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1146 Tiffany Cir S06/1412010 10:15 5073566021 41111.City af8atau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5676 Fax: (651) 675.5694 2010 RESIDENTIAL site ,Address: PAGE 02 Use SLUE or BLACK Ink Permit #:-''✓ Pe 0-76- 7 I Date Re u - ived: _/% / staff; MIT APPLICATION (Alt-/g-vo Tenant: Suite #: RESIDENT !OWNER Name: '! y �1! 1 _._ ...... Phone. Address / City / Zip: /r . / r -. Er 4_,,,, i/ _ 1 Applicant is: Owner X Contractor TYPE OF WORK Description of work: 4 r , - I . i� * ' 4 _ • ! . • i Construction Cost: 18-7 Multi -Family Building: (Yes / No ) CONTRACTOR Name:AIt'It r-tact\Welfi-err"wt7rK, licen's`e#.' 2032,7 9°5 Address: .2:2,:1 { LL t r c \JI,' s Lk) SE city: _ l yte T ki!Ad State: AAN Zip; 5aNci to 5 Phone: 5M- -341-6=502.o Contact: „ t chef_ Email: G1'L_I , l COMPLETE In the fast 12 months, has _-Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan Issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: - NOTE: Plans srrpporting docaments•that you submit are considered to pu llc information. Portions of me inlormtwtion Maybe classified se fltet public if yds prlovW. spiaclllc reihaons that would permit the Chyle thutt CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 45440002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. ww r,Q4pryrstateener,�a)) ars 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 nota permit, but only an application for s permit, and work is not to start without a permit; that the work will be in accordance with the appr»ved plan in the case of work which requires a review and ap mval of plans. x Appdc nt's Printed Name O Yr 06/14/2010 10:15 5073566021 / C(4 it DO N T WRITE BELOW THIS LINE PAGE 03 (-/ ,)5 ;Up_ TYPES Foundation , Single Family Mutts 01 of Flex Accessory Building WORK TrPrS New Addition Alteratio Replace Retaining Wall pESCRIPTION valuation Plan Review (25% 100°,6_Y) Census Code # of Units # of Buildings Type of Construction Fireplace T Garage Deck Lower Levet (VIA N0ter /71)+ J Interior improvement Move Building Fire Repair Repair Al 3't Y(l REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In _Air Test _Final Insulation Meter Sire: Porch (3.8eason) Porch (4 -Season) Porch (Scr$errttaxaboIPergota) Pool F)1 , Occupancy Code Edition Zoning Stories Square Feet Length Width Base Fee `( ,2. x° Surcharge L/ % Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ob= TOTAL :73 Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building' Demolish Interior Demolish Foundation Water Damage " Denroiitlon of entire building - give PCA handout tti applicant MCES System SAC Units City Water Booster Pump ARV Fire Sprinklers Sheetrot"k Final / C.O. Required i< Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: ,Stucco Lath Stone Lath _Brick Windows Retaining Wali: , Footings Backfill Final Radon Control Erosion Control Building Inspector Page 2 of 2 outside diameter of at least 2.875 inches and a nominal wall thickness of at least 0.165 inch. See Section 5.5 below for corrosion protection. 5.4. Weldments — All welded connections shall conform to the requirements of the American Welding Society, "Structural Welding Code AWS D1.1", and applicable revisions. 5.5. Corrosion Protection - All pier system components shall be galvanized for corrosion protection...(Optional — brackets, sleeves and pier caps are typically installed as black steel). At a minimum, thin-walled pier sections shall be hot -dip galvanized for corrosion protection. Triple -Coated In -Line Galvanizing, consisting of hot -dip galvanizing, a conversion coat and a clear coat, is preferred. 5.6. Pier Spacing — Pier spacing shall not exceed (_) feet, center to center. The pier spacing is based on the ability of the footing/foundation wall to span between piers. 6. UTILITIES: Contractor shall contact a one -call utility locate service to have public utilities located prior to initiating work at the site. Private utilities and drainage systems, if present within the work area, shall be located by the owner. The Contractor is not responsible for removing and replacing such systems, unless specifically addressed in the contract. 7. EXCAVATION: 7.1. Hand or machine excavate immediately adjacent to the building foundation at each pier location to expose the footing or the bottom of the grade beam to an appropriate workin: width and depth. After installation is complet w s 7.2. Where pier installation is required through pavement or slabs, saw cut access openings to provide for neat removal and appearance. Contractor is not responsible for replacement of concrete unless specifically addressed in the contract. 7.3. Uniformly grade disturbed areas to ready the area for seed and straw, or landscaping by others. Contractor is not responsible for removing and replacing landscaping unless specifically addressed in the contract. 8. POSITIONING OF FOUNDATION SUPPORT BRACKET: Th chipping hammer shall be used to ttt !Novi* fr=the."tier fit cif the brac et an • to bring the concrete surfaces in full contact with the bracket. Spread footings are typically "notched" to allow bracket placement as close as possible beneath the structural load of the foundation wall. The bottom and vertical faces, to the extent possible, should be at right angles to each other and th _ , : t,`• « viertkai as pOssibie. Foundation SupportworksTM Push Pier brackets have been' designed with either a vertical orientation or an angle oftWorydegrees froirr vertkei. The brackets may be used interchangeably, selection depending upon structure details and ease of installation. 9. PIER INSTALLATION: 9.1. Foundation Supportworks'M Push Piers—Attach hydraulic assemblies and drive equipment necessary for the advancement of the piers. All hydraulically -driven piers are to be installed individually, using the maximum weight of the structure and surrounding soil to advance the pier, until the design driving pressure (load) is reached, the pressure meets the safe -rated capacity of the pier, or until lift of the structure is achieved, whichever comes first. Installation of more than one hydraulically driven pier at a time is not allowed unless the piers are ©2008 Foundation Supportworks, Inc. Page 16 of 17 Doc. 08FSI-003-Rev. 1 separated by at least three pier spacings, but no less than 18 feet. Installed capacity should be measured by multiplying the hydraulic fluid pressure times the effective area of the drive cylinder(s). The Contractor shall have gauges on their pumps and provide the or 's Representative with technical documentation that verifies the drive cylinder's effective area and the hydraulic pump's rated capacity. 9.2. Pier sections shall be coupled so as to form a continuous pier column. Hydraulically driven piers shall have a steel coupler that extends a minimum of three inches into each section and are integral with the pier section. 9.3. (Optional) The completed piers shall be filled with concrete following installation and prior to lifting. The concrete shall be a sand mix to prevent material segregation and allow flow down the pier center. The concrete mix design shall have a compressive strength of at least 2,500 psi. 10. LIFTING AND LEVELING: 10.1. The lifting and holding operation is completed by simultaneously lifting at each pier location using hydraulic rams connected by hydraulic lines and then to a pump with a pressure gauge. Lifting shall be controlled at each pier location by opening and closing valves located at each pier or at a manifold. 10.2. Contractor shall continuously monitor the structure's elevations to ensure that no pier rises more than %' vertically ahead of the adjacent piers. 10.3. Contractor shall use pressure gauge(s), to determine the force applied to each pier and monitor any change in force required to lift (optional) the building's weight. The contractor shall be experienced in lifting structures (see Section 1, Subsection 5). The Contractor shall determine system pressures and capacities as required for the successful installation, lift and re -leveling (optional), and long-term performance of the proposed system. 11. GUARANTEE: The work performed under this section shall be guaranteed for a minimum of ten (10) years against all defects in material and workmanship. If appreciable movement occurs in the foundation for any reason other than earthquake, severe wind, extreme change in water table, or any other Act of God or similar manmade condition, the Contractor shall correct any defect in workmanship and materials that may have occurred in order to stabilize the structure and bring it back to the required position. End of Section 2 ©2008 Foundation Supportworks, Inc. Page 17 of 17 Doc. 08FSI-003-Rev. 1 06/14/2010 10:15 5073566021 PAGE 06 Duffy Engineering & Associates, Inc. 350 Highway 10 South, Suite 101 Saint Cloud, MN 56304 Ph: (320) 259-6575 Fax: (320) 259-6991 Email: mail @ dufyeng.com Attention: Kendra Fax Cover Sheet From: Ryan Seavert, PE Phone: 1-800-795-1204 Fax: 1-507-356-6021 Date: June 11, 2010 Re: Foundation Reinforcement Number of pages to follow: 0 Project No.: 10178 ADDITIONAL INFORMATION RE: Foundation Support Works push piers for 1146 Tiffany Lane, Eagan, MN We have reviewed your proposed push pier foundation reinforcement and certify that the piers will provide adequate support for the existing wall. C as �h fur, 01,T/ov '1 / a iia /e /"44;..z, APPROVED PLANS PEMAIN ON JOB SIT 1 hereby Corey that this plot", spectrcatipn or report ms prepared by me or urger my direct supervision and that i am a duly licensed Prdfesalonal Engineer under the laws a( the State of Minnesota. tiILDING INSPECTIONS DIVISION ©E/14/2010 113:15 507356E021 PAGE 64 0 0 0 a AMERICAN WATERWORKS Basement Systems/Foundation Supportworks www.emericanwvetarworka.com 1-800.795-1204 829 Roiling View lane S,E„ Pine Island, Minnesota 55983 FAX:(507) 356 6021 Dave Clark(ces) 507.241412e DATE: 05/28/2010 SUBMITTED TO: Andy Vitals ADDRESS: 1148 Tiffany Circle 8. Eagan, MN 68123 JOB LOCATION: 1148 Tiffany Chcie 5- Eagan, MN 65123 System Features WaterGualrd Waterluard Port TrenchDrain TripleSafe SuperSump UltraSump Smei1Sump IceGuard LawnSmpe Outlet ZenWall BrightWall FloodChek FldorlRing ThermalDry Wall System CleanSpace Wall System TherthalDry Floor Matting Charcoal ThemieiDry Carpet Mocha TbannalDry Carpet Sandstone ThermaiDry Tile 7 Canyon Beige ThelmalOry Tile RanChute RainChute EZ LawnSCape Downspout Ext. Eyrrak CleanSpace CleanSpace Drainage Matting ClsanSQace Vent Covers CleanSpace Sman.Drein CleanSPaCe WaIJCap FlexiSpan 4' FlexiSpan 5' FlexiSpan 8' EvoeL.gst Basement WindOws Suni-louse Mndaw Enclosures WaliDuct Window Wail Dralnaje^ SentOry Upright SenlDry CSB Santa Ducts SaepeWel Supportworks Wan Anchors Supportworks Pipe -Push Flare 7 Extended Discharge Line Wali Anchors ext anal ons Engineer Stamped Approval I fully understand and accept the transferable warranty provided, which covers only the areas of the basement addressed and does not cover water damage. Partial perimeter systema carry a limited warranty. Sump pumps are covered by a separate manufacturer warranty. installation of the system does not include painting, finished carpentry, extending discharge lines, electrical work, or reptaoemerrt of floor tile Or e rpeting. Contractor cannot be raaponsihle Tor frozen discharge lines without an toeGuard, condensation, damp spot discoloration, water Mae pumped from house, window well flooding, or fuel tanks or lines. Gustomer shall grant contractor a 50 day right to remedy Any problem atter reported. Hornoowner rEsponsible for moving objects away from wens and Weds. Some dust should be expected from work. Peyrnerrta to be made In full upon ' . on. X_ 411 -t i 1► 1 EMAIL: WOME: 851.462-2048 WORK: — CELL: — FAX: — ,I:y71.11,1 INSTALLATION DATE: ❑ y ‘ d%r- SO .7 DETAILED DRAWIN4 ATTACHED Type of wall; Block Existing wail finish: Over studs Existing floor finish: Concrete Discharge line length away from house: We Propose to furnish material and labor—complete in accordance with above specifications, for the scam Of Total $8,750.00 Deposit required 30% $2,625.00 1:1011,1095,10 7.,. yi $875.00 Due Upon Installation $7,875.00 Ali material is guaranteed to be as specified. Ali work to be completed according to the standard practices, Any alteration from above Specifications will be executed only upon written °refers, and will become an extra charge. All agreements contingent upon accidents or delays beyond our control. Our workers are fully covered by workmen's Compensation insurance. Homeowner assummksirQponsibility for damages due to breakage of any hidden Mei/utility service lines, though we will do our best to avoid such damage,. All proposals based pnmanty on h descriptte t. bleed. Warranty does not covet water damage, This proposal may be withdrawn by Ue 11 not accepted within 120 days. Authorized signature: Date f -WO ACceotanr o of Proposal—The above prices, apedficatlons, conditions and separate warranty are satisfactory and ere hereby accepted. You are authorized to do the work es specified. Payment will be made es outlined above. Customer has received a copy of the "Dry Basement SCienCc or 'Crawl Space Science' book X 6 months. No Interest -Regular Payments (1148) 3.0 X 12 moi+. No Interest -Regular Payments (1019) 5.9 X Signature X; Date 18 mss. No Interest -Regular Payments (1066) 9.3 X PAGE 1 OF 4 OB/14/2010 10:15 507356E021 PAGE 05 r.1 JOB LOCATION: 1146 Tiffany Circle S. Eagan, MN 55123 JOB BETA Back ip LABELS: SPECIFICATIONS: 1, Install Foundation Supportworks piers every 5' 10 stabilize end possibly lift foundation. if additional pier(s) are needed after excavation, homeowner wilt be consulted and expected to pay for them. For depths over 60', see Pierin9 Addendum fpr any addttiOnal ehargea. PERMIT & ENGINEER STAMP CHARGES NOT INCLUDED. If needed or wanted, the customer will need to pay for any or both of these. CONTRACTORS WILL: CUSTOMER WILL: ADDITIONAL NOTES: Signature Date PAGE 2 OF 4 06/14/2010 10:15 5073566021 PAGE 13 Page 1 of 3 288 Push Pier System (Patent -Pending) Foreword The Foundation Supportworks, Inc. (FSI) push pier system was designed by licensed professional structural and geotechnical engineers (PE) on staff at FSI. Currently, there are no standards to dictate how push pier systems should be designed and tested. Therefore, many manufacturers of push pier systems simply fabricate a concept and then test according to their own self -approved methods. This often results in pier system capacities which are inappropriate and not representative of actual field applications. FSI chose a different approach. In lune 2007, the International Code Council Evaluation Service, Inc. (ICC -ES) approved AC358, Acceptance Criteria for Helical Foundation Systems and Devices. Sections of AC358 that discuss design and testing of side -load (retrofit foundation repair) brackets would intuitively apply to push pier systems as well. FSI is confident that any future design and testing procedures approved by the ICC -ES for push piers will closely follow the respective guidelines of AC358. Interested parties may review AC358 on-line at www.icc-es.org. The FSI 288 Push Pier System is the very first in the industry to be designed and tested in accordance with an accepted standard, AC358. Technical Specifications The design of the FSI 288 Push Pier System incorporates an external sleeve that is driven along with the pier starter tube section. The external sleeve resists the bending forces generated by the eccentric loading on the bracket, thereby preserving the axial capacity of the pier tube. Bracket: Weldment manufactured from 0.25", 0.375" and 0.50" -thick steel plate. Yield strength = 36 ksi (min.), tensile strength = 58 ksi (min.). External Sleeve: 3.500" outside diameter (0D) x 0.216" wall x 48" long with sleeve collar welded to one end. Yield strength mm 50 ksi (min.), tensile strength = 62 ksi (min.). Pier Cap: 5.00" wide x 9" long x 1" thick plate with confining ring welded to one side. Yield strength = 50 ksi (min.), tensile strength = 65 ksi (min.). 1-800-281-8545 • www.foundationsupportworks.com ©2008 Foundation Supportworks, Inc. Corporate Headquarters: Doc. 08FSI-001-Rev. 0 12330 Cary Circle • Omaha, NE 68128 ' 06/14/2010 10:15 5073566021 PAGE 14 Pier Tube: 2.875" OD x 0,165" wall x 36" long, triple -coated in-line galvanized. Yield strength = 50 ksi (min.), tensile strength = 55 ksi (min.). 2.50" OD x 0.180" wall x 6" long internal coupler welded to one end with 3" extending out of pier tube. Pier Starter Tube: 2.875" OD x 0.165" wall x 50" Tong, triple -coated in-line galvanized. Yield strength = 50 ksi (min.), tensile strength = 55 ksi (min.). 3.375" OD x 1.00" long friction reducing collar welded to one end. All -Thread Rad: 0.75" diameter x 16" long, Grade 87, tensile strength = 125 ksi (min.) Figure 1: General Arrangement Bracket rotation is resisted by the passive pressure of the soil surrounding the external sleeve and the pier tube. Therefore, the capacity of the pier system is in part governed by the strength of the confining sails. Refer to Table 1 for pier system capacities in varying soil conditions. x03008 Foundation Supportworks, Inc. Page 2 of 3 Doc. 08FSI-001-Rev. 0 • 06/14/2010 16:15 5073566021 Table 1: FS1288 Push Pier System Allowable Capacities PAGE 15 Soil Type Consistency/ Relative Density Soil Strength Parameters Allowable System Capacity* (kips)** SRT, N -value Cohesion (blows/ft) (psf) Friction Angle (degrees) Clay Very Soft < 2 < 250 - 23.5 Clay Soft 2 - 3 250 - 500 - 27.0 Clay Medium Stiff 4 - 7 501-1,000 - 32.0 Clay Stiff 8 -15 1,001- 2,000 - 34.5 Clay Very Stiff 16 - 32 2,001- 4,000 - 34.5 Sand Very Loose < 3 - 26 - 30 33.0 Sand Loose 4 - 9 - 28 - 34 33.0 Sand Medium 10 - 29 - 30 - 36 34.0 Sand Dense 30 - 49 - 34 - 40 34.5 * Capacity based upon a concrete compressive strength of 2,500 psi for the foundation. ** 1 kip 1,000 pounds (Ib.) FSI does not publish capacities for the individual components of the push pier system; i.e., bracket, pier cap, external sleeve, pier tube, and all -thread rod. The F5I 288 Push Pier System was designed, analyzed and tested as a system, with the capacity governed by the weakest component. Project specifiers should be skeptical of manufacturers' apparent inflated claims of capacity and request a review of the design and/or testing procedures. X2008 Foundation Supportworks, Inc. Page 3 of 3 Doc. 08FSI-001-Rev. 0 JOB LOCATION: 1146 Tiffany Circle 8. Eagan, MN 55123 MAINTAIN MINIMUM 6" WOOD TO EARTH SEPARATION. 1 I n° 130r SPECIFICATIONS: 2 U, 3 0 U EQ � o W mz mW S cc mC a G !1 CO t: m t A ▪ O o q fa CL 4J 0 ✓ f • c 6 U • c. L f 11 ZsC} • W N � C O d1 g (d r O w r `G • O 05 E0 L. a { 9 ] C Is. m C1 E Ct 5 J S Z 40`b C!tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #:. 6-70&)(0 Permit Fee: 3:0- 6 Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5^ Z / —r0 Site Address: )/yam 1 �'itde- S Tenant: Suite #: RESIDENT / OWNER Name: VZ ks 14)4 Phone: Co/2 - 5" i - '''"IC -c./ Address / City / Zip: 1/ `ice -7:4...1 C cl4- S.., - I ,-n CONTRACTOR Name: iZgC, .b;,:. 1�-- License #: (10177`PM Address: I id/4) 9:!-Ii=a-c.‘--cer-t- 1u.- SE City: .k)44a10 State: (M," Zip: S 1.1 Phone: (°./2"--7° --- / Contact: 1r~ H 6k1" -cam Email: TYPE OF WORK New Replacement Repair Rebuild y Modify" Space Work in R.O.W./ _ _ _ _ Description of work: 6�",u 1- 4 / - od-� 1v16'l ,',41,c,5, 4-- k1/ PERMIT TYPE RESIDENTIAL Fad( • z w I hf t't` 7& Water Softener FO/z Liu-r2� S�/Z,7c/L16-, Water Heater Add Plumbing Fixtures (_ Main / Lower Level _ Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. App icant's Printed Name City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: yid Permit Fee:.3 1T T ac 3 Date Received: 513 Staff: L -a 2010 RESIDENTIAL BUILDING PERMIT APPLICATION° / 1q Date: 5/l J / 2 0 ib Site Address: 44' l t FrA C� i�� 6 Vim{ Tenant: Suite #: RESIDENT / OWNER Name:i't't, D 1 ti- Lt ct.1S CID T �Phone:Co j 4'J 2 `'1.5 Address / City / Zip: 1‘440 11 FF -4N i L ((CC J . -6+6 A 1.1)(44N CSI Z T Applicant is: Owner V Contractor TYPE OF WORK Description of work: Construction Cost:6 ). 0 Multi -Family Building: (Yes / No 1/ ) CONTRACTOR Name: FlNlI•ttQ Oast CONPAn►1License #: 04496'71 1 Address: 138 C) Dt-ICK,WZX Q t fL . C,-461 City: f A 1 State: /`rl N Zip: SS I Z -3 Phone: ly (2 — 81 " O (J ( Contact: M(r(-e ( rr Email: tY (\ rC) 0. C, /fi t &4 ekb SC1'he-1I. 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Cali at (651)454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 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 o_the case of work which requires a review and approval of plans. Applicant's Printed Name CrY kflAk t 1 3 2010 plicant's Signature Page 1 of 2 (L/ oT i DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck s' Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement Move Building Fire Repair Repair (25% 100% y) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Occupancy Code Edition Zoning Stories Square Feet Length Width Framing Fireplace: y Rough In X Air Test /_ Final Insulation �'` Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7Z Siding Reroof Windows Egress Window _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant ell Nig 4.2a) MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required ji HVAC Other: Pool: Footings Air/Gas Tests _ Siding: Stucco Lath _Stone Lath Windows Retaining Wall: Footings Backfill _ Final Radon Control Erosion Control , Building Inspector Final Brick riFn.f 2;- 62 Page 2 of 2 CITY OF EAGAN WATER SERVICE PERMIT - 3830 Pilot Knob Road 5548 P. O. Box 21199 PERMIT NO.: Eagan, MN•55121 DATE: 6-22-84 oning: R1 of Units: No 1 r: Andrew Vitalp . ress e Address- 1146 T iffanyii;& Z Ls-B2 cantebu ry Forest I ber: Star P lbg Meter No.: -yy a a C Y Connection Charge: 470.00 pd size: Account Deposit: 15.00 pd Reader No.: S Permit Fee: 10.00 Pd r t l 1 ith th n Cit f E Surchar e: . 50 Pd ee ag o comp y w e y o aye g Ordinances. Misc. Charges: 63.00 pd metE Total: ?I? gy k'LV+ •?r t Dote Paid: Date of Insp.: lr p•: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: x..drew Vitale Address. ,Site Address: 1146 Tiffany Plumber _ Star Plbg +Meter No.: Size: Reader No.: 1 some to comply wuh tbo city of Began Ordinencrr. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: c ? ? 2-04 DATE: 1 No. of Units: t Connection Charge: V -I . om -- I t ... 15.00 pd Account Deposit: 10.00 1' ? Permit Fee: .50 pd Surcharge: 63.00 pd meter Misc. Chorges: Total: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO. 777777- P. O. Box 21199 Eagan, n, MN 55121 DATE: 1 Zoning: No. of Units: Andrew Vitale Owner: Address: 1146 Tif fan Dri:v L8 B2 Cantebur Forest Site Address: Star F ?* 4-1?-`?4 =.248^ 100.00 425.00 pd I agree to comply with the City of lava Connection Charge: osit: t D . 15.00 p Ordinances. ep Accoun 11.00 p Permit Fee: P Surcharge: By Misc. Charges: Date of Insp.: Total- Insp.- Date Paid: CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 19 RacsrveD ? ?. t FROM AMOUNT $ ? CASH FUND CODE AMOUNT 1 1 f y a1ti ? ??7/ 6 / Tha ou 13Y &e j White-Payers Copy Yellow-Posting Copy Pink-File Copy DOLLARS loo CITY OF EAGAN N? $959 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , / 'I BUILDING PERMIT To " rued Ur i' i1?'1G?C?AR Site Address Lot Parcel No. . sc Name " Z Address 4694 T! 1 T' T A * 9 City T AC;Ar, ' Phone C =u u? t- Name _ Address City - Name _ Address 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 Eagan Ordjnances. Signature of Permittee ,, A Building Permit is issued to: oil work shall be done in ccco Building Official Receipt # 0r- r 000 APRIL 10 ,a C.4 Erect pX Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge p Type of Cont. Move p # Stories Demolish p Length - Grade ? Depth ?? Sq. Ft. Approvals Fees Assessment Permit 4 ` ' . 0 U Water b Sew. Surcharge 4 " . 0 1' 1 U An) Police Plan check S25 00 Fire . SAC Eng. Water Conn. 470.00 6 3 0 0 Planner . Water Meter Council Road Unit 260.00 Off. Bldg . APC Total • 5 0 Phone on the express condition that of Minnesota Statutes and City of Eagan Ordinance. Permit No. Permit Holder Misc. Permit No. Holder Plumbing Well Water Disp. Sewer Electric s ? Q t Ao? 3 S ow??l- ?-Y $Y Sa.,m Inspection Date Insp. Other Footings l Foundation Framing r r? Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC ?j Final ga Water Describe Location: Well Sewer Pr. Disp. Receipt (r PLUMBING PERMIT Permit No. CITY OF EAGAN ? Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Costa C Cn 3. Job Address//r??: 1. -, r /Lot Blk. Tract 4. Owner 5. Contractor, Phone i 6. Address ! 3 `/ % ,?i r_ F l? r i 7. City ; i State ?' ?rrr^7r? Zip 8. Building Type: Residential 0 9. Work Description: New lp 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Z Fixtures Water Closet No. Fixtures Cesspool/Drainfield r 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 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 Receipt q -)`L MECHANICAL PERMIT Permit No. L? ) n CITY OF EAGAN - { Fee Fill in num)Ieg%bly es S/C ` Type or Pr- Tot. 1. Date y 2. Installati3. Job Address BIk. I Tr act` c`lf 4. Owner r; 5. Contractor Phone 6. Address 7. City, State ?- Zip 5 S 5 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New ID Add ? Alter ? Repair ? 10. Describe 11. Type No. Equipment BTU • M. Ea. Forced Air v .? No. Equipment CFM Mfg.' Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg, h O Air Cond. t er Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances a codes )pverrr ny 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 464.8100 CASH RECEIPT { CITY OF EAGAN_s P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE c, 19 RECEIVED AMOUNT $ l & DOLLARS goo ? CASH ? CKECK 1 FOR V' FUND CODE AMOUNT 1 _ 1 Thank You BY 1 r, White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 1 3 9 5 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ..? _-: ;,-?""'. ,-- - • -.. BUILDING PERMIT Receipt # I / i ?1 To be used for Est. Value Date .. ` LY 22 ,19 1146 TIFFANY Lot " Block a Sec/Sub. Parcel No. Q Name . Wwv vm. ME MW =woo W Ban Z Address g -- City Phone OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well - Type of Const City Water (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. P City Phone v? W Name FW o n Address c i x z W City Phone APPROVALS FEES ,23?? Assessments Permit Water/Sewer - Surcharge Police Plan Review Fire _ SAC, City Engr. SAC. MWCC Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. thatthe information iscorrectand agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Variance " -- Signature of Permitt@@ ? Road Unit Treatment Pt Parks Copies we-we WW TOTAL A Building Permit is issued to: w?J? VIT= a k• MLt 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 Permit No. Permit Holder Date Telephone it Plumbing H.V.AC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation F1 Framing Roofing Rough Plbg. Rough Htg. Isui. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. I Deck Frmg. GC1[? Well Pr. Disp. BUILDING PERMIT To be used for PORCH CITY OF EAGAN19207 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , . Receipt # I ? '1 Est. Value Vtow Date JUN 7 tg 91 Site Address 1146 TIFFANY DR Lot Block 2 Sec/Sub.CA"9RBVRY FORE OFFICE USE ONLY Parcel No. Occupancy R-3 FEES Name 1KRIST$11 ITT Zoning (Actual) Const Permit 90,00 Bldg W 1 Address 11" TIFFANY DR (Allowable) . - 50 3 EAG" 452 2043 , Surcharge - City Phone # of Stories - Plan Review Length ow Name YAYHE 1 1 N Depth SAC Cit } OU" Address 3836 HARRIET S S.F. Total . y U F City IPLR Phone 823-9128 S.F. Footprints SAC, MCWCC t C W On Site Sewage a er onn W W Name On Site Well w M w t' Address MWCC System ater eter 4 W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Treatment PI r't Signature of Permitee N- APPROVALS Road Unit A Building Permit is issued to: VAYN Eil81i M Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building. Official " ` Variance TOTAL 93.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING HN.A.C. ELECTRIC }3aO 811119v Q Inspection Date Insp. Comments Footings 1 1!5a f1 $7 Foundation ?-o i - Framing Roofing Rough Plug. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final - o yw .,c Pc? Deck Ftg. Deck Final Well Pr. Disp. This request void 18 This request from (? `•months - /qi y L e m Q) T` V Request Oate - - fir No. Rough-in I ctioe Requ retll ,,yy,, f.y Ready Now ? Will Notify, Inanec- ' I ?yes No 'l for When Ready ??T Licensed Electrical Contractor 1 hereby request inspection of above 19 Owner electrical work installed at: Street Address, Box or Route No. City action No. Township Name or No. Range No. County Occupant (PRINT) x/pA'1J>xFw )' V17,4-1-,E7 Phone No, Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. NZ /) ,1G r. 1? /2 /- Mailing Address [Contractor or Owner Making Instailation) Authorized Signature (Con actor Owner Making Installation) Phone Number 15 Z -.G ! ? ?' ?? ? Y ?„ ._ .ate r<< e MINNESOTA STATE BOARD OF ELECTRICI'Jh' / THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. I ?? r frt(? REQUEST FOR ELECTRICAL INSPECTION 0 Ee-00001-04 Y I See instructions for co mpleting this form on back of yellow cop V. r1'1q 1 7 "'X"" Below work Covered by This Request (1A,;o 09 Add Rep. Type of Building Appliances Wired Equipment Wved Home Range ,\' Temporary Service Duplex Water Heater Lighting Fixtures .?.. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther Spec y [hei (Specify) the, ueci fy Other C)th,!r COMDUte'lnSDection Fee Below # Fee service Entrance Size # Fee FeedersrSubleeders # Fee Circuits 0 to 200 Amps T to 30 Am )s 0 to 30 Am Above 200-Amps 31 to 100 Amps 37 to 100 A s Swimming Pool Above 100 Amps Above 100_Amps Transformers Irrigation Booms Pa rtia ),'Other Fee Signs Special Inspection S 0 5 TOT E Remarks /< ? ? w Rough-in Date I, the Electrical Inspector, hereby car ify that the above Final Date i peetion has been de. This request void 18 months here 18 Y3-7gt( b 4?p If Threquest is from 18 months from ;J I ``?? 7rt q. -L S/ Cdrd?r?ur -41-%I• P. 6z Request Date - - Fire No. Rough-in Insp ion ?..,/ Reaus ?Ready Nowgt Wijl Notify Inspec- ?Ve ?NC for When Ready ? Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. //S?6 T/ffAd/ crec? t so _ City_ ??AG/1,(/ action, o. Township Name or No. Range No. County PAKo T4- Occupant(PRINT) /INM?FW J. V / 7,44 r" Phone No. Power Supplier Address Electrical Contractor (Com any Name) Contractor's License No. Mailing Address (Contractor of Owner Making Installation 6 9 1111e74, PT. ,?JG/9* Auth it Signature (Contractor?Own r Making Installation) Phone Number 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 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-004 l? See instructions for cgmpleting this form on back of yellow copy. ? /1 1 Q 11 7 j h "X- Below Work Covered by This Request r Add Rep. Type of Building Home Duplex Appliances Wired Rauge 0YZ Water Heater Equipment Wired Temporary Service Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other Spnci v Jy?// deer ISpecllyl T M-1 Sy qS1 y Omer Othnr Compute Inspection Fee Below # Fee Service Entra nce Size 0 to 200 Am 5 Above 200 q.1, At Fee Feeders /Subfeeders 0 to 30 Amps 31 to 100 Amps # Fns Circuits to 30 Amps 1 to 100 A S Swimming Pool Above 100_Amps Above 100_Am s Transformers Irriqation Booms Partial.'Other Fee Signs Special Inspection B TOTA Rerr?rks .J°` K' Rough-in III! Date I- the E al Inspector, hereby certify that the above Final Da,' inspection has been ?r7. made. This Mosel void 18 months from p 4338Q lie Request Dale g _ / ` ?/ Flre No. Rough-in spec n R quiretl ? Ready Now XW!II Notify Inspector Ves _ o When Ready? I ::] licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No I 7'711r;"4A/ C:,P 50 41 7-A/ Clty Section No. Township Name or No. Range No. County Occupant (PRINT, h'/- U/Ti9 /- Phone No. Power Suppler Address Electrical Contractor /(Company Name, S 461-/' Contractors License No. Making Address IContradpr or Owner Making Installation, S10"147 A s 4,13OV14F Amhorrzed 5i enure (C-cl arlor'Owner Making Installation, Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-0800 ENCLOSED. ([? ?/ REOUEST FOR ELECTRICAL INSPECTION !D! le See u stmctioni completing this form on back of yellow copy. r i i R ;i R in "X" Below Work Covered by This Request ,% Fe-coool- s=<.?' ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specity) Comm./Industrial Furnace Farm Air Conditioner Other Ispecilyl Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O l0 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only .?f OTA p •+ Irrigation Booms Q,•Q'7 D Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN TH I, the Electrical Inspector, hereby , ROeyn-in Date certify that the above inspection has been made. 2 Final Date OFFICE USE ONLY This request void 16 months from CITY OF EAGAN N2 19207 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for PORCH Est. Value $7,000 Site Address 1146 TIFFANY DR Lot 8 Block 2 Sec/Sub.CANTERBURY FORES' Parcel No. w Name KRISTEN HOTT Address 1146 TIFFANY DR ° City EAGAN Phone 452-2045 c Name WAYNE BREKKEN 8< Address 3836 HARRIET S City MPLS Phone 823-9128 G5 Name 5i Address `dw CityPhone I hereby acknowlege that I have read this application and state that the information is correct and agre to comply with pplicable State of Minnesota Statutes and of a an Ordinanc Signature of Permitee L A Building Permit is issued to. AYNE BREKKEN 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 INIq_k ki 1-o o Receipt # C 1 3 6 Ov Date JUN 7 tg 91 OFFICE USE ONLY Occupancy R-3 FEES Zoning (Actual) Const Bldg. Permit VU-tU (Allowable) Surcharge 3.50 # of Stories Length 16r Plan Review Depth SAC, City S.F. Total SAC. MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System - City Water A "L Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 93.50 CITY OF EAGAN N! 13 9 5 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt M=Mb 7.6-971 # To be used for DECK Est. Value $1,200 Date JULY 22 .19 87 Site Address 1146 TIFFANY '_CIRCI F SO Lot 8 Block 2 Sec/Sub. CANTERBURY FOREST Parcel No. ;IName A.J. VITALE &_K. HOTT = Address SAME O City Phone 452-2045 ,o Name SAME u< Address 1- City Phone t W W Name z75 Address aw City Phone OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council FEES Permit $23.90 Surcharge 1 _ nn Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks Copies - TOTAL g? I hereby acknowledge that 1 have read this application and state I Bidg. Off. _ that the information is correct and agree to complywith allapplicable APC State of Minnesota Statutes a City of Eagan rdi an e- Variance Signature of Permittee A J 'VIT I- A Building Permit is issued to., ALE & . hott on the express condition that A all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 it O 8959 ' PHONE: 454.8100 ? BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est.Vaup $96,000 Date APRIL 10 Ig 84 Site Address 1146 TIFFANY (.c ,A o Lot 8 Block 2 sec/Sub. CANTERBURY FOR Parcel No. 10-16350-080-02 t Name ANDREW VITALE/KRISTIN HOTT z Address 4694 HIRTA PT. 9 City EAGAN Phone 452-2045 s of u u? Name Address City - Phone Ww Nam e dre Adss <W Phone City . _ 1 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 Eagg nn races. Signature of Peunittee Erect EX Occupancy R3 Alter ? Zoning R1 Repair ? Fire Zone N A Enlarge ? Type of Corot. V Move ? # Stories Demolish ? Length 82 Grade ? Depth 50 Sq. Ft.- Approvals Fees Assessment Permit $ 421.00 Water BSew. Surcharge 48.00 Police Plan check 210.50 Fire SAC -525-00 Eng. Water Conn. 470-D0 Planner Water Meter F .; - n 0 Council Road Unit 26n-n0 Bldg Off . . APC Total $1,997.50 A Building Permit is is ued to• ANDREW VITALE/KRISTIN mur'r on the express condition that all work shall be done in a with al oppl bje State of Minnesota Statutes and City of Eagan Ordinances. Building Official 0 ! z. 421•+ 4 3 + 210•:+ 5 2 + 4 7 0 • + 634 260•+ 1997.51: To Be Used F0K--S;1-f A.. ?l Site Address // CITY OF EAGAN BUILDING Lot V Block a Sec./Sube4o Parcel #: o -/b 3 5O -D ?U- '- owner: Andrew V;4-a-( in Address: 469} 14,'Y-+o- City/Zip Code: E aaa r, , M Phone #: ?lS?1-ZOOS" Contractor: Address City/Zip Code: Phone #: Arch./Eng.: M? {?Pnn ?SSoCIq re5 Address: `73'7 U). Tj J47 t1, 5f City/Zip Code: Q ej.e, (I M N SS ?a`? Phone #: -t.1-2- - 1432- f 3 2- SSS 8 S Include 2 sets of plans, Include 1 site plan w/elevations & 1'set of energy calculations. Date g4 OFFICE USE.ONLY Lrect Occupancy Alter T Zoning _ API Repair Fire Zone Enlarge _ Type of Const. _ Move # Stories Demolish _ Front 02 ft. Grade Depth J-0 ft. APPROVALS FEES Assessments Permit 4?j - Water/Sewer Surcharge -/K ? Police Plan Check a/b sn Fire SAC SaS Eng. Water Conn. q76 Planner Water Meter (-3 Council Road Unit y0 Bldg. Off. APC TOTAL ^ / 7-7 O CITY OF EAGAN Remarks CANTERBURY FOREST 8 2 O wne o,,,((qq 5F 1/ Street 1146 TIFFANY R k State Parcel QJUP EAGAN MN wneC]?? ?- - Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 4[y 1979 Paid unde OPl final a Ce STREET RESTOR. GRADING 1981 106.78 5534 20 85.46 A013368 12-30-83 SAN SEW TRUNK 2 1973 Paid unde original a cel * SEWER LATERAL 7 'S 1981 439.42 21.97 20 351.54 A011368 12-30-83 WATERMAIN * WATER LATERAL 1981 20 WATER AREA a,,-, 1979 Paid undex origLinal pa rcel - STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROD IT 260.00 1142489 4-10-84 WATER CONN. 470.00 „ „ BUILDING PER. 8999 11 11 SAC 929-00 11 it PARK City of Eapu 3830 Pilot Knob Road Eagan MN 55122. Phone: (651) 6755675 Fax: (651) 675-5694 ----------------- Permit is?ce I #: I I I I Permit Fee: 1 I I Date Received: I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i ?o d R Site Address: Tenant: Suite M RESIDENT / OWNER Name: Liu' K-'AC Nk6?t Phone: Address/ City / Zip: *I& -V"6NU Olzk . ? ??/GV?l SS (23 Applicant is: - Owner ? Contractor TYPE OF WORK Description of work: 646\41 el-4 1541n9 ot-2c? Construction Cost: Multi-Family Building: (Yes -I No CONTRACTOR Name: A ?2'(67, ?11 YA_ I?lq (0 License #: J`( D4? r? J Aut Address: . 0 1??P State: WvN Zip: S5366 City: ?y[ V 1SU r l g Phone: ?JO - I ` 33? Contact Person: TES PLtAm- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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 woFAUG k which requires a review and approval of plans. X hmbn C IEME ?t Applicants Printed Name L flicant's Signature Q 1 2??$ Page 1 of3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex WORK TYPES ? New Addition Alteration ? Replacement ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 08-plex ?9 Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ? Interior Improvement ? Siding ? Demolish Building' ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation (7? Plan Review (25%100% Census Code # of Units # of Buildings. Type of Const. Occupancy _rj u 1, MCES System Code Edition _ Qt7?O SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (new hidg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof: -Ice & Water -Final Framing _ Fireplace: _R.I. _AirTest -Final Insulation Sheetrock Meter Size: Final/C.O. Final/No C.O. _ HVAC Other: Pool: -Footings -Air/Gas Tests -Final _ Siding: -Stucco Lath -Stone Lath -Brick _ Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge 0 O-D Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 I I / 'I I I I I I I I l ? t v - J ?J S f T I I I I i I I i I I I I I C_ z 11? 0 Imo ? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit *?j; ? C' -/ ? ?/d? Date ?/ 59 p,q Site Address I"Il0 Unit# Property Owner U ITT 1 IPST'1- Telephone # ( ) r p Contractor??_^ ?SI.S ?ftrA/Z i eim k' P ?? a ?c 2 - i C ty l Street Address 1 1r 0A Vl 2 7/ ' r State M y-\ y\ Zip Telephone # Bond #: Expires: The Applicant is Owner _14 Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional -Replacement _ New _ air exchanger ?n Il?rdpy\ 1? air conditioner ! _ heat pump Y f other A l s o : ?a eA (e?23?0L??, I It? /?+.) State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is compl te; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the M c odes; that I u)iderstand this is not a permit, but only an application for a permit, and work is not to start v 4 t; that a work n accordance with the app o ed. in the casef-wo )C which es a review and app Applicant's Printed Name Ap licant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ Install -Remove *"see below _ Interior Improvement - Install Piping - Processed -Gas Nature of Work: -When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes state Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If permit fee is less than $1,000, add $.50 If permit fee is more than S1,000, surcharge is $.50 for every $1,000 owed $ Total Fee f fiereoy apply for a Commercial Mechanical permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Approved By: Applicant's Signature Inspector Required Inspections: - U. G. -R.I. - Air Test - Gas Service Test _ hmfloor Heat _ Final ? ?3q 5= 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaukaments 3 registered site surveys showing sq. it of lot sq. R of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Remodelileoair Requirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate ff on-site septic system Office Use Only Carl of Survey Recd _Y _N Tree Pres Plan Recd _Y Tree Pres Required _Y _N Omits Septic System _Y _N Date -./-/-1?/ D-? Site Address /- l?,6 ? _Z14,.. Construction Cost ? Ooo 4 GiG Unit/Ste # Description of Work Multi-Family Bldg _ Y 21-'-N Fireplace(s) pl--0 - 1 - 2 Property Owner 6l r Telephone # ( ) Contractor W *1p c-F 5 Address "2/ d .5- State A0 City it ?sdi%(/ zip ?Sd Flo Telephone # (931) 8 9B - A-3 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residenti ild?hg Perini d acknowledge that the information is complete and accurate; that the work will be in confo with ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a ermit t only an application for a permit, and work is not to start without a permit; that the work will be in actor a with the approved plan in the case of work which requires a review and approval of plans. 6 -.r- 6711 Applicant's Printed Name Applicant's Signature ti? laq?,? /7/01 ia/ , It-717alw /a% 4 OFFICE USE ONLY zoo 3y?7 Ao7' Cvv1At4j1Z fwp' Z Sub Types k n4? l34 w9sxz ? 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 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage /`1 22 Porch/Addn- (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant //-01 Valuation ao Occupancy MCES System Plan Review -Z,00%or -25% Census Code LI 3 y Zoning _ City Water SAC Units - Stories °Z Booster Pump # of Units - Sq. Ft. PRV # of Bldgs Length Fire Sprinklered _ Type of Const Width - Footings (new bldg) _ Footings (deck) 1 Footings (addition) Foundation _ Drain Tile Roof ;Y Ice & Water J Final Framing Fireplace -* R.I. Air Test *F Final Insulation l Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. FinaVNo C.O. _ Plumbing M,EG!/ I /W?t w;r HVAC /oa til cv / v a ire G Other Pool _ Ftgs _ Air/Gas Tests Final Siding _ Stucco - Stone - Brick- Windows Retaining Wall Building Inspector s F?? s ?g a' ? /7 71z so ;ayGz /-?0oG01- Permit Number REScheck Compliance Certificate 2000 Minnesota Energy Code REScheckSoflware Version 3.5 Release la Data filename: Untitledrek fed // Al to - / Z/"' f 6.': COUNTY: Dakota .a-pitN / STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10/18/05 COMPLIANCE: ams, Maximum UA = 120 Your Home UA = 94 21.7% BetteL Code (UA) Checked By/Date C????? 5, Gross Glazing Area or Cavity' Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 406 44.0 0.0 11 Wall l: Wood Frame, 16" o.c. 896 19.0 1.7 46 Basement Wall 1: Masonry Block with Empty Cells 174 ]f 0.0 10 Wall height: 7.8' Depth below grade: 7.0' Insulation depth: 7.8' Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 43 0.340 15 Door 1: Solid 33 0.370 12 Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.340 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.5 Release la (formerly M ECchec4 and to comply with the mandatory requirements listed in the REScheckInspection Checklist. Builder/Designet_cb ?i Date /a $ o NEW SPACES WEEKLY PRODUCTION t f Eli r Imo. < 4t + t;r t /IV Ckl `? l t a T `'` ?, -., DATE 06/23/2006 City of Eagan PennlRes.rpt PERMIT INSPECTION RESULTS Permit Number: EA071395 BL Address: 1146 Tiffany Cir S Sub Type: Porch/Addition (4 season) Work Type: Addition Description: Date Inspection Type Inspected By 05/23/2006 Final - No CO. Requir Tom Miklya 01/0612006 Fireplace Rough-In Jeff Wheeler 01/03/2006 Insulation Tom Miklya 01/03/2006 Framing Tom Miklya 01/03/2006 Roof Ice Protection Tom Miklya 01/03/2006 Htg R I Tom Miklya 12/29/2005 Framing Terry Zelenka 12/29/2005 Fireplace Air Test Terry Zelenka 12/29/2005 Fireplace Rough-In Terry Zelenka 11/14/2005 Foundation Torn Mildya 11/10/2005 Footings Craig Novaczyk Result Partial Inspection Pass Pass Pass Pass Pass Correction Notice Pass Correction Notice Pass Pass Comments see remarks main &fireplace ok see rem. PAGE Date 06/23/2006 Page Permit Inspections Entry Comments Identification: EA071395 - 1146 Tiffany Cir S Comments: 12 28 05 tz fiming &fireplace 1 repair cut bottom cut floor joists 2 fireplace needs to be vented different no insulation or heatshield DONE jtw 3 need to run return in main entry seal returns 4 add bearing by laundry shoot 5 22 by 30 access 5/23/06 Final TM -need to final out permit 71531 ME added a furnace in the lower level no orsate test and no air tests -also added a heater in garage will need a permit for that ' A EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 011•1NER HOT1_, UI _FALL1= i?1:sl l7>%kG? SITE ADDRESS . A?+I ITEGj f6*Rb C+&R- E1GK-O?ACa DATE 3ozo •84 PHONE 43z - SS S6 Determine working square footage of each. 1. Total exposed wall area'....... Z?o9?O sq..ft. x . ....... 1152, sq..ft. x 2. Total roof/ceiling area Total exposed wall area above floor .= ?5s9 a. Total wall window area ................ ..... 199 b. Total door area .. ....... :..... _ bo 79 -.- ............. ... c.`Total sliding glass door area . - d. Total fireplace wall area.. ........ ............ e. Total wall framing area (average 10%)...:....... 194, f: Total net wall area above floor ............ ::. 17104 g: Total rim joist area ............................ 348 Total-exposed foundation area = $ 7 h. Total foundation window area... ...... - i. Toal net foundation area above grade ............ 67 Determine "U" value of each wall segment: . a. 199 X plUll 34 _ .. I . (a4 ba 40 X "Ull 34 = 13 (uD C; -19 X A'U" ss 30. as d. X A1UH ro 19. too e. 194y X A,U,f f. 17(04 X Ilull 04 = 70 .5(0 9• 34$ X llult 04 h. X $.Ull i. 87 X $Ul to = 8.7d 3 ................................... .Total - Z 30.84 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 = 1,13Z. j. Total skylight area............ Z.1 .k. Total roof/ceiling framing area (average l 3 1. Total net insulated roof/eeiling area........... 1 0 I9 Determine "U" value for each roof/ceiling segment. j. z4' x "U" L. X foul, 7 . 101 8 X nu . oz zo : 3/0' 4........'..... ....................Total = : 17 If total of #4 is the same as, or less than r2 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 #1 and A2. .., 2. o??^ fv {407T/ U /-rA LT? fTf,55)Dr:: ?-cCr-, A--5??Mv;t,Y K -t v 1/44-OeF.s : C0T5ID!? AI K Fiu 17 (oGP55 I. 9 Z INS/Dr? AI K F/L-J 1 • 68 TOTA(, Z.77 K U= .3/v Z b, DooI5S - [,c9cr?p a7TsIDB Al K Fit?M . 17 r• ? Z.oq I N1511Da At K FILM !08 TOTAL z . 89 9 0=. 34 M erw, G uaD I W stJ?a7 r) O Iris l c--- Ain F/G./` 1 .17 fir{ 49-00 1 N SI Dl-= A. 19 P14-,O`1 . 6:_ Z --rcrr.d?L- b . 65g U ° . Ig ZG DGcOYS - SL.I DI h[G7 C-PL-4?S 04rr's1a? &ar- f:4icl•-1 . 17 Poo3r- I . -Z t N S 1176 A•l 1= ?l L-M .(08 = .38 Torte Z.. 6 7 L) Zd uoN.? Z e, L0.6-L,4, 1rXZA -11 OL7r5iv? A-tic f (LLM .I'1 5/8" ppz"<wzVoV 51p1?4p 93 S H F•ATH 1 AL, 1 .3z Z . x Co" oruv (p .z9 l?Z ro`CP rso,arC7 •45 11?,5iP? ate- ?IC,M .&S Tcr?AG. 9. Z9 K L) ° . ro Z f l.aaLt-- Wrl5lDr-, Air, PIL- i 0/&" rpt -`(ocov S1 rr ucq 5H 0-A-11H I t t /o" 13A1T 1Nsut s.-no? 114" gfc->Y p r;od1? v 145ID1i ,a.lrZ Fit-K •17 .93 1.3Z 19.00 .45 los gbTAt, zZ.551Z u = , o4 Zj g1 M ifs - OITr6I DJ: W r- FIL4.1 -1-7 5/8" RYuznv tipf o •93 6H 6A.T+4 1 bJ LS 1. 3Z 1'/z"-fHL-CJ ? I•en to " 82F-T- lUir>0L,,b--r70ltlL 141. CIO 11.151Q0 A.1r: F*IL'm .108 To'rA.1, 23.9'9 K u = . 04 Z h ?c,ND,?Ttch.1 Wrt.l'GOLas C?l9T"5l D? Aw 2 FI L- H .17 ?SL,Rs56 r . 9Z TcsrAL, 2 . '77 2 L) .3? Z i TO ON V-A-:Tlo1-4 CvrI lP>: ,NJ r? rrl L4--f .1-7 1 Z " sTp. GONG. 5,<. Z, --t8 yz' ??6rr;l 11451?L (p.00 Yz" GYP. 13P 1 4slvrl art' Flt-M -rarAtL 9.78 e us .10 3J SKYu?T- Al r- GL.dss ? . R z 1 14 61 Qr= AI CZ- PIL-M • 46 Tdr t, Z. 77 Q U- .5(e 3K fry F r-to•M 1uG7 .641F- FI L?H . 17 PcSFaHL?T SNt`t`tG7l..F-S -4?f l rA`«r? r-?cT . c? ToY ? Bv['foH cHOT?I o? 8. 75 ?F r>zcass 1 fJ51 ? a rz ?rr?e-r .rob Tc?LX? l1.59 ? v=.ay 31 KaCrF2- Q9T51Dle= AI>z ?^ICf-l .17 ,aSPNt?LT "v1 !l f?t?ar-? A-t ( LA'ts;TL a?r?' . oCn S/8" Pt?Ku?r7 sa-R"6. . ??3 gv-rT 11.r.5Ut„ri-rro?.(- !z" 3ro.oo by P. PD. • ago IN?vlrj? A.I Q FILH Cc8 'T?id1, W . e4 R U a . oz. ?3 y 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN 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 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET 01 ENERGY CALCULATIONS 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: -PAT Site Address // 12DO, : . ROO. Lot O bO Block 0.2 ' I? On Site Sewage JII;;'?MWCC System Parcel/Sub u6iiL1!/UMI/L"? On Site Well owner A.J. U(Ti91-E l- IV. #07- T City Slater - Address 5h1nC 4-5 A 56111 City/Zip CodeFAGAN, 5'z5*1 23 Phone ?sz ?b/yCS ContractorAo/nE 0VIAIEk Address 5 I/ 'dCity/Zip Code Phone Arch./Engr. - Address - City/Zip Code APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: a / JULY R7 Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge I. Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL L Phone 11 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be/Used For: Valuation: Date: Site Address Lot U Block Z Parcel/SubCAN-1SR13uitV FOREST Owner TAN 7`T Address ? City/Zip Code G? Phone /( ?f Contractor ` ( J yN?r Address ,?Q n City/Zip Code A-c a ?qS SS yo f Phone Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Occupancy R 3 Zoning Actual Const Allowable # of stories Length Al' Depth 8 S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. S (a 9/ Variance FEES Bldg. Permit 86.00 Surcharge 3'.5D Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with (Sign ire of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. LC ?t ± 2/ad y CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: /?'?? /IffANY O.A . =-AL DESCRIPTION : L a r . ? AOGi! / C A, , r rE2 f zt 2 Y f o P t i - /Sub divisi ?(Lot/Blockon or Tax Parcel T.D. Number) IS?_ :G STRUC TIRE, DATE OF ORIGP :AI, BUILDDIG Pte', M Tc PP?S? "^„I%!/PROPOS^ LS : ® R-1 SDTGLE FA1IILY - - -" / ? R-2 DUPLE;{ (Tin-) UNITS) ? R-3 TCI.vNHCUSE (THREE + UNITS) ( UNITS) ? R-4 ApART1`!E' `T/COiIDQ%1INTLtii ( UNITS i ? C9,111 4CIAL/RETAIL/OFFICE ? I1MUSTRIAL ? INSTITUTIONAL/G0VMNImt ENT 2) APPLI= (PLEASE PRINT) NAME: ANAQai, UrrAGE J?2rrrr? Jfo-,- ADDRESS- -??U. 9z..QrA A CITY, STATE, ZIP: ?. AG A a /?? xry?fSo:'A PHONE: eES?-?Gys ASE PRINT) 3) PuI IBS FOR CITY USE.ONLI'' NAME: PLU SAS LICENSE: ADDRESS: ,n /t?j 17)111A /..?YJ? _ Active CITY, STATE, ZIP: T ?N? 5 tsi2a ?] Expired PHONE: PLUMBER LICENSE A `Zg?yy Not of Record A arr la 4) OCCUPA%?]T/awNER (PLEASE PRINT) NAME: 1Ly_z-C rz W'>r ADDRESS: 44 j tj //r2 sA p; CITY, STATE; ZIP: EAC?Y? f iY7x ??i PHONE: ?fS1 - )iG y 5) INDICATE WfiICH PEPXIT IS BEING REQUESTED: ® cc%,iIECrION To CITY SEWER ® COCINEX TION TO CITY WATER ? OTI'.ER (PLEASE DESCRIBE) 6) INDIC " O`er: ? PLEASE IIOLD APPROVLU PERMIT FOR PICT:-UP BY ONE OF ABG'. ? PLEASE MAIL APP PERMIT To f 11 2 4 ABOVE ircl one) 7) SIG -,7=?E: DATE: Cv?Z 2/?? ??l Y:i{i?#JO:I?iilra#a sff?lt#s .. . S1-a?.? ? of ?:ss:? ?r r 1! ?r ?a:rr3.f? r r s s ??ras?tr n F 0 PERMIT ° ISSUED C I T Y U S E O N L Y FEES. $ io. S a $ -d S $ z< e ?-a $ $ S SE:•iER PERMIT T ( I`ICL;:DE SURC??r= G ) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEINER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ J??• rd AMOUNT PAID/RECEIPT # eL ??? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C' 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: l - 04 aw Rfd r =ice wkm Nam t akm wtr Nam ¦f qp-m W Pd Ra ¦k0oA +piq•f4 R# W*W f * f" wL40 ¦!M re s?P8 W M ?Ia02 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. _WSo -So Date ?? / ? l_` ! d , ?- Site Street Address Z/ / / ????f Ci ?. S• Unit # ? y s Gf e Telephone # ( ) Property Owner ?- / / Contractor t?°/65 LGH? P?f?G • Telephone # Qqq) Address X00 Ocfl<C?? c? L??^ C City 113' fig56'lIf Stated zip 53-,-13> The Applicant is: Owner zV-Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener andlor water heater at the same time. if you are Installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 St' $ S Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be revi ed an appr ved. [ROVED (>,g6/0 f?Pch yP( pni Applicant's Printed Name Applicant's Signature 2 2005 RESIDENTIAL '-I U %-4Ol BUILDING PERMIT APPLICATION CITY OF EAGAN !' i__} a S 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements . 3 registered site surveys showing sq. ft. of lot, sq. R of house: and L roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window saes: poured found design, etc.) . 1 set of Energy Calculations . 3 copies of Tree Preservation Plan If lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE E3 ?7-01 JOB SITE ADDRESS I/ Y6 1'/ G IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IfYI S TTD TYPE OF WORKrrf - Y P r/OD? APPLICANT c7GLr t 14 ?f?h? . ?l TSB ADDRESS /0:21? FYG1diG S• t! PAGER # CELL PHONE # hr?Tk, /P Aj ZIPCODE? -'fin -q26D FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. 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 O?'na es.? Signature of Applicant / Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated trot FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# 9K2 -920-9?T/ RemodelfReoair Reaulrements V 2 copies of Wan . 1 set of Energy Calculations for created additions . 1 site survey for exterior additions & decks . Indicate 9 home served by septic system for additions VALUATION tp GV_ I OFFICE USE ONLY ? 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 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 MCIES 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 Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fireplace _ R.I. - Air Test - Final _ Siding _ Stucco _ Stone Insulation _ Windows (new /replacement) Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total HVAC Building Inspector r~ r, . F--` `I _ 1 _J ~ ~ i 1 ` - a I ` ` Ali I i < < 1 _ ~ + 8 _ f i I ~ G ~ _ ~ ; G 7- o l , - i T G. ~,r , ~ i ~ i ~ _ ~ 1 - _ _ _ l - - ' - ~ ~ ~ - ~ j _ ti i ~ ~ ~ ~ ~ \r i % ~ ~ - 7~~ 1 _ - _ _ i ~ I ~ ~ } , I~. ;,t ~ ~ ~ I ' r-. - i ~ ~ ~ ~ ~ ~ ! 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Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Meg Nathan 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 - K Hott 1146 Tiffany Cir S Eagan MN 55123 (612) 599-6454 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122495 Date Issued:05/09/2014 Permit Category:ePermit Site Address: 1146 Tiffany Cir S Lot:8 Block: 2 Addition: Canterbury Forest PID:10-16350-02-080 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - K Hott 1146 Tiffany Cir S Eagan MN 55123 (612) 599-6454 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature � ' � U�e BLUE op BLACK ink �----------------;�� ' � For Office Use ,/" ' ��f�� ,i�, ,�� . j Permit#: _ �� City of E�� Permit Fee: � ` I � � 3830 Pilot Knob Road �E�VED � � Eagan MN 55122 RE � Date Received: � Phone:(651)675-5675 Fax:(651)675-5694 OCT 0 9 2015 � sta�: ; ��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t�� SiteAddress: I� �s Tt F�y �tJ�ca-�'" S' unit#: Name: k7�j 1/i T�-� �' �� r`-'l! Phone: �r�er�t! ` C�y��e �_ E a-�,-�. IN1� ;� . Address/City/Zip: � � �� 1�FPtf1't��L - Applicant is: Owner �Contracto �' i C e�.�sTN (� ' ` � � � '�� ,.��r' �i� � � a� Description ofwork: 1 0 CE� ��5 , � 9�i c� ��'� r �r� Construction Cost: � �� Multi-Family Building: (Yes /No� Company: ��`w �P►��=`� � Contact: S�-��i— �d�t.t�-�T r d3 �it?t1'��'BC�OP . , Address: �� l..v,� �L1'3 � City: �Uc 1�21�1 �V!C��" State:�N Zip: � Phone�^��3�mail: � � ��`�s�� License#: �C= �G 1 �`� Lead Certificate#: ��T� t— ��a t�l'o�—I If the project is exempt from lead certification, please explain why: N��- P�� , 7g ��C�� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN �M� .� �.l O ' ��i? 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: ��-�-��L '�� Licensed Plumber: I�( e' I�i�t,'►n�g� N G �� w C`'- Phone: Mechanical Contractor: ��lR'�t ��`P �1-H'�G- Phone:��- 3�e�- g�� Sewer&Water Contractor: � Phone: Fire Suppression Contractor: Phone: t � � �.�c �s+ �" s��9�o� �� s � �'�� C �# �fnforr�tian m� s asr�t c �o�p�O �` ; �v x» " ` . 9, '.. ..- ,. . . G.:. : �3�. . . ,�, ,. 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 aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ��2� x 1 V��'tiC� �� ! X � ApplicanYs Printed Name � �,� ��-�— ApplicanYs Signa re Page 1 of 3 ti � �� /� l , �� '" � , /�1.Ci �O NOT iNRiTE BELOiN THiS LINE � �`�1`� � � SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior �' Alteration _ Fire Repair _ Windows _ Demolish Foundation �Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation _�I�� Occupancy MCES System Plan Review Code Edition . SAC Units (25%_100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length � Fire Suppression Required Type of Construction � Width �_ REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) �( Final/No C.O. Required Foundation �` HVAC Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone �ath _Brick � Insulation Windows �;Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final �; Braced Walls Erosion Control �,,, Other: Reviewed By: � � , Building Inspector RESIDENTIAL FEES Base Fee � J�� l��/ �/��7, � -�� Surcharge ��,��j��,, 1 1 �y li-1� Plan Review � ' MCES SAC �� City SAC � � / (..� ��' �� Utility Connection Charge �`�� G � � � S&W Permit 8�Surcharge � "��t� ,�. r��r Treatment Plant � �{,� S i �� Copies � �� TOTAL Page 2 of 3 • Adtek Software Co �n a �� . � , 105 S Main St-Toluca, III 61369 1146 Tiffany Circle South y 815-452-2345-sates@adteksoft.com Sales Consuitant: � ��J �1 � Job#: Date: 12/02/2015 System i (Average Load Procedure) Design Conditions Location: Minneapolis/St Paul AP, Minnesota Elevation: 834 ft Daily Range: Medium Input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 44°N Design Grains: 24 Summer: 90 75 Heated Area 288 Sq.Ft. Winter: -11 61 Cooled Area 288 Sq,Ft. H�at/Loss Sumrnary (Juiy Heat Load Calculations} Gross Sensible Latent � ��Q �, r Area Loss Gain Gain ��`�� ^� Walis 576 1648 138 0 � Windows 60 20�0 1622 0 Doors 42 1�79 424 0 Ceilings 144 270 150 0 Skylights 0 0 0 0 Floors 144 279 0 0 Room Internai �sads 0 0 0 Blower Load 1707 0 il . Hot Water Piping Load U 0 Winter Humidifica�ion Load 0 0 0 Infiltration 626 68 67 � - ---rt Approved ACCA Ventilation 0 0 � MJ8 CalculatiQns Duct Loss/Gain EHLF=O ESGF-O 0 0 0 AED �xcursion nIa 635 Na Subtotal 6032 4744 67 Total Heating 6032 Btuh 2 kw of electric heat Totai Cooling 4811 Btuh 12 Linear ft. of Hydronic Baseboard *Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates based on building use,weather data, and inputted values such as R-Values,window types,duct loss, etc. Equipment selection should meet both the latent and sensible gain as well as building heat loss. Thi�a�plica#ion has g/ass areas tha#produce large cooting loads for part of the day. Variable air volume d.. .....,. ,.v.. ,�...wr.:,....1 a .................« 1,...w.. ..r. /n.. :.. ..l..r 1.....J t l.�wswll n +1�•.J w��wfnw. _..... . . ... ..._._ _._., . . . .n.+i. w«.«.'. ; . . .. _..:. ..._. .._'-.�� _,- __:: __ _...._.: _.._.._' _ '� :__._ _. ..��_.._ '___'_-._ _.__._...... .�. __.__e ____. �.. .. , .. . . . . . rY 3`-.,�•.�•-"-.::L�•::-•• '�.• �" * . " � �:7�',..7.,:...�.,...�::'�' ..L.:_:L..��.1 :.:+:1 :j„a I.�y 7::3 �,i:213.'7�'ftl liftJ?77J. iliJFLj7L' ........_. i. �.,..,.....- ..__......_. ;{��;e�€��s�ipment rnay nvr�x�su�tazrie rvr rnis appiicarion. Adtek AccuLaad Report Version 7.0.1 Page 1 • . Adtek Software Co , 105 S Main St-Toluca, Iil 61369 1146 Tiffany Circie South 815-452-2345 -salesC�adteksoft.com S�les C�nsultant: Job#: Date: 12/02/2015 1 st floor (A verage Load Procedure) Design Conditions � Location: Minneapolis/St Paui AP, Minnesota Efevation: 834 ft Daily Range: Medium Input Data: Ou#door Dry Bulb Indoor Dry Bulb Latitude: 44°N Design Grains: 24 Summer: 90 75 Heated Area 144 Sq.Ft. Winter: -11 61 Cooled Area 144 Sq.Ft. Heat/Loss Summary (July Heat Load Calcutations) Gross Sensible Latent Area Loss Gain Gain Walls 288 778 138 0 Win�lows 6C► 2�}3G 1622 0 Doors 42 1179 424 0 Ceilings 144 270 150 0 Skylights 0 0 0 0 �loors 0 0 0 0 Room Internai Loads 0 0 0 Blower Load 0 1707 0 Hot Water Piping Load 0 0 Winter Numidifica�ioo� Laad 0 0 Infiltration 626 68 67 -�-.. _ ., .� _. . ; Approved ACCA Ventilation Q 0 0 MJ8 Calculations Duct LosslGain 0 0 0 AED Exaursion r�la 635 nla Subtotal 4883 4744 67 Totai Heating 4883 Btuh 2 kw of electric heat Total Cooling 4811 Btuh 10 Linear ft. of Hydronic Baseboard *Calculations are based on the At;CA Manual J 8th Editian and are appraved by ACCA. Ali computed calculations are estimates based on building use,weather data, and inputted values such as R-Values,window types,duct loss,etc. Equipment selection should meet both the latent and sensible gain as weil as buiiding heat loss. Adtek AccuLoad Report Versian 7.0.1 Page 2 • , Adtek Software Co , • 105 S Main St-Toluca, 111 61369 1146 Tiffany Circle South ' 815-452-2345-sales@adteksoft.com Sai�s Consuitant: Job#: Date: 12/02/2015 basement (Average Load Procedure) Gesign Condifions Location: Minneapolis/St Paul AP, Minnesota Elevation: 834 ft Daily Range: Medium input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 44°N Design Grains: 24 Summer: 90 75 Heated Area 144 Sq.Ft. Winter: -11 61 Gr,oled Area 144 Sq.Ft. Heat/Loss Summary {July Heat Load Calculations) Gross Sensible Latent Area Loss Gain Gain Walls 288 870 0 0 Windaws 0 i} 0 0 Doors 0 0 0 0 Ceilings 0 0 0 0 Skyligh#s 0 0 0 0 Flaors 144 279 4 0 Room Internal Loads 0 0 0 Blower Load 0 0 0 ^ ' ; Hot Water Piping Laad 0 0 ' Winter Humidi#ica°ion Loac! Q 0 Infiltratian 0 0 0 - -_e .w__�.�� . . Approved ACCA Ventilation 0 0 0 MJ8 Calculations Duct Loss/Gain 0 0 0 A��3 Excursian nla 0 n/a Subtotat 1149 0 0 Totai Heating 1149 Btuh 1 kw of electric heat Total Cooling 0 Btuh 3 Linear ft.of Hydronic Baseboard *Calculations are based on the ACCA Manuat J 8th Edition and are approved by ACCA. Ait computed calculations are estimates based on buiiding use,weather data, and inputted values such as R-Values,window types, duct loss, etc. Equipment selection s4�ould meet both #he latent and sensible gain as well as building heat loss. Adtek AccuLoad Repor#Version 7.0.1 Page 3 • , Adtek Software Co , , 105 S Main St-Toluca, III 61369 1146 Tiffany Circle South ' 815-452-2345-sales@adteksoft.com Sales Consultant: Job#: Date: 12/02/2015 � System J Breakdown � Item Name U-Value /SHGC Net Area Htg. HTM. Clg. HTM Sens. Htg. Sens. Clg. Lat. Clg. Total Clg. Construction Type Svstem I 0 1707 0 1707 1 st floor 0 0 0 0 Ceiling OA26 144 1.872 1.04 27Q 150 0 1�0 Ceiling under FHA Vented Attic or Attic Knee Wall, With Radiant Barrier�Asphalt Shingles�Dark, R Heavy Bold Color�R-38 insulation East Wall 0.058 54 4.176 0.74 226 40 0 40 Frame WalUPartition�NA�NA�Wood�R-21�R-3�NA�Siding or Stucco�NA Door-6x7 0.39 42 28.08 10.1 1179 424 0 424 Wood�Solid Core�No Storm South Wall 0.058 66 4.176 0.74 276 49 0 49 Frame Wall/Partition�NA�NA�Wood�R-21�R-3�NA�Siding or Stucco�NA Window-6x5 0.47/0 30 33.84 16.13 1015 484 0 484 Operable�Normal Window�Low-e (0.60)�2 Pane�lnsulated Fiberglass West Wall 0.058 66 4.176 0.74 276 49 0 49 Frame Wall/Partition�NA�NA�Wood�R-21�R-3�NA�Siding or Stucco�NA Window-6x5 0.47/0 30 33.84 37.93 1015 1138 0 1138 Operable�Normal Window�Low-e{0.60}�2 Pane�lnsulated Fiberglass basement 0 0 0 0 Floor 0.027 144 1.944 279 0 0 0 Basement Floor{2ft+ Below Grade)�NA�NA�NA�No Insulation�Any Floor Covering�20 feet�NA East Wall 0.042 96 3.024 290 0 0 0 Basement WaII�NA�Concrete Block WaII�Wood�R-21�None�Filled�Block�4ft South Wall 0.042 96 3.024 290 0 0 0 Adtek AccuLoad Report Version 7.0.1 Page 4 • , Adtek Software Co , 105 S Main St-Toluca, Iil 61369 1146 Tiffany Circle South 815-452-2345-sales@adteksoft.com Sales Consu#tant: Job#: Date: 12/02/2015 Basement WaII�NA�Concrete Block WaI1�Wood�R-21�None��illed�Block�4ft West Wall 0.042 96 3.024 290 0 0 0 Basement WaII�NA�Concrete Block WaII�Wood�R-21�None�Fiiled�Block�4ft Adtek AccuLoad Repart Version 7.0,1 Page 5 • Adtek Software Co .. � 105 S Main St-To(uca, 111 61369 1146 Tiffany Gircle South ' 815a452-2345-��ies�adteksoft.cam Sales Consultan#: Job#: Date: 12/02/2015 � ^ System l CFM Duct sizes and velocities based on settings selected in the setup screen. �Duct sizes calculated using this CFM. Winter Summer Winter Summer Return Supply Calculated Calculated System System Item Name Velocity RA Duct Size Velocity SA Duct Size CFM CFM CFM CFM System I 0 0 93 187 0 '` 0 1 st floor 0 0 75 187 0 '' 0 basement 0 0 18 0 0 * 0 Adtek AccuLoad Report Version 7.0.1 Page 6 � � } a � ��, �.�� > � � ��'��+�,�"� � t � �. �� ,, ,,� �,�^�� w ��s i � ('� ,� "� '� "'.��` *� �.y. � � . � 'e.f � �� '� �� T 'F / ��; ; � . ... . . � f . . � S� ;;�,.., :. 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PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163842 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 1146 Tiffany Cir S Lot:8 Block: 2 Addition: Canterbury Forest PID:10-16350-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - K Hott 1146 Tiffany Cir S Eagan MN 55123 (651) 452-2045 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature