853 Govern CirINSPECTION RECORD
ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: •?? r'. ?? ?:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, . ?.
SITE ADDRESS: APPLICANT:
?:???;i ??w ? . . , ,:??
, :?I?UE N4Jnr.?(? {yE1N(:Ix; ; Nil (t>?.?' f 4h4 9184
PERMIT SUBTYPE:
TYPE OF 1NORK:
rf) 4zTrM???.
i t IJAI
i'?FWRhtKSj PLAW REWi1"4Jf !) $W MIh?' HA12Vk.
-r?-- ?'
?
?
-------------------
Permk No. Pertnft Holdar DaU Telephone #
ELECTRIC
PLUMBING
HVAC
Inspecdon Oats Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS
TEST VC
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG ?
UECK FINAL
.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ,r.
PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
a! "k"°- W', APPLICANT:
,9 ` if t [) f Y t
• ` ? , ', ?; ' , . . .
.w' y •
a k. a.. e a. r, -I
TYPE OF WORK:
;ilfit (v INQ
0.4 H t Cl N
0" 1 r cv It-i 7
INSPECTION D. . DA
? ?.I' ... . . '. ._ . I ?'. . . ?. ..
? ? ? . . ? . ' . . . ' ' ? . . i i . . .
i ? I ? . . . i . . , •
I RFMARKS: f_NE7INFi'REp F011N[Iq1 J(tN 1 A.& 41 pf_8h' . q r tJ %RWCtt !!NI'l ?dATF!
Permit No. Pertnit Holder Date Telephone A
ELECTRIC
PLUMING
B
HVAC 9 G ?-j
InspecHon Date Insp. Comments
FOOTINGS 61 _ ' 441$
h I S
FouNO
Fw?nniNa
ROOFING
ROUGH
PLUMBING
c - a9
PLBG
AIR TEST I o I'9 7
ROUGH
HEATING
-
GAS SVC
TEST ?
INSUL
GYP BOARO
FIREPLACE
?G •- ?I
FIREPIACE
AIR TEST
FINAL PLBG
J
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
OECK FTG
UECK FINAL
Adptess 853 GOVERN CIR
I.ot ' Blk ` Sub
Zip 5512=
GARDENWOOD PONDS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL IPSPEGTION.
Date: ,? // 9 Yes No Inspector: `
Final grade (6" from siding)
Pennanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUCUtb damage
Porch
Basement finish
Deck
Please vei with the builder the removal of roof test caps from the plumbing system and the shu[off of water supply to
the outside awn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sptinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contrac[or Copy
CI7Y Oi EAf.:riN
C:ASII'I'F_'R, S 7'i'=1::tM2NAt_ NO. i'E,G.
LiFl7;_:: 04/01/38 T'IM!::;; 000;0
:[D .
NnMr.-u _,nHN r,:r:.K.,
::210 9001 853 coVr::r;N c!r, 50,.0o
2155 `)t`lf:}i. 853 COVG:fiN C;'I'}; 0.5{}
Tpt21l i'CC01ft7.p1; iimi]t171$ : 50,50
CFOf.;i:3582
U'_3F...R 7'Ttz NANCV
I
-'`?°CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
853 GOVERN CIR
LOT: 9 BLOCK: 2
GARDENWOOD PONDS 2ND
P.I.N.: 10-28801-090-02
DESCRIPTION:
Buildi?ng,?Permit Type
`BUilding le'ork Type
C e n s u s Gode
?k
t? x , s
??•
` (
? a
l
REMARKS:
P4AN REVIEWED BY MIKE BARCK
pECK
NEW
434 ALT. RESIDENTIAL
={ ;" iC7
r, ?i?°..,l
r: k??,;sr :,??? t%t:_4??iu J
tr
FEE SUMMARY:
CONTRACTOR:
?
PERMIT
PERMITTYPE: BuzLorNG
Permit Number: 031693
Date Issued: 0 4/ 01 / 9 8
OWNER: - Applicant -
BERG JOHN
853 GOVERN CIR
EAGAN MN 55123
(612)454-9704
I he.reby aeknow3edge tMSeC ?I, haVe r"ead?xYiis' ap`pLi:c=at3on aiad •etate that bhe
intormaCion is corr-ect and agree-to ckmpky with aA1, °applica6T'e,.9tets?ot;Mn..-Statutes and City ¢F Ea'gan Drd i' _' c:es.
v
APPLICANT/PERMITEE SIGNATURE .SSUED BY: IGNAT
?
998
New Conshuction ReauiremeMs
BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
? 3 registered ske aurveys
• 2 copies ot plans (inGude beam 8 window saes; poured fnd. design; ete.)
• t energy celculations
? 3 copies ot tree preservation plan if lot ptatted after 7l1/93
requiretl: _ Yea _ No
DATE: a - /5i - 9 F--
RemodeVReoair Reauirements
? 2 copies of plan
? 2 sRe surveys (exterior addRions & dedcs)
? 1 energy eelalations for heated addkions
J, j 9 ,F")
C?.Q,4;:G, 4-1
CONSTRUCTION COST; OrY?
DESCRIPTION OF WORK: u i/d APC K
STREET ADDRESS:
LOT: ( BLOCK: SUBD./P.I.D. #: a..,.(c 12.,(.
PROPERTY
OWNER
CONTRACTOR
Name: O'M4 Phone #: V5`Y - 9J0 ?Z
Latt First
Street Address: 6ya.v e^/L C„r r/ c?Y
City ??,? State:
111,411
Company: P/ oCcJNr-IQ Phone #:
Street
City
Zip: .SS /??
Zip:
State:
ARCHIT'ECT!
ENGINEER Company: Phone #:
Registration #:
Street Address:
City
Stau:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is conect and ag mpty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
' Signature of
OFFiCE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
License #
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
)3'131 New ? 33 Alterations
? 32 Addition O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt.lLodging ?
? 12 Muki RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,MK15 Deck
? 36 Move
? 37 Demolition
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!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Cooies
A,
w 7x :
?? ? ..
t?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System ?
City Water ?-
Fire Sprinklered
PRV
Booster Pump
Census Code. 4f 3
SAC Code ?
Census Bldg
Census Unit
ANG Engineering
Valuation: $
, I
;'Fr 4ik.?'Yr * ? d,.ic.S::?r:'1,iX?Y,"(i($i?;;1 •„/>?t??:e.??.i;:,ll;ti:5rn:.?;lr`???.?F;d:
C:frY (+F ri'.AGi?id .
NCi ?1*4.IzMl',i,i ,-1,'... 7r'
Pr.Tt?n Wi.aW Mc,: MUs;;.,.r,
,
;!qvi!-„ i; i{ IiOptTf.y`; [.,f.
:,: _; , 9001 ? ?, . 3.?r:i ?r.}{ r., .. ..'I::.,?N ?. .. .?.,r. .. 071201
. .. F.
-i:: .F!:1. Ac_ :I:Yi;
('f;(aiS?]t'_?i..?i .
Llsi:i7i mWL.VtaN
{???:e.i,.Y;kYCn?K:.kl:w:,k.;'(n;;!;?I'v::Y:'Dk;X(:?r1k:? ?.;'>,'r:f,:t:'r'm'•'r-°,:x
CITY OF EAGAN
3830'Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-28801-090-02
DESCRIPTION:
PERMIT
PERMITTYPE:
euzLozNs
Permit Number: 0 3 0 7 9 4
Date Issued: 0 9 J 18 / 9 7
853 GOVERN CIR
LOT: 9 BLOCK: 2
GARDENWOOD PONDS 2N0
,--,
&5uzlding, Permit Type
jBuilding-Wlx? ? Type
UBC.'O.ccupancyr?,
C6rastruetion" e
?"?
. t.,,s.
,.' ' - eZaning
Bu`ildingLeta,gth.
tiB ui 4 d in.4 W 3 d t-h Ce`ns"uS'=f?od'e .
t? ,r-
SF DWG
NEW
R-3 U-1
V-N
R-1
65
47 '
2
2,308
101 1 - FAM. DETACH
"i.. n r.??.l ??, r....`...
if
?gyY?'-
\' '+a.a d?? be?? a.{ +'v:? w? t? 1m 3.c`
? ?.
REMARKS:
ENGINEERED FOUNDATION S& W PLBR - M& W SEWER AND WATER
FEE SUMMARY:
VALUATIOM
Base Fee
plan Review
Surcharge
3AC
SAC %
SAC Units
SubCOtal
i
$3,172.71
$181,000
MISCELLANEOUS $1,539.50
Total Fee $4,712.21
CONTRACTOR: - Applicant - sT. Lrc OWNER:
WORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASHTNGTON DR 204 3459 WASHINGTON DR 204
EA6AN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4669
I'hereby acknowledge th:at S have read; _this dppJ.icat;i.ani arld state t}iet, the
information is 04rrect,:end??agreg tYrµ¢'4mFl,y=?41?tY1,all .app`l.icahle SCa'teafi,Mn.`. _
? 8te.tutss, sntf Citp o+ Eagarr Orttinanco,s?
?,r m?
APPLICANT/P M E SIGNATURE ISSU IG A R 1-
$1,292.25
$639.96
$90.50
$950.00
100
1
364V97 BUILDING PEFtMIT APPLICATION (RESIDENTIAL) $4,qI ?.• 2 1
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675
New Construdion Reauirements RamodeVReoair Reauiiemenis
? 3 regfffiered aRe surveys * poopb$ of Plen
? 2 coDies of pWna (Indude beam 8 wlndow saea; poured fnd. tlealgn; etc.) ? 2 site surveys (exterior additiona & dedcs)
• 7 enerpy calalations ? 7 energy caialations for heatetl add'Rions
? 3 eopies W tree preaenatlon plan if lot platted after 7/1183
requfred: _Yes X No -
DATE: 7 CONSTRUCTION COST: ?-??,?53? •
DESCRIPTION OF WORK LtLGW ?e>,? 4-?.?_f,vH
STREETADDRESS: 95-3 6oUVf.?vt GrrLjf
LOT _9 BLOCK ? SUBD./P.I.D.7k: G?'r?t?or? ??S d'n?.
PROPERTY Name: Phone #:
OWNER mc
Street Address:
City: State: Zip:
CoNrw?croR Company: -:Ze- rY]dlc,- gn.+es Phone #:
Street Address: 3V54 1.cLsl;??.? SJc..a..?/ License #: 2b?/-S7
Ciry: _16a Gn State: /J9r? Zip: _ SS/m2a
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): _Mvl? fxwet- d- k1a{cv •. Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the informatlon is correct and agree to compty with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 4i,Z? 1,f/k-?1'??..,
OFFICE U5E ONLY
Certificates af Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
AUS j 6
BUILDING PERMIT TYPE
OFFICE USE ONLY
;
+.
a
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging '? 16 Basement Finish
? 02 SF Dwelling ? 07 4plex o 12 MuRi RepaidRem. 0 17 Swim Pool
03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscelianeous
n 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE
? 31 New a 33 Alterations o 36 Move
n 32 Addition o 34 Repair o 37 Demolition
GENERALINFORMATION €Nbt1N? fV00p{{ry1Ars
Const. (Actuai) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water ---
UBC Occupancy sq. ft. Fire Sprinklered
Zoning ? sq. ft. PRV
# of Stories Z sq. ft. Booster Pump
Length T sq. ft. Census Code. ?
Depth ? Footprint sq. ft. Z3o8 SAC Code t) I_
Census Bldg
Census Unit I_
APPROVALS
Planning Building A21 Engineering Variance
Permit Fee
5urcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Vatuation: $ 18 I opo. Q?
?`1?i" GUNFi N ISHIE?D?
I EE;-J8. sX 15=-25? 4-7 -7.5-0
Total: . • .
';? • ,, ?:??
.i .aL..
% SAC
SA pnits ? .
?•?; ?
jST" ?L? IZ
EPP?2f}GY?
y,,?.X 30 = 1??20.00
Z0 F-C?Wll
113?X sq ?-- U1I 4tq.m
"????-
? ?`?? 7U7, sa
LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
?
DOCUMENT STANDARDS 9
a z
?o
?
? • Registered Land Surveyor signature and company
? • Building Permit Applicant
? • Legaldescription
• Address
??? ? • North arrow and scale
L9?0 ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
??4 ? • Directional drainage arrows with slopelgradient %
?? ? • Proposed/ebsting sewer and water services & invert eievation
0-? 13 ? • Street name
13-'0 0 • Driveway
ELEVATIONS
Ew•stina
• Sewer service (or Proposed)
0"?[] ? • Property corners
ar, ? ? • Top of curb at the driveway
11 Er? ? • Elevatians of any ebsting adjacent homes
Prooosed
?
?o
? • Garage floor
" • First floor
j0
Ef ? • Lowest exposed elevation (walkouUwindow)
d ? ? • Property comers
o ? • Front and rear of home at the foundation
PONDING AREA (if aoplicable)
""
E3 0
0
? ?? o Easement line
• NWL
? 9' ? • HWL
o e / o
?
?' O • Pond # designation
[ • Emergency Overflow Elevation
DIMENSIONS
/
Cl/ O O • Lot Iines/Bearings & dimensions
6 O o
'?' • Right-of-way and street width (to back of curb)
'
o ?
Er • Proposed home dimensions including any proposed decks, overhangs greater than 2
,
--- porches, etc. (i.e. ail structures requiring permanent footings)
0
a ? • Show all easements of record and any City utilities within those easements
a-'0 /?.
? ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting sfructures
'
• Retaining wall requirements
any
/
Reviewed: /
/
t
January 1996
CRAIGI BBBIBLDGPRMT FM
-?,
.
1 dc 2 Family Rcsidenlial "Cookbook" hleLhoa
I?DV ??--J
BUILDER
Uty
oale
IYUnimum Criteria:
Rim Ioist R-19 insulauon Froundaton Vlrndows: iasulatcd glass, 12' airspace, w'ood or vinyl frarne
Enw doors: 1?Yi inch solid wood tivith storm or better _
I I STEP 1 Window & Door Ama STEP 2 Calculate area as a percent of k•a? I
Total Window & Aoor Arca in Sq. Fcct
WINDOVl5 (i.cluding fcunda;ion windows):
Dimenfions Qnty. Arca
X s-r?' aHrl ?S
x LDI v
X 41-d' II ' I
Z! (o" x' a" +1? IIII 9 D
z
-n' x $ ! a'
X.5!n' 1Ii? (?D
f..n' X3
? z5
il
??-
X
X
x
r ? x?° 1 ?10
?O z ( b ? n
? z Z• ! ?
Tota1 Arca of L?
VTindow & Doors A
Box A(window & door ana) dividcd by Boz B(total
wzll rrca) times 100 equzls t6e window z^d door zrea
as a pcncnt of wall area (Boz C).
soxn xioo -
IIozB ?Zl C
STEP 3 Design Featura
AS SEMBLY OPTIOV
r-RAME w.4u.:
STANDAStD FRA1.[IING ?
ADVANCED IRA7.ff1qG
CAVITY INSLIL.ATION R- 7-]
5??THINc'-' LESS TIIAN R-5 x
R-5 OR T.fORE
WINDOWS (cxccpt foundation windows):
U-rACTOR U-, ?j(p
From the table, dctcrmine the maximum pcrccnt wiodow
& door area for the design oprions selactcd and eotu ihc
valuc in box D bclow:
?7 n
Box C must bc lcss Lhan or equal to Box D
Total Wall Arca in Sq. FL
PTall Total Perimcter Hcight Arca
J' '•
t
F. Tlie Uuiiding must not exceed lhe maximum windoi.• and door area as a
percentage of overall exposed tvall area listed below For tlie combination
oF framing ?eclinique, R-value of insulation within the insulated cavitv,
sheathing li-value, and window U-factor. Other components must meet
the requirements of this subpart.
MAXiA4iln11YINDOIN AND DOOR ARE•A
AS A PI RCGNT OF OVLRALt. GXPOSGD WA1.1.
Cavil? WinAo%r U-Faclor
_Framing • (nsulalion ' Sheatiiing_ 0_99 • 0.36 0.31 0,'17
Si'ANDARD R-13 2R-7 13.96% 17.8% 219% 24.30%
STANDARD 1i-15 2R-5 12.9?0 17.1% 20.190 33.40.
STANDARD R-IB' . <It-5 ] 1.1% ;1fi.0°o 22,00b
STANDARD R-18 2R-5 13.5°5 18.60b 31.80.0 35.31%
ApVANC[D R=18 dt-5 11.101b `17.1% 20.1°0 23.9?
ADVANCED R-IB 2R-5 13.5°0 19.2% 22.5°? 26.1'1l
STANDARD 1i-21 <A-5 ]1.8°0 ; 17.00. 19990 23.1%
STANDARD k-21 21(-5 14.0% 19.3°0 22.5:L 26.10,L
ApVANCCD R-21 <lt-S 11B0, 18.7% 21.24L 2.1.6,;,
ADVANCrD k-21 2k-5 . 1.1.0°". 19.90"a 23? 26.91%
Subp. 3. Perforinance criteria. The combined thermal trensmiltazzce (Uo)
factors for walls, roof/ceilings, and Floors over iinheated spaces musl be less lllan or
equal to:
A. 0.110 Dtu/h F12 °F for walls;
B. 0.026 Tihi/h flz °F fnr roof/ceilings; and
C. 0A4 Titu/h ftz °C for floors.
STATALC(fl: MS§276C.19
N?ST: 78 SR 2361
7670 0490 ReNenleA, 18 SR 2361
?
N4inn. Rules Chaptcr 7670 26 )unc 199 1
ivzl? - p? n
CITY USE ONLY
• ? ? RECEIPT #: O ?? / 5
SUBD RECEIPT DATE: '/no/qq
1997 MECHAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
_ (612) 681-4673
J ,
Date: 9
Complete this section onlv if vou are installin¢ HVAC in single familv, townhome, or condos that are
under construction and are not owner /occuuied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) q.oo
• State Surcharge: .50
• TOTAL: y?s (D
Complete this section onlv if you are remodeling, addine to, or reaairing existing single familv
dwellings, townhomes, or condos.
_ Add-on fiunace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to al] remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: '?J ??
OWNERNAME: 3 O?E \'1 \A'? PHONE#:
INSTALLER NAME: PHONE #: " ?' YJ V ' lU O ? ?
STREET ADDRESS:
CITY:
STATE: M ,l l. ZIP:_ISEZ;3
. ??
? I pTURE OF PERMITTEE
/ CITY USE ONLY
I/ L 9 BL ? ? RECEIPT#:
SUBD.}Y_kUGO(fJiYt.Gl?`d?0?- ? u? RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Piease complete for: . single family dwellings
? tawnhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES ?C . TOTAL
Shower 3.00 x =
Water Closet 3.00 x ? =
Bath Tub 3.00 x =
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 7 _
Floor Drain 3.00 x _L =
Gas Piping Outlet ' minimum - i 3.00 x I_ _
Rough Openings 1.50 x -'53 _
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' far existing dwelling 20.00 x =
U.G.Sprinkler `fordwellingunderwnst. 3.00 =
U.G.Spflnklef `forexistingdwelling 20.00 =
Altefeti0n5 ' to exisdng residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` Dak Cty lic. 75.00
=
(new and refurbished systems)
Private Disposal Systems' Anandonment 20.00 =
STATE SURCHARGE
TOTAL
.50
I hereby acknowledge that I have read ihis apptica5on, state Mat tha infortnation is correct, and agree to comply with all applicable City
oT Eagan ordinances. ft is the applipnPs responeibility to notHy the proparty owner that the Ciry of Eagan essumes no liability for any
damages ceused by the City during its normal operetional and meintenance activitias to the fadlf6es wnsWCMd under this pertnit wfthin
Ciry property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLURNAME: GENZ-RYAN PLUMBING & HEATING
STREET ADDRESS: 14745 SO ROBERT TRL
CITY: ROSEMOtINT STATE: MN ZIp: 55068
-
NAT E OF PERMITTEE
TELEPHONE #: 423-1144
.
? ?.
?
CERTIFICATE OF 3URVEY
for
JOE MILLER HOMES
i
Na tis,? as
F'U/,
6
l `
,
1 ? Drainoge & ? ??/ 89Sr ? ?
utility
? easement
?
?
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DESCRIPTION
I hereby certify thot this eurvey, plan, or lot 9, Block 2,
report wos prepared by me or under my direct GnRDENWOOD PONDS SECOND
supervision and that I am a duly Registered Dakota County, Minnesota
Lond Surveyor under the Laws of the State
of Mlnnesota. Plat bearings shown
o Denotes iron monument
Existing j Proposed
Date 12 AI.K- 1997 Reg. No. 8140 ---
2CV & SC-P 1997
BRANDT ENGINEERING & SURVEYING
1600 West 143rd S tree t,
Burnsville, MN 55306
(612) 435-1966
Suite 206
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M32-1598-97
CERTiFlCA1'E OF SURVEY
for
JOE MILLER HOMES
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BY ??!lC.l.l/J i'V113r?.T7/?
DATE -? 1 ??q97
BUILDING INSPECTIONS DEPT.
Scale: 1" = 30'
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I hereby certify that this survey, ptan, or
report was prepared by me or under my direct
supervision and that I om a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
No. 8140
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853 Govern Circle
DESCRIPTION
Lot 9, Block 2,
GARDENWOOD PONDS SECOND
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING &
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
SURVEYING
Suite 206
M32--1598-97
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164125
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 853 Govern Cir
Lot:9 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dareth J Berg
853 Govern Cir
Eagan MN 55123
(651) 269-2954
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature