4925 Royale Way
~ r. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
~ ~ .
383~ Pilot Knob Road Permit Number: ' • ~
Eagan, Minnesota 55123 Date Issued: ' " ~ ~ ~ ' ~ ~ '
(612) 681-4675
SITE ADDRESS: ~ , „ i , ,j, , APPLICANT:
i'~ ,~~~i F 61AY . ~ •i ~ i i~~ i i~i~ ' .
. , i . ~ . I ~ ~ i . i ~ i •
_ ,
~ ~ :~•r
, ; _
PER,VIIT~~SUBTYPE: TYPE ~F WORK: , :~f~~ , ~ . ~ ,
. ~ r
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~ ~ ~ r~~, ~ ~ r ~d~, ~ . '
~ ~t ,~if ( I ~~r~a - 1 I tJf41 .
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~ ~
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Permit No. PermR Holder Date Telephone A
S/W
PLUMBING , J~3 l~GI'oZO9G
HVAC l~~ 93 y~3
ELECTR ~ D
ELECTRIC
InspecNon Dete Insp. Commanta
ia~
Footings I ~3/~~ .
L~
I
Foundation ~ I
Framing ~7 J -Z~
.J
Roofing
Rough Plbg. ~ oZ
. ~
Rough Hlg. /
/
~SU~. %~.3 ~ L. - 3 - I
Fireplace ~~a p~ /if I
f K~F
Fnal Htg. ~~"Y f~ I
YT
Orsat Test 'I G I
Final Plbg. ~G'~9'S( Plbg. Inspector- Notify Plumber ~
/J M'
Const. Meter
Engr./Plan
Bldg. Final ~ Jr~ I
i(
DeCk Ftg.
Deck Finel
we~i
Pr. Disp.
~ ~ ~ q3~ 1f I~/
~ ~ \
1 i
~RL'tt~iCQ~¢ d~ ~CCli~lQliC~j
~it~j o~ ~agan
~9c~cat o~ ~xil~~g ~n~~ecti~~
This Cenificate issued pursuant to the requirements oj the Uniform Building Code
certifying tluu at t/re tiine of issuance this structu~ was ire ca~pliance with the various
o~inances of the Ciry negulating building consrruction or use. For the following:
Use (.lassificaliorc ~1~' Bldg. Pcmiit No. 2~
Occep,,,~y Type R3/r~ I ~ng ~ R I TYPe Ca~st. ~
Owerr of Buildin6 ~~Q'1 Ad~ess ~~2 .~~I PA.~ ~~F+ v~'
B~u~ naa~ 44u-- WAY ~,,;~.10, B3, F~Ai'~N RO~YAiE
~
~ ~ , ~ ~ ~1~1Q~44
e.~,~~ on-~
POST IN A CONSPICUOl1S PLACE
R~SIDENTIAL
BUILDINC PERMIT APPLICATION ~ ~ r~-~
CiTY OF EAGAN
u ~ 3830 PILOT KNOB RD - 55122 l I_~1 ~
" l 651-681-4675 lJ
New Construction Reauirements RemodellReoair Renuirements
• 3 registered site surveys showing sq. ft of IoC sq. fl. of hause; and all rooted areas • 2 copies of plan
(20%mazimum bt coverage allowed) . 1 set of Energy Calcula6ons (a heatetl atlditions
• 2 copies of plan showirg beam & window sizes; poured found desgn, etc.) . t site survey for ezlenor addiGons & decks
• 7 set af Energy Calculations
• 3 copies of Tree Preserva6on Plan if lot platted after 7/1193
• Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units)
DATE ~ I " - ~ I VALUATION (EXCLUDING LAND) ` ~
JOB SITE ADDRESS ~ Z~ blt ~ lJ~ C Q)~-~L
IF MULTI-FAMILY BUILDIN/~ HOW MANY UNITS?
PROPERTY OWNER ~-IYL?~ ~
TYPE OF WORK'ra.fo~ Q.Q (6D-~ S(~.- c~- ~ta~fcE~.2- ~~1_T FIREPLACE(S) _0 _1 _2 _3
APPLICANT PHONE# C~f~ ~SZ~-$~~G~
g~q pppFl O& RE DELING
ADDRESS FX(`FI SInR AI l/f5 ZIPCODE
PAGER # ST. LOIJI$~F'l~.~„f~Ql ~5547F FAX #
`rtS~~Ob657l~D`
i NEW RESIDENTIAL BUILDING ONLY - fILL OUT COMPLETELY
I
i Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Ernelope Calculations Submitted
~ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
'I,
j Plumbing Contwctor: Phone
' Plumbing Syseem Iiicludes: _ Water Softcner L.awn Sprinkler Fce: ~690.00
j Water Heater _ vo. of RI. k3aths
I No. oF 13aths
i
i Mechanical Contractor: Phone #
! Nlechanical Syslem Includes: Air Conditioning Pee: S7Q00
i Hca[ Rccovcry System D~~~~ M~
U
Sewer/Water Contractor: Phone #
~
All above information must be submitted prior to processing of application. B
Y
I hereby acknowledge that I have read this application, state That the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish {Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/~oors
? 34 Replacement 'Demolition (Entire 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 bidg) FinaUC.O.
_ Footings (deck) FinaUIvTo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
Drain Tite ~
Roof _ Ice & Water _ Final Other
_ Framing _ Pool F[gs Air/Gas Tes[s Final
_ Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee + g' ~ }-j
Surcharge j . C~(~
Plan Review
MC/ES SAC
~ity SAC
~Nater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
?lumbing Permit
Viechanical Permit
_icense Search
~opies
~ther
~otal I , ~
ca785~~/ -
4 023 9 a
5,5 4 5,(~~
ReOuest Det¢ I ira N:~ qough~ln pse ion Reqoi~e~ - Ins ctian Ot~er Than RougM1-In
(YOU must cell inspectar w en reatly) ReaEy Now ? Will NoMy InspMOr
6 ? Ves No Oate Reatl
I y licensed conlrador ? owner hereby request inspection of a6ove electrical work at: ~
JoD Adtlress ISIreeL Box or Route No.~ City -
a. S U!L Q w
Section No. Township Neme or No. Range No. Coun
~ V/ w
Octupant IPqINTI ~ Phone No ~
Power Supplier AEErass
Elecmcai Co ~or ~Compa Name~ Conhaclor§ License No,
y~ l7o v
Mailin Atltlre ICon clo orOw er Makin Ins~ Ilation g~•
9 9 Ils~ /V ? ~
Aut~orizea S~gnalure ICOnir toc or;Owqer king Ins~alla~ P one nUm~` G a
i.~~ d O
MINNESOTA STATE 80ARD OF ELECTFIpTY . THIS INSPECTION REOUEST WILI NOT '
Griggs-Mitlway Bltlg. - Room 5-t13 ~ BE ACCEPTEO BV TME STATE BOAPD
18Y1 University Ave., St. Peul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plwne (612) 6C2-08p0 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~'a"~`"°"~~a,,a ee~oooo,-os
~ ? ee i huctlons br comp~e~ing t~is brm on beck o~ yellow copy. F ttti;."~~'I a& y~
~ 5 4 3 5~~ 'X" Be/ow VDbrk Covered by This Request ~0 4~/
ew Add FeO~ yPeof uil ing ~ AppliancesWiretl EqwpmentWlred 7
Home Range Temparary Service
Duplex Water Heater Electric Heating
ApL Builtling Oryer Load Management
Comm./Industrial Fumace Other (Specity)
Farm ir Contlitioner
Ol~e~~syecifyl onVactor5 Remarks:
Compute Mspection Fee Below:
# Other Fee # ServiceEniranceSize Pee # CircuitslFeetlers e
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transtormers A6ove 200 _ Amps Ahove 100 _ Amps
SignS i~specror5 Use Only: TO AL
Irrigation Booms /r~ ~ ~
Special Inspection ~ v
AIarMCommunication THIS INSTALLATION MAY BE RDE DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Ro~gh~in oe~a
certify that the above inspection has Final oa
been made.
OFFICE USE ~NLY ~
This reQUast Witl 1B montns imm
iv a9 Y~ ~
d
M 09 38 ~
Request Data Fr o. Rough-in Inspectio NOTICE: Vou Mus~ Call Eledricel Inspector
10 / 2 5/ 9 3 RequireC? II A Rough-In Inspection
}~'es ? No Is Requiretl,
~8] licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address Street, Box or Route No.) Ciry
,492~ Royale Dr. Eagan
SecGOn No. Taxnship Neme or No. Fange No. CouMy
Dakota
Oxupant PRINT~ P~orie No.
S~ons Construction 452-5355
Power Su lier Atldress
~akota E~ectric 4300 220th St. W., Farmington
Eleclncal Conirador (Campany Name) Conlraqor5 Licensa No.
Joos Electric Co. AM01895
Meiling Pdtlress (COnVactor or Owner Making Installa~ion)
2~~l~x~sa$~ 3980 Beau D' Rue Drive, Eagan 55122
ANhonzed SignaNre (CanVac[or/Owner Mekl~ all ~ion)~ PM1One Number
688-6180
MINNESOTA STATE BOARD OF ELECTAICRY ~ THIS INSPECTION FEOUEST WILI NOT
Grigge-MiAwey Bldg. - Room S-1YJ BE ACCEPTED eV THE STATE BOARD
821 Unlversiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
12)842-0800 ENCLO ED.
I /~p C1 REQUEST FOR ELECTRICAL INSPECTION " es-ooaoi-oe
O~ 7 /d•' ? See instmctions for completing this form on back oi yellow copy. / 9
~f~
0 6 3 8 ~ "X" Be/ow Work Covered 6y This Request
e Add fiep~ TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleclric Heating
Apt Building Dryer Loatl Management
Comm./Indusirial Fumace Dther (Speciry)
Farm Air Conditioner
Olher ~specify) ConVaclorS Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize fee # Circuits/Feetlers Fee
Swimming Pool 1 0 to 200 Amps 0 to 700 Amps
Transfortners Above 200 _ AmpS 700 _ Amps
Sig05 Inspector5 Use Only: ~ry TOT L
InigationBooms XJ• $2.5~
Special InSpection
Alarm/Communication TNIS INSTALLATION MAY BE OR ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the ElectriCal Inspector, hereby Rough-in oa~e O~~~
certifythattheaboveinspectionhas Finai Da~e
been made. ~ 7°~~
OFFICE USE ONLY
This reques~ voitl 18 monihs iram
Address 49Z5 R~YALE WAY Zip 5512 2
L02 410 $]IC 3 $llb EAGAN RnYATR
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 1 ~q ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ~
Petmanent driveway
Permanent gas
Sod/Seeded grass l/
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shuFOff of water supply [o
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT ~3 ~ ~
~ CITY OF EAGAN io-i.3-93
3830 Pilot Knob Road PERMIT TYPE: B u x ~ o z N c
Permit Number: 0 2 2 211
Eagan, Minnesota 55723 Date Issued: 1 B J 13 / 9 3
(612) 681-4675
SITE ADDRESS:
4925 ROYALE WAY
LOT: 10 BLOCK: 3
EACrAN ROYALE
P.Z.N.: 10-22475-100-~3
DESCRIPTION:
8u~l~ifi'r1~_ Permit Type 5F DWG
~uilding Wdrk Type NEW
,,-~JBC pccuparic;~~~., R-3 M-i
,r' Construction 7ype V-N
Zoning x R-1
Building Length 68
BuiZding Width 43
4?v..~/~ l..C' ~ f/
\<;?r' : ^ 1i f'.+
~~`...~,L
f-
~ •
1~
l'~ \uU ~.;~1~ `~',~''J!=
F - ~
REMARKS:
S& W PLBR - R C PLBG
FEESUMMARI~ VALUATIDN $is~,eee
Base Fee $944.00 MISCELLANEOUS $1,74A.50
Plan Review $613.60 Total Fee $4,145.69
Surcharge $99.50
SAC $750.00
SAC ~ 100
i SAC Units 1
Subtotal $2,401.10
CgNTRACTOR: - APPlicant - sT. ~zC OI~VNER:
S NS CONSTRUCTION 14528984 0002608 50 5 CONST
A2092 SAFART PASS 12092 SAFARI PASS
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 452-8984 (612)452-8984
I'~ I hereby acknowled~e that 2 have read this applicatian and state tha~t the
~ informatitin is corrsct and ac~ree tn comply witM a11 appli-ea3ile State 4f Mn.
` Statutes a d Gity af Ea~an Ordinau~ces.
~ k'. . _ J
. ft~.c:r,~! ~1t~
A IC T/P MIT ATURE ~ ISSUED BY: IG ATURE
~ INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: Buz~ozNe
3830 Pilot Knob Road Permit Number: 022211
Eagan, Minnesota 55123 Date Issued: 10 / 13 / 9 3
(612)681-4675
SITEADDRESS: ~or: ie BLOCK: 3 APPLICANT:
4925 ROYALE WAY SONS CONS7RUCTION
EAGAN ROYALE (612) 452-8984
PEI~MIo~~ BTYPE: TYPE OF WORK: NEW
. .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - R C PL9G
~ ~
~ ! ~
CITY OF EAGAN
REACTIYATE _ U 4'~ ,~,~V f r,~.~.
PERMI'~:~ a ~~4:~,~ 1993 BUILDENG PERMITAPPLICATION ~i~ ~~~,(~Q
~ S 13y,~ 681-4675
~i
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, ] set of
specificati~ns, 1 copy of energy calcs.
~Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) tot thange is requested once permit
is issued.
Date I `}-3 Yaluation af work c~-~'~'0
Site Address: ~ G ~~1 ~~~r~° ~r ~
SiREET ~ fUliE /
Tenant Name: (commercial only)
LOT ~'C~ SLOCK SUBD. ~~~j (~,CA'Y~ P.I.D. M
Descri tion of work:
The applicant is: ? Owner ,vs~ ~ontractor ~ Other co..«i~>.
Name G'~' a'X-'~I7~-cA Phone zf 52-- S3 SS
Property ~~ST F~RST
Owner Address !~l'i9~- S~-~Q-SZ~ i'~~1~5
STREET iTE /
City ~~1/~P iki ~~-~i State ?ZL~ Zip J5l~
Company 5 CA'~S~'~~ Phone ~~at- ~`'iE~~ ~
Contractor Address f ~~~~'c~ 5~ ~~9-55 Litense #~CoC3~ Exp.
City ^ ~4'(~`~ State ~ Zip 55~~
Company `~~s Phone
Architect/
Engtneer Name Registration 1'
Address
City State Zip
i 5ewer 6 water licensed plumber ~u . Processing time for
;i sewer & water permits is two days once area has been oved.
'I~ I hereby acknowledge that 1 hav xead this aPplication and state that the information is
~ correct and agree to c m ly w' all applicable State of Minnesota Statutes and Lity of "
Eagan Ordinances.
; 5ignature of Applicant:
OFFICE USE ONLY
. R*
BUILDING PERMIT TYPE ~ ~ ~
? O1 Foundation ? D6 Ouplex ? 11 Apt./Lodging " O 16 Basement Finish
~02 SF Dwg. ? O7 4-Plex O 12 Multi. Misc. ? 17 Swim Poul
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coiom./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellane~us
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish O 31 Demollsh
? 32 Addition ? 34 Repair O.36 Move
GENERAL INFORMATION
Const. (Actual) V-1~ Basement sq. ft. MWCC 5ystem j'~=~
(Allowable) Y- N lst F1. sq. ft. City Water r~
UBC Occupancy R-3 M-1 2nd F1. sq. ft. PRY Required
2oning R-i 5q. Ft. total Booster Pump
i~ of Stories Footprint Sq. ft. fire Sprinkler
Length ,so On-site well Census Code lo~
Depth 9 2,.Sc On-site sewage SAC Code
APPROVALS i
Planning Building Assessments
Engineering yariance
REOU~RED INSPECTIONS '
~ Site ? Footing ? Framing ? Insulation
? Ylallboard ? Final ~ Draintile ? Fireplace
Permit Fee v+~~~~a+: S 1~~~ Q~'~ ~
Surcharge ~A~:__
'f1C-Er ~5? '~~,r,
Plan Review _
3c- x ~-5 = ~.5~
License ~ X j~~ g5m'1= 13i8 ~
MWCL 5AC ~~,~x6_ ~y
City SAC (o x S' ~a ~
Water Conn. ~Sln„r,°' Cu~~.~~- x 1~_ (Q8 ~ 7" 1/
Water Meter
Acct. Deposit ~ 13SNX~~f%73zzy
S/W Permit `3`-?'lZ ~c 3~ = I I~ 5~
5/W 5urcharge ~ ~ X 3 _ ~p~ ~`6~~32 Z
Treatment P1.
Road Unit ~'~k ~4z= ~ N~~
Park Ded. ~ ~c~/ , a I , ~
Trails Ded. J^^_~ lr c ~U
CoPies ~l~ x ~5 - I i~1
Other
Total : ati~
2 ;
II 32
SAC % ~0 3cx.3"1.75_ ~2 .Siz
SAL Units ( ~.'12-~ yYt = ~ 1 .
T f`I,~.S x V`~s- S ~~x~~,
~
t,.;*
~ ~ fi 2422 Enterprise Orive
~ Mendota Heights, MN 55120
* PIONEER wuo suRVeroas ~ CINL ENGINEERS (612) 681-1974•Fax EB~-94BS
* eng~neer~ng ~D PLANNERS • innriosc,wE utanhcis 625 Highwoy 10 Northeast
* * * * (612)e 783-18804Fax 783-1883
Certificate of Survey for. S011S GOC1Stt'UCtt~~'1. ~f1C.
ic House Address: Royale WaX. Eagan. MN
, ~ MATCH LfNE
~
n w
2 ~1
MATCH LINE 5 ~a~~~ / 99~•~`l
y9~f,`l-~~ ~ ,~9 S
~j r
9~ '3 ~ \ j
DRAINAGE & UTILITY EASEMENT ~7'"q0g,g 9qi~ AJa ~?9jA ~
,r acfl 9.
~r~_ ~ q$f°'~5o°$ ,o~.g,. 4°~ ~sG~ ~$~g~ Yq9~y~~~
P \
~ V~~~ 1~~ / h~O ~O \ GP~ 'cb x9R\(p FbGL•
1' /
q c~~t,
~ ~Z~
a/ ~~$.D ~PR\OOVSF- 2g `t ~,V1F'y ~iy sa~.i
9~' Qo • tiSP Y~3, p~
a'~' / \ ~ q,
/ ~ ~ ~
oo~ 94 1 ~ 991~ _3
.~O / `1910 lo
~ / \ 997.8 30.55 ~
N ~9> s~~` ~ ~6, a9~,~n ~.2~'~
6g7 ' 85 ° ~ ~ ~ ~ G9D' ~~~90
$4s~ ?y 99~ 3~ ~ ~'o• ~'1~ ~y ~oo~
h ~
EMERG. OVERFLOW R4o~4 fe& ~ 9~
~ D q 6~ po w\P~
R ~ yv
sso.s 9R1,3
7~,.~. 9`io:~ . ~w
rr~
J9
. 1 ~ ~ , ~~~~T '1 y;
~~GA~ anaGax~~~t~
NOTE: CON fRACTOR MUST VERIFY ALL DIMENSIONS AND DRIVEWAY DESIGN
x aoo.o Denotas Existing Elevation pROPOSEO HOUSE ELEVATION
= aoo.o Qenotss Proposed Elevation Lowest Floor Elevation:990.35
- Denotes Drainage & Utility Easement Top of Biock Elevation:998.46
--Denotes Drainage Fiow Direction
Denotes Monument Gqrage 51ab Elevation:998.13
Denotes Offset Hub Bearings shown are assumed
LOT 10 , BLOCK 3 EAGAN ROYALE
DAKOTA COUNTY, MINNESOTA
I hereby certiFy that this survey, plan or report was pr pared by or nder my direct supervision and that I am duly Registered Land Surveyor
under the laws of tha State oP Minneaota. Dated this~. day of q,D, 19~,
~ /
~BERT B. SIKIGH L.S. REG. NO. 148 1
Scale: 1'^~=30'gBt
25 92258.06
~ LOT SIIRVEY CHECRLIBT FOR RESIDENT2AL
r
s~ ~ BDILDING PERMIT APPLICATION
m -y~
~ S2 ¢ PROPERTY LEGAL: ~ C
~ ~ Date of Survays
~i
~ ~ ~ DOCIIMENT STANDARDS
6~ ? ~ • Registered Land Surveyor signature and company
C~ 0 0 • Suilding Permit Applicant
L"~ 0 0 • Legal description
? p' ? Address
PJ~ • North arrow and bar scale
6' ? D • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0~ • Directional drainage arrows with slope/gradient
H~~] 0 • Proposed%existing sewer and water services
Q" D ~ • Street name
0~0 0 • Driveway
ELEVATIONS
Exiatinq
0 @' 0 • sewer service
@' 0 ? • Lot corners
0~ ? 0 • Top of curb at the driveway
D~? • Elevations of any existing adjacent homes
Provose8 ,
? ? • Garage floor
,H' ? p • First floor
jY p? • Lowest exposed elevation (walkout/window)
? Property corners
~ ~ 0 • Front and rear of home at the foundation
PONDING AREAS (if aDDlicablel
II~ ? ? • Easement line ,
? ? • NWL
H' D 0 • IiwL
@~ ? • Pond # designation
D YJ ? • Emergency overflow Elevation
DIMENSIONS
0 0 • Lot lines
? • Right-of-way and street width (to back of curb)
IY ? D, Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. a21
structures requiring permanent footinqsy
~ 0 0 • Show all easements of record and any City utilities within
those easements
1~- • Setbacks of proposed structure and setback of adjacent
existing homes
D C~ ? • Retaining w r irements, if any
Reviewed•
Na / Da e
October 1992
' ` EXTERIOR ENVELOPE AVERAGE "U" LOMPUTATION
. ~ ~ou?~c e : ~~,F~ S /,F ; n,LS ~ ' .
TE ADDRESS: i~ ~ ~A ~~,J ~~g CP/J ~
C~NTRACTOR: J~f~' DATE: _ PNONE:_~`
~ DETERMINE NORKI~IG SO,UARE,f00TAGE.OF EACH:
TOTAL EXPOSED NpLI AREA,,,,,,,, /G3C~f _ sq ft x"U" .11 . 259 71
TQTAL ROOF/CEILING AREA,,_ sq ft x"U" .026 . I.~Z,~
i. 70TAL EkPOSED NALL AREA CALLULATIONS:
Total exposed wall
area above floor,,,,,,,. sq ft
a) Tota) Wall w(ndow area:
9lazed...... ~ A~. ~ sQ ft x"U" ,'~b • ZS
glazed...... Sq ft x "U"
.
b) Total door area QQ,2~ sq ft x"U" ~ q 3~5
'c) Totai sliding giass door area:
9lazed...... _ I Zl.s. sq ft x"U" 7 y ' p~7.~
;
glazed...... sq ft x "U"
'
d) Total fireplace wal) area ~ycs~.V sq ft x"U" •11
e) Total wall framing area
, (Averaae lo~).......... 23Co sq ft x"U" elb ~ 23.c~
f) Total net wall area above _
fioor (Insulated).......~ sq ft x "U" .
g) Total rim Joist,area...... 2~v2 sq ft x"U" ,p~- . ~p,~}.~j
To[al foundatlon
area (Exposed).......... I~__ sq ft
h) Total foundatlon '
wlndow area O sQ fL x"U" .
1) Total net foundatTon
area above grade........ sq ft x"U" . 0 7 . 6;g Z
S' TOTAL a) thru I) ~ 2~.39
If Icem F; Is the same as,' or less than ttem A1, you have met the Intent of
~ :tCAR 1.16008 A and 0.
Page 1
i . A
: 4. TOTAL EXPQSED RQOF/LEILING CALCULATIONS:
Tota) exposed
roof/ceiling area..,..... 1~ sU sq ft
Total skylight area....... ~ sq ft x"U" ~ ~
k) Total roof/calllnq framing
area (Averave 1~9,),,,,,, {lo s 6q ft x"U" 002 ~ 3•3
1) Total net losulated
roof/cellinq area....... I~(-05 sq ft z"U" • oZ . • 2d1.~
4. , TOTAL J) thru i> 33.0
If cotal of a4 Is the same as, or less than N2, you have ~t the lntent of
Y r1C.~a 1.16008 A and 0.
i
ALTERNATE BUILDIPIG ENVELOPE DESIfN
To utillze the total envelope system method, the values established by tha sum
of items p3 and k4 shall not be ~reater tfia~ the sum of items N1 aod y2.
1. ZSr1.1 ~ + 2. ~}2.9 . 3o2.r~ I
3. 2'~'~ • 39 + 4. 3 3• O . 2'17 . 39
~i
L E R T 1 F I C A T I 0 N
I hereby certify that I have calculated the "U" factors and "R"
values heretn and that the bulldlnq here descriAed meets o~ exceeds the State
of Minnesota Eneray Conservation Act.
S qnatu~e
~ ~ ~ 3
(DaCt)
Page ?
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MECHANICAL PII2MIT (RESIDENZTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS Wf~N pERM1T'S ARE REQUIRED FOR EACH UNTT.
X NEW CONSTRUCTION
ADD-ON A/C
ADD-ON F[=~NACE
DATE ~ ~-~-9~
FEES
HVAC: 0-100 M BTU $ 24,pp
ADDITIONAL 50 M BTU 6.00
_.-~J DUTL,E~I'S (MINIMUM 1@ 53.00 EACH) q.~
ADD-ON/REMODEL (EXISTING CONSTRUCT'ION) $ 15.00
STATE SURCHARGE .50
ToTai. 33,50
srr~ .~~nESS: 4~~ P~e~~~e ~,~r~
OWNER NAME: ~~U C~?1~~Yl,~G~ i e~ TELEPHONE 4~c'~ -~3~
INSTALLER: GEiUL-RYAN PLUMBING & HEATING C0.
AD~ :ESS: 14745 South Robert Trail
C~-y; Rosemourit STATE: ~ ZIP CODE: 55068
TELEPHONE (612) 423-1144
~~~u-Q ~~nrw,~e-~
SIG ATURE OF PERMITTEE
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ars.3 t a~'`~,q Ee w~¢ ~Ce~ ~ x s ~+,a~r a £ at ~x . . .
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1993 PLUMBING PERMIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
NO. ~'IXTURES ~ T~T~
~ SHOWER 3•00 -3 =
WATER CLOSET 3.00 ~
3 BATH TUB 3•~
~ LAVATORY 3.00 a/- -
HITCHEN SINK 3.~ ~m- -
LAUNDRY TRAY 3.00 3 - -
HOT TL3B/SPA 3.00
/ WATER HEATER 3.00 3. -
~ F'LOOR DRAIN 3.00 3: -
,~2 GAS PIPING OLTI'LET • minimum • ~ 3.00 ~v
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • oe~.ccy. i~~. 15.00
U.G. SPRINKLER • eome under cons~. 3.00
ALTERATIONS • w adating 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ~ G -`5~
SITE ADDRESS: 4925 Royale V~ay
OWNER NAME: Sons Const~uction _
INSTAL,LER: R C Plumbing
ADDRFSS: 5910 Chester Ave
C~,: Northfield STATE: Mn ZIP CODE: 55057
PHONE ( 612) 461-2096
SIGNATURE OF PERMI E
.
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1993 PLUMBING PERMTf (CObII4IERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6811i675
PLEASE COMPLETE FOR ALL COMA~RCIALJINDUSTRIAL BUII
DINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING U:::T.
NE6i'CONSTRULTION
ADD ON
icF.FniA
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 14i OF CONTRACT FEE.
STATE SURCHARGE: S.SO FOR EACH SL,000 OF ~'ERTiTI' FEE
MINIMUM FEE: S 25.00 `
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAhZE: ~T~;. aF
OWNER NAME:
INSTALLER:
ADDRESS:
CIT'Y: STATE: ZIP CODE:
PHONE
FOR•
CITY OF EAGAN APPLICANT
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3 ~%e' .q ~ Q. .y ¢ ~ L
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1994 MECHANICAL PERNIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WI~N PERMTTS ARE REQUIRED FOR EACH UNIT.
-~I CI'ION
ADD-ON A/C
- URNACE
FII2EPLACE INSERT
, DATE I~~~l-~'1
FEES
HVAC: 0-100 M BTIJ $ 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLET'S (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIS'I~tci CoNSTRUGTION) $ 20.00
STATE SURCHARGE .50
TOTAL ~ ~ ~ ;
STTE ADDRESS: Nu~ ' 1Z rK,w~a In9 a.~, i
OWNER NAME: ~.,~i.PL.~ ~F G.~,r. ~v~ T'ELEPHONE G R Q- -~z ~.5~
INSTALLER:
4t0YVE8TLANESTR6ET
ADDRESS: Iw~E~vouc_~ ~m,aaos
e~2~~saee
CTTY: STATE: ZIP CODE:
TELEPHONE
~~2-~y
SIGNATURE OF PERMITTEE
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i...a:.s......v..,.......~a.:Fs.rr.i.x<.$,,.:,.k.?':~~z..a3.fi>.~h:.,:.~:C~wi?ir~~s..~~~~,as~.:~' ~~£3.exa~~, ~~a... .4.
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 COMPLETE
FOR APARTMENT BUILDINGS OR OTI~R MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: _ CONTRACf' PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.Op
STATE SURCHARGE $.SO FOR EACH $1,000 OF FEE.
,.r<....,~
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENrs oNL~ ~ - _ x ~
, ;A
INSTALLER • . , : ;
ADDRESS:
CITZ'~ STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMTI'TEE CITY INSPECI'OR
_ . _ . _ . \1
ID~
STOCS 7
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' qUMDER OF PAGES Z(INCLUDIN6 THIS PA6E) ' I
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CllyofEaQafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
� 1^` —
J19N 11.°
For Office Use
Io1T-1
Permit #:
Permit Fee: (1)01'>
Date Received:
Staff:
1
( d -77/2r
1 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: tep- .e + 1 2 Site Address: '4 9 3 Rt\/O'tL1
Tenant: c\(\,‘ Oita \N Qc
Name: MI C.VVIA.SL VAI
RESIDENT / OWNER,
NTRACTOR
TYPE OF WORK
Address / City / Zip:
Name:
Address:
State: Zip: n
Contact: l 1 rn 1 l �io ma
J
Suite #:
25 allasia,
14105 Rutgers St. NE
Prior Lake, MN 55372
New
Replacement
Description of work:
PERMIT TYPE"
Phone: (.0 (022- 3.2
License #: 5$1ASS - P
City: G2' 1
Phone: clb`c)- qt�- O L1 1
Email:
Repair Rebuild _Modify Space
Work in R.O.W.
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
x
ivfin
A pica t' Printed Name
x
Applicant's Si
re
FOROFFICE USE Reviewed By:
Required Inspections: _Uncle Ground Rough -in. __„Air Test Gas Test ; „Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125954
Date Issued:08/08/2014
Permit Category:ePermit
Site Address: 4925 Royale Way
Lot:10 Block: 3 Addition: Eagan Royale
PID:10-22475-03-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip M Kor Tste
4925 Royale Way
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137402
Date Issued:07/01/2016
Permit Category:ePermit
Site Address: 4925 Royale Way
Lot:10 Block: 3 Addition: Eagan Royale
PID:10-22475-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Philip M Kor Tste
4925 Royale Way
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature