555 Majestic Oaks CtP INSPECTION RECORD
C?,TY OF EAGAN PERMIT TYPE:
..$30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
t tst n?
?. 7.
APPLICANT:
. • ??
TYPE OF WORK:
i,iI iinI wO
0 :?4 a/ S
NI/0:'/94
INSPECTION .. . ..
„_? ? ??:; ??„? i ?•?,:
I. ia1N i;; "I Iti.I Iu !,r I?iarrit roii41 i,
>`?: .
? S. ll 1•I timki R I. F f IM i I tlMti f Hij I'1I1hll q ?. j,h I 1 +i t T 91
IF
L
4q PermR Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Data Insp. CommeMe
FOOTINGS °2ylf G
[
FOUND
FRAMING
ROOFING
ROUGH
PLUMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDFOSTA7IC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?. . _
,
. ?
CkL`flfiCQ#e of CCC"RliC?
?
Witij of Cf agan
Zeya?exr of 13m[bittg 3ttBlpection
Tkis Certificate issued pursuara m the requirements of rhe Uniform Building Code
l cerrifying rfwt at the time of issuance this structure was in campliance wrth the varrous
ordinareces of the Ciry regulating buildirtg construction or use. Far the followrng:
Uu Clsssifiotian: ,RI+ TW BMg. Penmis No. 34('?5
occuC.ucY TYPe • T? 11 Zaning Disnict IR ( Type Consi. 11N.,
OwnerofBuildin6PFIIMC'N EIOMM IM Adb,ess3.1()--3g
p--Sn=rg?RUMN
BuiWing Addrtss 555_M&YM!'. (IAKS f7itRT laoliry T.1y R9 M&7RC1'1C OUS
Date.
Baildio60fficial
. ?POST IN A CONSPICUOUS PLACE
,
. ..
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 $40,00
651-681-4675
New Construction Reauirements RemodeilReoair Requirements CQ ? If4 !I" to'
• 3 registered site surveys showing sq. ft. of lot sq. ft, of house; and ali roo(ed areas • 2 copies of plan ?
(20°'o macimum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . t sile survey for exterior additions 8 decks
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Op6ons seleclion sheet (bidgs with 3 or less units)
DATE _3- ZZ- 01 VALUATION (EXCLUDING LAND) S 000.01)
JOB SITE ADDRESS SSS /Yl?i ?s ? c ??t?s Cf,
y
IF MULTI-FAMILY BUIL?D,IING, HOW MANY UNITS?
PROPERTY OWNER /Vof-L-- 1' n I/jE,kt,s
TYPE OF WORK ,Ae-c L
APPLICANT
ADDRESS SS? Mlm1i5h c O#4?cs
PAGER #
FIREPLACE(S) 0 _1 _2 _3
_ PHONE # ?d5??687--96o?f
ZIP CODE i!;-S/2,3
CELL PHONE # FAX #6S/ 9057- S'oo/
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RUL.ES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
PltnnUing SysCem Includes: Water SoFtcner Lawn Sprinkler Fee:
Water Hea[er No. of R.I. Baths
No. of Baths
Mechanical Contractor:
N[ech.mical Svstc:m Includes
Sewer/Water Contractor:
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, an gree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received
Phone #
$90.00
Air Couditioninn Fee: $70.00
Heat Recovery Systcm rnmi, L1
Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ol 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex PI6g_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
. . .
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
OV 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 (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire B ldg only) - Give PCA handout to applicant
G
Valuation ,a) 60D ?
Occupancy
ee -2 MC/ES System
Census Code _j? Zoning City Water
SAC Units O? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
Footings (new bldg) Fina]/C.O.
? Footings (deck) ?D FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool
Ftgs
AirlGas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final _ _
_
Siding Stucco Stone _
_ Lnsulation _ Windows (newheplacement)
Approved By (,C _, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
AddICSS _955 MATRSTT? nAKS !'nTTRT Zip 5512 3
L.ot i Blk 2 Sub rAJEsTTC oAKs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
?
/999 Dat ? ? j Yes No Inspector:
Final rade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas r/
Sod/Seeded grass
Trai]/curb damage
Porch e/
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 lawn faucet before freeze potenHal exists.
Contact engineeting division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracto[ Copy ?'
rI7V OF EAGAN
rASH:[FR: S TERMINAI_ NOs $09
DATE: 02/03l99 TI1`fE: 10e008
ID e
NAME a f Ei?FFtSOiV Hf3ME5 ]:NC
2256 9001 555 MAJESTIC OA 4y961.59
Tot a1. (;ar_eipt Amo+.ant : 47961.59
Gfi1.Qe!3 r9
tJSE:F: IDd NANCY
F - PERMIT
CITY OF EAGAN
? 3830 Pilot Knob Road PERMIT TYPE: R u:r I_ n 7 N G
Eagan, Minnesota 55122-1897 Permit Number: O :, 4 47 5
(651) 681-4675 Date Issued: t? _/ 0 .' f 9 Q
SITE ADDRESS:
S s 5 IriA,Jk$TLC (JtIIC::; l:T
!_O-C? 1 £S LOCh: ° `l_
1+1flJE5'IIC tJAKS
DESCRIPTION:
-S F J W (?"r
N E I„i
F?-:3 , U-1
VN
?4-1
r) q
4!
?
'%1
L01_ ,. - FRPia () ETAC'hl
?'-
.."ssi . ? 'ti. :,.? ?'yFyl` A.. .? 'a.... ? t^v.; ;...-?? *??• ? t ? i„:?
?
REMARKS:
P I,nN C'?1{l I_?.,j i:D I?V IJA YN t_ I''9F 1 I}'p
o
.3 & 41 PL UOiBFR :CS P i ]:NE Pl_UM Ff.PJ(i PH01`dE tl(651 ) 437-9 532
FEE SUMMARY:
t3ase Fee
P1an Rev3.ew
su roriarqc,
SAC
SAC
SAC Uni ts
J ubl_ota1
66C OctLiCa?rt?V'
GonsLructi,on
f3?'S.I d ie ,?rmi.
?Lk t 7d??
t?. Cj l il Cf W-(.,j" k T V(J F.
Zo n a. t7 t7
htailti:tnq L?rst?F:? y
F3 u.l f: d.i, nQWl. tt L. ht ?
B 1j13.tfI}.t.Y;€5Y'le? /._
a fi" Q Fw&
( flci.??-
`J fh l_ U F) I T il t.!
$1„3?_?.75
q;_6%?.34
$80.+D0
00N
100
1
a•.3. .J L 4_ YI 9
$"Lfi0.0ti70
h1:CSC, f- EES
T oY,al F- c:e
'j;1 ? 637, 50
:£41 .9 61 ?59
CONTRACTOR: - Applzcanr -- ?ST- LIt;. QWNER:
P,F(JERSCIN I-iC1MES 14602412 0001466 PEt7LR5CJiV NOIYlE5„ SNC,
310 TN'CR[7 ST w:A47 I'HTftD S7
Ft1R1+1IPIGTON MIV 55024 FARMTNCTOh! MIV 55024
(?512) 460--2412 (6 !i1_)4 6 0 -2 412
7 h2rz-bY acl;nG-wLet(qe 'that. I have recicl tFrzp app,43.catic+ri ancJ staCe rhrit the
itiiorinafi_on is correct anc-; aqrEe t'a compiv with all atoalicabLe State A1- A1n.
;a.a tute,,z? d nd C J ty o f' I? ag a rr °t)r•d'a.r?ane e,_?a
. ' J
I APPLICANT/P RMITEE SIGNATURE SUED BY: SIGN TURE
1998 BUILDING
LS
New Construction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 ?
681-4675
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: 1` Z 1 ' qc)?
RemodeVReoair Requirements coa9-2-jo ?)' " 1"9 ?
• 2 copies of plan
? ? 2 site surveys (exterior addftions & decks)
? 1 energy calwlations tor heated additions
CONSTRUCTION COST; \90, 0C7 C)
DESCRIPTION OF WORK: N G\-? ` ' S\ CN ?--OI e- aw\ , I
STREET ADDRESS: sSS `?a-I e?S?si c. 0C-k-S C--
LOT: 1 BLOCK: Z SUBD./P.I.D. #: yy\a4-C-5'?\C-
Name??? ?,CCrS?"l ?YY\ t SC- Phone #: Z, ?I 1 Z_
PROPERTY Last Fint
OWNER
Street Address: 31 17 ? 1?'1 ??`? S? ?
Cit;r-\-?? 1'n ?,o A-X\ State: Zip: Z'`
Company-P,Cve( S?,n Phone #: US 'i ' LI ?0 0 -' Z q I ?.-
CONTRACTOR
Street Address:3? C) -1-'1 + Z4 'ST _ License # ii
City ?0.1Z,VY\ \'(1 to-bD1 State: V<-71 n Zip: '`J1J17 Z ?
ARCHITECT/ ? ENGINEER Company:SQYY1 L- C,- Phone #:
Name: Registration #:
Street Address:
Ciry
State:
Zip:
Sewer & water licensed plumber (new construction ony):4'f-Y\e.r;?u? Penalty applies when address chang
and lot change is requested once permit is issued.
i hereby acknowiedge that I have read this application and state that the infurtnation
State of Minnesota Statutes and City of Eagan Ordinances. X
Signature of
OFFICE USE ONLY
Certificates of Survey Received d /Yes s _ No
Tree Preservation Plan Received _ No _ Not
and
,
to comply with ail applicabl
? r?
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-ptex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
O 05 SF Misc. ? 10 _-plex 13 15 Deck
WORK TYPE
A6'31 New ? 33 Afterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) t/N Basement sq. ft. /h? 66 S MC/WS System
(Allowable) V N Main level sq. ft. ?A-l oF.5'i City Water
UBC Occupancy Aa,5W sq. ft. ?srq,5 Fire Sprinklered
Zoning ? Ba,dsXe7sq. ft. Hg fS PRV
# of Sfories 2 64R• sq. ft. 64 Booster Pump
Length ? sq. ft. Census Code. Ia/
Depth 117 Footprint sq. ft. 17 SAC Code ?
Census Bldg ?
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee 13a-9 .-1 S Valuation: $ 1604000
Surcharge
Plan Review 7?6.OC7 D05G
?{-yq XaaN = 996,17Q
License
MC/WS SAC l5x6a x i 3,s2
(7 ??.UU s68)r `isz,ol
?
City SAC ? F16 / . So Y,s = a ??i ? 2. 6/
Water Conn.
BaS?M=d? ? ,•') H6/,6O
Water Meter ?A ?
Acct. Deposit
S/W Permit i 6 xf = ?A
/ y' _$ p 2u7 '
,? 5H `
S/W Surcharge upP?R
Treatment PI. 26 y x0f = 5 3%,?
Park Ded. zC = 1-X - H 3' ;4 33 ?
Trails Ded. Vv??.n P-4$9, f???? ? ? .
Other Du??s y -A 5-0•ly
Copies ?y ?a.?g = y6 z ,,?x7.?j "
Total: ?{ Q (01 SQ 6#R
3? N_ 7,y2
-A = 21
%SAC
SAC Units ?6
l? ?? ?9?
4
NNUNNNESOTA ENERGY CODE ' I-2 Fami[y Residential Suilding
i . RESIDENTTAL "COOKSOOK" WORKSHEET
Applican[Nazne _ Phone Date . `"Ihis building is s. Statement ofCompliance:
?
1
??
??
??1 ?
????
??
? .gory 2 Building (meeu minimum codc
? Cat e
htness and wind wash bamers)
uircmcntt for airti Ilu proposed build?g design rcpresented ia
?u documentris consistonf with the
I
J _
?
L
?,
?
g
rc
q
building plans, spccifications, and othu
Applicant Address -?-
S ?Category l Building (meets all Category 2
d ?culations submittcd with the permit
apPlication. Thc prtiposcd bnilding has bcen
?/ b -,3
1 i _
- a
reqmremcntt, 6az additanal air tighmess, an
Rcsidcntial Mcchanical Vcntilation Systtm) designcd tn mcd the rcquiremcnts of [he
Mumosota Enagy Coda
BuildingAddress`.
? Plaos must be clearly marked with
insulation R-values, window, and door U-values, ?
'
-es
4 A-H` df,_ and hcating and tooling cquipment cfficiencia. ApplicandEngineer
Enhy Doors 1-3/4" solid wood wl storm Ceiling with energy truss _K 38** . Aim}oist R-19
door or equivalent (7%x" or more -top plate to ' .
- MaximumU-value: .030 roofl
Foundation 112" Insulated Glass in wood or Ceiling with low heel huss R 44** Floor over unconditioned R-24
Windows* vinyl frame • (7%z" or less--top plate to roof) space
*Include square footage in calculation of Window/Door Area Ceiling-no attic • ' R-38 w/ R-5 sheathing
determine above grade Window U-Value. **Insulation Performance afWinter Desio Conditions
w'
?
1. .
Window and Door Area 100 x 35 5= 3? `? = I?, 2 % WINDOW U-V,ALUE : o
As % of Exposed Wall Area Window/Door Area ' Gross Wall Area Window/Door Area Source: NFF2C or ASHRAE 1993 Handbook
. 14TAIUVIUM WINDOW U-VALUES:
Check Wail WALL TYPE ' MAXIIMUM. WIIVDQW AND DOOR AREA % OF EXPOSED WALL AREA
Type Used
, • ?
12%, 14% 16% 18% 20% 22% 24% 26% 28% 30% 32% 341/6
TYPE A 2x4 framing, R-13 insulation, sheathing-R-7 or geater. ' 0.55 0:47 0_41 036 .033 0.50 0.27 0.25 0.25 0_22 0.20 0.19
TYPE B 2x4 framing, R-IS insulation, sheathin? R-5 or greater_ 0:45 035 031 0.28 0.26 0.24 0.22 021 0.20 0.18
TYPE C R-19 insulation; sheaUung less than R-5.
2x6 framing 0.48 .4 036 0.26 0.24 022 0.21 0.19 • 0.18 0.17
TYPE D ,
2x6 framing, R-19 insulation, sheathing R-5 or greater. . 6 0.48 .42 . 7 034 0.31 028 0.26 0.24 022 0.21 020 •
E E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 038 034 0.30 0.25 025 0.23 02,2 0.20 0.19 0.18
F-
-
F
rT=y
6 framing, R-21 insulation, sheathin? R-5 or greater.
2x
0.58
0.50
0_44
039
035
032
029
0.27
0_25
023
0.22
021
-
,
2.
Thu tablc contams mterpolahons of thc valucs m thc Energy Codc, Part 7670.0475, Subp.
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(SEE ATTACHMENTS)
Development
Lot Number ?
Address
Block Number F--
Buitder ?k e?rScv? ?) C? S l??'l 6C? ' 2412
Tree Protection Requirements:
Tree Fencing
N? Oak Tree Pruning (Seal wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
Yes T+-ee_ f? te n? ?.w 6ve
No
Additional Notes:
?,e._.a.,..a.-• . ?-
EAGM
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JFN-28-99 11:38 RM CMRRL?ES NOVRK ARCHITECT
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MNIMN Une?? L.+f .1 ln. ff." sl Yrrw?q?
1475050VTn qOBERt iqAlL RDSFMOUNT.MINNESOTA 55060 41111/11].1
651
SURVEVOR'9 CERTIFICATE ,
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
PROPERTY LEGAL:
- - . ?
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services 8 invert elevation
• Street name
• Driveway
EI.EVATIONS
Existing
? ? ? • Sewer service (or Proposed)
e7fo ? • Property corners
p? ? ? • Top of curb at the driveway
O o'? • Elevations of any exristing adjacent homes
Proposed
C? ? ? • Garage floor
Q-- ? ? • First floor
in' o ? 0 Lowest exposed elevation (walkout/window)
? ? O • Property corners
0, ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? ? ? • Easement line
? 'ET? ? • NWL
O '2- ? • HWL
o ef' ? • Pond # designation
? -O • Emergency Overflow Elevation
DIMENSIONS
4T, ? ? • Lot Iines/Bearings & dimensions
,a? O ? a Right-of-way and street width (to back of curb)
a-'? o • 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
'ff, ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? C?-' ? • Retaining wall requirements, if any _
Reviewed:
Date
January 1996
CRAIG t 9881BlDGPRMT. FM
CITY USE ONLY
LOT BL ?
SUBD.
RECEIPT #: (2-Q I U??S ? i
RECEIPT DATE: y -
MECHANICAL PERMIT #
1999 MECHANICAL P£RMIT (RESIDENTIAL)
crrY oe EAsAv
3830 PILOT KNos Ru
f.AfiRN biN 551 EE
3- 3 l_.q'2j css» 661-4675
Date:
Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B TU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.) 3
State Surcharge
Total
$ 30.00
6.00
17, OZ3
.50
g ?S., SD
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
_ Fumace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: SS y /), O,v?_jl-s
OWNER NAME: 0&5 PJ,-So il 1 r0 ,* ?-S PHONE #: lo 5- ( -
(AREA CODE) f?
INSTALLER NAME G /l ? PHONE #: ?_- T3 7 ' ?15%7A
(AREA CODE)
STREET ADDRESS: PD,6F X A3
CITY: t /'lYtf &C3G STATE: ht A ZIP:
SIGNA OF P ITTEE
: ., .
L BL
SUBD.
APPROVED BY:
1999 MECHAIVICAL P£RMIT (COMM£ftC1AL)
CITY OF EAfiAN
3$30 PILOT KNO$ RD
EAflAlV, MN 55188
(651) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
DESCRIPTION OF WORK:
NEW CONSTRUCTION INTERIOR IMPROVEIVIENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED P1PING
PERMIT FEE
STATE3URCHARGE
TOTAL
($.50 per $1,000 of nermit fee due on all permiu.)
SITE ADDRESS:
OWNER NAME;
T'ENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
INSPECTOR MECHANICAL PERMIT #:
PHONE #: -
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
L. .. ? ?
? BL CITY USE ONLY
SUBD. ?
?? ???? 02.-
RECEIPT #: c
RECEIPT DATE:
PERMIT #
3S?a? 1999 PLUMBINc PEWrr QRE,stDFffrA-L)
CiT'Y OF EAfiikN
3830 PI.oT KNo$ ttn
f:A61kN, MN 55122
(651)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
A backflow preventer for underground sprinkler system
FIX'iURES
EACH #
TOTAL
Bath tub $ 3.00 x = $ 06
Floor drain 3.00 x = $ 0 a
Gas i in oUtlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ 7.06
Laundr tra 3.00 x J = $ 7,00
Lavator 3.00 x = $ _ 6
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem nsw/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enln 1.50 x = $
Shower 3.00 x = $ 3-e D
Under raund s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 100 x = $<?. pd
Water heater 3.00 x $ 3,p O
Water soflener 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 --> --> ----> .... > $ 3
Remrnder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------- •----•--•--------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with atl applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities construded under this permit within City property/right-of-way/easemen[.
SITE RDDRESS: 5 5- S_1MA c) 6S7; G b4-?-',$ L'
OWNER NAME: :V &D ?rSo r'- Kouc--5s TELEPHONE #: (;3-1- Sr? D- aCf/-Z
(AREA CODE)
INSTALLER NAME: p r /? ? ps-d ?f -?'?'-C• TELEPHONf #:
STREET ADDf2ESS:
e0 '66x (AREA CODE)
CI?Y: STATE: ?rt ik < ZIP:
?
SIGNATU OF PERMITTEE
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C!ty of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office
1Use
1
Permit #: 1 I �/5
Permit Fee:
Date Received:
Staff: L.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/2$/ I3 Site Address: 666 :\ CA\<2c\
Name: \V`vz, Oe\nuts
Address / City / Zip: 56-6-1/44CiyAi C
Applicant is: Owner ✓ Contractor 1,1211-!--/(14,
Unit #:
Phone: (95 1 115_1..1:
�C�►�,C'i ), MN Nzs
Description of work: Sek-& clexe C` tQ c V\101" _'/ L -L
Construction Cost: ZC, Z,�j6• Ori Multi -Family Building: (Yes / No 1) o/
Company: 1MEk C i ��d�r5J Y C. Contact: 1'itC:trk.SC`,hl'I')idt.
Address: 6340 atlyyps,Ave_S City: $kY)M kr..Dn
State:j--/Zip: 6 3 I Phone: G52-
888 IZ 3\ 61,1
License #: I W"I`! (� Z Lead Certificate #: NAT -111-481(1-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Sewer & Water Contractor:
Phone:
Phone:
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 Mote k SchrnicR.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
fL
555 IA6CYA C Li
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
i Single Family Garage
Multi Deck
01 of _ Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% Ni )
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
xRepair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
X Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
2
Siding
Reroof
Windows
Egress Window
1 o
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
i MCES System
nl�.._v' SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
X Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
XWindows
Retaining Wall: _ Footings _ Backfill — Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113932
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 555 Majestic Oaks Ct
Lot:1 Block: 2 Addition: Majestic Oaks
PID:10-47100-02-010
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 .
Ian Jacobsen
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 -
James Curry
4817 Upper Terrace
Edina MN 55435
Amek Construction
9555 James Ave S
#228
Bloomington MN 55431
(952) 888-1200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124184
Date Issued:06/24/2014
Permit Category:ePermit
Site Address: 555 Majestic Oaks Ct
Lot:1 Block: 2 Addition: Majestic Oaks
PID:10-47100-02-010
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 -
James Curry
4817 Upper Terrace
Edina MN 55435
(651) 775-7772
Amek Construction
9555 James Ave S
#228
Bloomington MN 55431
(952) 888-1200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125958
Date Issued:08/08/2014
Permit Category:ePermit
Site Address: 555 Majestic Oaks Ct
Lot:1 Block: 2 Addition: Majestic Oaks
PID:10-47100-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Linda Jernander
2026 Colburn Drive
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
James Curry
4817 Upper Terrace
Edina MN 55435
Ron's Mechanical
12010 Old Brick Yard Rd
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144352
Date Issued:07/21/2017
Permit Category:ePermit
Site Address: 555 Majestic Oaks Ct
Lot:1 Block: 2 Addition: Majestic Oaks
PID:10-47100-02-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Noel H Mehus
555 Majestic Oaks Ct
Eagan MN 55123
(612) 578-3752
First Choice Exteriors Inc
7214 Washington Ave S
Eden Prairie MN 55344
(952) 380-8248
Applicant/Permitee: Signature Issued By: Signature