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1112 Tiffany CtCITY OF EAGAN ?&*0 Pftt Knob Road b. Box 21199 agan, MN 551121 Zoning:. ?jil Z i K Owner: Site Address: - ; erry ` Plumber. Meter No- ???? Sire: it a Reader No..02iz?, 1 aprse to amply W" WATER SERVICE PERM PERMIT NO.: DATE: Wn rf units, - Ordl eae? Total: Dote Paid: By Insp.: Date of Insp.: 11-17- CITY OF EAGAN WATER SERVIC E PERM 3830 Pilot Knob Road i P. O. Box 21199 i PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ No. of Units: 1 r 'r . O er wn : i ? ` 4 Plumber. Meter No.: Connection Charge: Size: Account Deposit: ? No.: Reader ` 1 agree to so no' With the Gyr of sp.e Surcharge: Orimenom Misc. Charges: Total: 7-1 t ' B Date Paid: y Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 I Zoning: Owner. ?- ¦ PERMIT NO.: DATE: n -1 i _A 6 No. of Units: PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address m Name w Addre c City L Name Addre O 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 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF BLDG. TYPE WORK DESCRIPTION Res. New Mutt Add-on Comm. Repair Other NO. FIXTURES TOTAL water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE SIC: GRAND TOTAL- FOR: CITY OF EAGAN CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATA RECEIVED IrROM :AMOUNT $ ?' I & -DOLLARS too CASH _LLa"c`CK FOR , FUND CODE AMOUNT i c L C? 1 ? Thank You I (BY 66375 White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est value $127,000 Date JULY 14 12272 Site Address 1112 TIFFANY CT Erect 6 Occupancy R3 Lot Z2 Block 2 Sec/Sub. CANTERBURY Remodel ? Zoning PD Parcel No FOREST Repair ? Type of Const Vn . Addition ? No. Stories Name GEORGE & BRE NDA LONMER Move ? Length Demolish ? Depth 40 3 ° Address 12 9 i E BALSA .al Int. Impr. ? Sq. Ft city SAGA": Phone 45 2-6712 Install ? 0 U< A W W Name MARK RADTKE Address $460 KNOLLWOOD OR i W city MOUNDS p`?' keW 784-8892 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 Assessment Water & Sew. Police Fire Planner Council Bldg. Of APC- Var. Dat Permit zJv V• J V Surcharge 63.50 Plan Review 250.25 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. Pl. 156.00 Parks Copies $2,398;75 A Building Permit is issued to: JULIK & ADLER CONST on the express condition that all work shall be done in accordance with all applicable a of Minnesota Statutes and City of Eagan Ordinances. Building Official y f Permit No. Permit Holder Date Telephone # IPlumblng `? / 1 11M.A.C. I ti -d Electric 5 3, v `_\C_ •oc) 50 Softener Inspection Date Insp. Comments I Footings I 7 3 ( IFoolings II Il'oundation Framing ? T Ewe: 4A j4q jit-4 Roofing ` I Rough PIbg. I Rough Hill. I Fireplace A) I I Final Mg. I Final Pibg. IM69. Final Cert. Occ. p IDeck Fig. Deck Frmg. 1 1 I Well Describe Location- IPr, Disp. _ PERMIT # - PLUMBING PERMIT ?O I J RECEIPT # CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRI E PHONE: 054-8100 1 4 w / Site Ad /--/"N (2, T Lot Block s? Sec/Sub BLDG. TYPE ? WORK DESCRIPTION d Res x . 6jx New F/ *I v /N Name -- r4'el 5 Mult. Add-on / $ 3 8 Addr ss o/Z rr0,4e-& v Comm. Repair U) City Phone s S Other T TAL Name 2 N? FIXTURES J Water Closet - $3 00 3 Address D GON !241 S V S O < 'oy ° S Oi'' V . Bath Tubs - $3.00 ?, c*n Lavatory - $3 00 p City Phone . Shower - $3.00 .. e3 3 0-0 EE 1 Kitchen Sink - $3.00 _ FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM RESIDENTIAL FEE _$110 00 Urinal/Bidet Laundry Tray - - $3$3.00 .00 r 50 - . Floor Drains - $1.50 4- - - MINIMUM - COMM/IND FEE - 20.00 7 Water Heater - $1.50 . O - STATE SURCHARGE PER PERMIT - •50 TWhiripool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 C . Private Disp. - $10.00 S2 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE f sU STATE SIC: - FOR: CITY OF EAGAN GRAND TOTAL PERMIT# MECHANICAL PERMIT RECEIPT # `C CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: C' •'' CONTRACT PRICE: PHONE: 454-8100 Site Address Lot _D . Block Name Address c City Phone Name _ E_ Address p City - e 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 SIC: TOTAL: TYPE U Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 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) r SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN This request Void Q (p 057322 Request Date Fire No. Rough-in Inspection Inspec RIP red7 Ready No-kw ill Nntity, 9 N Yes ?No for When Ready 'Licensed Electrical Contractor 1 hereby request inspection of above 7Owner ) -I, /3 0Vi1?PG_?9(kh?rctricalworkinstalled ae - Street Address, Be. dr Route No. -QI^¢2 `?- 111,2-- 7-1F AIV `°;- City F_0A1_1 Section o. Township Name or No. Range No. County ? ? b 0 Oc upant IPRINT) rrIlk ? ol1c e co.",? s-/ 'r'm <? , Phone No. Power Supplier (? ,N-s)V (80-) R'ackl)Ir Address ,J I 30x0 /1%dxbJQl QIL PDT V bD Electri at Contractor (Company Namel ie_te feAi, Contractor's License No. 3??3 Mailing Address (Contractor or Owner Making In to ation) 57S cJR 2a iA+?' r3"?Olids VA. 35383 Authorized nawie (Co actor Own r Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE AC CEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. 101631?3 . REQUEST FOR ELECTRICAL INSPECTION 10 ER-00001.04 ' See instructions for completing this form on beck of yellow copy. o 097322 "'X Below Work Covered by This Request 3?, Add Rep. Type of Building Appliances Wired Equipment Wire I I I I Duplex I I Water Heater I I Lighting Fixtures I urnace M p Fee vice Entrance Size n Fee FeedererSubfeeders # Fee Circuits o 200 Am s / 0 to 30 Am s 0 to 30 An! 200 Am is ;AA bove 31 to 100 Amps - 'ja 31 to 100 Am s imming Pool Above 100_Amps Above 100-Amps r nsformers Irrigation Booms -A Pa rtial%Other Fee r algns apeclal inspection $v i >>, Rerrarks TOTAL FEE n Final This request void to I 1. the Electrical Inspector, hereby certify that the above inspection has been made. [[//7T7?this request vo id?/? /Jn ? ''j 7t?Uy?? OIB-' 88'226 /-" ? ?f LCi1'Lf,C'IY?,Y-c O1C? ? U Request Date - Fire No. Roughln Inspect+. Re quved? Ready Nuw C] Will Notify Inspec- qq y 7 vc- JJ - Y ? Yes N;ZrNo . for When n Heady X Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at! Sheet Address; Box or Route No. City - / 1 : ?2 e:-? ecUOn o. Tow ns hip ame or Np. 1 4 a flange NO. County Occupant IPRINTI Phone No. Power Supplier Address 1 4 20 SQL Electrical Contractor (Company Namal Contractor's License No. ru.I, ) .C-X? •c T c d 7///3 Mailing Address (Contractor or Owner Maki ng Instailationl iaa Jam, ?.,? A'e S -W3G / sa-4,3,5- Authorized S' nature (Corer for Owner Making Installation) Phone Number j 7 P' r? 7 7 T MINNESOTPySTATE BOARD -F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gripas4ifi ,t((wWay Side. - Room N-191 BE ACCEPTED By THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnne(Pill RAI-mmn ENCLOSED. 5Zf7 REQUEST FOR ELECTRICAL INSPECTION jIM EB-0000011-05 <. _ 0 See instructions for completing this form on back of yellow copy. ?CD ?t Ct Y R R 7 7 F '"X'" Below Work Covered by This Request Add Rep. Type of building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater - Lightin, Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ot her lSpeci fyl t er pecrfy Other 01her Comaute InSAecti0n Fee Below # Fee Service Entrance Size IX Fee FeedersrSpbfeedere # Fee Circuits O to 200 Amps Oto 30 Amps Oto 30 Am- Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100-Am Transtormers Irrigation Booms Partiall 'Other Fee Signs Special Inspection s p? TOTAL FEE Remarks r I1. the Electrical Inspector. hereby certify that the abpye Final .._??. Oxtef ., [-7 inspection has bean .P°11 r w h?L H r made. request void is months from l/ / e„? f??gyC -x fi CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 1227 1 2 PHONE: 454-8100 BUILDING PERMIT Receipt # (??7G To be used for SF DWG/GAR Est. Value $127,000 Date JULY 14 '19 1$6 Site Address 1112 TIFFANY CT Erect tJ Fy?r, Occupancy R3 , Lot 22 Block 2 Sec/Sub. CANTERBURY Remodel ? Zoning PD FOREST Repair ? Parcel No Type of Const. 11n . Addition ? No. Stories r< Name GEORGE & BRENDA LOHMER Move ? h ? Length D th 68 An 3 Address 1295 E BALSAM Demolis Int Impr. ? ep Sq. Ft o city EAGAN Phone 452-6712 Install ? a JULIK & ADLER CONST Approvals Fees o Name u1; Address 2208B COON RAPIDS BLVD Assessment_ city COON RA?g4S 755-4291 Water&Sew. G W Name MARK RADTKE za Address 8460 KNOLLWOOD DR aw city MOUNDS ?gWeW 784-8892 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 Police - Fire Eng. Planner Council Bldg. Off. 7/10/86 APC Var. Date Permit $ 500.50 Surcharge 63.50 Plan Review 250.25 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr, PL 156.00 Parks Copies -2, T9-977 5 Total A Building Permit is issued tot UL1r% & tkul'nlt I.VLV S-1 on the express condition that all work shall be done in accordance with all applicabl t of Minneso a Stat les__ and City of Eagan Ordinances. - Building Official' _-/ CITY OF EAGAN Remarks L (r Addition CANTERBURY FOREST Lot 22 61k 2 Owner Street 1112 TIFFANY COURT State_ 10-] EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?iU, . 1979 Paid under Orl inal va rcel STREET RESTOR. GRADING 1981 106.78 5.34 20 85.4 A013446 -12-84 SAN SEW TRUNK 1973 Paid under original p?a rcel * SEWER LATERAL 1981 439.42 _ 21.97 20 351 54 A01_1446 11-17-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid unde Orl final pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION 1 / l CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Nam irer manta • 3 registered site surveys showing sq. ft. 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 r lot platted after 711/93 • Rim Joist Detail Options selection sheet (bkfgs with 3 or less units) DATE UJ ` A O -U Z Y73 7 $/ 64)) 7S RemodeeReoalr Reaulrements • 2 copiesof plan • l set of Energy Calculations for heated additions • 1 she survey for exterior additions & decks • Indicate r home served by septic system for additions VALUATION tl/ a'-'? ? SITE ADDRESS j l a 7 1 F Fr, rw/ Ct MULTI-FAMILY BLDG -Y : N TYPE OF WORK1zC't7TU FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ??^ ? c x16, STREET ADDRESS -1(-1(0((2 W a S G? ?g TELEPHONE # ?SZ $82-132 CELL PHONE # -------------------------------------- read this application, state that the :)to Statutes and City of Eagan 9fd n /A-e? S FAX # PROPERTYOWNER ( p P?orG P (-?? TELEPHONE#? tIJ Z-? 7/Z COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ 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. -- - I hereby°?]ag& f with all Iidable State ptMI JUN 2 0 LUUL Certificates of Survey Received _ Water Softener Water Heater No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths - Air Conditioning - Heat Recovery System Phone # Signature of Applicant OFFICE USE ONLY TE/HA) ZIP g3' y Fee: $90.00 Fee: $70.00 Tree Preservation Plan Received - Not Required _ Phone # 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 Rercof ? 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 , 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 IC-5; C;?' 7 D--? 1986 BUILDING PERMIT APPLICATION - CITY OF FAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 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 COMMERCIAL 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: Site Address IX7G?d Single family Valuation: WPM 1112 Tiffany Court Lot 22 Block 2 Parcel/Sub Canterbury Forest Owner George & Brenda Lohmer Address 1295 E. Balsam City/Zip Code Eagan Phone 452-6712 Contractor Julik & Adler Construction Address 2208b Coon Rapids Blvd City/Zip Code Coon Rapids, MN 55433 Phone 755-4291 Arch./Engr. Mark Radtke Address 8460 Knollwood Drive City/Zip Code Mounds,View, MN 55432 Phone 4 784-8892 Date: 7-9-86 Erect Occupancy S Remodel Zoning Y!? Repair Type of Const Addition # of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge )p3 - rU Police Plan Review 2 Sd, LKI Fire SAC 57-?- Engr Water Conn :S-00 Planner Water Meter .$70 Council Road Unit 2fo Bldg Off Treatment P 1 APC Parks Variance Copies TOTAL ? 7 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. yt !? a if `5 : t wow Lam`" ? . `?"?yZ 14 aLt,„ 00 =+ + RUCI'_ON'c ' U" value x,:a &:.£ype „U„ x.sq. „ U,._ yx sq 5 +',abave grade . :TOTALE7 OSEIIWb1LL Ai.Ftl ea . „U,. ,x, sq. -.ft. (A). -"U" x sq: ft. _ (U) (AS-. ;.u,. ".045 x sq. Et. I.S?(e (71) , (AS ^v" 0y x sq, m .ft: l4?` = 73.Stfl 1tt) (A): «U„ ,0L/Lx sq. ft. 2J7J U`/ IUrSU {UJ ?) „U., •/43x sq. ft: tU4,oo = •L 7,?(e {T ) 4' sq. 'ft. _ (U) (A) nr a , , .Sx sq. a rrv /Jri S „U.. s lull x sq. DOORS.. °U" value x area .. ft. _ (U) (A) ft. 20U,9Z - 1/0,q 2 (U) '(A) ft. _ (U) (A) Hake & type x sq. ft. (U) (A) ?115 „ull x sq. ft. 5y, 413 - ? { 3 (A) U„ r sq. ft. - U) (A) 7) TALS 00E;?Sq. ft. 25?2..11 ? C ?S TOTAL (U) (A) VALUE IO ? "L" AVG DIVIDED BY OCTAL WA U LL P,EA a . . ; ,)tw Avg. "U" Valne, State Code ROOF/CEILING: - ' TOTALAREA :. (g8'.0U Sq. ft. j CUJ (A1 Detail reference .. from ---?- V14u7 ?NS... - "L'"' x `lull idLY x sq.. ft. - sq ft. _-_-1??t.._ `U} (A) attached sheets.. "U„ , tl x sq. ft. ?= (i, h (Fj) - (A) EA) Describe openings' I%r}hT;>ylsr14yt4h "U" aG3 x . ft -, zg7y 9 sq.. 2 (U) : ? , (A,) .•tt'roof , fVLViS-e'Ui`g-FLiA -' ^U". ,tL x• . / ,, sq. ft. ` 7S _ a 5 . - ,,/ [ y TOTAL5 - ?( Lis 19U `Sq• ft- 319L - t b -== TOTAL (())(A) VALI3Efr „?;// s- AV`' U C9Z .. TAL."fi€1?3a?i flcloU D3VIDE0 BX . T a.... .. .- f „I At& Xea.:-" ,a,,,,, Va I Yxo. , g4'at'a. Ct]Clw . ;lon 4 -cr3 .. ! x r ., ? ?+ _e ? .+-r- v s ? r y fi ?3 +M' x* c?v ' Y*' ?? . m r f e 2 .. Y ;. wv" a wall-area for R-Value R-Value Oonn truction s?re:o cr+strac tion -- -: QI r air film 68 0.68 1. Interio Q 3. .inches soft wo 4. 49 . i fi 0..17 WIC 6. r Exterior a Total f. - -J? 1 1 - 0.68 0.68 FIG. #1 TOFWIIT' OF interior a FRA,V7 INALL 2 . 3. 4 1 S. 'v.17 6. film Exterior air FIG. # 2 ? Total ---- '?+ - ? ? 1 Fwyj llJ" y - I. U11 = 7 ?? .. 7 ..? j 1. Interior air film o -: 0.68 ? - si11 sealer 'T 4. >_ r ? *s r.;h _ eript-ral 5. Ex e i r air i1m o ll 'Ibtal '? r a c K 6 i J i 1 • ° ` ' 1. Interior air filirl 0..65 0.68 • V ? " 3 . '< J?t t Z Ou}UAT tON 6 . 2 r _ q ALL 1? 0 0.17 ' 0 6 Exterior air film . . ,_ . . o 1 f . Totai 3 ' a ? '? ?'Ik -- 5. 1 lull TIT SLAB ON GRADE 1 151 • ^; .. Y-J( (.qty '«wl" ?i ?,p ?? ? r:.- Y M=.. / ? 1.' ZnfRriOx air ,fills;: 0. b2 °q, 61 .`; Vented ,€. ?xteriar a1z, film' (stilly, 0.61• 0 61 ' :: ? 1btA1 NS. ?? 3.9.L? .. I V W in ? q iN 1 - _ $eet Flaw Jp, 5 ti Interior air film C..ul .61 F -Ile FIG. # 16 A t II i 'll n 1 ? ;Ao 1,1! !{ Hest Flow Vented ?JA YWID 3. Cord Depth iU? IILS /N ?h3g _ 4. 5. Exterior air film (still" Total 1 V ?Y^? interior air film _ 0.61 0. 1 JAI 11 -0(- s. Sx`.erior air film ?still? _ 0;6? _ '•61 JULIK & ADLER JuNi", ,dAdbrConstructiMIM 2208 CON Ejpidg BN& +roon'lhplt, MN 55433 55-4291 769-1494 SCALE' I = 30 61OT - ZAO? 9-IL Q- DE/JOTE5 /AON 0FN''OTF5 HU0 ' 1938.9 UENOIES EXI571N6 EIEV. 5EA LEVfiL DATUM CeAC. CIRB ?lb 0? P6? -91 1 °I IFC-88 - IN as° Sa 4b`" W - 93P 4 9d/ p - h.4s 9n p ,a 930 5` LRANAGE UT t Ili ES''nT %000 67 17 v 4 jx 930.4 :66 93b9 . ` `' . p LOT 22 9 a?' 733A C? a o, do O i i I 1 ? ff: O ??±i.,o i,,b? `. ?„ CRz,NAGE EA'-N '.B \-?Y 911.4 1 0 5 F _ ?p?t 5 Sc \? 5' DRAINAGE r I1 ?. 111'¢ ?9'V 3 UTILITY LEGAL DESCRIPTION: Lot 22, Block 2, CANTERBURY FOREST, Dakota County, Minnesota EASEMENT IZ \ ? R 408.3 / WATER ELEV. 897.0 / O I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State f Minnesota. Date JuL 199(? Reg. No. 442-7.--.---- , I '6?os N 70° S3 p2 -•? N. C. HOIUM & ASSOCIATES, INC. ,Land Surveyors I w d' 0 0 z I O O ?i N ti I CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITM APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHEo- ULID UNTIL PERMIT HAS BEEN APPROVED. (Please Print) 1) PROPERTY ADDRESS: ??- LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mn Year) PRESENT ZONING/PROPOSED USE: q CO.NPJERCIAL/RETAIL/OFFICE 0 INDUSTRIAL n INSTITUTIONAL/COVE T NAME: 'C &v," ( Units) Units) 2) ADDRESS: CITY, STATE, ZIP: PHONE: G yw 3) _ NAME: ADDRESS: i CITY, STATE, ZIP: PHONE: 4) •• • is NAME: , R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) R-4 APARTD9ENT/CONDOMINIUM MASTER LICENSE# ADDRESS: CITY, STATE, ZIP: PHONE: Active Expired Not recorded Steal CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER ' 6) ?" • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3 4, ABOVE ?> F (Circle one) 7) FOR CITY USE ONLY PERMIT # ISSUED 7 l' -7 Pd w/Bldg. Permit FEES: $ $_ XO SEWER PERMIT (INCLUDE SURCHARGE) $ / $ Sa WATER PERMIT (INCLUDE SURCHARGE) $ w s? $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ (f O ACCOUNT DEPOSIT - SEWER $ $ ) ACCOUNT DEPOSIT - WATER $ C,?O. O O $ WAC $ J??S 00 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ r OTHER: $ 7 G Zi TOTAL z/ 74 :Z 3 RECEIPT RECEIPT 7 S DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ?e TITLE: DATE: ?J5 /?? L BL CITY USE ONLY RECEIPT #: 11041 SUED. &Y-P S? RECEIPT DATE: ?? °27 9 PERMIT # 3253+ 1999 PLUM$INe PERmrr (RuMENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55112 (651)6$1-4675 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 Gatti tub $ 3.00 x Floor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x - $ Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ 3.00 x = $ Water heater 3.00 x = $ VTaterTafteTI-er if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surchar a .50 -.> -> ----> $ .50 Total --> --> ----> ----> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Oily 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: /L2z: // 7?,Je GIt OWNER NAME:: A D M G/(-- TELEPHONE M 6 S/ SIr4 /, 71 L (AREA CODE) . INSTALLER NAME: TELEPHONE #: (a,/Z- S-5/ a S- 61 (AREA CODE) STREET ADDRESS: 1?0?QO CITY: STATE: ZIP: SI ATURE PERMITTEE 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit _g 30.So Date !U 1 / / Site Address r 1 -Ft Unit # rep on` Property Owner ?,ag?rE: ng r, Tel # ) Contractor HALEY COMFORT SYSTEMS,INC. Street Address 122 4TH ST W _ City _ HASTINGS State _ MN Zip _ 55033 _ Telephone# 651.437.0338 _ Bond #:_ MN22041 Expires: 9/3/2006 The Applicant Is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ New air exchanger X air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical odes; that I understand this is not a pennit, but only an application for a permit, and work is not to start witho e w rk will b in acco cc with the approved plan in the case of work which requires a review and approval o fans. Applicant's Printed Wrr e ? LI-Ap-plicant's Siena e JUL 1 7 7Mfi øíø ÿ ýüü ÿ ûòû ÿ úüüÿÿÿ äääôþÿü ò ää ä ýüø ÿþýüû ÿ øýüû÷ö ÿ Üÿ ûíðÿí îÿþâ û ü åäóóäæó ú ö ää õöüòø âí àúûí ßè ë æ ëó ææ ÷ú ÿî êèë å ëäå öùùõ øôó ûû áÛúüÿíþÝõáôîíÞ ää ø õîöüòäýùùüô ÿ ãâ÷òòâ÷äò àåäß îþüöîîãî ûû îîùí íûüöîûûþ ùâ ÿ ôüùï ë ûûìí ÿ ÿü ÿ Craig Novaczyk From: peteg@genzryan.com Sent: Tuesday, February 21, 2012 11:34 AM To: Craig Novaczyk Subject: Orsat test Attachments: IMG-20120221-00029.jpg Permit# EA097291 1112 tiffany ct eagan GFN ` �� City of Eaftall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /� Permit #: 1 D`1300 Permit Fee: Date Received: - D 7'(3 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION of T gin\ Tenant: Suite #: Date: 2-27-1 3 Site Address: Resident Name: C \ be Tc- S Address / City / Zip: 1/• ®O 0 vert le— Phone: // II (U! u. %;2)292 -73-3 7 Name: ca�C ? � �r License #: 0 6 23 3 4—P 111 Address: ( 0 % e 2) 0 7,35-- City: S-1 . State: MA Zip: 55727 Phone: 45 f) 17/g / k6° • ► to rpt Contact: R14 t: • Email: , i til I' 6 New Replacement Repair Rebuild Description of work: i rte: di Modify Space Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures Water Turnaround Main / _ Lower Level) RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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. xl7evLaStc L L Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required„ Inspections: Ground [s Final Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: l: 011/03 Permit Fee: Ci Date Received/: 3`� Staff:Arj 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Resident) Owner Type of Work Name: �� Cp` .N)Site Address: Unit #: 11W61:16,0414 LH Address / City / Zip: 1112_ 7iFf"' (L7t ieT Applicant is: Owner r Contractor Description of work: ✓ r -t f Cbk i/ ('Ii3/IvFTS Construction Cost: /6:5,06—ID Contractor Phone: Multi -Family Building: (Yes / N9)(±_) Company: 1 ALtjk/(,l. a 6v)( -00e -S Contact: LL Address: (too D41 City: 6iW' State: 114101" Zip: Phone: License#:ecSG 57y c7s-a 292- 6733 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) DOLT ((✓11 SIP 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 classified as non-public if you provide specific reasons that would permit the City to 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.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 Minnesr: S =te B Idi Code must be completed within 180 days of ermit i suance. x L. R,V—? x Applicants Pri ed Name App Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 6e vO REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing Fireplace: Rough In _ Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 Occupancy ,,, A. - MCES System Code Edition A40? SAC Units Zoning PA City Water Stories Square Feet Length Width Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Final Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick _Air Test _Final Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 132 Z- gG0- AssPleto'i-9-4b Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116770 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . C L Delfs 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 - George C Lohmer Jr 1112 Tiffany Ct Eagan MN 55123 Wildwood Builders 4800 Overlook Dr Minneapolis MN 55437 (952) 881-0974 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119337 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - George C Lohmer Jr 1112 Tiffany Ct Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature � . �� ;' � � Use BLUE or BlACK Ink .-__-----..__T__�___, � For Office tlse � • j Permit#: �� 7/ 7� 1 Clty of ��a� � p��F�: �� 3830 Pilot Knob Road ��VED � — i Eagan MN'S5i 22 � Date Received. � � � I Pt�one:(651)675-5675 MAY 2 Q Zfll� � � Fax:{651)675-5694 i Staff: I { i . :1�.�..._'��. ��.�.�..�..�;.—J -� 2014 RESIDENTIAL BU:lLDI1�1G PERNfiT APPLICATlQN �l� Date: s�te aaa�essr Unit#: , ; s � � ', Name: �"w�'V� �-V��-. Phane: �l Z��!� /��! �e��c��n�t � �� 2 �M�Fi4� �� 4 ; �p�� Address/City/Zip: . x� „� � ;� Applicant is: Owner Contractor � R � � � Description of work. t Vtw ��.H�� t'�?�� Type��Y#t��k (,, ' _ � `" A ? Construction Gost: � �J� Multi-Family Building:(Yes 1 No� �<.��,< �' Gompany: ��U�� ${��h��► Contacf: ��, �'��4� ' ��il�.��- Q�V�' c��: �l�v�,-�"c�/' ��,��,�� Address: � , � � : s�ate:�z�p: W3 �no�: � Z Z - ?�Emaa: �U1CJ,��rUc� ��fG05y V1�C4��5� . � � � � �� q,�3 r� ' � ' License#: � Lead Gertifcate#:`1Nvl:�,��e� If the project is exempt from lead certi�catian, piease explain why:(see Page 3 far additiOnat information) �� :t1/l� � SUI� � � � � � ��io�� COMPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUlLDING In the last 12 months,has the City of Eagan issued a permit for a similar ptan-based on a master pian? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phdne: Mechanica!Contractor: Phone: Sewer&Water Contractor. Phone: NU��f 1,��rtaC�sup,��r�#img�l�z��,�re��-t�a��ro�r��bmi�ar��„�r�s��t�;r��"�a�a'�►�r,��if��a'`Por�fi,�r�rs of � p s ,�a '"s 4 ��' '' ,� y t � r v� �x e C x- '�,� 2 l�7 I� + � ��,� .� #sd.�a �'eY r :s 7��i��t�on=may��ie�i��rt�e��s��to��t�l�+��,��'r�av,rc��sp�'�"i��e�s�tr►��,r��+��`��o�� `� `1N x °�r �c '. � ��_e�z "�"/��y�}�/R/} ��r�[ 3 �r .� �= t} a �}v1r�3�y a� *r t 3" e y n"9' . � •& .��. � 41 � JTi�VIfY�4#..��Qi,� »��{��i'�'^—�T:�..\..'"a L.r"�w'; .±h�➢� '< f F�' �'� .^ . CALL BEFORE Y4U DIG. Caii Gopher State Qne;Cali at(651)454-0002 forprotection against underground utilify damage. Cail 48 hours before you intend to dig to receive iocates of underground utilities, www.aopherstateonecali:ora (hereby acknowiedge that this information is complete and accurate;that the work wiil be in confottnance with the ordinances and codes of#he City of Eagan; thaf l understand this is not a permR,but oniy an appiication for a permii, and wodc is not to start without a;permit;that the work will be in accardanae with the apQroved plan inthe case of work which requires a review and approval of plans. Exferior work authorized by a building permit issued in accqrdance wlththe Minnesota State uildi g Co must be completezi within 180 days of permlt issuance. X �l� � � x .t.-_ Applicant's Pr ed Natne ApPlicant's Signa#u Page 1 af 3 . . , e t��a i��'�°�� a�i�"1 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi � Deck Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation � Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ��—�--- Occupancy MCES System Plan Review Code Edition c� SAC Units (25%_ 100%�,) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls � Other: Reviewed By: �, Building Inspector RESIDENTIAL FEES � �, Base Fee �� Surcharge �� Plan Review MCES SAC �I City SAC Utility Connection Charge S8�W Permit& Surcharge � �� / �� _,. Treatment Plant �, l , Copies � TOTAL Page 2 of 3 �i i�� /��1 i �l a- � RECEIVED JUN 2 3 1014 , � � �UL1t� & ADLEF� . � ,,�,��a�r�rco�,�xwn,�,a, , - �a�aC+ooar end. . - r�" {c'�1�►��N�5433 �..�-4�� 763-1494 , , _ . SCAL�.' ��,�3p' - GioT- 2�C�9-tZ ' . t�3-' oENGrES tRa�r r�- Dfiht77�S tiu6 � 938.9 DE�C`IES �EX157/N6 �IEV ' s�v� ��v�a. c�,arurs . �, - � � � � ; . .` . �� _. � - \ �� •R► . ,��, ..�'"�� , `� � � � ' " - � �a ,�i t •t• .'" { � - . 3. 93�t�B ��*'�+�� -� - (9�88 -- rv �ss° �' 4d` yy _. • _ � 43P 4� 9?I � b �. � - 6.43 ' � � " 9!f +'� O� � •.'1t 1: -`" .�"' ""�'^-— ~ 9e?` � '� �"� 0'7� '""''` 1'. aq "-„�"-', �" �-- '_. "` '""' --.- .�._ !• � � � '' ' O � e � 930.7 '�. �._ 5• G'RA1�tAGfs � l�T L�T�f ��T �'��M� t � I t, Q � ~��G 9373 y� �� '} u � � 939�a , _ f . ? �` ,� . p� L.4`T 2 2 � .�.E �; � ce�,t.c„ ` C�' ._ _ Ra -'� ��i c.ti... ��: ! _• �� Gri# �r'�jr0 ��-r.�� '• i0 ��t►`tr'�+5t�z i�•�• f �� , � toQ��. �p'j(�,,, ,��iyf,. / a , �AS� � � \i�' �_;/,y,�. � � L� g / "� t /�f;/ l ,$ � � � "� - ` �8� � . � , r `�� ,�.,�.T � �� .a,: ,, /' ti ' . � �'4 � �,�"- f CR�ikAG� EA:: v a':X � r �� . \ �33 } + ~'�+ .� i . � � / 437.9 �3•r 91►.Y r �, � ; �� I � a �, ' ' ` 1� o o�� lf� , ;t 9 �\ ''`�.� yk / f � ♦ . �. / � � � � L/ ' _ . �� .�� ,� � � � F.. �P�t't •�� r s7RA1NAG£ � f�(,� / ��ti � �1�� } �1t4 �q3s � uT�i�TY '� � ``r • � � EAS�iN'eNT � L� °� ,�s, �� '� �� PQ�`JQ � z k �" ��a '" i �'r.�j :vv�r�r� ��E+r. �t9r.o 0 r�. � � IEGAL DESCRIPTIaN: � ' . � �; • t,� +�v �ot 22, Block 2, ,! - Q ry /,•' '� 1 CANTERBt4RV FOREST, �r , � Dakota County, Minnesota ��- f � i 1 I hereby certi fy that thi s syrvey was-pt°�pared `� ` � by me or under my direct su�ervisian and that � T am a duly Resistered Land Survsyar under . ��?a5_ the laws of the State f ftinnesata. 1�I ��o ,' . � ��r �• f�'�!`!'b�Lyf'1__-�-__--_.__ _ $��,,1�1r"''� . nate _J�,� �� ey. No. aaz7.__—__ �. � � . �� ''�� - . �Land Surveyors � - a -- . �..� . , � PERMIT City of Eagan Permit Type:Building Permit Number:EA124032 Date Issued:06/19/2014 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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. 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 - George C Lohmer Jr 1112 Tiffany Ct Eagan MN 55123 Wildwood Builders 4800 Overlook Dr Minneapolis MN 55437 (952) 881-0974 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144233 Date Issued:07/18/2017 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - George C Lohmer Jr 1112 Tiffany Ct Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature i iso---- , - For Office Use 1,. � � �� Permit /s3gt�( ,,,, E AGA N • "' -pp� Permit Fee: !o• 0 v Date Received: a-te --/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 FEB 0 6 2019 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff. buildinginspectionsCa)cityofeagan.com L 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2/02/19Site Address: 1112 Tiffany Court Unit#: Name: Brenda Lohmer Phone: 612-747-9903 Resident/ Same as site Owner Address/City/Zip: Applicant is: Owner ✓ Contractor Type of Work Description of work: nat gas fireplace, connect to existing gas Construction Cost $2,500.00 Multi-Family Building:(Yes /No 1 ) Company: Walter Mechanical, Inc. Contact: Rich Walter Contractor Address: 517 W Travelers Trail City: Bumsville State: MN Zip: 55337 Phone: 952-895-1992 Email: waltermechanical@live.com License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are bade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against unde •r• nd utility damage. Call 48 .urs before • intend to dig to receive locates of underground utilities. www.gopherstateonecalt.orq I hereby acknowledge that this information is complete and accurate;that the work will be in ••nfo p•. , •rdi =n/ 'codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and • i-�y�/• - ••j- ,t the work will be in accordance with the approved plan in the case of work which requires a review and apt)),•I • 'tF' x Richard Walter ,�� /VAIN. Applicant's Printed Name ppl` nt's Signe PERMIT City of Eagan Permit Type:Building Permit Number:EA179223 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - George C Jr & Brenda Lohmer 1112 Tiffany Ct Saint Paul MN 55123--187 (612) 747-9903 Stoltz Installation And Carpentry Co 4433 47th Ave S Minneapolis MN 55406 (763) 238-8142 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179286 Date Issued:09/27/2022 Permit Category:ePermit Site Address: 1112 Tiffany Ct Lot:22 Block: 2 Addition: Canterbury Forest PID:10-16350-02-220 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - George C Jr & Brenda Lohmer 1112 Tiffany Ct Saint Paul MN 55123--187 (320) 587-0300 Plumbing West Inc 23248 Walden Ave Hutchinson MN 55350 (320) 587-0300 Applicant/Permitee: Signature Issued By: Signature