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825 Govern Cir' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: i , ?.,;?il?1 tJ?}???.?1?•??pt?5 PERMIT SUBTYPE: II ,,;,,*11,,;.; 1 ', ON RECORD PERMIT TYPE: ' Permit Number: Date Issued: ? "w. W~v a" IL) APPLICANT: E,N . r i tI I??+t?. , TYPE OF WORK: F,i I: rI aA I. 4? -- -------------- ----------- ---- ---- PermR No. Permit Holder Date Tetephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST FOUGH H[ATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE Alfl TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL oe;x ? ` ? r , ? _ .?. ..?........? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ' SITE ADDRESS: <<uv4 RN fi AR I tt# tdtj 1.1 t?il F'Uh!#?5: •• . . . PERMIT SUBTYPE: ON PERMIT TYPE: r t I ) r N 6 Permit Number: ? "060 Date Issued: I 8/ g6 , APPLICANT: li,•; 11 t#i 1 Mo , il ? ( r? 1: ) +is ii 4 ti i i.,3 TYPE OF WORK: INSPECTION .. . .. J ' f I14 f11 i! ii?. I t 14 (jl f uFMAKt: a. s: & w Fyi Ha - ?& w srwrr; nwIN ,.aATrvi? Permlt No. Permit Holder Date Telephone # ELECTRIC PLUNIBWG HVAC Inspection Date insp. Comments FOOTINGS fP?s/ ;.?. l ///?Q r.?v FOUND 7" FRAMING ROOFING ROUGH ? / PLBG AIR TEST f? S?G /? ROUGH HEATING ? GAS SVC TEST INSUL GYP BOARD ? FIREPLACE t FIREPIACE AIR TEST FINALPIBG FINAL HTG ?l yl , . //J Ll?fQ ORSnT TEST BLDG FINAL 7 ! ? BSMT R.I. BSMT FINAL . DECK FTG DECK FINAL ? - Address I,ot - 825 GOVERN CIR Blk 5 Sub GARDENWOOD PONDS Zip 5512 3 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEC7'ION. Date: Yes No Inspector: ? Final grade (6" from siding) ? Permanent steps (garage) V/ Permanent steps (main entry) Permanent driveway ? Permanent gas ? Sod/Seeded grass r/ TtaiUcuib damage ? Porch ? Basement finish Deck ? Please verify wi[h [he builder the removal of roof test caps from the plumbing system and Ihe shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 before working in rightrof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 "R ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681=4673 SITE ADDRESS: F.S.iJ.a 10-23$00-090-05 DESCRIPTION: PERIVIIT 225 GovERN czR LOT: 9 bLOCK: 5 GAROENWQOD f'QNDS Tyoe TYPe rc. E J.? ? .guy? kg i ? S y y ^ rze,, - 3mrx?e`? , ' , A43 PERMITTYPE: guILnzNc Permit Number. 0 3 s 2 7 5 Date Issued: 06/ 13 /> 7 QEcr iVEW 434 liLT. R[SZOEiVTIAL pe-. ? ts l _? ?? ? NY REMARKS: FEE SUfVIMARY: 3ase ree Surcha r, qs Lice Searcl1 Fecs Totul Fee ???.tao $.50 U5.0 0 $ 55.?m CONTRACTOR: -- ttpplicant - sT. L IC. OWNER: GOETZ CONST 'T"HOfnAS 18519258 G9003R78 BERGOTIVE BRYNN 9630 11THd AVc 6 82S GQVEt?N CTR 6LGOF1IPdGTQN Mfd 55420 EAGfiPd P9N (612) a52-9258 (61-z)90s-0873 ? I he, PI q,#y a?kna-wifod?? A E4't:I ? r;m'at?4n,iz d6s?3eaw'irtd ?ge??. 5 Ca?tct,t I as t"Y 13'F 'f-40ei i?kqG'? f ? . . _ ' ,. .. ,._ ...?._ , . ? . ? ? . _. . u. APPLICANT/PERMITEE SIG TURE - the ' } ?v s ? ,u...... .A..c....x:..E+a..,.w.? o«k.tt..r.tio: rw A.€:i.,<u«.... .?a..... . ISSUED BY: 13IGMATUFE GT7Y (:1F F'AGAN CASH:[I; R: a i1=RM1NAL NOc 47 DAl'Fn 06/19/97 TT.PSf:;; 0.203i ID; NAME;; TI-IOMAS I_ GGI:'!'Z 32:10 9001 B'r?; GGVI:fiN (;]:F. 50.00 2155 3001. 825 GOVI::F?N C'I:Fi U.StJ 34:30 9001. 825 C,nVci:N L'IR `.''isOU 7nta.l Receipt AmUuni:: 55.50 CF;(] i ;`i3f?4 I,;Sf:::F IDr, NF?N(;Y ww 19 BUILDING PERMIT APPLICAT{ON (RESIDENTIAL) `,A,3O CITY OF EAGAN 51 0? 3830 PILOT KNOB RD - 55122 687-4675 New Construction Reauirements RamodeUReoair RevuiromeMs ? 3 registered sRe surveys * yoopies of Plan • Z copies of plana (indude beam & window aizes, poured ind. design; etc.) • 2 site surveys (exterior addRions & tledcs) • 1 energy calculatfons ? 1 eneigy calculations Por heated etltlitions ? 3 copies of tree preservatlon plan H lot platted aRer 7M/93 required: _ Yes _ No ' DATE: i 19M CONSTRUCTION COST: 600 DESCRIPTION OF WORK: V-?Q c K STREET ADDRESS: LOT q BLOCK 532s` c?uc?? c, Rcs. e. ? SUBD./P.I.D. #: PROPERTY Name: 13grxcbu,f ? Phone#: ?GS-G$71? OWNER ... . StreetAddress: .SS?< r-?`'?u?? ?IA?L City: G`'464,,J State: Meu Zip: coN7RacTOR Company: 6ofrz- Co4-s;Arnoa Phone #: W-`FzSY Street Address: "e /i A?411; S1. License #: 3Y7F City: /?c?,.?.???,?? State: MAv. Zip: ARCHITECT! Company: ENGINEER Phone #: Name: Registration #: Street Address: City: Sewer & water licerned plumber (new construction only): and lot change are,equested once permit is issued. State: Zip: PenaKy applies when address change I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesata Statutes and City of Eagan Ordinances. Signature of A,pplicant: OFFICE USE ONLY I CEIV D Certificates af Survey Received _ Yes _ No JUN-J 7-1997 Ttee Preservation Plan Received _ Yes _ No _ Not Require BY ---T OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 02 SF Dwelling o 07 4plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-piex n 05 SF Misc. ? 10 = plex WORK TYPE 31 New o 33 Afterations a 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (AIlowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 0 12 ? 13 0 14 A 15 Apt./Lodging ? Multi RepaidRem. ? Garage/Accessory ? Fireplace n Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level aq. R. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. ? ,,., . ? ..i 16 Basement Finish 17 Swim Poot 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Gode Census Bldg Census Unit Planning Building FM Ertgineering Variance ...i .C? ? ?- Permit Fee Surcharge Ptan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC' 5AC Units LOT SURVEY CNECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION _ PROPERTY LEGAL: ? ? / DATE OF SURVEY: ?? ?? CI Y LATEST REVISION: ? F DOCUMENTSTANDARDS R'? ? • Registered Land Surveyor signature and company tp? ? ? • Building Permit ApptlcaM se'o W_1?0 ? ? • • Legaldescription Address fir"? ? ? • North arrow and scale Q" ? ? • House type (rambler, walkout, split w/o, split enVy, lookout, etc.) ?a El • Directional drainage arcows with slope/gradient % 15"' ? ? • Proposed/eiasting sewer and water services & invert elevation Er'?o ? • Street name C?? 0 • Driveway ELEVATIONS Eastina ?? ? • Sewer service (ar Proposed) ? • Property comers o/p ? • Top of curb at the driveway D? ? ? • Elevations of any exissting adjacent homes Progosed ?o ' ? • Garage floor ? Er? ? • Firstfloor Z"? o ? • Lowest exposed elevation (walkout/window) C? ? ? • Property comers [a?o ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ?" ? ? • Easement line ?? ? • NWL ?0 ? • HWL ?O ? • Pand # designation ? q,-113 • Emergency Overtlow Elevation DIMENSIONS ? • Lot IinesBearings 8 dimensians or' ? ? • Right-of-way and street width (to back of curb) / [I ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', ? porches, etc. (.e. all structures requiring permanent footings) M tilfi ithi i th ? ? • ose easeme s es w n ty u Show all easemeMs of record and any C o% ? • Setbacks of proposed sVucture and sideyard setback of adjacent exassting sVuctures ? e?0 • Retaining wall requiremenis, if any / Reviewed: 6 /3 / qG January 7996 CRAq19GdMLOGPRM(.FM - ?, I c 10 ? P?? 42'It."ykHc? ? ti +Q5 w?. - as4s L? Sbb•c ? ?i.C, 1 !_ ? 8 G3°-45°wrr hlwL., g"11.o Hwl.. g-??,o / / y f r •.-. 'r..:t,:? ? 'Pl+?? . , ?1a.;'.` ? ? ?r? ?? ?? S-?t ? .. . •, • :u f:fy UTI? I f Y L?^ ?- ?(?lIJE¢f/? ?i?9'7 •r? • .'! ?'e:? ?• LJL?SfIIi?Si3 a e ?..: . •.-??, ???'?='. ?Ni`a ?f•7?`! !? ;-:,? _. i. L.. NORtN RIDGE DRIvE 00 95 I W V z ? 1 F , ,?-- - - ------ ? --- -- - •5Cv °Io F?/C, SvR. 35 C 0 --r-------•-- - ?- ? ? tjr- ? r ? i Z ? ? ? ;ACY Or- UTi1_l'? ' ii i? ' 1: ' . t ? J•? ? .. 34!fw . Th? FU,??`LUc,?:. ? N"i !T C.s'N" `i H;:. ? ,. - - - --- -----1- ? 1& 2 FamilY Residenlial "Cookbook" hlclhoa .. , i SITE ADDRESS VDV er I ? - I BUILDER ? oE M I(_.(.er- 110I"«c, Datc MInimum Criteria: R.im Iois[: R-19 insuladon Foundaion Windowr. Insulatcd glazs, iR' air spacc, woa7 oc vinyl framc Enw doors: Ii inch solid wood with storm or better I S"I'EP 1 VYindow 8c Door Area STEP 2 Calculate area as a percent oC N; all I Total Vfndow & Door Arca in Sq. Fcct WINDOWS (including fcvodation windo:«s): Dimcnsions Qnty. Arca Zf Co"X 5-d' fN?l 75 Z?,. 6? x L ? C? Z'-o' X 4'-d' II ' I Z1-(aH x?b?? k?f III? ? I? X xSLnO 2 ZD XS?o' 1l?I (oD z Z- z x x DOORS: ?? ??° 1 <10 ?0 z ( b z 1• I ? To[al Area of Window & Doon `- ? A Box A(window & door aRa) dividcd by Box B(mtal i:•xll ara) times 100 cqL,21s the window z^d door uea as a perccAt of wall arca (Box C). BoXn 41 x ioo? IIoxB I -Lj C 5TEP3 DesignFeatures ASSEMBLY OPTIOV FRAME WALL: SiANDARD FRAhtTNG ? ADVANC-ED FRAT4NG CAViTY INSiltATION R- Z-I S}EP.T3UNG: LESS TTIAN R-5 ? R-S OR h10RE WII4DOWS (uccpt foundation windows): u-r-ncrox v-, 3(0 From the tablc, dcterminc the maximum pcrcent wiodow & door area for [he design opuons sclcctcd and cntcr thc Ivaluc in box D bclow: Box C must be lcss than or equal to IIox n Total Wall Arca in Sq. FL Wall Total Pcrimcter Heigh[ Atca P. Tlie buildin- must not exceed (he mazimum tvindoiv and door area as a perceiltage of overall exposed wall area listed below for the combination of framing technique, R-value of insulation within Hhe insulatect caN•ity, sheakhing R-value, and window U-factor. OHier componencs must meet the requirements of lhis subpart. MAXIKIUM 1VINPOW AND DODR ARF.4 AS A PG RCENT OF OV[RALL GXPOSCD WALI. Carity Windoiv L'- Fauor Framing • Insulalion ' Shealhing_ __0,49 0.36 0.31 0.27 STANDARD R-13 Zlt-7 13.4% 17.8% 21.3% 213°b STANDARD 1i-15 2R-5 12.90" 19.1% 20.1°6 23.90. STANDAIZD R-18 `<!t-5 11.1% `.16.0°' , 18.60'. 32.09. STANDARD R-18 211-5 13.50% 10.6°0 21.80a 25.3% ADVANCCp R•18 <It-5 1110" 17.10/a 20.101. 23.40'. ApVANCEp k-18 2fi-5 115% 19.2% 2250'. 26.1';' . STANpARD 1{-21 <li-5 ]1.8°0 ; 77.0 1L 19.90,:, 23.19'. STANDARD It-21 ?K-5 14.0%. 19.31a 22 5% 261`16 ADVANCGD i:-21 <N-5 11.801. ]8.7"/0 212;5 2•1.6,S. ApVANC13D R-21 ?k-5 . 14.0°". 19.90"6 2329L 26.9% Subp. 3. Performance crileria. The combined thermal transmitlance (i1o) factors for walls, roof/ceilings, and floors over unheated spaces musl be less lhan or equal to: A. 4.110 T3tu/h ft2 °P for walls; B. 0.026 i3lu/h f12 °F for roof/ceilings; and C. 0.04 l3tu/h 1`12 °P for floors. STATAIIT'!f: MS § 216C.19 NIST: 18 SR 2361 7670.0480 Itepenled, 18 SR 2361 ? . R4inn. liules Cliaptcr 7670 26 june 191) 1 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 825 GOVERN CIR LOT: 9 BLOGK: 5 GARpENWOpO PON05 P.Z.N.: 10-28800-090-05 DESCRIPTION: , ..:._.r a t4Bf+t°ia i+aY+?4I ?"?'d€L 'Y l???°i"?` e?? '•; m?.?,? `?? 9k -?'' aRa ars ae m ?1YL W45g8'c?o BUILDTNG 027908 06/18/96 REMARKS: S& W PLBR - M& W SEWER AND WATER FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge 5AC SAC % SAC Units Subtotal $1,332.25 $666.13 $94.50 $900.00 160 1 $2,992.88 $189,000 MISCELLANEOU5 $1.923.50 Total Fee $4,916.38 CONTRACTOR: - ppplicant - sT. Lzc.OWNER: MORTON INC OF MN, D R 14544663 2009565 JOE MILLER HOMES 3459 WASNINGTtlN pR 204 3459 WASHINGTON DR EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454^4663 T. her,eby '.infortnat3.tsn;:is c?e'.r^eet?'ansi"?t Et3'.??IEI?bf ?,- ?? ct)4?` APPLIC NT/PERMITEESIGNATURE PERMIT TYPE: Permit Number: Date Issued: ,,,Permit Type SP DWG Type NEW R-3 U-1 tioinve V-N - ? R-1 e St 65 Edidth.'? ,? 47 . 2 V 2 . 3 5 7 101 1 -- FAM. DETACH re??l,,thf?'ajapl1ca:G3vn h? . tQ ,c_Qhsply ?.4-ith af, ISSUEO(B r 31 GrA URE I? ? j CITY OF EAGAN 4?[ ? ? ? 3 ? 3830 PILOT KNOB RD - 55122 ?? d` 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 w conatadion Reauirement= RemodeVRepair Reauirem>Ms ? 3 regislered sita surveys ? 2 copies of plan ? 2 copies of plans (indude beam & window sizea; poured Tnd. design; etc.) ? 2 ske surveys (exterior additions & decks) ? 1 energy calculatlone ? 1 energy calwlations for heated addilions ? 3 copies of tree preservatlon plan H IM platted afler 711/93 required: _ Yes _Y No DATE: .? TU'9L CONSTRUCTION COST: J?/8 _51 7 DESCRIPTION OF WORK: /Veu/ C.UnSfyNc.lori STREETADDRESS: t)avewN ?'rclC LOT ? BLOCK S SUBD./P.I.D. #: PROPERTY Name: OWNER M:. Phone #: Street Address* City: State: Zip: coN7ttACTOR Company: DC i'Y?fAc' /iixzS P h o n e #: 6r?- Street Address: _5.V? LdcsIh?N viuG License #: ??0-:5L-5-2 City:J_e?fkan State: 1-2& Zip: -554V ARCHITECTJ Company: Phone #: ENGINEER Name: Registration #- Street Address, City; State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the informatfon is correct and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. ???f Signature of Applicank OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received ZYes _ Yes ' No f ?E (c?L?,nV c - V) I?if.1b -?-------- OFFICE U5E ONLY BUILDING PERMIT TYPE :4 ? ? ? lf ?? • ; .. . a ; , ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish -7,? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-piex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ?1 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ,?•N Basement sq. ft. 16 o MC/WS System ? Main levei sq. fl. 4 ob/ City Water o? sq, ft. Fire Sprinklered sq. ft. PRV Sq. ft. Booster Pump 625", sq. ft. Census Code. / Footprint sq. ft. Z, 3s7 SAC Code o? ? Census Bldg i ? Census Unit / q _ Build ing Engineering Variance Permit Fee 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. other Copies Total: % SAC SAC Units Valuation: $ ?eF, 00(o 1,66i ?86 leNr Zx 9 ' /1S z?XsY = ? `?'°y 8F3J,5" z?? '?z3? C„? 2x ? = iY =',7 2 = ?3y : ?osy /Y ?y x 7 = 9 $ F7.5-) ?= ?r- /1`x.?l•5 > S`/% ZXZo.S ?.7 ?rJ x CF§SN7.F_'fi? ^ i'L':RM1NAI_ N0: 71.8 DATE:a 04/i..`-)!-)9 17:"iFa Ct7aOi':,3;3 SIi ;, Ni1P1Ea TN(:IM(15 I_ .r.,[7E"'TZ 31^ ? 9001 825 Gt1YFl2t4 C.T.I{ 60.00 2.' 9001. si;'S GpVF'RN f.;:ih 01.50 _. ? 'fota.l f'tnrtl.(:it Artlour,i,. 60.50 r..RI.or .;05 u'O'r::; 1D, raAINcv ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 c) .sz 657•687-4675 ? C L New Conshuclton Reauirements Remodel/Reoair Reauirements ? 3 regisfered sNe surveys sbowing sq. fl. oi 101, sq. R, of house 2 copies of plan and all roofed areas (20% maximum lot coveraae allowed) 1 se1 0l energy caiculaitons for heated addHions ? 2 copfes ol plans (show beam 8 window alzes; poured fnd. design; eic.) 7 sRe survey fa erzferior addRlons & decks 1 :et of energy calculations ? 3 copies of free preservation plan ff lot platfed afler 7/1/93 DATE: CONSTRUCTION COST: ?U.UUCI DESCRIPTION OF WORK: /Sf1?5,"?i 'CFwia /I £L STREETADDRESS: 60oc? G,2c S LOT: 1 BIOCK: ? SUBD./P.I.D. #: G"A1tiALr(706 Name: ?w4 -f>2 -, rw Phone 9o5--o873 PROPERTY Lar First OWNER Street Address: $25- !' c secc F- City fA/o? State: ?W. Zip: 5372 3 Comparty: 7777AZ,.,*-?; 1?vF z ?eda_?o•Phone #: 41Z Sr57-92.s'? (area code) CONTRACTOR ? SheetAddress:_ QU30 ,f.s s". License# 3Y7e Exp. `? oau City ?Ccn-....f.c.z.. State: ?. Zip: .S?42fJ ARCHITECT/ p /? ENGINEER Company: " Cxrr cu.sr,zce7t-) Name: 61ti2. Telephone #: area code ( 612 ) 92" Street Address: [p ?eRegistration #: City &6,5,.t State: 1r"1• Zip: ??Zd Sewer 8 water licensed plumber (required for new construction onlv): ^enalty applles when address change and lot change is requesfed once permR Is Issued. I ' hereby acknowledge that 1 have rpad this application, state that the information Is coneci, and agree to comply wiih all applicable Sfafe of Minnesota Statutes and City ot Ebgan Ordinonces. 5lgnature of Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required F ? OFFICE USE ONLY BUILDING PERMIT TYPE d 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments 0- 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 'yZ 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Basement sq. ft. Census Code -13 Main level sq. ft. SAG Code D L 2• 3 sq. ft. No. of Units t sq. ft. No. of Bldgs G - sq. ft. MC/ES System - sq. ft. City Water - Footprint sq. ft. Booster Pump PRV " Fire 5prinklered . Building ? Engineering Variance Valuation: $ I2DD? % SAC WHL1L o?T ?AS?aT 'Ki? OL C.. f SRAOKE DEI7ECI'ORS (Hattery operated o.kJ ARE REQUIRED OAT ALL d,EVELS OF THE HOUSE W_D I1N AI,? SLEEPING DMS. O$i LEVELS COATTAINIWG SLEEPIN S, C ENTRALLY L(2CATE S1ViOKE D CTORS 1NiRAI.LVf/AYS. x . . ?. ? 2 W9 s-? -ct. \ li -;. 1,l??Fi??S?fQ Gt?stwc (3cn.•? rirti • ? ? !@?$ ATM ? t?°I lb\RU11 tSU. ? 4.• q t T ?• ? r 3 bj ? J+ b sA0?.?. ?. W ?c6k?l? bt ?N Dev,/ J ? 4 1 I ? O '"e s'w ENCI.OSED USABLE SPACE UtVDfiR STAlRS MUST BE ?vMs???wr? ? () wa, ? ? `??. ? . , ' i 4P ? ?1 \ sau.?. 3?? = 1 L BL CITY USE ONLY J SUBD. (1?&L SPs kiajQ-a 01, 'aQ.K3 RECEIPT #: RECEIPT DATE: PERMIT# 1999 PLUM$INH PEiMTi' (REslDElvTtAL) CI1'Y OF £AfiAN 3830 eu.or Itivoe ttn EAs,arr, rYuv 55122 (651)6$1-4675 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit i backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Ges i in Outlet ` minimum- 1 3.00 X = $, Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ . Oo Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ F2PZ new installation/re air 30.00 x = $ Rou h o enin 1.30 x _ $ Shower 3.00 x Under round s rinkler if dwellin is under canstruction 3.00 x = $ Under round s rinkler if existin dwellin 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 existin dwellin 30.00 x Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ .50 Total _ --> --> > ---- .... > $ o . Sa Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------------•-----------••----------------------------------------------- ----•--------------------- ---------------- I hereby acknowledge that I have read this application, state that the information is covect, and agree to comply with all applicahle City of Eagan ordinances. It is the appiicant's responsi6ilily to notify the property owner that the Ciry of Ea9an assumes no Ila6ility for any damages caused by the City during its nortnal operational and maintenance activities to the facili6es construcled under this permit within Ciry property/right-of-wayleasement. SITE ADDRESS: S c,lr re OWNER NAME: : 7'ow. [a u p -F-._ j e TELEPHONE #: (AREA CODE) INSTALLER NAME: ACsj 3`^ TELEPHONE #: (', S/' G d'l' S a S Z STREET ADDRESS: :? G e 1 ? e TTe r.raIN ?,e..9 (AREA CODE) CITY: 7 G - /,/- STATE: /11 N ZIP: S Sa17 SIGNATURE OF PERMITTEE L sL CITY USE ONLY SUBD. Otit e. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 RECEIPT #: S911,L DATE: G* Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ? TOTAL Shower 3.00 x 3 Water Closet 3.00 x 3 =-W Bath Tub 3.00 x = lo Lavatory 3.00 x ? Kitchen Sink 3.00 x / = 3 Laundry Tray 3.00 x / = 3 Hot Tub/Spa 3.00 x = Water Heater 3.00 x / = 3 Floor Drain 3.00 x Gas Piping Outlet • minimum - t 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal * Dakota Cry. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ? SITE ADDRESS: 825 Govern Circle OWNER INSTALLER NAME JOE MILLER GENZ-RYAN PL[JMBING STREET ADDRESS: 14745 South xobert Trail CITY: Rosemount STATE: MN Zlp: 55068 PHONE #: (612 ) 423-1144 ?.???' UCIJt'?/U PE-OFFERMIn ? CITY USE ONIY L 2 BL .? RECEIPT #: SUBD. ??u? ?044-6& DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please cromplete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit X_ New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: G-l$?'_ F6 FEES ? Minimum Fee: Add-oNRemodel (existing residence only) ?18:80 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas OuUets (minimum of 1 required @$3.00 each) -0 6160 ? State Surcharge .50 TOTAL 36's-o SlTEADDRESS' R2S a6ve'?^ e"-Cle OWNER NAME: :]??e PHONE INSTALLER NAME• ? lle1?? '4%' STREET ADDRESS• 21210 4? ?? CITY: & STATE: 1,ki.U ZIP: 5-5zQ`1 ? - ? PHONE #: ( 6rz ) ?160 -60 -2,1 ST 11'r -? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansWCGon Reauirements 3 registered site surveys shaxing sq. fl. of lot sq. ft. of house; and all roofed areas (20Y maximum lot coverege allrnxed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculatbns 3 copies of Tree Preservation Plan d lot platted aher 7/1193 Rim Joist Deteil Options selection sheet (buildings with 3 or less uniLs) Minnegasco mechanical ventilation (orm RemodeVFteoair Reauiremenis 2 wpies of plan showing footings, beams, joisGs 1 set of Energy Calculatlons tOr heated additions 1 site survey for additions & decks AddRion - indicafe i(on-sde septc system OHice Wkdniv CertofSurveyRaW.- _Y _N .Tree Pres Plan Recd ' -Y _N- TreePresRequired _Y _N 0n-sReSeppcSystem _ _Y 3J Date V?- ! 13 Site Address /? 1' i/1 ?, 00 O CoostructionCost ?% ? I I-G ( e UniUSte # Description of Work Re-P1GG'L C-Je--C:L -P'002 anCj (?CrCL rG;'S Multi-Famity Bldg _ Y ? N Fireplace(s) _ 0 V 1 _ 2 Property Owner k 2U, l 'd- Aviny A-I/,) loN) Telephooe # i? I Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cateeorv 1 Minnesota Rules 767 Energy Code Categ . Residenlial Ventilation Category 1 Worksheet • New En ode Worksheat (Jsubmissiontype) Calculations Submitted In the last 12 months, has ihe City of Eagan issued a p _ Y _ N If yes, date and address of Licensed Plumber Mechanical Contractor based on a master plan? Te ne#, 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 ofplans. p .k..? ? - Ah p -K?h ? '??4? ApplicanYs Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE l. . , Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex R'00'18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof / Cd 34 ReplaC0m0nt '?6or 'Demolition (Entire Bldg) - Give PCA handout to applicant ?r?,..?(1 D@SCrIqtiOfl: WaterDamage_Yes Valuation -0 , pOe Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Perrnit & Surcharge Treatment Plant License Search Capies Other Total REQUIRED INSPECTIONS ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 44 Siding ? 45 Fire Repair ? 46 Windows/DOOrs _ Sheenock /FinaUC.O. ? FinaUN'o C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector ?- ----------------------- bq•Do I.OU .g 2-5 G-0 vt..(-? ?e`C _ G°? Scale: 1" = 3p' p curb to Gar slab = ?,U p block = .01-D - -- wesf bsmt flr = -a?,91]Z EAI R E V I 3Y? ? ? 825 Govern Cir< ,_ CIty Of EBgIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: SllOeI9 Site Address: n Tenant: F ----------------- ? Fw Offce Use i j Pertnit il: ?I 13 1 ? Permrt Fee: ? ? Date Recerved. j 1 ? I Staft: I i RESIDENT / OWNER Name: Phone: IOSI '(/?GJ ?(/'°S t Ewaress r ciri / ziP: 925- 66dr,-n (? r P Applicant is _ Owner 4 Contractor TYPE OF WORK Descnption ofwork. e- ° ?zb Construction Cast: 2T Multi-Family Building: (Yes _ 1 No 2?_j CONTRACTOR Nam( : ? /- J - Y7 License#: 96??639,86647 Address: ? ??D /TI/??Jr92U iTa!r City: ?-t- PA1'9 ? State: dIn Zip: JWe) Phone: 67/-W Contad Person: 0U4 4/4-L L COMPIETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 submiSSion typC) • Energy Envelope Calculations Submitted in the last 72 moMhs, has the City of Eagan issued a pertnit for a similar plan based on a master pWn? _Yes _No If yes, date and address of master plan: Licensed Plumher: Phone: Mechanical Contractor: Phone: 3ewer & Water Contractor: Phone: NOTE: Pfans and supporting documenis that you submit.are considered to 6e public information. Portlons of fhe !nlormation may be classif"ied as non-public Ff you provide speciric reasons that wo permit the Clty fo conclude ihaf the are hade sec I hereby adcnoMAedge that this iriformffiion is oomplele aM accurate; that tM woAc vall be in ortn ce with ina M W the Ciry of Eagan; t I understarW this is rro[ a pemtil, but ordy an application for a permd, and is o start 'a wak will 6e in acco wRh tl?e approved pl? in the se M work which reqtares a review and app al x ApplicanYs Prinbed Name ApplicanYs Signature Page 1 of 3 2009 RESIDENTIAL BUILDING PERMIT APPLICATION .; ? a ,i C ?i , I i Scale: 1" e? Go Top curb to Gar slab = 3,0 Top block = -897_y3 ----- Lowest bsmt fir = 2ML7Z ? -1 M32=1420-96' EAUAN R E V I E W EU ? ? 825 Govern Circle DESCRIPTION Lot 9, Block 5, GARDWNWOOD PONDS Dakota County, Minnesota Plat bearings shown o Denotes iron monument Date 2 U26 Reg. No. 8140 Existin ? p CERTIFICA''E GF SURVEY for JOE MILLER H?tuIES ? . G?e ? ?g I L--_ I hereby certify that this survey, plan, or report was prepored by me or under my direct supervision and that i am a duly Registered Land Surveyor under the Laws of the 5tate of ' nesota. 9/ roposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 M32-1420- 96 N I?J V ,???. Go? Scale: 1" = 30' Top curb to Gar slab Top block = $97_y3 Lowest bsmt flr = 2M,712 1 -1 EA G A N REVIEVdEp 825 Govern Circle I L- DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date Q 28 ,,HI4Y (yy6 Reg. No. 8140 Lot 9, Block 5, GARD6YNWOOD PONDS Dakota County, Minnesota Plat bearings shown o Denotes iron monument ? Existi?g? Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Su ite 206 Burnsviile, MN 55306 (612) 435-1966 M32-1420-96 CERTIFICA'fE OF SURVEY fvr JOE MILLER ?ES?-?d M32=1420-96 ce4 ,43J ? I?? 2 6 5- J O? II I ??FI ?SE? V This request :oid 18 monihs irom ralidafion dok pnnt? S box? 7 ' ? * h ? PLEASE PRINT OR TYPE I-Q est Date ?une 26 1996 1 kaogh-fn inspetlian reqmred2 ?'Yes ? No ? InspecM1On Olher Than Rough-Ire ? Reody Naw ?WJI Coil , (Yo„mus,wii,h,;n,pe,,,„a„n ,eaa,) DokRmdy I, licensed contractor ? owner hereby request inspedion o( ihe above elecfrical work af: Jo6 Address (Sheat, Box, or Roule No.) Gry Zip Code 825 Govern Cirlce Ea an 1 55123 Secnon No Township Name or No- Range N. Fire No. Caunry Dakota Oaupanl Phone No Joe Miller Homes 454-4663 PowsrSupplier Addrr4s300 220th S+T SW Dakota Elec r ' ElMdcal Controdor (Compony Nome) Contmdar L<eme N. Mazmr Lc N. (Planr Eled Only) Mailin9 Mdrou (Conlrodor or Owmr Pedortning InsnllaLan) 22691 Red Fox Drive Lakeville,MN 5504 Inswlla Aulhonxal Si aNm (Contratlor o1O Perfarm* P lw in 10. 5 ; i 4 6 -1444 EB-OOOOlA-10 6/95 STATEBOA OCOFY•SEEINSTflULTONSONBACKOFYELLOWCOPY Y REQUEST FOR ELECTRICAL INSPE a IIII I II I?? Minnesota SWte Board W Electricity 1827 lMiversirylAve., Rm. S 1 St. Paul, MN 7 '?* ? 2 b 5 5 8 2 7 s vnone (612) 642-0e00 Hame Duplex Apt Bldg. Ofher. New Addn Commerciol Indusfrial Faim Remod Re air Air Cond Hfg. Equip. Water Hfc Load Mgmt. Ofher: D er Ran e Elec. Heot Tem . Service "X" obave the wor covered by this request. Enter remarks in rhis spoce and on the beck of the white copy only. Colculate Inspeciian Fee - This Inspecfion Request wdl nof be accepted withoul the correcf ka- Olher Fee 8 Service EMmnce Srse Fee # Circuils/Feeders Fee Mo6ile Home Park $toll / 0 fo 200 Amps a0 0 to 100 Amps ;2 Streef Lig./fraHic $ig. Above 200 Amps Above 70 Amps Transformer/Generator INSPECTON'SUSEONLY OTAL ?q Sign/Oufline Ltg. Xfmr. Alarm/Remote Control r $wimming Pool 1?reb cem that I ina ec?ed col in I t? ?he daxs stakd n Irrigafion Boom Rough-In • ? Speciollnspedion 2 7-:- Invesfigotive Fee Final i Da THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 16 MONTHS. PERMIT City of Eagan Permit Type:Building Permit Number:EA152852 Date Issued:11/05/2018 Permit Category:ePermit Site Address: 825 Govern Cir Lot:9 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-090 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: 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 - Paul M Ablan 825 Govern Cir Eagan MN 55123 (651) 206-5259 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:EA164357 Date Issued:09/25/2020 Permit Category:ePermit Site Address: 825 Govern Cir Lot:9 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-090 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 - Matthew W Gorman 825 Govern Cir Eagan MN 55123 (651) 808-3985 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:EA167998 Date Issued:04/06/2021 Permit Category:ePermit Site Address: 825 Govern Cir Lot:9 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-090 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 - Matthew W & Jenna M Gorman 825 Govern Cir Eagan MN 55123 (651) 808-3985 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:Plumbing Permit Number:EA169453 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 825 Govern Cir Lot:9 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Matthew W & Jenna M Gorman 825 Govern Cir Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature