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1158 Tiffany Cir S þýýüûûúùúùû øüüýýûûöÿø í ýþûù àãïí þý ÿþýüûúùþ ø ÷üûúöõ úùþ ø ôþ úóòþóþý ÿ ú ñðïî ý ííïìí êïéìéíìì óø ÿþ ùèêïéðéðï òööñ ðô úú ÿ â øä ã ïìüææ ûÿ ú öïïí öïïã ñàîìíàïà ýû õ ç úú æó óúûõ úú ýÿ æ ÿ þ ûæ å é úú á þûÿ þ .AN ..nob Road P. a. nox 21199 Eagan, MN 55121 Zoning: R1 Owner. S Peterson Consl Address: Site Address: 1153 Tiffany Ci Address: - Plumber. Benz Ryan Meter No., Size: Reader No.: I eprw to "M* with tm city of logo" Ordieeeeee• By Dote of I nsp.: Eagan, N Zoning: _ Owner: _ Address: Site Addi Plumber. Connection Charge: 450.00 pd Account Deposit: 10. 00 Pd Permit Fee: • 50 pd Surcharge: 60.00 p met Misc. Charges: Total: Dote Paid: Insp.: SEWER SERVICE PERM PERMIT NO.: 6152 DATE: No. of Units: 1 I egree to -0 -ph with the City of Bepe Connection Charge: 425.00 pd Ordilmoees. Account Deposit: IU.UU P Permit Fee: -1 17 z! 3 P Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: WATER SERVICE PERMIT PERMIT NO.: 5? F 5 DATE- - No. of Units: 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: if t t' i O 3830 Pilot Knob Road Permit Number: t 0'p d Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I 1'=H TIFFANY t If ( ANTFRORY F0RF•0 PERMIT SUBTYPE: FIRE` 10F r0kHFR TNt TYPE OF WORK: 1 4- (t1 it, k rP r roN f I. i ItVf-' ) Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE ' FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONEt 454-8100 3 84.62 BUILDING PERMIT Receipt # To be and fer SP DW,/C/'_R Est. Value sly , ;)OG Date September 8 l9 33 Site Address 1153 Tiffany Circe South E Erect Occupancy R-3 u 2 Canterbury Lot Black Sec/Sub. Fn" r? ?t Alter. Zoning 10-16350-040--02 l Repair ? Fire Zone W # Parce V E l T f C t S. Petersen Construction, I n arge nc. ? ype o ons . a Name Move p # Stories z Address 4701 W. 110th St. Demolish ? Length 5 - Mpls. 55437 0,,- 884-5144 Grade fl Depth -+7 Sa. Ft. 0: Name ?.._._.. u'J Address Assessment Permit Water & Sew. 00 Surcharge ~ city Phone Police Plan check.- W Name Fire SACS u'3 Address Eng. Water Conn. 4 ; U . 00 <'Z" city Phone Planner CIO Water Meter 'i 73T 75 ,f ? Council . Road Unit I hereby acknowledge that I have read this opplicdtion and state that Bldg. Off. the information is correct and agree to co mply with all applicable State of Minnesota Statutes and City, of -Ea APC gan Ord' ?r?o??e s. -r- -- - t Total ? Signature of Permittee ---. i - I>:?c A Building Permit Is issued to: , . on the express condition thni all work shall be done in accordance with al l applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 57- q ? /p -Z? $? H.V.A.C. qQ ? Well Water DI.P. Sewer Electric wOS$Q(D'T ?Eri SorE !D `I(?$ 3 (}E IvOS? ?? It ?t it Inspection Date Insp. Other Footings 4?a' $ V Foundation Framing Rough Plbg. Q.? Rough HVAC Insulation G Final Plbg ? Final HVAC Final Water Describe Location: Well Sewer Pr. D'np. (ntifiratr of (Orruvaury Citp of (Eagan ?r?r?rirn?nf of ?uil?irtg .?tt??Prtimt Tbu Corti ficate i.rtxcd pursuant to the nguirem ents of Section 3o6 of the Uniform Building Code arts fyixg that at the that of issuance this structure was in compliance witb tbt various ordinances of the City regulating building constrxatoa or use. For At following: UNCkrec.uv SF DWG/GAR No8462 By: _-December 1. 1983 CITY OF EAGAN 3795 Pikrt Knob Reed Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # Site Address 11JQ L1LLMLY 1,.111:1= allULLl Erect xx Lot 4 Block 2 Sec/Sub. Canterbury Forest Alter ? Parcel # 10-16350-040-02 Repair ? Enlarge ? Cc Name S. Petersen Construction, Inc. Move ? Address 4701 W. 110th St. Demolish ? t MD1s. 55437 ar...._ 884-5144 Grade M o Name _ t- Vu Address t- ri.., Name _ Address I hereby acknowledge that I have read this op tion and state that the information is correct and agree to c9oW with all applicable ft-t- of Minnesota Statutes and City gan OrlafnancaK. N° 8462 - a5--1C3 Occupancy R-3 Zoning R-1 Fire Zone NA Type of Const. V * Stories 2 Ft. Assessment Water & Sew. Police Fire Erg. Planner Council Bldg. Off. APC Permit 4 1 0. V V Surcharge 59.00 Plan check 239.00 SAC 525.00 Water Conn. 450-00 Water Meter 60.00 Road Unit 250.00 Total $ 2061.00 Signature of Permittee I Pet. ersen Const., Inc. A Building Permit is issued to, on the express condition that all work shalt be done in accordance with all applicable State of Minnesota St s and City of Eagan Ordinances. Building Official 2?p??? -- CITY OFEAGAN Remarks )w tgz?y Addition CANTERBURY FOREST Lot 4 Rlk Owne Street 1158 TIFFANY CIRCLE E Ot / hl A r., = State EAGAN MN 55123 Improvement Date Amount Annual Years ayment Receipt Date STREET SURF, 1979 Paid unde Original cel STREET RESTOR. GRADING 1981 106.78 5.34 20 A-5-46 A013256 12-7-93 SAN SEW TRUNK ?Z 1973 Paid undex original pa rcel * SEWER LATERAL l 1981 439.42 21.94 20 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid under OTl inal a el STORM SEW TRK STORM SEW LAT 1 1 71 ! CURB & GUTTER SIDEWALK STREET LIGHT RMD Orr 2S0.00 38513 9-8-93 WATER CONN. 450.00 11 tt BUILDING PER. 9462 SAC n n PARK s Permlt O: ?"S -7 7S Permit Fee: ;Q"?" {Q? Date Received: OLP- sa V Staff: 2008 RESIDENTIAL PLUMBING PER?IMIT APPLICATION Date: 0115 Site Address: 11S9 N r ? . Suite #: RESIDENT/OWNER Name: ?_Ac) n ?(e e . Phone: 0(?) AISD SzvaI Address/ City/Zip: -50.? c t G?61tiL CONTRACTOR OikftiAo? License #: r) 1_0I ,?? P P l Name: (? Address: 95 3, SIA I {m : ?SJJra? Zi t St \OrAO A . p a City: r e! p ? n Phone: b I a &09 ^1 I Dd Contact Person: 9]'1 TYPE OF WORK New _Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation -Add Plumbing Fixtures (_ RPZ / PVB) (_ 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 (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ FOllFlC USE & Reviewed 9y 1 Dal ?A "?. " t ?' x? E'??"•kYti- ?' ?'` :L? a" .`' ;r? :, 5? wits ?nq a ?, x ? Regt(Tre? I spedions °jyn(ferSarWn,4, r ? Rough in ,?? trTe t Gas Tesl Fina[ "? .°.',. k ;s- C?e v nt? I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the omnian:em aw COWS .., S,e ..,.y .., Eagan; that I understand this Is not a permit, but only an application for a permit, and work i ritt to start without a pemrif; that the work will be in accordance with the approved plan in the case of work which requires a review and approval - s. x ?ln fun ?? ifc? x Applicant's Printed Name pit s Signature 1-4 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. IL 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, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan d lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE V - I I SITE ADDRESS ? %D. 66 FfE 1196.25 MULTI-FAMILY BLDG _Y ciN TYPE OF WORK R e -'Poo - J FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS TELEPHONE # S CELL PHONE # FAX # t;5337 II PROPERTY OWNER ?Uhl? PIL?IrCL TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (q submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted lumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # .Fee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the igformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrIf??/nances. Signature ofAppllcani?? GU r /U- ---------- -- -- - r . OFFICE USE ONLY JUN 1 1 2002 Water Softener Water Heater No. of Baths qo3i?- RemodeURegair 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 VALUATION qq fi ,'e r T Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ NcrRequired _ Uod ted 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 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 O 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS . - Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. - Air Test _ Final _ _ _ Windows (new/replaceritent) 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 ir ' BUILDING PERMIT APPLICATION AII? ?rl To Be Used For r Valuation 0 Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. 1?(j Date Site Address Lot Block Sec./Sub. / oRtE.sr Parcel #: t ) (0 3 `?o - o y O -O)2 Erect X' Alter OFFICE USE ONLY Occupancy Zoning Owner: Address: ?/7D( G1J i/6 4-7.c s-(-- City/Zip Code: lyp& S S_s?f 3? Phone #: "v - S? Contractor: Address: City/Zip Code: Phone #: Arch./Eng.: _ Address: City/Zip Code: Phone #: Repair Fire Zone A Enlarge _ Type of Const. _ Move # Stories Demolish _ Front y ft. Grade Depth ft. APPROVALS FEES Assessments Pelmit Water/Sewer Surcharge Police Plan Checky Fire SAC Eng. Water Conn. Planner Water Meter Council Unit ?Vmad Bldg. Off. a - _ - APC TOTAL ©eQ l r Certificate for: :vend Peterson DELMAR H. SCHWANZ LAND SURVEYOR 5f luo, Registered Under Laws of The State Of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 SURVEYOR'S CERTIFICATE .ice SCALE: 1 inch - 39 feet Elevations shown are existing 4 PHONE 912 423-1769 G Denotes set wood hub Proposed garage floor _ i elevation • J. t ?, I Drainage & utility easement i. t T t S- ``` r 1 14"rY.....s c. I hereby certify that this is a true and correct representation of Lot 4, Block Z, CANTEPBUPY FORFST, according z'_ ;a STN to the recorded plat thereof, Dakota County,/ ",t Minnesota. Also showing the location of a proposed house as staked tf?ereon. r" r Dated. Au„ust 26, 1983 MINNESOTA REGISTRATION NO. 862 Z CITY OF EAGAN 3830 Picot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT a iI1444 PERMIT TYPE: BUILDING Permit Number: 031023 Date Issued: 10/27/97 SITE ADDRESS: 1158 TIFFANY CIR S LOT: 4 BLOCK: 2 CANTEBURY FOREST P.I.N.: 10-16350-040-02 DESCRIPTION: BuiIding`--Pe Buil'ding 6!o, f census Cote ;t (STOVE) rmit Type FIREPLACE rk Type NEW 434 ALT. RESIDENTIAL ...tea r ZY i Ql I° REMARKS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER'INC 16332561 2009091 PIERCE JOHN 2700 N FAIRVIEW AVE 1158 TIFFANY CIR S ROSEVILLE MN 55113-0847 EAGAN MN 55123 (612) 633-2561 (612)452-5621 i hereby acknowledge that havereatl this 'application and state that the information is correct and ag-ree'to comply?wi-th all applicable State of Mn, Statutes and City of Eagan Ord nance$. J APPLICANTIPERMITEE SIGNATURE 'ISSUED B : SI A U E CITY OF EAGAN J?/? f 830 PT KNOB RD - 55122 4 1997 FIREPLACE PERMIT APPLICATION) II.Jo 681-4675 DATE: /O Z l PERMIT FEE: $50.50 syov&- DESCRIPTION OF WORK: CONSTRUCT 1M FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTHER: STREET ADDRESS: LOT BLOCK APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: ? Phone 4: ^2--56ZI OWNER Signature: / fI Street Address: y? 5 O ?O, ( IFI-- A ? y ?IIc City:/ State: ghl, Zip: Z-5 Ll tl= j /d? a3S -Z-? 5 FIREPLACE Company: Z? 5 Phone #: C-O7S8 INSTALLER Signature: Stree Address: License CityU (W s V1 L-1-c State: zip: 5? 3 3 7 GAS LINE Company: Phone #: INSTALLER Name: Q Signature: or?Q Street Address: City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. I Y A ? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date PIERCE, MARGE Site Address 1158 TIFFANY CIRCLE SOUTH Unit # EAGAN. MN 55123 (651) 452-5621 Property Owner Telephone # ( ) Contractor NORBIAM PLUMBING We (612) 827x4033 Address City • ip Telephone # ( ) State MINNEA-M! 1S. MN The Applicant is - Owner $4, Contractor - Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater $ 15.00 X replacement _ additional h ll $ .50 State Surcharge ' IS ?? Total U 1 $ I hereby apply for a Residential Plumbing Permit and acknowledge that the mtorroNon-ts complete and accurate; that me worK wltl be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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. Jio,? Applicant's Printed Name Ag,? tcant's Signature