4541 Majestic Oaks Pl
. , BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 AILOT NN08 RD - 55122
(? ? 1 65?-681-4675
? c.?,? ?' ?-a ts?ll
,.ew winuuuiuu rteumrenren[s -
• 3 registered site surveys showing sq. (C of lot, sQ. ft, of house; aod all roofed areas
(20% maximum lot coverage aliowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.) K
• 1 set of Energy CalalaUOns
• 3 copies of Tree Preservation Plan if Iot plalted afler 711193
• Rim Joist Detaii Optlons seiec6on sheet (61dgs with 3 or less units) ?
DATE d- ? -.?? / VALUATIO
JOB SITE ADDRESS 7 SV( ilr /(/,
_ MINNESOTA RULES 7670 CATEGORY 1
- Residentiai Ventilation Category t Worksheet Submitted
- Energy Envelope_Calculafinras_B.tibmitted
IF MULTI-FAMILY BUILDING, 0,0 W MANY UNITS? '
PROPERTY OWNER TYPE OF WORK FIREPLACE(S) _0 _1 _2 _3
APPLICANT r 5af PHONE #
ADDRESS S32Ty b 6??r?i??/?<5?-- ???Oz i ZIP CODE
PAGER # CELL PHONE # 6/.?2- -t?,2 R-2- 51 Z F A X #?S?- Y??`? 47
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
,
? Plumbing Contractor. ?
; Plumbing- System Includes:
INl?ESOTA RULES 7672
- New Energy Code Worksheet Submitted
_.._. . ?.?
Water Sottener ? Larvn Sprinkler
! Water Heater ? No. of R.I. Baths
2-?? No. of Baths
YYt p ? ? bl:?; 3 ?? ?
f'P W ?0?4- Ro.'?b
RemodellRepair Renuirements
. 2 copies of plan
• 1 set of Energy Calculalions for heated additions
• 1 site survey for extenor additions & decks
(EXCLUDING )D)
K S .?
? I 2- `-l'(--I - $9 3I
Fee: $90.00
Mechanical Contractor: ? ? k li-_
\'Icclianical Systcm Indudes: _ ir Conditioiuna
? Heat Recovery System
Sewer/Woter Contractor:
Phone # GIs I - q ?U -
Pee: $70.00
Phone #
3
All above information must be submitted prior to processing of appiication.
I hereby acknowledge that I have read this appiication, state that the information is
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
V
Certificates of Survey Received ? Tree Preservation Plan Received _
????cW"j
L?
h
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
?p 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex O 18 Deck
? 11 10-plex C] 19 Lower Level
? 12 12-plex PIbg_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
'Y 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. El 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation I
Occupancy
MCIES System
Census Code Zoning ?- I Ciry Water
SAC Units ? Stories ? Booster Pump
Nbr. of Units Sq. Ft. ? PRV 13n
Nbr. of Bldgs Length _74 Fire Sprinklered
Type of Const Width -1?10
? Footings (new bldg)
! Footings (deck)
Footings (addition)
? Foundation
? Drain Tile
Roof Ice & Water Final
?i Framing
? Fireplace _ R.I. _ Air Test _ Final
_7?p Insulation
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding 5tucco^ Stone
_ Windows (new/replacement)
Approved By4(A , Buiiding Inspector
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & 5urcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
? FinaUC.O.
Final/No C.O.
? Plumbing
HVAC
_??
?Fa s ? ?s, a 7 s
?l ? Cc ?'i ? S Z &
?1 S /S m-o
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Address 454 t M a a P s t ic, o a k s PI Zip 55123
LOt 7 Blk 1 SUb Maiestic Oaks 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (G" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
6?/,
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 W
the outside lawn 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
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MNcheck CO1+Pi,IANCE REPORT
Minnesota Energy Code
Mcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-5-2001
COMPLIANCE: PASSES
Rez++i red UA = 495
Your Home = 428
13.5% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value
- U-Value
--------- UA
-------
---------------------------------
CEILING3: Raised Truss ------------
1863 --------
44.0 ------
--
0.0 - 41
WALI.3: Wood Frame, 16" O.C. 1805 19.0 0.0 106
WALLS: Wood Frame, 16" O.C. 395 19.0 0.0 23
WALLS: Wood Frame, 16" O.C. 199 11_0 6.0 13
SSMT: Conc. 9.0' ht/8.0' bg/9.0' inaul 1008 8.0 0.0 68
BSMT: Conc. 4.0' ht/3.0' bg/4.0' insul 316 8.0 0.0 26
GLAZING: Windows or poors, Above Grade 366 0.320 117
DOORS 89 0.350 31
FLOORS: Over Unconditioned Space 36 30.0 0.0 1
HVAC EQUIPMENT: Furnace, 90.0 AF
--------------------------------- UE
------------
--------
--------
-----------
-------
C0NPI,IANCE STATEMENT: The proposed buildinq design described here is
consistent with the building plans spe ' ications, and other calculations
submitted mith the permit applic ion. The proposed building has been
desiqned to meet the requireme s of e Minnesota Enerqy Code.
Builder/Designer Date
?
' Aggregate Make-Up Air Alternative and Ventilation Documentation
• (Can be Used as a Supplement to Permit Application)
Bid Address: 4541 Majestic Oaks Place ' Date: 4/3/2001
City: Ea an ZV Code: 55123 ?
?- ---
Completed By: MRH ' Co. Name: M.R. Hebert @ Associates Inc.
-?- _- .
Path O, Aggregate Alternative -?-- Exhaust Devices cFM
Space Heater: ? Sealed Combustion ? I Clothes Dryer 150
Water Heater: Sealed Combustion - ? Kitchen Exhaust 250 I
Gas Hearth:? Sealed Combustion _?aster Bathroom 50 ?
Solid Fuel Hearth: ' None i ? Bsmt Bathroom ?50 ?
CO Alarm: Not Required lst FI Bathroom ? 50
r ? ---- - -? ._ -. ? . - ?-
I ?
Make-Up AII' ?-
? Central Vacuum Recirculati
? - -- f ? ? ?
Largest
Exhaust Dewces
Exhaust Capacity Dryer Kitchen
Totai i
Uther
150 250 0 450
? ?
Z
Distribution
-- - -
- - -- ?
CFM
--- -- --
- - - -- -- -
---
Passlve Infiltration
Passive Opening(s)
•
I 425 ?
kgid Flex Direct EF I
25 3 2 I
? ?
.
; Powered Make-Up
- -- --- -- - ---
<,
- - - ?
?
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?
.
? 0
- --- -
-?.
Ventilation
Sq. Ft I Bedrms ?
3726 ? 4 Minimum Required
Total Ventilation TPeople Ventilation ? * Supplemental Ventilation ?
5 r 111
186
?
? People i
-- 7
tS*verrtilation in exoess ? the required minimum people is deducted from the required minimum
lemental. lhis is dased on tlie Energy Code definitlon of Supplemental = Total minus People.
? Supplemental T- -? ?-
I HRV or ERV 1 183 cfm. I_ HRV or ERV 1 t O cfm.
?
?-
Master Bathroom
- ?
? -- -?-
0 cfm. Master Bathroom 50 cfm.
- --- - - --- - -- -- -- --- ----
?
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People: ? - -- ---
183 cfm. Supplemental: 50 cim. Total: 233 cfm.
2001 Building Permit Application (Residential)
Date April 5`". 2001 Construction cost $
Description of work Sinqle Familv Dwellina
Street Address 4541 Maiestic Oaks Place
Lot 7 Block 1 Subdivision/ PID. # Maiestic Oaks 2nd Addition.
Propertv Owner
Name M. R. Hebert 8 Associates Inc., contact Mark Hebert
Phone # 952467-4195 mobile 612-328-2592 Fax 952-461-4197
E-mail mrhebert(6)msn.com
Street address 23300 Grandview Trail Citv Lakeville.
State Minnesota Zip 55044
Contractor
Companv M. R. Hebert 8 Associates Inc. Phone 952-4614795
Contractor M.R. Hebert 8 Associates Inc. Phone 9524614195
Street address 23300 Grandview Trail license # 5700 Zio 55044
Architectl Engineer
Company Planco Name Tom Korte -
Phone # 651452-0724 Street Address 3435 Washinaton Dr
CiN Eaqan, State Minnesota Ziq 55122
Sewer / Water contractor licensed Plumber Clearwater Plumbing (612) 447-8939
Heatina & Air Conditioninq Contractor Lofaren Heatina & Air 651-460-831
I hereby aclmowledge that I have read tfiis application, state that the information is mrrect, and agree to
comply with all applicable state of Minnesota Statutes and City of Eagan Ordinances.
Signature of applicant
Office use onlv
Certificates of Survey receNed yes No
Tree Preservation Plan Received yes no not requlred
? r
?
Site Address 4541 Maiestic Oaks Place Lot 7 Block 1
Subdivision Maiestic Oaks 2nd Addition Permit # EA XXX)CXX
This structure is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670.
X This structure will be constructed to meet more restrictive requirements of Chapter 7672, or 7674.
Path 1
Appliance Gas Electric Manufacturer Model BTU's Venting Type
In floor heat Yes Dakota Electric ? ? Not Applicable
Water Heater Yes Marathon MR #105-245 15,358 Not Applicable
Furnace
Yes
Carrier 58 MVP 080 or
94% DC drive
80,000 Sealed combusdon,
dtrectvern
D el'
?
?
?
?
? To be purchased 8
instatled by homeowner
Exhaust System Location Type Model CFM's Vented
Yes No
Kitchen
Kitchen Over the range
mlcro /vent. Amana MVH250 W/L1E or=
250
Yes
Bathroom # 1 Main floor bath Ceiling Broan # 688 or = 50 X
Bathroom # 2 2"d Floor Main Bath Ceiling Broan # 688 or = 50 X
Bathroom # 3 Master bath Ceiling Broan # 688 or = 50 X
Bathroom # 4
Other
Fireplace (s) Location Gas Wood Manufacturer Model BTU's Sealed
Direct Atmos
Family room Yes Heat N Glo 6000 TR or = 30,000 Yes
Make-up air Model Type CFM's
Summer Aire Pro Ventor SH125 or = HRV 125-180
I hereby acknowledge that the above information is correct and agree to comply
with the Minnesota Energy Code and the City of Eagan requirements.
Signature
Company Name M. R. Hebert 8 Associates Inc. License # 5700
Window Door Schedule
4541 Majestic Place, Lot 7
4541 Majestic Oaks Place Lot 7 block 1
Type Count Series Size Location Width Height Sq " U-Value
Windows
A 3 20191 5ox4o Basement 60 48 8640 0.31
B 2 201 sl 6ox4o Basement 72 48 6912 0.31
C 0
D
E 2 801 dh 3ox4o Laundry, Kitched 36 48 3456 0.3
F 2 801 dh 2ox5o Dinette 24 60 2880 0.3
G 1 807 dh 2'6x5'0 x 2 Dinette 59.5 60 3570 0.3
H 2 801 dh 3'4 x6o Great room 40 72 5760 0.3
I 2 801 dh 2o x5'6 Master bed 24 66 3168 0.3
J 1 801 dh 3'o x 5'6 Master Bed 71.5 66 4719 0.3
K 2 807 dh 2'6 x4'6 Master bath 59.5 54 6426 0.3
L 1 801 dh 1'6 x 3'6 Closet 18 42 756 0.3
M 1 801 dh 2'o x4'0 112 bath 24 48 1152 0.3
N 1 801 dh 3'o x 6'o Dining 71.5 72 5148 0.3
0
Total Sq.ln. 52587
Total Sq. Ft. 365.1875
Doors
AA 1 3o e10 Insulated raised panel, hinge right Garage service door 38.25 82.5 3155.625 ,
BB 1 F 14 Full lite grids, hinge left Kitchen door 38.25 82.5 3155.625
CC 1 Supplied by Lamperts 69 98 6762
DD 1 2-8x6x8 e 10, hinge left, clouser 6&518jamb hinge right closer 34.25 82.5 2825.625
Total Sq. in. 12743.25
Low E, Argon Total Sq. Ft. 88.49479
24 White vinyl
Jamb 6 112 pine
internal rid thru out o tion rice white vin I'anb
Hebert Associates Inc.
2 23300 Grandview Trail, Lakeville, Mn
. Office 952-461-4195
? Mobile 612-328-2592
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(SEE ATTACHMENTS)
r
?Development j?
Lot Number ? Block Number 4
Address `C?'? 1 ii''kk"tl C. c s31-? 1'
Builder R"i j
Tree Protection Requirements:
Tree Fencing
Oak Tr2e Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Realacement Trees:
?C Not Required
- r- As Follows:
Attachments:
ves WC?NI?C;C?DD ..
No •
G233?'I L .
Additional Notes: ?Q? ?______ ? ? ?U ?- U-? --
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HAqhove\2000fi1e1treepreslTree Preservation Plan Summary-2000
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Deerings ere easumad
Subject to easementa of record if any
0 Denotee eet or Eound Sron pipe monumente
$ ?„?E
.,, Denotes set arttl-teel<.._.....,. Propoaed geraga tloor elevatlon
1g4.o Denotes existing elevatlon
Propoeed top of 61ock elavetion (:J? Denotee proposed flnlsh grade elevation
Denates direction of surface drainege
? Proposed loweat iloor elevation
I hareby certlly that this is a true end correct repreaentation oi a survey of the boundarles
of Lot 7, Block 1?(Y?qJE;tICOAKSJECpapADDlno?II Cnoun?ty?Minnesote es on file and of recortl
in the OSfice oi the County Recoxder in end for said County, also ahowing the proposed location
of a house es eteked tNereon.
That I am a duly Aegiatered Land Surveyor under the Lawe of tha State of Minnesote.
OatedfiwCp J?I?.DDl J
R?,sEo: AP?,?? 4.? 2IDDt
- Allan R. Hastings .
. Mlnneeota Regiatration No. 17009
212 Firsi Avenue E.
Suite No. C
' Shakopee, Mlnnesote 55379
' . Phona 952 445 4027
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PROPERTY LEGAL:
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DATE OF SURVEY: 3-3a- j ?
LATEST REVISION:
DOCUMENT STANDARDS
• 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 %
• Proposedlexisting sewer and water services & inveR elevation
• Street name
• Driveway -
• lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
? ? C? . Sewer service (or Proposed)
C? ? ? . Property comers
,?t/ ? C! . Top of curb at the driveway and propefij line extensions
IV ?? • Elevations of any existing adjacent homes
? M? ? • Adequate footing depth of structures due to adjacent utility trenches
/ Prooosed
G7'/ El ? • Garage Floor
? ? • First fioor
L? ? ? • Lowest exposed elevation (walkouUwindow)
[9? ? ? . Property comers
P/ ?? . Front and rear of home at the foundation
PONDING AREA (if applicable)
? V ? • Easement line
? P/ ? • NWL
? CY ? . HWL
? GY,EI • Pond # designation
0 0? ? • Emergency OverFlow Elevation
DIMENSIONS
Li/ /? ? • Lot lines/Bearings & dimensions
CN' ' ?? . Right-of-way and street width (to back of curb)
P/ ? CI . Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
FV ? I 1 . Show all easements of record and any City utilities within those easements
d/? Ll . Setbacks of proposed structure and sideyard setback of adjacent existing structures
? CI . Retaining wall requirements, if anys i;> ? ? r7 -rr ex ceP 14 3: ! oi r?'tc•?, ,.a
lt wrl? e
Reviewed: O /
Name / Date
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
RESIDENTIAL
BUILDING PERMIT APPLICATION
t CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
? 651-681-4675
New ConsWction ReauiremeMS RemodeUReoair Reauiremei
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 wpies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calcula'
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exteri ?
• 1 set of Energy Calculations . Indicate it home serv
• 3 copies oi Tree Preservation Plan if lot platted after 711193
• Rim Joisl Oetail Optlons sefection sheet (bldgs with 3 or less units)
DATE & - ,a' 02- VALUATION 40'
r heateUd'mda v
ms & decks ? ZQQ /
dc system for additions ?
Z,o a
SITE ADDRESS 4?9'1 Af q,rd7c'_ 09IE's P/9c-le MULTI-FAMILY BLDG _Y 'G N
TYPE OP WORK 0('e-0? FIREPLACE(S)X_ 0_ 1_ 2
APPLICANT lyq ?/ Pz ???Sp•? Li,c. ??1,5?
STREET ADDRESS /S7y La K4,'%ta Cul-w( CITY f? 9,-w STATL'M/'?'ZIP 5 st12- 2
TELEPHONE #(OS/ 98 4trW CELL PHONE # PAX #
PROPERTYOWNER M44- Cq.?_C TELEPHONE# &s7-157<r2?1
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CAT'EGORY 1 D
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanica( system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Er?9r?{ C,9db
J 111V ?
Fee: $90.00
Pee: $70.00
----------------------------------------------------°--------------------------------------------------------------------
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicant
------ - ------------- - - --- - --
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone # '
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ ptex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
0 09 07-plex ? 17 Garage
? 10 08-plex 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
e . ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
`, 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 21D Occupancy I'Ll?,'j1, MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const _i4A Width
REQUIRED INSPECTIONS
Foot;i:gs (new bldg) _ FinaUC.O.
x Footings (deck) FinaUNo C.O.
_ Footings (addition) Pluxnbing
Foundarion HVAC
Drain T'ile Other
Roo; _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By?
0
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
, a5
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t2o iDE
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? I hereby certify that this is a true ikndcorrect representation of a survey of the boundaries
U
ty.Minnesots as on file and oP record
DDIT1dNI Coun??
of Lot 7, Block 1 /'1
in the Office of the County Recorder in and tor eaid County, also showing the propoaed location
of a house es ataked thereon,
That I am a duly Registered Land Surveyor under the Laws of the State oi Minnesota.
oacea: MAVE-4 3D, 2001
4.?.2,001
?F,1)LS??J'. APei? 1g, 7?1 I
Allan R. Hastings
Minneaota Regiatration Ho. 17009
212 First Avenue E.
Suite No. C
Shakopee, Minnesota 55379
Phone 952 445 4027
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Denotes direction of surface drainage
ev
I hereby certify..that this is a true'Ind correct reprfe?aentation of a survey of the boundaries
of Lot 7, Block i.maJF-sTICDNKSSPZADADDIT104,C un?. Minnesota as on file and of record
in the Otfice of the County Recorder in and tor eaid County, also showing the proposed location
of a house as staked thereon,
That I am a duly Registared Land Surveyor under the Laws of the State oi Minnesota:
Dated: MW{4 3D,(X1 --
ReoSr-b: RPaw- 4.?,.001
?F?t)?SE?J:APU L I2,00 1
Allan R. Hastings
_.Minnesota Regiatratlon.,No. 17009, _
212 First Avenue E.
Suite No. C
Shakopee, Minnesota 55379
Phone 4)52 445 4027
z
r----Use-BLUE or BLACK Ink
\V 1\~\ I For Office Use
Permit
City Ol Eayn
c1- 6~ I I
1 Permit Fee:
3830 Pilot Knob Road ~G~ I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 ' i Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
149 "
Date:
- Site Address:
Tenant: Suite
RESIDENT / OWNER Name:10V-e `st IJOVY S S Phone: 1!~
Address/ City/Zip: A,/,
Applicant is: Owner Contractor
TYPE OF WORK Description of work: / ~/f/`
c.~
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: 1 nW ~d.~2/~~✓L~' /VW .yam- License#: Z0/7
Address: 64- 6 ~~/y! %'~O • .~i f, city: Sam' -"ll
State: ✓foI/t, zip: 'r-~ 56'_ Phone: 7,0r3 ° SSA 'C>4-, ef~
Contact: 9-4) Email: cey• C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
~I
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.gopherstateonecall.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 permit; that the work will be_jn_----•°~-°""`
accordance with the approved plan in the case of work which requires a review and approval of plans.
i
x ~p j17 A0 Lv x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112175
Date Issued:07/31/2013
Permit Category:ePermit
Site Address: 4541 Majestic Oaks Pl
Lot:7 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-070
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.
Scott Lofgren
5708 Upper 147th St W #102
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 -
Michael A Kaess
4541 Majestic Oaks Pl
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144131
Date Issued:07/13/2017
Permit Category:ePermit
Site Address: 4541 Majestic Oaks Pl
Lot:7 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-070
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 -
Robert R Bartz
4541 Majestic Oaks Pl
Eagan MN 55123
(507) 459-3176
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171486
Date Issued:08/18/2021
Permit Category:ePermit
Site Address: 4541 Majestic Oaks Pl
Lot:7 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Robert R & Jane Bartz
4541 Majestic Oaks Pl
Eagan MN 55123
(612) 616-5983
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature