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1106 Tiffany CtC!tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 AUG 44RECD Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: oq s 575`('® �nL 2010 MECHANICAL PERMIT APPLICATION Date• ?--)--2---10 Site Address: 1L l (47- f. Tenant: ! ce l l Drm Suite #: RESIDENT / OWNER CONTRACTOR TYPE OF WORK Name: iL Address / City / Zip: 1 (C1O TI Name: Address: /2-Z� State:%Zip: Contact: New Replacement hone: (1 -� / atm City: se : Phone: Email: Additional Alteration Demolition Description of work: PERMIT TYPE RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed _ Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $,50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc,) (includes $.50 State Surcharge) $ ,CJD TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge Is $,50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge), _ $ TOTAL FEE CALL BEFORE YOU DIG. Call 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.gopherstateoneoail.orri 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 th case of work which requires a review and approval of plans Applicant's Ffrinted Name x App Jul. 5. 2010 9:370 „Crest Exteriors 651-463-8095 pQin (LnDK:211 L.-.) City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6764675 Fax: (651) 675-5694 P. 1 For Office US Permit #: -1 r �� Permit Fee: Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 07 +. Z011)__ Site Address: I/062 reEEeW Tenant: Suite #: RESIDENT 1 OWNER Name: _ TOQ E LA Q Phone: b61- 6 8'3 -q/87 Address 1 City I Zip: //Ola Z,1 /X 62ate% Applicant is: Owner Contractor TYPE OF WORK Description of work: .5/0//0 67 Construction Cost; r2O?` 'Z- / i 1 U Multi -Family Building: (Yes' I No 1 CONTRACTOR Name: e 4 e +-efl,Q t' S License #: .::1)1.0. 3 `n` 0 Address:...._ i ,. /10 '.1 . ' Ale City: MEM In kW State: 1'1J1Zip: _550 -1 V Phone: 4P5/'" ' `t "' (P/S/ ' !Contact Person; ,:5414,21/ 64/1'7 , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: _ Phone; Sewer & Water Contractor: Phones NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. x a ff R-tA-f ✓V \ Applicant's Printed Name ant's Signature 965 Page i of 3 3830 pilot Knob Road WATER SERVICE PERMIT P. O Box 21199 E PERMIT NO : agan, MN 55121 . Zoni DATEr _ ng: , O No. of-Units: wner: {., ,• . Address: Site Address: 11 rY T i . ^ M l` T1 ?` i3 ?t1 1rY ?Orpst M 1c]>M Plumber ` Meter No.:. 360/ F 00, 5 Size: $?ocG?, Connection Charge; Read* rNo.: Q ??i Accou fit. F 1 F - . . i rm to eorrgly with ttte City of gegea some OnN Permit ee: Surcharge: ,- r, ? 11171 Misc. Changes; 7771-5-3- - `1ru TF B .. Y Total: _ r "T j -1 Date of I nap.: Paid: r,? /per gs Insp.: ; CITY OF EAGAN 3830 Piles Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: _ Owner: Address: Site Address: 'P Plumber. - Tham:son Pl mbi Meter No.. Size: Reader No.: i69"s ft w ! v" the f of Bowe ovd6a By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: ------------- DATE: - No. of Units: p at. - Connection Charge: . C'0 pd - Account Deposit: - 15 002d - Permit Fee: Surcharge: -,. Misc. Changes: i 32C_!t.d -rty Total: ` .; s me r - Date Paid: - Insp.: ;;;6 " Pil'; `K^"^bR"oad MWER SERVICE PERMIT no P. O. Box 21199 PERMIT NO.: f Eagan, MN 55121 DATE: - Zoning: -" No. of Units: Owner. ??-1ttl? : ; (:,, Address: - Site Address: T' r oiny Dr. L,4 Canterbury I'Qr28t - Plumber. z»b{ Zli 0 . 'I 1_' J ; -ii, . •, O ; : . I alma to ass lop V*b as Clay of gape Orrirroaas_ By Date of Insp.: Connection Charge: _ OODd Account Deposit: Permit Fee: Surcharge: -', Misc. Charges: Total: Date Paid: BUILDING PERMIT tv'10083 Receipt * S115,00" n,.., 3F.PTEMBER c o ''•?' Site Address -I",-( , `[' CT Erect Q Occupancy Lot Block^/Sub. Remodel ? Zoning ` Parcel No. It Name Addre zz, Name bU Address U9 t- ritV Phnno Name Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. 1 Install ? Apswo vols Fees Assessment Water & Sew. Police Fire Eng. Planner Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. `'•? 'S'' }? the information Is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. V D Plan Review - i ,-,-25. SAC b 2 } 0 tJ Water Conn. 5 i " " % 0 Water Meter f, { • U() Road Unit 2 • G 0 Tr. PI.? 132.0(j ar. ate Copies Signature of Perrnittee I ' C ,ntLh 4•,A'LL;;; r ".' 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. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Building Official log 88 lg '° g n ? n = ? S 1 1-- O o n H s e a o ? 4 ? o W 9 o 7 • Receipt i PLUMBING PERMIT Permit No. CITY OF EAGAN Fee l ?' } Fill in numbered Wacas 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 1 State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce s ool/Dr infield - Bath tubs s p a Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. J 1. Date 2. Installation Cost 3. Job Address \\' Lot Rik, Tract 4. Owner ) . }._ . _h - 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ?7- Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. Type *o. _ Equipment STU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g _ - Boilers T 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 This request from 15 (-(/ ¢5, n t v o I ?1C,J/ /J // r C /? Request Date ?? Fire No. ftbugh-i Inspection Requi ? es ? No T ?Reatly Now Will Notity InsPec- for When Ready b Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at. Street Address. Box or Route No. C av ' ? i act o o. Township Name or Mange No. County ' rA Occupa ff PRINT) Pha No. Power Supplier Addres. J ill Electrical Contractor 1Compa ny Nemel n[ractor s Lic nse No. e T ?/ ? + J Mailin g A dd re s Contractor or Owner s Makin, Instaila [i 1 y ? f y .? { Authorized Si na oM o /O r Making lnstallatiof) Phone Number Y MINNESOTA STATEZARD OF ELECTRICITY THIS INSPECTION REQUEST WILL 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 (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 (rvJ ( S See instructions for completing this form on back of Yellow copy. l ` p M480 "'X'- Below Work Covered by This Request O Adtl Bep. Tyoe of Building Auolia s Wired Equipment Wired 1 Water Heater # Fee Service Entrance Six. # Fee Feaders/Subieeders # Pee Circuits /I (JO 0 to 200 Amps 0 to 30 Am Us 1x S0 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100Amps _ Transtormers Irrigation Booms Partia l.'Other Fe -? Signs Special Inspection B ?+ / Bemerks TOTAL'FEE 1J 1. the Electiinal lnspector- hereby certify that the above inspection has been mede. request •' CASH RECEIPT • CITY OF EAGAN P. O. BOX 21-199 vow Jj Az2 FIND CODE UNT 4J ?O G Y J Thank You a N_ 55500 White-Payers Copy Yellow-Posting Copy Pink-File Copy /-DOLLARS Aso CASH CHECK CITY OF EAGAN N! 1 0 8 8 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 5? 7 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $115,000 Date SEPTEMBER 4 19 85 Site Address 1106 TIFFANY CT Lot 24 Block 2 Sec/Sub. CANTERBURY FO Parcel No. Erect IR Occupancy R3 Remodel ? Zoning R 1 Repair ? Type of Const V Addition ? No. Stories Move ? Length 54 Demolish ? Depth 44 Int. Impr. ? Sq. Ft. Install ? Approvals R Fees W. IN,,, PAUL WALENTINY CONST Address 7030 ALPINE TR City EDEN PRAIR$FOne 937-2994 Name u? Addrf r- City . Phone u-, Name Address Z. Phone City _ I hereby acknowledge that I hove read this the Information is correct and ag a to c State of Minnesota Statutes on City of Signature of PermitteeL! A Building Permit Is issued to: PAUL all work shall be done in accordance with all Building Official and state that all applicable Assessment Permit $ 440. hU Water 8 Sew. Surcharge 57.50 Police Plan Review 235.25 Fire SAC 525. U0 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 Bldg.Off. 8/30/8 Tr. PI. - 132.00 APC Parks Var. Date Copies Total $2,263.25 iT on the express condition Thar sots Statutes and City of Eagan Ordinances. CITY OF EAGAN Remarks i 6 IL I, Addition ?? CANTERBURY FOREST Lot 24 Bak 2 Parcel Owne0!iE Street 1106 TIFFANY---fVE C-•f- State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. t'I, 1979 Paid unde original a cel STREET RESTOR. GRADING j., 1981 106.78 5.34 20 85.46 1-12-84 SAN SEW TRUNK -?L.j 1973 Paid unde original pa Cel * SEWER LATERAL 1981 439.42 21.97 20 --%A A01-3446 I-110-A4 WATERMAIN * WATER LATERAL 19811. 20 WATER AREA -4L 1979 Paid unde original a cel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. cm-no n n BUILDING PER. 10888 SAC 525.00 PARK MIDLAND HEATING 6442 Penn Avenue South a Phone: 869-3213 1106 e? ! /Z 02 F,Ay ah ADDRESS a'0f f t - APT. -F 00g C1TY SUBURB - OCCUPANT 'ew .-4,r OWNER TUd./?ei. ins/ -hs' U/ - ---- HEAT LOSS DATE HT G IN T. ?, jj [? '7 . S SOLD BY STALLED It 1 BY . L 1 . ?c S L d d Q El k B i l W l ,-? 13 L'O e?. ( 4 -6,lj i+ s Line B ' N 4 I ca y ectr or y 4 TYPE OF HEAT GA -FA ,k HW- STEAM SPACE HTR. -UNIT HTR. _OT R f GAS DESIGN CONV6 w p ' MAKE MAKE OF BURNER Model r? g -` Model Soria1 9/1 A-le - - Max. BTU Rating _ INPUT aZ 1 MAKE OF FURNACE Model CONTROLS 7 ` THERMO hkT Haut Plug Vent Size , Volvo eN? G , Ia'ISG't L 0 M AU- KIND OF LINER TY. &A 1G SIZE_ r NONE Limit ed 44 a SQ Draft Hood Regulator Limit Setting _ .AD O Filters Size Number Fan Setting i Chimney Location Inside -7e- Outside e ??`ror Pilot T 6?fC 1?6y Chimney Construction yp Pilot Make t7S 0 Pilot Model p$ N "1 6- 6 0- 1?k 6(k Smoke Bomb Wiring r Pilot Timing Ta Draft Test 9- L.W. Cut Off Door Pressure Lighting Inst. Pressure Percent CO2 t Z Data Tested ?;. ? Input CFH Percent 02 q Company Tsating / ` Stack Temp. ul0 Percent CO r0 Name of Tester n.?. Farm 235 RESIDENTIAL BUILDING PERMIT APPLICATION L j G? C/ I C? CITY OF EAGAN HR O ( 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaulrements • 3 registered site surveys showing sq. ft. of lot, sq. tL of house; and gg 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 r lot platted after 7/1/93 • Rim Joist Detall Options selection sheet (bqs with 3 or less units) DATE ?/ J 3 u w_ goo VALUATION - __1 S ?{ 3U G SITE ADDRESS l ?l/ 6 Fl a 14 N rA MULTI-FAMILY BLDG _ Y ?- N TYPE OF WORK f n o c FIREPLACE(S) _0_&1 -2 APPLICANT STREET ADDRESS l l0(_0 l , C P7C l v ??? CITY Za?a,, STATE 1" _ZIP TELEPHONE # 4'?/-0g--7S- CELL PHONE # kr SS" FAX # PROPERTYOWNER a, ';'9 d_oKn? TELEPHONE# SCE COMPLETE THIS SECTION FOR -NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J 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: Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Remodel/Repair Reauirenrents • 2 copies of plan 1 set of Energy Calculations for heated additions • l she survey for extedar additions & decks • Indicate r home served by septic system for additions _ Phone # Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Phone # Fee: $70.00 Phone # ---------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the inform pn I Ei+nrrwrt nn mply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant_ --------- ------ _..__..__-_-__-_.------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 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_Yor_N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Aft - 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 _ RI. - Air Test - Final - _ Windows (new/replacement) _ Insulation - Retaining Wall Approved By , Building Inspector 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 )6 trr 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS 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: Ak !? Valuation: Site Address I ?tI Lot Z-2c,,-" Block Parcel/Sub A?T?kQ ZUi2r/?Od?E?7 Owner Address City/Zip Code INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 1 f 5, c?ov -7L7T Date: Erect Occupancy Remodel Zoning Repair Type of Const Addition U of Stories Move Length Demolish Depth Int.Impr, Sq Ft Install Phone Contractor Address 21,: -- -A :? City/Zip Code y'W Phone ?J ?2 - 2 cj S Arch./Engr. Address City/Zip Code APPROVALS FEES Assessments A Permit 14 0. Water/Sewer Surcharge 51. Police Plan Review 235, Fire SAC 52-5 Engr Water Conn 510, Planner Water Meter 13. Council -Road Unit 21• Bldg Off -qd,77 --- Treatment P1 132. APC Parks Variance Copies TOTAL 2 _ a L'. Phone 0 ?3Zx ?? ° 482S? 1 2Z? 2Z qS9 X t2 = Soco,3 v?'LZ- ?? ? x t2 ZI IZ In X t2 l20 x 1?0 ?j Lx 'L ; d? 4-4- 3 °J 24 1 I Q-424 W.U. 247-85 22017 Survey For: Paul WalenLiny construction W. ftu'ade Land Surveying; Inc. 9001 E. Bloomington Frwy. (35W) Bloomington, MN 55420 Surveyor's Certificate (612) 881-2455 r, - / '\\ g35? 1 9MS O. ?' 225.31 O c 4•?G' 9''4g .yo ?JY.J /TA.f • N Y? 0 12A \'?•, •g3691 V 1 , -o e O 'PI m0 _ --URtVt - %__DRAINAGE a UTILITY EASEMENT 0 0 75 xs2e.o v LOT 24 15 x 935.2 936,4 5.81 L92523 i/I g' ?=14°I926\ \ R=60.00 L=1500 `i9p2 IRON =940.3 PROPERTY DESCRIPTION O a m 0 N Lot 24, Block 2, CANTERBURY FOREST according to the recorded plat thereof, Dakota County, Minnesota. NOTES & LEGEND * 935.2 Denotes existing elevation *(935.2) Denotes proposed yard elevation *Proposed garage floor elevation = 939.0 *Proposed front house entry elevation = 940.2 *Proposed top of block elevation =939.2 *Proposed basement floor (walkout)eleva?ion= We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, from or on said land. Dated this 15th day of August , 1985 SUNDE LAND SURVEYING, INC. BY: T-k. 4 - dwar H. Sun e, R.L.S. Reg. No. 8612 * The proposed elevations and proposed house location are subject to review and change by the City Engineer, Build ing Dept., developer and owner. Pro- posed grades and house location which are approved by the City are final. EXTERIOR ENVELOPE AVEP.AGE "U" COMPUTATIO.1 OWNER: Md ?F J6-? SITE ADDRESS: CONTRACTOR: Wcda,g4i C04J, DATE : 8 Zs 85 9TERMiNE NOP.KING SQUARE FOOTAGE OF EACH: PHOME: M ?. TOTAL EXPOSED HALL AREA,. sq ft x "U" 2. TOTAL ROOF/CEILING AREA,....... sq ft x "U" +Q? = 3J,.7 3. TOTAL EXPOSED 14ALL AREA CALCULATIONS: Total exposed wall area above floor........ + sq ft a) Total 'w/all window area: ?jttGli glazed...... sq ft x "U" .CJ o Q2?? glazed,,,,.. ' sq ft x "U" _ b) Total door area ......... 38, sq ft x "U" .? _ c) Total sliding glass door area: mod -- glazed...... j? sq ft x "U" glazed...... sq ft x "U" d) Total fireplace wall area sq ft x "U" -- e) Total wall framing area (Average 109;).......... 0,?) sq ft x "U"' f) Total net wall area above .floor (insulated)....... , sq ft x g) Total rim joist area...... I), _ sq ft x "U" Total foundation area (Exposed).......... sq ft 11) Total foundation window area........... sq ft x "U" . 5 = -- 1) Total net foundation area above grade:....... . 1 501 sq ft x "U" .{p = 15',? 3. TOTAL a) thru 1) If iten P3 is the sane as, or less than iten hl, you have met the intent of S.R.C. Section 6006 (c) 2. 4, TOTAL EXPOSED ROOF/CEILIryG CALCIJLATI(ItJS: Total exposed roof/ceiling area........ f,2 p sq ft j) Total skylight area ....., - so ft x "IJ" k) Total roof/ceiiinq area. (Averane ln° framinq )...... iO, sn ft x 1) Total net insulated roof/ceiiinq area ....,. Q (o sq ft x "U" D2 2+ • 23.8 TOTAL j) thru 1) If total of LJI is the same as, or less than "2, you have met the intent of S.B.C. Section FOOT (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN 2.73 To utilize the total envelope system r^ethod, the values established by the sum of items °3 and H4 shall not be greater than the sum of items 01 and 92. 1. + 2. 3. + 4. C E R T I F I r, A T I o N I hereby certify that I have 'calculated the "I1" factors and "R" alues herein and that the huildinn here descrihed meets or exceeds the State F Minnesota Energy Conservation Act, Slnnacure) 0 /? (Date) I'll, . "I".. i i. RAHIIIG SECTION: 11 ' 11LUC 1 Interior air film n,FR 2 rock_ 4? . 3 Z incrnes soft wcoif 4 zs z2" ' „? ir, 2. o S _ bid.lnW •6S A Exterior .ir film n.17 TOTAL R = JC?? U = 1/R = .092..E SECTION (INSULATED) Interior air film 1/2" 4ha.e._I-mck n. FP txtertor our riim n.I/ U = I/R = .o4S ST SECTION: Interior air film n,68C Exter.iaruair film 0,11 TOTAL R = 2 U = 1/R = M1 1011 SECTION: Interior air film n.rR 2" YtAV t T t5 IQJ ,U LM la. IT* Gcvtat c. todcc 1b 28_ Exterior air film 0.17 TOTAL R = R,13 U = I/R = .IZ SLAB ON GRADE Z4. V 4 .a 41 42, o a ?V QN Q ; %1 f.CILI!1G SECTION (INSULATED): 1 Interior air film n,El 2 ? 5 rcck? .75 3 20' blcwn rQ,? y MW4 4 Exterior air film (still) n 61 TOTAL R = 45.97 s.? U = 1/R. = .OZ2 r_EILPM FRA.MINr SECTION: 1 Interior air film n,rl 2 G -V E eeF c.k_, ?? 2" ?Ictan thS a u`i+ '7S ?6 3 fntersor asr film still) n,Fl 5 inches soft wond 4.38 TOTAL R U= 1/R = 2.to5 = .OZ CEILING SECTION (INSULATED): 1' 'Interior air film 2 3 4 Fxterior air film still) 0.61 TOTAL R = U= 1/R= VENTED CEILING FR.A.MINr, SECTION: 1 Interior air file 2 3 n.?i 0.FI 4 Exterior air f)lm still n. 1 S inches soft wood TOTAL R = U= 1/R.= 1 2 1 S Inside air Film n,AI Outs ice air riI, n_I7 TOTAL R = U= 1/R= C?...??``• 2/84 ) CITY OF EAGAN 1ST\t\ F.- j (IU APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PPOPERTY ADDRESS: -r"6' M i LEGAL DESGRIPTICN: 7, P G w (Lot/Block/Subdivisi, or ax Parcei I.D. N _) I'r SIST=:G 5-MUC^ME , DATE OF CnT_G:=T L ==--G =.j = ISS:?\G: P°ZSr T ..^..:.TI2 r'/PROPOS=-.) L S: P?R-1 SIY=- -zpm '_' D R-2 DUPLE:: (T',ti0 UN=S) C] R-3 Mo-oT-T.CUSE (Tla= + UNITS) ( UNL^S) ? R-4 r`P,:!,R^' 7r/CC. C-%L7: ( UNITS) ? ca EF,CL%L/T=-AIL?OFFICi ? INDUSTRIAL ' ? 2;NSTITLTI0.1AL,/GCVS2N 7% . 7 2) APPLIC iT (PLEASL 111NI) NA6IE A'U ADDRESS: ?2{? ?) Vl P I YC I + V CITY, STATE, ZIP: {f? ?/l (U ' 1 CJcj? PHONE: ?/ G( ?7? 3) PLL: SBE' r ASE M -A M FOR Cl Y USE ONLY NAME: 001 ) I 1l ? 17 I ? ?f1J/ 1' ID ( ADDRESS: I ' I? PLUS RS LICE9 / - Actin CITY, STATE, ZIP: ?n ??AA p ior)P ? ?? f? -red PHONE: ? ?I t?ln„ /1? .2?72? PLUMBER LICENSE {t of R cord a i niM a) cccLParrr/a;cIERj?rY?P. C( I`LyLA PRINr) NAME: ? ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE .gHicH PE:RI•lIT IS BEING REQUESTED: ® CC T=ION TO CITY SEHER CONNECi'ION TO CITY HATER 0.ER (PLEASE DESCRIBE) b) l!Ql(:A.n CNE: El PT.- SE HOLD APPROVED PER4IT FOR PICK-lir BY ONE OF ABMS ® PLEASE !AIL APPROVED PMLIT TO 1, 2, 3, 4 ABOVE A (Circl one) 7) SIG MIL12E: \ DATE: v I ?I? /lwq?RM/Y.Ai1?Ol?:a • ? •. ara ae ?'+s ? saga es s s ?ssa:a a s ra ??+?a s ue rs w s ??? F O R PER.'KIT L' ISSUED L C I T Y U S E O N L Y FEES: $ •YG $ & - "a $ $ , $ $ lS-u(J $ / S?GU $ S C o Y1 $ $ $ S::':EU. PERK?T_T (I`:CL:?E SURCI?GE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SETIER TAP ACCOUNT DEPOSIT - WATER WAc SAC TRUNK WATER ASSESS:IE:IT TRUNK SEWER ASSESS3iE?iT LATERAL BENEFIT/TRUNK SE67ER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT s3-S-60 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 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?aawweww wweswwmwU*?w weew=wmrwww_mwwwwAm Rmpe wtmw=w=jog wwwowiesw . City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA106795 Date Issued: 09/11/2012 Permit Category: ePermit Site Address: 1106 Tiffany Ct Lot: 24 Block: 2 Addition: Canterbury Forest PID: 10-16350-02-240 Use: Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dan Clough 3880 Willowwood St Prior Lake , MN 55372 952-447-5761 Fee Summary: Valuation: 450.00 PL - RPZ/Lawn Irrigation Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447-5761 - Applicant - Owner: Thomas 0 Elton 1106 Tiffany Ct Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA108020 Date Issued: 11/09/2012 Permit Category: ePermit Site Address: 1106 Tiffany Ct Lot: 24 Block: 2 Addition: Canterbury Forest PID: 10-16350-02-240 Use: Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: dean Kamrath 13791 jonquil In n dayton, mn 55327 612-205-6060 Fee Summary: PL - Permit Fee (WS 8/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Adam's On Time Plumbing & Water Heaters LLC 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 - Applicant - Owner: Thomas 0 Elton 1106 Tiffany Ct Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature €ity of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: D'S2> Permit Fee: `� Z' Date Received: Staff: -J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: TH014143 C�-��%'+ Phone: C S7 Address / City / Zip: //o6 / /m"7' C. &i2{�itrA i My Applicant is: Owner Contractor Description of work: JJk& Q/'/%-` (I-- £6 Siiiks Q Construction Cost: r Multi -Family Building: (Yes / No/ ) Company: / t Contact: 7*r'm f Address: l tea/ 5/ S�iQ. -fes {L7 City: r�A 1 State: /1/1'‘) Zip: >l2 © Phone: 5r o'er License #: S S ' ; Lead Certificate #: 1()kt O r7- / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: NOTE: Plans and supporting docurn the information maybe classified.a its that you submit are co non-public if you provide s onclude that theme/ are trade secret sidered to be public information', Portion. peCifiC reasons tint would perm t the City CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the days of permit issuance. x r� NatAAlc ApplicahTf`s Printed Name to State Building Code must be completed within 180 plicant's Signature Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA121615 Date Issued: 04/09/2014 Permit Category: ePermit Site Address: 1106 Tiffany Ct Lot: 24 Block: 2 Addition: Canterbury Forest PID: 10-16350-02-240 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Jeff Pelant Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Legacy Restoration LLC 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 - Applicant - Owner: Thomas 0 Elton 1106 Tiffany Ct Eagan MN 55123 (651) 955-2556 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA123604 Date Issued: 06/11/2014 Permit Category: ePermit Site Address: 1106 Tiffany Ct Lot: 24 Block: 2 Addition: Canterbury Forest PID: 10-16350-02-240 Use: Description: Sub Type: Siding Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please leave printed pictures of house wrap on site for the final inspection. 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. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 - Applicant - Owner: Thomas 0 Elton 1106 Tiffany Ct Eagan MN 55123 (651) 955-2556 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. Applicant/Permitee: Signature Issued By: Signature Peggy Fleck /go90 From: Sent: To: Subject: Attachments: Charlie Borash Tuesday, August 09, 2016 9:59 AM Abby Decker; Peggy Fleck FW: Kwik Trip 179 - Irrigation Plan IR1.pdf FYI Looks like the largest zone is only 13.5 gal/mi A% meter should be plenty... From: Steven Lowe [mailto:SLowe@kwiktrip.com] Sent: Tuesday, August 09, 2016 9:55 AM To: Charlie Borash Subject: Kwik Trip 179 - Irrigation Plan Charlie, Nice talking to you on the phone. Attached is the irrigation plan for this project. Please pass on as needed. Thank you, Steven Lowe 1 Store Engineering 1 Kwik Trip, Inc. 1 608-793-59541 SLowekwiktrip.com Kwik Trip, Inc. Mission: 'To serve our customers and community more effectively than anyone else by treating our customers, co-workers and suppliers as we, personally, would like to be treated and to make a difference in someone's life." 1 4,01. City of Eaffau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 11 7 2016 Use BLUE or BLACK Ink For Office Use / Permit #: / 3 / La,' Permit Fee: C2 L/6 3 Date Received: __" 4i; Staff: 2016 RESIDENTIALf BUILDING PERMIT APPLICATION I Date: Site Address: � OcI 7> rr4/7' ( C, Unit #: Resident, Owner Name: (ice'\ i., - Address / City / Zip: i I O(P T;y CA - Applicant is: X Owner Contractor, Type of Work Contracto' Description of work: 7)e k•-• J Phone: tpSI Z PJ) CP4 l I/jui0t)T) \ f_— , L / Construction Cost: ) 01 00 0 Multi -Family Building: (Yes Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: / No If the project is exempt from lead certification, please explain why: 1co- Pp COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE: Plans and supporting documents that you submit are' considered to a public it the information may classi>d as non public if you provide specific - corrclude that they are trade secret CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecail.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a biding permit issued in accordance with the Minnesota State Buil ' de must be completed within 180 days of permit issuance. 0 i. Portion tit the Cts Applicant's Printed Name Treatment Plant Copies TOTAL x, Applicant's Signat Page 1 of 3 Page 2 of 3 • I I U 1 \ j DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES New t Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review / (25%_ 100% V ) Census Code # of Units # of Buildings Type of Construction _ Fireplace Garage Deck Lower Level _ Porch (3 -Season) — _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement Move Building Fire Repair _ Repair 700 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Insula • n Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: er Final Minutes 1 Hour ough In _Air Test _Final Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant IIzc-/ MCES System SAC Units PO City Water Booster Pump t,17�7 PRV / 6 Fire Suppression Required 93 Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings — Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FE Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL g5 - ?D P/lc 4 i /O 7,fo- Page2of3 W.U. 247-85 220/7 - - � r: � Survey F.or: Piaui Walen4ttt_Y LansLrucL.IVH W., -r�.. /1r f _ AUG *Elude Land 4urveying Inc. 9001 E. Bloomington Frwy. (35W) Bloomington, MN 55420 (612) 881-2455 X5 Surveyor's Certificate 0 29.99 �y� 2 *929.0 • 9917 • DRAINAGE a UTILITY EASEMENT LOT 24 F) � J I.% e9S5.2 6,43 1 1231• TOP OF IRON R=3R=30.0000 t�'� \\ a`\ 8.$ ELEV.= 9403 L=2523 t / gg V 0=1419'26" R=60.00 L=15.00 * 935.2 Denotes existing elevation *(935.2) Denotes proposed yard elevation *Proposed *Proposed *Proposed *Proposed 1 0 ii 0 rn PROPERTY DESCRIPTION Lot 24, Block 2, CANTERBURY FOREST according to the recorded plat thereof, Dakota County, Minnesota. NOTES & LEGEND garage floor elevation = 939.0 front house entry elevation = 940.2 top of block elevation = 939.2 basement floor (walkout)elevation= We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, from or on said land. Dated this 15th day of August , 1985 SUNDE LAND SURVEYING, INC. BY: .r«-49- VA. . f i 6 I. 1 11 I t o zi 5 * The proposed elevations and proposed house location are subject to review and change by the City Engineer, Buil ing Dept., developer and owner. Pro- posed grades and house location which are approved by the City are final. EV EAGAN REVEL :y ED 3 i:, DIVISION PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165850 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 1106 Tiffany Ct Lot:24 Block: 2 Addition: Canterbury Forest PID:10-16350-02-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Thomas O & Patti R Elton 1106 Tiffany Ct Eagan MN 55123--187 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature