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4928 Royale Way . INSPECTION RECORD ~ ~CITV` OF EAGAN PERMIT TYPE: ` 3830 Pilot Knob Road Permit Number: i`' ~ Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: , ~ _ , ; , f APPLICANT: I,i , rti~ ; (lAY ~tr~ ~ f i f I I Ni • , :•.i,rtrl i , r~1 I ~ . ` ; ~ PERMIT SUBTYPE: TYPE OF WORK: ~ ~ . ' ~ i . • . i i ~ r~t~~ ~;~tir~ i~•a~: Ih1','~i !11 t~~id J iNAI I! I; I I~:l ~ I 1~ ih:si I , I I i,; ~ ~ _ _ - - - -,~~---~~.~~J • Permk No. PermR Holder Date Telephone M S/W , PLUMBING . ~ g HVAC 3 ~ ` ELECTRIC 7 ~ ELECTRIC Inspection Date Insp. Comments Footin9s ~ ~.t 3~.~ lL~~ Foundation ~~o /Q,~ CC/~ 7 3 3~ ~ Framing ~~~~p ,J~ '(o F/y.,.,.4 ' 1« s I QdU V' le G~s~ .S ( ! Roofing Rough Pibg. Rough Htg. : I~ 3 S i~,~. ~ ~ z.~ oer ~~~Y~.~l1~~ F~~~e~ 9~1/p3 ~ Fnal Htg. G_ T ~ Orsat Test 4' l~ ~ ~ Final Plbg. D~~ Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan I s~ag. Flnal l0 L2 ~.3 Deck Ftg. I Deck Final I Well Pr. Disp. ~a ~ °~3 ,~Gtt./ ~ . , . . ' ~~f- . . _ . ~ ( . , . .e . ~ C~? ~.~~cate n~ ~ccu~anc~ ~ ~a~t ~ ~x~~ ~«~.N This Ctrtificate issned pursirarrt to the requinements of the Uniform Building Code certifying tlkrt at ilu tinee of rssuanc~ this stn~cture was in contpliance wit/t~tlre various o~dinarrces of tl~ Crty regWating bui/dueg co?estructivn or use. For the following: 21354 u~ c~r~o~: a~a8. ra,ryt Na R3/M1 RI ~rr~~~ VN o,Y~~ ~ UNIBII.T Il~1C 51 i~1D,~. S[I~GlN . B.~~ 492~ AQIAiE ~1[ L, , FM'~N t~ r:F-' _ _ : - i~ ~ _ - ~ ~y ~ ~ POST IN A OONSPICUDUS PLACE ~ ~3 a ~ ~~~o Request Date Fire No. h-in Inspection ~ Requiretl? ? Reatly Now Will Notiy Inspecmr 7~V ~Yes ? No W~en Reatly? I 5~ licensed contractor ? owner hereby request inspection of above electrical work at Job Arltlress (Sireel. Ba oute No.l Cily ~ Z~ ~ O A A ~1 Satlion No. Towns~ip Name or Rang No. County \ c> ~o~'r~ Occupant IPRW`T~ Phone No. ~1l ~ ~O1 ~ ~ ~AIL ' ~ZAO Pawer Supplier Aaareu H A 1 U-- ~hS1- l~ . Tn ElecMCal CoMractor ICOmpany Namel ConVactor9 Li ensg No. ` ` C o \ C,~ J MailiigAa0res5 pNraMOrarO.vnerMakinglnstalla~ion) ~ y 3y11 7 O 1 ~ rz~. ~ Awhorizea SignaW (Conhaclo~~Owner Maxiqg Instellation~. ~ Phone Number ~ ~ ~3'l - 30 c~ MINNESOTA TATE B ARD OF ELECTNICITY THIS INSPECTION FEOt1E5T WILL NOT Griggs-MiCwey Bltlg. - Room S1]3 BE ACGEPTEO BV THE STATE BOAR~ 1BZ/ Universlty Ave., St. Paul, MN 551W UNLESS PROPER INSPECTION FEE I$ PMne (612) 6/Z~O800 ENCLOSED. S`/~ ~~i" REQUEST FOR ELECTRICAL INSPECTION ~"4"~,.s~~, ea-ooom.oa 419 2• Se~ins~m[Lions for rompkting ihis ~orm on Deck oi yellow capy ~~3~, //5 I~. „X" Be/ow Work Covered by This Request ~N~°" ti e Add Rep. TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Waler Heater Electric Heating Apt.BUilding Dryer Other-{Specify) Comm./Intlustrial furnace Farm Air Conditioner Othar~syecity~ Convactor5 Remarks: Compufe Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Ciratts/Feetlers Fee Swimming Pool x 0 to 200 Amps 0 to 100 Amps ,2p Trensformers Above 200 _ Amps Above ~0~ _ Amps SignS ~~spac~or5 Usa Only: TOTAL Irrigation Booms ~3~-+~ ''3~~' Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rough~in ~ o e 3 certify that the above inspection has F;,,ai oa~e been made. - j 7 OFFICE USE'JNLY ~ ~ This reques~ voitl t8 monlhs Imm Address 4Q9A ROYAT.R WAY Zlp SS12,? I.ot ~ ~1 Blk 3 Sub ~ THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No lnspector: S Final grade (6" from siding) Pennanent steps (garage) . Permanent steps (main entry) Permanent driveway ? Permanent gas ~ Sod/Seeded grass TraiUwrb damage L ; a r Porch Basement finish Deck Please verify with the builder ihe removal of roof test caps fiom the plumbing system and ihe shut-o@' of water supply to . the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - ContracWr Copy 1~s~~- ~a . ~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New ConsWctlan Reauirem~ls RertrodeVReoair Rsauiremertls Olfice Use OnN 3 registered site sirveys showing sq. ft of IoC sq. fl. N house; and all roofed are~s 2 copies of plan showing foo6ngs, 6ea~, joals CeR NSurvey Recd _Y _ N (20%maximum lot cover~ge allaxe~ 7 set af Enetgy Calwlatlons for heated adQidons Shcs R~at _ Y_ N 1 Snik Report if propased building is ta be placed on distuibed sdl 7 sile surve~ for addifions 8 dedcs Tree Pres Plan Recd _Y _ N_ 2 copies d plan shwring beam & vrindax saes; poureG found deagn, elc. Addi(ron -irxHCate if on-sfie sepdc system Tr~ Pres Require0 _ Y_ N 1~t M Eneigy Calalations Ori-sile SepM1C Syslem _Y _ N 3 mpies ot Tree Presenatian Poan iF lot plaCed aHer 7/1h73 Rim Joisl ~etail Optio~ sele~on shcet (bu~7dirigs will~ 3 or less unBs) Minnegasco mechanical ve~la0on fortn Date ~ / 22- / n - ConstruMionCost DDO Site Address '~Q ~ /c~~~QL,E~ UniUSte # Description of Work ,~.,Q(.~7eaG. «t~~-L F(I~IS rr Multi-Family Bldg _ Y 1C N Ftireplace(s) ~0 _ 1 _ 2 Property Owner ~ i« Telephone #(/arjn ¢~T" 9' 2 By~ ContraMor ~R-G K (a' ~ ~ gI'~Y H'~~ Address °~.S 7(7 ~ f~i~C~~~J V/IEcJ QtJiE _ Ciry ~/~L~ I.J o D~ scate Ml~[ ~ z~p 55 / re~epnooe a(65/ ) 7/¢' _.3 t~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 9670 Cateeorv 1 Minnesota Rales 7672 Energy Code Category . Residemial Ventilafion Category 1 Worksheet • New Energy Code Worksheet submission rype) Submifled Submitted . Energy Envelope Calculations Submitled In the last 12 monihs, hQS the City of Eagan issued a permit fw a similar plan based on a masTer planE _ Y _ N if yes, daTe and address of master plan: Licensed Plumber Telephone ) Mechanical ConiracTOr Telephone ) Sewer/WaterContractor Telephone#~ ~ I hereby apply for a Residential Building Permit and acknowledge that fhe 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 o~ly 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 ofplans. °~j~ ~I KE r~i NM 0 r~~l7~ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 3D Accessory 61dg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 F~ct. Att-Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct.Att-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Muki Misc. ? O5 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work TVpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 ~emolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (EMire Bidg~ - Give PCA ha~dout W applicant DESCI'ID[IOfI: WaterOamage_Yes Vaiuation ~md Occupancy / 1~ 3 MCES System ` Plan Review 10D% or 25% Census Code ~ Zoning City Water ~ SAC Units Stories ~ Booster Pump # of Units ~ Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const .~L~ Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) FinaVC.O. Footiqgs (addirion) FinaVNo C.O. _ Foundarion HVAC Drain Tile Other ~ Roof _ lce & Water _ Final - Pool Ftgs Air/Gas Tests Final Framing Siding _ Stucco Lath Stone Lath Brick Fireplace _ R.I. AirTest Final Windows Insulafion _ Retaining Wall Approved By: , Building Inspector _ Base Fee 73G3 Surcharge Plan Review MC/ES SAC City SAC Utility Connedion Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION / p~ CITY OF EAGAN ~ ~ ' ~~j o~ 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 NewConstruction ReaufremeMS RemodellReoair Reauiremenb • 3 regislered sile suneys showing sq. R. of lot, sq. fl. M house; and all roofed areas • 2 copies of plan (20%manMum blcoverage allowed) . 1 set of Energy Calculations for heated additb~ . 2 copies of plan showing 6eam & window s¢es; poured found desi9n, etc.) . 1 site survey for exlerior additions & decks ' • 1 set of Energy Calcula6ons . Indicate'rf home served by septic system foradditions • 3 copies of Tree Preurvalion Plan if lot platted after 7A/93 • Rim Joist DeUil Options selectbn sheet (bldgs with 3 or less unifs) DATE ~/~~/IIC~ VALUATION ~ l ~ ~~1D~U SITEADDRESS / /`u ~I~% ~ ULTI-FAMILYBLDG _Y _N TYPE OF WORK ~E~U ~~d ' S( FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~ C< /1~to!/ / STREEf ADDRESS y9Zg ~~Z.R~~~~ CITY ~~16/4~11 STATE ~yZIP 's'~/~Z TELEPHONE # ~s`f-928y CELL PHONE # ~2-SGU"3P~ FAX # PROPERTYOWNER Ar~~~! /C~7~ TELEPHONE# ~i~~sy-92~~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RiJLES 7670 CAT~GORY 1 MINN~SOTA RULFS 7672 submission lype) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submided • Energy Envelope Calwlations Submitted Plumbing Contractor. Phone # Piumbing sysLein includes: Water SoCtener _ Lawn Sprinkler Fee: $90.00 _ Watcr Heater _ No. of R.I. 13aths No. of Bafhs Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditionuig Fce: ~70.00 Hea[ Recovery SysLem Sewer/Water Confroctor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Appllcant W'•---°-°-'-------'----- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 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 O 25 Miscellaneous ? 31 New ? 35 ~nt Improvement ? 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/Doors 0 34 Replacement •Demolition (Entire 81dg 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replacement) _ 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 Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTI4N RECORD CITYOFEAGAN PERMITTYPE: eui~oiaa 3830 Pilot Knob Road permit Number: 021354 Eagan, Minnesota 55123 Date Issued: 0 7/@ 9/ 9 3 (612)681-4675 SITE ADDRESS: ~ o T: ~ B L 0 C K: 3 APPLICANT: 4928 ROYALE WAY UNIBILT INC EAGAN RqYALE (612) 895-2453 PERMIT SUBTYPE: TYPE OF WORK: 5F OWG NEW . . FOOTING FRAPIING INSULATIQN FINAL FIREPLACE REMARK$: S & W PLBR - ~ . . A~ . . . ~ 4 . ' L.. . _ . . . . . . . . . . . . ~ . ~ . I PERMIT ~ 7- ~-~3 ~ ` CITY OF EAGAN c2o~a~z5~ 3830PilotKnobRoad PERMITTYPE: eur~oxN~ Eagan, Minnesota 55123 Permit Number: 0 2135 4 (612) 681-4675 Date Issued: 0 7/@ 9/ 9 3 SITE ADDRESS: 9928 ROYALE WAY LOT: 7 BLOCK: 3 EAGAN ROYALE P.Z.N.: 10-22475-07@-03 DESCRIPTION: B~af~.ldin~~Permit Type SF OWG ~uild3.ng I~rk 7ype NEW BC pc~upaney~'~. R-3 M-1 ~CQnstru~tio~n T~pe V-N ~anirtg i_.-~ R-1 f Butlding I~ength f 92 f 6~ilding Width 65 ~ ~ ~ . ,,~r ~.s,~~~r . ~ ~i~::/l ~uy ,l1 t ca ~.~j~,.~j``~~ w~v - REMARKS: S & W PLBR - ~ FEE SUMMARY: VALUA7ION $234,000 Base Fee $1,108.50 MI3CELLANEOUS $1~744.50 Plan Review $720.53 Total Fee $4,445.53 Surcharge $117.00 5AC $750.0@ SAC ~ 100 SAC U~its 1 l.ic. Search Fee 55.00 5u6total $2,701.09 CONTRACTOR: - APPlicant - S7. ~~c. OWNER: UNIBILT SNC 18362953 0001163 UNI9ILT INC 9516 DAKtl7A RD 9516 DAKOTA RD BLOOMINGTON MN 55438 BLOOMINC,TON MN 55438 {612) 835-2453 (612)$35-2453 I hep~hy acknowledge that I Frarve read this applicatia~r and stat~ that the infarm8tion ~s carrect anti agree tct camply with all epplieable State ot Ptn. Sta~utes and City of E~agan Ordin.ances. ~ . - J ~~~~~.nn~ ~lne,n ~s.~ d I m~l APPLICANT! RMITEE SIGNAT E ISSUED B: SI NATU REACTIVATE _ CITY OF EAGAN ~ ~ ~~,1~1~~ PERMIT 1993 BUILDING PERMI ; ~ 681-4675 ' r ~ ~ ~ ~ -~a SINGLE 8~ MULTI-FAMILY 2 sets of pians, 3 registered site surveys, energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~~c-~~ / z- ~//~9~ Valuation of work ~z'S~lJ, o0 0- Site Address: T /`d-~7~. fi~'a-c~ STREET SUITE / Tenant Name: (commercial only) IAT 7 SLOC& ~ SIIBD.~~~~ . J P.I.D. M 7 ~escri tion of work: IJ'~S-~-J -~.s~. The applicant is: ? Owner Contractor ? Other fDeseribe) Name Phone Property LAST FI0.5T Owner Address STREET ~ STE M City State Zip Company u.N t d it-T+ ~N Phone g~ Z~r3 CO~t~BCtOf Address g S/6 1~~-1-.¢- ~d License # DD~//G3 Exp.~ City ~~ok-. ~.~.~G-b.~J State Zip rS~~3 ~ Company Phone Architect/ Engineer Name Ss~-wcG Registration ~r Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILQING PERMIT TYPE ' ' ~ ^ ~ . ~ . . ? O1 Foundation . ? 06 Duplex O 11 Apt./Lodging 16 B~asetnent Finish u,,. , ~ 02 SF Dwg.';.. • O 07 4-Plex ? 12 Multi. Misc. #C~ Tx ~Swim Po'~Y' O 03 SF Addit'ion - ? 08 8-Plex ? 13 Garage/Accessory ? 18 Co~mn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V_N . Basement sq. ft. MWCC System YE5 (Allowable) V-N lst F1. sq. ft. City Water Y~_ UBC Occupancy R 3 M_~ 2nd Fl. sq. ft. PRY Required ~ Zoning R_I Sq. Ft. total Booster Pump # of 5taries Footprint Sq..ft. Fire Sprinkler Length Z~ On-site well Census Code /p/ Depth ~s'' On-site sewage SAC Code ~ APPROVALS ~ i Planning Building ~ Assessments Engineering Variance REDUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wa}lboard ? Final ? Draintile ? Fireplace Permit Fee wi~c;p,: S a~~I.0OC7 Surcharge fiARAGE ; J Plan Review z-~c~y: 768X16= ~2~ License ~M,~~ MWCC SAC - I I'l2 x! P-/! S~ z,~ t; ty sAC 3'~ ~ 3x~., : ~ZS ; Water Conn. 3t?lZx 3b lb921 Water Meter 3~ ~r 5a c 1 SSty I x Acct. Deposit 5/w Permit 7 x(~~-- I I'1 ~~~I fu ~ .~3 S/W Surcharge Z X 1~ ~y c '2 y 7 h~6 ~ ll 2 Treatment Pl. 14 ; 3S Road Unit Park Ded. a'] 1r ?3 31 u 1 ZS~ XS4 ' Trails Oed. ~~xb~/zn~~"~2=CUS~) ~~b9Sbo~ Copies Other 5 X ~X ~/2- ~ ( 5 ) Total: Isr_ F~arL° z~X !.4°.' 3~4 sAt % !00 gsMrr= 22~ 3 93~1 SAC Units ~ ax`~+lz= 1y' - ~ ~ ! X & = g , I"L~~ O~~j 2w3q %~y% ~ ~I 2422 EnEerprise Drive ~ ~ ~ ' Mendata Heights, iAN 55120 ~ (812) 881-1914+Fax 6B1-94B8 PIONE~p ~ ~,~g . a,~ ~ _ * r--- ~ . - * ~n ' 825 Htghway 10 Natheast * Blaine, MN 55434 * * * (812) 783-1B60•fax 763-1883 Certificate of Survey for: UCIII~I.IIIt. .Incorporated ~ House Address: Ro le y,~.~igan. MN ~Np.~ ~ ~ R~~ P~~ ~ / a~, a~"~ + si. ~ \ 99- q9o g$ ~ro~~ar ^ q Z,3 ~ ~o ~ ~ ~ ~ y ~ O-TV _ a~' _ "A~ ~ I ~ '1~\ g~~ a ~ I 'S ~ ~ ~~~~ti `s,q ~ ~ g9G.q ~ ~ ,ya. to.ao ' ~ I_ N 11.76 ~ 16-87 8 ~ \ 10.18 13.92 g 10.3~~'.V~ .~E Mb , ~ ~ •~~'Sry ~n ~ ~ \ a ( ~ ppQ'pSE~ NWSE ~ 994,7 x ~ e.ao ~~9~,~ ~ i 'o / fi ~4.58 1~-75 19.00 ~ . / l0 ~a:s g t~q~},9 0 j n.a ~ w I +°'~14~Z ; N~ ~ 9qµ~9 ~y t x ,~~S,S ~ o, ~ ~ i i o j o~j5: ~ ~ ~ z I / / ,a~ i , I ~ ~~w~~' ~ o 5 i~ , 7 , ~ ~ , ~ ~ , ~ ~ / Y ~ ~ ~ I)at / ~l l.] 99~,~x EA~1~A7 ~Pvc~r:.~~, •3a.r ~:I`:..a~~:e 1.%t~.`.'~' S80~5'}6 ~24 NOiE: CDNTRACTOR I~UST VERIFY ALL DIMENSIONS AND ORIVEWAY DESIGN , . aao.o Denotes Exlsting Elevatlon PROP05ED HOUSE ELEVATION .L9~ Llenotes Propoaed Elevation Lowest Floor Elevation:986.06 Denotes Drainoge k Utility Easement TpP af Block Elevation:997.06 Denotes Droinage Flow Direction Gara e Sldb Elevation:996.73 -o-- Denotes Monumeht 9 Denotes Offset Hub. Bearings shown are esaumed LOT 7, BLOCK 3 EAG~1N ROYALE DAKOTA COLINtY, YINNESOTA ~ 1 Aeraby certHy lhet Ihh ~utvey, p~sa or re{iort wet preparM bY ~N bi undei my d~ree[ su~pervZldo0 end thel 1 am duly Reqis~erod Land Surwyor wder 1~e levn o/ Ihe S~ate o1 Mfm+ewta. Deted ~hftZ~T~ dey of J u~ A.D. 19.]~. i r ~i Scale• 1~~'30t~ aoa~tTB' ~..5 a.no_ ,.9~ _ _ , fb'~51 93183.00 ~ ~ LOT SURVEY CHECRLI6T FOR RESIDENTIAL ~ BUILDINa PERMIT APPLICATION m ~ ~ S2 PROPERTY LEC3AL: < ~ ~ . Date of Survey: ~ ~ ~ pOCUMENT STANDARDS ~0 ? • Registered Land Surveyor signature and company ~ 0 ? • Suilding Permit Applicant 0~ 0 ? • Legal description ? C~ ~ • Address Cd' 0? • North arrow and bar scale C~ • House type (rambler, walkout, split w/o, split entry, lookout; etc.) 6" • Directional drainage arrows with slope/gradient 0 • Proposed/existing sewer and water services 0' ~ ? • Street name l~0 0 • Driveway ELEVATIONB Esistina ? 0~ ? • Sewer service 0~ 0 ? • Lot corners B' • Top of curb at the driveway C3~? ? • Elevations of any existing adjacent homes Pronosed Pf ? ? • Garage floor 8' ? ? • First floor P~ ? ? • Lowest exposed elevation (walkout/window) Cj 0 ~ • Property corners C3' ? 0 • Front and rear of home at the foundation fONDIN(3 AREAS (if applicable) ? jY ? • Easement line ? ? • NWL ~ Q~ ? • HWL ? ~ 0 • Pond # designation 0 C3~ ? • Emergency overflow Elevation DIMENBIONB ~ ? 0 • Lot lines 0' • Right-of-way and street width (to back of curb) 9~ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e.. all structures requiring permanent footings) 0~~ 0 Show all easements of record and any City utilities within those easements JY 0? • Setbacks of proposed structure and setback of adjacent existing ho es ? JY ? ~ Retaini 1 equirements, if any Reviewed• ame / ate October 1992 't . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION owritR: ~3 /L 7" ~ ~ Z.~J c~ - SITE ADDRESS: /r-`~ ~ ~ Y? j'/~ ~ ~ ~,r_~1'~f <f~ ~ ~,?}(9~~ ~ ~ PNONE: ~ ~ ~ ~ CONTRACTOR: ~ ~vr P r ~ 7-, ...~NL OATE: ~3~ ~ v-_-' bETERHINE VIORKING SO.UARE FOO7AGE OF EACN: 1. TOTAL EXPOSED IJALL AREA, L~a3 J sq ft x"U" 1 1 I m L{~ 2. TOTAL ROOF/CEILING AREA,,,,,,,, ~~.7d sq ft x"U" a ~ ~~2-, 3. 70TAL EXPOSED 1JALL AREA CALCULATIONS: ; Total exposed wall ~ , area above floor,,,,,,,, 3 sy ft t a) Total wall wlndow area: . ~ ~L~r 4lazeo...... i~ sq fc x~~Uu o'3 J!"' */'L S glazed...... sy ft x "U'• ° - b) Total door area ,~F~ sq ft x"U" A a%~ ° ~~'.Z c) Total slidtng glass door area: glazed...... / 3~. 9 sq ft x"U" R~-~r~ e ~ glazed...... sQ ft x "U" ° d) 7ota1 ftreplace wall area sq ft x"U" ° . e) Tota) wall framing area (Average 109.).......... 3~~ sq ft x"U" , ° 5n. _ f) Total net wall area above floor (Insulated)....... ~ ~ ~ ~.~sq ft x "U" • ~ Q' ° g) Total rim Joist area..... 3~ ~ sy ft x"U" e ~ ° ~`f Total foundatton area (Exposed)......... ~ ~ ~ sq ft h) Total foundatlon ~D window area........... sq ft x"U" ~ 3-S ° / i) Total net faundation area above grade........ 2- ~S O sq ft x"u" I~ ° TOT/~l ch~ru i) ~~~~•2- If item p3 is the same as, or less ttian item N1, you have met the intent of 2 MCAR 1.16008 A and 0. Page ] '4~ TO7AL EXVDSED RQOF/CEILING CALCULATIOtIS: Total exposed G~ roof/ceilfng area..~...~~ ~ / ~ ~ ~q ft J) Total skyl iaht area...... ~ sq' fC x"U'~ k) Total roof/cetllnc~ framing area (Averaqe 103.) , . ~ ~ ~ 9 3 sq ft x '~U" o ~J Z ~ ° ° 1) Total net Insulated -7 -7 h 3~ roof/ceiling area~~.~~.. Sq ft X~~U~~ V ~ TOTAL J) thru 1) If total of gh is the same as, or' less than R2. you have met the i~ntenC bf 2 MCAR 1~16008.~A ar.d 0. AL7ERNATE BUILDIflG ENVELOPE DESIfN ~ To utilize the total envelope system method, the values estabiished by th~ sum of items N3 and N4 shall not be 9reater tlia~i the sure of items N1 mnd !~2. ~ ~ + 2. d . 3 + 4. , _ " ~ C E R T I F I C A T I 0 N I hereby certify that 1 have calculated the "U" factors and "R" values herein and that the butldinn here.described tneets or exceeds the State of Minhesota Energy Conservatton Act. ~ t~nature ~ G r ~ ate) PagP 2 u; ~ , ,cor~sTRUCrior~ . a~~~E ' ' ;I ~ ; 41ALL FRAMING SECTION: ~ 1 I,nterior air fllm ~•~'a ; ;>,~h 2 ~i~~ a,eJ~'i,~~ci . vs- ; q-V~ tnches so t Wood G-~7 ' ~n;~. : ~ ~ ~1 ~'r~za. ~~l3` z, o,lv r,ti. S C~r ' ~ ~ ~-t dT~i ` n ~ 7 s; h, Exterior e~ f m , I . . ' TOTAI R ~ ~,11 „ ' ~ I U ~ ~~R r~ ~ 'i' ~~s;a~ r~' ~ 11' ~ ~ I. e o9 ~ { • IJpLL SEC710N (INSULATED} ~.(,A t~` ~ ' ! ' 1 I n te r i o r a 1 r f i 1 m ,~r,' I~ 2 i~ i/ ~2Ycr'Lic t s~„y F~ (3 €R-G c~-s 21, o c' 4 s~~3t,~ G.`~ .'z~ ~ • ~ ~ ~ 5 ~ si ai~U °„4 ~o I " I';,;~ fi Exterior air.film ~ . TOTAL R d ~ 'a ~ . U ++''1LR r . 0~ „ r ~ E. ~ RIM J015T SECTIDH: A.6R ' , 1 Ipterior air film ~ - Z " e BE2G e~ 3 / Vz' S~ e=at^n A S'4 . ' 4 ~-~7 c 83cr lZ=r~C Z•~ . ~ 5 s.zYV~ _ S-r~~ G7- s Fi .Exteri~~~m ~ ~7 TOTRL R ~ , s' ; ~ , FOUNDATION INSULATIOPI REQUIRED: ~ Min. R-5 on entire wa11 OR o ~ Min. R-10 down to frost depth to'O~o C~p• '.~4: FOUNDATIOH SECTION: . ~ ~ r'A, e; 1 Inierior atr film •A , p 2 3 5~~. " i~ Se.E,4. W+'s i ~ 3 1„ G,o..~~., 3GO~~ti. ~ b' , n.~ .s' ilm ~ . , . :fi- 4 Exterior air n. G 5 p,~ • d.~ ; Q.: a..14 , i. ~ ~F TQTAL R W~ a• .,'.o' ~ • ~ U ~ ~~Fl ~ 1,.~ .,T.~ . SLAR ON 6MDE ~ 1<l•~••'p' ,I . , .'a 4, ~ .~,~•~•~h~l: ~ fq,.•~ ~ ~Q~',ail°c y'(~~ ~ rC/ : ~ ~ ~ ~ ~ ~I •,d,4•, ,a~ , A ¢ ,~I~ir~'' ~4~, . . ~ 1 U .'a. •,r, A ~ t . 1 ~ ~ ~ • . ~ . ' ~4 , ~~_.:q , t~,.: . ~ ~4 , ' G' li' ~ . • ~ . 1 ~ _ Heated Slabs: ' ~ • 'i , ~ ; Minimum R = 8~ 5 , , 4 • ~ ~ a ~ ' d ' ' ' ~ ~ 'c~' 'd' ~9 ~~:as ' . : ' ~ . ~ ~ ~ ~ • Uhheated Slabs: • A4~ • ~~~d' . . ~ ~ . . . ~v Min~mum R ~ 6.2 'd. . : a, ;.~'~p 4 ~ ~ ` 'q~ . Page 3 ~ . ~ ~ a~~ 4 ~~•b ~ a 4• , ~ ~ , 1~ G1S.:•.~~~.~ ~n.~~,•~~` N ~ ' CONSTRUCTION ; -,ti,R VALUC , • ' ~ ; ; , ' CEILINP, SECTION (INSULATED,)? " Incerior atr f(lm ' 0.61 i'. , 2 / " D~ ~..+TU: . , s~ ~ . + ` .3 ,i. ; GI~~c ~ s-o~ y~,I' 3 4 ;V 4 Exterior air fflm still O.R1 w`-' : ` f ~ TO7AL R.~ sl~ 7 , , , i , ,'p~ p . ~ ' ' V~,~ ~ y~~~,~ ?(t4~ . , i . . I F., i- lsO , i. i '4~ , i~;. ; i' i. ' r v . . , ky : ,,P3'R . . . ~ . ' ~ ~ , 21 5 l'C~ILINf, FRAMINf, SECTIDN: i ` 1 Interlor alr fllm ~ F~ ~ 2 S/!f (7~-`C?R~ . fG . ;~~r: AIR :,~ENTED ? 3 ' .~z-- F~'~~,eHV~~ . ' ' 4, interior air ilm st~ 1~),';. ~ . . ,y ~ t~ehns so t wood ~ _ `f.3t` ~ ' .1~. FLOW ~ : ! 5, . . ~TOTA6 R.~'f~ •/3 . ~ _ zi~i;u M 1/R'.. ,01,~: , ,y < . ~ ~~.,-i , ' . „I I " CEILI~JG SEf.TION (INSULATEO)t ~ ~ ' ,~Ty~.~m~„~r.~,_~~ ,s.,y~~x a. 1' I n te r t o r a i r f i 1 m 2 f, 4 Exterior air ilm still n. 1 i TQTAL. R ~ e'J~Y ~ . . ~ , . t~ ~'U'+,'1'/R.r.,_... ~ ~•..'':j" r,:.,` ~ i . ~ `Z 3 4 5 CEILING FRAMIHR SEC7~ON: . ' 1• Interior afr film ~•F~ VENTED , 2 3 ' 4 Exterior air lm stTll ~ , 5 inches so t wood ' , , : TPTAL R ° , ' , , , ~ ,r 1 /R ~ . ~ ~ 3 4 5 ~ ; ~ x~ , . ~ , IZ~ ~ . •~ijL:\..~C.°y ' . n.~t i Inside alr film r;.; r : . . 3 _ ' ~ . ( 2 . . , ; 'S' Outside air ilm n•17 TO7AL R ~ i i ~ , . ~ . 1/R ~ . ~ . ' Yage G LOT BLOCK ~ Si~TBD. ~a-~2,.-~.<-Y~ RECEIPT # a~`I`J~7~ & DATE ~~~IS~ 1994 CITI' OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COD~IIbIERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: .rnxF in, ivqa Commercial GPM Residential (boulevards) GPM ' Existing residendal Area/address tA be ittlg3ted: 4928 ROYALE WAY ItLSt311Ci: ELANDER PLUMBING Owner ? Plumber ~ Sueet address: Z4 ~ 5 133?tD STREET WEST City, state & zip code: SHAKOPEE, MN 55379 Phone M: 612-445-4642 OWriCI' N8tIIC: ALOYCE RHOLL Street address: 4qzs ROYALE WAY Clt}', St2tC & ZlP COdC: EAGAN. MN 55122 Phone 612-454-q284 Irrigation contractor, if different than 1tISt2~10r: ~REEKSIDE. INC. Telephone 612-866-3739 I hereby acknowledge that I have read this application, state that the information is conect, and agree to compl w' all p licable City of Eagan ordinances. OCc/kCt~ Sig Title If construction ac[ivity occurs in public easement or City right-of-way, signaritre of property owner is required. The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement. Property Owner Date Approved by: ~~u~a~ ~ Lli+~~l~,~ Date: ~ ~ n e- q~ PRV ? Yes l~l. No New service ? Yes ~ No Meter Size & Cost y. y Fees due: ' ~7- Calculated b ~~`~l / - ' ~~~co ~lS- / ~/~/_S ~ ~ ~ 5 y ~ ~ PROCEDURE FOR IRItIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Department for review before installing an irrigation system. A permit to work within City property/public easement/right-of-way may be required. 2. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. C'ommercial proiect: $ 25.50 irrigation system permit to cover installation of backflow preventer. $ 50.50 water permit fee onlY if new service is installed. $100.00 per tap if installed by City. b. Residential proiect: $ 20.50 irrigation system sprinkler permit to cover installation of backflow preventer. $ 50.50 water permit fee if new service is installed. $725.00 ner connection - WAC. $348.00 per connection - water treatment facility. c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not required if backflow preventer previously installed), however, plan and application must still be presented for approval. d. Meter charee: If gallons per minute are less than 25, a 1" meter will be requ'ued at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and pertnit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections shouid be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. ~ . - . y~ * ' i.` s . S w~c~ ~ < f y~~gi4,& a~~t• 11' H ~x'~~ yl:F ~ ~3/ ~ _ ~~ye~ ~d~fip 3Y'.f kkF ~ ff~5¢ e i~~ct~~{ S;R~~~ C} ~ 3;~3 ~y~L T . : Y ~ ~W . ^S ~ . _y. ~s l 1 0 ..Y'~t)~L . . ` W.n.... ~ x..... ..a..a..a.X&' .5ri.f:g.~.. . , .b~.wu ~ , . 1993 PLUMBING PERMTf (RESIDENTIAL) CITY OF EAGAN 3830 PILOT I~IOB RD FAGAN MN 55122 (612) 6H1-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES ~ '1'~T~ SHOWER 3.Q0 3, o 0 WATER CLOSET 3.00 `'1 ~ a d ~ BATH TUB 3.00 / . o ~ ~ LAVATORY 3.00 ~ , D o ~ KITCHEN SINK 3.00 3, fl o ~ LAUNDRY TRAY 3.00 3. o m HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 '3. n T~ 2- FLOOR DRAIN 3.00 L-o 0 GAS PIPING OUTLET • m~n~mum 3.00 3•~~ ~ ROUGH OPENINGS 1.50 y • ~ ~ WATER SOFTENER 5.00 PRIVATE DISP. • DakCry. lic. IS.OD U.G. SPRINKLER • nome uneer mns~. 3.00 ALTERATIONS ' to a6s~ing 15.00 WATER TURN AROUND 15.00 >~r. s-~ STATE SURCHARGE .50 TOTAL: ~ SITE ADDRESS: Z a ~Ev ~ rcL OWNER NAME: ~n-~ b• ~7~ ~ ~-s~% INSTALLER:_~/ s~- ~ c ADDRESS: .S ~ ' CTTY: 6 STATE: ~r'. ZIP CODE: J~J-37~' PHONE (b/7~ yy~ ~ y~ ~ Z . , ~ SI URE OF PERM ~ ~"1'Y"t7~~ ~1~'Y .~~z ; ~ , i~ M ~?z r f£ 5.F S £ fi~ ~~9' ¢ ~ 3~Y ' f : , ' ' ~a ° s: a ~."~.3~+ ax :zI< 3a ~n.Exe .~,~~x, ~ 's ~ ~ . . f t N <)~.f ~ ji cx ~D ~ ' g_, r . . -'a .C' ~.~,k... . i . , , . , ` 5.... . . , a a ..,a,~~Aerw..~wF,. . , v . . . 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681~675 PLEASE COMPLETE FOR ALL CONA~RCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUI: ~INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING L" .T. _ NEW CONSTRUCTION ADD ON REP.~IR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 19c OF CONTRACT FEE. STATE SURCI-IARGE 5.50 FOR FACH 51,000 OF P.Ei2MTf FEE. MINIMUM FEE: S 25.00 ` CONTR.4Cf PRICE X .1% $ STATESURCHARGE a TOTAL $ SITE ADDRESS: TENATv"f NAA4E: STE. # OVVNER NAME: INSTALLER: ADDRESS: CI71': STA1'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT a ~q ~ ifl7L~ c ~ ~ BL . 9 . ~R4Y . ~a~3~'F ~ ,t . R ~ ~Sp.?? ~ S~~ ~ ~~~~`Y : $Ark ~Y : 3§ ; . ~ E '#33 Y s ; ~ l £ s t r ~ . : . ~ t . 3~< z si . 3 L_4~.£rc Y~jz-- .N~, : s ~c g 3 x~y p"~ttE . ~D'~~~ ~ , z° ,,,.a xa .e,~xx ~ ~~~F a ~~"~afF~w~.~"5$ ~'~ca93~ A' r~k 3°~43~~L~~.. ~.y.~...3.,4~.,. a..a. ..~F3. .~.w.d<h~n~AHC'KaC{"a+~~S~2.~':S."~r Ra.::YM . 1993 MECHANICAL PERNIIT (RESIDENTIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 551Z2 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLING3. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - NEW CONSTRUCTION A~D-ON AJC ADD-ON FURNACE ' DATE ~ i 3 FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C' 53.00 EACH) ~ ADD-O?~/REMODEL ~ExisTIN~ CoNS7RUCnoN) ~1T.0~- STATE SURCHARGE .50 TOTAL SITE ADDRESS: ~ OWNER NAME: ^ TELEPI-IONE O ai,S ~ 7t-~ INSTALLER: ADDRESS• ~ CITY: STA'T~~~ ZIP CODE:S S-7` Z-~ TELEPHONE lY~~'_~ ` ~ 3 / O ~ SIGNANRE OF RMITT ' , y~~( ~S~ Q1~T,'Y ~ Ji~ . ~ . i~ } ~O ~~5 ~ 'Fk . f . ~S '3'.~ . ' . (L d5£+h r i - S9 r . c < e : ~ . ~ #r ~ F s ~ ~o~ t x i ,}i.u~ s€i~ < a .e~~ > A < a: ls n ^,°LS~a q 5 a~'w'~.`a~F ~<nar,a a.s i~ v~wss os.;a~w~ ,y, irs c: wrA. :....~~bMt..3~aw°: ~ ~r.......,:h.sGOe,.."~.£, ~x:8wht..~...$>^.~~~ti:.~~.~rOA~ern.~~ 1'" m M .u~s..~ ~SY':3,..Y~:v..an~c.~ .r.W..T...,. 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMA~RCL4LJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI~R MULTI-FAMII.Y BUILDINGS VJ~~N SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN1T. DATE: C;ni~T'T'R_AfT PRT('F; e NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF GONTRt1C.'j" FEE $ PROCESSED PIPING: $25.00 MINIMUM FEH: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF p~RMTi' FEE. TOTAL $ Jl l i. ALUl\iJJ: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: I ADDRFSS: C~~ STATE: ZIP CODE: TELEPHONE ~GNATURE OF PERMITTEE CITY INSPECI'OR ~ ~ Zoo~ RESIDENTIAL PLUMBING PeRmiTaPPUC,arioN ~ ~ CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. . '•.,r. ; Date. ;'p`::~<. I °l' / ~7 Site $tre dress z~ ~ Unit # Property Owner Telephone # ( ) Contractor ~5~~-- /~-f-'^~"~ Telephone # ( ) Address ~ J- ~ ~ r~"~ State Zip Sf~~3~ The Applicant is: _ Owner ~ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 X Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are insfalling oal a water sokener and/or~water n~n heater, do not complete this section; move to the next section an h k~ ~\"i I,11 appliance(s) you are installing. ~~s J FEB i 2 ?on~ Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other. Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair. _rebuild $ 30.00 State Surcharge $ .50 Total $ S ~ fD I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start.without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. fS~ R ~c.~.aR~I ~ ~e ~wS~~`.~' ApplicanYs Printed Name Applic nt's Signature qo Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ob Use BLUE or BLACK Ink For Oftice Use Permit #: Permit Fee: /oo o q_. Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION / Site Address: 116:1 /I? ai e lit ) J Tenant: Suite #: RESIDENT / OWNER Name: (, Q, /0240.--1.ePhone: 657) i{Sq- q a g CI / EdlaA,0 63--/- 5/tApAddress / City / Zip: ge9a g /air -4 y Applicant plicant is: Owner X Contractor TYPE OF WORK Description of work: WA/141 iij - M Attiirat L1„ . Construction Cost: ,P t 5-6/ Multi -Family Building: (Yes / No 56 ) Name: CP., License #: /71-4g CONTRACTOR Address: 1-17L/ I /h . / ' &ELL" City: Q U� Xtk44J State: 01 IV Zip: 5- 01q Phone: le 51) 1? `-t ''0l9`•t't!o Contact: - ___t� J mail ir COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and suPpottini documents that you submit are considered oto be.ti b7rc inform tion; Portions of the information may be classified as non-public rfyou provide specificreasons that=would:permit.thetity-to conelude'that they tr,,adesecrets, _a CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 .f plans. x JIL Applicant's Printed Name x Applican Signature Page 1 of 2 _, � For Office Use ^--- — I 1 Permit t Permit Fee: �� V Date Received: O I 3830 PILOT KNOB ROAD I EAGAN, MN 65122-1810 1 1 (651) 675-56751 TDD: (651 ) 454-85351 FAX: (651) 6711SIA61VE �CIEIVIE I StaM I buiklinainsaectionsCccifiyoijeaaan.com L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2018 RESIDENTIAL IT APPLICATION Date: ld Site Address: L q � Unit #: You may subscribe to receive an electronic notification from the Clty of proposed ordinances by signing up for an email uposte on the Laws website at www.cityofeaaan.com/subEribe. 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. 2AL BEFORE YOU IAR. Call Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www 000herstateonecail.orn 1 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 pians. �Z'i'/��/-i►/�/L�/ w�/��//- e�� wiuiii i��-syr it Name: ' bAll Phone: _lp�x� R_ esiden t ' . Owner 7 Address I City I Zip: W 13 2 Z z Applicant is: Owner Contractor TYPO of Wolk Description of work: �l 1, ail? Construction Cost: 2 7 ?� S Mufti -Family Building: (Yes / No __J Company< n4441 -d C9)n:4WI Contact J / 63 7.40 1 - C t AtraCtOC Address: 23.3 La. 1 Cold hy-e h City: State: M n Zip:�� L I Phone: ''163-53111f49 Email: . Ci9ndad&4'-J&-r• Curs ' License It R 166)'72 Z_ Lead Certificate #: 2111� - L If the project is exempt from lead certification, please explain why: 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: NOTE. Plans artd st�pporthtg dactirnents that you submli are :aor ►cler+ed to beputillc'ln�Orhtatlon. Pardons;bt the tnlbrn�etlon maybe" classified es a . ` ubUc !f v vides ec1Rc few- Qns that.woald _ the C . to coirciude that tk# are.frade secriels.. You may subscribe to receive an electronic notification from the Clty of proposed ordinances by signing up for an email uposte on the Laws website at www.cityofeaaan.com/subEribe. 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. 2AL BEFORE YOU IAR. Call Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www 000herstateonecail.orn 1 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 pians. �Z'i'/��/-i►/�/L�/ w�/��//- e�� wiuiii i��-syr it i DO NOT WRITE BELOW ITH1S LiNE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES _ New _ Addition Alteration _.._. Replace Retaining Wall Fireplace Garage Deck Lower Level --TTI Interior improvement _I Move Building __. Fire Repair „ Repair qq�g Y%CywIE LI�Gl Porch (3 -Season) ,^ Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Scmen/Gazebo/Pergola) Miscellaneous Pool Accessory Building DESCRIPTION 4. _ Reroof Valuation ,1� Occupancy Pa Y Plan Review Water Damage Code Edition (25% 100% MCES System Zoning Census Code Stories # of Units City Water Square Feet # of Buildings _ Length Type of Construction .- Width REQUIRED INSPECTiONt Footings (New Building) Footings (Deck) Footings (Addition) Foundation F undation Before Backfill Roof: Ice & WateFinal Framing 3D Min !1' 1 Hour Fireplace: Roug i in Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Siding _ Demolish Building" _ Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage 'Demolition of entire building — give PCA handout to applicant ' f . MCES System 1:1'SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Hood Pool: __Footings. Air/Gas Tests Final Drain Tile Sidin Aulo Lath Stone Lath Brick EFTS g Windows Retaining Wall: Footings Backfill!, Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Building Inspector Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158427 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 4928 Royale Way Lot:7 Block: 3 Addition: Eagan Royale PID:10-22475-03-070 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Aloyce J Rholl 4928 Royale Way Eagan MN 55122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature