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841 Govern Cir- - INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: _ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: , ? r•.. ,?? , r?t1?'. I PERMIT SUBTYPE: ?3@l? R :+H•-0t, APPLICANT: [nl..' i t;!a1 TYPE OF WORK: II :,+I bw I I I ; I NA I Permtt No. Permit Holder Dete Telephpne # ELECTRIC PLtJM81NG HVAC Inspection Date inap. Commonts FOOTINGS FOUND FHAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG IP/?c DECK FINAL I ` _ ...-_----- INSPECTION RECORD bITMF EAGAN PERIUIIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: • (612) 681-4675 SITE ADDRESS: APPLICANT: .:.? t t0 1 I. I•a r. i I.: IiiiI iI? (1V131 Iqfl « I,1 Ic I rsA110PwkeINW, Pc,Ncl% rk a r1 4.,4 4663 i PERMIT SUBTYPE: , TYPE OF WORK: INSPECTION .. . .. t ut??,!I i f? ll t•. i???i??11 I t? „ , t?PMAR1!Sr SFwEk & wArFR ?=EkNt?1 Aar.I '+Uftf.idFlltGE PaIV eSi?.3/9E ('? k? 14 111.11414 -- M 4 W?A.F.J i' E; A N it i•aA ( PR) Pefmit No. Permft Holder Date Telephone # El_ECTRIC PLUMBING HVAC ?/? ? !?j^v 6?yy Inapection Date Insp. Comments FOOTINGS ( FOUND FRAMING d ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAI PL9G FINAL HTG ? ORSAT TEST - BLDG FINAL BSMT R.I_ BSMIT FINAL QECK FTG DECK FINAL ? Aadl?SS 841 GOVERN CIR ZlP SSZZ_ I.ot 13 Blk j Su6 GARDENWOOD PONDS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ?0// -i( 'r Yes No Inspector: Final grade (6" from siding) c? Peratanentsteps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas ? SodJSeeded gtass ./ TraiUcurb damage Porch ?j Basement finish ? Deck ? Please verify with the builder the removal of roof test caps &om the plumbing system and the shut-0ff of water supply to the outside lawn faucet before freeze potential exists. Contac[ engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - Ci[y Copy Yellow - Resident Copy Pink - Contractor Copy ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 Naw Construction Reauirementa . 3 registered sde surveys shovnng sq. fl. of lol, sq. R. of house; and all mofed areas (20% mazimum lot coverage allowed) • 2 copies ot plan showing beam & window sizes; poured found design, eta) • 1 set of Energy CaICWaUOns • 3 copies of Tree Preservation Plan'rf lot plaHed after 111/93 . Rim Joist Detaa Options selectlon sheet (Wdgs with 3 or less unAS) DATE 27 7voZ v RemodellRenair Reauiremenb • 2 copies ot plan • 1 set of Energy Calalations for heate0 additians -? ? • 1 sResurveyforeztenoradditions8decks • IrMicaM if hame served 6y sepGc system lor addilians ? VALUATION 4A SITE ADDRE55 MUITI-FAMILY BLDG Y 9!N TYPE OF WORK FIREPLACE(S) 4 0 _ 1_ 2 APPLICANT ` c...?-S Co ?, - z (' ? 2.,?-,z. _• STREET ADDRESS 4 c? ?s, ??`y ,? s `?•? CITY_fl&&?STATEv? ZIP -<'T4 c? TELEPHONE# 9s2_frS?i?c-ff CELLPHONE# 4S'2-z? --x zs" FAX# 9s-2 - S<i'!-R?Y'7 PROPERTYOWNER TELEPHONE# G>SI-271-?zv6 COMPLETE fOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RULES 7670 CA'I'IGORY I MINNF f ? (J submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New ne`rgyCode Worksheet Submilted • Energy Envelope Calculations Submitted Plumbing Contractor: , - - ? • • Phone # Plumbing system includes: Water Softener _ Iawn Sprinkler _ WaLer Heater No. oF R.I. Badis No, of Baths Mechanicul Contractor: Vlcctilnical system includes: Sewer/Water Contractor: rtir Conclitioning Hcat Recovcry Systcm Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, sTate that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex g 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg_& or _ N ? 25 Miscellaneous ? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair gi 33 Altera5on ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appllcant Valuation g-o o u Occupancy R- 3 MC/ES System Census Code Zoning ? City Water SAC Units ? Stories Booster Pump Nbr. of Units O Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const 6-11,1 Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addirion) ? Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ Final = Pool _ Ftgs _ Air/Gas Tests _ Final Framing y Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) 4/ Insulation _ Retauung Wall 2?2-o Z' Approved By 5? 1 , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT# S-/ 3 J D- RECEIPT DATE: 2002 RESIDENf1AL PLUMi31N6 PEitMl'l' Af'PL,lCAT10N CITY OF EAfiAN S$SO PILOT KNOB RD £ikfiAN, MN 5518E 651 -6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 2S ?1 (4 e, %I e r r\ Q- y r Ct e-- OWNER NAME: : `Pu" Cooe*t- ^ CanJrae'Fa? TELEPHONE#: INSTALLER NAfv1E: STREET ADDRESS: ?wan (AREA CODE) TELEPHONE #: lP S)- (, $ 1 - g a S Z (AREA CODE) Inc. CiTr ?agan. MN 55122-0172 STarE: ZIP: _ SEPTIC SY5TEM, new/refurbished (requires rivo sets of plans and MPC license) g 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fictures ower_ Ievelspr room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: ? ,, _ ? --- , - _ RPZ: new installatioNrepair/rebuild j? i $ 30.00 _ lawn irrigation system ?' ? ,J ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 Total g S o. 5 I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumas no liability for any damages caused by the City during its normal operetional and maintenance activities to the 5cilities constructed under this permit wthin City pr fright-of-w /easeme SIG U OF RMITTEE SIGW-&URe1/02 OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-28800-130-05 PERMIT AND SURCHARGE PAID 05/23/96 M& W SEWER AND WATER) eeos sFa-?/ BUILDING 027934 06/18/96 DESCRIPTION: OuildingPermit Type j64A-Ildirtt3 VJo,s?k Type UBC Oooupaney ; ?' Construation Type ' . ZChRing, - ---@y Bu3lding length ? % ? Buildin g. Width 8u,?ldhr,9` stg nies __.'St}U,are Fe?et,-.--.-„ C`a?sus.,G-ode SF DW6 NEW R-3 U-1 V-N R-1 68 54 2 2,207 101 1 - FAM. DETACN ... ?? REMARKS: SEWER & WA7ER (S & W PLBR - FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC ? SAC Units Subtotal PERMIT PERMIT TYPE: Permit Number: Date Issued: 841 GOVERN CIR LOT: 13 BLOCK: 5 GARDENWOOD PONOS $1,362.25 $681.13 $97.50 $900.00 100 1 $3,040.88 $195,000 MISCELLANEOUS $1,523.00 Tqtal Fee . $4,863.8$ CONTRACTOR: - Applicant - sT. Lzc.OWNER: HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES 3459 WASHINGTON DR 204 3459 WASHINGTON DR EA6AN mN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 I hereby acknowledge that Z have read this application and state that the infiormation is correct and„agree ta eompl,y with all applicable State of Mn. Statutes and'City of'Eagan Ordiri.ances. ?APPLICANT ERMITEE SIGNATURE ISSUED BY.ISIGNATUFTE I , . ? • . CITY OF EAGAN 3630 PILOT KNOB RD - 55122 ?f? l, • 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodeVRaoair Reauirements ? 3 regislered site surveys ? 2 coples of plan ? 2 copfas of plans (include beam 8 wlndow s{zes; poured tnd. design; etc.) ? 2 ske surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calalatione for heated addilions ? 3 wpiea of tree preservatbn plan H bt platted after 7/1193 requlred: _ Yea _Z No ° DATE: CONSTRUCTION COST: L&, `169() DESCRIPTION OF WORK: fri.C41h STREETADDRESS: VclC LOT BLOCK L SUBD./P.I.D. #: veL wao el Ab 0 cIS PROPERTY Name: OWNER N61 fIP51 Phone #: Street Address, City: CONTRACTOR ARCHITECTI ENGINEER 5tate: Zip: Company: T_/YI,%le-,- frS?v?S Phone #: erl 1a9 Street Address: ??S9 Ccl?.s?????? I)vlve License #: o7vovs?.s> CIty:!;GZ Gn Company: Name: Phone Registration #• Street Address• City: State: Zip: Sewer & water licensed plumber: 't- (/,/ Secc/C,r d- l,cZ fG?. . Penalty appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. `, Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes No v NO Y? State: Mn/ Zip: -SS'612 : ??--- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? ?02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ! ..:.!. .: ?, 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous A`31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION (Actual) Const 'N j Basement sq. ft. MC/WS System ? . Water Cit (Allowable) ? f Main?vel sq. ft. _??0 7 y y d kl UBC Occupancy ?»3/u"/ ? sq. ft. l,?? ere Fire Sprin Zoning n- r sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth ? Footprint sq. ft. Z? Zo 7 SAC Code o/ Census Bldg / Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ / 000 Surcharge 0,41114 Plan Review -----? License n? (%F/`f ' 1y6 MCNVS 5AC C+k- zX ?D ' Z`' City SAC //vxss ° 928 Water Conn. rF z.b'rz." - Water Meter S32- Acct. Deposit .-F SNV PeRnit 70 7 xsY= SNV Surcharge Treatment PL Road Unit Park Ded. Trails Ded. Other Copies Total: % sac SAC Units l0.33 x7 = ? v ! x zy5' "' zS ? 3ox?? - f Z x /3. 67 =- ? ?-?----- ?f/> ?7d7 _ (ZD/ C2x??> v Zx? " -? 2 , s'Xla : S 22 x 30 ' bG° . rn 1,9 ? D?: l? Z?? ? r ?. .'. ' ? I m $ ? ? ? ? ? w'? ? G"'o ? QWO ? ? GY ? ? M"?o ? Er"o ? ??/0 ? ?? ? PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arcaw and scale • House type (rambler, walkout, spiR w/o, split eMry, lookout, etc.) • Directional dreinage arrows wiTh slope/gradient % • Proposed/ebsting sewer and water services 8 invert elevadon • Street name • Driveway Existina ??? ? • Sewer service (or Proposed) ? ? • Property comers ? 13 • Top of curb at the driveway ? 21"?13 • Elevations of any epsting adjacent homes Prooosed a O ? • Garage 8oor ? ? ? • First floor ?13 0 • Lowest exposed elevation (walkouUwindow) ? ? • Properly comers &'?'O ? • Front and rear of home at The foundatlon ?? ? • ? ? ? . f-< ? ? • o-'?? O • ? 4? ? . F7 ? ? . C7? ? ? • d"?O ? • 8-- ? ? a' ? ? ? ? January 1996 CRAIGI B99rBlDGPRMl.FM . PONDING AREA ('d aonlicable) Easement line NWL HWL Pond # designation Emergency Overtlow Elevation DIMENSIONS Lot Iines/Bearings & dimensioros Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilides within those easements Setbacks of praposed strudure and sideyard setback of adjacent ebsting structures Retaining wali Reviewed: lOT SURVEY CHECKLIST FOR RESIDENTIAL ; . i ,. ? , , ' ? 0?0 ??k10 1 t r 0+7j -rj .0 N? So4 ?i :µv. Z?S?•?'v L F ?9rs, 0 ? ? ? ? J I ? w 13 5LOCX ? . ! ; --- ------- e;7S'? 0 L p' S?i2. 0 w6.'(? ??FL,/tG ?> 'r0 Lo'(4 r2 PRt? F?R ATSAMEPRIC?AS ?'?COr'P?? F,,Y OF Ul"Bii"i 'r' i , _ .. PU?Do.-,--, , ?. ?,:_•? . J , .? IT - - - ,__. . ? . 1 ? -- _ -- --? l??-?' µ??? ?-- - - ??- ? S t7.I.?,GVh2l? ? - I . -- ----- ------- -._.?._-- ? ( .. -- - - -- - ? ? f' 61 u .?^r ? ? 1 ? ? 1 .. . TFiIS D,:',1.1 i l f • ; ?' . . ucuuEflirrtjcxni 11 _r.uniu??_ss2iin.?nt.s:iu,actQUtt ? - ? IlAiI:U OII CIIAP'1'Bll B UE' '1'lll: 91Eo AdcJtase contruokor `.lor- ??'?It t.FR ro?.?ST ri,o„a Uulldliiq C1aanlElantlonl 'Pypu A1 (tllliglc+ Famlly G buplex) -- '1'yl)a A] (Iteolde?iElul, y uEotlen or Lann)-(over y uEorlau) (01:110r) IISTl'.Ci?mm?l a?s?hn? nn?tt usL?Lt,I te.L. ?I;IIEIIAI,_.111?StiSL11Y1.1Ql1 ,?t? ?? ?. . 1. tlulldltiq vorlmoEer???1J???'??}'??'? E. .. " . 2. Ildll iiolyhl• (gtaund !:o huvn) ' El•: • ' 7. 1. R 2. (nbcivn) yrogg wnll ntaa ec].Er., - 4. UUlldllig dlmongloiid .tlq.El.rooE & [loor.nraa 5. fiy, [ool• urna oE Ylm )olub - Floor foLnN Nlae (2 RIc7 ) q ' 0 H 57? • i?'etlme?ar) A • Z?! ?c].E?.. ,. • 12 6. UooCtl - At'ea Llf I '1'hlakneen !n U, 7'y?ia aE cvlidl-rucllon . Ilauu[aoturar . ' Pnrlmeker 7. '1'oEnl door'n polltneEer EL, • U. {ilndownl IlaituCnolurar j1UX/ . 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U Ernminq areae AY UxA n 30 IIeE wull uraa A I? 1 nq.fl•. U aalln ?d?f? • UxA d?D . (1313) '1'h'PAL , ' . . . . . . . . UxA = lA, dronu 4+011 nria n x b.ll (A-1 nltlylo Lamlly 6,duplex) e tillowoble UxA/Code (I7. nbuv8) . )t 0.21 -x oEltor renlilotil:lnl) . ?? .2?.?11vChar •bulldingd) . x .2u (ovur ? ut;nrion), • U'1'Ull muur be lurqor Liiqn ot ?amo x U Codo ?l ? .- 3y7i °r:.` au 13t1 abova Itl. Cnlllliy Erntninq uron (nf) dqualu 101'oC,nellllig'.nXea .. 15A. Croutl col.liuy urnu ??-?-gq•t?• 1S11. LIalur uraa (AE) ? 101 csolllltq nrnq ti q1f?: .. , • 1?3C. Ilnr 001111ig nY.oq (nC) (l,A - 1n1S) b J'/' l tlrj.fk:, • . U cell.ltiq k Ac e ???H ?(/l/?i•d ?? . • . , • :. ;. U Ernmliiq x AE M .10.w ic ,bL.? d •._? _ .- ' • ? .. . . 15U. 't0'rnL U x A...?..,.......?„?t?..,??..??,?77i ? . - ••_ ` `_; .. 16, Caillliy ntnn (15A) x 0.026 (A-1 diligle famlly G duploxf ? allownula UxT/CPdn • . x o.o33 A-a otllnr reuldentlnl)• ' x U.UG ?nLhur) _ • / '1'U1l muel: be lnrgtir Eltnit or nama J??1rA)??I?)`?x U Code ???•?f° ?° UF. aa 15D pbove Ilo'rtl t Unu U nlu) A vuluod oblainnd from pugen, it 3 aiid A. , Clili'C1?148'C1RU? I hnruby oatl•lty EhnE x lihvo duleulnrnd !•ha 11U" Enorord an?i "11'? valUnn I?ntnllt nit4 Lliah tihu Ixtlldll+y hoku denaklbed mseEu nr euoaode Elie Utata oE 11lniieeuta BIInYgy CoitunrvhLibtl hcfL. . . a g gl?aturo : ? _1 ., ? ` • ?j • r ' , I ,4e6 ?v?r_..---- 64".,60 (.?r??L . .... lo.ra7... x s8-r-5Y?-? 34?-?q).?e?? .....??1?.3. _._._....... .. . . .. .. ., 3l _._`? ..... . . ........_? _.. . . . 2 ? II Zoo Y ` - ._. .. -C7--- . . . : ..- .: . .. .. . -to - t ? --_.._.. : .. . ??1?7? • ry'::?.. . _ , . .. C? . PA i r 67TL,?(- ?/-.. . .. _,_ . 1. oKRililk'•Y;Mti.uf:1:;;,;.;:$Pt* Yr'. (::7"1"`.' C1ic 1=.f:G1,1tJ 10/21. .•,::)i:: Ttiril_:. i.FPiEa ' ":'i-'Ot4A5 G0!?_.17 :'i?: `.! ')f.;p'I 34:1 Gl!'JE"RN C'i:F. 45 .(70 ?LC;-6 9r:1 Ct:t 2?:1. GI:lVliiti'P {':7'F 01.`"SCe ";/.;?O ('?fJtJ.L 849. L;UV!::itit.l L'.!k 0.50 ?1 [` ?; ?::j Fie•r?r..? _? ;;11 ;iru_S? u'.t ;: !.hi, f)Q h;ar. i?4;;c',gxydX<:1;,J,:r..?;'J;Y?`'<.:lil,;:.g.•'%'F;R>;:a.>;;Ttp:yUY:k;#g;'., m CITY OF EAGAN --? 3830 Pilot Knob Road: Eagan, Minnesota 55122-1897 (612)•681-4675 PERIVIIT PERMIT TYPE: Permit Number: Date Issued: BUSLC7ING 029046 10/21J96 SITE ADDRESS: P.I.N.: 10-2$800-136-65 841 GOVERN CIR LDT: 13 BLOCK: 5 GAF?DENWOOD PONDS DESCRIPTION: Type DECK rk 7Y P e N E W °`Irbrg`ji's"ug""C'd,de ?,rNk 434 ALT. RESIDENTIAL mt c? r '? ? *a ?? E,: + f ` x 9- ?-ASar ?ge ? ?? REMARKS: FEE SUMMARY: Base Fee Surcharge 5ubtotal $45.00 COpY $•5 0 $.50 7ota1 Fee $46.00 $45.60 CONTRACTOR: - Applinant - 5T. LIC OWNER: GOE7Z CONST THOMAS 18519258 0003478 LUND RICH 3030 11TH AVE 5 841 GOVERN CIR BLOOMZNGTON MN 55429 EAGAN MN (612) 852-9258 (612)683-1066 'n• . ' k.. 4 { b f [? 3 p k . •-4 } ff , '=U ; ° x he?eby ate` ?nat ?he -rnfoi°rativn....t? ctrr?r?q? i?l?d 4gY`,?? YT? , ? 5eat•utes ?nd y,a°E ????i st?r?la,w??h??s , ffi ` ? ? `• s = ..,(y ? A sa>.mc? _= Y x IIs.. ? WF' ISSU?B?51 ?T??? GI 1 Y UF EAGAIV 4 L 3830 PILOT KNOB RD - 55122 Iq -0 1996 B[JILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVRepair ReauiremeMs 44.DO wvd 1 0-4 ? 3 regfstered sRe surveys ? 2 cwpiee of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks) ' ? 1 energy pleulations ? 1 energy calculations tor heated addkions . ? 3 capies of tree preservation plan if lot platted after 7/1193 , required: _ Yes _ No av DA7E: dC-r. ~I \`?°LSo CONSTRUCTION COST: DESCRIPTION OF WORK: OF r v,^ STREET ADDRESS: COC3v`?/? f LOT BLOCK SUBD./P.I.D. #: 114D LfR't' 4,Y PROPERTY Name: 5..,,Lwo RkcLi, Phone#: OWNER '^°' `°" StFeet Address• 7) LA 1 Goi w G RG--4- City: 5r2?.e-/J State: WW • CONTRACTOR ARCHITECT! ENGINEER Company: -Twc,,,Q 6-?Z Phone #: g? ?2!Zk Street Address: 1 1-[:I So. license #• 3y -79 City: State: ?M0 Zip: =?s42n Company: Phone #: Name: Registration #* Street Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that ( have read this appiication and state that the infoRnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: ?-? OFFICE USE ONLY Certificates of 5urvey Received _ Yes No Tree Preservation Plan Received Yes No OCT U 7 1996 ivk 6 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex a 05 SF Misc. ? 10 = plex WORK TYPE ,pr 31 New ? 32 Addition ? 33 Alterations ? 34 Repair OFFICE USE ONLY ? 11 Apt./Lodging 13 ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace 0 o' 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORlMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Basement sq, ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. . Water Meter Acct. Deposit SNV Permit S/VI! Surcharge Treatment Pf. Road Unit Park Ded. Traiis Ded. ,_. Other ? Copies Total: ? ,, 4• ? _ ? ' ? r • ?! ? ?? , ?= 16 Basement Finish 17 Swim Pool 20 Pubiic Facility 21 Miscellaneous MCNVS System ? City Water T Fire Sprinkiered PRV Booster Pump Census Code. 44 34 SAC Code ? J Census Bidg ? Census Unit o l46 Engineering Valuation: $ % SAC SAC Units CITY USE ONLY L 12 BL .? ' RECEIPT#: ?535? SUBD. ? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 881-4675 Please complete for: ? single family dwellings ? townhomes and condos whPn permits are required for each unit FIXTURES EACH ?Q. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 ;c = Kitchen 5ink 3.00 ;< _ Laundry Tray 3.00 x = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 ;< _ Ffoor Drain 3.00 ;c = Gas Piping Outlet' minimum -1 3.00 x = Rough Openings 1.50 :< - Water Softener 5.00 x Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ' to exisnng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE AD S OWNER NAME: INSTALL STREET ADDRESS: 36?o ?!y!??'?? N • ? CITY: 77&0/-S STATE:' ZIP: PHONE #: (614) / bTGNX??e.c? DRES . D 7'/ ???? t13 h.4 ,/J' ) L?/ ? BL ? CITY USE ONLY RECEIPT #: SUBD. DATE: 04?10/?S 1996 PLUMBING 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 FIXTURES EACH TOTAL Shower 3.00 x ,N,:ter C."o°se: 3.00 x. Bath Tub 3.00 x = 1? Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 =? Floor Drain 3.00 x i = 3 Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal ' Dakota Cty. ficense 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: 841 Govern Circle OWNER NAME: JoE MiLLIIZ CotvsTxuCTION INSTALLER NAME: GENZ-RYarr PLtmBzrrc STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP: 55068 PHONE #: ( 612 ) 423-1144 a????ATp? - F,PE:KM tiRE OITTEE CITY USE ONLY L ? BL ? RECEIPT #: SUBD. A44L4&d9'd ? OATE: ( ,r 1896 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681a1675 Please complete for. • single family dwellings ? townhomes and condos when permits are required for each unit X New construction Add-on fumace Add-on air condftioning Add-on airexchanger, i.e. Vanee system, etc. Date: , -/l_ ?16 f?? ? Minimum Fee: Add-oNRemodel (existtng residence only) $49:80 • HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 8.00 ? Gas OuUets (minimum of 1 required Q$3.00 each) 3 F, oo • State Surcharge .50 TOTAL ?0 s?TE ADORESS- OWNER NAME: :De- //a"t`ll? fiv.Kes PHONE #: YSL4'S'-C-3 INSTALLER NAME, STREET ADDRESS: 12? F? 14e . CITY: ? s?.. STATE: ZIP: ? . PHONE Y?d - /,022_ jq?qo 2007 RESIDENTIAL BiTILDING rERmrT nrpLICnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls 3 registered sde surveys showin9 sq. ft. M lot, sq. fl. of house; and all mNed areas (20No ma)dmum bt coverege allowedJ i Soils RapM rf proposed building is to be placed on disturbed soil 2 copies of plan showing beam 6 vnndow sizes; poured found design, etc. 1 set of Energy Calculations 3 capies of Tree Preserration Plan'rf lot platted afler 711193 Rim Joist Dedil Optiore selection sheel (buadirgs wifh 3 or less wits) Minnegasco mechaNwl ventilation form RemotleVReoair Reauirements Office Ilse OnN 2 mpies M plan showing footings, beams, jdsls Cert M Survey Reed _ Y _ N 1 set of Emrgy CalcuWtims for heatetl addiUOns Soils RepaR _Y _ N lsitesurveyfaaddi6ore8decks TreePresPlanReW ' _Y _N Add'NOn-irMlcaferionsifesepticsystem Tree Pres Required , Y _N On-site5ephcSystem _Y _N n?___ __.. ..,.....:a,....,? ....til:? infrrm?4inn iinio?Q unu state thev are trade secret and the reason. r?a?w a?c ?.anwwc?va? .a...... 1 6I ? ......?........... ?...___ _? "_'_ _" _ ConstruMion Cost l Date 0 I Site Address ? `t ( '_A-I l?// UnidSte # J ? iz Description of Work oc- Multi-Family Bidg _ Y?C'N Fireplace(s) 2 Telephone # ( (qj ?? ) O'L[ 60??_? Property Owner Contractor Address Y 1 g ? St t {M ?,lf? Zip =>// q CiTy --. Telephone # ( (aS ( ) r?3 ? - g ??611 a e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672 Energy Code C2tegory . Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) SubmltleA Submitted . Energy Envelope Calculations Submitled In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan6 _ Y _ N If yes, date and address of masier plan: Licensed Plumber Mechanical Contractor Sewer/Water Coniractor apply for a Residential Telephone #( Telephone # ( Telephone #( and acknowledge that the complete and accurat e; that the work will be in conformance with the ordinances and codes oY the City ot tagan ana me Scate oi rviN 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 ? which requires a review and approval of plans. ?, /CZ5__(t5 Applicant's Printed Name Appl? ant's 5ignature . V iF??'. ? ' . ? `C5'? Ft 4c ? I ) 7 . ^ 6g -i ? g \ 3y`£-g?:5 8?(P,,? 896 5z??,? ------ . ?-- , ? 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(? / ? ? ? ??f?? ? ? ?? ?? ? Lot 13, Biock 5, / ? ? / ? ? ? ? ? ? ? ? ? ? l ?? ?? l ???` " 899- ?. ? I l? ? ? ? ? ? GARDENWOOD PONDS , , / ? ,? ? ? ? ? i ,,?? -- ?? ? 1' ( 1??( ?? j ? ? ?? ? Dakota County, Minnesota ? / ,? ?, ° ? ? / ?? ? - / II? i ! ? ? E? l ? ?f ?? 4?0,? /?,? l /,' I /???? 1 ? ?? ?? Plat bearings shown ? ? r ?-= ? -? ? ? ? ?? / ? l ? ? ? ? ?' ? ??> ? ? r o Denotes iron monument , , ,? ,?, ? ? / ; ? / i i ? ? ? I? ? ?; ?? ,^??/ l i ??? ? / l 1 ? ? '??? ? /?l?l ?? ? ? l ? ? Exisfing? Proposed ;o?'?? l l / ? ?/ ? ? ? ? ? ?? / ? ? ? ,....__ ? ?? ??? ?' ? i' ? ' ? ? ?. ' ? ? ? / ? ? ? ??` ?3 ??'? ? , ?/ ? ? ? ? ? i ? ?? I ??U?? ? ? ? ' ,?? .??_ ?/ ? ?' / ?? ?'?' ? ? '1?? ? ' i ? R?ve ?E? , ?..?? , ? , , ? ? I ?? i? ? i ? ?%?? , l '? ?? ? _ ? / ? ? ? ? / / , ? / / // ? / 3Y, ?? .?P ? ?? ? '? ?- _ , / ? /'' `?i ? / l / / / t 1 1 / / /n GI/e I II I?I II II II IIII III II I II REQUEST FOR ELECTRICAL INSPE TM Minnesota State Board of ElecViciry ?5 8 3* -Phone (6t2) 842 V-0800 . ?t. Paul, MN Home Duplex Apt. Bldg. Other: ' New Addn Commercial Indusfrial Farm Ramod Re av Air Cond. Hig. Equip. Water Hir. Load Mgmt. Oiher: Dryer Ron e Elec. Heat Tem . Service "X" above the work covered hy fhis request Enfer remarks in this spoca and on ihe bock of the whife copy only. Calculate Inspection Fee - 7his Inspethon Requesf will not 6e vccepied without the corred fee: Olher Fee 3? $ervice Enhance Sae Fee dt Circuih/Feeders Fee Mobile Home Pork Siall 0 fo 200 Amps a ? 0 to 100 Amps 1 17-7 Street Ltg./fmffic Sig. Above 200 Amps A6ove 100 Amps Transformer/Generafor INSPECTOWSUSEONLY `- OTA l? S ? Sign/Outline Ltg Xfmr. ? • ff? U ?j . J • d Alarm/Remote Conhol ( Swimming Pool I he.? cen? met i ??: aed tnn < ie:. md Irrigation Boom Ro,h.ln Speciol Ins echon p Investigafive Fee F,ml ? Dore THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 6 5° 5 8 4 ? 794 OFFI U E ONLV Thu requesl vaid 18 moNhz fmm validahon dole pnnled in ?is b ?i PLEASE PRINT OH TYPE Requast Dob Nough-in inspeclion reqmmd2 ?Yea ? No Inspenion Oiher Thon Rough.lm Q Reody Now M Will Coll J u n e 26, 1996 lYou musr mll the inspecror whm reodd Dale Ready I, X licensed con}raciar [] owner here6y request inspection of ihe above eledriml work aF. Job Pddnv (SVeel, Bos, ar Rouk No ) CiM Zip Code 841 Govern Cirlce Eagan 55123 Secbon Na Townahip Name or Na Range Na Fire No. CDoun a?cota Occupont Phone No. Joe Miller Homes 454-4663 PowerSuppLer °Adres°4300 220th ST SW Dakota Electric Elearicol CanMUClor (Compony Name) Conlmctor Limnse No Mosrer Lic. Nm (Ylonf Eleci Onld MoiLng diav jAnlmdoror er Perfarmi(g Ins411ah0n) 22691 Red Fox DR Lakeville,MN: 55044 AvMorized S noture (Conhador ar wnw form] Inswllanon) ? P e o -1444 ?6? EB.OOOOlAYO 6/95 r ? STATEBOApDCOFY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132776 Date Issued:09/03/2015 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 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 - Jeffrey P Sellner 841 Govern Cir Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature µ l/ For Office Use /�� Ari i :: Iq C A AN RECEIV .D JUN 01 2018 Date Received: e -5--`U 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections@cityofeagan.com L — 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '�'/7 Site Address: c4"/ 61? C Unit#: Name:• ✓r //n Phone: �ifia! Address/Cit �`�/ c__�� cion • O#tfllit�l` Y/Zip: Applicant is: Owner I�Contractor 1Zy6 Description of work: /?r"`^':"- i -r ."' Construction Cost: p = a 1 Multi-Family Building:(Yes /No r ) Company: ✓ c/ �u/I r.- /Jr✓ n Contact: ,%�.me:C f7t�t� for Address: f.oZo ��'is'! ,rell Gam-- l City: /./".."9-,4".-. State^_ Zip: ..c.r/ Phone:7-4g-'`'4'/ A, Email: z ("- 84? 2- License#: /3 C Lead Certificate /7 ZP If the project is exempt from lead certification, please explain why: 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:Pians`and s+ su ttg moments�t y+ s ubmit a cons def f to ified as 1 on:'p ublic,f y tu'provide specific re . wd permittie►Cltyto. :, ..ht that _ .:_ 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.citvofeanan.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.qopherstateonecall.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 is not to start without a permit;that thee work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature cpm,�1 �,✓��l c alz i ot)tf r, Q:0.--c\-,e ,iqA DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) �/ 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 li, Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION t� Valuation C V (9V Occupancy 9 MCES System Plan Review Code Edition A 4 J. 01$ SAC Units (25%_100%/- ) Zoning ' ‘ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) i y, Final/No C.O. Required Foundation Foundation Before Backfill !`a HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final X Framing li,30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Ni. Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower PanOther: Reviewed By: \l/e , Building Inspector RESIDENTIAL FEES Base FeeVilj Surcharge Plan Review '` MCES SAC City SAC Utility Connection Charge Old ........,,,Ori....0.....5.5.,...--- S&W Permit&Surcharge (1.,0" Treatment Plant Copies1 4117 �" 0 TOTAL 1 Page 2 of 3 Jul. 17. 2018 7: 10PM No. 2225 P. 2 • • For Office Use \I ` � �� Permit* /3-0695 EAGAN _ Permit Fee: • /4/ �� Date Received; 0 ej �� 3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 / (651)675-5675]TDD:(651)454-8535J FAX;(651)675-5694 U L 1 8 Z U.I b stair buildineinsDectiensfb�citvofeaaan.com L •'� 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 74 !x/--1 0 Site Address: 8`11 6Dvrn Circle) Unit#: Nameje X Phone: los/-V 91-D.37-St 4 Resident! t (I j l 6W,� --0eF Address/City .. . . I. f Applicant is: _Owner X'Contractor 11 I,, • 9 Type of Work ! Description of worK:)i1?i h'IY� 7/�: LAV.5, �� lit et d� ` • Construction Cost 3va 'rte Multi-Family Building:(Yes_/No, l NA/ ( '7/t,LS 4#t¢J ;. • Compan / f,',...f,',... _.41.., ,�_ - 1 � i! �. , (Contact / i 06335 uS ha /oA 1 Contractor Address: C �1 pp City: CCI ` �v�) i [ State, Zip:,�,53.SS Phone: 3.9'3 2?PEmailIF�O t 7 Ye 1ecene corn J License#.6 (7 7 / 7"I9 Lead Certificate / /6`O�•}9 0� If the project is exempt from lead certification,please explain why: • S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW Bill • . = 1 In the last I • • ,as the City of Eagan issued a permit for a similar plan bas • - master plan? Yes No if yes.date and a•• • • er plan: a Licensed Plumber. Phone: i Mechanical Contractor. Phone: 1 1 Sewer&Water Con •- •r. Phone: 1 • . Fire -•pression Contractor. Phone: . NOME Plans and supporting documents that you submit are considered to be public information. Portions of the information may• , I classified as non-public if you provide specit c'reasons that would permit the City to conclude that they are trade secrets. r You may subscribe to receive en electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltyofeagan.comisubscrlbe. Exterior work authorized by a building permit Issued in accordance with the Minnesota Staw Building Code roust be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)456.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goprterstateonecal.orq I hereby acknowledge that this information Ls complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan:that I understand this Is not a permit but only an application for a permit and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x hrlS#i Sm, , x e 1 Applicants Printed Name Applicant's Signature �� _ ~ / // ` /J /�� '/ -~'�/�' / ~�� ^7 / / '~».. Lr,�'«1 / ' / --{./�_ ^ L� L��Jvc�p-" ` �^ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ___ Pwruh (3-Swaswn) ___ Exterior A|twradnn(Single Fa,n||y) --- Single Fami|yGarage ___ P�,uM(4-�w�wpn) ___ Exterior A|h*rwWon(mYu|u) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous--- 01oy__P|m^ Lower ___ Pool __ AcoeswwryBuUding __ WORK TYPES New interior __ Siding __ Demolish Building* --' Reroof Demolish Interior ___ Addition __ Move Building __ �,nn 7pA|tn,ativn __ Fire Repair __ Windows _. Demolish Foundation ^/ Replace ___ Repair __ E�,oemYV|n�qvv Water Damage --- Retaining Wall ^oempomvnn,entire building—g|vwpo4hmnuwut to applicant --- DESCRIPTION Valuation 4;1 3 t=00 ^-- Occupancy „.11-1(--) MCES System Plan Review Code Edition ,�M7 JL015- SAC Units (25% 100% r•--) Zoning AZ — I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #mf Buildings Length Fire Suppression Required Type of Construction w�� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: ____ Footings (Deck) ____ Final I C.O. Required Footings (Addition) �6 Final I No C.O. Required / Foundation Foundation Before Backfill HVAC Qmo Service Test Gas Line Air Test Hood --- Roof: |ua &Water F|na| Pool: Footings Air/Gao Tests Finm| Framing 30�A|numn 1 Hour Drain Tile ---' ---- Final {x5 G�unooLa�� Stone Lath 8r(�� EFIS Fireplace: Rough In Air Test na 'G|�in0' -_- -_- --- Insulation ---- Windows __ Sheathing Retaining Wall: Footings Backfill Final ____ Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final ____ Braced Walls Erosion Control Shower Pan Other: m v��^ �/ RwximvvwdB�� y =«�7 ~v'/ ' ^�179- . Building Inspector RESIDENTIAL FEES Base Fee r /A7- Fe C_ Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153141 Date Issued:11/26/2018 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jeffrey P Sellner 841 Govern Cir Eagan MN 55123 (651) 491-2376 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159037 Date Issued:11/18/2019 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 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 - Jeffrey P Sellner 841 Govern Cir Eagan MN 55123 Ellis Builders 955 Cliff Rd Eagan MN 55123 (651) 214-2657 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167390 Date Issued:03/12/2021 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 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 - Jeffrey P & Jennifer R Sellner 841 Govern Cir Eagan MN 55123 Premier Window Professionals Inc 3897 Danbury Tr Eagan MN 55123 (612) 363-3914 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173369 Date Issued:11/09/2021 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jeffrey P & Jennifer R Sellner 841 Govern Cir Eagan MN 55123 (612) 387-3398 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174134 Date Issued:12/29/2021 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace/2 zone electronic damper sys/for 2 story main/2nd & LL Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Jeffrey P & Jennifer R Sellner 841 Govern Cir Eagan MN 55123 West Metro Mechanical Inc 321 Elm Street W Unit B Norwood MN 55368 (952) 679-3979 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174312 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Basement Fixtures & 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. All tiled shower bases require a water test. 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 - Jeffrey P & Jennifer R Sellner 841 Govern Cir Eagan MN 55123 (651) 454-9297 Janecky Plumbing Service Inc 720 Pontiac Place Mendota Heights MN 55120 (651) 454-9297 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176003 Date Issued:04/26/2022 Permit Category:ePermit Site Address: 841 Govern Cir Lot:13 Block: 5 Addition: Gardenwood Ponds PID:10-28800-05-130 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Jeffrey P & Jennifer R Sellner 841 Govern Cir Eagan MN 55123 (651) 491-2375 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature