Loading...
865 Govern Cir,. ? INSPEC'I "C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: e,yiJVf:fiN (:1h' I , i?' t.; ,:t? :y,lis?. •?•3Fi PERMIT SUBTYPE: ? ? ?. • ON PERMITTYPE: r i riToci Permit Number: 0 H A I Date Issued: ,: ., h / 4 7 APPLICANT: TYPE OF WORK: INSPECTION D• • D. F Fz F Iq A 12 V'5 : 1't+ & 14 I' 1 R 12 - M1 Ei 14 '. f 141 1: A Pd rl L f/1 i I' 1 Parmit No. Permit Holder Date Telephone # ELECTRIC PLUMBING 47 HVAC Inapection Date Insp. Comments FODTINGS 7 FOUND ? -i7 fG? ? 7,:!id] FRAMING -v ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ?-lj LL GAS SVC tEST W SUL GYPBOARD FIREPLACE / FIREPLACE AIR TEST ? FINAL PLBG ? FINAL HTG ORSAT TEST (!a a BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Ad'dress 865 GOVERN CIR Lot ° Blk ` Sub GARDENWDOD PONDS 2ND Zip 5512? THESE TTEMS WER / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. , Date: f? Yes No Inspector: Final grade (6" from siding) L/ Permanent steps (gatage) L-? Permanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded grass ? TraiUcurb damage 'Porch ? Basement finish ? Deck ? Please verify with the builder the removal of mof test caps from the plumbing system and the shu[roff of water supply to the outside lawn faucet before fteeze potential exists. Contact engineering divisioa at 661-0645 before working in rightof-way or insplling underground sprinkler system. ? Whik - City Copy Yellow - Resident Copy Pinlc - Contractor Copy 2007RESIDENTIAL BUILDING rExnuT nrrLicariorr d City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenis 3 registered site surveys shaxing sq. k of lot, sq. ft of house, and all roofed areas (200/o maximum lot coverage allowed) 1 Soils Report if propased building is to be placed on disWrbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calcutations 3 copies of Tree PreservaGon Plan if lot platted after 711/93 Rim Joist Depil Opfions selection sheet (buildings wiN 3 or less uniis) Minnegasco mechanical ventilahon form RemodeVReoair Reauiremen4s Office Use OnN 2 copm of plan showing footings, heams, 7oisGS CeA of Survey Recd _ V_ N 7 sef oi Eneigy Calculations for heated addNOns Soils Repod _ Y_ N 1 sfle survey fir addi6ons & decks Tree Pres Plan Recd '_ Y-N. Addifion - indicafe if on-sde sep6c system Tree Pms Required _, Y_ N OneiteSepUcSysfem _Y _N oi?.,g ?Pg ...,.,cG.aarnA nnhlir infnrmafinn iiniPC-q vnu state thev are trade secret and the reason. Date ? / Coo9tructioo Co5t Site Address O? Unit/Ste # Description of Work Multi-Family Sldg _ Y >?- N Fireplace(s) X 0 _ 1 _ 2 Property Owner 6 ??^/,?Cn2 Telephone # ( /o lL) Contractor Ale?,J Lj-jCLG Address ?q ']P S 6,1&LWI?U3 City ?1?/'?/°CG{?3'7 Zip ? Telephone # ( (PS n ? ? ? - ? ? ? State , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted . Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor SewerJWater Contractor herebv anrolv for a Telephone #( Telephone #( Te{ephone # ( and acknowledge that the information is complete and accural e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the atate ot iviN 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 ork which requires a review and approval of plans. Applicant's Printed Name Ap 'cant's Signature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan ?? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimction Reuui2ments RemodeUReoair Renuirements Office Use Onlv 3 registered stte surveys shaxing sq. ft. of lot, sq. fl. of house; and all roofed amas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 7 set of Eneigy Calculatbns for heated addNOns Tree Pres Plan Recd _ Y_ N_ 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 site surveyforaddiGOns & decks Tree P2s Required _Y _ N 1 sel of Energy Calculahons Add'Rion - rndeafe Aon-site septre system On-sile Septic Syslem _Y _ N 3 copies of Tree Preservation Plan if lot platted after 111193 Rim Joisl Detail Options seledion sheet (buildings wilh 3 orless units) Da[e --(.r-/ _7,? / 0-?_ Construction Cost ? !l T SiteAddress ??(,0? Cr[, j L?A-) C UniUSte# CflbAl? Description of Work //J5 %)01l.(. G/jzi A!-LA14c,L5 Multi-Family Bldg _ Yb4_IY Fireplace(s) _ 0 KJ _ 2 Property Owner XIM f? lL 00)•'j Telephone # (L Contractor J Address 3b-?;N C..? /7,L- `L / 3 tY /J V6.lC Ci State /114? Zip !9? 3Y Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissionrype) Su6mittad Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( 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 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 playNin th?,.oas eo(v+k which requires a review and approval of plans. aJ3 t v )c N ;? c?c? J) Applicant's Printed Name Ap licanYs Signature ?J 1 :4{Y". )id, X. 71i: [.',^1f ..AN ,. l:mLii:i91. i'f,1G .:?3 !,,,. ?. ,';,•?.j..:');? r-? ??? ._.. ... . , ?:_ .r;?r.?rf1V ir ..rJi:.;il c`.:,rr•?1?:'?I; filA;:tl'il` ?, 9,1 19`;, ,.ii?': iri A `i C l i??l.. YPJi?? N:;m.M.fn.n, ?, !tlf\i,?:4jiJ??:.?i?`?`??. )?t H.: I ?f X, Ii Sin/ ?,?.?h:i?iti i?? PERMIT CITY, OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030837 09/26/97 SITE ADDRESS: 865 GOVERN CIR LOT: 6 BLOCK: 2 GARDENWOOD PONDS 2Np P.I.N.: 10-28801-069-02 DESCRIPTION: li a. C rmit Type T y p e e SF DWG NEW R-3 U-1 V-N R-1 65 43 2 2>264 101 1 - FflM. DETACH , . ?9° ?f o ?,? ?? ??- ?? ? ? ? . .? ? ? ? ? _ <? REMARKS: S& W PLBR - M& W SEWER AN? WATER FEE SUMMARY: VALUATI4N Base Fee Plan Review Surcharge SAC SAC % r, SflC Units ? Subtotal $1,432.25 $930.96 $104.50 $950.00 100 1 $3,417.71 $209,000 MISCELLANEOUS $1.539.50 Total Fee $4.957.21 CONTRACTOR: _ Appzqcant - sT. LIC OWNER: HORTON INC OF MN, ? R 14544663 2000565 JOE MYLLER HOMES 3459 WASHTNGTON DR 204 3459 WASHINGTON DR 204 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 .e,;; _ ' -tpC! ?:Ly 5j1!,?Tn1=4.p?t?MA L,],y,?>?a? L . . _ . s ris?c...?.......,s_...... ...? APPLICANT/PERMITEE SIGNATURE naun R?¢i'l.f lh?l E SI'NA 7 BUILDING PERMITAPPLICATION (RESIDENTIAL) -`A',i?1j. ?l 0fif CITY OF EAGAN 45 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Reouirements • 3 registered site surveys * y ppPigg p{ plgn ? 2 copies of pWns (inGude beam & window saes; poured fid. dasign; etc.) ? 2 si[e surveys (exteriw additions 8 dedca) 0 1 enargy calculations ? 1 energy celwlations Por heatad add'Rions ? S copfes W tree preservation plan if bt plet[ed aRer 7f7/93 requlred: _ Yes V- No - UATE: 9' I-?f ? 1rT CONSTRUCTION COST: DESCRIPTION OF WORK: /t/ew C0051?,c4h. STREETADDRESS: f6f G uvEr,n G??,IG LOT ?0 BLOCK ? SUBD./P.I.D. #: G?ra?GnWotJ? ?ov? ?5 o`Tn . PROPERTY owNeR CONTRACTOR Name: ? , ,,, Phone #: Street Address: City: State: Zip: Company: vc i'ndjer ? me S Phone #: Street Address: 345?,?u„ ? S?-,2z'51 License #: ??ZX11657 City: ?G??n State: /hA! Zip: ,53-/,w ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): i1't f-(.cf ?u/8r ?- l?G ?('+•. Penalty appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliraqon and state that the infortnation is cortect and agree to comply with all applicable State of Minnesata Statutes and City of Eagan Ordinances. Signature af Applicant: , OFFICE USE ONLY RECEIVED Certificates of Survey Received _Z Yes _ No SEP 19 1997 Tree Preservation Plan Received _ Yes _ No ? Not Required BY' OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 02 ? SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. o 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o ? 04 SF Porch ? 09 12-plex ? 14 Fireplace n n 05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE ? ? 31 New ? 33 Alterations o 36 Move 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowabfe) UBC Occupancy 2oning # of Stories Length Depth f ? Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. ? ? , 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census UnR APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % sac SAC Units Suiiding FM Engineering Variance Valuation: $ - `. UtJFint Is? ._._--- 15%X )S? Z3'k.00 F, IeS AP'L ?CJ%X 54` $Z,144,DD ?GOIJD ?? ??D7? X?`? '" ld??P?0?0•? 12$ X )la = 11) b41 .60 T_VL_ ? 20`d? Z51.0o LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION ? PROPERTYLEGAL: v? 4zz- z I"a. DATE OF SURVEY: LATEST REl/ISION: ? m DOCUMENTSTANDARDS • Registered Land Surveyor signature and company Gli6 ? • Building PermitApplicant ? • Legal description &?--'o ? • Address 0?'[ ? • North arrow and scale b7? ? ? R"?O ? • • House type (rambler, walkout, split wlo, split entry, lookout, etc.) Cr'?? ? Directional drainage arrows with slope/gradient % 2"'?O ? • Proposed/ebsting sewer and water services 8 invert elevation • Street name B-?'0 ? • Driveway ELEVATIONS Existina ? ? • Sewer service (or Proposed) ? • Property corners /? ? • Top of curb at the driveway C? ? ? • ElevaBons of any ebsting adjacent homes Prooosed ?o ? • Garage floor ?0 ? • First floor ?o ? • Lowest exposed elevation (walkouUwindaw) ? ? • Property corners ? ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? ?" ? • Easement line ? ?? • NWL o ?? • HWL ? 0' ? • Pond # designatioh ? o • Emergency Overtlow Elevation DIMENSIONS gy" ? ? • Lot Iines/Bearings 8 dimensions -/ 0 0 • Right-of-way and street width (to back of curb) 0' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', / P? ? ? • porches, etc. (.e. all strudures requiring permanent footings) Sh ll ow a easements of record and any Ciry utilrdes within those easemenis [? ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? m?o • Retaining wall requirements if any Reviewed: v?/ ? Wame Date ' 7 January 7996 CRAIG198&BLDGPRMT FM ? HINNESOTA STATE ENERCY COQF CB?.Cq?ATIONS • 8A9ED OH CIiAPTIiR 5 QF TttE MooEL ENERCY Cot7B - 1983 FkITI4H ' I Adnption Effeative rn.rnar 11411/ l _ar k ----_PhOTIe site contraotor /.r}\! i Building classif.lcation: Type Ai (single Family & Uuplex) el- ZG94i Type A2 (Residential, 3 stories or less) (Qver 3 etories) (othar) HOTES Coma ete paaes 3 and 4 first. GRNE(2Ai, 7NFORMATION 1. Building Perimeter pt• ? 2. Wall height (ground to eave) Et. 3. 1. X 2. (above) gross wall area_ aq.ft. q. Huilding dimenslons (L) r X(W) r ? 1b 5`-?q.ft,raof 6 floor sraa 5. 3q. faot area of rim joist F oor joist Bize (2 % 10 , ,l? X 1"?(Perimeterj = ?aq.tt. iZ • 6. Doors - Area f ? '? Thickne s in U. factor r I Q6? Type of constructlon Perimater ft. . ManuPacturer --- 7. Total dnor's perimetier ft. 8. Windaws: 14anufacturer?r„1J?7t?? Stcte appraved_ I) fnctor I ? //i TYPE SIZE IfREA (Sq.Ft.) NUMBER OF TOT?,L Id i - EACH UNI'PS 6Q FBET 9. motal sq.tt. ciess ??-i?2 2-- to. Fireplaae areae Width x Neiqht -- X ° sq.tt. lI. Exposad foundatlon: Height X Perimeter,(-.2 X_L7a-mI . -aq.lt. COMEI.ETIOtd oF 'fHIB FOF2M IB REQUIRE4 FoR ALT, NBSV CONSTRUCTIOtI, Ml1JOR REMODELIN(i AND BUILDINGS BLING 144VED WHERE Et1$RGY, OTHER THAN 4'l1E HINIMAL CoDE ALLt7WANCE, IS USED. S9iT0'd 6G92 ZSb ZT9 i 'DNi '00Ntl-1d 8£:SS 666L-T0-d35 1j. Framing area = lOb of groae wall area. 11. Gross wall area 2+ sq.ft, Wlndow area A 33 L sq.ft. U windnws Rim joist area Aeq, ft. ll rim joist= . oQ 1 Door area A_ S? sq.ft. U doqr afrea==l?_ Other doors area A p eq.ft. U othor cioors=_,4__ Expoged Pndh A sq.Et, U foundstiiotl= 07& Framing area A eq,ft. U Praming area=.l.Id1,2 Net wall area A7iZ 27.3 eq.ft. U wall- +A / (13B) TOTAL . . . . . . • . . .?94" Y,o4 UxA = ?0 WxA ? IZI UXA = 7 UxA ? Iq uxA = r UXA % Uxt, - ,q(l)_ ux1? r%3 m Z!(?57_ 19. Gross wall area ac 0.11 (A-1 aingle fntul.ly & duplex) m allowabla Ux.A/Code (13, abnve) x 0.23 (r-2 other Yeaidential) ' x .23 (other buildinge) x .28 (ovet' 3 etories) HTUH must be larger than ar eama A.?W1_k U Coda °F. as 13H above 15. celling fraiainq area (A£) equnle lot of aeillrtg area 15A. Gross ceiling area ={L) ? x(N) ? °+??2/ sq.ft. ?. 15H. Jaist area (Af) A 10t cailinq area sg.ft. 15c, Net oeiling area (Ac) (15A - 15B) -sq.ft. U ceiling xA? = tA? x •??! ? T U framing x A f 7t •?" _? 15D. TOTAL U x A .............................. 16. Ceiling area (1511) x 0.026 (A-1 aingle femily & duplex) = allowable UxA/cPae x 0.033 (a-2 other residential) x 0.06 (ather) r? BTUH must be lexgsr thatt ur eame l?(151?)?tU`3 L U CodeI'j°F. as 15IJ abave ?IOTP,t Uee U anil A values obtainad ftom pagee 1, 3 and 4. C$BTjpICATIONs I hereby certify that I hnve oalaulated the MUOI factnre and ??RII values hereltt and that tho buiidinq here dasoribad meeta or exaeeds the Stata oP Mlnneaotn Etiergy Conaarvetion Aak. . Date I 9ignature S9iz0'd 6S9£ ZSC i,t9 L 'IXII 'O--hlFiId 6£:ST h664-M-d3S . ,. . _ i , _ . .. . .. ?.'?.:?a?l??" .. . . . .. .. . . - - . ----... .. ,. . ... . -- .. _ . ------??-- - - --- -- -- !?Z... t- ??:.I ---._..... ... . _. __.__....-- - .. . . ???-`?-? ---- ...------ -?--- -- ---?--? - ------ ---.._.._. . --..... . - ? ---- --... . _. - - --- -- ?-----_ -?-- .... _. .._. . -- - ?- ------- __. ..._._ I/Uf uD0 Wy . . .. .- - - --- - ------- - _ ----. .. ----------- -?-- ---- . --.. _ .._.... . _.1-__ LeoLa .?. ZSx2 _...._ _ _z_-`?.??? _. . ...._ ...._..._..-- -. . ... . ._ .. .... --- ------- ---...... -- --- - ?---- - -- --- --__ _._... .. . _ ? - - ------ ----. _ ?_ .- - ?- ----- -- . . .. . ----?-----.. .. n ES9£ ZSC Bi4 S 'DN1 'OJNtlld 6£:ST 1,65ti-Til-d75 vz ? CITY USE ONLY 7 L U BL ?-RECEIPT#: r , SUBD.ti 'Pf?O:Pi.,.;?;-vr??+ RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 6814875 Please complete for: . single family dwellings . townhomes and condos when permits are required for each unit . backflow preventer for undergraund sprinkler system FIXTURES? EACH M? Showe r 3.00 x _ Water Closet 3.00 x ? E Bath 7ub 3.D0 x l Lavatory 3.00 x Kitchen Sink 3.00 x Laundry 7ray 3.00 x ? = D Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = s?. D?O Rough Openings 1.50 x = ff'?? Water Softener `for dwellings under construction 5.00 x Water Softener " for existing dwelling 20.00 x = U.G.SprinklCr 'fordwellingunderconst. 3.00 = U.G. Spflnkler ` for existing dwelling 20.00 = Alterations 'to existing residenee 20.00 = WaterTurn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems'nbandonmene 20.00 = STATE SURCHARGE .50 oo ? TOTAL ? I hareby acknowkdge that I hsve read this apptication, state that the infortnation is cortect, and agree to comply with all applicable Ciry of Eegan ordinances. tt is the applicanPS responsibility M notify the property owner that the City of Eagan assumes no liability for eny damages caused by the City dunng its normal oparetional and maintenance adivities to the facilities mnstructed under this pertnfl within City propertylright-of-waveasee,.,enr SITE ADDRESS: OWNER NAME: INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING STREET ADDRESS: 14745 SO ROBERT TRL CiTy: ROSEMOUNT STATE: MN Zlp; 55068 SIGNATURE OF PERMI EE TELEPHONE #: 423-1144 CITY U5E ONLY ?LOT ( _ BL oZ RECEIPT #: SeLo2 ?Cp SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CTl'P OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: S`00 (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhome, or condoa that are under construction and are not owner /occupied. • HVAC: 0-140 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas oudets ( m;.»T„um of one required @$3.00 ea.) '?T oo • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, addin2 to, or repairing egisting single family dwellines, townhomes, or condos. Add-on fiunace Add-on air exchanger, i.e. Vanee system, etc. _ Minimum fee applies to all remodel or add-ons of existing residences State Surcharge SITE ADDRESS: OWNERNAME: ?Ych:? INSTALLER NAME: Add on air conditioning Other $ 20.00 .50 Total: $ 20.50 PF'oNE #: -4 S 4-4c?(? ? PHONE #: STREET ADDRESS: & ? q \ (7 --'L CITY: I C^??C L(\ \, ? o'_? STATEM_ ZIP: SIG VATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT #: SUBD. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD E7+GAN, MA7 55122 (612) 681-4675 Ptease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventerforundergraund sprinklersystem FIXTURES EACH - ---------------------------- - - - ------ # 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 = Floor Drain 3.00 x = Gas Piping Outlet "minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener ' Por dwellings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G.Sprinkler `fordwellingunderwnst. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Altef2tlOn5 ` to ezisting residence 20.00 n, ? Water Tum Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) PfVVBtE D'ISp0381 SyS1BrT15' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ?-LO -M - - - - - - - - - • - - -------- ---------° --------------------- --- ce--- 1 hereby adcnowledge that I have read this application, state that the infovnetion is correct, and agree to comply wdh all applicable Cityaf Eagan ordinans. tt is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during tts nortnal opera4onal and maintenance activities to the facildies construc[ed under this permit within City propertylright-of-wayleasement. SITEADDRESS: <lS& -!S- 61-2 ef "2lc /C OWNER NAME: INSTALLER NAME: [rUGI D ? Scs?('?S PIU---/dvc^r(,? TELEPHONE #: STREET ADDRESS: ?7 ?S J Uv-?e Aa{ L? CITy: STATE: Aol? ZIP: ? SIGNATURE OF PERM JSlFORMS 8LDG/PLBG PERMIT (RESIDENTIAL) 1998 ?*********************???*************? CITY OF EAGAN CASHIER: JS TERMINAL NO: 773 ?ATE: 09/14/00 TIME: 09:11:32 ID: NAME: TODD J OLSON 3210 9001 865 GOVERN CIR 153.25 2155 9001 865 GOVERN CIR 4.00 Total Receipt Amount: 157.25 CR137290 USER ID: JAN 2000 BUILDING PEaMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN I ??. ?? 3830 PILOT KNOB RD • 55122 11 (nj 651•681-4675 Naw ConahucMon ?ail ?meMs Remodel/Reoalr Reaulrements CQ II? 9I1 « * ? 3 regisfered sNe wrveys showing sq. B. ot lot, aq. tt. ol house 2 copiea ot plan antl QII roofed areas G20% maximum lot coveroae allowem 1 set d energy calculaHOna lor heotetl atltlifiaq D 2 coples of plans (ahow beam & window aizes; poured Intl. tlesfAn; etc.) 1 site wrvey for extedor addiHons & decks ? Y 1 set o( energy calculaHOns ? S Copfes of hee preservatlon plcn H lot plalletl Wter 7/1/93 DAiE: - 'DD CO?NI?S?TR.UCTIONCOST: DESCRIPTION OF WORK: ? c?""" I mulN t mlly bidg., how many units? STREET ADDRESS: _ 75 LDO oOVej'Yl c LOT: 6 BLOCK: ig SUBD./P.I.D. #: Name: 0ISDY1 lad4o, Phone M: PROPERTY Lost First OWNER Sheet Address: `,i (D5 /? ri1 /,prn (?i rel P , ?_.i i city state: MAI zlp: SSL23 Company: a? a?? Phone #: (area code) CONTRACTOR Street Address: License N _ City State: Zip: ARCHITECT/ ?d ENGINEER -6er?penyc-_ -?'?? e Name: Uu''1rj /LP. &AnliYh Telephone #: ( &TI ) l - Sheet Ad ress: 8 e Regishaflon A: cly U/ dIP r tATC L state: W_ Zip: 6-6-I ID Sewedwater licensed plumber (H InsWllinn sewedwaterA/4_ Phone #: I hereby aeknowledge that I have read ihis applicalfon, stafe thaf 1he information Is coJ?ect, and agree to compty wNh all applicable StaFe of Minnesota Statutes and City o( Eagan Ordinances. i// ,,, ,I Signature of ApplicanY OFFICE USE ONLY g ` 2000 Certifcates of Survey Received _ Yes _ No S?P Tree Preservation Plan Received _ Yes _ No _ Not Required $Y OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 OS-plex . ? 13 16-plex 0 21 Porch (3-sea.) O 02 SF Dweliing O 08 06-plex O 17 Garage O 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex 11 18 Deck Jb 23 Poroh (screened) 0 04 02-plex O 10 08-plex ? 19 Lower Level ? 24 Storm Damage O 05 03-plex ? 11 10-plex Pibg _Y or_ N ? 25 Miscelianeous O 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE IN 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair O 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors * Give PCA handout to appl icant for demolition permit GENERAL INFORMATION SAC Code l9/ No. of Units No. of Buildings Const. (Actual) S A/ (Allowable) ? UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main Ievei sq. ft. sq.ft. sq.ft. sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building 1.cad Engineering Variance ? 31 Fxt. Alt - Multi O 33 Ext. Alt - SF ? 36 Mufti Y.?:z f D141/,) 0? Valuation: ?- a SAC Units % SAC , . , , , , , , CER7IFlCATE OF S'l1RVEY for JOE MILLER HOMES ? ? ? r- ., n? / 6 p N m '? \ ?` P ? • ?in' l^/ ? b? ? ?? /O i ? I .' M32-1615-97 ? ? ? ? ? \ O 1 o. ? o ? ym : ?c tr 1 19, N i'P c? i1 1 1 1 ? 1 ? i? / 166.60 N82 03 25"W 9 pl •b \1 ?:- •_.1 ` i??::,L - ?=? ? 7 r.,,, mrtrri!j wr- LU{LUiNG 1(dSPLC 10 JS Ui i • Top curb to Gar slab = I0 ? ?/?? Top block / Lowest bsmt flr = _?9 Scale: 1 ° = 30' 865 Govern Circle DESCRIPiION I hereby certify that this survey, plan, or 'report was prepared by me -under my direct supervislon and tha} a duly Registered Land Surveyor u the laws of the State of M/?? • Oate 1 S'E 1997 Rea. No. 8140 Lot 6, Block 2, GARDENWOOD PONDS SECOND Dakota County. Minnesoto Plat bearings shown o Denotes iron monument ? Existi_g j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 M32-1615-97 ?.4 0q ?+\--?-- ?a ? /? r N \ ? 1 0 \ i ?1_n N ? W c' .9i7 03 v -\ o CERTIFlCATE OF SURVEY for JOE MIILER H4MES ? ? J Scale: 1" = 30' ?: . 1 ?+ ?• ? ? ? ? N82'03'25"W , M32-1615-97 i Top curb to Gar slab Top block = 2-67 Lowest bsmt flr = 9(L9 t 6-. J b i 1 rE? 6 865 Govern Circle DESCRIPTION Lot 6, Block 2, GARDENWOOD PONDS SECOND Dakota County, Minnesota Plat bearings shown o Denotes iron monument 0" Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 M32-1615-97 0 ffI I hereby certify that this survey, plan, or report was prepared by me ar under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of MinnESOta. Date 16 ?S'E3? 1997 Reg. No. 8140 PERMIT City of Eagan Permit Type: Building Permit Number: EA106499 Date Issued: 0812412012 ~it~ of 11QR Permit Category: ePermit Site Address: 865 Govern Cir Lot: 6 Block: 2 Addition: Gardenwood Ponds 2nd PID: 10-28801-02-060 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: 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. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Thompson Exteriors Todd J Olson 3757 Cedar Ave S 865 Govern Cir Minneapolis MN 55407 Eagan MN 55123 (612) 722-8428 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122723 Date Issued:05/16/2014 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Todd J Olson 865 Govern Cir Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140341 Date Issued:12/09/2016 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas H Hansen 865 Govern Cir Eagan MN 55123 (218) 329-6298 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149162 Date Issued:05/09/2018 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 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: 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 - Thomas H Hansen 865 Govern Cir Eagan MN 55123 (651) 503-5499 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:Plumbing Permit Number:EA158616 Date Issued:10/22/2019 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 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 - Thomas H Hansen 865 Govern Cir Eagan MN 55123 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176043 Date Issued:04/27/2022 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas H Hansen 865 Govern Cir Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179114 Date Issued:09/19/2022 Permit Category:ePermit Site Address: 865 Govern Cir Lot:6 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-060 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. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Thomas H Hansen 865 Govern Cir Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature