837 Govern Cir. INSPECTION RECORD
• CIT'( 6F EAGAN PERMIT TYPE:
r 3830 Pilot Knob Road Permit Number: "`''
Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675
SITE ADDRESS: t . t., I ,,; APPUCANT: ?-
?
,. :. ia(tivt.P N c:7k ioir, 1141 r)F M+N.. 11 1:
+ir?ki1FP!(:IOUU PORtUS tbt?j 4 t, 4 4r;?,:t .,
PERMIT SUBTYPE:
, , ,.
-lb.,
TYPE OF WORK:
INSPECTION DA • DA
. . ? I, . 1 i . , . . . ? ..
? ?<??rt i N?? ;,114,r r w,.
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Permft No. Pertnit Holder Data Telephone M
ELECTRIC OP
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS S-23 ?' ?/ ? ^
FOUND
FRAMING `?/Jy
%?l fb ?
ROOFING
ROUGH
PLUMBING /? ? /?/ f
??{ ? S 9C J
PLBG
AIR TEST
ROUGH
HEATING I
GAS SVC
TEST
INSUL
GYP BOARD 4e ?
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG ({ /{
ORSAT
TEST
BLDG FINAL
-G 6
f?
BSMT R.I.
BSMT FINAL
DECK FTG 7?2 , y? I
--
DFCK FINAl' --- - - II
?
. ?-
r.
?
?r
Address
]_,ot 12
837 GOVERN CIR
Blk 5 Sub
GARDENWOOD PONDS
Zip 5512_
' THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 0 Z?k Yes No Inspector:
Final grade (6" from siding)
Percnanent steps (garage)
Permanent steps (main entry) vll?
Permanent driveway
Permanent gas
Sod/Seeded 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 befote &eeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy @
5-8?02_ MECHANICAL (RESIDENTIAL) ?? S-o
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please comple[e for: Smgle Family Dwellings
Townhomes and Condos when permits are required for each unit
Date -2-)_ / 03
Site Address ? `5-) l t c Unit #
Property Owner Z_trC v?C? v w?Q V .Q ?` Telephone # )"-\C \?
Contractor L" ki? ? Q Ab? ? n -.X
StreetAddress City Nep??\P-y
State ip S? a? Telephone #(?S?) 3Dl'-?
W-% R
The Applieant is _ Owner _ Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
? fumace replacement ?-
II ?
air exchanger
- s
_ air conditioner
other
State Sureharge $ .50
Tota? S 3 0 _ s73
I hereby apply for a Residenual Mechanical Permit and aclmowledge that the mformauon is wmplete and accurate; that the work will
be m conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; Wat I understand tUis is not a
permit, but only an applicauon for a pemut, and work is not to start without a pemvt that the work will be in accordance with the
approved plan in tLe case of vrork wluch requires a review and approval of plapq.
j v.F.Z, s ? ?
ApplicanYs Printed Name ApplicanYs Signatux
PERMIT
--A "CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
GZp3 G 579
guzLozMG
027519
65/10/96
SITE ADDRESS:
837 GOVERN CIR
LO7: 12 BLOCK: 5
GARDENWOOD PpNOS
P.I.N.: 10-28800-120-05
DESCRIPTION:
SF DW6
NEW
R-3 U-4
V-N
R-1
2
2,222
101 1 - FAM. DE7RCM
t`??`S'?'
?0 'tsa?' W?z 3?e ? ?? es
REMARKS: '
S& W pLBR - M& W SEWER AND WATER
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
Surcharge
SAC
5AC %
5AC Units
Subtotal
$1,387.25
$693.63
$106.00
$900.00
100
1
$3,080.88
$200,eee
MISCELLANEOU5 $1.923.50
7ota1 Fee $5,004.38
CONTRACTOR: - Applicant - sr. t,xc.OWNER:
HORTOhI INC OF MN, D R 14544663 2000565 JpE MILLER HOMES
3459 WRSHIN6TON pR 204 3459 WA5HINGTON DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
?. k•
, inrorma`v.qPt;;?,'S
fs???? t?7
L . .. ? . _ = qtS... s . ...._..k _ i ,a?,.
? APPLICAN 1?P-MI E SIGNATURE
b.: .r t Y
d ???at? that=rtk??
appi:3cahJ;e°,:9:?,?te:4'ifi Mrt"..'Y`
? .. ..........._ . - . . _. .,. ,.. ?.. . , ??
,
ISSUED BY: A
CITY OF EAGAN
lqgiq 3830 PtLOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Name: Phone
ySi iIR6T
$5, 004:A
CWj °- t v
? 3 registered afle surveys ? 2 copies of plart
? 2 wpiea o( plans (include beam b window sizes; poured fnd. design: atc.) ? 2 sile surveys (exterior addNions & decks)
? 1 energy calculaHons ? 1 enargy qleulations for healed additions
? 3 wpies of tree preservaNOn plan if lol plaqed after 7111/93
requhed: _ Yes -YL No
DA7E: S°%- 9(a CONSTRIJCTION COST: /-?:Z 40
DESCRIPTION OF WORK: zA1ekl CeKS?Lvuc-t.?"
STREET ADDRESS: X37 CpuP-yN G Yc-lt'
L07 /9 BLOCK -S- SUBD./P.I.D. #:
PROPERTY
owNER
CONTRACTOR
ARCHITECTI
ENGINEER
Street Address-
City:
RemodeURepalr Reauirements
State: Zip:
Company: Sar . M`l1G? Phone #:
Street Address: &,ie License #: a ' ' S-&,57
City: ?4 r7
Company:
Name:
Phone
Registration #-
Street Address-
City:
State: _Mx/_ Zip:-??/,2-1
State:
Zip:
Sewer & water licensed plumber: yl'1 d-k` d- Lc1?fc? Penally appiies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is wrrect and agree to wmply with all
applicable State of Minnesota Statutes and City of Eagan Ordinartces.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Receiveti Yes
Tree Preservation Plan Received _ Yes No
OFFICE USE ONLY
A ?
-; ?..
d . ii
.. .
BUILD ING PERMIT TYPE
0 01 Foundatian ? 06 Duplex ? 11 Apt.ltodging ? 16 Basement Finish
?Q2 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
..
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
?31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) -?/
(Ailowable)
UBC Occupancy
Zoning 4Z-/
# of 5tories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
? sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
? MC/WS System
/ City Water o`-
'• ?T Fire Sprinkiered
PRV
Booster Pump
Census Code. /p/
Z, zzz SAC Code o?
Census Bldg ?
Census Unit r
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MGWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit .
Park Ded.
Trails Ded.
Other
COpi28
rotal:
% SAC
SAC Units
Valuation: -$ Zao, omo " rl?roof_ ' f?p? 2(c7
Zxz3-..?--- tf?
/6x Sy _ S?O
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2 X SY - ??s?z
yx ?r = ?yo
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as X?° : ?s
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATIOM
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PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermitAppiicant
• Legal description
• Address
• North arrow and scale
• House iype (ram6ler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/exissting sewer and water services & invert elevatlon
• Streetname
• Driveway
Exastina
41?p
? o • Sewer service (or Proposed)
?
;
' ? • Property comers
O
W'? ? • Top of curb at the driveway
13 9--'0 • Elevatloms of any exassting adjacent homes
Proposed
? ? ? • Garege floor
W? o ? • First floor
3--'o ? • Lowest exposed elevation (walkout/window)
0"? o ? • Property comers
1?-' ? ? • Front and rear of home at the foundation
PONDING AREA fif aoolicabiel
B'?-O ? • Easement line
0 ? ? • NWL
? ? ? • HWL
13 ? ? • Pond # designatlon
0 0 0 • Emergency Overflow Elevation
C+J ? ? •
p'? ? •
C9?'O ? •
C'1--, / ? ? .
r3 o? •
? ? •
Lot IinesBearings & dimensions
Right-of-way and street wldth (to back of curb)
Praposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ali structures requiring permanent footings)
Show all easements of record and any Cily udlifies wkhin those easemenis
Setbacks of proposed structure and sideyard setback of adjacent exissting shuciures
Retaining wall requirements, ff any ,,
Reviewed:
71 Date
January 1998
LRAIG19WBLOGPRMf.PM
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}ZjIINVSQ'PA STATE ENERGY GOpR rALC[Ii.ATIONS i
HA5ED DN CHAPTF,R 5 OF TEIP
MOpEL ENERGY CobE - 1983 EDITIQN ?
Adaption Effective
owner
s{te
building ClassiLScationo Type A1 (single Family b Duplex
Type A2 (Residential, 3 storiss or less) (Qver 3 stories) (other;
NOTES Comalete paaes 3 and 4 firet.
GFNE12Ai. TNFORMATION y(Ljb
??4?
1. Building Per7.meter WoL??0
, ft.
N
2. Wall height (ground to eave) ft.
a.
4. 1. X 2. (above) qrass uall
suilaing aimenslvns (L) ? area ??7 ? sq.ft.
X(w) r = lb54q,ft.roof s floor
araa
5. Sq. foot area of rim joist 4 ? F oor joiet si2e (2 X.L_
X ?"?(Perimater) _
tt.
6.
Doors - Area
C
Thickneus 2
1
in U. factor t ( 1? 1
Type of constructlon Perimeter __ ___ft.
. Manufacturar . ?
7. Tatal dnor's perimeter ft.
s. Windaws: Mantkfacturer !!J!
U Pactor I ? /, T U i ( '71r- I? State approved__
TYPE SIZE AREA (Sq.Ft.) NUM9ER OF TOTI+L
4 r, ; ' ?`"' I?--
rK. EACN UNITS SQ FEET
9. matal sq.Pt. Glflss -z-"
lo. Fireplace area: Width X Height 7 X sg.ft.
li. Exposed foundation: Heiqht X Perimeter!?`%_1-715, a_JL&sq.ft.
C9l7PLETION OF 'fHIS FORM I3 REQUIREb FOIt ALT. NEW CONSTRUCTZOtI, MAJ0R
REMODELINCi AND S[7ILDTNG5 BETNG t10VED WHERE EZIBRGY, OTHER THAN 'I'1{F HINIMAL
CODE ALLOWANCE, IS USED.
59i10'd 5592 ESb 2T9 L 'JNf 103hIH-1d B£:ST h6eS-Tf)-d35
k;. Framinq area = 10} af grogs wall area.
13. Gross wall area 3?727 aq.ft, .
Window area A 33 Z sq,ft, U windnws c?_. UxA =
Rim joist area A?sq.ft. U rim joisk= .d4l UxA =127-1
poor area A -SJ sq.Pti, U dopr area= UxA
Other doors area A? oq.ft. U other doors=_LL UxA
Exposed fndn Asq.ft. U foundation=? UxA =
a ?
Framing area A eq,pt, U Craming area=.? ! Uxn
Net wall area A ZZ 27.3 eq. Et. U wall- +?)`f / UxA =??n
(13H) TOT?,L . . . . . . . . . UxA - / ( ?
19. Gross well area x 6.11 (A-1 singl.o famlly & duplax) m ellowable Uac^./Code
(13. above )
x 0.23 (&-2 other residential) '
x .23 (otUer buildings)
x .28 (ovor 3 tltories)
2,-7 ?( BTUH must be lar er than or eame
A ? K U Code? /j ?=-;_I`?__,_ °F. Ae 13H eboVe __?
15, ceiling framinq area (a£) equnle lOt of aeilinq area
15A. Grosa ceiling area =(L) `~ x(W) ? dk07 7.1 sq.it.
.?-
15B. Joist area (At) a l0t celling area eq.ft.
15C. Net ceiling area (Ac) (15A - 15B) cJ sq.ft.
U ceiling x Ac _ ?' x .• _•? /??-_?
O fraroing x A f . X v v17
15Q. TOTAL U x A .................. .........?
is. Ceiling aren (isA) x 0.02e (A-i aingle family A auplQx)
= sllowable UxA/C? de
x 0.033 (A-2 other reeidentiel)
x 0.06 (other)
t/? 4? BTUH muet be lazger than ??r same
I+(151?)It!/ x U Code?7,z°F. as 15U ebdve
HoTES Use U anii A values obtained from pagea 1, 3 and 4,
CE8TIF=8TIQH: I hereby certify thak I have oalaulsted the "U?? faatnrs and
"Ft" values hereln and that the buildSng here damaribed meete ot' exneeds tha
5tate of Mlnnesota Eiiargy Conaervekion Acst.
Uats
slgnal.ura
I
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?A7Ei: 02/14/00 i]MEe 12:18::39
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NAML-=:: Y'IMF..{FI:WORh;S RUII_T.4.=RS, INC.
3210 9001 83'7 Gt7VF-RN C:f.k 60.00
21'c,5.900l 937 Gr1VEF:N L"1:f± OoSL
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To+:i7. ft.ecei.pk Ainoilni:;: bCL:iO
CF:1.23553
USER :f.Y7: tAN
>?C' iR7F'MY,SYh1k'J,C$.'1kX??RNC?k?#?i:'M?N$<IM1%RYR1kYF%Y•?K$t#??%$C'.'?.\'[1X?XM7$$C?X
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF eacaN
3830 PILOT KY06 RO - 35122
l? o 651•681-4875
•New ConahucMOn Raauiremenh RemodeVReoalr ReaWreme
?
D S roplgered aite wneys ehowinp aq. tt ol lot, sy. e. a nouse s copres a pian
aW ¢aroolaA areas (?A°!6 maximum bt covemae allowe? t set o/ eneryy edculallons for heatetl atld{HOne
D 2 coples of plans (ahow beam & wlndow slzea; poured hnd. desipn: etc.) i qte wrveY for oxteAOr adcflHOna 3 decka
a 1 set or enerpy emeWoMone
Y 3 eapies of free preaervatlan plan H bt piaMed aRer 7/1/93
DATE: ?/ --;> &"? CONSiRUCTION COST: ? ?
DESCRIPTION OF WORK: LO w45,e_. GE v6i
srtteer,woRE5s: 8 ? `7 6a
LOT: J. ? BLOCIL• i SUBD./P.I.D. M:
le.
Name: Phonei:
PROPERIY wat flraf
OWNER •
Sheet Address: E53,7
CNy State: ?? • Lp;
Company. Phone p: 65_?l
COMRACTOR .e-e- . (area code)
Sheet Address: B 2 ? Ucense # 6 3r2 Exp ?
Cl y ? G•? State: Zip: 6-S7y 3
ARCHIiECT/ - /
ENGINEER Company: Name:
Telephone #: ( )
Sfreet Address: ReglsfinHon C
CNy State: Ztp:
Sewer/water licensed plumber (N irkstallina sewer/water): Phone #:
I hereby acknowledpe Ihat I have read lhis upplicatbn, sFate ttwf ihe iMortnation ia cortecf, and agree lo comply wNh a0 aPPBCable StaFe
ol Minnesota Stalutes and Cify of Eagan Ordirmnces.
?. i
? Signalure of ApplicanY.
,?, ?,? s,? - ,?k?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No fE6 I?
Tree Preservation Plan Received _ Yes _ No _ Not Requfred
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 05-plex
? 02 SF Dwelling [3 08 06-plex
O 03 01 of _ plex O 09 07-plex
? 04 02-piex p 10 08-plex
? 05 03-plex ? 11 10-plex
0 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
]:V 33 Alteration
? 34 Repair
? 13 16-plex ? 21
? 17 Garage 13 22
? 18 Deck ? 23
)Q:?--19 LowerLevel ? 24
Pibg rYV or _ N ? 25
? 20 Pool p 30
Porch (3-sea.)
Porch/Addn.(4-sea.)
Porch (screened)
Stortn Damage
Miscellaneous
Accessory Bldg.
[3 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bidg)' O 44 Siding
O 38 Demolish (Interior) ? 45 Fire Repair s
O 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0 ?
No. of Units ?
No. of Buildings o
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Variance
O 31 Ext Alt - Murd
O 33 Ext. AR - SF
? 36 Mutd
43q
Permit Fee 6 0, s o
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 6 G. s o
Valuation: $ a 2, OC) P> . 0 "
SAC Units
% SAC
? arr use oNLv
L 8L
sUBO. G?Vcl(hwao? Pok'Js
RECEIPT#: / O 3 ,?o J(O
RECEIPT DATE: 2""I 7- eO
PERMIT# 35&q O
2000 PLiJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, NAi 55122
651-681-4675
Please complete for: ? single family dwellings
? townhames and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: .is?f7a?i/ 6.ttlRoo.., VS 6fc S;NK $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x $
Septic System newlrefurbished ' requires MPC Ilc. 75.00 x = $
Septlc S stem abandanmeM 30.00 X = $
RPZ new installaGonlrepaid2truild 30.00 X = $
Rough openin 1.50 x = $
Shawer 3.00 x = $
Underground s rinkler if dwellirg is under construction 3.00 x = $
Undergroundsprinkler ifexistingdweuiny 30.00 x $
Water closet 3.00 x .? _ $
Water heater 3.00 x = $
Water softener If dwelling under aonsWCtlon 5.00 x = $
Water softener if exlsting dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surchar e .50 -> ---> -> $ 50
rotal --> _? -> -->
Reminder: Call for inapections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------- • ----------------
I hereby adcrwwledge that I have read this application, stste thst the irdortnetion is corteit, and agree W campty with all applicable City of Eagan ordinanoes.
It is the applicaM's responsibility to notify the property owner that the City of Eagan assumas no liability for any damages caused by the City during rts
normal oparational and maintenance adivities to the facilities construIXed under this permd within Ciry property/right-af-way/easement.
SITE ADDRESS: 937 G b U ? R "-) '
OWNER NAME: : T/ ,f ? ?,e 6.,Ve )L- S ?u?crc¢.c s TELEPHONE #:
A (AREA CODE)
INSTALLER NAME: /,? d%i•+? ' TELEPHONE #: 1Z 2;=: "2 `z1 Z- ?
(AREA CODE)
5TREET ADDRESS: 942 r?r ad+?'?
rl?
CITY: ? ?
Aopu
_ STATE: ZIp: s/r3'SZ
SIGNATURE OF PERMITTEE
L ? a BL S? '
SUBD.
CITY USE ONLY. . . ? l?('? (J ?,
RECEIPT #:
DATE: 6
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH N-Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 :c =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot TublSpa 3.00 :c =
Water Heater 3.00 ;c =
Floor Drain 3.00 ;c =
Gas Piping Outlet * minimum - 1 3.00 :< _
Rough Openings 1.50 :< _
Water Softener 5.00 x SUC3
Private Disposal ' Dakota Cty. license 65.00 =
(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
'::5' 5D
CITY: STATE: ZIP:
PHONE #: ( To ?02) - r
INSTALLER NAME: ?
STREET ADDRESS:
ciTr use oNLv ?.?/
?L _9? BL Jr RECEIPT#:?e?_??'
SUBD. /?(O.?zrwl???t Y'o-rc.oCL DATE: `020/9(0
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
°uai{'r T i1v
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Fioor Drain
GaS Plping Outlet ' minimum - 1
Rough Openings
Water Softener
Private Disposal "` Dakota Cty. license
(new and refurbished systems)
U.G. Sprinkler * home under const.
Alterations * to existing
Water Turn Around
EACti
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
50.00
x
x
X
x
x
x
x
x
x
x
x
x
?
?
?
/
/
?
?
TOTAL
4-?
?
?
?
?
3.00 /?A6?19-?rraT -
20.00 =
20.00
STATE SURCHARGE .50
TOTAL
SITE
OWNER NAME: JoE rtsLLER CoNST.
INSTALLER NAME: GENZ-RYAN rLVrmING
STREET ADDRESS: 14745 South Robert Trail
CIIY: xosemount STATE: rtN ZIP; SShhR
PHONE #: ( ) 612-423=1144
N
?.?? ,/?r
CITY USE ONLY RECEIPT#: ??`
L ? BL .?
SUBD. DATE: `5 ? F(p
1996 MECHANICAL PERMIT (RESIDENTIAL)
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
? New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
fj?
? Minimum Fee: Add-oNRemodel (existing residence only) $38:@0
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each) %GU
• State Surcharge .50
TOTAL SD
51TE ADDRESS' F-3 7 aav? G'??C-le-
OWNER NAME: PHONE #: YSY-Y"-?
INSTALLER NAME•
STREET ADDRESS: °21,210 ? & 14'e •
CITY: STATE: 19;1V ZIP: •-s?2`?
PHONE #: ( ? rZ ) y? ` ? ae2 ?
Srv?? LKor `
VAY/18/2011/VIED 11:21 AM City of Sagan FAX No. 651-975-5694 P,001/001
Use BLUE or BLACK Ink
j Porrnit
City of EaEUR I Permit Fe
3830 Pilot Knob Road i
Eagan MN 55122 i Dalo Recolve ;
Phone: (651) 675.56711 I Staff; I
Fax: (651) 675-5694 1 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATI
Date: 161d5111 Sitc Addross: 937 ~0 v -.tl ( ,`rGGf Unit M
57
Name; lGG 7( /'t Phone: f~U_ V,75:Zd_p
RESIDENT 1 ~
OWNER Address I City I71p: F37 (~'d V-~N C
Applicant is: _ Owner _y Contractor
TYPE OF WORK Description of work: /
,rQG~-C~. f ae'a
Construction Cost: t['. d✓ ~ D Multi.Femlly Building: (Yes ! No.~
Company: _ F _e2? 'J7Jre Contact
CONTRACTOR Addrosa: 37 09 eo g Ze L City: V, l~ P
State: M/C zip: ~s f Phone: 9ld'990~~ P 'QPaCP~CL
License Lead Certificate
Dogs this proj®Cl require Lead Remedlatlan? M Yes O No (see Page 3 for additional Information)
If no, please explain;
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Fagan Issued a pormlt for a similar plain brood on a master plan?
_Yes -No If yes, date and :address of master plan:
Llcaxnaad Plumber: Phone:
Mechanical Contractor: Phono:
Sewer & Water Contractor: Phone:
NO1't:: Plans and supporting documents that you submit are considered vo.be public Iriformatlon,, Portions of.
the Inform adon may be classified as non, pubiio if you provide specific reasons tA'ar would permit the City to
conclude that the aie trade secrets,
CALL BEFORE YOU PIG. Cell Gopher state One Can at (851) 454-0002 for protection against underground utnlty damege•
Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aoph fstaterneVI .ora
I horoby acknowledge that this information is complete and aecurala: thrat lha worn will ba In conformance with tho ordlnaneos and code$ of the City of
Eagan: that 1 understand this Is not a pennlL but only an application for a permit, and work Id not to Stan without a permit; that the work will be in
eccordance with the approved plan In the rase of work which roqulrtzi a review and oppmvai of ans.,
x A14arc: % Applicant's Printed Name Applicant's Signs ure
Page 1 of 3
TO/T0 39Cd X1000 39CZIv9 30C VECOLOLZ96 00:0T TTOZ/5Z/0T
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132657
Date Issued:08/27/2015
Permit Category:ePermit
Site Address: 837 Govern Cir
Lot:12 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-120
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Zachary J Meyer
837 Govern Cir
Eagan MN 55123
(952) 205-2758
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147056
Date Issued:12/05/2017
Permit Category:ePermit
Site Address: 837 Govern Cir
Lot:12 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-120
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 -
Zachary J Meyer
837 Govern Cir
Eagan MN 55123
(651) 900-5350
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159297
Date Issued:12/06/2019
Permit Category:ePermit
Site Address: 837 Govern Cir
Lot:12 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Ashley V Youngdale
837 Govern Cir
Eagan MN 55123
Aj Alberts Plumbing Inc
7975 Afton Rd
Woodbury MN 55125
(651) 738-0580
Applicant/Permitee: Signature Issued By: Signature
.r t I" ,
IEZ— i,CI~ For Office Use
�j Lid 1 , i� ::::e:
t‘44., ,,,„, E AG A N
DEc0 % 241tiao. vit
,:r.T.,
Date Received: P-It'l
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 //��
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: AC")
buildinginspectionsacitvofeagan.com L
to-ao-►q L-wl
2018 RESIDENTIAL BUILDING PERMIT APPLICATION ]
Date: 12/9/2019 site Address: 837 GOVERN CIRCLE Unit#:
Name: RYAN & ASHLEY YOUNGDALE Phone:
Resident/ 837 GOVERN CIRCLE, EAGAN, MN 55123
Owner Address/City/zip:
Applicant is: Owner X Contractor
Type of Work
Description of work: MASTER BATH REMODEL, RELOCATE LAUNDRY, REPLACE DECK
Construction Cost: $51 ,900 Multi-Family Building: (Yes /No X )
Company: ISPIRI, LLC Contact: ADAM BENDER
Contractor
Address: 7779 AFTON ROAD city. WOODBURY
State: MN Zip: 55125 Phone: 651-842-9167 Email: ABENDER@ISPIRI.COM
License#: BC627402 Lead Certificate#: NAT-20349-2
If the project is exempt from lead certification, please explain why:
HOUSE NEWER THAN 1978 f...„./l
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?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 s no to start ,ithout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval . .la
xADAM BENDER x dil� iii 1,
kr
Applicant's Printed Name A 4117'1'I 7-""6 at 'e
I
4
r DO NOT WRITE BELOW THIS LINE r31670,1tror C (SSI l
SUB TYPES S �. I l&.
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
iii Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level — Pool _ Accessory Building
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 *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 137Al2 Occupancy _, MCES System
Plan Review Code Edition A,. ,,:JAL ); ''"SAC Units
(25%_100%_Y) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction --V-5—
5— Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings (Addition) )ez. Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water Final Pool:_Footings Air/Gas Tests _Final
,C Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
vInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
yShower Pan Other:
Reviewed By: /FV—
, Building Inspector
RESIDENTIAL FEES
Base Fee r L
9 (917
Surcharge 6 0
Plan Review
MCES SAC
City SACI ' -n r (J
Utility Connection Charge tY rt Y2/0 j �Z
SSW Permit&Surcharge
Treatment Plant '�i� t) t2 0
R / �R/ f inUOilONY\ ,0'' u
Radio Meter Read
Copies
TOTAL0614 0 I ) '" I Li"
Page 2of3