2029 Royale Dr-.CIT OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
'01 ,9 Rf)YAI I
t AfiAM Ri)YA1 I
PERMIT SUBTYPE:
I i f.
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
(612) 894 6884
TYPE OF WORK:
ItO I I 11 tN1
H H 1 _-} F) F% .
1 ,./2A JQ2
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FZUAARYK .. - RFU P IV 1 0 ; E. W 1) 1 11"HI R b(t tl 1118A
Permit No. Permit Holder Date Telephone A
S/W
PLUMBING /
HVAC C to - Q??
ELECTRIC ? U Tau- WW ?5 O-9
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation r?
Framing 2/?
Roofing
Rough Plbg.
Rough Htg. j
Isul. 3
Fireplace
Final H tg• ???.? Q c?c !h H
Orsat Test f ?3
Final Plbg.
7J
Q? Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final 5 1643
Deck Fig.
Deck Final
Well
Pr. Disp.
Sri,,' 6?,7r3o--O ;dS 3 Awl "Cl
v
. _qW
?j..:ice
t: I
Wemficate of cccuvanc4
Witq of Waguu
wtowtumt 44 SUMNS 384M*"
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
SF DWG/GAB 1955
use Classification Bldg rriv+ No
n
PETERSON ER [`ORP 12 i . , V1LLE
Owner of Building Aden= L!, B2, EAGAN ROME
Building // Locality
C 2 -
-- 4 Date:
Official
POST IN A CONSPICUOUS PLACE
1
4
?
a
?
Request Date'
2-1-93 Fire N67 Rough-in Inspectio
equired?
RZ
? Ready Now ill Notity Inspector
l s Ci No When Ready?
I, icensed contractor O owner hereby request inspection of above electrical work at:
JW Address (Street Box or Route No.) City
2029 Royal Dr. Eagan
Section No. Township Name or No. Range No. County
Dakota
Occupam (PRINT) Phone No.
Peterson Huber Corporation 8946084
Power Supplier Address
Dakota Electric Farmington
Etectopal Contractor (Company Name) Contractors License No.
Approved Electric Co. CA00181
Mailing Address IContraotor or Owner Making installation)
12425 Danbury Way, Rosemount, Mn. 55068
AuO0ri2ed 9 lure ICOntraclor/ ner Mak Installation) Phone Numder
e _ 423-4138
MINNESOTA STATE BOARD OF KECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S473 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCLOSED.
?1/a/9? REQUEST FOR ELECTRICAL INSPECTION e'ei =1 EB-00001-0a
_ / I See instructions for completing Mis form on pack of yellow copy. ?Q
L , 15 4 01 "X" Below?Work Covered by This Request N
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Co mpute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circus/Feeders Fee
Swimming Pool 0 to 200 Amps ae G 0 to 100 Amps v0°
Transformers Above 200 _ Amps Above 100._ Amps
Signs Inspectors Use Only: OTAL
Irrigation Booms . ?? S`o
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
/
Fine, Dete `,pr 4
0 D
Data
OFFICE USE ONLY
This request void to months from
OU nHEATING TEST RECORD
ADDRESS DI??Kf? APT.-FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT GA - FA HW -STEAM
-INSTALLED BY 4 v? //?? L
_Gas I By ?K7?1L
SPACE HTR. UNIT HTR. -OTHER
GAS D SIGN CONVERSI N
MAKE 6 V. MAKE OF BURNER
del
M Model
o
S
l BTU Rating
Max
eria .
MAKE OF FURNACE
INPUT
Model
CONTROLS /' <<
*--^
THERMOSTAT 14 H
l
Vent Size O
ug
at6
Volvo KIND OF LIN _ SIZE. E
Limit 0% dr-0 Draft Hood 1 Regulator n
it Settin
Li Filters Size No ber.
g
m
Fan Setting Chimney Location Inside
Outside
Pilot Type kL
Chimney Construction - ?
?
lL
Pilot Make
d
Pil
M
l Smoke Bomb Wiring
e
ot
o
v
q ?
d'ii V,f
i
Pil
Ti Draft Tesf Tap
ot
m
ng
L.W. Cut Off Door Pressure L' ht no Inst.
?7 V_
? 333((( ??, ??_
Percent C0
P Date Tested - _
`?
-
ressure-
2
t CFH?Percent 0
I Company Testing
npu
2
Percent CO 666
3
0
S
k T Name of Tester
Zraaln, 7
T
emp. -
60
tac
-
DATE HTG. INST
Farm 235
Is
4 HOUJS5E HEATING TEST RECORD
ADDRESS 9/% tin k t" /I1/" 11 AFT. -FLOOR _
OCCUPANT -
HEAT LOSS -
SOLD BY
Electrical Work By
TYPE OF HEAT GA - FA _HW STEAM
3Qll?
CITY SUBURB
-INSTALLED BY UOL-It K I& it
L
-Gas Line By LA, rL
SPACE HTR. -UNIT HTR. OTHER
Mo( LDESEN CONVERSION
MAKE A {.? jjjj MAKE OF BURNER
Model Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model /1
CONTROLS °1
THERMOSTAT HeaS Plp Vent Size
Valve 40 ?J KIND OF LINER SIZE N 19 - Limit Draft Hood Rpulawr
Limit Setting Filters Size Nu sr
Fan Setting k Chimney Location Inside PLC, uJet. - side
Pilot Type Chimney Construction w ( J•S /J
Pilot Make
Pilot Model Smoke Bomb ,?rr Wiring
Pilot Timing Draft (4t?= Test Tag
L.W. Cut Off Door Pressure Li Irtinng Inst.
Pressure Percent C02 Date Tested ? ` p 6. " ~ -
Input CFHPercent 02? Company Testing
Stock Temp. 20 Percent CO Name of Tester
j 6F
DATE HTG. INST
Form 235
Address 2029 ROYALE DR Zip 5512_
Lot; Blk 2 Sub EAGAN ROYALE
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: S
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch ?
Easement finish
Deck
Please verify with the builder the removal of roof lest caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
7I 3A
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
), -. ?; IS V
Date- 1 1 0
?
Rc Unit #
Site Street Address
0 -) C
l
l1
h1
y(J
Owner 10?U 4/t S S ? D Telephone # (ei/) J
ert
Pro
y
p
651-365-1340
Contractor 3670 tlodd Rd. #100 Telephone # ( )
State Zip
Address City
, /
t V Licensed Plumbing Contractor
The Applicant is: _ Owner & Occupan
New Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing repairs are made to a building.
Alterations to existing dwelling $ 50.00
Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
/
V
Water Heater
Water Softener $ 15.00
_
_
/
replacement
_ new
_ Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
LE 1i 1V EE Fr
State Surcharge LLI $ .50
$
?
Total -
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required t be reviewed and approved.
Applicant'srinted Name Applican's igna ure IUn?v
f? ?
r
W'-D 13
o
0 ulY 0
e3 0
FYb 0 0
0 ®' 0
0 V D
0
1 ED
LOT SURVEY CRECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
UMENT STANDARDS
Registered Land Surveyor signature and company
• Building Permit Applicant
Legal description
• Address
North arrow and bar scale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
• Directional drainage arrows with slope/gradient ?.
• Proposed/existing sewer and water services
Street name
Driveway
ELEVATIONS
Eaistiaa
• Sewer service
?
V? [I
El
Lot corners
T
V op of curb at the driveway
O ? Elevations of any existing adjacent homes
Pro»osed
Hr?
- 0 Garage floor
a
0
V 0 0 First floor
Ir D ?
D Lowest exposed elevation (walkout/window)
P
D 0
0 roperty corners
Front and rear of home at the foundation
PONDINO AREAS (if abD??nahlal
entry,
? 0?- ?
0
? Easement line
0
0
0 NWL
0 HWL
0
Y D Pond # designation
O
? ? Emergency Overflow Elevation
? ? DIMENSIONS
Lot lines
B? 0 D
0 ? Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks
,
overhangs greater than 21, porches, etc. (i.e. all
fly 0 ? structures requiring permanent footings)
Show all easements of record and any City utilities within
0' 0 D those easements
Setbacks of proposed struct a and setback of adjacent
0 O'? 0 existing homes
Retaining wall r n if any
Reviewed:...
October
1992 Name / Date
Date of survey:/ ?,f ?g 7
PERMIT
CfT-Y OF EAGAN
PERMIT TYPE:
3830 Pilot Knob Road
B U l !-DIN r
Eagan, Minnesota 55123 Permit Number: 0 019 S S
(612) 681-4675 Date Issued: 12/213/92
SITE ADDRESS:
2029 ROYALE OR
L.OT: 00!01 BLOCK - 0002
EAGAN ROYALE'
P.I.i+l.: 10-2"2A75-01.0--02
DESCRIPTION:
Building Permit Type SF DWG
Building"'W(rk lype NEW
UBC Occupancy R-3 M-1
Construction $ pe V N
Zoning R-1
Branding Length ( 70
Building Width 36
I
REMARKS:
RECEIPT # a ?1J a S & W PLUMBER - NEU PLBG
FEE SUMMARY:
VALUATION $222,000
Base Fee $1,006,50 MISCELLANEOUS ,610.50
Plan ReView $692;3 Total Fee
\ $4,181.23
Surcharge $111.00
SAC $700.r00
SAC o 100
SAC Unite I
Subtotal. 570.73
CONTRACTOR: - Applicant. - ST, LI cOWNER:
PETERSON Ml1HER CORP 1£1946081 000132 1 PETERSON liUBER CORP
12229 WOOD LAKE OR :12229 WOOD LAKE DR
BURNS'VILLE MN 55337 BURNSVILL.E 11N 55337
(612) 894-6084 (612)894-6084
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with alt app licable State of Mn.
Statutes and City of Eagan Ordinances.
*MN?. ?ixo
'ISSUED E ` d 11'U
VY: S NATURE 1\
APPLICANT/PERMITE SIGNATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 0001, BLOCK: 0002
2029 ROYALE DR PETERSON HUBER CORP
EAGAN ROYALE (612) 894-6084
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
001955
1.2/23/92
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS. RECEIPT #
S & iA PLUMBER - NEU PLBG
PERMIT N
REACTIVATE _
1455
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$4,141•x.3
[{) E C i b RECD
-r
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot change is re guested once permit is issued.
Date (2- / IS / q 2-- Valuation of work 000
Site Address:_ 7-07-9 KoyM.E 9) V6 61W71j
STREET SUITE A
Tenant Name: (commercial only)
LOT I BLOCK Z
I I SUED. y??
60? ;i?
!1 "l. P.I.D. N
Description of work:
The applicant is: Owner 181 Contractor O Other (Describe)
Name LE7E125dN fV?A WeNA' 0?,J Phone ?1`1-6Dgy
Property LAST FIRST
Owner Address 1222-9 WM LAO B21VE
STREET STE N
City &\/l we State /Kl`1 Zip SS3-57
Company C' 1-bjW 4WanA--,n OrJ Phone 89 y -6 d & Y
Contractor Addressi17-2-1 w6Wl.A* r Pi&V(5 License # 000) 321 Exp.3 ?? 93
City P7J*W1U.E State MN Zip5S33?
Company7?VMA5 A-• WI'r xMIL A96RIT6-MA1,Pia Phone 3N-Db6S
Architect/
Engineer Name "1TF? NH1TG6Lk- Registration A
1$y02- AVa?r.? Lw2,T
Addresss
,,
City E.) PamA4? State Mt.) zip SSSA4L
Sewer & water licensed plumber Nl u A V. A Ron/b Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
j_
Wl4,
Si
f A
t
li
t
,
M
pp
gna
ure o
can
:
OFFICE USE ONLY
BUILDING PERMIT TYPE '
? Ol
W Foundation ? 06 Duplex ? 11 Apt./Lodging Eri as'eme`nt Finish
02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
W 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Ys_-
(Allowable) V- N 1st F1. sq. ft. City Water ?g
UBC Occupancy R-3 M-I 2nd Fl. sq. ft. PRV Required
Zoning R-1 Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length 10, On-site well Census Code ICI
Depth 36, On-site sewage SAC Code 0
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee wi,mti,,,: g 22- 2, 000 '
Surcharge - -
Plan Review Gn2ACrru' W k ao = 00 -
License 1 2 x 2 2= Z661
MWCC SAC / x j N _
rr
City SAC
Water Conn. _
75o x 140 = 11z
85+?t'T
Water Meter Nis 12yg
Acct. Deposit 1 % IS
S/W Permit 1 2.60K(V= ('76 )
S/W Surcharge foK N
y=
Treatment P1
. ---
Road Unit oS
IST Fwo? 1 tar) X1, 7- la
Park Ded. p
1
z
Trails Ded 2
?
.
Copies
?42?W. Z%
Other I I.to= f°
Total : I"zxz?,?'v = y
SAC % 100 2?0? i3ooxS3, re8?ga?
SAC Units lyr F 13y?
GAR c ?s9., ? _
IbwS= a?ID .
?7
V
DEC-18-11992 14:07 FROM JUSTUS 612 938 0930 TO
EXTERIOR ENVELOPE. AVERAGE "U" COMPi
OWNER Y1/?? SITE ADDRESS `UZ?. P 1,G J, yt:
CONTRACTOR 1.0g v - 'DATT 4
8946630 P.01
AliONE
Oeterone working square f'coti" of each.
.1(
1. Total exposed wall area:...... 7 sq.`ft. x t
7. Total rooflceiling area .....•??6-- Sq ft. x ..'?,.
Total exposed wail area above floor y , ' FJ
a. Total wail window area.................
b. Total door area .......................
c. Total sliding glass door area ....,....
d. Total fireplace wall area ....:.......
..
e. Total wali.framing area (average 10%)..
f. Total net wall:. area above floor ........
..
g. Total rim joist area :.... ..::........
Total-exposed foundation area +
h. Total foundation window area ..........::......... '""
i.`Toai net foundation'area above grade ........,...
Determine "U":.ralue'of each wall segment.
a-......? X "U"
bw,
e
40 .'x "UM`
53 7 X "U"... 09 _
f. 2 ?7 ?V X "'U" t?? s
h. .w X "U„ r'- s
x RU
3 . ....................................Total
If item.#3 is the same as, at less than item #1., y v the intent
of Sac 6006(e)Z.
'DEC-19-1992 14:08 FROM JUSTUS 612 938 0930 TO
?l1LL' ??.C.TII)NS •
TES -use 15% 0 opaque wall.area far .
tramp construction Construction
1.
2.
3.
4.
5.
6. gxterior
TOMEN OF
FAA= WA= 1. Xnt*rior
2.
3.
a. 'PE?a 7,
S.
6. ;Agw' 00
SFE?Ror
pre. #2
000
i.
a.
3.
4.
5.
a
4)
tz=
tJ=
Totdi
rGs 4-.-,54•••
04
1. rior film 0.68
2.
Ce 0- 771=
4,
6. Exterior air film 0.17
• to y)? 7? ?
of. .14-
te , • •
fit
/h ?. I!I
r1d. $a
!tt a I/ t 3
• /L/?/( C {!f G lI! ? 1
NO CE: Indicate type. "R" value, depth and
placement of insulation.
8946630 P.02
R-value
G. N3
• • s
v •
? t
Wet" 1c.-„vCf
• c.DEC-18-1992 14:08 FROM JUSTUS 612 938 0930 TO 8946630 P.03
ROOF/CEILING
? -CosssL•ructfon r, R••vgluo
h 1. Int far air film 0.61 jp,
3 le, 4e
Oil 4. Zg3SKjor a r ftlm •t
Total
` ulel / c. $"
• ? ' ? IV F NS a 'j ? l z
Veaaed ueat.£iaw
up 03
PIG. 6s
,
Interior air film 0.61
2. ZE 7, Cis"
O
4• Exterior air Zt1m i
Total ? -7
• L) oz
FIR P, ?,"R 90, 9 ti 9
Heat flow up ; vented•
FIG. N6' ...
3 ?4....?..u 1. Iuaide air film 0.61
OWN. 2.
??:•.•;:•;;•;•;-. S. Outside ai.r, film
Total
1 2
NON-pPh"T3? Note:' Use additional shouts if toore space i
nec4ad for details and calculations.
• H04C .
flow up
PTT. 07
-------------------------------------------------
•DEC-18-1992 14:09 FROM SUSTUS 612 938 0930 TO
8946630 P.04
.Total exposed roof/ceiling. area ¦. 'a .
j. Total skylight area....
.......... •.•..........., "'~
k, Total roof/ceiling framing area (average lOx).•.
.1 Total net insulated.rocf/flailing area......... •.
Determine "U" value for each roof/tailing se4n'4nht
k, X .y" O.P
010
4 ..................................Total
If total of 04 is the same as, or less than P2, you have met.thm intent of
SBC 6006(c)1.
Alternate Building. Envelope :Design.
To utilize the total envelope.system method, the values established by the
sum of items f3 and !4 shalt not be greater than the sum of Items `fl and 02.
1. + 2
s
+ 4.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mmmP&Rt,
TOTAL:
NEW CONST
ADD ON
REPAIR
N1xA PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE I
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- ---------------------------------------
WORK DESCRIPTION FEES
OWNER NAME:
SITE ADDRESS:
LOT: _/ BLOCK o2 SUBD
INSTALLER:
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
IJ b e OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
ADDRESS: 3260 GORHAM AVE.
ST tOtJ!S PARK. MN 55426
CITY: SALES 929.6767 SER?% 929,4011
PHONE #:
DWELLINGS 6
$15.00
24.00
6.00
3.00
$_SCO
.50
$.31.50
r ? a P jc?rn 1 /(SIGNATURE OF PERMITTEE
'901 /L
V 1 ?- = 3 bUwlvr s cn ?f
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: /zoll(ll?e
COMM1YiC wrlNpUSTR 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:
PHONE #:
FOR:
ZIP:
FEES
1% 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)
CITY OF EAGAN
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00 3 0
WATER CLOSET 3.00 .. l?
BATH TUB 3.00 In, 0D
LAVATORY 3.00 J z . at7
KITCHEN SINK 3.00 3. UD
LAUNDRY TRAY 3.00 3. OD
HOT TUB/SPA
WATER HEATER 3.00
3.00
0
/ FLOOR DRAIN 3.00 1XJ
Z GAS PIPING OUTLET •? - 3.00 3. OD
ROUGH OPENINGS 1.50 .
WATER SOFTENER 5.00
PRIVATE DISP. • DaILCty. fiQ 15.00
U.G. SPRINKLER • home udcr wuL 3.00
ALTERATIONS • co cawing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
SITE ADDRESS: 2029 ROYALE ROAD, EAGAN, MINNESOTA
.50
, D . UD
.OWNER NAME: _ --
INSTALLER: KLAMM MECHANICAL CONTRACTORS, INC.
ADDRESS: 12409 COUNTY ROAD #11
CITY: 13URNSVILLE STATE: MINNESOTA ZIP CODE: 55337
PHONE #: ( 612 ) 890-4868
SIGNATURE OF PERMITTEE
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
PLi7MBING> PERMIT(C011MERCiAL)
r' .
a ?t CITY OF EA`GAN:',
:.: " .. . oo ,FilwT KNOB RD ,. 9
EAGAN MN SS122
(612) 681-467S
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE. $.50 FOR EACH $1,000 OF ':::.a.:..' FEE.
J
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
LOT -L BLOCK A SUBD.
RECEIPT #40,214(0 DATE
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date:
Area/address to be irrigated:
Commercial
Residential (boulevards)
Existing residential
GPM
GPM
Installer: au-Ic A/y_ Owner ? PlumberCC?
Street address: o26 City, state & zip code:e 0?. jr Phone #:
Owner Name???%°° C6lle?
Street address:
City, state & zip code: e e.. /A.- ??lo7sti Phone #: 0?eg 7P76
V
A
Irrigation contractor, if different than installer: ?--
Telephone #: -V
I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Applicant's signature Title
Approved by:
Date:
PRV ? Yes ? No New service ? Yes ? No
Meter Size & Cost
So
Fees due: aU ?? Calculated by:
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit is required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on anew service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
2oog RESIDENTIAL BUILDING PERMIT
Date: Z2- V Site Address: ?l Z ?? J< ??'G'' l ll(J r
Tenant:
RESIDENT/ OWNER I Name: on
Address / City / Zip:.
TYPE OF WORK
CONTRACTOR
?fi,510
I
Applicant is: _ Owner 4- Contractor
Suite #:
A g ??Fl Z2
Cq Vl
Description of work: p l ".i'i?c 0
Construction Cost:
Name:
Address:
City:
Phone:
2 ? 3- , 6l ) Contact Person:
Phone:
Multi-Family Building: (Yes _ / No _)
------------------
?....
j Permit #: I
Permit Fee:
I
Date Received: j
I I
I Staff:
I ------ t -5_L17-09
PLICATION
M "_?l_?
State: P?_ Zip:
AA _r. I. ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
Energy Code _
. Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
Mechanical Contractor:
Sewer & Water Contractor:
I hereby acknowledge that this information is complete and accurate: that the work will be in c
Eagan; that I understand this is not a permit, but only an application for a permit, and work
accordance with the approved plan in the case of work which requires a review and approval of
x c?e- V Es* VO X_ I
Applicant's Printed Name ,Applic nl
Phone:
Phone:
Phone:
3nce with the ordinances and codes of the City of
to start' without a permit; that the work will be in
Page 1 of 3
MAY 2 2 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
_ New
Addition
Alteration
_ Replace
Retaining Wall
Valuation
Plan Review
(25%100%
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace _ Porch (3-Season) _ Storm Damage
_ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
Interior Improvement _ Siding _ Demolish Building`
_ Move Building _ Reroof _ Demolish Interior
Fire Repair Windows _ Demolish Foundation
Repair _ Egress Window _ Water Damage
'Demolition of entire building - give PCA handout to applicant
J Occupancy rn,L 4.- MCES System
Code Edition JJ7 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
_ Roof: -Ice & Water -Final
_ Framing
Fireplace: _Rough In Air Test -Final
_ Insulation
Meter Size:
Sheetrock
_ Final 1 C.O. Required
Final I No C.O. Required
HVAC
_ Other:
_ Pool: -Footings -Air/Gas Tests -Final
Siding: -Stucco Lath -Stone Lath -Brick
Windows
Retaining Wall
Erosion Control
Reviewed By: T L. Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
0uc
0U t7
Page 2 of 3
SURVEY PREPARED FUR :
PETERSOlN - HUBER
12229 WOOD LAKE DRIVE
BURNSVILLE, MN. 55337
C??p? ?C
Valley Surveying Co., PA.
SUITE 120-C , 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE, MINNESOTA 55372
TELEPHONE (612) 447-2570
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urfUtY A DRAINAGE ElN,r
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DESCRIPTION:
Bo
Lot 1, Block 2, EAGAN ROYALE, Dakota County, Minnesota. Also showing the
location of the proposed house as staked this 15th day of December, 1992.
NOTES'
Benchmark Elevation: 998.90 Top of the rim of sanitary manhole at
centerline oenterline Royal Dr. & Safari Tr.
997.2 Denotes existing grade elevation
x
1002.9 Denotes proposed finished grade elevations
- Denotes proposed direotion of finished drainage by
Set the garage slab at elevation 1003.37
Set the top of block at elevation 1003.70
0 The basement floor is at_elevatioh 00.03
SCALE ?IN FEET
nonndrmnt so and marInch ked Ibyn
License No. 10183
1
• Denotes (Ion monument fatew
-S Denotes K. Nail set
M"N
DEPT
1 Hereby 6eMify that We survey Was prepared
by me or under Illy ~ supervision and Mat
I am a duly tlcensed Land Surveyor under the
A1WS of the State o1 Mlm»,ara,
l
Azle,
Date License No. 10183
FILE Na ?SOS BOOK .194 PAGE 32
M. EL.
two-09 e
two, or
SURVEY-PR&ARED FOP
PETERSON - HUBER
1,2229 WOOD LAKE DRIVE
BURNSVILLE v MN. 88337
Valley Surveying C6., PA.
SUITE 120-C 16670,FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE , MINNESOTA . 88372
TELEPHONE (612) 447 - 2870
S99e4Br46''E
rs
4•
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fi
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ag 3m f
If9w.
f }t Be- ?dl r r i 1
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INV.8te.80 ?
ROYAL E
DR/VJt
y
DtsdipTioN s
Lot 10 Block 2, EAGAN AOYALE, Ddkota County' Miniesota. Also shoitiiig the
location of the proposed house as staked this 15th day of December, 1992.
1
NOTES'
Benchmark Elevation: 999.90 Top a ''thd`rim of'sanitory manhole at
centerline eenierline Royal Dr. & Safari Tr.
997.2 Denotes existing grade'dle*dtion.:
1002.9 Denotes proposed finished grade elevation
+- Denotes proposed dirudtiari elf finished drainage f
Set the garage sigh at el"tltoi 1603.37
JAINa
Set the top of block at elevation 1063.70
DEPT
The basement floor is at elevation 4198.03
0 30 80 by nie c? wldw wY dkwt supwrleion aM Nw?
1 mn a dun Acensad Land Swvaj?or wWw the
SCALE IN FEET Am of Me state of fiianeeota?
/? ' sr ,rte I
mmurnneent l et ? and. o ked by
License No. 10183
• Denotes iron Ieonu 0 ftwd
m Denotes P K. "di $N
Dofe
r 9'80 6 t
Ac µ .;... VJ r
41
I _a
F
.; .,
O iow M3r,
.? .
RtM 89e-da
...,
Y . INV. 878-W
Q
License Mo. 10183
FILE No -,78Al--. BOOK
looo.et
1 ea
. ? MOE 32
A.
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2029 Royale Dr
Lot: 1 Block: 2 Addition: Eagan Royale
PID:10- 22475- 010 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
If there is no ice protection inspec
acceptable in lieu of inspections.
Permit expired without required inspections
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Letter sent 2/17/2009 CE
Owner:
Anthony J Distasio
2029 Royale Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA081629
01/08/2008
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature