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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 l7 i -- t S 89 s48' 46'i E KID/,j -"" 7„V 1? '? Y9-01-7 '7C/ :, toae.a _ 143. 92 toorzl urfUtY A DRAINAGE ElN,r 1 e? i to i I tl, In . a 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• °o /ra fi 1I I to W cJ ag 3m f If9w. f }t Be- ?dl r r i 1 2 t e I?^ - `o+..6" ., e,: , wR rdb+i L',! Inv W d /J i 0444 hit f?/ Mill '?M:O I" ' MoNfa Ykta M '?r r ? ? ?... h . toot --,N b? L t !04.91 wy .NV O RIM eee.49' ' . 896.e7 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. ?i 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