842 Govern CirPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128314
Date Issued:11/04/2014
Permit Category:ePermit
Site Address: 842 Govern Cir
Lot:6 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10-28801-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert E Hallum
842 Govern Cir
Eagan MN 55123
Elite Home Services of Minnesota
217 Old Hwy 8
St. Paul MN 55112
(651) 631-2000
Applicant/Permitee: Signature Issued By: Signature
Address $42 Govern Circle
I.ot 6 Blk 4
Zip 5512 3
Sub Gardenwood Ponds 2nd
THESE ITEMS WERE ! WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION.
Date: / Yes No Inspector:
Final gtade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas (/
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ik/
Basement finis6
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet beforo freeze potential exists.
Contad engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
,7g,$6'
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirenents
3 registered sife wrveys showing sq. ft. af IoL sq. ft af haue; and all raofed areas
(20%maximum lot coverage allowad)
1 Soils RepoA if proposed buBding is lo be placed on disNrbed soil
2 copies of plen showing beam 8 windor+srzes; poured found design, etc.
1 set W Enargy CakWalions
3 mpies M Tree Preservation Plan if lot platted after 711193
Rim JWst Defail Opliois selection sheet (buildirgs vrith 3 or less unils)
Minnegasco mechanical vedla6on form
i?, e!?D
RemodeVReoair Reawremmis Office Use Onlv
2 wpies W plan showing footirgs, beams, jdst5 Cerl of Survey Recd _Y _ N
1s&MEnergyCalcule6ansfarheatedadditlons SalsRepod , -Y _N
7 site survey for additlom 8 dedcs Tree Pres Plan Recd _Y _ N_
Atldition - mm'cafe tl on-sife sep6c system Tree Pres Required . - . _ Y _ N
Oo-sde Septic Systein - _ Y- _ N
..._ _ _ ___ _ _?____? _..u:.. :..s......?4:..n .,.,ieaa ..nil QratP thev are trade secret and the reason.
rians are consuC?eu uv?it. -- - - - -- -- - - -
Datej3 / Zb / G? Construction Cost
/
Site Address ??(t C7oVe -iiiI [•? Unit/Ste ti
+H.? 3
Description of Work &-12tmla-
Multi-FamilyBidg _ Y,1ON Fireplace(s) ,.S,:,D _ 1 _ 2
9W 01 Lo ? *Alk'r"t Telephone #
Property Owner
`rU`j u ?
C
?
'
ontractor I
Address d9
7 Cl l
?
T ??V ?r City I49Y97?L?;(.a9'7
-
'
_-
State I'?' Zip ,S3r/j*7 Telephone #(Q.??}
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residenllal Ventllation Category 1 Worksheet • New Energy Code Worksheet
(V submissiantype) Submitted Submitted
. Energy Envelope Calwlations Submitted
In The last 12 monihs, has The City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Coniractor Telephone # ( )
Sewer/WaTerContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurat
_,_ 1._._ _r ,.A
that the work will be in conformance wrth the oramances ano cuucs vi wu ?-y ?_ 1u5.• -..- ..- ?.-._ .._ _.__.
Statutes; I understand this is not a.permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name 1(G°iLL?i? Appl} anYs Signature
(l
RESIDENTIAL BUILDING
? 0?{3 Permit Application
? City OfEagan
? 3830 Pilot Knob Road, Eagan Mn 55122
' Telephone # 651-675-5675 FAX # 651-675-5694
,tL?? 2,0
?? ? 71, ?S/Q
New ConsWCtion Reauirements RemodeVReoair Reaui2ments O(fice Use OnN
3 registered site surveys showing sq. fl. of lot sq. fl. o( house, and all roofed areas 2 copies of plan Cert of Survey Recd
(200h maximum bt coverage allowed) t sel of Energy Cakulahtlons for healed addNons Tree Pres Plan Recd
2 copies ot plan showing beam 8 window sizes; poured found desyn, etc. 7 site survey for additlons & decks Tree Pres Not Reqd
lsetofEne(gyCalalalions Adddion-indicateilan-sdesepticsystem _On-siteSepticSystem
3 copes ot Tree Preservation Plan'rf bt platted aRer 7/1193
Rim Joisl Dehail Options selecfion sheet (bkJgs wAh 3 or less unds
Date f? / l/Lf l 03 ?
Construction Cost QD 0?-oX. `9 120-
Site Address ? LO- ?'g0 Ve ('f?_ l "
A` rJ4 ? UnitlSte #
T? S?Da3
Description of Work 'Vl ? -} (ICCX
Multi-Family Bidg ? Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner , Telephone # (?o
Contractor
v??
4
Address City
State Zip Telephone # (/j(
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calwlations Submitted,
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 Iv1-N
3tatutes; 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.
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
7.`?d' v?
1, Telephone #(
Sr\,6 1G GI\,IS on_, 4?L
ApplicanYs Printed Name 'ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Founda6on ? 07 OSplex ? 13 16-plex O 20 Pool .^? ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 3? Ext. Alt -Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_ Y or _ N * 25 Miscellaneous
WorkTypes r?J?'n6' s FvIZ ? ?,
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemoliUon (Entire Bidg) - Give PCA handout to applicant
Valuation ? Zco • J Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
? Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile OWer
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utiliry Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
+ SO
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
34 ^1 I l7, 3830 PII.OT KNOS Rn ssizz
(651) 681-4675
New Constmdion Reauirements RemodeVReoair Reauirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 1 site suneys (eacterior addRions 8 decks)
? 1 energy calculations ? 7 energy calculations for heated additions
? 3 copies ai Gee preservation plan H lot platted after 7/1/93
required: _ Yes X No e
DATE: 9 CONSTRUCTION COST: f? I? a? SL?
DESCRIPTION OF WORK: /(/ e-lv CO4ffrt4r.41i d/1
STREET ADDRESS: f ya- C dYer '7 011-c /e
LOT: (O BLOCK: 7 SUBD./P.I.D. #: GJralen.ivod Pmr7rls 0,1d
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
First
State:
Zip:
Company: .?, ?• 1?o I't?,? r LR ?/L1.e) Phone #: -{S+/ -C1t'6 i x/3 L
StreetAddress: 7-O`f LicenseExp.3 AIg
Ciry Ll?i<q?rn State: MJ Zip: S"s'?ZY
Company: Phone #:
Name:
Sueet
City
State:
Zip:
Sewer 8 water licensed plumber (new construction only): f C!J Penalty applies when address
change and lot change is requested ance permit is issued.
ED
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 nNLY
Certificates of Survey Received V Yes
Tree Preservation Plan Received _ Yes
. '-.???EIVED
NtAR 1 0 1999
_ No 9e
_ No ?Not Required
Phone #:
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
g 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
g 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
5• ?
- Basement sq. ft. 1-1-72-- Census Code 101
5•r7
- Main level sq. ft. 19 1-7 SAC Code o I
? Z`'DU/ sq. ft. 'S "7 Census Units I
?
t?, sq.
?
ft.
41-60
Census Bldg ?
sq. ft. MC/ES System
?v sq. ft. City Water
53 Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
_ Building ? Engineering _ Variance
I (.e 9 R. 3-? valuation: $ 2255, Sl6 =
113 U0
Ilo`-k.Ss-
IU4:?-O-0o
t'1 `7 Z k (`S =
I5 l1XS4 =
l45- `l 7us¢ _
2Co, 5Po
q $) I 18 -Amr--
86, z3g °=
°l 3o x l. = 14, aSc ,--
} ToTM_ _ 22,-- 8 ( ` ``a
Yw`? P-Q> l l03"1. S (?
r •4D
% SAC
SAC Units
hIAR-10-1999 a8:52 PLANCO, INC. i 1 612 452 3659 P.02i03;
ENERGX COAE WORKSFiEET FOR 1 ? 2 FAMYLY; AWEI,LING3
9ZTR yADDNSSS CITY
'COMPLETED 8Y: OR TA? PHONS # ' DATB ;
I? HUILDINa CLA9SX8ZCATIONc ? cahegOi-y 1(atendard) oe ? caeegory 2(munt ibclyde ventilacicnl
HINZ2fUM CRZTERiA
Poundation Ineulation-A10
Sla6 on Gradx IneulaCion-R10
Floor over unheated epaces-R24
Poundation Windowe 1/2"
LI16U]ated Glaee,
-Hood or Vin 1 FKame
eTSB 1 Wladon• & Door Trea
A.. Total Window 4 Dooz area Sn Sq. FaeC
NINDOWS (Including Foundatiun Windowa)
:
WINbOW MANIIPACTURB NAMB:
WZNDOW HAIiUPACT[7RE 1'YPB: GSry
WIHDOH TIANUFACTURB O 7AC7'OR:
R. O. QuanL'iLy uq.EL.Areu
pimensions
?
?? UN X
7 ? '0'41
IIr? I
X 5 w" AV/-v
x $!.a" , I (1D ?
?
t I o x4!?,. ? ?8
-[7
7"ON X .j7 'k 6?
4 '-0r x ?-oM ? &, ,
1.-1P ` XY)+b~ I? II OOOR6;
?
z$ X Ge
e., 0 X
Tacal Area oE aq.Et,
W1hdOM6 F Dooi9
9. To[al Wall Area in Sq. FC.
, Wall Tota1 Ileighc Area,
PnrimeCar .
fl Zlv
?O g v U
Walla 4 Wiadowu
(See ta61o on reveroe side
foY allowable percenCagea)
?
i
Roo£ Attic InaUlation: '
R0.4-W3th Atcic No }lea7 '
R70-Hith At[ic Raiecd Ileel'
?R39 &;RS-SOlid RafterE ?
i ?
&TSP 2Pwloulota aroa ae p percent o£
'.:
c. Fr n•Step 1 divide box A(Nindew & Dooi
Area) by Eox D(t6ca1 wall areey L•imen`loo
rqualu tha window!and door area ae a
percenc oE wall are:, (box C).
eo CPf7 ' ' x ioo ?
Hox 6 47?8 c
STZP 3 ?Urnign Peatuteo
ASSL?MOLY
YAAHTWC rYPP.: '
STATIOARD FRNMING 7- etuds 16" o.c.
ADVANCEO FRN7ING " ntudu 241-
CAVITY YNSUL,ATION
SRBATFIING 7'YPII:
LL'SS THAN < R-5
R-5 > oR AIOR6 . U-FACTOR II ` From tha cable, (rovorse eido) determine the
maximum porcent wfndoa & door area for thedeeiqn optionc sal.ected and enter tfie t valuu
Sn 6ox 0 below I>aced:on tha window m£g. U-
factor:
? D The t value from no:l'ib2e in Box D shall Ua
ucplal to pr groucar CJian Cho F in Do% C
I . '
;.
al Atea oE Halla p= /f'?4•(t
MRR-lf
1-1999 08:53 PLRNCO, INC. j' 1 612 452 3659 P.03
.
'
? ? : •
UNE- &'CWO-PAMILY RES[DE7V71AL DURDITIG ? E(COOK-HOOK)
API'ROACH
MAXIMUM W}NDOW ANi? DOOR AREA,AS A P C NT;OF OViERALI, WALL
AREA
I
Gvlt U-F;ctOr
Framin
Ineulation M,a
0.27
S'IANJ?ARD R13 21.39'0 24,3',
STANDARD R•]3 16.4°,? -19.796 22,5y,
5?'ANIJARD R-IS 17.19G 20.19'0 23,qyu
5TANDARD R-18-19 16.Q°k 12
0%
STANDARp R-18.-19 R- 5 14_0% 18.G9'e ; 21.8% 1
25.3?0
ADVANCED R-18-19 < R- $ 12.996 17.196 20.]% 23.49'0
AUVANCED R-18 -19 I2 - 5 14.5% 19,2% : 22.5% Z6.1%
STANDARD R-21 < R- 5 12.8°Fi 17.0% ' 19.9% 23,1<„
$TANDAISD R-21 >IZ - 5 14.5Ye 14.3% 22,5% 26.1%
ADVANCEU it-21 c R- 5 13.696 1B.iya : 21.2°k 24.6%
ADVANCSD R-21 .5 15.046 19.9% 23.2'Yo
Additlonal caiculated valm
STANDARI7 R-17 < R- 5 11.496 15.79'0 : 18.4°k 21.51Yo
STANDARD R-17 Z R• 5 13.89'e I9.4Yo ; 21.51 25.07e
ADVANCC•O R-17 C R• 5 12.6Ya 16.8°6 ! 19.696 22.97o
ADvpNCEO . R-17 R- 5 14.396 19.04?, -1
22,29'e
7
7S.ry,
Notea: ,
Window arca uals rou h o ?
eq g pening minus lrekaflatton cleerancea.
Windaw U-factor must be determined by either Rhe Nat9onal FentsEration Rating
Council standard 100•41, or ASHRAE 1993 Handbook c[ Fundamcrdtals. Chapter 27,
i ,
Table S.
I
PeeMM Fax Nasa 7e71 ?? ,
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DIMENSIONS
• Lot fines/Bearings & cGmensions
• Rightof-way and sVeei width (W back of curb)
• Proposed home dimenaorts indudng any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easemenfs of record and any City ufilities wRhin those eazements
• Setbacks of proposed structure and sideyard sgthack of adjacent ebsting structures
• Retaining wa0 requirements, it any /
Reviewed:
PROPERTYLEGAL:
L07 SURVEY CHECKLIST FOR RESIDENTIAL
, BUILDINg PERMITAPPLICAylON
OF SURVEY:
LATEST REVISION:
DOCUMENTSTANOARDS
• Registered Land Surveyor signature and company
• Building PermRApplicant
• LegaldescdpUon
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directionai drainage arrows wdh slope/gredient %
• Praposed/ebsting sewer and water services & invert eleva(don
• SVeet name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Emtina
• Sewer service (or Proposed)
• Property camers
• Top of curb at the driveway
• Elevations of any e)dsting adjacent homes
Prooosed
• Garage floor
• Firstfloor
• Lowest exposed elevation (walkoWwindow)
• Property corners
• Front and rear of home at the foundation
?leL
/ /r
PONDING AREA (if anolicable
• Easement line
• NWL
• HWL
• Pond # designadon
• Emergency Overflow Elevation
?
March 1999
CRRIGIBLDGPqMT FM
CITY USE ONLY
LOT G BL ? REC£IPT N: /v G?O
SUBD. )j&20&UtGW?8t /? ?d7TOy CA-; RECEIPT DATE: 7 Ae /
?
MECHANICAL PERMIT #
1999 M£CHARICAL ?ERMIT (ftESIDENTIAL)
crrY oF e,e?enx
S$SO PILOT KNOB $D N ??ai ??
$A6AN MN 551 EE
Date: A (651)661-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) o? X 3• 60 6`00
State Swcharge
Total $ ,?j ?`
Complete this section anlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge SO
Minimum Total Due $ 30.50
SITEADDRESS: 94-a- (;?OVEvj Cl?
I
OWNER NAME: HA C,LU 1M Q2S ? J Oe, ? l CCP?I/
INSTALLERNAME: LDrJ?f7AC?l?UC. LU-U
STREET ADDRESS: O'latC r';A'fo^j
CITY: NO
»#: 65- _46CZD
`"RE?°°??60 ?oaa
PHONE #:
(AREA CODE)
STATE: M 'v ZIP:'-?A
SIG ATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT #: C? I0??-f'S ?
SUBD. ?Cv?.(?£ V? W-t; G6 I'C/L? ? RECEIPT DATE: 3'-)q?
1999 PLUM$INC PERMTi' (ftESIDEN1'IAL)
C[1']' Of E4fiAN
S$SO PILOT KNOB $D
EAsAN. Mrt 55122
(651)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are requir ed for each unit
> backflow preventer for underground sprinkler system
-------------------------------------------------------------
Alterations to existina residence ----°-----------
30.00 ------- ------------------
= ----------------
Water Turn Around - 30.00 =
PiivataCisposaiSy;tei-i-i ' M?C;ic. 75.00 =
(new and refurbished systems)
Private Disposal System5 ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
FIXTURES EACH # TOTAL
Shower 3.00 x
Water Closet 3.00 x 3 =
Bath Tub
3.00
x
'1211. _ ?
Lavatory 3.00 x 5
Kitchen Sink 3.00 x T-
Laundry Tray 3.00 x I = '2?
Hot Tub/Spa
3.00
x
= _
Water Heater
Floor Drain 3.00 x
3.00 x =
Gas Piping Outlet ' minimum - 7 3.00 x ? = 3
Rough Openings 1.50 x
Water Softener ` for dwellings under construction 5.00 X =
U.G. Spflnklel' ` for dwelling under const. 3.00
=
STATE SURCHARGE 50
Reminder: Cail 681-4675 for inspections of water heaters,
water softeners, alteretions, etc. ?? O O
TOTAL
------------------------------------------------------------•------------------------------------------------------•----------------
1 hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to campry with all applicable City of Eagan ordinances.
It is the applicanl's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance achwties to the facilihes constructed under Ihis permit within City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
WSTALLER NAME: - TELEPHONE#:?4a3- 1 (14 4
STREETADDRESS: 1447 ?{'S • eTOU-2?4 -?-r I
CITI': I'\OS2 YYIC`?L-?y1 ? STATE: }1'lA) ZIP:
SIGNATURE bF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
?
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Site Address:
842 Govem Cu
Lot: 6 Block: 4
Addition: GARDENWOOD PONDS 2ND
Description
Sub Type: Single Family
Work Type: New
Description:
Census Code: 1-Single Family De[ach
J? Y __? ?. 5 ?
UBC Occupancy: R-3"?`yl"r
,?=
Construction Type: V-N
Zoning: Single Family
Squaz? Feet:?
1e ,;? _ nil?y?"••.?
F?ia;? _?}t4 y?'
"?.. V . ?
Remarks: Plan reviewed by Craig Novaczvk
S& W Plumber is M& W Sewer and Water phone #(612) 753-4383.
Fee Summary:
Valuation: $226,000.00
Contractor:
HORTON INC OF MN, D R
3459 WASHING'PONDR
EAGAN, MN 551220000
6124544663
t
Sewer & Water Permit Surchazge
Account Deposit
Water Permit
Sewer Permit
City SAC
State Surchazge
Water Meter 5/8"
Treatment Plant
Water Supply & Storage
SAC - Single Family Home
- PApp?icarif W
Base Fee
St. Lic.:
Owner: 1,104.58
D.R. Horton, Ina 1,69935
3459 Washingon Dr $5,604.43
ste 204
Eagan, MN 55122
651-454-4663
1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to compty with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
PERMIT
Permit Type: Building
Permit Number: EA034716
DateIssued: 03/18/1999
0.50
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50.00
50.00
100.00
113.00
114.00
468.00
825.00
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sued By: Signazure
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138458
Date Issued:08/29/2016
Permit Category:ePermit
Site Address: 842 Govern Cir
Lot:6 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10-28801-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required 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 -
Robert E Hallum
842 Govern Cir
Eagan MN 55123
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170359
Date Issued:06/29/2021
Permit Category:ePermit
Site Address: 842 Govern Cir
Lot:6 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10-28801-04-060
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 -
Robert E & Sheila M Hallum
842 Govern Cir
Eagan MN 55123--246
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:EA170616
Date Issued:07/12/2021
Permit Category:ePermit
Site Address: 842 Govern Cir
Lot:6 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10-28801-04-060
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.
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 -
Robert E & Sheila M Hallum
842 Govern Cir
Eagan MN 55123--246
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature