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1162 Tiffany Cir SCITY OF EAGAN WATER SERVICE PERMIT 3830 Not Knob Road PERMIT NO.: P.O. Box 21199 DATE: 1 1 ?? Eagan, MN 55121 Zoning: No. of Units: Owner r Address: Site Adders: ' T Plumber. - Meter No.: Size: Kv` ?? 7 Permit Fee: Reader No.: Q c I agree to comply with the City of Eagan Surcharge: , Misc. Charges: Ordinance. Total: ?' 1d Date Paid: By Date of Insp.: Insp. CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO.: 8196 No. of Units: Addess: nber: - or No.: _ der No.: to comply with the City of Eagan of Insp.: Connection Charge: Account Deposit: . Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: , . Zoning: - r No, of Units; Owner. Address: Site Address: i "iffy ;1 -- f Pluwxvr Fr -- t' free to ee0r1iiir with lie Cky of Eepe Connection Chorpe: • } .eneu. Acoxont Deposit. - Permit Fee: -? 8 Y Surcharge: - , Dote of insp.: Misc. Charges: Total: Insp.: Date Paid: BLDG. PERMIT NO. 01-3210' `Bldg.' Permits 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge _ 17-3860 Road Unit ;I. 20-2275 SAC ' 20-3865 Water Conn. 20-3868 Water Tr-mt. 20-3716 Water Metez 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED PROM AMOUNT & DOLLARS ioo E] CASH ? CHECK P.pR White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY ' CITY OF EAGAN 1A?t2 12860 ! V 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est Value $123,000 Date NOVEMBER 6 19 86 Site Address 1162 TIFFANY CIR SO Erect IN Occupancy R3 Lot 3 Block 2 Sec/Sub. CANTERBURY FORESTRemodel ? Zoning R1 Parcel No Repair ? Type of Const I . Addition ? No. Stories s SVEND PETERSEN COKST INC Move El Length 70 W 3 Name 4701 W 110TH ST Demolish ? Depth 32 Address Int Impr. NPLS 884-5144 ? Sq. Ft City Phone Install ? = o Name SAME 00 a Address ~ City Phone c~i W W F W U? ¢_ <W Name - Address information is correct and agree to Minnesota Statutes and City of E?A Signature of A Building Permit is issued to: SVEND PETEdSEN all work shall be done in accordance with all applicable S Building Assessment _ Water 8 Sew. Police Fire Planner Council itethatthe Bldg. Off. 11/6/86 le State of g' APC Var. Date INC nnesota Statutes and C Permit + -- Surcharge 61.50 Plan Review 245.25 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 240.00 Tr. Pl. 156.00 Parks Copies T-+o 1 $2,381.75 on the express condition that of Eagan Ordinances. Per" No. Permit Holder Date Telephone # Plumbing l H.v,?.C. 7975 Electric %' Softener Inspection Date Insp. Comments Foolinga 1 Footings It Foundation Framing //j 8 Roofing ???? 1>< ?U Rough Plbg. I --/- l Rough Htg. Insul. S Fireplace 4 Final Htg. )?. Final Plbg. Bldg. Fhel Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # ? 7v MECHANICAL PERMIT RECEIPT # L CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 1 .3 " Site Address m Name c-A `, ?•`' AddrESS r c City - Name c Address o City. - v TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other / M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL•'? BLDG. TYPE Res. WORK DESCRIPTION New Mutt Add-on Comm. Other Repair FEES RES. HVAC 0-100 M BTU -$24.00 • l ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 - - ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF'PERMITTEE FOR: CITY OF EAGAN PERMIT # y PLUMBING PERMIT' RECEIPT # CITY OF EAGAN _ s 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address // -- '- Lot Block B Name • - Address c city r,- ? pan 3 Adc 0 City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other NO. FIXTURES TOTAL --7--Water Closet - $3.00 S _ Bath Tubs - $3.00 _ _ Lavatory - $3.00 Shower - $3.00 - ? Kitchen Sink - $3.00 -,-Urinal/Bidet - $3.00 _ 1,-Laundry Tray - $3.00 _ i Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 % z Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: - STATE S/C: GRAND TOTAL: FOR: CITY OF EAGAN This request void 18 months from C 9 6 3 7 3„ tt 1'{?n r- y 1 T 6 91-1 1 ?(r Jr cc Requ Date Fire No. Ro uPh-in Insw"lion R m tl? ?Ready Now ?L]y?Wi 11 Notify, Inspec- es ONo / ?tor When Roady C] Licensed Electrical C Ivactor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Bo ut - City e uon o. Township e r No. Range Na. County Occupant INT) Phone n. Power S ?lier /-- , Atldress 1 I trical Contractor C mpany Name)) Cont or's License No. 0 36 y ailing Address (CoMractor or Owner Making Install [ionl 1 A ,/KJI J U J Authorized Signature (Contractor/ EEa Installation) P ne, p)umbec .?? aJ MINNESOTA STATE BOARD OF ELECTRICITY 1'44S INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phuna 16121 29].2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. 9637 "X" Below Work Covered by this Request EB-00001-04 Ned Addl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader. Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer P,I y the, IS,,,fyl l er sp."c y other Other ompute Inspection Fee Below 0 Fee Servic ce Size it Fee Feeders/Suhfeeders g Fan Circuits of OOA s 0to 30 Amps rLS? 0to 30 Attics Abov -Amps 31 to 100 Amps PD 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms Partial.'Other Fee Signs Special Inspection $/[-may OTA Remarks 0 L FE / f v Rough-in Date I the Electrica T specter, hereby c.. . a. that the above Final inspection has been This request void 18 months from A Y -H Z? / - 33613 3 Request Date a Fire No, , 11 Rough-in Ins ion Requiretl? ?Reatly Now 'S Will Nobly In A' ;k 1 / 1 Vse ? No When Ready? I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) - O City Section No. Township Named No. Range No. County // Occupant (PRINT) Phone No Power Supplier Address Electrical Contractor (Cpmpany Name) Contractors license No. Mailing Address (Contractor or Owner Making installation) _ J ?/6'z T iv Authorized Signature IContractorrOwner Ma Inatalla nl Phone Number C? ?z - - a?z 81 AiRVESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MIdwsy Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 Unlversity Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)5<2-0600 ENCLOSED. 91 WEQUEST FOA ELECTRICAL INSPECTION E& 0000011-07 911. 17 ? See'n?jcaions for completing this farm an back of yellow copy. k ? 0 33613 x" Below Work Covered by This Request V New Add ep, Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: smt Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps V 0 Amps Signs Inspopuse Use Only TOTA4 _ j'J? Irrigation Booms V*/_/1 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M NTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final 1 Oat Date OFFICE USE ONLY This request void 18 months tram CITY OF EAGAN Np 8O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - Q PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $123,000 pate NOVEMBER 6 tg 86 Site Address 1162 TIFFANY CIR SO Erect 91 Occupancy R3 3 Block 2 Sec/Sub. CANTERBURY FOREST Remodel El Zoning R1 Lot Parcel No. Repair ? Type of Const. If Addition ? No. Stories ¢ Name SVEND PETERSEN CONST INC Move ? Length 70 m 4701 W 110TH ST Demolish 13 Depth 32 c Address Int lmpr. ? Sq. Ft City MPLS Phone 884-5144 Install ? ¢ Annrovala Fees =F Name SAME u a Address City Phone F W Name- ¢u a Address 6 W city Phone I hereby acknowledge that l have read th' ppl' tit information is correct and agree to c pl Ith all Minnesota Statutes and Ciry of E rdinanc Signature of Permitt e A Building Permit is issued to: SVEND PETERSEN all work shall be done in accordance with all applicabl6l Assessment _ Water & Sew. Police - Fire - Planner Council the Bldg. Off. 11/6/86 APC Var. Date Permit $ 490.50 Surcharge 61.50 Plan Review 245.25 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies r ,,, $2,381.75 INC on the express condition that ieso a Stalyt s agd_Gity of Eagan Ordinances. Building Official CITY OF EAGAN Addition CANTERBURY FOREST Lot 3 Blk 9 Parcel NEINMEMN Owners -'% -"`Aa:?71 QJ = Street 1162 TIFFANY CIRCLE SO. State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1979 Paid unde Orl inal rcel STREET RESTOR. GRADING 1981 106.78 5.34 20 83.46 A013446 1-12-84 SAN SEW TRUNK 1973 Paid undo original pa rcel * SEWER LATERAL 1981 4339.42 21,97 20 A013"6 1-17-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid unde original p .rcel STORM SEW TRK -,'? - STORM SEW -AT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ITCO ALLIED ENGINEERING COMPANY AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal Telephone: 952-890-7366 9- October 10, 2007 Daymar Construction, Inc. 11300 235th Street East Lakeville, Minnesota 55044 RE: 1162 - Tiffany Circle South Eagan, Dakota County, Minnesota Fax: Phone: 952-985-5477 Fax: 952-985-5034 As requested, a site visit was made on October 9, 2007 at 3:34 P.M. to evaluate subgrade soils for a proposed garage addition at a single family residence. A footing excavation had been completed at the rear of the existing attached garage, consistent with the proposed elevation requirements for frost footing construction. The rear footing line and adjoining sections of the east and west lines had been lowered approximately 2 1/2 feet, to achieve suitable soils consisting of a clayey sand. Soil moisture within the surface zone of the referenced lower section, was above optimum, being fully saturated with isolated areas of standing water. To assess the strength of the soils, a 5/8th inch diameter smooth probe was used to penetrate the soils at random along the base of.the footing trenches. With full body weight applied; the probes indicated acceptable soil consolidation within the upp6r level footings, averaging 8" of penetration. Probes within the lower level indicated soft zones, with probe penetration approaching 18 to 19 inches in isolated areas, with a rapid recovery in strength at depth. A 1 5/8th inch fluted handauger probe put down 30" at base of the footing excavation in the northwest,'indicated a clayey sand subgrade soil, consistent with soils at the base of the excavation. To evaluate the relative loadbearing capacity of the soils, dynamic cone penetrometer tests were conducted at random, or within areas indicating a increase in probe penetration. The dynamic cone penetrometer (DCP), uses a eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in millimeters per blow. From the DCP reading, a per blow, penetration average was recorded and a N-value derived. This N-value, is an empirical relationship we have established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard penetration soil boring test. Test #1 - Rear Northwest Corner DCP Depth Per Blow Avg. / N-Value Estimated Load 543 MM (21.4") 28.7 MM / N-11 3750 PSF Test #2 - Rear Southeast Corner DCP Depth Per Blow Avg. / N-Value Estimated Load 627 MM (24.7") 46.3 MM / N-6.5 2265 PSF Although the DCP tests reflect favorable bearing as a composite average for the depth penetrated, meeting a minimum allowable of 2000 PSF, the upper zone to approximately 18" produced several blows exceeding the minimum threshold of 50 millimeters. We therefore recommend that the soft saturated soils within the lower level of the footing excavation be removed to a minimum depth of 12", and backfill placed, consisting of a free draining 3/4" to 1 1/2" crushed aggregate. Based on our observations, tests, and recommended soil correction, we would anticipate suitable subgrade soils for construction, utilizing the proposed footing design of 20" x 8" W/(2)- #4. Our observations and subsequent soil evaluation on this date is limited in scope to soil conditions observed within the foundation excavation, and to the depths achieved by shallow probes and dynamic cone penetrometer tests. We therefore, are unable to assess subgrade soils at an elevation which may be encountered by borings conducted as part of a standard subsurface geotechnical investigation. Sincerely, Itco Allied Engineering Company Gary Standish Senior Inspector Reviewed By: Robert P. Sullentrop, P.E. Minnesota Reg.# 17823 CC: City of Eagan Building Inspections #701 - 1 / #605 - 1 3/4 / #608 - 1/4 / DCP (2) / #612 - 30 DAYMAR3.DOC C 2004 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. ? l? .SCE Date 11 1 1 0 4 Site Street Address C1 S6 / ? -1 zS Unit # Property Owner 1? L? S' [ GZ ' f I I / ?l L c[1 t F Gl 4 exq i' LC /,5 9 Telephone # (bs)) _,? 7 x{87 Contra dfof? ??d ?u7 h ( 7 / ?6n)? `. /-/, 4 elephone # g?Z) Address 5:533 S?- city h 0 State zipy5S?5 7 The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: _\?'WaterSoftener -Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 T l $S1 ota I hereby apply for a Residential Plumbing 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 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 accordance with the approved plan in the event a plan is required to be reviewed and appr Applicants Printed Name Applicant's Signature ?I i r;,. V 0 1Lii4 i' JL i RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF OB RD,EEAGAN MN 55122 1 CS 3830 PILOT KN 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all rooted 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 h 707 SITE ADD TYPE OF APPLICANT ULTI-FAMILY BLDG _Y N FIREPLACE(S) _ 0? 1 _ 2 STREET ADDRESS y7J ,//(i ict(iw /-"m . J. - CITY ®%Lo!21A,_ TELEPHONE # CELL PHONE # EI2_396'- /2) 9 FAX # zIP5- i PROPERTYOWNER TELEPHONE # 32K OZ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7674 (4 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 Phone # Phone ---------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan OrAnaftchs. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Iawn Sprinkler No. of R.I. Baths 1??-'--I? 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 VALUATIONO fW- / Fee: $90.00 Fee: $70.00 v ?002 ------- rrect, and agree to 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 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 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 IN SPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing - Foundation _ HVAC Drain Tile _ Other Roof _ Ice & Water Framing _ F inal Pool _ Ftgs _ Air/Gas Tests _ Final - Fireplace _ R.I. _ Air Test _ - Final _ Siding _ Stucco _ Stone 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 Q16 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF KAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.* 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND IL-5, DOC) To Be Used For: /? Valuation: Site Address //"/ ? Lot •3 Block FG Date /Z-'F'6 Erect ? Occupancy 3 Remodel Zoning Repair Type of Const Addition # of Stories Move Length -70 Demolish Depth 3 2 Int.Impr. Sq Ft Parcel/Sub L'f9?/T?QBU/eY F 7 Owner ?,Tc 72:?RSeN GRiyn/si i??C-- Address -f70,1 Gd //-P7-"-.Y-4E:=- City/Zip Code /yy?6 s S S X37 Phone Sz Contractor 5,?7 Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Install APPROVALS FEES Assessments Permit So 0• - Water/Sewer Surcharge 4 2 Police Plan Review Z S.zs Fire SAC 5-7S. Engr Water Conn Soo, Planner Water Meter 7 3.tp Council Road Unit T9 Bldg Off Treatment Pl 1154p, APC Parks Variance Copies TOTAL 7f-- NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 24)(2Z " 526 12 . &33 S 4 )c /M " `16& K-4-4- ` ?-3 3 8 e - Z2 SCE 8 Certificate for: Bk: 71/9 Svend Peterson _ _.4701 West 110th Street Bloomington, Minnesota 55437 DELMAR H. SCHWANZ LAND SURVEVORS INC RPpRbrM UnO., Law} N TM Stab nt U.OO OU 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55066 PHONE 612 42x•1766 SURVEYOR'S CERTIFICATE ?UfA Scale: 1 inch = 30 feet Denotes existing elev. O Denotes iron monument / ' \ !0 ? Denotes proposed ? Denotes set wood hub -50 elev. %4N T Drainage and Utility O Z i` s 1, Easement \ Z ,?o T3, ?.latK Z X. 1 ? G o ? 01'1,9 g6 _!.. ?fb Tcpyu// .a q.3d1 ?4 sb x96.1 \ ,, 0?1 1 ,7 Proposed v ?H 1 y o' 1 House Y3ryy, D'y?'l t-1 ?Parage e* 3 I hereby certify that this is 3 a true and correct representation of Lot 3, Block 2, CANTERBURY L FOREST, according to the recorded I plat thereof, Dakota County,- r1??Q'p' ??(y Minnesota. q•) If ^,lp 33 yy t3 •. ,fed 'L //? 1(? Also showing the location of a K ' Q-3° 7' °Ib V proposed house as staked thereon. ¢`Jr`s"'f7 a?YB-!r•Z? ?oP?3A i(IrF Dated: November 3, 1986. qg. ? pp.D x CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *KYTE: PAYMFNP OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR IV= INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ?xxxx . .... .. ... ....................__ P eacP Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRLMURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (mn Year PRESENT ZONING/PROPOSED USE: C] COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMES T R-1 SINGLE FAMILY (J R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2)? NAME: SLOW PETERSEN CONSTRUCTION INC. ADDRESS: 4701 West 110th Street CITY, STATE, ZIP: Bloomington, NN 55437 PHONE: ststl5 3) NAME: GENZ-RYAN PLUMBING & HEATING COMPANY For City Use .. Plumbers License: ADDRESS: 14745 South Robert Trail Active Expired CITY, STATE, ZIP: Rosemount, MN 55068 Not recorded PHONE: 423-1144 MASTER LICENSE# 1849M Stomatial 4) 000 o i:r NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER{ CONNECTION TO CITY WATER ? OTHER- 6) s r C] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF [ C ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3 4, ABOVE ® (Circ a one) • .r 'FOR -CITY USE ONLY PE MIT # ISSUED R Pd w/Bldg. Permit FEES: $ $ /D 'S-6 SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ -3 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S O ACCOUNT DEPOSIT - SEWER $ $ /(S(p--t? ACCOUNT DEPOSIT - WATER $ .7) 6 $ WAC $ ?2 7S Cf Z) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S? $ TOTAL 5 1p Z? RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: AI /, M . , ) , ?- TITLE: ?/? /? -DATE: L BL _- CITY USE ONLY SUBD. V CNG PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # 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 = ater Heater 3.00 x Z = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 X = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL ?JU . SD /V,2,20 RECEIPT #: I o c?sc? RECEIPT DATE: _3561 3 - hereby acknowledge that I nave read this application, state that the information is correct, and agree to comply with all applicable City -of Eagan ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: G>° d,'?e72EW OL////?Qi.JI TELEPHONE#: ?s/- dSSS STREET ADDRESS' CITY: STATE: ?7N ZIP: PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 8 2 2007 RESIDENTIAL BUILDING PEldWAPPMC431 r 5 9 y, l? 0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 _ A Ij n dl Telephone # 651-675-5675 FAX # 651-675-5694 ( J ll New Construction Requirements RemodelfReoair Requirements office:use onN 3 registered site surveys showing sq. ft of lot, sq. fL of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cad of Survey; Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan.Recd Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate Bon-site septic system Tree Pres Required _Y: _ N 1 set of Energy Calculations On-site Septic System -=Y- _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasoo mechanical ventilation form Plans are considered public information unless you state thev are trade secret and the reason. Date 1 `J l Site Address 110- (J 7 ((??? Ti t`t a VV y Construction Cost 3 ® L-206 UniVSte # Description of Work 6-z?,ra Q "k -?;end S r C'2d ?d ?Cvt Multi-Family Bldg Y _ N Fireplace(s) _ 0 2 Property Owner J D S 11h tic r ' ?Jt e ' -a y j-tA Telephone # ( ) Contractor a{ cU,v-5- C4 r6rJ L Address ?? 3 60 State IV, 3 5 ? Ax //__ City L-4 a d rX Zip j Telephone # ((1)-) Sl y 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 (d submission type) Submitted Submitted • Energy Envelope Calculagons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of magst/er plan: C E? W I I # Licensed Plumber Telephone Mechanical Contractor SEP 2 5 2007 .Telephone #( Sewer/Water Contractor T harPhv nnnly Telephone #( Building Permit and acknowledf?e that the complete and accurat e; 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. aG??i 0 W aa, _e &? 4 Applicant's Printed Name /v? pA plicant's Signature DO NOT WRITE BELOW THIS LINE 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 ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types &7W A-6-6' Ift o') SW'r'W (0&9V " 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 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 Description: Water Damage_Yes i Valuation t??D Plan Review _(100% or _ 25% Census Code y 3 t? SAC Units # of Units # of Bldgs Type of Const A OccupancyL MCES System Code Edition Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - Footings (new bldg) _ Footings (deck) -rK Footings (addition) ?G Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R-I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Sheetrock Final/C.O. _c Final/No C.O. HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Approved By: -,Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? '"'° 1????"?? 1 co M - lli Certificate for: Bk: 71/9 Svend Peterson 4701 West 110th Street Bloomington, Minnesota 55437 DELMAR H. SCHWANZ LAND SURVEYORs INC ReQy rorgj Under LBra pl TOP SLIP 01 Mmneemx 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA SS066 PHONE 612 423-7769 Scale: 1 inch = 30 feet O Denotes iron monument sq, ? Denotes set wood hub D 08.3 Drainage and Utility r 1 s JJ\ IL` LS ? 1 SURVEYOR'S CERTIFICATE Easement ?5 i'?sr1 ggrb Denotes existing elev. to O Denotes proposed L elev. ? Z ,/o r J?, 4&66W 2 fop 190.-, h-0 N L v 4 1? N garage I 1 Ti1i'fAlc:`r 99,4 ? I hereby certify that this is ~ !r - ` a true and correct representation of Lot 3, Block 2, CANTERBURY FOREST, according to the recorded ' plat thereof, Dakota County, Minnesota. Also showing the location of a=60 33,yy proposed house as staked thereon. 431.55-y 77 0 Dated: November 3, 1986. ? q8.3 ?pp.0 ri VA? P ? X? m P6 ` t Proposed House VA 1'1- 26 =96•r 3 w o• o 014" zo. J C?? L& þýü ÿþþ ý üý ü ûþþüü û ÿ ÿþú û ú ù ú ù ø ú ÷ ùöõô ù óóðù òý ûñ ïù îïííïï ñ ï ïìíï ëêï ùù þ ýì ïé ñ õýêï íïì çæçååì åìóå ùû û í ýèçæçì äìä èüì ø÷ úöõ ùù à íàïúíýâíúé ßáì îõîúêê û Þîãá þýãá ö ô í õýííî íùùííê ï ý ïù õíùù û êãû êþýð ì ùùë ïûý ûý *City of b 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: S / 31 / 12 Tenant; Joshua RECEIVED JUN 0 4 2012 Use BLUE or BLACK Ink r r For Office Use 2 Permit #: /o (// 4' Permit Fee: 6b -or) Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION Site Address: 1162 Tiffany Circle S Alexander Suite #: RESIDENT / OWNER.': Name: Joshua Alexander Phone: 952-484-7953 Address !City/zip: 1162 Tiffany Circle S, Eagan, MN 55123 ;CONTRACTOR Nance: K&S Heating, Air Conditioning & Plumbing LLC License #: 0153 Address: 4205 Hwy 14 W City: Rochester State: MN Zip: 55901 Phone: (507) 282-4328 Contact: Heidi J Brown Email: hbrown@ksheating.com TYPE OF WORK : New XX Replacement Additional Alteration Demolition Description of work: NOTE.. Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. • PERMIT TYPE :..::. RESIDENTIAL XX Furnace COMMERCIAL New Construction _ Interior Improvement XX Air Conditioner Install Piping Processed Air Exchanger _ _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank (_ Install 1 Remove) Other _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, eta) (Includes Surcharge) $5.00 State Surcharge) = $ 6 0 . 0 0 TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank Installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $10,010, surcharge Is $ 5.00 surcharge Increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than = $ Surcharge - If the Permit Fee is > $10,010, Permit Fee = $ TOTAL FEE (i.e. a $10,010-$11,010 Permit CALL BEFORE YOU DIG. CaII Gopher State One Cali 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.nopherstateonecall.orq I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Rick Keehn Applicant's Printed Name x A.;.4Ka m Applicant's Signature FOR OFFICE USE.:;:`;'. Required lnspections:.:, eviewed By;. pate: Underground ::. Rough In Air Test ` ` ` Gas Service Test . In -floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA117554 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 1162 Tiffany Cir S Lot:3 Block: 2 Addition: Canterbury Forest PID:10-16350-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Joshua T D Alexander 1162 Tiffany Cir S Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150426 Date Issued:07/09/2018 Permit Category:ePermit Site Address: 1162 Tiffany Cir S Lot:3 Block: 2 Addition: Canterbury Forest PID:10-16350-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Joshua T D Alexander 1162 Tiffany Cir S Eagan MN 55123 G & G Roofing Inc 8656 100th St E Northfield MN 55057 (507) 645-2531 Applicant/Permitee: Signature Issued By: Signature