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2018 Royale DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: : I I 1 t D t N(; 3830 Pilot Knob Road Permit Number: 0 7 q Eagan, Minnesota 55122-1897 Date Issued: ' ' ?? I f tz (612) 681-4675 SITEADDRESS• ; .?- , ,~' 7' -w , u p" L01 s 6 61 0CI x r 1) R ERMIT SUBTYPE: ,t !l 1 f ? ii; ;1 3 APPLICANT: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR . i I Ii 1 N I I 1; 04ANV .: fat Ate REVI WED BY M i F F HARI[J. CAI1 446-2840 RF6 AP01H 6 F1.MrTRTt Al 01 VMI I ANI Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 7 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL N, CITY OF EAGAN ?,G $79? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ST DMG/CAR Est. Value $176.000 Date MAR 18 1991 Site Add TSs 4gva0 Rvan•--6 Un Lot Block Sec/Sub. Parcel No. u, Name - - --- - --- o Addres 7901 UPPER GaIrI1117 CT APPLE viouz City Phone SANE o Name OU ` Address - City Phone 9S Phone I hereby acknowlege 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 OrdTta9ces. Signature of Permitee ' R A WT 11MM 1110 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY R--3 14-1 Occupancy FEES Zoning %6.00 (Actual) Const Bldg. Permit 86.00 (Allowable) Surcharge # of Stories _a 589.00 Length - Plan Review ?OO.OQ Depth SAC, City S.F. Total 650.00 SAC, MCWCC S.F. Footprints 660.00 On Site Sewage Water Conn 90.00 On Site Well ?- Water Meter MWCC System ?- Acct. Deposit 30.00 City Water 90.00 PRV Required S/W Permit Booster Pump S/W Surcharge .50 276.00 Treatment PI 00 APPROVALS Road Unit Planner Council Bldg. Ott. Variance Park Ded. Copies 3,769.50 TOTAL ' Permit No. Perk Holder Date Telephone # WATER SEWER PLUMBING 3 Z,-Y3g H.V.A.C. 9 L' 0 9Jr. 'C)3/o ELECTRIC ?p VWJJ/ cJ Q Mspestlon Date Insp. Comments Footings I v Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ?? !t! Final Hig. Final Plbg. 1 /( f Const. Meter Plbg. Inspector - Notify Plumber ErgrJPlan Bldg. Final Deck Ftg. Deck Final well Pr. Disp. (gerfif iratt of (Orrupaury Citp of Cagan BIrp euf of luni" Prtim This CaAf we weed pursuant to the rmukmw& of Section 306 of the Uniform Building Code ouiif*g that at the tine of iuuanm this souclure was in compliance with the mdous on nanm of the City rrguladi?g building comarudion ar use For the following: umclumifficadom ME/GAR mg.ltemk %L IR796 0wxp..7TM MAC Zoning vista R! Type C40A vN o ?r RA Wr MZ Ur. Aaa. 7901 tlPPM WAi4F r MIRTH AMF VALLM Post IN A CONSPICUOUS PLACE SEWER & WATER PERMIT CITYOF EA6AN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE MAR 18, 1991 SITE ADDRESS 2018 ROYALE DR LOT 5 BLOCK 3 SEC/SUB APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PERMIT REQUESTED X SEWER X WATER - TAPS COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: ? Ahead of Domestic Meters on Water Line. ADDRESS: 15185 CAROUSEL WAY CrecITI4L NOT be.given for Deduct Meters. CITY STATE 12% ?_y"oc " ZIP 55068 t , ?r.c.--z PHONE: 730 ,, / 1 AGREE TO COMPLY WITH CITY OF OWNER: R A KOT HOMES INC EAG RDINA*ES ADDRESS: 7901 UPPER HAMLET CT CITY, STATE APPLE VALLEY MN ZIP 55124 PHONE: fiFi7-'951 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. I OFFICE USE ONLY METER # Yq ?,ZQ PERMIT DATE 03/19/91 9 CHIP # 0,80 :7 3W 5 PERMIT # 11869 + METER SIZE ') 5u B.P. RECEIPT # C 12556 ISSUE DATE 7 4-21 B.P. RECEIPT DATE 03 19 91 - PRV -BOOSTER PUMP EAGAN ROYALE SEWER &'?IVATER PERMIT CITY.OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE KAR 18, 1991 METER # CHIP # METER SIZE ISSUE DATE USE ONLY PERMIT DATE 03/19/91 PERMIT # 11869 B.P. RECEIPT # C 12556 B.P. RECEIPT DATE 03/19/91 - PRV _ BOOSTER PUMP SITE ADDRESS 2018 POYALE DR - LOT 5 BLOCK 3 SEC/SUB EAGAN ROY" APPLICANT:. ADDRESS:- CITY, STATE PHONE: - ZIP PLUMBER:' ADDRESS: 15185 CAROUSEL WAY CITY, STATE ZIP 55068 PHONE: 'V 2 7 0 OWNER: K A KOT ROMHS INC ADDRESS: 7901 UPPER HAMLET CT CITY, STATE APPLE VALLEY NH ZIP 35124 PHONE: 687-9513 PERMIT REQUESTED X 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 be.._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 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT , CITY OF EAGAN r, 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE w' 19 "EcEmwe Mom 4r,Yn7-41 . AMOUNT : 50] 8 DOUARS 100 O CASH _';]CHECK U Thank You ' T BY C 12556 QC"y P„k-fdo Copy Address: 2018 ROYALE DRIVE Lot 5 Blk 3 Sec/Sub EAGM ROYALE These items were/were not complete at the time of the final inspection. Date: 7/15/91 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. xermeo "nn White - City copy Yellow - Resident copy Pink - Contractor copy - AIL CITY OF EAGAN NO 18796 121 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $176,000 Site Address 2018 ROYALE DR Lot 5 Block 3 Sec/Sub. EAGAN ROYALE Parcel No. w Name R A KOT HOMES INC o Address 7901 UPPER HAMLET CT City APPLE VALLEY Phone 687-9513 S Name - g Address City - Phone -0 Name u? Address <w City Phone I hereby acknowlege 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 ances1? Signature of Permitee 7 A Building Permit is issued to: R A KOT HOMES INC on the express condition that all work shall be done in accordance with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Building Official 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55 PHONE: 454-8100 C 1 as552? Recei t # P Date MAR 18 19-u - OFFICE USE ONLY Occupancy R- 3-L--1 FEES Zoning R-1 (Actual) Const V-N Bldg. Permit 906.00 (Allowable) V-N Surcharge 88.00 x of Stories Length 76, Plan Review 589.00 Depth 48' 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 0 90.0 MWCC System V 30 00 City Water X Acct. Deposit . PRV Required S/W Permit 30.00 Booster Pump SNJ Surcharge .50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Dad. Council Bldg. 011. Copies Variance TOTAL j. 789. 50 q/a.5/91 1005.515 31622 ,&, p°O Request Date Fas NV Rough-in In c Requimd? ? Ready Now MW II Nofdy Inspector 3. 1 1 -Ci I Mas G No When Ready? I licensed contractor O owner hereby request inspection of above electrical work at:, Job Address ISlreet. Box or Route No.) C City zorg RIO o . R y% Section No. Township Name or No. Range No. Count y . A Occupant (PRINT) '' II Phone No. R. A. K idome X8`1-453 Power Supplier Adtlress - _ F F ? rilN Y? 1?? U 1 LEC. d? e4Kv Electrical dor (Company Name) Contractors License No. rtisz E????le ocwzs?s Mailing Adtlress IO ractor or Owner Making Installation) Authorizetl S' Lure (ConlractorlOwn eking Installation) Phone Number &193-05,:32 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-178 BE ACCEPTED BY THE STATE BOARD 1821 Unlveralty Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for ooeprsting this form on back of yellow cow X" Below Work Covered by This Request EB-00001-08 Y.yk. ew Add Rep. Type of Building AppliencesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) annon Andustrial ' Furnace Farm Air Conditioner Other (specify) Contrador's Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - t- 0 to 100 Amps Z Transformers Above 200 _ Amps Above 100 -Amps Signs Inspedor§ Use only: U TOTAL o Irrigation Booms U C , Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee .50 COMPLETED WITHIN 18 M. RMS. I, the Electrical Inspector, hereby Rough-in a pate t certify that the above inspection has been made. Final oet i OFFICE USE ONLY - This rapuest void 18 months here 1991 BAI APPLICATION CITY OF KAGAN i SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. 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. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. if c:J q / To Be Used For: &;A,7n? Valuation: Date: Site Address ?0 1 go ale C OFFICE USE ONLY 1?G',000- MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS Y COMMERCIAL Lot S Block 3 Occupancy 2 3 M-1 b ? ? l Zoning eJ_ Parcel/S u agQK c iu t Actual Const V-N ((?? / IIll ? Allowable v-N Owner R Kul / 7 S r'C # of stories Address 79b 1 w?Y L,L t? 4 Length 761 Depth yBr T S.F. Total City/Zip Code owl-e- VS AIA) Footprint S.F. Phone 657-9 Q 5Si z On site sewage On site well MWCC System City water PRV _ Booster Pump Contractor S C Q.C d ? e vL Address City/Zip Code APPROVALS Phone Planner y? q Council Arch./Engr. } ze ?kt J ?i Ff.r f? E Bldg. Off. 3-/SJ9 ibl Variance Address I?jr,n City/Zip Code Phone # L;,q 7 FEES Bldg. Permit 0 , 00 Surcharge Q$, DO Plan Review 46- o SAC, City 14) a SAC, MWCC 6.S0,0o Water Conn. (a?D t?Q Water Meter 9D,th? Acct. Deposit 0,[7J S/w Permit S/W Surcharge f 5 D Treatment Pl. ar]k Road Unit ()O Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTALn ` ?' 167?- agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. n4 G A, R AG-r- 32 ?4= r7? 2 ILI _ (2? 1 906.00+ JJ g3. 00+ ?2K 2 r (2y 589.00+ tnJ 2,206'50+ `7Ib K 15= 1D?'?y0 31789-50* X 23 13 V XIS - 28'2_ y X /o =L4_ 1842 )(N= 7-S788 13SMT. f t? 4 -2.t- z>C ly ? 28 Z k/o. ?o fx Ig12 x s3= 1?133G 2"b FL00fx, 13'A v 16 . Zu3 X?= za S'Slo 53= 3f o5. P t 6 r) 20 l?xiy- ib?u?to= ;;!! 6 ? a9 !n/?Orb T SURVEYOR'S CERTIFICATE NOTE! SaILDINO.0IM04IOONS HowN RE ATIOP S ON V. 8EE ANg11116CTUSAI o MR WILDING a 110 MMATIOM 00raE114101NIS. I/ R. A. KOt HOMES )O O ldly.q) /?/ e ti y 'v/ oq ?w4r° ,el 4, 14. w a i i? `Q+ppVP?}' I nor s NOTE! NO 941W lC* SOILS.jNVESTgAT1.QN;+HAS 4`,"¢I ETED P V ON THit TAMILITY OF LOTC-8Yi,THC SUI?VE11tRgi HE SOILS TO ~SUPPOItT THE SPWFIC HOM PROPOSED IS NOT THE IK/PONMIMILITY OK THS SURVEYOR. •* DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION ;?p?a ?. I R° i? R '? -?? N 1a7 ?) SCALE;I INCH 30 FEET PROPOSED GARAGE FLOOR a IGO&I FEET PROPOSED LOWEST FLOOR -- iiM,0 FEET PROPOSED TOP OF BLOCK - 1048,S FEET WE HEREBY CERTIFY TO R.A. KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 51 BLOCK 3, EAGAN ROYALE,ACCORDING TO THE RECOROED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS $ TH DAY OF M ARCH , 1991. PROPOSED GRADES SPOWN WERE TAKEN FWM THE OEVEL0IMIENT PLAN ftR EAGAN NOYALE,PNEPARED BY PIONEER ENG., LAST DATED lO- 3- 89 -q Z! tD C 2 m P o r- E m z cD m M OD r JOHN C. LARSON, LANG SURVEYOR MINNESOTA LICENSE NUMBER 10828 r James R. Hill, Inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. v SLOOMINGION, MN. 55431 4 61' -8x34-3629 R. HILL, INC. .ay off v Cities ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. -, ?L.'. i1';i- 11 t(.FM .1'- f:....1.. 1. t.!I,,f "?t'1 NCJ 11. 3Lock 3 GA GA/,./ Ffi D( ('i.IJJ. !'J :-ti':i:.11''. I L7"I. ,: !". [ f ,{.:•(:f{ 1^e l , , i cll$`.r, 1 4 l J. Ili b .. i °s _ _ .. ...., ... ,-J. c :1 : Pi . .. 5(i , R(Wj lC E2;" l..t r 11-1 :a txk t?I'I C:.1 c)Ei{3 Ya ".ar o , 11_._ £3 :: ..}.. "al U!lif L .( 6t!i r', ;7f cim ar-C'_)(::: .. , " .. .. :. .. :. :. , .. .. .. , .. , ,, 4i 'F4 1.5 C3 , t.: c'it ... r I. 111ri-u.. 4..:•:"!_,f. Ff.?! aI:L '. C.,, ,I . :.: : .. . . . ........: . :. .. 1." ... :. rci_IR tc:Unc.1P? c' F, '.% x. Y.; I_C?P"rrt 7.^r„- J `i c: !i'<a t::l in+r,,I. f- 6 n; i C''.'•fit '''SAS i. k. '. tic ,ic' 'ni ,,, t E..:,. 1'nd„'. f,L; 1c.,`h2 111 ED ? 1'1 E.' f l.Y : rr>r'i". ntr r-`c T,,:i !-in taJ. Oi ri I') k ??j C3 C' „ 1. 2 b C T' o. Total Unor cant. f raminn area ( ave. 10%). 6.1 P. Total net inBuinted f1car/cant. area ...... 6.4 0.031057 - 0. 3626% 0.027708 - 1. 59600c? t . :. :. .. . . . .. .. :. . . .. .. . . . . . . .. .. .. .. . . .. . . . .. i. .. .. . Total !. %860_ if item *Q in the same as or loss than item 03 you have met thu' ... AND ._ C',•-1 {.. -ia :i cGiah:?.. .?:. 1"I .{I'; 1.16008 A 't41..: !_1, TOTAL I I OU c t rs"' T. AREA lexposed..' 4.1. q. Total floor/cant. framino area (ave. 10%), 4.1 r. Total net insulated iloorlwant. Pre& ...... .e?h.rcl-rr:Lrlr ,;:...: value . ;:, .•;:.:1.lJ,?-'+ ,i.....)r- each ..l.ooIY'. ::3(?i?(:7men'Yl:. ? Fj?._a<';?.. Total if item 49 is the Same BE ,.,:::C3 :. than item :L{+.i you have ,nei +':.he energy code. 2 MW AR 1.16002 t '-f3.'tiJ U., r Ii + ld, CERTIFY THAT [ 1'!7/I % FACTORS .`I it VALUES HEREIN I THAT H hUI :.. w1 j t}'. x S i! B ..{.l MEETS OR EXCEEDS {1 t''. STSIf. Oil ,(+dt a=5_t7i 1, r-.i:}{_l.tC-' t.. i' llxl I' .. A11ti( . /. :32 ?f!d{'.'. 1.1 i' r:::1 DETERMINE "U" VALIES" ..- STUD WITH interior Air ...... 0.62 .:: ..fitErr,+a--Drt•a1::.... ) ?? 5 Stud r. 9.::: Sheathing .., Exterior Air:........, 0.17 Total ,, Value ................. ... 11..0 : ?2 l/R c... "U" Value ............ 0. ..-.., _. xa. ?\ -2- f i 'iYcs ;. I..:. )t..rt+....,i.1 .._.r1 SIDING E. R. interior Air .. .. .. 0. .. w:i insulation Sheathing ... L? l`..? .4?1 l.L -r ` t _ 05U j, 6b 527 X75 Ti-ii-i,_ ._::..: iL7:P•.ti; h';i=::1".I:f_::I'i .: ...:... .. k:. E-" I - !O'C. ct:. ?. `J ::111 ;)ri 1t.. 1i 1. to r'.. i.lY rl:.; ........ '.l.. e."D r : 0'r ial ill yl t::f .. :. .: :. r: v . .L.::. ... YT ?1 _ ,.. M'D E. i u u _k i L4 _.. s.! . 1.1i- a.,.1 $'f]Y" (_i ' 'y „i i. L!. S.i 'h'r:"r 2'" ?:'e t:3 i"CS. ,.. .. . . . .i::..;..?. ... - um % r. r l id. cf.i'I ?.L kDm.,' ?if.j. .: L .:... .. i ,..,.:. JID o I•. 4. 1'7,•:x .. . . J. ......_. HRIJ .,. ..... ,._. _.._ 1i. S.i 't ?- 1. C3 L:;I" :t r1 [':. •:., :I. » .+.. .. ..?..?? mot.......»....:....:. .::,:.! i 1.. 1.:111) l'tl S... i-it 7. () f( : '. )0i: Cl 71* I CTTY fir T "• u 1 S, C. N, AiMcy CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 2 3 7 9 Date Issued: 07/01/98 SITE ADDRESS: P.I.N.: 10-22475-050-03 PERMIT 2018 ROYALE OR LOT: 5 BLOCK: 3 EAGAN ROYALE DESCRIPTION: B fld1n' t?Permit Type tiild,ns W0,rk Type ? ? Rear Q "'f ? cT BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL ?;^ I9T a x fi ' !nom '¢ gT t ?' ?ta ra.N REMARKS: PLAN REVIEWED BY MIKE BARCK CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: NORTH STAR SERVICES 12277061 0002111 O'KANE BOB 88 HAGUE AVE 2018 ROYALE OR T PAUL MN 55104 EAGAN MN 55122 612) 227-7061 (612)688-6485 hereby O Ien!sisladge that, have read this pplicat3an a'nci state that tae :nfarmatJ,on is-corrd+ct arri agree to "a'otrply u3't;h all appli;caisle Stag of Mn«; Statutes 14•h¢ City of Eagan Ordinances. PPLI ANT/PERMITEE SIGNATURE IS B : S N E V300M 1998 New Construction Requirements BUILDING PERMIT APPLICATION (RESIDENTIAL) 5Dpa CITY OF FAGAN 3830 PILOT KNOB RD - 55122 681-4675 W11 Remodel/Repair Requirements ? 3 registered she surveys ? 2 copies of plans (include beam & window sizes; poured find. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: G- o7s 9,e? ? 2 copies of plan ? 2 she surveys (exterior additions & decks) • t energy calculations for heated additions CONSTRUCTION COST; ' Lj0 d DESCRIPTION OF WORK: s ?i?l s y ( LIWE_dcl -4/ STREET ADDRESS: 'j 0 12 :9 41 DR rT: "J BLOCK: SUBD./P.I.D. #: C /v /` / / Name: U An[ ? ,/ n b Phone #: (? (fe^ (o Yff- PROPERTY Last First OWNER Street Address: -O 0 / rY 8Ual fr- Oe i'u 4z? City /F4 ? 4 ?(( State: /gy Zip: rc -7?1_ Company: -?R df c -r, Phone #: 0 G CONTRACTOR Street Address: ?? /7Ff¢? (f ?c d 4_ License # C/// City State: N Zip: c'c-fOY ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the inform ati n is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received - Yes No Not OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging k 16 ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 32 Addition J? 33 Alterations ? 34 Repair ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth LW;jZ1911 l1141 Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building A44-2 Engineering Valuation: $ '". ?w Basement Finish Swim Pool Public Facility Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance <3 D/ U CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FEES PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR _ FEES OWNER NAME: lRA.KO? kak." SITE ADDRESS:- Falb'6tE ??. LOT: S BLOCK 3 SUBD. INSTALLER: &40[.-f:,"f ?&4TLr b/n? t /Y?G ADDRESS: I1w/ C• C 'Fc' CITY:???,__Ly ? ZIP: ?? 'a3101 PHONE ?QS?n316 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. C#)MktE1LCIALf1l1iTSTRIA PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT 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: CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT # C. 1 3 O DATE: S' '//9/ ADD-ON MINIMUM $1 HVAC 0-100 M BTU 24 ADDITIONAL 50 M BTU 6.90 GAS OUTLETS - MINIMUM 3.0 OF 1 PER PERMIT SUBTOTAL: $ 116a STATE SURCHARGE: .50 TOTAL: $2o. S`U SIGNATURE OF PERMITTEE (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN tT 55122 PHONE (612) 454-8100 I+LUMBING `PERMIT FOR CITY USE ONLY PERMIT # RECEIPT # "D44ZS S' DATE: - o 9/ RESIDENTIALi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ................................. ................................ . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST X ADD ON REPAIR NO. FIXTURES EA. ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 v// //?? ??ff LAVATORY 3. 00 OWNER NAME: F •?t , zYf A2rs KITCHEN SINK 3. 00 ? / nn 77 LAUNDRY TRAY 3. 00 ^ '- ,, SITE ADDRESS: OC7? ol-A HOT TUB/SPA 3. 00 WATER HEATER 3. 00 r LOT: e2 BLOCK SUBD. FLOOR DRAIN 3. 00 GAS PIPING OUT. INSTALLER: LCJ filly -15 -zl( (MINIMUM - 1) 3. 00 3 ROUGH OPENINGS 1. 50 ADDRESS: _/5/8_s- ??jJ?lf/Sf OTHER WATER SOFTENER 5. 00 ?)? CITY: e*_lrt1bu77T ZIP: ... o? _ PRIVATE DISP. 15. 00 U.G. SPRINKLER 3. 00 TOTAL -3-a) q w 3-w_ /sW 3W W ,3,GJ 3-cu s PHONE #: SUBTOTAL ST. SURCHARGE .50, SIGNATURE 0 PERMITTEE 53,Ct? TOTAL: $ COMMERCIAL'%INDUSTRIALPLEASE 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 INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN SUED. ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $_ STATE SURCHARGE $_ TOTAL: $ (SIGNATURE) Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use 411b~ ' Permit t~ D j City of Ea~a~ I Permit Fee: ~a~ I 3830 Pilot Knob Road - 3 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2xr02213 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I,A Site Address: ~20(8 y- 7-GZ " Unit f~ Name: Phone: Resident/ \J Owner Address/ City/ Zip: 59 ( 6_A_ 65 Z Applicant is: AZI-/ Owner Contractor Type of Work Description of work: eg Core Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.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. 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. i C k~_ 0 x E Applicant's Printed Name Applica Signature Page 1 of 3 Use BLUE or BLACK Ink �----� For Office Use I ---- I CI o ' �a/ ' � {'�n nn � Permit#: / 6( % I y � a�a�� , 3830 Pilot Knob Road � Permit Fee: �0 `6� � Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � I � Staff: �I -----------------I 2015 MECHANICAL PERMIT APPLICATION I ❑ Please submit two(2)sets of plans with all commercial applications. II Date: � — Z�� SiteAddress: �.01� oy �q �s �vCi Tenant: �`�--� � Suite#: �� . ' .-� xk Name: ..� �e..��cz ��r�o. �c�C c1 Phone: � 5 Z-��-4(��- �S Esc��4 Address/City/Zip: C� �. ��;+_; Name: \(� _S �c�e_n�-�� `'1 ac�.�.nt �- pt.(" License#: Address: l$1`� '�.. �1��` Si 5��/r City: ��, �r,c�o `S State: \n Zip: J�J�l b� Phone: � t 2_ 4 Z Zy—��ctC[� ,��:��4A � � t @��j"�/�..o�.�_ Cd M Contact:_ �.�� tC.._- EmaiL n�-„- c.-e��- �� y�� ,. � � New ?G Replacement Additional Alteration Demolition �`� ��'`�:` r��tc...c.� '�r'vc��uL C�z.sct-cr S�tPSACi� R6�a Sd�� 'r-vS Description of work: ��.� z cc� �.s` , Z'*� �� u RESIDENTIAL COMMERCIAL �Fumace New Construction Interior Improvement < — — _7�Air Conditioner Install Piping _Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) ,� N Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �a $100.00 Residential New(includes$5.00 State Surcharge) _$ �C,� 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 =g Surcharge* **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 "*'If the project valuation is over$1 million, please cail for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be 'n conformance wit ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an appiication for a permit,and work is t to start wi t it;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � � I x �� . C� r,�� C� C.r x Applicant's Printed Name Applica t's Signature .. . . � � „�� . .�...x-