2053 Royale DrCIT Y' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
TYPE OF WORK:
I1
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I f 1!!! ! i ?•i ,', f
I I
RV MARK ; (J I' I li4t 17 ?. f't N7?
INSPECTION RECORD
PERMIT TYPE:
Permit Number.
Date Issued:
flt ,I,;k APPLICANT:
Permit No. permit Holder Date Telephone !
S/W
PLUMBING -.5/s y 3 y?i av9?
C ? /8' ?G/ a70yG
HVAC - ?y?- > 3-/?Ct
ELECTRIC 3
ELECTRIC
Inspection Data insp. Comments
Footings I °l93 L )4
Foundation -12 4h 2
Framing C 3 _ P?
Roofing
Rough Plbg.
Rough Htg. "/g0 9
r
lsul /? v QTR s ?.vv
Fireplace 653 ,?a? a -Po
Final Htg. ?`V ? O S 1? r
Orsat Test <<
Final Plbg. . Inspector - Notify Plumber
Corot. Meter
EngrJPlan
Bldg. Final C1
Deck Ftg.
Deck Final
Well
Pr. Disp.
<
o?
lW
S'J'.' d 1
Wertiffcate of
49ftj of Own
Fo.rMI C IN of SUM"S 3nopecdom
a
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 , Bldg. permit No. 20628
Occupancy Type -R3/141 7mi.g Disaio RI Type COW. VN
Owna of Budding SM Address 600 FAIRWAY HH S DR, DC>l1N
Building Address 2053 FDME DRIVE [-akyL7-,-B-2, F.II M RU ME
narc 09/30/Q3
Building Official
POST IN A CONSPICLXYJS PLACE
Address 2053 RDYALE DRIVE Zip 5512 2
L.ot' ' ' Y Blk 2 Sub EPIAAN ROYA-E
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) l?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch I/
Basement finish t/
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
Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
CI L/)
?O
SITE ADDRESS:
nv;,? . nx
DESCRIPTION:
o r Iz J
M
.. _ L':
L r 1
REMARKS:
W I>u;" r: I P1e,c
FEE SUMMARY:
: I I' I' Z. I'
V:1 U ,. 1 1. 0 ?, r9 Iy
t9 f 1
CONTRACTOR: ^h;> i OWNER:
APPLICANT/PERMITEE SIGNATURE ISSUED IGNAT RE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
Sf -1JG
TYPE OF WORK:
I! ? J
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTP.
I iiSUl AT T.O NI F f;+'FtL
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
aLaf:ids cuns`
REACTIVATE _ CITY OF EAGAN
LICAT ON
PERMIT, # ' BUILDING PEEtMIT-APP
r
iall I .;-,) uaEC?C ?Mf D 681-4675 I C?VME
n t 1993 APR n 1 1993
lwlft? MW
SINGLE & MULTI-FAM L1L__ 2-setis• &f- ans, 3 registere -si#e-sw a,-L.c py of energy
ca cs.
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 Valuation of work lS G ?c -?
Site Address: ?w-
STR T SUITE
Tenant Name: (commercial only)
LOT BLOCK Z SUBD. C
? 4
? P.I.D. M
P
h ' M' 4
fr ?I
Description of work: V ec,, 0 {
The applicant is: ? Owner Contractor ? Other (oeeortke)
5 Phone Y1-)- `5 3 r)
50
,
,
7
Name
Property FIRST
LAST
Owner ` /
Address `760(j FA/h-wr r LLs bw
STREET STE /
City State h7,ru Zip /LL
Company Phone
Contractor t>1t License # 74 de Exp.
Addres
s
City ?c ah State kk' Zip S-)-/2 -2-
Company tar s [?, L Phone `? S I- 3>> J
Architect/
Engineer Name Registration #
60 r-)yjjI-W61f I>< ?s Dye
Address a
City State Zip S/ ?
Sewer & water licensed plumber C Tlus.»isi.?G Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read tht's application and state that the information is
f
correct and agree to comply ith p Jicable State of Minnesota Statutes and City o
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
W02 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. Addl. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
O3I New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System YES_
(Allowable) V - N 1st F1. sq. ft. City Water YES
UBC Occupancy Q"3 M-! 2nd Fl. sq. ft. PRV Required
Zoning R_1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well. Census Code
Depth 38%L On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge 'T , ZNP Plan Review GARAGES 33%zX *1l . 7a3 - Fc?o!?
License 5'51A,% T= )2?y
MWCC SAC I X/2 C?Z, Sx 20L-_ ! -(
City SAC -
Water Conn. 135v iT _ 492 X/B 016
Water Meter i
Acct. Deposit
S/W Permit 3Z.5-A 28 r ?(a (?Xq%2 = S7
. S/W Surcharge 2.75)cit ?6
Treatment Pl. /y?iK ` ?-
Road Unit
Park Ded. 46'? )(5,q
Trails Ded.
Copies ?oX4 = CEO) T79 2?g
Total: I(oyyX4?1t 73 14i?lOv
SAC x 00 116 Y. SAC Units 1 'OT F+yoYt
lbsyh T_ r2gy
zy/oy2= , d,y?9.
«b.< x Sy -
I" ?
T_. .1•. w Y'IF ^71711fE?...
-!t
it-^mar n^n'9.,,
r c 2422 EnterDflea Orlva
Halght4. MN 55120
d
t
a
Men
o
(6b2) 881-1914•Fa1t 681-9488
625 Hlgit" 10 Northdaet
Blaine. MN 55434
(812) 783-1880•Fez 783-1883
?
?
'
$
<?fn
a11i ? i N:'tic i Q l Cow
9,G7"4
i
I Hii
.,4rf1 ?
Hbui Ad&W* ' . w
a, 1y Drive agars. MN_
W
x
t
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS
1go,o (MnotdeEidsting. Etavatibn pR0 SE HOUSE ELEVATION
.cDenotes pr®posei4'Etevatfon Lowest Floor Elevotion:fil5
- -• Denates;'fJ?Dlnoge .dc UtBity Eosemen Top of Block Elevation: =A zH
-- pbnote6-Droinage, now Direction.. A Gorage Slob Elevation:jco3,,.;
--o-'Denotes irtrrnurrrent
.- Denotes 000 Hub. Bearings !jtown ore assumed
LOT 7 BLOCK --2. 'PAGAN ROYALE
DM &A WAIW'. MINK TA
t hwMfy gimp that ihh,lu/wtr, w or m 6n tats?? ?aara my al"m mow Waft and that I am duIV Rwift•rld land S .'"yo,
f'lr A•C. 19
uMw the 4M of tho at*""6f.Wito eta. 011ed this t.. a A,45
'--'; /
/
ep.. 2.'
LOT SDRvLY enczLIST FOR USIDE11TIAL
vVILDING F=REIT LICATIOR
PROPPATV -»••_
Date of Surveys
/ ffiVT eT ++ RMS
r 0
0 Registered Land Surveyor signature and ooepany
Building Permit Applicant
D Legal description
D 0 Addreas
0 Korth arrow and bar scale
D D Mouse type (rambler, walkout, split w/o, split entry,
8?D
0 lookout, etc.)
DAD
D Directional drainage arrows with slope/gradient =.
8'
D Proposed/existing sever and water services
Street name
0" D 0 Driveway
z1.rvATioNs
D e D Existinc
Sewer service
0? D
HAD D
D Lot corners
Top of curb at the driveway
D 0 Elevations of any existing adjacent somas
proposed
?G 0 Garage floor
First floor
' Lowest exposed elevation (walkout/vindow)
0
D
A D Property corners
D
D D Front and rear of bout at the foundation
D DAD PONDINO ARIAS (if applicable)
Easement line
0 O' 0
? HWL
0 0
D
A Pond t designation
D D D Emargency Overflow Elevation
??-?//// nirrxsiONs
2 D D Lot lines
fd' D
0?0 D Right-of-way and street width (to back of curb)
0 Proposed bone dimensions including any proposed decks,
overhangs greater than 210 porches, ate. (i.e. all
? structures requiring permanent footings)
D D Show all easements of record and any City utilities within
those easements
0 D Setbacks of proposed structure and setback of adjacent
existing homes
D • Retaining w requi ants, if any
•
Reviewed:
na?
i
UL BUILDING ENVELOPE REQUIREMENTS
IV.
TOPAZ. AP A MW= "U" ALLOWABLE
(From I.D & II.E) (Free V.) (Area x "U")
A. Exposed Wall: ?c'!H x . )) a -9
B. Itoof/Ce iling s x go x
C. TOML ALIAFII+BLE BUILDDIG ZfMAPE (Total of A i B above)... -44A . toZ
ACTUAL BUILDING ENVELOPE
ACTUAL
(Area X "U")
V.
A. Exposed Wall (From I.E) 7107, It)
B. lbof/Ceiling (From II.F) :N-5. 951
29
C. TOTAL ACTUAL BUILDING EW4E[APE (Total of A 6 B)...........
*(Nn" cod" npuinveasts if .1056 tban HIM
REQUIRED OUR VALUES
Detached one and two family dwellings
* Multi-Family Residential Buildings
(3 stories or lose in height)
* All Other Construction Types (3 stories or less)
* All Other Construction Types (More than 3 stories)
• Used on 6007 heating degree days (apis/St. Paul)
Adjust •U' values accordingly for otMr locations
CERTIFICATION
I hereby certify that I have
Minnesota State Energy Code.
WALLS F"/?
11 .026
.236 .033
.238 .06
.28• .06
the above informatign and that it cowlies with t.
BCSD 3-89
CC/SAI/6574
EXTERIOR. ENVELOPE ENERGY CODE COMPUTATION WORUMEET
To Determine Omnpliance with the Minnesota Energy Code
(Section 502 of the State Amended 1983 Model Energy Code)
Project Title ?P?s F? I
Site
1. EXPOSED WALL CALCULATIONS
AM "Q" WILD AREA x "U"
A. opaque Wall
1. Masonry/Concrete
a. x ¦
b. x ¦
C. x
2. Foundation Wall Gr
a. L4. 2?5 x 0'1 ' j4.?1
b. x w
3. WOW Frame Will
a. Insulated Area x .04 ¦ 47.9
b. Framing Area (Ave. 158 at 16" ac) 440.1 x ¦
fl -54. 1
C. Framing Area (Ave. 108 at 24" Co) x
4. Peripheral Floor Edge/Rim Joist
a. 220 x .04 -
b. x ¦
8. Glazing
1. W111dows
a.
?x ¦ ?
?_
b• 4o x .47 1R..?J
2. Doors x ¦
C. Doors
1. Wood
a. Solid W x (o ¦ 1 Z
b. With storm door x ¦
2. Metal x ..'_..?-.. ¦
3. Overhead x ¦
4. Other x ¦
D. TOTAL WAIL AREA, sq. £t ......::............. 21r
E. TOTAL Of ARFA x "U" ................................................... Z(oZ .i G
IL ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area I[a 14" G x o L Z. 7-11
B. Roof/Ceiling Framing (Ave. 158 at 16" or) x ¦
C. Roof/Ceiling Framing (Ave. 108 at 24" Oc) _1-19 74 x -07,
D. Skylight - x ¦
E. TOTAL FODF/CEILAG AREA sq. ft .............. 1'7-q4-
F. TOTAL CF AREA x 0I1" ........................•.................... ..... 36-87
IAL
BUILDING PERMIT APPLICATION
Qi CITY OF EAGAN cM
3830 PILOT KNOB RD - 55122
651-681-4675 ?p
?" oxXRC'} ate'"C??
New Construction Requirements RemodegRaoair Reouirements
3 registered she surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan ..(?
(20% maximum lot coverage allowed) . 1 set of Energy calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations . Indicate if home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after VIM
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE H1/y?/' l2 12? ??
JOB SITE ADDRESS'
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER T 2 DEZOOA 7
u M (9mt-TS r?tt"N-
q'?J J
((,t??? r}t-ir + $TrJ?v(? I?F?GrZ
Mn n•/l
_ / • tJ //•L/J4 ,V
TYPE OF WORK ??t?J!7 !C1 >'r ?Fl"l7e.J C/f74YC?)i'S r? FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT /ar7'j1PHONE# (//Z 7-z - ll /
ADDRESS-60- do x 1-71 7,! L1-4 / t7'J 71P/ CODES S
PAGER # CELL PHONE # P ' fpf3? FAX #(0f 7- '7zy-'lgsz?
in r , -
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) Residential Ventilation Category I Worksheet Submitted
Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
' f [? - New Energy Code Worksheet Submitted
Plumbing Contractor: F'L/ t Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
f _ No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Contractor: t" IA Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informati,
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
VALUATION ZS`?•
Fee: $90.00
Fee: $70.00
APR 2 2
comply
Certificates of Survey Received Tree Preservation Plan Received _ Not Required
- Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation
4 L7 7 Occupancy {c_ ??i? MC/ES System
Census Code 2
0 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const VA / Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Flnal/C.O.?
_ Footings (deck) _?/
X Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final - Pool _ Ftgs _ Air/Ga Tests Final
Y Framing - Siding _ Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replac en N r[4? ITN?&
'Insulation _ Retaining Wall
------------------------------------
------ Approved By / Building Inspector
Base Fee -------- -------------------------------- ------------- - -- -------
Surcharge
Plan Review tr-(LM.1-f
MC/ES SAC (CL
ai`?'?, It r'y/at?,,+tl?
r?
City SAC .zr
Water Supply & Storage ?V ?L71 1? Y /Z.c7U" ?' ?.
S&W Permit & Surcharge n. ,• Y TlA? ukJ /? /V,/
Treatment Plant
Plumbing Permit Sza.?2
Mechanical Permit
License Search
/77y
Copies
Other
Total
a
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS.ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL.
SHOWER
* WATER CLOSET
* BATH TUB
* LAVATORY
* KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Dek.Cty. tic:
U.G. SPRINKLER home under cout.
***ALTERATIONS . to existing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
.50
20.50
SITE ADDRESS: 2053 Royale Drive
OWNER NAME: Sons Construction
INSTALLER:_ R C Plumbini
ADDRESS: 5910 Chester Ave
CITY: Northfield STATE: Mn ZIP CODE:55057
PHONE #: ( 612) 461-2096
SIGNATURE OF PERMITrE)E
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE'FOR ALL COMMERCIAL/INDUSTRIAL
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FrE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1;000 OFz'P,-A IT FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL
BUILDINGS., ALSO FOR MU, LTI
NOT REQUIRED FOR EACH
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ; ZIP'CODE
PHONE #:
FOR:
CITY' OF EAGAN APPLICANT
1994 PLUMBING PERMIT .(COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN `MN 5$122
(412) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH OTC
I SHOWER 3.00 3,-
_ WATER CLOSET 3.00
2 BATH TUB 3.00 L1.
LAVATORY 3.00 1?2 -
KITCHEN SINK 3.00 -
I LAUNDRY TRAY 3.00 2_ -
HOT TUB/SPA 3.00 -
T WATER HEATER 3.00
FLOOR DRAIN 3.00
i GAS PIPING OUTLET • minimum - 3.00 -3,-
ROUGH OPENINGS 1.50 ?I- SD
WATER SOFTENER 5.00
PRIVATE DISP. • Dat.Cty. Gc. 15.00
U.G. SPRINKLER • tome under a t. 3.00
ALTERATIONS • to misting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
5p' ?b
TOTAL: `
SITE ADDRESS: i_ 2053 .Royale Drive
OWNER NAME: Sons Construction
INSTALLER: R C Plumbing
ADDRESS: 5910 Chester Ave
CITY:
STATE: Mn ZIP CODE: 55057
PHONE #: ( 612) 461_209.6
Northfield
SIGNATURE OF ERM EE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN S5122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONRAERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING Ul: T.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.SO FOR EACH $1,000 OF VF, FEE.
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
MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681467S
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE F b3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
41kS OUTLETS (MINIMUM 1 @ 53.00 EACH) - bo
ADD-ON/REMODEL (EXISTING CONSTRUCnON) $ 15.00
STATE SURCHARGE .50
TOTAL _?/). 66
SITE ADDRESS:
OWNER NAME: S_ ?m L4,
.S5 IJ07L/e')n TELEPHONE #: '// ?_ f
INSTALLER: G NZ-RYAN PLUMBING & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
1? !'? jhj z2L ?"""
SIGNA E OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2053 Royale Dr
Lot: 7 Block: 2 Addition: Eagan Royale
PID:10- 22475- 070 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Terry J Ticey
2053 Royale Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
Building
EA083343
06/03/2008
ePermit
40
Date:
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
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J U L 2 7 2111(/1(/1 e\ ` Staff
Use BLUE or BLACK Ink
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For Office Use
Permit#: 1 co3c9q
Permit Fee: J O, S
Date Received:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
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7.71.// Site Address: Z of ko ccct to 6 !- Unit #:
RESIDENT /
OWNER
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Name: V-2YJlQ /`C -e - Phone: 6 57 - 606 - O4 7/ (
Address/City/Zip: ZOs? tc' 4k k.c- (cc G. --,s / "14,1.J C57Z-7—
Applicant is: Owner %< Contractor
TYPE OF WORK
Description of work: Ne' /4 r_..../3:2:/- le -rt; / c9 et &i s7 " 4 }cr c4.(14 -Q
Construction Cost: 41 5/ Z 0a. 0O Mufti -Family Building: (Yes / No ;L)
CONTRACTOR
Company: / oip AID fz 4 11 H'r s Contact: //4/-4,vt- i (-T?7
Address: ?0 ? 4,c4 "'To "e L rr-•� City: ev,-.4 S Nom'%
State: / ') Zip: 5-370 Phone: 6 /Z - . ' 6 9 - Z 5—Ye/
License #: Lead Certificate #:
If the project is exempt
#0 use
from lead certification, please explainwhy:why: (see Page 3 for additional information)
6 -r//C7Uin
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permitthe City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call -Gopher State One CaII 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.gopherstateonecall.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.
x li/I L-(JNL v/17—
Applicant's
/Si
Applicant's Printed Name
x
Applica "s Signature
Page 1 of 3
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SUB TYPES
Foundation Fireplace` Porch (3 -Season) _ Storm Damage
Single Family Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family)
Multi I Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New_ Interior Improvement _ Siding Demolish Building*
Addition Move Building Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
fReplace_ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Sao
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
4///4
Pool: Footings _Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110376
Date Issued:05/08/2013
Permit Category:ePermit
Site Address: 2053 Royale Dr
Lot:7 Block: 2 Addition: Eagan Royale
PID:10-22475-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Crystal Cochran
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Terry J Ticey
2053 Royale Dr
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166995
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 2053 Royale Dr
Lot:7 Block: 2 Addition: Eagan Royale
PID:10-22475-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Terry J & Debra C Ticey
2053 Royale Dr
Saint Paul MN 55122--339
(612) 845-4820
Ungerman Inc
14000 21st Ave N
Plymouth MN 55447
(612) 825-2800
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176256
Date Issued:05/09/2022
Permit Category:ePermit
Site Address: 2053 Royale Dr
Lot:7 Block: 2 Addition: Eagan Royale
PID:10-22475-02-070
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Terry J & Debra C Ticey
2053 Royale Dr
Saint Paul MN 55122--339
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature