1116 Tiffany CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127590
Date Issued:10/07/2014
Permit Category:ePermit
Site Address: 1116 Tiffany Ct
Lot:20 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-200
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 .
William Krech
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 -
Albert W Anderson
1116 Tiffany Ct
Eagan MN 55123
(612) 749-0777
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
WATER SERVICE PERMIT
PERMIT NO.,
DATE-
No. of Units:
ender No.:
agree to comply with the City of Eagan
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
OF EAGAN SEWER SERVICE
Pilot Knob Road PERMIT NO.:
MN 55122 DATE:
is I No. of Units:
_c"lu-n' mss . ?'?.ct ion
agree to Comply with the City of Eagan
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Total:
Date Paid:
r
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
ATE 19
RECEIVED
FROM
AMOUNT $
& _DOLLARS
loo
? CASH ? CHECK
/ White-Payers Copy
1! Yellow-Posting Copy
Pink-File Copy
?,?T(yh?a?n Thank You
C?1? ' '-? -BY
Receipt -? PLUMBING PERMIT Permit No. ,% -
CITY OF EAGAN
Fee .
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date d" 2. Installation Cost ?' -
3. 1l,, <
Job Address -e Lot 0 Blk. C::- Tract ^-
/` r
4. Owner L C t
5. Contractor./:<.C-' -'?- Phone
r
6. Address
7. City ( L State ' Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New'0 Add O 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 j
' 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
Receipt
t
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
1. Date' . , 2.
3. Job Addrest
4. Owner
5. Contractor 1
6. Address
7. Cityl
8. Building Type: Reside
Permit No.
Fee
S/C
Tot.
Tract
State Zip
Commercial ? Institutional ?
9. Work Description: New .0 Add ? Alter ?
10. Describe
11.
Repair ?
Type ,,.
No. Equipment BTU - M. Ea.
Forced Air ?i No. Equipment CFM
Air Handli
:
Mfg. 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 : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
i
CITY OF EAGAN
• 3795 Pilau Knob Road Eagan, MN 55122 78 S9
PHONE: 454-8100
BUILDING PERMIT Receipt #
Site Address lllu 11118ny uourr
Lot 20 Block 2 See/Sub. Canterbury Forest
Parcel # 10 16350 200 02
cc Name t'icklund Construction, Inc.
W
Address 4180 147th ^i Lane,N-W'
g Name Owzier
0? Address
H Cft Phone
W
rLW Name
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: W1
all work shall be done in accordance
Erect 11 Occupancy R-3
Alter ? Zoning R-1
Repair ? Fire Zone AA
Enlarge ? Type of Const.
V
Move ? # Stories 2
Demolish ? Lengthy
Grade ? Depth 42 Sq. Ft.
Approvals Fees
Assessment Permit 484 _ l()
Water 8 Sew. Surchorge ?+?? - (i(]
Police Plan check ?41 60
Fire SAC 59 5 00
Eng. Water Connl '4 as _
Planner Water Meter _
Council Road Unit 250 ,)n
Bldg
Off
.
.
APC Total 59069. 50
on t he express condition that
.soto Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing "?CJ$ g?r?Yta?4'" _?$?3
H.V.A.C. 3S(D rD lQ S-2$3
Well
Water
Disp.
Sewer
Electric lv?tOlo(0 4 L;'( twt? S -Q 3
Impection Date Insp. Other
Footings
Foundation
Framing I!
Rough Plbg.
Rough HVAC
Insulation
Final Plbg. _ -? c,?l
Final HVAC
Final
V?r? ? "n {?o?ck?i ll wro •?u,.?,aa^?ic?'t
Water Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks IQ 142-2 V
Addition 1C CANTERBURY FOREST Lot 20 Rik 2 Parcel
1116 TIFFANY COURT 55123
Owns Jarl Street State EAGAN MN
(JI"KJn Di. ia& .hlll
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid unde original a cel
STREET RESTOR.
GRADING 5 1981 106.78 SA4 20 90.79 C008494 7-11-83
SAN SEW TRUNK z 1973 Paid dex original pa rcel
* SEWER LATERAL '' 1981 439.42 21.97 20
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA 1979 Paid undex original pa rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 35088 4-4-8
WATER CONN. 450.00 „
BUILDING PER. 7889
SAC n N
PARK
SURVEYOR'S'.
ON
\ J
r
\ i ..A0
CERTIFICATE WICKLUND CONSTRUCTION, INC.
1
,DAN >.
1 \ a+ `a+ mob'
r ?O O
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ra - GQQGF,
a r'o E+ J ?
y
LOT
s
?s \ 20
`r • \ Is .
44 11 r -17.1 -8-
11L..J IY,4-1/, i_M .J
II'
1
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WEST
7.15
1 Ljiji ;_o A
o DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =
C3 DENOTES WOOD HUB PROPOSED LOWEST FLOOR =
x 000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION =
(000.0) DENOTES PROPOSED ELEVATION
4 DENOTES PROPOSED SURFACE DRAINAGE
FEET
FEET
FEET
FEET
WE HEREBY CERTIFY TO WICKLUND CONST.,INC.THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot 20, Block 2, CANTERBURY FOREST, according to t.e recorded plat
thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 16TH DAY OF OCTOBER , 1982.
APPROVED FOR SIENNA
CORPORkMN
BY: '°.---r --
ROBE S ARCHITECTS
DAT HIS DAY
OF 19?el
SIGNED: JAMES R. HILL, INC.
BY: I d-C 9
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
822,30
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 812-884-3029
I b?
?i
Trrfifiratr of (Orruvaury
Citp of eagan
Drvartmrnt of ButIbing %opertimt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
wCI.WFu4ao SF DWG/GAR Me. Pemdt No_ 7889
O-P+mr 1YV. R 3 1ypc.t ioo V F.Z. NA Z..t, M. t Rl
o.n.taenoe , Wicklund Const.. Irkgd„s4180 147th La.N.W. , Anoka
111Z 7.nr 20. Block 2. Canterhur)
Forest
By
1983
?w? ,?? wt> June Q,
T.'rues void` t t-.Caj a 0&4Lt--L -
TW066699 sir f-nX
-3S-M
-3'5'00
Request Date Fire No. Rough-in Inspection
Beq mretl? ?Ready Now g Will Notily Inspec-
5_ _g ]Yes ?No LLrr When Heady
? Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Be. or Route No. City
1116 TiffaNy Court Eagan
action No. Township Name or No. Range No. County
Dakota
O.cupnat(PRINT) Phone No.
oAt
'S
*
Power
' ier
' Address
Dakota Mectrin
Electrical Contractor (Company Name) Contractor's License No.
Sunrise Electric, Inc. 39778-4
Mailing Address,(COntractor or Owner Making Installation)
4120 83rd Ave. No. Mpls Mnn. 5544
i
Authorized Signature (Contractor Owner Making
nsta l tat inn( Phone Number
Keith R Hesli 66-8600
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Room N-791 BE ACCEPTED BY THE STATE BOARD
56104 UNLESS PROPER INSPECTION FEE IS
1621 University Ave., St. Paul. MN ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' Sae instructions for completing this form an back of yellow copy.
AV168699
X" Below Work Covered by This Request
?.f EB-00001-04
u:
:5 ?? -7 [k
Nan Add Rep. Type of Building Appliances Wired Eeuipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Hearin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other (S par.ify)
t er Specify Other Other
Compute Inspection Fee Below
A Fee Service Entrance Size # Fee Feeders/Subfeeders N Fee Circuits
0 to 200 Amps 0 to 30 Amps 2 .00 0 to 30 Amps
Above 200 Amps , 31 to 100 Amps 31 to 100 Amps
Swimnlin Pool Above 100Amps
Above 100-Amps
Transformers Irrigation Booms Partial,'Other Fee
Signs Special Inspection
s
TO
fiL FEE
Remarks j5,5Q ?
S
fl ri
vv
I. the Erecincal
Inspector. hereby
certify that the above
rinspection has been
made.
Tlds rnnuaet vaid
CITY OF EAGAN NO 889
' 3795 Pilot Knob Read Eagan, MN 55123
PHONEt 434-8100 ,
BUILDING PERMIT Receipt #yd
re e. o..a ", SF DWG/GAR r v,,,. $120,000 r)m. April 4 to 83
Site Address . U 1111°tty UUUL L
Lot 20 Block 2 See/Sub. Canterbury Forest
Parcel # 10 16350 200 02
a Name Wicklund Construction, Inc.
z Address 4180 147th 3 Lane N.W.
City Anoka, 55303 Phone 421-4684 Erect
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Grade ?
Occupancy -?
Zoning
Fire Zone _ A
Type of Const. 2
* Stories
Length 72
Depth 42 Sq. Ft.-
Name Owner Approvals Fees
0
OU Address
Assessment
Permit 483.00
U§ Water & Sew. Surcharge 60.00
Clf Phone Police Plan check 241.60
Name Fire SAC 525.00
xG Address Eng. Water Conn450_(10
iW city Phone Planner Water Meter 60 p0
Council Road Unit 250.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
AFC $2Q69.50
Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittes
A Building Permit Is issued to: Wlcklund Const. nr _ on the express condition that
all work shall be done in accordance wit I opplicoble.5 a of Minnesoto Statutes and City of Eagan Ordinances.
Building Official DP J
CITY OF EAGAN ° Include 2 sets of plans,
1 site plan w/elevations &
BUILDING P.o?i?IIT APPLICATION 1 set of energy calculations.
Ga V- /'? O o-o-a
To Be Used For singl e „, g _± Valuatio Date Oct. 20, 1982
Site Address: 111A Tiffany Court OFFICE USE ONLY
Lot 2- Block --- Sec./SubCanterburY Erect Occupancy
Parcel #: 10 1(a3So zoo 02- Forest Alter Zoning _
Repair Fire Zone
Enlarge Type of Const.
Owner: Wicklund Co nstr, ir- .; nn Tnc -
M # Stories
ove _
Address: 41,90 147t h T,n NW Demolish Front
-
Grade Depth
City/Zip Code: Anoka , Minn 55303
Phone #: X464 APPROVALS FEES
Contractor: Wicklund Construction' Tnc.
Address: 4180 147th Ln NW
City/Zip Code: Anoka, Minn 55303
Phone #: 421-4684
Arch./Eng.: Allen n Wicklunnd (draftsman)
Address: same
City/Zip Code:
Phone #:
Assessments Permit y F3 M
Water/Sewer Surcharge :LO a°
Police Plan Check ?2_//J
Fire SAC '6 s
Eng. Water Conn.
Planner Water Meter
Council Road Unit 6-0
Bldg. Off.
APC
TOTAL 2 0(0R S?
CORRECTION NOTICE
Address -/ "
Owner/Agent
Ordinance Nos. and Corrections - Correct By
DATE: , ' // V?
Site Name
Telephone ` Wy
For p of
Eagan n Dept. . of Inspection Inspector: LLB ??C
3795 Pilot Knob Rd.
Vagan, Minnesota 55122
454-8100 Dept.: ??!?'?
it: ERIU:, z:G"dl;:L:CiPE AV`RA I; ' °U"
(to be submitted with building permit applications)
One or two family,dwelling_.2i _ Contractor ??f Lam.
All other coo/ggstruc/;ion Site Address
Date /?/4O/," Phone_,,JO/l,(/,g5;? Other
LINEAL FT. OF
EXPOSED WALL CEO X FT. ABOVE GRADE 6`fl+j!'i t7
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: 'IU"VALUE SQ. FT. (U)(A)
Detail tn? lis , 03Y X /?Eqh
reference x a.sto
from ex??,.1 tiarr nS X ro0
attached X
sheets X
X
X
X
X
_ __x
X
X
WINDOWS:
Make & type crett qg.e X
" if Casem ?,T S X 330
n " X
X
DOORS:
Make & type A/"d.-pert _ aS X gy
of " X
it " X
n n
X'
= 6 4,Y6
TOTALS ?b°S 0 Sq.Ft. 2el/6 (U) (A)
TOTAL (U)(A) VALUES DIVIDED BY Ogg AVG. "U"
TOTAL WALL AREA
ROOF/CEILING:
TOTAL AREA: /710 sq. ft.
Detail (?j9ti X /yvJ = Q7 I, yi _
reference x =
from X -
attached X =
sheets X -
TOTALS Sq.Ft.
TOTAL (U) (A) VALUES DIVIDED BY
TOTAL ROOF/CEILING AREA
AVERAGE "U" Per ASHRAE std. 90-75
1 & 2 Family Walls
All other walls
Vented Ceilings
All other ceilings
r 01? 6 AVG "U"
(U) (A)
BASIC
WALLS
5W IYe..'AL
?eripheral
?.; •; Ww
?CiJ`i71TI0?:
WALL
n -,
F7
A a•
ROOF/CEILING
MN
ell
3
1. Interior air film .............. 0.68
2. LhszT? r
3.
(? - M a,•
v.
Sidi
4
6. e
Ertc%ioz a_r film .............. 0.17
Total ?Y of '
1 1.
2. Interior air film .... O.GE
......
..
4•
r
G. Exterior a:ii: film ..... ... .. 0.17
) -Total
u?I}'.tiL
r
) 1. Interior air film .............. 0.68
) 3. 3•
4. Exterior air files ............... 0.17
Total
av.. 7
Vented II Heat flow
L 1 u.p
.ante •1'?••%e _ ..
_ NOY-VT•.:7TEp .
Heat
flow Up
Construction R-Value
1•. Interior air film ........ 0.61
2. _ h ceric <ic ur
3. Insulation .........
4. Exterior air film (still).. 0&1
` Total 5..67
Construction R-Value
1; Inside air film 0.61
2.
3. Insulation
4. -
5. Outside air film 0 17
Total
Lao , 13--? r N A4tA rv?- vorE,-z4-
Wicklund Construction, Inc.
?16
4180 147TH LANE NW - ANOKA, MINN. 55303 - $121 4214684
4: ///"- //,.
?? ??
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130732
Date Issued:05/12/2015
Permit Category:ePermit
Site Address: 1116 Tiffany Ct
Lot:20 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings 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: 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 -
Albert W Anderson
1116 Tiffany Ct
Eagan MN 55123
(612) 749-0777
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161889
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 1116 Tiffany Ct
Lot:20 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Albert W Anderson
1116 Tiffany Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161889
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 1116 Tiffany Ct
Lot:20 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Albert W Anderson
1116 Tiffany Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature