881 Govern CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 881 Govern Cir
Lot: 2 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10- 28801 - 020 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
PERMIT
City of Eaan
4/30/08 Notification letter sent regarding expired perm
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
pf
Owner:
Kenneth N Hull
881 Govern Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA080459
10/15/2007
ePermit
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
Address $ 8 1 G 0 V E R N C I R ZiP 5512 3
I.ot Z Blk z Sub
GARDENWOOD PONDS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: Yes No Inspector:
Final gtade (6" from siding) -// -tf
Permanent steps (gazage) I/ ?
Permanent steps (main entry) 1/
Permanent driveway
Permanent gas
Sod/Seeded grass -?
Trail/cutb damage ?
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W
t6e outside Iawn faucet before freeze potential exisu.
Contact engineering division at 6814645 beforo working in rightof-way or installing underground sprinkler system. ?
W6ite - Ciry Copy Yellow - Resident Copy Pink - ConUactor Copy
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAf3AN
asao ru,o•r xxos xn . ssiaa ?, 53 ?0
(651) 681-4695 I
New Construction Reouirements RemodeUReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured frW. design; etc.)
? t energy plcuiatians
? 3 copies of tree preservation plen 'rf lot platted after 7H/43
required: _ Yes Y No
DATE: q '/(1- Vy
? 2 coPies of plan
? t site surveys (exterior additions & decks)
? t energy calculations for heated additiens
93
CONSTRUCTION COST: I.5.2 . 6 3S'
DESCRIPTION OF WORK: ,IIP.•uJ LadKSfrkct'%oot
STREETADDRESS: k11 CD ?e,rn Circ/e.
LOT: L BLOCK: SUBD.IP.I.D.#: ?, Qrdanv??ad Pnds Z.??
Name: Phone #:
PROPERTY Lwt First
OWNER
Sueet Address:
City
State: ni d
Zip:
Company: ?• 0? • I? Or fon ?G_ - M.S Phone #: 1a S/ - y?'?a-- y(o (P3 .t? /3 z
CONTRACTOR /
Sueet Address: 3 4,j 9 &Ja i4i"^ (44n b/ f'?£ License # o aJSL.r 7 Exp. 'j 3r &f
City L AA
ARCHITECT/
ENGINEER
Street
City
State:
Zip: Sy/z-
Phone #:
Registration #: _
State: Zip:
Sewer & water iicensed plumber (new construction only): I3% f 1A/ ?e ??? "? ???PF • Penalty applies when.address
change and lot change is requested once permit is issued. ?
?i?- ?53.. LI-3$
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applica6le
State of Minnesota Statutes and City of Eagan Ordmances. 11
Signature ofApplicant:
OFFICE USE ONLY RECEI?7?ED
MAR 1 0 1999
Certificates of Survey Received _ Yes _ No
Tree Preservation Ptan Received - Yes _ No 1/ Not Required BY:
-?"=-
OFFICE USE ONLY
.
i
1
BU4LDING PERMIT TYPE
I
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
)K 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
O 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
A 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) flf Basement sq. ft. (3 R Sl Census Code I o 1
(Alfowable)
UBC Occu
anc '_
2-3 Main level sq.
0 ft.
ft l`S 3 SAC Code
C
U
it
p
y sq. . k ensus
n
s
Zoning ?-1 GAf-, sq. ft. Census Bldg I
# of Stories ? sq. ft. MC/ES System
Length ? sq. ft. City Water
Width Footprint sq. ft. 2'5-7?- Booster Pump
PRV
Fire Sprinklered
APPROVALS _
Planning
Building
Engineering
Variance
Permit Fee ?J
? Valuation: $ 2G? )1`t'
Surcharge I 0 O- S
Plan Review 1 0 t 3.5?s
License
MC/ES 5AC
U SO -O6
l5
?
CirySAC [5501 x54 = 93, lOfo?-
Water Conn.
Water Meter
IS 33x5`Lk =
82.., 78Z?
Acct. Deposit
S/W Permit
S/W Surcharge
?
Treatment PI. I
Park Ded.
Trails Ded.
? yyvJ? c?-?A
U
Other
Copies
Total: 4j 3 (,O .(? 3
% SAG
SAC Units
ENEI2GY CODE I WORKSFiEET FOR 1& 2 PAN3ILY DWELLINGS
?szra r.ooxAss
cxxr
COMPL6TEb eYt?
DATE
BUILDINO CLA33ZpICATIONl CI catagoiy Sjulxndard) or Ja'catagory 7(muot laaluda voutilation)
BINIHUH CRITERIA
i
Foundation IneulaGion-R10 S4allu F Wlndown Roof Athia lnoulaCiont
Slab on Grade Ineulation-R10 (See 1.nble on roverue eide
for allowable percentages)
R44-With Attic No Fleel
Floor over unlteated epacen-1124 R30-With Attic haised Ileal
Foundation Windows 1/2"
ineulated Glase. R30 & RS-Solid Raftoia
-Wood or Vinyl Frame
'eTSP 1 Wi¢dow & Doox Area BTBP ] Calaulata araa na n peroenr o£ wall
A. Total Window 4 poor Area in sq. I'eat '
WZNDOIJ3 (Including F'oundatiou Wiiidowo) :
WZtIDOW MAIIUPACTtIRL+ t7A1HEf . C. From Step 1 divida box A(y7lndow & boor
WINDOW MA1IVFACTVRE TYPB, L?
fY Azea) by box If (total wall area) timen 100
aquale tlie window and door area, ae a
WIt7DOW M}11aOPACT[1Rq U FACTORt ?3! v percent oE Wall aYea (box C) .
R. o. quanCiCy
Dimeneloils oq,EC.AYen AOX AR 100 e
, F7ox {i
STEP 3 D
l
ea
gq Peatur¢o
?"o x
N H
ASSCFiBLY
4Lo" X S4a" l ? . PAAMI17G TYPEt
Z' N k
'
S]
ANDARD FRAMING' otuda 16"
u
u 1 o,c.
xZ
?? b
d
J`^ RC7VA14CBD FRNIINO ntude 24 -1
3
N
?
"V
X 7"C9 ???? ?•" ?
? CAVITY INSULATION R
I v
? x ? N
J?p ?/
?
9lISATiiZ2Itl TYPSt
X
LESS TIIAN < R-5
x R-5 s OR F10RE
x U-FACTOR iJ
Doo' r/
Z? ?/? ? 'Q From the [able,
(revoroa eide) determine the
--?-_ V maximum percent wSndow 4 door area E
tt
X ? or.
ie
daeign optionn eelocted and onter the t value
in Box D balow bnaed
th
? on
e window mEg. U-
Eactor:
. ? X
D
Total Area of
Nindowe & boore A? ypq.ft. _
8. Total P7a11 Araa in Sq, CC. The k value from lhe Cable in IIox D ahall bo
equal to or grenter Chan tbo } ln Dox C
Wall Total 1leiglit Area
Perimeter ?
7Z . D 7?
1 ?o 3
I 1 ? .?-S 3 ?
7'vkal Area of Walle p?? _q.ft "
-? i
QNE- & TYVO-PAMI(,y RGS(pENML pUMVING PREScmi,7rvu (COOK-DOOK)
AP['RpAC1I
MAXIMUM WINDOW AND DUOR AREA AS A PEftCCNT OF OVERALL WALI,
AREA
rr?m mmn xulea part ?670 0475 p?rt 2?? F
Fremi ???? Exterior W1ndoW U-Factor
n Inaulalion Shealhin 0.49 0.36 0.31 0.27
STANDARD
STANDARD R-13 Z A- 7 13.4Ys 17.6% Zl_39'0 24.3°v
,
S7'ANI?ARD R-13
R
15 R- 5 12.4% 16.4% 19.7% 22.5%
STANDAR[) -
R-18 -19 > R- 5
< lt
5 12.9%
' 17.1% 20.1% 23.9°0
$TAN1) ARp
R-18 _19 •
R- 5 12.19
e
14
0% 16.Oq6
65'
18 18.8% 22.0%
"
ADVANC@D
R-19-] 9
< R- 5 .
12.9% .
0
17.13'0 11.8%
20.1% 25,3
0
23
4"/
ADVANCED
R-18-i9
2 R- 5
14S%
19.2Yo
22.5% .
e
26
1%
STANI7ARIJ
STA R-21 < ft- 5 11.8% 17.0°10 19.9`e .
23.1%
NDARD
ADVANCED R-21
21
12 7 IZ - 5 14.5% 19.396 22.$9'0 26.1%
ADVANCED - < R- 5 13.6?0 19.1°Ia 11.2°Ya 24.6°/,
R-21 12 - S 15.DYe 19,9% 23.2`Yo 26.9la
t1"Ill2nal tslculate? v ? ,ra
STANDARD R-17 < R- 5 11.99'0 15J`Yo 18
4% 21
5%
STANUAit6 R-17 ZR- 5 13.870 18.47e .
21.5°/a .
25
0Yo
ADVANCGD R-17 < R• 5 I2.6% 16.8% 19.69'0 .
22
9'e
ADVANCED lz-17 R- 5 14.396 19.0?, 22.29'e .
25.7'Ya
Notee:
Window aree equals rough openfng minue Inetallallon dearances.
Window U-factor must be determined by cllher lhe National Feneatratlon Ra11ng
Councll standard 100-91, or AStIRAE 1993 Handbook o[ Fundamenlals, Chaphr 27,
Table 5. _
R
r
l0T SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDIN PERMIT APPLICATI N
PROPERTY LEGAL: ? rIJ? ? ?-??
U
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u-'o ?
:?505 o
0
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DATE 0F SURVEY
IATEST REVISION:
OOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermdApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, sptit w/a, split entry, Iookout, etc.)
• Directional dreinage arrows wfth slope/gradient %
• Proposed/eps6ng sewer and water services & invert elevation
• Street name
• Dnveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Eiastina
o-'o ? • Sewer service (or Proposed)
y? ? • Property comers
[y ? a ? Top of curb at the driveway
g?o ? • Elevations of any epsfing adjacent homes
Prooosed
3---0 ? • Garage floor
0?' ? a • Flrst flaor
[(r'i ? • Lowest exposed elevation (walkout/window)
d o ? • Properry corners
e'o ? • Front and rear ai home at the foundation
PONOING AREA fif aoolicablel
/
? c?? • Easement line
? r? ? . NWL
? r? ? . HWL
e p'? • Pond # designation
? c?f ? • Emergency Overflow Elevation
DIMENSIONS
Er'o ? • Lot fineslBearings 8 dimensions
?? ? • Right-of-way and street width (W back oi curb)
? o ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. ap structures requiring permaneM faotings)
61iGes within those easements
Cit
d
d
d o? y u
any
an
• Show all easements ot recor
o o? • Setbacks M proposed structure and sideyard set6ack of adjacent exdsting sVuctures
? a?o • Retaining wall requirements, ff any
Reviewed:
March 7989
eaA*+eLoevanrr.cre
1?? CITY USE ONLY
L o BL ?- /? RECEIPT #: C 11, ? 6 S?? ?
SUBD. CORI.Ck i v? ,5Y1 (? (? ?GU? ' ?v RECEIPT DATE:
1999 PLUM$INC PERMFT (RESIDERTIAL)
ccrY oe EAsAx
3$30 PII.OT KNOB RD
EiR&RN. biN 55122
(651)691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------°---------------------------`-----------------------------'-----------'---°---------
Alteration5 to existina residence 30.00
Water Turn 4raind 30.00
Private Disposal System ' MPC iic. 75.00
(new and refurbished systems)
Private DispOSal Systems ' E+bandonment 30.00
RPZ (new installation/repair) 30.00
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet
Rough Openings
Water Softener
U.G. Sprinkier
` minimum - 7
' for dwellings under construction
' for dwelling under const.
Reminder: Call 681-4675 for inspections of water healers,
water softeners, alterations, etc.
STATE SURCNARGE
TOTAL
TOTAL
3
9
3
G
3
3
3
?
3
3
L? • SO
.50
f..?00
------------------------------------------------------------------------------°-------------- -------------------
I hereby acknowledge that I have read this application, state that the information is conecl, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the appiicanPs responsibility to notity the property owner that the City of Eagan assumes no lia6ility for any damages caused 6y the City durmg its
normal opera6onal and maintenance acLvides to the facilities constructed under this permit within City propertyhight-of-way/easement.
SITE ADDRE55:
OWNER NAME:
INSTALLER NAME:
TELEPHONE #: '-kIDIS- ? I LII?
STREET ADDRESS: I '-? /ZD . l?pD' -r 1 1 1
CITY. ?(")?j??? ? A?'\ STATE: YYIQ ZIP: IS!?0(40g
EACH #
3.00 x
3.00 x ?
3.00 x
3.00 x
3.00
x ?
3.00 x
3.00 x =
3.00 x ?
3.00 x
3.00 x =
1.50 x
5.00 x
3.00
CDlPERMIT FORMSIRPLBG PERMIT (RES) - 1999
CITY USE ONLY
LOT ? BL ? RECEIPT #: Io5 1q6
S?JBD. p"&4tkc?4 RECEIPT DATE:
MECHANICAL PERMIT # 3s ? a o
1999 MECHANtCAL PERMIT (RESiBEN1'IAL)
CITY Of f.AfiAN
S$SO !'ILOT KNOB RD
gAfiAN MN 55122
Date:
? lqq (651) 6$1-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuuied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
s Gas ovrlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
_6.
State Surcharge .50
Total $42-6 00
Complete this section on[v if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
Fumace _ Air conditioning
_ Air exchanger _ Other
SITE ADDRESS
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
+`?a3
OWNER NAME: }`?Q? PHONE #: , J Z A544
INSTALLERNAME: C0K1`VVWU.?D 1", ? ^??' ? PHONE#?. Co ? ) `«' ?-aaa'
' y? ??^AA ?? ? ??gq??U g?.qCODE)
STREETADDRESS: 02?`?"? ?? ivvv? ?V
CITY: mt'j STATE: MA-J ZIP: ??Z4
M / vlhAave-
SIGNATURE OF PERMITTEE
L ? BL ? CITY USE ONLY
sueo. d
RECEIPTtt: W)q
RECEIPTDATE: - p\"t
PERMIT # 40SI
1999 PLUM$INC i'ERMTi' (RES[DENTiAL)
CCCY OF Ei4fii4b1
3850 PIL(TT KNOB RD
EikflRN, MN 55122
(651) 681-4675
Please complete for: ? single family tlwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TO7AL
I R34h}iih $ nn = g
Floor drain 3.00 x $
G85 i in OUtl2t " minimum - 7 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund 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 Ois 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 dwelling under construction 5.00 x = $
Water softener if existin dweilin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ . 0
Total --? --? ----> ----? $ `_
Remin.lur_ Call fqr i.,gIn9vfio.,g Of W*B.'rt!0;18, hE.`.?^a:.^.m, 'r',!k:.°.: :.^.ft.?•?cC.r., 3:C.
"__'_'_"_""""'_" ""'_"""__""""""___'_______'_'_"""""""""'""'"'"""_'_"_'_____'_""'""""""'__""""
I hereby acknowledge that f have read this applicaGOq state tthat fhe rnfortnation is cortect, and agree to comply with all app6cable City of Eagan ordinances.
It is the applicanCs responsibiliry to notity the property owner that the City of Eagan assumes no liability for any tlamages caused by lhe City during its
normal operahonal and maintenance actlvities to the facililies constructetl under this permit within City property/right-of-wayleasement.
SITE ADDRESS: _ iJ s- I
OWNER NAME: :
TELEPHONE #:
(AREA CODEj
INSTALLER NAME: (,A?? L!.df'Ld/, GLJ?'?(.(1 TELEPHONE#: l ?7A-9- O
STREET ADDRESS: ?'/ S27 ? ? S (if? pil,.?v' 'J /uvt? (AREA CODE)
CITY: !y4,?4)&', STATE: / ZIP:
et /
SIGNATUR OF PE ITfEE
I
#7K'M7kyF'M?7k7KMN(YF ?:k .>XkCMri?k(?cN?YkyKk?7K??kX<:?kJK7kYn7K7X?ic
C'27V .JF I:'AC,AN
CflSHI!"F:. i TERMINAI_ NOe 91.9
?f1TF:: 0308/99 't'7MG: 008e27
ID.
NAMF? L"i F: kIOfiTON :CPFC
2256 9001 842 Gf)Vf:FN rjR 5,604.43
225E 9001 881 GOu.r-..hN rTR 5,360.93
t
{k
Tot,al. Rec?ipi; f-Nmcli.tiSL^ I.f?y96,`'i.36
r.fiaono?7
U51="R 7Ii e NFlN(:Y
?a
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034717
Date Issued: 03/18/1999
Site Address:
881 Govem Cir
Lot: 2 Block: 2
":; w-r 33
Addition: GARDENWOOD PONDS 2ND
Description
Sub Type: Single Family
Work Type: New
Description:
Census Code: 1-Single Family Detach
PERMIT
UBC Occupancy: g_g' .:...,
Construction Type: V-N
sv?.
ZO°"'g Single Family
Sqypg Fe5k:,qp::, 2,372
94,? ,F
z
RQIILa3'k8: Plaa reviewed by Ctaig Novaczyk.
5& W Plumber is M& W Sewer and Water phone #612-753-4383.
Fee Summary: Sewer & Water Permit Surchazge 0.50
Valuation: $201,000.00 AccountDeposit 30.00
Water Permit 50.00
Sewer Permit 50.00
City SAC 100.00
State Surchazge 100.50
Water Meter 5/8" 114.00
Treatment Plant 468.00
Water Supply & Storage 825.00
Plan Review 1,013.58
Contractor' _ S p,?Cr?gle Family Home Owner' 1,050.00
? Base Fee 1555935
HORTON INC OF MN, D R St. Lic.: D.R. Horton Inc
$5,360.93
3459 WASHING`1ON DR 3459 Washington Dr
' EAGAN, MN 551220000 Ste 204
6124544663 Eagan, MN 55122 651-454-4663
1
I hereby aclrnowledge thati hkye read this application and state that the information is corxect and agree to wmply with all
ap?'cable State of MjrGiesota Sfatutes and City of Eagan Ordinances.
Signature
??..? Li.Q ?y
ued By: Signature
?
I
?
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A?
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.
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O ? \h
CERTIFICATE OF 5URNEY
for
DA. HORTON
m?.?,? g9v
h 01
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?
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Scale: 1" = 30'
? > >
\v) ?_}
?JOy?
M32-1918-99
Lot = 16,061 sq. ft.
House = 2,082 sq. ft.
Top curb to
Top block =
Lowest hsmt
881 , Govern
Gar slab --
9DS, rs
flr = -j?Do4iL
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 Surveyor under the Laws of the State
of Minnesota.
D e 0 -5- I999 Reg. No. 8140
Lot 2, Block 2,
GARDENWOGD PONDS SECOND
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BSRAND1' ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
Suite 206
M32-1918-99
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� �����v�`�������v������ .
� � For Office Use �
• j Permit#: 1 ��� �� �
Clt� of �a��Il � Permit Fee: Y��-� ' �� ����
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � �� �� j
Phone:(651)675-5675 I Staff: I
Fax:(651)675-5694 � I
. 1_..���������_������J '
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � .ZS. �S Site Address: � �� �—i oVQv�n l,��'�-��- $5� Z�j Unit#:
Name: �c..<<�t �c.lt�L Phone: C�eSI. �S'J`�.`7r72I
Residentt
QWner Address/City/Zip: SS � �OV�✓'v� C��e ��1G�� 55l2-�j
Applicant is: Owner Contractor `�'
T�`pe af WOCk Description of work: �i��`� �a�+M'C�n.�
Construction Cost:�2 9 ��0� Multi-Family Building: (Yes /No,�
Company: �c�n�c5t�.�ocx� 1��� (��� 1 (�C Contact: ��v'� �anG�_
�QRfI'aC�OC Address:�Q��J� Cc7�1��u�tx- �-rc c►ty: ��.cv� 1�ra��-'��
State: Ml�f Zip: �3''�O Phone: Q52.G14(.$Q�EmaiL CIAr4Y����.ne5�oodC�.,��e,r5.
License#:�Q35 323 Lead Certificate#: IZ-'����J^ �
If the project is exempt from lead certification, please explain why: ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
tn 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:
NQTE:Plans and supportir�g documents fhat you submit are co�rsidered t�be�ubfi+�irrformai�r�. Por#icros at
the informaflon may 6e c/assified as n�n:pubfic if you pravide specific r�asvns that wauid perm�t#�City ta
cvncfuate�th�#fhe are tr�rde s�ret,�.
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.qopherstateonecall.ora
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 1 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 permit issuance.
x t JEtf''�� �O�/1E'-� C
Applicant's Printed Name s Signat re
_�,,�.Page 1 of 3
,
��r ��c-.�.� �:�� .,., ...,, ......� ���.,.. .,,... �.,.� l���s��
� Sl1B TYPES
_ Foundation _ Firepiace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family ` Garage _ Porch(4-Season) _ Euterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Piex � Lower Level T Pool ^ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
�Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-glve PCA handout to applicant
DESCRIPTION
Valuation �'' ��� Occupancy � MCES System
Plan Review Code Edition 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 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Finai/C.O. R�uired
Footings{Addition) � Finai/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
� Fireplace:�Rough In �Air Test�Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation � Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �� , Building Inspector
RESIDENTIAL FEES
Base Fee ��`
Surcharge �� t `"
Plan Review
MCES SAC f fC/' �
CitySAC « ��� � �� � � �
� � 3
Utility Connection Charge � `�
�� �
S&W Permit&Surcharge �� ������
Treatment Plant / ;,
Copies �
' TOTAL �
Page 2 of 3
Use BLUE or BLACK Ink
----�
r------------ �.
I For Office Use �
Ul6 Ol �� �11 � Permit#: � ��v� (.�' �
� � � �� - a� �
3830 Pilot Knob Road I Permit Fee: �
Eagan MN 55122 � I
Phone: (651)675-5675 � Date Received: i
Fax: (651)675-5694 I �
� Staff: �
�-----------------
2015 MECHANICAL PERMIT APPLICATION
❑ F'lease ubmit t o(2)sets of plans with all commercial applications.
Date: �� �..7 Site Address: �� � �Qt/�cr'tti ��t�►�
Tenant: Suite#:
� �� � ����� � � � ���C 6.�� �-��-� -����
�, Name._ U�I� Phone:
. � R�S[den'�(C�vner, .,�' � ✓�- � .55 f��
� '' ' Address/City/Zip:
� : �. .
����e�';,. ��/ / /` �%�-t.
Name: ��T!�-2 � 4`�h � �`License#:
Q /' Q� � ,� / �,,,,,fi,
��:. Address: !�� � �//"'e /"� City: /J"'`�'�`e✓'
\ '��"t��'e'kG�Q1```� ` �
� � � �� State:—y���1v Zip: S 5 3 U Phone: (�J��`�-��7'�'S�
�� ��� ���
��� T ��/ f
,,��., �a"� , . ?�.� Contact: �.�✓�-� c•� Email: ���fTcC/ lvG� �i.��,y�-e.-�' �
��� New �Replacement Additional Alteration Demolition I�I
�
"�'yp���W��� ` Description of work: Q�'t,.1 �vv v�-4L �- ,�L �'� �ia►�„1 �
� N1�'�E Raof mc�unf�d and c�round maunted mech�ntcal equtpme�t�s requirec�#����r�n�c�by:�i#�r
�... .
,, : , Cc�de..F�I�as�a c�ii�ct th�Iftiechanical lnsp�ector f�i�;i�f�r�rna°�b,�c��p�rnti�t�ed�s�r�e�r��, ���atl�ods.
..,
RES/DENT/AL COMMERC/AL
\ 5 � 1 , �Furnace New Construction Interior Improvement
� ��� �,�� �Air Conditioner Install Piping Processed
�'�1'1"11�T�f�?E: "��
�� ���� � �� _AirExchanger Gas Exterior HVAC Unit
� ���,;���� � ���"�; _Heat Pump Under/Above ground Tank �Install/_Remove)
�f� �� -
� .,.: ' Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge"
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 rt ithout 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.
x G�/'�"" I � �'`" ,�i�-r 1`�(� � x
Applicant's Printed Name Appli nt s Signature
Ft31����M��US� �� � � �
Requir'e��nspec#i+�ns y���, �� ���� ���ie�r�tl'By �� �'�� �� ������,�� �te
���� �
� �
�� , � ; -^�-¢�� -�-'�--�`
�e���,. Underc�rc�ur���.." ' 3�c�u�h in ' AirT��f��..:; � �a�5eru�� T�st...,`� ....ir��f�ar FCeat ��r�al � H�f�C�ere�r�i� �y
��... � ��, �������..
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133180
Date Issued:09/25/2015
Permit Category:ePermit
Site Address: 881 Govern Cir
Lot:2 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
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 -
Julie A Hull
881 Govern Cir
Eagan MN 55123
Tiger Heating & Air
7216 Washington Ave S
Eden Prairie MN 55344
(952) 942-5748
Applicant/Permitee: Signature Issued By: Signature
,
, Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
I � I
C�} O� n� �� , j Permit#: j
� � �
d � � � Permit Fee: �
3830 Pilot Knob Road RECEIVED I ��� I n
Eagan MN 55122 � Date Received: `�'`'-��~�SI
Phone: (651)675-5675 I 1 �,J
Fax: (651)675-5694 Q��� fl 20� i Staff: I �r� Lj
�----------------�\y,l
2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��
Date: i4-Z�. /� Site Address: 8� �n�r�r2k �'.s.,�C L� Unit#:
Name: �i�e.t„�.t (-�u L�-- Phone: Le 5/, ��`t . 03tv4
Re���le��f �
�}w��� Address!City/Zip: Sa 1 "' �.L.,�
Applicant is: Owner _�Contractor �/
Description ofwork: �eNx,.� (tQ �2 i St"i�la �C�- Ov'iqi�41 c��ck��5 h�.�.�� an v.e�1
T��+� of 1��t�rk �� � .�
[� suz
Construction Cost: 1� f36CX�• Multi-Family Building: (Yes /No�
' Company:_ �c�v�e5��oc�Gt I�.�i��esr5 �ontact: ��e.v�k "3—c�c,S
�Dt1�CaC#�i' " Address: /�3C.Q0 Cc�cf(.v�.- (..�� c�ty: �cl�e,.� �;�-��
. State: �tGV Zip: 4Cv Phone: QbZ,a4l.�0�iEmail: C�'�.� iu�lLSw�bu,�c�e:�rS,
License#:2 DCv3 S�'Z-3 Lead Certificate#:
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:
N��";�:��a�ar�d st��p�nt�ra�tlt�cut��e�ts ttaa#;you s�bt�t�`�are�vt���dered to be��1�i��'arr�a��, Pvrt�vf '
t�re infa�atio�r�ay be cJ�s�if�ed as t�on p��f,x��",�r��pro�rl��speci#%�r�easaq�tfi�t tr�auJd perr���re��ty t�
cancl��'e.�a:�.t�+� are tra�e se��rets:
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.cLopherstateonecall.org
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.
Ezterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1 ��� �o►�-G S x
Applicant's Printed Name ' ignature
Page 1 of 3
,
. �l �j'��/Gy/? �"��„�'` DO NOT WRITE BELOW THIS LINE l ����
�
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ E�cterior Alteration(Single Family)
_ Single Famfly _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi �c Deck Porch(ScreeNGazebo/Pergola) Miscellaneous
_ 01 of_Plex r� 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 '
� Replace _ Repair _ Egress Window _ Water Damage I
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant I
DESCRIPTION
Valuation '"��� Occupancy .�.,,�.�-f MCES System
Plan Review Code Edition ���` SAC Uni#s
(25%_100%� Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y� Width
--•�---
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O.Required
Foundation HVAC�Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Finaf
�C Framing Drain Tile
��4 Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_BacKfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced WaUs Erosion Control
Other:
�
Reviewed By: �, � , Building Inspector
RESIDENTIAL FEES
Base Fee �_ ,f ����
��
Surcharge � ���
Plan Review ��,�
MCES SAC
City SAC
� � � � � �
Utility Connection Charge � --
S�W Permit�Surcharge �
Treatment Plant
Copies
TOTAL
Page 2 of 3
• �
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q � � Y;,,��ye y�,9, '��$6 . —"_7
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...
� • \ �� as�-.� Lot = 16r46� sq. ft.
/� �� ' � House = 2,082 sq. ft.
� � �`�=
. •;' � . "�
�
(� ' 7op curb to G��xs�b — �,--
;��='��..�5 ._. _/..� ,�.� � �ap block _ ^ '�4
f � Lowest bsmt flr ���
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�.'l..�.a`v � �. ♦ - J='t .. e
s�aE�: � " = 30' : 881 , Govern �ircle
� DESCRIPTi4N
i hereby certify that this survey, pfan, or Lat 2, glock 2.
report was prepared by me ar under my direct GARDENWO�D �PONDS SEC�ND
supervision and that I am a duly Registered pQkota Cou�ty, Minnesota
Lanii Surveyor under #he Laws� af the State ,
' of Minnesota. Plat beorings shown
Q Denates iran monument
• d' .�.'�''��
p�t� .5' Fl-f2... Reg. Nv. 8140 � �xisting� Propose�
_...._.._.�
������ ����������� � ���������
� � C�� West � �43rd Stree� , ., �uite �a�
Burnsville, MN 553a6 �
� 612} �-35 - 19 � � �
� M32--1918-- 9�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133477
Date Issued:10/15/2015
Permit Category:ePermit
Site Address: 881 Govern Cir
Lot:2 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
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 -
Julie A Hull
881 Govern Cir
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169947
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 881 Govern Cir
Lot:2 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-020
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 -
I-liang Siu
881 Govern Cir
Eagan MN 55123
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177060
Date Issued:06/14/2022
Permit Category:ePermit
Site Address: 881 Govern Cir
Lot:2 Block: 2 Addition: Gardenwood Ponds 2nd
PID:10-28801-02-020
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 -
I-liang Siu
881 Govern Cir
Eagan MN 55123
(952) 200-5534
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature