4168 Jacob Ct?a-
?
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y4e- 'al'Xi vp('/1 1
Dv ?24 Ae_2/14
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CITY USE ONLY -7
, L BL RECEIPT #: I 7 5
SUBD. 0[M ?l S RECEIPT DATE?:J ( ? - O 0
PERMIT# ! S4? D
8000 PLUM$ING PERM1T (RESiDEN7M-)
cirY oF Easnx
S$SO fDAT KNOB iiD
Ek&RN, Mft 55122
631-6$1-467$
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
CIYTI IDFC
FOCH
#
TOTAL
Atterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in Outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x
L
E
k = $
Lavato 3.00 x = $ 11-00
Se tic S stem new/refurbished 'requires MPC lic. 75.00 X = $
Se tIC S tem abandonment 30.00 X = $
RPZ new InstallaGonlre airlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x Z = $
Under round s rinkler if dwelling Is under consiruction 3.00 x = $
Under round s rinkler iteAsun dwellin 30.00 x = $
Watercloset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under eonstruction 5.00 x = $
W ater softener if existin dwellin 30.00 x = $
Waterturnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total -> --> ---> ----> S 5,50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------••------,--------•-•------------------•-----------;------------- --- - -- ---- -- - --- - -•- - ---- ------- ?----
I hereby acknowledge° that 1 have read [his application state fhat the informatlon is cortect, and agree W comply with all applirable Ciry of Eagan ordinances.
It is the applicanPs responsi6ility to notiy the property owner thal the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance acUvicies to the facilities constructed under this permit within City property/rightof-wayleasement.
SITE ADDRESS: '1 /?p .? ?D czuh-t -
OWNER NAME: : ??-? `?'?-?J. ?L • TELEPHONE #:
INSTALLER NAME: DE'1 IQ 7-6 ?3
?LEPHONE#:?S pl f)
???? ??Ul?uln ` %
(Jp /??
STREETADDRESS: l bW ??lQ/1 ?l?C?? ? (AREACODE)
CITY: Pri?Dr b3iSTATE: /v Z,P5537 Z
J ?
SIGNA URE OF PERMITTEE
********?***?***?*?*****?****
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 784
DATE : 04/27 /00 T IME: 13:32:35
ID:
NAME : MANLE Y BROTHERS CONSTRUCTION
2252 9220 4168 JACOB CT 30.00
3210 9001 4168 JACOB CT 1,508.95
3866 9379 4168 JACOB CT 100.00
3422 9001 4168 JACOB CT 980,82
2275 9220 4168 JACOB CT 1,089.00
3446 9001 4168 JACOB CT 11.00
2155 9001 4168 JACOB CT 0.50
3743 9220 4168 JACOB CT 50.00
2155 9001 4168 JACOB CT 96.00
3868 9220 4168 JACOB CT 492.00
CR128260 ** CONTINUI
USER ID: JAN ** rnNmrrnn
*****?*?***?***?*******?**?*****?*****?
t:t**?**+**?* r**t*,t*,r*,r*****,t**,c CONT
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 784
DATE: 04/27/00 TIME: 13:32:37
ID:
NAME: MANLEY BROTHERS CONSTRUCTION
3716 9220 4168 JACOB CT 114.00
3713 9220 4168 JACOB CT 50.00
3865 9220 4168 JACOB CT 840.00
Total Receipt Amount: 5,362.2
CR128260
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
l I 3830 PILOT KNOB RD - 55122
851•681-4675 , ^ n ?
H6W CO?IfINC110I1 R60WfBRIBMf R9 dsl%R9OOIf RBCUI(6 C QX_X-.?
?
a a rep4tered we wners stwvdnp p. n a at s% e. w houae s coaies a Wm+ 4- 2- l-00
and 91 roofed areas (40X mmdmum lot coveraae allowed) 1 aet ol energy cdadaMOns tor laafed atltAMaa
> 2 ooples of plaru (show bean d wlndow sius: pouretl hW. tlesipn, etc.) 1 dte wrvey for exteAOr adt9HOna 3 decka
> 1 iel of arwrpy ca4cWallaru
D 3 coples ol hee presenaMOn plan B lof plaNed cRer 7/1/93
DATE: ?" 13'cc) CONSTRUCTION COST:
DESCRIPTION OF WORK: ?34U e-? di-) [ 1Ue;,,-c
STREET ADDRESS: `T I U/ S JOCOYJ b,,/ r
LOT: I I BLOCK: 2 SUBD./P.I.D. t: UG-'--
Name: Phone C
PROPERN taat Flrat
OWNER
Sheet Address:
City
Stafe:
IIP:
. ComPcny.?,an 1.?.?-?. I' ?rr )5. C a"? ?? ? . Phone Jf: 5 {
(area code)
corrrnncroa SlreefAddress: ucense#atL) q-'97 Exp.3I3ac?i
ci+y ?n?rer- r?V c?e, I.?e ; Gh,? S stata: ?? N nP: 55D17
ARCHfTECT/ ,?f LLn?IJ
ENGINEER Company: Name:
TelephoneM: ( (PS?
SheetAddreas:5q?? I,I?GShin?l?n UY ReglshationR:
CHy G?tGl•lYl State: ?N
ztp: 5`J/,2 3
Sewer/water licensed plumber (k Installina sewerlwater):?erC-r ?)I Lt? phone #: ?c P? a??M `A3V
i hereby acknowledpe Ihat I have read Mis applicalion, date ttwt ihe Intortnation is carect. and agrea b compy wHh a6 aPPOcable Skde
-of Minnesola Sfalutea and Cfty of Eapan Ordinances. ,g)
Signalure of Applicant ll AN ?" ?/?
OFFICE USE ONLY
I-)
gTr er tificates of Survey Received Yes No ree Preservation Plan Received _ Yes _ No ?-iNot Required
I--,'
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 FoundaUon ? 07 05-plex O 13 16-plex O 21 Porch (3sea.)
02 SF Dwelling O OS 06-plex. O 17 Garage 0 22 Poroh/Addn. (4-sea.)
03 01 of _ plex O 09 07-plex O 18 Deck ? 23 Poroh (screened)
0 04 02-plex 13 10 OS-plex O 19 Lower Level O 24 Stortn Damage
? 05 03-plex ? 11 10-plex aio9 Yor_N O 25 Miscellaneous
? 06 04-Plex ? 12 12-plex O 20 Pool p 30 Accessory Bldg.
? 31 Ext Att - Multi
? 33 Ext Alt - SF
O 36 MuRi
WORK TYPE
? 31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition 13 37 Demolish (Bldg)' O 44 Siding
O 33 AlteraGon O 38 Demoiish (Interior) ? 45 Fire Repair
O 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATIQN
SAC Code _-t2L # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. 4-00 Census Code % 0L
(Ailowable) _ulain level sq. ft. 1 MC/ES System
UBC Occupancy ? `!p1oP£i sq. ft. -? 0-0 City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
?SCELLANEOUS INSPECTIONS
Stucco/Stone
APPROVALS
Planning Building /T ZY1.fi.r Engineering Variance
Permit Fee Valuation: $?
Suroharge _
Plan Review n? y
License
MC/ES SAC
City SAC ?
Water Conn. ?2 ???
Water Meter
Acct. Deposit
S!W Permit
SNV Surcharge 00 C) K
Treatment PI.
Park Ded. I??/ b S??
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
0
; ONE- 6c TWO-PATvi7LY RESfAN`C1AL DCIJLDING PRESCW}'77VE (COOK-BOOK)
APPROACFI
MAXIMUM WINDOW q,VD DOOR AREA AS A PERCGNT OF OVERAL[, WALL
AREA
PZQm Mlnn Rufge part 7670 4475oubD.Ar? ;t m F
Cavlt Wlndow U•Factor
Framin Inaulalion 0.36 0.31 0.27
STANDARD R-13 M 17.8?> 21.3?0 24.3%
SI'ANDARD R•l3 5 12.4% 16.4% t9.7% 22.Sq,
S7ANDARD R•15 20.1% 23,q?jo
STANDARD R-]8-19 16.0% 18.8% 12.0%
STANDARD R-18-19 R• 5 14.096 18.65'< 21.8% 25.3%
ADVqNCED ft-18-19 <[t - 5 12.994 17.19'0 20.1% 23.a°io
AOVANCED R•18 -19 > R- S 14.5% 19.29'0 22.59'0 26.1%
STANDARD R•21 < R- 5 ]2.8% 11.0?'a 19.9% 23.1%
STANDARD R•21 > R- 5 14.53'. 19.3 •6 22.59'a 26.1%
ADVANCEO R-21 < R• 5 13.6°19 18.1% 21.2°'0 24.60 ' 0
ADVANCED R 21 z R• 5 IS.OYa 19.9% 23.29'a 26.9%
Additione2 calctlatCd valuea
STANDARD
ST'ANDARD R•17
R-17 < R- 5
> ft- 5 11.9%
13.89'0 15.79'0
19.4Yo 18.4%
21.51/0 21.5%
25.0%
ADVATJCGD R•17 < R- 5 12,6% 16.8% 19.69'0 22.9%
ADVANCED R-17 > R• 5 14.39', 19.0% 22.29'0 25.79'e
Notca:
Wlndow arta tqual9 rough opening minus Installatlon clearances.
Window U-factor must br determincd by either the Nationai Fenestration Rating
Council standard 100-91, or AStiRAE 1993 Handbook oE Fundamenta{s, Chapter 27,
Tible 5.
ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS
` r. ? DC1-2oZ
5Ih AODRESS . .?J CtT1'
COMPLETEO By.-MIA, PHONEt OATE
3UILDING CIASSIFlCATION: 0 cBtBgOry 1(must Include'suppllmental ventlWtlon) or categOry 2(sbndard)
NINIMUM CRITERIA '
i
'ounaaGon InsulatlorrRlO Walie 3 Wndows Roo! AttIC Insulatian
Siae on Graae Insulatlon-R70 (See Uhle on 2verse sde for ailov2bie Raa-WiN AtGC No Fleel
percenlages)
=loa over unheate0 spaces•R24 R3&WRh Attic Ra,seC Heel
°nunCa6an WrAaws 12' insulated Gtass. R98 3 RS-Solia Ra2ers
?NOOCOrVIn Frame
iTEP 1 Wlndow 3 Ooor Area SlEP 2 Calculate area u a percan[ of wall
A. Tolal WirMOw 3 pow Area in Sq. Feet
VwNCOWS (indutling Faundatlon WnCovrs):
MNDOW MANUFACTURE NAME:? UAl r)?IVJLr ! C. From Step 1 divide box A(Window & Ooor Area) by box 9
.viNGOW ,?+aNUFACTUtiE TYPE: Gr"J? I ?(Total Wall Afea) timeS 100 eqUa15 C(the windOw and doof area
, percent to wali area )
?
MNCGW MANUFACTl1RE U FACTOR I n
R
Nea
J
Cimensions Cuantity Sci 1
3ox Ao4 - 2ax 844 :GO = C!:
.
.
.
1 NX i tA
Z _, -o S7EP7 Assem0ly Oesignfeatures
-
+ „X ILN ? I O FRAMINGTYPE:
? I N X 1 N ? .1?? i
Tf' ? I ?5 $T}NCARC FR?N11NG ?smas ! 5' o.c.
I PX 5t ACVANCE0 F_A&UhG _:LC,2<-3? ?
?
X4?Y WALL;,.?`:IT/ fySi;U':G?i R?
?
I•`
5
a x ' 1 SHEATkING TYPE: R Value
A X
C ' I lESS 1}+P.N e.3-5
O
2?
V Hx ? 11 a-5 , Ca ucRE
-CCRS: X SiEP!
x ? , 1 I b From the tabte, (reverse side) datertnine the maximum percent
window & door area for the design opCons selected and enter
X d I I I ?J /?? the •,4 value on D below based on the window mfg. U-Factor-,
V C??
'aul avea of D = %
.tiiMaws 3 Oaor Area A- «?
f e?4s4R
3, row wau a.rea in sq. Fc The °A value from the table on D shall be equai to or greater than
!he•/.inC
'+vall Total PenmetM Heigh[ fva ?
q,d ?
- ,U Z
- o -7 2 ?
anNesawtls., o. ? p.lt i
w
. •- LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
NW PROPERTYLEGAL: 1-c7Y !I BLW.K Z DAKSZ(/FF-< _
vi DATE OF SURVEY: Q'- I3 - OL?
H
?
W
LATEST REVISION: 4- 20 -QU
?
? DOCUMENT STANDARDS
O
O? Q
?
? •
Registered Land Surveyor signature and company
V/ ? ? • Building PermitApplicant
o ? • Legaldescription
?d ? ? • Address
?_/ ? ? • North arrow and scale
y? ?. ? • House lype (rambler, walkout, split wlo, split enUy, lookout, etc.)
? ? • Directlonal drainage anows with slopelgredient %
o o • Praposed/epsting sewer and water services 8 inveR elevadon
d/ ? o • Street name
ra'/ ? ? • Driveway
d/ ?
d ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
? ?I
y' ? . Sewer service (or Proposed)
? : Properry corners
? Top of curb at the driveway
?' ?? • Elevations of any epsUng adjacent homes
? cY o Adequate foodng depth of structures due to adjacent utifiry trenches
Prooosed
? Garege floor
10 ? • First floor
d' a ? • Lowest exposed elevation (walkouUwindow)
(P/ ?
? o • Properry comers
? ? • Front and rear of home at the Toundation
PONDING AREA (if aoolicaWe)
0/0
;/ ? • Easement line
? ? • NWL
ar/ ? ? • HWL
ge V ? • Pond # designatlon
? M-/o • Emergency Ovefiow Elevation
/ o ?
ra? a ?
a? a ?
Lf/ ? ?
m /o
? d ?
DIMENSIONS
Lot Iines/Bearings 8 dimensions
Rightof-way and street widtli (to back of curb)
Propased home dimensiona including any proposed decks, overhangs greater than 7, porches, etc.
(i.e. ali structures requiring permanent foo6ngs)
Show all easements of record and any City utilNes wiNin those easements
Setbacks of proposed sVUCture and sideyard setback of adjacent e»asstlng sUudures
Retaining wall teauiremenLa, if anv
Reviewed:
March 19BB
CRAIGIBlOOPRMf.GM
CARtIFICATE OP SLIRI/EY 5,vc3 3
For. Man.'eY 'Brothers Construction ; ,,i? y qz
rc .
6e
; ,5,,? E 12
? ? ao 3;
E
00 ent \
o-. e an d Utility Eosem ?
Draina I 581 ? 28:??5
?1\\y? 9 , y6J8
.428
Nry
Sq
svc I ?u
V T a
/j 'y l
p
T .
s o ?
eP??q\??R
? ?
ry0 a
3
3
a
-
R
/o
N
?2 0
58I134 36
q
??
47
UY
?
?
4
?O
Q
0
?.'
FffV Vaae
% J-i- \
5 4? 11W ? O v
? o0
rm °? ? 00
?- o, m
?? ?
?o
r N.
?
n
a
O
_ ? ? •?
y: 5 0 0
-`1 ?qhV9o °''S^ ry
\?- 1 a
v i 4 .
f?S,,sE
0 5 c'
?o Q
?n.?•'q25M$y ?? j?a? ??
F` oo
q I?8 Sacob Cou?`"f' `2 ?
S
Hor?,r.E_ CovE 2 A4? ? F_- __3_ 2_ 21_ sy ?'? `?O
cor_sF= i?,,77ysy.f?. , a's,
34 9?''. poured i,?c.1\s-w?o ?E 4?
GARAGE FLOOR = 2Z.3
TOP OF BLOCK = qZ2,'j
LOWEST FLOOR = qIy.0
TOP OF FTG= q I 3. -7
Diag.: 99 X 50 = 110.91 ?
02 DENOTES PROPOSED ELEVATION.
1011.2 DENOTES EXISTING ELEVAl10N.
DENOTES DIRECTION OF DRAINAGE.
m OENOTES WOOD HUB AT 11 FOOT OFFSET.
Lot 11, Btock 2, Qak Bluffs, Dakota Caunty, Minnesota
IScale 1"= 30' 1 o Denotes Iron Mon. I Bearina Datum:Assumed lJob No. 00196hs lDrwg By BAO I
I here6y certify that this survey, plan, or report was prepared by me or under my E. G. RLID 4 SvlvS, INti
direet supervision and that I am a duly Registered Land Surveyor under the laws LAND 8URI/EYDRB
of the State of Minnesota E. G. RUD & SONS, !N 918m LEXIAIGTON AVN. NO.
n :/fon ExisT/n/G q? GIRGLB PINES, MIhINESOtA
.?? 65014-3625 TEL. 1163118b4656
?ate - g"Z0,"Registration No
/
11 ??` 0 479??)
, hS
O?
/
c,
?, ?
it...??
7 e,e yr?.'?.
RECEIVED APR ? 5 9000
CITY USE ONLY
LOT 11 BL ? pERMIT #: ?9'3
SUBD. DAXI !")lU ?`?"S RECEIPT #: I-;?)-7 77
RECEIPT DATE: (O'(ya "U C)
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF &AGAN
3830 PILOT IR70H RD
EAGAN tltd 55122 - //
Date• ) 651-681-6675
?i
Complete this section onlv if you are installing I-IVAC in a single family dwelling, townhome or condo under
const ucticn and not ownedoccupied.
• HVAC: 0-1U0 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
: o C)
State Surcharge .50
Total $ -13-ZCJ
Complete this section onlv if you are remodeline, addine to, or re?airine an existing singte-famity dweiling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Aheration
_ Fumace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
LO
CITY: 20108 Calgary Tr.
j 4644313
?51
Repair _ Other
_ Air conditioning
_ Other
ree $ 30.06
State Surcharge .50
Total $ 30.50
- v
PHOI+IE #:
(AREA CODE)
cTeri-P• 2fP-
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4168 Jacob Ct
Lot: 11 Block: 2 Addition: Oak Bluffs
PID:10- 53400- 110 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Caroline N Grantham
4168 Jacob Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090407
07/30/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
I For Office Use �7 Permit #:
/S0�
Permit Fee:
ic::7-61
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMITAPPLICATION
Date: Site Address: Unit #:
Name:
wit) Uk.0 ('k-
(0
J u tz(to
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work:
Construction Cost:
Phone: (05 1 !j1q115
9\30-75vc)
Multi -Family Building: (Yes
Contact:
City:
Email:
License #: Lead Certificate #:
If the project is exempt�from lead certificatio, please explain why:
Il�t` � ��0L fY��Din
go/t:7-_(4 40
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:
Mechanical Contractor:
Sewer & Water Contractor: a
Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca1146 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the workwill 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 be completed within 180
days of permit issuance. r,
x� _fait 0 k lVkt
Applicant's Printed Name
cLANlMck,,,/.
Applicant's Signature
Page 1 of 3
�A cob C
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%1/1
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
,' `' Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
1
REQUIRED INSPECTIONS
Footings (New Building)
4- Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Re-!
i.#i
R -1
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
1111111m. •
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
73 1fr
y7 -
GQ 1t
TOTAL
Page 2 of 3
TIPIC�4TE CSF 8t ievEy
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For: Mcriey Brothers Construction 1 #11'
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and Utility58�°� Eosem
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GARAGE FLOOR = q 2Z .
TOP OF BLOCK = qS 22, J7
LOWEST FLOOR = q iy • O
TOP OF FTG= 91:5.7
45
Lot 11, Block 2, Oak Bluffs,
Dakota
yGDs:'T_
Diag.: 99 X 50 = 110.91--
` ► y DENOTES PROPOSED ELEVATION.
1011.2 DENOTES EXISTING ELEVATION.
DENOTES DIRECTION OF DRAINAGE.
si DENOTES WOOD HUB AT 11 FOOT OFFSET.
r.
County, Minnesota
Scale 1". 30'
0 Denotes Iron Mon. Bearing Datum:Assumed
Job No. 00196hs IDg B RAO
E. G. RUC 4 BONS, INC
LAND s3U111VE'1'CRS
SW LEXINGTON AVE NO.
CIRCLE PINEB, I"f 1WEGOTA
65014-36S TEL. (16371158-136 66
I hereby certify that this survey, plan, or report was prepared by me or under my
direct supervision and that I am a duly Registered Land Surveyor under the laws
of the State of Minnesota E G. RUD etc SONS IN
zv : /baa F..x/SrfllG
Le /.o POWs
Date,- /9 2tegistratian No-
RECEIVED APR ? F Nlfll
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146582
Date Issued:11/01/2017
Permit Category:ePermit
Site Address: 4168 Jacob Ct
Lot:11 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-110
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 -
Caroline N Grantham
4168 Jacob Ct
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165095
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 4168 Jacob Ct
Lot:11 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-110
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Caroline N Grantham
4168 Jacob Ct
Eagan MN 55123--490
(715) 309-3425
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167726
Date Issued:03/26/2021
Permit Category:ePermit
Site Address: 4168 Jacob Ct
Lot:11 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Caroline N Grantham
4168 Jacob Ct
Eagan MN 55123
(715) 309-9745
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature