1143 Tiffany Cir NCITY O( EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. C. Box 21199 PERMIT NO
:
Eagan, MN 55121 .
DATE:
Zoning: ' No. of Units:
Owner; " c P e L-tsar: r
Address:
Site Address: {' T.?{"ar.v ?irc' r
Plumber: nz , an
Meter No.: S S G ,
i)
;
Size:
,. ---r k ? .
o
•2 5
t??
?
?
.
,
? 1
Reader No. OIe Jo
a
1 some to espy With the City -
con„' --
?IMepw, rG%l` Charges: ! '
r '
„
By 4tl I
Total:
Date Paid:
Date of Insp.:
Insp.:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 21 199
' Eagan, IIAN 55121 PERMIT NO.:
•
Zoning: _ DATE:
Owner. No. of Units:
Address:
Site Address
:Plumber:
Meter No.
se: Connection
Charge:
Reader No.: Account Deposit: v
1 some to Comply wuh &0
City of Es
s Permit Fee:
o
w Surcharge-
Misc. Charges: '
B
y Total: r
Dote of Insp.: Date Paid:
Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address --LIZ,
i
Plumber; _ ^c rt
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
I Gone to eemply W" tb Cly of Baas
Ordiss,
By
Dolt of Insp.:
Connection Charge: ,
Account Deposit: }- r
Peewit Fee:
Surcharge: r -
Misc. Chorgm
Total:
Dote Paid.
PERMIT #
PLUMBING PERMIT RECEIPT # 6a y 4 q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE: 454-8100
Site Addrew 1 / `1
Lot I I Block
Name
moura%S
c City
m
c
3
O
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTION
Res. y New k
Mult Add-on
Comm. Repair
Other
go- FIXTURES
Water Closet - $3.00 TAL
/Bath Tubs - $3.00
Lavatory - $3.00
,
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
1-Water Heater - $1.50
Whirlpool - $3.00
ZGas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL
FOR: CITY OF EAGAN
' PERMIT # 690 CITY OF EAGAN FEES
f?,?'} p MECHANICAL PERMIT
S/C
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $-50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res Comm Inst 2. New s Add Alter Repair
3. Total Bid Price 4. Job Address -7,.;- _F ` f -
Lot -1 ' Block I Sec / 5. Owner n?T " '? •? Yi-`T"
6. Contractor
(Name) (Street) (City) (Zip)
7. Contractor Phone #?'
RESIDENTIAL HEATING - 01-100,000 BTU's - $24,00. Each additional 50,000 BTU's or fraction - $6.00
RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
AIR PIPING PROCE ED PIPING AIR HAND. EQUIP. REFRIG.
RES. GAS PIPING OUTLETS - $1 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RITE 1%/OF-TOTAL BIV PRICOLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:
for Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN I ,, nn c+
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 Y °? 4
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $126,000 Date JANUARY 29 19 86
1143 TIFFANY CIR NO x R3
Site Address Erect ? Occupancy
tot 1 lock 1 Sec/Sub. CANTERBURY FOR Remodel 1:1 Zoning F 1
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
S. PETERSON CONST INC Move El Length 58
Name Demolish ?
40
Depth
Z
o Address 4701 W 110TH ST Int. Impr. ? Sq. Ft.
City HPLS Phone 884-5144 Install ?
o Name SAME Approvals
=
$ ¢ Address Assessment
~ City Phone Water 8 Sew.
I- R Police
z Name Fire
a Address Z Eng.
U
W City Phone
Planner
Council
I hereby acknowledge that I have read this application and state that the Bldg. Off. 1/29/86
information is correct and agree to comp ly with all applicable State of
Minnesota Statutes and City of Eagan Or dinances. ' APC
Signature of Perrr(ttee Var.-DOe
S. P
A Building Permit is issued to:
all work shall be done in accordance with all
Building
Fees
Permit 498.00
Surcharge 63.00
Plan Review 249.00
SAC 575.00
Water Conn. 500.00
Water Meter 63-50
Road Unit 290.00
Tr. PI. 156.00
Copies
.50
Total
on the express condition that
Mate of Minnesota Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Date Telephone A
Plumbing
H.V.A.C. n ; yt` y) 3 - '
Electric &
Wener
Inspection Date Insp. Comments
Footings 1
Footings 11
Foundation
Framing
Roofing g W
Rough Plbg.
Rough Htg. !A`
Insul.
Fireplace - jSD
Final Htg.
FinalPlbg.
Bldg. Final
Cert. Occ.
Deck Fig.
Deck Frmg.
Well
Pr. Dlsp.
CASH RECEIPT •
CITY OF. EAGAN
P. 0. BOX 21-199
EAGAN, MINN'?121
DATE ° 19
iece? eo
R
AMOUNT
DOLLARS
toe
FUND CODE AMOUNT
0 6
cT
?-L 71 v U C.
Thank You 4x?_l
IlY
N_ 60765
7
White-Payers Copy
Yellow-Posting COPY
Pink-File Copy
? CASH ? CHECK
This request void ?L/ /? G
Is months from
Roo 0?±±00280 L,I J) R f)
t Uate
-3 -??
ro Ready NowWill Notify.Inspec-
for When Ready
[/Licensed Electrical Contractor I hereby req east inspection of above
? Owner - electrical work installed at
Street Add ess, ox or Route o.
1-13 (` -
r City
cr
ecLOn No. Township Name or a Range No. County 409,
Occupant IP 1 T Phone No.
Power 5 ier ddregs /
ical Contractor (Company Namel
ElR
'
? Contractors tense o.
b
e"? c
?i
lec.7 ?
d
Mil ing Address (Contractor or Owner M
qkol aking ins tai la ti qnI '
73
(2 p C J
Authorzed Si gnature (Co for caner kin Installati n) hone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul. MN 55704
Phone (812) 297-2111 ENCLOSED.
T0 MICIEST FOR ELECTRICAL INSPECTION
Q)f see instructions for completing this form on back of yellow copy.
7 6 R U O 11 X" Below Work Covered by This Request `
Adtl Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peii v Other (Specify)
t ar ueci fy Other Other
Compute Inspection Fee Below
# Fee Service Entrance Size # 'Fee Feeders/Subfeeders # Fee Circuits
v 0 to 200 Amps 0 to 30 Amos YKA01 0 to 30 Amos
Above 200-Amps , 31 to 100 Amps 3L 31 to 100 Am ,S-
Swimmin Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms I-nl Partial/Other Fee
Signs Special Inspection ?t [j
8 TOTAL
Remarks D.?
Rough-in ate ''yr //a?
p I, the Et
Inspector, hereby
certify that the above
Final (
C e ?r
O6e,Jr
v 'nspection has been
made.
This request Vold 18 months from "'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? . 114 4 31/
`+
PHONE: 454-8100
BUILDING PERMIT Receipt If
Tobeusedfor SF DWG/GAR Est Value $126,000 Date JANUARY 29 1986
Site Address 1143 TIFFANY CIR NO ,X R3
Erect L7 Occupancy
Lot 11 Block I Sec/Sub. CANTERBURY FOR Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories 58
Name S. PETERSEN CONST INC Move ? Length 40
z 4701 W 110TH ST Demolish ? Depth
3 Address
° MPLS 884-5144 Int. IImpr.
nstall ? Sq. Ft
city Phone Install ?
i o Name SAME
a Address
City Phone
r-
F W Name
_z
Z Address
a Z City Phone
I hereby acknowledge that I have read s a cation and
information is correct and agree t o with all a icabl
Minnesota Statutes an of Ordinance
Signature of Pe rr i ?ff1>
A Building Permit is issued to: S. PETERSEN CONST
all work shall be done in accordance with a pp 'c State of
Building Official
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner-
Council
Bldg. Off. 1/29/86
Permit '"°•""
Surcharge 63.00
Plan Review 249.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Copies-42-131"O
on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN Rema
Addition CANTERBURY FOREST
OWneK? 4At k - Street
t/7? Ihti DI ilr.. l G!t"
-Lot ii Blk-
1143 TIFFANY CIRCLE NO.
MN 55
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid unde r Original p rcel
STREET RESTOR.
GRADING -? 1981 106.78 5.34 20 85,46 A013446 1-12-84
SAN SEW TRUNK ? ZI 1973 Paid unde original rcel
* SEWER LATERAL 1981 439.42 21,97 20
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA 4.„ 1979 Paid unde Ori inal rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
?, wit t (j CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements RenodelfRegsir Requirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • i site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicated home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION
SITE ADDRESS 6?`£ w MULTI-FAMILY BLDG -Y _N
TYPE OF
FIREPLACE(S) _ 0 _ I _ 2
`?
APPLICANT V
STREET ADD SS ?/.4('. CITY 2a may/
TELEPHONE # wSl_'KF4 7KEEL PHONE # FAX #
PROPERTYOWNER TELEPHONE#
GSA- ys2-f;'71
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J 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
Pee: $90.00
Phone #
Fee: $70.00
Phone 11 D
----------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes and City of Eagan Ord'Ibnces. ,
Signature of Applicant
OFFICE USE ONLY
Water Softener _
Water Heater _
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Balks
and agree
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 ? 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 IN SPECTIONS
Footings (new bldg) Final/C.O
_ Footings (deck)
_ .
Final/No C.O
_ Footings (addition)
_ .
Plumbing
Foundation _ HVAC
_ Drain Tile _ Other
Roof _ Ice & Water
Framing _ Fi nal _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I.
_Air
Test _ -
Final _ Siding _ Stucco _ Stone
Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
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
Building Inspector
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1-SET OF
ENERGY CALCULATIONS-
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Lot Block
SINGLE FAMILY DWELLINGS
Ir
INCLUDE 2 SETS OF PLANS
I CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
I C) op
Valuation: Date: w" 7- -L
Parcel/Sub le
Owner 1', ?f7?=.e Sit/ CEO/v?? :a
Address `Z 7o ? z4v j1077?
City/Zip Code '6L,°L S
Phone ?? - ?-L'
Contractor S'??y? Jam=
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect x Occupancy
Remodel Zoning
Repair Type of Const
Addition # of Stories
Move Length
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off J 29 / Treatment P1
APC Parks
Variance Copies
TOTAL
3
0
C?
SbZSZ1
93 ? 80) ) = Zlx i?
ZI -)? ') LS _ -? Z -?Z
1
' _. ? IZSS = ?c.S 'Z S r? = ?Cc ? ?Z
Certificate for:
Svend Peterson
4701 West 110th Street
Bloomington, Minnesota
55437
DELMAR H. WANZ
Bk: 92/58
LANDS EYORS INC
Rap.9crarl I' rws nI ilp $IMe M Minnxold
11750 SOUTH ROBERT TRAIL SEMOUNT. MINNESOTA 55065 PHONE 612 4231768
Q 1 SURVEYOR'S CERTIFICATE
lG?L
7 yL2? d?:?, - %fa 30,E \ ;f. 4.1
T- " kip
"'
L J
T ?.
T' L
iao.7-
O l
117
r? t
S+a a- 1opk
Pem Emd Kouse
Drainage and ?
Utility Basement
I hereby certify ' `!
that this is a true\,
and correct repre-e-
sentation of Lot ll,;r
Block 1, CANTERBURY ?`
FOREST, according to
the recorded plat °
thereof, Dakota County, ?. \
Minnesota.
Also showing the location N
of a proposed house as staked
thereon, January 22, 1986.
Revised house location 1-23-86
Scale: 1 inch - 30 feet
s? o Denotes iron
Monument
/02 y Denotes existing
p elevation
Denotes proposed
elevation
? r_
MINNESOTA REGISTRATION NO. 8625 ,
t 1
/
EXTERIOR ENVETCPE AVERAGE `U` COEPUTATION
OWNER Ste-/L'/
SITE ADDRESS % / ?G f! d/ (7 Cy
CONTRACTOR DATE 3-e4 PHONE dW-
Determine working square footage of each.
1. Total exposed wall area .... r Q S sq. ft. x fl = j??U7
2. Total roof/ceiling area ... 33 6 sq. ft. x .02,6 = 3S
Total exposed wall area above floor =
a. Total wall window area .A? 3
b. Total door area 5,11
c. Total sliding glass area .... ....... 0
d. Total fireplace wall area ...... L10
e. Total wall framing area (average lop)... 3
f. Total net wall area above floor ........ 3 r
g. Total rim joist area Z-3 7
Total exposed foundation area = --5-7
h. Total foundation window area ..... ...
i. Total net foundation area above grade . p _
Determine ''U' value of each wall segment.
a. 193 x "U': 0. s s = Al _
b. Sy X "U" 0. S5' = 30
c.?- X t'U' _
X "U" O5 s D. ?Z
e. 236 X '•U" o. //9 =
f . IT3-5, X "U" n 0 5/ = 73
9- 37 X "U.. 0,0 7 = //
h. X :.Ut 0.5-
i g?
. X rU" O / 7
3.... ........................................Total oZdr 1/
If item #3 is the same as, or less than item N1, you have met the
intent of SBC 6006(c)2.
Total exposed roof/ceiling area = f'Jj 7j
?. Total skylight area ... ...... ... Q
k. Total roof/ceiling framing area (average 1G; / 3 3
1. Total net insulated roof/ceiling area .......1 2 0 3
Determine IV value for each roof/ceiling segment.
J . m X ,:U; D
k. / 3 3 x . U n D. ,O = ?7-
';v 0.019
4 .........................................Total = 3
If total of #4 is the same as, or less than f2, you have met the
intent of SBC 6006(c)1.
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 A'1 and i;2.
1. + 2.
3. + 4.
2/84
J CITY OF EAGAN
t APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: 1143 Tiffany Circle North
LEGAL DESCRIPTION:L 11 , 131, Canterbury Forest
(Lot/Block/Subdivision or Tax Parcel I.D. Ntunber)
IF {IS _ :G STRU=j'TE, DA!E OF ORIGINAL SUIMD7G F`_•IIT ISSUA =.
PRESL ' ::CNPf;/PROPOSED USE: knit-1 S_IGLE FAN+ELL
? R-2 DUPE{ (TWO UNITS)
? R-3 TOWNHOUSE (THREE + UNITS)( UNITS)
? R-4 APARTMENT/CONDIXNINIUm ( UNITS)
? COMMERCIAL/RETAIL/OFFICE
? INDUSTRIAL
? INSTITUTIONAL/GOVERNMENT
2) APPLICANT (PLEASE PRINT)
NAME: S. PETERSEN CONSTRUCTION, INC.
ADDRESS: 4701 West 110th Street
CITY, STATE, ZIP: Bloomineton. MN 55437 "
PHONE: 8814155
a
3) PLUP,IBER PLEASE PRINT) FOR CITY USE ONLY
NAME: Genz-Ryan Plumbing & Heating
PLUMBERS LICENSE:
ADDRESS: 14745 South Robert Trial Active
CITY, STATE, ZIP: Rosemount MN 55068 Q Expired
MASILR Q Not of Record
PHONE: 423 - 1144 PLUMBER LICENSE N 1849M
a nitia
4) OCCUPANT/OWNER NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
(PLEASE PRINT)
5) INDICATE WHICH PERMIT IS BEING REQUESTED:
E3ICCONNECTION To CITY SEWER
EXCONNECtION TO CITY WATER
F1 OTHER (PLEASE DESCRIBE)
6) INDI= ONE:
n PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PL?Iwe?Oee,J APPROVED PERMIT TO 1, 2, QQ 4 ABOVE
(Circle one)
7) SIGIATURE: DATE: March 20, 1986
Ads* r:MKAWM w so Yrk ?ra?sr?w r rs; . .
ads qwa ? ??!? ?. ••`:`-? S alk ? eYaaiw«? w
F O R C I T Y U S E O N L Y
PERMIT ° ISSUED
C, 0/2
FEES: $ /G . S o
$
$ L-; s
$
$ % 0-0
$ / .7 U--v
s o-
$ 52 7 , O?j
S
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TA
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
e
$ TOTAL
$ ,3 S U AMOUNT PAID/RECEIPT # 157 e-ls Y
61-076-
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
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ,/ 7 ? /? G
? :/? wl wws? Was lr s4 son v%m pawls iJ4 84M
., .. .. .. ..... .
of
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
DATE: April 17, 1986
SEARCH
DAKOTA COUNTY ABSTRACT CO
1250 HWY 55, P O BOX 456
HASTINGS MN 55033
RE: Canterbury Forest?r
Lot 11 Block 1 '
1143-Tiffany Circle No
BEA BLOMQUIST
Ma
THOMAS EGAN
JAMES A SMITH
VIC ELLISON
THEODORE WACHTER
ro .t Me.n
THOMAS HEDGES
EUGENE VAN OVERBEKE
City 0e
Enclosed herein is the search which you requested made on the above described.
property.
Kind of Improvement Years Beginning Original Amount Balance Due
NONE
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion.
Kind of Improvement Approximate Date of Completion Approximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the
above information which was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, MN 55121.
Ver Truly yours,
S I ASSESSMENT DIVI N
THE LONE OAK EE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
{,k7;h?;??.):I ;W?i?W}??}ihkn i:mni:.Qih'°:C:(D`V•)d)i.Yr )$>SY: ? ;,:>,:7, a!>d;5
CITY OF EAGAN
CASHI6T:',,, ..7S TE MIN?L.. Nh 916
DATE P MUM T ME N :04905
IS? ;
r:pNr,: Itl.iTf';FF:F: FtiiF:M,7??FFL.ING. INC.
2M 9009. 9.143 Ti:="Fn;Y CR t53..05i
2155 900 AM MANY C!? A I GO
f
C,' ' 71 F,
MER TnL W",
..,..s ?.e,?; ..; :, we ... ..... :....::....
- ?- I 0 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 S `
651-681-4675
New Construction Reautrements Remodel/Repair ReaukemeMs
? 3 registered site surveys showing sq. B. of lot, sq. ft. of house
and all rooted areas (20% maximum lot coverage allowed)
D 2 copies of plans (show beam 5 window sties; poured Ind. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation plan R lot planed after 7/1/93
DATE: 9 ?1 /
DESCRIPTION OF WORK: 3rd -s4-v_tk
STREET ADDRESS:
2 copies of plan
1 set of energy calculations for healed additions
1 site survey for exterior additions 6 decks
CONSTRUCTION COST: 20) Doi) ov
VN u C ? vvC (-V_
LOT: H BLOCK: -I- SUBD./P.I.D. #:
Name: Tc -+e-t-0-- ".?R-S Phone #: 651- 45(0-
PROPERTY Lost First
OWNER
Street Adddress: 114 3 1N Ts-(;f'u. ?u C t v-aLa-
City C ACA, V. State: M L Zip: S S t Z 3
5 8
Company: ?D +j ? I ??O tie k k vt ?l Phone #: earl WY-0-7
(area code)
CONTRACTOR ll
Street Address: 3to43 WDOr?`c ? l r`-A License #o20035°19S3ExD.4*0
city state: zip: S S rLl
ARCHITECT/ '- r h
Kee (?S ?1?w t tv? ul °?251`P? PlCk
ENGINEER Company Name:
Telephone #: area code (0 2) 445- S'737
Street Address: 12_°1 { )uw rn .c? C, Registration M
City S ko_ lc.. O la 1 State: VV? Zip: S S 3 7 `?
Sewer S water licensed plumber (reauked for new construction only]:
Penalty applies when address change and lot change is requested once permit Is Issued.
I hereby acknowledge that I have read this application, state that the Info =1, and agree to comply with all appllcabi
State-of Minnesota statutes and City of Eagan Ordinances. (\n1 ^'?I??-1
e
Signature of Applicant:
/? OFFICE USE ONLY
Certificates of Survey Received L! Yes No
Tree Preservation Plan Received Yes No Not Required _CJZ
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex )K 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 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 Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFOR MATION
Const. (Actual) Basement sq. ft. Census Code '
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units -?-
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee 'J. Valuation: $
Surcharge 44 0 0
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
i
SAC Units
% SAC
tificate for: Bk: 92/58
end Peterson
101 West 110th Street
Bloomington, Minnesota
55437 -
DELMAR H. WANZ a
LAND[ E?OAS INC
Raa^Ie.M Un rry r, Tne $W} M M-111
14750 SOUTH ROBERT TRAIL SEMOUNT. MINNESOTA 55068 PHONE 612 423-1769
I N SURVEYOR'S CERTIFICATE
rfFr ??3?.??• /
s6
? J
cf?\?
letupizoad House
i
F
1 ?
` Drainage and
Utility Easement
I hereby certify
that this is a trued \
and correct repro--.
sentation of Lot ll-i,
Block 1, CANTERBURY ,%`
FOREST, according to
the recorded plat °
thereof, Dakota County, s. \
Minnesota.
Also showing the location
of a proposed house as staked 5
thereon, January 22, 1986.
Revised house location 1-23-86
i
Scale: 1 inch - 3n feet
e,
O Denotes iron
Monument
4 leZ V Denotes existing
elevation
a ,
e
1`O Denotes proposed
1 elevation
19
t
MINNESOTA REGISTRATION NO 8625 ,-
7r
LL
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1143 Tiffany Cir N
Lot: 11 Block: 1
PID:10- 16350- 110 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Heater
New
Water Heater
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Nicole Whirley
2200 W Highway 13
Bumsville, MN 55337
Addition: Canterbury Forest
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Bermitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
James Tatera
1143 Tiffany Cir N
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.00 0801.4087
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Plumbing
EA090816
08/24/2009
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1143 Tiffany Cir N
Lot: 11 Block: 1
PID:10- 16350- 110 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Addition: Canterbury Forest
Quesetions regarding elec
952- 445 -2840
Stephanie Johnson
2200 W. Hwv 13
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Bermitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
James Tatera
1143 Tiffany Cir N
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA087193
10/30/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126913
Date Issued:09/16/2014
Permit Category:ePermit
Site Address: 1143 Tiffany Cir N
Lot:11 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-110
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 .
Todd Mulvehill
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 Tatera
1143 Tiffany Cir N
Eagan MN 55123
(651) 983-0915
Hometown Restoration
1940 Serendipity Ct
St Paul MN 55112
(763) 494-8695
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151381
Date Issued:08/22/2018
Permit Category:ePermit
Site Address: 1143 Tiffany Cir N
Lot:11 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James Tatera
1143 Tiffany Cir N
Eagan MN 55123
(651) 456-9971
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:EA171947
Date Issued:09/08/2021
Permit Category:ePermit
Site Address: 1143 Tiffany Cir N
Lot:11 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James & Jane Tatera
1143 Tiffany Cir
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature