1159 Tiffany Cir N SERVICE PERMIT
ITY OF EAGAN WATER
830 Pilot Knob Road PERMIT NO.: L _
Q, Box 21199 DATE: "4._
agar, MN 55121
Rl ? `
No. of Onits:
S . peters ,
r f ----- - ?
r
4
l
l c , ,111 _
?
y ;;
.Site Address:
an
ent-KY 'J k
•
'
Plumber
I.
con?ection
Charge:
n ,P`.
-" '
Mew No.:
Mete Account Deposit:
Size: D 9 d
n Permit Fee:
Reader o.:
e
1 some to eesmoly with the C of Surcharge:
h
s
. --
arge
Misc. C
ordionwo ,. Total:
pate Paid:
BY Insp.:
Dote of Insp.: /
-SS
L-
ro
r
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.: : .
P. O. Box 21199 '"'' "•`" ' - ?
Eagan, MN 55121 DATE:
No. of Units:
Zoning:
Owner:
Address:
i -7
I *- `s t
i
Site Address
b
S
Plum
er
Connedian Charge: _
Meter No.:
Account Deposit: -
Size:
Permit Fee:
Reader No.:
rrf& *0 City of Lagae
i Are to eoesok
Surcharge:
ordieovews. Misc. Charges:
Total:
Date Paid:
By Insp.:
Dote of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
b
er.
w to eomply wkb the C*y of Began Connection Charge:
assiees. Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
i of Insp.: Total:
Doh Paid:
Receipt MECHANICAL PERMIT Permit No. ,
CITY OF EAGAAN
Fee
Fill In numbered *aca S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk.. Tract
4. Owner
! v 'r
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.
Fuel Type
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 : f
for
Rough Final
Inspections: Date Insp. ' Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
REWTIVAM FOR DECK 4/20/87 1
WX WiME 774-5551 CITY OF EAGAN 11141
DIJANE TVFNGE 456-0763 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
! PHONE: 4548100
BUILDING PERMIT Receipt #
To hs YYd far Fd V^hu r t rb,?e 10
Site Address " I, , • I-. -.,. Erect Li Occupancy
Lot Block1Sub. 1 Remodel ? Zoning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
W Name - Move
li
h ?
El Length
v ° Demo
s Depth
-
Address Int Impr. ? Sq. Ft.
b City Phone Install ?
,o Name
Address ---r------ •---
??i Assessment Permit
I- City Phone Water b Sew. Surcharge
Police Plan Review
?W
Name Fire SAC
GO Address Eng. Water Conn.
izz City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off- Tr. PI.
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Parks
Var. Date Copies
Signature of Permittea
Total
A Building Permit Is issued to: on the express condition thot
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone
`Plumbing ("P
r
HVA.C.
Electric L?? Cr i. a t! ?i 4 ' U
Softener
Impaction Date Insp. Other
Footings 1 (D n $5
Footings II
Foundation
?
Lr> 4C,
I
Framing
Roofing y?g
Rough Pibg.
Rough Htg.
Insul. IP96 It).
Fireplace
C??kYr-1 'mss Cl ?r,?.
Final Htg. _
Final Plbg.
Final
Cert/Occ.
Water Describe Location:
Well
Sewer
Pr. DiaP.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
Vim. .__ •
3.'Job Address t LotT_Blk. Tract
4. Owner .
5. Contractor - Phone
6. Address
7. City
State Zip
8. Building Type: ResidentiaKE] Commercial ? Institutional ?
9. Work Description: New'?Q Add ? Alter ? Repair ?
10. Describe
11.
No.
r Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
.1 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- 's `
' u CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454.8100
BUILDING PERMIT Receipt #
To be used for .' Est. Value Date .('
Site Address l:) ` (' 1 / Fr' n e k
Lot Block 1 Sec/Sub. LANTERSURY FOREST
Parcel
= Name
3 Addre
O City _
'c Name COUNTRY HERITAGE RONLS, ;',C
oc~i Address 13022 JUDICIAL RID
uF City l`-t`Rf+;;"d1LL£ Phone <=`?0-lf 37
Address
City Phone
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.
Signature of Permittee
A Building Permit is issued to: R(L C i'+2 `,' {f K 1TAl?F. 11014FS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
19
APPROVALS FEES
Engr./Assess. Permit „•00
Planner Surcharge 50
Council Plan Review
Bldg, Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone a
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I y
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
s : d at. o[: K : APPLICANT:
R 14
tt t t t? t w?l
.?<+rfcs
PERMIT SUBTYPE: TYPE OF WORK:
Permit No. Permit Holder Date Telephone f
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date trap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace "qS'S Belt T&;-,-' 30 Ld 3
Final Htg.
Orsat Test
kJ
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
.cquest void 7 7j
18 months from /S 0 ,r
068244 4??
Request, Date'
/` ???
J Fire No. Rough-in Inspertion
R q ,red?
E]Ready Now Will Notify Insper
t
Wh
G ?
yes No or,
en Reatly
Licensed Electrical Contractor I hereby request inspection of above
J_j Owner electrical work installed at:
Street Address, Box or Route No.
A4
G City,
4
2 4
e lion No.' I Towns p ama o o.. nge No.
toot
County -
Occupant (PRINT)
Co
P Phone No.
g-gysi
?.
n
Power Supplier Address
?
64-4 Coo ???/,n/p
r,
Ele cal Contractor ( ompany Name) //
1 Contractors License No.
4 C)
G
Mailing Address (Contractor or Owner Making Instailation)
q 60
Authorized Signatwe ontra _Owner ing Insta anon! Phone Number
(P ?- ra-10
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUESTIWILL NOT
Griggs-Midway Bldg. - Room N-191 _ BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED.
CITY OF EAGAN N°_ 14802
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100 kc
BUILDING PERMIT Receipt #
To be used for DECK & GAZEBO Est. Value $5,000 Date APRIL 8 -1988
Site Address 1159 TIFFANY CIR
Lot 4 Block 1 Sec/Sub. CANTERBURY FOREST
Parcel No
,it Name DUANE & JANE TVENGE
= Address 1159 TIFFANY CIR
3
City EAGAN Phone 456-0736
oIName COUNTRY HERITAGE HOMES, INC
$c Address 13022 JUDICIAL RD
City BURNSVTT.T.E Phone 890-1937
wm Name_
FW
sz. Address
aw city-
I hereby acknowledge that 1 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 Eag n Ordin ces.
Signature of Permiltee "d/IL??
A Building Permit is issued to:_ COUN_ Y_HERITAGE_HOMES_
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-,! y(19 ALWIT
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well _ (Actual) Const
City Water _ (Allowable)
PRV Required # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC. MWCC
Water Conn.
Water Meter
Road Unit
Treatment Pt
Parks
TOTAL
66.00
_-z. 50
68.50
9 CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 V`,l
ReesrveD
FROIA 7?
AMOUN
-& -DOLLARS
CASH
i
FOR
FUND CODE UNT
A.OO
)
2_
- J
ci a
Thank You
N_ 56744
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN N°_ 1 1 141
1 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt g 5&67 7
To be used for SF DWG/GAR Est. Value $130 r 000 Date OCTOBER 18 19 85
Site Address 1159 TIFFANY CIR NO Erect 0 Occupancy R3
CANTERBURY FOR Remodel ?
Lot 4 Block 1 Sec/Sub Zoning R1
. Repair ? Type of Const . If
Parcel No. Addition ? No. Stories
SVEND PETERSEN CONST Move ? Length 64
w
z Name
4701 W 110TH ST Demolish ? Depth 42
Address MPLS 884-5144 Inc Impt. El . Sq. Ft.
City Phone Install ll El
SAME Approvals Fees
V
Name
Address
Assessment Permit $ 5-0 0C
Water &Sew. Surcharge 65.OC
Police Plan Review 254 - O C
Fire SAC 525.OC
Eng. Water Conn. 500.OC
Planner Water Meter 63.0C
Council Road Unit 280.OC
Bldg. Off. 10/17/8 Tr. Pl. 132 . O C
APC Parks
Date Copies
Total $2,327. OC
m the express condition that
?sota Statutes and City of Eagan Ordinances.
Phone
Name
Address
City Phone
I hereby acknowledge that 1 have read this
the information is correct and agree toy
State of Minnesota Statutes and City
Signature of Permittee 0 /?R'/L f2
A Building Permit is issued to: SVEND PETERSEN
all work shall be done in accordance w
Building Official
CITY OF EAGAN Remarks L l l t. 2-
Addiv CANTERBURY FOREST Lot 4 Blk 1 Parcel
Owner - -,'/' Street 1159 TIFFANY CIRCLE NO.
State EAGAN MN 55123
l9 ) 0,!' lll.
Improvement - Date Amount Annual Years Payment Receipt Date
STREET SURF. r{r-;_ 1979 Paid under original rcel
STREET RESTOR.
GRADING 5..,; 1981 106.78 5.34 20 85.46 A013446 1-12-84
SAN SEW TRUNK J1; 1973 Paid unde original rcel
* SEWER LATERAL 1981 439.42 21.97 20 3S1,S4 A013446 1-12-84
WATERMAIN
:e WATER LATERAL 1981 20
WATER AREA 1979 Paid unde original rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500,00 n n
BUILDING PER. 11141
SAC 525.00
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
r CITY OF EAGAN
07 3830 PILOT KNOB RD - 55122
lJ J I 651-681-4675 Now Construction Requirements
• 3 registered site surveys showing sq. It of lot, sq. k. of house; and all reofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE K-' /7-
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING
PROPERTY OWNER
TYPE OF WORK
APPLICANT &.LdR 5M
ADDRESS ) 9 J 4L'1
PAGER #
?-M d
S- D-3
FIREPLACE(S) 0 -1 -2
PHON?#
ZIPCODE 53-3
FAX #?!>? ' It 7Yll'
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $90.00
Phone #
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the inform
with all applicable State of Minnesota Statutes and City of Eagan Or ' c
Signature of Applicant /-1W-1
Certificates of Survey Received _ Tree Preservation Plan Received _
Ll
CELL PHONE #
Water Softener
Water Heater
No. of Baths
_ Phone
Lawn Sprinikler
No. of R.I. Baths
Remodel/Repair Requirements
2 copies of plan
• 1 set of Energy Calculations for heated additions
l site survey for exterior additions & decks
Indicate If home served by septic system for additions
VL?LUATIONd(/ S Z - ?lc
2 n ?.. a?-?. ?=moo
Ect, MAY 1 7 2002'
is and agree to
Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of-plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg f
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 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 & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
- Framing _ Siding
Stucco
Stone
- Fireplace _ R.I. -Air Test -Final _ _
_
Windows (new/replacement)
Insulation _ Retaining Wall
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
Approved By , Building Inspector
,I
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMI ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: lc?
Site Address
///V/
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
l s a
Lot Block
Parcel/Sub C??vf?R84%R / FORE ST
Owner J. %?? ?c SE iv ?pivS ? / 14?1?--
Address LSO / w O r? sf-
City/Zip Code Ale4. 6- iE 3'7
Phone /S-'/-/
Contractor 57/3/j cs
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
lei
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Valuation 2n cr6
?O
Date: .S- -.3'-S'
OFFICE USE ONLY
Erect X
Remodel ..
Repair
Addition
Move
Demolish
Int.Impr.
Install
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
APPROVALS
FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Wa er Meter
Council d Unit
ii
Bldg Off i
Treatment P1
APC Parks
Variance Copies
TOTAL
Erb
Uertifioate for:
Svend Peterson
? 4701 West 110th St.
• Bloomington, Mn. 55437
DELMAR H. SCHWANZ
LAND SURVEYORS INC
APR-SIWM UnOP. LA.. OI T,P $IAIP OI WnnPSOIA
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 6121231769
SURVEYOR'S CERTIFICATE
Proposed garage floor 1='
%J
elev. Elevations shown are
existing
t
e a,.
r
AMA a
qM?Op \ y?
Q. ? m
G 0
? ' ?U' %;• 121 V
I hereby certify that this is 92J 9 3i r
r?9 L 1
a true and correct %o
representation of Lot 4, Dv?
Block 1, CANTERBURY FOREST, according i8-?
to the recorded plat thereof, Dakota +
County, Minnesota. ??T P
Also showing the location of a proposed
house as staked thereon.
Dated: September 13, 1985 S
Revised tXouse type and location Oct. 1, 198
MINNESOTA REGISTRATION NO. 8625
j
a Mal llii
CITY OF EAGAN 2/84
i( I
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: 1159 Tiffany Circle North
LEGAL DESCRIPTION:
(Lot/3iocc/SLltxiivisicn or a{ Parcel I.D. NLm.Ser)
S 7[:C'=E, CA=E OF ORIG
11 :AL UIL;I`:G : =:•ST ISSN?`.;C=:
P.-- ,_ 7ir/?.'tPCS? USE: 91R-i S^;GL FP?+.ILY
? R-2 DUPLEK (?ti• O LNITS )
? R-3 Ta%tNHCUSE (TI-azEE + L?IITS) ( UNITS)
? R-4 APART_`T!:T/CC`MO-*- \TTL I ( UNI=S)
? COI^ff.•RCI_=,L q=AIL,/OFFICE
? INDUS=R=
? NSTIT'uTICNAL/G04?u?? LET
2) APPLIC?NT (PLEASE PRI9i)
bUIME: Svend Petersen Construction
ADDRESS: 4701 West 110th Street
CI'T'Y, STATE, ZIP: Bloomington, MN 55431 -
PHONE: 881-4155
3) PTI74BER
NAtiIE: PLEASE PRINT)
GF'•RVA N PM FOR CITY USE ONLY
ADDRESS:
CITY, STATE, ZIP: 2474 -SO, RMERT TRAIL
- o E 1 1T MN 55068 PLUMBERS LICENSE:
Activ
Ex 'red
PHONE: 423-1144 PLUMBER LICENSE N 1849M t of Record
,(s
arT initta
4) OCCUTANT/C!•7NE-R ME: IPLtFat PHINI) ADDRESS:
CITY, STATE, ZIP:
PHONE: -
5) INDICATE WHICH P=, LIT IS BEING REQUESTED:
C COz=ION TO CITY Salm
CONNECTION TO CITY WATER
? GTIrzER (PLEASE DESCRIBE)
6) I DZG,.? ONE:
?"?TZA.SE HOLD APPROVED PERMIT FOR PI?35,4 BY ONE OF ABOVE
L`J PIUASE tiVJ APPR P To ABOVE
one)
7) SIG:,=E: DATE:
/? ??S
w?ls?-a,as)ea?il?c?l?1lt???.a??ssri?ssa:aaalrl?rJ?_rYf3i/!!ller?t.?
F O R C I T Y
S E O N L Y
PERMIT °- ISSUED
FEES: $
$
$ 6 J. UC
$
$
$
$ CCG GK/
$ 5a5;
$
$
S
$ ,_) c
SET.-;E7 PEPNIT (I`iCL::Da SURCt AR GE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE RE'= R
WATER TAP (INCLUDE CORPORATION STOP)
SE:lER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SE?':E3
LATERAL BENEFIT/T.UNR WATER
OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT,'
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN-PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN _
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
i
APPROVED BY:
TITLE:
DATE:
A gp-m""M l=:"§ ww wmw lpm wfJ4 WON llw MUM wrA-m Ww w#www fso w:7 mm we wA"m
SPECIAL ASSESSMEN DIVISION
THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
of
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100
DATE: June 24, 1986
f
DAKOTA COUNTY ABSTRACT CO
1250 HWY 55, P O BOX 456
HASTINGS MN 55033
SEARCH
BEA BLOMOUIST
Mayw
THOMAS EGAN
.LAMES A. SMITH
VK: ELLISON
THEODORE WACHTER
Cw NMemOws
THOMAS HEDGES
GN Pam huh
EUGENE VAN OVERBEKE
GM Owk
RE: Canterbury Forest
10-16350-040-01
Enclosed herein is the search which you requested made on the above described
property.
Kind of Improvement Years Beginning Original Amount Balance Due
SEE ATTACHED SHEET
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion.
Kind of Improvement Approximate Date of Completion Approximate Cost
ANY PENDINGS WILL BE LISTED ON THE ATTACHED SHEET.
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the
above information which was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, MN 55121.
Very Truly yours,
TRANSACTION ID: 8763 SPECIAL ASSESSMENTS
SPECIAL ASSESSMENTS SEARCH SUMMARY
PROPERTY I.D. TODAYS DATE: 06/24/36 ---SPECIAL FLAGS----
10-16350-040-01 1-2-3-4-5-6-7-3-9-10
S.A.# 'ASSESSMENT DESCR. - YR`YRS^ RATE WTOTAL ANN.PRIN. PAYOFF COMMENT
**+ SUMMARY OF ACTIVE .00 .00 .00
•?*±?+ THIS YEAR'S TOT P&I .00
Press Fl or F2 (Header Form) or F7 (Restart 8763) L
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
V .
BUILDING
022080
09/28/93
SITE ADDRESS:
P.I.N.: 10-16350-040-01
DESCRIPTION:
REMARKS:
FEE SUMMARY-
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FIREPLACE SPECIALIST
1200 9TH AVE
S ST PAUL MN
(612) 451-1970
PERMIT TYPE:
Permit Number:
Date Issued:
Applicant - sl. Luc. OWNER:
14511970 0003924 PHELPS WILLIAM
1159 TIFFANY CIR N
55075 EAGAN MN 55121
(612)686-0969
I hereby acknowledge that I have read this application and state that the
information is correct an agree to comply with all applicable State of Mn.
Statutes art¢ g4ty of Ea n 9rdjnances.
L_
1159 TIFFANY CIR N
LOT: 4 BLOCK: 1
CANTERBURY FOREST
j (ZERO CLEARANCE)
B;ung,-Permit Type FIREPLACE
Building Work Type NEW
I
1!7 i .
-ISSUED B SIGNATURE-
REACTIVATE _
PERMIT IF
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change i,s requested once permit
is issued.
Date Valuation of work
) I S `) T? Ci oR
Site Address:
STREET / SUITE /
Tenant Name: (commercial only)
LOT BLOCK SUED.
Uul P.I.D. N
4 s q PICA (Dt_
Description of work: Q
The applicant is: ? Owner ZKCon ractor ? Other (Describe)
P E IP S Vj 1 Phone 6Q 6
Name
Property
Owner ? ST FI
RST lJ
FriN No
Address
STREET STE S
City ??GGr State Yhfj Zip SS1
CA- ?j p? C ?' o) S S Phone ?f s) G
P l 0
P04
,
-
Company
Contractor T? 39a?X
AO °) license # G CC) P• _
Address / G
SS State N Zip sS6 7 S
City
Company Phone
Architect/ Registration Y
Name
Engineer
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re his ap ication and state that the information is
lica e S ate of Minnesota Statutes and City of
h
i
a . p
t
correct and agree to comply w
Eagan Ordinances.
/?
-
Signature of Applicant:
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 1,6 Basement Fini'sh
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim.P661`
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? IS Comm./Ind.
? 04 SF Porch ? 09 12-Plex 4 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New )33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Votuation:
SAC %
SAC Units
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-4t 14 0?-
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: r GValuu7ation:
Site Address 11y
Lot Block ?ff
Parcel/Sub Ca yn PY huh / i 1^PS?
Owner n...?i??rVP_
Address %G/-/
City/Zip Code
Phone
Contractor
Address
City/Zip Code 9401 1-nf L> i ll e ,h 177'37
Phone
Arch./Engr. _
Address
City/Zip Code _
Phone #
1
UD APR 7 1988
q4jr9?- Date:
SOC7o -
On site sewage- Occupancy
MWCC system Zoning
On site well Actual Const
City water Allowable
PRV required # of stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge 2 o So
Council Plan Review
Bldg. Off. SAC, City
Variance W? SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114737
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 1159 Tiffany Cir N
Lot:4 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William C Phelps
1159 Tiffany Cir N
Eagan MN 55123
(651) 686-0969
Maverick Construction
11227 River Rd NE
Hanover MN 55341
(763) 498-7401
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159061
Date Issued:11/19/2019
Permit Category:ePermit
Site Address: 1159 Tiffany Cir N
Lot:4 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William C Phelps
1159 Tiffany Cir N
Eagan MN 55123
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature