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4972 Royale Pl .~„r,~,.s.~ _ . ASE USE ATTAC$ED WORK ORDER ~ARD TO RECORD INSPECTIONS { , , CITY OF EAGAN ~ • ~ ~ ~g~3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-6100 , . BUILDING PERMIT Receipt # ~ Tobeusedfor SF DIiG/GAR Est. ValuA 5181.~ Date ~~Y i ,~gqL_ Site Address ~.9Y2 gotr~r~ p~. Lot _.2~_ Block SeGSub. _ F1~~~! ~AY~t F OFFICE USE ONLY Parcel No. occupancy 1~-3 ~i FEES ¢ Name ALI~I~I-I.EB !lOME$ jNC, Zoning ~1 w ~Actual) Const Y~ Bldg. Permit 923 ~ Address _ 10335 Stli~~ PL ~nibwabie~ ~ ° C~~y EDEI~I PAAIA26 Phone d92-S94'S * o~ stories Surcnarge ~ Length 8Z~ PlanReview 6~•Q~ tp Name sA~ Depth SAC.City 1~.~ AddreSS S.F. TWaI - SkC, MCWCC 6S0• 00 ~ Clty Phone S.F. Footprinls - On Site Sewage Water Conn ~W Name ~ ons~cewe~i 9S.pQ W W X Water Meler s= Addf@SS MWCC Syslem < W City Phone city wa~er ~ Acc~. ~ePos~t PRVHequired _ S/WPermit I hereby acknowlege Mat I have read this application and state that the Baaster Pump - S!W Surcharge ~~Q infortnation is oorrect and agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances: Treatment PI 276~00 Signalure of Permitee ~ _ APPROVALS Road Unil 97d.flA A Buifdir~g Permit is issued to: a S - Park Oed. on the express condition ihat all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. g~. pry. _ ~P1es Building Oflicial - TOTAL s• s~s • o0 Permk No. PermH Ffoldsr Oate Telaphoae ~Y warER / 5 4 S f l~' SEYVER ~ix~e~NC ~ ~ 7 9/ ~Goo , n~. L , ~ ,IPU ~ H.v~.c. / . i9,~ ~ y~ - ELECTRIC , j ~ ! `s ~ Mapection Date Inap. Commenta Footings I ~ ~c.~ Foundalion S-/ 3' ~V s Framing Roofing L'~ ' Rough Plbg. Rough Nlg. ~1 ~G • ~su~. 6a l~ ~ -y~w Fireplace ~ - / . 9' ~ ~ Final Htg. Orstat Test Final Piby. Plbg. Inspector - Notify Plumber Consi. Meter EngrJPlan sas. F~?,~i 8 31 ~ Deck FIg. t~.C 0~..~R uA.RD ll7 ?2Er'.JORD INSP'Er'TION.`'i. Dedc Final we~i Pr. Oisp. l " U ~UCx. 31, I`~l I F~-~E L~t/iS D~-~7R~YcsD f~-l r12~ . 5~E aTr~c~+~n ?~u~o~~ ~o P~ nc~ ~NS~r~.cs . 9/~9~ ~ ~l'~s . . ~ . . .t . ` . , . r . '-,~y~u'R'-~.r-~ ~~-~~.~'.v~~ , 1~. ~ ' } f ' ~ ~ , 4~.~.. . ~ f ~~~#i#ir~#~ uf C~rru~~nr~ ~ f ~itp a~ ~agan . ~e}ua~ ,v~ ~u~idiag ~r~rt~vu ti Thtr Cerdfecate issued pursuant to the rrquirements of Seclton 306 oj?he Unljorne Bu!lding Code c~erYffy~irg ~he1 a1 rlte turrt of issuaxce this sbucAru~e ~uas 7n eomplla~e wldt the Nurlbus orrliaances ojthe C~'ty reguladng building rnnslnucdon or use Forftie jo!low~rtg: SF DWG/GAR 18983 R- 1~!- ~ R- ~~r - ~~AL EN-LEE HOM~ iHC 0 ~MMI: ` ROYALE P ~ L, B, EA A A ~t~t-c~ a~ APRIL 14, 1992 - - oer,~.i POST M A CONSPICUOUS PLACE ? - : - _ . _ _ ~ ? . i ~ , 1 . . SITE AODRESS 49~2 ~YALE PLA.~ Unit # Permit 18qS3 ~ L 2$ B 3 Sect/Sub. IM8PECTIOM DATE IMSPECTOR OTHER FRAMIN6 ROU6N PLBB. _Z _ AOU6N NT6. IN8Ul FlREPLACE RNAL HTG. FINAL PLB6. % 7 . UNR FlNAL CEAT/OCC ~ rf-'~ Gv~~ ~SEb ~?~k Mr L~'~Ec~.i~~.~~'1~7EC{~• ~-r?~i+5 I INSPECTION DATE INSPECTOR COMMENTS ~~~l~ ~ , - _ - r/~~~, ~ 7 ~c ~ L ~ ~ ~-~'s rl~~ o~!~~ Y.t eew /af• ~~3 i" E' s~ C L~ ~ ~ ~ e !C /~-5/ ~ S' _ ~ ~ ~J ~ ' ~ ~~/~~1~~ F. P l~~ z~ D ; ~ ~ r ' • /i 9i ~/I ~ ~ 9~9~9~ g~~- 7~00 ,~l.t~ #~/~0 ,~o..~eG~ ~G f?i J/S °o ' ~ ~`Qr.~0~5 , q~~ 9i °o . s SEWER d~ WATER PERMIT OFFl uSE ON~Y CITY qF EA~AN ~(JS~~ 05l01 1 3830 p~int Kn~b Rd. M~R ~ PERMIT DATE Eagan, MN 55122-1897 CHIP ~ ~S PERMiT # i 1965 METER SIZE B.P. RECEIPT ~ ~ ~ DATE t'4AY 1. 1991 ISSUE DATE ~ 2 B.P. RECEIPT DATE 05/Ol Igl - PRV - BOOSTER PUMP SITE ADDRESS 4972 ROYALE PL PfRMiT RE~UESTED LOT ~LOCK 3 SEClSU6 EAGAN ROYALE X SEWER X WATER _ TAPS APPLICANT: _ COMMlIND X RESIDENTIAL ADDRESS: CITY, STATE ZIP X NEW - EXISTING PHONE: PLUMBER: X LAIQrSIDE PLUMBING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. ADDRESS: 124b9 2INRA,N AVE Credit WILL NOT be given tor Deduct Meters. CfTY, STATE SAVAGE MN Z~p 55378 PHONE: $94-760U ~ -t~---,- ' 1 A R E M LY WIT ITY OF OWNER: ALLEN-LEE }iOMES INC EA ORDI NC ADDRESS: 10335 SUMMER PL nJ~ CITY, STATE EDEN PRAIRIE lyR~ Z~p 5.5347 'J PHONE: _ A9?_ 59~ ~ TUFiE M R ISSUED _ ; PLEAS~ ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPEC ONS. FOR STOR~A SEWER PERMITS, CONTACT ENti1NEERINti DEPT. : SEWER d~ WATER PERMIT OFFICE USE ONLY CITY F EIC~AN METER # PERMIT DATE C~~ y~ 3830 ~ilot Knob Rd. 11955 Eagan, MN 55122-1897 CHIP ~ PERMIT ~ , METER SIZE B. P_ RECEIPT r~ ~ :11 i 1, 19 1 ISSUE DATE B. P. RECEIPT DATE fJ 5 O 1/ 9 i DATE - PRV _ BOOSTER PUMP SITE ADDRESS ' ~ 1 `''~v!.1'`' PERMIT REQUESTED LOT _BLOCK 3 SEC/SUB ~~tiA?~ i:OY ~L~ x SEWER X WATER _ TAPS APPLICANT: _ COMM/IND x RESIDENTIAL ADDRESS: CITY, STATE ZIP NEW _ EXISTING PHONE: t.AKESInE PLt'P'~.NC Lawn Sprinkler Meters are to be installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: ~ I ~ Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP ' ` PHONE: " ~ ~ • ` - ~ I AGREE TO CQMPLY WITFI CITY OF OWNER: ~LLEN-Ltr. i?~7MES I~ : EAGAN ORDINANCES ADDRESS: 1 ' , CITY, STATE " ' ZIP ~ " PHONE: ~~t`'' ~'°~`S SIGNATURE WHEN METER ISSUED PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: ~Y i, 1991 • , . ~~T ~ 4972 ROYALE PL (ALLEN-1.~E HOMES INC) RE: ~ Your Sewer & Water Permit for the above property has been completed. It witl be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewe~ & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy ailowed until further notice. C~MMERCIAL PROJECTS ONLY: Please pay for meter at City Hatl. Meter size must be COnfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before i~uance. L WARNING: BEFORE DIGGING, CALL LOCAL UTI~ITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~ CASH RECEIPT ~i CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ ~1 OATE J ~ 19~_ nECErvEO 1 F~. ~ ( ~ 1. ; i nMOUNr s _ - - - , , & DOLLARS ~m p CASH CHECK wa y, i~,, `=l ~ ~ I' J ` J . / ~ ~ ~ " ~ (I ~I ~ ~ r r r ' ` FUND OBJECT AMOUNT Thank You ~ BV ~ C 13170 ~~~e~~ Yelbw--Pesting Capy ~ \_l1~1 ~MI~~ ~ ' RESIDENTIAL 1~~3 (o~ BUILDING PERMIT APPLICA710N U,~~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 i U•~) 651-681-4675 / NewConsWctionReauirementa RemodaUReoairReouirements 3 registered site surveys showirg sq. ft. of lof, sq. ft of house; and ~II raofed areas • 2 copies of plan ~ (20% maximum lat coverege allowed) • 1 set of Energy Calculations for heated addNOns . 2 copies of plan shovring 6eam & window s¢es; poured found design, etc.) . i sile survey for exterior additions 8 decks • i set of Er~eyy Calculations . Indicate if home served hy septic system for addNOns 3 wpies of Tree Preservation Plan rf lot platted after 711193 . Rim Joisl Depil Options selection sheet (bidgs with 3 or less unAs) DATE I d I VALUATION ~ JOB SITE ADDRESS ~ 7 IP MULTI-FAMILY BUILDING, HO ANY UNITS? PROPERTY OWNER TYPE OF WORK ` FIREPLACE(S) 0 7( 1_ 2 APPLICANT ~ PHONE# ~Z ~~I' ~I~~ I ADDRESS ~ ZIP CODE ~S'3 3~ PAGER # CELL PHONE # PAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water 5oftener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Bai~is No. of Baths Mechanical Contractor. Phone # Mect~anical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contraetor: Phone # All above information must be submitted prior to processing of application. 4 I hereby acknowledge that I have read this appiication, state ihat t infor tion is correct, and agree to comply ^ with all applicable State of Minnesota Statutes and City of Eagan r'na Signature of Applicant . I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ , Updated 1f01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (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 Plhg_Y or _ N ? 25 Miscellaneous ? 31 New ~ 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy 3 MC/ES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new Uldg) FinaUC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation ~pC Drain Tile ~ Roof _ Ice & Water _ Final = Other - - - Framing Pool Ftgs Au/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By G , Building Inspector Base Fee Surcharge Plan Review ~ (N~S MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ RESIDENTIAL ° BUILDING PERMIT APPLICATION H~j ) 3830 PILIOT KNOB RD - 55122 1~ 651-681-4675 ~ "7-S - ~ l New ConaW ction Reaulremenb RemodeVReoalr Reaufrement~ • 3 registered site surveys showing sq. fi. of lol, sq. ft of twuse; and all roofed areas • 2 copies of plan (20°(a maximum l01 caverage albwad) ~ 1 set ol Energy CalcWaiiore for heated addNOns . 2 copies of qan showi~g beam 6 window s¢es; poured found design, etc.) • 1 site survey for ecterior additions & dedcs . 1 sel of Energy Calculatiaiu • IMicate if Frome served by septic syslem for add'N'ons . 3 copies M Tree Preservatlon Plan if IW qa@ed after 7/1193 ~ . Rim Joist Delail Options selection sheet (hldgs wilh 3 W less units) ~ DATE o~-~ I VALUATION ~~l Sg' JOBSITEADDRESS ~-F~~a ~Yu~ ~~a'Ck- ~q~e~`1 MN ~S~ZZ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER RO~r~ fi ~Y1vL~ ~~tr1SU`/~ ~ .3 ~ v~ ~~~'v~' ~vo TYPE OF WORK I~e~~ 'u~"~S FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Dor,R.s. qr ov~ _ PHONE# ~OS{-~OB ~-~~Z J ADDRESS `~~~ra Ro~w~-c PLa'~k gt~9un M~ ZIPCODE SS)2Z PAGER # ~ CELL PHONE # - FAX # ` NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category ~ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULFS 7672 - New Energy Code Worksheet Submitted Plum6ing Contractor: Phone Plumbing System Includes: ~ Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths ~ No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System D~~~ n~ r~ ~ IJ LS Sewer/Water Conhactor. Phone # a-~ a t All above information must be submitted prior to processing of application. ~ Y I hereby acknowledge that I have read this application, state that the information is corzect, and agree To comply with ali applicable State of Minnesota Statutes and City of EagqA-~9rdjpen~es. r~ ~ L r I~1 \?t)1) yvz~ SlgnatureotAppllcant-~J Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ~ Updatad 1/01 OFFICE USE ONLY - . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ~ 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~ct. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? OS 03-plex ? 11 10-plex O 19 LowerLevel ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitian (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foorings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee C~ a~ Surcharge ~ . 0 Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ S - ~ ~ RESIDENTIAL # 1~~I3 BUILDING PERMITAPPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 ~~O Q O 651-681-4675 New Construction Renuirements RemodellReoalr ReouiremeMs • 3 registered site surveys showing sq. fl. of lol, sq. ft. of house; and all rooted areas • 2 copies ol plan ~ ' (20%maximumiWCOVerageallowed) • 1setotEriergyCalcWaUonsforheatedadditions . 2 copies of plan showirg beam & window sizes; poured fouiM design, elc.) . 1 site survey (or exte~ior additbns 8 decks . 7 set of Ene~gy Calculations . Indicate if hame served by sep~k system for additions ~ . 3 cnpies of Tree P2servation Plan if lot platted afler 711153 . • Rim Joist Detail Options selecGOn sheet (bldgs wBh 3 or less unRs) DATE ' ~0 / VALUATION~~r d o~ 7D JOB SITE ADDRESS / IF MULTI-FAMILY BUILDING, HOW MANY ITS? PROPERTY OWNER TYPE OF WORK ~P'~ ~ ~ FIREPLACE(3) _ 0~ 1_ 2 APPLICANT p PHONE#~l ~~-~~CF ~~D~ ADDRESS ZIP CODE ~Sy/ ~ PAGER # CELL PHONE # F,vc -~39 339/ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Stotutes and City of Eagan Ordin/~~~ L1//.L(I ~L/ SfgnatureofApplicanf ( Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ~ Updated 1/07 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 2D Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? D8 O6-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 OS-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 0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemolfUon (Entire Bldg oniy) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ Final/No C.O. ' _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Au Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ _ . _ _ CITV OF EAGAN Np 983 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , ~ " PHONE: 454-8100 /~1 ~ ~ f ~ 71 BUILDING PERMIT ~ Receipt l~ ~ 1 U To be used for SF DWG/GAR Est. Value $181 , 000 Date MAY 1 , ~gy~,._ Site Address 4972 ROYALE PL ~ ~ LO[ 28 BIOCk ~ Sec/Sub. EAGAN ROYALE OFFICE USE ONLY ~ Parcel~NO. - occupancy R-3 M-1 FEES ~ 2oning R-1 w Name ALLEN-LEE HOMES INC (q~tual)Const V-N BIdg.Permit 923.00 ~ Address 10335 SUMMER PL ~niw,,,e~,ie~ V-N ° C,j EDEN PRAIRIE php~g 892-5945 XolStories surcnarge 90.50 ty Leng~h 82' Plan Review 600. DO ~,o . Name SAME oepm 48' saq cny loo. o0 g~ . Address S.F.7otal - SAC, MCWCC 650.00 ~ City Phane S.F. FoofprinGS _ - On Sile Sewage _ Water Conn 660. 00 ~ W Name on sne wen water Me~er 95. 00 AddreSS MWCCSystem X Acci.oeposit 30.00 a~+ City Phone CiryWa~er X PRV Required _ S/W Parmit 30.00 I hereby acknowlege that I have read this application and slate that ihe 8ooster Pump - SMJ Surcharge - 50 inlormation is correct and agree to comply with all applica6le State ol Minnesota S[atutes and Cily of Eagan Ordinances. Treatment PI ~7h.OD Signature ot Permitee!-.Ci^~^ ~ APPR~~A~' Road Unit 37f1 _(1(1 A euiltling Permit is iss~~ad ALLEN-LEE HOM S Planner - park Ded. on Ihe express conGition that all work shall be done in accordance with all Counci~ _ appiicable State of Minneso_ta (S~tatutes aynd~, C~i~ty of Eagan Ordinances. Bldg. Off. Copies BuildingOfficial ~Il l181l~.! II117 Variance - TO7AL 3,a2?.0~ ~ ~ Rddress: 4972 ROYALE PL I.ot Z$ Blk 3 Sec/Sub EAGAN ROYALE These items were/were not complete at the time of the f1na1 inspection. D APRIL 14 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry • Permanent driveway Permanent gas ? Sod/seeded grass ? Trail/curb damage ~ Porch t/ Basemenc finish ~ ? Deck Pleasa varify mith the bullder the removal of roof test caps from the plumbing system and tha shut-off of water supply to the outside Lawn faucet before freeza potential exlsts. ~ uoam+n. White - City copy Yellow - Resident copy Pink - Contractor copy ~ 13A44 as 3 ~%5° 9 Fepuesl Date Flre o. Rough-In Inspection ~_I Required? ? Reatly Now ? Will Noti(y Inspec~or =Yes o WhenReatly? I~~ ensed contractor p owner hereby request inspection of a6ove electrical work at: , Job Atltlress l5treet Box or Rowe NoJ City ~4q1~ ~c CA\C ~1QC2 Ceil $ection No. Township Name or No. Range No. Counry ~~O u Occup~nr , 1 M~ Pnone No. n r ~-S`1~S PowerSVppLer Atltlress ~.~xko~ -Fti C ~(1'Yi( rl ~l Elecvical Convaclm ~COmpany Nama) Contraclor's Llcense No. r CA ~~C O~4C.~s7y-8- Maihng Atltlress IGontmcmr or r Mekmq Ins~allation~ r~ ~Q S ~t.u Aucho~iied Signatme ICOmractorvOwner Making Instaliali Pho e NumOer b -3~SS MINN 0 A STATE BOAPD OF'ELECTRICITY THIS INSPEGTION R WUEST WILL NOT Grigg tlway 61Eg. - Foom S1]3 BE nCGEPTED Bv THE STPTE BOARD 1821 UNVenity Ave., St. Paul. MN 5510< UNLESS PROPEF INSPECTION~FEE IS Vlrone (612) 66Y-p800 ENCLOSE~. ~~q~~~ REQUEST FOR ELECTRICAL lNSPECTION ea-ooaa,-oe I ~#3 ~O 3Ot7q ? See ins~mcuons for cnmp~e~ing ~bis lorcn on back o; yellow copy. 4 ' 9/G/§/ "X" Below Work Covered by This Request 9a'~ ew Adtl Re(J. Typeof8uildinq AppliancesWired EquipmeniWiretl Home Range emporary Service Ouplez Water Heater Eledric Heating Apt. 8uilding Dryer Other (Specily) Comm./Industrial Furnace Farm Air Conditioner O~herlspecily~ Conttactor's RemarRS: Compute Inspection Fee Below: ' k O~her Fee # ServiceEniranceSize Fee # CirCUits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to t00 Amps TransFOrmers Above 200 _ Amps Above 100 _ Amps SiJns Inspectors Use Only: TOTAL Irriga~ion Booms G 5 S~ I CJ ' Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE 0 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rough-in oe~a certify ihat the above inspection has Final ~ oate been made. OFFICE USE JNLV ~ This reqves~ voitl 18 mon;M1S from 9/G /03009 , ~ 1~• 045 g p°° ReQUest Daie N Rough-in Inspection J/~ Required? ? Reatly Now ~Will No~ify Inspector Yes G No When ReaOY? ` I~Acensed contractor ? owner hereby request inspection oi above electrical work at: Job Atlaress IS~reel. Box or Rou~e No.) Ciry ' LI.Q~a k~io G~~ ~~CiCk' ~ CkY~ Secuon No. Townsbip Name or No. Range No. Cou I Q Occu~~`\T~ l I-~~~ I LQ Phone~~~ _ I~ Power Suppbe~ ~ Atltlress~ ~d t~C ICp<t'Yll'(` '~f~ ~ Elecinwl Gomrecmr ~GOmpany Name CoNrac~or's License No. ~ ~c4-r~~ ~o lnc ~!0`7~ 3 Mailing AOtlrass iCOnvac~or or Owner Makinq Insialla~ion~ ~ ~ ~-1 ~wns S SCt,~e~ Awh c S~gw~ure ICOnlrador;0 aking Insta~lalio PM1 m~//e~~r ~C e\^ C u V ~ J-/JJ MIN 5 TA STATE BOARD OF ELECTPIGITY THIS INSPEGTION REQUEST WILL NOT Grig itlway BIEg. -~ROOm 54]3 6E ACCEPTEO BY THE STATE BOAFD 1821 Oniversily I.va.. 51. Paul. MN 55100 UNLESS PFOPER INSPECTION FEE IS ~ Phone(611J6iY-0B00 ENGLOSE~. 3~c~ppo REQUEST FOR ELECTRICAL INSPECTION s'':m=-'~~, EB-OOODt~OB I ~ See InstmcUOns lor wm0leting t0is form on back ol yellow copy ~ ~03~ 9 ^ 3;~j^ y ~ 7~(~/f~ °X" Below Work Covered by This Request ~'~:~~•~a ew AEd Rep. ' TypeofBUilding AppliancesWired EquipmentWiretl ~ Home Ranqe Temporary Service Duplex Water Heater Eleciric Heating Apt. Building ~ryer Other (Specity) Comm./Indusirial Furnace Farm Air Conditioner Otherlsuecilyl Commctor'sRemarks~.~~p~//~ ~q_/J~y~ ~0~5 ~ .NONSG.~ ~.c.¢.vF.O ISFF02E F~NA4 -h S~//7~" Campute Mspection Fee Belaw: ~ y~ i T t£ S ~}5 :8/LG f~ < # Other Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee ' Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _.4mps Above 100 _ Amps $19l15 Inspeclor's Use Only. ~ TOTAL ~ IrrigationBooms ~ Special Inspection Alarm~Communication THIS INSTALLATION MAY BE ORDERED DISC NNECTED IF NOT Other Fee COMPLETED WITHIN 16 MO f I, the Electrical Inspector, hereby Rough-in ~ certify iha~ ihe above inspection has F;,,ai oa~e been made. OFFICE USE ~NLY ~ This requa5t voitl t8 months from ~'S"~p9p~S/ ~ a ~ O ao S ~0254~ Feques~ Dare' - Fire Pough-in Insp ion Fequiretl? ? Reatly Now ~Will Noliy Inspeqor „S ~~L - ~ es G No When Reatly? I~licensed contracror ? owner hereby request inspection of above electrical work at: Job Atltlress (Sireei. Box o: Route NoJ Cily ~{9 ? ~o G/ ~ ~ Sec~ion No' Towns~ip Name or No. Fange Na Counly /.ora~8 tK 3 ~ 2 ~n~. D~9~lo~ OcCUpantIPRINTj Phone No. ~4Gt ~tiJ - GF E s ~r a- 5 9 s~s Po«er Supp~~ai Atltlress ~ ~LEGP7elG ~~/!1/ Elecvical Convactor (Gompany Name) Contraclo~5 Lkense No. /L ~CGE~v~! G ~ Yo~ Y8'- Ma~lmg Adtlress IConUacror or Owner Makmg Ins~allaLOn) c So ~r/efri AmM1Orrzetl Slgnature IGOnvacionOwner Meking Inslallation~ P~one NumDer ~ .-~9~ 3SS'~ MINNESOTA STPTE BOARD OF ELECTHIq THIS INSPEGTION REOUEST WILL NOT Griggs-Mitlway Bltlg, - Room 5493 BE ACCEPTED BV THE STATE BOARD 1821 Universfly Ave.. SL Vaul. MN 5510a - UNLESS PROPER INSPECTION FEE IS Phone~612)642~0800 ENCLOSEO. _ RE~UEST FOR ELECTRICAL INSPECT~ON ; i"'~~ ee-ooom-oe 3~ ~ Sea msVw-vons for completing ihis (arm an beoe ol yellow copy ~"ti ~3 6Q ~ S~' ~ ~ ~ C~ .r S~ "X" Below Work Covered by This Request V~':~~'~ ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired ' - Home Range Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./mdustrial Furnace Farm Air Conditioner other~syecny) Comraclors Remarks~. Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ~,7,, o to i0o amps ~ Transformers Above 200 _ Amps Ab _ Amps - Signs InsPecbr's Use onry: ~7 TAL Irrigation Booms xD~ OG g.O ~ t~ Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE OR~ERED DI$C NNECTED IF NOT Other Fee COMPLETED WITMIN 18 MON ~ ~ I, ihe Electrical Inspector, hereby Ro~qn-~~ e~ -g certify that the above inspection has F~,,,ai a~ . 6een made. . OFFICE USE ONLY " Tl1~6 ~BqOB91 v0itl 18 TOnl~S I~ORI S 0 / ~ L ~/,o~SL.S'S ~ 02 47 a Reques~ Date ~~e N. Fough-in Inspection Reqviretl? ~Reatly Now ? Will Notify Inspeclor r~~V ~9/ ~~Yes - o W~enPeatly? I~ licens~d comractor owner hereby request inspection of above electrical work at: Job Atltlres's /ISlreal. Box or pome No.) Clry ~r~ ~ / 7 s~ O iF'G ~Gh~'G~ CA97/~N $¢~(ion No. ITownship Name or No. Range N~o/. Counry ~e T ~ [.K ~ ~iA> Ocd ~F[-f b~o~- ' Occupant (PRWT) Phone No. • ~ E - ~E r~5 ~91 - S9 ~ Power Sup0lier A~tlress N Elecmcal Gontmcmr (COmpany Neme~ Convactor5 License No. /h.~-sv~iz ~cE c o o ~ ~l~-3 Maibng Atltlress ~Conhacioi or Owner Making Inslallalion~ ~e~~167 Qao~•/E Huthonzetl SignaNre onnaclou0wner Making Ins~aOat~on/ I_ i ~ Phone Number ~ ~ ~o-3s r~ '"T C~i...a•'_ MINNESOTA STATE BOPHD OF ELECTPIC Y ' THIS INSPECTION REQUEST WILL NOT Griggs~MlCway BIOg. - Room 54]3 BE ACCEPTED BV THE STATE BOFRD 18R1 Universiry Ave.. Sc ipul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6/R) 642A800 ENClOSED. . REQUEST.iFOR ELECTRICAL INSPECTION ee-ooooroe 3~ B~B~ ~ SeE insVuction3lor comGleting t~is torm on bacR o( yellow copy g'~~- ~O~ ~S ~~~t,r`~ ~ ?r~~ "X" Below Work Covered by 'This Request ew (~dd R TypeolBuildin9 AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ~ Apt. Building Dryer Other (Specify) CommJlndustrial Furnace Farm Air Conditioner Otner (sVecdy~ Conlramors RemeBS: Compute Inspecrion Fee Below.~ a Other Fee # SarviceEntrance5ize Fee # CircuitslFeeders Fee Swirtiming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ AmpS Abov 00 _ Amps SigpS InspaMOr's Use Onty: TOT i Irrigation eooms ~J ' 06 S~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Ro~yn-m . oa~e certity that the above inspection has Finai ~e i. ~7 been made. J ~'~l'Y OiFICE USE ONLV Tnis request voitl t8 months 1rom PERMIT # ~ I ~ RECEIPT DATE: EOOE f~SID~IVTI~kL i'LUM$IRfi f'~MTf ~~~'LIC~TION crrY o~ ~s~?x s9so ~u.or xxos gn Fae~v, MR 551 EE 65t-6$i-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backFlow preventer for irrigation system SITEADDRESS: 4972 ROYALE PLACE OWNER NAME: : DoNNA CARLSON TELEPHONE 651-687-0029 (AREA CO~E) INSTALLER NAME: RICHFIELD PLUMSING COMPANY TELEPHONE 612-869-7517 509 WEST 77TH STREET (AREACODE) STREET ADDRESS: CITY: RICHFIELD STATE: M~ Z~p; 55423 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICAT_ IOJ~lALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ~~Sw`+~'~~-F0.,~t.d" 0-f1c~ c~l~Y~~' ~V~~-~c.~"~"~-''u ~ Adding fixtures to lower levels or room additions, excluding water so eners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5(8" meter if needed -$11 S) Other. _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge 2 ~ ~ ~ ~ ~ $ .50 IG Tota~ JUN 1 7 Z002 $~Q i E I hereby acknowledge that I have read this application, state thatthe information is correct, an~d~d( raettrcoRlp ywit Ilh a applica6le Giryof Eagan ordinances. It is the applicanPs responsibility to noGty the property owner that the City of Eagan assumes no i hility for any damages caused by Ihe City during its normal operalional and maintenance activitles to the facilities consVUCted under this permit within i~ roperty!' ~-of-waylea e. ~ i ~~.ls.ln~ SIGNATURE OF PERMITTEE 1102~ 1 PERMIT # ~ ~ / RECEIPT DATE: ~V / l~SID~IVTI~1. ~PLUM$1NH ~P~M1T ~k~11C~kTION CrrYoF ~as,~tx S$SO PILOT KNOB iiD SASAA, EiA 5512E 651-8$7-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: 4972 ROYALE PLACE OWNER NAME: : DONNA CARLSON TELEPHONE 651-687-0029 (AREA CODE) INSTALLER NAME: RICHFIELD PLUMBING COMPANY TELEPHONE 612-869-7517 (AREA CODE) STREET ADDRESS: 509 WEST 77TH STREET CITY: RICHFIELD STATE: MN Z~p; 55423 Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: INSTALL WASTE & VEMT FOR BAR SINK, INSTALL SUMP PUMP, INST LL , Septic System, new/refurbished - $ 225.00 • includes County & ConsWting inspector iees • requires MPC license ~ %.~l State Surcharge $ 50 Total $ 50.50 Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, stale that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicanYS responsibility to notify the property owner Nat the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the fadlities consWC[ed under this permit within propertyl' t•of-way/eas/efment -i~~~~/ ~ i~~9?C1~!'/~'~C/G!/ SIGNATURE OF PERMITTEE Updated 1/01 L a S(' ~ CITY USE ONLY RECEIPT#: SI U q SUBD. ~ /7 O~ RECEIPT ~ATE: ~ ' ~ v ~ PERMIT# ~I r~/V / ~ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN, hR11 55122 651-681-4675 Please complete for: ? single family dwellings D townhomes and condos when pertnits are required for each unit D backflow preventer for underground sprinkler system FIXTURES ' EACH # TOTAL Alteretions to existing dwelling - minimum fee $ 30.00 Describe: CIIT OFF STACx pNn SH~taFx DRATN- MOVED STACK AND RECONNECTED TOI~T~ SHOWER., BATHTUB,LA ,5_ Bath tub $ 3.00 x = $ Floordrain 3.00 x = g Gas ipin outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System newrrefurb~sned • reyu~res Mac nc. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installa6on/repairlrebufld 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construdion 3.00 X = $ Underground s rinkler rfexisting 0welling 30.00 x = $ Water closet 3.D0 x = $ Water heater 3.00 x = $ Water softener if dwelling under wnsWetlon 5.D0 x = $ Watersoftener itezistingdweutng 30.00 x = $ Waterturnaround 30.OD x _ $ State Surcharge .50 $ .5D TOtal --a 30.50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I frereby acknowledge that I have reatl fhis appliption, state that the information is cortect, and agree to wmpty wifh all applicable City of Eegan orc/inances. k is the applicanPs responsi6iliry to notify the property owner thet the City of Eagan assumes no Iiebiliry for any damages caused by the Ciry during ils nortnal opera6onal and maintenance adivl6es to the facilities constructed under this pertnit within City propertyJright-of-way/easement. StTE ADDRESS: 4972 ROYAL~`PLACE OWNERNAME:: DONNA CARLSON TELEPHONE#: 651-687-0029 . - . . . (AREA COD~ . INSTALLER NAME: RICHFIELD PLUMBING C0. TELEPHONE 612-869-7517 ~ ~ ~ (AREA CODE) STREET ADDRESS: 509 WEST 77TH STREET CITY: RICHFIELD STAT MN ZIP: 55423 ( / ~~~~i(~is'iYiei.~? SIGNATURE OF PERMITTEE i~~ ~ 1991 BUILDING P IT A~ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WFiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICN REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO_CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ To Be Used For: SiNC~L F~~i ~ Valuation: ~6.-~S~' Date: 1/-r~~- / S ite Address l}.~j T Qp, ,p Q, I~'' D~Q ~ OFFICE USE ONLY Lot rZ Block 3 FEES Occupancy ~'3 M^~ Bldg. Permit 923.Oi% Zoning Surcharge O.So Parcel/Sub~a~a,~J Kny?1~f'. ActualConst ~ PlanReview dC,OO' Allowable N SAC, City f~0,~0 Owner # of stories SAC, MWCC ~,c~J Length $Z~ Water Conn. (060.~0 Address Depth 8' Water Meter -rIS,W S.F. Total Acct. Deposit 3 O,aa City/Zip Code Footprint S.F. S/w Permit ~•o~ S/W Surcharge z~ Phone On site sewage_ Treatment P1. a~b.uo On site well Road Unit rJD,o J Contractor (1L~L,~ - LL~ }~o,-•,ts Z,~ C.. MWCC System ~ Park Ded. City water J~ Trail Ded. Address j03.~S S"ymncQ PL~4G£ PRV _ Copies ~ Booster Pump _ City/Zip Code ~jF,~ P„e,a ,Rrc ~ 1"lti553`l~ SUBTOTAL APPROVALS Penalty Phone ~ a- j` `jy,~ Planner Lot Change Council TOTAL 2 Arch./Engr. ,~oy~,v l~RAOtf'~/ `ZnJC... Bldg. Off.%~Z%9/~S Variance Address ~ I,~ I~f~C~(StRun~( A~ L City/Zip Code PLyr-~ac~TN l"1'~ Phone # S3 3 - ~~f?U agrees that all work shall be done in accordance with ~~J~ ` (Signatur f ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~.~L~ ~ ~yX2.4=81~ ~-xi2_ (zw~ ~Ix7x,5- ly 3Xb~.s~ ~q~ .~---p" ~11~~c IS- ~I~SS F3Sm~- Gz x L~ % a~2~ y ~ ~3 = 52. ~q K 6 ~ C ~'?~I ) i e ~ 5r = (i.~•u I1 ~6x~5: C3~~ iZ k~ ~ ~~.q~: ~ _ 2333 X~ y= 3 Zi 662 Ist F~~~~ ~ s+~+~ r=. 2 3 3~ I'~xlb,S= Zl~I 1 x ~ r~ I%~ = ~ ~ 2~63XS3 = I 3~~3°I r~ri I~SI, oav ^ ~ ~ p , ~l J`~o ~ ~ * * * _ J MendotatHe r~htsDMN 55120 * PIONEER lI1NOSURVETORS•CIVIIENG~MEERS 9 ,~eng*eering.. ~~NOPl0.NNER5•l/1NDSCqPE11RCHITECiS ~ (6121681~1914 * ~c ~ Certificate oI Survey for: AL C E/v LLC~ f-~DM E S ~ y ip o. NORTH • D7 g?°W~ ~ c~ ~ a ~0 i ~ ~ a ~ . ~ . ~ ~ ~ - ;o . ~ - - ---,ozo.3"'`~~' :,co~ ~~C:. ~ '-y/?'-_j~~._..~... 47' ~J' .•.'~.r..-i ~r'.r' I b eGl~ a r.S r . . s ~ ~ . - IOt4•3 " ~ QCoQ .t \ ~ 0 ~a o ~orLS.o ~ i ~ i~. x~~o.` ~ +eZ~ r ~h•Or 9~° ~ ~~0z5,\ ~ ~ a M S , (av ,y ~02~ ~ 6 ~py5. ~ ~ lo;e.y L,~' ~ \ ~ ` o~ y. ~ . , ti utl•l- ~y~ ~ tF tetb•0'~ xs,8~ r~ ~e Q.° IotS.O N/$B,SZ „~.1ti~ ~ ~ , ~ ~1 ¢ ~F ~~iy -roLT•D n Q . p~r ~ B~do+~ ~,.Zf-~~ io2f•I ~D.~ • 900.o Denoles Exislin Elevafion PROPOSEO HouSE ELfVAT r oo.o beno~esPropo~~Eleva/ion Cowes loorEleva ion io2o.e DenotesDrtiinv eEufili~ly Evsement Topo,''BlockElevation ~oz~.s Denofes OrYrin ¢e Flota'Direclion Gara~e Slab Elevation ~0 2• o Opnofes Monu~ienf BPOrin~s shown are assumEd oDerro es o~~se l~ib LOT~,BLOC~ 3 E,4~AN ~0~,4 L COUNTy~ MINNESOTA 1 hereby eertilY that thb ~urvey, plan or report wes prepareA by me or under my direct Supervision and ihat 1 am Auly Registered LanA Surveyar onder the lavH ol the Stete ol Minoesota. Dated this~ day ol q„nriL A,D. 19 ---~e ~ ir . / i / ~ . Scale :1~=40 « ~"Sd6G ~ ~ - ~ R09ER T P. SIKIf.I l L.S. RE NO. 14891 , E:X1°L`-:RTOtz E'IUUEI_.OPE AVE;fi~1~F "L.1" C:'UN1F'I..1Tf-1TION P1~an 4k 'r'].Ci;'1 D~~te : - _~-4i O~lri~r Coi°~tr-~:ictor A1 L~~r]__1-E~'._..Finm~:=;=.s._..J;nc, ~;tL.E~ ~,~fdre~s5 ~~__......~~c~~~ .~~6~~~._. ° e~~. 1?Tntal. er,pc3scd ~,r-~~.a. ~~~•~,~a. ----=;oii____~;~~.,+t„-_.li== ~~i.;> . nta3. e;;po~r,d i~n~~Fli_ei7.irig _;?,~._^±----"-~_i.=..f.t_,.~~~:6- 6;`J,6 Wrall cr.aa.ruYatie+r7 C'c~t.~~l iv:indc7~a ~ ya. rt. 96.b ar"t-,:3 r6 foFc37. doc7r` ri~r~e~~ ---=-,53----"c_L•..~.#:_._~.ii7:-----`=-~- "I`c~ic~7. r:~l~jss~s c7c~c~r ear-ea ---St1??_---sq.,..f.{=.~.._~:;5=- ,:;f~_ii ° 1'i~t_al +i.r_r~lac:e zar-ea n.•'a s=.e.._f:t.::_.._:.:~:5=.:_ , ---..._...------~.4 - lot.~~7. eva11 f~•~minq ~~rra~a ::'_:1.9 4>q...:ft:-_.0~?=- 7.4.7 _ P.let. i. n~,~~.1 at.erl a~~rl.1 ar c=~3 __7 °r"'r.?----~=`.~_=f t__~!4__~~ __E3~._7_ 1°r.rt~i7. r-irn ]o:i.sC: ~Zrea fF ~sn- y.:? ..(ca~k~a7. rr.a~..tnt9;it_ion ~1r~~eti+ ---i.1-4---=_;y._ft__.i,~.,= :1:50`? . .~{_,t<a:L fo~..iririai:.:i.flr~ W11'7f.IC:)W ____i'tlCj___"LJ^_¢_~i^'-'_?`~cc____j_ ) ~l (]'t. a ~ 1:f i t.em i.s the:, ~:sa.m~= t~~-y c~r 7.c=s= 4..han i t.em 1. vo~.{ ha`.e rnet f~t~3F- .i.r~~t:c~n~t: c,f~ MC;I~1~,':l.1bOC~8 fl ;~nd f.l P'tr.~~rict~i.7.ing r.~tjJc:uleit:i.nn Tot.a:i} =s4::y:L:ir~F~i. ;zr-e.a ---].r-----~~;3...:ft.._.';;_ .°i.f~ . . . . ; , t~r:_' b ~e G cr.al rr_roficc=:i..L:ing ir-c~~tt~.nc~ --."~_-----.;q_f_t,=----._--.-_- Nc:t :i n~sul ~~tE:r.i ror._af ~r-e=~i ,;,;";E_ - i' • ~'n-_ c~ .,_.,._,...'S SCJ,~'.~ °'~~W . ~ : ) ~ ~ Gl'~'.1 il ' I f i l_s_m t~ :i.>> same ~iss,~ e:~r° l e=~>:> ihian you mri i=tre i r~i-ent ~.~f 2 F1CF-1F: i, 1b;iuiE3 r1 sand p ~].tcer-n~t:e t~uilciinc,3 c_nvE~~7.og~a= d~:s:ign ~t~~ ~.rF.i.7.iz.t= ~kl'~e:~ ~C~.ot~:al er'ivt3:Lo~~t+ s>y*.~~tE:~=m ~z~~et_hor.l #:.I-ir ~_um c:rf i.i._er.m=s 1 t~nci •=1'ital.i. I~c~ t~r-E.ak.rar- t:han thF.z t>~am o{ i{=em~~ ,a~°~d ~~d 7.? +2.7 +tFt - - T Fi?':r'~~t:;y c::rar...t.a.~t.~fy ih:+.~t. th~_~ t:~~_~:i:L~3ing ti~r-t= t~e_=_c::r~~ihed m~r:~t~..=_; nr- r;:cF~r:=ds i.-.hE= .=..>t:atr c~f minnr.,~sot.a enerqv conser~v~:i._i.t~n act:. ~i c;r•tt~ci_~ ` ~ ~ . . ~ ' WAL_L,.,,.CUIVSTFLIC?1'1,ClhJ f.;F.I!_:[NI~ CQNSTRUC'T.T.UIV . _ . c.,:.6 wi Bi1r.1r-il:E= h- ~F'~'.,[i 4l.oo-an :ins. Fi_aming sec:tic~n Fr-aming =>ecti.nn I.. Inter°i.nr air ~ilm „~t3 L. In{_F.=ri.car- a~i.r- film .64~~ 2, 7./:?~~ ~:.~5'I~. I:ad. „•FP3 S/!_?~~ U;~~ t~d~ .'~;fa ~~I^~~ nf sof{: ~oac1 6oE37 1/~,~~ ~~~r_,d 4~:_;7 4. `?5/'~ hil~~r:i±A ?.~ip 4. 10" in3, __e24 S:i.~iinq ,~3~. Tot.,~7. ~i '.~,8~-i 6„ !a:;te:~r-ior ~~:i.r~ ii.lm .1% Ll - 11fti .i7~~ Total. Ft ]..1 _06 Ins~il~~_t,td s~ction 7.,, Inter-i.or- air- fiim .68 L.I - ].iR ,ii~~ ::afB" t:lYl' larl„ - „,:.if.~ 14" :ins~~l<3t.:in_n 4:'.t-~t,> Insula.+e~i ser_t:ion Total I~ 4.';.,^4 1~ In'L-.~rior- ~tir ~i1.m .f~s~ U = 1/fi .i~~-: l.i'~" l.3YR. bc1,. ~~4`-i -Se °i/F3 I~atl ins„ i9~~> ~'tEeci.~~7. conclitir.n~ 4. ^S/:;2 Lildritw '~.c_it3 n,~ci siding ~81 h. e;r.ter-i.nr t~i.r t'ilm .17 7.ot-cz]. f4 2~>.:14 U = 1/Fi ~~.~~4::' kim i~~i>t sect.ion _ 1,. in'Le:+rior t-ti.r ~i.lm ,6F~ S i/2° b~tl i.n,. 19,.Cr 1 1/:'," wood 1.89 4. ~5/.~:? bildi~il-.F~ ",?.,p~ ,`.a, si.ding .f3:1 6~ extericar- ai.r ~i.lm , 1J Cot~l ~t 24~6_; U = 7./R --.ii4 ['o~,-inci~~ti_on sec't.ion 1. interinr a.ir silm .68 1" s'l-yro in=_s. "nn 1:?" r_anc I~:Lb::e 1.~?f3 4„ e::P:er-iar ai.r E:i:tm ,.:17 Tot~l Ft 7a i.' lJ liR .14 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~1-57~ ~~~aF~?~~ ~ ~o ~r~ 3830 PILOT KNOB RD - 55722 651-681•4875 w 1 aa~ RertwtleUReoalr Reaulremenb > 3 registered Yte wrveys ~ wlnp sq. ft ol bl. sq. tt. of house ~ 2 copies of plan and roofed areas ~Qwed1 1 set W anergy ca1cW ons for heated addiflau n 2 coplea ol plau fshow becmi wlndow slrsa; poured tnd. dasign; efc.) 1~te wrvey lor exte w adCiHons & decks > 1 sel of energy cplcu~atlons > 3 coples W tree preaervaHon plan tl plaN6d aHer 7/1 /93 pq~; ~ C~ CON5iRUCTION COST: DESCRIPTION OF WORK: '~S~-~`Yl /l~ fl ~ S~ Y~ 1 ~t ~ Yl T~ Y ~ I~ c~. STREET ADDRESS: LOT: ~ BLOCK: ~ SUBD./P.I.D. ~ ~ Name: ~ ~ l~o~s ~o:,~ Phone M: ~S/- 6~B - 9.~D~ PROPERTY wsl Flrar OWNER ~ p ~ ~ ~g~~ ~ Sheet Addreas: C~}y L% State. a1'v Zip; S Spbf . Company: y rs~z ,T.~c_ ~ 7 -v Pho ~v S / `~3~ ~ (area code) COMRACTOR Sheet Address: `lo S , Uc se #~~ExP• Clry D•? State: ~'Jrv. Z~P. ,S.S_~Lj ARCHITECi/ ENGINEER Company: s G'~ Nome: Telephone ri: (~n/2, 3 41- 9' 7 Z Sfreet Address: RegkhaHon S: ~ CHy L~. ' State: ~Iiti.v Zip: :~~5~/ Sewer/water licensed plumber I i Phone I hereby acknowledge Mwf we read fhis applicaHon. sFafa M~aF Ihe ~formaNOn fs cone~?, and agree to compy wilh an appiicoble Sfofe of Minnesota Statutes and of Eagan Ordlnances. Signalure of Applican ~ ~ ~ ~ ~ OFFICE USE ONLY J;1 3~ Certificates of Survey Received _ Yes _ No ' ~ Tree Preservation Plan ReCeived _ Yes _ No _ Not Required g/3~ l~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? o1 Foundation ? 07 OS-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Ait - Muki ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Fxt. AR - SF 0 03 01 of _ pleu ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 04 02-plax ? 10 08-plex ~ 19 Lower Levet ? 24 Stortn Damage ? 05 03-plex ? 11 70-plex Pibg or_ N? 25 Miscenaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof - ~ 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ~33 Alteration ? 38 Demoiish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units ~L Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual} Basement sq. ft. Census Code u~_ (Allowable) Main levei sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOU3 INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee ~ 60.5 ~ Vaiuation: $ 2Urpr~n .'O Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Oed. Other Copies Total: O, 5 6 SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eacaN Z 3830 PILOT KNOB RD - 55122 Z~ { ~ (o ~ ( 65'I-681-4675 ~,P,.~- l~'~ d~o ~°~'~~~9 S- v~ New ConshucHon ReaWremenh RemodeUReoair remen > 3 regisfered ~Ite wneya ~twwing sq. H. of bt. eq. lt. of haue 2 copias of plan and g~ rooled areas cwx ma*~mum lot coverafle anowedl ~7-' ~-C'i~ G 1 aet ol energy cdculaMa+s tor neoled oddBlons > 2 coplea ol plans (show beam b wlntlow Qzes; poured Intl. dealgn: efc.) 1 site wrvey for exteAor additlona a decks > 1 set ol energy calcu~atlons > S coples ot hee prefenatlan pltm If lot platted aRer 7/1/93 DATE: C`" ( 3~ G~a CONSTRUCTION COST: r~ DESCRIPTION OF WORK: G I~!'I7'd ~ Dr~ y L.~J 6 w~ ry~~rw1 ~~'~~`J STREET ADDRESS: - LOT: a~ BLOCK: ~ SUBD./P.I.D. ~~A n~ ~ - v~ x ~ Name: ~°Cs~,.. /3v~S ~~o.,,,~,,_ Phone~: ~.S/- x,P ~s~_ PROPERIY Lad Firai OWNER StreetAddress: `~-~I ~Z ~ti~ OL.~ ~ Ciy ,a~s mu State: ~1 Zlp: 5 S-°~i Company: T',~c C'o~~'!st/~ PhoneM: ~s_L__ ~~3~ SS/7 ~ (area code) COMRACTOR ' Sheet Address: l G 8~' S 7jP~ ~/.~i ~/J license # 2-4 73 Ezp. .S D CNy ~~%7Un' Stafe: ~~•v UP; ~S~Oj ARCHITECT/ ENGINEER Company: Name: Telephone N: ( ) Sheet Address: RegishaHon Y: Ciy State: Zip: Sewer/waler licensed plumber (N insfallina sewer/waterl: Phone I hereby acknowledge that I hrne read Ihis applicaHon, stafe that 1he InfortnaHon is carect. cv+d a9ree to compy wilh all appRca6le Statc of Minnesota Stalutea and CMy of Eagan Ordlnaneea SlgnatureofAppileanY.~~~ ~ OPFICE USE ONLY Certificates of Survey Received _ Yes _ No ' ~ Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES p 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SF Dweliing ? OS O6-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AIt - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg _Y or_ N~ 25 Miscellaneous ? O6 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ~ 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) O 46 WindowslDoors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code a I # of Stories sq. ft. No. of Units Length s9• No. of Buildings I Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowahle) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS ? ~ Stucco/Stone APPROVALS Planning Building ~G Engineering Variance Permit Fee ~~S 3~' S Valuation: $ Ss~ n o 0 Surcharge . c~ c~ Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: I S`l. a~ SAC Units % SAC Ju1-27-01 07=39A Donna Carlson P_O1 ~,a6ert eh' Donna Carlscm 49721~,ayale Place ~ ~ - - L`~ ~ ~cr~rzn, ~f'~55Z~2 ~ bSl- ~~3~- o~ z'~ ~U <-'z~",~`~ p .y,,,,.,ti~, , . i , ~ ~ ~ , ~ ; ! 7 i ~-1 ~ 1 ~ . ~ ~ P-~ t ~ 1 ,~.,n,~,~ u,.~-^'r'~ ~~Yxt21~~ ~~-~~u,~,ti ~ ~ a ~-o ; c~ eL, ,`~"-I~ ~ W-p.~ iJ ^ 4 1 ~ ~ ~ `~-~"0 ~j~ ~ p n--o~._'L.. c~ ` ;c~r~..so , W ~ tTV~ ~ ~i'~ ~ a~ ~ ~4^~`~ur-t~ d~^'~ ~ (..L"f -rt-l-o.~ , ` ~~•~1'~n,~. CLAIM VOUCHER-REFUND REQiTEST CITY OF EAGAN MAKE CHECK PAYABLE TO: ENERJAC CONSTR INC. ADDRESS: 1688 STRAWBERRY HILL RD AFTON MN 55001 LOCATION: 4972 ROYALE PLACE P.I.D./LEGAL: L28 B3 EAGAN ROYALE RECEIPT #/DATE: 134220/ 7-11-00 VALUATION: 8000.00 REASON FOR REFUND: CANCELLED SOB PERMIT 41611 TYPE OF REFLIND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Pemrit 3213-9001 $ ~s3•as Building Permit Fee 3210-9001 $ 138.25 ~ 5~ ~11 /3~• aS Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connecdon 3865-9220 $ Sewer Pemut 3743-9220 $ Water Pemut 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Oveipayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Cons7uction Meter Dep Refund 2254-9220 $ Water Usage Chazge 3711-9220 $ Other $ TOTAL $ 138.25 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. ~//.v /Yl~ Y/ft_()'i.J 8-31-00 SIGNATURE DATE CZTY OF EAGAN FOR CITY IISE ONLY ~ ~ 3830 PILOT KNOS ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT ~G~+7~~~I,~ DATE : ~ 9/ ~E~~S3~,NTIAX.;< PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ~ TOWNHOMES/CONDOS WtIEN PERMITS ARE REQUIRED FOR EACH UNIT. WDRK DESCRIPTION FEES NEW CONST _ Note: This ho e was new, it burned down, ~D-ON MINIMUM $15.00 ADD ON _ the bui er is rebuilding it, and we ~AC 0-100 M BTU 24.00 REPAIR _ are red 'ng our instalation of htg.& ,e,DDITIONAL 50 M BTU 6.00 air con itioning. GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: ALLEN/LEE HOMES SUBTOTAL: $ 15.00 SITE ADDRESS: 49~z Royale Place STATE SURCHARGE: .50 LOT:cX 8 BIACK ~ SUBD. TOTAL: $ 15.50 INSTALLER: Kleve Heating & Air Conditioning ADDRESS: 13075 Pioneer Trail ~IGNATURE OF PERMITTEE CITY: EDen Prairie ZIP: 55347 PHONE 941-4211 ~OI~L~iCIAL~~N11'iISTRTA~."; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 IAT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1$ $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ' CITY OF EAGAN FOR CITY IISE ONLY i . 3830 YILOT RNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D 3 O$ ~~:~NG:F~~~:C:T DATE: 9 j;~~T~~~:;' PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 /~w ADD ON _ _ SHOWER 3.00 REPAIR WATER CIASET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: A.~,~C,? ~t'G /,~ertiLS KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: 'YSJd /P~~/.J.~G ~OaC _ HOT TUB/SPA 3.00 ~iC WATER HEATER 3.00 IAT: ~"o BLOCK ~ SUBD. _ FLOOR DRAIN 3.00 ~ GAS PIPING OUT. INSTALLER: ~"9~~5~ .o ~ ~/t~3 d / ~1% 6 _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: ~o~'lE5 ~/~/,Ttn,.~ f/e/~ Sd _ OTHER WATER SOFTENER 5.00 CITY: ZIP: 5~37~ _ PRIVATE DISP. 15.00 ~ A L~~ ~~J _ U.G. SPRINKLER 3.00 PHONE r4~ ~S`~7L~" ~ SUBTOTAL S f 3• W ST. SURCHARGE .50 SIGNATURE OF PERMIiTEE TOTAL: S ~S~J~ 00?4IER~~l1Y,f~IDiTST$Tl+Z;,; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAMF: ?.8 (1F CONTRACT FF.E. STATE SURCHARGE - $.50 FOR SITE AD?RESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD ` EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ~B~~G;;~_~~~ DATE : ~~#~3T1Il~i`;;:" PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ~_.s,..:.<,..~. ~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON / SHOWER 3.00 3,~~ REPAIR _ a WATER CLOSET 3.00 G,LO X BATH TUB 3.00 L,~ 3 LAVATORY 3.OD 9,~ OWNER NAME: .9.~J-~-? it C G /~a/+~ d,S > KITCHEN SINK 3.00 3:°" L LAUNDRY TRAY 3.00 3.~u SITE ADDRESS: 'S~l`~7~ R~~u'7<G ~JR HOT TUB/SPA 3.OD I WATER HEATER 3.00 i LOT:~ BIACK ~ SUBD. / FLOOR DRAIN 3.00 ~3.W GAS PIPING OllT. INSTALLER: ~~cSillt ~~+9d r y~~ ~ (MINIMUM - 1) 3.00 3.~-O ~ ROUGH OPENINGS 1.50 ~ ADDRESS: /a~yE`~' 2/i?r~ii? ~r/G S'~ _ OTHER WATER SOFTENER 5.00 CITY: ~r/~Gy-' Zip; SSu~~b _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE ~5Y' 76 ~ SUBTOTAL S 'S~~• ~ ` " ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE TOTAL: S w ~p~ER~xpJ~~';i~IpUSTRTAI.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND MULTI-FAMILY BUILDINCS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR~ ~ SITE ADDRESS: EACH 51,000 OF PERMIT FEE.!' IAT: BLOCK _ SUBD. $25.00 MINIMIJM FEE. ti INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: S PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD ~ EAGAN MN 55122 PERMIT # PH~NE: (612) 454 8100 RECEIPT # O~/ i~G~!1~~A`~,.~~i~4~'1` DATE: / ~S~C~E'F~'~`~AT.: PLEASE COMYLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ,a....~........ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMiJM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 Le~ e OF 1 PER PERMIT OWNER NAME: ~j~j,~ SUBTOTAL: $ 33•QO SITE ADDRESS: U~,~ 11C~..IQIP -1 IG,C~ STATE SURCHARGE: .50 LOT: Gl~l~ BIACK ~ SII3D. TOTSL: $JJ.SQ INSTALLER: e.,~J r ~ ~ 2y~-7 D ADDRESS: ~ JV l~ 1 IP~I1P.~ ~'rC~A Q SIGNATURE OF PERMITTEE CITY:~f'~~ - ~ I~1\ ZIP: 3y`1 PHONE ~ `"lI ~ ~'I~\~ ~4HIPiE~t~TA~.~'~NbUSTk:~I~I.:.3 PLEASE C9MPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, _ _ . . APARTMENT SIIILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PR'JCaSSE^v cIFItdG = $25.CC IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRE55: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~t a~ B,~k ~ Subd. UNDERGROUND SPRINKLER SYSTEM PLUMBIIVG PERMIT Date 7-~-9~' Receipt # ~O//~(o S/ Commercial: $25.50 + water tap if re:quired. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ~ Fxistin~ residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). _ Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. '7 9 7~- /Co~brz ~~a~e_ (Address to tye sprinklered) o, ~ I~ / Homeowner/Ylumber: ~arry l~tf ea~ cJ~ U~oYs P~by. ~ Phone ySS-- /l y q Street Address: ~ 7~~ ~a ~ C~c ~ r, City, State, Zip: ~ /t'~/L~ SS °7 Owner Name: ~arr~ J~ ~f~ e~f 5treet Address: 'y 9~~ f/~aY w~~ 1~~~ Phone ~ Irrigation Contractor: ~i ~K m~k~a / ~c r y Phone ~-Sy- d `7~-~ 7 I hereby acknowledge that I have read this application and state that the information is correct and ee to comply with all applicable City of Eagan Ordinances ~ ~ ~ " ~ ~ ~ ~ _ %~-.~%I~ .~~`~-"1-'"~~~,~~. cc: Engineering Department ~~~a ~-0~-. ~~`~-.~i r-~r~v PERMIT City of Eagan Permit Type:Building Permit Number:EA108034 Date Issued:11/13/2012 Permit Category:ePermit Site Address: 4972 Royale Pl Lot:28 Block: 3 Addition: Eagan Royale PID:10-22475-03-280 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Robert C Carlson 4972 Royale Pl Eagan MN 55122 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature