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1141 Tiffany Cir NCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 5 - Zoning: No. of Units. I ,i<rs,-n "nn Owner ,? • , Address: `s'.,.-m : i:-c1:_, r 1 ? BI Cantel-urv Forest Site Address 1 ; /,j Plumber: 3-19 023_ t no. ?^ .: , ?(?°?r No.: Connection Charge: Size: Account Deposit: Reacts No.: a 9 ?Q 3 Permit Fee: I ooree to comply with The City of f;rooea Surcharge: ordisanem. Misc. Charges: Total. or By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Anob Road P. V. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 1 - = - Zoninp: 1 No. of Units: i Owner• =vend Peterapn ('n [lgt Address: Site Address: 1141 Tiffany Circa.` :1o L12 P1 Cantebury Forest Plumber: r'"-nan Meter No.: Connection Charge: 50 • 00 pd Size: Account Deposit: 15 . ?? Reader No.: Permit Fee: 10.00 I agree to amply wish the City of Eros" Surcharge: • 50 Ordiassses. Misc. Charges: 13 ` • pd Total: _ 63.00 pd meter BY Data Paid: Date of Insp.: Insp.: n CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: 7 361 Eagan, MN 55121 DATE: `7 -15-5 5 Zoning: No. of Units: Owner: Svend Peterson const Address: Site Address: 1141 Tiffany Circle No L12 R1 Cantebury Forest Plumber: Cenz-R an 3-22-,'5 531!: 100.00 pd I some to comply wRh the Cky of Esoe¦ Connection Charge: 425.00 pd Ordl"mim. Account Deposit: 15.00 Permit Fee: 10.00 Surcharge: r By Misc. Charges: Date of I nsp.: Total: Insp.: Date Paid: Reoeipt ` PLUMBING PERMIT Permit No. CITY OF EAGAN ?. Fee Fill in numbered spaces S/C Type or Print legibly Tot. ' 1. Date 2. Installation Cost 1 3. Job Address,,'/'°// 14. ; Lot I Blk. Tract 4. Owner / / ' 5. Contractor / 6. Address / C- 1. 7. City 8. Building Type: Residential 9. Work Description: New 10. Describe 11. _ Phone ?- l Zip ? Institutional ? Alter 0 Repair ? c No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower 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 true and correct, and I agree to comply with all ordinances and codes goveming 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 CONTRACT PRICE Name Addre "c City _ Name Addre CRY - ra.vmo?naa rs=e?m? For City Use Only CITY OF EAGAN PEAMIT# 3830"RILOT KNOB ROAD, EAGAN, MN SSi 22 RECEIPT # - PHONE 4548100 DATE: /I r 61.< BLDG. TYPE WORK DESCRIPTION - Block Sec JSub S Res. ? New Const. Mult. Add-on _ i/i?S Comm. Repair r r _ i Other FEES COMMAND. FEE - 1%OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ '? Bath Tubs - $3.00 _ r L Lavatory - $3.00 Z A•f1 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT-NEW CONST.) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: ±c,Ej? t ? ric N C ?= k. GRAND TOTAL: / ?' BUILDING PERMIT T_ V -A 8- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 $1130, *%- 09988 Receipt L ''' I. f it i ('I R N,, Erect L-3 Occupancy Site Addle Bl k ( /S S b Remodel 11 Zoning g Lot oc -- ec u . Repair ? Type of Const. Parcel No. Enlarge ? No. Stories Nerve P? `('EitSf. ti 0,'r'' l i' , ; Move h ? ? Length D th Add Demolis G ? ep _ ., F S res ritu s „ j 68 Phone 4 - 514 4 rade Install ? q. t. Name Address Assessment Water ii Sew. City Phone Police P W Name W Fin _E Address Eng. <W City Phone Planner Cotxtcil ? ,.. Permit Surcharge 7 5 ; S Plan Review. SAC Water Conn. Water Meter `} 0 Rood Unit Q no I hereby acknowledge that I have read this application and state that Bldg. Off. `? 5 Ixeflif • P 1 J 4 the information is correct and agree to comply with all applicable APC Total i ` State of Minnesota Statutes and City of Eagan Ordinanwes. Var. Date Signature of Permittee if'T A Building Permit Is issued to: on the express condition that all work shall be dorw in accordance with all oppiicoole State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing HN A.C. 5 3?? Z 6 ,_• 5/r I?? Electric Sn I, ov,j •- // /e . do Softener Inspection Dm Insp. Other Footings Foundation ?j Framing Roofing Rough Pibg j?, Rough HVAC rJ Insulation Final Plba Final HVAC ] yr (/ Final Cart/Ooe. Water Describe Location: Wall ?v?l? ?0?7/(/ Sewer Pr. Disp. Receipt PLUMBING PERMIT. - Permit No. CITY OF EAGAN Fee r Fill in numbered spaces S/C ' Type or Print legibly Tot 1. Date 2. Installation Cost -Blk L i Tra?t` 3. Job Address . ot 4. Owner ' 5. Contractor Phon e ' 6. Address Ci 7 te 'E E St Zip . ty a 8. Building Type: Residential .fl Commercial ? r Institutional ? 9. Work Description: New. Q Add ? Alter ? Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink 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 4545100 Receipt ' MECHANICAL PERMIT Permit No. ' CITY OF EAGAN Fss.?T Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot -Blk.' Tract 4. Owner : - 5. Contractor Phone 7 e 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinanges 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 This request void /n? 18 m nth5 f 5 CID 3 ?K 5 ¢ rom A 074215 ?a.o-Z) Reque Date `? - Fire No. Rough-in Inspect Req ned? n ?Ready Now Will Notify, Inspec- /? Yes ? [or When Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Addr ss, z or Route No. `'/ e 6",416 Cit 4 i7 Section o. Township Name or me. ange No. C t I ?4, if5 0 Occu ant I INT) e 7`e_5.e/7 Cerzs io Phone No. w1( Power Plier r aS o eL ?? Coc A s r a raj /7 0 Ele trice( Co actor (Company Namer e Sore P-5 on 4 r r? Contrar. tot's License No. Mailing Address (Contractor or Owner a g I $ tailatio v js•. Ay=h ized Signature ( n tor_ Making Installati 1 J°y /7/J Phon Nbe, vQ?lf MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS P11-- 16121 29]_2111 ENCLOSED. 5 6 0 REQUEST FOR ELECTRICAL IIt?TION EB-00001.04 ' See instrurctions for completing this form on back of yellow copy. r A -)c' Below "-?.,veted by This Request b?' Add Rep. 1 1 Type of Building Appliances Wired Equipment Wired Home S[ Range Temporary Service I I I I Industrial Blda. f- I Air Conditioner I I Bulk Milk Tank I M Fee Servi re nce Size g Fee Faeders/Subfeeders a Fee Circuits 0 t 200 s 0 to 30 Am s 0 to 30 Amps L /:I O Abov 0 Ann s 31 t0 100 Amps j ,O 31 to 100 Amps Swinatning Pool Above 100_Amps Above 100-Amps Transtooners Irrigation Booms r Partial'Other Pee ipecial W/1 i. the Electrical Inspector. hereby certify that the above inspection has been made. This request void r) ( ( ) Z G 18 months v 'j 1 (J O A 074216 1-k a 579 .30 Request Date Fire No. Rough-in pecli0!:: red? ' Y N. Q Will Notify. Inspec- d , ?No we for When Ready pt Licensed Electrical Contractor LhJ 1 hateby request inspection of above Owner sl ec"i bieel work installed a[: Street Address Box or Route No. Cit I Sec lion No. I To hi a or No. nge No. County Occupant -INT Phone No. ( 6-/ t Power S plier A ) El e&t rical Contr or (Company Name) actor's Licensee o- Mailing Addr s (COllbeCtOr M Owner ilationl r , \ 6/ V A izetl Signature 1 r r ner kinglrttallation) ??ugibe? D MINNESOTA STATE BOARD OF ELECTRICITY TI11S INSPECTION REQUEST WILL NOT Griggs-MirhiraY Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1827 Vniversity Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. 5(/I Z REQUEST FOR ELECTRICAL INSPECTION , See inahuctions for eompletirp this form on back o Q f wllor'gepF. o 7-4216 X" • Be/ow Work Cov? by This Request lew Add Rap. Type of Building App= Wired Equiparent Wired to Unloader ilk Milk Tad Farm g Fee Service Entmncesize ft Fee Feedem/Subteeders 8 Fee Circuits Q 0 to 200 Am 0 to 30 Antl)s to 30 Ang)s Above 200 Am 31 to 100 Arras , t) 31 to 100 Swimming Pool Above 100-Nnps i Above itq-A Transformers Irrigation Booms ef Wartial, ee Signs Special lnspectio I TOTAL Remarks (/fJ Rough-in Date Y J - the Electrical (f ? lasstectwar. hereby Certify that the above Final 6/0 ale nspeclion he. es been w 74 o .de- Thle request Vold 18 monttefrom /1/s/9a //? ? 33595 Request Date Fire No. Rough-in Insp on Requited? [I Ready Now G Will Notify Inspector ? Yes ? No When Rei I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Fees No.) l`// T .fin CIR IU City Ea a ti Section No. o[ 77 S? Township Name or No. d1 7N Rangy 3 County Q? a- OcLUpam (PRINT) ? ` Phone No. , ST 9`V7 it s w {D Power Supplier Address / 1f3? aao`? ? ? ?a>rmr ,1ZJ ElWrical Contractor (Company Name) E% 4 e , 4 f e Contracmrs License No. rr y 0- cl 7 a - Mailing Address IComractor or Owner Making Installation) ?? G I , Authorrzetl Signature (DOnU6Ctp4QW er eking Installatlon l Phone Number 3 X .??7 MINRESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bltlg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Plectra (612) 662-0808 ENCLOSED. REQUEST FOEt ELECTRICAL INSPECTION I? See instructions for completing this form on back of yellow copy 3 3 5 9 5 X" Below Work Covered by This Request Q%-m"'t+\ EB-000014)7 q ew Typeof Building Appliances Wired Equipment Wired Ir , Home Range Temp v Duplex' Water Heater Elect Apt. Building Dryer Other Xv 5 Comm./Industrial Furnace CO Farm Air Conditioner le- ?-V? Other(s pecify) Contractors Remarks: L?q ??`Ma[ Compute Inspection Fee Below: 1 O # Other Fee # Service Entrance Size Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ?l TOTAL Irrigation Booms .O $30.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NTHS. I, the Electrical Inspector, hereby Rough-in Date ^ // ?j? / I certify that the above inspection has been made. Final Date Lf-1 OFFICE USE ONLY st voitl In months Irom BASEMENT CASH RECEIPT • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 AMOUNT , Is 5.A 6 (I 19 w FUND / -c DE v/;A oU NT f . o2rs 3 ? /O - Thank You ?zz N_ 51.672 White-Payers Copy Yellow-Posting Copy Pink-File Copy )/i// ">?f . 13' .C BUILDING PERMIT TA ha aced far SF CITY OF EAGAN No- 09988 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 O Receipt # Site Address 1141 TIFFANY CIR NO Lot 12 Block 1 Sec/Sub. CANTERBURY FOR Parcel No. W INarn, S. PETERSON CONST INC Address 4701 W 110TH City MPLS Phone 884-5144 Name SAME Address City Phone uW Name W 4,Z-a Address u <W City Phone 1 hereby acknowledge that I hove read s o ication and state hat the information Is correct and ogr t mply ' al ap able State of Minnesota Statutes of Ea 1 0 Erect l.A Occupancy K3 Remodel ? Zoning Rl Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length 68 Demolish ? Depth 38 Grade ? Sq. Ft. Install ? Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council 5 Bldg. Off. 3/18/8 APC Var. Date Permit v :v I. y.. Surcharge 56.50 Plan Review 232.75 SAC 525.00 Water Conn. 500. 0 0 Water Meter 63 . 0 Road Unit 280.n0 %pW T_p 132.00 Total $2,254.75 Signature of Perms I A Building Permit is issued to: ° PETERSON CONSTRUCTTON INC on the express condition that all work shall be done in accordance with all oppl}'}pble State of mn ty Statutes and City of Eagan Ordinances. ?LV -? = - Building Official " v Sz-y CITY OF EAGAN Remarks 'Oil lyZL l Addition/ CANTERBURY FOREST Lot 12 Blk Owner Xt l?. -,*,4;1 n??' -1 1141 TIFFANY CIRCLE NO. Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -4,,, 1979 aid STREET RESTOR. GRADING 1981 106.78 5.34 20 85.46 A013446 1-12-84 SAN SEW TRUNK LI 1973 Paid unde Dri inal rce * SEWER LATERAL 1981 439.42 21.97 351.54 A013446 1-12-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA ! - 1979 Paid unde original STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 280.00 50314 3/22/85 WATER CONN. 500.00 n n BUILDING PER. SAC 525.00 PARK ------------------ ?or:Offce„I1se? 5 o ? Permit#: I I Permit Fee: I I Date Received: I I I Staff: I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 13-11- OF Site Address: Tenant: Suite M RESIDENT i OWNER Name: T i y /7`OSklx 4 Phoone:,/S I'/, r= 2? y Address / City / Zip: zz ?1 < z? r4,d 6;"e-le /V, Applicant is: _ Owner -4 Contractor TYPE OF WORK Description of work: Ab `Y ? re al :i ?? + Q ' Construction Cost: yl a ('r D 0 Multi-Family Building: (Yes _ / No CONTRACTOR Name: Z,4Zj?E1, ?oa 1 ! _ License M 2 D 33 22 7 9 Address: 5?? G '? ? 3? ?/? ?ut State: " Zip: `J J O 0 5- Ci L4 ?/ & u a eu ty: j , L di`v w t. Phone: Contact Person: v r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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: foimation. Portions. of;,, documents that you submit are considered to be public in supporting "NOTE- Plans an'd , „ , the fnfomat?on may be classified as non=public if you provide specific, reasons that would permit the_City to: , ., conclude that the are trade secrets.. 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 approv of plans. xl ur?i 3U/ Le/tQLVt x Applicant's Printed Name Applicant's Signature Page 1 of 3 S RESIDENTIAL s BUILDING PERMIT APPLIATION ?s - / CITY OF EAGAN 7) 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New construction Requirements RemodallReoair Requirements • 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Cakulatlons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate d home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Oetail Options selection sheet (bldgs with 3 or less units) rro DATE s. a 9 U? VALUATION G D 0? r SITE ADDRESS ?f O'gd' Atr'c t6, MULTI-FAMILY BLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT fi_bTEC ?C-ONSTQZdeTi d yo ,t?? STREET ADDRESS 1 dt MD R1`y5P-U)? DR, CITYV.Lr A6k',r& STATEOV ZI 33 TELEPHONE # PROPERTYOWNER JAr"65 CELL PHONE # LT.J4G 4?5k;r-Jf FAX # TELEPHONE# 6Sl-cgs-.28`/? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (v submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 ---------------------------------------------------------------•----°°----------------------------------------°------° I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Water Softener _ Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths D' JUN 0 4 2002 Certificates of Survey Received _ Tree Preservation Plan Received _ f?ot`Required _ I_ Up ated 4102 is OFFICE USE ONLY "7014/9 --01-7175- 13 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Aft - 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 ? 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 Windows/Doors ? 34 Replacement 'Demolition (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 Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. - Air Test - Final _ Windows (new/replacement) _ 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 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Ai?vlr Date: 9=-_ -3 coo Site Address: AV/ 1 ?f. OFFICE USE ONLY 71-?r- 15 VJ° ? Lot: 12„ Block Sect/Sub Flee cr T Erect X Occupancy 3 Remodel Zoning 1 Parcel 0 Repair Type of Const 4- Enlarge # of Stories Owner S % E"T?9Zsc ?"oASE /tic--Move Length (915 Demolish Depth Address Gf 7 o / UJ ll0 -12-4 5-?- Grade Sq Ft City/Zip Code ---------------- Phone D 0 ?- S lS? APPROVALS Contractor 5, l9/,-z L Address City/Zip Code Phone Arch./Engr. - Address City/Zip Code Phone # Assessments Water/Sewer Police Fire _ Engr Planner_ Council Bldg Of. APC Variance _ Permit _ Surcharge _ Plan Review _ SAC _ Water Conn _ Water Meter 05Road Unit arks Treatment P TOTAL 4?5. 5D 5(0 E10 Z3Z. 75 S2S. SOO. Co 3. 1 13Z °-° eas y '73- joub Y S4-' 54437- b co ?? ZS 1So x 54 glow 37- x 24 -766 r- 11 = ' g4?S 2? x 3C9 I?n8 x 4t 4132.8 ? (? 300 Certificate for: S'vend Peterson Bk: 81/66 4701 West 110th St. Bloomington, Mn. 55437 DELMAR H. SCHWANZ LAND SURVEYORS INC RPO'SIP'M UnOPr LBw' M TN. 9MP 0 Mln p5O T 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55069 PHONE 612 423-1769 1 1/1 ( o04 eq. 13 °? SURVEYOR'S CERTIFICATE cl. ?% e0 d"A a LI/ pRU?i X023 % 3 F -' Elevations shown are ° existing Proposed garage floor elevation V? 00 0 - 7-- N?s%z'STE 1 I hereby certify that this is ? true and correct representation of Lot 12, Block 1, CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon, is Dated: March 131, 1985,:!F MINNESOTA REGISTRATION NO. 8625 .W EXTERIOR ENVEhCPE AVERAGE "U' COMPUTATION OWNER s SITE ADDRESS CONTRACTOR DATE ?/-XS PFOIJE Determine working square footage of each. 1. Total exposed wall area .... i>2 l? sq. ft. x .19 = -? - 2. Total roof/ceiling area ... 11?; ' sq. ft. x .04 = T Total exposed wall area above floor = a. Total wall window area .................X?g b. Total door area ......................p C. Total sliding glass area ....... o d. Total fireplace wall area ...... 410 e. Total wall framing area (average 10$)... ! f. Total net wall area above floor ........ / S. Total rim joist area ...............` ... ?O{ Total exposed foundation area = ?3 h. Total foundation i•:indow area ......... lc I. Total net foundation area above grade ,Z Determine "U' value of each wall segment. b. 'zj'o X "U" c?.5S = om c. ca X f,U?: r- _ - D. Zlo X "U' L ll G.55 = - e f X X u "U" 001/- = 15 9 28 S . . 9. h. X "U` 0,55- = S':20 X "U E t? / 3 3 ............................................Total = '90. 5?3 If item #3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. _?. rrf Total exposed roof/ceiling area = j. Total skylight area .. ....... ... 0 k. Total roof/ceiling framing area (average 10" //f? 1. Total net insulated roof/ceiling area IbV 3 Determine "U! value for each roof/ceiling segment. J . D X 1:Urr a k. l y X 'U" 1.A4133 - X .; U1, 7 4 ............................... ......Total If total of P4 is the same as, or less than f2, you have met the intent of 5BC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and N4 shall not be greater than the sum.of items #1 and 92. 1. + 2. - 3. + 4. _ I C ?. . 2/84 - CITY OF EAGAN IRu APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : I Z y /?/ ? ? LEGAL DESCRIPTION: ? / 7 ! </rZ'?J' 1/f/ty i/ - 7-- (IOt lock/S bdivisicn or Ta?< Parcel I.D. Aharr) IF `_;IS'"__:G STRUCT,T;%, DATE OF ORIG IAL EUILDP::G P j;•ST ISSU2%C2: ` . 1 PPL'S:'m D:^'=, ;/P?OPOSED USE: R 1 S=GIE FAMILY X ? 11-2 DUP= (7%10 L=TS ) ? R-3 T(7.,iTJL?CUSE (T T = + aTITS) ( L' 12TS) ? R--I APAR =-.T/CC=,1I_1IILti1 ( UNITS) ? CCI,',PL.RCT-?%.L/RL'T`AII,/OFFIC ? I\'DUS=L ? INSTI LTIONAL/GOVERi`L'n 7 2) APPLIC?iiP (PLEASE PRINT) ADDRESS: Z Z?2l l,2 ,81s1_ ZZO CITY, STATE, ZIP: ?L?j/T?/,C?li i O? ?7 J`??, PHONE : 8 3) P=mm (PLEASE PRINT) FOR CITY USE ONLY NAME: _ (IM RYAN " P$H ADDRESS: 4-743 S9 ROBERT TRAIL PLUMBE : CITY, STATE, ZIP:( -- RO_SFMOUV INIIV )JOGS 4Exred ? PHONE: PLUMBER=LICENSE N cord e nitia 4) OCCUPANT/aNTIER NAME IPLLASE PRINT) : ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH P S BEING REQUESTED: r;NECrIOU TO cIT•r sE~rElz CONNFX' ION CITY ITATER 0 i (PLEASE DESCRIBE) bJ U'iL: 7) HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE APPROVED-PERMIT-M-1, 2, 3, 4 ABOVE,/ -- -(Circle-one) DATE: a ?! me??taa?s s a sae Eassu see a r+i a=a.aecaa eas a s ?aa?i:ar a aR aea,r??a?ea s fea i s=acsaar , r F OR C IT Y S E O N L Y PERMIT ISSUED FEES : $ /!3 O $ / a 50 $ / (GU? $ $ $ $ $ t`DO. G^YJ $ ='?-4 Sao fl S S /??• Ou . $ TOTAL u $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGRT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY SEWER PERMIT II It:L DE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER tMETER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP r-COU:,T . ?GS= - a_...3 ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS:,IENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TITLE: DATE: wWD"wsm.fal M ON --NO IV-AM w.MWfP% wwer1%4W wMw,wPM wM9* WMWl" Rr§*fiF 0% sww. PERMIT# ?4 ( 9 to RECEIPT DATE: L 3 f _ 0 / USIDENTIAtL PLUMING PMWIT APPLICATION CITY OF FAFAN 3$30 PILOT KNOB RD FA GM, MN 5518E 651-661-4675 Please complete for: SITE ADDRESS: i OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system HOSKINS, JAMES 1141 TIFFANY CIRCLE NORTH EAGAN, MN 55123 (651) 688-2847 _ TELEPHONE#: NORBLOM PLUMBING CO• -_ (AREA CODE) (612)82740- M TELEPHONE #: (AREA CODE) 2905 CARFI? AM SO, MINNEAPOLIS. MN 55408 STATE: ZIP: Place a check mark next to the permit work tvoe New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ lawn irrigation system • water turnaround Nature of work: ' L??` Q G? 1?' _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SIGNATURE OF PERMITTEE Updated 1101 ö÷ö ÿù þý ýü þýý ü ü úýýÿ îôý û ñ ìî ÿ þýö ûúù ñ ý Ú ô ø úù ä ÷ ùñ ý Ú ô Ü ý ýù ï ò ï û åý üý þ ýù üâíìîá ý ìîë åþ ïñ âõ ùý ï áèìéëéëë õú ý ñà èìéíéîíì êýýüìé ôùùó öòñ ùùý ýý Þýï ïç éäúææýô ä å ýùåäììþý ýåäììî âîáëîîì ûý÷ ýýç ýýùùýýý ý æ ïý ýý ïù÷ýýùùýû ý æå ýý ýôæþý ýð ý é ùùýö ï ý ý PERMIT City of Eagan Permit Type:Building Permit Number:EA123121 Date Issued:05/29/2014 Permit Category:ePermit Site Address: 1141 Tiffany Cir N Lot:12 Block: 1 Addition: Canterbury Forest PID:10-16350-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Kevin Corbin 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 - James S Hoskins 1141 Tiffany Cir N Eagan MN 55123 (651) 688-2847 Purpose Driven Restoration LLC 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142819 Date Issued:05/19/2017 Permit Category:ePermit Site Address: 1141 Tiffany Cir N Lot:12 Block: 1 Addition: Canterbury Forest PID:10-16350-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - James S Hoskins 1141 Tiffany Cir N Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160159 Date Issued:02/19/2020 Permit Category:ePermit Site Address: 1141 Tiffany Cir N Lot:12 Block: 1 Addition: Canterbury Forest PID:10-16350-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Glenn D Benner 1141 Tiffany Cir N Eagan MN 55123 (610) 730-5463 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature