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
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I?
a ?
4q
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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
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V."VV
m
{
30Fr. F&avT A
s6raac< un/
i
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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