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866 Govern CirINSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ',Itfif hIW0nl:? poMo!i ?NLl PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .. ,,. ,,,., I ; I , , 1 , APPLICANT: , I , Nia . r? !-! yF Uf P & 4JA T E R " V PermR No. Permft Holdsr Date Telephone N ELECTRIC PLUMBING HVAC / 99 klile0-6d22 Inapectlon D ingp. Comments FOOTINGS y 7 7 / FOUND Z ? FRAMING Z6 q /i ROOFING ROUGH PLUMBING l,c x, I' PLBG AIR TEST HEATING GAS SVC TEST -? - INSUL -S? .? GYP BOARD FIREPLACE _ G FIREPLACE AIR TEST . ?? ? FINAL PLBG FINALHTG ?( (( ORSAT TEST BLDQ FINAL !o2-a??7 aoe,?" SSMT R.I. BSMT F1NAL DECK FfG DECK FINAL nSJ l L -2'?? bblg ?i. ? iol- Addiess-4 866 covM citt..?'[? Zip 5512 3 I.ot a Blk s Sub cnurmm rcmms 2rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 71,?a c/?, Yes No Inspector: Final grade (6" from siding) ri Permanent steps (garage) ? Permanent steps (main entry) ? Permanent driveway ? Permanent gas V Sod/Seeded grass v TraiUcurb damage ? Porch r/ Basement finish V r Deck V Please verify with the builder the removal of roof test caps from the plumbing system and ihe shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof•way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements 3 registered site surveys showing sq. fl of bt, sq fl of house, and all roofed areas (20% maximum lot coverage allaxed) 2 copies of plan showing beam & window sizes; poured fourid design, etc. 1 set ot Energy Calculahons 3 capies of 7ree Preservahon Plan if lot platted after 7Ji/93 Rim Joist Detail Ophons selection sheet (buildings with 3 or less unils) RemodeVReoair Reaurtemenls 2 copies of plan 1 set of Energy Calculalions for heated addilions 1 site survey fa adddioirs & ckcks Addrtion - iMicate if on-site septic sysfam Cop c??..r c?d ?l 15 lC?` afice usg CeiQofSurvey,RgGd _.Y.::;N iree,PYASFI9nR2ctl°.:. _Y _N ireePresi?eqyired_ YF7 DirsiteSeptieSyeiem_:.Y _N Datc ?/ ? l Site Address .S' L? ? Z n v,i 'r o t/EsRN C/,e G L!f Construction Cost '41 ?b a? D? Unit/Ste # Description of Work 01'V Gd ly01J 1 T/u/? Multi-Family Bldg _ Y ?'N Fireplace(s) _ 0_ 1 _ 2 Property Owner V ori d- volii?/ W o-Lid r9 Telephone #( G-r/ ) G??'- ??5 T Contractor %/}/z' , D= L/" dl? o o K iN c Address 6c1ov State / S/ r G? N City r7P,P?,= ?AGw?Y / I Zipv f/ l?'f Telephone #(9J'L) 1/_3 L' 23 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minneso[a Rules 7672 Energy Code Category , Residential Ventilation Category 1 Warksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Suhmitted • Energy Envelope Calculations Submitted In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master pla0 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Confractor Sewer/Water Confractor Telephone #( 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 peRnit, 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 w'?xe ??s-a-?c??ie?w- approval of plans. Applicant's Printed Name I? AUG 0 9 2005 OFFICE USE ONLY Sub Types ? ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 'P(- 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 , Siding )R, 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation O(9o Occupancy MCES System Plan Review _ 100% or _ 25% Census Code i,J s'_ ' i ? Zoning City Water SAC Units Staries Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const v a _ Width J Footings (new bldg) ?C Fooungs(deck) _ Footings(addilion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: I ? Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaVC.O. FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ $iding _ Stucco _ S[one _ Brick _ Windows _ Retaining Wall Building Inspector 0 . ?/, 7U ' .........:.............................?...,. ,.., °:???=:; r.,?:.?:.?;:.•ssr _,...?, :.<?:??? ?.? -,.. . k'A:;,?=., , ?, i,?, :,•. r:??'= ?r'2i;'.: i'il?i ?'P.E, l,r..??....., (;.'.?; ,. I i ? tl Ilr'.?;, -n? •???ry????, , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 866 GOVERN CIR LOT: 9 BLOCK: 3 GARDENWOOD PONDS 2ND PERMIT TYPE: s u z Lo z NG Permit Number: 0 2 9 7 0 0 Date Issued: 04/1 q/g 7 DESCRIPTION: Eiui.Ldi,ng°x,Permit Type +`'Building Wr?` ;r.?C Type LUBC l7c'cUpBYhcy" ?_ . Construction Typ?e zoning , Suilding 'Length ? ? $uildi,eagWi¢ith ? ys,ui2?i.?riA;?9,,t;-Pries _, Pedt,?-._._,"? SF DWG NEW R3/U1 VN R1 60 42 2 2,832 101 1 - FAM. CIETACH p . r$_'. ? I4t C REMARKS: S& W PLBR: M& W 5EWER & WATER FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC 5AC % SAC Units Subtatal $3,662.71 $237,0@0 MISCELLANEOUS $1,539.50 Total Fee $5,202.21 CONTRACTOR: - Applicant - sT. I.IC.OWNER: HQRTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES 3459 WASHINGTON DR 204 3959 WASHINGTON DR 204 EflGAN MN 55122 EAGAN MN 55122 (4612) 454-4563 (612)454-4663 ? I hereby acknowledge that I havs read th+is?appla.ar?tion and state that the , information is corrset and agree tocamply'With aSl applic5ble State of Mn. statutes and Ci°ty of Eagan;,Ordz`naroce"s:- m11- -7 APPLICANT/PEFMITEE SIGNATURE I D BY SIGFI?A UREJ $1,572.25 $1,021.96 $118.50 $950.00 100 1 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??aoa. ai cirr oF E?GnN ?-- 5830 PILOT KNOB RD - 55122 681-4675 Mew Construdinn Reauirements RemodeVReoair ReouiremerMs ? 3 rogbtered stte surveys ? ycopkm o{ plan ? 2 copies of plans (Indutle beam & window saea; poure0 fid. deaign; etcJ ? 2 site surveys (exterior addlNons 8 tlecks) ? 1 energy calculations ? 1 eneigy calculadons for heated adtlkions ? 3 cOPies W tree preaerved n lan B lot plaHed aRer 711/83 required: _Yes No DATE: 3?&I97 CONSTRUCTIONCOST: DESCRIPTION OF WORK: ?ewl (?? Sn.? 6,7?'O, STREETADDRESS: ?o rn?lNVi L?rt,IG ior 9 BLOCK .3 SUBDJP.I.D.66,-?kkd P0Nds ?.,?. PROPERTY Name: Phone #: OWNER u.. ?. Street Address: City: State: Zip: CONTRACTOR Company: :12)e. /Yl tllr,r lk.,es Phone#: '151-463 StreetAddress: License#:22 ?-'Z,57 City: 69an State: /yJn/ Zip: SS/d,g ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction ony): Gt! 4?L? d- L<La ?. . Penaity applies when address change and bt change are requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state thet the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 7 Signature of Applicant: OFFICE USE ONLY Cerdficates af Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Not Required r , OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging a 16 Basement Finish ,X 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE )2( 31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (/n/ Basement sq. ft. A4?o MC/WS System ? (Allowable) UBC Occupancy (I?N R 3 7) Main levei sq. ft. zNDsq. ft. 20S'0 14,-7-Z-0 City Water Fire Sprinklered ? Zoning R-1 ? sq. ft. 44e9 PRV # of Stories 2 sq. ft. Booster Pump Length ('90' sq. ft. Census Code. ? Depth aa O Footprint sq. ft. 76 3I , S SAC Code ?L Census Bldg _L Census UnR / APPROVALS Planning Building FM Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Oed. Other Copies Valuatym: ? ?D3D ? ..? g?--1 ?Isa,OL) / 2 4q,A0 /lv 7Z? s7 g a3Td.oo IS t ? Zo ?a x?l- ?fDc1? 6,2-0.c? / 7A . S x 25° .'ao ?'5> S o0 Total: % SAC SAC Units J_. ?a 9 ?Id,Or??, ?wa . t ? ? z ?? ? ?? ?o ?' ? ? ? m ? ? ? ? ? ? ? ? ? ? ? DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Pertnit Applicant • Legal description • Acidress • North arrow and scale • House type (rambler, waikout, splR w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exissting sewer and water services & imrert elevation • Streetname • Driveway Existina C?' ? ? • Sewer service (or Proposed) :?00 ? • Property comers • Top of curb at Uie driveway ? ? • Elevatlons of any exassting adjacent homes / Prooosed I?' 0 ? • Garage floor M"' ? ? • First floor ?p ? • Lowest exposed elevation (walkout/window) f ? • Praperly comers 0 ? • Front and rear of home at the foundation PONDING AREA Cf aooiicablel ? ? • Easement line ? ? • NWL ? ?o • HWL ? ?/? • Pond # designation ? o' ? • Emergency Overflow Elevation G--?o ? • Lot IinesBearings & dimensions e-'o ? • Right-of-way and street width (to badc of cur6) ?? ? • Praposed home dimensions including any proposed decks, ovefiangs greater than 7, parches, etc. (.e. all structures requiring permanent footiogs) ?? ? • Shaw all easements of record and any Cily utiiNies wfthin those easements ?? • Seffiacks of proposed structure and sideyard setback of adjacent e?assting strudures ? ? • Retaining wall requirements, if any ?. Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL QIJILDING PERMIT APPLICATION PROPERTY LEGAL: Name January 1988 CAAqi DDB'BLOGPRMT. FM . - i rr r..v.-?- ?? . °I lg'. GJ - (U'x!i' -fP•E - \?'fi ?? `tI;'4 PXx„ ? j0!/ KG'DUl?IL ? l; i ?? ? bl3 -tliYtu % , ; - t C/ ; I ; BIC? 71M5ER TRAIL ss,F- 5?- E? , >< GOURT ? ; ?- ? L ? \ I I ? i i i p w; Ra?ur.?e , ? `_ -------=- . , y ! ! , -? - ? -. ? /?' ? - ? _ 6 • , ?`Y r,rtJ i.. ?Ma'?'?1 1?JVL.I.i 1:1 1,.?.il .., ?• ? ::,Y OF UTil_9°f'Y ,- n r ? r[IVIVV. f1111J Ll .ld ? .ll? w' ' ? ` ' 'H _'- ?.•? PURPO?Es '( C : I ; 7 :i?u IT SHOULD V W?':?;=Y !NE ? . ,' fiJN ON THE5ITE. ?:.? . . I , i I I i I I ?.?. ?: . kil2flIESOTA STATE ENER •5Y CODE rBLCULATIONS i • BA5EU ON CIiAPTER 5 OF THE 4 q?- MODEL ENERGY CODB - 19113_EDITjnN ? !I Adaptiop Eff.active Owner /V Coc Phone bate Site.Addrese ? contraotor /2ti Q one -- 8uilding classiflcation7 Type A1 (sinqle Family L buplex) Type A2 (Residential, 3 atoriea or lees) (Over 3 atories) (Othc+r) NOTES Complgte pages 3 and 4 f{rat-, GENERAI, TNFORFLAm70N ?(Ljb 1. euilding Perimeter ???W ft. N 2. Wall heighY (ground to eave) Et. 3. 1. X 2. (above) qross wall area 3??,q.7 _sq.ft. 4. Building dimenslons (L) r X(W) ft,xoof s flanr sraa 5. Sq. foot area of rim jolst 4 F oor joiat aize (2 X'10? ? X "&(Parimeter) _ ft. 12 6. Doars - Area ?l Thicknef?fs in U. factor A1. 1 Type of construction Perimeter _-ft. . Manufacturer _ 7. Total dnor's perimetier ft. a. Windows: Manyfaaturer_(N?UV ??Jll! ? Stete npproved U fackar 1?7[p TYPE SiZE AREA (Sq.Ft.) HUM9ER oF TOTAL f? ?, y Ef EACH UNI'f3 SQ FSET 9. Tbt81 fiq.ft. G1086 '%'7 2""' 10, Fireplace areas width X Height = X sq.ft. lI. Exposed faundation: NeighC X Perimeter??Xjj?r a11.&.sq.ft. COldFLETION OF TNIS FORM ZS REQUIREh FOR AI,I, NEW CONSTRUCTIOtI, MLJOR REMODELING AND HUILDING9 BTsING HOVED WHERE ENERGY, OT}iER THAN T1{E HINIMAL COpE ALLOWANCE, IS U3ED. S0ii0'd 5592 2Sb ZL9 Z 'DA71 'ODFlyld Bi':ST h66L-Tfi-d35 1;. F'raminq area - l0k of grasp wqll area. 17. Gross wa11 area_ Bq,gE, Window area A37 U wihdnws Rim joict area A?sq.ft. ll rim joist= .o A1 poor area A .sl gq,f t. U daar area= ,f¢ Other doors area A p eq.ft. U other doora=-I-4--L Exposed fndn A sq.tt. U foundqti.ol7=_07& Framing area 1? iD eq, ft. U framing area=?!?, Net wall area Al,-1,113 ft. U wall- f??f 1 ( 13B) TOTAL . . . . . . . . , ?? 94 " Z44 UXA 7zO uxA UXA s? f U7CA UxA uxA = ? Uxh - qc? (?a uxa n ? 14. Gross wall area x 0.11 (A-1 eingle famlly G duplex) = allowabla UxA/COde (13. above ) x 0.23 (A-2 other re0ldential) ' x .23 (otlter buildinge) x .26 (over 3 storios) ?? BTUH must be larger than or eame 1+..L1 X U COdo , ll A_? °F. ss 13H eboVe _? 15, ceiling framinq area (Af) equnle lDf oP aeiling area 15A. Gross ceiling area =(L) `? x(H) f sg.lt. 15H. Joist area (Af) a l0t ceiling area a?`'?? Z eg.tt. ? 15C. Net oailing area (Ac) (18A - 15B) ? O + sq.ft. 2 U ceiling x Ac - (O, x • cZ = u framing x A f - fi x 'o ti J= 15D. TOTAL U x A .......................... :....?, 16. Ceiling area (1511) x 0.026 (A-i ningle family & duplex) = ellowable UxA/C,pde x 0.033 (A-Z okher residential) x 0.06 (other) /? BTUH must be laXger thah ??r eame A(15A)??fl?? x U Code????? °F. as 15D ahove 1taTEt Use u anil & values obtalned frora pagea 1, 3 and 4. rwEBTI=LTi9lij I heceby certify that I hnve calculated the "U" lactore and ??itII values heroln and thaC tha buiidinq hera desoribed meets or exaecde the Stete oP Hlnnesuta Stiergy Conaervetion Atst. Date Sigttature r S9i20'd 6S9£ ZSh i.T9 T '_)FlI 'QJHti-1d 62:SS 1,6ET-T11-d35 . (r?'? Xo . ????....__ ._ .. .... . ..._._. ... . .----.... .. -- ---- _ -------- __ _?... . . ------ --- - - ---- --._ Z5 x2..._._.. _.? 50 _ ........_ _.._. _ . .. - - ---- --- Z44P,) =1.ak ? . - - ?60 ----... -- - --- 1 ?5`------ .__. .. . _ ..----------- -.._... - - _'___'u._._. .._..' (L? .:?a^A..Le .. .• _.L?.?"'=•--_-____'._, ..... , ......__..._..__.__.._._._... ._. ..---- -----. .. --- ? ????--------..._. ... - -- -- -- ------ - _- _ ..._ ..- - -- . . PAr.Il -- ? - ---- - -----?---------.. . . - - ------t1 _.. ._ ...__._.._.... _...., __ .. _. SOiE0'd E59E ZSr ET9 L '"?NI '0?NH?d 6£;SL h55[-'ft'?-.??5 uAtL • SEC?lON U YALUE p ? - . . Lno, l1de alX fLlm fiB A':. . . ,.. 114QYtOC .45 U - R w s Ineulrtlon Shg¦thing ... . ; ?.o(o ?; . 04 -25 ?$Lding • ? , (p? .•. : 4utalde alr Eltm • .17 ;i " • : . ' •; a rorAl. KI " ? 1 .. i 8 I PI JoIsT 0 ? SGJiVO'd 6S9£ Z54 ZT9 i ?ntertor alr fllm RQ ,68 ?nYUlatlon ` ? 1•Qp '?? lnah soEt wnod R=1.88 (Rtm .? x ? . ? _ - • Jaist) . . `i Sl?eathing ' : ?•C)40 .. i:terlor,va?l eovertng .(0-1 . %•r ?xterloc'alr Fltm Ih .17 '• ,{ R, 1'OTAL Z.`t' • `I'6 . i 1 [o[erlor'alx Eilm Ru .68 ? . I .. Tnovlotlort ?fOUnJaClon • ?.?$ ? , ; (rdn.) U ? R = ??,?xterlor slr fLlm R° .17 : ?. ' . H TOTAL I _ ?- ?zposed dtuck ;. ?.. y'.. f•. ':)FII 'LI')hIH'ld Oh:S'f h6Ei-'1"-ci3S 5?7; d ?t1101. C6ILINC. WTTH YEHT?p ATTIC SPrCE_Q R VALU& F12AM I NG R VALUE CF'[LING 0 51 AirFilm o_,.41 ?"J&• o ][hsulatlon41 -o Joist - _._ 4.30 =--R.56 Cellin9 ?116_ " 0.61 AirFilm o_,51 ?2-• ? ? motalR?.1 !?J-g U - 1/R S9indow infiltration o.5 cfm/lineal foot of arack Rasidential door ihfiltYation 0.5 aPm/equaie Poot oY daor and minimilm oode requirement Non-residential door Infiltration il.o ofm/lineal faot of erack Ub 12" concrete bloek no ineulation ?.47 R 2.1 Ue 12" concrete block insulated cores A.26 R 7.8 Ub 12" llghtWeight block =.52 R 3.1 Uq 12" lightweight hlock insulated corea A.12 R e.3 U eingle gleos = 1.13; with storm Window .64 u double g1a9S = .55 U tripla glass = .41 All extariox walls and aelxinge must have a vapor barrier (0.10 perm max.). vapor bartier muet be on the ineide (tteate4l slda) of wall. vapor barrtare of the polyathelana thin film have no R value. / S0iS0'd 6S9£ ZSV 219 T 'DNI 'OJhltl-id Ob:Sti C65T.-Tn-d3S CTTY USE ONLY LOT BL RECEIPT #: /02 ? ff,?° SUBD. CF?it Of ry0 RECEIPT DATE: 'S1 //9 J 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 ? (612) 681-4675 Date• Complete this section oniv if vou are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occunied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN 6.00 • Gas oudets (minimum of one required @$3.00 ea) /2.00 • State Surcharge: .50 So • TOTAL: ?4/a1 Complete this secuon only if you are remodeliag, adding to, or repairinff existins single family dwellinEs, townhomes, or condos. _ Add-on furnace _ Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minirnum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 si'rE nDDxESS: V?6C GauelA e-?zle OWNER NAWfE: PHOrE #: YS?/-Y66 3 INSTALLER NAME: PHONE #: STREET ADDRESS: a/02 /0 ?a T n /?'Ife • CITY: STATE: /4,6? ZIP: S.Sb a?? -- SIGNA OF PERMITTEE CITY USE ONLY L 2 BL ?- ? RECEIPT#: ? '` SUBD. RECEIPT DATE: 7/?7 9 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings • townhomes and condos when permits are required fur each unit . backflow preventer for underground sprinkler system FIXTURES EA HC , NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = oafh Tub 3.00 Lavatory 3:00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping OuUet ' minimum - t 3.00 x = Rough Openings 1.50 x Water Softener ' for dwellings under conswction 5.00 x = ater ften ' for existing dwelling 20.00 x = .G. prinkler ' for dwelling under const. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = Aiterations ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' oak Cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = STATESURCHARGE .50 TOTAL 1 he(eby acknowledge that 1 have read this applicetion, state that the information is eorrect, and agree to comply with all appliwble City of Eagan ordinances. It is the epplicanPs responsibility W notify the property owner that the Cky oF Eagan assumes no Ifabllity for any damages causad by the Ciry during Os nortnal operational and maintenance aetivities to the faalities construeted undar this pertnit within City propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ? dJ ? S STATE: ZIP: SIGNATURE OF PERMITTEE / . 0 'Aq C.fxdtpYle?C'S ll1IQCW C:,C) TELEPHONE #: Lb f- ?:)Dla I ? L 9 BL ? CITY USE ONLY RECEIPT#: n? '/ q ? SUBD.,(?G?? ? RECEIPT DATE: T 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single famity dwellings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH AL Shower 3.00 x % ,ar 3.?0 .. Bath Tub 3.00 x = Lavatory 3.00 x Kftchen Sink 3.00 x Laundry Tray 3.00 x _L = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = _ ?r Floor Drain 3.00 x Gas Piping Outlet ` minimum - t 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under conshuGion 5.00 X Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler for dwelling under const. 3.00 = U.G. Sprinkler ' forexisting tlwelling 20.00 = Alterations " to existlng residence 20.00 = Water Tum Around 20.00 = Private Disposal System " nak cry iic. 65.00 = (new end reTurblshed systems) Private Disposal Systems'nbandonmeM 20.00 = STATE SURCHARGE .50 TOTAL ?? I hereby adcnowledge that I have read this application, stale that tlie infortnation is cortect, and agree to compty with all appliceble City of Eagan ordinanoes. It is the appliqnYS responsibility to notify the property awner that the City of Eagan assumes no Iiabilityfior any damages caused by the Cky during its normal operational and maintenance adivltias to the faGlities consW ded under this pertnit withm City propertylrightof-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLERNAME: GENZ-RYAN PLUNIDING TELEPHONE#: 423-1144 STREET ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP: 55068 ??1DJr//.?_/,l!'.?/jDf°G?it, _ GNAT RE OF PERMITTEE OFFICE USE ONLY FROM PHL'ii :c NO. A Lg 3 a D'ate-??O?5,5 '7 ---- 1 8-?q ? 3 C I 'f? °? RI_iq. 1^0 199t: 06:31Hf`1 P1 ??. Oiuvi i vi tD [L?V111ci1L x ? + `? '' fie;tua:;: fer lr?;pec:;crn'?iumber i ? . .,, ?4 u n . iusfAflCC---`?f}--.? ?e,-'--- )I1thIS]cJb_ 9 ,1-.. I.icense No C p0 i.'236 CoumY D,-4- , r.?4Q _.._-------- _ Ciri ._ . -,?-- - _ _ _ RetrS, ec:tiam Fe; . A 1...7,_';f;y i,CCdt'f Rl;S3Y h-` T°Yil"hL't] iV?th P8yITII`Sl: f0 tbC; st'illFlt^.1palf CehLP.f LNc1Lti'll'V 55122 PI.CP.E° 6$1-41500 I Lt' ['omPutation --- _., ----- ` -- -- - --- ------- - .__ _.. - ------?- ---------- ? ---- ? .? Plea.?e return wiih .- check in the an,='un oF? 1 bte to the Cify o£Egaia. T} ? ahave ordr! must be campiied with by (da, ,ctrical lnspector Chris Brinkhaus; 1026 Oak Rd., Shakapae, lVfn 55379 (612)4969515 g U IL-0 2007RESIDENTIAL BLTILDING PERMrT ArrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% macimum lat coverage aRowad) 1 Saas Report i( propased huilding is to be pWced on disNr6ed soil 2 copies of plan shaving beam & wintlow sizes; poured tound design, etc. 1 set of Energy Calculations 3 copies of Tree Preservatian Plan if lot platted after 711193 Rim Jaist Oetail Op6ons selection sheet (buildrgs wilh 3 or iess unils) Mnnegasco mechanical venfilafion fam qd&D RemodeVReoair Reauirements Office Use Onlv 2 wpies of plan showing foohngs, beams, jaists CeR of Survey Recd _ Y _ N 1 setofEnergyCalcula6onsforheatedadditions SoilsReport ' _Y _N 1 sile survey(oraddi6ons 8 decks Tree Pres Plan Recd _Y _N, Add'r6on-indicafedon-sifesepGCSystem TreePresRequnred _Y _N On-siteSepticS/stem _Y _N :aa ...,":, infrrmohinn ii„ipcq .,nii state thev are trade secret and the reason. ??? ?w ...,........ - m.. naiia aic wn ? .i..........,-- ------- ---- q v= Date1i_I _5 ConstructionCost SiteAddress ??? ? e-??e-r"? ??r?-\e UniUSte # tion of Work ??- ^J `C?f-?? Descri p Multi-Family Bldg _ Y ?N Fireplace(s) 2 Property Owner v^'? We) l' 2? Telephone #( ) ^ Contractor T'.-?r"??„ L C _ a-(7t Address (??? °1 Qcw??l L? ?. Clty - i•,? n roa?-/.?c J?J' State /14'? .. ..... Zip S?O Telephone # (GS[ ) Ys /- ? a `?} COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (q su6mission type) Submitted Submifted • Energy Envelope Calculations Submitted In ihe lasi 12 monfhs, 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 Mechanicai Contracior Sewer/Water Contractor T herehv annlv Telephone # ( Telephone #( Telephone #( Buildine Permit and ackn)wledge that the information is complete and accurat that the work will be in conformance with the ordinances and codes of the City of Eagan and the State ot rvLN 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 accocdance with the approved plan in the case of work which requires a review and ap r L7uc- 6uuer ApplicanYs Printed Name Applicant's Signature cERnFicnTE oF suRVEY M 32-1538- 9 7 for OE MILLER HOMES . . Go Ve r? ? rl7 C • \ ` ?rc/ r,s R , (,, o a? S?\ so?, ? ?'88 42°0? 91$,? ? ? L s.-a ,? 87? ? o ?. ? ? B? ?918.? ? 1 r? M / 0 - 9??, Z rn:- ?Z 4 ?14.? I M;r ? - g 81 z? ? eGor 9? p / BTOP •S I r k q es?hto? d hpVS 9?`&3 a; ?- r 8 4/,? g? e e. q •- - ? ?''c?i+ ° q17. ??^' / fJt? ' ? ? I ?? ?? 1.1 ON IL / ?g?3 ° u u ? I---- S 09.9? nO9e I 1W Utilit?,cl? I ? \ ?OSerheht 17. ^ ` v' 8 ( i S?? ? RIS. _ -- Ln 916.0 100.?0 „E N83'20 OS ? t ? Top curlfto Gar slab Top block = 22Q,83 Lowest bsmt flr = 9??-4! EAG,W EIVi?IIId?EItING EPT. Scale: 1" = 30' 866 Govern Circle DESCRIPTION I hereby certify that this survey, plan, or Lot 9, Block 3, report was prepared by me or under my direct supervision and that I am a duly Registered GARDENWOOD PONDS SECOND Land Surveyor under the Laws of the State Dakota County, Minnesota of Minnesota. Plat bearings shown o Denotes iron monument Date z1? MAR19T] Reg. No. 8140 ? Existing_,,, Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street SLAMnZ06 Burnsville, MN 55306 ?*y (612) 435-1966 ? ? DATE A-,fr??? 2" 9 ? "ol 538- 97 ? CERIIFICATE OF SURVEY for OE MILLER HOMES G° V? ri7 , \ J d -- -S? s? a = 88? 40 / ? Z B` 4,\? \k? 1 ?- r? h? ? / qia; ? . ? / / OrOjhv 4fl9fy? M32-1538-97 . . _ ?rcl e ?10 rn? .? . ? io O _ N 9 (q,l $? 3 II 11 Ja ?/?-?? i ?? ?I ? e?se ?ent ? °8 S??t y R1S.? ? -- 9 ' v100.20 „ N83'2008 ? Top cur15-to Gar slab 3-2_ Top block = 12W B,7c Lowest bsmt flr = 9??•41 _ ?? ? ElI.G.1P+I Ele'CL7ail;r:i 1i:v Scale: 1" = 30' 866 Govern Circle . C) 7. Q? T-E .? _ ?-... ' DESCRIP110N I hereby certify that this survey, plan, or Lot 9, Block 3, report was prepared by me or under my direct GARDENWOOD PONDS SECOND supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Laws of the State of Minnesota. Plat bearings shown o Denotes iron monument Dat?? 21 M Reg. No. 8140 ? Existing j Proposed I-._ BRANDT ENGINEERING & SURVEYING 1600 West 143rd Stre ? Burnsville, MN 55306 (612) 435-1966 p.? G N 8 r2°e el°9 s'ob ? Top 2D•S @S °posey L e?k 9? $3 g??t e/ ?hO?se 0 /7N R - ?. IIII IIIIU?ll,1!?.?11IlI IIIII ll I?I rl : 0 3 1 8 714 9.9 : REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 7821 Un"rversity Ave., Rm. S-12g, ? P? MN 55104 Phone (612) saz-oaoo?/a?q 8$" Home Duplex Apt 81dg. Other. I New Addn Commercial Indusirial Farm Remod Re air Air Cond. Hfg. Equip. Water Hfr. Load Mgm}. Ofher: D er Ran e Elec. Heof Temp. $enice "X° a6ove the work covered by l6is request. fnter remarks in this spoce onpd (o?n the 6ock of fhe w?hd}.e mpy only ?alBC o+'1 ?rs ?N }? ,?C7 Calculate Inspechon Fee - This Inspedion Request will not be occepted wlihout Yhe mrrec/ fee: Olher Fee aF Serrice Enharice Size Fee # CircuiFS/Feeders Fee Mobile Home Park Stall ? 0 to 200 Amps 20 0 to 100 Amps ? Sheet Ltg./TraHic Sig. Abave 200 Amps Above 100 Amps Transformer/Genernfor INSPECTOP'SUSEONLY TOTAL Sign/OuBine Lig. Xfmr. Alartn/Remofe Conirol $wimming Pool I hercb am I ? al ? on deSck4dVmin on tIro dafes a?d Irrigation Boam xo?9h-in - oa „j,? Special Inspedion Investigative Fee Final Da y THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 1 V- 7 4 9 OFFl E USE ONLY This reqoesi vmd Ie monMs fmm vaLdanon dale pnnkd in Mis hoz.?? PLEASE PRINT OR TYPE R es 9 7 Rovgh-in insp«non reqoired7 Yes ? N. Inspecnon OiherThon Rouqh.lnRqpdy Now WiIlCall I 1You muat mll ihe inspxror when ready) Da dy. vj I, Of licensed confrador ? owner hereby requesf inspection of ?he n ove eledri I wor ` ?O Joblddross (Streel, Boy, or Route No ) Gry o 866 Govern Circle Eagan Sccnon No Tawnship Noma ar No. Ranga No. Firc No Cowp Da Ompont Phane No. Joe Miller Homes I 454-4663 P.,s"°Pi"` Ad''w 300 220th ST SW Dakota Electric Elecmml Comrecbr (Compony Name) n cmr ' Mozkr Lic No (Plom EIM. Only) Midland Electric CA 01236 Moiling /ddress (Contmclor or Ovmer PeAortning Insmllahon) 22691 Red Fox Dr Lakeville,MN 55044 Avlhonz n( eAor InsMllolion) Phone No. 461-1444 EB.35WIA.10 6/95 (/ATE60ARDCOPV-SEEINSTRUCTIONSONBACKOFYELIOWCOW Use BLUE or BLACK Ink For Office Use4PIIIPfr (�',, , • Permit#: ./114-# ` 1� ty of ' � Permit Fee: 6'4.1q 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: ��`�✓� Phone:(651)675-5675 Staff: Fax:(651)675-5694 JUL 1 4 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '7/I'1/I-7 Site Address:g10 � 4 ll� Unit#: Name "" ;,,'6 G• d-S"i Vre" i'I)-e'?/vltil'X£TT Phone(6N5 i -5-7201-1 iliergo*iiAddress/City/Zip: ►&4) GOVegk.../1/4.1` ..;P&e Applicant is: Owner r Contractor Description of work: I%)1 t 3 PC.L.6 Construction Cost. Multi-Family Building:(Yes 1 No „ ) Com panyy 0�C=�A�� .?c Contact: Rc)NISBISR Address: 24 A:j'Q1 ,T'S State:J Zip: I Phon4,47 3 Email: Veal kIVA5Ii 'rc.QCrA51'9/ t License# 1 _ . Lead Certificate#: If the project is exempt from lead certification, please explain why: t\x), � ' i -/i^t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: It re info f'ed as j H8 m 3a a P a d€ L o CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exterior ork prized by a building permit issued in accordance with the Minneso -tate Building Code must be completed within 180 days • ' - it issua e. :425 1 x I 4. ��w x � ?T\S' Ap•li ant's `rin ed Name . App icant's SignatureIIP Page 1 of 3 < 7 6 . C2 C? ,7,./24 O�O WRITE BELOW THIS LINE (i7 D 6 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) __ Multi Deck Porch(Screen/Gazebo/Pergola) — Miscellaneous — 01 of_Plex — Lower Level X Pool _ Accessory Building WORK TYPES Tys._New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation2i___;0t11).91 ) Occupancy ,. MCES System Plan Review Code Edition / ,` ,,`v) SAC Units (25%_100% �(,) Zoning City Water Census Code 11 Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 'h tal Fire Suppression Required Type of Construction Width I I REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final X Pool: A Footings Air/Gas Tests /Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:__Rough In Air Test _Final Siding: Stucco Lath Stone Lath „Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: n Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee iti) 9 °1-- Surcharge Plan Review MCES SAC City SAC Utility Connection Charge ,,(j 0 C S&W Permit&Surcharge J Treatment Plant Copies TOTAL Page 2 of 3 / qW2 O. . POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS • Address: Abb. &�9�-r1l (moi red L Applicant Name: tia.,li�j, ? �- � �(0n1 m(4CI � °' nes /irevi GENERAL INFORMATION />g/i7 fa ar o z • gi U ❑ Applicant name and contact information .4 ❑ ❑ Property owner name g ❑ ❑ Address of property ,a ❑ ❑ North arrow, scale (1" = 30' or 40') .a ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. ,0 ❑ ❑ Location and name of all streets adjacent to property gi LI ❑ Directional drainage arrows (existing and proposed) • 0 ❑ ❑ Lot Square Footage t ,jto/ LI � Lot Covera e L "-`�� L:..4 l �„ -�q.•�" x. _ �_` � . : �� .Vii, „ r '� S _i % +� C mit ELEVATIONS Existing 0 ❑ ❑ House corners f' ❑ ❑ Property corners 0 ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ ..is ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes) X ❑ ❑ Pool bottom(or max. depth) DIMENSIONS Existing ,J 1 ❑ ❑ All property/lot lines 0 ❑ ❑ All Easements on the property Proposed .p' ❑ ❑ Pool )21 ❑ ❑ Pool plus integrated deck/patio Ja ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house 0 Reviewed: Vii.,,/' ; -7/'07 Na 707 Date G:FORMS/Pool Permit Checklist/11-20-12 • v S` cn �m xi fn -v : can X X c WCnr co o1i = DF�R.' 'o p), fD N 'j O a =`- 0 co w — -+ c O Cr t0 Ls' O to cn`3 O N , , ., o ', n N (D n ` 0) Cn O Q ' ID 0 u -, :. r: Ut O ' -pal n CD 'L3 -p n X W W n O _, 0 <. co v O z X v v co D :' .7" Q CD Q v ��o O N Cry ��3� N �: , �, (D C o 0 0 o ) _, do fV O O Z O ,.,. CI) i O ' x, a. to 7 2 i > > A co sp O Q.' W ' Ln (D r cQ O CO W g'S N ` . co c -- 0 o ui It i• co co co, 0).5.NO O. I '' co fD -� Oo N N O Cn r o • —1 p a' tN •, 3 O ca „ 7 Qo ,.W O) v — z 3 - CI .n m °� m �. O fn Ca Q N (D rl 7S v m tD 3 0 Xco C. FI Fp' o o r Z N = g Q. = (D o N. 0 c. • cn / n) V i ir II iii. 3p \ \ a ��35) -(/(5,1 �01011101 o0 0 i.) :(6) m — `' --3- -o \ g'Lt. x n C 3 \ 1 m� `, N w m r N ><a ` w C i w -o_ _ to 0 ..a a li`61'% \\\ ) N >aimolageskx_ tic NN ri co co o7 I m 41111111111.1 ♦ IIIII,,._ 73 *_. -a g o \ co co - Q . �� o NO)xl o- / JØ)ova.� \ 3• ... • D la \ B - / B. c s R .. W 5 o Date 7/24/i x EThJ AGAN ENGEERING DEPT, • . .. CERTIFICATE OF SURVEY . M32- 1538- 97 for OE MILLER HOMES 3&& OoVc-e7? C; . fTh ... tis. f- L., V�► Cir �� _ Cie , ,/,,...° ,,,e4,, , 41 7,-- 14.4;10°,. .-------- 9 i icV , ' r1 e.r_ 8�� Q ,% :7-7 tA i ......44,4 .4 .. ......„ *4v Anw Pr ,k ., ,,,..„10-,,,,:---,... F- cry 6,. tt ? es°posIN e L 9 � 4Y a . • ii — ter Mei - -, , ...40 %, 1 /////! cry,- .t;.$.3.1 / \ ce \ 1J/ * Ilrp_W_,— 8J A/ i ——, _______4iA1t11 .....9/ ,1 . ,r 6 —E-- 10,.." Posey Ee/ (912 770,, 9, ist cs..., -Mt; - ..____ . awittAl \ CT) ,op y9 Y-�/ 8`44'9', 4"' •Nil 111 1. ]e07. r 916.0 ,; •� 100.20 „ ...., zira N83'20 08 E \ 01Prr— \ f ED ,„0 . Top curt$ to Gar slab = _11.t. .___ �--'' Top block = .3..t0..V B ''' 1, ,� Lowest bsmt flr = QJ__ - EAGAN EN 'INEERI'NG c ' . Scale: 1" = 30' 866 Govern Circle DESCRIPTION I hereby certify that this survey, plan, or Lot 9, Block 3, report was prepared by me or under my direct GARDENWOOD PONDS SECOND supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Laws of the State of Minnesota. Plat bearings shown o Denotes iron monument - 9te......--...ter Date 21 MJ1°IT] Reg. No. 8140 \ Existing) Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street v-46-41A606 r" S Burnsville M N 5536 + . . .,. .1"-Q ( 612) 435- 1966 DATE._ 4---'-'11/ 4t7.'"_ IN -- cTAVNSI tr4z 0 n 7 PERFORMANCE 14-7W g96.2 GOV61/ 1/1 �� ` Performance Pool & Spa 1890 Wooddale Drive Woodbury, MN 55125 POOL SPA (651 ) 775 - 3940 Attn: Ken Ronsberg Impervious Surface Calculations PID 10-28801-03-090 Name Gabby & Steve Grommisch Address 866 Govern Circle City Eagan, MN 55123 Phone No. ( 651 ) 341 - 5761 Lot 9 Block 3 Subdivision - Gardenwood Ponds Second Add Total Lot Area = 18,533 Current Coverage = 3,584 Pool Deck = 1,056 25 % Allowable = 4,633 7 Sq. Ft. To be removed Total Proposed = 4,633 House Area = 2,243 25 % Allowable = 4,633 Driveway Area = 822 Area Remaining = 0 Porch Area = 152 25.00 Steps & Landings = 103 Sidewalk Area = 264 Current Coverage= 3,584 Please Call With any questions: Area Remaining = 1,049 Ken Ronsberg Proposed Pool Project Lay-Out Engineer PPS Pool & Deck =1,056 ( 651 ) 775 - 3940 E AG A N 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginsr ectionsc cityofeagan.com Date: For Office Ike, , `�C � 7 Permit #: /t-y Permit Fee: / 1 '% / 627 / Date Received: Staff: L 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: S e ie e" Address / City / Zip: St chre,✓Y C Te Applicant is: Owner n Contractor Description of work: crVO, az) J Phone(V 351/- ✓, ei Construction Cost: Company: Address: Multi -Family Building: (Yes / No j Contact: �/ City: 3 Phone: G f /� 9) 0—c9 mail: c/cm . es toCe/vptre S State:i✓Zip: gS License #: L?C 6 3 EK 6 Lead Certificate #: �/� /e 7' 7 2e-2_ If the project is exempt from lead certification, please explain why: ,\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber Mechanical Contractor: Sewer & Water Contractor Fire Suppression Contractor Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that ysidered to be publ/c in rm classified as non-public if you Provide specific reasons tlfat permit, the City to cei cl You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, anork 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 ap ova of plans. x Pau/ s Applicant's Printed Name x Applicant's Signature lnfonitidn rrrayr'. .' DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace X Single Family — Garage Multi — Deck _ 01 of _ Plex — Lower Level g�O� Svc—aesl Cfr=. 7a Porch (3-Season) _ Porch (4-Season) _ _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New _ Interior Improvement )( Addition _ Move Building _ Alteration _ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%„ .) Census Code #of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation X Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes X 1 Hour -X_ �C CC Occupancy Code Edition Zoning Stories Square Feet Length Width Fireplace:. Rough In ]L,Air Test X Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan r1 .ram Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies _x_ Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 15 .M.iU,R.c- �r Ili----- MCES System SAC Units City Water Booster Pump ovV PRV /� Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Gas Line Air Test Hood S f a.nvie r 3 STort-y 260. d0f1ITAIA) C3) tNX ZN = l ("6' St. x *95.73 If /0. 00 t .2.0,c.2 x. 64) TOTAL 1 `. eq.' rt. Page 2 of 3 g oc- /777 1 CERTIFICATE OF SURVEY M 3 2 --15 3 8— 9 7 for REVI BY: Date: Eagan Buildirjg Inspections Division Top curt(to Cor slob - 30 Q Top block = 9311,12. Lowest bsmt fir 9)1.41 Scale: 1" = 30' 2AGAN EN INEERJ?G 1 EPT. 866 Govern Circle DESCRIPTION I hereby certify thot this survey, pion. or report was prepared by me or under my direct supervision and that I om o duly Registered Land Surveyor under the laws of the Stote of Minnesota. Lot 9. Block 3. GARDENW000 PONDS SECOND Dokoto County, Minnesota Plot bearings shown o Denotes iron monument —� /ow Existing BRANDY ENGINEERING & SURVEYING 1600 West 143rd Stree Burnsville, MN 55306 (612) 435-1966 � . 1 1 1 •� Oftv -r PERMIT City of Eagan Permit Type:Building Permit Number:EA171370 Date Issued:08/13/2021 Permit Category:ePermit Site Address: 866 Govern Cir Lot:9 Block: 3 Addition: Gardenwood Ponds 2nd PID:10-28801-03-090 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. 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: 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 - Steven M & Gabrielle L Grommesch 866 Govern Cir Eagan MN 55123 (651) 341-5760 Miles Construction Inc 16388 Ellerdale Lane Ede Prairie MN 55346 (612) 730-5945 Applicant/Permitee: Signature Issued By: Signature