Loading...
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 The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,;v& k is ??>, ux?' «z,: , w e,.p K.'.y.4 - gip.:;,, .t BAR ... _?.. '(jl.. ?? .. .. 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