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4561 Majestic Oaks PlX- `M c? sk-? ? ? S NTIAL???? ?• BUILDING PERMIT APPLICATION n` ,?- 1-4 ?-4 Cl ? b-P CITY OF EAGAN ?( _?D ?-P p,aj(ti-*b5? 3830 PILOT KNOB RD .55122 651-6814675 ?ece?pfi# New ConstruMion Reauirements 570g • 3 regislered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roo(ed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, elc.) • 1 set of Energy Caiculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less unils) DATE o2-" ZJ - 2-00 / JOB SITE ADDRESS qs- ? ? _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted IF MULTI-FAMILY BUILDING, HOW MANY UNITS? I PROPERTY OWNER /11 -?6?E-_3 L-W 7 V? Sd C 'T:;? C TYPE OF WORK FIREPLACE(S) _0 1 _2 3 APPLICANT ?.3?G ??35? • PHONE # eLZ -3 Zq- 2 S4Z ADDRESS Z 3 3 JO ZIP CODE SSd `f`f PAGER # CELL PHONE # 32 g'Z S 2 FAX # 9S2 - yC,/ -yig 7 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) A RULES 7672 Plumbing Contractor: CL Plumbing System Iiicludes: RemodellReoair Requirements / • 2 copies of plan • 1 set of Energy Calculations for heated additions • t site survey (or exterior additions & decks • Indicate if home served by septic system for additions _ VALUATION (EXCLUDING LAN '4 .? -37 / C D?4 'e- S /- _ Phone #: Lawn Sprinkler N0. of'R.I. Bachs New Energy Code Worksheet Su Water Softener l Water Heater ? No. of $aths ?c?f=62? jt e>9i/ << Mechanical Contractor: 1 Mechanical System Includes: ? Air Condilioning _?-HeaC Recovcry System Sewer/Water Contractor: "'t / ,? ') /'f' ` All above information must be submitted prior to processing of application. I q?n /2 q C C? QS2- yf 2 -x- Y317 Fee: $90.00 Phone # I -q Q, 0- ?313 Fee: $70.00 Phone # 9r-2 - yw l 3 P3 i I hereby acknowledge that I have read this application, state that the information is o ect, an ' ree to comply wi hfig all applicable State of Minnesota Statutes and City of Eagan Ordinances. - BY _ Signature of Applicant 'X 2 r -: Certificates of Survey Received Tree Preservation Plan Received Not Required ? Updated 1/01 s-c Y??? ? ?, ? OFFICE USE ONLY ? ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 AccessoryBldg p 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ ple x ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous (fP 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation 7a??, ?J Occupancy MClES System Census Code 1,-2 Zoning ?-1 City Water SAC Units Staries o2 Booster Pump Nbr. of Units Sq. Ft. c?/a PRV Nbr. of Bldgs l Length ? Fire Sprinklered ? S-? Type of Const W idth ? Footings (new bldg) _ Footings (deck) Footings (addition) ? Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Pinal # Insulation REQUIRED INSPECTIONS ?j FinaUC.O. FinaUNo C.O. ? Plumbing HVAC ? 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 _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) r.3n Q ?q m a????? G?? Zl ( ??? 7/ YX I6 - l 17 S?L a-`4-1 Address v la, ,-ts h c OoX-S Zip 5512 _i L.ot ?-- B1k ?- sab 1'?a=tsLL 03...ks THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Petmanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify wittt 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL ? ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 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% mazimum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies o( Tree Preservabon Plan if lot platted after 711193 • Rim Joist DeWil Options selecGon sheet (bldgs with 3 or less units) DATE 1' ZZ -D 7, v-u 07 O ?- RemodellReoair Reauirements • 2 copies of plan • 7 set of Energy Calculations for heated additions • 1 site suney (or exterior additions & decks • Indicate if home served by septic system for additions VALUATION ? I ? QD SITEADDRESS qh" I Wj6Q?Cyl'IL n(t:IC'--) P(Gl(R? MULTI-FAMILYBLDG _Y KN TYPE OF WORK DPc iC, FIREPLACE(S) _ 0_ 1_ 2 APPLICANT COVLe-) New-c lI STREETADDRESS ilit;ilQl YV1Gl-,ILA'lC. OCa, b 0I4LQ CITY STATE-flQtdZIP '55t26 TELEPHONE # 1p61- 40r)-1oG23 CELL PHONE # FAX # PROPERTYOWNER cIiLV Ikl IVQU/ti) TELEPHONE# lp51 -'-IOS-lrPl23 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CA'1'LGORY 1 MINi 7,yUl-9d'? (d submi ssion type) . Residential Ventilation Category 1 Worksheet Submitted Ne ;1ce? • Energy Envelope Calculations Submitted 2 4 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Pee: $70.00 ------------------------°-----.....-------------------------------------------------------°-----------------°---------- I hereby acknowledge that I have read this applicaiion, siate that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan inances. Signature of Applicant 1 /^??? - - ------------------------------------- - - - - - - - - - - - - - ---- - ----- - - --- - - - -------- - --------- - ------ - -------- - --------- - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Watcr Heater _ No. of Baths _ Phonc # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery Systcm OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New 32 Addition ?0 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ,'7 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors *Demolitlon (Entire Bidg only) - Give PCA handout to applicant Valuation 2" 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) FinaVC.O. Footings (deck) -7 FinaVNo C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retauung Wall Approved By 7- 2'" , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-plex O 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex )K_18 Deck 0 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N 0 ,-" ,?y4,t ;? 47e,,>0 .s---- ,?? ?? ? ? LOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: LoT 2 1?LDC< / AI.q7E5-7'/C 57AKS a?v 401Y10N DATE OF SURVEY: Z' J?o -OI LATEST REVISION: DOCUMENT STANDARDS ?' - ? • Registered Land Surveyor signature and company ? ? • Building PermitApplicant tq/ ? ? • Legal description I9?y7 ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slope/gradient % ? Or • Proposed/existing sewer and water services & invert elevation ?a ? • Street name Ll,"El ? • Driveway +o ? • Lot Square Footage LG"? ? • Lot Coverage ELEVATIONS Existin CkI o ? . Sewer service (or Proposed) [a?}? ? • Property comers Qa' ?? • Top of curb at the driveway iir'Ei ? • Elevations of any existing adjacent homes &-,fJ ? • Adequate footing depth of sVuctures due to adjacent utility trenches ? Proposed 1tf ? ? • Garage Floor lA-'o ? • First floor CklCI ? • Lowest exposed elevation (walkouUwindow) ED,-'O ? • Property comers VI7 ? • Front and rear of home at ihe foundation PONDING AREA (if apolicable) ? l?' ? • Easement line ? V ? • NWL ? ? • HWL ? ? • Pond # designation ? rd" ? • Emergency Overflow Elevation DIMEN510NS ? • Lot Iines/Bearings & dimensions ? • Right-of-way and street width (to back of curb) [!?? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. / ?? • (i.e. all structures requiring permanent footings) Show all easements of record and any City utiliiies within those easements ?? • Satbacks of proposed structure and sideyard setback of adjacent existing structures CI Et' ? • Retaining wall requirements, rf any Reviewed: Name / Date March 1999 (:R4ICJRI f1f.PRMT FM i i MNcheck COMPLIANCE REPORT I i Minnesota Energy Code ? Pexmit # I MNcheck 3o£tware Version 3.0 I I 1 I I Checked by/Date ? I 1 COUNTY: Dakota STATE: Minnesota 20NE: 2 CONSTRUCTION TYPE: Single Family DATE: 2-20-2001 DATE OF PLANS: 01-31-01 TITLE: Lot 2 Block 1, Majestic Oaks 2nd Addition. 4561 Majestic Oaks Place PROJECT INFORMATION: 4 Bed 2 Story COMPANY INFORMATION: Hebert & Associates Inc. 23300 Grandview Trail, Lakeville, Mn 55124 Office 952-461-4195 Mobile 612-328-2592 COMPLIANCE: PASSE3 Re?ired UA = 656 Your Home = 471 28.2% Better Than Code Area or Cavity Cant. Glazing/Door -- --- --- Perimetex ,3t-Value R-V4lue V-Value -- UA - -- ------ -------------------------------------------------------- CEII4NGS 1291 44.0 0.0 ---- 3SY WALq: Wood Frase, 16" O.C. ? 2826 19.0 010 16'F s: WALW Wood Frame, 16" O.C. 339 19.0 0.0 26' WALLB: Wood Fraaae, 16" O.C. 166 0.0 7.0 21 BSMT: Conc. 9.0' ht/7.5' bg/9.0' insul 1016 11.0 0.0 6$ qA0W&16G: Windows or poors, Above Grade 440 0.300 1 ?2 > , 40 0.300 ._ , ?2 ;. DOORS 69 0.290 20 HVAC EQUIPMENT: Fuxnace, 94.0 A FUE ------------------------------------------...;..?s,.. W-_---- ------------------- °?-'-- COMPLIANCE 3TATEMENT: The proposed buildlsny?d*sign describe& here is consistent with the building plans, specsftCSYtiohs., and other calculations submitted with the permit app tion. T?y proposed building has been designed to meet the requir lis of the Fsnesata Energy Code. Builder/Designer Date 2- ?'- Zoul Aggregate Make-Up Air Alternative and Ventilation Documentation (Can be Used as a Supplement to Permit Application) ? Bldg Address: 14561 Majestice Place, Lot 2 ' Date: 2 8 2001 ' Ci : Ea an 1 Zip Code; 55123 ? Completed By: MRH I Co. Name: Hebert & Associates Inc. I Path 0, Aggregate Alternative Exhaust Devices cFM I Space Heater: ! Sealed Combustion j Clothes Dryer ?i 150 Water Heater. ; Sealed Combustion ! I Kitchen Euhaust i 250 ; Gas Hearth: Sealed Combustion Master Bathroom 50 ' So{id Fuel Hearth: None ist FI Bathroom I 50 CO Alarm: Not Required 2nd FI Bathroom i SO Make-Up AIr ' Central Vacuum None Exhaust Dices Exhaust Dryer ? 150 Kitchen i 250 i?he t 50 ? I ? Total 450 I ? I I , I I Distribution CFM I ; ' I i Passive Infiltration ' 425 I ? j Passive Opening(s) ? Rigid Flex ? Direct 217 3 4 2 i Powered Make-Up 0 ? I I 1 , i -- ? VelltilatiOn Minimum Required Sq. Ft. Bedrms Totaf Ventilation People Ventilation ? * Supplemental Ventilation ? 3894 4 ? 195 75 120 ' I People installed ventilation in excess of the required minimum people is deduc[ed from the required minimum supplemental. This is based on the Energy Code detinitlon of Supplemental = Total minus People. ' People - Supplemental , HRV or ERV 1 183 cfm. HRV or ERV 1 ? 0 cfm. ? I I I , Master Bathroom 0 cfm. i ? Master Bathroom 50 cfm. People: 183 cf'm. ' Supplemental: 50 cfm. TotaL• 233 cFm. I ? ? __ ? Ventilation Measurement Documentation I B1d Address: 4561 Ma'estice Place Lot 2 Date: Ci : Ea an Zi Code: 155123 Completed By: MRH Co. Name: Hebert & Associates Inc. ? Path 0, Aggregate Alternative -- , ? ; ' Ventilation: Measured PerFormance People Verrtilation ' Supplemental VeMalation ? Total VeMilation Minimums ---> I 75 I 120 195 I ?-- j ? People Desi9ned Measured f Irrtake Exhatst ? Supplemental Designed Measured ? Intake F?chaust I HRV or ERV 1 183 cfm. j HRV or ERV 1 0 cFm. Master Bathroom 0 cfm. Master Bathroom 50 cfm. I - ; ? People: 183 cfm. -- Supplemental: 50 cfm. Note: Air flow for balanced ventilation systems must be bala nced within ten percent. --- Total Designed Ventilation: i 233 cfm. Total Measured Ventilation (people + supplemental): ? i I I Compliarrce Statement: InstalFed ventilation system is in compliance Code and sized to provide fhe design aFr flaw. _ 2.0 Applicant (print name) Signature Date Phone number Window Door Schedule 4561 Majestic Place, Lot 2, 4561 Majestic Oaks Place Lot 2 block 1 Type Count Series Size Lacation Width Height Sq " U-Value Windows A 4 201 5ox4o Basement 60 48 11520 B 3 201 sh 3ox6o Family Room 36 72 7776 C 0 D E 1 201 fix 24x56 dinette 24 66 1584 F 1 201 fix 24z56 temp dinette 24 66 1584 G 3 201 sh 3ox4o Kitchen, laundry 36 48 5184 H 2 201sh 2ox4o 1/2 bath, main 24 48 2304 I 4 201 sh 3ox56-2, grids din, off, bed 3& 4 71.25 66 18810 J 1 201 5ox4o Bed 2 60 48 2880 K 2 201 sh 34x5o master bed 40 60 4800 L 1 201 fix 6ox40 temp master bath 60 48 i 2880 M 1 201 fix 6o arch elyptical foyer mulled 72 56 4032 N 1 201 fix 6ox36 foyer 72 0 O 0 Total Sq.ln. 63354 Total Sq. Ft. 439.9583 Doors AA 1 3101 SG door Right operate Basement & Breakfast 72 80 5760 BB 1 door hinge left sidelite & transome 72 96.5 6948 CC a DD 1 2-8x6x8 e 10, hinge right hinge right closer 34.25 82.5 2825.625 Total Sq.ln. 9773.625 Low E, Argon Total Sq. Ft. 67.8724 27 White vinyl Jamb 6 1l2 pine Reverse Plan Hebert Associates Inc. 23300 Grandview Trail, Lakeville, Mn Office 952-461-4195 Mobile 612-328-2592 HayfieJd Window Et D-oor Product Perfarmance Chart • 0- ? ? ? ? e? i m n_m I w w ? , . ,. , . , Froduct U-Villue , , Co efficient o ? - P _ <- - as as - 1.5?r zs ?a .53_ ? ?s - - - 32 32 .31 3Q 52 50 ' 1 ` 3 =.?. 28 29 71 zp 52 _50 28 29 0.02 7_5 psf 29 ?il i 30 52 5p --- `= - . ?.°, _?"??-$''>,?- -> ?,? • _ _" . ° " _ ; 3 '? _ - i 49 i .39 S N. Qflfi 5.H.9.O pf 28 54 ? .55 € 58 e El - . L Slider .34 : 35 Sf?er OA3 Slider 5.25 psi .30 ' .° J O 51 I A9 lsw?? ° 3G 31 3u 3 .30 51 A3 :u ? (z - ? ?? ? ? , . _ - _ _ ?° . . _ _ •n._ ..... _ _ ' _ - _ • " 4- ?- A7 ? . _. - _ 0fll- - _ ., - . 60.Pe _ _ _ __ . _ _ _ " _ ? =. , E _ _ _' . r'- f .29=` 50` 47 ? ? ?gba = 29 .30 29 i .23 .50 ? A7 -=---,.- ?-» I As ? GS 002 s_a pst 27 -55 ? ss st s2 ? _ .32 33 31 E 32 a3 54 ? , _ . 29 ? 2S .31 .32 53 .54 . ?`' ? ^ O 2001 Building Permit Application (Residential) New construction requirements 3 registered site surveys showing sq. ft of house and all roofed areas. 20 % max coverage 2 copies of plans (show beam & window sizes, poured foundation, design, etc. 1 set of energy calculations 3 copies of tree preservation plan if lot is platted after 7-1:Xi Remodel / repair requirements i ? copies of plan 1 set of energy calculation for heated areas 1 site survey for exRerior additions & decks Date Feb 20. 2001 Construction cost $ 129,470 Description of work _ Sinale Familv Dwellinq Street Address 4561 Maiestic Oaks Place Lot 2 Block 1 Subdivision/ PID. # Maiestic Oaks 2nd Addition. Proaertv Owner Name M. R. Hebert & Associates Inc., contact Mark Hebert Phone # 952-461-4195 mobile 612-328-2592 Fax 952-461-4197 E-nail mrhebertOmsn com Street address 23300 Grandview Trail Citv Lakeville State Minnesota Zin 55044 Contractor Companv M. R. Hebert & Associates Inc. Phone 952-461-4195 Contractor M.R. Hebert & Associates Inc. Phone 952-461-4195 Street address 23300 Grandview Trail license # 5700 Ziq 55044 ArchitecV Enaineer Comaanv Planco Name Tom Korte Phone # 657-452-0724 Sireet Address 3435 Washinpton Dr Citv Eaqan. State Minnesota Zin 55122 Sewer / Water contractor licensed Plumber Clearwater Plumbinq (612) 447-8939 I hereby acknowledge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable state of Minnesota Statutes and City of Eagan Ordinances. Signature of applicant Office use onlv Certiflcates of Survev received ves No Tree Preservation Plan Received ves no not reauired Site # E,o? xxxxxx 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 ap licable Furnace Yes Carrier 58 MVP 080 or = 80,000 Sealed combustion, direct vent Dryer ? ? ? ? ? To be purchased & installed b homeowner Exhaust System Location Type Model CFM's Vented Yes No Kitchen Kitchen Over the range micro/vent. Amana MVH250 WIL/E 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 Bethroom # 4 Other Fireplace (s) Location Gas Wood Manufacturer Model BTU's Venting I I Sealed Atmos Family room Yes Heat N Glo 6000 TR or = 30,00 Yes Make-up air Model Type CFM's Summer Aire Pro Ventor SH125 or = HRV 925-180 1 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 senc ay: FIHESiDt CUNNER; 651 633 8884; Jan-29-01 9:58AM; Page 212 November 17, 2000 Bruce Nelson Senior Engineer EnerRX Oivision 121 7 Place Easi St. Paul, MN 55101-2145 RE: Sealed combustion certification Dear Mr. Nelson: u ULFT czlm a 410 No one builds a better fire This letter ceRifies that the Heat-N-Glo direct vent fireplace models listed below have been tested and mEet the criteria of the 2040 Minnesota Energy Code, Chapter 7672.0900, Subpart B.A. (9) "Sealed combustion appliance". The units, when installed to rnanufacturer's instructions, will function and draft properly at negative pressure of 50 Pascals. 6000TRB 6000X1SB 7000TR 7000XLS PIER TRC SL-350DVT Underwriters Laboratories, lnc, adrninistered these tests and resu}ts are on file. Please contact me if you have any quesiions. Sincerely, Marc Fuller • Agency Campliance/Reliability Manager Ph. (952) 985-6572 Fax (952) 985-6772 Page (651) 908-0060 HPAT-v-GLO a divuion ot'Hearth'Technologies•20802 Kensingmn 131vd.•Lakevil1e hIN 55044 ? Site addresx Azr?-n;. cam Lot?- Block ? Subd. 44 7?Z 2- / On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Furnace p gd Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED ves No Kitchen kitchen vd04 -n* s 1? H ,r M ? 11 2-f0 tU = Zso 4-? Bathroom 1 { ??? c ??? a v fi. G? 50 Bathroom 2 i M^ L 6r(?/rt ? 1( SJ' t/ Bathroom 3 C?'i c1 ? r? • r, v ` Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING ATMOS «h s'? drt; N L 4? G a? o T/Z v? = 3v, o?? 5c.n-a? MAKE-UP AIR MODEL TYPE CFM's 4aigiAg, f kE /2nj v&A T') --2 3# /LfOOL - HlZ,/ 1 12-f--? I hereby acknowledge that the bove information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. 2- 2J - o ? atyfe Date f? ? o 454-1 C- _ C any Name scj ` This form is the responsibility of the General Contractor . ? ? r. .- Fll.e Co-f`( (SEE ATTACHMENTS) Development oaKs Lot Number ? Block Number ? Aaaress t( dPsKS Builder tA E,??'?2T ar PrSS0L` ? I iAti4s2- ,+bl- Tree Protection Reauirements: N?a Tree Fencing Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Retaining Wall Other: Replacement Trees: ? Not Required ? As Follows: Q? Attachments: ? Yes No Additional Notes: U ?-1o 61F,ftDIE/ CLAftNGCY o P, Eu(,/excj?uA--(LoQ I tV TccGE Ai?A- lrL-ON(r u1os?T FlZx)mf,?[`( uN-C , H:l9hove\2000fileltreepres\Tree Preservation Plan Summary-2000 CITY USE ONLY s^ERi?,1I 1' #: "/ I7 RECEIPT DATE /-//-D/ RUIDENTIAL 1KECH"CAI. PEiMTf APPIICATION crrY og EAeAv S$SO P1LOT KAOB RD EAHAN bIN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: / - &-nl SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ? ST, Place a rhPrk mark nart tn tha narmi# wnr4 #vna ZIP: e? C!!?ao? 4 ? New residential dweliing unit under constructi and not owner/occupied $ 70.00 Add-on, modification or alteration to exist' dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature ef work: State Surchar e $ .50 Total $ 76 Reminder: Call for inspections. ? JAN 11 2001 D #: (AREA CODE) HONE #: AgJ y66-?S3.v' (AREA CODE) CITY USE ONLY ''ERMIT #: RECEIPT DATE: i - ? ? - (-) HUIDENTIAL MECHENICAI. PEfiM1T APPLICATION crrY oF EAsttN 3830 PaoT KNos Rn EASM bIN 5518E 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: o - ? p I SITE ADDRESS: OWNER NAME: TELEPHONE #: (AREA CODE) INSTALLER NAME: V?fiAlq TELEPHONE #: G WREN (AREA CODE) STREET ADDRESS: 20108 Calgary Tr. CITY: Farminator. MN 55024 STATE: ZIP: (W-? 460-8313 Place a check mark next?the aermit work tvae ? New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Tota I $ Reminder: Call for inspections. CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: CObIMERC1AL M£CtIANNICAI. PERMTT APPLICATION CiTY OF EA6m S$SO PILOT KNOB RD EA6AEN, MN 55122 651-6$1-4675 '? „ ? _'x Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DA' STTE ADDRESS: O WNER NAM : PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New conshucfion _ Interior Ixnprovement _ Processed Piping Specify Nature of Work PHONE #: - (AREA CODB) STATE: ZTP: Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%_$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATTIRE OF PERMITTEB Updated 1/Ol V? O V1- U v? ?L? 4:D f ? C ? S W C? 1Q?.n.? t /,;), ?-, _-so 0 w , ,?. ?-- 0 ------------, I Clty of Eap I Permit #: c, 3830 Pilot Knob Road 1 Permit Fee: aO ?? I Ea an MN 55122 ? I 9 I Date Received: ? Phone: (651) 675-5675 ? Fax: (651) 675-5694 ? Staff: j -----------------' 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Stte Address: Tenant Suite #: RESIDENT/OWNER Name: ew Phone: ?Qla ,?15""I 17190 Address / City / Zip: _QAXYI 11 a/J CONTRACTOR Name: c, ?0,L4,S I'' I I,f.M.??i 119? License #: Address:9?; S• ?,Akk ??U• City: UOY(_7?? State: MN _Zip: ?9;351D Phone: IPIc ?IDY "KIO'? ContactPerson: TYPE OF WORK _?c New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. k?LQ . . ? Descri tion of work: C PERMIT TYPE ?Ij RESIDENTIAL Water Heater _ Water Softener ? Lawn Irrigatio _Add Plumbing Fixtures ? RPZ / PVB) ? Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RES/DENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic 5ystem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) FEE TOTAL S $ I hereby acknowledge that this information is complete and accurate; thal ihe work will be in conformance with ihe ortlinances antl codes ot tne c;ity oT 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 pl X Ji,zf? G? ? r? x Z Applicani's Printed Name App ' Ys Sig iature lS ? ? ? , . . uR. oP IQo? 141. LU __ cMV 00 ? W i 44`? 501 I ? r A L 10L ?.DO 45??2 -?" ? g41.5 Lt`. ci 1 as0 00 "Top?1u? - ? ?? CO a7T`- ..: ? t? R 44,? _ ;? h `F? "? 50 ,.. _ _ - 30.00 L--? tQ N /?- `" ,`"p l ? e a . ZS . . ? -;2, 0.. ? . . ? . I N . . I ' ? ? I ? , ? ? I 1 y h -?-? ` ? ? - - - ? 13.0 2.0 ? ol 24.33 . 3?. . ? °o ?. 09 Qd ? 51Aa / il 3ro.3o t Cl ? .2-9 ?oP 1 P.? r? ? 89 r7 (0 3-7 p ?. ? v? Nub ?y I ? 0 op }ku6 ?. ?ou5? t E?J ?-952A5 ?ct', ?I ??,I,=957,?o r i OFoutioRI? ? ?E? ?=.. 954.1 _ ?? LOT hQER = 12,414 4• , I CP . 4 Vo ?D om . _ . _ ?:.., . . . ?j?kIFIZ ?-?1?1l4CFlZ /sl ' 4-O'2 Hearings are sasumed , \ /= J -q42,()-7 Sub,ject to easements of record if any ?1 = 9?0. Co 0 Denotea aet or tound iron pipe monuments sQk /? ?,? Deno,tes set weid hub end tack \? Proposed garaga floor elevation 'f840Denotes exiating elevation 3•4 proposed top of block elevation ga.p Denotes proposed Pinish grade elevation A/{'/ Denotea direction of surYace,drainage ? ?-?? ??Propoaed lowest iloor elevation _ a IY? h ?C? o ? C -- 2 ELa ,=q41:6b 10 - - - -- 10.u0?T ?- bCaa I ? 5d ?i q4?p 18.i3 a ?3.?C I , .h A-? r m rL O?j ? I ??2 f OQ ??`? R p I X' OR ? ? o TauwlsF._A_5 I hereby certiYy that thia is a true and corract representation of a survey of tha boundaries 1 DaKbTA oi Lot Z, Block mIR,Es11?_1 OAY'SS???I0Ro5TIoACounty, Minnesota as on iile and of record in the Oifice of the County Recorder in and for said County, also showing the proposed location of a houae as staked t}iereon, That I am a duly Registered Land Surveyor under the E.aws oi the State oi Minnesota, . _ l, _,...... _ . ,. ? I Dated: 'FE.gQwy I (QI 200 1 ....... Allan R...Hasti.ngs Minnesota Registration No. 17009 212 First Avestue E. Suite No. C Shakopee, Minnesota 55379 Phone 612 445 4027 . ? ;. ?,.. ? . ..1???. . 0- + d ? ? ? Ir,? l?-+`?' ? • hoo_s5 W1AdE5TIc FA ?"; C7?4tG5 C.F 0T r. ?Ol?awSF:?n f?luwar-,RS A'RETAW44G, WA MAY o6 o Toe 41A g. rToPµub ij Ed? x=q4l:(o0 Eix.V,-9491q lop IQ.on? o ? 4 S?--7 5C? ?? ? R? - H F ? go 44a_a I u?i ?O L N (;p I ? ? ? "I _M ?ro C) ? ? 8.0 ? ? °?`'?•`? ?05?'L - - _ ,,d, ? !.. I I?` ?. i?4 ?.P ?-- -- ?a.o u- ??- -?c? M ? _ . n il J U I f _' Q4r q?, o ?? 2.0 q5t,, a LF? (p.00 4611 24,33 ? 6Z?. \0 ? ? 3ln.3o .? 89°S(c' 3? ;? '°t 1.29 1 E_VN?'op Nu6 R kou.S-. ? ?:ueJ,=957.1o i.pp FvuNoArnW ; oe ? ?= A54."1 0 ?DT A?.EA _ 12,414 ,°4- ? B?$-?T ?I??. 2o3(OVER oFV SeaorcM sePvtcE ELtv. ELeV. MAY ,/0 ? 0 Eg. . ,rEb'PB FoR m ocv. GiaADt . oF sewem . I?yoPE ? SEwE2 ? t? 14`cIEtZ PER QcI"OS cs} 14-03 S ? q42,)-? W = -/-/D.CD q5 10 Proposed garage floor elevation 3•4 proposed top oP block elevation • `44'63 Proposed lowest iloor elevation VIo T?ra. 0?91N101) ?UpnNvSkeo To D F\TF- Bearings are assumed , Subject to easements oP record sf any O Denotes set or found iron pipe monuments spk 49- Denotes set +reoA hub and tack 'j'g4.0 Denotes existing elevation Denotes proposed finish grade elevation Denotes direction of surface drainage ? C a?. ti ? ch =?C? ?.? ? .., ,.,...,_., . .. ..... I hereby certiPy Lhat thia is a true and correct rePresentation of a survey of the boundaries DflKDTA 01 Lot Z, Block 1, mAaf-s-c?c O*KSsecoaa RootTiog,,county , Minnesota as on f l le and of record in the Oifice of the County Recorder in and Yor said County, also showing the proposed location oi a houae as staked thereon. i . t % That I am a duly Registered Land Surveyor under the Lsws of the State of Minnesota. Dated: IFEeiP.ItiK?,1 ?t?? 1001 Allan R. Hastings 'Minnesota Registration No. 1700-9 212 Firs1 Avenue E. $U1tA NO. C Shakopee, Minneaota 55379 vti.,.,a 619 945 9027 R r RESIDENT OWNER Name: {1 S N &AMA Phone: (a 3CS 4 11g e) Address City Zip: SA.XYLQ kA 0,196v.... CONTRACTOR Name: c 111 P L olvtidii 1 l License O LQ i 3;3 S Address: 9S S SiktIVY� ..dlk-- '81:U■e City: (3 acckcun State: MN N Zip: gc ,3Sg Phone: ID1r� b bcY 40 CY Contact Person: c S/5Y) TYPE OF WORK r New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: c lkA/II YVl�f 119, k ('r t ti ID I PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigati Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) G TOTAL FEES Ja Applicant's Printed Name City of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 or Permit it Permit Fee: Date Received: APR 21209 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 44 1( b /O' Site Address: M 5LQ 1 'I n 1'rt .5 `l L1 O S PI Tenant: Suite 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 appr oved plan in the case of work which requires a review and approval of pl x t et t fog ò ÿ þýüýû ÿþüþü ûÿÿ úñå øôï ôýìÿ Þý á ÿ ø úùø ÷ÿÿðÿ ò ø ÷ÿ ö ø ÷ÿðÿ÷ý ÿ ÷ ÿåÚý ýüÿ ÿ ÿááÞ÷ý Ûü úëý ÿçÿÿ òîÿ ÿ ÿ÷ ÿ ÷ÿ÷ òýûîÿ ý ñ ñÿÿîÿ ÷ÿ äýýÿ ýòýùý è ÿ ý ÿýÿ÷ýùÿÿò ÷ÿ è ý ùñàÿÿÿ ý ÿ ÿë ÿù ý üÿòýñ îñÿ è ý ÿçÿÿâïâèèá ÷û ú îý üÿý ÿéýýâïâèíèí éýýûè öõ øôó ÷÷ý Úýÿ Úÿÿ ý ý ûî ôõÿ ÿ é ù üýÿõ îáêôýìÿ Þý ñîôõááþýüýôõ æêãá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA119233 Date Issued:11/19/2013 Permit Category:ePermit Site Address: 4561 Majestic Oaks Pl Lot:2 Block: 1 Addition: Majestic Oaks 2nd PID:10-47101-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Chris M Newell 4561 Majestic Oaks Pl Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120129 Date Issued:01/21/2014 Permit Category:ePermit Site Address: 4561 Majestic Oaks Pl Lot:2 Block: 1 Addition: Majestic Oaks 2nd PID:10-47101-01-020 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. 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 - Chris M Newell 4561 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:EA145477 Date Issued:09/11/2017 Permit Category:ePermit Site Address: 4561 Majestic Oaks Pl Lot:2 Block: 1 Addition: Majestic Oaks 2nd PID:10-47101-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - Chris M Newell 4561 Majestic Oaks Pl Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature For Office Use i i i P :::: L�/ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspections(acityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3//Wt. Site Address: 4561 Majestic Oaks PI Unit#: Name: l,✓k 1(1 S 1)e..t.'e11 Phone: Resident) Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Reside back wall on garage elevation Construction Cost: 600 Multi-Family Building: (Yes /No ) Company: Polar Builders Contact: Stephen Baraibar Contractor Address: 1103 W Burnsville PKWY #110 City: Burnsville Phone: 9528958100 Email: stephen@polarbuilders.com State: MN Zip: 55337 License#: BC639097 Lead Certificate#: 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 non-public if you provide specific reasons that would permit the City to conclude that they are trade semis. 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 website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and co. ity of Eagan; that I understand this is not a permit, but only an application for a permit, and woi. • o start wit o. - - ; t the work be in accordance with the approved plan in the case of work which requires a review and ap:,.•,,11 vim xStephen Baraibar �� Applicant's Printed Name Ap ca ignature