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870 Govern CirI ? -------TN"9ffCT10N-RTC-0R1Y- CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesata 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: ?L an t'rR fGAROf N4,Itisil) P(lNll':. 2N1 PERMIT SUBTYPE: 1 4'•A TYPE OF WORK: INSPECTION D. • DA ' ? . ? , , 1 , ?. ? I?i i - ? f ?• ! i', f . ? MIARKRz'NIAtJ RF'VTFtdfll h3Y CkATl; HOVAI?Y?. S & W 6'i 1jMfs€ 1? I'y Ik 1,i 6J ';t"4.Ji Fd Ahft I..iA t'C i. I>11o e9V IF (C) 1:'; 11,3 -43H ri . ; . ... . .. . . . . J 3 5? 1 Permit Holder Dete Telephone # SEWER/ WATER PIUMBING HVAC ? tnspectFon Date fnsp. Comments FOOTINGS Ks/ FOUND 5 ? 4-4q. CL7 FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RqUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG - FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER rRRtGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDflOSTATIC TEST BSMT R.I. 85MT FINAL DECK FTG DECK FINAL Address 870 GOVERN CIRrL,E ZIp $$12 3 I.ot s Blk 3 Sub CIVOKIMoD eMs znID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: LP o1/ 99 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass v TtaiUcurb damage Porch ? Basement finish il Deck J/ Please verify with the builder We removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet 6efore freeze potential exists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? Whice - Ciry Copy Yellow • Resident Copy Pink - Contraclor Copy RESIDENTIAL BUILDING PERMIT APPLICATION ?, --? o r-JD 3830 PIlOT KNOB RDN 55122 "?- - S -C) 651•681-4675 New Construction Reauirements RemodellReoair Reauirements • 3 registered site surveys showmg Sq. ft. of l04 sq. R. of house, and all roofed areas • 2 copies ol plan (20°6 maximum lot cove2ge allowed) • 1 set of Energy Calculations for heated addilions • 2 copies of plan showing beam 8 window sizes; poured found tlesgn, ett.) • 1 sRe suney kr extenor addi6ons & decks . 1 set of Energy CaICUW4ons • 3 copies of Tree Preservation Plan H lot platted after 717193 • Rim Joist Detail OpGons selectiaq sheef (bldgs wifh 3 or less uniGS) DATE Z aao JOB SITE DRESS E-70 IF MUtT1-FAMILY BUIL IPJG, HOV1 PROPERTYOWNER TYPE OF WORK FlN t S4 APPUCANT T?? ADDRESS 2S Lc rHER- PAGER # IalL 'S-4? - 3 Z !3 CELL PHOME # FIREPLACE(S) _0 ?fl _2 _3 _PHONE# 612--366-2iF/ ? - ZIPCODE &S3*A` _ FAX # 9S2- - 23 y- (a NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Pluinbing Systcm Includes: Mechanical Contractor: ylcchsuiical Svstcm Iiicludes: Sewer/W ater Contractor: Air Conditioning Hcat Rccovery Syste«i All above information must be submitted prior to processing of application. ? I hereby acknowledge that I have read this application, stote that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordingaies. Signature of Certificates of Survey Received _ Tree Preservation Plan Received _ v Not Required _ U VAIUATION (EXCLUDING LAND) MANY UN{TS? 6 LS S _ GVater Softener _ _ Water Heatcr _ No. oF Battis Phone #: Lawn Spruikler No. of R.I. Baths Phone # Fee: $90.00 Fee: $70.00 p)C9 T 0d Phone # Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex M"16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 OS-plex ? 1 8 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10•plex ? ?' 1y9 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mutti p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation c;l'-2", ?G Occupancy A - i MC(ES System Census Code Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (uew bldg) _ Footings(deck) _ Footings (addition) Foundation Dzain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final ?j Insutation t- REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. Plumbing ?j HVAC Other _ Pool Ftgs AirlGas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved ByL4!V--, Buitding Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tatal Lt C.1+? S 4 g- C^.GL30 S_C?,? / D e?- ?j 14 (Z? 7 ? aTV usE oNLv L ? BL RECEIPT#: /03-7 F 7 SUBD.XJQ/WX?nuvDlf? RECEIPT DA7E: `00.9 1999 PLUMBuvfi PERMrr (REswENrtA.) cmt oF Easm 3$30 PILOT KNOB RD EA6AN,1HN 551EE (ssi) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH ? TOTAL Shower 3.00 x Water Closet 3.00 x ?_ = 2 Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x _? = 3 Laundry Tray 3.00 x ? = 3 Hot Tub/Spa 3.00 x ?_ = 3 Water Heater 3.00 x Fioor Drain 3.00 x Gas Piping Outlet ` minimum - t 3.00 x Rough Openings 1.50 x sa WaterSoftener ' fordwellingsunderconsWCtion 5.00 x = Water Softener ' for existlng dwelling 30.00 X = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 30.00 = Alterations " to existing residence 30.00 = Water Tum Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and returbished systems) Private Disposai Systems ' Abandonment 30.00 = RPZ (new instailationlrepair) 30.00 = STATE SURCHARGE .50 Reminder. Cat1681.t675 for inspections of water heaters, water softeners, alterations, etc. a S ? ? a TOTAL ----°-°-------•-• •-• --------------- • • ---------° ----------°- •----- •---•----------°----------------------- • • --•------° • -------------- I hereby adcnowledge that I have read this application, state that the infortnation is mrtect, and agree to comply with al? applipble City of Eagan ordinances. It is the applipnYs responsibility to noti(y the property owner mat the City of Eagan assumes no liability for any damages causeC by the City during its nortnal operational and maintenance activides to the facilities consUUCted under this permit within Ciry pmpeRyinght-of-wayleasement. SITE ADDRESS: 1310 OWNERNAME: /E)Q• 1?0(z?O11 -x n TELEPHONE #: 4 I N 4 INSTALLER NAME: Ru( STREETADDRESS: 14-746 7.? Kob r+ I r I CIn: ?csem0, u-n?- STATE: mK) ZIP: 560?00 TURE OF PERMITfEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY USE ONLY -? ? ? L BL n ? RECEIPT #: 11 U SUBD. RECEIPT DATE: -? 3- 9 PERMIT # TD 1999 PLUM$uNC PE{MMIT (ftESIDENTIAL) C[TY OF gAfiAN S$SO fILOT KNO$ ftD EAfiAN. MN 5512E (651) 6$1-4675 Please complete for: 9 single family dwellings ? townhomes and condos when permits are required for each unit : backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tu6 $ 3.00 x = $ Floor drain 3.00 x = $ G2s i in outlet * minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwetlin under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ Total --> --> ----> .... > $ . ::c?i?ii?C?@i: Cuii diiJiiS, 9.13. inairI ilBaiefS, waier sofieners, @iC. ------•---------------------------------•----------------------------------------------------------------------------------- - I hereby acknowledge that I have read this appliration, state that the information is cortect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operetional and maintenance aceivities to the facilities conshucted under this permit within City property/nght-of•way/easement. SITE ADDRESS: OWNER NAME: : Z7D m e- ??JVLtJ! u TELEPHONE #: ? (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: ? STATE: JIL?V ZIP: `.S->P'/ SIGN UR OF PERMITTEE 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I60,?Q CITY OF EACAN 3830 PILOT IONOB RD - 55122 651-881-4875 ? New ContM1uc?.? Remodel/Reoait ReuulremeMs ? S regbteretl eN wrveys ahowlnp aq. f1, of lot sq. H. ot house 2 coplea of ptan and gp rooletl areas (20% maximum bt coveraae allowed) i set ol energy oa1cW Wions tor heatetl dddlllons ? 2 coplea of plana (thow beam & window fizes; poured Md. deaign: efc.) 1 aite wrvey for exfedor admHOna ! decW a 1 sel ol energy calculaNons D J coples d hee preservatlon plan If lot ptattetl aMer 7/ I/93 DATE: I tIU IOO CONSTRUCTIONC05f: ? SU?q. aG DESCRIPTION OF WORK: New t2eC k STREETADDRESS: b1D UUYeVh CIY LOT: 9 BLOCK: tg SUgD./P.I.D.N: VlGrdehWUOCI YOhds 2h PROPERTY OWNER CONiRACTOR ARCHITECT/ ENGINEER Name: Ul Seh Hvuh M Phone#: (b51) 6Q,3- iq31 tafl Flrst She6tAddress: 00 6l)VCYVI Ctr ` cny E a a? srar.: nn n! uP: ?i51 ? 3 Company: S?? 1 Phone A: ' (area code) Sfreef Address: Ucense Y Exp. Ctly State: 21p: Company: Name: Telephone t: ( Sfreet Address: Regishatbn #: City State: Zlp: Sewerfwater licensed plumber (jf Jnstallina serverlwatarl: Phone #: I hereby acknowledge Ihot I have read lhis appiicatbn, atWe fhat the infomwtion Is carect, and agree to compty wHh all applicable Staf of Minnesofa Sfahrtes and City of Eagan Ordinances Signafure of AppllcanY ?-? ?? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OB-ptex ? 05 03-plex ? 11 10-plex ? OB 04-plex ? 12 12-piex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? ? 18 Deck ? ? 19 Lower Level ? Plbg _Y or_ N O ? 20 Pool ? 21 Poroh (3-sea.) 22 Porch/Addn. (4-sea.) 23 Porch(screened) 24 Storm Damage 25 Mlscellaneous 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)• ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units No. of Buildings _L Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee 60,150 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SMI Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered ?G Engineering Variance valuation: $ ab ? ? 37 Ext Alt - Mutti ? 33 Ext. Att - SF ? 36 Mufti ? SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Cansfiuclion.ReaulremeMs Remotlel/Reoalr ReWremenh . > 3 registered tlfe wrveya stwwln0 e4 II. of lot, W. 8. of house and gffl roofeO areaE (20% mmdmum l01 covBmae Wlowe? a 2 coples of plana (ahow beam & wlndow alzea: poured Ind. design; efc.) a 1 aer a energy calculalloro > J copies of hee preaervaHOn plan If lot plaMetl alter 7/1/93 DAiE: =! I ?I 00 DESCRIPTION OF WORK: ?I U _CI C, ? ?!L___ SiitEET ADDRESS: ?b I L? LX,>t J C' rL LOT: ?A BLOCK: ? SUBD./P.I.D. #: 2 coples of ptan 1 set of energy oalculaMons lor heated addiHOna 1 slte wney br exteAa additlons 8 decka / CONSTRUCitON COST: e n PRoPErrv OWNER Lon Sheet CNy C (0 3 - 1 q '?`? r stote: ??j 1,J zlp: 5 S l`Z--Z) COIJTRACTOR ?b ' `UY1{'yGIC'IU.V ? S Sireei Address: CI1y ? ? { CV1S? ?? Phone i: '? 12 < C?1 2??v code) ha? , Exp. WVNQOuwv, , ZIP: ARCHITECT/ n ? (/1 L (•, ENGINEER Company: ? 5 Telephone Sfreef ddress: ? c r?l Sewer/water I' nsed plumber (if I ? I hereby scknowledge that I have read ihis applicaHoi., me mrormaHon b cortecf, and agree to compy wNh all appacable Stat of Mineeaota Slalutes and City of Eagan Ordinances. ------- ?__ ? Signature of Applicant: ?- OFPICE USE ONLY Certificates of Survey Received _ Yes v No Tree Preservation Plan Recefved _ Yes - No ? Not Required MI? ? y? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 02 SF Dwelling O 08 08-plex ? 03 Otof_plex ? 09 07-plex ? 04 02-piex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-piex WORK TYPE 4Er' 31 New ? 32 AddiGon ? 33 Aiteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) O 17 Garage ? 22 Poroh/Addn. (4-sea.) b;"'18 Deck ? 23 Potch (screened) ? 79 Lower Level p 24 Storm Damage Plbg _Y or_ N 0 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding 0 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0 No. of Units o No. of Buildings ? Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee 6 G S o Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies _ .5p ToWI: 3) Ef ,00 SAC Units % SAC sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered 1?6 Engineering Variance Valuation: $ ) ?20G ?o O '31r Ext.Alt-Multi ? 33 Ext. AR - SF ? 36 Mufti z13y CITY OF E:RGAN CASH.T.r4C' S TFkPfTNFaL N0: 719 DATEe 02/19/99 TIt1E:. Oi :27.:31 IU: NAME: D R HORTClN INC 2256 9001 870 GOVFfiN GCFi 5y399.89 Tota1 Ferei.pf, Amoun+,: 57399.83 Ckip3U41 USFR LL1: NANCY CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMIT TYPE: BtJ I i o 1 NG Permit Number: 0315y 1 Date Issued: o?lf 1 8 ! 9 y SITE ADDRESS: P.t..N.? 10--28801-080-03 8ie r,011/rRN c iR IOT: N BLOCK: 3 t;ARDFNW00p PONDS 2NC1 DESCRIPTION: , 311%lclinu •?oermi.t TYOe 8 u.i ). d i n q Wb•r• ': Tvoe ,kJRC occuponcv? 'Consr.ruc?.ton Tvpe ?.? ioninca - i Eui?di.no I_enoth ? BLaild.inq Wtdth ? ?Gui,id.inq etioriee ? ? j ro Pent ? -? C P??Fiti'?,, t; n ?. SF oW(i rdt_w ry 1\-J V IV 13-1 66 ni 2 2.240 1.0 ,L 1 -- 1=NM . L1F'TACH ,. REM?1?iK?S:i?i-,JZLWFD I,v rPArr NnvArzvl<. • a s w uL ume,r_i? J ?3 M & w sEwER AniD wAreit rIaoNF n( 612 ) 2 53-4383. FEE SUMMARY: Fase Fee Plan ReviaLd Surcl?arqe SRI'; 5HC vd 5AC Unit:, 5ubl:ol_aL VA L U A'f" I-(1 N 1.?58J..75 1 .028. 1 4 0 2 50 0.0 0 too $ ;'(AS.eVi0 irizsc. r-ees ToL'al Fee $ 1 , 6 3 x.5e $5.399.89 ?ONTRACTOR• - Hno].?.r.ant - IOI?IUN CPIC, OF Mbl, L] R 14544663 31159 W A°.,HIhi6101V OR 204 EACRN mN 55122 ( aai ;2 ) <i,hA-4&n:.S si . Lrc. OWNER: 241G705667 Uel?. HOfi'("DN 34!i9 WFlSH'1'NGTON DR EAfRN MiV 55122 ( G'') 1 J 454--46E53 : Vierpbv acknnwledqe tPiat I h?!ve reaJ this aopti caCion anri s9:a [:a that Lhe intormc.tion is correct and a4rae to comply with all aoplicabte SL'e!-:; ni- Mn SiaL'utes and City oY Eaar_n Ordi.nances. IL 9?" & ? APPIICANT/PERMITEE SIGNATURE ? ISSUED 8Y: SI t ATUR? E " - ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ., L4 `? ` l asso Pu,oT Kvoa xn - 55122 s ? -?-- (651) 681-4675 New Construction Requirements Remodel/Reoair Requirements ? 3 registeretl sile surveys ? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan rf bt platted after 711l93 requved: _ Yes _ No DATE: - 112 " ?? ? 2 copies of plan ? 1 site surveys (exterior addihons & decks) ? 1 enerqy calculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK: .& g1 AD"isfrue'?i"gti STREET ADDRESS: /70 C> vvern LOT: ? BLOCK: J? SUBD./P.I.D. #: r o e? Pn., ?s Z-n?L PROPERTY OWvLii ?iunc: Strcct Adchreas: City ------ First St1te: Phone 9: Zip: j't"i!,(es?htLi Pho«e u: 43 -- ? 3 y COA I'R_1Cl'OR ? ?"???ion. /? StreeiAddress:_2.??_?d??Ln.s_A !-- Ste 2??_____ LicenseHROOaS`loS"? Esp.6?j1J37 Cit}' --??`a-'-?----------------------- State: ---M1?---- Z1N' ---??-_-5?-------- ARCHITECT/ ENGNEER Comp:uq: Nauie: Strcet Adcl Citv Yhone #: ____ -- Re; str,ilton #: -- Statc: ------------- Zip: Sewer & water licensed plumber (new construction only): Mi K? J?w e,^ f WtLf Cr Penalty applies when address change and lot change is requested once permit is issued. ? I? ? S3` l.? 3 g3 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ? Certifcates of Survey Received VYes _ No c? ? 12 Tree Preservation Plan Received Yes _ No Not,,'? , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex A 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch O 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE )4 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) ? Basemen (Allowable) Main level ? UBC Occupancy R-3 ??.. Zoning R-I # of Stories 2 Length (oY Width 41 Footprint APPROVALS Planning Building OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous sq. ft. I47c, Census Code ? d I sq. ft. ? SAC Code o I sq. ft. V(O LP (o Census Units sq. ft. 15_(? Census Bldg ? sq. ft. MC/WS System sq. ft. City Water sq. ft. 72 O Booster Pump PRV t Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: lSFs I.'1S I oa-F?.ly 10 So.0a ? Valuation: $ -,? 24 ? 14-70 >C OS0?- l4? x s?- = g?,? ? °= l ??x ?4 = P?,a?-?` 7 ??k I'Z-, ba? ? % SAC SAC Units RZIWESDTA 5TgTE ENEnr;y CODE ? BA9Efl ON CIiAPTER 5 pF TilG MoDEL ENERCiY COU6 c 1983_ERITI4N f I Adaptlotl Effeotive Phone _pet:E:_.__ 114NC'_l')C k ? ? • _ -- s,ite . Add contrac Building clnssificatlans Type A1 (single Family & Duplex Type A2 (Residential, 3 stiories or less) (Over 3 etories) (other) HOTfit cflmplete pages 3 and 4 firat. GFNERAi, TNFORMATION y(LjE'j I' 1. Building Perlmater " ?'ryo N 2. Wall height (ground to eavo) ft. a. 1. X 2. (above) qroaa crall aren 3z? ? eq.ft. 4. guilding dimenslons (L) x(W) -r .,..? 4q,ft,roof e f].oor aroa. 5. Bq. foot area of rim joist - r F oor joiet eize (2 X? Q ? X }?.-(Perimeter) _ ?s??.lt. ia 6. Doors - Area Thickne s in U. factor r Type of ConaCruction Perimeter ft. . Manufacturar ._..- 7. Total dnor's perimeticr ft. a. Windows: ManxkTacturer State approved.«_ U factar I 7& TYPE SIZE AREA (6q.Ft.) NUMBEI2 OF TOTAI, I ?..--" EACIi UNI'I'S uQ FEET 9. Total sq. Et. Glase 1/ ??-- lo, Fireplace areai Width x Ileiqht = X ? sq.fti. 11. Exposed foundationt HeighC ?t perlmeter16 7„X_111y,Ta?_sq.ft. COldE'LETI0t7 OF 'f1lIS FORM I8 REQUIREb FOk AI.I, NEW CONSTRUCTIOtI, MAJOR REl10DELINa AND HUILpINGS BEING MOVED W!lEItE EtIBAGY, OTHER TIIAN TNE HIHIMAL CODE ALLOtAANCE, IS USED. 59iT0'd 5592 ZSb 2!19 T 'Dtll 'ODtlyld 8£:ST h6bi-Tn-d35 •.,1:. •tiP` ?{??Z??? 1$. Framing area ? lot of grass wall ares. 13. Groas wa11 area 27 aq.fE. • Window area A 33 Z .-sq.f t. U windnwq n •/G UxA = i 7Z12 R1m ibigt area A- sq.ft. U rim joist= '0 Uxh = poor area A S? sg,ft,, tl daoC at'ea= UxA = ? 1 7? Other doors area A eq.ft. U othar doora=?1- UxA ? ExPoged fndli A_,??sq.tt. U foundation= ,074 UxA ?---{? ??y? Framing aren 1? ?'? sq.Pt. U framing area=_1?1.,Z UxA Net wall area 1+?i?2?•! eg.ft. U walld UxA - _J.0 !-7 (17H) TOT?,L . . . . . . . . . UxA - 14. oross wall area x 0.11 (A-i ningla Eomily & duplex) m allowable UxA/Code (iJ. above) , x 0.23 (r-2 other residential) x .23 (ot{ier bulldinge) x .2e (over 3 etoriea) BTUlI must be lnrger than oY aame I?.? r k U Code -°F• as 13B ahove -.. 15, ceiling Lraminq area (A£) equele lOt oE aeliing area 15A. Grosa ceiling area =(L) ? x(W) ? m sq.tt. 15B. Joist area (AE) W l0# ceilinq area sg•ft. 15C. Net qeiling area (Ac) (18A - 15B) s9•tt. U ceiling x Ac _ x • C `J °-? ???L ? .7 U framinq x A f ° 1S?/?-x .....:....?? . 15D. TOTAL U x A .................... 16. Ceiling aren (1511) x 0.026 (A-1 oingle family 4 duplex) a ellowable UxA/C?ode x 0.033 (A-Z other residential) x 0.06 (other) /? 6TUf] muet be laXgeC then ??r eame A(157?)??l/5 ?x U Code°F. es 15U ebove 1IO'rZi Use U anii a values obtalned £rom pages 1, 3 and 4. (;ggM=ATIONi I hereby certify that I hnve oalaulated tha "U" faetare end ilit]' values herotn and that tha bui)dinq hare desoribed meete or exoeEtds the stnte nf Hlnnesuta Energy Ccnservntion Aak. • Uate Signature ... 59i?0'd 6S?£ ZSG ?t9 t _)FI] 'ODIM-ld 5£:ST t66T-111-d35 • ?? ' ? ? ' . ? ?? ?`??f"ZG?? --...... ... _ --?--.. ? ,r n ..?....... . ._ .. . ...... _ .. ...--.--.. ... ._ . ___._..... .... . ..-- ..._....?_?._.. __.... _... p? - ? -----?° -- --- .. .??°??..---..... --------- ._....... ......... ._._-....._ ..._ . ....._.._.__._... _._..._..__ .. . ...._ ___.,..----._ . .,.. .__ ...._ --------- --. . __- ----- .. 2,44b _._-------- -- -. _..... ._.--- - ---? -- - -- --- ---- _;.... .--- - -----___..-- --- - --... .. . ... ?-- ._ ---...__.., _ ._. _. ..._..---?- ------ ---- `^ . ? ca.?._.. .; _ sa%so'd Es9E zsr ?ta i •?r+1 'Q?Pldld Ee:si 1,65r-rf,--»s . ? ? uALL ' ^ SfCTlotl , .?.:" ? .-_ .. RlIALUE " U YAIUE q ' ?. ' . . • r"' . In4de air film" ? ,68 Iq drloc wall 45 ?;lNall) U SN4¦thing .,. . , ?.oCa ,• ? . ---? ?$lding r. : . . Uutsldc alr Ellm ° .11 1? {+ •? ': R Toi11b ?, . 1 SG]/h0'r,f 659£ ZSh ZT9 S 'JFII '001IHld Nb:ST t'5FT-"111-d35 ' ?•. SO'd 1H101 i . i . ' . . CLILivn n+mi .?r?Fn ATTIG BPACE_?Q}j?y' R VJ?LUE $ltAHING R Va1.UE CE:ILING 0 61 ?irFilm, 0-..61 Tnsulatlon?? 0.61 ? 4-98 Joist - _' • 0 55 Geiling Q-.?'fi-_ -- AirFilm o,51 . ^ L.I IA ?45 u. i/R .02.2-. {9lndow infiltratlon 0.5 otm/lineal Root oP crack Residential door infiltratlon o,5 oYm/squsra toor or dooz and minimum aode requiremetlt 1{on-residential door lnfiltration 11.0 efm/lineal foot of crack Ub 12" concrete block no ineulation •° •47 R 2.1 Ub 12" concrete blook insulated cores n .26 R ].8 Ub 12" llghtweight block ° .32 R 7•1 Uq 1210 1SghtweighE hlook insulatad aoraa A .12 R 6.9 U eingle qlass m 1.13; wlth atorm Nindow .54 U doubla g1sSS = .58 u triple glass - .41 A11 extarior walls snd aellinge muek have a vapor barrier (a.10 perm max•)• Vapor barriar mual• ba on th lneide (lteate5l elde) of rrall. Vepor bnrrLera ot the polyethelene tihin lilm hdve no R value. A 50iS0'd 6S9£ 2Sh ZT9 Z JNI 100Nki"ld Oh:SL 656T.-Til-d3S LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION „ ? 6J? ? Y? FJ' ? ? ?O ? > ? m y ? ? ? ? ? ? ? O ? ? ? PROPERTYLEGAL: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building PermftApplicant • Legaldescription • Address • North arrow and scaie • House type (rambler, walkout, splR w/o, split entry, lookout, etc.) • Directionai drainage arrows with siopelgradient % • Proposed/ebsting sewer and water services & invert elevation • Street name • Driveway DATE OF SURVEY: LATEST REVISION: ?? ? T Z, ELEVATIONS Existinq [i ? • Sewersenrice(orProposed) o r'?o ? • Property corners 1]3?-O ? • Top of curb at the driveway U- ? ? • Elevations of any ebsting adjacent homes Prooosed Er, ? ? • Garage floor cl--? ? • First floor er- ? ? • Lowest exposed elevation (walkouUwindow) ef, ? ? • Property corners ? Ci? ? • Front and rear of home at the founda0on PONDING AREA Cf aoolicablel ? 0-'0 • Easement line ? C:rO • NWL ? pK ? • HWL ? ? • Pond # designation ? ? • Emergency Werflow Elevation DIMENSIONS rr- O 0 • Lot lineslBearings & dimensions 0-`0 ? - • Right-of-way and street width (to back of curb) o ? 0-? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all sVuctures requiring permanent footings) ?? ? • Show all easements of record and any City utilities within those easements E:r' ? ? • Setbacks of proposed structure and sideyard setback of adjacent exdsting structures ? .0'0 • Retaining wall requirements,if any /'- Reviewed: January 1996 CRNGIBCBRLIX'+PRMrFM C[TY USE ONLY LOT ? BL RECEIPT k: ?0540 (J SUBD. RECEIPT DATE: 1999 MECHA1VICAL P£itMIT (RESIDEMTIAL) 3fSa R ?- ?/Y??y,[ CITY OF ES4fiA.Y 3630 PILOT KNO$ ftD . £A1fiAN MN 55122 Date. ? t Q -l 4 (651) 6$1-4675 P _ Complete this section onlv if you are installing HVAC in single family, townhomes or condos imder constniction and not owner /occupied CN? 12_5 tj Z6 A f Fv K-*J AL11- • HVAC: 0-100MBTU ADDi I'IONAL SO M BTU S 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: . TOTAL: C3? ?? ,?,C?s? .50 ?AK:-, -Sb Complete this section anlv if you are remodeling, adding to, or repairin- existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New _ Replacement Repair _ Other _ Furnace Air exchanger, i.e. Vanee system, etc. Reminder: Ca11681-4675 for inspeclions. Air conditioning Other $ 30.00 State Surcharge: .50 Total: $30.50 SITEADDRESS: &6AAJ ?N OWNERNAME: JbE KOWI.Gs PHOnE#: ?? 4S4 "T'O'Ow INSTALLERNAME: PHONE#: 65-I "0 &027- STREETADD2ESS: -??IaIC? isn`Tbo AJ CITY: I?A11AVLi?G40fll ? N STATE: Mki ZIP: poA b1,1ve M`hH.vC- SIGNATLJRE OF PERMITTEE JSlPORMS BLD/MF.CH PERMIT (RES) - 1999 - CERTIFlCATE OF SURVEY for M 3 2-18 8 6- 9 9 • ? ? D.R. H TON co? ? 7 9fb.09 ? ??•'" ? r ? ; ... . ?8 ?? ry?? 8 • -r:,e ;? ?, ? ?? . `YV`?.?il pr ?- ? ? e ?p Cor ?Sery N6 3 9/9 R ? ??.5 ? B 96 e 6> Q.1D •QO ^' (4?4: ? ?r . ? sz?y je ? Q?7q9P •).S 4ti/?ty?f' ? ? eos? a / ? ?e7t l ?Q, I?\ g?/s • ? ? Top curb .,to Top block = ? lowest bsmt Scale: 1" = 30' ? 9l4.9a? ? r? ?l i lll•v{O !. Ji??l. Gor slab 9?9,1 fir = Il 9jL_ 870 Govern Circle I hereby certify that this survey, plan, or, report was prepored by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of ' ne ta. Dat 2.8 Reg. No. 8140 DESCRIPTION Lot 8, Block 3, GARDENWOOD PONDS SECOND Dakota County, Minnesota Plat beorings shown o Denotes fron rhonument /--1 ? Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Su ite 206 Burnsville, MN 55306 (612) 435-1966 M 'W-1 ftR6-qq . CERTIFlCATE OF SURVEY for M 3 2-18 8 6- 9 9 D.R. H TON C ?9i5 55? ° ?e ? ,?-- ° - 7 7?. /A /nv?j.// o ' ? SA7 L? 3'\ / ?9(5.09 ? • ) _ J /7191 (f `909.41 A,. /°' Co 8 a?? 8 ' @S °.oos / fi ? siob ''-oo ec, o' ho? B;?°a ?9.?Q 918 R?? ? 1 S N 9//9? Se 9i96) ? ? ?•s ? ,? % 914.9a? ? ^' 99 ?849.9 aj? ro? p9e & 91I •S qj.hM . ? t??it1, ^4jVp ?? \ e? N ?I \ Se?en? ?9/ ?9,/?' 60 J I ?J 9°9?0 Q 00, ? . ? . ? l - ---c--? Top curb .,to Gar slab = ?=s-- J ?-- \ - Top block = 919_6? Lowest bsmt flr ? scaie: 1" = 30' 870 Govern Circle DESCRIPTION I hereby certify that this survey, plan, or, report was prepared by me or under my direct supervision and that I am a duly Registered Land 5urveyor under the Laws of the State of ' ne;?ta. . Dat ? Reg. No. 8140 Lot 8, Block 3, 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 M 'W-1 RR6-qq Date: City of EaIan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Paz: (651) 675-5694 2016 RESIDENTIAL Site Address: '76) i4AR 1 Use BLUE or BLACK kik For Office Use t- fil Permit*: /52 I '/6 Permit Fee: Date Received: Staff: UILDING PERMJT APPLICATION GthiPArt, et:t unit Resident! Owner Address City / Zip:6-tal•-etri ni) Applicant is: Owner J Contractor 1Company: Jesse Trebil Contact Christine 1 Address. 60335 us hwy 12 City: Litchfield State: Zip: Phone. Mn 55355 3205938729 email: Info@safebasements.com ucense it: BC446489 .ead CertifiNAT1106229-1 If the project is exempt from lead certification, please explain why: In the lest 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: i Licensed Plumber: Phone: Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: i Fire Suppression Contractor: : COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING NOTE: Plans and supporting (1�ua,ents thatyou submit are considered public Informs the information may be classffj�d as non-pub110 if you tovideecifi" concludetha t th ar trade s�cpts. CALL BEFORE YOU DIG. cam Gopher State One Call at (651) 4544002 for protection against underground utility dimiage. Cart 48 houm before you intend to dig to receive locates of underground utilities. www.g tecinecaltere 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 work authorized by a buikting permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance - x Christine Smith Applicant's Printed Name 1.4 Applicants Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUBTYPES g 70 ' 0 ('c 'i. < y- Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wail DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace — Garage Deck Lower Level Interior Improvement — Move Building Fire Repair *6- Repair 4r311 1 .�Q REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _ _Ice & Water _Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) Porch (4 -Season).• Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final — Siding Reroof Windows Egress Window / './61 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 /Re -1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required ... Meter Size: Final / C.O. Required - Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _^Footings Air/Gas Tests _Final 0 Drain Tile Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 ' Ai? ft Page 2 of 3 Use BLUE or BLACK Ink r For Office Use 56-7 Permit#: � c 1111/11 City of Ea�a11 Permit Fee: JO, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /I- I _ Site Address: 8 7b GO V C_- l r- 6C-- Unit#: C:� f Name: tpG.,\) , rx Oft-el �)/S e Y� Phone: 6 5/ — /2 e 6-2 / tP ,denc ®weer = Address/City/Zip: c c,' .. Applicant is: Owner Contractor Description of work: /`C ..--v. Vt S itk //i ./ /140 1 -� A t`e-� Work F' 1 oC hfo� } Construction Cost: � - cryo Multi-Family Building:(Yes /No /t ) Company: 44.,C 0) ON"' /6C It' Contact: 7/Op Vv City: Go/ VG.ll e. ntractt>r Address: �� fSIVY� State A"Zip: SYy'7 Phone:?-5-Ye-1J0 Email: License#:46 C_67 3 Y27 Lead Certificate#: ,%V/.� 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 piOr Plansand supporting d f cum y amit are rii b 4be pub! p ions©f . the information may;be c/as on publicif you provide sp := would permit the"fit Onclude that£they are trade r. r :..,. w art., 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.gooherstateonecall.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 work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of perm' issuance. — x O S/t4-,<. �--�J A icant's Printed Name A licant's Sign re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA147316 Date Issued:12/27/2017 Permit Category:ePermit Site Address: 870 Govern Cir Lot:8 Block: 3 Addition: Gardenwood Ponds 2nd PID:10-28801-03-080 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - David B Olsen 870 Govern Cir Eagan MN 55123 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156248 Date Issued:06/21/2019 Permit Category:ePermit Site Address: 870 Govern Cir Lot:8 Block: 3 Addition: Gardenwood Ponds 2nd PID:10-28801-03-080 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 - Adam Diederich 870 Govern Cir Eagan MN 55123 (651) 343-9985 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature . r r For Office Use i • i « :::: I S 7119 4k„,:`*,,, .0*.,, E AG A : G, ._..,...., 1ECEIVE Date Received: �_ �!/eh 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-56 . JUL 2 9 2019 Staff: I buildinginsiaectionsijcityofeagan.com -+ BY: t4 aa-"1 2019 RESIDENTIAL BUILDING PERMIT APPLICATION N . .0 Date: 7/26/19 Site Address: 870 Govern Circle Unit#: N/A Name: Laura Wilson Phone: 7345649825 Resident! i Owner I Address/City/Zip: 870 Govern Circle 3 Applicant is: Owner V Contractor ,,,,,_, _.„ ).10/ Replace deck Aj, 1 Type of Work Description of work: �i ' `Wou1dc $20 000 1 Construction Cost: ' Multi-Family Building:(Yes /No ✓ Owner Laura Wilson i Company: Contact: 1i 870 Govern Circle Eagan Contractor Address: City: x MN Zip: 55123 7345649825 iw7071 @hotmail.com State: Phone: Email: ) , 1 License#: Lead Certificate#: i If the project is exempt from lead certification, please explain why: j 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: R..,aw,:xwcoufwb4..w^ «ravN:xinan+wmw.rvwwwwmxa+wr�e.�.naau'+wrw�.,.x«a....mcwRw'«oA..avr+w-w».x^+..:.»:w.+w-e-xawwrM+w•ww .. :v'Mw..q,+wrMt.1.>«wtau-,wu...:...wrwtwx.wrvww•:nrw.ar::w....uvwwwww<xwuwvo...w:nma..auaror.:w.xwvaawwaw'+.warn....w...n4wM',.».aLwd.aam'nnews.'wrmw..:v:...:a...,.. ...... ...a., i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as nonsukt Ifyouprovvlde s eciflc reasons that would permit theeCCityr to conclude that their 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.cityofeauan.comisubscribe. 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(681)484-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 with�;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. ( �' XLaura Wilson ,.—, ..,, �, 1 , \� -� Applicant's Printed Name Aicant's Signature I DO NOT WRITE BELOW THIS LINE /C) CiOJQ r 0 I 4 / pf9y SUB TYPES _ Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family Garage _ Porch(4-Season) ____ Exterior Alteration(Multi) — Multi Z 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 Alteration Fire Repair _ Windows _ Demolish Foundation kReplace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 5aPi9 Occupancy 12 -I MCES System Plan Review Code Edition e>/b..' SAC Units (25% 100% Y ) Zoning 1Z -1 City Water Census Code k /let Stories Booster Pump #of Units Square Feet 3 2O PRV #of Buildings ! Length l Fire Suppression Required Type of Construction ., Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Al 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 t Framing K 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced WallsErosion Control Shower Pan Other: Reviewed By: e ,.,„ , Building Inspector RESIDENTIAL FEESce Base Fee f/ '� 3P01 � /J A !iet9 Surcharge Plan Review 76 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 • ...... , . CERTIFICATE OF SURVEY for M2"' 1 886 _" 9 T • Li q . � . - GA- , \ 494( N .i . - ‘.....C176.:8: 3 ' //- 21 . CM . ` ,Q d ,� `kis, . . 0!\ ., � FI �4tiirfri5 , „17y�cq, , ih.•>) �",, .:. -.8 N +•= 9'773) /� ►� •• o gid • •� /.::f ;LSI k, .:$ - - ss ' • **44441r4, . ..';'.".. : .. - s t. — ', cforkiii -.,, ic) . g`/bib oe / °r a14b II °ra 9, -`1 ca ' el��haG erk `eft r. i'• 91s*, � Air.. '�iCae J,R -, !,0 97/".74 ,p 1> , 40,./ 4,7 (2243-, fi li 9e / ,, ....,^9 Vii -4 46.04\ eQs I �47 ...,,,---,\ ', \ --__________ftiz e fit•v to C. Ca t..e.4•4 c C � / (5)-i \ / EAG/N 1/Th \/5 REV!E WED \,__J X09 f _�903) Y-/ -',;-,h 9.� __ \• DING INSPECTIONS DIVISION ,,,,, ---.. . . .. e.-- Top curt to Gorr slab = ,�.S_„__ ...a. / Top block = 9�9_6� . /7' Lowest bsmt fir = p .6•` Scale: 1 ” = 3O' 870 Govern Circle DESCRIPTION • I hereby certify that this survey, plan, or, report was prepared by me or under my direct Lot 8, Block 3, supervision and that I am a duly Registered GARDENWOOD PONDS SECOND Land Surveyor under the Laws of the State Dakota County, Minnesota of ' ne •ta. ff Plat bearings shown o Denotes Iron Monument Dat 2 74A/ l ' ( ExU '�-: Reg. No. 8140 ng (roposed BRANDT ENGINEERING & SURVEYING 1.600 West 143rd Street , Suite 206 Burnsville, MN 55306 ( 612) 435 - 1966 ......._._. EAGAN 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 (651) 675-5675 l TDD: (651) 454-8535 l FAX: (651) 675-5694 bui Id i nginspections@cityofeagan.com r- For Office Use Permit #: /�/ lG' % d- Permit Fee: Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/24/2020 Site Address: 870 Govern Circle Unit #: Resident Owner Name: Laura Wilson & Adan Diederch Phone: 734-564-9825 Address / City / Zip: 870 Govern Circle, Eagan MN 55123 Applicant is: ✓ Owner Contractor Description of work: Replace one window. Construction Cost: $2,000.00 Multi -Family Building: (Yes / No ✓ ) company: Tooth & Nail Builders contact: Jake Address: 14380 15th Street Circle S City: Afton State: MN Zip: 55001 Phone: 507-304-2333 Email: toothandnailbuilders@gmail.com License #: CR677475 Lead Certificate #: N/A If the project is exempt from lead certification, please explain why: post '78 construction 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 informatJon 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.citvofeaaan.com/subscr1be. 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.00pherstateonecall.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 44 tout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva Jake Novak Applicant's Printed Name Appli nt's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166792 Date Issued:02/04/2021 Permit Category:ePermit Site Address: 870 Govern Cir Lot:8 Block: 3 Addition: Gardenwood Ponds 2nd PID:10-28801-03-080 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 15,000.00 Fee Summary:BL - Base Fee $15K $265.50 0801.4085 Surcharge - Based on Valuation $15K $7.50 9001.2195 $273.00 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 - Adam Diederich 870 Govern Cir Eagan MN 55123 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature