2096 Royale Ct INSPECTION RECORD Control No.
'CITY'OF EAGAN 1j11 p
PERMIT TYPE:
3830 Pilot Knob Road 8
Permit Number:
Eagan, Minnesota 55123 Date Issued: #7108192
(612) 681-4675
SITE ADDRESS: t_ a T, 21 APPLICANT:
>H eROYALE CT LANIERRE OUST HOLIES
EAQAN ROYALE (612) 464-9383
PERMIT q
{APTYPE: TYPE OF WORK: NEW
, 1x.
RFMARNS1 RECUIP1 0 S&W Pt OA - MAITHEW-DANIELS PLOR
Permit No. Permit Holder Date Telephone M
SMI
PLUMBING '
HVAC
ELECTRIC
ELECTRIC
Inspection Deis Imp. Comments
Footings I ? Q?2 D5
Foundation sir z
Framing qq
Roofing
Rough Plbg. 3
Rough Wtg.
Isul. r IrJA?'TI r ..? C .GL ?'
Fireplaoe ?? ?092 Q g ?C !/Q?? 3 r/Z
Final Htg. ?? aZ ?h Sv l - Ir? /m ZO _ f z D S
Orsat Teel
Final Plbg. ` Plbg. Inspector - Notify Plumber
Covet. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Find
well
Pr. Disp.
It) "' t )
62
C .10
C?';e cute of ccntpanc?
of ftsim
t'
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use cla&sif cad - SF DWG Bldg. Fa No- 982
r Type R-W Zoning f)isaiet R Type CGRSL VN
Owner of BuildingLAPI? aM M H CMS P.O. KIK 1040, 304SV=
Building Ad&= I onlity s
Date 11/6/q2
Building Official
POST IN A CONSPICUOUS PLACE
Address: 2096 RC) IE COM Lot 21 Blk 2 Sec/Sub FAGM ROyALE
These items were/were not complete at the time of the final inspection.
Date: 11/6/92 Yes No (?(
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass V/
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.
•c.a?ewa
White - City copy Yellow - Resident copy Pink.- Contractor copy
O
'
9)W ?
/&a.
te
Rep st Da
e
/
2- ' No. Rough-in Insp
Requiretl?
7 ??, ///
? Ready Nowill Notify Inspector
Wh
R
tl
?
J a G No en
ea
y
1 licensed contractor O owner hereby request inspection of above electrical work at:
Job ddress (Street Boa or R ute No.)
zo 9? lA6 GT City
?Gf?
$ecaon No. Township Name or No. Range No. County
Occupant (PRINT)
1"2i0P E 9s
Phone N .
`?s 3S3
Pourer Supplier
TfI ?cG7?/L Address
i c?
0 0 ?V
57
Electrical Contractor (Company Name)
7 ^ / ?? /
Co/n?hac/to/rS ?Ljicen/se No.
Mailing Address (Contractor or Owner Making installation)
3 Q d S X dYl Lv l?°??l9/v SS/
Authonzed Sgnamre IConha ogOwn r mg Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs?MlAway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCLOSED.
09581 1 a 5°a
it Date Flue o. Rough-in Inspection
Required?
0 Ready law Will Notily Inspector
? Yes No When Reatly?
I)< licensed Contractor ? owner hereby request inspection of above electrical work at:
Jab Address (Street. Box or Route Ni City
®b GAL e-r- G
Section No. Township Name or NO. Range Ni County
T2i $Z ,d aTft
Occupent(PRINT) Phone No.
Power Supplier Address
o TA - "Ir F iNro.a
Electrical Contractor (Company Name) _ Contractor's License No.
Z- Al cE2r? c- O-Vz&oJ-?
Mailing Address (Contractor or Owner Making Installation)
3916 i w X6RAJ mN
Authorized SI at (Conuactnr/Owner Meking nstallalion)
??TlLL?JH?- Phone Number
3 `T `f 7 L
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT/r\' N
Griggs-MlOway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD C
1821 University Ave... SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS V
Prrone (612) 642-0800 ENCLOSED.
7a 9a REQUEST FOR ELECTRICAL INSPECTION sNt
2 'ya EB-00001-08
Ol ? See instructions for completing this form on back of yellow copy, •y C??I /D G k7
00958 "X" Below Work Covered by This Request 2;`•?
el of 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 (specify) Contractors Remarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders
Swimming Pool 0 to 200 Amps 0 to 00 Amps
Transformers Above 200 Amps Abo 100 Am
Signs tnspectore Use Only: TOTAL
Irrigation Booms O A
Special Inspection ?
Alarm/Communication NO
DISC(
THIS INSTALLATION MAY BE ORNNECTED
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
inal Date
IarFICE USE ONLY
This request void 18 months from
ZpZ, FA REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e
? See instructions for completing this form on back of yellow copy. a C` /O (- 6o S/
`7
6
K 0 0 9 5 8 "X" Below Work Covered by This Request
elu 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 (specify) Contractors Remarks
Compute Inspection Fee Below.:
# Other Fee # Service Entrance Size Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 io 00 Amps
Transformers Above 200 Amps Abo 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms ` 7? ?/ $-0
Special Inspection ( ?
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in t
Final .?.,,,r Data
pat
- 7x 8'p1
OFFICE USE ONLY
This request void 1a months Irom
REQUEST FOR ELECTRICAL INSPECTION }g?!!E%-? Eaaooot.oe
38776 ? See instructions for completing this form on back of yellow copy
K 'X" Below Work Covered by This Request evvAde,RaR '- Typeof Building Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater- Electric Heating
Apt. Building Dryer OtheF(Specify)
_ Comm./Industrial urnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below: l7- 7, e
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps ,;O 0 to 100 Amps
Transformers Above 200 _ Amps A Amps
Signs Inspectors Use only: r+,/
y TAL
Irrigation Booms
O /
0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONT
I, the Electrical Inspector. hereby Rough-n
I Dac i.2 _C1 -7
certify that the above inspection has
been made. Final I/ ate /,
OFFICE USE ONLY
This request void 18 months from
New construction Requir ants
• 3 registered site surveys showing sq. ft 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.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7!1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE f U/y,5- J/" O 2
F-1 1 -? S
RemodeVReoair Requirements
• 2 copies of plan
• 1 of of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION 9Oh?
SITE ADDRESS 2. Q ?v file?'YIL-,if C/ ?i MULTI-FAMILY BLDG _Y' _N
TYPE OF WORK 14-A/f 4?/-" Ll Oil' FIREPLACE(S) _ 0 _ I _ 2
APPLICANT .OIL G
/.t/(r
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
.3830 PILOT KNOB RD, EAGAN MN 55122
651-681-0675
STREET ADDRESS 2v ?5 CITY - 4s STATE/W ZIPS' S?Cm?
FAX #A_
TELEPHONE #??Z-7Z? 7l0 CELL PHONE # -S'/P14VIE'
PROPERTYOWNER /I U/ f6 Jf1 cob TELEPHONE#Gsrl
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
- Heat Recovery System
------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the int
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Signature of Applicant
------ - - - -
I comply
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
Certificates of Survey Received - Tree Preservation Plan Received - Not Required
Updated 4102
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 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y 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) _ FinaVNo 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
PERMIT Control No. 0769
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000982
07/08/92
SITE ADDRESS:
2096 ROYALE CT
LOT: 21 BLOCK: 2
EAGAN ROYALE
DESCRIPTION:
It*
-builditng Permit Type SF DWG
Building'--,Work Type NEW
UBC Occupancy R-3 M-1
Construction`Type VN
Zoning R-1
Building Length
Building Width
?j
78
38
?h i
REMARKS:
. RECEIPT M C D O-7 //VI S&W PLBR - MATTHEW-DANIELS PLBG
FEE SUMMARY.
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$940.50
$611.33
$93.00
$700.00
100
1
$2,344.83
$186,000.
MISC FEES $1,610.50
Total Fee $3,955.33
CONTRACTOR: - Applicant - ST. L
LAPIERRE CUST HOMES 14549383 00026
P 0 BOX 1049
BURNSVILLE MN 55337
(612) 454-9383
WNER:
LAPIERRE CUSTOM HOMES
P 0 BOX 1049
BURNSVILLE MN 55337
(612)454-9383
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.
Statutes and City of Eagan Ordinances.
L_ -
]rI1F
_/FP NT/P MITEE SIGNATURE ISSUED BY. 'SIGNATURE
PERMIT k CITY OF EAGAN? S' 33
REbCTIVATE 1992 BUILDING PERMIT APPLICATION
681-4675 7?
1111 0 7
SINGLE & MULTI-FAMILY 2 sets of plans; 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy 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 or lot change is requested once permit is issued.
Date Valuation of work
Site Address: ?Q?jlo?? 14au.s'17-
STREET SUITE f
Tenant Name: (commercial only)
T (_ BioCR SIIBD. P.I.D. k
Description of work:
The applicant is: Owner Contractor O Other (Describe)
Name L(d 9y4 Z-?n ff?joweei 1;y Phone tl`S ?1 -93d?3
Property LAST FIRST
Owner Address nom, /D ?q
T STE A
S?TRlECE
Cit
//l?I?IS
l
S
t
y
/
i
i
e Zip
ta
Company Snri22i Phone
Contractor Address License # Exp.
City State Zip
Company ??rt?_/L2Ci 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 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 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. Addl. ? 15 Deck
WORK TYPE
Or 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) VVt/ Basement sq. ft. /3?z,6 MWCC System
(Allowable) V,?l 1st F1. sq. ft. /V(19, City Water
UBC Occupancy 3 -7_/ 2nd F1. sq. ft. 91 ZS PRV Required
Zoning R-) Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft . Fire Sprinkler
Length )?5 On-site well Census Code
Depth 31c' On-site sewage SAC Code p/
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ® Footing JD Framing E7 Insulation
? Wallboard El Final ? Draintile ? Fireplace
Permit Fee
S
h vedmcioo: S ?8?. Ooo
urc
arge
Plan Review
- ?uv
License j? ??= l? ?qS z y.j, aZ = 7) 6,p
MWCC SAC
City SAC
?! Z 7 =
2.+ z = SG
Water Conn. j. z /0.0
Water Meter
Acct. Deposit
13?3Sh15z 2o,)
? Soso
g3z,FA? z
S/W Permit
S/W Surcharge
Treatment Pl. -
Road Unit X83.5
Park Ded.
Trails Ded.
48y
Others l G Sa- s3 - 7q?9?s f ?S31A. 12
Total:
?h
10
SAC
% 3 e,r/6 = 60Q
SAC Units o sir iy,s sgzs
3s9,Z??S3= 7/g3Y,75-
* PIONEER
* eng?n®er?
LAND PLANNERS
Certificate of Survey for: La Pierre Custom
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House Address: Royale Court, Eagan. MN
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1681'8 ??Z- lZ
2422 Enterprise Drive
Mendota Heights. MN 55120
612) 681-1914•Fox 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fox 783-1883
Homes
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EAGAN
300.00
N 89'53'39° W
Ike
DEPT
X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
a 9oa_o Denotes Proposed Elevation Lowest Floor Elevation:_lo2'1_ZL
Denotes Drainage & Utility Easement Top of Block Elevation: ro3?.D3
Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation: 1035."I
a Denotes Offset Hub Bearings shown are assumed
LOT 21 , BLOCK 2 EAGAN ROYALE
DAKOTA COUNTY, MINNESOTA
1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this ZNa day of 5" 1 n A.D. 19 Q Z-.
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Scale: 1inh=40fee
,,xTF^TOR FNVFLOPF AVERAGE COMPIITATTON
equal
aqua l
DETERMINE, WORKTNG SQUARE FOOTAGE.
1) i%ALL AREA: 4320 * .11 = 475.2
2) ROOF AREA: 1671 * .026 = 43.44
TOTAL EXPOSED WALL AREA 4320
A) 1dALI. WINDOW AREA 402
R) DOOR AREA 40
C) PATIO DOOR AREA 76
D) FIREPLACE WALL AREA 0
F) WALL FRAMING AREA 432
F) NET WALL AREA 2999
G) RN JOT-,T AREA 299
TOTAL EXPOSED FOUNDATION ARF,A
u) rn!l"'D:ITION WIVIM,,' AREA
1) TOTAL. NFT FOUNDATTON ARFA
(see elevs)
DFTFRMTNF 11 VALUE OF EACH MALI
A) 402 * V .55 221.1
s R) 40 *11 .07= 2.8
r equal C) 76 *I' .55 = 41.8
D) 0 "1' 0 = 0
7) 432 " II .096 = 41.47
F) 2999 *Ii .043 = 128.95
(:) 299 P .04 = 11.95
'1) 0 1! .55 = 0
1) 72 *1' .073 = 5.256
3) 1,01FA I. = 441.38
.. eq Flooring
NOTE: IF ITEM d3
rS TI1F SAN1F AS,
OR LESS THAN TTHIN kI
)"nl' g11:F e?CI' 'E1tr.1 11111?
>c k
i where
r
441.39
r
72
72
S FGM FNFF
TOTAL EXPOSED ROOF AREA. 1671
.I) SVl'LIGIIT AREA 0
K) ROOF FRAMTNG AREA 167.1'.
L) NFT INSULATED ROOF AREA 1503.9
I)ETERMTNF, II VALUE FOR. EACH ROOF SFG!1F_Nrr
J) 0*1! .55=0
K) 167.1 *11 .026 = 4.34
1.) 1503.9 *1' .021 = 31.58
IF TOTAL OF Jq4 35.93
IS THIS SVE•, AS,
OR LESS THA.": ITEM 42 43.44
TTIFN YOU n,wF etc,r rur. tuTrvT
OF SRC 6606(C)l
ALTERNATE M:ILDIY(; FNVFLOPF DESIGN
TO 117T1.77c TnT.\I. 17VVI71.nPr S)•C'rC%i "c7vr1n
VALUES FSTARL.TSUED Rp THE SI'NI nr ITEMS
:13 AN:D 44 S11A1.1 `"r1T RF fPF.>Tro TuAy
1H1: SINS OF IT"MS -1 Avt) *2.
I) 475.2 + 2) 43.44 518.64
3) 441.38 + 4) 3,5.99' 477.3
or equal
es
ge
tes
r equal
l (see elevs)
)ns
or equal
or eq Flooring
an
lock
Rs
where
-,XTF^TOR ENVELOPE AVERAGE COMPUTATION
nFTFRMTNE 14ORKTNG SQUARE FOOTAGE.
1) WALL AREA: 4320 * .11 = 475.2
2) ROOF AREA: 1671 * .026 = 43.44
TOTAL EXPOSED WALL AREA 4320
A) WALL W[NOOW,AREA 402
R) DOOR AREA 40
C) PAT10 DOOR AREA 76
D) FIRFPLACF. WALL AREA 0
F) WALL FRAMING AREA 432
F) NET WALL AREA 2999
G) RIM .JOIST AREA 299
TOTAL EXPOSED F011NDATION AREA
1T) 1701!'Tr)AT10N NINTY)b; ARF A
I) TOTAL NET FOUNDATTON AREA
DF,TF,RMINE IT VALUE OF EACH OdALL
A) 402 SIT .55 = 221.1
R) 40 ,U .07 = 2.8
(7) 76 'III .55 = 41.8
D) 0*170 =0
°.) 432 *11 .0% = 41.47
F) 2999 -[ 1 .043 = 128.95
G) 299 =p1! .04 = 11.95
11) 0 q' .55 = 0
1) 72 *11 .073 = 5.256
3) TOTAL = 441.38
NOTE: IF ITEM #3
IS TUF, SAME, AS,
OR LESS THAN ITEM #1
}'OP I]AVF A117.1. 'rift; T'ITI
441.38
72
0
72
SFGMFNT
''O`PAL EXPOSED ROOF AREA= 1671
1) SKYLIGHT AREA 0
K) ROOF FRAMING AREA 167.1,
L) MET INSULATED ROOF AREA 1503.9
i)FTF,RMINE 1.1 VALUE FOR EACH ROOF SE.CMFpPP
J) 0 *1j .55 = '0
K) 167.1 *IJ .026 4.34
1.) 1503.9 *1! .021 = 31.58
IF TOTAL OF #4 35.92
IS TIM SAME, AS.
OR LESS "PHAN ITEM #2 43.44
'T'lEN YOII "AvF DIET 'ruin Tnrrcw,T
OF SRC 6606(C)1
ALTERNATE R1;ILOING FNVFI.OPR F)FSTGN
-r'n TITTI.,T7F TOT:AI, E^T1tnIOPn 011STCM ?4V r)T)
VALUES ESTARLTSHFn RY THE S11M On ITEMS
#:3 AND #4 SH.AIA, ':OT RF GRFATFR TuAN ..
THE, SUMS OF TTEMS #1 AND #2.
1) 475.2 + 2) 43.44 = 518.64
3) 441.38 + 4) 35.92 477.3
?(7;C?SXt?$kt%FKt:k 7kh't?k$+k'K4?Yk:kY,gk:$k;$:":?tYFY,:MY„7;:y6ir?;XtYt?;:>fYkAk
CITY OF E:AGAN
CASHIER. JS TERMINAL NO; 7°,i9
DA`(E.^. 0`J/07/`'99 TT.NEi 07;00too
ID;,
NAf1E:r, 7ESSY .jACO P
320 9001 2096 ROYALS CT 0305
205 9001. 2036 ROYME CT 1.00
r
A
Total Receipt Amounts 157,25
CR 1 i.6 733
LEER 10 JAN
??k>;:Y,SF;'K, i?;?:47k.\'Sy<ikMS;",,Y,SY,6Y$7':rav?k7Y",or>'r7?::Y,O:i,7,?Y:):?; i^°nIFYk?::
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.681.4675
Remodel/Repair ReauiremeMs
? S registered she surveys showing sq. ft. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coverage allowed)
D 2 copies of plans (show beam i window sizes; poured Ind. design; etc.)
D 1 set of energy calculations
D 3 copies of tree preservation plan ti lot platted after 7/1/93
DATE: G - 3-{ I I
DESCRIPTION OF WORK: V I rxgdl 7 col t u1?
STREET ADDRESS: 0'o?y 7 ri C?_?1 R? C7
LOT: l BLOCK: SUBD./P.I.D. #:.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: CO -1 F36S9 Phone#: SOS=-Cf3( L
Last First
Sheet
15-7.2-s
2 copies of plan
1 set of energy calculations for heated additions
1 she survey for exterior additions tL decks
CONSTRUCTION COST:
?OO d
/V 5-'5-l
E C-"
City E /q C"/ ig n) State: M AJ Zip:
Company. Phone #:
(area code)
Street
City
State:
Company. Name:
Telephone #: area code ( )
Street
City
Sewer 5 water licensed plumber (required for new construction only :
State:
Penalty applies when address change and lot change is requested once permti is Issued.
Zip:
Zip:
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. `
Signature of Applicant. S C[9J
OFFICE USE ONLY
Certificates of Survey Received Yes No 3
Tree Preservation Plan Received Yes No Not Required J O
1?0
Registration #:
License #
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plek ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee /17S -.5, -)L?
Surcharge 41 C)
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1`x`7 ?C?-
Valuation:
$
SAC Units
% SAC