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2080 Royale CtSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot KnobRd. Eagan, MN 55122-1897 DATE DEC 27. 1991 OFFICE USE ONLY METER #'15-9 -7 R A72- PERMIT DATE 01/06/92 CHIP # 0 a fr 7 PERMIT # 12475 METER SIZES Sr Sen-5 u s B.P. RECEIPT # 6' ISSUE DATE y'/Ca- If y B.P. RECEIPT DATE 12/27/91 - PRV R BOOSTER PUMP SITE ADDRESS 2080 ROYALE CT LOT 3 BLOCK 5 SECISUB EAGAN ROYA E APPLICANT: ADDRESS:- CITY, STATE PHONE: - ZIP PLUMBER: MURR PLUMBINdINC ADDRESS: 1970 CHRISTENSEN AVE CITY, STATE W ST PAUL MN Zip 55118 PHONE: 455-3066 PERMIT REQUESTED R SEWER X WATER _ TAPS COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be installed Ahead of Domestic Meters on Water Line. Credit WILL NOT b _ iv n for Deduct Meters. TO COMPLY wtm CITY OF OWNER: MORGAN-STEVENS HOMES EAGAN ORD NANCE ? ADDRESS: 2226 BERLAND PL CITY, STATE ST PAUL MN ZIP 55119 PHONE: 739-3 601 GNATUR WHEN METER ISSUED / PLtAk/A1LOW TWO WORKING DAYS FO6 PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 'r. A 'Cr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: :4 H t 0( r . APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: t rt J Permit No. Permit Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspeatlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter FsgrJPlan Bldg. Final Deck Ftg. Deck Final r2/8/ oS Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 tr.? PHONE: 681 .4675 BUILDING PERMIT Receipt # - L -? To be used for SF DW/CAR Est. Value $164,000 Date DEC 27 191L- Site Address 2080 ROYALE CT Lot 3 Block 5 Sec/Sub. EAGAN ROYALS OFFICE USE ONLY FEES Parcel No. Occupancy Rr3 -H--1 3 Z i Bldg. Permit 9 4.00 on ng Name MORGAN-STEVVIS HONES (Actual) Const V-N Surcharge 92.00 Lu Address 2226 SERLAND PL (Allowabte) V-N plan Review 607*00 9 City ST PAUL HN ZP 35119 # of of Stories ? Len th 721 License g Phone 739-3601 Depth SAC, city 1000 W Q Name SAME S.F. Total SAC, MCWCC 650,? S.F. Footprints Address On Site Sewa e Water Conn 660.00 8 aty ZIP g On Site Well Water Meter 95.00 Phone MWCC System - Acct. Deposit 30'00 Cit Water ? y - PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump ?-- S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee k APPROVALS Road Unit 370a00 A Building Permit is issued to: ' MORGAN-STEVM HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- applicab?le State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies Building Official Variance TOTAL 3 * 8?• Permit No. Permit Holder Date Telephone N S/W PLUMBING WAC /?7 a- ?''IO-Ot;J3 ELECTRIC /fig s ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing _2 2 D Roofing Rough Plbg. }J Rough Htg. -r Isul. Z Fireplace -z- X- Z Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 2 7 Deck Fig. Deck Final Well Pr. Disp. '?d -7z ,/j /tt d• s-? (Urtifiro#t of (Orrupaury citp of Cagan ie;rattpttt of %Qwg jmwrtwu This Certifwiw bored pursuant m the requfirmen& of Seaon 306 of the Uniform Budding Code rertif t that at the time of inuanae this structure *w in compliance with the rlwrious ordinances of Me City regulating building construction or use For the following. um Geo. SF M/M M4 famit Na lqq% _ R3/141 R Owaff or e.ima M-WW-SMVE RS K .S A&km 2225 BM PCL, ST PAUL ems AaeK. 2080 IYAI? fl0[TRT , B5, EAGAN ROME 4/27/42 BAw" OfdY POST IN A CONSPICUOUS PLACE J SEWER A WATER PERMIT CITY OF EAGAN 3830 Pilot Kn6b Nd. Eagan, MN 55122-1897 DATE DEC 27, 1991 OFFICE USE ONLY 01/06/92 METER # PERMIT DATE CHIP # PERMIT # 12475 ? L W&b ] METER SIZE , B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE 12/27/91 PRV X BOOSTER PUMP SITE ADDRESS 2080 ROYALE CT LOT 3 BLOCK S SEC/SUB EAGAN ROYALE APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PLUMBER: MURR PLUHBINGINC ADDRESS: 1970 CHRISTENSEN AVE CITY, STATE W ST PAUL MN Zlp 55118 PHONE: 455-3066 OWNER: MORCAN-STEVENS HOMES ADDRESS: 2226 BERLAND PL CITY, STATE ST PAUL MN ZIP 55119 PHONE: 739-3601 PERMIT REQUESTED X SEWER AL WATER TAPS - COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT bg, given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / - is i RECErveD FROM Z AMOUNT S ? CASH x CHECK DOLLARS 1m C 016622 wm---P.Y Copy Venow-Postlng ?ovy Pink--Piss Co" Thank You BY CITY OF EAGAN W?? ?7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r6T9 9 9 O PHONE: 681-4675 ( BUILDING PERMIT Receipt # l; To be used for SF DWG/GAR Est. Value $184,000 Date DEC 27 tg 91 Site Address 2080 ROYALE CT Lot 3 Block 5 Sec/Sub. EAGAN ROYALE Parcel No. 114arne_MORGAN-STEVENS HOMES Z Address 2226 SERLAND PL ? City ST PAUL MN Zip Name SAME Address C4 Zip Phone 8 License # I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with 1 pplicable State of Minnesota Statutes and City of Eagan Ordinanc . Signature of Permitee A Building Permit is issued t/11,,,.I,rk MORGAN-S S HOMES on the express condition hall be done in accordance with all applicable State of Minnpes a?nyd City of Eagan Ordinances. Building Official 4mo 111, ?,a OFFICE USE ONLY FEES Occupancy R- 3 M-1 Zoning R-1 Bldg. Permit 934.00 (Actual) Const V-N Surcharge 92.00 (Allowable) V-N Plan Review 607.00 F of Stories Length 72' L+cerme Depth 81 SAC, City 100.00 S.F. Total SAC. MCWCC 650.00 S.F. Footprints - On Site Sewage Water Conn 660.00 On Site Well Water Meter 95.00 MWCC System R 30 00 City Water X Acct. Deposit . PRV Required S/W Permit 30.00 Booster Pump X S/W Surcharge 0 .5 Treatment PI 0 276.0 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg. Off. Copies variance TOTAL 3, 844.% O Address: 2080 ROYALE BURY Lot 3 Blk 5 Sec/Sub EAGAN RpYALE These items were/were not complete at the time of the final inspection. t : 4/27/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb 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 to the outside lawn faucet before freeze potential exists. ucnuo wu White - City copy Yellow - Resident copy Pink.- Contractor copy ??oo G 5852 a pc Repuesl Date 1 2 Fir o. Roug - In action R tl? s or :1 Ready Now El Will t / 7/92 = - Yes Yes No G eady' X I alicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 2080 Royale gpippim Court agan Section No. township Name or No. Range No. unry Dakota Occllpanl(PRINT) Phone No. Steve/Robin Jenkins n/a Power Supplier nnkotn l c Q Address Electrical Contractor (Company Name) Contraotpr§ License No. Nelson Electric, Inc. 039828 8 Minim, Aa0ress (Contract,, or Owner Making Installalion) 4165 Minnehaha Ave. S. Authonxeo signatureractti er Making Inslallalionl Phone Number use 724-9500 MINNESOTA STATKIBOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. /Fy REQUESTOFORoEpLECTRICALeINSPECTION 0, See i for rg this form on of yellow copy 14 5 R c ? "X" Below Work Covered by This Request EB-OMOI-08 -:=®p awl Add Rep- Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecilyl Contractor's Remarks: Compute Inspection Fee Below.' Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs inspectors use ON, f? TOTAL Irrigation Booms ? ` 1 $58 00 Special Inspection . , Sf7 AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONN TED IF NOT Other Fee COMPLETED WITHIN 18 MO / r 1. the Electrical Inspector. hereby Roufrl oa _ ?P certify that the above inspection has been made. Final Data AQ ? , OFFICE USE ONLY " This request void 18 months from DATE: JAN 6, 1991 RE: 2080 ROYALE CT (MORGAN-STEVENS HOMES) -X_ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 430 ,5 V Date 7 ) 10 ) 07 Site Street Address ZD?50 kO ale U EQ cw, Unit# Property Owner ^P ojbi W ct" J 5 Telephone # (&51) & P ( t q I O Contractor_,Dra(yi YO P(OV"J?lMq Telephone# (Q Z) 4-6q <o42q Address _aa 0 20? City La LeVi1le? State Mo Zip550 The Applicant is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 - Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. ff you are installing only a wafer softener and/or water heater, do not complete this section; move to the nd check the appliance(s) you are installing. D (? 2 T T v U 07 D 3 ZO -Septic System Abandonment JUL ^ Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new replacement _ Lawn Irrigation _RPZ IKPVB -new -repair -rebuild $ 30.00 State Surcharge $ 50 Total $ .? 0.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed d approved. ;Deboyae [_aIr,5,Cv7 G( Applicant's Printed Name icant's Si atur s RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 97/1 New Construction Requirements RemodegReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Carl of Survey Reoi (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate ff on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost I o. o a o Site Address aU ?D /?oYf1 L r C I` Unit/Ste # Description of Work Ff ^?l 5!I ?ASr;TT? ?7? WA+ Kos r P Q T/ O Multi-Family Bldg _ Y Y N Fireplace(s) _ 0 X 1 - 2 xr 7v Fit Property Owner S TF yi_ $ Ko 8f N SrIVX IIi j Telephone # (6/) G r - /`7 / O Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber III] ? i!? ? R Q= Fr rn) Telephone # ( Mechanical Contractor 7 II I 4 3 LJJ' 1,:!! Telephone # Sewer/Water Contractor I? Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatu OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plez ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Ptbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding _?/ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair t? 33 Alteration ? 37 Demolish (Bldgp ? 43 Reroof ? 46 Windows/Doors ? , '3° 'Ik6plac`ernent' , . 'Demolition (Entire Bldg) - Give PCA handout to applicant 1FelNatign ^ r fO t? Occupancy MC/ES System Census Code • T r Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) if Final/No C.O. _ Footings (addition) 7* Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding Stucco Stone _ Fireplace _ R.I. -Air Test - Final _ _ Windows (new/replacement) Insulation _ Retaining Wall '7 Approved By J - ,Building Inspector Base Fee Surcharge / '/, n v )r n n Plan Review MC/ES SAC City SAC o 0 062-D Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I 073V PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date ?_ / a3 / 0 3 Site Address <---f- Unit # Property Owner SvT°??^??K Hf Telephone # Contractor Address City State Zip ( ) Telephone # The Applicant is Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and Nl license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including ter heater ft Addi f t t l l dditi l di t d l $ 50.00 4 ng ix ures ower s or room a ons, exc u o eve er so ener an wa ng wa Abandonment of septic system Water turnaround (+5/8" meter if needed -$121.00) Other: n _ new installation RPZ repair rebu ld ? - L1? \ _ ^ _ '\ ? $ 30.00 _ Lawn irrigation system n _ Water softener _ Water heater $ 15.00 - replacement - additional $ .50 State Surcharge Total S _ ] "_ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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. -TlrG- r TT-NIc ,--r ?- < Applicant's Printed Name Applicant's Signatur S j0 gy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ,. ----? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consbucdon Reauirements • 3 registered site surveys showing sq. It of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • l set of Energy Calculations . 3 copies of Tree Preservation Plan g lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS TYPE OF RamodeUReggh R?,{rylremeMa • 2 copies of plan • l set of Energy Calculations for heated additions • 1site survey for extedoradditions &decks • Indicate it hone served by septic system for additions VALUATION APPLICANTu L-t? r? STREET ADDRESS l `f-eD b 'e--f Itami TELEPHONE #Z"??? X232 CELL PHONE # MULTI-FAMILY BLDG _ Y 4N FIREPLACE(S) _ 0 _ 1 _ 2 FAX # ATE 'r'ZIP -5~ -3Z PROPERTY OWNER. 5?12Ue J" ICIn S TELEPHONE# COMPLETE THIS SECTION FOR %NEW'm RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calmlations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System SeWer/Water Contractor: Phone # ------------------------------------------------------------------------------------------------ --- ------- I hereby acknowledge that I have read this application, state that the information is e rrec , nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan O non es. Signature of Applicant OFFICE USE ONLY I o rg Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ updated nroz OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PINY or _ N ? 25 Miscellaneous ? 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 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. - Air Test Final Windows (new/replacement) _ Insulation - - - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 2001 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN I 3830 PILOT KNOB RD - 55122 , 1 651-681-4675 \ C- Reaulrements C? 1 ? 2 copies of plan C? d 66 DATE: CONSTRUCTION COST: ('6n DESCRIPTION OF WORK: R rp4" R F r 6,IS-r-f-. r L"4 U-f if multi-family bld , how many units? INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: G J Plumbing _ Homeowner Q Contractor Name Mechanical _ Homeowner or Contractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: ad 2 ° ?? Lr= c LOT: BLOCK: SUED./P.I.D. #: Name: S"rr v Phone C PROPERTY Last First OWNER Street Address: 2 D ?u R o y q ? r City (;-: A6 AN State: rkl A.' GS I- 6F I- l9io Zip: Company: Phone C (area code) SSt a "z CONTRACTOR Street Address: License # Exp. City 1 hereby acknowledge that I have read this application, state that the information is correct, and of Minnesota Statutes and City of Eagan Ordinances. State: Zip: l??l AUG 21 2001 jP state Signature of Applicant: d=A- C ?f OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 24 Storm damage WORK TYPE ? 33 Alteration ? 37 Demolish (Bldg)* * - Give PCA handout to applicant ? 38 Demolish Interior ? 42 Demolish Foundation ? 43 Reroof ? 44 Siding ? 46 Windows/Doors 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN REQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 RE I9ERREED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: l_ Valuation: Date: ?I i 1 °1°I o?0 I YO Site Address ?-= Vxvnt& Lot 3 Block 5 Parcel/Sub 6t Owner Address & City/Zip Code Phone Contractor _ Address z2ZG City/Zip Code Z Phone Arch./Engr. ScM Address City/Zip Code Phone # 1841,000-- Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On-site sewage On-site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance R3 M-1 Bldg Permit R- -j Surcharge V-N Plan Review V-N License Fee SAC, City -12' SAC, MWCC 3$' Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. J/ Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL FEE .o Z.a8 ,ao q ro3 621a00 clS,oo a;oa 3o,oo ,5V , 6 0o 3170,00 Processing time ince with VALL4A-MON 19 GARAGE 07 x24= 81? Z x r 2 = (2 `I) o x r5= 121 (00 0 l3SMT, 30)<36v 14WLI 2 Kin CZ?) /4zIL1 x r4= ?9?93? I'S r FiooR gsrrtr= 192tI X53= r75LI7Z 24D Pi4oorL 55"r : lq?.4 K53 7S ?,? 2 6*,Z 9 y, O o " -- FROM I?RRRV S JOHNSON CO 12.26.1991 16&39 BK 478-1 W 01-430 HARRY S. JOHNSON COMPANY, INC. 170 WEST 79TH STREET BLOOMINGTON, MN 55420 PHONE: (612) 884=5341 CERTIFICATE OF SURVEY FOR: MORGAN STEVENS HOMES 103 0 DEN01ES IRON MONUMENT FOUND /+0 0 DENOTES IRON MONUMENT SET \•' y'1 '° `, SCALE : 1'-30' / / i of e 46 \ io31.Eb _7 15:00 OS TO 1D \ BUILDING CORNER Jr. ` . NUaJ J \ 1028x85 L 0 T 4 \ PROPOSED ELEVATIONS GARAGE 1034.0' \ FIRST FLOOR-1055.0' BASEMENT I011.61' -,0 18.80 ' OS TO BUILDING ENVELOPE T 2 1029x71 \ ,y \ ?°Lr L C DRAINAGE k UTILITY EASEMENTS . _ _ _ _ _ _ _ _ -+ o O 128.39' S 89'53'39" E I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF.A SURVEY OF THE BOUNDARIES OF: LOT 3. BLOCK 5. EAGAN ROYALS. ACCORDING TO THE RECORDED PLAT EREOF. DAKOTA COUNTY. MINNESOTA. ?I AS -RV?Y,IBY M?R UNDER MY DIRECT SUPERVISION THIS DAY OF .` ,199/ WNSON, LAND SURVEYOR A .REG. NO. 5065 uSE i []Citn&J 1010aIa 1 P. 2 ***END*** R-95% 612 884 5344 12-26-91 03:53PM P002 #14 OPTIONAL DES?GN METH?D (COOKBOOK PPROACH ??4Q OWNER-H'mk?_4 1 rwgJ5 ? A JOB ADDRESS ?;J CALCULATIONS DONE BY ? 1 '.?I1yi PHONE IM-3641 - T DATE TYPE OF BUILDING a !? ACTUAL VALUES MIN MUM R OUIREM NTS mum L ROOF/CEILING ASSEMBLY AS DESIGNED LJERGY 4F ODE FOR ONE 8 WP FAMILY CEILING AREA: 1424 $Q. FT. DWELLINGS SKYLIGHT AREA: N/g SQ. FT. R-VALUE OF CEILING INSULATION: R-38 (MIN) R-VALUE OF SKYLIGHT: WALL ASSEMBLY (ABOVE GRADE EXT. WALLS) WALL AREA: L b r'J V $O, FT. R-VALUE OF WALL INSULATION: R-20 (MIN) FLOOR ASSEMBLY (FLOORS OVER UNHEATED SPACES) FLOOR AREA: 4 S0, FT. R-VALUE OF FLOOR INSULATION: - R-20 (MIN) NOTE: f LOORS OVER EXTER OR SPACES SHALL BE INSULATED T HE SAME AS ROOF/CEILING ASSEMBLY, WINDOW 8 GLASS DOOR (PATIO DOORS) ASSEMBLY WINDOWS ONLY (BUILDING HAS No SLIDING GLASS DooRs--MAST BE AT LEAST DOUBLE LAZED WINDOWS TOTAL WINDOW AREA: fS3,?T So, FT, PERCENT OF WALL AREA IN WINDOWS: 5,?1 x 12% (MAX) WINDOWS & GLASS SLIDI G DOORS (BUILD NG HAS I IOTH WINDOWS $ GLASS JLIDING DOORS--MUST E AT LEAST DOUBLE GLAZED) TOTAL WINDOW AND DOOR AREA J7 M S0. FT. - PERC NT OF WALL AREA IN WINDOWS AND LASS SLIDING DOORS: G,'7 % 10,7, (Max) DOOR ASSEMBLY (METAL INSULATED OR WOOD WITH STORM DOOR) yy?? DOOR AREA: - D SQ. FT. R-VALUE OF DOORS: 11.1 R-3 (MIN) NOTE: ATTACH DOOR 8 INDOW SCHEDULE. (SUCH AS PAGE OF ENERGY CONSERVATION EEEVALUATION.) FOUNDATION ASSEMBLY - R-VALUE OF FOUNDATIOy INSULATION: 11.0 R-5 (MIN) (FULL BASEMENT WITH INSULATION _ OVER COMPLETE HEIGHT OF WALL.) R-VALUE OF FOUNDATION INSULATION: R-10 (MIN) (FULL BASEMENT WITH INSULATION ONLY DOWN TO ?6' BELOW FINISH (TRADE, SPLIT NTRY R CRAWL SPACE.) HIS OPTIONAL DESIGN METHOD MAY BE USED INSTEAD OF THE STANDARD ENERGY CONS RVATION VALUATION. IF USED, EACH OF THE ABOVE MINIMUM REQUIREMENTS MUST BE MET. IF ALL REQUIREMENTS ARE NOT MET, THE STANDARD ENERGY CONSERVATION EVALUATION MUST BE COMPLETED TO DETERMINE IF THE TOTAL BUILDING ENVELOPE MEETS THE MINIMUM REQUIREMENTS OF THE MINNESOTA ENERGY CODE. Site Address Owner Calculations done by . Type of building Phone Area Assembly- . (Show calculations on' rksheets (S Ft) U-Value U x A ( 1 0f Total Cal ing rea, Less Skylight Insulated Area: Area See Fig. 1) Framing Area:(10% of Total Ceiling Area See Fig. 2) c Skylights: (From Page 7) ****k* Other: (Describe) ci 1 Totals 2 Average U-Value, (UxA)/(A) From Line I `?'''% ? *f+•' 3 Required U-Value (For one and two family dwellings only) .026 '`**k (907. of Total Wall Area, Less Window an Insulated Area: Door Area, See Fig. 3), Framing Area (10' of Total Wall Area, See Fig. 4) indows:(From Page 7) 'irk pors rpm Page 7) im.Joist-Area_:(See A 3 Fireplace Wall: v N Foundation Wall:(Above Grade Less Window Area, See Fig. 6) - X - Foundation Wiridows:(From' Page 7) - - -" `'." ****A* i Cher: (Describe) Other: (Describe) 4 Totals x-x 5 Average U-Value WxA)/(A) from Line 4. 6 Required U-Value (For one and two family dwellings only) * .11 ** If line 2 is less than line 3. and line 5 is less than line 6, proposed assemblies meet code requirements. If line 2 is greater than line 3, or line 5 greater than line 6, complete the fol lowing_to determine alternate U-Value for total exterior envelope. o _ 7 UxA (Line 1) + UxA (Line 4), + _ *****+'r v o 6 Area (Line 1) x U-Value (Line 3) x - u 9 Area (Line 4) x U-Value (Line 6) - - ****x* LU x o "Bud et", Line B + Line 9 If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not ex-eed Line 10, i If Line 7 is less than Line 10, proposed assemblies meet code requirements. ENERGY CONSERVATION EVALUATION Contractor 1 I Figure 1 Ceiling/Roof Insulated Area:_ Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation 5D.00 Continuous Vapor Barrier o.oo Interior Finish gin Interior Air Film .61 Total Assembly R-Value 51,7 Assembly U-Value (1/R) .610 Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: Sq. Ft. (with attic area) _Value Interior Air Film .61 Insulation 34. s=- Wood Member ,+ Gip Continuous Vapor Barrier 0.00 Interior Finish' 54 Interior Air Film .61 Total Assembly R-Value -AUL- Assembly U-Value (1/R) ,025 Enter on Page 1 For additional roof assemblies, see pages 3 and 8. 2 Figure 1A Ceiling/Roof Insulated Area: Sq. Ft. (without attic area) R-Value Vented Air Space Interior Air Film .61 Insulation Continuous Vapor Barrier 0.00 Interior Finish Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1 3 Assembly U-Value (1/R) Enter on Page 1 For additional roof assemblies, see pages 2 and 8. Figure 3 Exposed Wall Insulated Area: Sq. Ft. R-Value Interior Air Film .68 Interior Finish _ Continuous Vapor Barrier 0.00 Insulation Lq,db Sheathing Exterior Finish 60 Exterior Air Film .17 Total Assembly R-Value n 7ti Assembly U-Value (1/R) Enter on Page 1 Figure 4 Exposed Wall Framing Area: Sq. Ft. - - R-Value Interior Air Film . . 68 Interior Finish / yy Continuous Vapor Barrier 0.00 Wood Member (,,S Sheathing Exterior Finish I D Exterior Air Film . 1 7 Total Assembly R-Value h / q.?? Assembly U-Value (1/R) Q Enger on Page 1 For additional wall assemblies, see page S. 4 Figure 5 Exposed Wall Rim Joist Area: R-Value Interior Air Film .68 Vapor Barrier 0.00 Insulation Iq,©fl Wood Member Sheathing t6 Exterior Finish Exterior Air Film .17 Total Assembly R-Value 12-3.9b Assembly U-Value (1/R) 104 Enter on Page 1 Sq. Ft. motes b_ Floors -_overunheate_d-spaces.°=-For floors-of-_heated4Dk m_echanicalT_g; =-- cooled spaces over unheated spaces, the overall U-Value for the floor shall not exceed 0.'05. For floors over outdoor air, such as overhangs, the overall U-Value for the_floor shall meet the same requirement as for roofs,-U-Value of 0.04: - 2) Slab-on-grade floors. For slab-on-grade, the insulation around the perimeter of the exposed floor shall have a minimum R-Value of 6.4.-The insulation must extend downward- from the top of the slab a minimum of'316" or downward to the bottom of the slab then horizontally beneath the slab for an equivalent distance. 3) Vapor barriers. The maximum perm rating for the vapor barrier is 0.1. A minimum of 4 mil polyetheline, or equal, is required to achieve this. The vapor barrier must be continuous with all joints overlapped and made over framing members or blocking. 4) For notes on foundation wall see page 6. 5) For additional assemblies not illustrated use worksheet on page 8. 5 Figure 6 Exposed Foundation Wall Area Concrete Block or Poured Concrete Foundation Area: Sq. Ft. Wood Foundation Insulated Area: Sq. Ft. R-Value Interior Air Film .68 Continuous Vapor Barrier 0.00 Foundation Wall °1,CXJ Insulation 1{•? Exterior Air Film .17 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1 Notes: 1) Only the above grade area of the foundation wall is to be included in the energy calculations. . 2) The Energy Code requires that, if the floor above the basement or. crawl.,_space is not insulated, the founda- tion wall must be insulated. Either the foundation must have a minimum R-10 insulation applied from the ------ _ top-of-the foundation to-the the ;frost line or a minimum" - - .7R-3 insulation applied over the entire foundation -- wall. The R-Value specified is for the insulation material only. 3) If ridgid foam insulation is to be applied to the .. -' exterior of the foundation wall, the above grade portion must be protected from the sun, the. weather and physical abuse. •1) If ridgid foam insulation is to be applied to the - interior, it must be protected by minimum 1/2" gyp.- _ board or equal (as specified in section 1712 of the Uniform Building Code). 5) Foundation wall insulation for wood foundations must be installed as specified by the National Forest - Products Association's Design Manual. Wood Foundation Framed Area: Sq. Ft. R-Value Interior Air Film .68 Continuous Vapor Barrier 0.00 Foundation Wall (Plywood) Wood Member Exterior Air Film .17 Total Assembly R-Value Assembly U-Value (1/R) Enter on-Page 1 6 SKYLIGHT, WINDOW AND DOOR ASSEMBLIES Skylight Manufacture Manufacture No. No. Used Total Sash Area(A) R-Value - a ue U=1/R U x A Totals Enter P aae 1 X X XX XX X Windows Manufacture Manufacture No. No. Used Total Sash Area Wl R-Value - a ue U=1/R A U xx W11 Aa7A 2 7- b, , ?? ? . 04 I 5, • ?7 -2 I ?. .3L 5. (v Cl#) 2S 1 I,S 32 GW25 3 414 3Z 1 b 3 5,77 G153 ? Z.1 ?32 ass Eiger P e 1 - - Foundation Wall Window Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value a ue _ U=1/R U x A FL Totals Enter age Doom Manufacture Size No. Used Total Door Area (A) R-Value Door - a ue Storm Door (if Used) - a ue Door Assembly U-Value U=1/R UxA I 11.0 1, 9A Totals _nter a e X X XX XXXXX X XX Ssema Area ar feria (Describe) icknes4 - a ue M nterior it Film - a ue ee a e nerior it Film - a ue (bee e a 37 on ssembly Thermal Resistance - a ue on ace 1182 bly Area a a; azer esa ibe) ie mas - a Le- Interim it Film - a ue ee s e erior it Film - a ue ee qe 14 & 51 ROW Assembiv Thermal R esistance Assembly - a ue ( rater on a ss Area azena (Describe) Thickness - a ue Interior it Film - a ue (See Pace erior it Film - a oe ee Pace on Assembly Th ermal K esistance ssem - a ue nter on kssemlly Area (baft) azria (Describe) Thickness - a ue - - Interior Air Film -Value 2a 47 7 (See F; 7 zterir it Film -Va ue . ee ace 1 Total ssemo erma esistance sSenn - a ue kl/K) mer on aae I ssembly Material (Describe) Area qr is neSsl - a ue Interior it Film - Exterior it Film a ue ee aae - aloe ee e 9 on Assembly e sjAssembly - a ue rma Resistance - UIR) mer an Pace Assembly Area (5aFt) ateria rc ness - a ue merior it m - a ue (See a erior it i in -Value K Race z N on ssem Thermal Resistance emer an aae ssemo - a ue ss M --Area p ateria el thickness - a ue Imerior it Film - a ue (See e a erior it i m - a ue ore qn ss enna esistame ssem v - a ue rater an wage ssembly atria esa a Area q tl ue Thickness - a enor Am Film - Im aloe (See Face 14 & 2) I I erior it i m - 9 a ue (See Pace on Assembly er ma esisnnce 1 ssem - a ue U ) triter on aqe 1 WASHINGTON-COUNTY PUBLIC HEALTH DEPARTMENT FURNACE DESIGN OWNER DATE: JOB ADDRESS HEATING CONTRACTOR PHONE: BUILDING CONTRACTOR PHONE: * The basic information below must be ascertained from the calculations and plans approved by the Building Department for the structure to be built. 'I. Sq. feet of exposed wall area above grade x "U" x 87 degree design temperature. {'*2. Sq. feet of ceiling area x 'lull x 87 3. Sq. feet of basement floor area x 3. 4. Sq. feet of wall area below grade x 6. 5. Lin. ft, of infiltration for windows x (.5) x (1.08) x 87 degrees. 6. Lin. ft. of infiltration for doors x (1,25) x (1.08) x 87 degrees. 7. Lin, ft, of infiltration for sliding doors x (.75) x (1.08) x 87 degrees. 8. Allowance for kitchen and bath fans kitchen fans @600 BTU ea. bath fans 0200 BTU ea. 9. Allowance for fireplaces a 24" to 32" @11000 BTU ea. a 34" to 42" @1,300 BTU ea, 42" & larger @1,500 BTU ea. 10. Total BTU loss for all above items--- 11. Add for combustion air (SEC 7722)-(.001) x net loss above, x (12,5) x (,075) x 87 degrees. 12. Add Total (line 10 and 11) 13. Maximum increase allowable by SEC 6007-Line 12 x 115%. Out-out size of Furnace shall fall between Line 12 and Line 13, (This is the size furnace you should use in this structure, the code does allow you to use the next size avail- able) providing that appropriate equipment is not readily available. The undersigned, as applicants for a heating permit, hereby affirms the above information has been prepared by and or for himself, or under his direction; hereby acknowledges the information to be correct and accurate; and hereby presents this information with required plans in support of the Heating Permit Application. Proposed furnace size: Proposed furnace model no.: Proposed furnace make: Date: Signature: . cos br(, M J v FURNACE SIZE CALCULATION 1d03tSHEET (03/13/91) SITE ADDRESS DATE /Z- 61- 7 HEATING coat ACTO:i ADe`?o 14A-7-, ? PHONE -r '/ 7e-i7z GENERAL OO11rRACMR OR MINER ? lI # / ST?r..: hers PHONE CALCULATIONS PREPARED BY --.I • e CfoOeA-ff PHONE 776 L/ The basic information below, must be ascertained from the plans for the structure to be built. 1. Sq. fee of exposed wall area above grade ZSa&f13 x 90 degrees. //'z87 2. Sq. feet of exposed window area X37'7 x "U"' x 90 degrees. /S?196 3. Sq. feet of exposed door area Z x "U" x s{( q 90 degrees. 4. Sq. feet of ceiling area x "U" 06 g,6 x 90. 5. Sq. feet of basement floor area i-3/6 x 2 BTU/sq. z (>. Sq. feet of basement wall area below grade x 3 BTU/sq. ft. 7. Lin. ft. of infiltration for windows $6c, 9 x (.5) X (1.085) x 90 degrees. S. Lin. ft. of infiltration for doors x (1.25) x (1.085) x 90 degrees. 9. Lin. ft. of infiltration for sliding glass doors x (.75) x (1.085) x 90 degrees. 10. Allowance for kitchen and bath fans: 0 kitchen fans @ 600 BTU ea. 0 3? bath fans 0 200 BTU ea. 11. Allowance for fireplaces: 0 > @ 19300 BTU ea. 12. Total BTU loss for all above items 13. Add for combustion air (SBC 7722) (.001) x net loss above, x (12.5) x (.075) x 90 degrees. 14. Add line 12 and line 13. 15. Maximum increase allowable by SM 6007 is line 14 x 115x. Output size of furnace shall fall between line 14 and line 15. Applicant Signature 2 `yz 6 zZ,74, 366/YS Z-4/ /7 V9 N8 8 2- z ` 14 Ei e-n -7a'(oi9 S`gs8 -26 `577 INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021596 Eagan, Minnesota 55123 Date Issued: 07/30193 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 5 APPLICANT: 2080 ROYALE CT JENKINS STEVE EAGAN ROYALE (612) 397-6621 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW DESCRIPTION 10'x 15' 15'x 21' INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 1 1/ PERMIT PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: 2080 ROYALE CT LOT: 3 BLOCK: 5 EAGAN ROYALE P.I.N.: 10-22475-030-05 DESCRIPTION: 10'x 151 15'x 21' ldih-g-Permit Type DECK lding WArk Type NEW Oceuoan"-, R-3 ?f CEOMV LP BUILDING 021596 07/30/93 REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - JENKINS STEVE 2080 ROYALE CT EAGAN NN 55122 (612)397-6621 1 t 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 Mn. a Statutes and City of Eagan Ordinances. 4- J APPLICANT/PERMIT GNATURE ISSUED EIV. SIGNATURE -x REACTIVATE _ REU't NED ITY OF EAGAN PERMIT # ' JUL 2 1 199318 3 BUILDING PERMIT APPLICATION 11591P 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. In which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ?/uLY Valuation of work 59 Zooo,60 Site Address: a0 F0 P,0044- STREET SUITE M Tenant Name: (commercial only) LOT _ BLOCK q SUBD. r?6Ati RvYA?T P.I.D. M of work: 'De- C_ kL Description - The applicant is: CR?Owner ? Contractor ? Other (Describe) Name JI=NK NS STFvG Phone GSA- 190 Property LAST FIRST 3W- 6E3-/ (wa<R) Owner Address ao8° 90Yg,? - c-r STREET STE K City F/fGAN State Zip SSra? Company 5Q Yn e? Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: C - = *-?`- OFFICE USE ONLY BUILDING PERMIT TYPE ? OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc.- ? 10 Multi. Add'l.. 59 15 Deck WORK TYPE -% 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 lBaseme'?t Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning • Sq. Ft. total Booster Pump f of Stories Len th Footprint Sq. ft. On-site well Fire Sprinkler Census Code g Depth On-site sewage SAC. Code APPROVALS Jw_ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard 29-Footing O Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee ro 00 v.tuetion. Surcharge , Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: S SAC % SAC Units BK 476-1 WO 91-230 M-M El- HARRY S. JOHNSON COMPANY, INC. EIW '1 170 WEST 79TH STREET BLOOMINGTON, MN 55420 PHONE: (612) 884-5341 CERTIFICATE OF SURVEY FOR: MORGAN STEVENS HOMES `10 \103ti / 103 B ® DENOTES IRON MONUMENT FOUND O DENOTES IRON MONUMENT SET ?N o ` y SCALE : 1'=30' o ? LO. 15.31 OS TO l ? U?\ , BUII?ING CORNER O '.? p, 1 1 ,DA PGf g \ OpP so- \ Oy?p \ \ i, `0??0 1p r'Y ? f ox, 73.07' OS To BUILDING CORNER s L 0 T 4 PROPOSED ELEVATIONS GARAGE FIRST FLOOR BASEMENT- _ 17.49' OS TO BUILDING ENVELOPE \i. 1BU2.63 OS TO 103 T 1 D2901 \ \ ?s LOT 3 // DRAINAGE & UTILITY EASEMENTS --L - - - o D 128.39' S 89'53'39" E I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 5, EAGAN ROYALE. ACCORDING TO THE RECORDED PLAT FEREOF, DAKOTA COUNTY, MINNESOTA. AS RVEY BY ME R UNDER MY DIRECT SUPERVISION THIS / DAY OF Pe'G ,19 y/ ARRY NSON, LANE) SURVEYOR MINNESOTA REG. NO. 5065 iymx"5 e\ %0 ILDING ENVELOPE \ LO 2 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 PERMIT # RECEIPT mgmm DATE: / 02 "l A PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - ------------------------ ---- WORK DESCRIPTION ---------------------- ---- --- ----------------------- COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3 REPAIR 3 WATER CLOSET 3.00 g BATH TUB 3.00 d //?? LAVATORY 3.00 OWNER NAME: Mori 4t1 KITCHEN SINK 3.00 3 ( k ' et LAUNDRY TRAY 3.00 3 o o%lo e SITE ADDRESS: aog HOT TUB/SPA 3.00 WATER HEATER 3.00 B D. LOT: J BLOCK SUU FLOOR DR IN 3.00 a n /! rr i GAS PIPING OUT. ttm DrkG INSTALLER: !'Lftrr- P ;Fite, (MINIMUM - 1) 3.00 _ L CG n /- i ROUGH OPENINGS 1.50 t v i 5 I ?k Sr't ADDRESS: 7O C- fl OTHER _ e Sf S WATER SOFTENER 5.00 5 1 • yuK ZIP: CITY: W (I PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: yEp SUBTOTAL S TI ST. SURCHARGE .50 SIGNATURE OF PERMITTEE 0OD ? y TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: - FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN .l I Y U-r tHOW4 I kL :l' 1:.-h 1-ah1? San 23 92 15 :24 No .021l P .02 n L B 5 CITY OF I~AGAN MECHANICAL PERMIT RECEIPT # 1,0!Z5 G 5UBD, r (612) 681-4675 DATE a' F.2- GJC 21 tog ]RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMBS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: IYIrn`?a? 07?? ?f1p5 U6Yr1?? SITE ADDRESS: 2 D a ?0 a9 F . INSTALLER: P nl I n (y ?! q' t?e n PHONE #; `7 Z 11p _ U (o O 3 ADDRESS; fo5 D N I y?lJ? 3?0 ?1u?,6V . CITY: ®a 1( ?1 `L ZIP= rj?lj SIGNATURE: r o t. 1 fb4zt?,? FEES ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) HVAC: 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 600 GAS OUTLETS - MINrl'lU`M i @ $3 FA, SURCHARGE: $ 5o TOTAL Is 3D. 6 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUH.DINCS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER: SITE ADDRESS: TENANT: SUITE Sts INSTALLER: ADDRESS: CITY: PHONE *11 SIGNATURE ZIP: CONTRACT PRICES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $10000 OF PERMIT FEE. MINIMUM FEE - $25.00 PROCESSED PIPING - $25.0 TOTAIA CITY SIGNATURE. S $ *My OIEage➢ 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: 155 ; 0 Date Recgived:C/T �' 1 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: ✓/�' —1f Site Address: Bt, /eoyalt- i✓T Tenant: JThele, I /&d/ /'1 Skip S Suite #: 1 RESIDENT / OWNER Name: n Phone: 6/02- 7.3x%- 5 9, Address / City / Zip: LC...-- r/ IvkAl --1,---/ ?' Z CONTRACTOR Name: R,' ,A,le /4yGIL-- -- License #: O��7 .�� i Address: `7,,ia/?C 5— --",f," City: Li//b,E ,—^ State: Zip: 5510( Phone: Sd-- "O/�' 7.2-82- 6Z33i7,-Y Contact: Heidi 5,-.941�1ri Email: A h,,eGviz TYPE OF WORK New replacement Additional Alteration Demolition Description of work: rNO TE: Roo ` counted and ground mounted Cade Please contact the Mechanical me han cal equipmen is required t r' be s ieenei by City Inspector infor Oil on permittedscreening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other _ ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $.�.J' - L%o TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 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.ciopherstateonecall.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. x x__Q� �� .mss-• Applicants Printed Printed Name Applicant's Signature FOR OFFICE Required InspE *City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY cof. Use BLUE or BLACK Ink Permit Fee: Date Recei Staff: 2010 RESIDENTIAL PLUMBINGDPERMIT APPLICA Date: ,5.---1/ 7 '// Site Address: 02tff t2 1.19 Tenant: "ree./-C- 1 Loki J Suite #: RESIDENT / OWNER Name: 00P�— Phone: G 47 73o --...57‘', Address / City / Zip: '5Q�-* - »- Z�� I */I .55 2 2/--- CONTRACTOR , ,' /,d L(— License #: (+.� 3 7/ 4 Name: X17. Orcii1/4e7). �)/G VL / Address: 4 5 1/4Oe7 f. /`/ 6...e> City:L%4, �" State: /Y Zip: 5-5940 / Phone: 50 7- 2.7.7 - �J ,3"..."1Contact: P)di % - Z e -'' Email: A b, 'i s- 'i (� i5 /�" C40'714-7 TYPE OF WORK_ New Replacement Space _Work in R.O.W. _Repair _Rebuild _Modify Description of work: PERMIT TYPE RESIDENTIAL Water Softener XWater Heater Add Plumbing Fixtures ( Main / Lower Level) _ Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ ,.�5 '00 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Signature x 41-fr / I Applicant's Printed Name Use BLUE or BLACK Ink ---------------, � For Office Use I ��� 0��� �� I Permit#: � U�O j � � , I � Permit Fee: � I I � 3830 Pilot Knob Road � � I Eagan MN 55722 I Phone:(651)675-5675 � Date Received: � Fax:(651�675-5694 � I � Staff: I �����������������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: � �� Site Address: ��� ���vu�� ��_ �1� .,� Tenant: _�-T�.�t'�- �C��k-�^� Suite#: R�Bi(�[tt/f?Wtt�i' Name: ��V� _�L�n�i n S Phone: (�i.'�f- ��ll� t`�;`��/ Address/City/Zip: v�l,) �� � Name: fitz;'����,„1�:� .i-�License# �P�1 �14�.3�� Address: ��0`��� �./�I��, f ,� y: � �Otl�1'1C"�<?t` � .�t_ Cit �;s�..�`s`��11 State:�Zip: ����-�( Phone: �'� �- `���� ���� ` Contact:�� `f'�'«T Z EmaiL � � ��CP': [:r^^ New Replacement Additional �Alteration Demolition '('yp�af}A/#��"�C Description of work: °-�`" �` , , ,�ICT�:�to�€�;±���rd�ntt�r�u�d. auntad:m�cE��l+�����p��:�s ,ir+�#+�#����+�����r. ` Code. �'��ase�cn#aict the�chani��t h�pectc�r�t�i�itti�a�ic►�.e���i���.,; fr�i�e�f�:,.., RESIDENTIAL COMMERCIAL Fumace New Construction _Interior Improvement Fyert't'1��- @ —Air Conditioner _Install Piping _Processed ��- Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank �Install/_Remove) �Other ��'�� RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) ��� $100.00 Residential New(includes$5.00 State Surcharge) _$ �� � TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 **'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 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. x ,J�t�'t�'-- '�r'f`T�. X Applicant's Printed Name Applica Si ure �C?R.t'�F�t��t#S£ , Requir��Inspec�ion�. : , i�e�+i�+re<#.8y . . . ! � ��:,,,.�..� . Urtdergrc�und Ratrgh[n �ir�'est �'aas S�nri�e"fies� ` #rr�crar F�I� �„��t; �t�1��.; �g:. ' Use BLUE or BLACK Ink .I i For Office Use (�, �r,I I ��I O Clt� Of ����Il � Pertnit#: � � �� I iPertnit Fee: _ � 3830 Pilot Knob Road Eagan MN 55122 � Date Received: �'�"�-� j Phone:(651)675-5675 i I Fax:(651)675-5694 � S�ff� �1 ft . , 1 x• „t. r�..,i . t,' z_ l..: �__�___.-������� �J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C�'��"S�� Date: Site Address: Unit#: � " "Ll Name: J l ��i ��=!"L'��1 n��' Phone: c.��`�r������i� Resident/ Qyy11gP Address/City/Zip: .sZC7 S� /'20 `7'�/��-r' C~'T Applicant is: �Owner Contractor � Ty�Of WOI(C �scription of work: K t T��� �✓ �'�t���� L Construction Cost: ��E. uu f' Multi-Famiry Building:(Yes /No� Company: Contad: COII#1'8Ct01' Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ��c��-i A-,-�T�;r..,rz. l `� 7 8` 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 Contractoc Phone: NOTE:Plans and supporting a�cume�ts that you submit ane consid�red fo b�putAtic irrformatio�t. Fortiorts of ' the inforntation may be ctassified as nan pub/ic if you provide spec�+c reasons�at would pertni#the Gity to carcfude�►�t the are trac�fer secrets. CALL BEFORE Y U 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�ocates of underground utilities. www.aoaherstateonecall.or4 I t►ereby acknowledge that this ir�formation is complete and acxurate;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 author¢ed by a building pertnit issued in accordance witl�the Minnesota Stabe Building Code must be completed wltbin 180 days of pertnit issuance. X �/�!/� ��N1CeNf X ��- � ApplicanYs Printed Name ApplicanYs Signatu Page 1 of 3 ` DO NOT WRITE BELOW THIS LINE � � I�0 � , ' – � 9�-- �� SUB TYPES �-I�� Y`--�=�7 Foundation _ Fireplace _ Porch(3-Seasbn) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4�eason) _ Exterlor Alteration(Multi) = Multi � Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of�Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interfor Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ YUindo�nrs _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall •Demolition of eMire buflding—give PCA handout to applfcaM DESCRIPTION � Valuation �C� Occupancy .Z�G�� MCES System —' Plan Review / Code Edition O/y SAC Units -- (25%_100%✓ Zoning f�• ! City Water " Census Code �►3 ti/ 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) 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 _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick � Insulation Windows Shea�ing 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 `73 � Surcharge Plan Review �} MCES SAC City SAC Utility Connection Charge S�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA157992 Date Issued:09/19/2019 Permit Category:ePermit Site Address: 2080 Royale Ct Lot:3 Block: 5 Addition: Eagan Royale PID:10-22475-05-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steve C Jenkins 2080 Royale Ct Eagan MN 55122 (612) 730-5699 Mayday Restoration 18062 Judicial Way N Lakeville MN 55044 (651) 253-4085 Applicant/Permitee: Signature Issued By: Signature EA 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinainspections©citvofeaaan.com Date: Permit Fee: Date Received: Staff: For Office // Use Permit* L _ 7 S- a0 2020 SEWER AND WATER REPAIR I DISCONNECT PERMIT $-o?(o- a0 __X_ City Sewer City Water i< Repair Description Of Work: se _�`'P A: t' C! N Fee: $65.00 Disconnect Street Address for Proposed Work __,_as d e _O _____ Name: __.-.SA-eVe. YeNt k: wS _ _ __---_ Phone: _. - 7 30 - s 6q1 Address / City / Zip: 480 Q,oy q C: EAg+" , /MN SSia ) Applicant is: Licensed Pipelayer Name: A $A P 1 Owner Contractor Master Plumber Property Owner Phone: 6517_1113-379!( f Address / City / Zip: e9 3 S FAlrvte3,4 __8_45-sevi 1 [ c--4--MN - _'J�_ l !3 1 C.4.ry s {'n:1 o t.a Pipelayer Training Certification Card # or Master Plumber License ttc 14foO 141 .P QG(o( tJcfa € 1 acknowledge that the information is complete and 3 of the City of Eagan and the State of MN Statutes. 3 accurate and that the work will be in conformance with the ordinances and codes I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit. Applicant (Print Name) Applicant's Signature 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.cityofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora CG