4529 Majestic Oaks Pl? ? ?
+ ' ??? ?SIDENIAL ?0 1
BI?ILDING PERMIT APPLICATION
?Vlq?e.r-??C ?A ?S 2n 3830 PILIOT KNOB RDN 55122 ?/`J71v ??P' -;)`3.
651-681-4675 y5715- Mp- ro
New Construction Reauirements RemodellRepair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan ?J?' ?? ??? a Q?
(20°h maximum lot coverege allowed) . 1 set ot Energy Calculations for he ea a?itions J ? o ?
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exderior additions & decks
• 1 set of Enertyy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193 J
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
6..4,01 D CupC? (o'1'f -61
DATE VALUATION (EXCLUDING LAND) D d D.
T(r n
JOB SITE ADDRESS 6oPill"'& S T! C. 04lLS ? L-AG E
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P ?:OYLS 64 Mnid E S, :, G.
TYPE OF WORK <I+!4 (.,€ rIj, FIREPLACE(S) _0 _1 x 2 _3
APPLICANT fm.11K RwAd orS?? I'1?G. PHON E#? JvI -¢G a"Z¢'I Z.
ADDRESS ?SO6 S Z Z 5 T ST w. A2 mi.vc, ro nV, ARN ZIP CODE 550 L
PAGER # CELL PHONE # 4; S J'?3,I ? ZDI Z FAX # 6SI -44a' Z. I 3
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPL
Energy Code Category ? MIlVNESOTA RULES 7670 CATEGORY 1 Le ^
(check one) - Residential Ventilation Category 1 Worksheet Sub D
- Energy Envelope Calculations Submitted k,
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _PeIK ^ (.u wt IAe Phone #: ? ? 1 r ??? ? ? 75-D
Plumbing System Includes: Water Softener )C Lawn Sprinkler Fee: $90.00
? Water Heater No. of R.I. Baths
No. ofBaths
Mechanical Contractor: FF/ r/E ?(.Ll *14 $(94 4*-Phone #ii? S? ??'(O J- ? 75L)
Mechanical System Includes: x Air Conditioning Fee: $70.00
_ Heat Recovery System
5ewer/Water Contractor: A r-k-A Y S 7 dL v 1 4-C J? Phone #65-143 7- 34`T
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, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received Tree Preservation Pian Received x- Not Required _
I-
Updated 1101
\
OFFICE USE ONLY
? 01 Foundation
(,
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
'R 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
?
Valuation
T
Census Code Z
a/
SAC Units 0
Nbr. of Units
Nbr. of Bidgs /
Type of Const J--q/
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
? Framing . : -
Fireplace R.I. Air Test Final
Insulation
? ?
Approved By, Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES 5ystem
Zoning ?L City Water .
Stories Booster Pump
Sq. Ft. PRV
Length 6 Fire Sprinklered
Width 2
REQUIRED INSPECTIONS
? FinaUC.O.
_ FinaUNo C.O.
? Plumbing
ln HVAC
r°
LGu?&k- L ?tIEL- ?
?
l3e74ZS'? aa???
>O?q t-.2S
Xif--?fv G -?/E
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
d y61 )c sf --
/3D IQ?
6 ? ? .
? 1?7?os3'
Address G 5 2 Q r1 a ; e s t i c o a k s P i Zip 5512 3
I.Ot 10 Blk I Spb ilfajestic Oaks 2nd Addition
THESE Tl'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 2-.- _ e, Z Yes No Inspector: ?
Final grade (6" from siding) c `1r S?p
Permanent steps (garage)
Permanent steps (main entry)
Petmanent 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 lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Site address: Af 5 Zq M A v"!!E3 ! / G Lot Lib Block ? Subd. ?Au/E5 ( /G M144-y
"i4s GA 4e
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
? This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
WaterHeater SI W •TE OL 4 Q ?1lO?r Od
Fumace
o
Dryer
v
-
EXHAUST SYSTEM
LaCATION
TYPE
MODEL"
CFM's VENTED
YES No
Kitchen kitchen ? E 1-400 O 400.0
Bathroom 1 ts-4 ?
Bathroom 2 //
Balhroom 3
Bathroom 4
Other
FIREPIACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
DwE l,It. '#*0 (+D*-r^i A '-u 04O L 'f'voo I
bti,/'s c.
oa ? ? 7 N4 0 00 )IS (, ¢odv v
MAKE•UP AIR MODEL TYPE CFM's
Ye3 r? ? ?z.v ? ?. V-NT ?.
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
G/¢/ol
Sig at Date
CompanyName
' This form is the responsibility of the General Contractor.
i i
MNcheck COMPLIANCE REPORT
Minnesota Energy Code ? Permit # I
MNcheck Software Version 3.0
I ?
? Checked by/Date I
I ?
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 6-3-2001
COMPLIANCE: PASSES
Required UR = 694
Your Aome = 537
22.6% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value
---- U-Value
------------- UA
---------------------------------
CEILINGS: Raised Truss ------------
2411 ---------
49.0 ---
0.0 53
WALLS: Wood Frame, 16" O.C. 2367 19.0 2.0 133
WALLS: Wood Frame, 16" O.C. 774 19.0 2.0 43
WALLS: Wood Frame, 16" O.C. 170 19.0 2.0 10
BSMT: Conc. 9.0' ht/8.0' bg/9.0' insul 1107 11.0 0.0 64
GLAZING: Windows or poors, Above Grade 606 0.350 212
90 0.550 22
DOORS
HVAC EQUIPMENT: Furnace, 93.0 AFUE
---------------------------------------------
--------
--------
-------------
-----
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The pro osed building has been
designed to meet the =eq 'rements of the Min a Energy Code.
Builder/Designer ? ate ?
?
W?
O-'?c?
?
?
C?? `l
(SEE ATTACHMENTS)
Development (nt? jeS -a(. ?fty-? 1 ? f?-tq)
Lot Number iG)
Address
Builder
Block Number
I.tSUk ?MA,?CS`LiC ra FYK-S rulCF
p SC (V dZ %1'Li?S ?jCi c
Tree Protectivn Requirements:
Z? TMG.-?-• S c Z-rT PCa; Ce-
Oak Tree Pruning (Immediately seal wounds during April 7 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Renlacement Trees:
Not Required
as Fonnws:
Attachrnents:
--1?-_ Yes
No
Additional Notes:
H:lghove12000fileltreepreslTree Preservation Plan Summary-2000
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lo7" /{) ??AGe-' / &*s-Ti c /ad,Fs :2u?
DATE OF SURVEY:
v LATEST REVISION: D ?
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i DOCUMENT STANDARDS
V 1?
C? ? Cl • Registered Land Surveyor signature and company
GI' ? ?
y ? • Building Permit Applicant
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descr
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d ? ?
V • Address
? ? . North arrow and scale
[0" ?? . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
CC? ?? . Directional drainage arrows with slopelgradient %
C? ?? . Proposedlexisting sewer and water services 8 invert elevation
? ?
B, • Street name
D
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veway
6'/ ? ?
' . Lot Square Footage
[?
? ? ? . Lot Coverage
ELEVATIONS
Existinq
Sewer service (or Proposed)
C? ? ? . Property comers
Vo ? . Top of curb at the driveway and property line extensions
? C5, ?? • Elevations of any existing adjacent homes
? ? • Adequate footing depth of structures due to adjacent utility trenches
Proposed
CX ? ? • Garage floor
C/ ? 0 . First floor
? ? ? . Lowest exposed elevation (walkout/window)
L? ? ? • Praperty corners
?? ? . Front and rear of home at the foundation
PONDING AREA (if aoolicable)
Hf/ ? ? • Easement line
CA° ? ? . NWL
? W ? . HWL
? t?/ ? . Pond # designation
? C+' o • Emergency Overflow Elevation
DIMENSIONS
0/ ? ? . Lot lines/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.
(i.e. all structures requiring permanent footings)
Pd/ ? • Show all easements of record and any City utilities within those easements
G?/ ? ?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
L? ?? • Retaining wall requirements, if any
Reviewed: rl"D ?.? G-i 'y - d/
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Ptnperiy Address: 4529 Majestic Oaks Plaoe
o = Imn Pipe monuffent to be set by Ueveloper
D= Set wood hqb at builcling offset
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91F,4 = Existincr spOt elevatian
Q = Proposed elevatian
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PrWosed top aE block elev. Z3.5
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4529 Majestic Oaks P1
Lot: 10 Block: 1 Addition: Majestic Oaks 2nd
PID:10- 47101 - 100 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Total:
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
ME - Permit Fee (Replacements)
Surcharge -Fixed
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Wayne A Rons
4529 Majestic Oaks P1
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA090784
08/20/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121167
Date Issued:03/17/2014
Permit Category:ePermit
Site Address: 4529 Majestic Oaks Pl
Lot:10 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Angie Olson
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 -
Wayne A Rons
4529 Majestic Oaks Pl
Eagan MN 55123
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
For Office Use
E AG AN , - oCC
44 e Permit#: /
9. 0
Permit Fee:
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:
buildinginspectionsecitvofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLIC TION
Date: �� Site Address: r" �
e1 � �56..,L
Tenant: Suite#:
c-A
Resident/Owner Name: s c _S 'h.ne:
Address/City/Zip:
Name: ts-s- License#:R (0 3
Address: �__..c c>-ti.�-� .City:
Contractor ( 1 -1
State: Zip: �� o� 3 Phone: \ S` J o�
Contact: Email: ��-->+� � e
, v--k-'t
Type of Work —New _Replacement Repair _Rebuild •Xklodify Space _Work in R.O.W.
Description of work: F-.� -�-y- <- -�-c. c-
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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.gorherstateonecall.org
You may subscribe to receive an electronic notification from the City of proposed or.inances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in co •rmance 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 n• to start without a •ermit; that the work will be in
accordith the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name Applicant's Signature -
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166740
Date Issued:02/01/2021
Permit Category:ePermit
Site Address: 4529 Majestic Oaks Pl
Lot:10 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Mark F & Sara J Tstes Shonka
4529 Majestic Oaks Pl
Eagan MN 55123
Affinity Plumbing Llc
13741 Louisville Road
Shakopee MN 55379
(952) 913-7171
Applicant/Permitee: Signature Issued By: Signature