The URL can be used to link to this page

4894 Royale Tr ~ . . . I~ISPECTI4N RECORD f ~troi Na i ~ CITY OF EAGAN PERMIT TYPE: Bu i u r N~ 3830 Pilot Knob Road Permit Number. •+~p~~ 3 Eagan, Minnesota 55123 Date Issued: ~ 3/ x~' (fi 12) 681-4675 SITE ADDRESS: ~ i~ r= $ F APPLICANT: 489A ItQYAtC fR PAttAMQUN'? HAMt~ SAFAR~ E'9TATES titCQNO (gi;~y ~32~72~• ~ PERMIT SUBTYPE: TYPE OF WORK: ~ nw~, N~u '~11I ~t10f1M6 FttAM l N(~ INSULATIUM UA1 lNtlAh'll FINAL t'iREPt.At:F. ~ti~laNr ; t ~1'aFt P1.l~MB1N[~ . , - .a: _ ~ ~ Permft No. PKnNt NOWB? D~ TalephorN M snN o? l,~ ~ 3 ` PLUMBING ~ ~.3 ~ O HVAC ~f°,~ ~ S ELECTRIC Q f p° ELECTR ~~S ~ ~ ~ InspecHon Dabe Msp. Commonts Footings I . ~ ~ Four~atan Z DS O 6 G d F~~ s f~ ~ P ~ s'r~lz s Roo~ng Rough Pibg. -Z ~ 9 z ~ ~ ~ s s`a F`~,'~ S/o~9,? hs' ~ ~~0~ ~ Flnal Htp. l~ ~ ~J/1 f?S - ~41~ . ~ o~T~? 9z S Flnal P16g. .r~~ Plbg. Ins~eqa - Notify Plumber Cor~st. AAeter EngrlP~sn Bldg. Flnal 9 t'Z ~ ~.~r Deck Ftq. Dack Fir~al w~i Pr. Disp. -y-9 a ~y ~ . r ~ertr~icate v~ ~cru~anc~ ~ ~~t~ o~ ~ ~ T1eis Certi, ficate issued pursuant to the requirernenis of the Uniform Building Code certifying that at the tiine af issuarcce this structu~i? was ire compliance wilh the various orrlinances of the City regulating building constnrcteon or use. For the following: 63 u~ ~r,~;~:~ ~ B~ ~ R3 I ~7 TYPe Zooing Disaict 777yyyppp~~~ Coae~ O++oer of BuildingP~ ~S Address 2~ _~E v~;~ ~ . A~~9li ~II, ~ ~ ~ ~ ~ ~ ~ :1 i ~ il/1Q/q2 ~ `1. nau: Bail~n6 06icial POST IN A CONSPICUOUS PLACE . . . . . . . . . . , . . . w.rlv r{"T : SEVIf~R 8~ 1~,4TER PERMIT OFFICE USE ONLY CfTY OF EAGAN METER ~~I f`f' 3 PERMIT DATE 03 / 2 5 f 92 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CH~P PERMIT # t 2639 METER SIZE S~asur'J B.P. RECEIPT # C 017954 DATE ~R 25. 1992 ISSUE DATE ' B.P. RECEIPT DATE 03 25 92 _ PRV - BOOSTER PUMP SITE ADDRESS 4894 ROYALE TR PERM(T REQUESTED LOT 8 BL~CK Z SEC/SUB SAFARI ESTATES 2ND ~ x SEWER X WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND .]L RESIDENTIAL CITY, STATE ZIP _X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: STAR PI,BG Ahead of Domestic Meters on Water Line. ADDRESS: 1018 MOUND SPRINGS TERR Credit WILL NOT be given for Deduct Meters. CITY, STATE BLOOMINGTON MN Z~p 55420 PHONE: 884-4149 I AGREE T COMPLY WITH CITY OF OWNER: PARAMOUNT AOMES EAGAN O QINANCE AD~RESS: P 0 BOX 14038 CITY, STATE APPLE VALLEY MN Z~P 55124 PHC~tIE: _ 432- SIGN RE WHEN METER 1SSUED ~~~~,(y . ,C~vr'->; ~ `x PLEASE(ALLUW ~ORKIt~G DAYS FOR PRCSCESSING. CALL 454-5220 FOR INSPECTtONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. j. t.~", . . . , ~ . - . . . . . . _ ~ . . ~r,,, . v-~.,. .T . . ,,,,,T, . . : ~~+^vf,~"~~7I'il~' o" SEti~t ~1TER PERMIT OFFICE USE ONLY CiT1T OFE~GAN METER PERh71T DATE 03/25/92 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP ~ PEr?PAII" # 12639 METEfi SIZE B.P. RECEIPT # C 017954 DATE 1'!l~?R 25. 1992 ISSUE DATE B.P. RECEIPT DATE ~3 25 92 _ PRV _ BOOSTER PUMP SITE ADDRESS 4$94 ~pYALE TR PERMIT REOUESTED LOT $ BLOCK 2 SEC/SUB SAFARI ESTATES 2ND X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMMlIND ~ RESIDENTIAL CITY, STATE ZIP NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Instalied PLUMBER: STAR PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 1018 lfOUND SPRINCS TERR Credit WILL NOT be given for Deduct Meters. CITY, STATE BLOOMINGTON MN ZIP 55420 PNONE: 886-4149 I AGREE TO COMPLY WITH CITY OF OWNER: PARAMOUNT HOMES EAGAN ORDINANCES ADDRESS: p 0 EOX 14038 CITY, STATE APpLE VALLEY t+~l ZIP 55124 PHONE: 432-7200 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: 1~ 25, 1992 RE: 4894 ROYALE TR (PARAMOUNT HOMES) -]L Your Sewer & Water Permit for the above property has been completed. It will be heid at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-522Q} FOR YOUR PERMANENT WATER TURN OM. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: You~ Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy ailowed 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. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CASH RECEIPT ~ ~ ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~ J , ~ 19 -l- i . n~rvEO I.. i . t . . r ~ , . , AMOUNT 3 ;r-~'- a oo~~aRs O CASH CHECK ~ ~ =t~ ,'~l t.,~ ' , ^ C ~ .i 4, ~_~?i 1 / r'4 ~ _ l,~.s~il - - ~ FUND OBJECT AMOUNT Thank You sv -~~1 - ~ ~ 0 ~ 79~4 re~w~,--~osm~ co~y ~ ' Pink~ile Cqpy g 15290~ a d ,5' ~ 5 , Request a~D~e re No. ft gh-in Inspeclion FeQUired? ~Feaay Now ? Will No~ity Inspector R ~ Yes ~o When Reatly? ~ I~,IicenseL~ contractor ~ owner hereby request inspection of above electrical work at: Jab Ptltlress (Sireet 8ox orROUte No.) City L nJ Secimn No. Township Name o~ No. Range No. Coun !'~l~U"1 H Ocwpant IPRINT) Phone No. G r J Po er $upplier Atltlress c~- o'~ t - ,em~ , mN Electncal ConVactor iCOmpany Name~ Gonvacror's License No. C ~ sO Mabng atloress IComractor or ne~ Making Inslalla~ion~ T ~Z u e~ ~ Auth rizetl Signaw Convact ~O aking rostaliaiion~ Pbone Number ' ~'~~F"L MINNESOTA STATE BOAflO OF ELECTRICITY THIS INSPECTION REDUEST WILL NOT Gtlggs~MiEway Bltlg. - Room 5493 BE ACCEPTED BV THE STATE 60AFD 1B21 University Ave.. 51. Paul. MN SSW6 UNLESS PROPER INSPECTION FEE IS Ghone (61P) 64b0800 ENGLOSEO. REQUEST FOR ELECTRICAL INSPECTION ''~T~~'~' µ EB-00001-OB / ~r • ~ See ins~mc~ions lor compleling Ihis brm on Gac4 ot yellow mpy. LQSul~ S ~e / ~ _ ='X" Be/dw Work Cov~red by This Request ~9~ ew Add Rep. TypeoiBUiltling ApplianCeSWiretl EquipmentWired Home Range Temporary Service Duplex Water Hea?er Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner I Olber (ryentyl Convacror's Remarks' Compufe Inspection Fee Below' I # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool a to 200 Amps 0 to ~0o Amps Transbrmers ~ Above 200 _ Amps Above 100 _ Amps Sig05 Inspeciors Use Oniy: TOTAL Irrigation Booms ~ Special Inspec[ion l J Alarm/Communication THIS INSTALLATION MAY 8E ORDER ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rougn-in oa~e certify that ihe above inspection has Final ~ oace been made. '-~1~ Y ~~^.e use oN~v vo~tl 18 monIDS irom - C> ~t5 / s ~QS/ / U 4 4 5 9 - ~ ~ Fequest Date Fir o. Roug -m Inspec~ion Requiratl? ? Reatly Now ~Will NotiTy InSpec[or es G Na M~~en Reatly? I~licensed conhactor O owner hereby request inspection of a6ove elechical work at: Job Atldress (3Vee1. Bou or Roote No.) Ciy ' ~ F111 1~16 1~l Sec[ion No. Township Name or No. Range No. County Occupam ~PflINTI Phone No. n i ~/Il _ / ~ PowerSuppiier l1RkpTR F~~~Q~ nadress o~~ ~ J'~'! ~ f u Eleclrical ConVactor ICompany Name) ConVadaS License No. ~ ~ Meiling AOOress fCO~trador or pwner Making Inscellation) ' a .55378 huth nzetl SignaNre ICOn clon Making ~ns~allation~ Phone Number `~~E. MINNESOTA STATE BOAfl~ OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT G~iggs-Midway Bltlg. - Foom 5-1]3 BE ACGEPTEO 9Y THE STATE BOARD 1821 Univerolty Ave~, SL Paul, MN 55104 UNLE55 PROPER INSPECTION PEE IS Ptwne(Bt2~86~-OB00 ENCLOSED. ~S~,~c l~~-- REQUEST~FOR ELECTRICAL INSPECTION ¢~",,L"•~$ E&00001-08 / ? See'nslructions lor mmpleM1nq fM1is lorm on ~ack ol yellow copy. ,.Ll° /DS 97"Q X" Befow Work Covered by This Request 454. ~ ~ e Atld Rep. TypeofBUilding AppliancesWired EquipmenlWiretl Home Range Temporary Service Duplex Water Heater Electric Hea[ing Apt. Builtling Dryer Other (Speciy) Comm./Industrial x' Furnace Farm Air Conditioner Other (syeciy~ Contracfor's Remarks: Compute lnspection Fee Below: A OMer Fee # ServiceEntranceSize Fee S Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ~'t' ~ to 100 Amps ~j Trensformers Above 200 _ Amps Abo e 100 _ Amps $19f15 Inspec[or§ USe Only: TQ7p~ ~a ~ Irrigation eooms ~a~o '7` Special Inspection Alarm/Communication TNIS INSTALLATION MAY BE-ORDER~D DISCONNECTED IF NOT ~ Other Fee COMPLETED WITHIN NT ~ I, the Electrical Inspector, hereby R°°qn;~ Data rt~ certify that the above inspection has F;~ai aie~_ been made. fv~' OFFICE USE ~NLY This request voitl 18 monihs iram Address: qgy[~ gpy~ ~ Lot g Blk 2 Sec/Sub ~A~ ~ These items were/ware not complete at the tima o£ the final inspection. • 11/19/92 Yes No Final grade (b" from siding) Parmanent stsps - garaga ? Permanent ateps • main entry ~ Permanent driveway ~ Permanent gas Sod/seeded grass Trail/curb damaga Porah Basement finish Deck Pleasa verify with tha builder the removal of roof teat caps from the plumbing system and the shut-off of vatflr aupply to the outaide lavn faucet befoza freeza potential exists. ~ White - City copy Yellow - Reaident copy Pink - Contractor copy RESIDENTIAL y~P J~ Q-~ BUILDING PERMIT APPLICATION r a CITY OF EAf3AN 3830 PILOT KNOB RD, EAGAN MN 56122 651-681-4B75 New CaietrucUon Beaulremente pamodeVNeosir Feaulrements • 3 reg~tered sile surveya shaxing aq. M. of bt, sq. fi. of fwuse; arW ~II roofetl areas • 2 copies of plan (20% mazimum bt coverege albwad) . 1 set of Energy Cakuletlons tor heated adtlttans • 2 copies of plen showing 6eam & window sizes; pnuretl found tlesign, etc.) • 1 site suney fa e~Aerior atldXbns 8 decks • 1 set of Energy Cakutalbns • Indicate tt home served 6y septic syslem tor addRions • 9 copies of Tree PreServatlon Plen if ht platteC aflar 7l1/99 • Rim Jol~ Detat Options salecibn aheet (61tlgs w~h 3 or less untts) DATE Z~ l~ Z"' VALUATION f~'~ 7~P SITE ADDRESS 7 ~`1 ~r"~`"~ MULTI-FAMILY BLDG _ Y n N iYPE OF WORK ~ro FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ ~ L~X ~r o r~ STREETADDRESS ~Z`~~ /~Gc3~'~.c-~af»~ ~'v`-R-' qN ~d~P~~TAiE ~ZIP Ss 3YY TELEPHONE # YSZ ~~~"f Z 3 2 CELL PHONE # FAX # PROPERTYOWNER 5~~ `J~' ~ ~"1'`~~ TELEPHONE# ~~~-`~`~F ~~l COMPLETE THIS SECTION FOR ~NEW~~ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 aubmission lype) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submkted • Energy Envelope Calculations Submitted Plumbing Coniractor: Phone # Plumbing system includes: _ Water Softener _ L.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhacfor: Phone # Mechanical system includes: _ Air Conditioning D~~~ n~ _ Heat Recovery System ~ Sewer/Water Conhactor: Phone # ~AY 3 0 Z002 I hereby acknowledge that I have read this application, state that the information Iscorrect, anTd ree to comply wffh all applicable State of Mlnnesota Statutes and City of Eagan Or inan Signalure of Applica - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPeaiad aro2 OFFICE USE ONLY ? 01 Foundation 0 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muki ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 ~emolish (Interior) O 44 Siding O 32 Addition O 36 Move Bldg. 0 42 Demolish (Foundation) O 45 Fire Repair O 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ~ 34 Replacement •Demolttion (EMlre Bldg only) - 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldp~ _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC' ~ Water Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ~ontrol No. O 1 O J . CITY OF EAGAN 3830 Pil4t Knob Road PERMIT TYPE: BuI~pIN~ Eagan, Minnesota 55123 Permit Number: 000063 (612) 681-4675 Date Issued: 0 3/ 2 5( 9 2 SITE ADDRESS: 4894 ROYALE TR LOT: S BLOCK: 2 SAFARI ESTATES SECOND DESCRIPTION: BuildirFg_ Permit Type 5F DWG Bu3lding Wprk Type NEW U~G bacupaRCy~~ ~ R-3 M-1 ~ ~ Gonstructfan~'~y~.pe VN , 2onin9 a/-t ~ Building Lehgth 68 Building Wfdth 61 ; ~ ; ~ a l ! . r" r , •,t.C ir` ~ ~~.._.3 ~ _ j` L~. 5~ ti~ ~.1 s : a `_a ~ ~ ~ ' ' . . , ~ i, C::i REMARKS: ~ p /']~S STAR PLUMBING ~ FEE SUMMARY: VALUATION 5142,000 Base Fee $786.50 MISC FEES 51.610.50 Pla~ Review $511.23 Total Fee $3,6y9.29 Surcharge $71.00 SAC $700.00 SAC $ 100 SAC t/rrits 1 Subtotal Z2,068.73 CONTRACTOR: - Applicant - sT. DqNNER: PARAMOUNT HOMES 14327200 0092 91 PARAMDUNT HOME3 P 0 BOX 14036 P 0 BOX 24038 APPLE VALLEY Mp1 55124 APPLE VALLEY P9N 55124 (612) 492-7200 (612)432-7200 I hereby aaknowledge that I have read ~his epplieat3on a»d state that the infarmation is aorreat and agree Co comply with all applica,ble StaCe uf Mn. Statutes a~d Gity of Eagan Urdinances. ~ - ~~:a.~rn~ ~PL~CAN7/PERMITEESIGNATl1RE ISSUEDBV. IGNA FiE~- INSPECTION RECORD I ControlNo. o~~~ C1TY OF EAGAN PERMIT TYPE: BUILDIN~ . 3830 Pilot Knob Road Permit Number: 000063 Eagan, Minnesota 55123 Date Issued: 0 3/ 2 5/ 9 2 (612) 681-4675 SITE ADDRESS: ~ o T: s e ~ o c K: 2 APPLICANT: 4$94 ROYALE TR PARAMOUNT HOMES SAFARI E5TA7ES SECOND (612) 432-7200 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . . SITE FOOTING FRAMTNG INSULATION WALlB0AR0 FINAL FIREPLACE REMARKS: STAR PIUMBING ~ ~ - ' ,J 1992 BUILDING PERMIT APPLICATION r ~ ~ ~ CITY OF EAGAN ~M,QR 3 ~ RECn REQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF SPECIFICATION5, 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 ~ LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES-{IVILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. % /Yz 6a~ To Be Used For: Sin qIL Fri,y„ , Valuation~ Date: / 7- y z ~Site Address `~~l ~.~.a~ FFICE USE ONLY Lot ~ Block 2 ~ FEES Occupancy Bidg Permit Parcel/Sub ~ ~ Zoning Surcharge Actual Const Plan Review Owner Allowable License Fee b # of stories SAC, City Address ! v ~o~ L p~ Length SAC, MWCC / Depth Water Conn. City/Zip / (~G .~,j /L 5.F. Total Water Meter pwqr,~. Footprirrt S.F. Acct. Deposit Phone a'+ 930 ~ 9 S/W Permit On-site sewage S/W Surcharge Corrtractor a ~ ;(~QdE' On-site well Treatment PI. MWCC System Road Unit Address City water Park Ded. PRV Trail Ded. Ciry/Zip Booster Pump Copies SUBTOTAL Phone License D06219/~` APPROVALS Penalty Planner Lot Change Arch./Engr. , ~~J~,0.3~ ~/~i1 Bldg. ~Off TOTAL ( Variance Address Cit~+/Zip Code Phone # ~,3~ ~ ~ ~'f , Sewer/WaterUcsnsedContr. ,5~'c~ l`/U/Il ~b/~'~ . Processingtime for sewer/water peemits is two ays once area as e approve . 1,(,.~~ Q~~~- agrees that all work shali be done in accordance with ignature o e~mittee alf applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ ~ OFFICE USE ONLY , BUILDING PERMIT TYPE ? O1 Foundation ? O6 Garage/Accessory 0 11 Res. Add./Porch ? 16 Agricultural ~ 02 5ingle Family ? 07 Fireplace O 12 Co~n./Ind. Hew ? 17 Building Move ? 03 Two-family ? OS Deck O 13 Comm./Ind. Add ? 18 Demolition O 04 Multi-fam. T.H. ? 09 Basement Finish O 14 Comn./Ind. Rem. O 20 Miscellaneous ? D5 Apt. Bldg. ? 10 5xim Pool ? 15 Public Fac. WORK TYPE f,9 90 New ? 93 Remodel ? 95 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations ~ 95 Tenant Finish ? 99 Undefined GENERAL INFORMATfON Occupancy Q- 3 Basement sq. ft. ~ MWCC System Zoning lst F1. sq. ft. i8/G City Mater Const. (Actual) 2nd F1. sq. ft. PRV Required (Aljowable) Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code /O/ Depth On-site sewage SAC Code ~ APPROVALS Planning Building Assessments Engineering Yariance RE~IUiRED INSPECTIONS Site ~ Footing Framing Insulation Q Wallboard ~ Final O Draintile ? Fireplace Permit Fee ~~6,50 vai~c;a,: s ~ ~/Z- doo Surcharge ~s~,.t,~lSt~- Plan Review 5~/,z3 ~,(-3S = ~oSO orc~ License 16,~. y6 ~~3G ~ ~ y,~_ ~ s'G o MWCC 5AC pp ; 3 0 / f,~-1 ZX City SAC ~,~a ~Sr1- zo rr . ~ ~ Water Conn. f~~s /8/Gk~~: /Z~~~Z Nater Meter 4S Acct. Deposit 3 0 - S/W Permit 3 v S/N Surcharge ~S~ Treatment P1. 3 p l Road Unit ~ 2G,~~X~t': ~~~,QEs Park Ded. zz ; Zy2 Trails Ded. Copiss ~ 3~. D~.~-/6 = ~D~.Z~ Other ~ Total: ~ SAC X ~ `~~Q ~I, z~' SAC Units • , : . ' ~ CITY OF EAGAN ' ` ' ' F~ 1892 BUILDING PERMIT APPLICATION ~ 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3~registered site surveys, 1 topy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date / / Yaluation of work Site Location: ~ SiREEi STE ~ Tenant Name: LOT BLOCK SUBD. P.I.D. N ~escri tion of work: The applicant is: ? Owner ? Contractor O Other (Describe) Name Phone Property «ST F~RSt OWlte~ qddress STREET sre r City State ^ Zip Company Phone - Contractor Address License N Exp: City State Zip Company Phone Architect/ Engineer Name Registratio~ / Address City State Zip Sewer & water licensed plumber . Processing time for sewer 3 water permits is two days once area has been approved. I hereby acknowledge that I have read this appTication and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: .l,~Kyr,a~ ~ EXTEAIOR EH'iE'~OPE i;~:i-~Gt -v° c.w~r-a~woiw~ Y~`{ i""-y=~'{'~ , . ~-n,~ ~L f^.' - : - % ' . ~(~JT . y~ :r+~:..;.,,~ ~ N . -.'~ER ~'~~~~,37"C3~'1x...~ ..,r , ' SITE ADOitE55 ~=Q ~ d ~ :J~~ ~ S``'~'--'~! ~9 , DATE l / q? PH~NE ~~d "~y~ CONTRACTOR ~ J s ~ Oetermine vrorking square footage of each. 1. Total exposed wa1T area ~ ry" f s4. ft. x" ' ~ . y"~ 2. Total raof/cei l i ng area . . . . . ~ ~ j ~ sq. ft. x , ' ~ ° ° ' ~M Total exposed wall area above floor ~ ~ a Total wall reindo++ area n~, J~ r3 ' ~ ; b. Total door area _ ' c. Total sliding glass daar area ~7-~_ " d: Total fireplace Mall area ! - _ e. Total Na11 framing area (average lOt~............ 2~o :.:/y~7.~ f. Totnl net wall area above floor g. Tota1 rim ~oist area 3• 2 9 Totat exposed foandatfon area ~ 1~~~ ^ h. Total foundatioe wtndov? area........... ' i. Toal net foundatian area above grade i 6 s - Oetennine °U"-va1u~ of each ++atl segment. ' d. .s-~ 3`3 X°U" . 3 3 . ~::~.3'~ r, b. r,• X , ~ 6 ~ ~t . " , . L' . X "Ua ~ 3 ~ : J_r ~ , . . . . 1'.. f ~ - - . ~ . . d. x ~ - ~ ,x pU , `J a _ ~ e. ° f. ~ ~ , x L~~~ ~ _ ~ a , - : " ~2,~ X w~„ , . 9 ~ 9, " -y/~ a ` , . ~ ? 'r X nUn ~ ~ ~ ti i r ~ h. ~ - s„ c,. X „~y. ~ d ~ . .3 . i. 3 ........................~••-•--......Tatal ° Z. F..? ' the intent 2f item ~C3 is the same as. or less than item 1~1. Yuu of 58C 6006(c)2. , J ~ / ; : - ,g area ~ ~~~a - f Total exposed ~ ~ Total gross ro~ .~ctiling area ~ ~ • . . ~ _ ~3. Tota1 skylight area k. 7ota1 roaf/ceiling fra+aing area t. TotaT net insulated roof/ceiling area....... 1~{~' ' Oetermine "U' Yalue for each roof/ceiling segment. ~ . j: .-r, X ~u~ _ ~ . . 4• / , v MUA , ~ a ~ lo A ~ R n ' , . ~ . / ^ R~M t .G/~~I ~7 4 . , ~ ' ' . ~ ' ~ . .Tota ' 4.::i • • If total of #4 1s the same as, or less than i2. you have met the intent ot SSC f,006~~);• ; . To utillzed the.total envelope system method, the values.established by the sun of itans f3 and /4 shall not be greater tfian the sum of itecs ~1 and ~2. 4 . . ~ . ~ . • ' . « - ~ ` 1. . - ' + 2. _ ' € z > * 3. ' : 4. , { , . << ~ ~ f :t-. : ` - ` , ~ . . p~'~ . . . . . . . . . . . XATl~IALS . ~ 1~~I~w. 80~iftt»O~ "R" , ~t~rior sir 1 ~ ESQins Mstn'itl ._r s' Sh~aitiiL~~ ' : Iuulatioa s,: , Sd~etrndc iS va~ ~ esr . ~ • Cot10. Hlks. + 1 s? 15 i t Q ~ . . , ~ - - . . . . _ . . ~~,:.~,~.,-a,- , _ - ~ CONSUtTINd fNO1NEERf ~ARAi110U~1T , yArt1E9 , ' ~{a QE PLONNERS ond IqND fURY8Y08S ~jOZ¢ 0/ ~NGINE6tiING BK. ~69 COMt~ANY, INC. ~ . . ~s L 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA SSSJ7 PH 432~5000 CERTIFICATE OF SURVEY Legal Description: ~or B B~oc,e Z,S'/IC,q,e/ E5'TATE',S SEL21~/D ~ovr~ra,v, Qq,roTa ~~u.vn ~~,u,uESOrA. (~yy~,-o_) DENOTES EXISTING ELEVATION ( 995,7 ) . DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 6.00 = FINISHED GARAGE FLOOR ELEVATION 9. Z9 = BASEMENT FLOOR ELEVATION • 996, 3~ = TOP OF FOUNDATION ELEVATION SCALE : 1' = 30' ~ ~ ~qi'~ ~9~~~~~ p~PA/NABE ~ AND u7i~irY Eas~~IE'ivr ~ 30 F/, FRDNT BU/Lp/N6 .5'~TBACK G/NE ~ ~ I J~h ( ~ I E ~ . ' 3' ~ y 3 3~ ~ s ~ 51 I6~ yq o , ~~e / ~ \~~'B'sY_ / ~ R i ~ , 98:.~ / ~SB=7 ..1~~~G s ~y~o,~} \ . ~-i-' ab•Q0- •g1 \ ~ ~D \ ~gBg'~' ° ~.pe ~/L85.~r ~W ~ ~~r a- (Yy5.~ o ~ 7~o d ~ $9.~ ~ ' ~ ' ~ \ ~ ~ ~ ~ a~, '~T. ~ - . ~ ' ' i ; I, ~~il \ 1 o p ~ ~ ~-y_~p ~tYV \ ~i ~;o w v g a $ I " `i' ~L ~ . _ ~S .JF~~ ~ C!~ N \ ~195•~ ~ s~ p~ ~ ?1 .5 1 ~ ,oo ~~.~ra _--_...~_-..~/~O_/~~ I o I~92 , z2 ° ~ 3e o ~ ~ t~ ~ n, ~ 1 ~ ~9 ~ r..;l.~,;1s~1~ ~'.1~7<§'.'V;_:i~;,';tPr.'~"-. i~~;'~' A' \ a ~ ~ ~ p,o BAy (pB9 7 ' ~ ~ . ~ Fi ~ ? 9.949'e o z.~ m 8 I~ ~ o I5 . ~:~1 •l~ ~ ~ 8 Zy.00 ~~~1,¢I ' ~ V `l,l ~~r~ 4 ~ " w ~ o ~ (~q5'~~ ~ ~ `~'S~~1,~ 8r~ ~ - ~ 2/Z, 3/ ~ ~ ~ ~ f~ 10; ~yYs, r, y"e~~'• 5, 83 ° q.~' 29 ~ V t k 1ni € l~ (~ys,2~ ~ - ~ ~ 7 %f ~ ~ ~gy Zs.oo ~ ~ -3 - ~~5z ~ 19ATE I hereby~ certify that thia is a true and correct rapresentation of;a tract < land as shown and described hereon. As prapared by ma this ~~day < /1I~P.c~/ ~ i9~2 . ' • ~L.ti..l /t•Jw•w~ Minn. Reg. No. nB5 _ - . .t ~ ~ , - _,,.n,~,...::.=_.ti,., . ~ . . . -.c•-~-,..~r:-M~~r . ~ ~ CITY OF EAGAN L~ B . P O MECHANICAL PERMTT RECEIPT # I$ SUBD. O~~ (612) 681-4675 DATE ~~3 9~- RESIDENTTAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEI'E FOR TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: ~ u n rn F FEES STfE ADDRESS: ADD ON/REMODEL (ERISTING S 15.00 CONSTRUCTION ONLI~ 6~~,/' HVAC: 0-100 M BTU ?A.00 INSTALLER - q.~(~ ~ ADDTTIONAL SO M BTU 6.00 nnnxFSS: ~7 ~/~J ,~r s cns ovTT.~rs - MtrnMUM i@ S3 r,n. o 0 CITY: ZIP: /ZZ SURCAARGE: SIGNATURE: ~ TOTAL: $ 3~ ~ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTIS ARE NOT REQUIRED FOR E1CH DR'ELLING UNTT. WORK DESCRIPTION: CONTRACT PRIC& ~S 1% OF CONTRACT FEE. STATE SURCAARGE IS 5.50 FOR EACA $1,000 OF PERMIT FEE. a PROCFSSED PIPING • $25.00 s MINIMUM FEE - $25.00 OW[1ER; TOTAL: s STfE ADDRE55: TENANT: SiTi'I'E INSTAI.I.ER: ADDRE55: CI7'Y: ZIP: PHONE CITY SIGNATURE: SIGNATURE: ~ ~ GITY OF EACAN FOR CSTY ?SE UNLY ~ 3010 PILUT KNOB ltOAD ~ F.ACAN, 55i22 PERHIT k i - - PkIONE: (612) 454.-8100 RECEIPT N ` ° ~ `P ~ PLtRfBINC PERHIT DATE: ~ ~~"°/z- ` . $IOLHTYXL; PLEASE COHPLETE UPPER PORTION ONLY FOR SINCLE FA?tILY Df7ELLINCS 6 T„~~~ TOStNNOMES/CONDOS WktEN PER2IITS ARE REQUIRED FOR EACN UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST X ~ ADD-ON MINIMUM 15.00 p~ ADD ON _ SNOUER 3.00 3~ ~ WATER CIASET 3.00 ~ ° ° REPAIR 1 aATl1 TUB ].00 3' ~ ~ - LAVATORY 3. 00 `i ~ o 0 OWNER NAME: ~~-V ~-'N`~ u`"~} ~~`9A ~ KITCHEN SINK 3.00 3- p° 1 IAUNDRY TRAY 3.00 ~o 1-} ~9 ~ ` T HOT TUB/SPA J.00 SLTE AOQRESS: ` ~--p-- 2~ ~ pATER HEATER 3.00 ~ p° ~ t.c., L~~'~'`~ ~ ' 1 F1AOR ?RAIN 3.00 3'~ i LOT: HLOCK _ SUBD. GAS PIPING OUT. INSTALLER; Matthew Daniels ~ (MINIMUM - 1) 3.00 3'p° ~ ROUCH OPENINCS 1.50 y•~ AODRESS; 15185 Carousel Way _ OTHER _ WATER SOFTENER 5.00 C1'fY: ~6em~ui~t ytP; 55068 _ PRIVATE DISP. 15.00 . ll.G. SPRINKLER 3.00 PkIONE H: ~ 423-3730 SUDTOTAL S y 3•S~ ~ ~Y~Y-Zl U--- ~ ~iU~^-~'- . ST. SURCfiARCE .50 II SICN URE OF PERMITTEE ~ ~V~{, po ' TOTAL: ~~0141ERC~IAI:~~YNDUST&IAL~i`•. PLEASE COMPLETE THIS PORTION FOR ALL COMHERCIAL/INDUSTRIAL BUILDTNCS AND ' G, . . . / - HULTI-FAHILY BUIL?INCS V11EN SEPARATE PERMITS AAE NOT REQUIRED FOR FAC11 i DWELlING UNIT. CONTF.ACT PRICE: FEES ' OWNER NAME: 18 OF CONTRACT FEE. ' STATE SURCIIARGE - $.50 FOR SITE ADDRESS; EACtI $1,000 OF PERMIT FEE. LOT: BLOCK ~ SUSD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 S ADDRESS: STATE SURCHARGE, $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: ~ CI1'Y OF~ EACAN » ' ~ , City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4894 Royale Tr Lot: 8 Block: 2 Addition: Safari Estates 2nd PID:10- 65851- 080 -02 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Crystal Gemuenden ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Steven Finne 4894 Royale Tr Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA078736 07/10/2007 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140634 Date Issued:01/09/2017 Permit Category:ePermit Site Address: 4894 Royale Tr Lot:8 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven Finne 4894 Royale Tr Eagan MN 55122 (651) 231-7283 Performance Plumbing & Heating 315 Pine St Farmington MN 55024 (651) 463-1223 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140655 Date Issued:01/10/2017 Permit Category:ePermit Site Address: 4894 Royale Tr Lot:8 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven Finne 4894 Royale Tr Eagan MN 55122 (651) 231-7283 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature r For Office Use th 14 " : " Permit#: I / I EAGAN •. •. ., .- l � �-311 1 Permit Fee: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810di 0 E G E 1'1✓E Date Received: / 2 7-/ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 17 7019 Staff: buildinginspectionsCa).citvofeagan.com DEC4 2019 RESIDENTIAL BUILI5 N APPLICATION Date: Site Address: l Unit#: Name: c dr//e ri Phone: Resident/ Owner Address/City/Zip: VP, ,/lays--%. Applicant is: Owner VContractor 9-Calb t C -r'f Type Work Description of work: 7-)7 �1e r• �c-t1 /W'�` /INC"c i rte. Construction Cost: 02 � o 047a C Piti "c yMulti Family Building: (Yes /No ) Company: �/o.Tc/ /3 ,-/,., De.07, . ✓.�'/fr�5 C ntact: L c.# J Address: /1/.///'( &‘" if//a City: 4r /e.Contractor State;/4"-" Zip: J7/.2 ' Phone: 5! "4"J' %'7"Email: 7--/g`9/ Q' _; License#: /3 r.. /*/O al--2 Lead Certificate#: A/4 7—D67/ If the project is exempt from lead certification, please explain why: /3 v//" ///le /977 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOM Piens and supporting documents that you submit are considered to be public Information. Portions of the in tui may be classified as• if you provide specific reasons that would permit the City to conclude that they are bade 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.citvofeaaan.com/subscribe. 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. 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE --r- - 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 it%°-- Valuation OccupancyMCES System Plan Review Code Edition. SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Constructioni5 r Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 4 Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: iliei , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ri il-4611A, Plan Review MCES SAC (j ! , City ,k SAC ` Utility Connection Charge0--.., t�S&W Permit&Surcharge k) 7 3 ; U` -0 Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159758 Date Issued:01/15/2020 Permit Category:ePermit Site Address: 4894 Royale Tr Lot:8 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-080 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michele B Mcmullen 4894 Royale Tr Eagan MN 55122 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171643 Date Issued:08/24/2021 Permit Category:ePermit Site Address: 4894 Royale Tr Lot:8 Block: 2 Addition: Safari Estates 2nd PID:10-65851-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michele B Mcmullen 4894 Royale Trl Eagan MN 55122 (651) 270-8086 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature