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4545 Majestic Oaks PlRESiDENTiaL W+W_- BUILDING PERMIT APPLICATION II ??y?jlp I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 qlbbq-?? - Q?, L f1 651-681-4675 I ?/ lJ New ConsVuction Reauirements RemodellReoair Reauirements ? . 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan 5Y43 •q?f (20°h mauimum lot coverage allowed) . 1 sel of Energy Calculations (or healed addRions ? • 2 copies of plan showing beam & window sizes; poured found design, elc.) . 1 site suroey fur exterior additions & decks ? . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less unils) Maje s t i c 06t I(S .2 ?') C? ? DATE VALUATION (EXCLUDING LAND)? 76 JOB SITE ADDRESS , r IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN d TYPE OF WORK FiREPLACE(S) _0 (?S9 _2 _S APPLtCANT PHONE# ?lz- 3z?'-ZSp? ADDRESS ZIP CODE PAGER # CELL PHONE # 2- ?,, ?- Z) 4 L FAX # NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPtETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - __EOergy-E-nup lope Calculations Submitted fNESOTA RULES 7672 1 New Energy Code Worksheet Submitted Plumbing Contractor. e t Plumbing System Includes: _ Water Softener Water Heater No. of Baths Phone #: e/ Z- i?`f7 - S; A 3 p Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Mechanical Contrqctor: o 1`6 zz/?z,? ?!'2Phone # Mechanical System Includes: - Air Con honing Heat Recovery Systcm Sewer/Water Contractor: C L-0. ( w ? Phone # All above information must be submitted prior to processing of appiication. I hereby acknowledge that I have read this application, state that the information is all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received ? Tree Preservation Plan Received G 5-1- Z{n -'y ;;,- 3 Fee: $70.00 11'1. &/..¢? and with N Updated 1/01 OFFICE USE ONLY X01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-ptex 0 06 04-plex ? 07 05-plex ? 13 16-piex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-ptex ? 19 Lower Level ? 12 12-plex Plbg_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 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 0 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?? Occupancy 23 "'?? MC/ES System Census Ccde Zoning City Water ? ? SAC Un+ts Stories ? Booster Pump Nbr. of Units Sq. Ft. L-Y sr PRV I ? Nbr. of Bldgs ? Length - (0? Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ? Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) _ Plumbing ?i Foundation _ HVAC Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final ? Fireplace )( R.I. )(Air Test )e Final _ Siding _ Stucco _ Stone ?i Insulation ` _ Windows (newlreplacement) Approved ByEZ_, 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 C77 P"to (r-A°??-&--L ?31 7-3 ? Address 4545 Majestic Uaks P1 Zlp 5512 3 LAt 6 Blk I Sub Maiestic Oaks 2nd Addition THESE iTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Percnanent driveway Permanent gas Sod/Seeded grass Trail/curb 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 tight-of-way or installing undetground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION Ls-- CITY OF EAGAN ? `? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ?y /ogy Site Street Address Zi',S-C/S r,{ .5 e- Unit # Property Owner Telephone # ( ) Contractor G Yl« ?b Telephone # ( ) Address y City State.4Z41 Zip S-5-oy1 The Applicant is: _ Owner 7\Ctontractor _Other Alterations to existing dwelling $ 50.00 A Add plumbing fixtures. If you are only installing a water softener and/or water heater, the fee is $15.00 plus the state surcharge - see next section. _Septic System Abandonment Water Turnarou d(add $121.00 if a 5/8" meter is required) Other: Yv"-c v, _F:? Y? Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ? ? Il (f? ? I $ .50 ` Total ?iOU 1 2 ZC?04 $ I hereby apply for a Residential Plumbing Permit and acknolI?e6ge-4ftaffWinforrrration is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appro,?jd. Applicant's P nted Name Applican Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ?c •-? ?,? ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauirements 3 registered sile surveys showing sq. ft. o( lot, sq. ft, of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Add'dion - indicafe ilon-sde septic system 3 copies of Tree Preservation Plan if lot plalted after 7l1/93 Rim Joist Detail Oplions selecGon sheet (bldgs with 3 or less units ? m -r?b,6(J ? 1 1- ?a- Office Use Onlu Cert ofSurveyRecd ; _Y _N Tree Pres Plan Recd ; Y N TreePres'Requieed _Y _N On-site SgpUc System'_ _ Y_ N Date C) Co struction Cost ?,? ?, ?? 5ite Address UnitlSte # Description of Work ? arl?l p,`' ?C(ff'??i.'?"°9?'? Multi-FamilyB(dg _ YvN Fireplace(s) _ 0 1 _ 2 Property Owner -/ Telephone # (6 d Contractar Address City State j //elc;Ill? Zip Telephone # COMPLETE TIiIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 EnBrgy Code Category • Residentiat Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. , Licensed Plumber Mechanical Contractor SeweriWater Contractor Telephone # ( ) Telephone # ( - ?I Telephone # ( , !i i kil i / 11 u ififiA 11 ?. _ ?I hereby apply for a Residential Building Permit and acknowledge that the informatio 1-is compl and accur` te; _ that the work will be in conformance with the ordinances and codes of the City of Eagan and the Stafe" o?1V1N Statutes; 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 wark will be in accordance with the approved plan e case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-piex ? 73 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of ` piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg,,k?( or _ N ? 25_ Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair )( 33 Alteration ? 37 Demolish Building* ? 43 Rero.of ? 46 Windows/Doors ? 34 Replacement 'Uemolition (Entire Bldg) - Give PCA handout to applicant Valuation ? Occupancy /Z-7 MCES 5ystem Census Code Zoning ?-- / City Water - SAC Units Stories - Booster Pump - # of Units -' Sq. Ft. PRV - # of Bldgs - Length ? Fire Sprinklered ? Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) i/ FinallNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof Ice & Water Pool _ Ftgs _ Air/Gas Tests Final Final _ ? Framing _ _ _ Siding _ Stucco _ Stone _ Brick ? Fireplace _* R.I. 1* Air Test ,1( Final _ Windows ? Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAG City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Site Addre Subdivisio # EA XXXXXX Tbis 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 Ap liance Gas Electric Manufacturer Model BTU's Venting Type Water Heater Yes Marathon MR #105-245 15,358 Not applicable Furnace Yes Carrier 58 MVP 080 or 94°/a DC drive 80,000 Sealed wmbustlon, aireccvenc Dryer ? ? ? ? ? iretalled by hh=ner Exhaust System Location Type Model CFM's Vented Yes No Kitchen Kitchen Over the renge micro Nent Whiripool 7140 250 Yes Bathroom # 1 Main floor bath Ceiling Broan # 688 or = 50 X Bathroom # 2 2nd Floor Main Bath Ceiling Broan # 688 or = 50 X Bathroom # 3 Master bath Ceiling Broan # 688 or = 50 X Bathroom # 4 Other Fireplace (s l.ocation Gas Wood Manufacturer Model BTU's Venting Sealed Atmos Family room Yes Heat N Glo 6000 TR or = 30,000 Yes Make-up air Model Type CFM's Summer Aire Pro Ventor SH180 or = HRV 125-180 I hereby acknowledge that the above inform ' n is co c and agree to comply with the Minnesota Energy Code and the C' o Eag re uirements. Signature ? Company Name M. R. Hebert & Associates Inc. License # 5700 ? M Site Address Subdivision Block 1 Permit # EA X565X 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 Water Heater Yes Marathon MR #105-245 15,358 Not applicable Furnace Yes Carrier 58 MVP 080 or= 80,000 Sealed com6ustion, directvent Dryer T ? ? ? ? r install d byhomeowner Exhaust System Location Type Model CFM's Vented Yes No Kitchen Kitchen Over the range micro Nent Amana MVH250 WILIE 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 Venting Sealed 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 requirgrents. Signature a- ?1_ - Company Name M. R. Hebert & Associates Inc. License # 5700 Ir* , A • Mcheck CONIPLIANCE REPORT Minnesota Energy Code A4dcheck Software Version 3.0 Permit $ Checked by/Date COUNTY: Dakota STATE: Minnesota 20NE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-1-2001 PROJECT INFORMATION: 4545 Majestic Oaks Place Lot 6, Block 1 Majestic Oaks 2nd Addition COMPANY INFORMATION: NIl2 Hebert & Associates Inc COMPLIANCE: PASSES Required UA = 631 Your Home = 441 30.18 Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1592 44.0 0.0 43 TiALLS: Wood Frame, 16" O.C. 28$3 19.0 0.0 170 WALI.S: Wood Frame, 16" O.C. 290 0.0 8.0 34 BSMT: Conc. 9.0' ht/8.0' bg/9.0' insul 1303 12.0 0.0 73 GLAZING: Windows or poors, Above Grade 277 0.350 97 DOORS 67 0.350 23 FLOORS: Over Unconditioned Space 30 30.0 0.0 1 HVAC EQUIPMENT: Furnace, 94.0 AFUE C02+PLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit applicati?a The tesota posed building has been designed to meet the requirement??the MiEnergy Code. Date I ° ( °- Z.-x> t +? • ? •. I I I M14check COMPLIANCE REPORT I I Minnesota Energy Code ? Permit # I NIlNcheck Software Version 3.0 I I Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-1-2001 PROJECT INFORMATION: 4545 btajestic Oaks Place Lot 6, Block 1 bIajestic Oaks 2nd Addition COMPANY INFORMATION: Mt Hebert 6 Associates Inc COMPLIANCE: PASSEB Required UA = 591 Your Hoaee = 407 31.28 Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value ------- U-Value ------------ UA ----- --------------------------------------------- CEILING3 1592 ---------- 44.0 0.0 43 WALLS: Wood Frame, 16" O.C. 2883 19.0 0.0 170 BSMT: Conc. 9.0' ht/8.0' bg/9.0' insul 1304 12.0 0.0 73 GLAZING: Windows or poors, Above Grade 277 0.350 97 DOORS 67 0.350 23 FLOORS: Wer Unconditioned Space 30 30.0 0.0 1 HVAC EQUZPMENT: E'urnace, 94.0 AFUE -------------------------------------------- ----------------- ------------- ----- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. /,Phe p?posed building has been designed to meet the requireaients of ?:e Mip lesota Energy Code. Builder/Designer ff-,::Z _? ??(??? Date 3 - / p- ZoA? ?? Aggregate Make-Up Air Aiternative and Ventilation Documentation (Can be Used as a Supplement to Permit Application) ---- --- --- - _----- ; , ' Bid Address: _4545 Majestic Oaks Place Date: i 2/23/2001 ?------ -- ,-- ? Ci : Eagan _____Lz!p Code: 55122 Completed By: MRH Co. Name: M.R.Hebert & Associates Inc. Path 0, Aggregate Alternative exhaust uevices cFM - - --- - ----- Space Heater: Sealed Combustion Clothes Dryer 150 _.._ T- Water Heater: Combustion Kitchen Exhaust 250 Sealed ----- - ---- -- ? _ ? Gas Hearth: Sealed Combustion ? Master Bathroom 50 -- I Solid Fuel Heartlh: None 2nd FI Bathroom 0 - i __ . _ _ - CO Alarm: I Not Required ist FI Bathroom 50 ` I I I------- _T i I I I?Make-Up AIr - ? Central Vacuum ; None - _ --- Exhaust Devices -- ? Dryer , -- Kitchen iLargest I Other -- i Total : -- -- I - Exhaust Capacity 150 250 - 50 450 T ? -- ?-_ Distribution ? CFM - - -- - _ ? - _ Passive Infiltration 425 _ _ ----- Passive Openin9(5) Rigid Flex Direct 25 3 4 2 Powered Make-Up - , i- _ I-.- ? ?-- r - ? - i ? _? - ?- -I - ? - - I ? Venti ati 011 Minimum Required ---? -- Sq. Ft. Bedrms 3998 4 --- - _ _ ---r-----__ __ Total Veirtilation People Ventilation I * Supplemental Ventilation 1 200 75 ? 125 ' - ? - - -- - -- * People installed ventilation in excess of the required minimum people is deducted from the required minimum supplemental. This is based on tlie Energy Code definitlon of Supplemental = Total minus People. -- People r- _ ? -- - Supplemerrtal - - - HRV or ERV 1 __? _-- 183 cfm. HRV or ERV 1 0 cfm. -- - -- I - Master Bathroom - 0 cfm. , Master Bathroom 50 cfm. ?-? - ? -- , ? People: 183 cfm. - - Supplemental: ? 50 cfm. TotaL• 233 cfm. ,v4w 46 • Ventilation Measurement Documentation Bidg Address: ; 4545 Majestic Oaks Place I Date: Ci : na ag - Z e: - - 55122 -- Completed By: MRH ?Co. Name: M.R.Hebert & Associates Inc. ? Path 0, Aggregate Alternative ? f --------- Ventilation: Measured Performance ' People Ventilation Supplemental Ventilation l Total Ventilation I I i Minimums ---> I - 75 125 --? -- - I 200 I -- I Measured f F ? Measu? p?P?e Designed ( Intake Exhaust Supplemental i Designed Intake Exhaust HRV or ERV1 183 cfm. ---- _ HRV or ERV 1 0 cfm. - _ Master Bathroom j 0 cfm. Master Bathroom ? 50 cfm. f I ------------- People: -- 183 cfm. - - - --_1 Suppleme ntal: 50 cfm. -- ? _ Note: Air flow for balanced ventilation systems must be balanced within ten percent. ? Total Designed Ventilation: 233 cFm. Total Measured Ventilation (people + supplementai): , ; ? Ti- Compliance ::;em t: Installed ventilation system is in compliance ' e MN ergy Code and sized to provide tfie design air flow. cr ? !v('Z- 3Z0' 25-J Z Applirant (print name) Signature Date Phone number 3-/-d - 2uUf Window Door Schedule 4545 Majestic Place, Lot 6 Lot 6 4545 Majestic Oaks Place Lot 6 block 1 Type Count Series Size Location Width Height Sq " U-Value Windows A 6 201s1 5ox4o Basement,study,bed 60 48 17280 B 1 201 sh 9ox50 Family Room 108 60 6480 C 0 D E 2 2ox5o fixed with tramsome dinette - 24 72 3456 F -- - -- - -- 0 G 1 701 20-44 2-1 casement Kitchen 49 712 48 2376 H 2 201 sl 5ox5o grids Dining,bed 60 60 7200 I 1 701 20-441-1 grids Laundry 25 49 7225 J 1 201 sl 3ox4o master bath - 36 _ 48 1728 K -- i 0 L 0 M ? 0 N 0 O , 0 Total Sq. in. 39745 4 Total Sq. Ft. 276.0069 Doors AA 1 3701 Patio with transome right op Basement 72 92 6624 BB 1 door hinge right grids sidelite & transome 69.25 100 6925 CC 0 DD 1 2-8x6x8 e 10, hinge right hinge right closer 34.25 82.5 2825.625 Total Sq.ln. 9750.625 Low E, Argon Total Sq. Ft. 67.71267 17 White vinyl Jamb 6 1/2 ine ' ? Hebert Associates Inc. 23300 Grandview Trail, Lakeville, Mn Office 952-461-4195 Mobile 612-328-2592 J CL IT ? fJ ? J u iq I n7 . W ' W r ' LL ? l Hayfield 1Nindow Et Door Product Performance Chart ?_ . .. \ v \ , ,: , Product .?, .,, , e . Oetail U-Vijltle , , Coe fficient , A .46 ?i5 . U_a2 1.5 }af 29 59 55, .? ? .56 - T 32 32 31 3Q 52 .50 .28 23 31 .3(1 52 .50 ? --- - 7J rr- -- - - y 18 29 0.02 7_5 psf 29 31 ? .30 .52 50 -- ye ?^?^-•` •?• - • ' I • Y-- - i - Skder $ .?99 # _49 S.H. Q O6 S.N_ 9.0 ?f l 29 54 30 55 30 .56 51 ? ?6 I 49 "-T - ?-?? ? o ?j ? = .34 ::t5 Slidur 0_03 Slider 5.25 ps ?. . _ H ' $ . . ? r? 'lew??1`z 3a. 31 30 2 .39 51 .?i3 ?'___- ? -?.Ys •? -?; .: F_: .?t. =:r _ ! , x _? a J' .4 ? s _ ? . ? ? - _ . . p-QW? ..?..{ U . __ ' ' _ _.A1 . .: ? . -.63. _ • - _ _ _. Y, - _ _. • i? _ _ 33'. 33 _ . . _ : - - .. . . " 2?J._ ?_ __?9.. - .. ?11 j,_:47 [ - -. - _ _ _ - -• - = _'?- 29 30 29 .29 .50 I r?S_°r? :?y_ ;r•-< = -'= -- - - ' - - . as I 48 oz o 0 psf 6 27 55 1 .ss st sz . . _ 32 ? 33 31 i 32 5:t ?.54 ? =' ? ? o - 29 19 31 _32 53 .54 ? • . t GunNEn; November 17, 2000 Bruce Nelson Senior Engineer EnerSX Division 121 7 Plece East St. Paul, MN 55101-2145 RE: Sealed combustion certification Dear Mr. Nelson: ?La???czl (iDz No one buiids a better fire This letter certifies that the Heat-N-Gio direct vent fireplace models listed betow have been tested and meet the criteria of the 2000 Minnesota Energy Code, Chapter 7672.0900, Subpart B.A. (9) "Sealed combustion appliance". The units, when installed to rnanufacturer's instructions, will fwction and draft properly at negative pressure of 50 Pascals. 6000TR8 6000XLSB 7000TR 651 633 BBBa; jan-29-01 9:58AM; 7000XLS PIER TRC SL-350DVT Undervvriters Laboratories, lnc: adrninistered these tests and results are on file. Please contact me if you have any questions. Sincerely, Marc Fuller • Agency CompliancelReliability Manager Ph. (952) 985-6572 Fax (952) 985-6772 Page (651) 908-0060 Page 2!2 NEnT-N-GLO u division of Hearth 7ethnologies*20802 Kcnsingwn Blvd.•Lekcvillt MN 55044 ? ? ? U f3'/ ? ? Ig_/ ? ? ?y 0 ? ?/0 ? Q"/ 0 ? d/ ? ? ? ? d/ ? ? ?"/ ? ? G? ? ? C/ ? ? . ?` ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: ?- b1- 6 8I0,I: I A q?r.sl? c. 0'a t s' a DATE OF SURVEY LATEST REVISION DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building PermitApplicant • Legal description • Address • North arrow and scaie • House type (rambier, walkout, splft wlo, split entry, bokout, etc.) • Direciional drainage arrows with sbpelgradient % • Proposedlexisting sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage 3-7-J/ ELEVATIONS Existinq E? ? ? • Sewer service (or Proposed) r? ? ? • Property comers ??/? • Top of curb at the driveway ?V ? • Elevations of any existing adjacent hames 0;' ? • Adequate footing depth of structures due ta adjacent utility trenches Prooosed 2' ? ? ? • Garage floor ?d' ? ? • First floor i? ? • Lowest exposed elevation (walkouUwindow) v 0 O • Property comers ?? • Front and rear of home at the foundation / PONDING AREA (if aoplicable) ? ¢'/ ? • Easement line ? [?'/ ? • NWL ? CY ? • HWL ? V, ? • Pond # designation ? ? ? • Emergency Overfiow Elevation DIMENSIONS M/ 0? • Lot Iines/Bearings & dimensions 1 ?? ? • Right-of-way and street width (to back of curb) iV ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. ail structures requiring pertnanent footings) u? • Show all easements of record and any City utilities wRhin those easements i? ? CI • Satbacks of proposed structure and side ard setback of ad'acent existing structures fl C(.l • Retaining wall requirements, if any G e? ?ds Revtewed: n.? ? Name ? / Date _651 March 1999 CR41QIR1 fl(:PRMT FM 2004 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,#?o? ooa" 31-Z/oV New Construction Reauiremenis RemodeUReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. oi lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addiGons Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Adddion -indicate if on-stte septic system Onsite Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ) 2?Oy Construction Cost ?? S??G Site Address M RS [SI K G nl+s PL aCt UniUSte # Description of Work DYCk AVD l11GQ Multi-Family Bldg _ Y '*-t' N Fireplace(s) _ 0 _ 1 _ 2 Property Owner E6z ( It k1 Sm (7t-t Telephone # (G51 ) 45G - 5 (.32 Contractor TNE DtCK ¢- '()oj?, ?`c?„ ?OyryJ? Address I I C?S-2 Ak12GW AvE 1'= , City lIJfng GeGvC V(Flc.yJ State AA,t.) Zip SS67 -7 Telephone # (651 ) 32 Z- 4cl6?'i E )T 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category 0 ResidenGal Ventilation Cate o 1 Worksheet New • (?I submission type) g ?' Energy Code Worksheet Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan wi fee applies. Licensed Plumber r??'UU^ Mechanical Contractor Sewer/Wpter Contractor similar plan? _ Y Telephone # ( Telephone # ( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. M t k? ????/ 'o: X? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types . 1 ° ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ,K1 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 000 Occupancy 9' W!Z- MCES System Census Code V3Y_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const V? Width Footings (new bldg) ?C Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion REQUIRED INSPECTIONS FinaUC.O. x FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Clty SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total a a ? , . LIRAVMEY ? e.xceca/ 3.'l., Sl•?e. --? ?'?? N-ug ?P?t• c?a?l ??4y e)9° SCo' 3-7 z r? ? ?P 0 Ul ?. J U? V? a? 1.1 10 \ fs AooeeSS PFa =4545 maiFs71c dnKS tt.AcG aoTE. N? Nu?.lSE ?O,NUKtgF?G ?v ? N 144,99 IDt i - -- Z5 qzb_Q" _ IL•OO I 27.33 j a. \ J ? [? N --7 ? ? l! - I? • ? ?, . V? 4•8 9z6.9 I ? ? ? vo - o ? 40 o.. ? .. . ? ° f 3o.coi 9zU.3. 4z7,z 4? I ? U _.. _ ? . _ o ? } I 2Z,OD co --- 1 -- - - - - ' l ` qze,, _ ii'.oo ?-'' ? ?? , l ? ? ?. ? .-?== - T 5. 3 o t1? Cc) z .9 ? co "7 /g9 ° ?ICo' g9 r-rop ?a. ? v o? cr ??2,- p„-? `2/• ?('?p ?u? ?J,=92a.?5 °? ? ?,oT AV-ER= 12 r324,2 ao?T?p ?e--? E?b?=qZq.(?3 so 2, 294-.7 a?. h9 S/ ?.T `L?'l? cG? 1 _....... . ,.. _ _ ,... _ . le).(D% CouF-R. P?Ms Sepi???e jagdQUIRED: t?' Subject to easemants of record if any 6+% S - 9??i, 13 ?p pipe monuments Q Denotes set or found iron W -f . ?'O $ Denotes set Swo" P hub and tack ` )Proposed garage lloor alevation W -re4.0 Denotes existing elevetion Froposed top of block elevation p?.p Denotes proposed Yinish grade elevation 922-3Proposed lowest floor elevation _..? .r. Denotes direction of surface drainage C 20, - I hereby certity that this is a true and correct representation of a survey of the boundaries UaKo'rA aP Lot Block 1,Mr-i3ESTiC ?k5?RC)i3D6ITID4,County, Minnesota as on file and of record in the Oitice oY the County Recorder in and tor said County, also showing the proposed location of a house as staked thereon. That I am a duly Registered Land Surveyor under the Laws of the Stat?e of Minnesote. . Dated; ? ?YkQ?.?{ -71 2001 G?J?SEO= wl?eCl+ 12?zao1 ? ? ? ? ? ' .. ? ' No. 17009 EVV LE ?MinnesotaHRegisgREV tration BY - 212 Firsf Avenue E. Suite No. C . ? ?°'`? ? ? ? Shakopee, Minnesota 55379 phone 612 945 4027 , . ,n . ? ? - 3 ? ? , . MU I A RVEY ? • ? d ??e???? ? Assoco,, r cee'e/ 3 ` bwt. .x f? _'?1, s?•?e. -? ?o.p ? ??? ,= 9ta,g? 6? ?tawddrW GrtD=g3(?+ _ \? e)9°SCo' 37 ? ? N Q 00 (D p r-- - - - --t- ? ? _3? VN Q o- Z J? ?N 1-- qv? ? u'S ? IY ? aCQ I\ I io O ? t' ? ? ? LV) ? ? 6l O r? ci l.? W ? ? ?,ui?p?aG, A?h= 21294-.74t • E-u,-.9?i:69 T o:?epGe I SD ? ?? . . . , . . ?P???t?AT?PF?P??s $e?iR.l/e aR?Qll1RED' Subject io easements of record if any w S = 9tr7,13 I+,rL3? O Denotea set or found iron pipe monuments ?? 27.33 ADOR.E55 PER C??y=4545 MaleS11c.OAKS i=?_ncr-_ NOTE', ??D }1u?5E ?o.?1u!Lt$FfG N 'T'o ? 50 P 77, :)V1 LrT ? I' ?. r `? I J N 2- LO --y rh W ? .? ? j ? I ?LU u V? •8 9z.?,9 ? I ?; ? ..-------{-? . . Q?..,. ? ?, 24.0 . 3otol Rz83 ? 4z.?.t ? J7?1111 ? ? I l •00 ? ?? -?4(0? ??9 ° G q?k ,c1? - ??7r --['v ?-ub ?.?,cd,=9za,lo5 LoT ??.Ef} = 12,324,2 a%. ? -T?0 p ?-4?.tc? EM?:q2q.(?3 Proposed garage lloor elevation Propoaed top of block elevation +}- Denotes eet wead hub and tack 'Yg,q.p Denotes existing elevation .._ g,4o Denotes proposed finish grade elevation (-']??+? Denotes direction of surfsce drainage ` ?? Proposed lowest floor elevation . ? Ca IQ N ?nC - . .. ? ?r) ? . ... ._,.? _ _ I hereby certify that this is a true-and correct repreaentation of a survey of the bounderies n O?a K ?rR of Lot (Q, Block 1, I?A.IES?IC QA?S?ECo?JD ?-?DITIDu ? County, Mi•nnesota as on file and of record < . . :. .. .. in the Office of the County Recorder in and for said County, also showing the proposed locetion of a house as staked thereon. That I am a duly Regiatered Land Surveyor under the Laws of the State of Minneaota. Dated: rn/1QCA 71 ZCabl _??s?.o: wl?ReCEF 12?zoo1 ?' fg_.... ::. RI-0FA_ . . ? ? Allan R. Hastirigs ? Minneaota Regiatretion No. 17009 ? ? 212 First Avenue E. Suite No, C Shakopee, Minnesota 55379 ;, . •fi?-, r 7? ;? ?<,'si,tr?a?x4Ty't:'s. 7'''^`T; " Phone 612 445 4027 .?1. ?. '? ? ? , . MU I A RVEY ? • ? d ??e???? ? Assoco,, r cee'e/ 3 ` bwt. .x f? _'?1, s?•?e. -? ?o.p ? ??? ,= 9ta,g? 6? ?tawddrW GrtD=g3(?+ _ \? e)9°SCo' 37 ? ? N Q 00 (D p r-- - - - --t- ? ? _3? VN Q o- Z J? ?N 1-- qv? ? u'S ? IY ? aCQ I\ I io O ? t' ? ? ? LV) ? ? 6l O r? ci l.? W ? ? ?,ui?p?aG, A?h= 21294-.74t • E-u,-.9?i:69 T o:?epGe I SD ? ?? . . . , . . ?P???t?AT?PF?P??s $e?iR.l/e aR?Qll1RED' Subject io easements of record if any w S = 9tr7,13 I+,rL3? O Denotea set or found iron pipe monuments ?? 27.33 ADOR.E55 PER C??y=4545 MaleS11c.OAKS i=?_ncr-_ NOTE', ??D }1u?5E ?o.?1u!Lt$FfG N 'T'o ? 50 P 77, :)V1 LrT ? I' ?. r `? I J N 2- LO --y rh W ? .? ? j ? I ?LU u V? •8 9z.?,9 ? I ?; ? ..-------{-? . . Q?..,. ? ?, 24.0 . 3otol Rz83 ? 4z.?.t ? J7?1111 ? ? I l •00 ? ?? -?4(0? ??9 ° G q?k ,c1? - ??7r --['v ?-ub ?.?,cd,=9za,lo5 LoT ??.Ef} = 12,324,2 a%. ? -T?0 p ?-4?.tc? EM?:q2q.(?3 Proposed garage lloor elevation Propoaed top of block elevation +}- Denotes eet wead hub and tack 'Yg,q.p Denotes existing elevation .._ g,4o Denotes proposed finish grade elevation (-']??+? Denotes direction of surfsce drainage ` ?? Proposed lowest floor elevation . ? Ca IQ N ?nC - . .. ? ?r) ? . ... ._,.? _ _ I hereby certify that this is a true-and correct repreaentation of a survey of the bounderies n O?a K ?rR of Lot (Q, Block 1, I?A.IES?IC QA?S?ECo?JD ?-?DITIDu ? County, Mi•nnesota as on file and of record < . . :. .. .. in the Office of the County Recorder in and for said County, also showing the proposed locetion of a house as staked thereon. That I am a duly Regiatered Land Surveyor under the Laws of the State of Minneaota. Dated: rn/1QCA 71 ZCabl _??s?.o: wl?ReCEF 12?zoo1 ?' fg_.... ::. RI-0FA_ . . ? ? Allan R. Hastirigs ? Minneaota Regiatretion No. 17009 ? ? 212 First Avenue E. Suite No, C Shakopee, Minnesota 55379 ;, . •fi?-, r 7? ;? ?<,'si,tr?a?x4Ty't:'s. 7'''^`T; " Phone 612 445 4027 .?1. ?. '? 4111!, City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: if 1 )) , / t� , Permit Fee: Date Received: Staff: l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION (a- 3' / 3 Site Address: 4S�S /tie,Ji<7/C t' Date: �� Unit #: Residentl Owner Name: P/2f 9,P• --‘9047/77/ Phone: 6/) 166,- ?cO 7. Address / City / Zip: 415-q‹,011.1,/4.5774 PI- 1,16,6_1- S` /';2 Applicant is: Owner Contractor Tyke of Woi-, Description of work: 1Ad�' � r />.4.0..i3O/2 �aU `' y Construction Cost: 1464:C/9Multi-Family Building: (Yes / No ✓) Cantractor _. Company: Poo, VA - K '0-..i G. Contact: ge A"�72®Lt✓ 5—C6.6.-424/01,41 - ti 7 7/' €Y44 L Address:City: S State: 2w Zip: 15-453 741 Phone: /(2 ' 702- — 2 J 5 9 License #: ' / 72 "53 Lead Certificate #: / 2,0'2,24o _ / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting' documents that rou s bMit are considered to be publ►c lute a ion. Portions o the information maybe classified as non public ►t you provide specific reasons t tat would permit the City to conclude„that they aretrade 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.qopherstateonecall.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 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 bcompleted within 180 days of permit issuance. Applicant's Printed Name Applicant's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158957 Date Issued:11/12/2019 Permit Category:ePermit Site Address: 4545 Majestic Oaks Pl Lot:6 Block: 1 Addition: Majestic Oaks 2nd PID:10-47101-01-060 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 - Brian S Smith 4545 Majestic Oaks Pl Eagan MN 55123 (612) 868-7003 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature