4540 Majestic Oaks Pl
Use BLUE or BLACK Ink
-For- O-ffi-ce-Us-e - - - - - - - - - - - I
I
Permit#:
City of Eajan 09
Permit Fee: ~d
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5684
2010 RESIDENTIAL BUILDING PERMIT APPLICATION C~
i
Date: I- c2 3 -10 _Site Address: ~~"70 / '/aj, CS't`c c. Oct kS IT IQG
Tenant: Suite M
RESIDENT/ OWNER Name: SCoJA 4 nr Phone: 411 5/93 '3396o " 61
Address /City /Zip: &_; P
Applicant is: Owner V/Contractor
TYPE OF WORK Description of work:
S °I is [~Nr v orln/ ~w v►.i w► ~s • oo l
Construction Cost: 0 e ® Multi-Family Building: (Yes / No
CONTRACTOR Name: t1 j /o0®lS;c/(
,~e Sev,,j'c o S TNC_ License
Address: la./ Cct c 4 d G. City: f, l-P C~ra~✓a d R
State: Mt/ Zip: 7 Phone: & d
Contact:/~ t \ U to J4,V -ee Sd44 Email: ket Vii/' j _
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:
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 the arse 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.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 app va f plans.
fiAde x 819 6e P'* k- Applicant's Printed Name Applicant's Signature
Page 1 of 2
JUL 13 1
qo D4 DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ 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 I , (J(J i7 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings ,Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
I
Surcharge Y ID
Plan Review E
MCES SAC?
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
2
City of all
July 26, 2010
Mike Maguire
Mayor
Scott & Cindy Yerington
Paul Bakken 4540 Majestic Oaks Place
Cyndee Fields Eagan, MN 55123
Gary Hansen Re: Proposed in-ground swimming pool.
Meg Tilley
Council Members Dear Mr. & Mrs. Yerington,
I
Thomas Hedges In reviewing your application for your proposed in-ground swimming pool it was
City Administrator discovered you plan to install a fence within a drainage and utility easement. You
j are not allowed to install a fence within the easement unless you petition the City
Council to vacate that portion of the easement you wish to install the fence in.
Obviously, this process will bear some added expense and could delay your
project. I have enclosed an application form for your use should you decide to
pursue this. The alternative then, as mentioned above, would be to adjust the
alignment of your fence to follow the easement line. If you are unsure where this
Municipal Center line is located you may need to hire a professional land surveyor to establish the
3830 Pilot Knob Road line on your property.
Eagan, MN 55122-1810
651.675.5000 phone I The other significant item that I would like to bring to your attention is proper
651.675.5012 fax erosion control during the project. It is absolutely critical that an adequate erosion
651.454.8535 TDD barrier be installed between the pond and your project prior to moving any dirt on
the site. In addition, this barrier must be regularly inspected and maintained
throughout the project until final vegetation is established.
Maintenance Facility
3501 Coachman Point If you have any questions please feel free to contact me at 651-675-5641 or
Eagan, MN 55122 ; dwestermayerkcityofea an.com.
651.675.5300 phone
Since ,
651.675.5360 fax
651.454.8535 TDD 1
Dave testermayer
Engineering Technici
www.cityofeagan.com
Enclosure: Right-of-Way/Easement Vacation Request Form
i
The Lone Oak TreeI
The symbol of
strength and growth
in our community. j
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: +K4fl na-ks NacL
Applicant Name: SC.zA Y
GENERAL INFORMATION
o z ¢
0 ❑ ❑ Applicant name and contact information
Jd ❑ ❑ Property owner name
JZ ❑ ❑ Address of property
f~ ❑ ❑ North arrow, scale (l" = 30' or 40')
~d ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
,Z ❑ ❑ Location and name of all streets adjacent to property
,21 ❑ ❑ Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
❑ ❑ House corners
❑ ❑ Property corners
❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
JZf ❑ ❑ Finished pool deck corners
❑ Z ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
f~ ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
❑ ❑ All property/lot lines
❑ ❑ All Easements on the property
Proposed
Jz ❑ ❑ Pool
❑ ❑ Pool plus integrated deck/patio
J~ ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed: If- 4
Nam Date
GTORMS/Pool Permit Checklist/02-13-07
' c",ate of Ebuse Location For: - - -
Pec, son 82089
Homes, Inc. DELMAR H. SCHWANZ q! Lo
"M suravs M& i►rc.
c n go III under here of The awe et MMn..a.
14750 SOUTH A013ERT TRAIL ROSEMOUNT. MINNESOTA 55066 3WJ423-1769
651
SURVEYOR'S CERTIFICATE
ti MAJESTIC OAKS PLACE Poo / 44,
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BY
Date ti L
EAGANENGDMZMGDEFT. ~AG~~"''t~tvu~uvrrtcarvu urrt:
1 hereby certify that this survey. plan. or report was ~NtNi111q/tl/q
prepared by me or under my direct supervision and S
thst 1 am a duly Registered Land Surn yor•under '-•~9 q -
the laws of the State -if Minnesota. ,
DELMAR H.
Dated 05-23-2000 SCHWANZ : elmer
-8625--
RECEIVED SEP 2 8 20~ 9yo~--~Nv~4 •
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas
(20°h maximum lol coverage allowed)
• 2 cnpies of plan showing beam & window sizes; poured tound design, etc.)
• 1 set oi Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist DeWil Options selection sheet (bldgs with 3 ar less unils)
DATE ,50 /VZO ? VALUATION (EXCLUDING LAND) D?
JOB SITE ADDREST 'f J f*00 /YI/I r7"ES Ti G OY4Kj Q z* G?e_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 1--t f??,12E'1ti.'SCW
YYPE OF WORK LGC lL
APPLICANT VeMF.YI. ?? ?E'
ADDRESS 3?65 ZZS in/
PAGER # CELL PHONE #
riitEPLACE(S) _0 _i _2 _3
_ PHONE # a.V'¢kO.Z4?1 Z
ZIPCODE .SSD Zf?"
_ FAX # 65"I
NE1V 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 RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning Fee: $70.00
Heat Recovery System nn
n????u ?'J m
Phone # nn_ .., _ _,.)
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 Applican _F"o
Certificates of Survey Received _ Tree Preservation Plan Received
Water Softener
Water HeaCer
No. of Baths
Phone #
Fee: $90.00
-7"001
RemodellRepair Reauirements
• 2 copies of plan • 1 sel ot Energy Calculalions for heated additions L U f Z1
• 1 site survey for exterior additions & decks , I
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Not Required _
Updated 1101
OFFICE USE ONLY
r-11. -
•'a
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ix 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
x 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 Bldg only) - Give PCA handout to applicant
?
Valuation OGYJ Occupancy MC/ES 5ystem
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 0 Sq. Ft. PRV
Nbr. of Bldgs . I Length Fire Sprinklered
Type of Const V, h-F Width
Footings(new bldg)
izFoorings(deck)
_ Foorings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
/ FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
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
Address 4540 MA.TESTIC: OAYS PLACE Zip 55123
LOt 15 Blk I Sub MA.IESTIC OAKS 2NID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTTON.
Date: Yes No Inspector:
Final grade (6" from siding) y
Permanent steps (gazage)
Permanent steps (main entry) l"'
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck V
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 exisu.
ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
i -::? -A- "/, --=A- ti 3 1 14 -1
, - 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, CITY OF EAGAN
LI ?• 1 I? 3830 PILOT KNOB RD - 55122 ,0 a-? 3
? 851-681-4675
C_0-0-kz ? v - `f -o cJ
Rert?odel/Renadr ReaulremeMs
D S reylslared tlte wrveya ahowlnp tq. R, ot bt, sq. rt. of house 2 eoplet cf plan
and gQ rooted areas (2p% mcWmum lof ooveraae atlowedf 1 sef o} enerpy cdculallons for heated additlons
D 2 coples of plans (ahow bearn A window sizes; poured h?d. deaipn; etc.) i site wrveY tor exterlor adcflflor?s & decks
D 1 3et of anefpy edeulullona
Y 3 coples of ttee pretenaHon plan H lot plafted cRter 7/1/93
DATE: t-7• Z$-OC> CONSiRUCT10N COSi: ?ar?T c?
DESCRIPTION OF WORK: hlL.L4 t oFN7"i AL CC>Ns ceac•rron/
STREET ADDRESS: 4S +O t-I AO ?Ti nar c t?L.4?
LOT: I n_ BLOCK: J SUBp.IP.1.D.11: tsla?cST,c o.ar?:, zNo ..?r?-?o?^r
PROPERTY
OWNER
COMRACTOR
ARCHtTECT/
ENGINEER
Name: incc. Phone #: 65r
Laal Firaf
Sheet Address: ?5 10 --2, *RD
City State: ?4 r'l Lp: fAsd2.?--
Company. ?5Akl-tE7 As s?r8a.?? Phone #:
(area code)
Shroet Address: Ucense # I-4^C- !o Exp. L' r_
CNy
State:
Company: Name:
Telephone S: ( )
Sfireet Address: Registraiion #:
Zip:
CHy State' ZIp:
??-a---
SeweNwater licensed plumber (ff installlna seweNwater): Phone #:
I hereby aeknowledge ihat I have reod this applicaibn, sfate thaF ihe Informalion ia carecf, and agrea fo comply wilh a0 applicable State
ot Minnesota Slafutes and City ot Eagan Ordinances.
' Signaiure of AppBcanh - C?
Certificates of Survey Received ?
Tree Preservation Plan Received ?
OFFICE USE ONLY
Yes _ No
Yes _ No - Not Required
-
?,--?-?-,' ,f,
. ??.; ?_. , ? ?;?,, ,?'°?,
SEP 2 8 2000
i.`3. ?:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
. `
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) 0 33 Ext. Alt- SF
03 01 of _ plex ? 09 07-plex ? 18 Deck 0 23 Porch (screened) ? 36 Mutd
0 04 02-plex O 10 08-plex 0 19 Lower Level ? 24 Storm Damage
0 05 03-plex ? 11 10-plex Plbg Y or _ N 0 25 Miscellaneous
? 06 04-plex D 12 12-plex O 20 Pool O 30 Accessory Bldg.
WORK TYPE
31 New ? 36 Move Bldg. ? 43 Reroof
?
32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
O 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
0 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories ? sq. ft.
No. of Units
No. of Buildings Length sq. ft.
Width ...?`? Footprint sq. ft.
Const. (Actual) .s Basement sq. ft. G QSA; Census Code U?
(Allowable)
UBC Occupency - M in level sq. ft. a a,S/ MC/ES System
- sq. ft. ? dG City Water
Zoning sq. ft. Booster Pump,
PRV '
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
E3 Stucco/Stone •
APPROVALS
?
Planning Building ? Engineering Variance
F
Permit Fee Valuation: $
Surcharge
Plan Review
?&tod-r Lewe')
License
AC
S S '
MC/E
S
City SAC L? `? ? f?pp.ll C S: ? S•28?? ? r`?
WaterConn.
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. .
Trails Ded.
Other
Copies /
Total:
SAC Units
% SAC
r?
?i(.e Ca6'
. ?
(SEE ATTACHMENTS)
Development
Lot Number Block Number ?
Address 01111MTLC Off 1GS ?LA(.G7
Builder 'PeDm(bkl "OYheS
- LV6 - l
Cfl1JZ4AL't t Z01V rFx:G Q.iO
Tree Protection Reauirements:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during Apri11 to July 31}
Therapeutic Pruning
Retaining Wall
Other:
Repiacement Trees:
Not Required
As Follows:
?:....._.. _ ._ _. -.
Attachments: ?7m RES'i("ny U;?yj-jr)?ri
? Yes
No
EIV
Additional Notes: ?
? Da4? 10-3 -?z.?
H:\ghove12000fileltreepreslTree Preservation Plan Summary-2000
?? : : ?'t? -????`?I? ?Ti_O_?A1 op4.imIN
MAJESTIC OAKS PLACE
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I hereby certify thst fhis aurvay. Planlor rePOA waa ?p•?,????;:.?,?:f:ll????O'iii? / _=?
prepnred by me or under my tlireet eupervfslon and ,??°???N`? ???•.. r??ii? _ -
Ihet 1 em e duly Reoisterc0 Lend $urvsyor untler ??V' '•? '?? ??
tne laws ol Me Stel? if Mlnnafou. ?*: , n17 1 eA no /Il /r ft.? •
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lc?T ,J/e1?,-Jn,'
DATE OF SURVEY: ?%)' ?.3. -ZOOC,x
IATEST REVISION:
DOCUMENTSTANDARDS
.
.
.
.
.
Registered Land Surveyor signature and company
Building Permit Applicant
Legaldescription
Address
North arraw and scale
House type (rambler, walkout, split w/o, split entry, lookout, etc.)
Directional drainage arraws with slope/gradient %
Propasedlexisting sewer and water serrices 8 invert elevation
Street name
Driveway
Lot Square Footage
Lot Coverage
ELEVATIONS
Ew.sqnq
Sewer service (or Proposed)
Properiy corners
Top of curb at the driveway
Elevations of any ebsting adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
Prooosed
Garagefloor
First floor
Lowest exposed elevation (walkouUwindow)
Property comers
Front and rear of hame at the foundation
r?o ? •
?? ? .
?? ? •
t9/p ? •
??O q •
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?
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m? ? ?
G-'O 0
0 6Y ?
PONDING AREA (if aaalicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency OveAlow Elevation
.
.
Mareh t999
caaKW8Uoc~.cM
DIMENSIOMS
Lot IinesBearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footings)
Show all easements of record and any Ciry utilitles within those easements
Setbacks of proposed structure and sideyard setback of adjacent exissting structures
Retaining wall n
Reviewed:
.
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-28-2000
DAmE OF PLANS: 9-26-00
TITLE: Eagan Chatham Model
PROJECT INFOEtMATION:
4540 Majestic Oaks Place
Eagan, MN
Lot 15, Block 1
COMPANY INFORMATION:
PEDERSON HOMES, INC.
310 3RD. ST.
FARMINGTON MN 55024
651-460-2412
COMPLIANCE: PASSES
Required UA = 490
Your Home = 323
34.0o Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
---------------------------------------------------------------------------
CEILINGS: Raised Truss 212 38.0 0.0
WALLS: Wood Frame, 16" O.C. 3047 19.0 2.0
BSMT: Conc. 8.7' ht/8.7' bq/8.7' insul 134 10.0 0.0
GLAZING: Windows or poors, Above Grade 388 0.310
DOORS 55 0.350
HVAC EQUIPMENT: Furnace, 93.0 AF'UE
--------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the buildinq plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of.tlrf- Minnesota Energy Code.
1
1
Builder/Designer???y? Date td?? ao
Minnesota Energy Code
MNcheck Software Version 3.0
Eagan Chatham Model
DATE: 9-28-2000
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspector
use as a guide for enforcinq the Minnesota Energy Code. The items apply to
Group R, Division 3 Occupancies, one- and two-family residential dwellings.
The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSULATION
- foundation wall insulation R-5 minimum
- foundation insulation extends from top of wall down to top of the footin
- exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSULATION
- slab on grade perimeter insulation R-5 minimum
- slab insulation extends from top of slab to design frost line or top of
footing
- floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHT5
- average U-value is 0.37 maximum for windows and glass doors (excludes
foundation windows)
- window U-value consistent with building plan and MNcheck Report
- window and door area consistent with building plan and MNcheck Report
MECHANICAL VENTILATION ISSUES
- residential mechanical ventilation system provides adequate ventilation
per code requirements*
- furnace efficiency is consistent with MNcheck or building design plan
- protection against excessive depressurization is installed per code
requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
- interior basement insulation R-5 minimum (if no exterior insulation)
- ceilings with attics R-38 or consistent with building plan and MNcheck
Report
- wall framing and insulation level is consistent with building design
and MNcheck Report
INSPECTION ISSUES
CONCEALED INSULATION
FRAMING AND SHEATHING
- wind wash barrier installed at attic edge
- exterior wall corners framed so that insulation can be installed after
exterior sheathing is installed
- intersections of interior partition walls and exterior walls are frame
that insulation can be installed between the partition and exterior
sheathing after exterior sheathing is installed
- gaps between framing less than one-half inch are eliminated by securin
framing together or are insulated at the time of assembly
- all penetrations between conditioned and unconditioned spaces made
prior to framing inspection are sealed
INTERIOR AIR BARRIER
- all fire stops are air sealed
- pipes, ducts, wires, equipment and flues and chimneys through the inte
air barrier are sealed
- a sealed continuous interior air barrier is installed on the warm side
the building envelope at ceilings, walls, and floor rim joist areas*
- air barrier behind tub and shower is sealed and protected
- recessed light fixtures are sealed
ENVELOPE INSULATION
- basement insulation R-5 minimum
- wind wash barrier on wall separating house and garage is sealed
- loose fill insulation is prevented from entering the eaves
- insulation on skylight shafts and walls exposed in attics is supported
on the unconditioned side
ATTIC INSULATION
- attic access panel insulated to R-38 for ceiling panel and R-19 for
wall panel
- attic card attached to framing near access opening
- notification of attic R-value and date of installation posted near
permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota
Energy Code. Questions? Call the Department of Public Service Information
Center at 651-296-5175 or 1-800-657-3710.
PERMIT# ! 1 l! 6
0 :.: ,
RECEIPT DATE: I 3 0 0
ftESIDENTIAL PLUM$INfi PERM1T APPLICATION
crrY oFEAsM
3$30 PII.OT KNOB itD
gAH!!!V, MN 551 E8
651-6$1-4675
Please complete for:
SITE ADDRESS:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
-6 r G Gi
Ceg?_
OWNER NAME: : TELEPHONE #:
(AREA CO )
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: Y
(AREA CODE)
CITY: 00_. STATE: ?'ld C( ZIP:
Place check mark next to the qermit work tvoe
New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system Z
• water tumaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
,
StateSurcharge JAN 3 2001 .50
Total By_ { $ .S?
Reminder: Be sure to schedule 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 complywith all applicable Ciry of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages ed by the City during its normal
operational and maintenance activities to the facilities constructed under this permit 7"n City property/right-of-w /easem nt.
SIGNAT E OF MITTEE
Updated 1101
CITY USE ONLY
' PERMIT #: 'l l O 7?! RECEIPT DATE: 1?? ? ? v
RUIDENTUL blECRANICAI. gERMIT APPLICATION
crrYoFEAsM
3$30 PILOT KAOB RD
?kfiAA bIN 551 EE
wmk 651-661-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0
??
SITEADDRESS: t7'ez_S7
OWNER NAME: _7?*tC , TELEPHONE #:
(AREA CODE)
INSTALLER NAME: AS1,71C A, i N6
J nC TELEPHONE #: 611- 7-
(AREA CODE)
STREET ADDRESS: A?? lop? ?3
CITY: STATE: R4r ZIP: _5-fDr_yr
Place a check mark next to the ermit work t e
? New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: rn. n
i
State Surchar e $ .50
Total ? g 7D? SD
Reminder: Call for inspections.
Updated 1/Ol
, a
?
Iron Pipe monument to be set W Sanitary sewer invert elevation 911.80 '
i
?= Set Fiood hub at building offset ? Ict Area = 24,182 square feet .-r-
916.0 =ExiSting spot elevation House s garage area = 3,067 square feet
O= Proposed elevatioai ? PmQerty Addre.ss: 4540 Majestic Oalcs Plaoe '
K
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ql,,p = Existi*ra spot elevation
Q = PLoposed elevation
Propo.sed direction of drauiage
Sanitary sewer imrert elevation 911_80
Lot ArPa = 24,182 square feet
Hottse & garage area = 3,067 square feet
pmperty pddress: 4540 Majestic Oaks Place
House type : Ranbler
_ 233.75 N86'38'22'W
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W
Permit ! ~~I wry/ I
City of Eatd~ I Permit Fee: 4 ,VV
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: C j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: 1 r' r~, ';,'T' V~ g A-)& Phone:
RESIDENT /
OWNER Address / City / Zip: 45- Tc K l ` P,
Applicant is: Owner Contractor
TYPE OF WORK Description of work: O L
Multi-Family Building: (Yes / No
Construction Cost:
Company: -SYZ 12~'nef•:~ Contact: ~ AAJ
CONTRACTOR Address: Z (L C IL i mil=- i b City: ~
State: M J Zip: Phone: S-2
License Z. i S Lead Certificate
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: Phone:
Sewer & Water 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 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.aopherstateonecall.org
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 permi he work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X LCbCl~\
A-4-11 Ar 473 .4 - e- N` X
Applicant's Printed Name Ap a s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143414
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 4540 Majestic Oaks Pl
Lot:15 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-150
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 -
Rachael D Hedquist
4540 Majestic Oaks Pl
Eagan MN 55123
(612) 859-4289
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145704
Date Issued:09/21/2017
Permit Category:ePermit
Site Address: 4540 Majestic Oaks Pl
Lot:15 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Rachael D Hedquist
4540 Majestic Oaks Pl
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
DEPARTMENT OF SAFETY AND INSPECTIONS
Ricardo X.Cervantes,Director
CITY OF SAINT PAUL 375 Jackson Street,Suite 220 Telephone: 651-266-8989
Christopher B.Coleman,Mayor St Paul,Minnesota 55101-1806 Facsimile: 651-266-9124
Web: www.stpautuov/dsi
114f
iRAMA'
FUEL BURNING EQUIPMENT TEST RECORD
@M,� b LA i c�s 7 o Lf (Use separate form for each appliance)
ADDRESS:4540 Majestic Oaks Place,Eagan MN
OWNER:Rachel Hedquist DATE:Sep 13,2017
Type of Heat:
❑Gravity Air O Forced Air ❑Gravity Hot Water ❑Forced Hot Water
❑Steam ❑Unit Heater ❑Space Heater ❑Other:
Type of Fuel: ❑D Gas ❑Oil ❑Other:
Gas Design Conversion
Make of Burner: Serial:
Model: Model:
Serial: Max BTU Rating:100,000
Input: Make of Furnace:Amana
Equipment Venting Type: ❑Atmospheric IE Induced Fan ❑Other:
Total BTU input of all vented gas appliances per chimney: 0
Type of Chimney: ❑Masonry ❑D Class B ❑Other:
Type of Liner: ❑None Metal ❑Clay Tile
Vent Connector or Exhaust Material: ❑Type-C ❑Type-B ❑D Plastic
Combustion Air Supply Required? Yes ❑No Installed? ❑D Yes ❑No
Safety&Operating Control Tests: Yes No Fuel Analysis/Flue Gas Analysis: Yes No
Pilot/Flame Safeguard Operating Properly ✓ Vents properly without spillage ✓
Limit(s)Operating Properly ✓ Flame stays inside/Doesn't roll out ✓
Operator(s)Operating Properly ✓ Burner lights smoothly ✓
Low Water Cut-off Operating Properly ✓
All Controls Operating Properly ✓
Combustion Analysis Visual Inspection Yes No
Stack Temperature 119.4 °F/Net Fuel Piping System-Okay? ✓
Oxygen 7.8 % Vent Systems:Drafthood, ✓
Carbon Dioxide 6.3 % Connector,Vent Chimney-Okay? ✓
Carbon Monoxide 13 PPM Heating Unit-Okay? ✓
Look At The Total Heating System Before You Leave: Yes No
Does the system operate safely and properly? ✓
COMMENTS:
Name of Licensed Contractor: Address:4540 Majestic Oaks Place,Eagan
Phone:612-332-6633
Person Doing the Test(Print): Signature:
City of Saint Paul Certificate of Competency Number:
OCT-12-201?(THU) 12: 05 BONFE' S (FAX)651 281 0358 P. 0011001
Use BLUE or BLACK Ink/ ,�n
r For Office Use
/ vJ�'
#. /f 4.- -rt
7
City Olf Eaia11n PermitPermit Fee: 6,_,
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 U51-416-SION Staff:
bulidincjnspections(6 citvofeagan.com —
2017 RESIDENTIAL PLUM
BING PERMITAPPL
ICATION
Date: 1 O' 12 • 11' Site Address: - Stit T1Y1 �.JtlC OOjS PL
Tenant: Suite 8:
W
1 i °
�� Name: �, A�< < / 1ST' Phone:us 31' ,'3Q,
est yen Own r 4 G
yak. y, +9.% {' °ifi 7. . Address I City/Zip: 4514 b ^�.� N• 00t.KS et.
' _ ci
7,'F'1',,, " ', i~t'�,4r°' Name: �.� Al, /t. L . 1 .6 License 0:
ri' Yr: l i, I r �..k
� ,� ; t +f 1" Address: N. id ., /1 I A City:
. � � Ont Yc or "
r
r,. i 'g 14.4 iState: 'V Zip' Phone: l 1
VI
{
4 i d `, r a Y ,.:.4 Contact Al Y Email: 9i-lAWL@ i7
">„,i) '1 ;, .s ” i' ai _New 'Replacement _Repair Rebuild _Modify Space Work In R.O.W.
O Wor �;'4,
y�5, 1 r f( i
. '''�'..L ..,`q 0 Y .9u , I I Description of work: !l•.. A►a</
• w• 0` w g ' :4,,,,, ,,,N,� RES NTIAL
` 9•II YrN, Waley Heater
▪ +,� ,''v,;,,,,,,'ii'` ie,1 r" :�"` ° ' Water Softener
', wily Lawn Irrigation(_,RPZ I_PVB)
ertmt,t p,rd 1� Add Plumbing Fixtures(_Main 1_Lower Level)
a �, ,0,1',
rt,'',i,f.4,,t1i 1. Septic System
j � i ' Water Tumaroundt' i /°P New
a«! , 4 mslaif `Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(Includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surchargo)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround'(includes State Surcharge)
'Water Turnaround(add$280.00 if a 314'meter is required) ' n OD$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ UI ' U V
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage, Call 48 hours before you
intend to dig to receive locates of underground utilities. www,eooherstatoonecall.org
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
websito at www.cltt/ofoaaan,comisubscribe.
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 tart without a permit: that the work will be In
accordance with the approved plan In the case of work which requires a review and app - I .f pie
x 1/1 1, 1� kN l x Vr► -41/
Applicant's rinted Namo Applic is Signature
rem N'
aI7. r
�0; 0 j,lF N rsl,. a;,q:�Pi':', .,1rri, " i ''1'IY � ..'444:RovIOhp" ,,• m� *�*•., �X"L S b §o.rM 7iw'"'�rdM I.'q ,�p� �
Ohl, ,1 "°i n{• , r ��iOIII v,.,IV �h 'I, +� 1.,14, Ga ,.; , ip. .., , ,i sr,, �„. �,� , :.. '1y,N. .g.,.,„,,I*� 3��”1 ,,t,i,,J' r ,y,'
e u red M •� r o., , r ,,� ^Mr ti� � AY�,, I�Q 5 ections ^ i c��`�� • q .�' ,RD' n r� ,,. +' +�+ a�' F � I rf v�"�-� 1 I� `"��� ''
Fo'�.�i�+fr k,,I' ,,,it,,, � ,,. rh m , v.„ 4,,,, d 0 I 1 `� %'4,Y +,I,+,4. 1 S " Ir i� tM,,kimt '4� `, „''.
Me,te"r Re,at4ae,• Item `':i 'j)� to SlZe��`F � � "'"' ' as to � Y� ;, QF C � � ?� " �ia 4ti l:µ,
N) ripme r 1 . ,. i11. t ,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169707
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 4540 Majestic Oaks Pl
Lot:15 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Rachael D Hedquist
4540 Majestic Oaks Pl
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature