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861 Govern CirINSPECTION RECaRD ? CITY OF EAGAN PERIIAITTYPE: ,---3830 Pilot Knob Road Permit Number: . Eagan, Minnesota 55122-1897 Date Issued: , (651) 681-4675 SITE ADDRESS: ' - N • 1 E> i 8 kA !. - 0 ? ki • APPLICANT: 1.(17 :rt ? (tl.?i: PERIIAIT SUBTYPE: TYPE OF WORK: INSPECTION ., . D. pi. A N RV V3E I.Af=tl riY i;z 1 1 nr1 ? F- ? ? 39,040 Permit Holder Date Telephone # SEWEW WATE R PLUMBING HVAC Inspectlon Dale Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ? ? PLBG AIR TEST ROUGH HEATING - GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL. HTG ORSAT TEST BLDG FINAL 1? -hJ3 DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCrwirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - CITY OF EAGAN 3830 Pilot Knob Road Eaqan, Minnesota 55122-1897 SITE ADDRESS: ., , PERMIT SUBTYPE: ' ?? . TYPE OF WORK: :„ , INSPECTION DA • .A ? :N 14 L vil•t?J F, G) NY htTt F. CIARd`K H i t} W p F rt , A1 S tJ W A fi F it A Hi n rw f' w1 i ; '. -71 N REC4R] PERMIT TY Permit Number: Date Issued: APPLICANT: n E ni r? .` ? Pertnit No. Permit Holder Dete Telephone # ELECTRIC PIUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND 7 ( ° L?d l FRAMING ROOFING ., ROUGH P UMBING AIR TEST ROUGIi HEATING GAS SVC iEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG iL1// d[:0'( FINALHTG ?[ y ORSAT TEST BLDG FINAL wzv BSMT R.I. BSMT FINAI DECK FTG DECK FINAL ) AYId[ess'_861 covE[uv cIR Zip 5512 3 L.ot 7 Blk ? THESE TIBMS WEREJ/WE RE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 0`/ q Yes No Inspector: Final grade (6" from siding) ? Pennanent steps (gazage) ? Permanent steps (main entry) Peintanent driveway Permanent gas ? Sod/Seeded grass ? TraiUcurb damage ? Porch ? Basement finish ? Deck ? Pleese verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the ouuide Iawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Convactor Copy Sub GARDENvM PorIDS znd - ?"? ??i ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 7f City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons W clion Rewirements 3 regislered siie sutveys showing sq. ti of Iot, sq. @ of house, and a0 roofed areas RemodellReoair Requirements 2 copies of plan bffioeYlse 6?Tv :....Y -_N (29% maximum lolcoverage allowed) i set of Energy Calcula6ons for heated additrons h & d k d The?PrC4'PIBAFi?CtJ.:" free PreS3?uired : "_Y _N 2 copies of plan showmg beam & vnndow sizes; poured found design, elc. 1 set of Energy Calculaiions ons ec s i . 1 sde survEy for ad Add'dion -'mdicafe rf oo-sde sepfic system . Qrr3JIB SBpFG?yS?em -`_"K. -.=fN 3 copies of Tree Preservation Plan if lol platled afler 711/93 Rim Joist Detail OpLons selection sheet (bldgs wdh 3 or less unds Date Construction Cost Site Address rSOJL?'-j UnitlSte # L'fhA? Description of Work Multi-Family Bldg _ Y a N Fireplace(s) _ 0k1 _ 2 Property Owner /YI /i /L'l'J °ej-lq n /A Telephone # ((p? )?? ? ? ?O ? Contractor t Dk-c t? 17 Address W !'k"1 C't3' State Av? Zip Telephone # (`J •? ) 4,1d 'o) 10 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minoesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculafions 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 Confractor Telephone #( Telephone #( )-? ? i ? ? l? i Telephone #( ) (? ? IJ I I 9 2004 I hereby apply £or a Residential Building Permit and acknowledge that the information ; pcomplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and-the-St-ate-ofl-iVN 5tatutes; I understand this is not a permit, but only an application for a p it, and work is not to start without a permit; that the work will be in accordance with the approved plan in the c s of work which requires a review and ,. ? _ approval ofplans. , Wp Applicant's Pnnted Name 07- 19zQk7 07: J8 EFGAN MTCE Ff7C + C I TY NPIL-DNSTRS ?ki a v12, n??a. NO. 349 p002'002 ?!'_ 1 r ?.,e ! ------ ustomer Nam : /) rK/+A.ca ? P/.?do,,e) `.= City: hoa Location or Problem Addrrss (If diffeient WaA Customecs Address) t 114) ate ofR ons : Supervisor's SignsRete: CODE Park or Wetland Numbar I:%Y1Plkwmmer (P1G8SC h1C77 OVGf). nviwd 07WT90 ALL SHADED AREAS MUS't SE COMPLETED IZv FULL FpR CALL OUTS. eceived Via: Phona PD Other im : T en By: ST.TY n1= I_Ar.;MN I CASI''.C;:rv c ci TEIiM:I'Nfii. NO: 798 LA'ft„ i.1lc?0/E'.s3 ? I1fE;; 105509 IDc h+Al'il:_:: SC1-IAF: f A Mbi i I-IEN 32:Lf1 D00:l 861 C;OVI=:;='M L" I.F. SU.Oj 2105 9001 06;. rOyEEir! ct:R o,";rj'.ll i ?{,?w• irjt,.77 P"?_.7i2:iii1; FIYtq?.:t5??;,, {p L'r.Q`J:?51'?:' f U^c:R :I% Nr1Nry ip I, ?X??>8?:'i; IX`k ? ?: ? *?K?:?kag?;;,?,? -F ::M?S'%?k%kM:? X?? ?:Rc -?F: k?'; cr%'r..•Y:'?PI I( ?I , PERMIT C!? Y OF EAGAN ? 3?30 Pilot Knob Road PERMIT TYPE: Permit Number: g U]: l L) S N G Eagan, Minnesota 55122-1897 034036 (651) 681-4675 Date Issued: 1111908 SITE ADDRESS: 861 GpVERN CLR LOT: 7 E31.OCK s 2 GARoEN wONos 2No P.z.N.? 1e-288e1-e7e-02 / , DESCRIPTION: 8uildi,ng -Rermit Typer BASEMEItlT FIP!ISfd E3u3,1.d7.nq WorJ; Tvpe ALTFRATI(7N ",Census Code ? 134 AL7e RFSIDENTIAL ? , i --ix(4- i t r , _ .?.. ._ : ? .... REMARKS: PLAhJ REVSEWEG BY 57LL F1DAM5. -5EPERH7E PERMIT i2EqUTRED FQR ANY PLUMBING WOF2K. r-ni i.nnc ^ronrn incnannrnir ri rrv-r-.rnii nrr.nn-r-r .nn nirrvTrrrnnrr- -- FEE SUMMARY: QaS2 f t?Q $50. 0Q1 5u YCilai"Qp 7 G t,. al t' E f,± ._.....?.._' _- $ 5 0 . J 0 CONTRACTOR: OWNER: _ ppplicant -- scHAFazp rgRrwFw 861 GOVEftN CtR FAl7AN MN 55123 (651}405-0065 1" hereby acl:nowledGe that I hRVe read tMis information is cnrrect €and c^.gree to camply Statutes arid Citv afi Eaqan i2rdi.nincas. ? t RMITEE SIGNATUPE appl9cati.on and state that the with a11 appliodble State ot h4n. Q??l-4:;' /--\ ---,?; Ig ED BY? SIGNATl1RE \j ? ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) [ • CITY OF EAGAN 3830 PB.OT KNOB RD - 55122 681-4675 New ConstruGion Reaufremtnts RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; pourea tnd design; etc.) • t energy wlculations ? 3 copies of tree preservaticn plan 'rf lot platted after 711193 requimd: _ Ves _ No DATE: & - /G - `Z S1 • 2 co0ies of plan ? 2 site surveys (exterior aOddions & decks) ? 1 energy calculahons for heated addilions CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: LOT: ` BLOCK: ?- SUBD./P.I.D. #: (-? Name: 1?7a J C/., ,, PROPERTY Lmt Fint OR'NER /'/ ? Street Address: ?CD ? /) ?/.-vYh- C', ?J Phone #: ? n' City !?f 46:?.4? State: M11? zip: Company: J?G 1'v7 ei?l?r„r- Phone #: ?f--OS oB ? CONTRACTOR Street Address. 3?/'/ (n /?a v? License # City State: MA/ Zip: ARCHITECT/ ENGINEER Company: Phone #: Street City Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge thffi I have read this application and state that the information is correct and agree to camply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: dt, OFFICE USE ONLY ZKI CEIVED Certificates of Survey Received ` Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BY' State: Registration #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 13 06 Duplex ? 02 SF Dweiling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New A 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ,& 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck O 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Variance ? ? i Permit Fee 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: valuation: $ I2 4 c) % SAC SAG Units x"PQC,':.:t^'.:{iQ:?ii??(?.,, CI7`1 iIF G:A!;AN (;p;H'•.'f 4': .`.i l'EP+1TtJi,l.. N:-)' 975 ,",","E., 0507/98 (']:i'1;-:: 1.4=09 *???tSC,: 17 R N;OFtTf7h :C??C; 2p5t, 9001 8;?.:'i . 9nYr ??.rN ,".. .ir ; qt'Br„ii : u:;a. P.==..si??A . F',no,.;rs:::: u,207.71. CF't?^"'.?,? I7 ' USER ':L O NANC,v . r ...a?.'1: ;f:? 1S$;lY."<wpC,?(I{r.?. •. ;.M:7".Fn:,,..:n??, T,.; :4.?, ? p..,:;'s, PERMIT '?1'TYOF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z Lo z N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 0 5 8 (612) 681-4675 Date Issued: 0 5/ Z 6/ 9 8 SITE ADDRESS: 861 GOVERN CIR LOT: 7 BLOCK: 2 GARDENW000 PONOS SECONO P.I.N.: 10-28801-070-02 DESCRIPTION: Buhtli"n?g Permit Type Building?"Wprk Type .?UBC Ocoupanc}z? ? Construction Ty,pe ? Z o n i n g 1 ? Building:-starlesP ;`8.quare Feet ?. Census-Code ? . E._ ^- i . / = v E?e VALUATION pa? . i? ? r-. m?r y- . E ?--? r.'"•? ?- ti i i (-1 REMMlf§:REVrewEO BY MIKE BARCK S&W PLUMBER:M&W WATER AND SEWER FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units SubCotal $1,562.25 $1,015.46 $117.50 $1,000.00 100 $3,695.21 SF DWG NEW R.-3, U-1 VN R-1 2 2,654 101 1 - FAM. DETACH $235,00@ MISC. FEES $1,592.50 Total Fee $5,287.71 ?tq???NC'9F MN, D R 14544663 2000565 9PE'TfILLER HOMES 3?59 WASHTNGTON D12 204 3459 WASHINGTON DR 204 EAiiAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 ? I hereby ackaowledg-e tha•t I;h?ave _Cead; ?this ??-;?•Pp13,oatf??n m.r?t? stc?te t?tat tk?e infiormation is correctand agree io colinply"vith`'`all applitable` StaCia of Mn. Statutes and City qt Eagan prdinances. • _ . ?.. ? : - APPL ANT/P ITEE SIGNATURE ? ISSUED BY SI ATURE ? 7 C'? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ti?r; CJ crTsr oF Enaax /? 3830 PII.OT KNOB RD - 55122 l,d 51 'l D 681-4678 Hew Construdion Reauirements ? 3 registered ske surveys ? 2 copies of pians (indude beam 8 window sizes; poured Tnd. design; etc.) • 7 energy ealculations ? 3 copies af tree preservation plan 'rf lot platted after 711f93 required: _ Yes ,'j No DATE: S-10-9X Name: Lssc Street Address: City DESCRIPTION OF WORK: /???,hS?i-???w,? STREET ADDRESS: S'G ICorGI f ?--j- BLOCK: ? SUBD./P.I.D.#:_4?.,,Ao.,i?ar? kjs 2,.,1. PROPERTY OWNER RemodeVReoair Requirements ? 2 eopies of plan ? 2 site surveys (eMerior additions & decks) ? 1 energy calwlaliona for heated addRions CONSTRUCTIONCOST; /73.Lcu State: Zip: Company: ? iQ, FiwL,Yw, dIbJG TvL {1?i??cr tN»qPhone #: 4n1-4?1.63 P„rcF •/ay CONTRACTOR ! Street Address: j/S?"i ki /,;Q,L, I)v/veLicense # ?2604LZS7 Ciry ??'vi State: /?'1i(/ Zip: ARCHI7'ECT/ ENGINEER Company: Name: Street City State: Phone #: Phone #: Registration #: _ Zip: 4lLr t-!?!W4r. . Penatty applies when address chang Sewer & water licensed plumber (new construction only): /h4-1? l,c1 and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sTate that the iniortnation is Correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. I /? Signature of Applicant ??Kdo 219 0 1:/ IS OFFICE USE LY D Certificates of Survey Received ?? Yes _ No ? Tree Preservation Plan Received - Yes _ No _ Not Require First . -? . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 'o-02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE A 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATI ON Const. (Actual) v,-1 Basement sq. ft. 1 7 10 MC/WS 5ystem (Allowable) Vnl Main level sq. ft. r S sy City Water UBC Occupancy ?,I° sq. ft. Fire Sprinklered Zoning 12- I ? sq. ft. g??7 PRV # of Stories 2 sq. ft. Booster Pump Length sq. ft. Census Code. i o i Depth Footprint sq. ft. 2 6-- SAC Code 01_ Census Bldg I_ Census Unit I APPROVALS Planning Building /IM3 Engineering Variance Permit Fee Valuation: $ 2 ?s oco. Surcharge $h?ME.T Plan Review $?,y /z8 License , Z MC/WS SAC Y v z? fov City SAC z ,- , z ?N WaterConn. 'w x 2 °t 33y Water Meter 3° u 37 i? Acct. Deposit 10 ro5 = zs ?Sv. - S/W Pertnk «- SNV Surcharge Fy 05 Treatment PL ? z u? z Park Ded. Trails Ded. i ?5Y yb ? sy Other Copies • - ; ? ? ? -• r C- ;, ?r,M1+E rrs 3vtsEr+???7" ,; , Total: ncu 5 Sx-? , ?ro ? % SAC .! 1??`( ?b9s`1' SACUnits y ' ' 33. s x t8 2?l21.S I 5 2 y (i?S -7--o lb?I1(i = tZ?gVO,, Z 31, 3?z_ _ t V W >"- ? ? o ? ? 9- ? ? ? ? ? ? ? ? U7' ? ? ??- ? [3? ? ? C7' ? ? ? r ? 0 ? PROPERTY LEGAL: oA i t vr suttvtr: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building PermitApplicant • Legal description • Address • North artow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exisling sewer and water services 8 invert elevation • Streetname • Driveway ELEVATIONS 'stin • Sewer service (or Proposed) • Property corners • Top of curb at the driveway • Elevations of any existing adjacent homes Prooosed p?o ? D'? ? Af-? ? ? cr'O ? e`o ? • Garage floor • First floor • Lowest exposed elevation (walkouUwindow) • Property comers • Front and rear of home at the foundation ? cr' ? • ? ? ? . ? fd/? ? • ? Q/ ? • ? ? ? • ?? ? • ?/? ? • C3 o ? • ?? ? • s- ? • ? ? • January 1998 CRAIGiBBBIBLDGPRMT.FM PONDING AREA Cf aoolicablel Easement line NWL HWL Pond # designation Emergency OveAfow Elevation DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (io back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) Show all easements of record and any Cily utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent ebsting structures Retaining wall requireme?"any _,,, Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL ei 1t1 nl\I/n pcCU1T nool InnT1nAl CITY USE ONLY RECEIPT #: ? 6 v ?r SUBD.1????'?sZYL4XG ? RECEIPT DATE: ;?4L 1998 PLLTMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, IQ7 55122 (612) 681-4675 Please complete for: ? single family dwellings . ? townhomes and condos when permits are required for each unit ? backflow preventer for undergraund sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = ? v 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 = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler 'fordwellingunderconst. 3.00 = U.G. Sprinkler " for existing dwelling 20.00 = Alterations ` to existing residence 20.00 = 40 ZCI) Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) - Private Disposal Systems'Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL ?U - ---------- ---- ------ ----•---------- -- • -- ------------------------- - ----------------owled----h-------- - ---ad - ----------- - - ces. - - ordinan - - Ciry of - Eagan - - ation - ie - corted, - and - agree - to - comply wdh - all - epplicahle - - , atate - - that the - infortn I hereby ackng-e tat I have re this application - It is the applicanPS responsibility to natity the property owner that the City of Eagan assumes no liabilily for any damages caused hy the Cdy during its nortnal operational and maintenance aGivities to the facilities wnstruc[ed under this pertnd wdhin Ciry propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: r?'G?7Ccd'? Ct 'V' INSTALLERNAME: (l '['iY14 ` TELEPHONE #: 7',sZ3 '. / I LI L/ STREET ADDRESS: wqS S kb+e3'CvI CITY: (ZSCYj7 .liTt STATE: H/I ZIP: ?d" OF PERMITTEE CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998 ! : 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 '?" (:, U-L> 0 7S (4 SA3 1 651-681-4675 (-,dks j _ ') lf New CansWCtion Reouirements RemodellReoair Reauirements ? 3 registered site surveys showing sq. It of IoG aq. lt of house ? 2 copies of plan and a/l roofed areas (20% maximum lot coveroae allowedl ? 1 set of energy calalaGOns for heated additions ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; ett.) ? 1 site survey for exterior additions & decks ? 1 set of energy plalations • 3 copies of Vee preservafion plan if lot platted aker 7/1193 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: ZaiJeD tg a ? LOT: BLOCK: ? `- SUBD./P.I.O. #: (--)0.?-G? >CT-d /'? !JC Ylc Na[ne: / '/?j ?/6y" JL;? 1ri C` Phone q: PROPERTY Fusc C / OWNER Street Address:?l? Ciry --- ? !'n'?-- ------- State: Zip: Company: _ --- --- - Phone #: - -- CONTRACI'OR Stree[ Address:__- _ _ License # _ _Exp. City -- -- -- State: - -------- Zip: ---------- ARCHITECT/ ENGINEER Company:-------- - Phone #: --- ---------- N:une: Regis[ra[ion #: - ------- S[ree[ City. State: Sewer & water licensed plumber (reauired for new construction onlv Penalty applies when address change and lot change is requested once permit is issued. Zip: I hereby acknowledge that I have read this application, state that the information is correct, nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?'?-- . - OFFICE USE ONLY I l i Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes - N° I'AR 19 Igz:. No Not Required - - ' I OFFICE USE ONLY BUILDING PERMIT TYPE . . ; ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex X 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous WORK TYPE X 31 New ? 35 Tenant impr ? 39 Gas Line On ly 0 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof GENERAL INFORMATION Const. (Actual) S- N Basement sq. ft. Census Code 4-3 L (Allowable) ? Main level sq. ft. SAC Code o 1 UBC Occupancy sq. ft. No. of Units ! Zoning tZ-1 sq. ft. No. of Bldgs b # of Stories - sq. ft. MC/ES System Length ? sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS • Planning Building Engi neering Variance Permit Fee 5urcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: $ % SAC ?? : i CITY USE ONLY SUBD. CT e) RECEIPT#: RECEIPT DATE: 1998 PLUt+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, 2•di 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ?-,_?____---------____-__???------------- - FIXTURES EACH # TOT L 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 Floor Drain 3.00 x Gas Piping Outlet ` minimum • 1 3.00 x Rough Openings 1.50 x Water Softener "for dwellings under construction ? 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 = Alteration5 ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Acandonment 20.00 = STATE SURCHARGE 50 TOTAL 6611Z --- •--------------------------------------------------------------------------------- •------------- •------ ° ---------------------------- l hereby edcnowledge that 1 have read this applipdon, sWte that the infortnation is conect, and agree to comply with all applicable City of Eagan ordinances. It ie the applicanPS responsibility to notiiy the property owner that the City of Eagan assumes no liebility for any damages caused by the City during IW nortnal operational and maintenance activdies to the feciltties construded under this pertnk within City propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE#: STREET ADDRESS: I? /fJ l"J K(J/ X/"T ?!" I CITY: STATE: ZIP: " 5T66 RE OfF PERMITTEE JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 . uz, CITY USE ONLY LOT / BL RECEIPT #: 04 /d'I SUBDc?/???T'r/'? RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) Date: k4l " n`-lL___1 Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN 6.04 • Gas outlets ( minimum of one required @$3.00 ea.) LX0 • State Surcharge: .50 • TOTAL: IaL _LC? Complete this section onl if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for altention/add-on to ductwork in existing residential units; but is required for the following: _ Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITE ADDRESS: ? f0 --P .?n\• ', '1 ?,1 p ? ? --- T - ? OWNERNAME: PHONE#: INSTALLER NAME: ? o PHONE #: =-- " ? ; STREET ADDRESS: 6o?'. a v CITY: C?A ,(V\ t Y ? 15/FORMS BLD/MECH PERMIT (RES) - 1998 CITY OF EAGAN 3830 PIIAT IRNOH RD EAGAD7 A41 55122 (612) 681-6675 <---- ? i STATE: Z[P: S NANRE OF PERM[T'TEE ' ?k??X?'F\ek?YR%??kXsk??k??R?M %??ktl? %t ??Xk??7k ?7k?CX?X? k: k?k? ?X? Xs %??k CITY OF f:f1C;AN CASi{TER. S it:'RM.T.NAL. NOe 874 DA'iFr 03/25/39 TIMF: 13:24^0'i ID .. NAi'iF..- SCHAFiIA MATHEW 2159 9001 861 Gf.)VL.ftN CTF 0.50 3c'.10 9001 F3F,1 GOVE.IiN CT.Ft 60.00 'intal keceij_?+, Amaunt, 60.50 Cfi 10498iS IJ;.F..F: Tll? NANCY V ?. City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 861 Govem C'v Lot: 7 Block: 2 Addition: GARDENWOOD PONDS 2ND Description Sub Type: Deck Work Type: New Description: Census Code: Addition/Bsmt fm/Decks/Porch UBC Occupancy: Construction Type: Zoning: Sqya[e Feei.?- r L ? a `s .u5r ?- ?,k Permit Type: Building Permit Number: EA034801 Date Issued: 03/25/1999 Remarks: P!an reviewed by Craig Novac%yk. Fee Summary: State Surcharge - Fixed Permit Fee - Fixed 0.50 60.00 $60.50 Contractor: Owner: St. Lic.: Scaria Mathew 861 Govem Circle Eagan, MN 55123 - Applicant - 651-405-0065 I hereby aclmowledge that I have read this application and state that the information is correct and agree to compty with all applicable State of Minnesota Statutes and City oF Eagan Ordinances. Signature PERMIT 1?-'?[J! ? sued By: Signazure ? CERIIFICATE OF SUR1iEY for JOE MILLER HOMES t9, r 0 NO ?J ? r ir ? ?O / z 7) ?r °,vl ?• \ o; 71 ? i _On ZSV? or ?. 170/ "91 ? T/ Mry? 10 r-?- - Cb OJyO ? ? n ?pN ? r v ? ? qj r ? y ? ?oQ? l 0? ? ? N8z •03'25"W 166.6n___ y T? /ry I M32-1719-98 77777 1 o; I N `0 0 1 ? ? O --------- q??. = 22 - 40 1 Gcv ern EaGaN FF= e+ -- er, _ ,S-?Cq ?:J1L?IP1G I?!SPECTI?f?i?' -"tPT. Scale: 1" = 30' 1, q ? ?. 861 Govern Circle DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date 8 Reg. No. 8140 Circle Lot 7, Block 2, GARDENWOOD PONDS SECOND Dakota County, Minnesota Plat bearings shown o Denotes iron monument ", Existing? Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 Suite 206 L 'F).1r?7 M32-1719-98 Top curb to Gar slab Top block = J 2D??3 Lowest bsmt flr = 91?±?,3- , o? COm C r Q Z ? CD m ,-?-a u uu?U Ll " ? r/ V ?j / 1 ? 18 !n? ? r--_ '?ry 10 ? \ \\ \ - -ii, m o N < ,\ (417,?? 1 r '70 1 '1 1 ? •? ? ? 00 `?\(b ?'? N y0 lf??Ql7 l ? ^ J .s. ? {:3 ?,..: ?i ro ^ a Q? \ h ? 10,0 ? M32-1719-98 N82'03'25"4y 1ss.s 910.7'4? 7 A? ?-P \ ? Gi9?0 ` 'cP 41'. ?` `°os 1 rn ?3 ( Q/O_n) ? ? -----`?--- -- ^- - =? L = 221. R=3?Q. G'C\?e I In .? ?II CIC ? ' Top curb to Gor sla6 Top block = J26A3 Lowest bsm t flr = 91?7 ? Scole: 1" = 30' 861 Govern Circle DESCRIP710N I hereby certify tllot this survey, plan, or report was prepared 6y me or under my direct supervision vnd that I om a duly Registered Lond Surveyor under the Laws of the State of Minnesoto. Date V8 ^1?Y?9Pr-__???__Reg. No. 8140 Lot 7, Block 2, GARDENWOOD PONOS SECOND Oakota Courity, Minnesota Plot beorings shown o penotes iron monument ? Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 1 q-3rd Street, Burnsville, MN 55306 (61 ?_) 435-1966 i M32-1719-98 CERTIFIc:ATE OF SUR1iEY for JOE MILLER HOMES Suite 206 òñ ÿþþýüñüû úýýþþòéì ßðÝ øö ð ððß ÿþ ÿþýüûú øî ø øüûú÷ö øú øî ø ñøÿÞñøüûúñ þå þøøÿø ÷þôýøêô÷þôýøÿÞ íøã þ áßê ôðá ááï èççïß ÷ú ÿþøò øùæèççð öõõô ùó úú äò ôú ÿò ø ñ òö áßêç ÚÝìøäø ñ÷ðá ñ÷ðð ëéááï òøýû öò ò ìø ò úú ò òåøô øø øôúûöò úú ýÿ åñ ÿ þ äûå ãø ç úú à þûÿ þø PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147919 Date Issued:02/20/2018 Permit Category:ePermit Site Address: 861 Govern Cir Lot:7 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scharia Matthew 861 Govern Cir Eagan MN 55122 (651) 452-5776 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164601 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 861 Govern Cir Lot:7 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-070 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 - Scharia & Sheeja S Matthew 861 Govern Cir Eagan MN 55123--246 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164602 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 861 Govern Cir Lot:7 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-070 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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 - Scharia & Sheeja S Matthew 861 Govern Cir Eagan MN 55123--246 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170910 Date Issued:07/22/2021 Permit Category:ePermit Site Address: 861 Govern Cir Lot:7 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Scharia & Sheeja S Matthew 861 Govern Cir Eagan MN 55123--246 (612) 804-2190 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (763) 512-2765 Applicant/Permitee: Signature Issued By: Signature