4976 Royale PlCity of aau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REC
Use BLUE or BLACK Ink
For Oar ise
Permit#: /60 703
Permit Fee: 5 -col
Date Received:
Staff:
2011 MECHANICAL/'QPERMIT APPLICATION
Date: g l `J "// Site Address: '7 / 76 %L I e_ P
Tenant: Or I'e4,2 e__ --
Suite #:
J
RESIDENT / OWNER
Name:
Address / City / Zip:
Phone: G,57 -16`3Z -43/.5--
5'372
,s pBZ-,3,5S
5 572 :Z
CONTRACTOR
Name: X%y G'ef�LCC License #: eitp 3
Address: 40205-%J�7C7Y� �City: +✓iLCGderr
.Aes.
---
State: /r%7/ i Zip: L,67.5-9:0/ 6a7- 02-!/.7--g3-zX
Phone:
Contact: ffe %d/ iffctOjj Email:
TYPE OF WORK
New Replacement
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Additional Alteration Demolition
PERMIT TYPE
RESIDENTIAL
Furnace
it Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ jJ /90 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.Qoaherstateonecall.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.
A
Applicant's Printed Name
x��JS�I
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground — Rough In _Air Test _Gas Service Test _In -floor Heat _Final
_ Exterior HVAC Screening Inspection
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 1 t n NFa
383Q Pilot Knob Road Permii Number: ~"1
Eagan, Minnesota 55122-1897 Date Issued: "
(612} 681-4675
SITE ADDRESS: ~ i ~ ~ ~ „ ~ ~ ~ i ; ~ APPLICANT:
~ i ~~~rnl l'. E~I ~ , . r~rr;r~• r; lP1~
~ ~ li.{_~r ..,..~c~~t
PERMIT SUBTYPE: TYPE OF WORK:
. ;t~ 1~ t,,, I 1 i~~i
I j . , i ~~tf . i'i' I i
• •
, t.j , i~~,.1
~ ~ . ; ~
„
~ ' ' _ ~
Permlt No. PermSt Ho{der Da1e Tefephpne ~i
ELECTRIC
PLUM8ING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
4NSUl
GYP BOARD
FIREPLACE
FIREPLACE `
AIR 7EST
FINAL PLBG ~.l/ / ~ a
(
f1SdAt FiTG
ORSAT
TES7
BLDG FINAL
BSMT R.I.
BSM7 FINAL
DECK FTG
DECK FINAL
~-4-.. .4M!?,'A~l4~ c.`V"lMi~'IfrbF'~ts'~0~'°'"'E'p'~vTt a t ; .....~.~•+T`~
IA~ ~ _ B3~ ~'~TISEl--C~/ l~/q3
~!t~~~~ Si~ t~s t,! o-7150 CITY OF EAGAN ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "
• PHONE: 454-81Q0 ' ,
BUILDING PERMIT S'G~ 7Y,,.. ~-S ~ Receipt # ~ ~ -
c~ ~ •
To be used for $I' IKiG~GAR Est. Value s111 ~000; , ~ Date- ~4dV 1 , 194.L-
Site Address 4976 SOYALE PL `
L~t Block Sec/Sub. ~ OFFICE USE ON~Y
Parcel No. occup
~ cy ,R-3 FEES ' ~
zoning ; ~1
W Name NOB?HEBl1 CLASSIC NOlBS ItiC ~ncwaqcons~ .~(~.j~ Bidg.Permil i_n_,,
~R_n[f
o Address 31 S2 B1t1TER~itJT CIt (Aibwabiei ~h Surcharge i~S. S~
City pRiO~ 1.w1CE Phone 4~-71~ ~r ot Sio~es -
length 12~ P~an Review R~-~
o Name SA~S oeP~n SAC, City 100.00
o~ Address s.F.Totai
- SAC, MCWCC 6~•~
~ CIiY Phone S.F. Footprints _
, ~ On $ite Sewage _ Water Conn 6~. ~
¢ Name on s~~e we~i 43. aA
~w - Water Meter
_ ; Address Mwcc sys~em ~
i W City Phone c~~y wa~ar ~ Acct. Deposit
PRV Required _ SNV Permit 30~~
I hereby acknowlege that I have read this application and state that the Booster Pump - gryy ~~charge
information is correct and agree to comply with all applicable State ol
Minnesota Statutes and City of ~ag_ a~Qellinances.
Trealment PI Z76-00
Sgnature ol Permitee APPROVALS 370.~
A Building Permit is issued to: ~R~~1lI'1 GT.AS81C ~8 Planner _ Pa~ ~
oq the express condition that all xrork shall be done in accordance with all , Council
applicable State of Minnesota Statutes and City ot Eagan Ordinances. g~d9 pry. _ Copies
Building OffiCial Variance - TOTAL ~~~i~•~
" Pem~N No. Permft Molder Date Telephone A~
WATER ~p?3 3 S 9
SEWEFP~ 2~ ~ 017
PLUMBING ) , e~.3 ~ O(o
N ~ ~99~ ~ia°~
H.v.n.c. p .uc.c~ ~iD-~~D
ELECTRIC *Q~'~~~p ~~/7? g~ / ~
hspletion Data k?sp_ Comments
Foolings I G ~ ~
Foundation ~~jc LJ' ~
Framing ~ . J~ 2 ~s ~ ' ~
Floofing ~-3~ ~ o~- u; ~
Rough Plbg. -?7 ~ ~ ~ Z _ l ~ ~
Raugh Htg.
Isul. , _
Firep~ace ~.z Zl ~ ~f' ~IS 3 x
Final Ht9• ~Id cd,Cl
*~t
o~m~ ren . Z 1~
Final Plbg. Plbg. InspeCtor - Notiy Plumber
Const. Meter
Engr./Plan
Bldg. Final ~ C~~ ~t-~
Dedc Ftg. 'fll0 C yf ~
Dedc Final
w~+i /q~~j' ,~=~c. .~%..r,~~ - z 93 - j~
Pr. Disp.
^,~j / G~7/ ~ EC.< <~c
v
It~i~CAFiVl1~ F~ ~ F~IIgi-05/ l8/Q3 ~ . -
i~ df~iia K!~ 4~7150 .
~ ~~~r_ .
~ ~erti~icate o~ ~ccu~anc~
~ ~~t~ o~ ~agan
~~~ext ~
This Certi~cate issued pursuant to the requirenienis of !!u Uniforrn Building Code
certifying that at the ttme of issuance this structure was in cornpliunce with the various
o~inances of the City regulating building construction or use. For the folbwirtg:
u~ c~~r~~:SF llWG/GAR B~ 1Q852
OccuP~~Y ~'Pe ~IsI 2oniog District R Canst.
Owrer of Buildiog ~Iy ~S Add~ess y ~
~ 4q76 ~ PI~1[.E , ,
B
~g naa,~ ~uy
_ ~ . . ~ ~ / 03/ 18/q3
- nau:
_ Building Official
POST IN A CONSPICUOUS PLACE
. ~
~,_..r._~ , _
SEW~R &"WATER PERMIT ; p OFFICE USE ONLY
CITY OF E~GAN METER #7 ~/'IG 70 PERMIT DATE 11 /OS f 91 ,
3830,Pilot Knob Rd. CH~p #0 d 9~
4~/~ PERMIT # ~ ~
Eagan, MN 55i22-1897
METER SIZE ~ ~ B.P. RECEIPT # C~~~
1VOV 1. 1991 ISSUE DATE - - 9~ B.P. RECEIPT DATE i 1/05 f 91
DATE
_ PRV _ BOOSTEFiPUMP
SITL~ADDRESS 4976 ROYALE PL PERMIT REDUESTED
LOT 29 BLOCK 3 SEC/SUB EAGAN ROYALE
x SEWER x WATER - TAPS
APPLICANT:
- COMM/IND ~L. RESIDENTIAL
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn S inkler Meters are to be Installed
PLUMBER: STA& PLUMBING Ahead f Do esti Meters on Water Line.
ADDRESS: 1018 MOUND SPRING TERR Credit IL T ~qiven for Deduct Meters.
CITY, STATE B~NINGTON MN Z~P 554~0
PHONE: $84-4149 ' ~ ,
4 GREE TO COMPLY WITH TY OF
OWNER: NORTHERN CLAS''SIC HOt~S INC EA DINANCES
ADDRESS: 3152 BUTTERNUT CIR
CITY, STATE PRIOR LAKE MN Z~p 55372
PHONE: 440-7150 RE WHEN METER ISSU
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CA~L 454-5220 FOR INSPECTIONS. Fb STORM
SEWER PERMITS, CONTACT ENG1{~1 EERING DEPT.
~ S P~ eA ~ v 1'~Oc/ v/~, ~ ~ e,... l~/•~U~'9/ ,(~,Cr.
.
,f. . . ...,s._,-.• ~ r. ....,,.n . , . , . . ~ „r ~ , ~ . . . . . . . . . .
SFSYER 8~WATER PERMIT OFFICE USE ONLY
CITY ~F E~4GAN METER # PERMIT DATE 11/05/91
383a Pilot Knob Rd. ~ 12373
Eagan, MN 55122-1897 CHIP ~ PERMIT # ~
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE i l f OS/9l
DATE NOV 1, 1991
_ PRV BOOSTER PUMP
SITE ADDRESS ~?976 ROYALE PL PERMiT RE~UESTED
LOT 29 BLOCK 3 SEC/SUB ROYALE
x SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP x NEW _ EXISTING
PHONE:
STl1bi PLUHBING Lawn Sprinkle~eters are to be Installed
PLUMBER: Ahead ,Of Do esti~ Meters on Water Line.
ADDRESS: 1018 MOUND SPRING TERR Credi IL T be ~qiven for Deduct Meters.
CITY, STATE B~MINGTON L~N Z~p 55420 ~
PHONE: 884-4144 ; !f-~
I ECGREE TO COMPLY WITH CITY OF
OWNER: ~ORTHERN CLA3SIC HOMES INC EAGAN ORDINANCES
ADDRESS: 3152 BU7TLRNUT CIR
CITY, STATE PRIQR I.A1~ ~Q~i ZIP 55372
PHONE: ~4-71 SO SIGNATURE WNEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~ DATE: NOV S, 1991
49~6 ROYALE PL (NORTHERN CLASSIC HO!!ES)
RE:
~ Your Sewer & Water Permit for the above property has been completed. It will 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 Sewer & 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 allowed until further notice.
COMMERCfAL PROJECTS OIdLY: Please pay for meter at City Hall. Meter size must be
coniirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNtNG: BEFORE DIGGIMG, CALL LOCAL UTILtT1ES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT CQMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH RECEIPT ~ ~
CITY OF EAGAN , r
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~ ~ ~ ~ 19
~~~o . { , ;
~ ' ' Y-~ I~~, `~r` 1
F~.
~ ~
t` nMOUr~iT 1c, ~y ~',J s ,
~ (
k i,~ . 1
~ ~ ~ ` 8 ~l.~% DOLLARS
~oo
? CASH ~CHECK
_ ~ ~ ~1 i , ~ ~J 1 r
~ ~ r r!, r"
i~ ~ ~ t- l
~
~ I ~ ~ ~
\ ~ 0~ T- '1~"
FUND ~ OBJECT AMOUN
~
J
Thank You ~ , 1,.----~
,
, /
BY
1M~it~PaY~ ~PY ~
~ 0 t 6058
VeMowr--POStig Copy
Pink--Fl{e Copy
147 ~Q ~d3793
8 a9 'g~~s o0
Repuest ~ate Rre No. Pough-In Inspec~ion
t Required? ? Reatly Now Will Noti~y Inspector
NOV. 12~1991 ~Ves $NO WhenFeatly?
1
i
I~ licensed contractor I~ owner hereby request inspection of above elecirical work at
Job Atlarass Islraet Box or qoute No.) CIty
4976 Royal Place Ea on
- Sadion 1Jo. Towns~lp Name or No. Range No- Coun~y
Dakota
i Occupan~~PRINT~ Phone No.
Northern Classic Homes 440-71
Pawer Suppller Adtlress
Dakota Power Co. 4D00 220th St Farmin ton
Eleclncal Contaclor(COmpany Name) Convactor5 Gcense No.
Sky Electric Inc. 042173 1
Mailtng Address ICOmracmr or Owner Making Installa~ion)
1121D Washburn Ave. So. Bloom. 55431
Autho ~ Slqnal re iCOmre toNOwne: M ag In allatbn) PM1One Number
888-1736
MINNESOTrI STATE BOARD OF ELECTRICITV THIS INSPECTION REOl1E5T WILLNOT
Griggs-Mitlway Bldg. - Roam 5-1?3 BE AGGEPTED BY THE STATE 60AR0
18Y1 UNVersity Ave.. 51. Pau1.~MN 55100 " UNLESS PROPER INSPECTION FEE IS
Phone (6t2) 6<2~OBW ENCLOSED.
/~/o RE~UEST FOR ELECTRICAL INSPECTION x'' '~4 Ee-oaom-oe I
~ See iosfrunions br comple[ing t~is lorm on Dack ol yeliow copy. i'i~ /D3'9~
U
"X" Below Work Covered by This Request
ewa.dtl Rep. TypeofBuilding AppliancesWiretl EquipmentWired
' 7i Home Range Temporary Servite
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciiy)
Comm./Industrial Fumace
Farm Air Conditioner
O~h¢r ~ryecity~ GonVaclor's Remarks'.
Compute Inspection Fee Below:
~ ie Other Fee # ServiceEniranceSize Fee # Circuits/Feeder5 Fee
Swimming Pool X 0 to 200 Amps 0 ta 100 Amps
Transformers P.bove 200 _ Amps 100 Amps
Signs inspec~ors Use Ony: OTAL
Irrigation Booms ~J• OU 15. SO
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN /8 MONTHS.
I, the Electrical Inspector, hereby Ro~qn-m oaie
certity ihat the above inspection has F~,,,ai ~ oai
been made. ~
OFFICE USE ~NLY ~
This repuesl void 1B monlM1S irom
~j.sf~~- ~o~~ q~
9 4 P362
Requast Oaie No. RougRin Ins ' n
1,~ 2~ 9Z R~Yesa' G No ~ Reetly Now K Whan Reatly9~or
r
I,g licensed contracror ] owner hereby request inspection of above electtical work at:
Job ACtlress (Street 6ox or Roule No.~ ~~~~Y
` 4976 Royal Place Eggon
Section No. Township Name or No, iiange No. County
Dakota
OccupantlPRINT~ . P~one No.
Northern Classic Homes 440~7150
. Pawe~ Suppiie~ /tltlress
akota Power Co, 4300 220th St. Farmin ton
Elecmcal Conlrecror ICOmpany Name~ ConVaclor5 License No.
Sky Electric Inc. 042173 1
Mailing Tdtlress ~Gonlraclor or Owner Making Installation)
11210 Washburn Ave. So Bloom. . 554 1
Aumor~ S~ign re IGomracwr:Owner Max g Insl tioni Phone Number
88-173~i
MINNESOTA STATE BOAFD OF ELECTflICITY THIS INSPECTION RWUEST WILL NOT
Grlggs~Mltlway Bltlg. - Room St]3 ~ BE AGCEPTED BY THE STATE BOARD
18Y1 Univereity Ave.. 51. Paul. MN 55104 - UNLESS PROPER INSPECTION FEE IS
G~one(612~642-0900 ENCLOSEO.
/~p~} , REQUEST FOR ELECTRICAL INSPECTION pr'1 "`'m~ EB-OOOOb08 I
~~1 7 d'~ ~ See inslmclions for comple~ing ~his lorm on back oi yellow copy /v 9~
' "X" Below Work Covered by This Request ~~''~<~r
ew Adtl Rep. ~ TypeofBuiltling AppliancesWired EquipmeniWiretl
X Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
O~nerlsuecify~ ConVaclors Remarks-.
Compute /nspec(ion Fee Below:
Other Fee # ServiceEntrance5ize Fee # Circuits~Feetlers Fee
Swimming Pool 1 0 to 200 Amps 1$, Q 2 0 to 100 Amps $p. Q
Transformers Above 200 _ Amps A e Amps
Si9f15 Inspeclor's Use Only: TOTAL
~rrigat~on eooms r~,~f+7D 112. 59
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE11A9EiiEB ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS. ~ ~
I, the Electrical Inspector, hereby Ro~qn-~~ a~e~
certify that ihe above inspection has F;oai • oay
been made. r J ~~/~.Z
OFFICE USE'JNLY ?
This request voia t8 mm[hs Irom
s/a ~
J 5 0:~,~ Z~a~ 3, Y. -c~, ~ ao~a
Request Dale Fire No. R gh-in Inspection
Required? ? Reatly Now $1 Will Notify Inspeclor
May 21,1993 a~ v~s ? rb wne~ Reaay+
I,X, licensed contractor ? owner hereby request inspection of above eledrical work aF.
Job Atltlrew (SVeel. Box or qoute No.) Cly
4976 Royal Place Ea en
Seqion No. Township Neme or No. Range No. County
Dakota
Occupam ~PRINT~ Phone No. '
Orland Lundy 686-6315
Power SuOP~ier P4aress
Elecmwl Convaclo~ ICOmpany Name~ ConVac~or5 License No.
Sky Electric Lnc. CQQ-1482
Maiinq Aearess IConVacror or Owner Making Installa~ion~
11210 Washhurn Ave, So. Bloom. Mn. 55431
Autno~~ ~aar iGOnvac~oriOwner M q I [allation~ Phone Number
888-1736
MINNESOTA STATE BOAflD OF ELECTRIQTV THIS MSPECTION REOIlEST WILL NOT
Gtlgqa-Mitlway BIEg. - Room S-t)3 BE ACCEPTED BV THE STATE BOFRD
1821 Unimrsity Ave., SL Paul. MN 55104 UNLESS PPOPEP WSPECTION FEE IS
PMne (612) 6a2-O800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ynP~ EB-OOOOLOB
_ ? See inslmctiow lor compla~ing Ihis torm on back ol yellow copy ~F~'F!
J~ 0~~~ )C" Below Work Covered by This Request ~~g~~~ ~
ew Add Rep. TypeofBUildmg AppliancesWired EquipmeniWired
x Home Range Temporary Service
Duplez Waler Heater Electric Healing
Apt. Building Dryer Other (Specity)
Comm./Induslrial Furnace
Farm Air Conditioner
Other~specity) ConVacror's Remarks:
Compute lnspecrion Fee 8elow: Finish basement
p Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 700 _ Amps
Siqns Inspecror5 Use Only: TOTAL
~rrigation Booms 3 p 30. 50
Special Inspectlon
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
~ Other Fee COMPLETED WITHIN 78 MONTNS.
I, the Electrical Inspector, hereby Rouqm~~ ~ oare ~ ~~r 3
certify thai the above in5pection has Finei ~ / ~ are
been made. j
OFFICE USE ~NLY ~ •
This reQUest voia ~8 monIDS ~rom
~ Address a4~t~ ~t~r.~ pt.n,~ Zip 5512 2
Lot ~4 Blk 3 Sub _ EAGAN RoYALE
v ~ ,
THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ~
Final grade (6" from siding) ~
Permanent steps (garage) ~
Permanent steps (main entry) ~
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck ~
Please verify with Ihe builder the removal of roof test caps from the plumbing system and fhe shut-off of water supply to
the oulside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em. ~
White - Cily Copy. Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN NO 19852
3830 Pilot Knob Road, P.O. 8ox 21-799, Eagan, MN 55121
PHONE: 454-8100 n 6 ~~(nc/
BUIIDING PERMIT Feceipt # L ~
Tobeusedfor SF DWG/GAR EscValue $Z11,000 pa~e NOV 1 ,~g~
Site Address 4976 ROYALE PL
Lot 29 Block 3 Sec/Sub. EAGAN ROYALE OFFICE USE ONLY
Parcel No. occupancy R-3 M-1 FEES
Zoning R-1
W Name NORTHERN CLASSIC HOMES INC ~qcmapConst ~C.SI B~dg.Permit ~..~n28-nn
~ Add~eSS 3152 BUTTERNUT CIR ~Allowable) V-N
° Cit PRIOR LAKE phone 440-7150 :votstories _ Surcharge 105.50
y Lengt~ Plan Review FfiR _ nn
o Name S~E Dapth 48' sac, cny 100.00
Address s.F. rmai - sac, Mcwcc 650.00
~ City Phone S.F. Faotprims _
On Site Sewage _ Water Conn 660. 00
~
_ Fw Name OnSiteWall - WaterMeter 95.00
Address Mwccsysiem X
aw City Phone Grywaier ~ Acct.Daposil 30.00
~ PRV Required - ShV Permil 30. ~0
I hereby acknowlege that I h e rea thi ,dpplicaiion and slate that the Boosier Pump - SM/ Surcharge . 50
iniormalion is correct and~ ree co y with all applicable Slate of
Minnesota Stalutes and C' o ' ances. Treatmem PI 276 _ 00
Signature of Pertnitee ~ APPROVALS Road Unit 370.00
A Building Permit is issued to: NORTHERN CLASSIC HOMES Planner - Park Ded.
on the eapress contlition thal all work shall be done in accordance with all Council _
applicable State of Minnesota Statutes and City of Eagan Ordinances. gy9, pry, _ Copies
BuildirigOfficial'~~~TY~,;~IJ1J,~ Variance - TOTAL 4,013.0~
f
RESIDENTIAL
Cj 1 L( P~ BUILDING PERMIT APPLICATION 'z ~'~j ~ 2 S
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55772
B57-681-4675
I NawConslructlonReoulremams HamodeVAeoelrBeaulremenb
• 3 registered sXe surveys ahowing sq.11. of bt, sp. ft of house; antl gq mofed areas • 2 coples of plan
~ (2D%mexYnum bt cpv9rage albwed) • 1 set of Energy Catulatbns for heated addlibns
. 2 copies ot plan showing beem & window slzes; poured found design, etc.) . 1 sNe survey lor eMerior edtlAbns 6 decks
• i set of Energy Calculatbns • Intlicefe B ~ome sened ~y septic sys[am for atldmons
• 3 copies of Tree Preservatron Plen H bt platted after 7/7/93
. Rim Joist Detall Optrons selectbn sheet (hidgs wHh 3 or less un~s)
DATE G VALUATION IS/ ~Gc3 ~
SITE ADDRESS / ~ 76 , ~C~i~Ie ~`/9~ MULTI-FAMILY BLDG _Y ~/TV
NPE OF WORK T D. ~eTGt~'P FIREPLACE(S) _ 0_ 1_ 2
\
APPLICANT C .~Ir.= ,ti ~m~!
STREET ADDRESS ~{'~Zc")C~ 1:~~~ i? CIN_ A'L~STATE ~ZIPS~
` TELEPHONE # 763 S%~'-c~ o~ CELL PHONE # FAX #
PROPERN OWNER S~1~~~ TELEPHONE # roS/ -Ez~6- ~0 3/SJ
COMPLETE THIS SECTION FOR ~~NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI E T
~ (~J submission typa) • Residential VenUlation Category 1 Workaheet Submitted • N {~r~c~Qs ~o~h~ itted
, • Energy Envelope Calculations Submitted 1.S LJ 15 tJ
JUN 0 7 2002
, Plumbinq Conhactor. Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler y
Water Heater No. of R.I. Baths
No. of Baths
MechaMCal Conhacfor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
'
' I hereby acknowledge that I have read thls application, state ihat the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant
............_............_.......---------°-°---°---_e..r. .............Y._.~..______._____._..~.r.._...+.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4l02
4~~=FI~E: ~~SE ON~.Y
? 01 Foi.indatiori ? U7 Ci5-~:~I~,~x ? 13 1E*ple>; ? 2U Pnol ? 3D Accsss~~ryE31dg
? Q2 SF Dwellin~ C] OS U5-pl~x ? 16 F~ir~plae~ C7 Zt 4~~;~roh f3-sea.J f.7 '31 Er.t AIt- Niulti
f7 63 01 of_„_ pl~~x ? O+J 07-plrt~x ? 17 GaragE~~ ? 22 Pnrch~Addn. (4-sea.J L7 33 Er.t. Alt - SF
?(Y4 02-plen p id7 U8-pl+~x ? 18 Deck ? 2a Purc:h I;screE;~ned) ? 36 PAi.ilti
~(}5 pg. F,lex ?'I i 1C~-plex ? i 9 La~~+e;r L~vet ? 24 Storm Dartiage
N7 06 ~4plex C] 1'L 12-plex PI6g__'f ar N ? 25 fvliscellaneous
31 New ? 3S Int tlmproven~ient f] 38 Demnlish (InteriorJ ? 44 `u'iding
? 32 Adriition ? 3Et hdove Eildg. ? 42 DErnolish {Faundation) ? 45 F°ire Repair
Y7 33 Alt~aration ? 3~~ Demolish (61dg)" ? 43 R.eroof ? 4fi bNindawslDoors
17 34 Replacement *I~emolition (Entire Bldc~ only} - i;ive PCA hanidowt ta appNir.~irri~.
Valuation C1ccu~ancy MCfF5 System _
Census Code Zoning City V?ater
SAC Uni~ ^stories Eooster Pump
Nbr. r~4 Llnits Sq. Ft. PRV
Nbc off Blclgs I_ength Fire Sprinklered
Type of CunsB V~lidth
R~QlBIF3~D 1~15P~C"ilOl~~
_ Footings(nr,wb1~1g1 ['inal/~~.0.
Fc+oting, (dcak) I~inalflVo C.O.
Footines(:uldiuoxii Plumbin~
Found~riran HL'HC
Drain'Iile _ l~zher
- Roc~f (ce Sc LVnter F'inal Pool pths ~ir/(;as Iestc - F'inal
F'raminE; ' :,idu~g Stur.:co _ Stone
_ Firepl.fcc R.1. _ .Ai~ Tcst _ Final _ 4{'ittdo~~v> (ttccv;`replacomcnt)
Insulation Rerauung~Va11
Appro}red By____,_ i3ulkiing Inspector
-
Bese F er,
Su rcha rc~e
Plan I~eview
MCIES SP~C
City SAG _
N~ater Si~pply & Storaga
5~W Wermitt~Surcharge
Treatment Plant
Plumbin~ Permik
Mechanic:al P~~rmit
LlcEnse ~aarch
Capies
Other
Totai
` , ~ ~ ,
1991 BUILDINC P IT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS HITLTIPLE DWELLINCS COPASERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTCTRAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLZES FTIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - 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: ~~y,.~~„~ Valuation: ~ Date; /J-~t~
Site Address ~~~~j(~p. OFFICE USE ONLY
~ 211 Opv ~
rA t~ aio~k 3 ' FEES
Occupancy R-3 M~r Bldg. Permit r~2$~~fl
Zoning R-~ Surcharge O$•$O
Parcel/Sub ~'~~''~r~'~~ Actual Const V-N Plan Review 66~,00
Allowable v-N SAC, City pO~Ot7
Owner ~/DllJr~~'~~?~uFSf/!l~Y7'c~S l,~~ # of stories SAC, MWCC (050,00
Length 'I Z Water Conn. (.(aO,Oo
Address .31~2 ,~jU~f,i~~C~~ Depth 48 Water Meter q5~0~
S.F. Total ` Acct. Deposit 3a,W
City/Zip Code f~/u~ L.Ar'ef ~53~~ Footprint S.F. S/w Permit 3Q,oo
S/W Surcharge ~SD
Phone ~~U'7/7~~ On site sewage_ Treatment Pl. a-~}(a,c~v
On site well Road Unit D
po
Contractor S QiN c MWCC System Park Ded.
City water ? Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SIIBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL :~~~~0
Arch./Engr. ~lLt/~l ~£~/G~ Bldg. Off. D~9-g~
Variance
Address ~0 Gf ~/HLw~
City/2ip Code/
Phone # 5`~2 ~21~~
Sewe'" date 'censed Contr. ~.v'T.4;~ ~x~{vj4nivG-
agrees that all woik shall he done in accordance with
~ (5 nature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . , $ ' i ~
~ ~
V~t LUAS',I ~N~" ~ ~
~ ~ ~ ~
C-1 A'RA GE
X24 = 43Z
12 x22= 36-y--
'ly6 X !S"_ 11~9yv
Bsr~t-f,
I`x0'7=/0~2
s X ry'rz- h2
II'~z X 3 = 3y
"1 x `t 2 = 2`? `I
~IX~3= II~
19~Io = ~
`~~3; ~g )
~1
I ~~o, x i4= ~y,~ea
~ s'~ F'Loo(Z
6h*toX 53~ /3£~1c~
. ,
2w~ ~~nn~
3DX a~ ~ S?o
~7~~= ~12
`7X11=
~~y ~a%u = Ca~
I~+'~z x8 = I ~ L
3.6~~ 3,6~ = ~ 3)
J ~ 551
3'Ix~~o - 3~,
~ X/2- ~3b~
~ XaX'!a " ~ J)
1
0 ~ ~~~~5
alt Z~ ~1C~~~
~I~~~~
S U R V E YO R' S C E RT I F I C AT E NORTHERN CLASSIC HOMES REV ISED HOUSE
~ 1__ ; ~ LOCATION 10-25-91
L_~i i ~ 1
- 170.00 N IB°t7T'57"E - ~
- - , , so.oo n_- - -
; r-- ~l5'
,
. , . ` DRAINAGE B UTt~ITY
~ EASEMENT PER PlA I
~ / LOT 29 "°i''9~
I [ 1037.8
i~
~ /
a0
~
(I~~~~Zl / ,~9~~ I ~ ~
J'
I Y,- ` ~ ~ .,ooe.z / /1
_l, , ~i y
~ i ~ ihioss.~
.0 iooe.e i ~ " ~ I , ioae.e
al01db ~ \ A
ENDRED / ~ ~0~ S' \ N
HECTION ~ ~
~ , VI ~Q
, i~Q~ =:~p /i (c'~ ~oz. ~N
wsas~~ 02~ ~ G~ o ~ ~
~o:o.~ : Z~ ~ ga~ ~S~ f \ GPN a ` .f °
~ ~0 1 a i N
~o ~.1 Q P ~ tnl r,~
/ ~ ~ q~ o U! ! ~1
~c~~ ~ c~ 2 - ~
-s~~ . °o o ~a o ,iczs.z ' ~ ~\vz ~ , yI m \J
N i G 1
~ p~ o1'q ~ O 01
m ~
~ 4$\ , i// s_ D O tA ~Om
m9~
/ o
¦ ~ ~ <
S x'^
102T.2. ~ i y!
BENCH MARK / ``~Q , ~ m~
TOP OF flPE ~ r &p 78.02 . ~ 1
EIEV... , ~ ~ + .,,i ~74°30~13° ` '~(iot081
yh~~ R°s~ ~ ~ ioiv.a
. ioz~.e iozss \
NOTE~ NO SPECFIC SOIIS INVESTIGATION HAS ~BEEN COMPLETEO:
ON THIS lOT BY THE SURVEYOR. THE SUITABILIIY OF ROY io~.s
SOILS T0. SUPPORT THE SPECIFIC HWSE PROPOSED IS
NOT THE RESPONSIBILITY OF ~TME SUR~EYOR D..' -
NOTE: BULDING DIMENSIONS SHONlN ARE FOR FIORIZONTAL
B VERTICAL IOCATION OF STRUCTURE ONIY..SEE <
ARCFIITECTUAL PLANS FOR BUILDING 8 FOUNDATION
' ~IMENSIONS. ~ ~Y ~
DENOTES PROPOSED SURFACE DRAINAGE a e Q~ ~T
O DENOTES IRON MONUMENT SET ~ ~~~C~-~ PE 3v FEET
• DENOTES IRON MONUMENT FOUND OPOSED GARAGE FLOOR ~ ~pZq.q FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -(oLZ.t FEET
_ (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 1030,3 FEET
WE HEREBYCERTIFYTO NORTHERN CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Loi 29, Block 3, EAGAN ROYALE, according to ihe recorded plat Thereof,
Qakoi? CounYy, Minr~esota. •
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERV{SION THIS 18TH DAY OF OCi. , ~g9~ ,
PROPOSED GRADES srawN WERE SIGN D: J M R. HILL,INC.
TAKEN FROM THE DEVELOPMENT
PLAN FOR EAGAN ROYALE, .
PREPARED BY RONEER ENG., LAST BY, ~
DATED 10- 3-.89. ~
JOHN C. IARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
~
T
w~ James R. Hill, inc.
-mi p ~ ~ ~ v~ - O ~ ~i p ~ y _
rt7 ~ rtl U~ T. rll N D'~L ~
o~ o~ Z~~ Z~ m~~ PLANNERS / ENGINEERS / SURVEYORS
~
~ ~ m 2500 W. CTY. RD. 42 ~ BURNSVILLE, MN. 55337 ~ 612-890-6044
~
a
n
~ ~ .
EXTERIOR ENVELOPE AYERAGE "U" COMPUTATION , ~ !
. OWNER ~~~l~Y~at ~ /,t~.~~1l~`'-~~`71~t.1i?~ .
~ ' STTE ADORE5S Lci 2`t•
~~cYi<~ ~~~~N ~-z'~a~~' '
' CONTRACTOR,•~//L) tdr/.~~.~./~~j~e.Jl.rJ DATE . PHONE ~L~l~ • 7%S~
Determine working square footage of each. -
'g.~a~ . .
R ~
1. Tota1 exposed wall area ~ ~~_~q• ft. x_~~
2. Total roof/ceiling area ~45~~.. sq, ft. x •n21,° '1, I
Total exposed wall area above floor = G r1Lo
a. Totai walt window area 3~ L~
6. Total door area ~
c. 7ota1 sliding glass~door area . 2~.o
',d: Total f5replace wa11 area
e. Total wall framiog.area (average~l0~)...:........ __C.~
f. Total net wall area above floor . T~ C, Z, Z ~
g. Total rim joist area 2 ~ 5 ,
Total exposed foundation area = Z
. ~
h. TotaT foundation window area.....
9. Toal net foundation area abpve grade •
Determine ''U" value of eacb wa17 segment. •
a. ~~31o X `~2 = IU'1~5Z
b. X ~ I ~ _ _ ,Gls
, I
c. 2 ZD X ~Z ~ N
d. ~ ~p X ?..1.0 ~ 3`I, 5
e. ,a X ~
_ D q !v =
,
f. t~'~~ z~Z X~~~~~ , o~ia = 7~~1~ .
9. ~~5 X ~ p~l ~ ~ _ I ~,z'7 .
h x _ . _
1. ~ ~ ~ Ci X ~ p j ~ _ _l~
3 .....................~.z Z ~.~..~.~:.Total - r~
If item ~3 is the same as, or 7ess than item ~1, you have met the intent
of SBC 6006(c)2.
~ ~ , . .
Total exposed roof/ceiling area J$ I'L
_ Total gross roof/ceiling area = Z .
j. Total skylight area .
. -
k. Total roof/ceiling framing area
1. Tatal ne~ insuTated roof/ceiling area....... 7 h
Determine "U" value for each roof/ceiling segment.
_ . x .r... _
k• ~ ~ ~ ~ ~Z. X r ~ _ ~r
. I l~' JC~ ~ x~~Uii i~./ 2 Ci ~ Y`'~!
4 Z:.........Total
~
--j-~~
If total of ~f4 is the same as, or less than #2, you have met the intent of
SBC G006(c}1,
To utilized the total envelope system method, the vatues.established by the
sum of items #3 and N4 shall not be greater thart the sum of itens N1 and #2.
+ 2. _
3. + 4. _
T~[ATERIALS Therm. Resistance "R'^
Ecterior Aix ~I?
Siding ataterial 4 J
Sheathing 2,01e
Insula-tion
Sheetrock ~
Interior Air
Stada
Rim. ~
Conc. Blks.
,
• , .
~R'R:;:M~;::t?'r::#:',': i,h'.~.:~k:8~k:~Y>~c:~ 'M;c{;YC ~!.~dt,F.'iF"n~;~;+~'l,;:xYr.~'rk M N1:W;,;
r...zr4~ rr- r:::r~rrjr~
C;3F,':E:ftr i•SG r'I:::F:t4;t~A~_ ~~!Cir
~~:P;?'E::: 1.iJC';iJ`7t~ t:[i'ilii::: i.'.~.;(:14e!7E,
rr~,~
;~^",f::c FIf:ES:t1?r: CnPti~![::R
:i3~?:":I ?;lr}i ¢ca7C, fii]VALIii: r;l.. 'r?.`.ri„f)p
2:!',:~:; :}L3ll:l. 1'v?iF, fill'dAl_f_ 'i-'l_ O.P:;i:7
~70':.~;. !~'r:r~:ic.,:i.!t~~l~. Pilni:~~.G'11;,". P`i.:`ifi
r~'f1l'.E ~
~ ~:;r.-.y: :"l.i: •',=1'?!_'(ia~'
. ..r': nJdn . . hu.v~:i ~ k t ~ ~ . F r ~4; . .Y ~ ~nY
~ PERMIT
~C CITY OF EAGAN PERMIT TYPE: a u z ~ o i N s
3830 Pilot Knob Road
Eagan, MinnesOta 55122-1897 Permit Number: 0 2 9181
(612) 681-4675 Date Issued: 11 / 0 5 J 9 6
SITE ADDRESS:
4976 ROYALE PL
LOT: 29 BLOCK: 3
EAGAN ROYALE
P.I.N.: 10-22475-290-03
DESCRIPTION:
r,s,~ (GAS IN9ERT)
B;u"ildin't~. Permit Type FIREPLACE
Building;~J4rk Type ALTERATION
fiiCensus Gode~""?.,~ 434 flLT. RESSDENTIAL
f ,
~
i
~ ~ „ ~
I
i \
! ~
; ~
v~ r~ `'M1.:,, ~
~ f'l-~ `l
~ ~ ~.r
va `
P ~
~ ,i, r i` . ,
r s „ ~ , ~
~~.a,\ . ;f; i ~ ~ u` :~~;-~~3.,
_ w .~"s=~..
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - wpplicant - sT. ~zc OWNER:
FIRESIDE CORNER INC 16331042 0001068 LUNDE ORLEN
2700 N FAIRVIEW AVE 4976 ROYALE PL
RO5EVILLE MN 55113 EAGAN MN
(612) 633-1@42
I hereby acknowledge that I have read this application and state that t'he
information is correct and agree to comply with all applicable StaLe of Mn.
" Statutes artd City af E~gan prdinances:
_ ~ -
R~1~~1 ~ r~~
APPLICAN7/PERMITEE SIGNATURE ISS-IJ D . 51 AT R
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122 r~~
1 1996 FIREPLACE PERMIT APPLICATION ~f' .J
681-4675
DATE: 41 I4 I ~ ~O
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE: _ WOOD BURNING _ GAS
~ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN: ~ i~ - w~~
STREET ADDRESS: a'9 ~ ai,°~Q °
-
LOT ~ BLOCK ,J SUBD./P.I.D. ~
APPLICANT: (cirole one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: AmC , Oh Pon / Phone
OWNER ~u*
Signature:
Street Address:
City: State: Zip:
FIItEPLACE Company: ~2~Ac~R. C.P<rIIx - N~N~a~~~none D~0 -O"l~~
INSTALLER
Signature:~~''~
i~
Street Address: ~65D vJ . k4w.~ ~3 License ~ ~~g
City~.,..r~~\1c_ State: Nb^l ~ Zip: ~
GAS LINE Company: Phone
INSTALLER
Name:
Signattue:
5treet Address:
City: State: Zip:
~ ~
OFFICE USE ONLY
BUILD[NG PERMIT TYPE
0~14 Fireplace
WORK TYPE
R~ 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
L q9 gL ~ CITY USE ONLY RECEiPT D~ 9 SO
oC
~I SUBD. ~ d~ RECEIPT~ATE~ ~7`' ~3 9
~ PERMIT# ~S~L~ ~
~ 1999 ~LU14i~IHfl ~~E$MIT [~,.SIDENTi~cL)
CITYOF £RfikN
S$SO fILOT KNOS RD
~ae~uv, r~rr s5 r Q~
(ss1) s8i-4s~s
Please complete for: ? singie family dwellings
~ townhomes and condos when permits are required for each unit
% backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.D0 x = $
Gas i in outlet " minimum - ~ 3.00 x = $
, Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
. Lavato 3.00 x = 5
Minimum fee alterations to existin dwellin 30.OD x = $
Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.p0 x = $
Private Dis osai S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 3D.00 x = $ a
" Water closet 3.00 x = $
Water heater 3.D0 x = $
Water softener If dwelling under construction 5.00 x = $
Water soRener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ 5D
Total $ ~ ~ Sb
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state fhat the intormation is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is.the applicanYs responsibiliry to notiry the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
. normal operational and maint nance activities to facilities construct under this permit within City property/right-of-wayleasement.
7 ~ ~ _ ~ ~
SITE ADDRESS: Y~~ ~-~x
OWNER NAME: : R~L~ TR7JI v~ / ~ I 'A
TELEPHONE#: b ~iQ`°'~3G1
(AREA CODE)
' 4NSTALLER NAME: d'~~"' ~ TELEPHONE
(AREA CODE)
STREET AD~RESS:
CITY: ~ ATE: ZIP:
~ ~
' SIGNATURE OF PERMITTEE
REACTIVATE'X CITY OF EAGAN
PEt~IT ~ MAY t q 1993 1993 BUILDING PERMIT APPLICATION
^ 681-4675 ~./c~
SIN6LE & MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ~ / ~ ~ / ~ Valuation of work
Site Address: f2~C'F l.~('~~~
~ STREET SUITE N
Tenant Name: (commercial only) '
IAT a~ BIACK '3 SIIBD. ~ P.I.D. M
Descri tion of work: ~A34~h4~v~~ ~rv'/t~
The applicant is: ? Owner Contractor ? Other (Deacribe3
Name ~vn~n~ O/~~~? Phone
Property ~~sr FIRST
Owner Address ~~~G ,~`/-2G£ frL
STREET STE N
c;ty ~9~tr~~/ state ~r-~J ziP S~/23
Company n1o/~i7~~z.~ Ce~SSK ( M~S Phone `/r/0=~/~0
Contractor Address ~152 ~„t'~r~vi ~ License # ~ ~ Exp. °f~'~
City lF'/'rvr -~~5 State/Y~'? Zip ~S57Z
Company Phone
Archttect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has 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: \'f~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ .
0 OI Foundation O Ob Duplex ? I1 Apt./Lodging ~ 16 Basement Finish•~. .
? 02 SF Dwg. ? O1 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
O 05 SF Misc. 0 10 Multi. Add'1. ~ 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Lonst. (Actual) ~ Basement sq. ft. MIWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code ~c~
Depth On-site sewage SAnC_~ode~~ I
APPROVALS ~r`~'v~ d.°~ ~
. t ~ ux c.L
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O Site ? Footing ~ Framing ? Insulation
Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee ~ G+ v.i~:sa,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY OF EACAN FOR CITY USE ONLY
3830 PIIAT RNOB ROAD
, EAGAN, MN 55122 PERMIT #
~ PHONE: (612) 454 8100 RECEIPT #T~`
~„C.~~CA~M;~'~`~ DATE: aa 4
RLS~AF~~~`~7~Si;; PLEASE COMPLETE UPPER PORTION ONLY~ FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH 11NIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM 0
ADD ON HVAC 0-100 M BTU
REPAIR ADDITIONAL 50 M BTU .0
GAS OUTLETS - MINIMUM .0
, OF 1 PER PERMIT
OWNER NAME: _~~~~-~n~r ~1~d.SS~ c~ ~t~r~~'~ ~V
SUBTOTAL: $
SITE ADDRESS: ~\~l~La F~.c~~l~~~- ~T"~-GC.~-- STATE SURCHARGE: .50
LOT:~ BIACK ~ SUBD. ti TOTAL: J~
INSTALLER: ~~s.l~~~.l f~~t`o-- ~tS~_. '
~ e. 4 ~-~y,~,~)
ADDRESS: ~j \~l~'b~, ` SIGNATURE OF PERMITTEE
CITY: ~ . ZIP: ~~~~1g
PHONE ~CtCS ~"~C~ t
I
~53~lAIERCYA~,/~IY71j~u'~'&~A~.'; PLEASE COMPLETE THIS PORTION FOR ~IALL COMMERCIAL/INDUSTRIAL BUILDINGS,
_ . .
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
° I
CONTRACT PRICE: FEES
OWf1ER NAME: 18 OF WNTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACHj$1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
IAT: BLOCK _ SUBD, $25.00 MINIMUM FEE.
INSTALLER: CONTI CT PRICE x 18 $
ADDRESS: STATI 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 #
~~i~BI#(~r~~?~~~ DATE: ~
~$;Ip~~!J1';It~!;:~ YLEASE COMPLETE IIYPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
>
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.OD
ADD ON ~ SHOWER 3.00 3•ov
REPAIR _ ~ WATER CLOSET 3.00 ,oU
~ BATH TUB 3.00 ~.w
LAVATORY 3.00 /Sot~
OWNER NAME: ~~p'l~~lEU~~~S1~~ ~iyrlrf L KITCHEN SINK 3.00 3.op
~9~~v ~o ~ L LAUNDRY TRAY 3.00 3.dv
SITE ADDRESS: Y ~~t HOT TUB/SPA 3.00
L WATER HEATER 3.00 3.o O
LOT:~ BIACK ~ SUBD. ~ FIAOR DRAIN 3.00 3•~0
/ GAS PIPING OUT.
INSTALLER: /"16~~g'1 ~`L~l'I°1"~`!'4 G ~ (MINIMUM - 1) 3.00 9 OU
~ ROUGH OPENINGS 1.50 ~
ADDRESS : 40 ~ ~'0.~~ # I~ _ OTHER
q WATER SOFTENER 5.00
CITY:~~~~ ZIP: r~.~~/ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE rY~U ~~~I~B
SUBTOTAL S 58•S~
llu~ts~ ST. SURCHARGE .50
SIGNATURE OF PERMITT E
TOTAL: S S`J~Ov
~OI3~SRGIA2. :~DIT$'fRTa1~.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUZLDINGS AND
. ~ .
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
SITE ADDRESS: 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 ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116809
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 4976 Royale Pl
Lot:29 Block: 3 Addition: Eagan Royale
PID:10-22475-03-290
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 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 -
Orlen E Lunde
4976 Royale Pl
Eagan MN 55122
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163566
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 4976 Royale Pl
Lot:29 Block: 3 Addition: Eagan Royale
PID:10-22475-03-290
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David H Ansari
4976 Royale Pl
Eagan MN 55122
(651) 210-7710
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature