531 Majestic Oaks CtV CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
. ,. ,
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. ? ? .. ii
TYPE OF WORK:
INSPECTION .. . .A
I i AN ht VIEIIi 1) FsY IiA'!Ni Mll l l H.
1a NI I't 11MItt R I". 1'F f hJl F'I lIM1t 1 Nii F'itoNf K( W: t) 437 _.'Ila.";`'
3c/,c/ 7 aeff,n?+ad.r oate r.lephone •
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
f?)
FOUND z?
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
Alfl TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
NYDROSTATIC
TEST
BSMT F.I.
BSMT FINAL
DECK FTG
DECK FINAL
Wertificate of Cccupanc?
(fi" of Wagatt
Meparhaeut of Ouiibing 3napectinn
T'1t?Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the trme of issuance this structure was in compliance with the various
ardinanres of the Ciry regufating building constructiare or use. For [he jollawing:
Ux Classifintion:RF M Bidg Permit No. I.W.
?(yOccup-yType _R3111I ' Zoning Disaict R I Type Const _VN
Owner af Buildin6rEmsm }AIC im Admcss I Q_jKM Sj, i''AE??
ewiaing aaa? 5't I MAt= plKS [YiiRT Lowiry TS R I??SIT? f1ARG
l'/% ?/ /? l
Dm:
etfiwing arxi2d ; ; -
POST IN A CONSPICUOUS PLACE
Address 531 RAJEsrrc oAKs ?tr Zip 5512
Lot 8 Blk i Sub mnTpc-rrrpnuc
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside fawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Conuactor Copy 0
City of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?________________...?
? Pertnit #:
I PertnRFee:
I I
? Date Received: ?
I ?
I Staff: l
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 53/ Al 1 - C S e/
-?- `
Tenant:
Suite #:
RESIDENT/OWNER Phone
-17
N
:
ame:
f /1- `
MV5
l
Address / City 1 Zip: 1
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description ofwork: k? - W
(Yes
/ No ?
B
ildi
t
i
lti
F
il
C
d' Z?
_
u
ng:
ons
ruct
-
am
y
on Cos
U
CONTRACTOR Name: 11"c n e #:?J?
1?6
Address:
? l/
City: te: Zip:
?`.?????-SI?S
Phone: Contact Person: 319? 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 8 Water Contractor: Phone:
? NOTE - Plaiis and?supporti??g t/ocuments that?you st?bmrt?'aie! consrdered #o ba public informafion ? ?Porfions of
the'iritonnation
may be?lassifred as non publ?e if you,provide,speciFc;reasons that woultl perm?t t/te City tv :
r
.?
ifi,° A?•crrncludefhafthe efradesecrets''IIC?I'?
i hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 wor is not to start without pe it; that the work will be in
accordance w'th the approved p i he case of work which requires a review and approva pl s,
x AEAV ? ? ??5? ? x ' ?' ?
Applicant's rinted Name ApplicanY ign re
Page 1 of 3
PERMIT
? CITY OF EAGAN
` 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: i o:r ;v C.
Permit Number: (3 3•a 47 4
Date Issued: 0 2/ m 2 f 9 9
SITE ADDRESS:
I'_ T _IV.: 1.0-4 7:10 0-0 80 --01
531 MaJFS-rrc oRKs riLoT: 8
MAlE$l"TL" bRKS
DESCRIPTION:
--
6uildincr' Permii: TyPs
Buj.i.dinq 4Jvrf< 7vpe
!UsC Oceupanuv"-,
Coristr°ucfiion 'Cy(i-?
% ZQrtintt --
8{?ild.ir?c? C encath ?
Bui.Lciiny Width
[? ?! J'
• . .J LIA.? WYL Y? F F'? ?' "r^ ?t '
`/?.,
S F DWG
NE 6J
f?_3,U_-1
VN
ft-1
6 9
68
F
?_,M8?
101 1 - FAId. DETFlCFi
'i
? _.,.. .
REMARKS:
Pf_FlN fiiEVIL'tJE D hY Wn,l'N:: "i:l!_!.t_R.
S& WP I_UM1`3 Eft 7:S PETME P LIJM filNG PH UhIE 14 (651) 437-5532.
FEE SUMMARY:
VALUAl-ION
8ase Fee
Plan Review
5urchai°ae
SFlC
S A C a
5AC lJriit,
Subtotial
$ 1 ,6 4 8 95
$1. 071.82
$10So5o
$1.P5@.nfd
100
9.
-$Jn8I9.L7
$ 2J.7 , 0 0 0
hIISC. FEES
COPiES
To ta]. Fee
t 1.637.50
$5?G:1.7.77
CONTRACTOR: -Anp1 i c a nt: -- s T o L :C c. OWNER:
PFDERSUN HOMGS 14602412 0001466 PFCIE:RSQIV riOMES, IhIC.
310 TMIftCI ST 310 Ti-ISRU Sl"
f A RMSNGTOiA MN 55024 F ARMIf'dGTqiV i"4N 550 2 4
(612) 460-2412 ( 651),1ti0 -241'2
?
I herebv ackncawleciee tiiat ZhawP r2aef thi^> applicatidn i?.nd state thaC the
i.n`Pormation is ccsrrert. and arirpe to eomal,V with a1.1 aoclicabLe STate ai P1ne
Stortttes and C i ty ot Eaqan 4?rd? nances.
' APPUCANT/P MITEE SIGNATURE
SUED BV: SIGNATURE
I
czrv aF FAGAN
CAaHIEh: S TF_RMINAL Nll; 809
nFaTE: Q2/0.3/3'_'3 TThiF„ iQai8:51
II1w
NAMEe PELIEF.SON HCIi1ES :[tdtr
2256 9001 531 MA 1F_'ST.T.C OA 5 y 5'1 r. i 7
1"ntal f;Pr..eipt Rmoian+ n 57517.77
CRiU?3Gt]
USfF IL1: NANCY
?
1998 BUILDING
? t--E `4 -1 1-'-
New Construction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 5??
681-4675
RemodeVReoairReauirements ca-XxXE'J a-- I -? I
? 3 registered site surveys
# 2 copies of plans (inGude beam 8 window sizes; poured ind. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan H lot platted after 7/1l93
required: _ Yes _ No
DATE: k ` Z1 " 91
DESCRIPTION OF WORK:
STREET ADDRESS:
r----
5 C, 1
LOT: 0 BLOCK: } SUBD./P.I.D. #: C) C"?S
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: `I ZAAe- (S or1 4C?.S , Ll C, Phone #: us I" y" t-o iD - Z y ? Z--
Lazt Firs[
Street Address: -:?5
?-- `- ^ '
City ?' G?,Q•YYl ? ?'1 ? 1'?7'? ` State: r?) Zip: ? C7 Z?
Company?e-C`?P? S ?'l ?C7`?Y\ C S ?lL- Phone #: ?o?J\ ' ? ?o ? - Z?-? \ ?
Street Address:3\ l License # 1 -A `p `.D
City ?G`?ZVY11f1?o?X1 State:
Company: JGIa"Yl e, A" CXJC? C7 Phone #:
Name: Registration #:
Zip: `?JJ l7 Z ?
Street Address:
City
State:
Zip:
Sewer 8 water licensed plumber (new construc6on ony):TCA(\f. 4,-Lm\0 4' ?? T?O : Penalty applies when address chang
and lot change is requested once permit is issued. ?S 3?7_?,
I hereby acknowiedge that I have read this appliqfion and state that the infortnation is cojrect and agree m dh all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of
OFFICE USE ONLY
Certificates of Survey Received ,,-'?Yes
? 2 copies of plan
? 2 site surveys (excerior additions & decks)
? 1 energy celeulations tor heated addRions
CONSTRUCTION COST; cD ti l , C)Q lD
_ No
Dl IE kQ-;; L-;?3 LI 0V L1
I+'
Tree Preservation Plan Received _,/-,?Yes _ No _ Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Muiti 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 O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) VP Basement sq. ft.
- 1999 MCJWS System
(Allowable) V A7
Main level sq. ft. 1612 City Water ?
UBC Occupancy u?V0R sq. ft. i 5 73 Fire Sprinklered
Zoning 112 z?A_ sq. ft. IrgS, PRV
# of Stories sq. ft. Booster Pump
Length 6/,sq. ft. Census Code. / O/
Depth ? Footprint sq. ft. 7 ff SAC Code
Census Bldg
Census Unit o?
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation:
SE $ :A17, ODC?
Surcharge aSf???
?
?N ? x 3? =?S?
Plan Review J`-
t l•?
C? a? 3 u)2 = / SG
License
MCNVS SAC x
I O So -C? 9' X H
-?-
z
--
City SAC 7,2,y
Water Conn. mei,t; j 7 ;ky
Water Meter X /40
Acct. Deposit / 69.Z 3Y K 5 y= `1/38(?•3Gy
SlVN Permit
?PpG2
S/W Surcharge , ?ay
ays=M?nt
Treatment PI.
Park Ded _ 1?6
' 13 x la -
_`?y9H1 '?
Trails Ded. `> 'n'
Other 651e)?
Copies ,60 33'0,
vc-oPy -,a x
Total: '? SS t?1 .'I '1 `l06 X
W-0 ?--?? 3 1 l
! 30 = /O/H,(o
S = 96
a = _ a3_
5?5,6 X16= rK 3?-
% SAC a / bj 5y ;? 96
SAC Units
/ J .
MII,TNESOTA ENERGY CODE
I-2 Family Residentia! Building . .
RESIDENTIAL ".COOKBOOK" WORKSHEET A licant Name _ Phone Datc . ' This building is a: . Statement of Campliance:
47,
? Cazegor
minimum
code
2
uildi
ng (
mcets
y
B Thc Qroposed building dcsigu represen[ed in
??u documentr is consutent with thc
?/
E7 q requircments
wash
fo
r a
u
tight
ncss au
d wind
barricrs) building plans, specifications, and otha
Ap licant Address n D
7` ? Category 1 Build"mg (mects all Category 2
- calculalion5 submitted with Eae pcrmit
a
lica[i
The
m
oxd 6
ildi
h
b
±
I . .
reqmmnenis, haz additional air tightnas, and a pp
on.
p
p
u
ng
cen
ac
-
dcsigned to mcU [he requiremrn[s oFihe
? y4 ? i- !?
F-A . t?? ,F T u*s£1 ,p ` M / Y Residential Mechanical Vcntilation $ystcm) Kmnesota En Code.
BuildingAddccss`
Plans must be.clearly marked with
?
? ? '/?? A' ?? •
?? insulation R-values, window and door U-vatues, '
- and heating and cooling cquipment efficiencies.
ApplicantlEngineer
lYIINIMUM REQUIREMENTS for "Cookbook" Option:
Entry Doors 1-3/4" solid wood w/ storm Ceiling with energy truss ": • R-38"* . Rim joist R-19
door or equivalent (7'/z" or more --#op plate to
Maximum U-value: .030 roofl
Foundation " 1/2" Insulated Glass in wood or Ceilin-, with low heel truss R-44' *
" Floor over unconditioned R-24
Windows* vinyl frame (7%
or less-top plate to roofl space
*Include squaze footage in calculation of WindowlDoor Area Ceiling-no attic • R-38 w/ R-5 sheathing
determine above gade WindQw U-Value. *'?Insulation Performance at Winter Design Conditions w'
?
Window and Door Area 100 x 0.5, z= 06 WINDOW U-V,ALUE :
As % of Exposed Wall Area Window/Door Area ' Gross Wall Area Window/DoIor Area Source: NFRC ? or ASHRAE 1993 Handbook
. . P?J??M VVINDOw U-VALUEs: y
Check Walt
Type Used
, . WALL TYPE
' . MAXIMUM WIINDOW AND DOOit AREA % OF EXPOSED WALL AREA
• 1 .
12% 14% 16% 18% 20% 22% 249/6 26% 28°'o 30% 32% 34%
TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0:47 0_41 036 ,033 030 0.27 0.25 0.23 022 020 0.39
TYPE B 2x4 framing, R-I S insulation, sheathing R-5 or greater. 0.52 0:45 039 0_35 031 0_28 026 0.24 0.22 021 0_20 0.18
TYPE C 2x6 framing, R-19 insulation; sheathing less than R-5. 0.48 0.41 036 0_32 029 0.26 0_24 0.22 021 0.19 • 0.78 0.17
TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 034 0.31 0.28 0.26 0.24 0.22 0.21 020 •
TYPE E 2x6 framing, R-21 insulation, sheathina ]ess ihan R-5. OSI 0.43 0-38 0_34 030 0.25 0_25 0.23 0.22 0.20 0.19 018
TYPE F' 2x6 framing, R-21 insulation, sheathing R-5 or geater. 0.58 0.50 0.44 0.39 035 032 029 0.27 0.25 0.23 0.22 021
1 his table contams interpolatfons of the values in the Energy Code, Part 7670.0475, Subp. Z.
cy?
. ' z F = ` -.. .?,• '
(SEE ATTACHMENTS)
Development
Lot Number
Address
Builder ?7
Block Number
-Piejt F S cr+ "J i .,,
Tree Protection Reauirements:
? Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
N
m
d
V)
to
N
N
M
N
a
N
?D
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s,7s?xfg} I ?
17 _?-
g? ` ,4 4B 9.0
?? PR?POS48FD
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w 52 e. 5? o
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12. 17
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Q io,9? -
Q \ _ I _ 60' f?
, ?-
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Z 40
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W ti
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T
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¢
hr
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f ?
?
/ e9
?
f,.
o = Proposed elevation
Proposea aireccivn oe arairage
Propa9ed garage floor elev.
Propased top. -??
Proposed lor?s;Zelev. - !`49.B
1 _ L°o Sanitar5'
3 ?e p
?
'I T e-rlow
9, r4bw
24.2? /
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C per ?an
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?
i ? ?ty Descr4*MtW:_
N 1
g G53 m e52.2 lot 8, Block 1, NA7FSTIC DARS, aocording to
21.5 ss .5 the remrd plat thereof, Dakota Cnta?t7f,
I 955.4 Mirtt)esota.
GAiiAGE O a1 EXISTIN6 li0ll6E
m N ff.5 ?o Also showing the location of a graposed Aouse
-? 959.9 Staked thereon.
22.33 957•J59. YYzeE Z? 3? ¢ Z o o Gn)c J f A V6
:
isg3oP? $ ZD?' o/4K ??'?oV'E
.
?956.9 ?• ot6-A 17AV95
955.6 955.6
7? g " 6ASAVE
g .2
R .
/ ` $S +
ess. i? f La 14.44 Rm 15.00
95e.a2'A ??• E An 55*49*00b
? M?'?W oMiy MK 1Q? 4,?.ry?, pl? ?DOrt ?a?
D+sO?rvpd Dy nm Or undw OM?rh10n aW
as
tl?M 1 n a Ouy\ I?^?a?$uMyO? v?0rr
v
oane C 61-28-99
i
°v?-?)"/?"?_% ? // Wl;i.?'?•'
OMnw M. Sclsoni / J
www,.sas n.o:nmron ?w. SeQS
?'! I
?.- .
. certificate of tbnr;e U)cation Pnr:
.. PO*"on Fiomes. [nc_ H9910
0 194/9
a
DELMAR H. SCHWAN2
L"0 ]N1KVORS. IwC.
?rr..r taw ?... s e+e sr. a w.wm
y4730 SOtfiM NOeERT TRM1. RpnEMOUNT. MINNESCSA SSOeb 651'162117E0
SURVEYOR'S CERTIFICATIE
N
?
N
N
? ?? ?
e PrcPe=tY dlddrESS: 531 Majestic Oeiks Trail ?. q°s ° Nji
; _.
?
U ?
i
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= AS? Nj ?
u ?Ty ? M??/ •
a
Q?AIpaGF-
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z :; ?' ? 1
w
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a
c=i
9, 3,
? ^ ? y
., .. , 9
?p.
N L 0 T 8 Scale: L inch = 40 feet
z ?
•= Imn pipe monuient at lot CCTners
BLQCK 1 ? O= tron piPe at buiiduig offset
• ? qo? = ESdstinq spot elevaticai
• / ,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
?
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a z
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?
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? ?? ?
?H' ? . ?
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o? ?
PROPERTY LEGAL:
.
.
.
.
.
.
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E!r' ? ? •
Ci' ? ? •
Q-? ? O •
ET'? ? •
E:f, ? ? •
C? ? ? ?
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Q? ? ? •
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cr' ? ?
- •
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Cd' ?/ ? •
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ar ? ? •
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DOCUMENT STANDARDS
T?? ? 7 \
Registered Land Surveyor signature and company
Building Permit Applicant
Legaldescription
Address
North arrow and scale
House iype (rambler, walkout, split w/o, split entry, lookout, etc.)
Directional drainage arrows with slope/gradient %
Proposed/existing sewer and water services & invert elevation
Street name
Driveway
ELEVATIONS
Exis in
Sewer service (or Proposed)
Property corners
Top of curb at the driveway
Elevations of any existing adjacent homes
Proposed
Garage floor
First floor
Lowest exposed elevation (walkout/window)
Property corners
Front and rear of home at the foundation
PONDING AREA (if applicable)
Easement line
NWL
HWL
Pond # designation
Emergency Overflow Elevation
DIMENSIONS
Lot Iines/Bearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e, all structures requiring permanent footings)
Show all easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing structures
Retaining wall requiremenl" anyA ?
Reviewed: ?
Na,.,P - / Date
.
,
January 199B
CRAIG199818LOGPRMT. FM
DATE OF SURVtY:
LATEST REVISION:
**************************************.*
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 003
DATE: 03/30/00 TIME: 09:53:46
ID:
NAME: HABITATS MINNESOTA INC
3210 9001 531 MAJESTC OAK 60.00
2155 9001 531 MAJESTC OAK 0.50
0
i
Total Receipt Amount: 60.50
CR125441
USER ID: JAN
******************************,r,r,r******
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
1 ' 3830 PILOT KNOB RD - 55122
? l
'--t (' 651-681-4875 New Conthuclion Reaulremenh Remodel/Renair ?uire m a n t s ?' a9
-G
> 3 reflisfered alte surveys showinp aq, ft. ot bt, aq. H. of house 2 copies oi plon
and go roofed areas (20% maximum bf coveraae aliowed) 1 set of energy CalculaNOns for heafed addiHona
> 2 coples of plans (show beam & window alzes; poured fnd. design; etc.) 1 site survey (or extedor addiHons d decks
> 1 sef o( enerqy calculaHons
> 3 coples Ot hee preservaflon plan If lot platted after 7/1 /93
DATE: --10 1-(A2 Zcrx)
a5
CONSTRUCTION COST: ?Icoo ?
DESCRIPTION Of WORK: D"=c:tC-
STREET ADDRESS:
LOT: _.? BLOCK: I SUBD./P.I.D. #:
Name: N/?r r. r' c>M Phone #: i? l- Zt?F? -? 5?/?
PROPERTY Firsi
OWNER
Street Address: ---,4 Uc_
City
State:
Zip:
grL?, kfc-avsc#
Company. Phone #: ?5 Z -?:`71- j1/ /
(area code)
COM'RACTOR /-
Sheet Address: 2 1??t7;F4o??j&- 'L /'2cL? License # c?S 1 Exp.
Cly State: k1Al Zip:
ARCHITECT/
ENGINEER Company:
Name:
Telephone 11: ( )
Sheet Address: Regishation #:
CHy
State:
Z1p:
Sewedwater licensed plumber (if instatlina sewerlwater): Phone M (-1
I hereby acknowledge ihat I have read this application, atate ihat the infortnaNon is cortecf, and agree to comply wilh ap appGcable StatE
ot MinnesoM Statutes and City ot Eagan Ordinances. ,
` Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
•u'.14 ,_
Tree Preservation Plan Received _ Yes _ No -2- Not Required
OFFICE USE ONLY
-obt ? t
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti
? 02 SF Dwelling ? OS 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) O 36 MuRi
? 04 02-plex 0 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pin9 Y or _ N 0 25 Miscellaneous
? 06 04-Plex ? 12 12-Plex ? 20 Pool O 30 Accessory Bidg.
wo K rYPE
31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) O 46 WindowslDoors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 01 # of Stories sq• ft•
No. of Units ?0 Length sq• ff•
No. of Buildings i Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code 4134
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning ' sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIOPIS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
60.50
6t?.so
Engineering Variance
Valuation: $ 1 a- U oi
SAC Units
% SAC
CITY USE ONLY
LOT ? BL RECEIPT #f: 103 ! 7
SUB0. ?)CJC4---- RECEIPT DATE: ??Cv/99
1999 MECHANICAL f'E$MTT (f2£SIDENTIAL)
crrY oF f-AsArr
3$30 PILOT KNOB RD
F-k&AN MN 551 EE
Date: (ssi ) 681-4675
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) C?,6o
• State Surcharge: .50
• TOTAL: ? , 5-6
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New, - _ Replacement
Furnace
Air exchanger, i.e. Vanee system, etc.
Ren:ir:der: Cal! 681-4675 for inspections.
Repair _ Other
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ? 31 0,4I--s <::?I
OWNER NAME: Pf_ /) &= f SO le ¢16 ;r?S PHONE XGO
INSTACLER NAME: --??CPHONE #: T 3 ?1-3 .22
STREET ADDRESS: A ? 6 5( "?L-3
C[TY: STATE: 41 ZIP: 5?T 64'f
SIGNA'
15,FORb1S BLDMECH PERMIT(RES)- 1999
?
CITY USE ONLY QC
L BL / RECEIPT #: I193/ 4P
SUBD. RECEIPT DATE: a&??9
1l''?v1/vw?+
1999 PLUMBINC PER1VITT (RESIDENTIAL)
crrY of EmAN
S$SO P[LOT KNOB itD
f AHAN, MN 55122
(ssi) 661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 X - $ r V
Floor drain 3.00 x = $ ? O
Gas i in outlet ' minimum -1 3.00 x 3 = $ 7.0 CS
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ 3 d
Laund tra 3.00 x = $ 306
Lavato 3.00 x = $ , 60
Minimum fee alterations to existin dwetlin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $ d b
Under round s rinkler if dwellin is under constructian 3.00 x = $
Under raund s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ D b
Water heater 3.00 x = $ 00
Water softener If dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
TOtal --> --> ----> ----? $ e 0
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
------••------ -------------------
I hereby acknowledge that I have read this application, state that the inforrnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to no6fy the property owner that the City of Eagan assumes no liability for any damages qused by the City during ifs normal
opera[ional and maintenance activities to the facilitles constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 5-3 t n'! Ar,! ? SWC 0>I--'?Y
OWNER_NAME: cim-f ??7 Af?-S
INSTALLER NAME: f- 6(-nc- p TELEPHONE #:
STREET ADDRESS: Pd IN eI( o`--?
CITY: ? l 19 f - PRi D 1 STATE: ZIP:
SIGNA
E
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
Certificate of House Loc-,ation For:
.
? Pederson Hanes, Inc. • • a , H9910
194/9 •
f
DELMAR H. SCHWAMZ
UND SURVEYOqS, INC.
RpN1we! IMAw lM M iM lIMft el Minnwote
11750 SOUTH ROBERT TRAIL ROSEMOUNt, MINNE3O'IA 55068 651'423-117ee
SURVEYOR'S CERTIFICATIE
-? .. a1
P?Np g10 y _
O HW?- 0 ?,'? • F' i ?
Property Address: 531 Majestic Oaks Trail a,? • 9p8' ? 1'l•
169'$6 -
?
10.
U
p?PZPN? p1A?,
?
Nry ? ? ? ?
G ?
62 OA / ? ?y
?
? ?. ?92 • i J?y ?.Z / • ?`r
/
L OT 8 Scale: 1 inch = 40 feet
?• ? / O= Iron pipe rtonument at lot corners
B L 0 C K 1 ? 0 = Iron pipe at building offset
q¢f = Exisf'inra spot elevataon
? Q = Proposed elevation
/
Proposed directian af drainage
Praposed garage floor elev.
Proposed top of block elev. ?J?B,7¢
Sp ?? l? . Praposed lawest level elev. - yQ9l8
Op? ?IP 40%'t4 4a f ? Sanit-ary setaer invert per plan = 945.3
42.8 941.7 943. ? p.
,
1+ is ?
?74 ¢8 46, zJ 5.7 ?0 24 .2 h
1 I --?-'
0
,
94 . 4.4 48 948.0 94 .1 944.9 / ,"
PrQ DF'SCLl lOI1:
pROPOSED N I i ?? ?
I m HOUSE 90.9 ? 53 0 952•2 Lot S, Block 1, MAJFSTIC OAICS, dccOtding to
?11: 9 21.5 95 the reoord plat thexeof, ilakota Caumty.
? I f 4.5 ° o M1IlIlESOtd.
o ? ? 955.4
9
m I? I 95 .3* 9 12 17 GARA6E ?^ ?o EXISTING HOUSE
o m N 1 i, 5 to A1 so showing the location 'of a propased house
o ! T
p e? _ 22.33 9 7.@5 959. s staked thereon.
. ?
? 1960.1
Z o
m
O I Cgw SfOP `%?!
LL7 I ? a ?• n ? I / ,?, _ ? c?
? ? I 6.1 956.9 `' ? _ ---- -`
955.6 955.6
5
? 'V
/
IS'1 s .2 R
?' / ! 55 +
955.1 ? f Lo 14.44 Ra 15.00
+ 2A?g
95 .4 Am 55' 09' 00" n
peparad by maor untl'sr?dfr?teid I On and ?,?d?????i;.
,
that I tm e Ouly Ryanb'Surv.yor under
tI1ElaWs 0II1?M? O_QR0. ';,'CY.' • a%;?C'
C;rLNi"liR H.
?
}`:??>`•.j?i? Ddmb H. Schwonz
Otlsd ?P v v 01-28-99 minn.sa. Mp:aanion Mo. ee25
e?rn;- •
" 4 'P4
?i,,i rvp .. ,. .t?r ?ef• ry \titi
Certificate of House Incation For: •
H9910
t Pede=son Homes, Inc. ' 194/9
DELMAR H. SCHWIiidZ
LArm nmvEVOna. INC.
1lphrrN Undw Low d tVr Maft W Ianwwa6
11750 SOUTH HOBERT TRAIL ROSEMOUNT, MINNE33iA SSObt E51'/423-1769
SURVEYOR'S CERTIFICATF
PoNO ?,? • 9'° 6, ?• E ,? ?
23 ?
Prope.tty Address: 531 Majestic Oaks Trail ?. pe N 13 /
i69 ?6
1???? ?PSEMEN? ,
v?
OPp1PN?E ?y?.?,
? . 1
? P
Nry ? '
r1 6 / •?
ti
y0
ti ,9? / ??? ? ? , •
.
C;?_ / L 0 T 8 Scale: 1 inch = 40 feet
4>0 0- I r o n p i p e m o n u n e n t a t l o t c o r n e r s
B L 0 C K 1 ? O= Iron pipe at building offset
qqf = Existing spot elevation
C) - proposed elevation
?= Proposed direction of drainage
proposed garage floor elev.
4fs
praposed top of block elev.
/ st J Proposed laaest 1eve1 e1ev. 'f?49tg
4e ? 00 400144 Sanitary sewer invert per plan = 945.3
42.8 941.7 lif943A
co
?+ S3 1
74 ' .7 24.2 ?~i ,
17
. 48 948.0 94 .1 I 941.9 M
94 / pLty DESCLl?lOll:
? 1?4 .4 PNOPOSED N
HOU5E 9 6. 9g? i9/ ?
m ? 53 ? 952•2 Lot S, Block 10, MAJESTIC OARS, according to
9 21.5 ss .s the re.cord plat thereof, Dakota County.
? I f 4.5 0 0 l 955.4 Mimesota•
N ? g5 .3 .. 12.17 6ARAGE fo^ EXISTING NOUSE
?m 1 955.9 m I?o Aiso showi.ng the location of a proposed house
O 10` I?E " N l1.5 SO Sta?C? fhere0il.
98..5 959.9
-' 22.33 9 7.95 .?
1960.1 Z I a°n ? I
'n
p CuB STOP
IA 1O
vi
/ 09 e 6.1 956.9
" m ? ? °? • l/ ???R
5I 955.6 955.6
/
i
?s'r
s .x q .
+
955.1 \ f Lu 14.44 Ra 15.00
+ 2p .29 $? E a 55' 09' 00'
954. a
1 harsDy MAlfy tAtl la{t *Qvey. Ptqr4 pQ1pOA was
propued Dy me a un9er dir?lP{??ilsbn a"d ;_. ?, ;?g .. F':• ?''?::%,,,
tns1 I sm a duh R?1wlfq ???5?nm undw '' '' •: ? i/' /?G?/,
tht lewt
MP%Qr WITe/ H. SChMiM= •
OaIW v 01-28-99 Mineewts My;atrdwn No. ed2s a
, r..., . - .:.ii'..} .... ,-??..:
' y.
",.>'• :;1.
.'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114250
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 531 Majestic Oaks Ct
Lot:8 Block: 1 Addition: Majestic Oaks
PID:10-47100-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
David Pederson
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 -
Thomas G Merritt
531 Majestic Oaks Ct
Eagan MN 55123
(651) 398-5225
Dun Rite Roofing
4086 Miller View Road
Elko MN 55020
(952) 461-5155
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122416
Date Issued:05/07/2014
Permit Category:ePermit
Site Address: 531 Majestic Oaks Ct
Lot:8 Block: 1 Addition: Majestic Oaks
PID:10-47100-01-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Thomas G Merritt
531 Majestic Oaks Ct
Eagan MN 55123
(651) 688-6579
Dun Rite Roofing
4086 Miller View Road
Elko MN 55020
(952) 461-5155
Applicant/Permitee: Signature Issued By: Signature
� �
, � /'_./1 d�
lf�(J
Use BLUE or BLACK Ink
�;�"'�� ��.,��'„ <:�"; � ForOfficeUse ---------i
, � � � � .� �r �� f , � �a ���� �
i Permit#: �
. lty.of�a�a� �� o�r , 4 zo,� � � , /_ /� ,
� � �.,R � Permit Fee: C��. V(J I
3830 Pilot Knob Road �
��r. _
Eagan MN 55122 . ------- -----.� � Date Received: ��- �j�
Phone: (651)675=5675 � Statf: ��� � �
Fax: (651).675-5694 � '"""r' i
' ' �����������������J
2p14 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Addresa:
Tenant: 3uite#:
� � � � �
�* �s �
����� � ��� �Name:��_,��1'l� Phone: GV �'3!g ��d o��
�,�Resident/C�w�__
, � ` �_ � �S`.� l Gs�c.� Cio�tES C7'C
��. - g�, 'Address+City/tip:
��� }�`� � �4 � �� ` " Milbert ompany Inc dba Cullign Water
�, ¢� �"` Name: ucense#: WC64317F
��°� 180150t. Street East
�`y � z Inver Grove Hgts.
�� Address: City:
, ontract . ,
� state: IVI N-- z�p: 55077 651-451-2241
u-i
�� � "`�s Phone:
�,., � .X` co�ta�:. VVilliam .R.'Milbert Eme;,:
. .,:�� F�, . . . .
� �� New eplacement _Repair _Rebuild _Modify Space Woric in R.O.W.
1"ype of, Wor � —
Description of work:
�' _ �� � RESIDENTIAL
t��:� Water Heater
� ,� � Lawn Irrigation(�RPZ/_PVB) �Water SoRener
Permi �T �, Add Plumbing Fixtures(_Main/_Lower Level)
� �. Septic System
�`° y�� a, `�,t.�. —�
� � � °� Water Tumaround
� � : � . �—
New
s�,���,,,.�',� k ,�; Abandonment
RESIDENTIAL-FEES:
$60:00 Wa4er Heafer;:1Nater Softener,gr Water He�ter and Softener(includes$5.00 State Surcharge)
� $60.0.O l:awrt Irrigation;(includes$5.00 minimum State Surcharge)
$60:00 Add'Plumbing�Fixtures,Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge)
::. .i'VVater Turna�und(add$200.00 if a 5/8"meter is required)
$115.00 Septic SVStem New($10:00 per as built)(includes County fee and$5.00 State Sutcharge) (f�!
TOTAL FEES 3� �
CALL BEF.ORE.Y�U DIG. Call Gopher 3tate One Cali at(651)454-0002 for protection against underground utility damage.
� Call:4&hours'before you intend to dig to receive'locates of underground�tilities. www.aopherstateonecall.orQ
1 h�reby ackhbwledge`#Fiat this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
= Eagan;"that'I understa.nd: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 approyed plan:in the case of work.which requires a review and approval of plans.
: -.: ..
..
� , .
, ,x,.'- - x
� Applicant s:Printed;;ame App can s igna ure
:
,
, , rR� � .�.� �� - . . , .w�
z . . _ , . �
.; , ��;�.
� � ���
FO s0 1 .: � � � ���: n , �, �•
� �`� ` � ' � ��
_ , . a ,���
�ae t�ire Ins.�e.. � � . <� �; �1 ► � `�� �'�.
� �� � �W�
�Meter�R at� I e: , . �:M�te ,;:; , di, .. , �; .: _.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140879
Date Issued:01/27/2017
Permit Category:ePermit
Site Address: 531 Majestic Oaks Ct
Lot:8 Block: 1 Addition: Majestic Oaks
PID:10-47100-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Merritt
531 Majestic Oaks Ct
Eagan MN 55123
(651) 398-5225
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143400
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 531 Majestic Oaks Ct
Lot:8 Block: 1 Addition: Majestic Oaks
PID:10-47100-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas G Merritt
531 Majestic Oaks Ct
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145171
Date Issued:08/28/2017
Permit Category:ePermit
Site Address: 531 Majestic Oaks Ct
Lot:8 Block: 1 Addition: Majestic Oaks
PID:10-47100-01-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Thomas G Merritt
531 Majestic Oaks Ct
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
-01\d
66„
RECEIVED
rForOfficeUse ,('I
Permit#: /�� � /1110
�1 /�,
JUN 4 20� Permit Fee: , o , CCJ J
Date Received:
3830 PILOT KNOB ROAD(EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
build inginspectionst�citvofeagan.com J
/`) 2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:V6411AP lci Site Address: 53 1 1"\,c,jeS-1-'(r oaks (iO7 )fa' Unit#:
Name: Torn ✓" .Trit( Phone:
Resident/ -
Owner Address/City/Zip: 531 1 A A-C- nt'tti Oac S Gey of
Applicant is: Owner Contractor
Type of Work Description of work: R€4 CC)4 � �cI Ii o v e/�C►tht't, olte.. 4-Gtk�1 04-F
YpSt-Fn1i
Construction Cost: 6000 Multi-Family Building:(Yes /No )
Company: U ' .I tAL[X Contact:
^� {{{�.,
contractor
Address: '22 i�.O,lY� City: Vuoksot pc
State:/V Zip: Phone:-1S V ]3`�' Email: AC 6 0.51 ( exiv,col
License#: 0 0 I S Lead Certificate#:
If the project is exempt from lead certification, please explain why:
g_ \.
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 Pkrs documents'tilawt yeti subm t asigonsfdered to bepfefflo ui MIfI d. Portia/0 of the Intennabon may be
F/a8 t 'woof Met 4kot!ld"1 M con di fbef iffeYafe fade WM&
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.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.
x kmin I,f\pAYI , .._____,. 4. ......,
Applicant's Printed Name Applicant' ture
i
DO NOT WRITE BELOW THIS LINE -/ 14E l-; c 6/4 Cf - J .‘ ----
SUB TYPES
—
Foundation _ Fireplace _ Porch(3-Seasons _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi )0 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
C Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation S 2/D�O• Occupancy ZE C- l MCES System
Plan Review Code Edition (17'1 zo i s' SAC Units
(25%_ 100% )6 ) Zoning R ^1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \(3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) >o Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
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: 'TO✓l in'k'1 Y� , Building Inspector
RESIDENTIAL FEES j-Z, Ili/
Base Fee t 4. /s: 0 0 5,. /9e40
Surcharge
Plan Review /14:4 ;en a m iGe.e d( Z,oob•"-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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