821 Govern CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 821 Govern Cir
Lot: 8 Block: 5 Addition: Gardenwood Ponds
PID:10- 28800 - 080 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Krech Exteriors Corporation
5866 Blackshire Path
Inver Grove Hgts MN 55076
(651) 688 -6368
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
John H Mclean
821 Govern Cir
Eagan MN 55123
$90.00
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA080287
10/08/2007
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
?
GITY -4)F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
?.??•??'t t:rd ? t!t
;a?, ?I,•???ur? ?i??S?i?,
PERMIT SUBTYPE:
+I I
APPLICANT:
, i .
. , TYPE OF WORK:
N 1 L1
INSPECTION D• • D
PERMIT TYPE:
Permit Number:
Qate Issued: '
I LyiAkk S: `; & W P! NR NI IS, bt t-!A f F N RN{), •.f Wf- k
Permit No. Permit Holder Date Telephone M
ELECTRlC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS "I'll /
7 ?'
FOUND %4 ? J?z
FRAMING
ROOFINO
ROUGH
PLUMBING
?t
PLBG
AIR TEST
ROUGH
HEA1'ING
GAS SVC
TEST
INSUL
t'
GYPBOARD
FIREPLACE
G,
FIREPLACE
AIR TEST
FINAL PLBG -
FINAL HTG
ORSAT
TEST
BLDG FINAL l,, ?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Address 821 covERN CIRCLE Zip 5512 3
I.ot ,.8 .. Blk 5 Sub GnRnnvwoon rorms
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME O? THE FINAL INSPECITON.
Date: Yes No Inspectot:
Final grade (6" from siding) t. `
Permanent steps (gazage)
Permanent steps (main entry) , f
Permanent driveway V/
Permanent gas
SodlSeeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisu.
Contad engineering division at 681-4645 before wmking in right-of-way or inscalling underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy w
C ITY?OF EAGAN PERMIT m050537
X
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Num6er: 026819
(612) 681-4675 Date Issued: 12 / 0 5/ 9 5
SITE ADDRESS:
821 GOVERN CIR
LO7: 8 BLOCK: 5
GARpENW00D PONDS
DESCRIPTION:
jfwi1`d'1rfg,Permit Type
Pi'B.u.iidin,g;;&1o,rk Type
OccuFWSrroi`y,,?
Eon$truc'tS.aVi '?"ype
2on.in4.
Bu'ilding`.',1, 069.t.h
o Builetf?tg°,'.Wi'dt€im
ut.
?• w ?
st`r"wara
SF OWG
NEW
R-3 U-1
V-N
R--1
60
58
2
2,818
0101 1 - FAM. DETACH
1'+A1 ^ $?}g ?R9'i ??aa.. ?r ?,??, iFs
r?:?.x ?ne'?g?'? "'b??'?Ns°?
ez ?s?? g?I a. 'wn .,,'' ??a i
REMARKS:
S& W PLBR - M& W WATER RNO 5EWER
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SflC %
5AC UniCs
Subtotal
VAL.UATION
$1,597.25
$559.04
$121.00
$850.00
100
1
$3,127.29
$242,000
MISCELLANEOUS $1,892.50
COPY $.50
Total Fee $5,020.29
CONTRACTOR: - Applicant - sT. LIC.C)WNER:
NOR70M INC OF MN, D R 14544663 20005657 JOE MTLLER MOMES
3459 WASHINGTON DR 204 3459 WASHINGTON OR
EA6flN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
:.?..
I hereby daknowledge4that I-have r.ead. tl5is.;applicati`can'and' sCate tltat th:e-,'
?-`intorma?ticrn: is?eQrreat.?andw`ag?rrge t?z co?ply-.w`iCh 82k appS3calb I e`?.Sta t-0 <if_ Mrt. e.
5tatutes"snd Cit,y.of Ea'g?an.Qr„dinanc es.
Dix- to tR d f 1'11,4-
??
APPLICANTiPER TEE SIGNATURE ? S TRET
INSYEC'1'IUN RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
6UTLOTNG
026819
12/05/95
SITE ADDRESS:
LOT:
821 GOVERN CIR
GARDENWOOD PONpS
PERMIT SUBTYPE:
SF OWG
s sLocK: SAPPLICANT:
HORTON INC OF MN. D R
(612) 454-4663
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .A .
FOUNDATION D.
FRAMZNG ROOFING
INSULFlTION FIREPLACE
ROUGH TN PLBG ROU6H IN HTG
FZNAL PLBG FINAL
•?• ? ? ,
.
CITY OF EAGAN Zq
? f 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site wrveya ? 2 copies of plan
? 2 copies of plens (InGude beam & window alzes; pourod fid, tlesign; etc.) ? 2 site surveys (exterior addkions 8 dacks)
? 1 energy calculations ? 7 energy aakulations tor heated addilions
? 3 copies of tree preaervation plan H lot platted after 7/7/93
required: -,L Yes _ No
DATE: /1?3`4S CONSTRUCTION COST: I5_7 92v
DESCRIPTION OF WORK: AIL/
STREET ADDRESS: ' rdj 6X)V61'n C'vr Ie.
LOT _f BLOCK ' SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER
Street Address-
City: State: Zip:
CONTRACTOR Company: .Toe, N, ;Ile- t/?Nes Phone #: "7?- `?4 w12
StreetAddress: ,3V
S?x /?,lc License#G????-r
?
City: State: /1,,c1 Zip•
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #-
Street Address,
City: State: Zip:
Sewer & water licensed ptumber: /Y)?-dcl e- ?`'e.k_ . Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this appi(cation and state that the infortnation is corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applipnt:
OFFICE USE ONLY /
/
Cewficates of Survey Received ? Yes o ;")V 13 1995
Tree Preservation Plan Received Yes ZNo
BUILDING PERMIT TYPE
OFFICE USE ONLY
'? ?,?? ?,. ,?+?
?
0 01 Foundation o OB Duplex o 11 Apt./Lodging ? 16 Basement Finish
,w'"02 SF Dwelling o 07 4-plex o 12 Muki RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facitity
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
?-31 New ? 33 Aiterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. ? 7zJ MC/WS System ?
(Allowable) Main level s
ft '7f?- Cit
W
t
=
q.
. 4 y
a
er a
?
UBC Oxupancy Yd- a/ 2 Sy, ft. 7f?S Fire Sprinklered
Zoning
# of Stories - i
0 Pf.r. sq. ft.
$q, ft. PRV
Booster Pump
Length 66 sq. ft. Census Code. o/
Depth ? Footprint sq. ft. ? SAC Code o?
y"sn Census Bidg i
APPROVALS ?
?(o f?r?' Census Unit ?
Planning Building E ngineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
srw surcnar9e
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
% SAC
SAC Units
valuation: $ Z C?Z / dvv
0 14 ?ZZ
so
/vrlo
?? -- -
?-
???£? ` .
Z/ i4 ?, ?•
C???ss
a..cA = Z, ozcj
??Hv./y> = ??_----
l, 7 7 3 x /-?- ? _
26, frl'
l==-
.93rz0 -7
x ir? : 23l (74?,V50 , 5?0
Z Y Z" ?
?? 7 v S k 5?! = -7 K
----------- -------'-. -
6 G/0
LOT SURVEY CHECKUST FOR RESIDENTIAL
W BUILDING PERMIT APPIICATION
o -f
y PROPERTY LEGAL:
??].?iC
W ?
? 6 m DATE OF SURVEY:
u N LATEST REVISION:
?
4 x Y
DOCUMENT STANDARDS
4?0 ? • Registared Land Surveyor signature and campany
G?o o • Building PartnitAppllcant
? ? • Legal descriptlon
?
" ? • Address
e"
? ? • Narth artow and scale
?O 13 • House type (rambler, walkaut, split w/o, split entry, lookout, etc.)
e-'o
B"' (3 O
? • Oirectlonal drainape artows wiN siope/pradlent %
2"'?D
? • Proposed/eristlng sewer and water services dc invert elevetton
• . Street name
[9?'0 ? • ' Driveway
ELEVATIONS
12?'
D
o
• ,
Existlna
Sewarservice
-/
+u? ? ? • Properly comers
Top of curb at the driveway
?? ? • Elevatlons of any ebstlng adJacent homes
Proposed
0 • Garege floor .
? • Frst floor
Q? Q ? • Lowesc exposed elevatlon (walkouUwindow)
o? ? • Property comers
? ? • Front and raer of home at the foundatlon
I
PONDING AREA fi/ aoolicablel
M<?O O • Easement Iine
M?' D o t NWL
cr-'o ? • HYVL. ,
;
o% Q • .
Pond # des{pnatlon
? ?? ? • Emergenry Overflow Elevatlon
DIMENSIONS
[9"?O
9??C O
O • Lot IinesrHearings E dimensions
•
• Right-of-way and sUreet width (W back of curb)
a-'o o • Proposad home dimensiona Including aml proposed decks, overfianps preater then 2',
Q-?'h
0 porches, etc. p.e, all sVuctures requ(nnq permanent footlngs)
t3?0
? •
• Show all easaments of record and any Ciry utlities within those easemenls
0 014- Satbacks of proposed structure and sideyard satback of adjaeent exdstlng sVuctures
'
• Retaining wall requirements
f any
Reviewed:
JuFy 7995
3+03
895.3
2
I ?
u ?
2
" s - -
R -
Tm
L = i
PC a 0+20.37
PT = 6+29.44
y+8v
892.8
?iA
ICIN4
\
---^' / A ? '•? ?
-g - - " " \ O SC?y 1' ?'r
- - ydM ??,?? \ \ \
8"x8" TEE
75'„g.' DIP CL. 52
s G.y & Box w.ar?
8"-1/16 BEND ' PLUG
?
?"`--897.5-1
.
Fwo
a85.5 ! `T '-1- (Model Home)
;
2 893.1 1 ;
3/+?11 );,???,f?•,,-.;.'.:?1'?"?
.,•? ?; -• ?', €,I':"Y ''????•, / ?
8J5.o
A - 75'51'45'
R= 460.00' 24 ., dli;,? i/
iJ
,L = 609.06'.
PC a 0?-'17.10.
PT a 6t26.16°
.. .. . ... ? 25
N ?
AL?L WATER MAIN SHALL HAVE FIELD VERIFY LOCATION AND ?
7.5' MINIMUM COVER. ELEVATION OF ALL STUBS
OVERDEPTH INCIDENTAL PRIOR TO CONSTRUCTION
' { . . . . . .
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...... .. : BtNCH !MARK
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' F TBADDRESS(
NpLETED HYi
ENERGY CODE ?J-J ?
_ WORKSHEET POR 1& 2 rANfILX DWELLINGS
%?fSA P?,4 L? ? C1z•Y
DAT6
I'HOILDING CLASSIFICATIoti: C1 category 1(ntandard) or ? catagory 2[munt incl
N ude ventilart.,..i
- - - ---
HIHIMUP! CRITERIA
Foundation Ineulation-R1o Walle G Windawo
Slab on Grade Inoulation-R10 (See Cable on reverse side
for allowable percentagesi
Floor over unheated opaces-R24
Founda[ion Windowe 1/2"
ineulated class.
-Wood or Vinyl Frame
STBp 1 Window 4 Door Area
A. Total Window 4 Door Area in Sq. Feet
WINDOWS (Including L'oundation Win(jowo);
WISiDOW MANTIFACTURE NAMB;
WZNDOW MkliiIFACTqR6 TYPH: "
WINDOW MAt70FACTURB II FACTOR;
R. O. QuanCitY r.q.fC.Area
Dimensions
z ! ca" X . -'b" ?++? u
x
x J-4n)
x Sl
x
x
X
t ?
X
X
x
DOORS:
/ .O X
l4
G x '.n 11 I ??.
Total Area of A=C?q,£t.
Vlindows 4 Doors ?
U. To[al Yial] Area in Sq. Pt.
Wall Total ?eig}it Area
Perimeter
_ 11_J .S, o
7'otal Area of Wal1s , 1 ?
t[
Roof Att1a Inaulation,
R49-With Attic No ifeel
? R38-11ith Attic Raised IIeel
R38 & R5-SOlid RaEtera
STBP 2 Calculate area ae a peraent of wall
C. From Step 1 divide box A(Vtindow & Door
Area) hy Uox ?(cotal wall area) Cimea l00
equals [ho window and door area ae a
percent oE wa11 area (box C),
BOX_A JD X 100
aox u+aTr
STEP 3
r.ssr•.Mai,Y
PRAI7IIJG TYPE:
Si'AtlDARn ['RAf1ING
ADVAHCGI7 FR1fMING
Cf.VITY INSUt.RTION
Deo1gn Featureo
otuds 16" o.c.
r.cude 29" o.c.
3FISAT1111IG TYP6:
LESS THAN c R-5
R-5 s OR NORL
0-FACTOR p
From Che table, (reverse side) determine the
maximum percent w3ndow 6 door urea Eor tha
deaign optione ee]ecCed and enCer the L value
in 6ox P below 6ar,ed on [he window mEg. U-
factor:
'_'.7-'__' p
1'he i value from lhe ?ible in ilox D shall be
eyunl [o or greaCCr Ulan the l in IIox C
?! ? .. CITY USE ONLY ,e?
L BL ? RECEIPT#: `L-?
SUBD. DATE: 111 ??
1996 PLUMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675 _
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACE{ TOTAL
Shower 3.00 x =
Water Closef 3.n0 x = /
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen 5ink 3.00 x
Laundry Tray 3.00 x
Hot Tub/5pa 3.00 x
Water Heater 3.00 x ?
Floor Drain 3.00 x ?
Gas Piping Outlet " minimum - 7 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 50.00 =
(new and refurbished systems)
'
U.G. Sprinkler
home under const. 3.00
Alterdtions * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL -622r-?-
SITE
OWNER
INSTALLI
STREET ADDRESS: /428 -1 6/2°rf Irl
CITY: ?vC.l i lDL?I ) T STATE:? ZIP: --?LsL??IJ
PHONE #:
?TJ,U!
? `..
LW BL ? CITY USE ONLY RECEIPT
SUBD. aa4-, DATE:
1995 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X- New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? 5tate Surcharge
TOTAL
vz0:?
24.00
6.00 %
3.00
.50
?
SITE ADDRESS:
OWNER NAME: UoC /i1lt1??k d«n"/?S PHONE #: ?S?"yb63
INSTALLER
STREETADDRESS:
CITY: AMIWG7041 STATE: ZIP:
PHONE #: ) ylaO
I
/
zoos RESIDENTIAL BUILDING rExMiT ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New Conshuclion Revuirements
3 registered site surveys showing sq. R. of iot, sq. ft of house; and all roofed areas
(20% mazimum lot cove2ge allowed)
2 copies of pWn showing beam 8 window sizes; poured iound design, eic.
t set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Opfions selection sheet (buildings wiN 3 or less units)
Minnegasw rtechanicalvengationform
76)- l
o?IF?c`ev5e?[m'iv
Cerl oFSuiseyRel :;:n: `_Y-..._N
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IIate /, ! -7 C% Construction Cost
Site Address ?Z 1 C? ?7-t ? r CrCL E- Unit/Ste #
Description of Work N -e c- l? ??Id `C I V Yt
Mul[i-Family Bldg _ Y t,-N Ilreplace(s) _ 0_ 1 _ Z
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wner
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Address City --e V'Q43rr
State Zip ?5 5 ?? Ll tv Tetephone #(&t Z) gOZ - 72 `/ y
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COMPLETE YHIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesoh Rules 7672
Energy Code Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 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:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
?iu,
,
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 pemut, 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.
,4.41(-1,) 7E40
ApplicanYs Print Name A lic gnature
RemodeUReoair ReouiremenEs
2 copies of plan showing footings, 6eams, joists
t set of Energy Calcutatlons (or heated addifions
1 s'rte survey for additions & decla
Addrtion - indicate ifon-sRe septic sysfem
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 ExL Ak - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AI[ - SF
? 04 02-p(ex ? 10 08-pfez )X 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi RAisc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? '12 12-plex ? 25 Misceilaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
IX- 32 AddiBon O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Butlding• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *DemWitlon (Entire Bidg) - Give PCA handou[ to applicant
DeSCriDtion: WaterQamage_Yes
?
Valuation ,&?? n
Occupancy ?J MCES System
Plan Review /'L/L100°/, or_ 25%
Census Code 2-13 ? Zonin ? `
9 _? City Water -?
'
SAC Units r Stories Booster Pump '
# of Units ? Sq. Fk PRV
# of Bld `
9s -
Length ?=t Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Shee4ock
jt Footings (deck) FinaUC.O.
_ Foorings(addition) ? FinaUlVo C.O.
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water ? Final Pool F[gs Air/Gas Tests Final
- FIaII"nB _ Siding
Stucco Lath 3tonel,ath Brick
- Fueplace _ U. _ Air Test _
_ Final Windows
, Insulation _ Retaining Wall
Approved By. guilding Inspector
Base Fee ?
Surcharge
Plan Review
MCIES SAC .
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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CERTIFICATE OF SURVEY
for
JOE MILLER HOMES
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Scale: 1" = 30' 821 Govern Circle
OESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 8, Block 5
supervision and that I am a duly Registered GARDENWOOD PONDS
Land Surveyor under the Laws of the State pakata County, Minnesota
of Minnesota. Plot bearings shown
- ?- o Denotes iron monument
Dat-? Q dV (q QS Reg. No, 8140 `Existing__,, P?oposed
DnI 7/? Afnd? IAne' ?---
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
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t-ERTI'FICATE OF SURVEY
for
JOE MIL'LER HOME I
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Scale: 1" = 30' r?
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821 Govern Circle
DESCRIPTION
I hereby certify thot thls survey, plan, or
report was prepared by me or under my direct Lot 6, Block 5
supervision and thot I am o duly Registered GARDENWQOD PON05
Lamd Surveyor under the Laws of the. Stcte Dakota County, Minneeota
of !M nesota. Plot bearinqs ehown
- o Denotee iron monument
^
Date _ D illd b?Reg. No. 8140 ? E.?xist1
zq Proposed
, EV ing?
R Nav 1._ S
(612) 435-1966 P00
BRANDT ENGINEERING & SURVEYING
1600 West 143rd- Street, Suite 206
Burnsville, MN 55306
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I
AA7/1 A 7nA ^ r
l II I I IIII REOUEST FOR ELECTRICAL INSPECTION
Minnesota State 8oard of Electricity
I
1827 Univemity Ave., Rm. S-? ,$t Paul, MN 55104
* 0 2 2 50 8 7 6* Pno ra 2-oaoo l
.96 aoc n? '?'?
Home up ez Apt. Bldg Other: New Addn
Commeraal Industrial Farm Remod Re air
Air Cond. Hfg. Equip.
Hfc
Wa}er
Load Mgmt.
Ofh r: Lb I !'Ni ?
`7
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D er p Elec Heat Tem .$ervice "?P?
`?'
'R' above the woik covered by /his requesL Enter remarks in fhis space and on fhe back oi the whde copy only.
Calculate Inspecfion Fee - This Inspechon Request will not be accepted without fhe corcecf fee:
Olher Fee #E Service Enhance Size Fee # Ciwits/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Sheet L}g./lraHic $ig. Above 200 Amps Abo 700 Amps
Trans(ormer/Generator INSPECTOF'SUSEONLY TOTAL
Sign/Oudine Ltg. Xfma
Alarm/Remote Confrol d`
Swimming Pool
I hemb cam ihar I im ecled Ihe elecfiml insb Lon descnbed n on ?he dme :tated
IrfiyO}ion Boom Roogh-In Date
Special Inspedion
44
Investigative Fee finol ? Dare -C
r
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF 6MP I IN MONTHS.
?
22C-OOO?
J ONLY This reqvest wid IB monlhs from validabon dme pnnled in Ihis bov
OFFlC USE
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PLEASE PRINT OR TVPE CJI
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Re esf Dole Rough-in inspedion reqvmedY es ? No Inspeaian Othei Than Rovgh.ln ? Ready Now 0 Will Call
.?a n. 17, 1996 (you mvst mll ihe mspenar when readvl oore Reaar:
I, censed conhacior [] owner hereby requesf inspedion of ihe o6ove eledn<al work at:
Job Pddrese (Sfrcel, Box, or Rouk No ) Gh Zip Code
821 Govern Circ12 Eagan 55123
Sechon No. TwiuMp Nama or No Ronge N. firc No. Counry
Dakota
paupent Phone rvo
Joe Miller Homes 454-4663
Pov.erSuppLer Aara" 4300 220th ST SW
Dakota Electric Farmin ton MN 5502
Elecmwl Conlmcror (Compony Nome) Conhoctor timnse No Maner Lc. Na ?Plont Eled. Only)
Midland Electric CA 01236
Mailing Pddress (Contmclor or Owner Pedorming InsMllohon)
22691 Red Fox DR Lakeville,MN 55044
nzed Sig Nre ? tmtlor or Ownar PeAorming InsNllanon) PFrorie N.
M 461-1
EB-OOOOlA-106/95 STATEBOARDCOPY-SEEIN3IAUCTIONSONBACKOFYELLOWCOPY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159816
Date Issued:01/21/2020
Permit Category:ePermit
Site Address: 821 Govern Cir
Lot:8 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-080
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 -
John H Mclean
821 Govern Cir
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:EA164235
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 821 Govern Cir
Lot:8 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-080
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 -
John H Mclean
821 Govern Cir
Eagan MN 55123
(651) 491-0643
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:EA166601
Date Issued:01/21/2021
Permit Category:ePermit
Site Address: 821 Govern Cir
Lot:8 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
John H & Joni L Mclean
821 Govern Cir
Eagan MN 55123--246
(651) 491-0643
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature