2037 Royale Dr3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-tit
Date---jam)-1 q
Tenant w'�lt..X.
Use BLUE or BLACK Mk
Permits: 0 9 S4/ 9
Permit Fee:
Date Received: S - I f -f v
,5-50°
Stott
�
�L
2010 MECHANICAL PERMIT APPLICATION
Site Address: 20-7 RCII,ICLiec DY
RESIDENT 1 OWNER
CONTRACTOR
Suite*:
J
Name. awlL � tt G •) .i•0
Address: X2-7— UJ . "-61
State: Zip:� r
Conta « .' D%1 I* _11
Phone: (LJ"✓1
Email:
TYPE OF WORK
„r_ New Replacement Additional
Description of work:
Alteration Demolition
a
PERMIT TYPE
RESIDENTIAL
_ FumaCe
Air Conditioner
*Exchanger
Heat Pump
Other
COMMERCIAL.
New Construction interior improvement
Install Piping Processed
-Gas ,_,_ Exterior HVAC Unit
_ Under / Above ground Tank L. lnstaq / _ ; Remove)
When irsztatiing/removing tank(s), call for inspection by Fire
Marshal and Plumbing inspector
RESIDENTIAL FEES:
555.00 Minimum Add-on or alteration to an existing unit (Includes $5.00 State Surcharge) Do
$95.00 Fire repair (replace burned out appliances, duaworlc, etc.) (includes 65.00 State Surcharge) '; $ TOTAL. FEE
COMMERCIAL FEES:
555.00 Underground � tl (includes State S r ) lie $ x 9rNi
855.00 lfllinitft
oN vai OR Contract Value
s $ Permit Fee
- If the Permit fag is less than $10,010, surcharge Is $ 5.00
- if the Petmit Egg is s $10,010, surcharge intoasea by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,010-$11,010 Penult Fee -requites a4 5.50 surcharge)
TOTAL FEE
CALL BEORE YOU I HG. Can Gopher State One Call et gal) 414-0002 for protection against underground utility damage. Can 48 hours
before you Intend to dig to receive locates of umdsrground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this inionnaton 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 permnit, and work Is not to start without a .permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of p
_ Rough in _ I
'=xtenor HVAC Screenirtglr
APO=
CITY•OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1. 0 1
irYAl 1 14
PERMIT SUBTYPE:
0003 HCOCK . APPLICANT:
TYPE OF WORK:
141111 111 HO
(4,10 ' 141
A i /;' I /" i
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE .•
!: !?I r+ I I rirl I ( HA
RF-NARVSs Rf:t f tf f • --S $ W RLRi? - R C Pint
F
Permit No. Permit Holder Date Telephone i
S/W
PLUMBING i8 ??' /??? o7D?(P
HVAC
ELECTRIC
ELECTRIC
inspection Date Insp. Comments
Footings 1 Z 2
Foundation
3 - ocae4-0 4.40-L
Framing
Roofing
Rough Plbg. I.
%
0 I L?r
Rough Htg- 4
/
! 7 3-7 9-
Isul. /
F31,02
&X '
r ?VV l wk- 3 23 - D
Fireplace Z lG 5 j -i - %?
Final Htg.
Orsat Test
Final PIhg. Plbg. Inspector - Notify Plumber
Cont. Meter
EngrJPlan
Bldg. Final I !
Deck Fig.
Deck Flnal
Well
Pr. Disp.
P
1& 4. 4-,&- 'M -6
Wertificate of Cccupanc4
COO) of Wagan
text of Vuiftixg awijp?
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:
Use Classification: SF DC Bldg. Penn No. 201241
OC-P-cy Type Zoning District RI Type Const. VN
SOW (xI 4600 FAIRWAY MIS MM, FAGM
Owner of Building Address
2.3, W= 1JKLVK M, 132, B ' Address Locality
04/14/Qa
Date:
i Building Ofrtclat
POST IN A CONSPICUOUS PLACE
Address 2037 pufx : DRIVE Zip 5512 2
Lot 4 BIk 2 Sub EAGAN ROYAIE
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 J
Sod/Seeded grass
TraiVcurb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
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
K 5 5 0
5-
6
R Guest Date
1/ 22/9 3 Fre No. h-in Inspection
R o,:1
1
? Ready Nov, f)Will Nol Insee?r
g
$'i Yes G No
4 )-p
1R) licensed contractor ? owner hereby request inspection of above electrica or
Job Address (Street. Box or Route No.) City
2037 Royale Dr. Eag
Section No. Township Name or No. Range No. Coun
Dako a
Occupant PRINT) Phone
Sons Construction Co. 431-475
Power Supplier Address
Dakota Electric 4300 220th St. W., Farmington
Elecmcal Do arivor (Company Name) Contractors License No.
Joos Electric Co. AM01895
Mailing Address (Contractor or Owner Making Installation)
2104 Great Oaks Drive, Burnsville, MN 55337
Authorized Signature IConlractorl carer Making Phone N 3 t- 4755
MINNESOTA STATE BOARD OF ELECTRICITY / / Vr THIS INSPECTION REQUEST WILL NOT
Orlgge-/Aldway Bldg. - Room S473 BE ACCEPTED BY THE STATE BOARD
1621 Unlveralty Ave.. St. Paul. MN 56IN UNLESS PROPER INSPECTION FEE IS
Phone (612) 60240606 ENCLOSED.
55006 REQUEST FOR ELECTRICAL INSPECTION = °A1 §??q. ///Ee-ooooto-oe
K jo See mir uctons toy ompleting this form on back of yellow copy.
'??
"X" Below Work Covered by This Request
ew 0 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)) Contractor's Remarks: ,
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee #
!
i Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps fj oto 700 Amps
Transformers Above 200 _ Amps Above 10 Amps
Signs Inspectere Use Only: -
f!' TOTAL
Irrigation Booms !
1
3' $65.50
Special Inspection t-?/AL 9
.OV 4" 17-7
Alarm/Communication THIS INSTALLATION MAY BE ORDERED 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
Finel Date_,;,
3
Date
? 1 ?y
OFFICE USE ONLY
This request void 18 months from
PERMIT
CITY'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: @ 2 @ 2 41
(612) 681-4675 Date Issued: 01 (2 1 / 3 3
SITE ADDRESS:
P.I,N. s 10-22475-0,:30--02
DESCRIPTION:
20;37 ROYALE DR
LOTS 0@03 BLOCKo Ot)02
EAGAN ROYALE:
Ouiid 'mg Permit Type.
8uiid1In Work Type,
UBC bcr,r panc-y
Construction l'ype
Zoning
Building Length <.
Build r)g Width
6u Iall ng stories,
F OWG
N F.W
R-3 M-1
V--N
R-I
62
44
2
?T1;l ;,
REMARKS
RECEIPT- ,N OR 000875
FEE SUMMARY-
t3Pse Fee
Plan ReVJ-ew
Surnha rge
SAC
SAC
SAC Unite
Butz LotaI
& I,d PLB3? - ft (-' PL13G
VALUATIDN
$874'00
$75@.@@
1@@
L
$2, 2775..60
$167,@@@
MIBC;ELl.ANE0US -....._.-;'`1l 744.5E)
t .l t"c 1. f- =.n
CONTRACTOR: - Appl.iuant - ST. L mOWNER:
SONS CON ST 145215355 +r9002628 SONS CONST
1091 TIFFANY OR =16@@ FAIRWAY HILLS OR
IrIN 551?2
E.AOAN NN 55123 E A A A N
(6137 452-5355 161.2 j 4`r, 2--5355
I hereby acknowledge that S have read this application and state that the
information It correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances,
UJ ?
va? ANIQ 4s, 111 U6?
APPLIC NT/PERMITEE SIGNATURE ISSUED Y: IGNA U
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LO"! 0003 BL.OCK? 0+002
2037 ROYALE OR SONS CONST
FAfiAN ROYALE (612) 452-5355
PERMIT SUBTYPE:
SF UWG
TYPE OF WORK:
NEW
FUIL0ENG
02024.1,
0.1/2.1/93
INSPECTION TYPE
FOOTING .DATE INSPTF3. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FTREPL.ACE
REMARKS: RECEIPT S
5 & W PLBR - R C PLBG
REACTIVATE _
PERMIT # -
11)2.41
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
.JAM 1 i R€G9
ow d 1-0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date _ ° 1l / -_ / Valuation of work f ° `<
Site Address: z 0`?7 12&/4/ ?71T
STREET SUITE #
Tenant Name: (commercial only).
LOT 3 BLOCK SUED. hv, P.I.D. S
Description of work:
The applicant is: ? Owner M Contractor ? Other (Describe)
Name Su7s Eo,?ST Phone
Property LAST FIRST
Owner Address `r? 1'/tln ` / fl. cC ( v,?
STREET STE #
City un State Zip > >12 z
Company sa yi S L??h s T Phone gQ-5_3
Contractor ??o cL( License #) (&O? Exp.
Address
r
City C 4 ?y State Zip ) lz '1-
?
11
Company Gac s? L Phone
Architect/ y,
L
Engineer e? Registration #
Name
Address r-Ali Zu•4Y /;l,Ct
City 5 ?H State D;7 Zip
Sewer & water licensed plumber I? C pLwk, /s144 Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apppplication and state that the information is
correct and agree to colry ly it 11 ap icable State of Minnesota Statutes and City of
Eagan Ordinances. Ip'{?
?
?
?.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
(M 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
WORK TYPE
ee 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt /Lodging tb6`Ba3emeritt Finish
? 12 Multi. Misc. fJ l nAm' Pool
? 13 Garage/Accesso ry ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) Basement sq. ft. (o -7? 14WCC System
(Allowable) 4- 1st F1. sq. ft. ram City Water
UBC boccupancy ( 2nd F1. sq. ft.. ? PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ?y On-site well Census Code
Depth y?•? On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
0 Site
? Wallboard
J3 Footing
A Final
,M Framing
? Draintile
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
VaLmtim: $ 166 400
7077
nsulation
Fireplace
iG-aaw
?13? r7? tti
c,.' ooh. ? l ? ? G
4* *
PIONEEN LA
* engineering
Certificate of Survey for:
House Address
P. 0 1
2422 Enterprise Drive
Mendota Heights, MN 55120
[S25 2) 681-1914aFax 681-9488
Clht. ENGNEER3
NDSCAPE ARCHITECTS Highway 10 Northeast
ne. MN 55434
) 783-11880-Fox 783-1863
ms Construction Inc(
2037 R6ale Drive En[ an. MN.
Nv89*48146" W
130.00
n
_ - __--- .---
a1.a
10.0
tea q0.
1
S'.
f
1 '1
605;
GARAGE
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1opr,.a
i
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3
qq ? o
W V`
I 1C
C) En
rn
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, K,U D
kL?
ot34?y
kAUAW
?-REVIEWID
Isv
--
?' R = r? -
0 9
V0
I?
i
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l
1
I
? i
ggkN?T J5,3g• E 1i.60l
ggQ.1
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17.0005CO HOr?561t?' 50?? 10.0 l
pRa ? gr.SE '"°r N I
I t2
i l
y
0
?0 -
Gard
f
ING DEPT
g°o.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION
„ ooo3 Denotes Proposed Elevation Lowest Floor Elevation: 988.65
Denotes Drainage & Utility Easement Top of Block Elevotlon:996.76
Denotes Drainage Flow Direction Garage Slab Elevation: .996.43
-? Denotes Monument
-9 Denotes Offset Hub Bearings shown are assumed
LOT 3 BLOCK 2 ' EAGAN ROYALE
DAKOTA COUNTY. MINNESOTA
hereby cerWy that this survey, olan or report was prepared bV mg or under my direct suoervislan and that 13m duly Registered Land Surveyor
under the laws of the Stale of Minnesota. Dared this x'(1-1 dsy of J A . _ A.D. 1 /J J
S C 0 1 e. 1 inCPL= -12 / ROBERT e.
LOT BIIRVEY CEECRLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Z
Date of survey: _f
DOC NT STANDARDS
9r 0
13
W 0
13 Registered Land Surveyor signature and company
Building Permit Applicant
0
Q? 0 0
0 Legal description
Address
0 0 North arrow and bar scale
Cr 0 0 House type (rambler, walkout, split w/o, split
0
0 lookout, etc.)
Directional drainage arrows with slope/gradient 4.
B 0
B' 0 0
0 Proposed/existing sewer and water services
VO
0 street name
i
Dr
veway
ELEVATIONS
Existing
0 e 0 Sewer service
e 0 0 Lot corners
EC 0
V 0 Top of curb at the driveway
0 0 Elevations of any existing adjacent homes
Proposed
0
^ 0 Garage floor
0
0 0 First floor
Lr/ 0 0 Lowest exposed elevation (walkout/window)
p0/0 0 Property corners
II 0 0 Front and rear of home at the foundation
PONDING AREAS (if gRplic ble)
0 13" 0 Easement line
0 0 0 NWL
0 0 HWL
0 0/ 0 Pond A designation
0 0 0 Emergency Overflow Elevation
entry,
DIMENSIONS
0% 0 Lot lines
F 0 0 Right-of-way and street width (to back of curb)
9?0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
0 0 Show all easements of record and any City utilities within
those easements
II0 0 setbacks of proposed structure and setback of adjacent
existing hoWQH%
0
Retaini re irements, if any
Reviewed:
N _e / at
October 1992
EXTERIOR. ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
Proje
Site
1. EXPOSED WALL CALCULATIONS
AREA "U" VALUE AREA x "U"
A. Opaque Wall .•
1. Masonry/Concrete
a. x
b. x a
C.
- X i
2. FcZZa
t Cn Wa Gr
a. j. 2-5 x o7 ' 4:71
b. x
3. Frame Wa
a. Insulated Area x o4 41. Cl
b. Framing Area (Ave. 158 at 16" ac) 34.0.1 x it)
X34.1 _
c. Framing Area (Ave. 108 at 24" oc) x ¦
4. Peripheral Floor Edge/Rim Joist
a. VLO x . o4 ¦ 6 r-,
_ b. x ¦
B. Glazing
1. Windows
a. ?iPln x
b. 4o x .47 ¦ R.. Pi
2. Doors x
C. Doors
1. Wood
a. Solid M x . 0(0 ¦ 1 Z
b. With storm door x ¦
2. Metal x ' ¦
3. Overhead x
4. Other x
D. TOTAL WALL AREA, sq. ft ......:............. Z"11Qj
E. TOTAL of AREA x "U" ................................................... 2(o2 .1 C
IL ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area U014, L x •.O Z 37--Z9
B. Rcof/Ceiling Framing (Ave. 158 at 16" oc) x ¦
C. Rcof/Ceiling Framing (Ave. 108 at 24" oc) i"f9.4 x e) 7,
=
0. Skylight x
E. TOTAL PA /CEIT, AREA sq. ft ..............
F. TO'T'AL bF AREA X "U" .................................................. 3S.87
To Determine Compliance with the Minnesota Energy Code
(Section 502 of the State Amended 1983 Model Energy Code)
III. BUILDING ENVELOPE REQUIREMENTS
TDTAI. AREA Maji Zi:9 "U" ALLOWABLE
(From I.D & ME) (From V.) (Area X "U")
A. Exposed Wall: 7?IPA X .11
2Rb: P?
B. Roof/Ceiling: i 1q4 X OZCe
C. TOTAL AUTA&SIS BUILDING RAWLPE (Total of A & B above) ... -;5 4 S . l?Z
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area X "U")
A. Exposed Wall (Fran IA
B. Roof/Ceiling (From 11.4
C. TOM XMIAL UM D= YM1yM (Total of A Y B) ............ 291,91
Nhaots cod" raquirunnts tf lass than III.Q
V. REQUIRED "U" VALUES
Detached one and two family dwellings
' Multi-Family Pesidential Buildings
(3 stories or less in height)
* All Other Construction Types (3 stories or less)
* All Other Construction Types (More than 3 stories)
• Based an 8007 heating degree days (lpls/St. Paul)
Adjust 'U' values accordingly for other locations
CERTIFICATION
I hereby certify that I have
Minnesota State Energy Code.
WAILS R00F/CEILIN0
.11 .026
.238 .033
.238 .06
.28• .06
the above information and that it oo*lies with L.
BCSD 3-89
CC/S!W6574
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
WATER CLOSET 3.00 1 a ' -
BATH TUB 3.00 -
LAVATORY 3.00 :5
/3.
- KITCHEN SINK 3.00 ?-
T LAUNDRY TRAY 3.00 3. -
HOT TUB/SPA 3.00
WATER HEATER 3.00 3 ?-
FLOOR DRAIN 3.00 3- -
.3 GAS PIPING OUTLET • mfu mnm - i 3.00
ROUGH OPENINGS 1.50 / SD
WATER SOFTENER 5.00 S: -
PRIVATE DISP. • DatCty. uc. 15.00
U.G. SPRINKLER • home under coast. 3.00
ALTERATIONS • to ads ft 15.00
WATER TURN AROUND 15.00
GO;?YD
STATE SURCHARGE .50
TOTAL: G /. e-o
SITE ADDRESS: 2037 Royale Drive
OWNER NAME: Sons Construction
INSTALLER: R C Plumbing
ADDRESS: 5910 Chester Ave
CITY: Northfield STATE: Mn ZIP CODE: 55057
PHONE#:(612) '461_2o96
SIGNATURE OF PERMITYEE /
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIl OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIA]LANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CO
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF "am FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
SPATE SURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
•
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
XXX NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 22d, 6
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU
WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 49.00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .SO
TOTAL 96.x
SITE ADDRESS: 2037 Royale Drive
OWNER NAME: SONS CONSTRUCTION TELEPHONE #: 452-5355
INSTALLER: GENZ-RYAN PLUMBING & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: W ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
0
MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
22�n 2012 RESIDENTIALG
BBUILDIN PERMIT APPLICATION
Date-1�.iiji 2 Site Address: 20✓??1 �c l�t-f l� . Unit#:
Phone: ( 051 UoS
RESIDENT /'
OWNER
TYPEOF WOf
CONTRACTOR
Name: Ein C/1" All
Address / City / Zip: 203-1
Applicant is: Owner
I
bscr ptio` ndaVg orwork:
,
Contractor
Construction Cost: 3igio. QO
Company: et
Address: 25q0 Bi- •
State: 1.4N1 Zip: 1 L?.
License #: 80_./.02.72L-13
\laj
Lim OW. lif
Phone:
J
• A
Multi -Family Building: (Yes / No _x )
•�i ontact: Y l�l-.i_k u L fes•
City: U+ H e
u51-15-7.1100
NAT— 32g1�1-
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that yoL
the informationimay be classified as non-public
conclude:.th,
Phone:
Phone:
Phone:
submit are considered to be public
if you provide specific reasons tffat;
,t`the are trade°`secrets
tformation Portion
ould permit `C ty
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 work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Stat ilding Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117857
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 2037 Royale Dr
Lot:3 Block: 2 Addition: Eagan Royale
PID:10-22475-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Daniel P Speegle
2037 Royale Dr
Eagan MN 55122
(651) 452-6682
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature