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EA180588 - Building - Drain Tile - Issued Date 12/12/2022City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Building w ! , ®r. a �' Permit Number: EA180588 * E R 1 8 0 5 8 8* Date Issued: 12/12/2022 Site Address: 1073 Tiffany Dr Lot: 26 Block: 1 Addition: Canterbury Forest PID: 10-16350-01-260 111111111 Mill 11111111111111111111 11M Use: * 1 0— 1 6 3 5 0— 0 1— 2 6 0* Description; Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: Comments: Drain Tile New 434 - Residential Additions, Alterations PD 0 Construction Type: V -B Occupancy: IRC -1 Fee Summary: BL - Plan Review - Fixed $40.00 0720.4222 Radon/Drain Tile $94.00 0801.4085 Surcharge -Fixed $1.00 9001.2195 Total: $135.00 Contractor: - Applicant - Owner: Foundation Supportworks Solutions Adam C & Pui Yee Hornibrook 5116 Jean Duluth Rd 1073 Tiffany Dr Duluth MN 55803 Saint Paul MN 55123--187 (218) 525-0720 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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. Applicant/Permitee: Signature ssued B : Signature ______________ 2-22 I For Office Use 1 Building Permit #: 180588 I I S&W Permit #: EAGANII Permit Fee: Date Received: 12/8/22 j 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 651 675-5675 FAX: 651 675-5694 1 I � ) I � ) I Date Issued: I buildin4insoectionsg)citvofeaaan.com I — — — — — — — — -- — — -- — — — -- — — RESIDENTIAL BUILDING PERMIT APPLICATION Date: 12/8/2022 Site Address: 1073 Tiffany Dr unit #: Applicant is: ❑ Owner 14 Contractor " s Name: Adam Hornibrook :`ll omoown_er Address: City: 1073 Tiffany Dr Eagan State: MN zi : 55123 phone: 651-334-080C Email: Description of work: Installing 19f of draintile and new sump Type Of Construction Cost: 4000 P ! cari +C RX fORe 7� Work Type of building: 21 Single Family ❑ Townhome, of units ❑ Twin Home Company: DBS Residential Solutions contact: Joe Harris Budding Address: 5116 .Jean Duluth Rd city: Duluth Contractor MN 55804218-525-072C Permits@dbsrepair.com State: Zip: Phone: Email. License #: CR692609 Expiration Date: 03/31/2023 Sarver" Company: Contact: Water Codtmctor Address: City: RegUlred for State: Zip: Phone: Email: new construction License #: Expiration Date: 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Flak and uppor irtg: docufriaratt ttlat ypu sub�rnit are cpnsIdered to be public Jnfor�natian. Portion& of the information may tie cigssified as ttan=public if you provide specif d i4asdns that would permit tttie Clty to conclude thst'they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aooherstateonecall.ora for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. doe Harris X 4A P-2jm,Q� Applicant's Printed Name Applicant's Signature FOR OFFICE USE ONLY Site Address: 1073 Tiffany Dr Permit #: 180588 SUB TYPES i/ Single Family _ Fireplace 01 of _ Plex _ Foundation Deck _ Garage WORK TYPES New _ Repair Addition _ Fire Repair /Alteration _ Water Damage Replace _ Egress Window DESCRIPTION Calculated Valuation V,00,0 Plan Review 1325%,0-I00% Census Code # of Units # of Buildings Type of Construction V(% Lower Level Porch Pool _ Siding _ Reroof Windows _ Solar Occupancy 3ac-t Code Edition MAIlZC-QoaO Zoning 1�1-) Stories Square Feet REQUIRED INSPECTIONS _ Footings: New Addition Deck _ Foundation: Before Backfill Poured Wall _ Framing: 1 Hour Residential Alteration _ Braced Wall Framing/Blocking _ Braced Wall Sheathing (prior to house wrap) _ Interior Braced Wall Panel(s) _ Firewalls _ Insulation _ Fireplace: _Rough In Air Test _Final _ HVAC: Rough In Final Radon Control Retaining Wall _ Move Building _ Demolish Building* *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Separate Stormwater Management Permit Required Siding: _Stucco Lath _Stone Lath _Brick Roof: Ice & Water _Final Erosion Control Pool: _Footings —Air/Gas Tests _Final Retaining Wall: _Footings _Backfill _Final Fire Suppression: _Rough In _Final Windows ✓ Final/No C.O. Required Final/C.O. Required Reviewed By: /S6� , Building Inspector FEES Calculated Valuation �, po o �n� - 14' Base Fee Plan Review State Surcharge Met Council SAC City SAC Treatment Plant Water Supply & Storage S&W Permit & Surcharge Meter Radio Read Other: TOTAL $ 0.00