4898 Royale Tr ~ ~ INSPECTI4N RECORD
~ ~ITY OF EAGAN PERMIT TYPE: ' " ~ •
3830 Pilot Knab Road Permit Number:
Eagan, Minnesota 55123 Date Issued: t~ ~ ~
(612Z 681-4675
SITE ADDRESS: , , ~f, ; APPLICANT:
' . , , , ~ . r t , „ . . ~ ~~+,ret ~
.:t~ .,i , . i,, , ~ , , .
PERMIT SUBTYPE: TYPE OF WORK:
, i,. ii~ ti
. .
. 9 li,. ~ i~~if~ISi„ ~ ~~~~rl
i r.i~, ~ iiiil I fl~.
I i t,~l r I~;? f'I ;i~ ~
.~~~~II ~ fJ I~ I.i~ ulli~li 1 P~ fl I~,
Ir~ , I ~ , 1 1i'a;`,l
1'i 1~1~1l~1 ~ . I t i t i:i :';1? I I, 1;
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~ ~ ~
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~
Permit No. PermR Holder Date Telephone #
S/W
PLUMBWG rI y -
HVAC ~ S ~
EIECTRIC f0 t~! ~
ELECTRiC
Inspectlon ~ete Insp. Commenis
Footings I ~ 7~~ . `
~~-7 ~d
Foundation _ _
(y~4
Framing , G .
Roofing
Rough Plbg. ~
Rough Htg.
Isul. ~ '
~~~~~a~ ~--3_ d ~
Final Htg.
Orsat Test
Final Plbg. ~ q Plbg. fnspector - Noti/y Plurttber II
G
Cor~sL Meter I
' I
Engr./Plan
Bldg. Final r ~ ~
Deck Ftg. u, ~ ~ ~ 4 ~ I
/
Deck Final g ~ ~ ~ I
Weil I
Pr. Disp. • '
~3/ -9~
.
~0 u s ~
• w -
~e~~.cate ~ccu~anc~
~it~j o f C agan
~e~art~ccut o f ~~Ibiag ~n~{rcctia~
This Certe,ficate issued pursuant to the requrrements of the Uniform Building Code
certifyrng that at the time af issuance this structur~ was in co?:rplrance wrth the various
orriinances of the Ciry regulating buildireg construction or use. For the followiRg:
Use Classificalion: Bldg. Permi~ No. ~74
~P~Y TYP~ ~f~~ Zaniog Distri~x R~ TYPa Const. ~
o.~« or a~~ia;p8 C R PARiRIDC~ IiI~S ~ 1380q ~T LAKE D~R, ~SVIL7E
e~~w~~ nda~4$98 I~'IYAIE IRAIL ~,ry L9, B2, SAFARI SSTA~ 2t~ID
, ~ / ~
P06T IN A CONSPICUOUS PLACE
~00"Og~1~3
~i7~9s ~~~b.s
~7~° ~
Request Date Fire . ugh-In Inspec n Requiretl In action OtherT ough-In
ou st call inspecmr w~en reatly) ~ Reatly Now Will Notify~:lor
Yes ? No 091e Reetl
I~licensed contractor ?owner hereby request Inspection of a6ove
e cal wo
Jab Addrese (Street, Box or Route Na.) Ci
~9~
Sectlon No, Township ame o o. Range No. C ry
O ni(PRINT) ~ ` , Phone No.
1~~('~("~~~%
Power S_uppliar Atltlress
W{~i~~
Electncal Convactor (COmpeny Name) Comrecbrs License No.
Mailing AtlGress (CO w ~ 9~~dNC. C.A~~381
225TH ST. W., FGTN., MN
AN~wlxed SgnaW~ r/0 lon P~one Number
` ~
MINNESOTA STATE BOAHO OF ELECTflICITY THIS INSPECTION FEOUEST WILL NOT
Grlgga~Mldway Bltlg. - poom 5-1PB BE ACCEPTEO BY THE STATE BOARD
i8Y1 University Ava., St VaW, MN 54100 UNLESS PROPER INSPECTION FEE IS
~ ho~re (612) 80P-O800 ~ ENCLOSED.
l~~~j~j~}- REaUEST FOR ELECTRICAL INSPECTION ~.~pp~_
0 0 0 8'~ 5 3? See inatmctions br completing t~is lorm on back of yellow copy. ~
' s 3
""X" Below Work Covered by This Request ;
j
Ne '~dd Rep: Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Bullding Dryer Load Management
Comm./Intlustrial Furnace Other S eci
Farm Air Conditionar
Other (specify) Contractor's Remerks:
Compute Inspection Fee Below:
# Other Fee k Service Entrance Size Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps , D-to-100 Am s
Trensformers Above 200_Amps ove ~~OD~Am s
SI ns insPacrors use oniy: T TAL ~
IrrigationBOOms TrAL yj,r~ CJ~~
S ecial Ins ection Z,.
Alarm/Communication THIS INSTALLATION M ~R 6 7ED IF NOT
Other Fee COMPLETED WITNIN 1 M NTMS.
I, the Electrical Inspecior, hereby RougRin oa~a
cerlify that the above inspection has ~
Final Oa e
been made. ~ ~y~p-9
OFFICE USE ONLY
This requesl voitl 1B mont~s Irom . . . . ;
Address 4898 xoYa[.E 1Rn~t. Zip 5512~_
LAC 9 BIIC 2 SUb SAFARI ESTATFS ~Nn
THESE ITEMS WERE J WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9.S Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Pemmanent gas ~
Sod/Seeded grass v
TraiUcurb damage
Porch ~
Basement finish
Deck '
Please verify wi[h t6e builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisu.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - ConVactor Copy
r
RESIDENTIAL
BUILDING PERMIT APPLICATION
I 1~~ 3830 PILOT KN B RD, EAGFIN MN 55122 t~/ ?
651-881-4875 ' S
New Constructbn Beauirements RamodeVRe Ipa
t HeauhemeMe
• 3 repislered sile suneys showing sq. R W ht, sq. tl, af hause; and all rooted areas • 2 copies ol plan
(20°k maximum bt coveruge albwed) • 1 set of Energy Cabulatbns for heatetl add'd'qns
• 2 copies ol plan shaxing 6eam & winCOVr sizes; poured round design, etc.) • 1 stte survey for exterbr aOd~bns & decks
• 1 set of Energy Cabula~bns • Intlicete rf home served by sepNC sys[em foratldltbns
• 3 copies M Tree Preservation Plan H lot platletl afler 7i1/93
• Rim Joist Detail Optbns seleclbn sheet (bldgs wNh 3 or less untls) ~
DATE k/ r '7 ~ VALUATION ~ ~ ~
SITE ADDRESS ( 6/ 0 ~o Ll Cc- ~-v~ ` MULTI-FAMILY BLDG _ Y ~N
NPE OF WORK i~P r'O o~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~ ~ ~k f'e r ~ "rs
STREET ADDRESS 7~~ ~ ~ "f°~ ~e J CIN ~~Ph /'rtci/iYSTATE ~ ti~P~
TELEPHONE # ps2^~g~"~Z' ~-EELL PHONE # FAX #
PROPERNOWNER ~~-°~y~7 ~~``ti rG TELEPHONE# ~~-~US r/ 7~~
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY I MINNFSOTA RULES 7672
(J submission type) • Residential Ventiletion Category 1 Workshaet Submitted • New Energy Code Worksheet Submitted
. Energy Envalope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener Iawn Spruikler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechan~al Conhacfor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Conhacfor: Phone #
I hereby acknowledge that I have read this application, state that the information is c ~ cf~ e~~p~ly
with all applicable State of Minnesota StaTUtes and CiTy of Eaga reli n _ ~ ~i ~S ~;j
i 2iJ~1 ~
Slgnature of Applic ~
----""""_'..""-"~"-'-'_.~-""'-'_'..'_"'-..~..r.~~ ~..r._.r..._.
L.
OFFICE USE ONLY By-- = -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPaa~Ba ao2
,
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 1Crplex ? 20 Pool ? 30 AccessoryBldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? D6 04plex O 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 AReration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg only) - Glve 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 bidg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
' PERMIT ~~2 a~
Ct`Y O~ EAGAN pERMIT TYPE: ~'~~'~SSI
gF0 Pilot K~ob Road x~- q x N
Egan, Minnesota 55123 Permit Number: 0 2 3 9 7 4
a12) 681-4675 Date Issued: 0 7/ 2 6( 9 4
SITFADDRESS:
4898 ROYALE TR
LOT: 9 BLOCK: 2
SAFRRI ESTA7ES 2Np
P.I.N.: 10-65851-090-@2
DESCRIPTION:
r
4.iiilding''-Permit Type SF OWG
tBUilding Work Type NEW
~ ~UBC 4ecupancy~ R-3 M-1
Con~~ructibn Tyj~.e V-N
f Zoni[ng -k~i ~
f~ Building Length ~ 6A
+ Builtia.ng Wid~h 34
~`r R~ailding st-ories 1''~ 2
~ , ~ r {y'
L"`'
r:
~ + ; °
1 ~i
4~ ~
~1 ~l ~`-~~~'v~ ~'i~ ~CIJ~CwI~~~t~,-'','N7~t-~
~ ~i ~ u 3~ 4~ t 1
~=ii` ~-r~`-`~':;
s.
REMARKS:
5& W PLBR - VALI.EY pLBG
FEE SUMMARY:
VALUA7XON $162,00@
Base Fee $856.50 MISCELLANEOUS $1,828.50
Plan Review $556.73 COPIES $1.00
Surcharge ~ $81.00 7otal Fee $4,123.73
SAC $800.00
SAG ~ 100
SAC Units 1
Subtotal $2,29A•23
CONTRACTOR: - Applicant - sr. ~zc. OWNER:
PARTRIDGE HOMES C R 18829122 0004369 C R PARTRIDGE HOME5
13809 SUNSET LAKE DR 13809 SUNSET LAKE DR
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 882-4122 (612)$82-9122
T Frereby ackrrowledge that I Mave read this applioation and state that Che
information is correct and agree to comply with all applicable State ofi Mn.
Statutes dnd Czty of Eagan Ordinances. J
~ ~ _
PPLICANT/PERMITEE SIGNATURE I S EO B: 51 ATU
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u z ~ o i N c
3830 Pilot Knob Road Permit Number: 023974
Eagan, Minnesota 55123 Date Issued: p 7~ 2 5~ g q
(612)681-4675
SITE ADDRESS: APPLICANT:
LOT: 9 BLOCK: 2
4898 RpYALE TR PARTRIDGE HOMES C R
SAFARI ESTATES 2N0 (612) 882-9122
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTINGS FOUN~pTION
FRAMING ROOFING
INSULATION FIREPLACE
ROU6H IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - VALLEY PLBG
~ ~
~ ~
' ~ CITY OF EAGAN
~ ~ 1994 BUILDING PERMIT APPLICATION I~3. `~3
~ 681-4675
~ . , r
~
~P, i;l~t 'v -
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered ~ ,~o y of energy
calcs.
COMMERCIAL 2 sets of architectural & str ctu~~l~pl~st9s4 se of
specifications, 1 copy of ene gy_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.
Oate Valuation of work 2ga~~~~`~-~,
Site Address: 1-E-~~~ 'F~~'6~1~`~'~~.
STREET SUIiE #
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUBD~~ ` ~ ~ P.I.D. #
r~-~TTa-
Descri tion of work: 'e.t~
The applicant is: ? Owner Contractor ? Other (~escribe)
Name Phone
Property ~asT FIRST
Owner Address
~ STREET STE #
City State Zip
Compan,y~~~~d~~ ~{~-r+~a->S Phone ~'~-Z
Contractor Address Si.tv~~ License Exp.~^4~
City~'~Stl~t~-~- State V~'n Zip ~.~`3`3~
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber «id~~e-~-f ~~r~~ Processing time for
sewer & water permits is two days once are has been approv
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 a~d City of
Eagan Ordinances.
Signature of Applicant:
~
OFFICE USE ONLY ' R ~ ~
BUILDING PERMIT TYPE ~ ~ ~
? 01 Foundatinn ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~'02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
woRK rrPe
~d 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ~?i Basement sq. ft. j3y,3 MWCC System ,F
(ATlowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. 7~ PRV Required
Zoning r~.! Sq. Ft. tatal Baoster PumP
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code
Oepth 3~r.33 On-site sewage SAC Code ~
Census Bldg i
APPROVALS census Unjt /
Planning Building Assessments
Engineering Yariance ~
REQUIRED INSPECTIONS
? Site ~ Footing ~7"Framing 0'Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permi t Fee vei~c;o~,: g ~~o Z~~~
Surcharge ~s<.= ~~1~ ~o,.
P7an Review
7.3,E- 3Z = ~fj 33,p 37~FZ4. ~v~'O
License
MWCC SAC z X! z - zo Z-~
City SAC - zyD
Water Conn. 3v ~v~o
Water Meter ' Zs~ y~ f, k j~
Acct. Deposit ~3~»~~,,. ;,9~ %Z 9~`1, tio
5/W Permit pPo
S/W Surcharge ~ yc~ ~
Treatment Pl . -r _ _ .
Road Unit ~ ~7~. ~7.5 , ~~~~o
Park Ded. ~
Trails Ded. 1'z~-3 ~ ~ f~/ ~~~,u,~
Copies
Other - ; ~ ~r ~ V ~ S'8J0 ~
Total: _1
5AC %
SAC Units
, , .~,__.~._e.e,..~. . . .
~ ' ' 2422 Enterprise Drive
~ ~'y ~ Mendota Heights, MN 55120
* p~oni~ea (612) 681-1914 FAX:681-9488
L UND SVRYEYORS • qNL ENGNEEFS
e e LAND VLeNNERS• LANUSLAPE aRCHIIECTS 9 y
T en naar n s2s r+~ nWa 10 N.E.
~ * Biaine, MN 5543h
* i~ 'f (612) 783-1880 FAX:783-1883
Certificate of Survey for: C.R. PARTRIDGE NOMES, INC.
qg98 ROYALE T RAII
. ~AG~~D ~
gEVtiEW ~
S ~
BY _ Z3 -9 y .EAGAAT EIVGINEERING EP'1:
PRpPO5E0 GRADES SIIONTJ PER GftAO~NC PLAN BY:_CCST ENG. _
NOTE: BUILDING DIMENSIONS SHOWN ARE F~R HORIZONTAI AND VERIICAL
LOCAiION OF S11iUCTURES ONLY. $EE ARCHITECiUAL PLANS FOR BUILDING
AN~ FOUN~ATION ~IMENSIONS.
NOIE C(NlIRACTUR MUST OERIfV ORIVEWAY ~ESIGN, iH15 CERTIFICATE UOES NOT PURPURi i0 SHUw EASEMENTS
O1HER THAN THOSE St~ONN ON THE RECORDED PLA1.
IJOTF.: NO SPECIFlC SOIlS ~NVESTIGAnON NAS BEEN COMPLEIED ON THIS
LOl 9Y iHE SVRVEYOR. O~E SVITABILIi7 OF SOILS ~O SUPPORT THE BEhR~NGS SHO~'N ARE ASSUAIED
SPECIFlC HOVSE PROPOSE~ IS NO7 1HE RESPONSIPILITY 0~ THE SURVEYOR.
PROPOSED HOUSE ELEVATION
x ooo.oo Denotes Existing Elevolion L
( ooo.oo ) Denotes Proposed Elevation Lowest Fioor Elevation: J• ~
Denotes Drainage & Utility Eosement
Denotes Droinoge Flow Direction Top ot Block Ele~ation: IOC_ 3~ `t
Denotes Monument
--8- Denotes Offset Hub Garoge Slab Elevation: ~U G j_G
LOT 9 ~ BLOCK 2 SAFARI ESTATES SECONO AODITION
DAKOTA COUNTY, MINNESOTA
Y!e he~^bvi ceiliiy Ihol :Ins survey. plan ar reoorl wns Prepored by ina nr u~de~ nry afi~ecl super 'p~i'~A Ihal I ain duly rnqi.~leiA LanJ <n~v,eyo.
~~„d,•, n~<~ i~,w- ~:i w~ -e~,~~~ oi M'~,~„<s.a~. noien w~~ IOTN d~v or JUNE n.n. i 94 i
REVISED HOUSE LOC.6-20-94 IGNED~PIONEER ENGINEERIf~, P.A.
Scale: 1 inch = feet B~ - f
/ John C. Larsori, LS. Reg. No. 19828
-
6B~ 94175.00 SHEE7 I OF 2 SIIEETS
~ i~ ~i..~.~~,~~~~ ~,~i.c
* Mendotv Heights, MN 55120
~ ,
s r"i~Nl~q (612) 681-1914 FAX:681-9488
* LAND SUflYEYORS • LINL ENpNEFAS
* eng neer ~0 IANU PIANNEHS• LANDSCAFE ARCNITECTS 625 Highwey iD N.E.
* * ~ * Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: C.R. PARTRIDGE HUMES, INC.
4 I
- ~ 125.00
~ 5 ~ ~ S4°55'f6"yy _ ` ~qti' 4,)
~
- - ` 993.s
~ DRAINAGE 9 VT ~ ~
EASEMEfVf pER ~
Ai ~ 5 ~
I
I
~ 3
9 I ~
3 I o
~ o
v~ °
I ~
v
~ ~~noi.i) ~ z
~ x liooi.i
~
1005.2 ~ /7 ^/x 9 97. 6 I
/ ~
[ ~~n /l
8 1005. 2 I ' 18.82 ~:100G
3 x 6. I~ . ~/~j I O
, - ~ ~~6 zs 1-
I o 19.5 a P 20.0 :
a x %996.4 I ~i
~n 12~~ ~ PROPOSED M1 M
I ~ GARAGE ~ HOUSE M. I a pp0.5
. ~ N ~1004.8~ x999.4 c~
i
996. 5 x I~pp- ~ 1.67 N ~ 19.16 0 O
M, x 1001.3 - 12.5' -_28.26-- p rno
x o N, ~.s ~~~U~.,~ G~Z. ~J ~ooo~ o wz~
G~ ~ N
I ~ PROPOSEp ~
DRIVEWqY ~ I `N 1003.0
im c ~ i
v
996.0 / I 99Z3 x z 1000.0 ~ ~
I x tooi.~ I g N
BENCH MARN ~
TOP OF HU8 / N
- ~ BENCH MARK
ELEV.=IC01.30 5 5 TOP OF FiUB
I - - ELEV.= . .
o -
~~~~s~~~'. - -SERVICE p -TE~E.PED.
INU=98&3 ppg vuca
LIGHT - 417~ 84.08 NO°09 52 E-_ ~_~~v.
p
o.
994.~ ~ _ o NYD.
N 996. 7 N -r._n1
~DOQ4
ROYALE_ ~ TRAIL
_
-
~
z ~
F~
Scale: 1 inch = ao feet
_ - -
~B9I 94175.00 -'----SHEET 2 OF 2 SHEETS--------~~--~-~~
W.~ LOT SIIROEY CHECRLIST FOR RESIDENTIAL ~
~ N BIIZLDING PERMIT APPLICATION
J V W
¢ PROPERTY LEGAL:
< > ~~,~~~,7-~.~'~-~-°2
~ a m
< y Date of Survey: ~
~ s ~ DOCiJMENT STANDARDS ~~t-(y - tp /oZd~ S' ~
~I ? : Registered Land Surveyor signature and company
p' ? ? . Building Permit Applicant
? Legal description
8~iC7 ? : Address
0'~ ? . North arrow and bs~ scale
CY~? ? House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
B~~~ ? • Directional drainage arrows with slope/gradient k.
6' • Proposed/existing sewer and water services
C~ 0 ? • Street name
? • Driveway
ELEVATIONB
Existina
? • Sewer service
B' L] ? ; Lot corners
0~(7 ? Top of curb at the driveway
~ ~ ? • Elevations of any existing adjacent homes
Pronosed
? ? • Garage floor
? ? • First floor
Q~ ? ? • Lowest exposed elevation (walkout/window)
? • Property corners
? ~ • Front and rear of home at the foundation
PONDZNG AREAS (if applicable)
? ~ ? • Easement line
? ~ O • NWL
? ~ ? • xwL
? ~ ? • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
C~jCI ? • Lot lines
0' ? 0 • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
/ structures requiring permanent footings)
• Show all easements of record and any City utilities within
those easements
? • Setbacks of proposed structure and setback of adjacent
existing homes
? H~ ? • Retaining w 1 re rements, if any
Reviewed• ~a
Nam / Date
October 1992
/ ~ r
O ~ q ! rf
22 r
L~ ~ ~
% ~ ~
~~~~g~' ~ i i
~
~ ~ i
~
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~ /
~
~
2 ~ \ ,
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F"^ WYE . _ 23 ~
C RISER ~ ~C,i~ ~
/ \ Q ~ MH-B
~i~:''~~ CURVE DATA ~ ,
/ ~ ~
p= 2 3' 17' S 3 ~ ~ i
339.54' ~ - ~ ~ ~ ~
~ R - ~ ' ,~1
~ , ; i ~ ~
T - 70.00' " l '
~ = 138.07~ - ~ , ,
D = 16.87453' ~ ; ~ , ~
P.C. = 0 + 67.86 _ /Q`~~' ~ MN /
,
~ P.T. - ? -i- 05.93 ~ ~ .
J / i / i
i. ~ ~~Ar i i
° 21 -t 99 P~~
g"X4" WYE ~ ~c~~ ~ ~ 8
~ , ~ ~ ~ ~
~ 7' PVC RISER ~ ~~~r .
\ - ,~5 % / --,,~~,~d aQV,j LaC: ;
~ ~ . ~ ~~~';~,~',-,`A~:~~~OF UilLl`i`?{
,
59.2't I_s-= vC ` ~ s t~ IH~il ~~~1h1 .
~IO~;Pas~s C~°~~' ~
~ ~ ~ 158, _ a' P ~ ~~~i
j ~-1. ' = ~ . ~ - MH"-10 i ..,-:i ;C:~ ~G gH011L~ LtG~'„
_ a-~--- " . _ , '.i~tt~ ~ TE•
a-~3' . _ , ~ r=~ ~ F ,c~,~ c~y i9.-s~
~ ~ ~~a6 . se-~o ' t. ,
~MH-11 \ 1 66 ` l
c~I-;: _o--~ , 8rX4~~ WYE \ \
a ~ _ 39.22' 1,\
10' PVC RISER _
-~I ~ ' C) 80_ O ~ ~
w~~~ 8„Xq„--W,rE ` io o SANIT~
~ o i~' ~vc ~isEH a
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P ~ /
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1994 PL ~ r TN~ PERMIT (COMbiERCIAL).
. C1TY OF EAGA~N :
3830 PILQT KNUB RD
EAC,AN- MN"55122.
(612) 651-4675
PLEASE COMPLETE FOR ALL COD~IlVIERCIAIJINDUSTRIAL BLIII;DINGS. AISO:FOR ~MIJL~'I'-
FAMII,Y BUILDINGS WHEN SEPARATE PERMTTS E1RE NOT° REQLJIRED FOR ~EACH
DWELLIIVG UNTT.
NEW CONSTR~CfION -
ew.. - D:A~ . ~wr_._.~, ,,..._-_._....w. .
woxx nESCx~r~ox:
CONTRAGT PRICE:; $ :
FEE: 19G OF CONTRACI' FEE
STATE SURCAARGE: s.50 FOR'EACH 51~000 OF FEE, . ~
MINIMUM FEE: $ 25.W 4
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS: '
TL..'*ItL1VT :lTAME: g"~j~, ~2 ;
OWNER NAME: ~
INSTALLER: ~
ADDRESS: .
CI11': STA1'E: ZIP CODEs.
PHONE
FOR:
~ GITY OF EAGAN APPLTCANT
~~k~~"F ~~'~.'°3a 3y>`r:~E~p~`~""r"-~.~ £c.~ ~'a"~'
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1994 PLUMBIIYG PERMIT (RESIDENT'IAL)
Cl'I'1' OF EAGAN
3830 PILOT T{NOB' RD
Ee1GAN M.I~i 55122
(612) 681-4675
PLEASS COMPLETE FOR SINGI:E FAMTLY DWELLINGS. AISO, FOR TOWL~iHOMES t1ND
CONDOS WHEN PERMITS ARE~ REQUgtgD FQR E??CI=i [JNTF. ~
NO. FIXT[1RE5 EpCg
~ :~~~R.----~-- ..ii Y6~
_
~ ~ WATER CIASET 3.00 ~i - - °
BATH TUB 3.00 L- `
~ LAVATORY 3.pq g - _
~ KTTCHEIV SINK 3.00 '3-
-L LAUNDRY TRAY 3.U0 's _
HOT TUB/SPA 3:OU
t WATER HEATER 3.00 3--
7 FLOOR DRAIN 3:00 z-
~ GAS P~ING OITTLET • o,wm~m - i 3.00
ROUGH OPENINGS' 1;50 V • ; ~ '
WATER SOFTENER 5.00
PRIV?iTE DISP: • nat.cay. u~. 20.00
U.G. SPRINKLER • nome nnaer ooo8c 3:p0
ALTBRATIONS •aoaoet~ng 20.00:
WATER TURN AROUND 20.00
STATE'SURCI-IARGE ,S0 .
TOTAL:
SITE ADDRESS: g~I $ ~y p~ c~ ~,R
OWNER NAME: _ a n r k n alr e
INSTALLER: U~a 1\~~ Q S 6~
ADDRESS: b~G U k. p~~
CITY: _ `~'o t rl ra . STATE: h') - ZIP CODE: C,r'~
PHONE ( ) ~-I `1'~ - J. c ~ ~
2v---~-_ _
SIGNATURE QF PERivIITTEE
L9Ba a
SUB ~~K.Pd h~
NEW RE~EIPT 9~~y~~ y
RECEIPT DATE ~ 7 RS _
- n~~ /~'°Z/-9'`/~
~ ~
JOB
OW NF•R
PLF/15E BE ADVLSED THAT 4'l~RT IS A FEE SHORTAGE ON THE ABOYE
o~J
II.ECTRICAL I?STALIr1TI0N IN TF~ ANOUNT OF ~
SHORTAGE MI~T BE PAID IiHITHIN 14 D4Y8.
REMARifS
0 [0 30 amp. circuits= ~7~
~ 31 to 100 amp. circuits= 7
0 to 100 amo servicee
~ 101 to 200 am . serviceffi Q
~v
TOTAL FEE DUE=
~ ~
LESS FEE RECIEVEDG~B ~ 7~ ~
ToTAL. FFF cHORTAGE DUE = o~
PERMI IO~j ~Q ~~3
ORIG. RECEIPI'll 3a~~~
RECEIPT DATE ~D ~ ~ ~y'
RETURN A COPY OF TNIS F04tM WITH REHITTANCE.
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1994 MECHATVICAL PERMIT (RESIDENI7AL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
M_- -
~ NEW CONSTRUCTION
ADD-~N r~/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE C\~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTI,ET'S (MINIMLTM 1 @ $3.00 EACH) ~>~0
ADD-ON/REMODEL (Exrs'rIlVG CoNSTRUCrioN) $ 20.00
STATE SURCHARGE .50
TOTAL S~
SITE ~DItESS:~~~•- R~-~,\J`,~v-~~
OWNER NAME: ~~rxorrE
INSTALLER:
ADDRESS: ~ ~
Golden Valley,
CIT'Y: STATE: ZIP CODE:
TELEPHONE ~~~~i~
~
~~~h~x~ ~r~~~
SIGNATURE OF PERMITTEE
> . , .
::.:3Y$:'g~!E:`'r.•>,c,~.
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1994 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
. (612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI~R MUI,TI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNIT.
DATE: _ r'~JNTR.~CT P~IL'E: $
NEW BUII.DING
INTERIOR IlvIPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~~~'~G"~' FEg $
.>:~,:.a~,::<:::;,$M.<3:<.,
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.pp
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAIvIE: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1~..~I y~f, ;R . a;~,~b
INSTAL.I,ER:_ ~c+"~"'~ F' :
~ k~
ADDRESS:
C~'~ STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
`1y4~7D ~ ZSg.-~5
zoo6 RESIDENTIAL BUILDING rE~mrr arrLicaTioN
c~ ~ 9{~~~~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Reauiremenls Office Use Onlv
3 registe2d site surveys showirg sq. ft. W lot, sq. R. of house; and all mofed areas 2 copies ot plan showing foo6ngs, beams, joists Cert of Survey Recd _ Y~ _ N
(20°h maximum lot coverage albwed) 7 set of Ene~gy Calculations for heated addrfions SoiS Report ._Y _ N
1 Soils Report il pmposed building is to be placed on disNrbed soil i siie suney for additions 8 decks Tree Pres Plan Recd ~ _ Y_ N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - irrdkate if on-sde septic sysfem Tree Pres Required _ Y_ N
1 set of Ene~gy Calculations On3ite Septic Syslem ~_Y _ N
3 copies of Tree Presenation P6~n if lot platted after 7Hl93
Rim Joisl Deiail Options selection shcet (buiMings with 3 or less unrts)
Minnegasm mechanipl venUlation fortn --I I ~ ~
I
~
Date / / Coostruction Cost ~
~
,[1 ~8 / UniUSte #
Site Address
Description of Work 2v7~'~j T~1 -OQGC~c~ ~L,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~CC~'~'} ~ ~~~J
_~Cj~ Telephone # ) (nSZ~ ~'1'~g`Z.-
Contractor Ps t
Address City ~.~c~(AY Pui
State ll) Zip Telephone # (loSl ) ~'75^ /~1+~
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations SubmiNed
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
,1 `r:---.~- - '
Mechanical Contractor ~~I ' i ~ ~ ~ i'~ il '=i ~ ~ II Telephone )
,l
Sewer/WaterContractor j J~'` ~ LOi;^ ~ I; ~ Telephone )
_
I
I, ~
I hereby apply for a Residential Building Permit
and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 approv plan in the case of work which requires a review and
approval of plans.
~-~.~'~'-QLr-
Appl~ i
ant's Pnnted Name p icant's ignature ~
DO NOT WRITE BELOW THIS LINE
. ~
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ~ 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? t8 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
W rk T es
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/Doors
? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant
D05C~IDt10I1: Water Damage _ Yes
Valuation I,O c.w Occupancy MCES System
Plan Review 100% or 25%
Census Code U' y~/ Zoning City Water
-TT
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const V/h Width
REQUIRED INSPECTIONS
_ Footings(new bldg) Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Draiu Tile Other
Roof Ice & Water Final ~ Pool ~ Ftgs Air/Gas Tesu}~ Final
_ Framing _ Siding (Stucco Lath Stone L2th _Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge / ~
Plan Review ~ j ~f Q ~
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I ~
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: IZ,o4Q,~~ TfG~L
Applicant Name: £ ~
d
~ GENERAL INFORMATION
U
d ~
o z
Applicant - name, address, phone & fas numbers, signature
~ ? ? Property owner name
Legal description and address of property
North arrow, scale (1" = 30' or 40') and date
Location and name of all streets adjacent to property
,0 Site Plan drawn to scale showing location of house, pool and other existing or proposed structures
Directional drainage arrows (existing and proposed)
ELEVATIONS
E~•stina
? ? House comers
? ? Properly corners
? On property lines at point of ineasured dimension to pool (see below)
,B If applicable, ground elevation at each end of retaining walls and at wa11's greatest height
Proaosed
,Q~ ? ? Finished pool deck comers
Top of retaining walls (if any) and at each different elevation (if it changes)
.0" ? O Pool bottom (or maac. depth)
DIMENSIONS
Existina
~ ? ? All property/lot lines
Prouosed
,Q( ? ? Pool
fd Pool plus integrated deck/patio
r~( Shortest distance from outside edge of pool deck to lot lines and house
Reviewed: 7/Z,(~o6
Name ~
G:FORM3lPool Pwmit C6ecklisV06-02A4
~ i i
Scott & Mary Domogalski , ; Pertortnance Pool & Spa
4898 Royal Trail i 1890 Wooddale Drive
Eagan, MN 55122 ; GAR'''GE ~ Woodbury, MN 55125
~ ~i (651) 731 -3440
, HOUSE ' (851) 731-8372 Fax
5; O 0 ~ Attn: Brett MacNall
i
i ~
~ ~
. ~ i
. i
i ~ .
i ~
~ '
; a'0 1
~ N 65' M
~ ~£'9 0
i 48 39
52 9Z 06X ° 43 ~
~ ~ i
~ Fi ~
~f,'~ ~ i 'U ~ ~ L.engih x Width
~J~ ~ O O i
~ ~Q ~ ~ i 5 (4o x z0)
a~ ~ K~ a 1
~ i (9Z' LOOI) M09 ~ ~tn x wmu~
i (8~','ti00 L) MOl e O * i (49 X 28)
~ ~ ~IeM ui elaa d ~ o ; i Certiry that this plan was prepered N' me
i = ~ a u er my direct supenAsdon entl i6 a true Amd
j ~ 1 'on d 8Y15tif1B afd p(0(lOSBd Inf01m8B
I ~ $pg
i ~Ken ce Pad~/ 1~ m
i ~ ~ (J~~
i A LO' l E' OOL ~e
; ~ x~os~.~ oenaesE~au ~on
i ~ ( 100#.78 ) ~otes Proposed Elevati
~ ~ i Denates Drairo~ Directlm
i ~
i ~ ~ ~~~=20'
i
i Ci es/ etbacks
i ~ ; Princi I- 1•_
i ~ 1 Side - 5' concrete
~ ~
Rear - 5'Concrete
5 i H~ i 5 Equipment - N I E
, Z~ ~ Fence - 4'Tall
. i Septic - 10' Water
5 - ' ' ell - 20' Water
-5 i rainfield - 20' water
Mendolo Heiqhts, MN 55120
~ ~q ~ ~~5 • ~ ~5 (812) 681-19t4 FAX:681-9488
~/ller, n0 uNp p~~M1[pg. lAND9CAVE MM1ECf3 625 Highwoy 10 N.E.
Blaine. MN 55434
f * (612) 783-1880 FAX:783-1883
Certificate of Survey for: C.R. PARTRIDGE HOMES, INC.
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ey 4 I
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S4°55'16"yy (`~4'
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EASEMENT ER rNLAT ~ItV~?N1°~.k~~ 5 ,
p~QO~a~~~~ ~o~~a~~
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~ x I . I M/S`}CJL y~S
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~ . W 1 8.3 x997. ~ ~/I¢/OL
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59
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0 19.5 v ° 2Q0 ~
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, ~ 12.0 ~ PROPOSEO M - ~ , m
000,5
M M GARAGE ~ /HOUSE ~ 999A
1 ~ N ~I~O4.~? 1t . Z W
~ ' 1.67'O O~ O : V 1-N~
996.5 x " _ 19I _~28.26 Q h~ .
~ IOOt3 - x'=~
~ o N~ y~ G~Z. ~o~.~ g W
Z ~ cd N PROPOSED + (y
G~ 'I~~ ~ DRIYEWAY ~ i 1003.0
~j ~ + ~
996.0 / ~ 997.3 a 1000.0 x 1001.7 I 8 N
BENCN MARK / ~ , ~ 9ENCH MARK
TOP OF HUB - TOP OF HUB
ELEY.=1001.30 5 ~5 . Q.EV= .
. 1~ ~ -SERVICE . Q -TELE. PED.
~9q s.l~ INU =99&3
0.9 oooii7~.
LIGHr-~---''~~17~~''- 84.08 NO°095 E--~_~tv.Pen.
99~~.~~ 19 o HYD.
~'-'NF(-GG~VV gg6.7 N~`n
1000.4
ROYALE ~ TRAfL
~ - -
z
Scale: 1 inch = 30 feet
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135567
Date Issued:03/23/2016
Permit Category:ePermit
Site Address: 4898 Royale Tr
Lot:9 Block: 2 Addition: Safari Estates 2nd
PID:10-65851-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Scott Domagalski
4898 Royale Tr
Eagan MN 55122
(651) 308-2756
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature