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1139 Tiffany Cir N
CITY OF EAGAN WATER SERVICE PERMIT 3930 Pilot "k iob Road P. O. Box 21199 / PERMIT NO.: MN 55121 DATE: E agan, No. of Units: 2onirq: ' r O wner: Address: Site Address: ` Plumber: Meter No. Connection Charge Size: ' Ro.?.. Account Deposit: Reader Nn : / p °2 !7 7 Permit Fee: opoo to wllli of "''ra :Surcharge: coq ,, : r k1sc. Charges: ordieo.ee.. By P" Paid: Dote of Insp. lP• CITY -= EAGAN WATER SERVICE PERMIT -830 Pilot Knob Rgad F'. O. Box 21199 PERMIT NO.: Eagan, MN 551 k7 DATE: 4-12-34 Zoning: No. of Units: 1 Owner: k au Aal :1t), Lo;ist Address: Site Address: _ 1139 Tiffanx '1j:iv c Li' B1 •z•,te rb• r` ?cr?st Plumber: T; ompson PIbp, Co Meter No.: Connection Charge: 450 ,d 0-, Size: Account Deposit: 5. 0,0 nt Reader No.: Permit Fee: 10.00 pd 1499 to comply wuh t1w city of Royce Surcharge: - 5 Pd oranence , Misc. Charges: n3=;eteI Total: By Date Paid: Dote of I nsp.: I nen-. 4 ?zTv - EAGAN 31330 Plot Knob Road SEWER SERVICE PERMIT P: n ..Pox 21199 PERMIT NO.: Eagan, MN 55121 DATE: ---- No. of Units: O Owner: r. A4ddress Site Address iI3^ iif-fan„ Drava r Plumber. Thompson P11 (o with the City of Eoyo¦ osdlaoeeee. By _ Date of Insp.: 100. Q-? 0 ;td? Connection Charge: d ? S ft(} n t Account Deposit: 15 , f, c' Permit Fee: t Surcharge: Misc. Charges Total: Data Paid: Receipt, i MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C - Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner b. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential3 Commercial O Institutional ? 9. Work Description: New © Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ha dli Ai Mfg. r n ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 BUILDING PERMIT CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 80 PHONE: 4548100 Receipt # )e'???i.lt Fd v.,.. 12 . 0 0 0 i?nfn rr3. RCe.RY 15 to 'A Site Address 11.39 TIFFAPTY L/iCLA- Z- Ivy • Erect R3 Occupancy - - 13 1 S.3c/Sub. Lot Block CANTERBURY FOR. Alter ? ?? Zoning Zoning Parcel No. 10-16350-130 -01 Repair ? Fire Zone Enlarge ? Type of Const. W Name PAUL 117ALENTI NY CO*3ST INC. Move ? # Stories Address 7030 ALPI1E City F' DFN PRAI R T?6ne TRAIL Demolish 937-2994 Grade p p Length b Depth 26 ' Sq. Ft. A Name ?,8plr. Su Address t- City Phone Name Address City Phone s?pprovau Assessment Water 8 Sew. Police Fire I hereby acknowledge that I have read this application and state that Bldg. the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Perrnittee Fees Permit ' ' 0 0 Surcharge ' > • 00 - Pl k h `71' 50 ec an c SAC 525.00 Water Conn. 450.00 Water Meter 6 3 . 0 0 Road Unit 250-03 Total $2,03S..50 -.NTI*;Y CO ST. A Building Permit is issued to: PAUT UA , on the express condition than all work shall be done in accordance with all_opplicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ''' Permit No. rmit Holder Mist. Permit No. Holder Plumbing r?/? S L Well Water Disp. Saucer electric -7 + L c q .Z [S 3 0 Impection Deis Insp. Other Footings i Foundation Framing Rough Plbg. Rough HVAC y 9-fq Insulation Final Plbg. Final HVAC r-$S Final Water Describe Location: Well Sewer Pr. Disp. c ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN y Fee Fill in numbered spaces S/C ?. Type or Print legibly Tot. 1. Date L?- I 2. Installation Cost 3. Job Address - Lot Blk. Tract 0 n I 4. Owner 5. Contractor U? L Phone 3 7 ?i 1 1 6. Address \ l t' R 'h 13 k V !! ?7 7. City State Zip 8. Building Type: Residential fJO Commercial ? Institutional ? 9. Work Description: New.. Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet I 1< L No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory 4 Softner Shower r Well Kitchen Sink _-, Urinal/Bidet Other - Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that,the above information is 11?ue and correct, and I agree to comply with all ordinances and codes gpverni'ngthis type of work. Signed : 1 11 1 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 " CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value r Date 19 Parcel No. s Name HOLVA 3 Address IIo, L . i O City Phone 45.,- a' 1% o Name . o < Address 1 c ? City Phone 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. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFIC E USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 24.u0 c ' Permit No. Permit Holder Date Telephone # Plumbing HN.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ_ Temp_ LP Deck Ftg. ?a yvG H ? ? 11 Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEtvaD FROM AMOUNT $ I ? CASH El CHECK DOLLARS loo FOR FUND CODE AMOUNT Thank You ?a 7,k B Y,' J White-Payers Copy Yellow-Posting Copy Pink-File Copy 1NSFEU ION KEUOR ) CITY OF EAGAN PERMIT TYPE: ' 1 11.1 Nit 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ` (612) 681-4675 1 i-777-U-11 SITE ADDRESS: 1 -< tit APPLICANT: i 1AHY is IV N sar. PERMIT SUBTYPE: TYPE OF WORK: Nf MAHV';- r'HIMNf Y/I'll Mwif Fir iwwf ('11 11 "FF011F GnMrI AI IHI Permit Holder Date Telephone R PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Trr#if iratr of COrrupaury Citp of Cagan Brpartm l of NuOtng 3wertim 7h is Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use claaaificatioa SF DWG/GAR Bldll. Permit No. _ 8816 OccupancyType R3 _ Zoning District _$1 _ Type conat_ V OwmerorBuilding WALENTINY CONST.aare.. 7030 ALPINE TR v EDEN o..a.:__..._._ 1139 TIFFANY T. I -A n 1 r?AMMWnnrrnv Date JULY 1, 1985 This request void 'T 18 months from A 37487 13, ?i Ce,c,?y 3a.56 Request Date F he No. Rough-in Inspection Re q u ire d? ?Needy Now 0,Wfri-Ngtify. Inspec- - rn '' ? yJ+es ?NO for When Ready g Licensed Electricals Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, B.. or Route No. -^ _ City (J J? t ? 4-/L/ ectm No. Township Nam or No. Range No. y Cou(nt I /^? ) Yrv Occupant (PRINT) Phone No. V vl Power Supplier Addr ss Electrical'COntracmr (Company Name) Contractors License No. 1 ? ?? Mailing Address (Contractor or Owner Ma ing Ins[ailation) 1$ 8 `2 l;A Authorized Sign ure recto Owne Mak- g nstallati Phone Number yn l v MINNESOTA STATE B OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD Griggs•Midwey Bld Room N•191 1821 University Ave., St. Paul. MN 66100 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. LM REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See instructions for completing this form on back of yellow copy. AR l? 3? Y A AR 2 X" BBelow Wok Covered by This Request A Rep. Type of Building Appliances Wired Equipment Wired Home Range Tempaiarv Sr rv ice Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heath) Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther pea y Other (Specify) t her puce y Other Other Compute Inspection Fee Below g Fee Service Entrance Size it Fee FppdarerSabfrmdprs a Fee CiLc j 1000 0 to 200 Amps 0 to 30 Amps 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Q Partial/Other Fee Signs Special Inspection B Q(7 A Remarks L FEE ? y sV& Rough-in Date cal 173 • spactor, hereby certify thpt the above ? ; / Final inspection has been / ?{ 41 ,XTO de. This request void 18 months lrom 17T ; CITY OF EAGAN N°_ 1 4 8 8 6 13830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt #? 3 a / V To be used for DECK Est. Value $1,000 Date APRIL 26 -1948_ Site Address 1139 TIFFANY CIRCLE N Lot 13 Block 1 Sec/Sub. CANTERBURY FOREST Parcel No. a Name DAVID_MOLDA 3 Address 1139 TIFFANY CIRCLE N G City EAGAN Phone 454-0273 Name- SAME a oa Address e City Phone Name City 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 Ea n Ortligances?. Signature of Permittee , ? A Building Permit is issued to: "i V Lv riva vn on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official. '9111, OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge • 50 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 24.50 CITY OF EAGAN ?T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr ? 8g 6 V PHONE: 454.8100 BUILDING PERMIT Receipt # 5 To he used for SF DWG/GAR Fst_ vnlue S 112.000 Dore FEBRUARY 15 fo 84 Site Address 1139 TIFFANY B t^/K • /V C3. Lot 13 Block 1 Sec/sub. CANTERBURY FOR. Parcel No. 10-16350-130-01 w Name PAUL WALENTINY CON T TN r- Address 7030 ALPINE TRAIL L City EDEN PRAIR:Wcne 937-2994 Erect X1 Alter ? Repair ? Enlarge ? Move ? Demolish ? Gmde ? Occupancy R3 Zoning Rl Fire Zone N A Type of Const. V .# Stories Length 68 s Depth 26 r Sq. Ft. c Approvals Fees AMF Name Zo a Address Assessment Permit 63.00 p ut_ City Phone Water 8 Sew. Surcharge 56.00 Police Plan check 231.50 U=, Name Fire SAC 525.00 =Za, Address Eng. Water Conn. _50 00 aZ City Phone Planner Water Meter 63 - 00 Council Road Unit -2-10-0 0 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $2,038.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: PAUL ALENTINY CONST. on the express condition thni all work shall be do cc once ith -ali i 618 State of innesoto Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks _b l IUL zy Addition CANTERBURY FOREST Lot 13 alk 1 Parcel Owner Street 1139 TIFFANY State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. yi,• 1979 Paid unde original reel STREET RESTOR. GRADING y..,, 1981 106.78 5.34 20 85.46 A013446 1-12-84 SAN SEW TRUNK 1973 Paid unde original rcibS' * SEWER LATERAL 1981 439.42 21.97 20 351.34 A013446 1-12-84 WATERMAIN WATER LATERAL 1981 20 WATER AREA 61L 1979 Paid unde original rcel STORM SEW TRK 7 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 41518 2-15-84 WATER CONN. 450.00 rr rr BUILDING PER. 8816 SAC n n PARK ? l ?P GAN Include 7_ sets of plans, 1 Certificate of Survey& BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For:- Valuation, Date v ite Address mac- OFFICE USEONLY Lot .!j Block / Sec./sub1 ?/ nLY2Ct x Occupancy 3 Parcel __ / 3 y JG n - ?i "Alter Zoning 3 Sv Repair Fire Zone AIA Owner / 3,0 Q Enlarge _ Type of Const. ?L Address- Move # Stories Demolish _ Front 4?, ft. City/Zip Code: Gtade Depth ft. Phone #: APPROVALS - F Contractor: GL>OiE?ri „_,rL?? Assessments Permit Address: 7? ; n Water/Sewer Surcharge Police Plan Check City/Zip Code:. 17?? ?.?,. 5 f3Yy Fire SAC Phone #: j 3'7-} Lc? y Eng. Water Conn. Planner Water Meter Arch./Eng.: Council Road Unit 1 Bldg. Off. Address: APC City/Zip Code: _ 3 ,?`? Phone #: TOTAL qj() ?`? N ? ?` ? ??- ca q ? ?. --? S3 ? - ? ?d ? SURVEYOR'S N 1 ?v 30 CERTIFICATE 'SIENNA CORPORATION t 30 h N46030bo,,W 11945 /0 f I £'95?M _A T PER PLAT 5 \? It i o O T M' 13 rW IQ ? ? ? ? I =W O 1 ."C Cv O I5 79.04 R=522.34 o 6=8°40'10° M TIFFANY ?T N58°14'43°W 6753 M DRIVE 1 1 ?J O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR FEET d DENOTES WOOD HUB PROPOSED LOWEST FLOOR = j/?/ ? FEET tooo.ol;OENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = // /,? FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 13, Block I, CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 16TH DAY OF MARCH , 1983 APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION BY: zl ? - ROBERTS ARCHITECTS BY: ?f1/ DATED THIS DAY HAROLD C. PETERSON, LAND SURVEYOR OF 19- MINNESOTA LICENSE NO. 12294 PROJECT NO. 82143 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, hdn. 55431 612-884-3029 a EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER 7 / 4"), SITE ADDRESS 09//?,r CONTRACTOR ?7-79Sy Determine working square footage of each. c 1. Total exposed wall area ...... 7 S U sq. ft. X 2. Total roof/ceiling area ...... sq. ft. X 10 A. Total wall window area .......................... ? Q B. Total door area ................................. ` O C. Total sliding glass door area ................... 4/- D. Total fireplace wall area ...................... 5::?2_ E. Total wall framing area (average 10%) ........... L Z/ F. Total Rim joist-area ........ Z St) G'. Total Net wall area above floor .............•• Total exposed foundation area - Y?) H. Total foundation window area .................... ?j I. Total net foundation area above grade...........} Determine "U" value of each wall segment. a. r x X flu. d. 5L X .,U., t?z 24r3Z e. c X - S X flu". h. X 1. ?--- 3 ...................................Total 1 ?•Z If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = j. Total skylight area ................................ U k. Total roof/ceiling framing area (average 10%)...... //y 1. Total net insulated roof/ceiling area .............. /d Z4- Determine "U" value for each roof/ceiling segment. J. (l X "U" k. X "up 1. X "O" f U (? c (?.-VCLiQ ? ............Total •? ?/ D 4. .......... If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design " To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. Construction R-Value 1, Interior it film 0.68 2. L d'r[r, 5! 3, ?yinches soft owool 4. "r Z root „ • 2,aS 6. Exterior air film 0.17 Total lor? oy 1. Interior air film 2 • ! L iC'AC C 3• >lt 1N</1L 4. i r r'Z /j„ r! 6. Exterior air film 0.68 ,u r©Y 1. Interior air film 0.68 3. 4. r 6. Exterior air film 0.1-7 Total 7 y, y /oY FIG. #3 1• 6 ? 1. 2. 3. 4. 5. 6. i GRADE Interior air film 0.68 Exterior air film 0.17 Total y7 /r( ? • • it _ tit FIG. @4 e k !n 'a• o !(r /rr/rr ? Irr ? r!r . • NOTE: Indicate type, "R" value, denth and placement of insulation. OALL SiBrTICVS NOT, lor- 15t of opaque wall area for frame construction Vented ROOF/CEILING Heat flow up FIG. #5 FIG. #6 Construction (Use for Item L) R_Value 1. interior air film 0.61 2. !>S- /onur . Yf 3. a I/ I/ S"4tp V 4. Exterior air film (still 0.?1 Total y? COL CLG. FRAMING(Use for Item K) -1. Interior Air film, 0.61 3, Inches soft wood 4. Inches insul above framing 5. Air Film 0.61 4t9t?1 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.63 2. s. 4. 5. Outside air fi_lm0.3-7 Total Note: Use additional shouts if more space is needed for details and calculatiow;- ti FTr,. A7 1 Heat flow up vented - . •, Heat U flow up ]kX<1X#??XC?,(X?>X%kk(?>kM?XB(>X7kh?? ?XtX<Nt?CVFX??(?Mk??iklKyF7FXCXt CITY OF EAGAN CASHIERe S TERMINAL N0: 784 DATE:: 03/15/98 TIME, 15:O 753 ID:: NAME. DANIEL. G. PER'ZICHILL.l 3210 9001 1139 'TIFFANY Cl 50.00 21.55 3001. 1139 TIFFANY CI 0.50 L Total Receipt Amount" 50.50 CRO9 i'398 USER TD: NANCY MX?iFYF$C76(YFX<>XYFXCX?X<XC?FYF?XX<>k>Xm7?xY?Y%1?M?M>Xh<>X??1r>XM?FYFXC PERMIT CITY OF EAGAN 383f } nob Road Ea 'Tsota 55122-1897 (612) 681-4 ,75 PERMIT TYPE: B U I L D I N G Permit Number: 033261 Date Issued: 09/15/98 SITE ADDRESS: P.I.N.: 10-16350-130-01 1139 TIFFANY CIR N LOT: 13 BLOCK: 1 CANTERBURY FOREST DESCRIPTION: x? GAS INSERT ? 4 ,Permit Type Iding Wprk Type b a?n1eA £ ? Si $ 4k r4? FIREPLACE ALTERATION 434 ALT. RESIDENTIAL v+I flop =i ?p } REMARKS: CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING. FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $50.50 CONTRACTOR: - Applicant - OWNER: MASTER GAS FITTERS 14147970 MOLDA DAVID 2R,40 SHAWNEE DR 1139 TIFFANY CIR N 4"4RTH ST. PAUL MN 55109 EAGAN MN 55123 (6,12) 414-7970 (651)454-0273 l T °beretay a'Gknowladge t-hatI have read this ap ri ataork arssf state that the , n carmatibh 15 correct and agr a to comply with all applicable S1ete of Mn. tatut anak ity,csf l gafa OV,d1rt4ttces.. APPLICANT/PERMITEE SIGNATURE ISSUE BY: SIGNATURE s so .sb CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: 9 - / Y - DESCRIPTION OF WORK: - Construct new fireplace Install gas insert only Other PERMIT FEE: $50.50 Alterations to existing Install cas line only JOB ADDRESS: //,3 I" ??J C e.-- L ?O T: 3 BLOCK: SUBDIVISION/P.I.D. #: C C vl? r ?) r u APPLICANT (circle one only): OWNER ONTRACTOR Cul, 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. PROPERTY OWNER FIREPLACE INSTALLER Name: M(7L-QA 1?ftJ:Q Phone#: 0,;? 73 Last First Street Address: / / 3 c/ 771/- /r J (%K c L rtl? city F/ky/1 State: zip: SS/?3 Street Address: O ? o ShJ?ul uf. D e License* City AA) V, A?L State: 1 7^-? <4 1? Company: r ! Phone* z11y- 79 7G _ zip: ?Sl aS Phone #: GAS LINE INSTALLER Signature: Street ,)& 1 4 1996 OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 Chimney/flue must be inspected before concealing. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ::* 14?1? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 "SET OF ENERGY CALCULATIONS To Be Used For: A 40„,?,j -Deck-r Valuation: Date: rd L 1100 Site Address r13q Tt 4- "p l iNC1a `YI OFFICE USE ONLY Lot !_ Block On site sewage Occupancy pp ?9 MWCC system Zoning Parcel/Sub l Qm yd?, On site well r Actual Const ? M? ? City water Allowable Owner ?v c /rld li- PRV required # of stories I rrr C Booster Pump Length Address 11 31 _ 7 l i iiit? VCL2, N.v Depth S.F. Total City/Zip Code E?4 avtr M!J . 551Z3 Footprint S.F. Phone OV3 APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL 1 City/Zip Code Phone A I 2/84 ' j CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT Q 1) PROPERTY ADDRESS: I Ernr DESCRIPTION: a? l (Lot/Block/Subdivision or Tax Parcel I.D. . Ater) IF EXIST_ :G STRUCTURE, DATE OF ORIGINAL EUILDDNG PEP.:,IIT ISSU1%ECE: -e ; - ` PRES."`,.T 2t IT`x;/PROPOSED USE: 9-9'1 SINGLE FAMILY ? R-2 DUPLEX (TWO UNITS) ? .R--3 Tr NHOUSE (THREE + UNITS) ( UNITS) ? R-4 APARTMENT/CONMLL IUM ( UNITS) ? CQtiME'RCIAL/RETAII/OFFICE ? IDUSTRTAL ? INSTITUTIONAL/G0VEK\U,= 2) APPLICANT J' (PLEASE PRINT) n " - NAME: 1 Au L A)f3 L EA77 z L/ ADDRESS: (? 3D A)2D1vA-h)AJ CITY, STATE, ZIP: fI/ /V/ SS?S? PHONE: 3) I-L PL S 46?T1 PLUMBER NAME ? FDR CITY USE ONLY w ? _ p ADDRESS: PLUMB LICENSE: Active CITY, STATE, ZIP: AJ - Expired -sue?s i'--"-MASTER-- PHONE: PLUMBER LICENSE # Q Not of Record S P a nitia 4) O=W+/OWNNDZ LEASE RINI) ' NAME: ( (j (/ ;?,.. ADDRESS: B A? /!JP ?LJ J CITY, STATE, ZIP; oIE,J ?i9/P/ SS. 3 PHONE: ?3 a 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ® CONNECTION To CITY SEWER [Q? CONNECTION TO CITY WATER ? OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE MAIL APPROVED PERMIT TO 1, 2,03 4 ABOVE (Circle one) 7) SI?IATURE: DATE: (? •t.away:a+.is .Pamamt=Lw?afr rs i?a..a.airaii?Aac r "v" "mg woo rfrlrl!r< aessar w F O R C I T Y U S E O N L Y PERMIT °»», ISSUED FEES: $ d-_d;' d SEWER PERMIT (TNCLUDE SURCHARGE) $ io.Sd WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ f-e ACCOUNT DEPOSIT - WATER S ?7Cs o_ o-? WAC $ sue" s d SAC S TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER S TOTAL $ y/•??? AMOUNT PAID/RECEIPT # ' DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE U NO ENGiiNEERING DiVISiON. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE:-- DATE: .asJ+swim /awl upm !=MR iJo w?la?lA aF-1?4 w" w;mmwwmqpjmo im mum¦ wsf o"m plb+i!m wt al-m on M . ? 3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST EAGAN. MINNESOTA 55121 1985 20; ust x Au Mayor PHONE: (612) 454-8100 DATE : .. . g THOMAS EGAN JAMES A. SMITH ADDRESS: 1139 Tiffany Cir. N JERRY THOMAS W1EODOREWACHTER Courrdl Memba¢ LEGAL DESCRIPTION: Lot 13 - Block 1 THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE Cantebury Forest City Clerk Dear Eagan Resident RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such permit, and taking precautionary measures for the protection of the public. An electrical cord or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this section shall be a separate offense and punishable as such. SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Right-of-way. No buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, William H. Branch, Superintendent Public Works Department WHB:jbd Rocks on the boulevard ø ÿþ ýüü ûøûúþ ùüüþþï óõûüø ó ó ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù äïäïî åú ÷ýã ó úëëõã åùåãôó ÿåãóß áßóàôó ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü Use BLUE or BLACK Ink Aft r - - - - - - - - - - - - - - - - I For Office Use Permit* City of Ea I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L~ Site Address: Unit M _LLti, Name: (~LL, r b ) Phone: WI"o O l q "UC Resident/ t Cl wner Address / City / Zip: l I t~(7(' Applicant is: Owner contractor Type of Work Description of work: ey gc P, # i'e C o o F rZ Lt Construction Cost: ~w -fete Multi-Family Building: (Yes / No Company: ___Ck.~ '-g- S 4- Contact: (aces S Contractor Address: ~1~163 l~ Ste"- i City: } State: Zip:3 Phone: (v to- - 0 c, License C- ~~a l Lead Certificate M 0 S- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.aooherstateonecall.oro 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 S to Buildi g Co must be completed within 180 days of permit issuance. x S ~S 4 S v-.,~ x Applicant's Prin Name App icant's IS nature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129504 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1139 Tiffany Cir N Lot:13 Block: 1 Addition: Canterbury Forest PID:10-16350-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - David P Molda Tste 1139 Tiffany Cir N Eagan MN 55123--187 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129504 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1139 Tiffany Cir N Lot:13 Block: 1 Addition: Canterbury Forest PID:10-16350-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - David P Molda Tste 1139 Tiffany Cir N Eagan MN 55123--187 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature