4548 Majestic Oaks Pl
Use BLUE or BLACK Ink
1 For OfbCe Use 1
1 I
Ci-
ty of Eajan j Permit
1 !
I Permit Fee: '-N, OHO t
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 1
Phone: (651) 675-5675 scarf.
staff-
Fax: (651) 675-5694 l 1
2010 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I' j`l - to
Site Address: ~I `F ! Cl i( P C_ e
Tenant: Suite
RESIDENT / OWNER Name: Phone: _
Address /City /Zip: V `1 /t'1 I( i G C +I (
-0- S~ C~ f ~2
Applicant is: Owner ti._ Contractor
TYPE OF WORK Description of work: O
Construction Cost: _ 00o,00 Multi-Family Building: (Yes / Nom' ' )
CONTRACTOR Name: buu IS a)/7) 1C, .LWI,p~00e&)&)_ License 4kI 3:2
A
ddress. L~~,'I 2418 S> > Q~ City: -~,/'►'t f,
State: hl l Zip: Phone: ~5~~ Z of ~Z 3
Contact: Email:
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.
11 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 in
accordance with the approved plan inthe case of work which requires a review and approval of P"
x ~ pjl,/eL x
Applicants Printed Name App i..fi Signature
Page 1 of 2
Address Mu)eS+tc-
U CLks f
Zip 5512
I.ot 12 Blk I_ Sub M00es+( L 0a}cs ZY,a
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: -)- -.0 3 Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ,X
Permanent driveway ?
Permanent gas y?
Sod/Seeded grass
TraiUcwb 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 6814645 before working in right-of-way or installing underground sprinkler system.
Wtiite - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
Job Address
Heating Contractor rP n
?
Name of Tester ;1 l
Date AL0
Percent OZ 7
Percent CO 0
Stack Temp.
Percent COZ
6
Site Address 4548 Maiestic Oaks Place Lot 17 Block 1
Subdivision Maiestic Oaks 2nd Addition Permit # EA 04-XXXX
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 ? ? Not Ap licable
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 combustlon,
directvent
D er
?
?
?
?
? To be purchased &
installed b homeowner
Exhaust System Location Type Model CFM's Vented
Yes No
Kitchen
Kitchen Overtherange
micro hreM. WhMpool MH7140XFQ
250
Ye$
Bathroom # 1 Main floor bath Ceilin Broan # 688 or = 50 X
Bathroom # 2 2nd Floor Main Bath Ceiling Broan # 688 or = 50 X
Bathroom # 3 Master bath Ceilin 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 SHRV 180 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 & Associates Inc. License # 5700
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
?9LL '70= cso
New Construction Reauirements RemodeURepair Reauirements Office Use Onlv
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all rooted areas 2 copies of plan _ Cerl of Survey Recd
(20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated addiGons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 6 decks _ Tree Pres Not Reqd
1 set of Energy CalculaTions Addifion - indicate it on-site sepU'c system _ Onsite Sep6c System
3 copies oi Tree Preservation Plan if lot plaried after 711193
Rim Joist Defail Options selection sheet (bidgs with 3 or less units
Datex?'_W/?/ p0'3
Site Address /? Construction Cost /s, O o b
4 i CS i /C e?G" Unit/Ste #
Description of Work g2 c '? r u
Multi-Family Bldg _ Y i'? Fireplace(s) _ 0 ?11_ _ 2
Property Owner ¢ ,'T .r t Telephone #( 6?zj .? L F- 2 2
Contractor _? ? ? ? ' •?
?
Address
State
City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet ?
(J submission type) Submitted Submitted ?
?
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor ZQ;E?Z"" 15_fi?
Sewer/Water Contractor
Telephone # ( )
Telephone #0
Telephone # (
I hereby apply for a Residential Building Permit and acknowiedge that the information 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 work will be in accordance with the approved plan in the case ork hich requires a review and
appr val of plans.
?G/z y v 5 sa c
A plicant's Printed ame Applicant's Signa' . e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwel ling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types
4
?
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46
? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to appllcant
Valuation ZVd Occupancy MC/ES System _
Census Code Zoning City Water _
SAC Units D? Stories Booster Pump _
Nbr. of Units ? Sq. Ft. PRV _
Nbr. of Bldgs ? Length Fire Sprinklered _
Type of Const V•Al Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
raming ?
?Yireplace u,"'.I. V Air Test A/15?mal
%/ Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
_ FinallC.O.
_ FinaUNo C.O.
/ Plumbing
? HVAC
? Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
:??40I0ENTIAL (3F ,rj a 5 91
a-e sk-\ c" 2.o4UILDINC PERMIT APPUCATION ?
CITY OF EAGAN ? ? ,? $ c1 0
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 lp P 5a tj ot I
bqrq. 13
VT. '!??o
90.50
New Construction Reauirements RemodellReoair Reauirements r ?
• 3 registered sile surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum Iot coverage allowed) . 1 set o( Energy Calculations for heated additlons ? h-] g? 1 3
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 sile survey for exlenor addiGons 6 decks •? / ?
• 1 set of Energy Calculations . Indicate if home served by septic system for?dditio?s
• 3 copies of Tree Preservation Plan if lot platted after 7l1193 ?? 93S 7I?
• Rim Joist Detail Options selecfion sheet (bldgs with 3 or less units) '?
DATE VALUATION ZJZ-- 87 S-
L7 SL{ O?r:c S ? I
SITE ADDRESS MULTI-FAMILY BLDG _Y L..N'
TYPE OF WORK -5 ? FIREPLACE(S) _ 0/-?V 2
APPLICANT 0 r
?-?
STREET ADDRESS Z 3 3 v0 ?S K..s..? ?i ,s<, ;??c _ CITY L.!e`^ STATS? ZIP
TELEPHONE # CELL PHONE #??Z- 3 Z S??ZS?Z FAX #
PROPERTYOWNER 4R TELEPHONE#
?
------------------------------------------------------------ ---------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDE DINGS ONLY
Energy Code Category _ MIVNLSO"1':1 RliLES 7670 C:ITEGORY ??N???ULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet itted ? En ode Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: __ C L JAe4aY!cW / `?" .6' "' " Phon
Plumbing system includcs: ? NVater Softener Lawn Sprinkler
t NVater Heater P_ No. of R.I. Baths
-3 No. of aths
Mechanical Contractor: LorG'er7" F /7`Q Phone #
Mech<viical systc;m includes: 4-- Air Conditioning
v' Hcat Recovery Syscem
Sewer/Water Contractor. 1,2 'r s Phone #
?-q'V?- g93a
Fee: $90.00
6s/-Ytd- b'3t3
Pee: $%0.00
?? -a. 94- 7"-S_930
------------------------ ---------------------------------------------------------------------- ------ -------------------
I hereby acknowledge that I have read this application, state that the information is c ect, d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. -
Signature of Applicant
.. . . . OFFICE USE ONLY
Certificates of Survey Received ?1 Tree Preservation Plan Received ?? ? Not Required _
C oe ul ? p - 1-v GI?,Q? ? ? (• f.?s ? Updated 4/02
V'?,
V
OFFICE USE ONLY
? 01 Foundation
?( 02 SF Dwelling
? 03 01 of _ plex
13 04 02-plex
? 05 03-plex
? 06 04-plex
O 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Muiti
x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 13 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation ?0&7c) Occupancy MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? Width ?
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundarion HVAC
`T Drain Tile
_ Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding Stucco Stone
? Fireplace Air Test YFinal _ Windows (new/replacement)
?K Insulation _ Retaining Wall
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
ocner
Total
6? f??- ? 0- 3 ? ? ? = ??? 32 1/,?`"
S-q ? G)?
4v
Y
i:_ , '? •?•• _ ?.r. ?-'' ? ?? ?/,/1 ? .
p? !N
?
,
l ??,3,?T'
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MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 33 Release lb
Data filename: I:\Energy Calcs\A4ECUVIn\02-389.cck
TITLE: #02-389
COiJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 06/18/02
PROJECT INFORMATION:
LOT 17 MAJESTIC OAKS
COMPANY INFORMATION:
HEBERT & ASSOC.
COMPLIANCE: Passes
Maxirnum UA = 485
Your Home = 411
15.3% Better Than Code
Ceiling 1: Raised or Energy Truss
Wall 1: Wood Frame, 16" o.c.
Window 1:
Above Grade, Vinyl Frame, Double Pane with Low-E
Door 1: Solid
Door 2: Solid
Door 2: Glass
Basement Wall 1:
Solid Concrete or Masonry, 8.8' hU83' bg/8.8' insul
Window 3:
Basement > 5.6 ft2, Vinyl Frame, Double Pane with Low-E
Basement Wa112:
Solid Concrete or Masonry, 3.5' ht/3.0' bg/3.5' insul
Floor 2: All-Wood Joist/Truss, Over Outside Air
Floor 3: All-Wood JoisdTruss, Over Uncondirioned Space
Proposed and Maximum U-Factor Averages
Above-Grade Windows and Glass Doors
Pernut Number
Checked By/Date
Gross Glazing
Area or Caviry Cont. or poor
Perimeter R-Value R-Value U-Factor UA
1679 44.0 0.0 37
3359 19.0 2.0 165
269 0.330 89
18 0.230 4
40 0350 14
80 0330 26
1104 11.0 0.0
19
116 11.0 0.0
50 38.0 0.0
7 38.0 0.0
Proposed
Average U-Factor
0.330
61
0.330 6
8
1
0
Maximum
Allowed U-Factor
0.370
w
Includes Foundation Windows > 5.6 ft2
Floors Over Unconditioned Space 0.026 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the pernut application. The proposed building has been
designed to meet the 2000 Minnesota Energy ode re irements in MECcheck Version 3.3 Release ]b and to
coriply with the mandatory requirementsl ediin tty??lECcheck Inspection Checklist.
Builder/Designer ??????-:::A. Date '7- Q . cY7
Building Permit Application
Date June 18. 2002 Construction cost $252,875.
Description of work Sinqle Famiiv Dwellinsl
Street Address 4548 Maiestic Oaks Place
Lot 17 Block 1 Subdivision/ PID. # Maiestic Oaks 2nd Addition.
Propertv Owner
Contractor
ArchitecU Enaineer
Comoanv Planco Name Tom Korte
Phone # 651-452-0724 Street Address 3435 Washinaton Dr
Citv Ea4an. State Minnesota Zin 55122
Sewer / Water contractor licensed Plumber Clearwater Plumbing (952) 447-8930
Heatina & Air Conditionina Contractor Lofgren Heating & Air (651)-460-8313
I hereby aclmowledge that I have read this application, state that the infortnation is correct, and agree to
comply with all applicable state of Minnesota Statutes and City of Eagan Ordinances.
Signature of
State Minnesota Zio 5504d
.
t
ar-CLcc/F[Lr copY
?f- -
(5EE ATTACHMENTS)
Development f???? ???( c??? Z' AOD
Lot Number
Address Block Number I
Builder 4- HSSCC
(S)
?'TI I 'li(' n T'
-
Pm i E I r'. - Z7,Y- Z."i'.
Tree Protection Requirements:
? Tree Fencing
? Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Reqlacement Trees:
?
Not Required
As Follows: EIWQM FORESM
Attachments:
--?
Yes ?---
No U, 2,?'- UZ
Additional Notes:
...,,.,....,__?.., ..
• . ..._.-.
H:lghove12000fi1e\treepreslTree Preservafion Pian Summary-2000
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" LOT SURVEY CHECKLIST FOR RESIDENTIAI
' BUILDING PERMITAPPLICATION
PROPERTYLEGAL: ? d?' .1?{ I?ILGIi f=?d?tS1'?G d,qKil_
DATE OF SURVEY: ?-)7- Dl
(D LATEST REVISION: '7-
?
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t
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DOCUMENT STANDARDS
Y a
O Z v
Q
?
)V
? ? • Registered Land Surveyor signature and company
V ? ? • Building Permit Applicant
? ? • Legal description
0 ? • Address
q? ? • North arrow and scale
?
? ? • House type (rambler, walkout, splR w/o, splR entry, bokout, etc.)
D
u • irectional drainage arrows with slope/gradient %
Ca? ? ? • Proposed/existing sewer and water senrices & invert elevation
d ? ? . street name
E? ? ? • Driveway
U/? ? • Lot Square Footage
? ? ? • Lot Coverage
? ? o • Benchmark
ELEVATIONS
Existinq
? ? • 5ewer service (or Proposed)
7 ? ? • Property comers
6? ? ? • Top of curb at the driveway and property line eutensions
Cir ?? • Elevations of any existing adjacent homes
??? • Adequate footing depth of structures due to adjacent utiiity trenches
? ? ? • Waterways (pond, stream, etc.)
Praaosed
?/ ? ? • Garage floor
r? ? ? • Firstfloor
? ? ? • Lowest exposed elevation (walkouUwindow)
t?/ ? ? • Property comers
[?' ?? • Front and rear of home at the foundaUon
PONDING AREA ('rfanplicable)
? d? ? • Easement line
? I? ? • NWL
? ? • HWL
? ? • Pond # designation
? Lif ? • Emergency Overflow Elevation
?F] DIMENSI ONS
CI ? • Lot Iines/Bearings 8 dimensions
? • Right-of-way and street width (to back af curb)
?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
??? • Show all easements ot record and any City utilities within those easements
C? ?? • Setbacks of proposed structure and sideyard setback of adjacent existing swctures
?? ? • Retaining wall requirements, K any
Reviewed:
4
Name
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
` Telephone # 651-675-5675 FAX # 651-675-5694
ew&d eol/9/
New Construcfion Reauiremen5 RemodeUReoair Reauiremenls
3 registered site surveys showing sq. ft of lot, sq. ft of house; and II roofed areas 2 coples oi plan
(20% maximum lot coverage allowed) 1 set of Eneigy Calculations for heated additions
I'W?
2 wpies of plan showi beam & window sizes;
ng poured found design, etc. 1 site survey for additions & decks
lsetofEnergyCalculations Addftion-indkateifon-sitesep6csystem
3 copies of Tree Preservafion Plan if lot platted after 7l1193
Rim Joist Detail Options selection sheet (bldgs witli 3 or Iess units
Date " / / 0 Y
Site Address y 5qg ma,-e5t)c
e ah mN Construction Cost d oo. oo
Qa' $ Q(?tG2 Uoit/Ste #
S 1a3
Description of Work
Multi-Family Bldg _ Y' N Fireplace(s) _ 0 _ 1 ? 2
Property Owner (Y)l-E' Lo_Cj eA.y. 6 5kE'heY /Y) 0kr Telephone #(,js/ ) g941-- / 9,3 $
Contractor A/
Address
5tate
Zip City
Telep6one # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Su6mitted
• Energy Envelope Calculafions Su6miried
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. 1^
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
#(
#(
v'?, TLIp'p'?Qne #( )
I hereby apply for a Residential Building Pemut and acknow ge t the information is complete and accurate;
that the work will be in conformance with the ordinances and s 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 work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
,
r
m?ller , I
Applicant's Printed Name Applicant's i ature
OFFICE USE ONLY
Sub Types
Y
?
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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
0 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 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
)
Valuation /?OL Occupancy MCES System
Census Code Zoning City Water
5AC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs . Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
X Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
REQUIRED INSPECTION5
FinaUC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies C)
Other
Total
/10 A6200
41 ?0?
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I hereby certify that triis is a true and correct representation oP a aurvey of the boundaries
of Lot ?.7, Block ?..,'m(}JfSTtCOA?S?u??1??lrl?N? -"KO County, Minnesota as on file and of record
in the Office of the County Recorder in and for said County, also showing the proposed location
of a house as staked tliereon.
. That I am a duly Regis.tered Land Surveyor under the Lawa oi the State of Minnesota.
Dated: NWi-F I-7 Zoa? ,
V???ISF,(? ;? ?l0 ? lt3 lZ002 UM
Allan R. Hastings
Minneaota,Registration No.
212 Firs1 Avenue E.
Suite No. C
Shakopee, Minnesota 55379
Phone g52 445 4027
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gq.p Denotes proposed finish grade elevation
9334 Denotes direction of aurface drainage
Proposed lowest floor elevation
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I hereby certify that this is a true and correct representation of a survey of the boundaries`
of Lot J.7, Block :Dt??pol1'l4h,?i 4K6County, Minnesota as on tile and of record
in the Otfice of the County Recorderlin and for said County, also showing the pro* sed location
of a house as staked thereon, ?QR Xo
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That I am a duly Regis.tered Land'3Surveyor.Under the Laws of the State oP MinnQO)ta.
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Dated: 20D1
??UISFD; ?U,OE 13 7.002
iAllan R. Hastings
Minnesota Regiatration No. 17009
,;,?? • 212 First Avenue E.
suite No. c
Shakopee? Minnesota 55379
Phone qSz 445 4027
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122701
Date Issued:05/16/2014
Permit Category:ePermit
Site Address: 4548 Majestic Oaks Pl
Lot:17 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Sue Lameyer
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 -
Mitchell A Miller
4548 Majestic Oaks Pl
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124763
Date Issued:07/10/2014
Permit Category:ePermit
Site Address: 4548 Majestic Oaks Pl
Lot:17 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Mitchell A Miller
4548 Majestic Oaks Pl
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122701
Date Issued:05/16/2014
Permit Category:ePermit
Site Address: 4548 Majestic Oaks Pl
Lot:17 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Sue Lameyer
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 -
Mitchell A Miller
4548 Majestic Oaks Pl
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138047
Date Issued:08/05/2016
Permit Category:ePermit
Site Address: 4548 Majestic Oaks Pl
Lot:17 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Mitchell A Miller
4548 Majestic Oaks Pl
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
Jun. 15. 2017 11 :06AM No. 3308 P. 1
Use BLUE or BLACK Ink
For Office Use
e�2
RECEIt` Permit#: l l l (City of�a�a� o,, a;
( JUN 1 5 2016 Permit Fee: / /S
3830 Pilot Knob Road r+ � w�
Eagan MN 55122 ,� . Date Received: ' I
Phone:(651)675467+17\ {� I
Fax:(651)675-5694 \(,,,,y1T ces1 Staff: % I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/15120,17 Slte Address: 4548 Majestic Oaks Place Unit#:
Name: Mitchell Miller Phone: 612-737-4783
Resident/ 4548 Majestic Oaks Place
Owner Address/City/zip:
Applicant is: Owner X Contractor
Type of Work
Description of work; Remove & replace roof
Construction Cost; $17,552.68 Multi-Family Building: (Yes /No X )
Company: All Elements Inc Contact: Shane Setzer
Contractor
Address: 301 Chelsea Road city: Monticello
state: MN zip: 55362 Phone: 763-314-0234 Email: shane@allelementsinc.net
License* BC323540 Lead Certificate#: R-I-8864-10-02560(0601)
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public'Information. Portions of
the information may be classified as nonpublic if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work IS not to start without a permit; that the work will be in
accordance With the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mus eted within 180
days of permit Issuance.
xShane Setzer
Applicant's Printed Name icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154990
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 4548 Majestic Oaks Pl
Lot:17 Block: 1 Addition: Majestic Oaks 2nd
PID:10-47101-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Mitchell A Miller
4548 Majestic Oaks Pl
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature