sink 100 x = $ `¢
Laund tra 3.00 x 1 = $ `Q
Lavato 3.00 x S = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osai S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RP2 new installation/re air 30.00 x = $
Rou h o enin 1.50 x 3 = $ 420
Shower 3.00 x = $ l*
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 = $ cO-
Water heater 3.00 x = $ pO -
Water Softenef if dwelling under construction 5.00 x = $ -
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total -> --> ----> ._.> $ °D
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
-----------•------------•-----------------------•-------- -••--------------------- --------------------...--•------------------..
I hereby acknowledge that I have read this appliption, state that the infortnatlon is cortect, and agree to comply with all applicable Ciy of Eagan ordinances.
It is the applicanPS responsibility to notiy the property owner Nat the City of Eagan assumes no liability for any damages pused by ttie Ciry during its
nortnal operational and maintenance activities to the faciliUes construcled under this pertnit wifhin City property/right•of-way/easement.
SITE ADDRESS:
OWNER NAME: : D? `I-lD12m?1,-j TELEPHONE #: (OS ( l{E-y ' 46(r,
(AREA CODE) .
INSTALLER NAME: C?CQ2-- ? AA--? ?)h?t 1(-N TELEPHONE #: 6S_ QI Iq
\IJ (AREA CODE)
STREETADDRESS: W-?-Am:- SccD T
T
CITY: ncn19 1al STATE: VIAS V ZIP:
SIGNATU ERMITTEE
?b92Z
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ? 1o 63 -C?.
V\rr NewConstruciionReauiremeMS RemodellReoairReauirements ? Offlee nl
3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all roofed areas 2 wpies of plan Ced of Survey Recd -,- _ Y_ N
(20%maximum lot wverage allowetl) 1 sel of Energy Calculelions forheated addiUons Tree Pres Plan Recd . Y_N.
2 copies of plan showing 6eam & wintlow sizes; poured found design, etc. 1 sAe survey for addNOns 8 decks Trea Pres Required. Y _N
1 sel of Energy Calculafions Addition - indicate ilon-stte septic system On-site Septlc System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 7M193 ,
- Rim Joist Defall Options selecfion sheet (bvildings wBh 3 or less uniLs)
Date I O 1 ? ! 0s Construction Cost 1/,500
Site Address pr?VV? 9 ?1{, LA3,? UoiUSte #
Description of Work ?. S?n ? o$?-u-e?n?t G?°"'gS Q???,?- ??'^,?? ??'c, `?•?
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0. 1 ?2
Property Owoer Telephone # ( bSl ) ?° S g g I ?f
63 S2o- 1r??S 0
Contractar ,>: c??- ?
?• S C r? ? ni-e,
Address City
State Telephone #(6)
? 4-6- a`I3 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 MinnesoYa Rules 7672
Energy Code Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submilled 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 master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires-a?review and
approval of plans.
t2?C,LN VNe-M,w
Appticant's Printed Name
Signature
`.
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
X 02 SF Dwelling ? 08 OB-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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolftion (Entire Bldg) - Glve PCA handout to applicant
Valuation ?CeO/J Occupancy MCESSystem -
Plan Review IV, 100% or _ 25°/a
Census Code ?
Zoning City Water ,
SAC Units ? Stories Booster Pump -
# of Units Sq. Ft. - PRV
# of Bldgs - Length - Fire Sprinklered ?
Type of Const Width `-
REQUIRED INSPECTIONS
_ Footings(new bldg) Final(C.O.
Footings (deck)
? ?`-°"--
_ Footings (addition) - Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & W ater Final Air/Gas Tests
Pool
Ftgs Final
_
? Framing _
_ _
_
Siding _ Stucco _ Stone , Brick
_ Fireplace R.I. AirTest Final ? Windows
_ Insulation _
? Retaining Wall
Approved By: , Building Inspector
-- - ----- ----
---
-
-
----
--
-
-
- ----- ------ ---------- --------------- --------------------------------------------- --------------------------
Base
Fee ?D ?
?
5urcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?RESIDENTIAL BiTILDING PEUMIT nrpLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan NLN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuctlan Reauiremenis
3 regislered sile surveys sfwwing sq. ft. of l04 Sq, ft. d house; and all rooSed areas
(20%ma)imum lot coverege allovred)
1 Shcs RepoR if proposed bullMng is to be placed on disNrbed soil
2 copies of plan shmving beam 8 window sizes; poured found design, etc.
1 se[ of Energy Cakulafims
3 copies of Tree Preservadon Plan if lot platted after 711/93
Rim Joisl Defail Options selection sheet (buildings xifh 3 or less unils)
Minnegesco mechaniral ventllalion fortn
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:
RemodellReoair Reauirements
2 copies M plan showirg faotings, heams, jdsls
1 set of Energy Calcula6ans kr heated additions
1 site survey for additions 8 decks
AddNOn - indicate if on-sde sep6c sysfem
I i 'd d ublic information unless ou state the are trade secret and the reason. .
P ans are cons ere
Date -l I? I 07
Construction Cost ?j ?• 8p
Site Address D? ( Bhvb L414' c T UniUSte #
F z
Description of Work ?--_p On F
Multi-FamilyBldg _ Y?N Fireplace(s) ?0 2
Property Owner {4& XQ Telephone #((157) 412? qff y q
Contractor "FI i J LiZ-F-r- LG1'?'? ?iJG"
Address Z`l7Q f?.?LL
State /A? W? D2 City So-Pv4-(AL/
Zip? Telephone#(657 S3(c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CBtegory • Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
??.'"`J 6da7iJ
ApplicanYs Printed Name
Telephone #(
Telephone #(
Telephone #(
6) C
Office U4e OnN
Cert ofSurvey.:Recd - _Y _N
SoilsRepoR -- -Y _N
TreePresPlan?Reul Y _N,
TreePresReqmred Y.: _N
On-sIte5epticSystem. _Y. _N
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 permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
KZZ?
A ic nY Sig ature
.
O?
(:j /
IERIIFlCATE OF SURVEY
for
O.R. ORTON
-`r
Fz-NC-
LOT ': 2-0,93z 5R_ F7,
N-0uS5 -Z Z' 4 ti s sQ. 1:1:
? 4:,
'??
Scale: 1" = 30'
-?
?. ?
?.
a.
°k Top curb to Gar s
, Top block = $M
Lowest bsmt flr =
;t
M32-2050-99
_ I73
854 Bald Lake Court
DESCRIPTION
I hereby certify that this survey, pian, 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 Minnes-ota.
No. 8140
Lot 3, Block 1,
GARDENWOOD PONOS FOURTH
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
/? Existing? Praposed
?
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966 M32-2050-99 .
?
l 101.(i 7 4 ? .
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /eWW
Permit Fee: (/11'
Date Received: (////7/51
ICT
Staff:(71�'J
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: / Site Address: J' i92ji&
Tenant: Suite #:
Name: _4_61') ' ` ed2
Address / City / Zip: c449'Z27
Nam,2/3,e p4YA
Addres
State: ?pi? i? Zip:
Contact:
License #t' 4' 7 ,,,,b51
Phone 3 SJR/--eaSJ G
Ema
_ New Replacement _ Repair_ fah Modify
Space _ Work in R.O.W.
Description of work: !�P_p 4+4CC e- tl/7fi �1
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
aL /dadQie/
Applicant's Printed Name
FOR OFFICE USE
Required. Inspection:
Meter Related Iter.
er Size
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA122951
Date Issued:05/23/2014
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
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.
Heather Winn
21210 Eaton Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Richard M Mencel
854 Bald Lake Ct
Eagan MN 55123
(651) 405-9848
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:EA157305
Date Issued:08/13/2019
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
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 -
Richard M Mencel
854 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:EA164356
Date Issued:09/25/2020
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
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 -
Richard M Mencel
854 Bald Lake Ct
Eagan MN 55123
(651) 238-1359
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:EA165776
Date Issued:11/19/2020
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
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 -
Richard M & Kara B Mencel
854 Bald Lake Court
Eagan MN 55123--248
(651) 238-1359
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:EA166340
Date Issued:12/31/2020
Permit Category:ePermit
Site Address: 854 Bald Lake Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Richard M & Kara B Mencel
854 Bald Lake Court
Eagan MN 55123--248
(651) 238-1359
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature