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2045 Royale DrControl RECORD I i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0* 1 111%) •8/24/g2 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOTi 6 2'04N ROYALE OR EAGAN HOYALF PERMIT SUfBTYPE: s L ut x ; APPLICANT: 1APIERNE GUST HOMES (612) 464-9303 TYPE OF WORK: M 10 HARE S S W CONI NACTOR -- MATTHEW OA11IELS PL96 Permit No. Permit Holder Date Telephone SJW PLUMBING HVAC ELECTRIC /f FS fcr(' ELECTRIC Inspection Dab insp . Comments Footage I 471 oL p !?U Foundation Framing 9 Rough Plbg. 72. 14-9 Rough Htg ??? 0 !? / L L+s•t? ?? ] Isul. 5 , Fireplace Final Htg. ?- Jt 3 O $ Orset Tea I- y _q3 Final Plbg. 3; 97 Plbg. Inspector - Nottly Plumb caner. Meter 72 1Z-31- EngrJPlan Bldg. Final -?3 /s ! _ j Tyr! ZAP, r?J Deck Fig. Deck Final Well Pr. Disp. Q 12 ?3 s + . 2f/ I 411-f awl ej, c- i / cl q?- /acv k le -. i 1. 01. Werti f icate of ccacpanq WU4 of Wagon Wt*trtWtat of exabing 38This 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 orrlinanees of the City regulating building construction or use. For the following: Esc Classification: SE I>W BW Nouir No 131q Occupancy Type Zonin?_Ui? Cunt TIM 104tj-,-xTMYPeesV= Owner of Building j??? Address Bui` ' g Address XY45 HOME DRM Locality 15, 12, EMM WI/E IA/q3 Dale: Building 6fficial POST IN A CONSPICUOUS PLACE K 7 9 /o00-.A=5'-e' Perlis I DaI Fi'00 Rough-in In tion f Q qo ire0? ? Ready Now ?JOhll Notify Inspadm Wh R d ? L s NO en ea y /licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Routs No.) app ?? T)i&Je City E?Aj. Section No. Township ha or No. Range No. ,T Ocoup nt IPRINTI c,2?E cus-t ? A"S. Phone No 3 8 3 Power Supplier A-Kort9 Fled e C- Addresses pZ? Elec}}rrcal Contractor (Company Name) Ir S ? Contractors Ucense No. Mailing Address (Contractor or Owner Meking Installation) ?,a 8lo S 1 G (Zv NCI xZ <?- 4(C-N-?A-t s•t? Autho e0 Signature icon a;uOwnar Making Instal . lit 1142 Pho Number p 7? - l MINNESOTA STATE BOARD OF ELECTRICITY ` THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612)6aY-0600 ENCLOSED. ee ooom oe j? 902 REQUEST FOR ELECTRICAL INSPECTION C' - y/ 8 YV? See instrmlions jor completing this ton on back of yellow ropy. k! /(9?33 U K "X" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-.(Specity) Comm./Industrial urnace Farm Air Conditioner Oths,(Wecify) Conbactor's Remarks: Compute Inspection Fee Below: I c- 7 # Other Fee # Service Entrance Size F # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above loo _ Amps Signs Inspector§ use only: TOTAL Irrigation Booms ?- Special Inspection Alarm/Communication THIS INSTALLATION MAY B -0RDERE CPNNECTED IF NOT ther Fee WG*, COMPLETED WITHIN 18,90111 T S. I, the Electrical Inspector, hereby Rough-in s e j certify that the above inspection has been made. Fine( oare' mil) Y ORRCE USE ONLY This request void 16 months from 009 K 72 Reque ate Fir o. Roughs tlon ad? ? Ready Now will Notify Inspector o atly? hen Re ??-??pp//// I / _nsed contractor 0 owner hereby request inspection of above electrical work at: Job Addrreesss's IS reepl ?Box or Route No.) 1:ZD .. VIJr(? Ciry /V Section No. Township Nam or No I Range NO. OccuPa t(PRINT) fJ Phone No. POwar Supplier Add s A ? Ele=tncal Contractor (Company Name) Gontractorg icense No. Mailing Address lContiaclor Or Ownar Making Ins181 lion) D?a Stc?l t-LJ /?/??2rA t c,1?W cq„? Aulnor etl Signature IC (ration wnar Making I tlatipn) Phone Number MINNESOTA STATE a0A D OF -173 ICIT THIS INSPECTION REQUEST WILL NOT BOARD 1821 Univewayerelly Ave., Bldg. St 5[. Paul, Room MN N 5 8 8104 BE UNLESS SS PROPER ACCEPTED ER By THE STATE ivo University INSPECTION FEE EE IS Plrone (61]) B42-0800 ENCLOSED. bV /, REQUEST FOR ELECTRICAL INSPECTION Ee-oooot-W I??/ /yam 7 //? ? See instructions for completing this form on hack of yellow copy 's 4 t, /Q 733 Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater zTeCtric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 400 Amps Signs Inspectors Use Only: / TOTAL _ tE Irrigation Booms ? Special Inspection j Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee .cif- COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final 4q ;lLer Date OFFICE USE ONLY This request void to months from dlddreas: 2045 ROYALE DRIVE Lot 5 Blk 2 Sec/Sub EACAN SALE gyp; 55122 These items were/were not complete at the time of the final inspection. 1 4 93 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ? Permanent gas t? Sod/seeded grass Trail/curb damage S Porch Basement finish L/ 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. rt D6 White - City copy Yellow - Resident copy Pink.- Contractor copy PERMIT Control No. 0978 CITY OF"EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 001319 (612) 681-4675 Date Issued: 08/24/92 SITE ADDRESS: 2045 ROYALE DR LOT: 5 BLOCK: 2 EAGAN ROYALE DESCRIPTION: fSuild'ih.q Permit Type SF DWG euilding''Work Type NEW USC OccupanC:y R-3 M-1 Construction 'Type V-N Zoning - R-1 Building Length 65 Building Width 41 -_ r r w 1 G -REMARKS: C Z Sq/ BOOSTER PUMP S & W CONTRACTOR - MATTHEW DANIELS PLBG FEE SUMMARY. VALUATION $164,000 Base Fee $863.50 MISCELLANEOUS $1,610.50 Plan Review $561.28 Total Fee $3,817.28 Surcharge $82.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $2,206.78 CONTRACTOR: - Applicant - ST. LI OWNER: LAPIERRE CUST HOMES 14549383 000264 LAPIERRE CUSTOM HOMES INC P 0 BOX 1049 P 0 BOX 1049 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 454-9383 (612)454-9383 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 Mr . Statutes and City of Eagan Ordinances. A ERMITEEEEJSSIGNAATUURE SUED Y: SIGNATURE INSPECTION RECORD Control No. 0978 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001319 Eagan, Minnesota 55123 Date Issued: 08/24/92 (612) 681-4675 SITE ADDRESS: LOT: 5 BLOCK: 2 APPLICANT: 2045 ROYALE OR LAPIERRE CUST HOMES EAGAN ROYALE (612) 454-9383 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE DA TE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: BOOSTER PUMP S & W CONTRACTOR - MATTHEW DANIELS PLBG PERMIT # REACTIVATE 1.31f CITY OF EAGAN 5 J A19, A 1992 BUILDING PERMIT APPLICATION 681-4675 8 2 o REDO SINGLE & MULTI-FAMILY ets of plans, 3 registered site surveys, I copy of energy cs. COMMERCIAL [2sets of architectural & structural plans, I set of cifications, I copy of energy talcs. 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 y Valuation of work 3a Site Address: o20 y? ?o 411P e?/cam c? STREET SU17E # Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. s Descri tion of work: The.applicant is: ? Owner Contractor ? Other (Describe) Name / 4Agl Phone ?lS y q? 4 Property LAST FIRST Owner Address /O Y STREET STE S City State n zip 51?'33 7 Company Sam/ 9 C? Phone Contractor Address License # Exp. City State Zip Company '.1 Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber /'?/A1A'crmJ Processing time for sewer & water permits is two days once area as 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. Signature of Applicant: ?? `??-•-__ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Addl. ? 33 Alterations ? 34 Repair r 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous. ? 37 Demolish GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) V - N Basement sq, ft. (Allowable) V- N Ist F1. sq. ft. UBC Occupancy I 2nd F1, sq. ft. Zoning R_1 Sq. Ft. total # of Stories Footprin t Sq. ft. Length On-site well Depth y On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard 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 % DO SAC Units I MWCC System ES City Water Cs PRY Required Booster Pump g Fire Sprinkler Census Code /p SAC Code _01 Assessments ? Footing ? Framing ? Insulation ? Final ? Draintile ? Fireplace / Valuation: GARA FE aDx12 =,Z4o a0x22= yyo - 12x17- 1447C45 =6ti80 b$o>< I? = Ig89o PxSMT 2ND EL OOM 1b X19= Soy 3SK26% 980 3 Z c 12= a4 3X32= 1051+ ) 4 2) J'/? X 7N2 _ 11. 4 X 101/2 ( - . z zl ??ZKIo'/Zc 1 2 y _ , Xlo i oeS , 3 13391c 1?=-ao , r jar FLooR- 1 ?3 3 8.;M77 133l,x 53:%,170 ZMD ?L?12 L J? BL CITY OF EAGAN PLUMBING PERMIT SUBD. n„? (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ---------------------------- WORK DESCRIPTION T NEW CONST XX ADD ON _ REPAIR OWNER NAME: ?? ?I R Yr e SITE ADDRESS: INSTALLER: ADDRESS CITY: MATPHEFL DANTRT , INC. 15185 CAROUSEL WAY ROSEMOUNT ZIP. 55068 PHONE #: 423-3730 , NO. 1 6 L Z I CITY USE ONLY ? RECEIPT 401/,? DATE 119,115 ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE TOTAL: TOTAL la? 00 3.ov Lg.od 3- 00 ?o ?v itSZ E .50 S S`f'S? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT.FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN L r B o2 MECHANICAL PERMIT RECEIPT # 080?` SUBD. a w (612) 681-4675 DATE /D/)a 7; RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. O FEES SITE ADDRESS: ADD ON/REMODEL (VaSTING CONSTRUCTION ONLY) $ 15.00 INST HVAC: 0.100 M BTU 74.00 PHONE #: z ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - rvWiI UM 1 @ $3 EA. 10 CITY: SURCHARGE: $ .50 SIGNA 2,2 TOTAL- $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: TENANT: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: CONTRACT PRICE: I FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 TOTAL• CITY SIGNATURE: ZIP-. '7Ocqq 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Offrde klse Oafu 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cerf of Syrvey,Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pras P1aij Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres (Required w `{ N 1 set of Energy Calculations Add6on - indicate if orrsite septic system Orr5ile SepGe System ,.: Y ,_ N 3 copies of Tree Preservation Plan if lot platted after 7/153 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date '7 / 03 / 0S- Site Address 9 0'q S Irotl alb--A Construction Cost dJ {' , Unit/Ste # Description of Work TC?1t jj-" S__ ke - ra-119 P' Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 ` Property Owner 6La l,0 ? [?, I' 11 ( ) 15-q - ,fq (6?- l V e r Telephone # x- Contractor )'eve, dq P 7 Q il-d Co_? 1.aC, - Address !'QGN ?? State r? /l1 T Lu? SQY? Qnf?t A City 1 injif- 9 ? 0 w (.Fib r Zip O Lo Telephone # (C($p) L1L1S - "; q o-? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted 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? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accu that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start with( permit; that the work will be in accordance with the approved plan in the case of work which requires a review approval of plans. and Applic is Printed Name Appli nt's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other - Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests _ Final _ Framing - _ _ Siding _ Stucco - Stone - Brick _ Fireplace - RI. _ Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector CONSULTING ENGINEERS 1-,4)071e"6 ?'U,5'TO/17 f ROBF PLANNERS and LAND 9UAVEVORS CLIENT g, NGINURING F PROJECT NO. SZ28. 02 COMPRNY, INC* BK./8z Q. 2r 1000 EAST 1481h BTREET, BURNSVILLE, MINNESOTA 86337 PH 4323000 yCERTIFICATE OF SURVEY( LEGAL DESCRIPTION: LOT Si BLOCK Z, EA4.4 J eoyALE. D/IKOTA ekVe WTY, /f9/rl/iVESOTs1• (gLq-iZ) DENOTES EXISTING ELEVATION (99(0.0 ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 996.33 o FINISHED GARAGE FLOOR ELEVATION ?88,62- n BASEMENT FLOOR ELEVATION 99(0.66 = TOP OF FOUNDATION ELEVATION SCALE : 1' 40' r ,g 69°9x3'¢6"E o? I? a ? 4q L \ ? j ?? o t 2 6>; S? ? s 76^ o V rJP ,4I ors E r0 i R,E V EE IE By u Dato -A4 -, s f 4 /?? z _ RACE 'ENGINEERING DEPT ;y / \`a lLq? yb q ti „X ; 'fe 3 L?glj•' o? W qyd?D ?p YY if.Y •„ iz V."VV m { 30Fr. F&avT A s6raac< un/ i o I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A TRACT AS SHOWN AND DESCRIBED HEREON. AS PREPARED BY ME THIS Zd' DAY OF AU6 19 9? /_ '• 49MAMAS . .• -- - - -"/?`?'L - - . MINN. REG. NO. REVISIONS F LAND IV i Y' ii? City of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 012009 Permit #: Permit Fee: Date Received: Staff: %% 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: // • v Site Ad ess: d►d `i ale Tenant: ±L.2Lt4 t Suite #: RESIDENT / OWNER v Name: 1g ) Phone(J7)4S-Lt- $ 9/ a`( Address / City / Zip: 010 Lf 5 j/yy r' 561 r Applicant is: Owner Y Contractor TYPE OF WORK Description of work: /q bf,{ — n 4.6./Airal Construction Cost: ;.,:f 1O ' Multi -Family Building: (Yes / Nor/ ) CONTRACTOR Name / License #: / , q S) Address: 1,117 L 51,044j &La -Q City:'liYi-a pXG a2 -e..2- State: r)')A1 Zip: s D Phone:CS!)' p LA. .[o o Contact Person: f , . _; ,-.,415,"- _/L COMPLETE Energy Code Category (s/ submission type) In the last 12 months, has Yes _No If yes, THIS AREA ONLY IF CONSTRUCTING A'' EW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ • Residential Ventilation Category 1 Worksheet . • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 p-rmit; that the work will be in accordance with the approved pla)r in the case of work which requires a review and approval of plans. x JuA Applicants Printed lame 1 x Applicant j- ignatur Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144108 Date Issued:07/13/2017 Permit Category:ePermit Site Address: 2045 Royale Dr Lot:5 Block: 2 Addition: Eagan Royale PID:10-22475-02-050 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 - Gabriel Yau 2045 Royale Dr Eagan MN 55122 (651) 454-8912 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature