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1161 Tiffany Cir N     íü    ôð  þýýü ûúÿôú ÿ     ùüüýý ÿÿûÿ úþÿüë  á    þý   ÿþýüû ù÷à úÿýüû ùýüûù÷à  ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ  ý ûèúååûåè úþõçôÿþü÷åõüóõè  ëéâéííè í èî í öù  ÿó Ýÿéâéè ð èð Ýÿ è  õó  òñ ûû õüõýýìó  áýååüúø òûòøîòø ñãáïî  óþü÷ó óæóûûóóåõõûü÷óûûþ  åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN ooz p ?..?,,, Knob Road WATER SERVIC E PERMIT P. O. Box 21199 PERMIT NO : . Eagan, MN 55121 DINE: Zoning: No. of Units: 1 Owner: i`a„1 ?s`alentiny Address ,NSka Address 11x1 -Jf,7any Circl•3 ';o i,3 Bl Cantebury Forest Plumber: Ihomrson Plbf' - Meter No • 0 Y ? ? ? a b S - Connection charge: 4 50 . 20 ; d Size: aft Account Deposit: Reader No.: Permit Fee: 1000 pd I 4** C'4 iiti°S S h 50 d . urc arge: . p M LEFF Oi;E ELECTRIC - GAS EtCMIx• Charges: 60.00 _ d mlet ota" ey Date Paid: of Ins Ind o Receipt I i (r J PI • i ?. ' T 1. Date 2. 3. Job Address 4. Owner 1BING PERMIT Permit No. Y OF EAGAN ' Fee numbered spaces S/C or Print legibly T t ` o . nstallation Cost I ? Q• i of Blk. Tract 5. Contractor f D ?. x Phone ., 6. Address rG U % r% : -'y ,i 7. City f? a State Zip 7 D 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New IN 10. Describe 11. Add ? Alter ? Repair ? No. 70 Fixtures Water Closet No. Fixtures Cesspool/Drainfield - Bath tubs Septic Tank ? , Lavatory Softner Shower Well f Kitchen Sink Urinal/Bidet Other i Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets E 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 1t 291e3 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 '0 9. Work Description: New !] Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. 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 : rY for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 z CITY OF EAGAN L?0 17378 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASE!lM Est. Value $1,500 Date DEC 1 2 .190- Site Address 1161 TIFFANY CIR N Lot 3 Block 1 Sec/Sub CANTB>It311RY FORES OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - W Name MIKE LARSEN (Actual) Const Bldg. Permit 36.00 c Address 1161 TIFFANY CIR N (Allowable) h 1 00 Surc arge . City EAGAN Phone 652-1550 * of stories - Plan Review Length p Name BRYAN IKIJFU8 Depth SAC Cit = , y 04 Address 4155 OAKCREST DR S.F.Total SAC, MCWCC City VAD HTS Phone 429-7295 S.F. Footprints Water Conn On Site Sewage to Name On Site Well W r t M t W '3 Address MWCC System - a er e e Acct. Deposit iW City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: BRYAN KUFUS Planner Park Dad. 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 V 37.00 Building Official ariance TOTAL WATER Foundation Plumber Final Final Pr. t CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RtCtIVED FROM 19 AMOUNT 1 EICASH [:]CHECK 00 FOR '44 J ,mil FUND CODE AMOUNT t T k You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Permit No. Permit Holder Misc. P rmit No. Holder Plumbing I t y`U Y? 5a? e ? _f t? H.V.A.C. N Ak, Water Well DISP. Sewer Electric A-oco! a L $ 4-L E f Ec, /o -zS-V Inspection Date Insp. Other Footings • j- Foundation Framing .? Rough Plbg. Rough HVA Insulation - Final Plbg. `. Final HVAC ' Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 3793 Pilot Knob Rood Eagan, MN $3122 PHONE: 434-8100 BUILDING PERMIT Receipt # To be egad far Est.Volue 1O5,?iO0 Dat e ()Ctol-'er 11 '19 `3 Site Address 1161 Tiffany Circle ';ort!t Erect Occupancy Lot Block 1 Sec/Sub Canterbury rarest Alter ? Zoning Parcel # 1. () 163 5 (1 ' ;,1) x"11 Repair ? Fire Zone l E E T V arge n ? ype of Const. cc Nome Paul '.'alentiny Constr. :=ac. Move ? # Stories z l Address 7030 Alpine Trail. Demolish ? Length 54 ra? ;Ec en Prairie pk,,,,,, 937-2994 Grade ? Depth 34 Sa. Ft. . o Name -fl r/ u? Address x = 7 ati.,... Name _ Address 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: all work shall be done in accordance with oll Building Official Assessment Permit 445.50 Water 8 Sew. Surcharge 52.50 Police 5 Plan check 222.7 Fire SAC 5-_-1 • 70 Eng. Water Conn. `* 50.00 Planner Water Meter h 1 • n'? -77 77-T Council . 3 Rood Unit Bldg. Off. APC Total ' ' _ on the express condition that City of Eagan Ordinances. V , BUILDING PERMIT N° 8566 Receipt # ,4?z , 2 To be used for SE DWG/GAR Est. Value 105,000 Date October 11 19 83 _ _ Site Address 11 61 Tiffany Ci rcle North Ere t U u an O R3 c p cy cc Lot 3 Black , I Sec/Sub. Canterbury Forest Alter ? Zoning Rl 10 1 6350 030 Ol Repair ? Fire Zone NA Parcel # E l T f C V n arge ? ype o onst. a: Nome Pa ul Walentiny Constr. Inc. Move ? # Stories Address 70 30 Alpine Tra il Demolish ? Length 54 b City, Eden Prairie phone 937 2994 Grade ? Depth 34 Sg. Ft.- Nam SAME Approvals Fees to Name 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: oil work shall be done in accordance with all applicable CITY OF EAGAN 5795 Pilot Knob Read Eagan, MN 85122 PHONES 454-8100 Assessment _ Water 8 Sew. Police - Fire Eng. Planner Council _ Bldg. Off. APC Permit 4+45-50 A Surcharge 99-5 Plan check 779.75 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 Total $2005.75 _ an the express condition thm City of Eagan Ordinances. Building Official CITY OF EACAN Include 2 sets of plans, u 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. ? 0. Tb Be Used For Valuation Date Jd - - ?3 Site Address JJIO ir?q OFFICE USE ONLY ?k' - Lot 3 Block Sec./Sub. yeP3pp;T `Erect ?_ Occupancy .3 Parcel #: t (0 3 SO - C) b -d l Alter Zoning Repair Fire Zone Owner: /?Auz %L?. iyyL?i?S> 7-?,a Enlarge _ Type of Const. I al, Move if Stories Address: 20,3Q /6 /- Demolish _ Front 5 ft. City/Zip Code: d76r1 1, ?W iL S fi!/Grade Depth gy ft. Phone #: 93 7 -? 99 Y FEES Contractor: S!9.? Address: ir City/Zip Code: Phone #: Arch./Eng.. Address: City/Zip Code: Phone #: APPROVALS Assessments Permit S? Water/Sewer Surcharge Police Plan Check Fire SAC av ss Eng. Water Conn. 4/rgV °n Planner Water Meter ?Q Council Road Unit t? Bldg. Off. APC wrAL 02005. 75 CITY OF EAGAN N2 17378 _ -? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ?., /pIt BUILDING PERMIT Receipt s To be used for BASEMENT Est. Value $1,500 Date DEC 12 1969 Site Address 1161 TIFFANY GIR N Lot 3 Block 1 Sec/Sub CANTERBURY FORES OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name MIKE LARSEN (Actual)Const Bldg. Permit 36-00 3 Address 1161 TIFFANY CIR N (Allowable) h S 1 00 urc arge . City EAGAN Phone 452-1550 Sof Stories Plan Review Length Name BRYAN KUFUS Depth SAC City 0" Address 4155 OAKCR ST DR S.F.Total . SAC, MCWCC City VAD FITS Phone 429-7295 S F. Footprints - Water Conn On Site Sewage ww Name On Site Well - Water Meter w iZ Address MWCC System u? a W City Phone City Water Acct. Deposit S/W Pe mit PRV Required r I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Cit of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit BRYAN KUFUS A Building Permit is issued to: Planner Park Dad. 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. Olt. Copies p r, I- 37.00 I ` fli .I Building Official - fA CI Variance TOTAL /'Vl ?/1?-cl /l x190 y jI //v/ _ - /ri r 95997 °? - 1, 4,61 Request Date Fire No. Rough-In ?? _ Regm s NO eaoy Now Inspector When Ready? 1 ensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Bon or Route No.) city // 1141 /v• r 4i 5A? Section No. Township Name or No. Range No. County / .Gdf1 Occupant (PRINT) /)20 XeJ-"ai-tvt-- Phone No. Power Supplier Atldress Electrical Connector (Company Name) Ee CGribractan; License No. ?t Gam , C- "C oyies?z Mailing Address (Connector or Owner M ng IrWellatlan)y? l J ? sy-` . o t ?1'/ e- Authorized lure (Con ctor Mak' g Ration) Phone Number y6 MINNESOTA STATE BOARD OF ELECTRIC" 97 Griggs-Midvrey Bldg. - Room 5.173 1821 University Ave., St. Paul, MN 55104 Phone (512) 8424MM THIS INSPECTION REQUEST WILL NOT BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 421,17 dC, REQUEST FOR ELECTRICAL INSPECTION C g yg 0 / ?Tee ins ucl6 s for completing this form on back of yellow copy. IR 9 5 9 9 7 'X" Below Work Covered by This Request 6 L Ad Rep. „, TypeofBuilding Appliances Wired Equipment Wired e Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Olhw (specify) Comractor's Remarks: ,p Compute Inspection Below: i'lle # Ofer Fee. # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs bispeciw9 Use Only: TOTAL Irrigation Booms 33 Special Inspection Alarm/Communication Other Fee j ; I, the Electrical Inspector, hereby Rough-In Coo - " ' °" Date certify that the above inspection has been made. Fire) ome of USE ONLY This request void 18 months from This equea void /o _Z Ir 1-7 g CA,?.?-EP jOUr?., 3q S °l 3 1B rtionths from A nni n? 5?- gz.s7o Request Date / o-ay -83 Fire No. Rough-in Inspection Regmredl L DReadv Now i I Notif¢? InsDec- fo Wh R t *Vs ?No [ r en eady Ccensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1 C' o - ?G? ecUOn No, Township am or No. Range No. County I ? Occupant (PRINT) Phone No. Power Supplier Address ?y?, a Electrical Contractor (Company Name) Contractor's License No. i o L S C x/0 Mailing Address (Contractor or Owner Making Installation) /143 )q u-n64 (^? C SV ?T???cGh Authorized 'gnatur tact /Owner akin, Inst' Iatinnl Phone Number ??Sf7 MINNESOTA STATE BO0411O OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1021 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 Lr ' See instruptions for completing this form on back of yellow copy. A" "'x" Below Work Covered by This Request 3q 513 NW4 dd Rep. Type of Building Appliances Wired ERUipmenl Used Home Range emporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer peel y then (specify) t ter Specify other Other Comoute Inspection Fee Below k Fee Service Entrance Size k Fee Feaders/Subteeders # Fee Circuits p 0 to 200 Amps 0 to 30 Amps a 0 to 30 Amps Above 200 Amps jjjW 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Am s Transformers Irrigation Booms Q Partial,'Otber e Signs Special Inspection ,2 PLt 4 TO AL FEE Remarks y _ BouBh-in Date Jg? I, the Electrical Inspector, hereby certify that the above Final inspection has been / ' Sj Rea / _ d made. This request void 18 months from CITY OFEAGAN Remarks b,?. 1q, 4v Addition- CANTERBURY FOREST Lot 3 Blk_ Owner bt; l jrf l' - Street 1161 TIFFANY CIRCLE NO. Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. c40,; 1979 Paid unde original del STREET RESTOR. GRADING 1981 106.78 5.34 20 85.46 A013446 1-12-84 SAN SEW TRUNK <.I 1973 Paid unde original pa rcel * SEWER LATERAL 1981 439.42 21.97 20 3S1,54 A013446 1-12-84 WATERMAIN WATER LATERAL 1981 20 WATER AREA -i' 1979 Paid unde original Cel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNTI 250.00 3 178 10-11-83 WATER CONN. 450.00 it tt BUILDING PER. SAC tt it PARK 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements 3 registered site surveys showing sq. it of lot, sq. fl. of house; and all roofed areas 2 copies of plan (200/6 marrimum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate d onsb septic system 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units -F6 9©?-) 0 .Q,-a dY Office Use Only r / Cart of Survey Reod -Y -N Tree Pres Plan Reod _Y _N. Tree Pres Required -Y -N On site Septic System _Y -N Date l ?7 l b r Construction Cost ?r 000 Site Address ///D/ 7i4?pj, , 14av Al. UnittSte # u A?? SS/a-3 Description of Work r?;QlQrc old /5I-PCl-? yy ihG s ?Qd?rn?ns CGrrtn? ?orc{r LA7eGE. I See Gurrtnl PCrrmr? ? $ A631v1/ prat Multi-Family Bldg _ Y )( N Fireplace(s) 0 _ 1 _ 2 Property Owner TO AD GHA 2 LO77 E Jv//,cisoi F Telephone # (6,5/) y22 - 0? & oo Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category 1 • Residential ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review 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 Statutes; 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. A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted 1'.?NA!`LOTT;C 4?IL]DEPT JOANJs 61 I%a C6 & r Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ?°i 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ocp60 Census Code ?t 3 SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Occupancy /1-7 Zoning /9/) Stories Sq. Ft. Length Width MCES System - City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector OR9S CERTIFICATE SIENNA CORPORATION ?o o< '3a L. ` 062!0 \ 3p 10 \ ? O•? 10 -50 It L `tso ?\ . i5?1 01 g? v 1 a i a? V rbt/al 't GC[/?a?/a H? ?J /inSo.7 ?' •l?? ? / 100 \\ G % /IAN s s/ a 3"S \ i / ?? / 10 Q ? -+0 ? 9p O DENOTES IRON MONUMENT SET / SCALE: 1 INCH = 40 FEET * DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9/`i.: FEET O DENOTES WOOD HUB PROPOSED LOWEST FLOOR = 9/? 'FEET . tooo.o)DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Block 1, CANTERBURY FOREST, according to the Lot 3 recorded plat , thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIB LE ENCROACHMENTS, IF ANY, AS SURVEYED BY ME THIS 16TH OR ON SAID LAND FR DAY OF MARCH 19 83 . . OM APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORAT ? ?J'?•d'-O?f/!L?/? I ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION -? S _. ?(p t 1 City Of Eagan I u} a - 3830 Pilot Knob Road, Eagan NIN 55122 3 I2A0Vq Telephone # 651-675-5675 FAX # 651-675-5694-t jj New construction Reouirements RemodeliReoair Reouirements 3 registered site surveys showing sq. ft of K sq. R of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated a! 2 copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan ft lot platted after 7/1/33 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date E3 Construction Cost e S }- / Site Address 1161 i ; rF c, ?y C %ro ?? 1?v, th Unit/Ste # 9 a nnni 5 57,Q3 Description of Work Sc ice- e -/ 2? c h °1-7 Multi-Family Bldg _ Y A N Fireplace(s) X 0 - 1 _ 2 Property Owner i o aro! a?hn s? -r Telephone # (6,51 ) 23 a, /a ft? S-f. so GSl-?/So1- 060- Hv?v,. S Contractor 9 v e " -7r'- Address city State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( r Telephone # ( j r l_J l'ulJ ?I I hereby apply for a Residential Building Permit and acknowledge that the information is comp e e and accurate; that the work will be in conformance with the ordinances and codes of the City of !Eagarrand-the=State=vfi NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App ' ature OFFICE USE ONLY Sub Types ? 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex fir 18 Deck Ix 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding )9( 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PGA handout to applicant Valuation 000 Occupancy R-3 MCES System Census Code Zoning P o City Water SAC Units Stories / Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width 33 Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof J9 Ice & Water At Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: REQUIRED INSPECTIONS _ Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone - Brick Windows Retaining Wall Building Inspector Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total /35 z. VI- 4? S C/t /Z.ShrN 17G/L'G /w ? ? (p C, ;RVEYOR'S CERTIFICATE SIENNA CORPORATION r po o? `gyp. ? \ 30 y0 aOo ?A 2 N ?? .? ? ?? ? ctl`1' Fy9? 1 "TorAof G6ta?/o rte ,/,.,so-7 '?i •i9i3\ /? ?O G\\ lkg = 40 FEET SCALE: 1 INCH O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9!9. FEET * DENOTES WOOD HUB PROPOSED LOWEST FLOOR FEET cooo.oiDENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block y, CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE; ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 16TH DAY OF MARCH 1983 ; APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORAT?/f?(/ ,'?/ SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. 1969 BUILDING PERMIT APPLICATION CITY OF EAGAN 101-5111 MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTBRED SITE SURVEYS - (CEM WITH BLDG DIV.) 1 SET OF ENERGY CALLS. COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RERTAL UNITS FOR SALE UNITS 1 OF UNITS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 13 ISSUED.. SEWER 6 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT RAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. A-C Q i 1989 To Be Used For: 6'? ? ( 67Y aluation: Date: L B° Site Address Lot 1? Block I_ 15-Do Occupancy Zoning Actual Const Allowable i of stories Length Depth S.F. Total Footprint S.F. Parcel/Subs r -,r1 jAj r Owner M? t!_t LF311?1 Address I(P Ti(rFR?JY Cit ND City/Zip Code rl- s4" S-?-f Z3 Phone AsZ_ (55o Contractor vyi,-Vi Address /L5-5 UAV--e-+;-fsC tP(L- City/ZipDCode U d I? - S Ss( ?? Phone t Q -7GArch./Engr. Address City/Zip Code On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner Council Bldg. Off. JZ?7?-1-7 Variance FEES Bldg. Permit G oa Surcharge /000 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 39,E Phone 0 5 SU'RVEYOR'S CERTIFICATE' SIENNA CORPORATION rl o d-3 30 10 O \ \ Ly ?A 7- ? p C1? \ \ " 1' 9SF9iy\ ?. -50 10 7 / wy 1 c? -V -0 Q ?P 30 Q° O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET * DENOTES IRON MONUMENT FOUND . PROPOSED GARAGE FLOOR = 9!%. FEET 0 DENOTES WOOD HUB PROPOSED LOWEST FLOOR = 91FEET (ooo.o)OENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = - FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block ), CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 16TH DAY OF MARCH 19 83 , APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORAT R BERTS Ajj?HITECTS BY: 6,0 C, DATE DAYfln HAROLD C. PETERSON, LAND SURVEYOR OF 19 IIIN14ESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South ' FOLDER Bloomington, Mm 55431 812-884-3029 ryTF (;t Oft ?;1,?{n,Fr AVFRffr rr;Jn CO"'?U-'AT!ON SITE ADDRESS: CONTRACTOR, nATr: PHON,7 DETERM'`E WORM NO SQUARE FO^T(,OE nF EACH: rs.-? 1. TOTAL EXPOSED WALL AREA........ 9C- sq rt IT111 i ? = i 52/.28 3 2. TOTA! ROOF/CE; INC AREA........ i go sq ft x ?. TOTAL EXPOSED WALL AREA CALCL'L AT'0'15: Total exposed well area above floor,,,,,,., 3 9'v- sa ft f.. a) Total wall window area: glazed...... ?G ly sq ft x "U" L9 v ?2/.5Z glazed...... so ft x "U" J r it 12,4 b) Total door area ,,,,,,,,, r sq t x u' c) Total sliding glass door area: glazed...... .9U sq ft x 'U'' e65 = 2.G.Ta glazed...... sq ft x "U" G d} Total fircolaec Wall area so ft x ,,Y] ° e) Total wa'l '.framing area (Average 10") .......... f) Total net wa':.1 area above floor (Insulated)....... 1999 sq ft x."L'" 04 = C9. 7C g) Total rim Joist area..... J/_2 sq ft x "J' ?q = ?• 2L Total foundation area (Exposed)......... 33? sq ft h) Total foundation sq ft x "U" SC window area............ _ 1) Total net foundation 1V, sq ft x "U" 9? ° 7SG© area above grade.... 1 3• TOTAL a) thru if item N3 is the same as, or less than item N1, you have met_ the intent of S.B.C. Section 6000 (c) 2. f. X CC, e f •. ni p . e,l'?' n•?'.. n^ 1L ;?-_'n fa v 'n„1 6;-,< " ?=--- ,C1 To, rc•+rnAv re e 11 Total ne:t nsulatc r•o - ^•? area...... 1/ L TCTAI thru 3 ?.5 t •:,.e 'nten`. If total o' 's the s?Te as, or :ess ti an ??. you have re S.9. C. Section G')^h 'r; 1. ALTERNATE BL'ILOINI; ENVELOPE OAS" To utll- ther tntal envelope system method, the values rstabilshed by thr sum of :-ems `3 and !4 shat, no* be greater than the sum of Stems P and -2. 991-?/ + 4. 3G • S C E R T I F 1 C A T '• O N i hereby certify that I have calculated the "U" factors and V' values herein and that the buildinn here.descrlhed meets or exceeds the State of Minnesota Energy Conservation Act, 4nature, P. VALUE „??? rrior air FIlm 0.61 I -CAR ! 1 Inte,r`or air `.?r• n.6R ? 5/ NS4L ?! ?_552 Sako+/ l'L'o an ?/orh. _ li EY. ". @7rlOr 8. r ! if0 u_?/R=,093 n. 62 L ,5 3z S 7,0( -01 A' P U = 1/R -6.1 R _ FDI,IDATID,; SEC,-ION: ?? A.••? I. IfItC'r ;nO _d:_r r'?_;_____ n.?iR '?? 'A _ o- 'per ` ? JZ lD 4 o c A - ?• Z8 ?I '• 'Q'-I r(: EX[er:or eif 1 n. !] r •.'n-41 TOTAL R = m /3 }- rt U = 1/R = %s f' SLAB ON GRADE ?. L .y i 4 V 17 _ JO IST SEC-" ?N: --1,i Interior air `i?m \' MA I ? .L i ! / ?/ r- •?`/? r- /' rte! - ?n 1 - n: . n. R VA! n_r plan"r ?? ?r., -___ ae 3 0_00 13 5? (Cc .sC 3 3c, ac n-cti.,ti sr, c \,r<,o?l G.g9 TO-IA'- R - ?0•63' U l / R -02,? 1111?1j1?)I?V J r , V•r-i\?Tr-ri ;nrC.rior a'r ?;'", x.61 qr?i 7.r,? x. e or 1/R SECTIrM! ?. 'n?er!or afr film J? 11 = )?R = i 1 Inside air film ?•f'1 7 J f? r % -.r/1_ R = " = 7/P = fl, Mf AND FlEf1'MC; COMPANY ss? 32d3 r)N4'aion Nielsen .Xenting/A.C. Inc, Phone ?f,EA'T LOSS CALCULATIONS 6A42 Penn Ave. Sou?h Minneapolis, Minnesota 55423 Veatherotrips Construction No. I! INSULATION I Cuice +I >r7indows Doors ? Reference Qut. Wall Int. Wall Cetang Roof floor find flow App 19- ± "TL ^ °ength t7mih height Room Length 39 Width 88 ftoc. a _ Windom and Doors-?Crackage and Area - 'W;nrlowrs and Doors--Crachar.e and Area Width Height No. aC Ltnanl 5e. Na oP Caaa of a-ins tfgh[ of craw: Aran. a4 It 3e '.. / '9L 31 Coe€. Btu -. a.wail' 34f79F3Cd-(J Net erp. wall Yff . ?/ ? 1 ,4441A to lia' i 4.tiliP:, i i LL T'loor - ' - '{ L 3L ?- I Total Btu. W .A. Leader area f Required sq. ft. ED.ib. or sq. ins. WJI. Leaderarea i , h Width Height Room ILength Wi&A Hkight Windows arxt. ibors-•t;rncrar3e and Aren l dth . Hoi¢hi No. o! Linaai St. Araa Wi tro ft. y yyt Nn .... p(pyta ,^of nano liehta o[croak f d 9n51erat:on C f3Ut- j. ?l .xaw ..,.,11 •av?.t.a ?s.t-/-i.a.t .c' ;>;'1L ; I- I ECef 27LD_.raa?.?-- a/ L - / 1crr - I Int MITI ?fnae°encE :> IdoG ` Ceiling 11 Floor- No, Width Ha lght No. at Lineal rt. or pang of nano lghta ar teaek Arca oT. 5t. t.; - ?? I Coef. Btu " Infiltration /3?! 3P _ 509 class 9L SG t3y Exp. wall 3? t 28 t28 Z Net esp. wo" C C 3 SY fat, wort i Ceiling ?g a 8SC Floor s 5' i/3? ! 1 S Cam. (!? Windows an in d Dgora-Crac ge and Are a Widt No. of Dena it, 0.0 of µlao I Rubes laaal L at or k rva tt 3 ( 3v /C ! .2 /5 t 8. Btu Infiltration . oZC -lass ?S 5? 73'G Esp. wall $. fiS° t ZC f2L 8 ggy Net exp. wall yf /S Me C Int. wall Ceiling i'lor Tfl;" }- a9 /? . t /.!^ ! Required sq tE 5 7" It or sq. ins. WA Loser area (j , Required sq ft. E.D.R. or sq. ins. ,? f.endar area !? T f8oonylJ p2th E?/is't W ` r1R W, imam ?Unpth . 'CMtN 4ici_,4%1 ®°lindows and Doors--Cracirene once A rea ?- ??"t°'?W Idf?f EPA g t Nn. aC .41{9a0i-!<•_] /iMB i f ? A?w4?f raMr.?iOano 1 4:J W'?8k..f ut eroo,, } ? ! f t f ,: ,. ? st s3L?a"£SpD .. 4. 1?f u t n ' r •: ., 'fir! s?woaYt. s L *w354. t!^? ?.,? j3 ; //?,? : t 4pt? t ?IColttt?l CY'LSE ?P` or ? ? yy 1 ?L?W%t I i'?'Z Windows attd Doom-Crachna and Area idth cleat a. of n. it. No. of no at ttwa lights of er"t, AM4 a4 !L 4 . C'sc Fag in6lteateetE ??? 3 G.ltESS i f ;? ' Net exp.-wall Int. wall Ceiling floor j i 3tu. 'T'otal ^tu. r r• b3c?rtircd eq. ft. E D.R. or sq• itta. 714 L.ae --r atra' 9196? L BL CITY USE ONLY RECEIPT* SUBD. DATE: 91601f 7 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 0.00 x Private Disposal * Dakota Cry. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL do- 50 SITE ADDRESS: W01 01 pry/ OWNER NAME:'S16M INSTALLER 70-7/We STREET ADDRESS: SAN hllIlUm/e .6?Yd. CITY: 6 ??IU?GU STATE: InIv ZIP: yy? , 0 PHONE M (Old ) ,785- SIGNATURL OFFICE USE ONLY L _ BL RECEIPT SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commercial/industrial buildings. ? multi-family buildings when separate permits are nW required for each dwelling unit. DATE: WORK TYPE: - NEW CONSTRUCTION DESCRIPTION OF WORK: ADD ON REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ge= fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: . ADDRESS: _ CITY: PHONE* SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: DATE: STE. # CONTRACT PRICE: STATE: ZIP: APPLICANT -INSPECTOR: CITY OF EAGAN CASHIER: JS TERMINAL NO: 784 DATE: 04/27/00 TIME: 13:43:28 ID: NAME: FRONTIER CORPORATION 3210 9001 1161 TIFFANY CI 111.2E 2155 9001 1161 TIFFANY CI 2.5C Total Receipt Amount: 113.75 CR128265 USER ID: JAN qM I 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 tl 3 . LD 651-681-4675 New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys stowing sq. ft of lot, sq. ft. of house and 21 rooted areas (206 maximum lot coverage allowed) > 2 copies of plans (stow beam & window sizes: poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan If lot platted after 7/1/93 DATE: -? _(D 1 DESCRIPTION OF WORK: STREET ADDRESS: G ? LOT: 3 BLOCK: -L SUBD./P.I.D. #: 2 copies of plan I set of energy calculations for heated addliffm 1 site survey for exterior additions & decks COST: `'f 7 2U -- t or- , . Name: 1 " o. Y\! c? il Phone C FT- PROPERTY Last First OWNER Sheet Address: / lC r V---;z ? City State: Zip: Company ?C-z> .? , Qs rCJv c h? y Phone #: I 3-I? O (area code) CONTRACTOR huy a? Zoa l Sheet Address:-7---z,-7 License # 2 Ot7t Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address. Registration C City State: Sewedwater licensed plumber (if Installing sewer/water): Phone #: I hereby acknowledge that I have read this application, slate that the of Minnesota Statutes and City of Eagan Ordinances. Certificates of Survey Received Tree Preservation Plan Received Signature of Applican7 OFFICE USE ONLY Yes No Yes No Zlp: is coned, and agree to comply with all applicable State Not Required 27 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq• ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Multi SAC Units % SAC RESIDENTIAL BUILDING PERMIT APPLICATION V CITY OF EAGAN U 3830 PILOT KNOB RD - 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, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE 11-Al-0 I V JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWNER-7od of7F TYPE OF WORK 1 APPLICANT PAGER # SV-1 0.c) 0 \ - a?-d I RemodellRepair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks (EXCLUDING LAND) O`er/VO 60 EPLACE(S) " YES _ NO PHONE# Oti -9q0-07S-P) tC '11N SS 3;97 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener _ Lawn Sprinkler Water Hcater No. of R.I. Baths Pee: $90.00 No. of Baths /]rte Mechanical Contractor: / Phone # Mechanical System Includes: Air Conditioning Pee: $70.00 Heat Recovery System Sewer/Water Contractor: --f--Phone #,, llr' i7 : 0 q22 ? All above information must be submitted prior to processing of application. .I Ji ?? O Jl II U II /? J yy?? L I hereby acknowledge that I have read this application, state that the informAgi correct, a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ? ?vl /' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ UX'_ ITS? 'e4e, 70 Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ' ? 11 10-plex ? 19 . Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appl icant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing - Fireplace _ R.I. _ Air Test _ Final Insulation -------------- ---------------- 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 Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. Plumbing HVAC MC/ES System City Water Booster Pump PRY Fire Sprinklered _ Other Pool _ Figs _ Air/Gas Tests - Final - Siding _ Stucco _ Stone - Windows (new/replacement) Approved By Building Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1161 Tiffany Cir N Lot: 3 Block: 1 Addition: Canterbury Forest PID:10- 16350- 030 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Quesetions regarding elec 952- 445 -2840 Chris Musta 21210 Eaton Ave PERMIT City of Eaan ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Todd T Johnson 1161 Tiffany Cir N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA087257 11/03/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature ' :. ; . d er i40 : 6259 ,. 55121- DATE: -3 L l ... P 1 rte �' 1 - f 4 .; 11fQ• P TT rr: 11 Plb -'� 14 11-83 39278 100.00 pd b A.t rio. ' tine corM' "oa Conn�ion Charge: - 425. # pd Account t; Permit Fee* 10. �p� ..7O r t I�nte of 1 . "� i t '� PERMIT City of Eagan Permit Type:Building Permit Number:EA123630 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 1161 Tiffany Cir N Lot:3 Block: 1 Addition: Canterbury Forest PID:10-16350-01-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd T Johnson 1161 Tiffany Cir N Eagan MN 55123 (612) 203-6103 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150618 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 1161 Tiffany Cir N Lot:3 Block: 1 Addition: Canterbury Forest PID:10-16350-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeremy B Schleper 1161 Tiffany Cir N Eagan MN 55123 (612) 281-3656 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature