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1147 Tiffany Cir NCity of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Ct (( Date: May 3-20 ii Site Address: MI ! 72 n L- o e7 , lei S7JUnit #: RESIDENT / OWNER Name: 00 45 - e I tr Phone: 657- 45-q-35-4) / J Address / City / Zip: //1f7 (/ �'renr Or A/ fan �//%• 537)3 Applicant is: x Owner Contractor1 TYPE OF WORK p T // f J� h t� J r aho•fe r� Description of work: -From $'..51112 /^oo' a Arch O//t! reN oo S�i2a�lt Pt d�a ,/� Construction Cost: I /� �a/La L Multi -Family Building: (Yes / No /� ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE:Plans and supporting documents that you submit areconsidered 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 they are trade:°secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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. x QogSlas /?. Sett,/ Applicant's Printed Name / x Applicant' Signature Page 1 of 3 1 /- 7 SUB TYPES Foundation Fireplace \( Single Family Multi Garage Deck DO NOT WRITE BELOW THIS LINE 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool n -lop r7jrL Interior Improvement Move Building Fire Repair Repair (25% 100% > ) Census Code # of Units # of Buildings Type of Construction v REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Ice & Water Final ( Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Siding: _Stucco Lath Stone Lath _ Windows Retaining Wall: Footings Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (11/01,1' 5r -Go e,61froi.r y co(15t° o ie 0 Page 2 of 3 4101 West 110th Bloomington, Mn. " 31 C(4- WOW SIOVEVORIN UDC • ____.e %Mew u..sfThe Sado. of Iffionosolo an-14IM4writer* -isM asisiagranr. suarmercrrai SUNYEYOR'i CERTIFICATE SCALE: 1 &nob 0 30 feet - 931 ¢ Denotes ung elevation •►- Denotes pA osed drainage Denotes elevation 0 -Denotes wood hub Proposedae floor elev. • �. j#1 Nik qC9(-7-6' 9°7 kSe k Shades >c( fic_7,. , ( r,4".47- rizollo lts> Y)tc( - coi . 1 (,), Drainage & utility easement • CITY OF EAGAN 3530 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 ..moist ar.RV IbC rcKMI1 PERMIT NO.: DATE: Zoning: i No, of Units: I Owner: :ivend Petc-rse6n : osst Address: Site Address: CanteburY Forest No.: No.. to ean* With the City of 1e90s Connection charge: _ 450.00 pd - Account Deposit: Permit Fee: 1 ?1.+10 -d Surcharge: • ' ?? Misc. Charges: 60.00 i?t{ meter Total: Date Paid: TY OF EAGAN SEWER SERVICE PERMIT 30 Pil;t Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE; ping: No. of Units: 1 Fner. Svend Paterson Const v y- 9 - e to emu* with the City of uses Connection Charge: - a; 5.00 L2d otdisesoss. Account Deposit: Permit Fee: ''d Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN R 3743 Pilot Knob Read Eagan, MN SSln PHONES JIS4-111100 BUILDING PERMIT Receipt # T- tv .....r s,,, Sr O:dG/GA].t $105,000 n..,. July 26 10 S3 Site Address ` 1 Lot Block 10 1(350 Parcel # a = ac s 7 Name Owner ou Address City t` yw Name Forest Address 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 Eagan Ordinances. Erect ?:M Occupancy R-3 Alter Q Zoning-1 Repair Q Fire Zone Enlarge ? Type of Const. V Move Q # Stories Demolish Q 5 7 Length Grade ? Depth 41-4 Sq. Ft. Approva Is Fees Assessment Water E. Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 7 Surcharge 52. Plan check SAC , Water Conn. 30.00 0 00 Water Meter . Road Unit 2 5 • . ' I ) Total $2005.75 Signature of Permittee I e ersen enst.: Inc. A Building Permit is issued to: an the express condition that all work shall be done in accordance with all applicable Stote_df Minnesota Statutes and City of Eagan Ordinances. Building Official 'O 0 C S C Z I lb u o r - E rv? ? ? K1 ? 60 o a `? M N cs' N ? N ?. O e w S E ^' O J1 a s w d N z 1- 3 ? ? M r- o a Q YJ 8 c _ ' C R LL IL LL C LL U. IL ; d Receipt C PLUMBING PERMIT Permit No. 1 t CITY OF EAGAN Fee ,• Fill in numbered spaces S/C Type or Print legibly Tot. ?:. 1. Date 2. Installation Cost I { 3. Job Address ` Lot Blk. ! Tract 4. Owner % V 5. Contractor Phone 6. Address 7. City -- State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New1?, Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other T Laundry Tray - _ t Floor Drains _ j 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 MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address?Uot Blk. 4. Owner 5. Contractor 6. Address 7 7. City State 8. Building Type: Residential D Commercial ? 9. Work Description: New E Add ? Alter ? 10. Describe 11. No. Fee S/C Tot. _ Tract Zip tutional ? Repair ? Fuel Type 4afz ZI A No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 ?? r CITY OF EAGAN-".F 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for PWL Est. Value $10.000 Date AUG Site Address 1147 TI17ANY CIR N Lot 9 Block I Sec/Sub. CANTERBURY Parcel No. FOREST rr Name NANCY SONSEN Address 1147 TIPlANY CIR N City EAGAN Phone 454-2397 Address w+ a &AbdlWlOAR City 80MM Phone Address Phone I hereby acknowlege that I have read this applicatio,A and state that the information is correct and agr*e to comply with afl applicable State of Minnesota Statutes and CitvAf Eaoan Ordinances( - Signature of Permitee 7z,-- r " ' .. - " /0- A Building Permit is issued to: CUSTM P001Ss in 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 , 42 16322 r I? . t g89 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY 351 171 Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 117.00 5.oo 122.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC n nq LL ,'J I l Inspection Date In Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg Const. Meter Pibg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Oeck Fig. Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RBCCIV6D FROM AMOUNT $ A DOLLARS 100 F1 CASH [:] CHECK roR y \ White-Payers Copy v' Yellow-Posting Copy Pink-File Copy Than Iu BY INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: •akA1?t r11kY , 1,1 I,1 t I APPLICANT: TYPE OF WORK: t111 I: 1 11 1 No 41.•x,.'(11 I"f MfIIII I 1 plr, AIIII I I f 111'1 0 MAVI4'; : A '.I PARA 1 f 1't R1# I 1 I'. RI 011 1 I:1 1 1 0C A"Y I' I E I. I N If. Al 11ORt Permit No. Permit Holder Date Telephone / ELECT 55'N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS 7 Z(? ?fS /oZ Ill 5 FOUND FRAMING C ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL Fat GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL /0 ?L1J 1 ?. ?? 0 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I A ' I I l kA l t t'I tcM t t t VVIIr) I I1 I1 !+)V ANY !'! !11"1}11 NIi OR t ! ! I i t ! l'AI WIWI! NO, WORM Permit No. Permft Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING / ROUGH PLUMBING W !/• PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL k.J/fly ? fit QPprfifiratr of (Orruvaury Citp of eagan ErVartmrnt of Iuilding 3nsVrrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating huilding construction or use. For the f ollouing: Use Cleodficetim SF DWG/GAR Bid`. Permit No. 8289 O-Pa-r Type R3 ]ypecooWUCtioe V Fin Zo NA ZOMMD tmi Rl Forest by: Date: October 7, 1983 r T IN A ?.V -- Z; s'rom id 1??(1 W 059966 L9, I1 ?V20 rLs,? l 3`t 13.-,? 54 r so Request Data Fire No. Rouph-in apection /- Requir ?Ready Nuw cf^ ill Notify Insper.- 6/ es ?No ror When Ready 5 Licensed Electrical Contractor 1 h-h- -.1-1 in?noc tine of wh.v. ? Owner electrical work installed at: Street Qddcess, Box or oute No. ? A C it c e a l f - ec LOn No. ow Name or Range No. Coy 0 a- O?cupant (P INI) --? Phone No. `}.. ? ( V PowD er S plie ' Address EI c rlcal Cont actor (Company Name) 7 Contractor s License No. ?n p C,) G '36 Magilingy,Address (COnt rector or Owne r di akin Instailation) c r 1 y mi , ` ! St ? 41 / l / Authmi edZ Signature n or/ ne J7eylJ??{?7 eking Instill ion) Phone Nym r / (?vf/ MINNESOTA STATE BOARD OF ELECTRICITY Grigg.-Midway Bldg. - Room N-191 1821 University Ave., St. Paul, MN 55104 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE ST TE BOARD UNLESS PROPER INSPE TI N FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' - - ' See instructions for completing this form on back of Yellow copy. 96 X" J ow Work Cov6ered by This Request oool?oa 3g13? Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service DLIPlex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pecs y, Other (Sponfy) t e- pecdy Other Other Compute Inspection Fee Below q Fee Service Entrance Size k Fee FeedersrSubleaders H Fee Circuits U to 200 Amps 0 to 30 Amps . to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 10O_Amps Above 100_Amps Transtormers Irrigation Booms Part W:;2%4SiN1 Signs Special Inspection s 'J 7 TQ E Remk .. W1 ` °Og"-"' I, the Electrical Inspector, heroby Final "`y // ^ /???? d:ft?' certify that the above inspection has been r r ( / mace. This request void 7-ZW IS months from W 058964 LR , b I, Ca ti4 r F° f E 5} '37 -3x 3 10, o0 Request Date ' ?^ Fire Not Requ ied! nsuection ?Ready Nuwl11 Wi11 Notify Inspec- Wh R Jar f ?Yes o or en eady icens d lectrical Contrac r I hereby request inspection of above ? O L F l i i d wne ( ?, s at cal work nstalle at: Street A Bo or Route / 1 W C/ ec ? -' Ci ction o. C Township Nama 0104P.. b e o, f a nng County D f yr ? yr? r o , Occupant IPR I NT) Phone No. Power Suppli r ..J? L Ad s o e I Elec tr' at Contract Company Name) = Tontractor's Lic sa tip. ailing Add s [Contractor or Owner Making I ;stailationl? r I 0re AuthoWd Signature 1 trac O er M g Installs on) f I Kegs umber D v MINNESOTA STATE BOARD OP ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 1821 UnniversversiY 8 Room UNLESS PROPER INSPECTION FEE IS 7821 ty Ave va.. St. Pau1l, , MN MN 55704 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 9I, Be. instructions for completing this form on back of yellow copy. Xo- aw? o MO eyed by This Request ?? 3?3 Neel .dill 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 thei peci v the, (Specify) t ar Sped y Other ER-Utnrv.-- Other. Compute Inspection Fee Below g Fee Service Entrance Size k Fee Feeders IS ubfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps. 31 to 1,00 Amps 31 to 100 AMPS Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Boor's Partial/Other Fee Signs Special Inspection S OT Remarks f IJ? Rough-in Date e Elect Inspec or, hereby certify that the above I Final D7° inspection has been made. >•hi..e,.??.m add to mnnthstmm - --I WUW R`inn AYQ /'' Or 42617 Request Date Fire No. Rough-in on Raoul ? eady Now CTW 11 Notify Inspector es ? No When Ready? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Cdy 11 W7 ?r a Section No. Township Name or No Renge No. Coumy Occupant (PRINT) Phone No. 5 { X15 Power Suppker Address El rk I Contractor (Company Name) Contractor's License No. r, O Mailing Address (Contractor or Ovmer Making Installation) r1 r: PA 34 A odzed Slgnalure (Cony or10. Making Installation) Plane Number 41 L13 - ;t q L MINNESOTA STATE 130ARD OF ELECTRICITY Grigga-Ml "SMg. - Room S-179 1821 Unlverahy Ave., St Paul, MN SS184 Phone (612) 642-OM THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. F A2617 REQUEST FOR ELECTRICAL INSPECTION ? See instructions fix. completing this form on back of yellow copy. X" Below Work Covered by This Request dr% EB-00001-07 ew ndd Rep_ Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (epecity) Contractor's Remarks: Compute Inspection Fee Below! # Other Fee # Service Entrance Size Fee # CircurWFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A Amps Signs Inspector's Use Only: ` 1 T ow- Irrigation Booms D Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Ratgn;n oat ?? Qr certify that the above inspection has been made. FirW a4 4) Uwe 7T OFFICE USE ONLY TNs request void 18 months from C9 5 9 9 U /07 Request Date ?/[y 6 (J ?? Fire No. Ion squired (Vnp u call inspectpr when ready) Yes ? No Inspection Other Then Rougi [3 Ready Now Will Notify Inspector Date Ready iAiicensed contractor 7 owner hereby request inspection of above electrical work at: Job Address (Blr.1. Box or oute No.) I t7 I City / (y Section No. Township N r No. Range No. County ? yy nn^^ Occupant (PRINT) Phone No. Power Supplier Address Electrl Oontrador (Company Name) Dpnlracto,tts License No. C fa o qz? Mailing A dress ICon1ractOr or Owner Making Installation) ,^ tyLJ,\.-rL./et/]- /^ Aulho d Ti alu C ooome lonw M nsbulation) ? ? ? Phone Number 619- -35y TA STATE BOARd"OF ELEBHiICITY ?- THIS INSPECTION REQUEST WILL NOT MI m S-1T3 BE ACCEPTED BY THE STATE BOARD Gdwy ldg- Roo 1eralty Ave.St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS P 2) 642-0800 ENCLOSED. ---'P 601 464 948 RECEIPT FOR CERTIFIED MAIL / NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) n N m? m O a ti Yl S \( V w P.' St an ode _ 1A _ ? / 2-3 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return receipt showing to whom, Date, and Address of Delivery TOTAL Postage and Fees $ Postmark or Date N m m a m LL IL N a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) ' h. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article 'F leaving the receipt attached and present the article at a past office service window or hand it to your rural carrier. (no extra charge) 2. It you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt. and mail the article. 3. II you want a return receipt, write the certified mail number and your name and address on a return receipt card, Form 3811. and attach it to the front of the article by means of the gummed ends it space permits. Otherwise, affix to back of article. Endorse front of agile RETURN RECEIPT REQUESTED adjacent to the number. 4, II you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is re- quested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present a if you make inquiry. v N T O 3 W r r C W O O 3 N y n D C z2 M n m r . SEP.IDER: Complete items 1, 2,3 and 4. Put your address in the "RETURN TO" space on the rew9e s:tle. Failure to do this will prevent this card from being returned to you. The return receipt fee will provide you the name of the person delivered to and the date of delivery. For additional fees the following services are available. Consult postmaster for fees and check box(es) for selVlte(s) requested. 1. Show to whom, date and address of delivery. . 2. ? Restricted Delivery. 3. Article Addressed to: 4. Type of Service: Article Number Registered ? Insured ?? [r G ?? >16 Certified C1 COD ? Express Mail Always obtain signature of addressee or agent and DATE DEL IVERED. 5. S' nature - Addrasse 6. Signature - Age , 7. Date of De ery ?? r ' ? j e? f 5? I . G r 'Paid) 8. Adc ressee s Acidness (ONLY ijrequesif .4 /t ?Z Zl; C.?L UNITED STATES POSTAL SERVICE I I III a OFFICIAL BUSINEIib SENDER INSTRUCTIONS ++•? PNnt your name, address, and ZIP Code in the u? a ap•u below. • Cornpi•te Items 1, 2, 3, ano 4 on the rarerse. • Attach to front of article "space permits, PENALTY FOR PRIVATE olharwiA •tRa to back of article. USE. sm • Endorse arttde "Return Recelpt Requested" ed)ecent to number. RETURN TO City of Eagan (learns of Sander) 3830 Pilot Knob Rd (No. and Street, Apt, Suite, P.O. Boa or R.D. No.) Eagan. Mn. 55122 (City, Stato, and ZIP Code) 4 BUILDING PERMIT To be used for POOL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est. Value $10,000 N2 Receipt # C 3 LIB Site Address 1147 TIFFANY CIR N Lot 9 Block . 1 Sec/Sub. CANTERBURY OFFICE USE ONLY Parcel No. FOREST Occupancy FEES Zoning M Name NANCY SOMSEN (Actual) Const Bldg. Permit 117.00 o Address 7147 TIFFANY CIR N (Allowable) 5 00 . Surcharge City EAGAN Phone 454-2397 8 o1 stones 35, Plan Review Length 08 -1-1 Name CUSTOM POOLS. INC Depth 1' SAC City u< Address 601 E EXCELSIOR AVE S.F. Total . City HOPKINS Phone 933-2255 S.F.Footprints SAC, MCWCC Water Conn On Site Sewage ww Name On Site Well W t M t i'- Address MWCC System er a e er i aw City Phone City Water Acct. Deposit - S/W P i PRV Required erm t I hereby acknowlege that 1 hav r ad this applicaho n state that the Booster Pump SNd Surcharge information i correct and a to comply with able State of Minnesota Statutes and City E rinanc Treatment PI Signature of Permitee APPROVALS Road Unit CUSTOM POOLS. INC 0. Building Permit is issued to: 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 -il.UU? !l?' I1j Variance TOTAL 122.00 CITY OF EAGAN Np 8289 3795 Pilot Knob Rood Eagan, MN $5124 PHONE: 454-8700 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $105,000 Date July 26 _ 19 83 Site Address 1147 Tiffany Circle North Erect )CW Occupancy R-3 Lot 9 Block 1 Sec/Sub. Canterbury Forest Alter ? Zoning R-1 Parcel # 10 16350 090 Ol Repair ? Fire Zone NA Enlarge ? Type of Const. V a: Name S. Petersen Construction, Inc. Move ? # Stories 4701 W. 110th St. Address Demolish ? Length 57 Cj M1 55437 pl. 884-5144 Gmde ? Depth 41-4 Sq. Ft.- g Name Owner Approvals Fees ou Address Assessment Permit 445.50 u? Water & Sew. Surcharge 52.50 City Phone Police Plan check 222.75 Name Fire SAC 525.0 Address I Eng. Water Conn. 450.00 Ci phone <. Planner Water Meter 60.00 Council Rood Unit 250.00 '1, hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $2005.75 - State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: S. Petersen Con • Inc. on the express condition thm oil work shall be done in accordance with all appli ble St I te-Statutes and City of Eagan Ordinances. / Building Official „? - - - K-" ?? /Ci?r/?+7q ?+A[ C , 4ifiYr As //Y.2 <JUv-9.eiv? ,IJ?_ CITY OF EAGAN BUILDING PERMIT APPL: 'w J?I.A To Be Used For Site Address Valuation C'? ,tee (E., Lot 9 Block _L SeC./Sub. ?0 2cst Parcel #: 10 1(13sc) ©QO © 1 Owner: 1-9 ?6:'Tt/esE,? (f/0Av / Q Address: X70/ Gil /!o72?' S? City/Zip code: /,/PG j 55Y 3-7 Phone #: Contractor: Address: %7 P City/Zip Code: Phone #: Arch./Ehg.: Address: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date -I- "W $a 9 ' -OFFICE USE.ONLY ErectX Occupancy Alter zoning U - Repair Fire Zone Enlarge _ Type of Const. Move # Stories Demolish Front ft. Grade _ Depth y/- ft. APPROVALS FEES Assessments Permit 41 +v'5- water/sewer Surcharge -sa Police Plan Check Fire SAC 5 a 6 Eng. Water Conn. 416-0 Planner Water Meter /od Council Road Unit N 6-0 r Bldg. Off. l APC City/Zip Code: Phone #: TOTAL 4a00-5?--7S CITY OF EAGAIV Remarks T)l J I,/ { Addition CANTERBURY TOREST Lot 9 Blk 1 Parcel Owner f"' ^ f' 1. Street 1147 TIFFANY CIRCLE NO. State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid under original reel STREET RESTO R. GRADING 1981 106.78 5.34 20 90.79 C008621 10-14-83 SAN SEW TRUNK _(; 1973 Paid unde original p rcel * SEWER LATERAL 1981 439.42 21.97 20 WATERMAIN * WATER LATERAL 1981 20 WATER AREA - 1979 Paid unde original rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 37463 = 7-26-83 WATER CONN. 450.00 [r +r BUILDING PER. SAC r?5 no I n PARK ' Certificate for: x Svend Peterson 4101 west 110th&y c. 5?143? Bloomington, Mn , 1ILMAR K''"SCMWANZ ' $yi. LANO HJpV EVOR1-9? IMG• c p4pnM UrgN LnraM The State of Minnesota 2878 - 148TH STREET - MM M RpiMaMT. MINNESOTA EESIS $ Et7 E .1'I?N '' SURVEYOR'S CERTIFICATE SCALE: 1 inch 96 30 feet, *7 934 4 Denotes =sad elevation v ..w---Denotes =sad drainage ,}o C) Denotes oeed elevation O Denotes p wood hub ? Drainag! . Proposed g floor W /' lisaemen elev. :, = 62' N y v o \ C' rn ?yy, ' Z 040, ? -- gn,19/.33 ??19 x ??? c. ?9a \ Drainage & utility Gj easement / F ?o I hereby certify ,}?at this is a true and correctt'esentation.of Lot 9, Block 1, C; ?+BVxY FOREST* according to recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: July 15, 1963 MINNESOTA REGISTRATION NO. . Al re Y CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10--16350-090-01 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1147 TIFFANY CIR N LOT: 9 BLOCK: 1 CANTERBURY FOREST cfufl LG BUILDING 025202 03/28/95 DESCRIPTION: (ABOVE GARAGE) Llding--Permit Type SF ADDITION Llding Wdrk Type NEW Y. ? §p VL 3? i i "N ? ???." i• a ??° 5o-' {? ?.? e ? ?$ i'$ ?' ''+...., v .w# 1±5y rc ;3 REMARKS A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY- VALUATION $35,000 Base Fee $317.00 Plan Review $206.05 Surcharge $17.50 Total Fee $540.55 CONTRACTOR: - Applicant - ST. LIC. OWNER: SELA ROOFING & REMODELING 18238046 0001050 SELBY DOUGLAS 4100 EXCELSIOR BLVD 1147 TIFFANY CIR N ST LOUIS PARK MN 55416 EAGAN MN 55123 (612) 823-8046 (612)454-3572 bereby`aeknowiedge that :X has ' tinformatisen is correct and agrt Statutes and City cif Eagan ardJ r c W WV'995 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: CONSTRUCTION COST: 13, 6oO sort CbDI e. goroge , DESCRIPTION OF WORK: AEffIz-G V01' ®y )Wk)V,56 :t &?W,96-.o? - lf!5 rr ??-lce?d ! era,.®:9 STREET ADDRESS: 11`17 7-1/ `: °7fV y cl QcGC AloIPf"yf LOT BLOCK_ SUBD./P.I.D. #: O (?p)nl/ A1w PROPERTY Name: S Y ?auq )P5 Phone #: 446-q- 35702 OWNER r'ar* ? / Street Address /1 q 7 '7 f-F'ant? Lr„ (y ^ City: iz State: 11 t?. Zip: ?SS1,23 CONTRACTOR Company: SC<A" /opw/-/,y Phone #: (F1-3-SE /6 Street Address: 411060 EAc61?o P & v y License #: le) s a City: S 7` Z 0 U/ 5 PK State: N,41 Zip: 5?5 y? b ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #' Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 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. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No M'7'11E® PIP14 'l 3 1995 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations A 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3 Depth Footprint sq. ft. SAC Code o/ Census Bldg Census Unit U APPROVALS Planning Building Engineeri ng Variance Permit Fee Valuation: $ 3 5-7(D0-=) Surcharge Plan Review License MCMS SAC: City SAC Water Conn. an Wont ?//£2 LjR?t n 4 f Water Meter Acct. Deposit SM Permit. ZS n Z /• s a y SM/ Surcharge s K so S Treatment Pl. Road Unit /ySx in fy? Park Ded. Trails Ded. 7 7 5/ yy = `?c55ip Other Copies Total: % SAC SAC Units Selby Home Energy Calculation Component Stud Wall Out side Air Film Sheathing 6" Batts 1/2 " Gyp. Inside Air Film Total Doors Outside Air Film Door Inside Air Film Total Windows ) O t4 56, i b y C1 ?f F ??ny or, N, 'R' 'U' 'A' 'UA' 0.17 1.32 19.00 0.45 0.68 21.62 0.046 496 0,17 2.33 0.68 3.18 22.81 Outside Air Film 0.17 Low E 4.00 Inside Air Film 0.68 Total 4.85 0.20 90.23 18.04 Grand Total Walls (Average) 14.49 0.069 586.23 40.85 Roof Structure Outside Air Film 0.17 Sheathing 0.94 Air Space 1.01 12" Blown Insul. 38.00 5/8" Gyp. 0.50 Inside Air Film 0.61 Total (Average) 50.00 0.02 918 18.36 23 May 1994 . , PERMIT co L G CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road BUILDING Eagan, Minnesota 55122-1897 Permit Number: 025201 (612) 681-4675 Date Issued: 03/28/95 SITE ADDRESS: 1147 TIFFANY CIR N LOT: 9 BLOCK: 1 CANTERBURY FOREST P.I.N.: 10-16350-090--01 DESCRIPTION: l,dingi,Permit Type GARAGE/ACCESSORY lding t4,6rk, Type ADDITION _?,]3-d"T r e+E +"II",'' `c°iF am .??ygy 6f °n. ki n ,.s REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $81.00 $3.00 $84.00 $6,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: SELA ROOFING & REMODELING 18238046 0001050 SELBY DOUGLAS 4100 EXCELSIOR BLVD 1147 TIFFANY CIR N ST LOUIS PARK MN 55416 EAGAN MN 55123 (612) 823-8046 (612)454-3572 i hereby acJcne?wledge that Y have read this app,licatzan and state that tilt information is correct and agree to comply with all appiicatiie State afi Mri. L Statute-s and City of Eagan Ordinances. Lam A APPLICANT/PEXTEESIGIN:iA R E ISSUE?I?1 `RE CITY OF EAGAN 3830 PILOT KNOB RD 55122 7995 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (Include beam & window aces; poured fnd. design; etc.) ? 2 atte surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: _Yes _ No DATE: Street DESCRIPTION OF WORK: ncR v /c L rThrrHF,c- r? r??%v.? /l`f7 TiCi`?9•v STREET ADDRESS: Gi,?c4e Alolpra y LOT BLOCK _I_ SUBD./P.I.D. A eIb PROPERTY OWNER CONTRACTOR Tffaliv C'.r. CONSTRUCTION COST: 3, (OD Phone #: 4S-q- 3S 7oZ City: 2 State: /% . Zip' S?l?`3 Company: "eaq F1'y6- Phone#: ;F23-80y6 Street Address: y/00 EJkcti-'?o.e &.vP Lioense #• lD.S o City: S T z o yr s PK State: My zip. SS ,11 6 ARCHITECT/ Company: ENGINEER Name: Phone # Registration #• Street Address* City: Sewer & water licensed plumber. change are requested once permit is issued. State: 414.r'f° Zip: Penalty applies when address change and lot 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 Fagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIVED Certficates of Survey Received _ Yes _ No MAN 0 3 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation o 06 Duplex 0 02 SF Dwelling a 07 4-plex 0 03 SF Addition 0 08 8-plex n 04 SF Porch 0 09 12-plex n 05 SF Misc. q 10 _-plex WORK TYPE a 31 New 0 33 Alterations X 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint -sq. ft. APPROVALS Planning Building r 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. :0 SAC Code ?i Census Bldg i o Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit SM Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: ZBxez) ? -fio ?? ?3 = SZ r-- 33zX 16 = s-?3/ = 0 11 Apt./Lodging a o 12 Multi Repair/Rem. 0 X13 Garage/Accessory 0 14 Fireplace 0 0 15 Deck x Valuation: $ ?tfr2 ?i ?K(S7t.u4 % SAC SAC Units :.DELMAR K SCHWANZ ,. LAMOSUwvevottll list. ¦4000r.O UttY LOW M The State of Minnaaaia 2978 - 145TH I sresa7lL - soil M eosSlaMT. YUNe7oTA am@ SURVEY01119 CERTIFICATE o a 0 a z %k za w ? ortificate fore ` `. ejvend Peterson 4701 West 110th Bloomington, Mn. ndh % 30 Ntisting pEeposed ptbposed 00 rood ,,s \ Z9 i2. ?3 Jm/ 4-? f1g.7_ \ T4°/?-'? 94 6 ? rest elevation drainage elevation hub . 0?k k -116*1 LoT 9 T Drainage & utility \ easement . ?i / G s yam, z ? ? ?,ye' I hereby certify ?t this is a true and correct *spa?esentation of Lot 9, Block 1, CANTERBURY FOREST, according to t1110 recorded plat thereof, Dakota County, Minnesota. Also Showing the location of a proposed house as staked thereon. Dated: July 15, 1983 /r^/ V ? hz? c SCALE: 1 1'. 934 4 Denotes -- Denotes O Denotes 0 Denotes et! Qa77w 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. (*q rz. MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) I SET OF ENERGY CALCS. COMMERCIAL 2 SETS OF ARCHITECTURAL A STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 1 OF UNITS VOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/ROMEONNER MST DESIGNATE MICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERM FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY' APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. pq 0 g 1989 LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. R?+ 1N-6j2OLtHD ?v.:iMAk? To Be Used Fors Valuation: Date: l / Site Address //?17 Lot ? Block Parcel/Sub Owner Address //y7 %/// ff?'9?fl City/Zip Code /?j Phone Contractors) Address City/Zip Code ???'- Occupancy Zoning Actual Const Allowable i of stories Length 35 Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System city water PRV required Booster Pump c APPROVALS Phone Plarmer Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Bldg. Permit II'T00 Surcharge ca Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit SIN Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL tz7,Cv Phone a I ._, ; RylNnetl U01M I.hw 81 TM State of Mtnnesot, IR, 2978 - 148TH 8TRMr VIL - am M 4001MO /R. MM'MIOTA Miles ortificate fort .4vend Peterson 4701 West 110th„• .Bloomington, Mn, ?l437 `". :.DELMAR K SCHWANZ .{: IAMp SURVEYOR Irc. SURVEYORS CERTIFICATE SCALE: 1 inch 0 30 feet, 934 4 Denotes sidoting elevation - Denotes posposed drainage Denotes pftposed elevation O Denotes yt wood hub Proposed floor elev. L 10 Pi? I? I? ? X32' / ? od gyp' -S1 n -t 11A i ?. ?d /Z. y? N q?h k J01' 0 93s. 7- S St! ?17sS -k. " I 62.3° *7 Drainap Easement t? ?r .i LoT 9 7,Drainage & utility \ easement Irv- ? 22 ,11 w / G 0 0. I hereby certify $"t this is a true and co, O t presentation of Lot 9, Block 1, CERMMY FOREST, according to t%b recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon, Dated: July 15, 1983 MINNESOTA REGISTRATION NO. .. of 3795 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 August 23, 1985 RICHARD G PFEIFFER 1134 TIFFANY POINT EAGAN MN 55123 JAN D SOMSEN_ 4147 TIFFANY CIRCLE N } EAGAN MN 55123 BEA BLOMQUIST Moyv THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER ?f Couml Members I V???k t THOMAS HEDGES 1 r' " ? City Admirust.lt ? J1' EUGENE VAN OVERBEKE (lt 0 C-/ City Clerk Re: Boulevard obstruction ordinance - Variance Request Dear Richard & Jan: Your letter of September 9, 1985, to Thomas L. Hedges, City Adminis- trator, requesting a variance to the City's boulevard obstruction ordinance,was forwarded to my attention for review and processing. This letter is to inform you that your request for a variance will be presented to the Council at their regular meeting on Tuesday, October 1, 1985 between 6:30 - 7:00 p.m. A copy of the background information and Staff's recommendation will be forwarded to your attention no later than Monday, September 30th. This letter is to inform you of the schedule for the Council's review of your request and to ask you to comply with the current ordinance until such time that a variance has been granted to avoid any possible citations that may be issued in the interim. If you have any questions or concerns that you would like to discuss in further detail prior to the Council meeting, please feel free to contact me at your convenience. Sincere , (homaS A. Colbert, P.E. Director of Public Works TAC:jbd THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY r0710 r 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 Dear Eagan Resident : BEA BLOMQUIST Maya DATE : August 1, 1985 THOMAS EGAN JAMES A. SMITH JERRY THOMAS ADDRESS: 1147 Tiffany Cir. NOTNEODORE WACHTER Coumd Members LEGAL DESCRIPTION: L 9 Blk 1 army AAdmnslaor EUGENE VAN OVERBEKE Canterbury Forest ON Clerm RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such permit, and taking precautionary measures for the protection of the public. An electrical co=a or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this section shall be a separate offense and punishable as such. SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Right-of-Way. No buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Friday, September 15, 2006 9.10 AM EXTERIORS UNLIMITED, INC. 763-424-3272 p.02 tt Z% -1 0.00 ( ?\ 2oo6 RESIDENTIAL BUILDING pERmm AprucAnm City Often . 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nw faanukaa R daegamaat sdawrreycuawlrg eq.M1dkt ai.fl dhar?s;wM?mdeO areal 2MWPI 0P6nskowngfoodepo, beam )*b oaae um o* cenotbtiumpmd -Y -N ao%M8*mmbtm?dbwW) l set of Buo c40.daawwtbr heeled adddaa Tloo PM Plen Red _Y _N, 2 co0w of Pha shake bean a widow -za: Pried fend dwlma. dG 18etof6aagyl*oddD= 16ft an Wtr addaam tidoft pd a-PotidkaleAOnafeebfdk6ySfom Tnr FMFbQLMW orm&9gec&jstan _Y _N _Y _N 3 mplesd Tree Pw on Plan Old POW 9WTnW Run JoW l)" 0P and s0%bm inset (bed wth 3 orh=mids) ;n? mec3mical vautiWon form Date ! , 1:5- / 6 6e Contraction CAd We) e) m Addrem 11L/7 -ri ffilz# - ` r- 're- uoiVSte # msceilwan of Work k e- Q Isn7 - Maltl-Famlb? Mdg - Y N V- rwepbm*s) - ® - 1 - 2 n Property Owner Telephone # (F/Z) ohs - 10'9 i Contractor EX 'lam %or5 t, -cork r?cC Address 9 V 1 t21? t1 r rr.&__ a/ - city M jo*-C State s fK zip Telephone# (!?2) 414-391p- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NW BUILDING ksdes 7670 coma l - hfMMagLRVla& 7672 Energy Code Category . R"WWwdtal VaaW.Affl CaftXy I Wmksaeet mew Energy Code Wbrlwhed we) SLdmutted S • Energy Errwlope CekWatiom 6abmMad In the W 12 months, has the City of Eagan Issued a pern it for a similar plan based on o mash Plon$ - Y _ N N yes, dote and address of master pion: Licensed Plumber Mechonlcol Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building 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 the State of MN Statates; 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 ofj work which requires a review and approval of plans. ? ?,,f Applicant's Printed Tame Applicant's Signature ,1::? Friday, September 15, 2006 9:10 AM EXTERIORS UNLIMITED, INC. 763-424-3272 p.03 M DO NOT WRITE BELOW THIS LINE Su b Tv g2p O 01 Foundation 0 02 SF Dwelling 0 03 01 of_pfex ? 04 02-plea ? DS 030ex ? 06 04-plea Wo rk Tymn 0 31 New ? 32 Addition ? 33 A@eretion 0 34 Replacement 0 13 1&plex ? 16 Fi eDlece 0 17 Garage ? 18 Deck ? 19 Lower Level ? 2D Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-mJ ? 23 Porch (wreen/gaxebo) ? 24 Storm Damage 0 25 Mimellaneous ? 3o Accessory Bldg p 31 Ext Att - Multi ? 33 ExtAtt -SF ? 36 Mull Misc. ? 35 IM Improvement 11 38 Demolish Interior ? 44 Siding ? 38 Move Building ? yE Demolish Foundation ? 45 fire Repair ? 37 Demolish Building' 43 Reroof 0 46 Windows/DOOM •Demo9aon (Entire Bldg) - Give PCA handout to applicant Description: Wamrftnage_Yes vaiuation Plan Review Conan Code SAC Un is # of Units # of Bldge Type of Const 100% or _ 25% Occupancy MCES System Zoning arty Water Stories Booster Pump Sq. Ft PRV Length Fire Sprlnidered Width F006M (new bldg) _ Footings (deck) Footings (addition) . Fousdation Drain 7110 Roof _ ice & Water _ Final Fuming Fireplace _ R.I. _Air Test _ Final Insulation REQUIRED INSPECTIONS _ Sheehock _ Fiosl/C.O. _ Finawo C.O. HVAC Other Pool _ Ftgs ._. Air/Gas Tests - FihW Siding _ Stucco Lath _ Stone Lalb -Brick Windows Retaining Waft Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search L1 07 056PIV 0 OR 08-plea ? 09 07-plea ? 10 08-plex ? 11 10-ptex 0 12 12-plex Total Use BLUE or BLACK Ink For office use -(Per mt : k (✓J~ City of aj I Permit Fee: ~1 y 3630 Pilot Knob Road ► " t Eagan MN 55122 j late Received: i Phone: (651) 675.5675 1 1 FW. (651) 675-5694 i Staff i l I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J_- i- i ~ Site Address: I1 'T ' Unit: 7 Name: Phone: Sri s 1 - L/5 --!-;V ? Resident! Owner Address / City / zip: I 1q'7 Y-3 1 43 Applicant is: Owner Contractor Type of Work Description of work: l H ,,,i :iL2 y Construction Cost: 1 ~r O !~rt Multi-Family Building: (Yes T No 's Company: ^-j c ► C e~ z 1 ~ L L C., Contact:.. Address: Av y- City: L.~ kc ii; rig Contractor State: J!J AJ Zip: q +4 Phone: ~ _Sr) 0 1 - V. 3 2 License 13.1. 14 s .~t Lead Certificate q.: t P 113 -7 f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. PorGfons of the information may be classified as non-public N you provide specific reasons that would permit the City to conclude that tfte are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwiw.aooherstateonecall.org 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 action for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i Applicants Printed Name Applicants Signature Page 1 of 3 Use BWE or BLACK Ink r— . -- — --� � For Office Use — — I � ' � Pertnit#: ��d c� � City of Ea0�� : ; . ,� �� ; b Permit Fee. � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: I Phone:(651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION . . ' . /� �/' � �tz-�.z�.- ���� Date: '� �r C �� Site Address: �J � � Ci�6� . /�� . Name: �G�u�- s����l ,Phone:��l'� �.��' "%�`I�. Address/City/Zip: I/hl � ����t� C..�l��r �G�� ,�`�5'/`��, r-r--- —r Appilcant is: Owner �Contractor : Desc�iption of work: �t� �a'�-� C��-�� �r . � � � T � � � ,. . � Construction Cost� ���•� Multi-Family Building:(Yes �/No_) � � ��, �I, Company;������t�'�t''i�G�d✓r Contact:�?��f'�'���if'ty�Y�1 a►�./�►"" �v� �,1 . � f �-- Address:�,�� ' �Q+�t?� � City: p .S ' Sta#e�,r�Zip: �?7�� Phone'a����r maiL• uce�se�: G�o���'C�¢�2 �.eaa cer��cate#: /%�= 7 2�7�--1 if the project is exempt from lead certification, please explain why; (see Page 3 for additional information) �� ���� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes �No If yes,date and address of master pian: Licensed Plumber: Phone: . Mechanical Contractor. ` Phone: . Sewer�Water Contractor. Phone: CALL BEFORE YOU DIG. Cali t3ophe�State One Call at(651)4b40002 for protection against underground utility damage. Call 48 hou�s before you i�tend to dig to receive bcates of unde�ground utilities. �„�n r,�,�oo �tateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work wili be in confortnance witti the ordinances and aodes of the City of Eagan; that i understand this is not a permit, but only an application for a permft, a�d work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of wo�k which requires a review and approval of plans, Exterior work authortzed by a building permlt issued in accordance with the Minnesota State Building Code must be ompleted withln 180 days of permit issuance. . t � X S' y,q ,� ;: X'� �,, , ApplicanYs rinted Name ApplicanYs Signature . Page 1 of 3 ��I