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869 Govern Cir. . INSPECTIQN RECaRD k . CITYbF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Murrtber: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? a,tiVt Rri r_ i 1: W c?i Mra . I? r? :rtf.tkNiJMIi`t PfaNfi'y 7t1Cl " t,:, t., ? A???1-4fsCi:? 3MIT SUBTYPE: TYPE OF W4RK: 1 INSPECTION D. . D. 1 iAR#(; r S410 t?'!.•1.119RFR - m&W :wr-WFR IG UATf R Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING , r7 ') !?(??_,IIyl HVAC ' ?J, 5/?00 -(v0.2 inspection Date Insp. Comments FOOTINGS ???! ?J -7 7?- C/-7 ?L4R ? FOUNd r//,? T / FRAMING ? ? , ?/J L1.TLa ROOFING ROUGH PLUMBING ? PLBG AIR TEST ROUGH HEATING . GAS 5VC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST JLIM FINAL PLBG FINAIHTG P ORSAT TEST ,C?-!? ,?c.GP •y.? ? ? ? BLDG FINAL /,?,;? DJ/ 7 J ?• / r BSMT R.I. BSMT FINAL DECK FTG DECK FINAL '/w ' ? ,??? Address 869 GOVERN CIR L.ot 5 Blk 2 Sub GARDENWOOD PONDS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF/THE FINAL INSPECTION. e Date: pY07 Yes No Inspector. ? Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trai]/curb damage Porch Basement finish Deck Please verify with the builder [he removal of roof test caps from the plumbing system and the shutoff of warer supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 bcfore working in righ[-of-way or installing underg[ound sprinkler system. White - City Copy Ye11ow - Resident Copy Pink - Contractor Copy ? Zip 5512--L, '/611-% cbG 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reouirements 3 regis[ered site surveys showing sq. ft. of bt sq. fl. of house; and all roofed areas (20%maximum lot covera9e allowed) t Soils RepoA if proposed building is [o be placed on SsWrbed soil 2 copies of plan showing beam 8 window saes; poured iwnd design, etc. 1 sel of Energy Cakulations 3 copies of Tree Preserratim Plan'rf lat pWtled a8er 711193 Rim Joist Depil Optians selectlon sheet (huildings with 3 or less unifs) Minnegasco mechanical ventilation form RemodellReoalr Reouvements 2 copies of plan showinq footin9s, beams, joisfs i set ot Energy Cakulations Por heated addNOns 1 site survey for additions & decks Add'dion - indicate i/omsde septic sysfem Telephone #( Plans are considered puhlic information unless you state they are trade secret and the reason. Date tJ l2-6 l6r) ?? ? / /??, ConstructionCost L%"t ?? Site Address ?? ?0?LN l?f Q UniUSte # 6* ra'?.) Moij CVl Z Description of Work 1,?Up Multi-Family Bldg _ Y )ON Fireplace(s) ?q 0 _ 1 _ 2 Property Owner b*<rJ Z?eFL601111`11Lr Telephone #(40 1y V?a f" D?? r Contractor /"W Wflatt liu1Jr44'IZV ZW q Address '/? ? ?) City /? .? State fs?i'?a'.s ?.? ?A? t'Fr ? ?11i Zip Telephone #(4??}- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Calegory . ResideMial Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitled In The last 12 monihs, has ihe 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 Coniractor Sewer/water Contractor ?;b , OtJ 4fice Use OnN Cert oiSurveyRecd _Y _N SalsReport, , * '- _Y., _N Tree Pres Plan Recd •,.. ° _ Y _ N. , Tree Pres Required , _ Y _ N Oo-site Septit System _ Y _ N Telephone #( ) Telephone #( T herrhv annlv fnr a Rrcirlrntial Rnilriina Permit anri acknnwleriae that the - -- - -?r ? ? -- - ? e° that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. J ?Sir /uc? ZL? Applicant's Printed Name Ap licanYs Signature ?%:k:k;+?:?C)k?i.MK?t'?("4'kYn?kA(Y6.",•;i$?:Y :X,f??y.?'?7K>KW?i:ri<XtMk;'M8;'?':k.'>X CITY 01- F'AG,AN C(15i!-I:I:Ii.Fi° S T'EriMl:Nf'd.. Nq: 353 UA'1cr, pilc'E'i')'r' 'Y'LMI.-c 0;46:30 1!? ;; nANE: , TJ R FIOR"f'ON 2P56 9001 869 r,.,pVF'RN CI"n 5,0:3f3.46 'inl.;.il. RpeFa.pa: Amu,;nL. ".S,f.-s;;;.4i> CfC('J7897?i, k!:aI::I'; 1'Tl;; NAhlf"y m? ?:( 'Mi;:%`d:w?:M:d;?c?l,c., ?6„h'?'?'?',5'n%Y •n 'M?';%k)k ?k:,t%K7X;'r."r:?ffi:',:?F?' :Y?; 1: ? CITY OF EAGAN 3830 Pilot Kno6 Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-28801-050-02 DESCRIPTION: - ,? B,uilditig_..Permit Type ?uildS:ng b7'qrk Type ?UBC Ocoupan?k,__ Constructiqp Ty?e r: ?aning" ? Building Length ? ? 6uiltlzng Widtih _ &uiltlfbg -st-pries arr e F e'e t?;-?; ? , C e n sw' ?;?CfO de'° i ?eR REMARKS: 5&W PLUMBER = M&W SEWER & WATER FEE SUMMARY: PERMIT PERMITTYPE: auiLornG Permit Number: 0 3 0 4 3 8 Date Issued: 0 7/ 2 2/ 9 7 869 GOVERN CIR LOT: 5 BLOCK: 2 GARDENWOOD PONOS 2N0 sF owe NEW R'-3 U-1 VN R-1 70 64 : z 2,916 101 1 - FAM. DE7FlCH VALUA7ION $224,000 Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,507.25 $979.71 $112.00 $950.00 100 1 MIISC FEES $1,539.50 Total Fee $5,088.46 $3,548.96 ONTRACTOR: - Applicant - s7. I.xc OWNER: ORTON 2NC OF MN, D R 14544663 2000565 JOE MILLER HOMES 459 WASHINGTON DR 204 3439 WASHINGTON DR 204 -AGAN MN 55122 EAGAN MN 55122 612) 454-4663 (612)454-4663 ? I herehy acknouiedge `:that '1:'hauo*"*ead`",L"YiSs??!appYea'ti`ot5`and,s^tate'tMat e;- I infiarmation is correct and agree to ccamply-wi.th all applicable State afi Mn. Statutes and City ofi Eegan OrdinancBS.. x...?/10,, J /In ' tAPPLICANT/PERMITEE SIGNATURE ?fin„? R,??Ra I m ? ISSUED B SI ATU ' 2 O(3 p 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) `S ?8?" ?(? U ? cirr oF eacaN 3850 PILOT KN OB R D - 55122 681.{675 ? New Conshudion Reauiremerrts RemodeUReoair Reouirements ? 3 registered site surveys ? ycopiey pf plen ? 2 coptes of Dians (indude beam 8 window saes; pouied fid. design; etc.) ? 2 ske suneys (exterior additfons & tledcs) • 1 energy calwlatfons ? 1 energy calwlations for heaMd additions ? 3 copies of tree preservation plan H lot plaked after 711/93 requlred: _ Yes L No - DATE: 7- /VJ7 CONSTRUCTION COST: ?-Z3? ?i 11 D?FSCRIPTIONOFINORK: ?eu/ ?w.5?ur7/h ? STREETADDRESS: Rog 6vvl.rn Civt,IG LOT -5? BLOCK o? SUBD./P.I.D.#: ???'+Wuv?/ AUJS ZcJ. PROPERTY Name: OWNER ? ? Phone #: Street Address: City: CONTRACTOR ARCHITECTI ENGINEER State: Zip: Company: --I-oe, 01t11P.,r I-owwes Phone #: 3 el/.71 Street Address: 3,VS L br. adJI License #: a0U25/aS'7 City: C*An State: /Y?Jit/ Zip: Company: Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed piumber (new construction ony): 1'Y1+LAI ?ar_,AlP.Y d- I,clkiCr• . PenaRy applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the iMormation is correct and agree to comply with all applicable State oi Minnesota Statutes and Ciry of Eagan Ordinances. ) Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates af Survey Received ? Yes _ No J U L 14 1997 Tree Preservation Plan Received _ Yes _ No r Not Required B' OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Dupiex o 11 Apt./Lodging o 16 Basement Finish ?< 02 SF Dwelling o 07 4-plex o 12 Multi RepaiNRem. ? 17 Swim Pooi 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility a 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 5F Misc. 0 10 _ plex o 15 Deck WORK TYPE kf 31 New o 33 Alterations o 36 Move ? 32 Addition ? 34 Repair - 0 37 Demolition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Cength Depth APPROVALS Planning 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 Ded. Other Copies Total: ?? Basement sq. ft. tg -%" MC/WS System ? v Id Main level sq. ft. Z02v City Water i g-J ?-? v^a sq. ft. j"4 , Fire Sprinklered sq. ft. 8,14, .? PRV ? sq. ft. Booster Pump zo, sq. ft. Census Code. _(04' Footprint sq. ft. 29 SAC Code Cejisus Bidg ? Census Unit ? . Building lke? Engineering Variance Valuation: $ ,z?d,om, ? ? vo,? y 39x39.S l2X2 Jz Lu Z wx?2 gu z r 3 9 _ +z Kzf % SAC SAC Units ?- 24yt 2n ko e zi. [o ? ax t0 I (?o 141 (,3 2y ys +z iL) ? 8 3? ? ? +s = Z 7 , S`lD• ? !ba' ? s11= ? ZSZ ?svy ??sY= 101 / 090, ? ?2, 57G. - y80 21? zo ?c/? 2i3G.' 2+0 15 5- 5 , LOT SURVEY CHECKLIST FOR RESIDENTIAL . . 6 ILDING PERMIT APPLICATION PROPERTY LEGAL: ? Z ? ? DATE OF SURVEY: ? g ?' LATEST REVISION: ° DOCUMENTSTANDARDS z I -?O ? • Registered Land Surveyor signature and company 11 • Building Permit Applicant ? • Legaldescription ? ? ? ? ? • • Address North arrow and scafe ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) B-,o ? • Directional drainage arrows with slopeigradient % ?? 0 • Proposed/ebsting sewer and water services 8 invert elevation o" ? --?o ? • Street name M ? • Driveway ELEVATIONS Ebstina / ? ? ? • Sewer service (or Proposed) 2`11 ? • Property comers cr'o ? • Top of curb at the driveway ? • Elevations of any ezisting adjacent homes Prooosed 0? ? ? • Garage floor 0, ? ? • First floor 12' 13 0 • Lowest exposed elevation (waikout/window) • Property comers ?? ? • Front and rear of home at the foundation PONDING AREA (iaoolicable) ? ? ? • Easement line cl? ? ? • NWL M-'o ? • HWL Er, ? ? • Pond # deslgnation 0 13/"' ? • Emergency Overflow Elevation DIMENSIONS w'? ? • Lot Iines/Bearings & dimensions 4j- ? ? • Right-of-way and street width (to back of curb) El, ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', / ? ? ? porches, etc. (.e, all strudures requiring permanent foatings) • Show all easements of record and any Cily utilrdes within those easements ?? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? 13"?[] • Retaining wall requirements, if any _ Reviewed: me , January 7996 CRAIGI9BBIBlDGPRMT.fM J- _ . 9E-sov I:NERGY CODE WORKSFIEGT FOR 1& 2 P'ADSILX DFQ$LLINGS SIT$ ADDRESSGfJ s 1 CITY COMpLETED DYt O?S J?''??L plIOpIH N pATII HQILDIti6 CLASSIFICATIOl1: ? catapory 1(atandard) or ? catagory 2(muot includo vantilation) HIEiII([IM CRITERIA Foundation Inoulation-R10 S'fallo G Windowu Roof Attia lnoulatian: Slab on Grade Inoulation- R10 (see forallowabla per centa ea) 244-Nil•h Atti g .c No Ileel Floor over unheated epacea-R24 R30-F7iCh Atl-ic Raised Ileel Foundation 4lindowe 1/2" ineulated claos . R3e 6 R5-Solid Rafters -Y7ood or Vinyl Frame BTBp 1 Window fi Uoor Area STBP 2 Calculate aroa ae a percent of Wall A. To[al IJindow 6 Door Trca in Sq. Geet ' WINDOW9 (Including Goundatio n Windown): WItiDOW HNNPACTURC NAM6,' C. From Scep 1 divide Uox A(4lindow 6 Door WIHDOW MAiNFACT[IRC TYPS¢ Area) by L,ox 6(total wall aiea) Cimea 100 equalc [ho wittdow and door area ae a WIt1DOH 2fA2iUPACT[1R6 ? FnCTOR: percen[ of wall area (Uox C), R. O. QuauCiCy r.q.R.Area OX AX]00 ? Dimensions = - -- ? Rox U4CATI F X , -a? z ?--ep? 9THP 3 Deui n F t I-0" Z' ?N ?L g ea ure¢ X P.SSIit16LY Zi Ou p ??-'?TI!"'? ? 17IIiG TYPE? FRA X ? -?M I? ? ' x ` -- - - 7jj?7Y? S7 AtIDARD PRAMIHG otude 16" o ? ? t? N Q Z-D R7 I , .c. - 4? pDVANCGD FRN1I17G atude 21" o c _ . . x CAVITY 7NSULfl'PION R^(/I X 9116ATFIItIG TYPH: X LESS TIIAN a R 5 x R-5 > OR IIORL> X U-PACTOR 17 DOORS: From the [able, (reverse side) determine the T_ maximum percent wlndow & door area for Ch '^p p X y 9 e deeign optiono se]ecled and enCor tho ; value in flox p below ban d h i ? i e on t e w ndow mEg. U- factor: X D T ulal Area of Hi d T=C?q,ft. ' - n awu E Doore J e. Total 41all Area in Sq. Pt. 7'he t value trom Cho Cable in Ilox ? shall 6,3 cyual to or grealer than thc t In Dax C Flall To[al Ilei.g6C Area PCYlmeteY Z.IIa /9lG?7 5-0 _Potal Area oE Wa1]c___ ?_, II, ?;Ci.Ct P. llie building must not exceed the maximum windorv and door area as a percentage of overall exposed wall area listed below for the combination of framing technique, R-value of inskilation cviltiin the insulated cavity, sheathing R-value, and tivindovv iJ-factor. Other components must meet lhe requirements of this subpart. A4AXIMiJp1 WfNDO1N AND I-)OOR ARE•.4 AS A PGIICI:N7' OF OVLRAI.L TsXPO SCp WAf.[. Cavity . 1Vindow U-Faclor Framing • Insulation ' Sheathing 0.36 0.31 0.17 _ _ _ STANAARD R-13 >_R-7 13A°/ 17.8% 21.3% 21.30b SI'ANDARD R-1 5 2R-5 32.996 77.10/6 20.190 23.9°. STANDARD R-18 . <It-5 .' , 11.1% :16 0°6 , .18.8% 22.005 STANDAItD 11-18 ziz-5 53.5°. 18.6°16 31.805 25.3;L AdVANCGD . I2-18 <R-5 11.1°0 191% 20.100 23.4i?? ADVANCED It-18 ?R-5 13.5°. ' 19.2% 22.5°a 26.1 STANDAItD R-21 <lt-5 11.8°1. , 17.09L 19.941a 23.19G STANDARD R-21 2ft•5 14 00". 1930% 22.50,6 26.106 AUVANCGD I:-21 <It-5 11.8';L 183% 21 L1% 2d.6% APVANCrp R-21 2K-5 . 14.00,L 19.94"b 23.20,14 26.94. SuUp. 3. Pcrformance criteria. The comUined tliermal transcnittance ((Jo) factors for walls, roof/ceilings, antl floors over unltieated spaces musl Ue less ihan or equal to: A. 0.170 i3tu/h ftz °F for wnlls; B. 0A26 Tihi/h Elz °P fnr roof/ceilings; and C. 0.04 13tu/h ft2 °F for Eloors. STAT All'f"tf: A4S § 216C.19 ffIST: 78 SR 2361 7670.0480 IiepenleA, 18 SR 2361 ? Minn. Rules ClialNc[ 7670 26 )knn: 19`1I / L BL CITY USE ONLY RECEIPT#: ?y 967 ?240 _?i / /n r1 V SUBD; RECEIPT DATE: ? / ? ry / 1997 PLUMBING PERMIT (RESIDENTIAL) ciTr oF eacaN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 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 O ZOTAL Shower 3.00 x = ? 00 Water Closet 3.00 x = /2 • 0 ? Bath Tub 3.00 x Lavatory 3.00 x = If?.UO Kitchen Sink 3.00 x = -3, Oq Laundry Tray 3.00 x '53, UU Hot Tub/Spa 3.00 x Water Heater 3.00 x -40? ? 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 existiny dweliing 20.00 x = U.G.Sprinkler "fordwellingunderconst. 3.00 = U.G. Sprinkler 'forexistingtlwelling 20.00 = AlteraGons ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " Dak Cry iie. 75.00 = (new and refurbished syatems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 ?z• Uo TOTAL I hereby adcnowledge that I have read this epplication, state that the Information is cemect, and agree to compry with all appliwble City oT Eagan ordinences. tt is the applicaM's responsibility to notiry the properly owner that the City ot Eagan assumes no Ilabiliry for any damages caused by the Cily during its nortnal operational and maintenence activities to the facilities construded under this pertni[ within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: GENZ-RYAN PLUMBING & HEAITNG TELEPHONE #: 423-1144 STREETADDRESS: 14745 cn aOBFRT TRL CITY: ROSEMOUNT STATE: MN Zip: 55068 ( ? SIGNA URE OF PERMI E CITY USE ONLY LOT ? BL RECEIPT #: / / T 7S SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 Date: Complete this section only if vou are instalGnE HVAC in sin¢le family, townhome, or condos that are under construction and are not owner /occuaied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: • TOTAL: .50 39, Sd Complete this section only if you are remode(in¢ adding to, or repairing esisting sinele familv dwellings, townhomes, or condos. _ Add-on furnace _ Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimuxn fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Tota1: $ 20.50 siTE nnDxESS: cP6 9 Ga?e.-? C,,-c- le OWNERNAME: -To- e /l, 'l?t°i- lTaMe_S PHONE#: INSTALLER NAME: ?o,, r!a l!?'p '14J- PHONE #: 66?,Z STREET ADDRESS: 9l aZ `G Ew10.. 14-,-• CITY: STATE: ZIP: ? - SIGNA OF PERMITTEE 24.00 6.00 ? - gcv RESIDENTIAL 5-i BUILDING PERMIT APPLICATION CITY OF EAGAN a5 3830 PILOT KNOB RD, EAGAN MN 55122 ?[) •? 651-681-4675 New Constructlon Reouirements • 3 registered site surveys showing sq. %. of lot, sq. ft ot house; and all roofed areas (20%maximum lot coverage allowed) • 2 copies of plan showhg beam & wnMOw sizes; poured found design, ek.) • t sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted a@er 711/93 • Rim Joist Detail Options seleCion sheet (61dgs with 3 or less units) DATE 12 - OZ-o 2 RemodellReoair ReaWrementa • 2 copies of plan • t set of Eneyy Calculations for heated additbns • 1 sAe survey for ezterior addihons & decks • Indlple if home servad 6y septlc system for adtlitions VALUATION a5 ? SITE AODRESS ??T? Co?¢?? C?cl MULTI-FAMILY BIDG _ Y vN TYPE OF WORK FIREPLACE(S) _ 0 ?1 _ 2 APPUCANT ?c-??1 TLQ?a?t STREETADDRESS CITY ;?, _STATE?/?lZIPSS7:?3 TELEPHONE #?4s/ 61C-901'70 CELL PHONE # 19/2 ?5-`iBS?S FAX # PROPERTYOWNER ??ecd- TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNt;SOTA RULES 7670 CATL'GORI' 1 MINNESOTA RULES 7672 ( type) • Residential Ventilation Category 1 Worksheet Sutmitted • INewEnergy 6ode.W,6TRShee!'?6qbmitted 4 submission ?^ • Energy Envelope CaiculaUons Submitted L ?? Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mectanical system includes: Sewer/Water Contractor. Air Conditioning Hcat Recovery Systcin Phone # Fee: $70.00 Phone # I hereby acknowiedge that I have read this apptication, state fhat ihe information is corcect, and agree to compfy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant c? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - , Updated 4102 _ Water Softener ? _ Water Heater _ No. oFBaths n.. Phone # ( J L ? Lij I,awn Sprinkler I8Y Fee_ $90. No. oC R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 7 k ? 23 Porch (screened) O 36 Mulfi ? 05 03-plex ? 11 10-plex 4 19 LowerLeve ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Tnc14vUeS F. al*-6-E ' ? 31 New 0 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Adtlition 13 36 Move Bldg. ? 42 Demolish (Foundation) ?, 45 Fire Repair ? 33 Alteratio ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Oemalidon (Entire 81dg only) - Give PCA handout to applicant Valuation Occupancy Z-3 MC/ES System Census Code L? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type ci Const v Width REQUIRED INSPECTIONS _ Foohngs (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) plumbiryg _ Foundation ? fiVAC _ Drain Tile Other Roof _ Ice & Wa[er Final Pool Ftgs Au/Gas Tests Final ?'• Franiing Siding Stucco Stone ? Fireplace 4 R,I. _,pAir Test 4 Final ? ? Windows (new/replacement) ? Insutation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector LoWe-z ???? ? -2 D .oa , as PERMIT # s-1ael RECEIPT DATE: 2002 [i£SIDENTIAL PLUMSINfi PE$MIT APPL.ICATION CITYOf EAfiRN 3$30 PILOT KNOB ItD £A6AN, MN 55122 651-691-4678 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : TZ?Kta.-'f' TELEPHONE #: S-1, 61,r-e 0/ 76 (AREA CODE) INSTALLER NAME: TELEPHONE S'( 68? 6PI 7o STREET ADDRESS: (AREA CODE) CITY: ?GCan / STATE: ZIP: SS /23 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: V'?Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. I _ Water turnaround - existing dweliing unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 $ C: ;D - TOtal . 1 hereby acknorAedge that I have read this application, state thatthe information is correct, and agree to complywith ell applipble Cityof Eagan ordinances. It is the applicanPs responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages wused by the City during its normal operational and maintenance activities to the §cllities constructed under this permit vithin Ciry pro e ' t-of-way/easement. Cs 1 SIGNATUR EE 1102 «A CERTIFICAl'E 6F SURVEY for JOE MILLER HOMES N? g•46? 2„E , ? /y!(% A r 9? co L }- !0 aN ? ° ca ? N O N 'S t J / ?9?6 2 tr?o ? L- ? , ? O ,9? 6 ? • _/? 0 0 M 0 ? ?V? L ` t?9 S,3 ?W D?? r " ? pfQrhQge & ?tilitY eQSemen , s M32--1589-97 C?A07-QN ? BY DATE EUILDING INSPECTIONS DEPT. ? v ?SSSOOO ?? z N882 „ 4'54 E _ S ? ? ?6.28 i 1 i ? eo ln''? ? E?°f slab pr 908? ? roP9/?' 2 ?es oposeq ? qlF9, sj rrit el 9ia gZ e 00 f ? rz.C?o rK?????'/ `8 / ti\m ?2? .?1?' ? ? ?.? \1:? \•V ?q? .? ?/ ^?n? 4 ? R/ ? c ?/ti?? ,uP 7 30' 6. S???a ?s D?r •?•.._. ? % / `?I •/ ~. +V J?? O V ?F G lt?rt? , ?. Cir?/(c2 \ I hereby certify that this survey, pian, 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 v9 TUL`( )997 Reg. No. 8140 Top curb to Gar slab = 23 Top block = 2?&S? Lowest bsmt flr = 91Dlhz 869 Govern Circle DESCRIPTION Lot 5, Biock 2, GARDENWOOD PONDS SECOND Dakota County, Minnesota Plat bearings shown o Denotes iron monument ? Existing j Proposed BRANDT ENGINEERING & SURVEYING ? 1600 West 143rd Street, Burnsville, MN 55306 (612) 435-1966 Suite 206 M32-1589-97 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148218 Date Issued:03/14/2018 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner 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 - Chad Weis 869 Govern Cir Eagan MN 55123 (612) 481-3508 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155344 Date Issued:05/10/2019 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 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 - Chad Weis 869 Govern Cir Eagan MN 55123 (612) 481-3508 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:Building Permit Number:EA155735 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 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 - Chad Weis 869 Govern Cir Eagan MN 55123 Overhead Door Company Of The Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature For Office Use `t` i i ' � J +✓ Permit#: /J(6 U / EAGA l g 2p19 Permit Fee: /,97. io Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsCa)cityofeagan.com _ _c�� 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 9 C., 0u-'1l 4'e-' a Unit#: Name: OPkiJ Phone: Resident Owner Address/City I Zip: v &OkNif fl Applicant is: Owner > ^ontractor Description of work: V MNI1 (VS [;art eAC tg• Type of Work Construction Cost: I/�0/'C700 Multi-Family Building: (Yes /No ) Company: U3I -f -��,.. Contact: j�/ `k t Address: l.�i�t�3 t 11c Contractor 12 2�7 Ni‘N� rvl� �V�- City: State:M A Zip: Phone: 52—736 3 3 mail: 1"`. k* G ()SI L License#: Lead Certificate#: &C' S-240c,/c 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public If you provide specific reasons that would permit the City to conclude that they are Trade secrets. 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.cityofeagan.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. 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.gopherstateonecall.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. Applicant's Printed Name Applicant's Signature t D NOT WRITE BELOW THIS LINE ?la dOC h ---I( 775'6 ir 7.) , SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exte 'or Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exte 'or Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Misc II neous 01 of Plex Lower Level Pool Acce;s ry Building WORK TYPES _ New _ Interior Improvement _ Siding _ Dem ,lith Building* Addition _ Move Building _ Reroof _ Dem ,lith Interior Alteration _ Fire Repair _ Windows _ Dem lish Foundation _ Replace _ Repair _ Egress Window Wat, Qamage Retaining Wall *Demolition of entire building—give • 4 handout to applicant DESCRIPTION Valuation —4-1----10-0 Occupancyr&ii/IL / MCES Syste Plan Review Code Edition }' I k SAC Units (25% 100%() Zoning City Water Census Code Stories Booster Pu p #of Units Square Feet PRV #of Buildings Length Fire Suppre sion Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) ›C Final/No C.O. Required Foundation Foundation Before Backfill // HVAC Service Test G;s Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas ests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stene Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough I Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /it , Building Inspector RESIDENTIAL FEES Base Fee aoei 00.4. Surcharge fOE ' lir.f' Plan Review Ai 14: 1 ' 4-er-A MCES SAC City SAC '" Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read -(yo y ( r n i Copies lJ TOTAL Page 2 of 3 For Office Use Permit#: %:`.% E AGA N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections a(�cityofeagan.com L. 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1-l?L I 'i Site Address: 1 (;0\ii CI7n. I 11( Tenant: Suite#: Resident/OwnerName: 1/ue 15 Phone: Address/City/Zip:�7 ( �� I1'f`l � tm," NameIN ICI„4*1 J 2 W 1L le) License#: V'a IOLH Address: r ° V - CeJ)�- )9 City:y4.414-a in ��c--5b13 ! t Contractor 11 nn�77 State: Zip: Phone: G)r,,1ii Contact: • Email: 1i3. OLP . •) (Y1 Type of Work _New )(Replacement —Repair —Rebuild Modify Space Work in R.O.W. Description of work: Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater DesCri tion Add Plumbing Fixtures( Main/_Lower Level) p Water Softener Description: Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ )0 U 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.gopherstateonecall.orq 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.citvofeaslan.com/subscribe. 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. Appi can s Printed Name App icant's na ure Page 1 of 2 r For Office Use Q n , Permit#: E AGA Permit Fee: E C Cc Iv "0 Date Received: / /- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 p (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5 NOV 01 2019 Staff: Q\f build i ngins pections(o�cityofeaga n.co m BY: °� /`1 2019 RESIDENTIAL BUIL-NRTFTERIVIIT APPLICATION Date: iojegiragsite Address: 861 60118k*..1 Unit#: Name: w L JS , ei-I•44AaW E. Phone: Resident/ Owner Address/City/Zip: c C t31 V il Applicant is: Owner Contractor 6/494Y11)°°C1C Description of work: , 4.7 44COQ IAA 1� (IOU /,ezic Xw Type of Work Construction Cost: /O C00 . 00 Multi-Family Building:(Yes /No ) Company: 1YC tL_S CUNbrrNC,trdtJ Contact: d Contractor Add ress:4 '129 l,Ad.` i)Jl) A j t. `J 6 City: //J PL6 State: 41N Zip: 0211 1 Phone: /GO "'NUDE_ Email: irsormu, lD/n1Ail.a eft License#: TsC T41=5 Lead Certificate#: F—m44524— If 6(o52!^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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are bsde secrets. 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.cityofeagan.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. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in jnformance with the ordinan ! •.:s of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and is not to start witho a e •:t the work will be in accordance with the approved plan in the case of work which requires a review and approv: •tans. mu A gait x App Ii�s Printed Name pplicanti i• re DO NOT WRITE BELOW THIS LINE 3 es 1 6 c,J(f�, C.,(c M P Le ' SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Ni Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) I Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior I Alteration — Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation (7 Occupancy 11\4/1- MCES System Plan Review Code Edition 44 i SAC Units (25%_100% ) Zoning i City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \if, Width 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_Service Test Gas Line Air Test_Hood Roof: Ice&Water _Final Pool:_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 i( Insulation x Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 60"(16 ...I Plan Review / �� MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge / o y 0 Z 0-0 Treatment Plant Radio Meter Read �� 1 Copies TOTAL0 (, 9/(e Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA159012 Date Issued:11/15/2019 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 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: 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 - Chad Weis 869 Govern Cir Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature C r ' rA For Office Use V. • Permit#: ScigJV'EAGAN Y Permit Fee: (fll (lJ V 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810EIV Date Received: (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 SAN • Staff: buildinginspections ar7citvofeagan.com 202 0 L 8V' 2020 RESIDENTIAL BUILDMPERIIIIT APPLICATION Date: 1/14/2020 Site Address: 869 Govern Circle Unit#: Name: Chad Weis Phone: 612.490.1634 Resident/ 869 Govern Circle, Eagan MN Owner Address/City/Zip: Applicant is: Owner Contractor ki -/ (ilk1(ia(/o j/p(6, efr /r Bath Remodel-Partially completed under Permit#:EA 158896. Contract terminated due to non-performance. Type of Work Description of work: Construction Cost: $12,000 Multi-Family Building: (Yes /No ✓ ) Company: NA - Owner to coordinate Contact: Chad Weis Contractor Address: 869 Govern Circle City: Eagan State: MN Zip: 55123 Phone: 612.490.1634 Email: chadweis@eaglebuildingllc.com License#: NA Lead Certificate#: NA If the project is exempt from lead certification, please explain why: NA 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: NOTE:Plans and supporting documents that you submit are considered to be public lnfrmation. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeasran.com/subscribe. Exterior work authorized by a building pemtit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 o •• .nces 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 wit 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 pia• . x Chad Weis Applicant's Printed Name Applicant- ` ature DO NOT WRITE BELOW THIS LINE s( Gouctkrt ei,g- ' / SC's S� 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 Pool Accessory Building WORK TYPES New _ Interior Improvement Demolish Building* _ Siding _ _ 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 Valuation Occupancy {� j4,/ MCES System Plan Review Code Edition .11 ‘ Plan < SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 4 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) V Final/No C.O. Required — Foundation Foundation Before Backfill Jv HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final / Pool:_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 WindowsI� ('f�/ Sheathing Retaining all:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — \( Shower Pan Other: /� Reviewed By: ) I/ , Building inspector RESIDENTIAL FEES TA' +1G�7 `w" p v` " " Base Fee (le 0 OA/ Surcharge 6/AI On- erYVI iliLl- Plan Review 1 MCES SAC �� a 6 City SACe4 0 wed 0 I f / S Utility Connection Charge ' S&W Permit&Surcharge jv Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 � q s- 1/8/2020 City of Eagan—Building Department ATTN:Terry Zelenka 3830 Pilot Knob Roadf2/ tifrL27 Eagan, MN 55122 � � RE: 869 Govern Circle Bath Remod Permit#:EA1 Pe 58896 / Y v Terry: This letter is in reference to Permit#: EA158896 currently held by D-tails Construction Services(D-Tails) for a Bath Remodel at 869 Govern Circle, Eagan, MN 55123. My name is Chad Weis and lam the owner of the house and contracted with D-tails. Unfortunately,we have have terminated our contract with D- tails due to non-performance. Contract duration was for 30 days. After 84 days the work was incomplete, and they were unable to provide a verbal or written completion date after several requests. I would like to request that the permit be changed to my name—Chad Weis. I will be hiring subcontractors to finish the remaining work. While I do have an inspection record (And the City reviewed plans)there are no actual sign-offs on it. If you could advise on this it would be appreciated. Also, if you could provide any records of inspections to date and/or trades referenced on your end beyond D-tails it be very helpful. Very truly yours, Chad Weis BY: PERMIT City of Eagan Permit Type:Building Permit Number:EA163907 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 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 - Chad Weis 869 Govern Cir Eagan MN 55123 (612) 481-3508 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:Mechanical Permit Number:EA165993 Date Issued:12/04/2020 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Chad & Deann Weis 869 Govern Cir Eagan MN 55123 (612) 481-3508 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167651 Date Issued:03/25/2021 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Chad & Deann Weis 869 Govern Cir Eagan MN 55123 (612) 490-1634 Crimson Copper Plumbing 1416 Deerfield Rd Waconia MN 55387 (952) 356-7152 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167721 Date Issued:03/26/2021 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Chad & Deann Weis 869 Govern Cir Eagan MN 55123 (952) 513-7706 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172886 Date Issued:10/20/2021 Permit Category:ePermit Site Address: 869 Govern Cir Lot:5 Block: 2 Addition: Gardenwood Ponds 2nd PID:10-28801-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Chad & Deann Weis 869 Govern Cir Eagan MN 55123 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature