826 Bald Lake Ct
2oo6 RESIDENTIAL BUILDING PERMIT APPLICATION Co (((3/z r 6~j
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Reauirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq n of lot, sq ft of house, and all roofed areas 2 copies of plan showing footings, beams, joists 11 Cent of Sunvey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions NR Tree Preis Plan Recd _ Y _N
2 copies of plan showing beam & window sizes, poured found design, etc 1 site survey for additions & decks tJ K Tree Pies Required Y N
l set of Energy Calculations Addition - indicate if on site sepfle system on-site Sepliasyslem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
o°
Date 3 / Ohz, Z DO ~j Construction Cost '23.1,00
Site Address $2e --~SAl a U4N4~ C•0u0.'T Unit/Ste #
Description of Work N A YV IS +
Multi-Family Bldg _ Y *ft-- N Fireplace(s) - 0 - 1 - 2
Property Owner Tt4 11r, A✓d N 6_141P16W Telephone # ((,$1 ) to $I ^ eb27g
Contractor ~U l2b e S d- !4 1,Y4✓l1 ~YL~ 11 `S~ ✓
Address g5~ ).4v1,Ew D2rvl: City iE~.✓ ?,,641ZlE
State Id2'✓ Zips Telephone # (9M 2e"40 ^32)/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) 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 master plan?
Y N If yes, date and address of master plan:
g E C E d \1# LE
Licensed Plumber Telephone }
MAR 2 0 2006
Mechanical Contractor Telephone }
Sewer/Water Contractor Telephone }
1 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.
9.4 R_Y ~_l 5Yc2 ~C-7 ia~ •lJ y
Applicants Printed Name Applicant's 19ignature
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 D6-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.
❑ D5 03-plex ❑ 11 10-plex XX 19 Lower Level ❑ N Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 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
❑ 2 33 Alteration ❑ 37 Demolish Building' 43 Reroof, 46 Windows/Doors
34 Replacement `Demolition 'Enure Bldg) - Give PCA handout to applicant
Description: W(atter Damage_Yes
Valuation / Occupancy MCES System
Plan Review 100% or_ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft: PRV
# of Bldgs Length Fire SOrinklered
Type of Const V6 Wdth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~C Framing _ Siding _ Stucco Lath _ Stone Lath -Brick
_ Fireplace _ R.I. _ Air Test - Final _ Windows
~C Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC `
City SACS
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Address 826 Bald Lake Court Zip 5512 3
Lot 10 Ellk I Sub Gardenwood Ponds 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb 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 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 r , 3830 PILOT KNOB RD - 55122 a~ 3
851-881-4875
New Construction RmArarnenh Remodel/Reoair Reouiremenh
D 3 registered site surveys sharing sq. & of lot, sq. ff. of house 2 copies of plan
and all roofed areas (W% maxlmum lot coverage allowed) 1 set of energy cNadati ns for heated additions
D 2 copies of flans (show bearn Lt window sizes; poured hxL design: etc.) 1 site survey for mderlor additions & decks
D 1 set of energy calculations
> 3 copies of tree preservation plan H lot ptalted after 7/1/93
DATE: _ -2 Z i /2C5( -u CONSTRUCTION COST:
DESCRIPTION OF WORK: 1 v C w C 6/Y) 56- x-P C h
STREET AD/IDRRESS: T2-(, Zc I_/[~ La ko- er l'T(.c > - n/~
LOT: 0 BLOCK: SUBD./P.I.D. 0: r~,6. urrad qor ds
Name: Phone lf:
PROPERTY Lott Rrat
OWNER
Street Address:
City State: Zip:
Company. 1u 4- `CI UC - 1 ) V-N Phone M: &51 25.6 - -71 Z7
(area code)
CONTRACTOR /
Sheet Address: - WOSllitt,fion 6r Licensett an„56~Exp. 3
/ 5+r- 2n4
City ~_Q~ P yt State: A441 Zip: SS l 22
ARCHITECT/
ENGINEER Company: Name:
Telephone C ( )
Street Address: Registration
city
11 ``Sttate``: Zip:
Sewerlwater licensed plumber (if installing sewerlweterl ~m (S W .el cx- Phone (100-
I 53 d 3
r
hereby acknowledge that I have read this oppilcafbn, slate that the Infogna eorrad. and agree to comply with o9 plicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant.
V CFF CAE USE Ot~I{l( a1/'e-
Certificates of Survey Received ) Yes No
bGeJ- 0( --c?l3r FEB` 2~5
Tree Preservation Plan Received Yes No Not Required k 1
OFFICE USE ONLY ,
BUILDING PERMIT SUBTYPES
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi
K 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti
❑ 04 02-plax ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 03-plex ❑ 11 10-plex P1bg yor_N ❑ 25 Miscellaneous
❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg.
WQRK TYPE
31 New ❑ 36 Move Bldg. ❑ 43 Reroof
❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding
❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair
❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 1L # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width X-n Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ! h /
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy 'IA4) sq. ft. 2 City Water
Zoning ft. _j6i-,_ Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
X Stucco/Stone ~n
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License rL ' Gi
MC/ES SAC _ 13A
City SAC a
Water Conn. ~
Water Meter
Acct. Deposit
S/W Permit d " ' ~Q c7
S/W Surcharge
Treatment PL
Park Ded. _ r')r
Trails Ded. 2 7
Other
Copies
Total: . 3
SAC Units
% SAC
yxala
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 56124
(612) 432.2044
EXTERIOR F,NVELOPF, AVERAGE "U" WMPUTATION
NAME: D' P., NDRr'UN PLAN NUMBER WILC.IAI r?,~E~
Determine working square footage of each
1. Total exposed wall area...... 4 3--^ sq.ft. X .11 S j "t t
2. Total roof/ceiling area...... 4 ~-Y sq.ft. X .026 113.a
Total exposed wall area above floor = ti'> 9p
a. Total wall window area L1$4Y.2
b. Total door area ''-~,u
c. Total sliding glass door area........... -7(.
d. Total fireplace wall area
e. Total wall framing area (average 10%)... ~)S9,0
f. Total net wall area above floor......... 19
g. Total rim joist area.......... : U
Total exposed foundation area = Itl
h. Total foundation window area............
i. Total net foundation area above grade...
Determine "U" value of each wall segment
a. X nun .52 = Z z..
b. X nun .199 = 5.25
C. X "u" .52 57
d. X "U" .68
e. X "u" .096 = 442,1 u
f. X nun .A.3 = rc1 a
g. X "u" .041 = I4„z•G
h. _ X "U" 52 = -
i. X "u" .082 = 9,1
3. TOTAL St2.z~~
If item #3 is the same as, or less than item #1, you have
met the intent of SBC 6006 (c) 2.
-1-
Total exposed roof/ceiling area = ~i3 5v
Total gross roof/ceiling area =
i. Total skylight area
k. Total roof/ceiling framing area.......
1. Total net insulated roof/ceiling area. 9 y,.
Determine "U" value for each roof/ceiling segment
J. X "U" =
k. X "U" .024 = 1 a . Lj u
1. X "U" .022
_ $G, Z
4. TOTAL
If total of #4 is the same as, or less than #2, you have
met the intent of SBC C006 (c) 1.,
To utilize the total envelope system method, the values
established by the sum of items #3 and #4 shall not be
greater than the stun of items #1 and #2.
1. Szf?,1~ + 2. ! Cx12 = 6
3. 5,2.23 + 4. 91,.6`t = /.~(':~,g~
Materials Thermal resistance "R"
Exterior air........
Siding material......
Sheathing............
Insulation...........
Sheetrock............
Interior air.........
Rim
Concrete blocks......
-2-
• j ~
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 'V &Wz /✓lGl ~ TT/~lG S
h DATE OF SURVEY: O
N
LATEST REVISION: j -/5 -aa
w
tx
N DOCUMENT STANDARDS
0
0
o ~gc
v 0 ❑ Registered Land Surveyor signature and company
❑ Building Permit Applicant
❑ Legal descriptlon
❑ ❑ Address
❑ ❑ North arrow and scale
❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.)
❑ ❑ Directional drainage arrows with slope/gradient %
❑ ❑ Proposedfexisting sewer and water services & invert elevation
L4~ ❑ ❑ Street name
❑ ❑ Driveway
V V ❑ Lot Square Footage
d ❑ ❑ Lot Coverage
ELEVATIONS
/ Existing
d ❑ ❑ Sewer service (or Proposed)
❑ ❑ Property corners
r,✓ ❑ ❑ Top of curb at the driveway
e Elevations of any existing adjacent homes
❑ aY ❑ Adequate footing depth of structures due to adjacent utility trenches
Proposed
V-/ ❑ ❑ Garage floor
Y ❑ ❑ First floor
y-✓/ ❑ ❑ Lowest exposed elevation (walkoutWndow)
❑ Property comers
❑ ❑ Front and rear of home at the foundation
/ PONDING AREA (if applicable)
d/ ❑ ❑ Easement line
p ❑ ❑ NWL
❑ HWL
❑ Pond # designation
❑ Emergency Overflow Elevation
DIMENSIONS
V// ❑ ❑ Lot lines/Bearings & dimensions
❑ ❑ Right-of-way and street width (to back of curb)
c ❑ - 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 City utilities within those easements
0 7~ Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ ❑ Retaining wall requirements, if any
Reviewed: 'w
Name Data
March IW9
CRA"LDGPRMr FM
Wl c.u 116-0116-0
Zoos RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-66675
Please complete for modifications to existing residential dwellings.
Date 3 1 a$ 1 O(~
Site Street Address $ a tp La ue- C o u f' 4 Unit #
Property Owner ' I D 1" a VN Telephone # (t, SI) 8 U a 7 S
Contractor 2SS i v~ P~ ti ri g c r ices Tn ` Telephone # (Gr I ) 6 $ 8 a S Z
Address Q. a (1 'oZ City State n"ti Zip SS 1.2
The Applicant Is: _ Owner L-C~ontractor -Other
Septic System _ New - Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
- new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ 50
.5`O. So
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 reviewed nd app ved.
Applicants Printed Name Do Applicant's Signature
MAR 2 9 2D06
: l M40 V3
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
~5 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
\ Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date// ~
Site Address V v `r/- xv~"\ Unit #
Property Owner Telephone #
Contractor loll ( )
( nAir I
L~
Street Address 7 -5 / City { ~I e
state l- Zip d Telephone #/(~52 7!K;72-
Bond #:_,55/0/,/ 41 6'K Expires: O p_~; -S
The Applicant is Owner X Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement _ New
air exchanger
air conditioner
_ heat pump
other J- a -A q n ~o / Sc r~~ c olatc
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 iWthec e o/ff or k which requires a review and approval of plans
I SO
Applicant's Printed Name ppli t Signature
40 l b ` CITY USE ONLY ~ 62, u v
L In ~ BL -L hh RECEIPT#:
SUED. Gardehmod YOhas U-f-k RECEIPTDATE: 3--;0'00
PERMIT # " QM
8000 PLumoin EMIT (RuiDENTIiAtL)
CrrYoF EmAN
3830 PILOT KNOB RD
EAHAN, MN 551 EE
651-891-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backftow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x Z = $
Floor drain 3.00 x = $ 3 -
Gas piping outlet ' minimum -1 3.00 x = $ 1O-
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $ 3oO-
Lavatory 3.00 x 1,9 = $
Se tic System newirefurbished ' requires MPC 11c. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installafian/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construcfon 3.00 x = $
Underground srinkler If existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water turnaround 30.00 x = $
State Surcharge $ .50
v?
Total $ (P 2
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -e- th-- -e,e
hereby acknowledge that I have read this application, statthat the in/armation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City 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 within City properlylrighlof-way/easement.
SITE ADDRESS: rnnn O c) akg=,~ C?-
OWNER NAME:: 1 72 iZ~N TELEPHONE -14u,
(AREA CODE)
INSTALLER NAME: [l2 - TELEPHONE (.DS I
( I
STREETADDRESS: \l-nu 2r- P rz~r + 2 t- (AREACODE)
AA rr
CITY: STATE: Y~ N ZIP: S ~
SIGNA RE OF P MITTEE
BY: y Y~
CrrY USE ONLY
LOT 1 r~ BL I PERMIT
SUED. :1r'r l'.W00J f111(~i~ 61"u RECEIPT
RECEIPT DATE: C
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MH 55122
651-681-4675
Date:
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
~r
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or reairin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
- New _ Alteration _ Repair _ Other
_ Furnace Air conditioning
Air exchanger Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: ;
OWNER NAME: PHONE#:
(AREA CODE)
INSTALLER NAME: PHONE
- (AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP: ' "
i w -
i
SIGNATURE OF PERMITTEE
. IW W,~ IMI J2-- 2229- 90:
~e~
T
F _ _ - -
~ - 1 ~
S 85°31'24" 545.5
4.
~
1
z
~f ~
I`~
i ~ I ~ i
Drainage ~
utllit y
easement .-.--t~
i
~ i
n~ ~ ~
~ ~ d. i N ~
N ~
c~ ~ ~
~ : f ~yo~" ..S 4~ rtP'
~ i
^y. ~ . \ r ~ ~ / a~ ~ ~l,`~~' r ~ s ~ ~ f - - ~ I_`.
aGr J ~ 1~,~r ~ ~
\ ~ To curb to Gar slab = a ~.w a p __.1.
a,. ~ \ ~ Top block ~ ~,2,~~} \ r,
~ o ~ a'~ ~ Lowest bsmt flr = o
6 ~C V' ~,",.,a 1 ~ ~ ~ .
slab = _g--
~ C~ 'ar't ~ \
~t~~ Y ~ry• ~ \
s~ ~ a v ~ 826 ~a~d ~aKe
~ ~ ~ ,,v ~a ~ , DESCRIPTION
; ITV ~ a9 ) ~ ~ r , ~ ,yo.i ~t ~ Lot 16, Block 1,
~ ~ ~ GARDENWOOD PONDS FOURTH
~1 ~ \ \ ~~s ~ ~ Dakota County, Minnesota
S a~
' ~ \ ~ ~ ~ Plat bearin s shown V ..GIs ~a 9
)C . ~ o Denotes iron monument ~ ~ o~ ~ \
x- o ~ \ ~S _ Existin ~ Pro used ~p ~ _ Lot - 56,001 sq.ii. q/ p ~
~ i House = 2,Oi5 sq.ft.
'I~,~ `~b
7~~~~
f
G, i~ i 3, ,q.
ar r° i hereby certify that phis su
re ort was re aced b me or un ~ P P p Y ~ - supervisian
and that ! am a du
~~..v,.,_~~ ~ Land Survs or under the Laws
- y a b''~C'ey~ ~ - y~ aayy'~'~~ ,Yre ~i saga. ti v.~.,_ , k,f ~i.~.N,a,~'L~~ ~
#
.ate ~ ~ ~ _ i
! ~
~ 9! g
NDS FOURTH
Unnosoto
)wn
~ t"l Y11 kPY1 R}1 ~
~5GPC1~J1,~~; ~7~ ~B~~J~/ 9
- ~ ~ i ,r^ ~ n ~ - ~
~C~IV ~ ~ ! ~ 5 -1 9 e ~ 1
f ~ ~ ~ _ -
Use BLUE or BLACK Ink
r
For Office Use
non r ~ Permit#: L/C ~ I
City of EaRd RE - -
MAY 151011 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 5
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: I
j
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
x,
Date: / a Site Address: ~o Unit M
Name: i IA4 6144 Phone:
RESIDENT lj / /
OWNER Address / City / Zip: 15~~ L 6_ke &661
Applicant is: Owner Contractor
TYPE OF WORK Description of work: lit
Construction Cost: 9"o 0 p.Oc~ Multi-Family Building: (Yes / No Z-)
Company: 1Je-n5!-yi 4vtyt ~~h S~• LZC-. Contact: 6P 0115Wr,.,e!dl
CONTRACTOR Address: QQ212 /TJ/f• City: ke(L~~~.
State: " Zip: 5 S 0Yom( Phone: ~ D
License #:.~.-rte Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 7 j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
ti
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you sub r tare considered to be public information. Portions of
the information maybe classified as non-public if ou provide specific reasons that would permit the City to
conclude t t they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One XCat (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground www.gopherstateonecall.org
I 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X
X
- -
Applicant's Printed Name Applicant's Signature
Page 1 of 3
91~-*, 9RId ~,q 4~ C,~< DO NOT WRITE BELOW THIS LINE
SUB TYPES
- Foundation Fireplace - Porch (3-Season) Storm Damage
Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
- Multi Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 ~ofr Ptex - Lower Level Pool Miscellaneous
Accessory Building
i
WORK TYPES
New - Interior Improvement _ Siding Demolish Building*
Addition - Move Building _ Reroof - Demolish Interior
- Alteration Fire Repair _ Windows - Demolish Foundation
- Replace - Repair _ Egress Window - Water Damage
Retaining Wall Vemolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition)( Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge of, V
Plan Review ter-
MCES SAC t7
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant ~r
Copies r
TOTAL
Page 2of3
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r~~ ~ ~ 826 Ba d Lake Court $ ~ ~ 6 ~ ,ourt
~y, ~ r (f% ~F ~ . ~ . ~ ~ ~
~ / ~ ~ Sep,, ~ ~ , . DESCRIPTION
~ c' ~ V ~ ~ ~ ~ / Lot 10, Block 1 i '`n ~ ( ~ 1,,,
, ti. ~ ~ A GARD N
E WOOD PONDS FOURTH TH
~ 1ti. d' ~ Dakota Count ,Minnesota S `b ~ ~ Y
n a £~l, , ~ U ~ ; Plat bearings shown
8~ . t ~ ~ ~ 'SPA o Denotes iron monument x" , ~ py)
. d' Lot - 56,001 sq.ft. ~ ~ Existing Proposed
. ~ t House = 2,915 sq.ft.
i 1441 ~ r ~
~8L,62 ;i ~_J
9 ~,41~ ~ r~
a~
\
I hereb r if y ce t y that this survey, plan, survey, plan, or
' ~ report was re ared b me or under m dir ~*,r P P Y y under my direct
~ ~ su ervision and that I m P a a duly Regist~ duly Registered
( - Land Surve r under th yo e Laws of the St s of the State
i , ~dv~EP,~Cx DEPT.
ate 24Cb R I eq No. 8 _Reg. No. 8140
Q v I M►41t 2C1x ~ 4
Scale: 1 = 30
i BRANDY ENOIN EERING & SUR & SURVEYING
1 ~OC~ iNer 1 - ~t 4,~rd Street Sint et, Suite 206
C I~urr~svllle MN 7
5 ~3 ~
~ I''I~A ~ ~ ~ c 7 ~~C~IVE 51 ~ 3 5 -19 6 b
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA104946
Date Issued: 06/18/2012
Of (In Permit Category: ePermit
~ilj ER
Site Address: 826 Bald Lake Ct
Lot: 10 Block: 1 Addition: Gardenwood Ponds 4th
PID: 10-28803-01-100
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 15,522.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
BAC Construction Services Philip G Gilman
3032 Minnehaha Ave. S 826 Bald Lake Ct
Minneapolis MN 55406 Eagan MN 55123
(612) 721-5500
1 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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
b
City-----------------
I of Ea ~11 PertnftX I
Permlt Fee: _ 001
3530 Pilot Knob Road I I
I
Eagan MN 35122 1 Date Received: I
Phone: (6s1) 875-5875 I I
Staff I
Fax: (651) 673=5694 L.-- I
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ` Its, Address: ~ • )1~
• - P
Tenant: suit* t1:
RESIDENT I OWNER 'Name: v Phorw. S1 a- V i 7 Z5
Ad&ess / City I Zip; 1J mW
CONTRACTOR Narrfe;,MILBERT COMPANY INC.dba CUU11GAN WATER
Address: 18015 OTH ST EAST City : INVER GROVE *Hd~S.
:45~-2241
State•• MN Zip: 55.077' Phone: 65.1
Contact BIII•.•MII-B11TI. Email:
TYPE OF WORK AUNch _Replacement -Repair _Rebulld _ModKy apace _Workh►.R.O.W.
Descrl tion of Miork:,
PERMIT TYPE RE~IDENT/AL
Water Heater ,r)&ater Softener
Add Plumbing Fixtures Main I_ Lower Level)
Lawn hrlgatlgn RPZ Pi
• Septic Syatatn Water Turnaround
• .'New
-Abandonment
• RESIDENTIAL FEES:
$53.00 Minimum Water Hefter, Water Softener, or Water Heater nA Softener (Includes $5.00 State Surcharge)
$35.00,1-awn irrigation (Includes $5.00 State Surcharge)
$55.00 Add Plumbing Flxtuttes, Septic System Abandonment. WaterTumaround' pncludes $5.00 State Surcharge)
`Water Turnaround (add $166.00 Ka 513" meter is required)
i
$105.00 Septic System V_e,* ($10.00 per as built) (Includes County tee and $5.00 State Surcharge)
r $85.00 Fire Repair (replace bumoO out appliances, ductwork, eta) (Includes $5.00 State Surcharge)
' TOTAL FEES
-CALL BEFORE YOU DfG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 46 hours before you Intend to dig to redelvd locates of underground utltltles.• www.eooherstateonecall.ora
I hereby acknowledge that ihls kdbmtatlon Is complete and accurate; Ikat the work will be In cordormanoe with tM ordinances and oods,e of the City of
Eagan; Oat I understand this the a psi but oni applkido0lor a permit, and work Is not to start without a pq. ml0 that the work will be In
accordanceO the approved ill In the as of work which requires a,rwiew and approval or ane:
Applicant's Printed Name Appllcant's•Slgnature
FQR OyF~ 4W:e., y
r, mum
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170533
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 826 Bald Lake Ct
Lot:10 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-100
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 -
Philip G & Ann L Gilman
826 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