4174 Jacob CtAddress 4174 Jacob Ct Zip 55123
Lot lo Blk 2 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 1?- ?-1 9 Yes ,No Inspector: a?
Final grade (6" ftom siding) v
Permanent steps (garage)
Pertnanent steps (main entry)
Per[nanent driveway
Permanent gas vll?
Sod/Seeded gtass
TcaiUcurb damage
Porch
Basement finish
Deck
Please verify wit6 the builder the removal of roof rest caps from the plumbing syscem and the shut-off of wa[er suppiy to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 651-4645 before working in rightof-way or installing underground sprinkler syscem. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT# -?I S:!??
RECEIPT DATE:
2002 RESIDEPTUL PLU14I$INfi PEfiMIT APPLIClkT10N
cn'Y oF KAsM
S$SO PILOT KAOB iiD
EAHAR,IHA 551 EE
657-6$I-4675
Please complete for:
SITE ADDRESS:
single family dwellings, townhomes and condos when permits are required for each unit,
6ackflow preventer for irrigation system
y/ 7y ;??co 13 C a?v l`
L?
OW NER NAME: : TELEPHONE #: (O 5 / - ys y - 1? v/ 4' L-
(AREA CODE)
INSTALLER NAME: !?? X M QC-han t cc,- C. TELEPHONE #: S/ - 636 ' 7 L Z Z
STREET ADDRESS: 7// !," (AREA CODE)
CITY: NQ w p ?,? j,ta L STATE:
h ti? ZIP: 5S'
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fxtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ W ater turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: water softener water heater $ 15.00
State Surcharge $ 50
Sa
TOtal $ SD -?
I hereby acknowledge that I hava read this application, state Nat the information is correcl, and agree to complywith all applica6le Cityof Eagan ordinances. It
is the applicanPs responsibility to nofiTy the property owner that the Ciry of Eagan assumes no liability for any damages caused 6y lhe City during its normal
operational and maintenance activities to lhe facilities constructed under this permit withia?C Ty roperty/eas enl.
? ?
SIGNATURE OF PERMI EE 1/02
?
RESIDENTIAL
BUILDING PERMIT APP4ICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw ConsW ctlon Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot wverage allowed)
• 2 copies of plan showing beam & window sizes; poured faund design, etc.)
• 1setMEnergyCalculations
• 3 copies of Tree P2servation Plan if lot platted a%er 7/1193
• Rim Joist Detail Optians Selection sheet (61dgs with 3 or less units)
DATE ? 2/I ??/D'?
Water Softener
Water Heater
No. of Baths
??
??
C?
SITEADDRESS 4-171' '?-?6 CpJx' MULTI-FAMILYBLDG _Y _N
TYPE OF WORK_?? 0?6'L-l.-?cl ?rz n? Wn n,,. ?-I''vJOiLkCE(S) _ 0 ?I 2
APPLICANT UV"Jf;,7`vW C-??l 0-1?
STREET ADDRESS I 14-0 ?CITY
TELEPHONE #qS2' Ra$ 31 `l 0CELL PHONE #
1/NS STATE??IP S.S 343
FAx# 4§?--9c8: -3173
PROPERTYOWNER TELEPHONE#
7
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNHSOTA RiJI.ES 7670 CATCGORY 1 MINNESOTA RLTI,ES 7672
(J submission type) . Residantial Ventilation Category 1 Worksheet Submiked • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Mechanical syslem includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery Systcm
Phone # tn Fp, r?
I,? ?•_r 1 J 2"`•'? L
..?
Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with aIl applicable State of Minnesota Statutes and City of Eag Or in
?\ 1
Signature of Applican
Ce,.x?•??-- C?-?,?5
--------------------------------- -------------- --_---°---------°°-------------•--._--__-----........._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
RemodeVReoair Reauirements
. 2 capies of plan
. 7 set aF Energy Calculations for heated addilions
• i sRe survey (or e#erior addilions & decks
• Indicate if home served hy septic system for additions
VALUATION?
Phone #
Lawn Sprinkler
_ No. of R.I. Baths
Fee: $90.00
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 10 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
* 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
?3- ? 4 Replacemerit *Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation. Occupancy MC/ES System
Census Code , Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const v vi W idth
_ REQUIRED INSPECTIONS
_ Footings (new hldg) FinallC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition)
_ Foundation -Plu?b'
? HVAC ?
Drain Tile
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Franung _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
?O Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
(_aaJe42 t-e-ve l 70.Oc7
`Y'?t w$c:.i.;::np.t ?, ItSi iu'rni,".*Y,:
t:r.t-, v OF
t-:nSH:!:rR: is r[::,?MtNAt.. r,oo 7ici
DA?-E„ 05)/21/99 '1'1:MF;; 105054
IrV:
iiAf;(_„ ifANl...l:-`J Etr?OTI:E'I+:'; C;i7NE:TRIJC'T'TC1N
Pc.'.W `i)i?c?0 41'74 ;)Al:::iE; r.r 30.,00
3210 900i. 4t74 Jr'iCUli C"i Q'r.'.04,95
3465 9379 404 ,1AC0B i]T 100.00
3182 9001 4d.'i'4 :IG'iCC.1Ft (:T S.3:i5„i'.c.'
c??'r' i 9i`2f] 4174 ::ACpIs CT" 1,037.50
344Eb 'JUiJi 41.74 1Faf.;(.iFi C1 io.50
R05 9001 a.:i.,4 .±ncoB r•r C.,a:sn
3743 '3r'_'fi 41.74 JtiCn„r,, i:;l" 50.00
;:oW ''itli}:i 4174 J'ri[;(:?1? f;7 76.0(]
3865 9227 4174 JACf'1_; f;'1 468.00
CR.:L1.'7'i'75 kh'; C;IJNtINIJt:
U':ic:t :I'Da ::IAN WY Cfle!'i7iJL1E::
(.0'El TNL!E:
f:S'1'V ::lF' t:.i=3i;;AN
f;AMi:I:fi:Rs Jf; 1'E"RM;.NFlL td0e 0E1
P(-1':4=::; 09/21/99 1 Thfl_:u 11:54:56
fW
NAMf_^ NANI_F'Y iiF:uT'PF_I;g COnSTRUrT7:ph
370 9;?20 074 JA('OR C7 ,.44.00
3713 9220 4174 J(1f:flC. i:;7 50.I101
3865 9220 404 JAri[lB c'r 825.00
Tiyi;.].I. RGr:t?:L?:'; FIIYiI:)?J,"ii:g ?.pf;(33.E?i'
C?:;. ?. i 2'r?° .
uSEr TDN jFlN
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY pF EAGAN
p 5830 PILOT KNOB RD - 55122 .? ??
651-681-4675
New Conshuctbn ReauGemenh Remodel/Reoah ReautremenTs
? S reglstered siM surveys showing sq. H. ol lot, sq. M. ol house 2 copies of plan
and Qll rooled arecs (20%maxlmum lof ewemae allowed) ; rat nF energy calcvlaHons lor heafed addlHons
D 2 copfes of plans (show beam i window shes; poured fnd. design; efcJ ! sBe survey for exleflor additions d decW
D 1 set of energy calculaHons
D 3 copies of hee preservallon plan 8 bt plaHed affer 7/1/93
DATE: ? I ? J- 1 q
DESCRIPTION OF I
STREE7 ADDRESS:
CONSiRUCTiON COST: ? Z?S? OOD. OO
LOT: -1-OA BLOCK: 2, SUBD./P.I.D. 8F: DY-TK? FIAET-'??'5
Name: SP-Mee fts ?.C7N l IC.?'?G?F? Phone #:
PItJPERTY tast flrst
OWNER
Street Address:
City
State:
Zip:
38 Co -'??s
Company:ulA"-0?kD6.0-W-RJI.IGTIDN. Phone#: (0(2- 2
(area code)
CONTRACTOR
Sheet Address :- 533B flzoM.Dkx Ik??• soueense # 432 Exp.qI3! =20
City State: il .1,k]i Zip:
ARCHITECT/
ENGINEER
Telephone #: area code ( &51
CNy State: Zip: 55122^"
Sawer L water licensed plumber (reaufred for new conshucHon onlv): Soull+ MGUWI`^ "LI
PehaHy applles when address change and bt change Is requested once permM Is Issued.
I hereby acknowledge thal I have read lhis appiicaHon, state that the Informallon Is correct, and agree to compy with ail appliccbl
State of Minnesota Sfatutes ond Cify o? Eagan Ordinances. n n --?i f n
Slgnature of
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes - No A?Not Required
Street Address: 415.? ???&BLZ MaAM AL-0tegishaHon #: _
OFFICE USE ONLY
BUILDING PERMIT TYPE
11
.
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
* 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PordUAddn. (4-sea.
? 03 1 of , plex ? 08 8-plex ? 13 i 6-piex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
Q 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' 0 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demoiition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. / Census Code
(Aliowable) Main level sq. ft. 5AC Code
UBC Occupancy sq. ft. Z/Yl ? No. of Units _L
2oning k -? sq. ft.????. _ No. of Bidgs
# of 5tories sq, ft. MC/ES System
Length ? sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation:
Surcharge j j 1JL/ ?!s /,7?
Plan Review
License 7) V/
MC/ES SAC
City SAC e:? 117 7`r
Water Conn.
Water Meter
Acct. Deposit /
S/W Permit
5/W Surcharge `
Treatment PI. '
Park Ded. ,
Trails Ded.
Other
Copies
Total: '
-,cv
SAC Units'
% SAC
09/07/1999 09:22 6128234689
M/\N L Effl
AQOIHFPE C6NSTRUCTION.INC.
5128234689
MANLEY SROS CONSTRUC
$XECUTIVE DIVISION ?
i
PAGE 0]
Fax to numder: I 651.687.4694
an.r,uon: Building Inspections- bullding permita
Daw: Septem6er 7, 1999
F„o,,,: LSara Manley `V
Oflice/ cellular rwmber. ?(612) $25.82491 (612) 861_1889
Numher of pagee: I Z t0 fOiIOW ?.
adareonai commom,s andr or Re: I Energy calculatfons for 4174 Jacob Court in Oak Bluffs
3538 FREMONT AVENUE SOi1TH
MINNEAPOLIS, MN 56408.3543
QFFICE PHONE: (812) 825.9249
F,4x: (612)827.4689
09/07/1999 09:22
?.?
6128234689
MANLEY SROS CONSTRUC
check COMPLIANCE REPQRT
nnespta Energy Code
check Software Version 2.0
nnesota Department of Public Service
612-296-5175 1-800-657-3710
UNTY: DakOtA
ATE: Minnesota
NE: 2
NSTRUCTION TYPE: Single Family
T£: 6-15-1999
TE OF PLANS_ 6/14/99
PLS:
OJfiCT TNEORMATIOAT:
m & Mary Dafoe
MPANY INFORMATION:
nley Brothers Construction
MPLIANCE: PASSES
quired UA = 450
ur Home = 398
Asea or
Perimeter
2LING5: Raised Truss 1190
.LLS: h'ood Frame, 16" O.C. 224
.LLS: Wood Frame, 15" O.C. 1323
,LLS: Wood Frame, 15" O.C. 1152
,AZING: W3ndows or poars 65
-A2ING: Windows or IIoors 236
.AZING: windnws ar Uoors 203
)ORS 41
Pexmit #
PAGE
; Checked by/Date ;
?
Insul 5heath Glazing/DOOT
R-Value R-Value U-Value
--9-----0 0
--
4419_0 2.0
19.0 2.0
19.0 2.0
6.330
0.330
0.330
0.100
:MT: 8.3' ht/7.7' hg/8.3° insul. 997 10.0
;MT: 3.5' htl3.0' bg/3.5' Snsul. 91 10.0
-------------------------------------------°------
)MPLIANCE STATEMENT: The propased building design represented in the&e
,cuments is consistent with the building plans, specifications, and other
:lculations subroltted with the permit appliCation. The groposed building
s been designed to meet the requirements of the Minnesota Energy Code.
6128234689
26
12
68
59
21
78
6'7
iilder/Designar Da
09/07/1999 09:22 6128234689
6128234689
MANLEY BROS CONSTRUC
__. • ? ?V i
NEW HOME FIELD INSPECTION
ENERGY CHECKLZST
PAGE 04
MINiMUM REQUIREMENTS ? OPTIONAL
(CATEGORY 1)
(CATEGOAY 2) ,
)UNA ATION: ;
7 Exterior foundation w811 ?
insulation installed: ?
R- '
] Slab-o?-grade insulation ?
installed: R- ?
] Ducts in Slabs riave R-5 ?
insulatYon bottom and sides ?
:NETRATIONS: '
] Window and door frames sealed ; [] Foundation rim jolst sealed
? aiPtSght
] Framed wall openinqs into attic ;
; [] Upper story band joista
sealed a1L'Light
sealed
]
] Other joints in wall sealed
Dropped Ceiling air-blocked ?
;
(] Cellinq poly sealed to top
lls
; of intezior psrtition wa
} Plumbing penetratipna sealed ;
7 Exterior walls Hehind tub ?
and shower sealed ?
] Plumbing vent stack sealed ?
] Chimney flues sealed at ceiling ?
] Perimeters of all grills and ?
registers sealed to vapor ?
baiiier ?
] Electrlcel service sealed ?
]
] Recessed light fixtures sealed
Wire penetrations inta attic ?
; lectrical boxes sealed to
E
[ 7
sealed ; vapor barrier
] Teleprione, cable TV ?
] penetrations sealed
Fans sealed where vapor barrier ?
;
[] Fan housings air sealed
penetrated ?
?
._ ?
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
- BUILDING PERMIT APPLICATION
PROPERTYLEGAL:
DATE Of SURVEY:
IATEST REVISION:
DOCUMENT STANDARDS
?a ?
9? ? ?
?o ?
?? a
e' ? ?
z? ? ?
? ? ?
3"? ?
tr?? ?
IF"a ?
m?o 0
. Registeied Land Surveyor signature and company
• Building Permit Applicant
• Legal descriptian
• Address
• North arrow and scale
• House rype (rambler, walkout, spid w/o, split entry, lookout, etc.)
• Directional drainage arcows with slope/gradient %
• Proposedlebsting sewer and watef services 8 invert elevation
• Streetname
. Driveway
• Lot Square Footage
• Lot Caverage
ELEVATIONS
/ Existina
d 0 ? • Sewer service (or Proposed)
2? ? ? • Properly corners
y? ?? • Top of curb at the driveway
? 2-?o • Elevations of any ebsting adjacent homes
?:11"o Adequate fooUng depth of strucWres due to adjacent Wlity trenches
/ Prooosed
e5?' ? • Garage floor
u? ? ? • First fioor
a/ ? o • lowest exposed elevation (walkauUwindow)
v? ? • Property corners
?? • Front and rear af home at the foundation
PONDWG AREA (if applicaWe
? tr'/ n • Easement line
? ee ? • NWL
? r?? • HWL
? ar/ ? • Pond # designaUon
o tx? • Emergency Overfiaw Elevation
p a
? a o
? ? ?
a %
gp?
? m/o
DIMENSIONS
- Lot Gnes/Bearings & dimensions
• Rightof-way and sheet width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requinng permanent footings)
• Show all easements of record and any Ciry utilidec wdhin tfiose easemenb
• Setbacks of proposed structure and sideyard setback o( adjacent ewsting structures
• Retaining wall requiremenLS,'rf any
Reviewed:
? - / _
7 Date
Mareh 1999
CqMfy9LOGqtMf.FM
** *
• 't iPiONEBR
? 6f1?
* * 7? *
Certificate of Survey for
• PNl
u+wnhcn
2422 Enterprise Drive
Mentlota Heights, MN'S5120
(851) 881-1914 FAX:881-9488
E-moil: PIONEEROPRESSENTER.COM
625 Highway 10 N.E.
Blnine, MN 55434
(812) 783-1880 FAX:783-1883
E-moil: PIONEER20PRESSENTER.COM
MANLEY BROTHERS CONSTRU
LOT AREA =17,675 SQ. FT. 4174 JACDB COURT
HOUSE AREA =1,803 SQ.fT. COVERAGE = 10%
HOUSE TYPE= 2 STORY Gd4' I.,
BENCH
TOP DF
ELEV.=!
9188 JACOB COURT EAnAN ENGIlVEERdNQ'xDEPT.
f7 'rK o
'?' szo.3 g5.20 szo.z ?4. Zv• 5)
920.7
d=90'S4'40"?a? ?
,
9
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\ OS
PR ?5E
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INPGE
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n pRA
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0
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S??'52'59"W
9
NOTE: PROPOSED GRADES SHOwN PER GRAOING PLAN BY: E.G. RUD & SONS, INC.
NOTE: BUILDING DIMENSIONS SHOYM ARE FOR HORIZONTAL AND VERTICAL IOCAT10N
OF STRUCNRES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDINC AND
FOUNDAnON DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT iHE SPECIFlC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOYM ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESICN,
NOIE: BEARINCS SNOWN ARE BASEO ON AN ASSUMED DA7UM
917.:
x 917.0
Ajo•p0
WE HEREBY CERTIFY TO MANLEY BROTMERS CONSTRUCTION THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
8
x 000.00 DEN07E5 Ew57ING ELE`/AnON
j 000.00 ) D&UO'ES PP.OPQSED ELEYATION
DENOTES DRAINAGE AND U7ILITY EASEMENT
' DENOTES ORAINAGE FLOW OIREC710N
0 DENOTES MONUMENT
-B- OENOTES OFFSET HUB
TRUE AND CORRECT REPRESENTATION OF A
LOT 10, BLOCK 2, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA (THIS LEGAL WILL BECOME VALID UPON FILING THE PLAT?
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS OWN, AS Sl?.?lVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 3 DAY OF AUGl15T, 1999. A - ??
Ci FD• /PIONEFR ENGWEERING./ P.A.
SCALE : 1 INCH = 30 FEET
917.4
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RECEIVED SEP 0 7 9M
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\
\
'5zLT
FENCC
\ \
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/
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915.32,00
? t53 1
1
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION: ??tZ??3 -??
TOB 0 LOOKOUT ELEVATION: ?'?
9• ??p` 90
?Jy PP??
r
/
972.5
s.oa
64/05/2001 15:50 6519051775 MANLEV BROTHERS
* * *4,
* PI011p
* anp n
* * y+
Certificote of Survey for: MANLEY
lOT nftEA =M17s6)5 M. FT. 4174 JACOB GOURT
HOUSE AREA 7,803 SQ.FT.
COVEPFCE 10%
HOUSE TYPE- 2 STORY W-0'
an. a
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?
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f
9198 JACOB COURT
%o
920.395.20 9210.2 Zv5'
920.7
4'9W$4'40mscnv.
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? ? 921.0 _. Y_ .R ?
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BOP OF PAPQ ?nex ?
ELEY.?920.43\ v
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PAGE 02
Or," '
, MN 55120
ns Fkx:=-a+ea
11
BENCN MARK
PIPE -
---? TOP.- OF927.24
ELE?
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y1 DR?µ??tPE??PIPT??'
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$77'527•`'9rW
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9
xOIE PPOWRD GIWES &WM MR GRMING PLM1 9Y: E.G WO i SONS NC.
HOif`. fi1Nt01uG ONEM90N5 SHOMH ARE i011 HOR120NTAl A/N WMTCAL LOCATW
Oi SMCNRES ONLY. YE lJtW1ECTUAL iLANS FOR BUMMG M10
mx+o•irox awEraiavz
em.c: wo svcone Ms wIAsnwnw xws aea rnwnc*ee a ?rs LoT ev nHE
SUR?EYCM. 1NE SU,TIiBrtliv V Spl4 1G Si.WOMT 1ME 9PEd1C Md1SE
PpOPOSEp IS NOT ME RESOOMSBIUT' OF TIC EURYEYOR.
917.0
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8,2.5
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110.0? , x'" 8
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?.
pROP?F GI??V
LON£5T ROOR ELEVAiION:-';-' ?f'
TOP OF BLOCK ELEVAilON:3.
CARAGE SUB ELEVATION: ?, ?Z 1y-? 7?l
TOB O LOOKOUT ELEVArON:
xOIE Mi5 CERM?TE DOES NOi PUwPWi TO 910W EASEMENIS OTMEM 1nAN Y OOLL00 OEHOiE3 Fn9nWG M'ArW
iNOY 9H0M ON ME RECORDCO PIAt. ( OW.00 ) DEwOR1 PPOP09E0 E1IV-9106I
- ocNOrzs aiwAM .xo,unun usaro+r
NOiE: CQVIMCttP YlISi YEItlFY OPtVEWAY OC901. MpM ppMAG( ROW.;OPCCTION
NotE BEMNGS pOVN MF 8A40 W AM ASSVMFO OAIUM -'?"- OU40TE`' VaImmoT ?- OFNOTES OrSET XIS ?kWE HFRE9Y CERInFY TO MANI£Y BROiHERS LDN57RUCTON iNAT THIS IS A TRUE RNO CORRECT REPRE414TATION
OF A
$URVEY OF 1HE BOUNDARIES OF:
LOT 10, BLOCK 2, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA (-THIS LECAL YALL BECOME VALID UPON FlLING°,iHE PIAT,
IT DOES N0T PURPOR7 TO $10W INPROVEMENTS OR ENCHROpCHMENTS, E%CEPT AS OKN, AS SUFV.YEO 8Y ME OR
UNDER MY DIRECT SUPERVISION THIS 3 DAV OF AUGUSt, 1999. /?
a rn- ?tnuFCR FNDI}iEERING? P.A.
SCALE : 1 INCH = 30 FEET
f7PR 05 2001 17:08
hn. C. Laraon, L.S. Reg. No. 1<,
6519051775 ?iPAGE.02
CITY USE OYLY
LOT ?CJ BL ?- RECEIPT#:
SUBD. l J C7.1?. ? RECEIPT DATE:
Date:
Repair _ Other
Complete this section oi:lv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) T, veD
• State Surchazge: .50
. TOTAL: SO
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New _ Replacement
1999 M£CH"ICAi. PEiMMIT fRESIDENTIAIa
C11'Y OF EAfiAN
S$SO PiLOT KNOB RD
F-A6AN b1N 55122
(651) 6$1-4675
_ Furnace
Air exchanger, i.e. Vanee system, etc.
Reminder: Ca11681-4675 for dnspections.
SITE ADDRESS:
OWNER NAME:
[NSTALLER NAME: PHONE #: ./li``O - yjG3/
STREET ADDRESS: S67- NoV - I
CITY: STATE: ZIP: SS37'Z'
SIGNATURE OF PE ITTEE
I I 9. O?s 3
I i-a-?,:)
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
?
1S7F0RMS BLD/MGCH PERMIT (RES) - 1999
CITY USE ONLY 0 ?
L I C? BL RECEIPT#: I 1 9 O c6'?
SUBD. C) Q AL ?DJXAnJI QJ? RECEIPT DATE: a-9
1999 PLUMBINH PEfiMIT (RESIDENTIAL)
CI7'Y OF £RfiRN
3830 Pll.OT KNOB RD
E4&AN. MN 55112
(651) 691-4675
Please complete for: ? single family dwellings
? Wwnhomes and condos when permits are required for each unit
? backflow preventer for undergro und sprinkler system
---- _- - - --------- -----°-------------????-----
FIXTURES ???----?_?
EACH ??----- -----"---
#
TOTAL
Shower 3.00 x ? _ -3• "k::)
Wetef CIOSBt 3.00 X _
3 = 9. ca
Bath Tub 3.00 x a- = L• °n
Lavatory 3.00 x 3
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
-
Water Heater 3.00 x ? = 3•?
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x
Water Softener ' tor dwellings under consVUCtion 5.00 X =
Water Softener ` for existing dwelling 30.00 X =
U.G. Sptlnklef ' for dwelling under const. 3.00 =
U.G. SprinklBr ' for existing dwelling 30.00 =
Alterdtions * to existine rasidence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00
(new and refurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc.
TOTAL
?J,S0
---------- ------ •-----------------------------• _... -• --• ---------------------------------------------- • -------------------
I hereby acknowledge ttiat I have read this appliptlon, state that the intortna6on is mrrect, and agree fo comply with all applipble Ciry of Eagan ordinances.
It is the applicanPS responsibility to notify the property owner that the Cily of Eagan assumes no liability for any damages nused by the City during its nortnal
operational and maintenance activities to the facilities corstructed under this pertnit within Cily propertylright-0f-way/easement.
SITE ADDRESS:
OWNERNAME: ??.•? ?-?y ?/-DY'?--?? ?4yiS?'k???°1?
INSTALLER NAME: S6u -.e?./l L-u-TELEPHONE #:
STREET ADDRESS: .S E
CIIY: /?/^j 6r La /4 STATE: ???--- ZIP:
,??.i, i
SIGNATURE OF PERMITTEE
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
RESIDENTIAL
BUILDING PERMIT APPLICATtON
dTY OF EAGAN
3830 PILOT KNOB RD - 55122
659-681-4675
New Canstruction Reouirements
• 3 registered site surveys showing sq. fl. of lot, sq. ft. oi house; and all roofed areas
(20% m,vximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• i set of Energy CalaWtions
• 3 copies of Tree PreServation Plan rf lot platted aker 711193
• Rim Joist Detail Options selec!ion sheet (bidgs wiih 3 or less unifs)
? ?O 00
Cautd y?°l-01
RemodellReaair Requirements ?
. 2 copies ot plan
• 1 set of Energy Calcuiations for heated additions
• 1 site survey for exterior additions & decks
?
f?rI?
W
v)
DATE APjrL VALUATION (EXCLUDING LAND)l a 3.Sa • n ?
JOB SITE ADDRESS 0/1 7y _1.[.v6 ( o Jf? ?
IF MULTI-FAMILY BUILDING, HOW MANY UN^IiS??-^ ?
PROPERTY OWNER Trv? -1- 1'f l?w?H 4)?l•ro-e
TYPE OF WO
APPLICANT
tEPLACE(S) _0 1 2 _3 I
PHONE# v?s) qS"t -q(a(?J
ADDRESS Sun,.o__ ZIPCODE
PAGER #CELL PHONE # rvA FAX # 444
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbine Systeui Includes:
Mechanical Contractor:
Mcch.uiical Systeai Includes:
Sewer/Water Contractor:
_ Water Softener _
Wa[er Hca[er _
No. of Baths
Air Conrlitioning
Heaf Recovery 5ystem
Ali above information must be submitted prior to processing of application.
Phone #:
Lawn Sprinkler
No. of R.I. Badis
Phone #
Phone #
I hereby acknowtedge that I have read this application, state that the information is
all applicable State of Minnesota Statutes and City of Eagan Ordinan_Qer??'
Slgnafure of Applicant
Fce: $90.00
Pee: $70.00
?
Certiflcates of Survey Received _ Tree Preservation Plan Rc%e&K _ Not Required _
Updated 1101
OFFICE USE ONLY ?.
? Ot Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 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.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 DS-plex of 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_LY or _ N ? 25 Miscellaneous
y 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 ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire B ldg only) - Give PCA handout to applicant
Valuatian c2a? a& Occupancy Al `3 MC/ES System
Census Code z?y_ Zoning Cfty Water
SAC Units Staries 8ooster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
Footings (new bldg) Final/C.O.
Foo[ings (deck) ?10 FinallNo C.O.
_ Footings (addition) _ p]umbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water Final Other
_ Framing _ pool _ Ftgs _ Au/Gas Tes[5 _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved ByZI&_, 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
Capies
Other
Tocal
,
Use BLUE or BLACK Ink
For Office Use
0
Ci ty of Eagn i Permit
Permit Fee: ( _
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: rJ j
I 1
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: _ I
I T I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 1-3 Site Address: ~f ! 7 A 6` A C'4 Unit
a . Name: Phone: x
r Resldentl Q x
x Owner. Address / City I Zip: 7 O`(, An 0- 1. 4 y
K
r Applicant is: Owner L/ Contractor E
. Description of work:
Type of Work r
> Construction Cost Multi Family Building (Yes - / No
2
i t. Company: GAL + .~t.% ¢ ~cs~-` Contact:•..sGlV-17- CtL'. 6'1~ 6 c ~f
Address: (7 tr1 . ~t S ~S C) Ol u !_t k/ City: a 1 I i ~
Contractor 1 f -
State: Zip- Phone: t 6)s ).~f~~
t License # Lead Certificate &J - 846
R If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
a
1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
y u
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? {
R
_Yes No If yes, date and address of master plan: _
ti
Licensed Plumber: Phone: {
Mechanical Contractor: Phone:
4
' Sewer & water Contractor: Phone:
IJQTE: Plans.and su port4>?g documents that you submit are 'considered to be public reformation, Port►ons;of y
the information may be classified as norm pubbc If you provide specific reasons that would permit th City to r
conclude thatthey are trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. v_ vvtnn±.e~ophEestakte3 recalhrArc
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 be completed within 180
days of permit issuance.
.s
Applicant's Printed Name A p,I'ieant's Si nature
Page 1 of 3
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
( y3(
0;'r
2014 RESIDENTIALAPPLICATION
PERMIT A PLICATION
Date: T / i Lt Site Address: Li- 1 4 Ja c: G -b C"'C- -
Unit #:
J
Resident/
Owner
Name: 7, yo t- 11411-r L..J-e'TUe Phone: %5-1 -Lf 5 q -q60(02
Address / City / Zip:
Applicant is: Owner /Contractor
Type of Work
Description of work: c. r-r-)c`t vt -, i -E
Construction Cost: L' 0 - cry: Multi -Family Building: (Yes / No )
Contractor
Company: a (h &il 4 ` x 1 �i-Y-S Contact: $ ct Hi I a 6-1ite r ,--/
Address: 4 c1 S °IA,''et. s -c, Blvd LO City: 1 i 1 -e 0 cky, Gkel Gl
State: MN Zip: 5.---1 17 Phone: (Q 57-/4 g 4 - 1 4-44
License #: B( to ciz,sli7 Lead Certificate #: N/'T i I (DS 2,14 - 1
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 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 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.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 Buildina_Code must be completed within 180
days of permit issuance.
m
Applicant's Printed Name
7.
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164786
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 4174 Jacob Ct
Lot:10 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Hardeep & Rachna Singh
4174 Jacob Ct
Eagan MN 55123
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165589
Date Issued:11/09/2020
Permit Category:ePermit
Site Address: 4174 Jacob Ct
Lot:10 Block: 2 Addition: Oak Bluffs
PID:10-53400-02-100
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 -
Hardeep & Rachna Singh
4174 Jacob Ct
Eagan MN 55123
(651) 295-1677
Riveredge Contractor Services
385 Koehler Rd
Vadnais Heights MN 55127
(612) 232-3885
Applicant/Permitee: Signature Issued By: Signature