4890 Royale Tr
• . ...r . R. ".T. .h T' . . . _ ~ . . . . . . . . - . . . . .
~ ~
SEWER & WATER PE IT OFFICE USE ONLY
CITY O~EAGAN ME~ER # -3 PERMIT DATE O1/23/92
3830 pilot Knob Rd. cHiP ~o ~
4~
7 ~~_g PERMIT # 12506
Eagan, MN 55122-18
METER SIZE ~.5~5 B.P. RECEIPT ~ C 016930
~ ISSUE DATE - B.P. RECEIPT DATE O1 / 17 / 92
DATE JAN 17 '
_ PRV - BOOSTER PUMP
SITE ADDRESS 4890 ROYAL~ TR PERMIT REQUESTED
LOT ~ BLOCK 2 SEC/SUB SAFARI ESTATES 2ND
X SEWER X WATER - TAPS
APPLICANT:
- COMM/IND X RESIDENTIAL
ADDRESS:
CITY, STATE ZIP ~C NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~TTHEW DANIELS INC Ahead of Domestic Meters on Water Line.
ADDRESS: 15185 ~AROUSEL WAY Credit WILL NOT be given for Deduct Meters.
CITY, STATE ROSEMOUNT lQ~i Z~p SSp68 ~
PHONE: 423-3730
1 AGREE T COMPLY WITH CITY OF
OWNER: pIETSCH SUILDERS INC EAGAN ORDINANCES
ADDRESS: 9543 BIRCH LN
CITY, STATE ~~~1T .1.F ~x Z~p 55044 ~
PHO E: 4b1-3381 $IGNA URE W EN METER ISSUED
~ '.~tr ~ ; % Jr (.<-.r<-~/r] ' ~ - ` ~ e{
PL AS~ALLOW TWO WORKING DAYS FOR PROEESSING CALL 454-5220 FOR INSPECTIONS. ~OR STbRM
SeWER PERMITS, CONTACT ENGINEERING DEPT.
_ ,
, -r . r. . _ . . ~N^.-rr . ~ . ~ , . . , . .,,wK-: . , r...~i:a . .
SEWER ~'NATER PERMIT OFFICE USE ONLY
CIW ~F-~GAN METEFi # PEAMIT DATE ~Z ~23i 92
383dPilot Knob Rd. 12506
Eagan, MN 55122-1897 CHIP ~ PERMIT #
METER SIZE B.P. RECEIPT # C b16930
JAN 17 , ISSUE DATE B.P. RECEIPT DATE O 1/ 17 / 9 2
DATE 1992
_ PRV - BOOSTER PUMP
SITE ADDRESS 489U ROYALE TR PERMIT REGIUES7ED
LOT ~ BLOCK 2 5EC/SUB SAFARI ESTATES 2ND
X SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMMlIND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MATTHEW DANIELS INC Ahead of Domestic Meters on Water Line.
ADDRESS: 1 S185 CAROUSEL WAY Credit WILL NOT be given.for Deduct Meters.
CITY, STATE R4SEMOUNT MN Z~p 5~06$ 1
PHONE: 423-373Q ~
~~.-n~i~~% - ~
1 AGREE TO COMPLY WITH CITY OF
OWNER: PIgTSCH BUILDERS INC EAGAN ORDINANCES
ADDRESS: 9563 BIRCH LN
CITY, STATE 1.AKEVILLR ~tnt ZIP g~~
PHONE: 461-3381 SIGNATURE WHEN METER ISSUED
L
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. ,FOR STbRM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: JAN 23, 1992
. ~
'~RE: 4890 ROYALE TR (PIETSCH BUILDERS INC)
~S_ 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 altowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
, . ri , . .~II'_
CASN RECEIPT ~
~ j
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onrE ! ' ~ 1 t9 ~ d.
,
Pl~~x~t~ ~~~,~I~i~r~~ L 1:nc .
S 37 ~5 5~
: ~ ~ ~Y~~ ~ ~c~.~~~ rl d ~~r~ C rtif : i~ ~ ~ ~.~5
? CASH t~CHECK
, ~
;
.~~'J~~ ~f i~~ ,~~~~JG l_L~~~~~~~~t~
~~~1~ c T2
, ~
~ ~ ~1 i`)1G~~k ~ ~ ~ .
FUND 08.lECT AMOUtVT
Thank You ~
e
~ ~ o ~s~3o, ~ , ~ ~
, Pink-FUe Capy
.s.~..., . . .RV,rC':-,~R.'...
: . .r .r..-...c r;-ti. :'o'~Sr-~~c . . ~ -..,,,,r,r,r... • . :.F . ~+t--~ • . 3
~ ~ CITY OF EAGAN
. ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f;,;~~~~~
PHONE:681-4675 " t
BUILDING PERMIT ~ Receipt # I ~
Tobeusedfor sF Est.Value ~'158+~ Date JAN 17 , ~g 92
Site Address 4$90 itOYAI.~ TR
Lot T Biock 2 SeclSubSAFARI ESTATBS 2N • OFFICE USE DNLY FEES
Parcel No. occup~cy ~-3 M=1
Zoning ~ B~. P~ ~3 ~ ~
nJ~ PI$TSCH HUII.~ERS I!K' ~,4ctuaqCo~st ~ S~acr~arge
w AddreSS gS43 1lIBCH I.l~ cn~~owat~e) ~L p~ R~W S48.Q0.
+M of S~ories
~ qty 1.JII~VILLE HI~1 ZP , 55044 _ ~e~m '6' ~er~ 5.00
Phone 461-3381 ' oepin snc,c~ty 1~•~
N~ S~ S.F. Total - SAC, Mcwcc
0 S.F. Pootprints - 675.00
~ ~(j(~ _ Water Conn
, On Site Sewage
~~y ~p o~ s~~e weu R wate~ nne~er 95•00
MWCC System 30.~
Phone x nc~. oe~~~
cg ODOZ358 (PEflDIA1G) Gtywater
# PRV Required _ SNV Permit
I hereby acknowlege that I have read this application and stale that the Boostar Pump - ~W Surcharge
inlormation is correct and agree to comply with all applicable State ot 3~•~
Minnesota Statutes and City..of Eagan Ordinances. ? Treatment PI
Sgnature of Permitee . ' % ~ ~ - ~ ' ~ APPROVALS Road Unit
A Building Permit is issued lo: p;fir~H dui~"~~S i~ Plenner - park Ded.
on the express condition that all work shall be done in accordanCe with all -
applicable Stale of Minnesota 5falutes and City of Eagan Ordinances. g~y, ptt. _ ~Pres
8uilding Oilicial , Variance - TOTAL 3~~~ 5' ~ ,
. ~ _ . . .~cu
Permk No. Permit Holdar Date Telaphone ~
a~'o ~ ~ i~3 ~
P~uA~Bn~ ~ / ~?3 ~
HvAC ~ =~;r.~s-~ ~ .~7-0~775
ELFCTR ~ 1~'e1' ~ o+~
Et~ a~ 9~-
~nspeeti«, oace Msp. canments
Footings I %a 9.Z. ~
Foundation
Framing _ Z S
Roofing
Rough Plbg. ~ v'/"`td ' ~ ' 'Z • / $ ' % Z G /~C 4
Rough Hlg. ~ '~ts r < _ /
Isul. ^ / ' % , ~
Fireplace Z ~ ~
:7'L
Final Htg. ~ „9 ~ ~
Orsat Test ~ jC
Final Plbg. ~-~l y 11' ;,(~j' ~ p~bcj_ ~nspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Fnal ~ z 3 92 ~
Dedc Ftg. v '~G ~ I ~ Q
Dedc Final
we~i
Pr. Disp.
~1 ' '
~ ~ « -~r t
~~e~r#t~ir~t~e ~rf (~rru~~nr~
~itp of ~agan
~r~rtatetd ~rf ~i~ld~ttg ~prtfint~
Thts CerrlJJcare i~d prrrs~ant to ~he require~Ls ojSectton 306 ojthe llnifonrt Building
Code cern'fyfn8 tl~at at tlre tinre ojissrrance th~s structurr wrrs in rnmpdiaace w}th tlte vnstorrs
ordl~ranc+~s of ~loe City rcgrrlad'~ bull~g ovnsmcctron or us~ For the followiieg.
SP DWG/GAS 2Q040
x-3 M-1 ~ ~ E V-N
PIETSCH BLDRS INC ~ 9543 BI&CH LN
~y~~ 4890 BOYALE T8 ~~,L7, B2, SAFARI ESTATES 2ND
~ , ~ ~ ~ APBIL 23, 1992
~
PaST W A CONSPICUOUS PLACE
Addresa: 4890 ROYALE TR Lot 7 Blk Z Sec/Sub SAFARI ESTATES 2ND
y
These items were/were not complete at the time of the final inspection.
D APR 23 1992 Yes No S
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main antry
Peimanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement flnish
Deck ~ap, ~,rj f
Pleasa varify vith the builder the removal of roof test caps from tha plvmbing
system and the shvt-off o£ water supply to the outside laf+n faucat before
freeze potential exlsts. ~
R(CREOM1fA
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF. EAGAN ~020040
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 661-4675 f~~
BUILDING PERMIT Receipt # lU~~
Tobeusedfor SF DWG/GAR Est.VaWe $158~000 Date JAN 17 , ~g 92
Site Address 4890 ROYALE TR
7 2 SAFARI ESTATES 2N OFFICE USE ONLY
Lot Block Sec/Sub. Fees
PdfCel N0. ~ ' Occupancy R-3 `I~-1
Zoning E BkJg. Pertnit 843.00
Nazp@ PIETSCH HUILDERS INC (ACtuap Const Y_H Surclarz~e 79.00
w (Allowable) ' V-N
Z Address 9543 BIRCH LN Plen Review 548.00
x o(slodes
~ Qj(Y LAKEVILLE MN Zjp 55044 Lenglh 66' licerse 5.00
Phone 461-3381 Dep~h SZ' snc, c~~y 100.00
N8ff1B SAME S.F. Totat - SAC, MCWCC ~00.00
~ S.F. Foo~prints -
V AddfPSS on Site Sewage _ water Conn 675.00
~ L`jty zjp On Site wen - water Merer 95.00
PhOfIB MWCCSystem X
O Cirywatar X Acct. Deposit 30.00
License fl 0002358 (PENDING) 30.00
PRV Requiretl _ S/VJ Permit
I hereby acknowlege that I have read this applicalion and state that the Booster Pump - SMl Surcharge . SO
information is correct and agree lo comply with all applica6le State ol
Minnesota Statutes and City..Qf Eagan Ord~ ces. y~ Treatment PI 3~n • nn
/ ~ _ 9I )
SiqnatureolPermitee~i L~_/ APPROVALS RoadUnil 3~n-n0
A Building Permit is issued to: PIETSCH Bl1ILDERS INC Planner - Park Ded.
on ihe express condition that all work shall be done in accordance with all Council
applicable State of Min~nesota Sta~tu~teJs anyd~,C,iiy of Eagan Ortlinances. BIdg.On. _ Copias _
~ Building~Oflicial L'~~~A•' III~ Varianca _ TOTAL 3~~85.50
11'~4
4 3 aa: ~ ~ ~~s
Reques~ Date No. ugh~in Inspeclian
-/7~ Required? ? Reatly Now glqAfNolily InsP~o~
~ ~4 ~s G No When Reatly7
I icensed contractor O owner hereby request inspection of above eledrical work at:
Jo~ A ess ~Street Box or Rou o.~ Ci~ ~
`d ~O T . ~
Section No. Tmrnship Name or No. Ranga No. Cou J
Occap ~~PRINT) Phone No.
Po er lier Atltlress
~
Elea onvacmr ICOmpany ame~ i CoMrecrorS l' se No.
O
Mailing Atltlress onvactor or Ownar Maki Installation) c !
`o .5 i ~ ~`9Ji'f~ ~
AuthorizeE naWre ICOnlractorlOw er Making Ins~allation~ Phone NumDer
~ °l_~, - ~
MINNESOTA STATE BOAND OF ELECTflICITV THIS INSPECTION flEOUEST WILL NOT
Gtlggs~Mbway Bldg. - Room St)3 8E ACCEPTE~ BV THE STATE BOARD
1821 University Ave., SL Paul, MN SStp9 UNlE55 PROPER INSFECTION FEE IS
Phone~61Y)642-0800 ENCLOSED.
,3 S"~ REOUEST FOR ELECTRICAL INSPECTION ee-oooo,.oa,~
J` 11 4 3•~e instmclions Im co~ pieting mis form on back of yeliow copy ,J~~~~„oSl{i yC
'X" Befow Work Covered by This Request ~~~1~~~
- ew Add~ Rep, TypeofBUiltling AvPliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
ApG Building Dryer Oiher (Spec'rfy)
Comm./Intlusirial Furnace
Farm Air Conditioner
Other (syecity~ Conhacbr's Femarks:
Compute Inspection Fee Be/ow:
# ~ Other Fee # ServiceEntranceSize Fee ;k CirouiWFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 1 _ Amps
Si905 Inspector5 Use Only: TOTAL
Irrigation Booms S
~
Special Inspection ~
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roug~~in oa~e
certiry that the above inspection has F~„ai oa~e
been made. 6
OFFICE USE ONLY
This r~quest voitl 18 mont~s imm
J~4253 ~
Request Oa~e F' No. Ro h-in Inspeclion
ReQuiretl? ? Reatly Now ~NOM1Iy Inspector
~ ~ ~ d ~ ? No When Reatly?
s
I icensed contractor O owne~ hereby request inspection of above electrical work at
Jp0 Aptlress (SVaet. Box or Rou~e J Ciry
~ T~r.L , ~-t--~
5eclion No. Townshlp Neme or No. Range No. Coun
Occopam ~PRI ~ yC~~~vL" JC/" . Phone N0.
Power u lier Atltlress ~ '
Elec rical lractor (Company Namel / r n ~ Con~Va/c Licens N~o/.
~.f9
~ C/ ~ d
Mailing Aparass 1 omractor or pwner Making InstallaC ~
~ `~S i3 v~g ~
AuIDOriree igneture IConVatloripwner Makmg Installetio Phone Nu ber
t/ ~
MINNESOTA STATE BOANO OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mltlway Bltlg. - Room 5-119 BE ACCEPTED BY TME STATE BOARD
1821 Univeraiiy Ave.. St. Paul. MN 55100 UNLESS PFOPER INSPECTION FEE IS
Phona(81]~6d2-0600 ENGLOSED.
y>~ REQUEST FOR ELECTRICAL INSPECTION ~°'~"~+~,A ee.oooo,-oe
J ~ ^ See inslructions lor completinq Ihis lorm on back oi yellow copy ~~~~1 /o O C q
~`gS. r a
y~ Y~ ~ ° "X" Below'Work ~vered by This Request ~~~ti '
-
e Atld Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
} ApL Building Dryer Other (Specify)
Comm./Intlustriat Fumace
Farm Air Conditioner
Ot~er (syenty) CorM1ractor5 flemeBS'.
Compute Inspectron Fee Below:
# . Other Fee # ServiceEntranceSize Fee # Circuits/feetlers Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 _ Amps Above ~00 _ Amps
SIgnS ~nspector§ Use Ony: TOTAL ~
~ Irrigalion Booms 70 . ~ O ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
O~her Fee COMPLETED WRHIN 16 MONTX
I, the Electrical Inspectoc hereby Rough-In , oe~e G
certity that the ahove inspection has F;~ai oe~e Y
been made. /~l e~-
OFFICE USE ONLY
T~is repuest voitl 18 monMS irom
_ ~
F ~
. r 1992 BUILDING PERMIT APPLICATION
' CITY OF EAG
REGlU1REMENTS: ~O~ O
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SI7E SURVEYS, 1 5ET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SRE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CFiANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR~HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED NCE BUILDING PERMIT IS ISSUED.
To Be Used For: i~ ValuaUOn: Date: ~~¢dJ
Site Address
158, ~a ~ FFICE USE ONLY FEE
Lot 2 Block ~
Occupancy R-3 M- I Bldg Permit y3.oa
Parcel/Sub ~~i~r ` ks a2"' ~b Zoning E Surcharge ,oo
Actual Const V-N Plan Review 548.00
Owner Allowable V- lJ License Fee J o~
# of stories SAC, Ciry /oo,oo
Address Length ~r SAC, MWCC qoo .o 0
Depth Water Conn. 6 95 0 0.
City/Zip S.F. Total Water Meter S,od
Footprint S.F. Acct. Deposit ~o~a
Phone S/W Permit 30,00
On-site sewage S/W Surcharge . sz~
Contractor~zrs' T~i ,es~ ~ On-site well Treatment PI. a. ofl
MWCC System ? Road Unit s~, a
Address~gY3 ~i Ciry water ? Park Ded.
r PRV Trail Ded.
City/Zip~~~/4.(jj~!/4 5"~/y Booster Pump Copies
SUBTOTAL
Phone y~/-33~~ ucenseo23S~ APPROVALS • Penaity
Planner Lot Change
Council TOTAL . h
Arch./Engr. BIdg.Off. '~'~~~g~
Variance
Address
Ciry/Zip Code
Phorie #
Sa~uer/WaterL'rcensedC~ntr. ~~R ~lfu~ %~N/~S //n.6NC .Processingtime
f~,r sev~erJwater permits is two ays once area as en approve .
7~~ ,~~q~~ agrees that all work shall be done in accordance with
~natur` e~c
r'P`erm`i e'e
ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
r ~
VA~ua-?~aN ~
•Y.~'.`
~RRA~G~ +y'
r '
02~ X o~ 4 ~ ~ ~D
1~K~~ ayD
r----
'720 x I$'s / f~~ Sv0
KS1~~T,
3ZX~q ~'~bs
~6~~b= 67~
Zl K~3= sZ
1'~W ~ ~ E e ,~o q~a~1
I sr
t3S rnT - i ~I q C.
ax7= i~i
~ s ~o X,~-3 o c~ 3 0
ZND i~LDO'(~
r-.-.~.~.~.
x36 = ~by x s3= ~~s'79'~
~ S~t s 6~- flK )se, o~~~
.
I have complied with atl application requirements for the State of Minnesota contractor's
license, and I have submitted all required information to the Department of Commerce for
approval.
~ a3-~~
Signat re
• .
Name of business
iG/~I~~'
Dat~
w,,..,, , , : .
m . . . . , r . .
f.
~ * EX'.fERI(1R ENVELOPE A4ERAGG "U" COPIPU'CR'['IUt1 •
~~~7~~. t{
qHP1ER: .~.L1~_4 •
sixE ADDRESS: ~O'T ! SLdGK Z/ S,qF~ Rt ~'~T'~4T~ s~~ ,~'~Djv~~':
Ct)N'CRACCOR: ~NVcl`'7 DA'fF.: II Z F'HUNEs ,
f
D~:CEI2MINE W~)RK~,;~N~~~T
C~F' _tl "1~: +
q,~ /r
1. '!'()'CAf~ EXPOSED WAI',l~ P.REA ~GfJS? SQ. FT. 1C ~{r = 3s2i1~`~'^`~ ,
2. TD'~AT~ RUQF/CEII:,ING AREA `J ~IOID 5Q. E'C. X ~OZ~O =
.
3. xp'lAl; EXPUSED WA1J: AREA CAI..CLtI.,A'fI:) S: ,
. . - , . °'?'?i
"rotal exposea wall 'L$'TO~ p ~
area above floor •
a) 'Cotal wall xindaw ar. ea u~~ Su• F'f . X~'U" _ ?r A
b) Total door area $Q•F'C. it "U" t~~ Z~~•~~~~
q - ,i3
c) Total sliding glass ,d~ar aroa $D,0 SA.F'P• X"U" rJ/ ~ r ~
y ~k~3
d) 'Cotal Pireplace wali ar.~a D s~.r•~r. X"U" _ ~
q ak~
e) Total vall framl.ny area ~0 5Q.FT. X"U"~,dl ='~U~
(average 10%) ~ ~i
p~
f) Total ner wall area abcve Z D7i~ gQ,F'.C. X"U" ,r.:;
flooi: iinsulatE~) ~;:ey~
~ j Z`~ s~.F•r. x„U., ap
a) ':otal ri.m oiat area . ~
~-Ca;:;i
'.Cotal foundation area ~i~ SQ.ET. ~ ;;;?~.'~;'s;
( exposed ) -s:~u
,v:r,j~
h? 'Cotal foundation window acea ~ SQ.F'[. X"U" _
, ~ (.5 a. y.. .
i) Total net found~ti.on area __~Q~ SQ•F'.C. X"U" . 7 =
above grade
' 'Cq'fAl.~ a j through i ':.Z
if item #3 •is the same as, o~ less than ibem ~1 , you 'have :net ti~'
t
thE i.tttent of 2 MCAR 1.16008 R and 0.
Zq+, ( ~-35z~ ~
~ -
. ~ ~
.
' ~
s
Kk~~.
a. t r;_~,y'.
ri
' . ''1.:r"''.
.i.:
i nAGE ] ,'.s'~
,.,s,
. ~ ~i~~' ~~1.Nf~
4: CO'l'A1 £XPOScD ROOF/CEI] ING CAI CC! A'CIOt~S:
'Cotal exposed roof/ ~ ca•F'C•
ceili.ncs area
jl Total skyliqht acea ~Q-F'C X"U"__~
k) 'Cetal rocf/cei.Zing l~~~ S(?•F'C. X°0"__r~~
frami.ny area
(aver.aye IO%)
p <~Z~ -
1) 'Cotal ?et insulated _ / i SQ_F'C. X J"
roof/ceili.nc~ area
S. ~CU'CRL, j) throuah 1) _ ; r7i(O
If total of it4 is the sane as, or less ti~an #2, y~~u have met.
the intent of 2 PiC~R 1.16008 A and o.
~~Z DI~
PL,'iERNA'CE BU?I,7ING EfJ`JE].,UPE_ DESIGN
'CO u*_ili.ze the total enveiope sy-stem metho_, tlte valnes
Pctablished by the sum of +:3 and #4 shall nct b= ~re~:tee~
than *he sum of i.tems ~1 and #2•
1 . • - -
3 . , i d . _ - '
CER.CIFICA`CTQ~
T her.eby certi.fy tY~at I tave calcuiated tne "U" f~ctocs an?
"k" values herein ano *i~?,t the tui3di.ng he~~e descc'ibec taea~a
or. exceefi= the State ~f Ttinriesuta Ene~ey Conse~-vation 1cc.
~
{Sigr.atuire -
- z~~
(Date)
PAGE 2
,~..~~.,,~:.,.~e.,.~,~,,an.,,~.~,...~.:.~zN~~.r.,~-.~~ . .,,w,:. _ _ , .s.
~ = ° 6 Stude
tonsreucTroN ~ r~~~ .
, .
' VAII iRANiNC SEtTlON:
1 Interlor ~fi fliw ~ q.R~
2 :Pc roc c
A ~ ~ ~ ,o ~
~ ••~/J< :i1Crlte ~~t .
' S
R ~xter or ~ r n~
.
U~~ Vi1• "
,
~ HAII SECTION (INSULATEO) '
1 Interlor al~ fitw
2 Sht~trnrL-
3 5!~Insulat m ~'p~
~ _5 i te re ~
5 S±c.in
R Exter or • r ~n .
.
U ~ 1/Il ~ _Afi~
IIIM JOIST SECTIMI: .
1 Interlor ~ir fllm p.(,q .
2 ~L Ti
~ 7 1~ ! bod ' ~
~ '?5/i~ P.1lrfiita ~
S ~t •
R Eater or ~ ~ T
FOUNDATION IMSUlAT10N REQUIRED: ° ~
Min. R-5 on entire wail OR ..~/R
s, a...,+ llin. R-10 dowo to frost depth ,
,
D ' w. FOUNDATION SECTION: '
1 loterlor ~i~ fliw I O.RR
s_ 2~~,'~~~foQsi S 3'~ Insul t on 1 0
- . : •~i • I c ~octc I -~IL
a. ~ ~ Exter or a r ~n
.4. (S
. :
~ a vy, , '
' TQTAL 8 ~ 1 ? . 96
U~ 1lR• •Og,.
SLAD ON GMDE
~
:a° . •-~,,-..,d?' •'4:.~n~.•.a;d:
~d~or;V•..~ 14..~;.~~•~ .•~e~:•`M,.
• Q , ' . . . , ~ ~ . ~ , ~d ;
~•~:r,~p d'.. „ A q . ' I.
•o . , j.~ •
.
~ ~ Meated 51abs: : ~ =•rl, , :'a~'r~ •4~
'o'~.'". Minlmun R • 8.5 •4~ ' •
~ . . . ~ ~ . d•;.,.
,a„ Q .
. . ~ Ur.heated 51abs: ; ~ t; ~
,
4~ .'~t Nlnimua R • 6.2 4. ~ • • ~ , ~
'd.: • d~.
. 4'q .-•a••'~'~: •
~ ~ ~a: . a,: ~
, ' .1 r ~ ~ 9 r~s~ j
CITY OF EAGAN FOR CITY USE ONLY
r- 3830 PIIAT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ~ -1
~Cx~,NI~+"AI:.:~~~.`~ DATE: 02- Yr
R~S~DEt~`~P.L~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
A TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iJNIT.
WORK DESCRIPTION FEES
NEW CONST X ADD-ON MINIMUM $15.D0
ADD ON _ HVAC 0-100 M BTU 24.00 ~
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00- Z
OF 1 PER PERMIT
OWNER NAME: PIETSCH BUILDIIZS
SITE ADDRESS: 89~ I O~q ~C ~ STATETSURCHARGE: $ 3D.50
LtiT: ~ BLOCR ? SliBD. ~fari Est. 2nd 1uTAL: $ 3fJ.Sa
INSTALLER: FREDRICKSON HEATING & AIR CONDITIONING,INC. h
_~(LC.~~ ~s
ADDRESS: 3650 Kennebec Dr. SIGNA E OF PERMITTEE
CITY: ~9an, ZIP: 55122
PHONE 452-2775
6~MI4EIS~I1ll'.IINDUS~'~L~tl~':; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRE? FOR EACH DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
5TATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00 -
LOT: $LOCK _ SUBD. $25.00 MINIMiJM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE Si7RCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNAT[JRE )
FOR:
CITY OF EAGAN
~ CITY OF EACAN FOR CITY USE ONLY ~
• - - 3830 PILOT KNOB kOAD
' - ~ F.ACAN, M: SSi22 PERHIT #
PNON6: (612) 454-8100 RECEZPT il ~U
PLUMBING` PE1t3iI1' DATE: ~ ,
r, . , : .
R~SIDENTTA~;t PLEASE COMPLETE UPPER PORTION ONLY FOR SINCLE FAMILY DBELLING5' 6'
TOWNFIOMES/CONDOS WNEN PER?IITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOUING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 i,~0 0
REPAIR 3 WATER CLASET 3.00 9~oU
1 BATN TUB 3.00 3.00
t ~ IAVATORY 3.00 ~ a5
OWNER NAME: ~1 F_~S C.I'1 ~~~1 ~~V S ~ KITCHEN SINK 00 3^ D o
~I ' IAUNDRY TRAY 3.00
SITE ADDRESS: ""~~~d ~a~(~I T~'Q-~I HOT TUB/SPA 3.00
I WATER HEATER 3.00 3-.0 0.
lAT: ~ BIACK a SUBD. ~d~'sp'O~ ~ FIAOR DRAIN 3.00 3.;0~ ~
\ GAS PIPING OUT. '
INSTALLER: M~~~U l~.~~~5 (MINIMUM - 1) 3.00
~l 3 ROUGH OPENINGS 1.50 4:SU
ADDRESS:_ _ IS~ ~ S 1~.~'ROI~SR-F ~O~-y _ OTHER
WATER SOFTENER 5.00
CITY: ~6~-u^--4v-h* ZIP: 5~~~~ _ PRIVATE DISP. 15.00 . '
LI U.C. SPRINKLER 3.00
PHONE p: T~'3 ~730 y~ Sp
~ ~ ^ n ^ SU6TOTAL S
L~RX$-xi-- ST. SURCHARCE .50
SIGNA RE OF PERMITTEE
' TOTAL: S yy,oo
COMME1tCIAI:JINDUSTRIA~:S; PLEASE COMPLETE THIS PORTION FOR ALL GOMMERCIAL/INDIISTRIAL BUILDINCS AND
,
MULTI-FAMILY HUILDINCS WFiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLINC UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE. '
STATE SURCNARGE - $.SO FOR
SITE ADDRESS: EACN $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUED. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: 2IP: .
TOTAL: S
PNONE
«r~ (SIGNATURE)
~
FOR: ' ~
CI1'Y OF EACAN -
, i
. . : i ~ i .
~ I
City af Ea~aIl ; Permit# ~ ~
3830 Pilot KnOb Road j Permit Fee: ~D' ~vM I
Eagan MN 55122 j Date Received:~+t Oa ZDUJ ~
Phone: (651) 675-5675 I ~
FeX: (651) 675-5694 ~ Stafl: ~
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: `7~~--'1~~ r Site Address: -I~~ /\a./C' L /J ! 1 ~ _
Tenant: ~ Sulte
RESIDENT / OWNER Name: Phone: - D+J J
Address / Ciry / Zip: ~ ZZ
CONTRACTOR Name: License#: ~~~~7~?~
Address: Champion
~ih~; 3670 ~odd Rd. #100 Stata: Zip:
Eagan, MN 55123-1335 ~j;
Phone: Contact Person~ `fV' ~ S ~~~1
TYPE OF WORK _ New ~ Repla ement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work: ~
PERMIT TYPE RESIDENTIAL
Water Heater _Water Softener
~ ~ Lawn Irrigation ~ Add Plumbing Fixtures
~ ~ RPZ / PVB)' ~ Main _ Lower Level) - - - ~ - ~ - - -
Septic System Water Tumaround
. . . , New:. . . ;,c~ .
Abandonment- ~
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water -furnaround' (includes $.50 State Surcharge)
"4Vater Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances,~dudwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
I hereby acknowledge that ihis infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes ot the Cily of
Eagan; ihat I understand this is not a permit, 6ut only an application for a pertnit, and work is no~ to start without a permit; ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
~ x L_~'.IXY`.~i5 ~ - x . •
ApplicanYs Prinfed Name~g~-' _ Applicant' .
~~yyp,~. ~ i tl ilr :5d i~u ro II{ + t i ' ~M~+ rt +Wl~
~"LfES~E~~ F , • II,~ h~,~~f„~ tr t{I R~i' t' ~h~{
y _ s r r~`i}+ERhiW~~~~CY~YMC~~~~'~" 's~~ k I. a~ s~ 1';L°.
}~ht~~y~~" ~~fi'~~Jai ~ ~ ~ . ~H~ 4l~'. ~ 5:1~~~3 +C~~ ~ Y'.~~'
wt~~~u~ry~, ~7a ~~~~~rau~ ~a~rk-~n~ =~a~~r~ ~~~r ,s~~~ ~ ~
~ it~~ , a.?~~t'^^tr~.~r e n - ~ u, :~a.~,~;
-'.sm~ ~i~.±a,s. , L II s „ i.,w..~.
3 ~ i~p
}::v:.
~ PLflNNEOS nd6LAND S~UIiVEYOIIS ~~'£e. CLtENT P/cT,y'GH B~icoERS
,
~N~GIN~EAiNCa ` ~ PROJECT NO. ,392D. D/ ~
~a~~~~~~~ A~C. sK./69 PG..3S
~ 1000 EAST 1461h STREET, BURNSVILIE, MINNESOTA 55337 PH 432-3000 ~ ~
CER1"IFICAI'E ~F SIJR!/EY
LEGAL DESCRIPTION: ~or ~ B~ocK 2, .S4F•9R/ ESTATES sE~.~o ,~oo.T~o,v
O~9KoTA CoU.v7Y, ~'//NNES'OTA.
(~84_~ ) DENOTES EXISTING ELEVATlON ,
( 9B~~ 5) DENOTES PROPOSEU ELEVA~ION
r,--- INDICAT~S DIRECTION OF SURFACE DRAINAGE
98G•83 = FINISHED GARAGE FLOOR ELEVATION
•/Z = BASEMENT FLOOR ELEVATION
987.83 - TOP OF FDUNUATION ELEVAI'ION
SCALE : 1' ~ 3U'
N
~A~ ~
rg~~'$ °
2
~ 0 53 ~ ~q~~
Al~ \\\D¢ b~\°y (9A1 ~
~ y / \
~ \ O ~ \ J
1'~~ \
~
I~~~~ y2° ~ ~Q
p3 q~ o N~_
A~ pf~~ ~ Z~ / ~ ~o :
\ o
5 -
~ `T _
~i /
/ ~9 ' , \
. / , ` J \
~
Q~ ~`3pv ,r, r ~ ~ ~
\
. >~(s~ O N $ ` 1 l~ r
~~"'~a: 8~° ~ a' P" 1 % 3•t~ o~°0 3ix ° \ ~ J
~y $ o V ~i\ r\~; `b ~
e$ ~ O d'j; ~e$ C~` CnO ~y,
~ ~ ~ J ~
~ ~ f~
o
C Z 30 ~ f~_ /
f
~C` ~s~ \ `a6s~,.a,~ ~'r~ \ ~ DR9/N96E RND
N=~ "R s 2 s,~~ ~ UT/L/TY EASE/I7ENT
R_ 3 co C~` '$~c9a, •o
s$ _ ~ A° ~\c'~ J ~
i~- 2 0° / 59 E
~ ~ ~3 $2°~ IbS' 3 3
v ~ N ~ 5~~ 3 ~
~ ~z ~ ~ 's / i~ r-~
~ /i P $ `~~9 ~I
cs~ ° \ / S ~ ~ ~ ~
.~c~ V ~
.
~.?s, ~N~
r
J
F~DJ` J 3o FT. FRONT 6U/!~/N6
~~r;~ ~ oo " SET~9GK~, ~
l1~ ~
~ ~
~ `
.~NGIIVEERING DEPT
K~y. I NEREBY CERTIFY THAT THIS IS A TRUE AND COHRECT REPRESENTATION OF A TRACT OF LAND
},~s.',. AS SHOWN AND DESCRIBED HEREON. AS PREPARED BY ME THIS ~¢T DAY OF ~A.vv'9KY ~ f'
~5 92
J~4 SK ~
I, N0. OAi[ BT IILN~RMf ~CeOBS {
~ ~ - ~ MINN. REG. NO.
REVISION9 ~s
i
îý
ð
ÿþþýüüû
úýýþþ ð
ßðÿ
å
ø
ð
ðß
ÿþ
ÿþýüûú
öàøäøþüûú
øüûúêú
øú
äþäïáïãþú
û
Ü
ÿóþ
øù
øøûùøþ
þ
ðñò
ò
ìþ
ñ
ú ñ÷ï
ððß
ùèèïççï
÷ú
ÿþøò
ø
þ
èèççð
þ
ç
ö ôõ
ùó
úú
äøöð ñ
øÛüòôú
ðñò
ò
ìïêû
üø
ñ
úñ÷ï
ñ÷ðð
ëðéðß
òøýû
öò
ò
ìø
ò
úú
ò
òåøô
øø
øôúûöò
úú
ýÿ
åñ
ÿ
þ
äûå
ãø
ç
úú
à
þûÿ
þø
City of Eagan
PERMIT
Permit Type: Building
Permit Number: EA106666
itDate Issued: 09/04/2012
of jjft
Site Address: 4890 Royale Tr
Lot: 7 Block: 2 Addition: Safari Estates 2nd
PID: 10-65851-02-070
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Tim Schenk
Elder -Jones Building Permit Service
1120 East 80th Street, Ste. #211
Bloomington, MN 55420
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
Surcharge - Based on Valuation $500
$40.00
$0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Home Depot At Home Services
656 Mendelssohn Ave. N
Golden Valley MN 55427
(763) 542-8826
- Applicant -
Owner:
Mark J Thompson
4890 Royale Tr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
At.
Use BLUE or BLACK Ink
r
For Office Use I
. Permit
City of Ea~cl
Permit Fee: I
3830 Pilot Knob Road I _ I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: h7~ 7
I I
-
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: J-oe- J'J {?Sd~ Phone:
Resident/
t Owner Address / City / Zip: l 0 L f A9 nJ f ~"t /l/ s 1 2
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: ff Multi-Family Building: (Yes / No
rr~~ is ,l C~r~S `T ACC U-,, N,\J )C~v ✓ ,fvw
Company: Contact: L l ' 7 l a - /S' S~
S' ~L 1 OZ C City: 04 VoCC[c~
Address:
Contractor
State: M AJ Zip s f ' / ' S S cJ
~ 2 v Phone: U
License 6G S is Z Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) r~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes P/~No If yes, date and address of master plan:
i
Licensed Plumber: Phone:
i. Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
i NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x r x J o (j 1` all J OYJ
Appl' nt's Printed Name Applicant's Signature
Page 1 of 3
/fd' 90 e3Xgk 77, 0-% . .i
DO NOT WRITE BELOW THIS LINE `lca351
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
- Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ff6VC2Occupancy MCES System
Plan Review Code Edition 26v? SAC Units
(25%_ 100%-k-) Zoning _ City Water
Census Code y3 Stories Booster Pump
# of Units / Square Feet ~y PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill - Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
4/A /I
RESIDENTIAL FEES ~~,/„~/C7~ ~iZU~
Base Fee
Surcharge
Plan Review
2?`3
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
CONSULT11IG ENOINEER5 CLIENT lETj~'ell
PROBF PLANNC-AS and LAND SURVEYORS
' PROJECT NO. ,3yZ0, 4/;
N~GtN~Et~~~Ca .r
C C
OMPR 11Y, INC* BK./~O9 PG. AT
1000 EAST 1461h STREET. BURNSVILLE. MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY,
LEGAL DESCRIPTION: G07 7, BGOCK 2, F.~R/STATES' .5~covv .4vv~Tiv.~/,
,W&-OTA 404 /7Y lW11ViV25S- 07.4.
DENOTES EXISTING ELEVATION
{ 986, 5 ) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
?86.83 FINISHED GARAGE FLOOR ELEVATION
Z 7?. /Z w BASEMENT FLOOR ELEVATION -
987.83 = 'TOP OF FOUNDATION ELEVATION
SCALE - 3U'
g
3Z
1
0
Q~, ~ / 3p0 ,`f; 1
> 01D
40
m.
UT/G/TY EA~'EYI7EN
0'~
f J I
I L
EAGAN o)
R j-- l V CI..J 3o FT. I=iPDNT B~J1I~IiV6
BY ~,ca; fir, oa SETC.,k~~ mss,
DATE: g
SU'! DING I: IS r'll-IONS DIVISION
PAGAN ENGINEERING~P
DEPT
u. I HEREBY CERTIFY THAT THIS IS A TRUE ARID CORRECT REPRESENTATION OF A TRACT OF LAND
AS SHOWN AND DESCRIBED HEREON. AS PREPARED BY M£ THIS f¢-IV
AY OF , A,vrr•9,CY t
M0. OATE 8T REMARKS
MINN. REG. NO. /6dB5
REVISIONS
Oct 15 2013 01:37PM RSG 7634047238 page 2
Use BLUE or BLACK Ink
1 For Office Use-----__-A 1
I ~1I ~~11~.7~ I
OILY of Eaton ! Permit# I • " D
I / I
Permit Fee:
3930 ' !
Pilot Knob Road I i
Eagan MIN 55122 Date Received: cj
Phone. (651) 675-5675 I f
Fax: (651) 675-5694 I Stan: I
1 t
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: A ( 5
Unit
[77. Name: [ 1 / ~I
G ~,InJhQSON Phone: 2J1 4oZ V~9 1 10
Rgsldert#% GG~~ T
Owner Address i City / Zip: "1 1`p-~ 1 r t
Applicant is: _ Owner Z Contractor -
T-ype tlf Description of work: R t -ro o-
e_r„s
construction Cost "I S Multi-Family Building: (Yes /No Company: ^t~ows~ ~uv4~u~ Sotw~~,ra ~jfo~ Contact: ~r:~ t" S
CoirxtaCtor Address: 0 ill adl:30,~ Ave-W3 city: _,_\.4%4tuQd~:S
State: to Zip: 5 5"21 Phone: p( / If8/J
I License
Lead Certificate 00 0 1r1 "1 ' 3V 1 ,
If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan: E
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 3 Water Contractor Phome
1~tQ E: Flans nr1 srrpl i~lg db uments; , 1 you submit are d:ortskW ed to. lie prribkc i~ov~I or
the ri'(ormatForf maybe classi red air roan-,public ifylou provide specific reasons that rI►outtt pera~i~ the Gty to
conclude drat the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher state One Cali at (651)464-0002 for protection against underground utility damage. Cali 48 hours ~
before you intend to dig to receive locates of underground utilities. www.aonherstateonecall orn
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 pormit, 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X b uo" L:s X -2,-, e~~& Applicant's Printed Name Applicant's signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156971
Date Issued:07/26/2019
Permit Category:ePermit
Site Address: 4890 Royale Tr
Lot:7 Block: 2 Addition: Safari Estates 2nd
PID:10-65851-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Mark J Thompson
4890 Royale Tr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 ( FAX: (651) 675-5694
iwiidinainsoectionsOcityofeagan.corn
Date:
For Office Use
Permit*: 1R ® (o 2-
t41.53
Permit Fee:
Date Received: ` /1 S /19
Staff:
cat a p cl!-
201 Q9 RESIDENTIALBUILDING PERMIT APPLICATIONPon I J 38
+ ` ! - i 1 sloe Aadresa:
sq b l� oyo. cam, Gad a". s ulna
Resident/
owner
Name: J 66 v. &>^ > °Y -- `- "No Nts Phone: 651° 3o9 • o4°I
�[ Q D I''! N SS' 2Z
Address / City/ zip: [ l� R b I� t)A o-�-Tr-et; .R Ea -361-Y-%
Applicant is: "1/44Owner Contractor
Type of Work
Desr tion of work � S co `--- Lor . — rc4- r c p 1 r
Construction Cost 4-1
1 d a MultiFamily Building: (Yes / No x )
conttac or
Company: 6C Cor' St+- u c___d-6-1---, Contact J6 k li Co,v (5 O rk A
Address: 37 6 3 LQx(ri t tovt.'NOCity: A irr� e- p, R i 1 l 5
State: M �Zp: 5 ! 1)`0 Phone: J 5 2- 2 { 5 ' D E ai
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 margin,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDWIG
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
NOT!" Pins and supporting documents Oat you submit are considered to be public Mformaticn. ~ions tithe it ima ion maybe
dsas-ad as snow- ablic !you provide specific masons that arm*Epennif the Qky to conclude that they are trade snouts.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Cali Gopher State One Can at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wrorw.gooherstateonecaf.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.
Jct r.
Applicant's Printed Printed Name Applicir(Ys Signature
•
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
ASingle Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation LI Z5 V Occupancy
Plan Review Code Edition
(25%._ 1 00%Zoning
Census Code 1 Stories
# of Units Square Feet
# of Buildings Length
Type of Construction Width
_ Fireplace
_ Garage
Deck
Lower Level
4 9 o Ro LjcLU. .
_ Interior Improvement
_ Move Building
_ Fire Repair
_ Repair
Porch (3 -Season) _
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation _Foundation Before Backfill
Roof: _Ice & Water _Final
l•
Framing 430 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Final
_ Siding
Reroof
Windows
_ Egress Window
6L 15 z
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish interior
_ Demolish Foundation
*Demolition of entire buildinn - give PCA handout to applicant
Water Damage
lL MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
ci\J
N(1(
Page 2 of 3