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4929 Royale Way03/07/2011 MON 14:53 FAX 6514378831 City ef Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a1002/003 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 31/1 2011 Site Address: 1-1c)251 RQ aJe Tenant: Ai Ie Porter Suite #: RESIDENT / OWNER Name: Allen Porter Address / City / Zip: air) 55422. Phone: (PS) -1-152.7 13q CONTRACTOR Name: ..it it . ■,'/.' x i 'cense #: Address: I -f O4 \Jt'vrni I i; Qt`i 7i City: '}"#(,($ t flc Vit State: my) Zip: 65033 Phone: (,051- 4j?' 41-1-1j Contact:( �'},)_ _ Email: Gi ► k :1 1 .11 I — TYPE OF WORK New /Replacement Repair _ Rebuild _Modify Space Work in R,O.W. Description of work: PERMIT TYPE RESJDENTIAL l Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_ RPZ / _ PV8) ( Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater oil Softener (includes 8.50 State Surcharge) $30.50 Lawn irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, wvvw,gopberstateonecall.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 Jam le VOInOLO g) A/ret,1...- Applicant's Printed Name Appl ant's Signature ' INSPECTION RECORD . « CITY OF EAGAN PERMIT TYPE: ' ' + ' ~r' ~ 3830 Pilot Knob Road Permit Number: " • Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , „ ~ . i r APPLIGANT: , , W!t'~ ~~~i~ ~ ~ i: ~ i r,~.r i! , , r.l . . ~ ~ . , PERMIT SUBTYPE: TYPE OF WORK: ~ , . „ . . ~ : , . ~ii~~~,~. ~ i ~~~i ;,.,r, I Wi~ ~~~,~i t I t~ .ti! 1ti I I~:iJ ; f~; 1 I' f f~l ~ ,n s ;~~~'~,il i 1•1 I t:. , ,;Ifi~;l I M tl I~~ { 1!4;~,k f'i I:~~ ~ ; 1 1 I r~ I It! pf1,l f. . . ~ f i:; t 1'..'~ 1~ I 1 1 t I~ ~ ~ ~ L.~ ~ Permit No. PBrmR Holdsr Date Telephons # SNV PLUMBING ~ ~ ~l yi I p ! HVAC ~ L 6 Zp y SSa•90 (L ELECTRIC ~~rf~ ~ 5p ~ ELECTRIC Inspectbn Date Inap. Comments Footings t Foundfldon ~Q C,L( vt, Framing ~ RooSng l~~C! !./J P~~. ~ 1s 9Y ~ Q, ~ ~9~ ` ~ ~l .C~J Isul. 7 ~ ~ Flrep~ace , Fnal Htg. Orsat Test Final Pibg. Q~~~~ ~ Plbg. Inspector- Notify Plumber U . Const. Meter Z ~/s7 Engr.lPlan Bldg. Fnal ~r~~ Deck Ftg. Deck Final Well Pr. Disp. 9 . - ii ~ • ~ ~ ' 1 ~e~~cate n~ ~ccu~anc~ ~ ~a~~ ~c~a~tace~t o f ~riib~g ~u~pcction This Certi,fieale issued pursuant to the ~q~rireinents of ~he Uni,farm Building Code certefying that at the time of issuance this s~rrectu~ wcrs irr compliance with the various ordinances of the City regulating building construction or use. For the following: u~ ca~~r~u~,: SF I~~G awg. No_ 23422 ~~Pa~Y ~'P~ Zoaing Distritt R~ Type Cons~. ~ o~ ~r s~aa~~ SIEV'@1 MA~IA~EK ~ 138 E ~li, B ST PAI1L s~~a~~ naa~ 4929 ~E WAY ~;~y Lq, B3, F~AL'~li~l ~E ~ e~ _ o~: eanm~ ar~ POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "'17`:s+~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' ~ " ~ ~ " ~ APPLICANT: 1 I ~ ttl ~ir 1 . ~ , i ~~YA1 h WAY , , . E i . , ~ tt=,r.(.i ,~~,;•;I I ii.j . . ' . PERMIT SUBTYPE: TYPE OF WORK: ~ i ~~i i~ . ~ . . ; ~ i tt~, , i r~ ~ ~ ~ ~ Permit No. Pertnit Holdar Date Telephone # ELEC7RIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PlUM81NG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL - BSMT R.I. ' BSMT FINAL DECK FTG ,~-96 1l1 v b_v ~l -q ~ ~ ~~-1_-_D OFCK FINAL '~"?S-4' p~~~ pn1 .~J~,~ No~G~O - - , it/`4~__ ~JSf~2 ~C~l?/ f,~'?~N~-, t~r ~r~~t/7~ C,~ wcs _ 1__ _ INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: < t', , (612) 681-4675 ~ ~l 1.~ ~ i SITE ADDRESS: ~ ~ ~ Ft ~ i, r; ; APPLICANT: . . , , ~ F~ wRV ~~~~rr~ii , , , PERMIT SUBTYPE: TYPE OF WORK: , , ~ ~ ~ , ~ . ~ , , . . ~~~~:.:i , i . , ~ii~•:i . ~ . ~ i i ,~,t' , . I . . , ~ ?3 i , . . 7 ~•A~ t ~4~~ : f3qN i~E~pt~1~JN~~ rl k.r. fk)f~.At f•i I~Mi I AN1.~ tt~~;F~E~7 1~~fa~., .1~ ..,.I 7~.~f~, , ~~~,4•~. ~ ~ ~ ~ Permit Holder Date Telephone PLUMBIN ~ 7 ~8 - 3 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD fIREPLACE FIREPLACE AIR TEST FINAL PLBG ~ FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS ~ CONDUCTIVIN I TEST I HYOROSTATIC I TEST BSMT R.I. BSMT FINAL ~ $'S {S i DECK FTG DECK FINAL ~ a4a 9 ~.9 s~ ~t'jr ~ Re uest Date ^ Fire o. Rough- Ins ion ReQUiretl? ? Reetly Now ~Will NaOty Inspeclor es ? No Wnen Reetly? I,,'~licensed contractor ~ 1,] owner hereby request inspection of above eledrical work at: Jo tlree/s ~(Streel. 8ox or te No.) Ciry . ~ / ~A 4 R n Section No. Township Name r No. ' Range No. CouMy Da ko~"~. Occupam ~PRINT~ Phona No. ev~ ac~ - SY9 Power Supplier! AtlEress ! Ele mcal Comractor ICompany Name) Conlranor§ license Na. ~V/., T. ~ ~~Cl. C}~ OIIO Ma?ing Atltlrass IContrector o~ OWner Making nstallation) ~~t ~w~vP Cl. N• S~t%l~w~~« /'~~v .~50 ~ Au~M1Orizgo $ign3ture IGOntrac~onOwner Meking Ins[allation) ~ . Phone NumOer Y o-3s~ MINNE5OTA TATE BOAHD O ELEGTPIGTY TMIS INSPECTION RE~VEST WILL N07 Gtlgge-Mitlwey Bltlg. - Foo 54]9 BE ACCEPTEO 6V THE STATE BOARD 1811 University Ave., St Peul, MN 55100 UNI.ESS PROPER INSPECTIDN FEE IS Phone~612~86P-0800 ENCLOSED. G aa/9~ REQUEST FOR ELECTRICAL INSPECTION ~`yyy~`" ee.ooooi~ ~ See inSVUCtions 1or completing ~~is form on back oi yellow copy. ~~I ~ ~ 4 6 9 5 ' "X" 8elow Work Covered by This Request ~,ww ~ e /Ctltl Rep. d TypeolBuiltling AppliancesWired EquipmentWired Home Ranqe Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(SpeCify) Comm./Industrial Fumace Farm Air Conditioner O~her (specilyl CoMractoYS Remarks' ~V~~, hoM~ Compufe Inspecfion Fee Below.~ X 01her Fee # ServiceEmranceSize Fee # Circuits/Feedars Fee Swimming Pool O to 200 Amps ~Q~00 / 0 to 100 ps .pp 5',QD Transformers Above 200 _ Amps ~00 Amps Signs Inspecmr§ Use Only: \ . op~ Irrigation BoomS GV~ 7 S. SD Special Inspection ~ Alarm/Communication THIS INSTALLATION MAY BE OH RED DI NNECTED IF NOT Other Fee COMPLETED WITNIN 18 MO HS. r I, the Electrical Inspector, hereby Ro~n-~~ a ~ Z~ 4, , certify that the above inspection has F;,~i been made. ~ OFFICE USE ~NLV ThiS reques~ witl 18 monlhs 1mm Address 4929 ROYALE WAY Zip 5512 Z L.ot 9' Blk 3 Sub ~[trntat.E THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION. Date: C1 ~~j Yes No Inspedor. Final grade (6" from siding) Permanent steps (garage) Pennanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify wi[h the builder the removal of ro f test caps from the plumbing syscem and the shuhoff of water supply to the outside lawn faucet before freeze potential exists. ContaIX engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy 5a /~C' RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Q . New Constmction Reouiremenb RamodellReoair Reuuirements • 7:eg~sterea ;i[e surveys showing sq, ft. of Ict, fl. of house~, and all roo(ed areas • 2 copies of plan (20"~o maximum lot cave2ge allcwed) • 1 set ol Energy CalcWations fer heated additians .?„ones of plan showing beam S window s¢es; pouretl found design, etc.) • 1 site survey fcr =x:enor additions 8 tlecks . 1 aet of Ener~y Calculations . Iridicate if home serveA bY septic system for addiGons . 3 saGizs of Tree P~eservation Plan if lot platted aRe~ 7/tl93 ~ . Rim Jois[ Cetail Options selection sheet (bidgs with 3 or less unitsl DATE / VALUATION ~ r ~ ~ SITE ADDRESS ~Z~ Y~~ ~'P"~ MULTI-FAMILY BLDG _Y ~ TYPE OF WORK ~aD<' FIREPLACE(S) _ 0~!' 1_ 2 ST~~~/ ~c~-~~. ~ APPLICANT STREET ADDRESS _ ~~9 '40 W CITY~STATE ~+-'ZIP~/~- TELEPHONE # ~~~~6~•23~0 CELL PHONE~ FAX # - PROPERTYOWNER .~'~"r`° TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~[I\'Vi:SO'C:\ RCLES 7670 G1"f1:GORt' l 1II\~LSO"1':\ R["L1:5 itiiY (d submission type) . Residential Ventila[ion Category 1 Worksheet Submitted • New Energy Code Worksheet SubmittzC • Energy Envelope Calculatlons Submitted Plumbing Contractor. Phone # Plumbin~ systcm includes: V4'atcr Softener L~wn Sprinkler Fee: 590.00 ~Vater Hea[er No. of R.I. Baths ~o. oF Baths Mechanical Contractor: Phone # _ ~Iccli.uiic.~ systccn includc,: .~ir Concliuociiiig ~ ~F ~ ( . ~[cac accovcn• systciti .II II 1 1 2002 U Sewer/Water Conhactor: Phone # SY - • I hereby acknowledge that I have read this application, state that the i or ation is correct, a~to comply with all applicable State of Minnesota Statutes and City of Eagan Or n ce~i~ Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? O7 Foundation O 07 OS-plex ~ 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 70 OS-plex ? 18 ~eck ? 23 Porch (screened) ? 36 Multi ? 05 03•plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitio~ (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 Sprinkiered Type of Consi Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaliC.O. _ Foo[in~s (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing , Foundation HVAC _ Drain Tile Other Roof _ Ice ~ 6Varer _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RL _ Air Test _ Fiml _ Windows (new/replacement) . _ Insulation _ Retaining ~4'all Approved By , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Suppty & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT Ci~ a 333 ~ ~CITYOF'EAGAN PERMITTYPE: s~ 9 sUIL0ZN6 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2 3 4 2 2 (612) 681-4675 Date Issued: 0 5/ 0 2/ 9 4 SITE ADDRESS: 4929 ROYALE WAY LOTs 9 BLOCK: 3 EAGAN ROYALE P.I.N.: 10-22475-090-03 DESCRIPTION: 61uilding?_,Permit 7ype SF DWG puildzng W~,rk Type NEW <'U8C Oecupancy~, R-9 M-1 ~ ~ Construction Ty'pe v-N % 2onifig R-1 i`~ Build~ng Length ` 70 Building Width `j 48 Building stories f~~ 2 ~ h.k~ -~e/L\f~j. ~ _ ` . 4 y~ l y / t\\. t`J ll`~.~~\~~ ~`~~{-.fl i~"'1 l i r:`~ Fi `J. '7 ~,l `~:.1 ' ti~w L" ~4 a:+, c J REMARKS: S& W PLBR - STEVE PELTIER FEE SUMMARY: VALUA7ION $155,00@ Base Fee $832.00 MISCELLANEOUS ~1,$28.50 Plan Review $540.80 Total Fee $4,078.80 Surcharge $77.50 SAC~ $880.00 SAC & 100 SAC Units 1 Subtotal $2,250.30 CONTRACTOR: OWNER: - Applicant - MACHACEK STEVEN 138 E ASH S ST PAUL MN 55075 (612)687-2629 S hereby acknowledge that I have read this applic~tion and state that the information is correct and agree to comply with a11 applicable State ot Mn~ Statutes and City o€ Eagan Ordinances. ~ ~ APPLICANTlPER ITEE SIGNATURE IS E~ BY: SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e u x ~ o x N ~ 3$30 Pilot Knob Road Permit Number: 0 2 3 4 2 2 Eagan, Minnesota 55123 Date Issued: 0 5 J 0 2/ 9 4 (612) 681-4675 SITEADDRESS: ~or: e BLOCK: 3 APPLICANT: 4929 ROYALE WAY MACHACEK STEVEN EA~AN ROYALE (612) 687-2629 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . . FOOTINGS FOUNDA7ION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FTNAL pLBG FINAL REMARKS: S& W PLBR - 5TEVE PELTIER ~ ~ L J ' CITY OF EAGAN ~ ~ ~ 1994 BUILDING PERMIT APPLICATION ~ 681-4675 P R 1 1 15;4 ~ ` r e7~.~o ~ tt'' +,+;,r;' - ~ ~~SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of 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 / ~ / ~ Valuation of work ~/zs,mo G~r Site Address: '~9L9 ~?oz,al~ l.~~, ST EET SUITE # Tenant Name: (commercial only) LOT BLOCK 3 SUBD. E~~~~ ~ q~~ P.I.D. # Descri tion of work: The applicant is: Owner ? Contractor ? Other C~es~ribe) Name ~"1HCkkc~~ ~reyt~.l Phone 687-?~Z9lw ~ Property ~asT v~asr y,si-~~z C.v~ Owner qddress i38 E A~~, STREET STE # City -S. s'-. ~~-u~ State M~/ Zip ssa75 Company .5~~~ Phone Contractor Address License ~~t`~~ Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber G~ ~ 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 ~ ~ ~ ~ BUILDlNG PERMIT TYPE ~ ' ~ro" --y~ yp '~i~.,.w~..+ ? O1 Foundation ? O6 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 0 19 Camm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 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) Basement sq. ft. MWCC System (Allowable) ~ lst F1. sq. ft. ~ 44'rP City Water ~ UBC Occupancy 1 2nd F1. sq. ft. ~y,~ PRV Required Zoning a_, Sq. Ft. total Booster Pump of Stories footprint Sq. ft. Fire Sprinkler Length 7D• Y On-site well Census Code !d r Depth ~ On-site sewage SAC Code ~ Census Bldg _L APPROVALS Census Unit ~ Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site C~ Faoting ~ Framing ~ Insulation ? Wallboard Final ? Oraintile ~ Fireplace Permit Fee vei~c;oo: S ! S5. tJdd 5urcharge ~ Plan Review /a-?~~~-p,~,,,,~ License MwCC SAC sy k~-7 ' lysd'K 6~f = 10o,~c~a City SAC Water Conn. ~ ~ ~-(iv,2 Water Meter 30 =~'fOX ~ 4 = C~ S,96v Acct. Deposit S/W Permit S/W Surcharge Treatment Pl . ~Q',!v v 1 L' y rd Road Unit ~kl,~ - ` Park Ded. S I~,r r6 ~ Trails Ded. Copies ~ Other Total: SAC Y SAC Units : N00~! Cs~lY~%C1l~ ~ORs SIGMA STEVE MACHACEK SURVEYINGi , 3ERVICE3 INC. f9'( l Seneea fbed •5~..~4e E• EP N:181~-3077 ~resz; ~{~Zq Raya~ Wa~.J o~~«~o~ ~wo vTiurr t~sircw*s u~~ ~p a,.i ~ M N M1W~M TMYf: . .J J 4 Ls 4 --i--~ I Ma ~c ~iqS.Ta~ow+gwMp~io~siw°T`S~iieK . ~ L~iii iMO w o~tN~ K~{NO {TIN[T \ ~ 1 M1 T_ 1 r~ • . ~ ~ i ~ ~ ~ ~ Ex;~i•,,,' ~'Ef""`~ r ~ ~ ~ 1'0 1 S6~'"~/; ~ ti ~ ,y^~ t~(~ ~M~,h~, . J `yG ~e oo~ ~s•, ~ s~,~. ~ ~ r ~ - ~ ~~y. ~E~ \ tin ~ ~qa:~ p~r~ Z r' 3,`i~ ' ~ 8'S ' ~~oD~ ~ Q~ c~ ~ k ,.~,Y ~ Q y~c °nf s s°ww- n, a~° 0 1 J/ y ~ yq \a~~• c. ~~l ~1 i. X • 1 ~ di' ~ . ~ O ~ ~ f S qy. ~ f io. - ` ` ~ . .~.1 ca ~ ~ f Ia1/ ~ `i~ ~ io ep ~ ~ ,q'l. ~ ' Oi4 o ~ ~ ' 1 ,pa• N'~I Q„ ON . ?t. \ aP ~ t ' ~ ~ * ~\y, ° .F '/a,.•~ ~ y O y ~ 44092 W~ / ~(k ZL\ ` ~ f-, ~ / ~ ` LOT .~'J ~ ProP~~:~ 9'\ ~'•ti 1\ ~a q~o~ ~ ~ % / A v, No~se•~ o ~l o1t ~o ~ ~ T~,~, . ~~7~ ~N1,°~ y~~\~m3A~j r1~~ ~eP~~~ V tl ~ `'6 ! ~ " ~ - - r K \ e x ,e? ~_Zl~ ~ ~ i q1.9 % ~ ~ ~ .C 'i7ro9E"41 S~"E c~-' ~tA'~ y9 /ti~ 1.~ ~ Y`995. 45.0 _ ~cp~Jn ~n~9g~~0% ~ ~ ~ ~ - ~~y1Fp.~ 1?' / ~ _ W sI ~ q°s~ i,,/ 1~ Zl . ! ~,y, /~~i y,•~~ V~GAN ENGII~TEE G DEP1: i S3 • / ~ V~ ~ , ~S . EA G A.N ,'I /~~S(~te(t~`a'\ ' ~?EVIEWED s I /s l.~ ~ r $ ~ \ ~ i ~ ' i u ~ - - i `~LE~~ Sc.ale s l ~`I~ %-wz . ~ y- . . p~ Denotes Iron Monument PROPOSED GARAGE FLOOR ELEVATION= o Denotes Wood Hub Set PROPOSED TOP OF BIOCK ELEVATION= xq9~.z Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= 9a7.U al~ (x~y~ 1 Denotes Proposed Spot Elevation ~ Denotes Drainage Direction *NOTE: Verify all Bldc~, ~imensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- ''Yr"~~' -SURVEYORS CERTIFICATION- Lot 9, Block 3, EA6AN ROYALE, I hereby certify that this survey, plan ar according to the recorded plat report was prepared by me or under my direct supervision and that I am a duly thereof, Dakota County, Minn,,:;-;;.,., Registered Land Surveyor under the laws of the State of Minnesota. : ~ Date: yI~31yY Wayne 0. Cordes, Minn. Reg. No. 14675 , ~E`a4~ ; t+~•cf[`iy Cl.a..~~ti -H:~.~~a.~ (~ie., ~~~Y~~~Qe l~OT sVROLY C![LCICLSST !CR ItLB2DLNTIl12~ ~ ~DZLDIIi !LRlSIT ~fFLIC11TZOli Y l~LQ~L-t ~ /J ~ ~ ast. es fuzv.p: ~9CIIlSLNT RT tani~na ~'~'fr y~2. ~ ~ / 0'D D • Aeqistezed Lnnd eurv~yer siqnatuz~ and eeapnny • B' 0 0 • auilainq pezmit ~lpplicant ' @'~ D • L~9a1 d~scription B~D 0 • J?ddr~ss ~O D • North anev and bar ieal• D~'O O • 8ouse type (tamblaz, valkout, split »/o, split eatry, lookout, ttc.~ D~ D 0 • Dis~etioaal draineq~ azrews rith slope/qradi~nt t. S~ D 0 • pzoposed/existinp s~v~z and vater •ervicss 8~ C 0 • Stre~t name ~ D~D 0 • Dtivevey ss.tv~rioa~e tx3stine 1~!' D 0 • Sewer service B~ 0 0 • Lot eorners Dr 0 0 • Tep o! euzb at the drivevay 8~ 0 0 • gl~vetions oi any existinq edjaeenL homes p:ebe.•e " D~D 0 • Cnraqe ileoz . D' 0 D • FirsL lleor 0' 0 0 • Lovest exposea alevation (velkout/winaow) P_'~ D • property oornezs i~ O D • Fzoat and zear o! bom~ et the ioundstien pODiDIPO 11RT71B fii an~lle~nl~1 . L~0 D • tnsement line ~ 0 D • ~i D~~D n0 ~ ponE ~ Ees3qnaiien Q o L~ezqaney Oveztlov tl~vation ~Itstxa=o~as ~O D • Lot lines t~ D 0 , Riqht-~f-vay anE stz~et xiEth (to beek ef enzb) proposed ~ome dimenslons ineludinq ~ny prepos~d ~~cks, ovezhnnqs 9:eeter tAnn 2', porchcs, ste. (i.~. a11 structuses requiring permnnent tootinqsy • @~D D • 6hev all enaements of teeord and eny City utilities vithin those ansements 0 • Setbaeks of proposed strueture and setbnek of adjseent existir,g homes , . D D~ • Retainin 11 zequizements, ii ~ny Reviswea:_ ( ~ ~o 0 S8W 2t35 9 ' I I S& W 2+ 60 ~ 2~~ 31.6~ ' i ~ ~ ~`I`701 ~,I ~ ~ ~ ~ ~ SERV ~STA. 2t75 MH ~ Ir 1~ - ~ 69' 5 ~ ( ~ ~ 1 ~ ~ ~ 1 ~ - - - { ~ L ~ ~ 3 3 2<~ ` , ~ ~z 8 E'VC. ~ i . i 8 . ii j ~ 52+70 68.4 G-- / ~ 28.5' ~ ~ ~ i i 19.9''~' ~ i . i~ ~ 6 /HY~. ~ ~ GND. 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Ca `b ~/g'~(~`fP, ~,'D~ ~ 4S 5/g'~l~`!P~ FSD . .4~ R-'~aG~I.L.VLoSE. .oa F~(~, gA'!'T"'a ~S , Do Yz~~PL`~i~.~04p ~I.OZ /2~~PL`~V•tOOL7 ,C.oZ 15'~ ?'-~:.~.T ~ 0 (a I ~ # . a to 23s ~~f~a~.T 2~S ~~flr`n~° , 4~- Sl-},?~c~~.~.s , 4 4 ~Nt~~~ ~.T~~~~~?- ~4t~... ~~i~~r1 . ! 7 ~~T~'-~~X~'-- F«M ~ I"1 -('tiV- r}Oe 42 R,~- _ ~ ~'2 ° ~~q" w= ~XS:~~tY,th:iY~k~CM%tYF~t~~*~F:1~ ~X %ici~rk~ ~ ~km~k~'Nc*~ ~;~X~~CX<Y.tk1k G]:TY 0=' ~AG4tt ^F~SHIF_F : fi TERM!1~A;_ t~0: i r i Pf9l'F~ 107/0'r/`~~ TIi~?:'e "6a`.74r~f3 ?I~ a h~1i~E":, ~L.~£FiOFqH ~?i~V M(~CFf~CE!: 3^c:! 0'JDOii 4329 201'(iL E I+:~Y 50.U0 2i5,`., 9p01 xr92'7 FOYALE ~4AV ef10 ;~?:l'r? 9C~(]i~i 43E'9 FC!Yf•t~= MIAY cO.Oq r. ~a Tot~l. kecl?:i~rt Aro~„n::e i1.U0 :Rn;~4.E,[,~3 U~Ffi ILi~ ~+Ai~CV >~Y•`~~,:9d„k,$<~Y,<r,c>8*%~~?k:kX~~. ~;"oXK:~FW.~.~mM~fm.v;rM>Fk~'~x~KW ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: 8 u I ~ ~ I N~ Eagan, Minnesota 55122-1897 Permit Number: 032415 (612) 681-4675 Date Issued: 0 7/~ 2/ 9 8 SITE ADDRESS: 4929 ftOYALE WAY L07: 9 BLOCK: 3 EAGAN RQYALE P.I.N.: 10-22475-090-03 DESCRIPTION: By~ d.~Y"~"`J~:',~,Permit Type BASEMENT FINISH ~~#~ltl~i~g ~~,rk Type ALTERRTION ~en~[t~ Ccsd~~`~~k 434 ALT. RESIDENTSAL ~ : ~~_m. e ~ . ~ ~ ~4 ~ ~ ° ' a, r~ ~ ~a~ ~ ~i. a. a. ~ ~t3Et ~ d ~`Y ~~~"°'~rz3 ~ ~R-ya~ p n~6M~ ~ ~ ~ ~.Y ~ ~ J k t _ ~~v ~E P j . r~}'~.,~ F E Li '.br` b~"AP- b~ P' Sa t3 ,~9+'P £ ; % ~ 3~x aEw' ~ ~ts n ~'~t . r2f b... £,E~,s~ ~ ~ i t~€ w. p'~.x.~..~ ,,~A• ~~Y~-aE 3 d ~ ~°~p v`w"~•~x.ra+ea~ #swk ~ig ^c:+v. d.r t~.e%pt REMARKS: PLHN REVIEWE~ BY MIKE BARCK CflIL 445-2846 REGARDING ELECTRICAL PERMIT AND INSPECTIONS 5EPATA7E PERMIT REqUIRE~ FOR ANY PLUMBING WORK FEE SUMMARY: Base Fee $60.00 Surcharge ~.50 Total Fee $50.50 ~ CONTRACTOR: OWNER: - Applicant - MACHflCEK pEBORAH 4929 ROYALE WAY ' EA~AN MN 55122 (612}688-2930 ~`tr~rehy aak~~tw~,ed~.~k "CF~~~ ~ h~va ~eacl,t:h3S appitoatirskt'snd state.t~t~~ the . '~n~cxrm~~=ia~ i~. aore~~t and' at~re~ ~o ec~mp~~i_ ~i~h a2~_appli~:~bl,~ ~~e~e a~ Mno ~ ~",~'C~'~€+~~is ~.t1d ~i~g c7"~' Eag~rF. Ordin~nGe5.'. . . ° -a . . - ~ ° o:-. _ . . ' " a,.:; . _ . .u . . _ _ . _ _ . ~ . . _ ~ ~ . _ _ ._d . ..,.J~ . APPL lPERMITEE SIGNATURE E~ BV: S A RE ~ BUILDING PERMiIT Aji'PLICATION (RESIDENTIAL) ~~0~~ ~ CITY OF EAGAN 3830 PILOT RNOB RD - 55122 681-4675 New Construdion Reauirements RemodeVReoaii Reauireme~ts ? 3 registered ske surveys ? 2 copies of pian ? 2 copies of plans (include beam 8 window s¢es; poured fid. ~sign; etc.) ? 2 site surveys (exterior etltlitians 8 dedcs) ? 7 energy caleulations ? t energy calwlations for heated additions ? 3 copies of tree preservation plan 'rf lot platted after 717l93 required: _ Yes _ No DATE: L7 ~ r~ A~~~ CONSTRUCTION COST; DESCRIPTION OF WORK: T~ n+~ ~ i~-t ~D~'1e/Y~e~~~ STREET ADDRESS: I ~ ~'~-e- Q LOT: BLOCK: ~ SUBD./P.I.D. ~ Name:~Ca!'~'~QC'P~ ~~~?~.I---~~`~l~e,~ Phone#: V~~-t333~ PROPERTY last First OWNER ,r q StreetAddress: I ~l 2{~llQ~c_ WCu c~ry ~a p,_ sr~u: l~"1 zsp: ~-T' l 22 Company: fl-E~d $ ~ ~1~ Phone LO D v 3 ~ CONTRACTOR Street Address: License # City State: Zip: ARCHITECTI ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new constructio~ only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree Oo comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ~ ~ 0~~ P~~/y Signature of Appli n. t, ~yl ,~S n 1 OFFICE USE ONLY D~~ r' 0 V~ Certificates of Survey Received _ Yes _ No I JUN 3 p 19~8 Tree Preservation Plan Received _ Yes _ No Not Required ~ OFFICE USE ONLY ~ ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ~33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actualj Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code D/ Census Bldg _L Census Unit D APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ ~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit . 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ~ TotaL• °h SAC ! SAC Units ~ i:, ~ . .~..~.....~n..----°.`~~'' aTV use ow~v L ~ BL ~ RECEIPT#: ~'T~~~ SUBD. QGt.('~?.sv I~-~. RECEIPT DATE: gJ 1998 PLtJN~ING PERMIT (RESIDENTIAL) CITY OF *+ar_nn~r 3830 PILOT IINOS Rn EAGAN, tAi 55122 (612) 681-4675 Please complete for: D single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.D0 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum - t 3.00 x = Rough Openings 1.50 x = Wate~ Softenef ' for dwellings under construction 5.D0 X = Water Softener ' for axisting dwelling 20.00 X = U.G. Sprinkler ` for dwelling under const. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = AItBf2ti0ns ' to existing residence 20.00 = v.~ Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refur6ished systems) Private Disposal Systems ` Abandonment 20.00 ' _ RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL 2 b.~ . I hereby acknowledge that I have read this applipGon, shate that fhe information is cortect, and agree to mmply with all applicable Cily of Eagan ordinances. It is the applicanYs responsiGility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activdies to the facilities construMed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: `r~ o~Q~ ~G'.N OWNERNAME: ~eUC.- ~1~P~h1,~ N15~C11QC2~ INSTALLERNAME: ~}po~t~ TELEPHONE#: ~~~"a~~~ STREET ADDRESS: + ~ CITY: STATE: rn~ ZIP: SS~~ 2 IGNATURE OF PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998 ~ , PERMIT ~o~ . CIT~( OF EAGAN ~/~3,~ ~ 3830 Pilot Knob Road PERMIT TYPE: ~ u x ~ o s N ~ ~ C~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 8 7 (612) 681-4675 Date Issued: 0 8/ 2 2/ 9 6 SITE ADDRESS: 4929 ROYALE WAY IOT: 9 BLOCK: 3 EA6AN ROYALE P.I.N.: 10-22475-090=03 DESCRIPTION: ~uilding-,Permit Type DECK ~Building I~o.r,k Type NEW ~ Ce:nsus Cade 434 ALT. RESIDENTIAL ~ ~i_ , ~Q ' ~ f ~7 ~ ,u~~. ~ ~ { > . } _ ~ ~ ;r , } . :W ~.'e ~ '~S ~,>~t. d/ - i i~ ~r ~L. ~ . , ~ . `r`°_'~.;%"ti::..~i :~i . 1 REMARKS: FEE SUMMARY: Base Fee $45.00 COPY $.50 Surcharge $.50 Total Fee $46.00 Subtotal $45.50 CONTRACTOR: OWNER: - Applicent - MACHACEK STEVE 4929 ROYALE WAY EAGAN MN 55122 (612)688-2330 I hereby acknowledge tfiat I have read this application a°nd state that tfie infiormsti4n is carrect and agree to comply with all applioable State of Mn. S tutes and C3ty`ofi ~aga=n Ordinances. ~ ~ ~`-t'~° ~ A LICAN /PERMI EE SIGNATl1RE ISSUED : SIGNATURE ~ CITY OF EA(3AN ~ 3830 PILOT KNOB RD - 55122 ~96 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ : rA~ ~ ~ 681-4675 . " ~ ~ New Conatruetbn Reauirements ~qjnodeVReoair Reauiremenh ? 3 regislered aite surveys ? 2 cropies of plan ? 2 copiee ot plana (indude beam b wirMow aizes; Rwured fid. design; eto.) ? 2 sfte surveys (ex[erior additions 8 decks) ? 1 energy calcufellons ? 7 energy celculations for fieated addflions ? 3 copie6 oT Iree p~eserwHon plen M bt platted efler 7/7/93 ~ required: ~ Yes No DATE: O CON5TRUCTION COST: l~~ DESCRIPTION OF WORK: STREET ADDRESS: Y ~z ~ LOT BLOCK J~ SUBD./P.I.D. ~~~I,~~~l~a, PROPERTY Name: M~~~~ Phone ~~`~~Z~`~ OWNER . "'°y~2 ~`f '°'°w~4i Street Address~ City: ~i~~'i'~- State: M'"y Zip. S5~ z~ coN7w4c7oR Company: S~"'f*. ~ Phone Street Address: License City: State: Zip• ARCNITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permR is issued. 1 hereby acknowledge that I heve read this application and state that the information is coRect and agree to comply with ali applicable State of Minnesota Staiutes and City of Eagan Ordinances. Signature of Applicant: f~[~C~COMC~ OFFICE USE ONLY s~~~ ; ~r~ Certificates of Survey Recsived _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY k. ~ r~* ~ BUILDING PERMIT TYPE ~ 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 5wim Pool 0 03 SF Addition o 0$ 8-plex o 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex `s~15 Oeck WORK TYPE 1 ~31 New ? 33 Alterations o 36 Move n 32 Addition o 34 Repair o 37 Demolition GENERAL INF~RMATION ~ Const (Actuai) Basement sq. ft. MCNVS System ~ (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. fl. Census Code. Depth Footprint sq. ft. SAC Code ~L Census Bidg ~ Census Unit n APPROVALS Planning Buiiding Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: °k SAC SAC Units ~ ~ ~ ~~wv ~ . F. % SIGMA STEVE MACHACEK SURVEYIN~ 3ERVICE3 INC. 19'I 1 Seaeaa RoeA •Sw4e E• / : (61~ 2M j 1~52 ~77 ~ fefS ~ oe.w~a[ ~wo unurr taswtrr~ ~ut . wuww r~uv ~p I M~ I J ~ ~ --L-~ I ~iac~Iiu~Sws"So"'~"A~"~w~~w°~i'i~e~~ ~ ~ ~w~i ~i ~~ww"awiMiK~i. ~ "~[T • V 1 i r, ~_.^.r ~ / ex~f+:^, 4~~ 1 O ~ S'~~Or~~~ ( ~qFti ~Wuw ,~1 ~ ~ ,y^~ ~g ~ J v~°~ ~^~,;,f,,. , ~r~- - ~,e' a `~s'' as~" ~ _ a~o0~;`~ Fw`.Ea ~ Ma ~(~ti o k~'G.r ~ CO . Y.q'{0 (~r~ o ~ a ~4~ ~ r w~~` T C' v k'~ S ~ ~ , o Q~ cs v> ~,a ~ L~ ~r s~„e, ~ i _ C~ j Jl o ~ ,r ~ c, ~ . 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T.c. \ aP ~ ' E ~ ~ * ~ ~ s - avo.9z ~s~c `'j , Z.` r~ ~ r ~ ~ i ` \ : ~d.`o,~. ~ ~ \ ~DT .~'~f Prop°~~ i~.o xaq~ti ~ i' ~ g vo`~ l~ N~~~ ~ a 4 \~0~ qT1~~ \ ~ ~ ~ ~ 1Ap, r~/ ~ V N ~ ti 1 iw/ f' / ~ ~ , ~ X ~1',~ . - - \ a/ a ~:b , ~ \ c~t~' ~ ti~° ~ * ""O~zl'b/ ~ . ~ "N80°4i s~"6~ o~-- dP ~ y991.9 ~U~ ~ ~ , O ~ SI'99s.y 45.0 5-~yk~ ~1~1~°% ~ ~ _ ` - - / ~1f~~~ . a{ °P D - I ~ ,I ~ i ti' (~GAN ENGINEE ~ rcF;,,° G DEPT. ~ i ~ ~I / ~ v~ G~ 'I o~~y~ EA G A.N ~ / {~ter ~tEVtEWED ~ \ Sj S ~t a • , - s~: r-z~ ~ ~cLE(iEND- , ; I q~ y ~ p~ Denotes Iron Monument PROPOSED fARAGE FLOOR ELEVATION= o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= ~ 7'~- xq9i,z Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= ~~~'U ~j~~ t+~`~±'~•~ ) Denotes Proposed Spot Elevation ~ Denotes Drainage Direction *NOTE: Verify all Bldc~. Dimensions and ~ Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- Lot 9, Block 3, EAGAN ROYALE, I hereby certify that this survey, plan or according to the recorded plat report was prepared by me or under my thereof, Dakota County, Minn, direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. _ ,1.~ Date: ~I~31kY Wayne D. Cordes, Minn. Reg. No. 14675 ~FI+S y<<i i ~G I~`~ f~.~'v.c c~, f-~~:-tfV; y~ ~ ~'14~. ~`~`.:1~~~~; . J~J•Sp ~ ~ ~ ~ ~ ~ ~ i ~~u i I1 u MAY 2 2 2008 ; ae~man: ~Jl~%~'' i City of E~~aIl ~ ~ ~ . Permit Fee: 3830 Pilot Knob Road i i; Edgan MN 55122 I ~ate Received: ~ Pfione: (651) 675-5675 ~ ' j ° . Fax: (651) 675-5654 _ c. ~ Staff: r' . 2008 MfCHANICAL PERMfT APPLICATION Date: s/$~o O~ Site Address: T C~/ o~~ Tenant: Sulte ~ RESIDENT ! OWNER Hame: ~ L L Pr+v Po27 Phone:~i5(^ t/$Z - 73 90 Address / City / Zip: T o' RL~L~ G(lr¢ ~gG MN S/ ZZ- CONTRACTOR Name: ~ {~z~C ~{~4q-> ~ Lic~n`yse F~L~S~i~~Z. naa~ess: /9v~{ (1~zu-tr~uo~ S~ City: 6~7~7"~MJ95 State: Zip: ~Sv~' Phone: lnJ~~~y37~~~77 ContactPerson: ~•A~N~c4~~f--L- TYPEOFWORK -New ~Replacement _Additional _Alteration Demolition . . . . Description of work: 4c 1~Yi~4c a! ~ i~ ~~z° ide'h~~ . ~~~~N~*E' 8o~h4r`pQ7amounted=an~r~uod avr~~Fe~nrtec?tgnrca~"r~~n "~t~~~K'~q~tl~to"k~ ' k ~5 w t~' l~ a n .v"~ w.~` r ii ~ a~v`~ ~ ~ `Y x~5 N4"~" Rrr wY.%~ V+{, a~^4@; ~fie screerred~b}qCity Cnde~~P„l~e~se~er~~ttac~~M 1~~~ s~ec~t~, or one oE~f~r~,~~'~ ~ ~.f_~,~~~.` d° '*`~~,.=P/snnersifvr~fnPorrri~6roi~cicr~ erme~fedsctdee~ei m . et~rods ~ PERMIT TYPE RESIDENTIAL CQMMERCfAL ~ ~ Furnace _ New Construction . _ Interior Improvement Air Conditioner _ Install Piping _ Processed _ Air Exchanger - Gas - Exterior HVAC Unit ~ HVAC units must 6e screened _ Heat Pump Under / Above ground Tank Install / Remove~ Other " W hen installinglremoving tank(s), call tor inspection by Fire ~ Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire ~epair-(replace burned out appliances, duciwork, etc.) (includes $.50 State Sufcharge) . $ .J~ •Sd TOTAL FEE COMMERClAL FEES: $70.50 Underground tank installation/removal OR Contract Vaiue $ x 1°/< $50.50 Minimum (includes State Surcharge) _ $ Permit Fee ~ If Permit Fgg is less than $7,000, surcharge is $.54. - If Perrnit Fee is >$1,000, surcharge increases by $.50 for each State Su~Chafge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a 51.00 surcharge). _ $ TOTAL FEE I hereby acknowledge [ha[ this information is complete and accurate; Ihat the work will be in confcrmaoce with the ordinances ard codes of ihe Ciry of Eagan; Iha[ I understand (his is no[ a permi[, but only an application for a permi[, and work is no[ to siart without a permi[; that the work will be in accortlance vnth the approved plan in~~th~e .c(ase of work which requi~es a review and approval of pians. ~ x itJ ~~~v~ ~•k~..~~o~-LC; X ~,~i~ , ApplicanYs Printed Name QN~. ~u.~ ~ry~,~~ ApplicanPs Signature - ~a ryl>t 3 x~~ .m~bw r t tceaii3'i r t ~ ~'rS+~"," +ct ~^n~'r ~ k ""~`~'jr . F,OROFPICEUSE ~k 4, ~iZ ~~~~`ip~..F„~~s:. q~„E ~'uReViewe,tl~y~' ~ mx~ ~ ~"M~:e,rt '~Date ~~S~ x~~§~ ~>s ~ a t~~ 1+'eJ i ~t ~ p "~s. 3 K 6 ~n ~+t fi z ~ a~`~3 °fit7'2~~~` 1E `4~~~ 1F" ~~„~j~i.~ ~"'~'a'a.~ ~~A'k~~~kt,':~? . Reqwredlnspeetions,~a,Under,GrouncP~~r -RO~3gE~In _qir7est„* GasSeruice~`t`e~satu.~,iFn''rflaa~He,~tt ,PifiaGi~~1~~e,~~~ 02/23/2010 TUE 8:33 FAX 6514378831 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a 002/002 Use BLUE or BLACK Ink EllifirdWA Permit #: X93 Permit Fee: £Z s Date Received: g Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant Suite #: RESIDENT! OWNER Name: 11 Ian 'd1.t .. Phone: `'CS) --1.380 Address / City / Zip: ‘49,19a.a. CONTRACTOR Name: t!\ail'\ 'Piton IILicense Address: Vfl t tion City: """" ii' State: Mk) Zip: 55333 Phone: 431.UI1/ Contact: 0.11110.. Email: t Qr na . pi 01 47 Eft" hotly Wits C0 v - TYPE OF WORK New Replacement Repair Rebuild Modify Space —Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater X Water Softener Add Plumbing Fixtures Main Lower Level) Lawn irrigation 11 ^ ( RPZ / — PVB) (_ _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $.50 State Surcharge) $_50 State Surcharge) FEES $ $30.50 Lawn Irrigation $50.50 Add Plumbing "Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Turnaround* (includes and $.50 State Surcharge) $,50 State Surcharge) TOTAL (add $166.00 if a 518" meter is required) New ($10.00 per as built) (includes County fee burned out appliances, ductwork, etc.) (includes 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.gopherstateonecall orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the Eagan; that I understand this is not a permit, but only an application for a permit, an rk is not to start wi acc rdance with the a roved plan in the case of work which requires a review and appy ai f plans. YtIttnirtd‘' MS I Ap(licant's Printed Name inances and codes of the City of a permit; that the work will be in Aplicant's Signature r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: / / / j (, 1 Permit Fee: /f1t/` Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: L-� -K. 51-33G3JJ �- 743f Name: �6e") i6Phone. side Address / City / Zip: t �1e Applicant is: Owner Contractor Description of work: Construction Cost: '? Multi -Family Building: (Yes / N ntrac :a1 Com pany.a/17- 2 (.� (64 Contact: e'L1'. �� Address'��C S ) Sr ��„� City: r�-C T`J State Zip: ��' Phone: e v Email: License -'5 Lead Certificate #: FC G� 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: ILS P#ansa nal Supp_ r ing doc risen#s tha#, r�u submit ar .co sidered o e p l c inforrnatio onions` e information may ibe classified as mon public �f fou provide sP +fic reasons that would per i# # e Cit t~ concludethat they are rade ,secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x prp3 0(011 -7 - Applicant's Printed Name Applicaryt''s'Signat Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUS 0 51016 r Use BLUE or BLACK Ink For Office Use (� Permit #: % of_ Permit Fee: lY L' Date Received: 3-c- / tP Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/' Owner Applicant is: Owner Description of work: Contractor Multi -Family Building: (Yes I No Company:f � f Web/1'rC/'/`Cre Contact: e4-r7 jj ! 'f3 Address`b, �"j (jO� �� City: -ii ii`-' gefif State:m~Zip: Phone: '`O Z Email: License #: �( Lead Certificate #: 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 and supporting documents thatyou submit are considered to be public information. Portions>o the information may be classified as non-public if you provide specific reasons that would permit the Clty', to"' conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code ust be completed within 180 days of permit issuance. x,%�l %' = wi" G' " Applicant's Printed Name x Ap icant's Page 1 of 3 DO NOT WRITE BELOW THIS LINE k (D(9, SUB TYPES 119 aci lei 13C AL1 Fireplace Porch (3-Seon) L1_ Exterior Alteration (Single Family) %/Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows emolish Foundation Replace Repair Egress Window ✓ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation S'o v, a -c.) Occupancy IXL-- / MCES System Plan Review ,�' Code Edition Zalr/W c _ SAC Units (25% 100%_) ,/,. Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings / Length Fire Suppression Required Type of Construction V + & Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) V Final / No C.O. Required Foundation Roof: _Ice & Water _Final Pool: Footings _Air/Gas Tests _Final V Framing ✓30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows / Sheathing Retaining Wall: _ Footings T Backfill _ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control Shower Pan Other: HVAC Gas Service Test Gas Line Air Test Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Lfc f v� D TOTAL 66. YO Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159638 Date Issued:01/07/2020 Permit Category:ePermit Site Address: 4929 Royale Way Lot:9 Block: 3 Addition: Eagan Royale PID:10-22475-03-090 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. 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 - Timothy J Soedarjatno 4929 Royale Way Eagan MN 55122 (612) 770-7809 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature ` R.ECETV.I�� rFor Office Use n a r /6(s L/7 EAGAN ��� +� i r`� ::::e SEB 072020 �f: /q-5-' Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 i FAX: (651)675-5694 Staff: buildinginspections(a�citvofeagan.com 2020 RESIDENTIAk BUILDING PERMIT APPLICATION Date: Feb 7, 2020 Site Address: 499 Royale Way unit#: Name: Tim Soedarjatno Phone: 612-770-7809 Resident/ 4929 Ro ale Wa Eagan MN 55122 Owner Address/City/Zip: y y' g Applicant is: Owner ✓ Contractor ° w Type of Work Description of work: Roof top solar photovoltaic system Construction Cost: 15000 Multi-Family Building: (Yes /No 1 ) Company: Mouli Engineering Inc contact: Mouli Vaidyanathan Contractor Address: 1230 East 115th St city: Burnsville IState: MN Zip: 55337 Phone: 612-424-517_6Email: mouli@mouliengg.com k BC753116 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: czA t 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: 1 Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. Digitally signed by Mouli X Mouli Vaidyanathan X Mouli Vaidyanathan Vaidyanathan Dale:2020.02.07 13:18:23-06'00' Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE —1 J 0 P)ovA-le Lal /‘o/' SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) MIngle Family _ _ _ Exterior Alteration (Multi) ulti _ Deck Garage _ Porch(4-Season)Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior )(Alteration _ Fire Repair _ Windows _ Demolish Foundation I Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION .-- Valuation a Occupancy ,„MCES System Plan Review Code Edition r _ fl 5 SAC Units (25%_ 100%k ) Zoning / I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ----V6-- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) )6 Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final ^, Framing 30 Minutes 1 Hour Drain Tile Fireplace: /Y_` Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall: _Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11/ , Building Inspector RESIDENTIAL FEES Base Fee v//�� 244/1 Surcharge Plan Review 40141;7292 4.' MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge 7Cl/ Treatment Plant Radio Meter Read / Copies TOTAL Page 2 of 3