1110 Tiffany CtCITY OF EAGAN WATER SERVICE PERMIT
3&n Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 5033
Eagan, MN 55121 DATE: R-31-83
Zoning: Rl No. of Units:
Owner: Paul Oxborough
Address:
?,Iite Address: 1110 Tiffany CF, L23 B Cante -u----re, ore.
umber; Weierke Trench & Exc
450-00 --
, Meter No.• Connection Charge: P
ize: V9 " L Account Deposit:
Reader No.: F' Permit Fee: . 10.00 Rd
I none to =in* with the City of Eegen Surcharge: . 50 pd
Ordinances. Misc. Charges: 60. 00 pd meter
Total:
BY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Roa
P. O. Box 21199
Eagan, MN 55121
Zoning: R1
Owner: Raul OXh
Address:
Site Address: 1110
Plumber. 51 e 1 k B
Meter No.:
Size:
Reader No.:
I agree to comply with the
Ordinances,
By
Date of Insp.:
d
Oro ugh
Tit any
french F,
City of Eagan
CITY OF EAGAN
3850 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner: ='aul ?:?.
Address:
Site Address: = ?
Plumber: _ i'c e i rK
-i7-- 3 3 5 9 C0
1 agree "ooa * with the City of Fagan
ordinences.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:. S'I S 1
DATE: R _ 31- tS 3
No. of Units: -
Connection Charge: ` Z) V - V V PCl
Account Deposit:
Permit Fee: Y? I0 00 red
Surcharge: SO Ud
Misc. Charges:E 0. 00 a d meter
Total:
Date Paid:
SEWER SERVICE PERMIT
i
PERMIT NO.:
DATE:
No. of Units: I
100.00 ply
Connection Charges 2 5 n r pj
Account Deposit:
Permit Fee: _ 10-W) nd
Surcharge: ;r! -id
Misc. Charges:
Total:
Date Paid:
t
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
Raca?vao '"
FROM
AMOUNT
ar DOLLARS
loo
? CASH [I CHECK
r
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN
3793 Pillet Knob Reed Eagan, MN 53122 E1 Solt"
PHONE: 434-6100
BUILDING PERMIT Receipt ## `3 T
To be teed for SF D`WG/Gt,R Est. Value $120,000 Date May 17 19 33
Site Address 1110 Tiffany Court Erect Occupancy R-3
Lot 23 Block 2 Sec/SubCanterbury Forest Alter ? Zoning - R-1
Parcel .#' 10 16350 230 02 Repair ? Fire Zone I:QA
Enlarge ? Type of Const. V
cc Name Paul Oxborou2h Move ? * Stories
LU Address 1230 Wilderness Park Court Demolish ? Length 76
r:.. V0?0" SSt ?? IN ---- GS9-9998 Grade n Depth 38 Sa. Ft.
o Name _
ou Address
r- rit.,
Name _
Address
I hereby acknowledge that 1 have read this application and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittes
A Building Permit Is issued to: Paul Oxboroun?1
all work shall be done in accordance with all ooolicabie State of Mir
Assessment Permit 400 . V V
Water & Sew. Surcharge 60 _ 00
Police Plan check 743 -10
Fire SAC 525.00
Eng. Water Conn450.00
Planner Water Meter 60.00
Council Road Unit 250.70
Bldg
Off.
.
APC Total $2069.50
on the express condition that
Statutes and City of Eagan Ordinances.
Building Official
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Receipt !t ?t f MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C ~ tJ
Type or Print legibly Tot.
1. Date 3 2. Installation Cost ? .1 ? c, C.
3. Job Address 1110 T ~ `' "'y Lot BI k. Tract
4. Owner I Q Lt 1? /J ! f r ; :?
5. Contractor H c d HQUT,-V Gy - 3 y7
Phone
6. Address q C4 j3),;, 5 j e 1" CI< .
7. City I -c r 1, Qi d State D/ ° Zip 5 ?' f
8. Building Type: Residential fS Commercial ? Institutional ?
9. Work Description: New 29 Add ? Alter ? Repair ?
10. Describe f{ 1?-'O ?• HI ? C6,44 Fuel Type L ci 5 5 G
11.
No. Equipment BTU - M. Ea.
Forced Air 37, 04'C No. Equipment CFM
Ai
H
dli
Mfg. L C , Jn.I;: ,i r
an
ng:
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 : r I " for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit whO numbered and approved.
Approvedi4 e CITY OF EAGAN 464-8100
Receipt - PLUMBING PERMIT Permit No. f _1
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address/l// / i n^ Lot - Blk. Tract
4. Owner t
5. Contractor Phone
6. Address
7. City State Zip i -
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: NewI Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 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 454-8100
PLUMBING PERMIT
DATE: 1/29/91
RECEIPT: 101223
SITE ADDRESS 1110 TIFFANY CQT1RT Unit # Permit # 12156
L 23 B 2 Sect./Sub. CANTEBURY FOREST
RF.N9.-RYAN MAC - k AT(` A')l-1144 WATFD uFATrD ruAUr_u nrTT
INSPECTION INSPECTOR DATE COMMENTS
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This request void 7- Z-7 La-3 fJOi? ?+-?•(L•?,r ?' 37 ` Q
IS months from I
W089289 - - 1,
Request Date Fire No. Rough-in
R qui d? Inspection
?Ready N Will
S s Notify. Inspec-
No for When n Ready
ady
Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
,
Street Address, Box or Royyc?e NO.
t
& City
5
uA
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Section No. Township Name or o. Range No. Coun
3 INT(
"'A" Phone No.
o rc
.
Pow r Su plier
?? .6 fa g-lil Addre r
•-
Ele t ical Contractor (L-Om any Name)
S?Cr r .. Contructn is License No.
6 67f ?"3
Mailing Address (Contractor or Owner Making testa llat )
1
7 660
z5
Authorize Signa[ur (Con c or caner Making Installation) Phone Nuumbber
MINNESOTA STATE OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwav Bld¢?' Room N-191 BE ACCEPTED BY THE STATE BOARD
1827 University Ave., St. Paul. MN 05104 UNLESS PROPER INSPECTION FEE IS
o?___ retoi lq?ittt ENCLOSED.
CITY OF EAGAN P ' ude 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATI N 1 set of energy calculations.
To Be Used For ?49Q?ICo0-C? Valuation s/,???, Date S- (0
Site Address IUD ` l l ?? ?? L o u?? OFFICE USE ONLY
Lot Block a Sec./Sub.?an?f r?OUr Erect x Occupancy
Parcel #: to 1(03So Z30 ca F Alter Zoning
1 Repair Fire Zone
Owner: Enlarge _ Type of Const.
Address: / ?? ? (?'i 1 e c vlEss Park I Move # Stories
Demolish _ Front Jo ft.
City/Zip Code: F&*C ,V\ 5SGrade Depth 39" ft.
Phone #: q Z - 2 22 c9`
Contractor: Q LL) Y1?-.
Address:
City/Zip Code:
Phone #:
Arch./Enc
Address:
City/Zip Code:
Phone #:
?9ater/Sewer Surcharge 6 d
Police Plan Check JS//sue
Fire SAC -eP6
Eng. Water Conn. y6"D
Planner Water Meter
Council
Bldg. Off.;O!O--/7 Road Unit 0S0
APC
rO?D`( S'?
TOTAL
CITY OF EAGAN
Additio Lot 2_
Owne I .'?, < ?IQ 'r'.:rT Street 1110 TIFFANY
State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, yl-1: 1979 1 e original el
STREET R ESTOR.
GRADING 1981 106.78 5.34 20 90-T9 A01226o 5-27-83
SAN SEW TRUNK .L 21 1973 Paid unde original cel
* SEWER LATERAL -i 1981 439.42 21.97 20 373.51 A0 1226o 5-27-83
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA IC4, 1979 Paid unde original cel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
FQM I 250.00 35900 5-17-83
WATER CONN. 450.00 n n
BUILDING PER.
SAC c;?V; On rr n
PARK
Blk
COURT
CITY OF EAGAN p
7795 Pilot Knob Road Eagan, MH $5122 ?7 lr ? 8047
PHONE: 454-8100
BUILDING PERMIT Receipt # ?S ion.
To be need For SF DWG/GAR Est. Volue $120,000 pate May 17 Iq 83
Site Address 1110 Tiffany Court Erect gl{ Occupancy R-3
Lot 23 Block 2 Sec/Sub.Canterbury Forest Alter ? Zoning R-1
Parent # 10 16350 230 02 Repair ? Fire Zone NA
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n
arge ? onst.
ype o
W Name Paul Oxborough Move ? * Stories
Address 1230 Wilderness Park Court Demolish ? Length 76
C; Eagan 55123 phone 452-2228 Gmde ? Depth 38 Sq. Ft.-
Name Owner Approvals Fees
f
Address
t- rtw. DM..e
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 sholl be done in coca
Assessment
Water & Sew.
Police -
Fire
Eng.
Planner
Council -
Bldg. Off. _
APC
Permit 40J.VV
Surcharge 60.00
Plan check
SAC 525 ' 00
Water Conn450.00
Water Meter 60.00
Road Unit 250.00
Total 2069.50
on the express condition that
State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
REQUEST FOR ELECTRICAL INSPECTION
ynnyqq?^' See instructions for completi.lq this form on beck of yellow copy.
J( Belfl 'Wr9r7c'fued by This Request
`, ER-Onev?-.-.,
d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary 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 v the, (Spprify)
t ar pacify Other Other
omputa Inspection Fee Below
P Fee Service Entrance Size a Fea FBeders/Subfeeders p Fee Circuits
0 t 0 s 0 to 30 Amos
Above 200 Arms. 31 to 100 31 to 100 Amps
Swimming Pool Above 100_Amps E F ? Above 100_Am s
Transformers Irrigation Booms Partia L'Other Fee
Signs Special inspection s
1(7 OT FE
Remarks ? E
U
.
Rough-in
inal
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10,
llxxtkt4? Date
a1e ??6
-.Z O7
1, the laeeri
Inspecto , erebv
certify that the above
inspection has been
made.
This reauest void 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGA AGAN MN 55122 J
d
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.)
i set of Energy Calculations
• 3 copies at Tree Preservation Plan it lot platted after?/1W
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE -I
SITE ADDRESS
TYPE OF
APPLICANT
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
VALUATION 1.
c
MULTI-FAMILYBLDG - Y _?N
- FIREPLACE(S) S[ 0 -1 -2
STREET ADDRESS Aut J . CITYSTATEI ZIP
TELEPHONE # K1-qb0- ( Ilkl CELL PHONE # 61.21--Oak-040S F # lo.K/l, y63-( '5095'-n
PROPERTYOWNER Q. I ? i l YV1_ TELEPHONE# IPJI q-C54-9-Fv t
------------------------------------------'---------"--.------•
COMPLETE THIS SECTION FOR "NEW" 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:
Phone #
$90.00
$70.00
-------------------------------------------------------------------------------- --- -------- ---------------------------
ation is orrect, d agree to comply
I hereby acknowledge that I have read this application, state thaW.es.
with all applicable State of Minnesota Statutes and City of EagaSignature of Applicant
OFFICE USE ONLY
Water Softener _ Lawn Sp ' Lr l?-
Water Heater _ No. of R
No. of Baths 01 2002
I
Air Conditioning
Heat Recovery System
Certificates of Survey Received - Tree Preservation Pian Received _ Not Required
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 15-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 EM. 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _
_ Plumbing
Foundation HVAC
Drain Tile _ Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
Framing _
Siding
Stucco
Stone _
- Fireplace - R.I. -Air Test - -
Final - _
_
Windows (new/replacement)
_ Insulation _ Retaining Wall
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
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. 1. of lot, sq. ft. of house: and Lit 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 7 ICJ o?
SITE ADC
TYPE OF
ULTI-FAMILY BLDG 4T -N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT I U 1 ? ?p??
STREET ADDRESS ?a rrrr-- a ff C/1I1kA pI?.Q/I(?.fA S. CITY i_br/STATE
TELEPHONE #?sl"1U1I1'?l7tl CELL PHONE # ?1-h10-3 FA #l,o??- TU3?c?b?5
PROPERTY OWNER ?St l?1 e 1 ?1 F "W TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNESOTA RULES 7670 C_ -rEGORY I _
(v submission type) • Residential ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mcclimucal system includes:
Sewer/Water Contractor:
- Air Conditioning
Heat Recovery System
Phone #
Phone #
iergy Code V
Jul 0 9
Fee: $90.00
Fcc: 570.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ccesue.
Signature ofApplican 4i1 -, Z
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodelfReoair Reauirements
• 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
% I gU . 2s
VALUATION q (5 • `C9
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated A102
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-plea ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Pibg_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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Finai/C.O.
- Footings (deck) _
_ FinaUNo C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool
Ftgs
Airr'Gas Tests Final
- Framing _ _
_
Siding _ Stucco
Stone _
Fireplace _ R.I. -Air Test - Final _ _
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
SURVEYO.R'S CERTIFICATE
N
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N 08010
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SIENNA CORPORATION
l75•g? r?7PT Z
`°° mot N
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LOT m y 1 N ?"
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23 ?m
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? pi- r I r -?
a ?
1 ` 5
?6 f• 8g a _?
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30-00 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = tolL 7 FEET
b DENOTES WOOD HUB PROPOSED LOWEST FLOOR = q q 1FEET
(ooo.o)DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION to ?•o FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot23, Block 2 , 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 Or" DAY OF 1MAE21k , 19L3_-
APPROVED FOR SIENNA
CORPORATION
BY:
ROBERTS ARCHITECTS
DATED THIS DAY
OF 19-
PROJECT NO.
82143
FILE NO.
FOLDER
SIGNED: JAMES A. HILL, INC.
BY:
HA OLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
% \\ N85°56'gB18 W
?I -
I
10ll I
BOOK / PAGE
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 55431 812-884-3029
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CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN. MN 55122 PERMIT # 02 Jr
PHONE: (612) 454-8100 RECEIPT # O/
"I DATE: //o2 91/
/
9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED
------------------------ --------- FOR EACH UNIT.
------------------
WORK DESCRIPTION ------------------------------
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00 /__l'
ADD ON SHOWER 3.00
REPAIR >e- WATER CLOSET 3.00
_ BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: N' ?x I?Jr3?Lt?c ?vG? KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: ??? O _
HOT TUB/SPA 3.00
-Q WATER HEATER 3.00
t
LOT: 073 BLOCK SUBD. FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. _ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: 14745 South Robert Trail _
OTHER _
WATER SOFTENER 5.00
CITY: Rosemount, MN ZIP: 55068 _
PRIVATE DISP. 15.00
U SPRINKLER 3.00
3-1144
PHONE 612 423-1144
x
/ SUBTOTAL
S
Js
-
?• h% ST. SURCHARGE .50
SIGN TUBE OF PERMITTEE 3 0
d, /J _ n ) /?
"`? eLe d c Y IS/
X
/ TOTAL: S
PLEASE
%
COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS ANI
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR FACE
DWELLING UNIT.
---------------------------------------------------
CONTRACT PRICE: ------------------
FEES ------------
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
ZIP:
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA106794
Date Issued:09/11/2012
Permit Category:ePermit
Site Address: 1110 Tiffany Ct
Lot:23 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-230
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
Valuation: 450.00
Fee Summary:PL - RPZ/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jeffrey H Irrthum
1110 Tiffany Ct
Eagan MN 55123
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use l
I Permit t t~
City of Ea a~ Permit Fee:
1 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
~.________________J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: IAVPhone:
I Resident/ i
AJ RAJ
Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
} Construction Cost: U Multi-Family Building: (Yes / Ncqe_3
}
I ;Company: Contact:
Contractor ~ Address: City:
~ /
State: "/V Zip: Phone: Z-~~' t1~
i r/ ~J
License Lead Certificate 14 v
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:
Sewer & Water Contractor: Phone:
.
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
L conclude that they are trade secrets.
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.aopherstateonecall.org
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 Minnesota State Building Code must be completed within 180
days of permit issuance. ,,~g~
x 0&4s 0~ 1 (/f 4- x
Applic n s Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173172
Date Issued:11/01/2021
Permit Category:ePermit
Site Address: 1110 Tiffany Ct
Lot:23 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-230
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey H & Leslie A Irrthum
1110 Tiffany Ct
Saint Paul MN 55123--187
(651) 456-9767
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174152
Date Issued:12/30/2021
Permit Category:ePermit
Site Address: 1110 Tiffany Ct
Lot:23 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-230
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey H & Leslie A Irrthum
1110 Tiffany Ct
Saint Paul MN 55123--187
(651) 456-9767
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature