850 Govern CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 850 Govern Cir
Lot: 4 Block: 4 Addition: Gardenwood Ponds 2nd
PID:10- 28801 - 040 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Northrup Roofing & Remodeling
4400 Nicollet Ave
Minneapolis MN 55419
(612) 825 -3553
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Occupancy:
$88.50
$1.50
Total: $90.00
Owner:
Don E Branch
850 Govern Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA090114
07/08/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
? -? INSPECTION RECORD
CIT( dF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. ?.,
, , „ , 1
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
N •
INSPECTIO DA . .
fJ,
'ARKS: 5 & W F"!_ Fil
?3 ?* w< <gp ? ?v a ?I x
?e'
r"NY _4
?,???
PartnR No. Ptrm(t Holder Deta TNephone A
ELECTRIC ?/g749 • l0 ? ?p?
PLUMBING
HVAC
InspeCtlan Date Insp. Com en
FOOTINGS ??f? ? ???L 1 ? ? ?• °
FOUND
FRAMING slo `? li,e
ROOFING
RGH
PWMBING
3 /
G J.
PLBG
AIR TEST
ROUGH
HEATING
- ? p
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE 32-97
FIREPLACE
AIR TEST ^ ? y]
?t7
FINAL PLBG
6
?r
FINALHT(3
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
Address- 850 covEEV CIR..?LE Zip 5512 3
I.ot 4 Blk a Sub cA? Perros
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ,:?/'/ g'?J Yes No Inspector: ai-S
Final grade (6" from siding) ?
Permanent steps (garage) ,
Permanent steps (main entry) V/1?
Permanent dtiveway r?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch f
Basement finish
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 before freeze potential exists.
Contact engineering division at 651-4645 before working in righbof-way or installing underground sprinkler system.
While - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
-? 9 0 1s
2007 RESIDENTIAL MECHANICAL rExMTArrrLxcaTtoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please convlefe for; single femity dwellings & wwnhomeskoudos when permits are required for eech anit
$'50.so
??L
Dare ..? / 7? /
Site Addrese Unit #
PYO?rlyChyner TelepBone # ( )
Contrector
St
O
reet Addrese
f?? aty
State Vp ? Telephone#
Bond #; Expires:
The Applicsnt is _ pwner _ Contractot _ pther
Fire repeir (replace bumed out appliances, ductwork
etc.)
"?
,
$
This fee applies when extensive mechanical repairs ero made W s buildin 90.00
g,
Add-on or elteration to exleHng dwdUng unit
$ 50,00
- ??ce -AddtHonal ?eplaoement New
air exchanger
?
alr corxlidoher
heat pump
other
State SnreAarge
$ .SO
Total
$
? CJ
I herebY appJy £or a Resideptial Mechanical Permh anQ acknowledge that the information ie complete and accueete; that the work will
be in conforhiance wlth the ordinancas end codes oP the Ciry af Eagan and with the Mechanical Codes; that I understand tBts is rtat 8
permit, but onty an appliration for e permit, and work is not to stak withou[ a rtnit; that the work will 'n accordance widt tEie
approv plan in th case?v,,?k which requires a review and approval of a.
Applicant's ' ed NamD
SEP 1 4 2007
.. 'f.? a? 2004 RESIDENTIA CITY OFIEAGAN MIT APPLICATION 3 6D SD
u?
3830 PILOT KNOB ROAD, EAGAN MN 55122
• 651-675-5675
Please complete for modifications to existing residential dwellings.
Dafe / 1
4?r I O
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- 6
Site Street Address
Unit #
Property Owner _C)Ori 6rG( /I JA_ Telephone # ( )
V
Contractor 2 r ekv , I rv
n
T
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#
7?
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ep
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Addressi ?
?'?t{.S ? ??,, City , vt..l.YlJState.?-? Zip V V (O
The Applicant is: _ Owner X Contractor _Other
Alter tions to existing dwelling lj ?? ?? ?L' L' ?1?;I $ 50.00
?Add fixtures to rooms, excluding water softener and water heaten
?, ? i I6 I
i
IU'
_Septic System Abandonment ?L
vl
?
Water Turnaround (add $121.00 if a 5/8" meter is required) , ?
_Other: Inla)fJi , LLaKI
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
II Sta4e Surcharge ? $ .50
T
t
l $ ?? 5A-
a
o
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the a oved plan in
the event a plan is required to be reviewed and appr
•pplicanYs Printed Name pplicanYs Signature
?-
(O,qg 7b 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?W /0 '9-"9
New ConSWCtlon ReauiremenLS RemadeVReoalr Reauiremenls D(fi'ce Use (7nN
3 reg'slered sRe surveys showing sq. ft of lot, sq. fl. of house, and all rooted areas 2 apies of plan CP,d of Surigy Recd. 'Y __ N
(20%maxlmum lot coverage allowed) 1 set of Energy CalculaHons (or heated additions ?a,pres$lan Real°?i,, ?•
7!, ' "?N
2 copies of plan showing beam & window sizes; pouied found design, etc. 1 site survey for addi6ons 8 decks ?
Tree pres t#equired?€
iselofEnergyCalwlalions Addifion-indicetei(on-sResepficsystem O,p_ssiteSePlicSystep?
3 copies W Trce Preserva4on Plan if lot platted after 711193
Rim Joist Dafail Op6ons selection shcet (bldgs with 3 or less units
Date ? / jx / 0
Site Address atc Ga% Lpv/ G/i2GL Construction Cost , S??) M?
E- UniUSte #
Description of Work f"/ij//,Sf[ OfF MFHE& ?r
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner aft/l?. ?N,bn4 MAI?ew Telephone # ( )
Contractor APj7pr` 4x,:574OG7/!l-r/ : Z? •
Address ID} 602f'$7AtL L4/GF AD
State M/V lor- City
zip SS30G Telephone#(IpSJ g?l3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Venfilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submined
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #
Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the inform'?,?t_t}on is co p1cLe_aud_accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name A cant's Signature _
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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 (screenlgazebo) ? 36 Mutti Misc.
? 05 03-plex O 11 10-plex l? 19 Lower Le I ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg?or_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
lir 33 AlteraGon ? 37 Demolish Building' O 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation a'4 0 0 Occupancy MCESSystem
Census Code ? 3`f Zoning City Water
SAC Units / Stories Booster Pump
# of Units 0 Sq. Ft. PRV
# of Bldgs I Length Fire Sprinklered
Type of Const SI?
?' Width
REQUIRED INSPECTIONS
_ Foo[ings(new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
Footings (addition) d? Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ioe & Water Final Pool Ftgs Au/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. AirTest _Final _ Windows
? Insularion _ Retaining Wall
Approved By: -? Y' I - 12 Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
:rk;;; d'.?';:? %X?RAOkikri?:;Ci;3k?%c?:;R:?,`:?:.k,S.':'?:7',i!<:!i;}•?;w?Y„Y.,?a i.?:iiig
CIYY (JF CF,(-AN
I SHIEP: `.: if'_kN:'RA!.. A1je 10E,
4.f.:a C''t/29/97 TT.MEr. ?4WC.;M
? NAMr .: I? P HOIi 1 CI?.' .'.i'iC
c.c'."iE. of.)ft. 850 (anVLR('i C?R Qr,.g4,71
_rptr_'.i ;.. _eci.!n: 6t?nnvn'; t - ?s?4.,''1
trCt:'t TDS NANrv
. . •yX:f? :,?yl?W'•?t,uw?q?:'!Y!t:ii,:5')4;.?.:'4:)z:(m?t:%Y:';1 .? n:. ...?:?' .
,
< CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERIVIIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUZLDING
029448
01/29J97
SITE ADDRESS:
850 GOVERN CIR
LOT: 4 BLOCK: 4
GARDENWOOD PONDS 2ND
DESCRIPTION:
puildin j-Permit Type
lBuilding ".r,--k Type
?
U8'C OcCGpan,cy
? Construction T?yp
Zoning
Bualdina L_ongtFr
G ? Bu°ilding' Widthu
ildin
. ?+ g=stq.ries
qU.are Feet
C e`Rks u ? ,d'de?
?
SF OWG
NEW
R-3 U-1
V-N
R-1
70
46
2
2,598
101 1 - FAM. pE7ACH
REMARKS:
s s w aLeR -
FEE SUMMARY:
VALUATION
Base Fee
$1,482.25
$963.46
$109.50
$950.00
100
1
$3,505.21
Plan Review
Surcharge
SAC
? SAC %
SAC Units
Su6total
?
CONTRACTOR: - Applicant - sT. I.IC OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASNINGTON DR 204 3459 WASHINGTON DR 204
EAGAN MN 55122 EAGAN MN 55121
(612) 454-4663 (612)454-4663
?
I hereby acknowledge that I have read Chis appl9.cation and state that the
infnrmation is correct and agree ta comply with all epplicable State of Mn:
Statutes an'd C3ty°ofEaq?an pr.oina'n.Ctie,s.
APPLICANT/PERMITEE SIGNATURE
$219,000
MISCELLANEOUS $1,979.50
Total Fee $5,484.71
`nnran Rp'.aV mi
ISSU D B: SI ATU E?
-?j
44
, •. CiTY OF EAGAN
s 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATIaN (RESIDENTIAL)
681-4675
Remodel/Reoair Reaulrements
State:
? 3 registered sita surveye ? 2 copies of plan
? 2 co0ies of plans (include beam 8 window sizes; pourad fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy ealeulatians ? 1 energy wiculations for heated additions
? 3 copias of tree preservation plan if lot plaked after 7!1/93
required: _ Yes X_ No
DATE: /"0?3' 97 CONSTRUCTION COST: 16? .M
DESCRIPTION OF WORK: ?Pw CnA'r'JU')
STREETADDRESS: cl?ow e.yyl Cr"clr
LOT q BLOCK IL /P
I
D
#:
SUBD
-_ .
.
.
.
PROPERTY
owNeR
CONTRACTOR
Name: Phone #:
?,ve rmer
Street Address,
City:
State:
Company: ::Ge 6'Y1 ' l?e,r "L P h o n e #: 'y &.3 ?/-7y
Street Address: 3459 ?14.,t4,N ; X 5fL.3vy License #: 21-05&57
City: 1541?yl State: _M/ Zip: -137.21
ARCHI7ECT/ Company:
ENGINEER
Name:
Street
City:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
-???Y??•?i
Zip:
Penalty applies when address change and icc
I hereby acknowledge that f have read this appiication and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY
Certiflcates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
Phone #:
Registration #'
RECEIVED
JAN 2 3 1997
IIY:
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
,d 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ?
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
o'? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
2 G-, i 4 b.?
Const. (Actual) qd Basement sq. ft. i'+q? MC/WS System '
?
(Allowable) -0w_ Main levei sq. ft. ?-1 t,z City Water
UBC Occupancy ?2- 3• U-1 2sq. ft. I. 5 ? Fire Sprinklered
Zoning Q-i ? sq. ff. PRV
# of Stories y sq. ft. Booster Pump
Length 70 sq. ft. Census Code.
Depth N G, Footprint sq. ft. z`?t SAC Code o r
Census Bidg ?
Census Unit o
APPROVALS
Planning
Pertnit Fee
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Building ?-+O- Engineering Variance
Valuation: $ 214 , v oo. ?
3gx/F iSz
a8u38 ?y44
2K11 Zd
2rt ?2
7?z
? st
---
:1nw+- ??V4
Zv Y
4zv 38
-?zK zo
20K 3ca
Z w Z?
SAC Units
rvvia/
1-7 qt, 0 4 's=
i7'4 4
?}p
------
? ib J s4 =
i S9c.
z?
? 35 ` ? ? SV =
?oo
va
L ? 3f m =
I q?. it y 51 =
G5, rUa'. ?
73, 2 ;?-y. ?
•?.
e.
^ A R'
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
1o, zyv.-
sUd.-
? ? 2?-
2?8? Sc(6, .r---
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATIOAI
$ ?
a °z
t?' /O ?
p-'O ?
8-?O ?
cir'o ?
0'c3 ?
rd? ?
?
? ?
[3-?-o ?
0' ? ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal descriptian
• Address
• North arrow and scale
• House iype (rambler, walkout, splft w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gredient %
• Proposed/ebsting sewer and water services & invert elevation
• Streetname
• Driveway
ELEVATIONS
Earistlna
3?-D ? • Sewer service (or Proposed)
ca-'o ? • Properiy comers
2r'0 c • Top af curb at the driveway
• Elevations of any exhOng adjacent homes
zl?' ?
?
• Pro°osed
Garage floor
Gr'0 ? • First floor
P? ? ? • Lowest exposed elevation (walkouUwindow)
? • Property comers
o% ? • Front and rear of home at the foundation
PONDING AREA ('d aonlicable)
Qr' ? ? • Easement line
? ? ? • NWL
? ? ? • HWL
d o ri • Pond # designaBon
• Emergency Overtlaw Elevation
? ? ? • Lot IinesBearings & dimensions
Eir' ? ? • R1gM-of-way and street widtlh (to back of curb)
o'? ? • Praposed home dimensions including any proposed decks, overhangs greater than 2',
porohes, etc. (.e. all structures requiring permaneM footings)
Ef, ? ? • Show all easemenis of record and any Cily utilNies vwtliin those easements
o' ? ? 0 Setbacks of proposed structure and sideyard setback of adjacent existing sWctures
13 12r ? • Retaining wall requiremenis, if any
Reviewed:
January 1996
caAwi caei&ocaRr.rr.Fn
., , '?R . ?IJ-,? 00
EN?RGY COD? WORFSEiE?T FOR 1& 2 FADSILX DWELLINGS
SITS ADDRESSGf
j 5 ?
? CITY
/
CoMpLCTED DY? /p? y-1??
?.?
, pIIOtIH N DAT¢
BOILDIt7O CLA9SIFICATI011: ? caL-egory 1(utandard)
?__- or ? category 2(n?uoL- includo vnntilatioti)
-+
HI[iINUM CRIT6RIA
Foundation Ineulatlon-R10 {•lalle 4 Windown Roo£ Attia lneulation:
Slab on Grade Inaulatron-R10 for?allowabla percentages) R99-With Atti.c No Ileal
Floor over tuiheated epacer.-R29 ' ?R3B-WiCh ACtic Raiaed Iieal
Foundation Y7lndowe 1/2??
ineulated Claus. R3B 6 RS-SOlid RaEtere
-41ood or Vinyl Frame
6TBp 1 Windox 4 Door Trea STBP 2 Calculata aroa ao a percent of wull
A. Total Window & Door Araa in Sq. PoeC ' "
WINDO{49 (Tncluding F'oundation Windown):
WIliDOW MA1iUPACTt1RE 17A86?? C. From Step 1 divlde boX A(4lindow & Door
Y71pDOW MAtIt1PACTORE TYP6? ? Areo) by box 0(Lol'al wull qron) Limao 100
oqt?alc [ho wlndow and door a
MtiDOYi MAiIUPACTUR6 U PnCTOq; rea as a
percenL- oE wal l areu (box C) . .
R. O. qu.nCicy r,c?.(l.Area ?OX
A JC? X 300
.
Dimenaions _
= ?
=
Y^'
121
noX Fiqta? ? J
?ak -?3k?f
z??oN X
' STHP 7 D
i
Z i ?N X ? ??
'? ? eu
gn Featureo
Z!
? • P.SSEI?IBLY
p
X ?? I??1,I?II ??i FRAI4IIIG TYPL_':
S?ti x.?.-!e .?{'.? ?/ ??? srnnoAao r•anrtiNC x
I--- ?2 ?-
Z'? X7
?
I oLUde 16" o.c.
^ ?(J ADVAtICGD PRN4IN6 r,ti?da 2A"
__
_ o.c.
x CA.VTTY 7NSlILATION R'!/1
X
9t(6ATfI211G TYPQ:
x
1 ` 1 '
LESS TllAH c R-5
1`
X R-5 ? OR t10R?
X U-FACTOR p
DOORS; From tho [able, (reverce side) determine the
-_,.__ maxlmum percent wlndow & door
f
?
?p
X(
g
I//
/i7 ? nrea
or the
deaign op[lonn nelecl•ud and enCer the L valuc
in 6ox p belo
b
d
?
`Y
?
( CiV w
ar,e
on tl?e window mEg. U-
factor:
Z? X
?
?LG? D
Tut
l A - ?
a
rea oE
{'11
a n_C?y,ft.
11
OW6 ? ?pOYB ? '
B. Total Ylall Area in Sq. pt. The } vulue from Cho Cnble in I3ox ? eliall b?:
cyvnl Co or greaCer chan th¢ 1 in llox C
Y7a11 Total I{eighL Area
YerimeCer
?
3 ?
, ? .?
Zllo IO?C>? T,'3c?S
Sv 9. a • ?.5--a
---?_-__ S? o -? s
'1'otal Area of Wa]]e
'?_rn_= '==_a-an-'__.____ Il-='
'___-, (/`?,?J r.q.[t
?::.'4-c_'__:..
..
_
i
F. Tlie building must not exceed the maximum tvindoiv and door area as a
percentage of overall exposed wall area listed below for the comUination
oE framing technique, R-value oF insulation within ttle insulated cavilv,
sllealhing 1Z-value, and windotiv 1Lfactor. Otlter components must meet
the requirements of Uiis subpart.
A4AX1MUp41YWPOIN AND DOOR ARfA
AS A PG RCGNI' OF OVERAI.T. isXPOSi:D WALI.
Cacity 1Vindow U-FaUor
_Fcaming ? Insulalion ' Sheathing 0.99 036 0.31_
_
?0.27
SI'ANDARD RJ3 1R-7 13.4% 17.8% 213% 2-1.300
STANpARD R-75 2k-5 12.90a 17.1% 20.1;0 33.4°?
STANDARD R-18 <lt-5 11.1% ;16.0°; 22.0°0
STANDAItD R-18 2R-5 13.5 16.60% 21.800 25.3;;,
AUVANCLn , it-18 <It-5 11.701b `17.1% 20.700 23.9;?
ADVANCEp Id-18 2ft-5 . 13.5':6 19.2% 22.5°? 26_19L
STANDARD fi-21 <R-5 11.801, , 17.096 19.9:b 23.10,L
STANDAItD R-21 ?k-5 14.0% 19.3°0 225% 26.1°L
ADVANCGD R-21 <R-5 1 LS°6 I8.1 % 21.2 0 2•1.601
,
ADVANCI:D R-21 21<-5 . 1.1.00". 19.9;a 23.20% 26.90.
Subp. 3. Pcrfonnaiice crileria. The coniUined thermal [ransmittance (IIo)
factors for tvalls, rooF/ceilings, an(l floors over unheated spaces must be less lhan or
equal to:
A. 0.110 Titu/h Fl2 °F for rvalls;
B. 0.026 Titu/h Flz °P for roof/ceilings; and
C. 0.04 13hi/h flz °r for floors.
STATAl17'FI: MS§216C.79
NIST: 18 SR 2361
7670.0480 ?ZyienleA, 78 SR 2361
p
hiinn. I611cs CI„1)ICr 7670 26 ]un': 19')I
CITY USE ONLY
L? BL ? v RECEIPT#: 7DOOl
SUBD. ?,[tlpt9DC cqYloG ?? RECEIPT DATE: ??115i7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD , ?•.
EAGAN, MN 55122
(612) 681-4675
Piease complete for: . single famiry dwellings
? townhomes and condos when permits are required for each unit
. backflaw preventer for underground sprinklersystem
FIXTURES EACH NQ Tp7pL
Shower 3.00 x
Water i;ioset 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x 1-5-_ _
Kitchen Sink 3.00 x 1 =
Laundry Trey 3.00 x T = i?
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x ?- _
Gas Piping Outlet " minimum -1 3.00 x
Rough Openings 1.50 x ?- _
Water Softener "tor dwellings under construdian 5.00 x =
Water Softener ' for existing dwelling 20:00 x =
U.G. Sprinkler ' for dwelling under const. 3.00
U.G. Sprinkler ' for existing dwelling 20.00
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` oak cry iic. 65.00 =
(new antl refurbished systems)
Private Disposal Systems `,cnaneonmeni 20.00 =
STATE SURCHARGE .50
. TOTAL
I hereby acknowledge that I have reatl this application, steta that the infortnation is corted, and egree to compy witA all appiicable City
of Eagan ordinances. It is the applicanPsresponsibility to notify the property owner thet the City oT Eagan assumes no liability for any
damages caused by fhe City during its nortnal operational and meintenance xWities to the faGlities,constructed under this permit within
Ciry property/right-of-wayleasement.
SITE ADDRESS: $50 Govern Cir
OWNER NAME: JOE MILLER HOMES
INSTALLER NAME: GINZ-RYAN PLUMBING TELEPHONE #: 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITy; Rosemount STATE: MN Zip: 55068
IGN?
AT E OF PERMITTEE
OFFICE USE ONLY
z
CITY USE ONLY
L ? BL ? RECEIPT#: IS
SUBD1. ?___ve?Pn?u?4?1 RECEIPTDATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . singie family dwellings
o townhomes and condos when permits are required for each unit
X New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 2-2 G- f7
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $29:8&-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 12,60
? State Surcharge .50
TOTAL 10 Y,2 . SG
SITE ADDRESS: E?O ?6U?in ?.i?le
OWNER NAME: -1oP_ M.-llt, 1,4 h.e_< PHONE#: YSY-?G?3
INSTALLERNAME: ?nTia`(BQ 14- PHONE#: yGo-?.2,t
STREETADDRESS: - o?l?2/0 Ea7`lia 141C.
CITY: STATE: In/U ZIP: s??y
SIGNAT E OF PERMITTEE
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CERTIFICAIE OF SURVEY
for
JOE MILLER HOMES
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M32-1508-97
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30.00
V ? / -? 83.54
N85'31'24"E
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Scale: 1" _
$?'.001
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C?G?1C (Qf? ? N WL 9 sz,o
Lf?I E \J 14WL 855.6
BY d(-1
DATE /- 211"-? 7
BUlLDING IfVSPECTIONS DEPT. ,
Top curb to Gar slab 5_
Top 61ock = 9a 13
Lowest bsmt flr =
Q iLt3Csr.b ,
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850 Govern Circle
DESCRIPTION
I hereby certify thot this survey, plan, or
report was prepared by me or under my direct
supervislon and that I am o duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
(!Z_ Lw?, J a*
Date l4- -76N ?997 Reg. No. 8140
Lot 4, Block 4,
GARDENWOOD PONDS SECOND
Dakota County, Minnesota
Plat bearings shown -
o Denotes iron monument ? Existing_., Proposed ??
1- -
BRANDT EI'+IGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
?
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Suite 206
M32-1508-97
,
II II I!i l ll11 I II II III III II
* 0?1 8 7 6 9 7 *
REQUEST FOR ELECTRICAIINSPECTION
Minnesota State Board of Elechicity
1821 5 v-OBOO?o%y ?'. P?'yg3?
Phone (812) 642
Home Duplet Apt. 81dg Uther. "° New Addn
Commeraal Industrial Farm Remod Re av
Air Cond. Htg. Equip. Watei Htr. Ld Mgmt
oa Other.
D er Range Elec. Heat . Service
Tem
"X" above ffie wo covered by fhis request Enter remarks m this space ond on fhe back of the whife ropy only.
Cal<ulo}e Inspection Fee - This Inspethon Reques} wJl nof be accepfed wifhouf fhe torcecf fee:
Olher Fee O $ervice EMrance $ae Fee # Circuifs/Feeders Fee
Mobite Home Park Siall 0 to 200 Amps ?' 0 to 100 Amps /Q
5}rea} L}g /TraHic $ig. Above 200 Amps ove 700 mps
Tronsformer/Generator INSPECTOP'SUSEONLY
Sign/Outline Lfg. Xfmr. ?c` ?• S
Alarm/Remote Con}rol
$Wimming Poal I hereb c e ednml mzlallalmn desrnbed hercin an fie dalea sfa
Irrigafion Boom ? h-In " Do?? 7
Special Inspetlion
Inves}igative Fee F?nal
/
D
?H
"
THIS INSTALLATION MAY 8E OR)ERED IS ONNECT NOT CDMPLETED WITHI 1 B MONTHS.
318 _?? 9
? OFFlCE USE ONLY Thn reqaest void IB mamhs from validonan dak pnnted in ihrs bor /
-
'70 40
?
?/io?q 7
PLEASE PRMT OR TYPE
Reqoezt Date Rough-m inspe?non reqoired2 ?Res ? No InspedEan Othar Than Rough-Irc ? Ready Now [.?Wdl Coll
(3 7 (1'0, m,st mll the irvspecror vfien ready) Daro Ready.
I, M'Iicensed mnfrodor Q owner hereby request inspedion of ihe a6ove elachi<al work at
bb Addrsss 151rxt, Bor, or Route NoJ Gry lp Code
850 Govern Circle Eagan 55122
SMion N. Township Name or No. Ronge N. fine Na Counry
Dakota'
Occupont PMne No.
Joe Miller Homes 454-4663
Pawer Supplier Addrcs 0t]] S t S w
Dakota Electric Farmington, mn 55024
Eleddml Comrador (Company Namel CoMratlor License N. MvMen cc. Na (Plam Eletl. Only)
Midland Electtic
0123
C)
MojLng Mdreas (Commtlar or Ovme. Performug InsMllafion)
22691 Red Fox DR Lakevilke, MN 55044
lwthonz Si nSWre IConhae` r Pedommng InsMllahon) Phane No.
? - i.
EB-OOOOlA-10 6/95 ? eS-]?FFEBOMD COPY-SEEINSTRUCTIONSON9ACKOFVELLOWCOPY
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