825 Bald Lake CtAddress ezs Ba1a Lake Court Zip 5512 3
LAt 12 Blk 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 (gatage)
Penuanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test pps from the plumbing system and the shutoff of water suPPl3' tO
the outside lawn faucet before frceze potential exists.
Contact engineering division at 6814645 before working in rig6tof-way ot installing underground sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Conhac[or Copy
2004 RESIDEN'ITAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?Q L? as"
t
New Construction Reouiremenis RemodeUFieoalr Reauiremenis Ofice Use Onlr
3 registered sile surveys showing sq, ft, of lot, sq. R of house, and all roofed areas 2 copies of plan CeA of Survey Recd _ Y _ IJ
(20°k mazimum bt coverage allowed) 1 sat of Energy Calculalions (or healed addNOns Trae Pres Plan Recd _ Y _ N,
2 copes of plan showing beam & window sizes; poured fouM design, etc. t site surveyfor additions & decks Tree Pres Required _Y _N
lsetofEnergyCalculations Adddion-irMicateifon-sdesep8csystem 6o•siteSepticSysiem _Y _N
3 mpies of Tree Preservation Plan if lot plaHed after 711193
Rim Joist DeWil Opfions seleclion shcet (bldgs with 3 or less units
Date /Construction Cost 30
Site Address cj; UniUSte #
Description of Work xV'?.e CJrj ? Q! G 4
Multi-Family Bldg _ Y N Fyreplace(s) _ 0 _ 1 ?\ ?
PropertyOwner 1 i ?
? 1?--D Ir ? :&t.(J L•P?_
CC,V?I? I
Telephone # ( }
\?J
Contractor ?2 ?U ?(/? t?? SD lv ?(,l S?(.t,? l? .
?P? S "? ?ac?`?
Address ?E?-70 Vco t? i.e C l?' e G
City C?QG/C/A-/ _
State
g
Zip E?rd 3_ Telephone ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
N If so, 25% plan review
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 appro lan in the case of work which requires a review and
approval of plans. r
VGZU P ?2cU?fc ?SD ?
Applicant's Printed Name /4App Ii c ant's ignature
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-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 O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. AIt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ?5- 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25.. Miscellaneous
Work Types t n r?? ?
rU
? 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 Windows/Doors
? 34 Replacement 'Demolitian (Entire 81dg) - G ive PCA handout to applicant
Valuation ? Oi (,9 0? Occupancy MCES System
Census Code Zoning City Water
5AC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
? Footings (deck)
?C Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
1<
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: IV ?? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
5 C-t2FWvv
ev(I C.dl-
21000
?? ? Ko
CITY OF EAGAN
CASHSER: JS TERMINAL N0: 685
DA'TEc 1E/01/99 T2MF_e 13:50;32
ID,
NbME: Dk HOFTON SNC.
2252 9220 825 RALD LAKE C 30.00
V10 9001 825 BALD LAKE C 17520.15
3866 3373 825 BAt..D LAKE C 100.00
3430 3001 625 RALU LAF:F_ C 0.25
3422 9001 825 EsAL.D LAKE C 98E3.10
2c.75 9220 $25 BALD L_AKE C 17039.50
3446 9001 825 FsALU LAKE C 10.50
205 9001 825 BALD LAKE C 0.50
3743 3220 825 $ALU LAKE C 50.00
2155 3001 825 E1ALU LAKE C' 97.00
Cfi120202 CONTINUE
USER ID: .1AN CpNTTNUE
?k?*#*??# **k?k?#?**?k:?*?ksK%??C?%kC*?N:#*:k***??K%c#?k
5 ?- l,?J ?j ?
:t*?%%?*%c*Xc?CXc?c:k:KMc*?c?c?kc?C?CXc*?i?**?X*?C CONTINUE
CITY OF EfaGAN
CASHIER: 7S TEf;MINAL N0: 685
DATE: 12101/33 TIMF; 13:50:33
ID:
NAhfE. IiR HORTON INC.
3868 9220 825 BALD LA4.E C 468.00
3716 3220 825 BALA LAKE L' 114.00
3713 9220 $25 BFlLb LAKE C 50.00
3865
Y 9220 B25 BALD LAKE C 825.00
To+,a1 Receipt Amount: 59233.00
CR 12Q2C)2
IJSEft ID: JAN
,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
b CITY OF EAGAN I?
3830 PII.OT KNOB RD - 55122 3.? ?
(651) 681-4675
?
New Construdion Reauiremen[s Remodel/Repeir Requirements
?I
? 3 registered site surveys ? 2 copies of plan ? 2 copies o( plans (inGude beam & window sizes; poured fnd. design: etc.) • 1 site 'surveys (exterior additions & decks)
? 1 energy calculations ? 1 enei'gy calculations for heated adddions
? 3 copies of tree preservation plan if bt platted after 711/93 Q
required: _Yes _ No
DATE: CONSTRIUCTIONCOST;
DESCRIPTION OF WORK: l?C)1/1C?I
STREET ADDRESS: L Ck kG IC+?
LOT: 1 2- BLOCK: ? SUBD./P.I.D. #: 60 , r?+? [nl.c crv,-( 71 n (J/C °1-?
PROPERTY
O%V!? Elt
List
Fin[
Phone #:
Sneet Address:------------------ -------- - ------ ---------------- ----------- ---
I
Cily ----- ------------------- -------- Statc: - ? ------------- ZlP' ----- --------- -
C;omp:iuy: \_?1` =..-??-'?r-------- I Ylioiie4:(-?-S7-) _--X .z?
, , . 2(,-4
CON1'R:\(,'1'OR I
Street Address:__?45_?,?.J??Y.lI ry_ &-srE_ Ircense tl 2!'YrL $L$)_Exp. _Zr-LL?
C;nY - ?ly??.G.n---------- - State: ?_1711ai------- Zlp' ------
ARCHITECT/
ENGINEER Comp.ury:------ - --------------- ----- ? Phoue #: ------------------- -----`--
Re}pstration N:
SU'eet
Qty
Slate:
Zip:
Sewer & water licensed plumber (new construction only). LJ .5-e- lL,'e r Penalty applies when address
.change and lot change is requested once permit is issued. `
C:?a /I-1 S3?
1 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 Ciry of Eagan Ordinances. I
?
Signature of Applicant:
i
?
OfFICE USE ONIY
Certificates of Survey Received _ Yes _ No / II ?? No' i Tree Preservation Plan Received _ Yes , No _ Not Required
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
pr,
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
,
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
?' 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATlON
Const. (Actual)
(Allowa6le
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Capies
Totai:
Basement sq. ft.
Main level sq. ft. , ' 7
?
Sq. n. zN?
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft. 2.3?q
Building
? Engineering
Valuation:
/S`3? x Sy~
??33xsy=
7C S? /G =
1
?a93.o?
Census Code /G J
SAC Code ('? I
Census Units
Census Bldg
MC/WS System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
2,3 ?•?" ?/Z r3
7/
I Z}Z 1-1o
r
% SAC
SAC Units
- - ?_ - ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DW R4ELLTNGS-s.?
SITB
..e+ruoac,u nay U !'IIVI??+F PIIONS q DATB
BIIIL19INf3 CLRSSIFICATIOt7; ? categosy 1
(otendar
d) or ? cata o 2
g ry (muot inalud
a vantilation)
1fINI
llUM CRZTBRIA
Foundation Ineula[ion-R10 Halla L Wiadowa
Roof Attla Inaulation:
Slab on Grade Ineulation-R10
See table on r
(
for ullowabl
everee side
a p ercentages) R44-With Attic No lleel
Floot over unheated epaces-11 24
R38-Witli Attic Raised Ileel
Foundation Windowe 1/2"
ineulated Glase
, R38 6 RS-Solid Rafters
-Wood or vin 1 F'rame
BT6P 1 Wiadow E Door Area STBP 2 Calculata area ae a peroent oE wall
A. Total Window & Door Area 'in Sq. Feet
WINDOWS (Including Foutidation Windowa):
WINDOH MAN[7FACTnRL+ NAMS:
C. From Step 1 divide 6ox A(4lindow ? Door
WINDOW MANfIFACTURS TYP6t ' Area) by Uox U(to[al wall azea) Limeo 100
equalx tlie window and door area ae a
WIl7DOW MAD7IIFACTURH II FACTOAt percent of wall area (box C).
R. O. Quantity r.q.fC.Area yOX A??J X 100
Dimensions Q
C = !
?
QO
'
Aox B 2? r
!Cl
2! QN X S- Qw% ?
o
STSP 3
' N Danign Peaturen
X
?
?
P.SSEt48LY
^
zxry -?N
l
1
`i1t
_
_
::? /,
PRAMIHG TYPE
2i,y1
?1 :
X
«? ? STATIDARD PRAMING Dtt
d
--
p t
s 16
Z..(/
X?`{D
ADVANCED FRTMING ct
d
"
N u
e 24
o.c.
->I O X5?V CAVITY INSULATION RId
1, 164 X _
9RHATHSfIG TYPH:
X ?
LESS TFIAtd < R-5 '
X R-5 > OR PIORE
EHI
X U-FACTOR
p
DOO?S: $ z,
? From the table,
he
E
'
e
n
J maximum percent window
& d
0 X g oor
area
for
the
deeign optione seleoCed and enCer the k val
(y (? Ue
in ?ox D below baoed on thQ window mfg. U-
_? factor:
4.- x cer-i
4'utal Area of n_ n?yq,ft.
Windowe & Doors L9
e- Total Wall Area in Sq, Ft.
Wall Total Heiglit Area
Perimeter
IT
l..(.?_J 1 D
The i value from tLe Cable in Uox D shall be
equal to or greaCer tLan the t in pox C
1'otal Atea of W_lls I?=???.ft
F.Tlie building'
inust not exceed lhe maximum window and door area as a
Percentage af overall exposed wall area listed below for the combination
of framirig technique, R-vaiue of insulation within the insulated cax1ty,
" shealhing R-yalue, and window U-factor. Other components must meet
the reqtiirements of this subpart.
,
MAXIMU?1 WINI]O{Y AND DOOII AREA
.l AS A PFRCC-NT aF OVERAt.t. T:XPOSLD {NAL[.
Cavity ; Windo%v L'-Factor
=Framtng (nsulation Sheathing_ _O,q_9 - 036 031_
STANAARp R-13 " • 211-7 13.96/. 17.8% 21.3% 24.31.b
Sj'ANpARQ R-15 2R-5 12.901b 17.1°/0 20.10% 33.90'.
STANAARD . R-78 <It-5 , 11.7% 18.8°:. 22.000
$TANPARD RJ8 2R-5 13.516 18.6°b 21.806 2 5.31L
AI]VANCEP , R78 <11•5 11.1°,6 `17.1% 20.I;o 23.9%
.ApVANCEP 11-18 ?ft-5 . 13.59L 192% 22.5°0 26.1"L
STANDARD 2-21 <11-5 1t.8°1 ,• 77.0a% 19.9:0 23.1°.
Sj'RNDAltD It-21 2R-5 IqA% 19.3°L 22.51,. 26.1°.
Al]VANC[Q R-21 <R-5 11.8°o IB.]% 21.2°'. 2•1.6%
APVANCGp [2-21 2ft-5 . 19.0°1. 19.9;0 232°16 26.91'.
Subp. 3. Performance crileria. The combined thermal transmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces musl Ue less than or
eyual to:
A. U.110 iihi/h ft2 °P for wails;
A. 0.026 Rt-u/h f12 °r for roof/ceilings; and
C. 0.04 Ahi/h fl2 °P for floors.
STA7' AlI7'H: MS § 216C.19
HIST: IB Slz 2361
7670.4980 RepenteA, 18 SR 2361
? ?-
Minn. Rules ChaMcr 7670 26 ,. .. .,,,,.
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ZO? ?a7 '/l
h DATE OF SURVEY:
W LATEST REVISION:
?
p DOCUMENTSTANDARDS
Z Q
O
? Q
o ? • Registered Land Surveyor sgnature and company
? ? ? • BuildingPermitApplicant
9111 ? • Legal description
? ? • Address
? ? ? • North arrow and scale
q? ? _? • House type (rambler, walkout, spld w/o, split entry, lookout, etc.)
? o • Directional dreinage arrows wfth slope/gradient %
?t ? ? • Propasedlepsting sewer and water services & invert elevatlon
? ? o • Street name
?/ ? ? • Driveway
a ? Lot Square Footage
? ? :
Lot Coverage
ELEVATIONS
/ Existn-cj
r// ? ? • Sewer service (or Proposed)
ry ? ? • Property corners
?? ? • Top of curb at the driveway
y? ?
? ? • Elevations of any eps4ng adjacent homes
t
dlit
h
d
t
o o jacen
u
renc
es
Adequate foo4ng depth of structutes due to a
y
/ Prooosed
?
? ? • Garage floor
? ? • First floor
? ? • Lowest exposed elevatlan (waikouUwindow)
? ? • Property corners
V? ? • Frorrt and rear of home at ihe foundation
/ PONDINGAREA'rfa icable
? 4/ ? • Easement line
? ? • NWL
o r{? ? • HWL
? ? • Pond # designafion
? G? ? • Emergency Overflow Elevation
1*40,
/ DIMENSIONS
m ? ? • Lot Gnes/Bearings & dimensions
? ? • Right-of-way and street width (ta back oi curb)
[y ?? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. all structures requiring pennanentfootings)
/?? • Show all easements of record and any Ciry utilities within those easements
td ?/? • Setbacks of proposed sVucture and sideyard setback of adjacent existing structures
??' ? • Retaining wall requirements, if any n /
Reviewed:
! Oate
.
March t909
GpAlt7ipLpGPRMT FM
CITY USE ONLY I ?
? f
SUBD. 1 CBid.VCk.t`Vl wCSO(? RECEIPTDATE:
'i PERMIT if
1999 PLUM$INH PERMIT wSiD?L)
crrY oe E,asM
s83o Pnorr uos Rn '
EAsAN, auv ss1Ez
c651l681-4675
Please complete for: ? single family dwellings I
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system'
I
FIXTURES
EACH I t/
TOTAL
Bath tub $ 3.00 x-rZ T - $ ln -
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 = $ pP
Laund tra 3.00 x I = $
Lavato 3.00 x = $ S
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iia 75.00 x = $
Private Dis osai S stem a6andonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $ `x?
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 3 = $ °=
Water heater 3.00 x = $
Water softener if dweuin under wnsvuction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ----
State Surchar e .50 -? ----> ----> $ 50 i
Total --5 --? ----> ----> $ p°-
Reminder: Ca!l far inspections oi alterations, i.e. water heaters, water softeners, etc.
?
-------
ackn •------•-------• .............••----•--------------
y g pp gree to comply withall applicableCity of Eagan ordinances.
1 here6 aMed e that I have read this a lication, siate Wal the infortnation is correct, aM-a
It is the aOPlicant's responsibility to nohiy the property owner that the City of Eagan assumesi no liabilily foi any damages caused by the City during its
nortnal operational and maintenance actlvi6es to the facilities constructed under this permit within City property/right-of-way/easement.
SITEADDRESS:
OWNER NAME: : TELEPHONE #: qIDb:?)
(AREA CODE)
INSTALLER NAME: kn 4? TELE ?PHONE #: ?51 t-I2? - II ??I
.. r.?. ..- r ?i-r- I (AREA CODE)
STREET ADDRESS: ( K 114'?, ?KD_???
CITY:
STATE:
ZIP. -?-q1CL
?
1
SIGN URE OF PE MITTEE
CITY USE ONLY
LOT I?)- BL I_ RECEIPT #: U?
SUBD. &QVAfi K ?n 0(9 cg CEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PEf;MIT (RESID£NTIAL)
crrY oF EaeAx
3930 PaoT KNos Rn
EAfiAN MN 55122
Date: X:? -" 9 - 99 (651) 6$1-4675
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
(?.00
.50
$ - -?Q. !5,0
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or con7ZNew indicate if it is a new item, alteration, or repair.
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
_ Furnace _ Air conditioning
, Air exchanger
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRE55: C-,,LOWNERNAME: ?G_ _ / %i????_ ___ PHONE#: n ??_- y? - y6rc3
? // ^ (AREA CODE)
INSTALLER NAME: ?1 rn Pr?% ?1 ? PHONE #: ??/ - yC? - E,Oc? a
L (AREA CODE)
STREETADDRESS: .?L C3T?^ r.7 AU'c CITY:
STATE: ZIP:
IGNATURE OF EI?4I?`CFER
? 2006 RESIDENTIAL BUILDING rExMIT arrLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered stle surveys showing sq. ft of lot, sq, ft of house; and all roofed areas
(20% maximum Iot coverage allowed)
1 Soiis Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, elc.
1 set of Energy Calculations
3 copies of Tree Preservatbn Plan if lot platted after 711/93
Rim Joist Defail Options seladion sheet (buildings with 3 or less untts)
Minnegasco mechanirelventilationform
RemodeVReoair Reauirements
2 copies of pWn showing (ootingS, beams, joists
1 set of Energy Calculations for heated addi6ons
1 site survey for additions & decks
Addifion - irtdicate 'rf on-sRe sep6c sysfem
Date ? l Ti?P /? ConstructionCosvvU
/?
Site Address UnitlSte #
FZ?
Description of Work '
Multi-Family Bldg _ Y/f N Fireplace(s) !b 0 _ 1 _ 2
PropertyOwner /r„ :, c.? Aetv`k Y Ur,ke-r- Telephone#((y!( ),%?s L5O6'7-
Contractor ?rn?`5 ?te.? ?as?+uv?'- Goowpq,wy
Address / ?Sr ? /rvG1C-t?pe p? pc i^ ,??.,?'N_. ' 7 City ?S °r..ti -
State Zip S S_(Z _k Telephone # ((p$j ) fy !?j! 29IS_
? r
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate2orv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submiried
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
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:
Licensed Plumber Telephone #(
Mechanical Contractor Telephone # (
i
Sewer/WaterContractor Telephone#(
ii -
?,C),W
=',U`>"pn'
g t? ._ .. _ .
Tiee Pres flait?c?-<'?.??g:sig`Y
?;.,n??`,<e-? =- ? _,.:
T1e4;1?irs.Re?ggifed?`.?`?`;r?..'=:.'-??
??m-5,if,a;SeP?4.? ta?
9L- _j
. -?--`? -
I hereby apply for a Residential ?Buildmg 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.
n ('oIz-zqg• yaoz
['a,?'??aGc.-• 1??(,-?-p..L
Applicant's Printed Name
pplicant's Signature
DO NOT WRITE BELOW TAIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 1?, 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 . . Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire 81dg ) - Give PCA handout to applicant
DesCfiption: WaterDamage_Yes
Valuation ?o(po
? Occupancy MCESSystem
T
Plan Review 100% or 25%
Census Code L,4 ? L4_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
V
Type of Const
? Width
REQUIRED INSPECTIONS •
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O.
_ Foundation ? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/G as Tests Final
? Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. J Air Test _ Final _ Windows
y? Insulation
! _ Retaining Wall
Approved By: T?? , B uilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?-------_
?s???-
2oos RESIDENTIAL PLUMBING PERnmTAPPUCATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
Date
Site Street Address Unit # -
Telephone # Vi-I ) ?C6.?- '?r?l`?Z
Property Owner
Telephone#
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/ /' 6? Z AM1
/
?
Contractor
A&A) Zip 7
' l/ ?& State
'?) Mt?5?? ?W Ctt
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1
Address
The Applicant is: _ Owner ,-<- Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
New
Septic System Coun
Inciud ?
0 fee
_
_ 00.
1
Per as-6uilt $ 10.00
Aiterations to existing dweiling $ 50.00
? Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insia(ling ool 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. ?p ? (1
kc? ? a v
Septic System Abandonment U
_
_Water?umaround (add $130.00 if a 5f8" meter is required) '`'?`, j„ i { 1 0 2qa6
Other:
Water Softener _ Water Heater $ 15.00
new _ reptacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
$ 50
State Surcharge
$
Total
om l ete and accurate? that the
I hereby apply for a Residentiai Plumbing Permtt and acknawledge that the mformation is c p work will be in conformance with the ordinances and cndes of the City of Eagan and the piumbing
codes; that I
understand this is not a permit, but only an application for a per t, work is not to start without a permit and work wiil be in
aQc rdance with the ap roved plan in the event a plan is requir t?.}J"?7 rev?i pj a/n? rved.
I ? /Il ?G?AYI!! // l /n01 /?
pplioant's Printed Name
cEIRTIFIcATE OF suRVEv
for
D. R. MORTON
Lot = 18,542 sq.ft.
House = 2,345 sq.ft.
MaxN-rA,1N Su?AILIC 2?'0
GtZAOETo F-NSURf=' PRo'PER
BAUYA rza
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Top curb to Gar Siab 35
Top block = ??346
Lowest bsmt flr = 8-141?
5cale: 1" = 30'
N o. 8140
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.
ate
825 Bald Lake Court
Lot 12, Block 1,
GARDENWQOQ PONDS FOURTH
Dakota County, Minnesota
Plot bearings shown
o Denotes iron monument
? Existing? Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966 M32-2114-99,
M32-2114-99
N(?l 2 9 i999
?k ?'*
?
?ri rd. 6 J
5j
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?
RECElVED NJV 2 9 1999
11
CEF311FICATE (F SUR1EY
for
D. R. HORTON
Lot = 18,542 sq.ft.
House = 2,345 sq.ft.
?
i
MAYNrqsn+ SWALE e M14. 2?'0
171RflDETo rmSURc PRo;' E(Z ^
r3ACKYA RD
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Top curb to Gar slab =_ 3S _
Top block =
Lowest bsmt flr
Scale: 1" = 30'
825 Bald Lake Court
DESCftIPTION
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.
Reg. No. 8140
Lot 12, Block 1,
GARDENWQQP PONDS 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
M32-2114-99;
s
lx? 0.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122622
Date Issued:05/14/2014
Permit Category:ePermit
Site Address: 825 Bald Lake Ct
Lot:12 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-120
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 -
Marty R Junker
825 Bald Lake Ct
Eagan MN 55123
(651) 365-8052
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122622
Date Issued:05/14/2014
Permit Category:ePermit
Site Address: 825 Bald Lake Ct
Lot:12 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-120
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 -
Marty R Junker
825 Bald Lake Ct
Eagan MN 55123
(651) 365-8052
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127653
Date Issued:10/09/2014
Permit Category:ePermit
Site Address: 825 Bald Lake Ct
Lot:12 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
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 -
Marty R Junker
825 Bald Lake Ct
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140097
Date Issued:11/23/2016
Permit Category:ePermit
Site Address: 825 Bald Lake Ct
Lot:12 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marty R Junker
825 Bald Lake Ct
Eagan MN 55123
(651) 365-8052
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164719
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 825 Bald Lake Ct
Lot:12 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marty R & Lori J Junker
825 Bald Lk Ct
Eagan MN 55123--248
(651) 365-8052
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature