877 Govern CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 877 Govern Cir
Lot: 3 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10- 28801 - 030 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Catherine P Wassberg
877 Govern Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA081030
11/13/2007
ePermit
? Cfrf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
.+vF r: ri ? ? Ft
1lfil N11t11.11-1 I'llND''
PERMIT SUBTYPE:
TYPE OF WORK:
tcit t I f+ I wiy
0 3 .> i <46
H? i 1t:f9R
INSPECTION .. . D.
I AM Rrvtr.t,arn Bv MiKI" EiJ1il"i a
! J F'! Ur1R 1' Ir hfFt,l +.,lAT £'r' AN 11 '14:1-1
? . ?. _ .. . ? . _ . .. , h .,.,.?. . . .. . . '? .. .. . . , . ?
PERMIT TYPE:
Permit Number:
Date Issued:
„ . ?..,.,
APPLICANT:
t
( ty 1 1 Y +i Fs 4 fl t, k
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Gomments
FOOTINGS 7?a
FOUND 2 a ?r
FRAMING
ROOFING
RGH
PWM8ING
PLBG
AIR TEST K rI
ROUGH
HEATING
GAS SVC
TE5T it
ry ?
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
?- -
tARIGATION
M ETER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG d ?
l?
DECK FINAL
,11,1a
Address .s77 r,ovFUw cru Zip 55123_
Lot 3 BIIC Z SUbGARPEN WOOD PONDS 2nd
THESE ITEMS WERE 9WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: a 9 Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (gazage)
Permanent steps (main entry)
Pennanent driveway
Permanent gas
Sod/Seeded gass
TraiUcurb damage
Porch
Basement 5nish
Deck
Please ver?'y with the builder t6e removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside tawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in zight-of-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - ConVactor Copy
?
CSTV C)F EAf3AN
CASH.T.Efi: S TERMINAL NQ: 069
:rFlTE: 07/16/98 TIMF: 14:29t03
ID:
NAME: L1 R HORTON INC
2256 9001 4377 GOVF'.FP! CIR ,`:iy541.46
`
r
Tatal Receip+, Amounte 5y541.46
CfiG343 i 4
USFIt ID: NANCY
?kX? %??ktX??X3%??X?k?k%?XC%oX?* ?X?%k?Xt?c Xt?C ? %c?k?Xik?k?k?XXs?kkc?X??k
? ? ?CITY OF EAGAN
3$30 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612)681-4675
PERMIT
PERMITTYPE: suz??zN?
Permit Number: 0 3 2 3 9 6
Date Issued: 0 7 J 16 / 9 8
SITE ADDRESS:
P.I.N.: 10-28801-Q30-02
s» env??ra czR
LOT: 3 BLOCK: 2
GARDENWOOp PONDS 2ND
DESCRIPTION:
?#,:??3,°PF?{?Permit Type
;?ti?:ld.i'ng "Wprk Type
a..
,.°W?C :`,E?e;etips,ri'e?„.
k?°, G'crn.5t? u.°e,tio?i,- 'f?y;?e
?.: ,: Z.tiirirt'g €?,,,,.,?.
',sutlding°'I?sngtli,? `,?`
' "B'uildi.ri.g':k?a:dth;;: °r:. x?t
_: ., ??G?`.? C? $? i'F?;,?.+^a'C 4:1", ?i 8: g' ra?l°
,?.?-. ?'G . : ?"' ...m§ ,:: s+; - , . , ..?'?.
5F DWG
NEW
R-3, U-1
V N-
R-1
72
44
2
2,460
101 1 - FflM. DETACH
-i:??1 ?` ??.s ip? ''is
ht" ?"? e;? .:
wi, . 'i,? ? ?
4A£k ?ai k,'re?a ?v?.?g
i?-d'p-;m? ??,?ew
i?g, ? i«?wt`a
-?ias -
??.„?.,?; ?a 1R?i ?"6?? ?s?`a4's.._' ?-? t
=CsI? <?§?a i,? ?^-?'^ ?° ?'uW `.k.? ?±' ?H
??rt'
REMARKS:
PLAN REVIEWED BY MIKE BARCK
S&W PLUMBER M&W WATER AND SEWER
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
SAC
SAC ?
SAC Units
Subtotal
vA?uarzoN
$1,707.25
$1,109.71
$132.09
$1,000.00
1@0
$3,948.96
? 2 W Y 9 YJ V V
MISC FEES $1,592.50
Tatal Fee $5,541.46
CONTRACTOR: - Applicant - 5T. ?zc OWNER:
fjpR70N SNC OF MN, D R 14544663 2000565 D R HORTqIV tlF MN INC
"459 WASHINGTON DR 2@4 3A59 WASWSNG70N DR
?AGAN MN 55122 EAGAN MN 55122
(512) 454-4663 (612)A54-4663
?- ? here?x ae.k?nnw3,e:dge that= I have ?re?-d":'thas app]:?.c??'?,Ra^? ??d 5??r?? ?Ra,?.the I
i??o,rinaGzor?.,-?s cor;ree? '8nc[ agr??,ta compl'p =tiaith',.?,17. .app?;ic°?tsle. "a???s: ?s.f ?kra;
? aCu??s an#` Cit? ? a1? Eag?rr 4?r?lir??€???s,? ? ?' ? ?
L..?.:...'(? ; ? ?.'.."? ... ?_?._._.,:_ _ _:.m???; o ; ,?")..?.m?j"'?'??"?. ? , , ___._?I
?
998 BUILDING PERMIT APPLICATION (RESIDENTIAL) a
i ,
3,Z?14 A
/?-- CITY OF EAGAN -
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Requiremenls
? 3 registered site surveys
? 2 copies of plens (inGude Deam 8 window saea; poured fid. tlesign; etc.)
• 7 energy calculationa
? 3 copies M tree preservation plan if lot platted after 7/7/93
required: _Yes V No
DATE: _ _G'z-9f
RemodeVReoair Reauirements
? 2 copfes of plan
? 2 site surveys (ezterfor addRions & dedca)
? 7 energy ralwlations for heated atld'Rions
CONSTRUCTION COST;
DESCRIPTION OF WORK: Ntw G?y? c?%dy
STREET ADDRESS: lSFI7 GovGt-h ? iGfC
L-LOf'_-.L_ BLOCK: SUBD.IP.I.D. #: ?iCw?i.,.d,?o? f?o?f a?vi?.
Name: Phone#:
PROPERTY Last Fint
ONNER
Street
City
State:
Zip:
Company: lJ,R. I4ykn-,o-nV Tc id9,j?. Phone#: y6/'414,63 P.,pl, /.7g
CONTRACTOR S
Street Address: J?/S9 U66S? n?l?n LJr?Y[??`?•10?/ License # d'OQOS/ S''Z
s
City jrsfjln State: Zip:
T
ARCHITECT/
ENGINEER Company: Phooe #:
Registrazion #:
Street
City
State:
Zip:
5ewer 8 water lioensed plumber (new conshuction only): /??Id l,[/k Kr ,? .aCWGs?. . Penatty applies when address chang
and lot change is requested once permft is issued.
I hereby adcnowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicaM
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received -2Yes _ No
Tree Preservation Plan Received Yes _ No ZNot
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
)< 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
131 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
All
bl 1/AI Basement sq.
/d ft. I S;t7 MC/WS System
(
owa
e) N Main lev el sq. ft. ,4 3? City Water
UBC Occupancy 12?-,.?.1? 1 ? sq. ft. e{o Fire Sprinklered
Zoning i?-I &,tQ, sq. ft. (0yt> PRV
# of Stories 2 sq, ft. Booster Pump
Length '72,, sq. ft. Census Code. i cp /
Depth yc! , Footprint sq. ft. 2040 SAC Code goL
Census Bldg f
Census Unit ?
APPROVALS
Planning Building 403 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
F"A)' so '?'i/aluation: $ 2t-4 vc)o.
3A, -?-
4v u '4Z 1L8o
Zx?z
zx p
?tvwc ?-us ,?20
z x a' «-
3Na
38 ?,el-A.
Copies . ?° k i p
.:.'??>1L°..'?. (z?VvS
Totai: `
% SAC
SAC Units 5 zo K 3c?
_.. _. . ?.,..._.... .?.-..? J
r----
,83` 16 ors4- 9 91,yy
?54y
3 c.b
fl ?. ,t j sy= ?0?o '78
Loo
?m.?
1, zvv, -
2 G.jt v'G ,9, --
PLtERGY CODE L40RI:SFiEET POR 1& 2 Fl1biILY DT4ELLINGS
,r= --=--- _ _
SITH pDDRGSSGyf
SAPCA
?? z -
. CITY
y
COMPLETED DY: (J?
1-LM-{`
pIIDtIB N
-1- nATE
BUILDII7C CLnSSIFZCIlTIOt1: ? cab
Y a2ory 1 (aCandard) or ? category
3 (muol iucluE]o vanl-ilal:io?i)
" -- - ' ` ---
HII
iIt1t111 CRITERTA
--'--
Foundation Inculation-R70 i4alln C. Windowu Roof Ahtic Znoula0loni
Slah on Grade Inoulatlon-R10 (See b
fora]lowable perceneages) R44-{Jith Attic t7o Ileel
1'100r over unheaCed opacec-R24 ' R38-NiCh RCl'ic Raiaed Ileel
' Foimdation 4lindowe 1/2"
insulaGed Claos. R39 & R5-SOlid Rafteie
? -4700d or Vinyl Praine
STRP 1 Hindow 6 Door Area STBP 2 Calculato araa au a percent of wall
A. Total Plindow 4 Door Arca in Sq. Feet
WItlDOY1S (Including Pouuidation iJtudowr3):
Y7ItiDOW NAtlUFACTURC lIAMQ:__ C. From 9tep 1 clJvi(te box A(411ndow fi Door
WIt7DOW HA2tl7PACTORE TYP¢i Area) by box B (Co[al wall aren) Ciinen 100
equa]u [ho wlndow and door atea ac a
W11IDOY7 tlAtrUBACTOR6 ? FnCTOFt:
' peiccuc of wall area (box C),
R. O. Quanlily
r.q.fl.Area B0X
A JLX? X 100 =
Dimensionc _
C_
pox l3 J
X? ST6P 7
l
2 -? x Deu
gn fieatureo
P
SSIi11BLY
2? Qx i1f?-?f(?-l? t .
?
? PRAI1IIIG TYPB:
r
?I b X`? 57'AtlDrRf) FRntdING x
L
d
1G"
q
I
h 7 u
U
s
o,c.
!
rO
_
X? nDVrttICCC] F2AFlI11C3 __r.tudo 24" a.c
.
X CJ.VITY SNSULA`PIOIJ ]t? 0
X
SFIBAT'iiIIIG TYP6:
1
x
`
LESS 'I'IIAN < R-5
?
-_--
x 12-5 r 02 IIOR'
x
ll - FACTOR I7
DDORS; From Che table,
(reveree slde) deCermine the
--?_ maximum peresnt w3ndow 4 door ar
E
_
(Pp X p
?
? ea
or Che
Jcaign op[lono se]ecLCcj and enCcr Che l valuc
in f3ox D below bar,ed on [he
i
d
f
w
n
oW m
.g. U-
t
E
l? X?
? ac
or:
7'?Cal A
a 1-" n
rea of A=SyV/iy.fh.
Yii
d
??"
- -
n
owc 4 Doorr;
D. Total Nal] Area in Sq, CC, '1lie S va711e from l6e I.a61e in F3oz D clinll 1,.
cynal Co or grcatet Lhaii the i jn 13ox C
Nall ToCal Ilcig6C prea '
P
erimeLer
?
.03
I1-9 16,-
? 9• ?'
--?---_
roiat nrc:, o[ Wa]],
? . >
P. Tlie Uuilding musl not exceed the maximwn window and door area as a
percentage of overall exposed wall area listed below for the combination
of framing technique, R-value of insulation within the insulaled cavity,
sheathing R-value, and window LI-factor. Other components miist meet
lhe requirements of this subpart.
A'1AXIMllp1 ANfNn04N AP1D DOOR ARTiA
AS A PIiIICi:NT OF OVGRA I L I.XPO Sr:n Wni.i.
Cavilq 1Vindow 1:-Facior
_FraminG- -Insulalinn_ =Shcatliing____ OA9_ ?0.36 0_31 07
_--
STANDARD R-13 :It-7 13.9% ]7.6% 21.3"/ 2•1.3°0
57'ANDAKD R-15 2It-5 12.90% 17.1% 20.1 ;L 23A0L
S7'ANDARD R-18 <R-5 , 11.1% .]Gfl°' 1680, 22.0%.
STANDAItD R-18 2R-5 13.501. 18.6;6 21.895 25.31L
ADVANCfD . It-10 <K-5 il.l;o `17.1% 20.11' 23.4;b
A!)VAIJCLp R-18 2It-5 13.5;6 19 2% 22 5;? 26.1^'.
STAIVDAR1] 9-21 <R-5 11.8°1. . 17.0':' ]9.90". 23.1'L
S"I-nNDAIill R-21 2R-5 14.096 79 30'. 2150,. 26.1".L
ADVANCf:D R-21 <It-5 11.811. 18.1% 21?"L 21.60'.
ADVANCI?D It-21 >_R-S . 74.0% 19.90"b 23.20L 26.90,?
SuUp. 3. Performance criteria. "I'he conibined thermal lransmiltance (IIo)
Factors for walls, roof/ceilings, aml (loors over iinhealed spaces musl Ue less lhan or
eqtial to:
A. 0.110 13tu/h flz °P for wnlls;
B. 0.026 i31ii/li flz °l-. for roof/ceilings; anLl
C. 0.04 13hi/h flz °r ror n(,ors.
STA7'A1n'!l: A1S§216C.19
flIST: 18 Sli 23G1
76700480 Kcpealed, 18 SR 2361
0
tl4im". Itulcs ('haplcr 7670 1tH I
+ I LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL: v ? E /
? DATE OF SURVEY:
LATEST REVISION: 2f
? W
DOCUMENTSTANDARDS
? • Registered Land Surveyor signature and company
? ? • Buiiding Permit Applicant
[[+Y ? o • Legal description
? • Address
? • North arrow and scale
?? ? • House type (rambler, walkout, spl"d w/o, split entry, lookout, etc.)
? ? • Directional drainage arrows with slope/gradient %
? ? • Propased/existing sewer and water services & invert elevation
m?a ? • Street name
a-'a ? • Driveway
ELEVATIONS
Exdstina
[--?q ? • Sewer service (or Proposed)
?
p_? ? • Properly comers
0r-'o ? • Top of curb at the driveway
0---cl ? • Elevations of any ebsting adjacent homes
Prooosed
p' ? ? • Garage floor
O"- ? ? • Flrst floor . I
Ci`?'? ? • Lowest exposed elevation (waikouUwindow)
C? ? ? o Property corners
q/b ? • Front and rear of home at the foundation
PONDING AREA if a licable
o% ? • Easement line
C3-'O ? • NWL
p-? o ? • HWL
G3- o ? • Pond # dasignation
? ? ? • Emergency Overflow Elevation
DIMENSIONS
?o ? • Lot lineslBearings & dimensions
[? ? ? • Right-of-way and street width (to 6ack of curb)
p-?o ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. Q.e. all structures requiring permanent footings)
0-'11 ? • Show all easements of racord and any Ciry utilfies within those easements
?? ? • Setbacks of proposed sVucture and sideyard sethack of adjacent epsting structures
? ?Y ' ? • Retaining wall requiremen f
Reviewed:
January 1996
CRAIG79BBIBloGPRMf FM
, j.
r/
CITX USE ONLY
LOT 3 BL _,?, r RECEIPT #: 95 9?/7
? RECEIPT DATE:
SUBD. ILZ4?
199$ M£CHA1VIClEL P£RMIT (ft£SID£N'f[tkL)
crrY of E,e?sALv
5930 f7LOT KN09 $D
£AfikN MN 55122
(618)6$1-4675
Date:
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner loccupied *
? HVAC: 0-1001vt B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.OQ ea.) tP-OC?
• State Surchazge: .50
• TOTAL: ?j(p ° So
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not ruired for alterationladd-on to ductwork in
existing residential units; but is required for the following:
Install furnace _
Install air exchanger, i.e. Vanee system, etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surchazge
SITE ADDRESS: Irl-I
OWNER NAME:
INS'fALLBR NAME: _
STREET ADDRESS: ?
CITYVC-?')' `C?
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
PHONE #: /VJ "(Cl (23
-0)l PHONE #: Jocs 1 _4 (p n-6OO
JS/FORMS BLD/MECH PERMIT (RES) - 1998
_ STATE: ? ZIP:
SIG TURE OF PERMITTEE
/ p BL ? CITY USE ONLY Q
.1- RECEIPT#: ! 5 gqv
SUB4??/L.I1CDn.i? 11??'?I O? ?? RECEIPTDATE: ? 5 q0
1998 PLiJNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN, hAI 55122
(612) 681-4675
Please complete for: ? single family dwellings ,
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
----- »- __- e- -
FIXTURES --------- - - _
EACH -
# _
TOTAL
Shower 3.00 x 31d0
Water Closet 3.00 x = !2- DD
Bath Tub 3.00 x
Lavatory 3.00 x l a d0
Kitchen Sink 3.00 x 3, BO
Laundry Tray 3.00 x = D
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x ? = 3 DO
Gas Piping Outlet "minimum - t 3.00 x
Rough Openings
WaterSoftener `fordwellingsunderconstruction 1.50
5.00 x
x
Water Softener " for existing dwelling 20.00 X =
U.G.Sprlnklef `fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 _
Altef2tiOhS ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'qbandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL 64-1 OD
---------------- ------------------------------- ?-------------------------------------------------------------------------- ------- -----
I hereby adcnowledge that I have 2ad this application, state that the informatian is correct, and agree to ?mply with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its
nortnal operational and maintenance ac[ivities to Me faciWies constructed under this pertnit within City propeKylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: Q-) 4'- `7-1v L.LV 11V Gfit/ylU/ IIrTIU/ /lX_/_Y
INSTALLERNAME: °t"`/"f7U TELEPHONE#:
STREETADDRESS: I4"/4-6
CITY: -? W ) 5TATE: ZIP: vvc(aZJ
SIGNATURY OF PERMITTEE
CO/PERMIT FORMS7RPlBG PERMIT (RES) - 1998
L q gL A CITY USE ONLY RECEIPT #: /D/v //
SUBD.?u.eJO6IJC RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF &AGAN
3830 PILOT IQ708 RD
EAGAN, M 55122
(612) 681-4675
Please complete far: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x Z = ?
U.G.Sprinkl8r `fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existin9 dwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC rc. 75.00 =
(new and 2furDished systems)
Private Disposal Systems "nbandonmenc 20.00 =
STATE SURCHARGE .50
S?
TOTAL
-- ---- •------------ -------- ----- --- -- ---- ------ °---
---- --------------- ihat -- -I he -- -av------------ --------------- ------------ •--------------- • - g
1 hereby adcnowledge read this appliwtion, state that the information is corted, and aree to compy with all applicable Cily of Eagan ordinances.
It is the appliwnfs responsi6ility to noNfy the property owner that the City of Eagan assumes no lia6ility for any damages caused by the Ciry during iLs
nortnal operational and maintenance aGivities to the facildies construded under this pertnit within City property/right-of-way/easement.
SITEADDRESS: 277 CJOV ,,m c-ikele-
OWNER NAME: D R VfAnlj
INSTALLERNAME: ( nAMF S TELEPHONE#:
STREETADDRESS: ' ?OZ p ?R ?J IV,F -
CITY: V O I?1?. ?STATE: ZIP:
OF PERMITTEE
JSIFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
Clty of EaRn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 MECHANICAL PERMIT APPLICA
Date: li? 2y (k Slte Address:
7enanY
? ForOfflce'U? - -- i
I ?
? Partnitlt: ?
? Permit Fee: ?
I ?
? Dale Recaived? ?
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i stan. I-l F-P (a n nn
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SEP 0 2 2008
RESIDENTlOWNER Name: m'n a+4`"V1 Phone:
A?1Z'(Y1 ,"{ . Cx Z
Address / City / Zip ,
en
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CONTRACTOR i
s
Name:
Address:
City: State: l _ Zip:
Phone: Contact Person: )C?M&
TYPE OF WORK _ New 1. Replacement _ Additional _ Alteretion _ Demolition
Description of work: '
NOTE: Both roof mourtted and ground mounted mechanlca/'equlpment ls required to
be screened by City Code. Please contact the MechanJCa(lnspector or one of the
Planners farlnformaHon nn rmltted screenln methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction Interior Improvement •
-
FumaCe
nditioner
')t- Ai
C -
_ Install Piping _ Proce55ed -
. r
o Gas _ E#enor HVAC Unit "
Air Exchan er
9 _
• HVAC units must be screened
_ Heat Pump Under / Above ground Tank L Install !_ Hemove)
Other " W hen installingfremoving tank(s), call for inspection by Flre
- Marshal and Plumhln Ins ector
RESlDENTlAL FEES:
$50.50 Minfmum Add-on or alteration to an existing unii (inctudes $.50 State Surcharge)
$90.50 FIfB fBPflif (replace 6umed out appliances, duciwark, etc.) (inCludeS $.50 Sta[e SuiCharge)
$ V00 5D TOTAL FEE
COMMERCIAL FEE5:
$70.50 Underground tank installation/removal OR Contract Value $ x1 %
$50.50 Minimum (includes State Surcharge)
Permit Fee
- It Permit Fee is iesa Nan $1,000, surcharge is $.50.
- II Permit Fee is > S7,000, surcharge increases by $.50 for each =$ State SurChargO
$1,000 PermR Fee (i.e. a$1,001-52,000 Pertnit Fee reqmres a$1.00 surcharge).
$ TOTAL FEE
.. .. _ . ?. . _ . .:? u_ ..? r.... _? C...m. ?Fa?
t hereby acknowletlge Ihal this intortnation is completa antl acturate; tna[ itle worK vml oe m comormance mm um ww??a??uaa allu u?=> o to?? ?, .-..e-•?? ?--?
I understand this is not a parmil, but only an applcaUOn for a pertni6 and wark is no[ to statl mthout a petmd; Iha[ Ihe work will be in accordance wth ihe apprwed
plan m ihe case of work which requires a renew tl approval of plans.
_u(?
1[J`?
X ?L 1 ?'Y.. t"c'?1K.?X _??
Applicant's Printed Name ApplicanYs Slgnatura
FOR OPFlCE USE Revfewed By: Date:
Requlred Inspectlons: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final 'i
CERTIFlCATE OF SURVEY
for
JOE MILLER HOMES
?
?' : ry } -: i •-?. 7) ; Rre-
'
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
?
Date 1 JUL 199?
I Reg. No. 8140
1? 1?
? $gz?
?J"P-sg. i
wL=244?
a LT NWL =Sas3
1"=30'
Top curb to Gar slab =_.
Top block = 9L?.93
Lowest bsmt flr = 90s,22
DESCRIPTIOA?
C ? kl/?ldm
Dakota Conty, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING &
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
M32-1757-98
U?\
?
SURVEYING
Suite 206
M32-1757-98
i a 1 1478-4652 E
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139709
Date Issued:11/04/2016
Permit Category:ePermit
Site Address: 877 Govern Cir
Lot:3 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:2 Water Heaters
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 (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 -
Catherine P Wassberg
877 Govern Cir
Eagan MN 55123
(651) 592-7524
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152912
Date Issued:11/08/2018
Permit Category:ePermit
Site Address: 877 Govern Cir
Lot:3 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Catherine P Wassberg
877 Govern Cir
Eagan MN 55123
(651) 592-7524
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173548
Date Issued:11/16/2021
Permit Category:ePermit
Site Address: 877 Govern Cir
Lot:3 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-030
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 -
Catherine P Wassberg
877 Govern Cir
Eagan MN 55123--246
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature