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1154 Tiffany Cir SCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 hAY132010 Use BLUE or BLACK Ink For Office Use r� Permit #: c 7 7 893 Permit Fee: 6.6 Date Received: v Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5d /S Ji 0 Site Address: t 5 t IT - TL1.V1v LI rd e. J . Tenant: Suite #: 1 J RESIDENT / OWNER Name: LAJ.. lb \-Tyt( Phone: /1,51-44 i 3010 S) Address / City / Zip: i YYtQ.. as Ctk jYV`e, CONTRACTOR 1 Name: Jai 4s P l',undo LO License #: D 13PS Address:OS S S Lai 194 VCI, City: c l State: rn 13 Zip: 3S- , Phone: fi2 to $l.R - t Ltd Contact: JOY\ Email: TYPE OF WORK X New ` Replacement Repair Rebuild Modify Space Work in R.O.W. _ , _ (,� Description of work: hLI'kI& II (cw I C ( on PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_____ RPZ / ..?CPVB) ( Main Lower Level) — Septic System Water Turnaround 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 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. 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 i : t 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 • s. x jot. Applicant's Printed Name FOR OFFICE USE Reviewed y: cant' Signature Date: Required Inspections: _Under Ground Rough -In Air Test _Gas Test _Final CITY OF EAaAN 3795 Pilot Knob Road E49on. MN 55122 Zoning: Owner, Ie ,r'"31 Address; Site Address: ^ : r Plumber: a ^ v Meter No.. j Cl WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units. _ Owil ze: Connection Reader Charge; No.: Account Deposit: 1 "Fee to cm* trhh Permit Fee: Ordinances. 04 E69on Surcharge: - 6 Misc. Charges: Y Total: Date of Insp.: Dots Paid: insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: nber: '?1r S L' ' `_ ?1 tat- `ra s t':r , - ee to 0010* w<th t6s Ciy of EapO° Connection Change: "aeeq I !' I r! ..., ' Account Deposit: ------------ Permit Fee: Surcharge: of Insp.: Misc. Charges: Total: Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1 I Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address :..ST I ?L+>rot Blk. .? Tracts 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? 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 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 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee i fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential id Commercial ? Institutional O 9. Work Description: NewAdd ? Alter ? Repair ? 10. Describe Fuel Type 11 No, Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air H ndlin : Mfg. g a 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 1 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 464-8100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT DOLLARS Ioo ? CASH ? CHECK FOR FUND CODE AMOUNT C" You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3795 Pilot Knob Reed Eagan, MN 55122 PHONEt 4544100 BUILDING PERMIT Receipt # To be wed for Est. Value Date _, 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge [3 Type of Const. °W` Name Move ? # Stories Address Demolish ? Length r:.., or.....? Grade ? Depth Sq. Ft. p Name -n : a t i r t: [z u? Address ri.., - . ph,.,. Nome _ Address Assessment _ Water & Sew. Police Fire Eng. Planner Council Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 32< < g1,v4 ww.Ql( 2 -Z-$".3 H.V.A.C. 12 p 5,k o Aa, ( Well Water Disp. Sewer Electric W ?0 cj $ 3 -? c? 12 {o - $Z E wclos << f -17 -9'3 Inspection Date Insp. Other Footings l Z-1-$Z .11 Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well 7 Sewer Pr. Disp. CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I r I I I t,14 Y 11: A1411 1.,U1.0RY 1 001 ST PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: H11t101rf1j Btu/tlzl'a+s hilt 1141 fiC':('RIP11ON I . 0 - A t+E12i?911 /'.Iopm Permit Holder Date Telephone S PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING J ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL This re q u esl voi 18 months from F1 40589. ? 5•s,oc? Request Date Fire No. Rough-inInspection Req fired ?Ready Now11 Notify. Inspec- yes ?NO r When Ready Licensed Electrical Contractor I hereby request inspection of above caner electrical work installed at: Street Address. Bon or Route No. City rt Section No. Townshi me or Rang No. County Occupant RINT '1'1 g?? VVW r- t Phone Nn. er PPII r ek j p? Andrei [ EI icaI Contractor (Company ?a me) tor's License No. C 1tttrac (1 , _ J" a 1741 I t Mailing Address (Cons ctor or Owper Making Instailatio J3 337 Authorizetl a u Contract er- aking Installation) Phone Number 1?io -31 ?), ?- MINNESOT STATE BOARD OF ELECTVCITY I THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 f BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 65109 UNLESS PROPER INSPECTION FEE IS ,a...r I.,. ... ENCLOSED. M40589 REQUEST FOR ELECTRICAL INSPECTION 0« See instructions for completing this form on back of yellow copy. ,-X., Be4ow"SI.r k Covered by This Request EB-00001-03 3?; 7g1 e Add Rep. Type of Building Appliances Wired Equipment Wired Home-.: ange Temporary Service Duplex Water Heater - Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm iher Pecs V ther(Specify) t er (Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fge". dprs/Subfeeders # Fee Circuits 0 to 100 Amps d'30 Amps iii .S-D 0 to 30 Am RSV 101 to 200 Amps \ \ -3 to 100 Amps .Q..W 31 to 100 A s Above 200 \A - ? 4 Above 100-Amps Above 100_Am s _ 1 Transformers - Remote Control Ciro, 0 Partial/Other Fee Signs Special Inspection $ SL T Remarks JJ J^ym+ S Rough-in _ Final O t - Daje? y? / q Date J, I the Elec trice( Inspector. hereby certify that the above inspection has bean mado. This request void 18 months from This request void 7--? 18 months from V070761 L.Si Ba, Cnti{,D3104's!R?(o im? /0,00 Request Date Fire No. pegort-in Inspection []Ready Now []Will Notify, leaps, ' []yes ?NO for When Ready L icensed Electrical Contractor I hereby request inspection of above X Owner electrical work installed at: C? Streal Addr es, Box or Ro to No. ?r . /151 City y _ Uon Nt. I TToaafiAV Name or o. Range No. Counnntt y Occupant(PRI NT Phone No. Pow up lie Address 61 Electri I on actor (Company Name) Co ractor's License No. -T CQ?r?e_ O 3 `z S S 3 Mai lin Address (Contr for or Owner Making Installation) z? s 3 3 Authori ignatur ontra cto ing Installation) Phone Number ?t O ^,3/ L ),? 1 l `,°?TAB STATE BOARD OF ELECTRfCTY I ` THIS INSPECTION REQUEST WILL NOT yL +, .- RD O E E BE ACCEPTED By THE STATE BOARD oom UNLESS PROPER INSPECTION FEE IS ENCLOSEO_ REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 I, See instructions for completing this form on back of yellow copy a vu 0, "X" 761 ?r?Sgc? ork Covered by This Request Nevv Add Rep. Type of Building Appliances Wired Equipment Wired_ Home Range Temporary Service DUPIex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. urnece Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther pecl y the, (Specify) t er sped y Other Other Compute Inspection Fee Below H Fee Service Entrance Size a fee FeedarsrSubfeedera !1 Fee Circuits 0 to 200 Amps - 0 to 30 Amps 0 to 30 Am s Above 200 Amts 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100 Amos s Above 100-Amps Transtormers Irrigation Booms Partial:`Other Fee Signs Special Inspection n 'N TO Remarks x Rough-in Date 1, the Electrical Inspector, hereby certify that the above final ZF ( D=t??? inspection has been made. T &.........r vn1d t R mnnrha from T8is from void t ? Ls i ZZI 08 month., s reque;t void W 40583 N:: - 3336 `] Zato 0 Request ?gta Fire No. Rough-in Inspection Requ red? eady Now ? Will Notify Inspec- ?'? ?Yes ?NO for When Ready mensed Flectricel contractor Owner I 1 hereby request inspection of above 1i--1 slectri179 work install e4-1t: treat Addres Soz ?.oT S r Rout N?,-- Z / ? Sv City ctlon No. Township N e or Range No. ty Occu I IP NTr Phon ..., 3? 5 P er uppli Add E ricaI ontracto ComPaaoy' me) V-' on tractor"s License No. Mailin Address (Contra or or Owner Making Insta ilationl Autho ed nature 1 ontr or O n ing Installation) Phone Number MINNEbVTKSTATE BOARD OF ELECTRIG)TY THIS INSPECTION REQUEST WILL NOT OrigBS•Midwey Bldg. -Boom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 1-1 .,. ..... ENCLOSED. _. WA nB 3 REQUEST FOR ELECTRICAL INSPECTION 4 U See instructions for completing this form on back of yellow copy. -X ° Below..Work Covered by This Bequest x7. ES-00001-03 O33s Ne, Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater' Lighting Fixtures Apt. Building Dryer - Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm the, (Specify) th 'fy) other Speci y ter Other Compute Inspection Fee Below Fee Seryice Entrance Size fF Fee Food ers/Subfeeders' #. Fee vcults 0 to 100 Am 0to 30 AMPS 0to 30 Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am Above 200 Amps Above 100-Amp s Above 100_Amps Transformers Remote Control Circ. PartiaF-'Other Fee Signs Special Inspection S At FE O Femarks . D ; E !n E N 11 v Gough-in - +DC; 1 i al Inspector, hereby Final c 'iy that the eboye 1??' inspection has been made. This request void 18 months from Trrfifirx#r of Orrnpanry Citp of (Eagan Drparfutrnf of Nuilbiug AairrQim[ Tbis 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 wish the various ordinances Of the City regulating building construction or use. For the following: SF DWG/GAR 7708 oo„w..rryw R3 iywc? V FNS NA - Rl 0.. ofBWldb` Blilie Const Co. Am? 644_Sup rjo Fazan C&dML 1154 Tiffany Circle,,.,ErLot 5. Block 2.Canterburv South H,: Forest March 31, 1983 onwa ? nu.: .v. ,.. C..MCWI. X.C. CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55143 NO 7708 PHONE: 434.8100 - BUILDING PERMIT Receipt ra be need far SF DWG/GAR F<t. Vah. $109,000 gat. IFDecember 3 1982 Site Address iiJn 11L161?y s"??s'iO uvu?u Lot 5 Block 2 Sec/Sub. Canterbury Forest Parcel # 10 16350 050 02 w Nome $ J. Bertleson z Address 9 o Name Blilie Construction CO 3U Address 644 Superior Court Ci Eagan 55123 Phone 454-1438 W Name i Address Erect Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? * Stories Demolish p Length 52 ` Grade ? Depth 43 Sq. Ft.- Approvals Fees Assessment _ Water & Sew. Police - Fire Eng. Planner _ Council Permit 4jae.,v Surcharge 54.50 Pion check 227.75 SAC 525.00 Water Conn420.00 Water Meter 60.00 Road Unit 240.00 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable Total $198275 State of Minnesota Statutes ad} City of Eagan Ord aces. ` APC ?-_ Signature of Fermi ttee f L-e t _ aG ° A Building Permit is issued to: ` Blilie Construction C.O. on the express condition that all work shall be done in accordance with all applicable State of Miin(y?)soto Statutes and i?ty of Eagan Ordinances. Building Official em Iola./ CITY OF EAGAN Remarks ?L7 87 Addition CANTERBURY FOREST Lot 5 Blk 2 Parcel X11 /" I J 1154 TIFFANY CIRCLE S0. EAGAN MN 55123 Owner 011- Street State '? I/l. 1 )l i "I J ar Improvement ' Date Amount Annual Years Payment Receipt Date STREET SURF, 1979 Paid unde r original pz rcel STREET RESTOR. GRADING 1981 106.78 5.3'3 20 90-79 C00843 -3-83 SAN SEW TRUNK 1973 Paid unde original rcel * SEWER LATERAL 1981 439.42 21.97 20 373.51 000843 -3-83 WATERMAIN WATER LATERAL 1981 20 WATER AREA .?-c. 1979 Paid unde original rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 240.00 33352 12-3-82 WATER CONN. 420.00 BUILDING PER. 770 SAC 25.00 " PAR K RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and All roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured found design, aic.) • 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 P' '62•6Z SITE ADDRESS TYPE OF WORK APPLICANT STREET ADDR S 11 TELEPHONE #' $ S-' ELL PHONE # SJSTATEZIP FAX#?7'7yII PROPERTYOWNER <' f le fildF7F:1t46-A I TELEPHONE# I S_/- yn1 -?eq- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (+1 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System Fee: $90.00 Phone # I' Fee: $70.00, i Phone # -------------------------------------------------------------------------------------------------------------------------- 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 Orc?t1'1cjpce!?, Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions . 1 site survey for exterior additions & decks • Indicate If home served by septic system for additions I? VALUATION _Z (Jl -00 / MULTI-FAMILY BLDG _,Y FIREPLACE(S) `: 0 1 _ 2 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 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 EM. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile _ Other Roof _ Ice & W ater _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. _ Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & 5F b °`?'?a( BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For (J Valuation 0 d Date Site Address: lls? TCP•Pgvk-y CrrCIE- 501 OFFICE USE ONLY Lot Block Sec./Sub. eap-Ac., Parcel #: 10 1(0 3 S o 0 50 o z For2s?- Owners v? flP .o.c? Address: City/Zip Code: Phone #: Contractor: a/, x efT ( n Address: e, clef City/Zip Code: 4 ?J Phone #: ! / !?Z3S Arch./Eng.. Address: City/Zip Code: Phone #: Erect Occupancy 1r T __.- Alter Zoning - Repair Fire Zone ¢ Enlarge _ Type of Const. - - - Move # Stories Derolish _ Front S? ft. Grade Depth 3 ft. APPROVALS FEES _ Sa Assessments Water/Sewer Police Fire Eng - Permit Surcharge Plan Check SAC Water Conn Planner Water Meter Council Road Unit _ Bldg. Off. 8' ?f ?q-4/ APC TOTAL ) 9 9e-, `j a $tev?no?+s; PLOT PLAN ' ?? -D 7- M - 1 MMU 00 s?:S IDS 7 ' ?? >L rH . •# ,.i 1"1" t .i 1}t? ' T' I l s ..l "? T , 1 . t ,1- ? ; - .J Its , - 1 R'?" - :? ? + ° ?}] io3 ?I > ;? :u h fit! iti ?, t?; ?; I t• - 11 1? e s ? trr ..? ?,f 1 rl I ? ( ? r y?y?,? '? ? + rL I ' 1 { I ; - „'3'r 1 t? ? - r _ f? (fi`• t 1 r 443 I ( II. 1 1 :.I 1-, )It 1 s.. I .. J -.a. A_ _ ? ?. ?.t 1 r 1 1 r 1 . r `. !1 i f I ; t 4. l a ??e? .+r 1 ? _ 1 1 ?r }' r i.C1 ? ,J`1 1J ' i; ? #11 ' ? ?Y- t l t . r ? 'N C`tV ?1 II { 11 1_. ,... ?} , ltc xa , I tl {, 1 1 , 1 It' t ,III ' 1 t ? µ f . 1 1 Ii :1 ). ') 'tit 11.11..1}I ' rl ? t. lIl . L 4., RI 1 Li+ t ? C :5 1 :?.: ""qq +!t}G. a 1_e13° ^'t.?, Y I . , 1 11 "iy , It Ml?t II if r' r Ll.i 1 Tr? l 1 ' ?+ t 1.:, Y '?) . 1 . 444 it . #? P 1 ~ 1 , ` i rte Tf f? ti I .. At k 1i 7 11I '-Y 'tI ? I -a Ya' ftv ' r 6 ? t a i T tit u 1 I--: -f I . I tL,. 4 i _ ?r 7.7 -77- 77 - i -?I? _ - ?: f I f. ( 1 ? t 1fi3 I . r} {':1 1 A ? . ? f ._ _ f 1 '? • - : A 1 7 _ 7 t I 1 t ,1!Y 1 li II 1 ? f i ?1u?t ?hcmv int of streets, lot and proposer! buildings, give lot dimensions. (Lot ::nrnnr•t ,,.. are to for ataiaco ixfore appraisal is requested.) .. ?y4 1 .?y"A_..:: •"'111';1 Scale - t inch - 2n •t EXTERIOR ENVELOPE AVERAGE "u° COMPUTATION OWNER s 483 y'2S7 C N ) ?f- h?'lt-l-c2 Y Q/ ^ S-7'72-C.0) SITE ADDRESS CONTRACTOR Lf L f C O? f 7 CO DATE PHONE 4s 4- l 419 Determine working square footage of each. 1. Total exposed wall area ...... Z 1 sq. ft. X ,11 a 4. 3 2. Total roof/cei ling area. ..... 137'2-Oo_ sq. ft. x ,,,,_.06' • ?o Total exposed wall area above floor • ZZ Z3. o a a. Total wail window area ........................... z ,AZ-81 b. Total door area ... x-7-04 c. Total sliding glass door area ................... C a.b 3 d, Total fireplace wall area ........................ e. Total wall framing area (average 10%)............ ._2.3Z f, Total net wall area above floor .......... 1427, Z g. Total rim joist area ....... 222.93 Total exposed foundation area = (oo. t/ h. Total foundation window area..... ............. ??G 7- i. Toal net foundation area above grace ............ 4'7,$-g Determine "U" value of each wd l segment, . "?q b. - 12-0 ( x nun 13 a 4-111 C. _ 60.03 X Nun • d. r_ X "u" `-?- s -? e. -Z^3 7._32 x °u" l 2 22,07 f. f4z7.&Z, X nu" ,07 , 019-f} g. 222.E 3 X nun ^ 0(0 ¦ l7 .j7 h. __ ? G 2 X "u" • ('44- 1. - 77.579 X "u° %t17 . 4 f- G 3 .............. ... Z3,Z3-Z(...... .... Total . If item 13 is the same as, or less than item 01, you have met the intent of S8C 6006(c)2. A Total exposed roof/ceiling area a .O U N. -43 2 Total skylight area. k. Total roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment, j• x flu„ • k. X "UI' 1, l3T).DO x "U" ?0S- 4 ................ ..,,...Total a If total of 44 is the same as, or less than 02, you have met the intent; of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 43 and 04 sha11 not be greater than the sum of items !1 and 02. i.^3g4.0d ' 2•4(o.GO 461. 5-Y 3. 3 S9 3 . . + 4. G6-617 4z6 -s-? 1804 Melodv Large SUMwille, Minnema, 8963063 WEPJA CO. PLAN SERVICE ^TM=+v,V- .. .. _,? . ED ANDERSON . ARCHITCCTVRAL Cea1CNING ANC P"NN,NG Office: do /jfbol Al&f Q CURCCt, -U".cU R -+ Office: Surnwille, MinMWIa 890,4636 PERMIT CITY 10F EAGAN 38"30 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16350-050-02 PERMIT TYPE: BUILDING Permit Number: 0 3 2 9 4 4 Date Issued: 08/18/98 1154 TIFFANY CIR S LOT: 5 BLOCK: 2 CANTERBURY FOREST DESCRIPTION: T.O.& REROOF/STORM Buildl-ffgIPermit Type STORM DAMAGE Building Work Type REPAIR tIF ensus.Code 434 ALT. RESIDENTIAL f b jr REMARKS FEE SUMMARY: AgVT ARTgRCOMPANIES 4116 DIAMOND DR EAGAN MN (612) 452-5598 Applicant - 3T. LIC. OWNER: INC 14525598 0008676 HOFFMANN SUE 1154 TIFFANY CIR S 55122 EAGAN MN 55123 (651)454-3068 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 Mn. Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIGNATURE tkr" ookstl40 - UED BY. SIGNAT RE J 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 3 y 681-4675x7 jam(/ New Construction Requirements Remodel/Repair Requirements v ?v ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations • 3 copies of tree preservation plan if lot platted after 7/1183 required: _ Yes _ No DATE: ?t ,Q DESCRIPTI N OF WORK:: / C'al e?J /AMY /l DC STRE ADDRESS: T?AA LOT: PROPERTY OWNER CONTRACTOR ? 2 copies of plan ? 2 site surveys (exterior additions & decks) • 1 energy calculations for heated additions CONSTRUCTION COST; of rY®?= pD BLOCK: a SUBD./P.I.D.#:C?y`tiIl`?, Name: Phone -7 ?,Fe,64? Last First Street City 6 qN- State: Zip: City _.?s09 License # J`& ,0l ajoA State: r? Zip: `J ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Al - A /1 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not r;ll? i 7 ijyJ6 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 ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 I,--molition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ Permit Fee Surcharge Plan Review Licenae MC/WS SAC i City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units 7?? ?"6' 2006 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. .??sy 1 Date : s ) U jnit# Site Str?Ad Property Owner J9N Telephone # V'_51) ellephone# (g ym 7 a "e/?/lC? T Contractor ? l /TU City /T?rt/S!i/Li.e State U Zips ? 1 /? 1 L2 Address- The Applicant is: _ Owner Contractor -Other Refurbished Submit 2 sets of plans and MPC license New Septic System Includes County fee _ _ o0.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water _ heater at the same time. If you are installing only a water softener ancUor water heater, do not complete this section; move to the next section and check the I appliance(s) you are installing. ^ -Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: t H t W $ 15.00 er er ea a Water Softener _ - new replacement Lawn Irrigation _RPZ PVB new -repair -rebuild $ 30.00 50 $ State Surcharge $ Total cmm?l ete and accurate: that the I hereby apply for a Residential Niumomg Permit aiw aumi - -9, -- -- ••....... -- - -- 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 accorda ce with the ap ved plan in the event a plan is required to a reviewed and approved. Appli ant's Printed Name A pli ant's Signature Use BLUE or BLACK Ink 1 For Office Use 1 j Permit City of Ea ii~ Ed Permit Fee: t/ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Dater / Site Address: o , Unit Name: L) S o. A P L~A CA Phone: 605 U`5_ 14, Resident/ a Owner Address / City / Zip: --`So~,.~ --e c ~tqr~ . ) P Applicant is: OWnerContractor Type of Work Description of work: J C e v~ 6 c ~ -e12 /a [ -e Y' Construction Cost: Multi-Family Building: (Yes / No ) v rc e Company: Contact: 86 Contractor Address: /C is 7 kJe 16 LiA A-) City: 0'" ~D h ~ f e u e State: ~-Zip: -55-36 Phone: - (.c l L -..1- 16 ` /_7 License #43 C- Ca ,5 q 1-1 5 Lead Certificate AJA T - S 8 3 I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) C, o N/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota St a de must be completed within 180 days of permit issuance. xx Applicant's Printed Nam Appli nt's Signature Page 1 of 3