2021 Royale Dr41{10 City of Eaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: 55 O`111 -
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Jan 3, 2011 Site Address:
2021 Royale Drive
c_hEL"tom
Tenant: Suite #:
RESIDENT / OWNER
Name: Dwight & Fatricia iartell Phone: 651-994-1264
Address / City / Zip: 2021 Royale Drive lagan, 1-14 55122-3392
CONTRACTOR
Name: i C Plumbing License #: 58215 -PM
Address: 5910 Chester Avenue City: Northfield
State: FN Zip: 55057-4743 Phone: 952-652-2933
Contact: Rich Nybo Email:
TYPE OF WORK
New X Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ —
Description of work:
PERMIT TYPE
RESIDENTIAL
X Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / — PVB) ( Main Lower Level)
—
Septic System Water Turnaround
New '
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
"Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ 50.50
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.00pherstateonecall.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 w is not to staff without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approy$'o plans.
Richard Nybo
Applicant's Printed Name
App ricant's Signature
FOR OFFICE USE
Required Inspections Under Ground _Rough -In
s Test Fin
SEWER & 1YATER PERMIT
CITY OF EA18AN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE {,PR 17. 199
OFFICE USE ONLY
METER #
CHIP #
METER SIZE
ISSUE DATE
PERMtT DATE i_-4/13/91
PERMIT # 1 1 G 7
B.P. RECEIPT #
B.P. RECEIPT DATE-2. i 7/91
- PRV -BOOSTER PUMP
SITE ADDRESS 2 ' 1 r?R
LOT _?-BLOCK I SEC/SUB EAGAN ROYALL
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE:
ZIP
PLUMBER: ,JERRY'S PLUMBING
ADDRESS: =838 NORTHDALE BLVD
CITY, STATE COON RAPIDS MN ZIP 5543A
PHONE:
OWNER: JULIK & ADLER
ADDRESS: 1426 DEERWOOD PATH
CITY, STATE FAGAN !`%, ' ZIP 5 S 1 2
PHONE: OR 868-1864
PERMIT REQUESTED
A SEWER % WATER TAPS
- COMM/IND Y 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 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
RE:
DATE:
APR 18, 1991
2021 ROYALE DR (JULIK,A ADLER)
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.
OP'W 4,
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE I 19 ?y/ /
RKEWD
FROM
AMOUNT s _ / l
DOLLARS
Sao
O CASH) CHECK
C 12931 k --P-WV?
v.*-art co"
Thank You
BY
SEWER & WATER PERMIT
CITY4F EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE APR 17. 1991
- PRV -BOOSTER PUMP
OFFICE USE ONLY
METER # !V 1 6 X PERMIT DATE 04/ 18/91
CHIP # C2? 2?K PERMIT # 11927
METER SIZE B.P. RECEIPT # I
ISSUE DATE 2 -,2 3 B.P. RECEIPT DATE 04/17/ 1
SITE ADDRESS 2021 ROYALE DR
LOT 6 BLOCK 1 SEC/SUB EAGAN ROYALE
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: -
PLUMBER: JERRY'S PLUMBING
ADDRESS: 1838 NORTHDALE BLVD
CITY, STATE COON' RAPIDS MN ZIP 55433
PHONE: 7` - ?68
PERMIT REQUESTED
X SEWER A 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 POMPLY WITH CITY OF
OWNER: JULIK & ADLER EAGAN ORQIN4NCES
ADDRESS: 1426 DEERWOOD PATH
CITY, STATE EAGAN MN -Zip 55122
PHONE.. 688-7209 OR 868-1864 SIGNATUR WH M R ISSUED
PLEAS SAjcL W kl`NG Y,
i0F?'PROCE5SING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ;; r
ZIP
. I ._..
HOUSE HEATING TEST RECORD
ADDRESS Jf c? °? ? ,= ; f. "r l APT. FLOOR CITY .SUBURB
OCCUPANT OWNER
INST
HEAT LOSS -DATE HT
G
.
?,?
?
SOLD BY < ??t-r` INSTALLED BY
trical Work B
Ele Gas Line By
y
f
TYKE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
_
MADE MAKE OF BURNER
Model Model
Serial Max
BTU Rating
.
-
INP UT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Volvo KIND OF LINER SIZE NONE
Limit Draft Hood Regulator 4 -{ 1 ?--,1 -
Limit Setting Filters Size Number
Fan Setting -`? Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pil t Timing *'r Draft _ Test Top
L.W. Cut Off Door Pressure Lighting lns .
Presure Percent C02 Date Tested
t CFH L Percent 0
I Com
Testing '
an
2
npPPPPPP y
p
f
Per cent CO Name of Tester
S
ck T ?? "% l
to
amp. !
Form 235
„!?---= r•,t?^--r:---?,'??T.r,.-t.,.-?•.- ?q?-....?-.gy m-T-?;.-:. a e?°*',?'-?v--?;'?•
4 ti CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan
MN 55121
,
PHONE: 454-8100
BUILDING PERMIT Receipt # f
To be used for SF DMG/CAR Est. Value $133,000 Date APR 17 tg 91
Site Address 2021 ROYALE DR
Lot 6 Block 1 Sec/Sub. ?? ?YAJA OFFICE USE ONLY
Parcel No. Occupancy R-3-16m1 FEES
Zoning
C. Name JULIK b ADLER (Actual) Const Bldg
Permit 7311,00
o Address L426 DEERWOOD PATH (Allowable) ?? . SO
Surcharge 66,
City EAGAN Phone # of Stories
66 Plan R
view 491.00
Length e
F Name - S1ME Depth 430 SAC
Cit 100.00
= ,
y
Address S.F. Total
nE SAC, Mcwcc 650.00
City Phone S.F. Footprints
660
DO
On Site Sewage Water Conn .
UW
ur Name on site Well 95
00
w Water Meter .
i v Address MWCC System
X Acct. Deposit •
<u+ City Phone City Water
30
00
PRV Required S/W Permit .
1 hereby acknowlege that I have read this application and state that the
i
f Booster Pump S/VII Surcharge • 50
n
ormation 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 '•j APPROVALS Road Unit 370.00
A Building Permit is issued to: JULIK ADLER Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 3,524.00
- Permit No. Permit Holder Date Telephone #
WATER O q/ - - --
SEWER
PLUMBING, -TI
H.VAC. Dot c` ?? 9 - -//G?/
ELECTRIC 7 9? &0
Inspection Date I-p.
Footings I /?,
Foundation
Framing
Rooling
Rough Plbg. r 299? _
Rough Htg. -22-
Isul. GIIL'
Fireplace 4r / / M c/i cle"ea+,ee 1 e vi,rtc-
Final Htg.
Orstat Test /
Final Plbg. 17- Plbg. inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final 5 -</ bps
Deck Fig.
Deck Final
Well
Pr. Disp.
MIN
a IN, 'A . It
(Urtifiratt of (Orrupaury
citp of (gagan
Etpw umt of Bunt" inwrtwu
This Certificate issued pursuant to the requirements of Section 306 of the Uniforn Building
Code cent fying that at the time of issuance this structure was in compliance with the various
orrlinanca of the Ci y regulating building aoam udlon or use For the following:
u e c6sirtstion SF DWG/GAR W4. Plxmit Na 18907
OocgreryTppe ?? & ?? Zowo?QstrKt 5mOVlJId)CYAlli.
POST IN A CONSPICUOUS PUCE
RESIDENTIAL -I U , o v
BUILDING PERMIT APPLICATION I X3.6 i
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 1 lea I ?O VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS C)Od I J `/0 (? 171 I ? 'F-. ? CFKJ (, Yi Aj M ICI S-5-l3 d-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER )U)IL,HT t ??4iP tC(YA fMAl- I- C=Ce
TYPE OF WORK Lo aFt?_ L?J?C h? N L S t-1 Q I b ` FIREPLACE(S) _0 1?1 _2 _3
APPLICANT ?Wu?l+? ?ITIlLICttt /)1142f?LL PHONE# L13-
ADDRESS SAvo E ZIPCODE 5-5-1
PAGER #
Phone #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
FAX #
Fee: $90.00
Pee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
all applicable State of Minnesota Statutes and City of Eagan Ordinal
Signature of Applicant
Certificates of Survey Received
CELL PHONE #
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Tree Preservation Plan
and agree to comply with
Not Required
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 0019 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext, Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
P 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 02019 Occupancy MC/ES System
Census Code 7113 SL Zoning City Water
SAC Units 0 Stories Booster Pump
Nbr. of Units l Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const d? U Width
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
?j Framing
_ Fireplace _ R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
HVAC
_ Other
- Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
- Windows (new/replacement)
Approved By "A , Building Inspector
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
9/ 00
Repuas[ Data -- a No,
/^ p Rough-in pection
epm
R
'
? Ready Now W Notify Inspector
?J as
G Na When Ready?
I licensed contractor El owner hereby request inspection of above electrical work at:
Jab Address (Street Box or Rome NoJr
,? 0 :Z I 1Po a l ? le < ? e, City
Section No. Township Na a or No. Range No. County
D4 ? o?
Occupant )PRINT(
f
l
? Phone No.
ru? oa
r 9- e C?ohs
v
Power Supplier
q
'L71 Atltlress
-
Electrical Contractor ,Company Darnel in Contractors License No.
Mailing Address (Contractor or Owner Making Installation) J e'
Auihor¢etl Signature C ractodOwner Ma'nin Installation Phone umber
MINNESOTA STATE BOARD(d'F ELECTRICITY a THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
1 1 F Q 7 q_ "X" Below Work Covered by This Request
?0 c!'? Fe-ooool-oe
a? /OiCS?a New tld Reps Typeof 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'
aa 8s, o0
as 0-
Compute Inspection Fee Below: ) 30- orD 17,00
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps p f'49 0 to 100 Amps
Transformers Above 200 Amps ove 10 Amps
Signs InspectarS Use only. TOT L O
Irrigation Booms l
Special Inspection L
;
Alarm/Cmmucation O
NNECTED
THIS INSTALLATION MAY BE OR IF NOT
Other Fee COMPLETED WITHIN 18 MQKTHS.
I, the Electrical Inspector, hereby Rough-in F? atr N-1
_'4
certify that the above inspection has
been made. Final Date 7?
OFFICE USE ONLY
This request void 18 months from
Address: 2021 ROYALE DRIVE Lot 6 Blk 1 Sec/Sub EAGAN ROYALE
These items were/were not complete at the time of the final inspection.
Date: 8/9/91 Yes No
TnqpPrtnr-
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 ? /o- _ GO 11fI - o ?PGk;aa
-ho r)(4 its
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.
nax"o wrn
White - City copy Yellow - Resident copy Pink.- Contractor copy
- CITY OF EAGAN
' N2 18907
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454-8100 n n
BUILDING PERMIT Receipt # 1 ??
?1
To be used for SF DWG/GAR Est. Value $133,000 Date APR 17 19 91
Site Address 2021 ROYALE DR
6 1 EAGAN ROYALS
Lot Block Sec/Sub. OFFICE USE ONLY
Parcel No. Occupancy R- 3--M--l FEES
1
Zoning _$=
W Name JULIK & ADLER (Actual) Const V
N Bldg
Permit 755-0
D
c Address 1426 DEERWOOD PATH (Allowable) .
-- -N . 66
50
Surcharge .
City EAGAN Phone 688-7209 a of stores
969 ;864 66, Plan Review 491.00
Length
o Name SAME Depth 4.5 r SAC
Cit 100.00
i
u< Address S.F. Total ,
y
SAC, MCWCC
0
650-0
City Phone S.F. Footprints
C
W 660
00
On Site Sewage ater
onn .
r
uw
"t Name On site well
95
00
w
'3 Address Mwccsystem ?L Water Meter .
Acct. Deposit 30
. 00
gw Clty Phone City Water X
30
00
PRV Required SAW Permit .
1 hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge .5
0
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 Peonitee APPROVALS
Road Unit
370.00
Y
K & ADLER
A Building Permit is issued to JU
: Planner
Park Ded,
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies
Building Official I1MPt 1\e;rf IIIA Variance TOTAL -3.524.00
J .13,0 q 2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651681-4675
Date:
Description of Work: Construct new fireplace %L-Gas -Masonry
Other
Job address: aoa j KG U aLe
Install eas insert only
Lot: b Block: Subdivision/P.I.D. Q n ovalf)
Applicant (circle one only):
6c4rio G''J Phone #: yo-
Name: / i u^ rYL ri[ P
Last First
Owner Contractor
PROPERTY
OWNER
Street Address: c7?Q?1
City State: 1'' ` A-) Zip:
Company: LL'2j _AA Phone #:
(area code)
FIREPLACE
INSTALLER Street
ho- ?o
Alterations to existing
Install eas line only
Permit Fee. $60.50
Cisj( State: l? Zip: 35-3.3 -7-
Company:- l Phone #:
(area code)
GAS LINE
INSTALLER Street
City
I hereby acknowledge that I have read
comply with all applicable State of Mu
State:
Zip:
and statcAhaLthe information is correct and agree to
a / q-ov
PERMIT #: #w r
CITY USE ONLY
RECEIPT DATE: i-11-01
RESIDENTIAL MECHANICAL PERMIT APPLICATION! If 0
CITY OF £AGAN
3630 PILOT KNOB RD
MN $5122 JAN ? 6 7?q? t
651-6$1-4675 ay_ tJ/
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: /-/()-0(
SITE ADDRESS:
OWNER NAME: TELEPHONE #: ?a5A 9L"1-Gfi
` p (AREA CODE)
INSTALLER NAME: j?} (ASV\??4 C ?QCIXI (lA 10SJ G TELEPHONE #:
( t (AREA CODE)
L ?.?? L V lC? CI S? ?? l IILCX T ?U \-
STREET ADDRESS:
CITY: f?? ?x1 Q STATE: \r"? ZIP: ??1 FC
New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, modification or alteration to existing dwelling unit $ 50A0
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge $ .50
Total s- f-10, 5-0
Reminder: Call for inspections.
SIGNATL" Of PERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, INN 5512E
651-6$1-4675
Please complete for: all commercial industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODS
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE: New construction
Interior Improvement
Processed Piping
PHONE#: -
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing (inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
i
SIGNATURE OF PERMITTEE
Updated 1/01
PERMIT # H K b)-q
RECEIPT DATE:
MIDUMALPLUM INBi PFAhff ALPPLICA71ON
crrY of £AGm
5880 PILOT KNOB RD
t'EAGAN, MN 55182
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow, preventer for irrigation system
SITE ADDRESS: d?
OWNER NAME::' A-i E IC14 ?u1lt,lft /rtA12 1','VTELEPHONE#: (OSl
(AREA CODE)
INSTALLER NAME: dW fy ? Vi? TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY:
Plana n rhark mark navt to tha narmit wnrk tvna
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: L0JfYL L-T (JF ?d?li?LOOrv? t3ft2SfNr
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
$ Yo. i;0
Total
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters water sotteners, etc.
I hereby acknowledge that Ihave read this application, state that the information is cortect, and agpee to mplyh all applicable City of E an ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no' bili r any a s caused by the C' during its normal
i t- y/e
operational and maintenance activities to the facilities constructed under this permit withiN and
OF PERMITTEE
Updated 1101
LOT (P BLOCK SUBD.?
RECEIPT #/?a??3
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
L,7 fj;
Date:
Commercial project
Residential project
Existing residence
Area/address to be sprinklered: oC D S'Z 4d
Installer: __ QGQ A EI S?/s e- cC?'",A /`E
If"
vim. du 6
KZ $'
Street address:
City, state & zip:
Telephone #:
Owner name:
Street address
City, state & zip:
< o-- -?
Phone #•
Irrigation contractor, if different: ? f2?7 Pd ter.
Phone
I hereby acknowledge that I have read this application and state that information is correct and agree
to comply with all applicable City of Eagan ordinances.
New service required
sae-A
Fee due: $ - `f ? Calculated by:
CITY OF EAGAN
UNDERGROUND SPREQUXR SYSTEM PROCEDURE
1993
Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 plumbing permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential project:
$ 15.50 plumbing .permit.
$ 50.50 water permit fee
$695.00 per connection -
if new service is installed.
WAC.
$324.00 ner connection - water treatment plant.
c. FAsting residence: $15.50 plumbing permit - (not required if backflow
preventor previously installed) however plan must still be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are complete on a new
service--(engineering department will advise utility billing clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
0•A
,Y55 .00~
66.50+
491•00r
2,211 •50+
31524.00*
'155.00+
66.50+
491.00+
2y211.50+-
3,524.00*
np ?> 0
1991 BUIIt NG POAP ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (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
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.
To Be Used For: single family Valuation: 1 33 17 C7 Date: 4-9-91
Site Address
Lot 6 Block 1
Parcel/Sub Eagan Royale
Owner Julik x Adler
Address 1426 Deerwood Path
City/Zip Code pagan 55122
Phone 688-7209 mobile 868-1864
Contractor Julik & Adler
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
R3 M-' FEES
i
'755 a0
Occupancy Bldg. Perm
t
Zoning ?- Surcharge !
Actual Const V-N Plan Review L41110 o
Allowable y-N SAC, City /0010
# of stories SAC, MWCC ,00
Length 10,10
- Water Conn. 0,0 0
Depth 77
5, Water Meter 9,51 DO
S.F. Total Acct. Deposit rto
Footprint S.F . S/w Permit 0,00
S/W Surcharge ,$'O
On site sewage- Treatment Pl. m Do
On site well Road Unit 3r)0 10D
MWCC System ? Park Ded.
City water _ Trail Ded.
PRV Copies
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. `/- s 4/Y>s
Variance
SUBTOTAL
Penalty
Lot Change
TOTAL -4 5LO
y?'f' Ci i1 agrees that all work shall be done in accordance with
(Signature of ractor)
C/
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
10
Cai?
7?Q? i5? ??5?v
<,m T
?Zo
/.3
IZ?IL- !y
? y ?- y
10x' xly= I5?3c?
t uel ? x 53 = ?e n 35"
-Z ?i- ? o rz
?5 ?3r? = `75O
I = Li
33
1 2 '1? .53' U4
??Zol v? l33rUO?
SURVEYOR'S CERTIFICATE
1001. S 3p
1001.4
,
n 0)(
~ hVV6
MtD h^j O
N M ?O
rc BEN CH MARK
TOP 0 a .F IRON
ELE 1002-01
t7)
10\
\y
\ A
O
L'0 O ZI
F pN = t
L F
vy0 ?
?9?OJ e \
NOTE: BUILDING DIMENSIONS SHOWN ARE
FOR HORIZONTAL 6 VERTICAL LOC-
ATION OF STRUCTURE ONLY. SEE
ARCHITECTUAL PLANS FOR BUILDING
9 FOUNDATION DIMENSIONS.
O 9?
10.6 ?°j u `l A
ENGINEERING D: F
E?'sGAA1
NOTE) NO SPECFIC SOILS INVESTIGATION HAS.BEEN COMPLETE
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS
?- DENOTES PROPOSED SURFACE DRAINAGE NOT THE RESPONSIBILITY OF THE SURVEYOR.
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 1Oo5. t FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9f?. r FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- loos(, FEET
WE HEREBY CERTIFY TO JUL IK 8 ADLER CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 61 BLOCK I 1 EAGAN ROYALEIACCORDING TO THE RECORDED
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 ST H DAY OF APR I L 199.1.
SIGNE(r-QMES R. HILL, INC.
PROPOSED GRADES SHOWN WERE TAKEN
FROM THE DEVELOPMENT PLAN FOR
EAGAN ROYALE,PREPARED BY PIONEER
ENG.,, LAST DATED 10- 3- 89
S
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
? A p Hill
inc
.
James R
21 o c ,
.
H L u
o
' m
' - >
rn z
PLANNERS / ENGINEERS / SURVEYORS
71 0 ? ?,
{ {
2500 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 • 612-890-6D44
N?\
\ '0
0
\' a N ?
\ °s w?
\ p NTc
\ `qO
i 998.7
\OtP
N 76o 08oI6" W
a C99Z.0)
46.45
?6 a NWl
992 0
nie
93.6 I HWL 994
o ,2
maw PLNEVEL.
w
j Q Ul I 6 99):
0 ?a = W
J 0a
a4V
00 110023 Y p
0 10'
? Yl
,Ps
01
ti r
Ib )
JULIK 8 ADLER CONST.
I0011 EXIST. HOUSE
1996.8
176./s
CiK if f"A.l J.
%
?• EXTERIOR•ENVELOPE AVERAGE "U" COMPUTATION
" z",'(TO be submitted with building permit application)
One or two family.dwelling Owner,'
All other
Site Address LAS ?Tk@CG
Contractor ,1 u1 llL. 'h ky,L ^, Date 2 Phone
l
LINEAL FT. OF ,y
EXPOSED WALL +_+_+_+_+_+_+ + above grade .?ZU lip. ft.
TOTAL EXPOSED WALL AREA
OPAQUE WALL CONSTRUCTION: "U" value x area
"U" x sq. ft. ° (U) (A)
So kc PA "U" ,02g: x sq. ft. 2 • oy ° 17, 1, r' (U) (A)
"U" V^Y x eq., ft. 281. y[j °(u) ;;,(A)
Detail reference
LOL)
{
from "U.. ,oyL x sq. ft. 2N7.b ?? _ (U)' (A)
attached sheets JL "U"_L3 x sq. ft. 122 42 ° " ?,;vx,_ _ ;(U)," (A)
"U" x sq. ft. (U) (A) .. .
"U" x sq. ft. ° (U) (A) .
WINDOWS: "U". value x area
Make & type "U" x sq. ft. ° (U) (A)
is " iwDeujS anb S "U" x sq. ft._39d,7! = 2 '(U) (A)
„ . " TG E Dus I- n krs "U'x sq: ft. ° (U) '(A)
" " "U" x sq. ft. ° (U) ,(A)
DOORS: "U" value x area
Make•& type "U" x sq. ft. _ (U) (A)
IS TP?? na "U" X07 x sq. ft. 3?-77 (U) (A)
" n null x sq. ft. ° (U) A)
" .. ALS1.3ZSq. ft. (U) (A)
TOTAL (U)(A) VALUES
DIVIDED BY TOTAL WALL AREA 3295'/ i D ?yG.?"U"
f
Avg. "U" Value, State Code
ROOF/CEILING:
TOTAL AREA: 1 3 IkQ 0 sq. ft.
Detail reference "U" x sq. ft. _ (U) (A)
from ?ltust ?vs?t U.. ?L ! x sq. ft.°_ L (U) (A)
attached sheets. En ' "U" .L
7- JGS ?tioj 0rt L x sq. 1ST 3 Sr' (U)
ft. 46.13 = (A)
Describe openings ,
"U" x sq. _
ft. _ (U) (A)'
in roof "U" x sq. ft. _ (U)' (A)"-*
TOTALS 1310,0, Sq. ft. V1. ok/ _ (U (A)
TOTAL (U)(A) VALUES f) ??, A G. "U"
-1"
DIVIDED BY TOTAL ROOF/ 13) go kAvgg. f(I L;
CEILING AREA 'U"%" Value, State Code, Vented
, : 0" Value, State Code, Unvented
MINNESOTA ENERGY CODE MAXIMUM THIS BUILDING ESTIMATED
I! /
BTU LOSS THIS BUILDING BTU LOSS ,
S?
RHO ')'LJ SQs FT. OPAQUE WALL @.4 ° lof l ?•!
O O SQ. FT. CEILING u26- 3ly o: H 140.!t
SQ. FT. UNVENT CLG. @.10
TOTAL BTU LASS/HR./SQ. FT./
DEGREE OF TEMP-DIFFERENTIAL
7?Q?C d .
HI3ME DESIGN
FLAN SERVICE
,P
f` WALL SECTIONS
NOTE: Use 108 of opaque wall area for
frame construction
BASIC
'PALL
FIG, #1 TOPWIEW OF
FRANS WALL
'lull = 1 =?? U = 1 = -
I d,
Hull = 1 =,.? ??Tl?. = 1 =
2.ZS(. V
0.17 1
0
0.17 1
FOUNDATION
MALL i
U.. , = Z3 99?Z U„ = 1 =
1. Interior air film 0.68 0:68
2. c
?+J ` 1 2
3. 17
our vit)V1
4.
5.
6. Exterior air film 0.17 0.17
Total l
f,Up = 1 = 16 ..U.. = 1
SLAB ON GRADE
o
•- n
NOTE: Indicate type, "R" value, depth and
placement of insulation.
-U., = 1
R
Construction
1. Interior
2.
'I, "inch;4
3.
4.
5.
6. Exterior
S
ROOF/CEILING
4?
I (1 f
A - _n 3 4
W v
Heat Flow Up
FIG. # 7
v Vented
3
Construction R-Value
1. interior air film 0.61
z.'rS7L .
3. 1 n_ j LA11 Z_
4. Exterior air film (still) 0.61
. Total
In 1 a nom. a. 1
y57Ff ? 2 -
1. Interior air film 0.61
2.
3. Cord Depth.3 A2rhA/ ?• ??
4.
5. Exterior air film (still) 0.61
Total G:IL
-nU° = 6 ?` a nun = 1 a _
R-Value
1. Interior air film 0.61 0.61
3.
4. Exterior air film (still) 0.61 0.61
. Total
nun a l a N UK a 1. a
1. Inside air film_ 0.61 0.61
NON VF.NTF,D
Herat
Flow Up
FIG. # 8
Heat Flow Up
Vented..
FIG. # 15
FIG. # 16,-. '
4
2.
3.
4.
5. Outside air film 0.17 0.17
Total
nun 1 a .. nUn a l a
NOTE: Use additional sheets if more space is
needed for details and calculations. .
r Wind
A
? CLL •
1 yl
y Areas, Door Li
NOTES Unit Quan
group Sgl=1, mull=2, etc.
UNIT QTY SQ FT/UNIT
lip-
Z- el
Z-
2/. 2.
TOTAL WINDOW SQUARE FEET
"U" Rated @ -jS3
Entry Doors
Doors With Insulated. Glass Figure Glass Area With Windows
Entry Unite With Side Lites List Side Lite Only Separately-Double Door Equals 2 x
QTY
QTY
-2
QTY
.DESCRIPTION UNIT QTY
4Uf4
Side Lites
SQ.FT/UNIT
TOTAL DOOR SQUARE FEET
. Door "U" Rating
DESCRIPTION SQ FT/UNIT
A ()K&-
4A A- r?m,
TOTAL SQUARE FEET
Patio Doors
DESCRIPTION
.(R P&T, i Ph
"U" Rated
i
TOTAL SQ FT
10,00
Side Lite
Rated"
UNIT TY SQ FT /UNIT TOTAL SQ F"
Z Z3 3"? G,6 G
zy.u o Te,d .
TOTAL PATIO DOOR SQUARE FEET
DESCRIPTION
MIAW-0* 981aN
7PLANMERVICC
Nri+M i?T6?
'•5'n- ?a .y ci
5'
To Figure Stud Wall Area
• ZSSg•8'v
'Standard stud wall incl. plate= sq. ft./lin. ft. x lin. ft. wall-/'.',' .? sq. ft. wall
Knee stud wall incl. plates sq. ft./lin. ft. x in. ft. wall-.?sq. ft. wall
Other stud wall incl. plates- sq. ft./lin. ft. x lin. ft, wall- sq. f t. wall
Other stud wall incl. plates= sq. ft./lin. ft. x lin, ft. wall- sq. ft. wall
TOTAL
?v .'y a
Stud And Plate Area
Total sq: ft. stud wall area .including knee wall area -29 ig' `sq. ft.
108 total stud wail areal, JO• Zell sq. ft. stud and plate. This percent allowed by state,
Rim Joist
Lin. ft, rim joist. x , sq. ft./lin. ft. rim joist = Z27,
Osq. ft.. rim joist
Lin. ft. rim joist x sq. ft./lin. ft, rim. joist = _ sq. ft. rim: joist
'
Lin. ft. rim joist x sq. ft./lin. ft. rim joist = sq. ft. rim joist
Exp osed Basement Block
Inches above grade x lin.
.0833 x ft. wall = ft. block
Inches above grade x .0833 x _
lin. ft. wall = sq. ft. block
Inches above grade x .0833 x lin. ft. wall = sq. ft. block
Inches above grade x. .0833 x lin. ft. wall - sq. ft. b14ck
Inches above grade x. .0833 x lin. ft. wall = sq. ft. block
Inches above grade x .0833 x lin. ft. wall - sq. ft. block
Inches above grade x .0833 x lin. ft. wall - sq. ft. block
Net Wall Areas
Total stud wall area rVIA A& Basement block area
(2?6? y
Less windows Plus area well .
Less doors Less windows
Less patio-doors L " Less doors
Less.stu&and plate Less fireplace .
Ceilina Joist or Cord
Number of cords or joists
Number of cords or joists ix94G•r
x length =
length = (2 total lin.
total lin, ft. x .125 = sq, ft.
ft. x .125 = sq. ft.
Number of cords or joists x length = total lin, ft. x .125 = sq. ft.
7(# )L sIZs' q?13
Ceiling Area
Ceiling width x ceiling length = sq. ft. ceiling 13?? aV
Ceiling width x ceiling length = sq. ft. ceiling
Sq. ft, ceiling"QtOo less,sq. ft. cord /3 = LZy?,?j sq. ft.. insulated, ceiling
Sq. ft. ceiling; less sq. ft. cord = sq.,ft. insulated ceiling
1
Less fireplace TOTAL BASEMENT BLOCK AREA
TOTAL
? .,
FIREPLACE - - -
Opening width x opening height (p sq.' .ft. fireplace ° r .+.?. •.
Q r? CITY OF EAGAN
1 1?? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
- C)3A`NS?A3??It;
FOR CITY USE ONLY
PERMIT # 002
RECEIPT # /
DATE: 1511
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST>?_
ADD ON
REPAIR
OWNER NAME:-JUl'l>,'' \Ad\er Lo3kc-vaiunl
SITE ADDRESS: aO2,4 Rr)gc 4 ?\rlie,
LOT: G BLOCK / SUBD. L
INSTALLER:
FLARE HTQ. & A/C. INC.
ADDRESS: 9303 Plymotft Av& N&
CITY: Golden Valley, MN. 55%:
PHONE #: 5LAA_ Lqu
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &.
$15.00
24.00
6.00
3.00
-z c?
50
$33.sb
SIGNATURE OF PERMITTEE
(OMMYtCIALf1VDA5TIL+SLa. 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 #:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
FOR
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # 111290
RECEIPT # C 13,larl
DATE: - 123
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
OWNER NAME: 1 u? r K t gLlY di, .Muck J o
SITE ADDRESS:
LOT: (01 BLOCK L S/U?BD.
INSTALLER:
ADDRESS: 1??J ???J ?//V IUc
CITY: aor'_i ?dFJ 1!N-ZIP:
PHONE #: 751 ^ y.-16 k-
SIGNATURE
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00 .3o
q WATER CLOSET 3.00 00
oC BATH TUB 3.00 6.00
LAVATORY 3.00 i5"vL)
KITCHEN SINK 3.00 3.00
LAUNDRY TRAY 3.00 3 ?'O
_ HOT TUB/SPA 3.00
I WATER HEATER 3.00 •60
FLOOR DRAIN 3.00 3,00
GAS PIPING OUT.
/ (MINIMUM - 1) 3.00 jAe
ROUGH OPENINGS 1.50 N.SO
_ OTHER. _
/ WATER SOFTENER 5.00 r oo
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S S--7,.O
ST. SURCHARGE .50
TOTAL: S , 6o
Pr0`t4fE"IAL/"p?tSTAAI 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:
CITY OF EAGAN
FEES
18 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)
Cities Digital Quality Control
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available image from the original page.
Every effort was made to capture the content
from the original page.
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.t BAR ...
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.. i.a:_. v .?, ,,p?
y
1999 BUILDING
Now construction Raguiremenh
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
RamodeVReoair Ragulremenla
? 3 registered site surveys showing sq. R of lot, sq. R of house
and all roofed areas f20% maximum lot coverage allowed)
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
D 1 set of energy calculations
D 3 copies of Use preservation plane IF lot platted after 711193
DATE: /1/2 Ati ?
DESCRIPTION OF WORK:
STREET ADDRESS: c
LOT: BLOCK:
2 copies of plan
1 set of energy calculatlons for heated additions
1 she survey for exterior additions a decks
CONSTRUCTION COST: z 7 -UD
Name: zwl,/ 15wr Phone #:
PROPERTY Last FIM
OWNER
Street Address: 4
City Z?2? State: Zip:
Company: Phone#:
(area code)
CONTRACTOR
Street Address:
„ ?//??7 License# Exp. 3/ ?O
City ? ,?/Od?1Z State: i</ zip: ?S3y/
ARCHITECTI
ENGINEER Company:
Telephone #: ( )
Street Address:
City State:
Sewer & water licensed plumber (new construction onlvl:
Renalty applies when address change and lot change is requested once permit Is Issued.
Name:
Registration #:
Zip:
p hereby acknowledge that 1 have read this application, state that the informdgon is correct, and agree to comply wtih all applicable State of Minnesota Statutes and Cft
Wt Eagan Ordinances. '
Signature of Applicant:
OFFICE USE 04Y
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required 2 4 +Cn'r'
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-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
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 I, 'J
Surcharge f.BO
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: g? , Cab
Valuation: 119, ®D. Bfl
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116785
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 2021 Royale Dr
Lot:6 Block: 1 Addition: Eagan Royale
PID:10-22475-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
William Krech
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dwight L Martell
2021 Royale Dr
Eagan MN 55122
(612) 240-9709
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149578
Date Issued:05/30/2018
Permit Category:ePermit
Site Address: 2021 Royale Dr
Lot:6 Block: 1 Addition: Eagan Royale
PID:10-22475-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dwight L Martell
2021 Royale Dr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature