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1120 Tiffany CtCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road F. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: -%3 Zoning: c l No. of Units: 1 Owner: !, j p -j Ii e C o n!7- t Address: Site Address: 1120 :'iffanv X10 u2 t'anteburv ?`oros Plumber: ;aak.eY17 e p1?aE? ?x ki> u. Meter No.: Connection Charge: 4 •0 • 0 nt? Size: Account Deposit: Reader No.: Permit Fee: 10.00 _- , 50 a agree to camPiy wth the City of Eagan Surcharge: Ordinance. Misc. Charges: ?' G • .? r pC? me te. Total: BY Date Paid: Date of Insp.: Insp.: ¦ CITY OF EAGAN SEWER SERVICE PERMIT 3830 Paot Knob Road P. O. Box 21199 PERMIT NO.: r?y_v Eagan, I VIN DATE: Zoning: No. of Units: Owner: Sun hi rie Const Address- Site Address: £IanY r rt (? X32 C'antebury Ferea -?--- Plbq `;v, Plumber: agree to campy with the City of Eagan of Insp.. 100.00 pd Connection Charpa¢ 25. 0 0 Pd Account Deposit: Permit Fee: 10.00 pa Surcharge: .50 pd Misc. Charges: Total. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ -& -DOLLARS Ioo ? CASH ? CHECK FOR FUND CODE AMOUNT 4 Thank You 0? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BUILDING PERMIT CITY OF EAGAN 3795 Pilot Knob Reed Eason, MN 55122 t C? ?? j PHONE: 454-8100 Site Address lice iii=any -orwre-- L'0L4-'q'TT Lot 19 Black 2 Sec/Sub. Canterbury Forest Parcel # 10 16350 190 02 aa: Name Sunsnlne UOUStruCt1OU U0. zz Address 1507 Clemson Ct. f f1 •]n let 7100 a Name u' Addre F r a- Name Address Receipt # 'f L :2 Erect 19 Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 49 Grade ? Depth --U-Sq. Ft. Approvals Fees Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit ?StS.UU Surcharge 37.50 Plan check 179.00 SAC 525.C0 Water Conn4 Sn _ nO Water Meter 60 . 00 Road Unit = r' 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 Sunshine Construction A Building Permit is issued to: all work shall be done in accordance with all applicable Stot2-Qf Minn Building Official Total yS1859.50 _ on the express condition that City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing -3, - (CE fr? H.V.A.C. 06 YLtS p ? ? 1D` I 0 a Well Water Disp. Sower Electric w O 13Q SI 3 5--e-ti C`?£ w o z 34 4rt < < r ? ?,? -g3 Inspection Oats Insp. Other Footings Foundation Framing (3 Rough Plbg. 1 fJ 3 Rough HVAC ?7 ?,Ict Insulation - 0-1v Final Plbg. Final HVAC Final W Water Desribe Location: Well Sewer Pr. Disp. Receipt - PLUMBING PERMIT CITY OF EAGAN Permit No. r Fee Fill in numbered spaces S/C Type or Print legibly Tot. y _ 1. Date 2. Installation t 3. Job Address ??d11 y `t " Lt? 'Blk. Z Tract i-- 4. Owner Gf /f" 1 N I?v %' 5. Contractor h R,X-I. Phone/ ? 6. Address-?? 11 7. City State zip 8. Building Type: Residential 6 Commercial ? Institutional ? 9. Work Description: New -0 Add ? Alter ? Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank 3 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 J Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ,? CITY OF EAGAN 454-8100 Receipt i _ MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date j - b 2. Installation CQStX 3. Job Permit No. Fee S/C Tot. ?q r 2- Tract c, r 4. Owner ,__. U/. %`?f l i l 1 t r .? ?) ?7 a 5. Contractors-1k'D rjsr r1r.; Phone ,? •-? 'n 6. Address i I Q 1 :1).,'f D / 7. City/ 64v ?rI?I t State/'•'i, / Zips!s 7 8. Building Type: Residential E'f Commercial ? Institutional ? 9. Work Description: New ET Add ? Alter ? Repair 0 10. Describe Fuel Type /u/?' (? S 11. No. V, Equipment BTU - M. Ea. Forced Air No. Equipment- CFM Ai dli H Mfg. 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 : - . , a : t for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks L1LJ I `/ Z L y Addittor? CANTERBURY FOREST Lot 19 Blk Own t - ':>i! Street 1120 TIFFANY EAGAN MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. qf)lo 1979 Paid undei original pa rcel STREET RESTOR. GRADING fG 1981 106.78 5.34 20 90.79 A012498 7-22-83 SAN SEW TRUNK Z1 1973 Paid unde3 original pa rcel * SEWER LATERAL '16- 1981 439.42 21.97 20 373.51 A012428 7-22-83 WATERMAIN WATER LATERAL 1981 20 WATER AREA p 1979 Paid undei original pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 35968 5-26-83 WATER CONN. 450.00 a n BUILDING PER. SAC PARK This request void 2?'u7 18 months from W"073951 U 1 ? 81,71 c6l- ? r -Li 3:5q q S /Dr op Request Date _/ 9 5 1 ! -? Fire No. Rough-i Inspection Be wired? yes ?No Ready Now Will Notify Inspec- tur When Ready Licensed Electrical Contractor I hereby request inspection of above • owner electrical work installed at: Street Address, Box o /Route No. Citt action Township Name or No. Range o. County O6Cupant(PRINT) Phone No. Pow upplier Address 6e rical Contractor (C any Nama1? Contractor's License No. TYrailing .Vdress (Contractor or Owner M?-1 ijp Installation) ad S MINNESOTA STATE SOIARD OF ELECTRICITY Griggs-Midwav Bide. - Room N-191 1821 University Ave., St. Paul, MN 55104 I / // -<!n - d d / 7 ` THIS RVSPECTION REQUEST WILVN( BE ACCEPTED BY THE STATE BOARS UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 P up, , soo. instructions fdr comPletino this form on back of yellow copy. Vd ,V X " 8e ow, w or o eyed by This Request S SC( q5 Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FIXtllreS Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Other peci y Other lSooufyl [ er Specify Other Other Compute Inspection Fee Below k Fee Service Entrance Size k Fee Feeders/Subfeeders 4 Fee Circuits to 200 Amps 0 to 30 Amts 0 to 30 Amts Above 200 Amps 37 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial.'Other Fee Signs Special Inspection TO ? Remarks FEFd / 1. the Electrical Inspector, hereby certify that the above iapection has been TThlareneest void lR This request void f(1 _ (J Ca NA- \?O t-,C 18 months from W 073987 ?(4t an Request Date Fire No. Rou -i ghn Inspection R un ?Ready Now Will Notify. Inspec- ?'?ri ` Xyas n No for When Ready A Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, sox or Route No. City !(I-A, D l9*A>A\WL Section No. Township Name or No. Range No. Cow ly' Occupant (PRINT) Phone No. Power artier Address 1 4 El trical Contractor (Company Name) Cpntrartor's License No. 0. ,? 041 Mailin Address (Contractor or Owner Making Installation) ss i- y, 4 - e_.J 6 Uio? Authorized Signature (Contractor/Owner Makin stallation) Ph... Number Sip- S& MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD MN 561 g4 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 se instructions dmr completing this form on back of yellow copy. 'X'" Belowor7 eeovered by This Request 3? z3 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial dg. Bl Furnace Silo Unloader Industrial Bl dg. Air Conditioner Bulk Milk Tank Farm er 'i the, IS Verifyl ter Soeci y r other Compute Inspection Fee Below b Fee Service Entrance size b Fee feeders/Subfeeders a Fee Circuits U 0 to 200 Amps 0 to 30 Amps .3 0 to 30 Amos Above 200 Amps 31 to 100 Amps J w 31 to 100 Amps Swimmin Pool Above 100 -Amps Above 100_Am s Transformers Irrigation Booms J Partial.'Other Fee Signs Special Inspection 5 ? T A F Remarks ?, L ?/ EE T9 1 d E I, the lact,ical Inspector, hereby certify that the above inspection has been This racueat Trr#ifiratr of Orrupaury Citp of (Eagan Erparunrut of 'Suilhing Awprrtion This Certi ficatt iuued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at 11m time of issuance this structure seas in compliance With the various ordinanaJ of the City regulating building construction or use. For the f ollou6ng: ?..Cmeooua, SF DWG/GAR 8065 Bldg. Femut No. war'tm R3 TyaC......uo. V Fh.: NA zadyni.tmt RI u.z,.raaoo Sunshine Const Co.Add„„1466 Richard's Ct Ea an a.ua,,add. 1120 Tiffany Court Lot 1931ock 2.Canterbur By: at.: July 14, 1983 ........... ....y CITY OF EAGAN 46- To 7795 Pilot Knob Rand Eagan, MH 55133 ?7 jr O 5 • PHONE: 434-8100 BUILDING'PERMIT Receipt # be used for SF DWG/GAR cvt V.u... $75.000 r.,. Mav 20 io 83 Site Address i V 11L1a`ry ? k-?'""'s .r Lot 19 Block 2 Sec/Sub. Canterbury Forest Parcel # 10 16350 190 02 r Name Sunshine Construction Co. Address 1507 Clemson Ct., r:.. Eagan 55122 --- - 454-7485 Name _ 0 Address ru., Name - Address Erect Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 49 Grade ? Depth5?L- Sq. Ft.- Approvals Fees Assessment Permit 358.00 Water & Sew. Surcharge 37.50 Police Plan check 179.00 Fire SAC 525.00 Eng. Water Conn.4 SO _110 Planner Water Meter 60.00. Council Road Unit 250.00 Bldg Off . . APC _ Total $1859.50 1 hereby acknowledge that I hove 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 Sunshine Construction A Building Permit is issued to: all work shall be done in accordance with all owlicobte19aie?f MI t _ on the express condition then City of Eagan Ordinances. Building Official 19v ° BUILDING PERMI'. TO 'Be Used Forte.,-mil L - Yaluation Site Address H a o _ &® Lot 19 Block 1 sec./Sub. Parcel #: (D tU2,50 (40 6.-Z Owner: i0 C'r Address: /5e-1 Cxs , - City/Zip Code: ram ' 'ht S?rti z Phone #: 9y9'5- Contracto, Address: /?"5 City/Zip Code: ? . Phone Arch./Eng. i: -M Address: /Po'? City/Zip Code: r S'Sr i .- Phone #: y5"?- 33 9 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & APPLICATION 1 set of energy calculDations. 5,-OD O Date d 3 LLt4- OFFICE USE. ONLY ErectT Occupancy R Alter Zoning Repair Fire Zone Enlarge - Type of Const. Move # Stories Demolish _ Front N9 ft. Grade Depth S o2- ft. APPROVALS FEES Assessments Permit 3 $'_ Water/Sewer Surcharge $ 7 Police Plan Check/ 7 `7 Fire SAC 3 o o Eng. Water Conn. /4,5-6 =0- Planner Water Meter / n Council Road Unit ;;k Bldg. Off. APC TOTAL to 1 "? D --- Windows I Doors Reference Out. Wall es- o Yes-No 19_ AMLSTI-I -6tu oy Room LengthaA 106-* Width Windows an Doors-Crackaae and Area Na. of Dane or Dana it hmi of cra<t q. ft. ?S 1210` vt19 a ? 7 ? _9 i/ 11 Infiltration Net exp. wall Int. wall aXl Floor Ced. Construction No. 11 Wall Ceiling Roof Floor Kind "Height Jj'Q" 11(1U,, F1( B?yt?lii Room 11 c-- Total Btu. - 6-1,01 sq. ft. E.D.R. or sq. ins. W.A. Leader area / Room I Length Width and Doors-Cracka" and Area No. Width of Dane Height of Dana No. of Ilghta Llaeal ft. of tack Area ... m Coef. Btu Infiltration Glaze Exp. wall Net exp. wall Int. wall Floor Ced. I otal k5tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arcs f? .?IQ Room ILength2! /A) Width 1204awaht Sri" Windows a nd Doors--Cracka ge and Ar ea No. Width of Dane Height of pane N"f light. Lineal It. of crack Area an. fl. g:eR b" 119 1 !V 1 a ra t . 1 Z AA3 Coef. Btu Infiltration .2 7 z p Glass S pop Esp. wall 0 Net exp. wa0 92. 3s{ Int. wall t 5 7.20 Floor Ceil. . Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area Insulation How 16 n. w maows a na voors- y.racu gc apt. No. Width of p.as Height of vase No. of Iighta S.laul M of Crack Area an. fl. Coef. Btu Infiltration Glau Exp. wall Net exp. wall /S 2 S Int. wall Floor 1 3591 .3 /C 77 C-1. Total Btu. l K FD ?S Required sq. ft. E.D.R. or aq. ins. W.A. Leader a ea 177.1 Room I Length Width Height wi nuows an a troors? racaa ge anu urea No. Width of Pane Helghi of yaM Na o[ IIghU Lineal ft. of track Ana p. ft. I Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Ced. Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Windows and Doors-Crackaae and Area No. Width of pane Height sf.pana No. Of rights Lineal ft. of creek' Area an. ft. Coef. Btu Infiltration Glass Esp. wali Net exp. wall Int. wall Floor CI Total Btu. Required sq. ft. E.D.R..or sq. ins. W.A. Leader area Weatheldrips Aa rt.v t. Guide Windows I ' Doors Reference e-'1o Yes-No 19 f F7.I r',) ST 91) Room Length 14 In Construction No. 141,11 Height0 Windows a nd Doors-Crackage and Ana Ne. Width orpano HHtal of Dane No. a[ Ii5h1e LIhNI [t. o[crtck Area W.tt a' " ' " a S a Coef. Btu Infiluatioa /I ol Glass 1,180 Exp. wall Net exp. wall Int. wall Floor Ced. total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 17I.14*a61) Room ILength 1 'WidthIo\l Windows and Deers-Cmrkaa. and Arr. .N0. Width or p.ne Height o[ pane No.of light. L1 oea11t. of er.ek Ana M. m a 1 ?'I 10'? o`l D I Coef. Btu Infiltration a_ 40 epnn Glaze IL6 _13-0 zoo Exp. wall 02/(? - Net exp. wall a Bp Int. wall Floor Cell. fa$ b -2a- Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.I V3 gp Room (Length 1I o,1 Width fa Windows and C)nnrs-Crarkww ..A Ar.. No. Width o/ pane Height of p... No. of light. Lineal [L of crack At. q [t. .Q ZaL 'n a Coef. Btu Infiltration a0 kL Glass Exp, wall Net exp. wall l?s p Int. wall Floor Ceil. local Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader arra insulation f Floor Kind How Fl-I KIT' Room I Length I A' O //Width I Windows and Dmrs--Cratluae and Area No. Width of o..e Helgkt of paae No. a[ lights Llce.l tL of crack Are. Q. [t. gv 31 a 1.5 1 11 Coef. Btu Infiltration I b Glass O SS Exp. wall 0 Net exp. wall b S l Int. wall Floor C-1. l a 'f Total Btu. 8 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SAsI:FI.I a4'rti RoomILength 1oI&V Width 5'6p Height S 16 4r WI noOWS an tr 000179 .lacaa ge anG ur ea No. Width of p..e Height of pane No. of llgat. Lintel ft. of eraok Area a0. rt. Coef. Btu Infiltration Glass _ Exp. wall 4? Net exp. well ?o Int. wall Floor Cell. Total Btu. Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area ,A FI.I LRUWC)Qy Room I Length 16 1 p Width Windewe and nnnra--C.raekane and Area N. Width of pane Halghl or.pane No. of light. Linea fl. of crack - Area .a• ft. iyu .3 Coef. Btu Infiltration Glass 50 Igo Exp. wal: y Net exp. wall .11e 1 Int. wall Floor Cal: Total Btu. O G Required sq. ft. E.D.R.,or sq. ins. W.A. Leader area Wef therstirps A Guide V,`indowi Doors Reference Out. Wall I es- o Yes-No 19_ FI.I 50yp Room Length gr?Width Windows' and Doors-Cracka¢e and Area r No. Width of pane Haight of Dana Na. Qt II,hla Unu1 fL of cia<k Ana p, M I its G, 1 I ?O 1 1 M a 1 h ,D,. go a2 Coef. Btu Infiltration a aZp Glass 0 0 Exp. wall a Net exp. wall 3f Int. wall Floor 3 cell. Total Btu. - f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I H•I L R- 316%9-Room I Lenttth,-25'n" Width tttin s-Heilrht lAf ns Windows and Doors- --Crackage and Ana No. Width of peno Height or Oans No. of light. Lineal it. of crack Ana q. R a 'D" 10" 3 Coef. Btu Infiltration 0 cJau o? f aOp Exp. wall 30 Net exp. wall / Int. wall Floor cell. 350 0 0 Total Btu. let 2,50 6 Uh P/ a (0-1 7-;1., Kequired sq. it. E.D.K. or sq. ins. W.A. Leader area F1•1 DIKING- Room Length 1216h Width if Windows and Doors-Crackase and Arra No, Width of Dane Height of Dane No. of lights Lineal ft' of creek A,. K. ft. i 0' a Coef. Btu Infiltration CV) qO I Fro Glass Exp. wall $Q Net exp. wall e1 Int. wall Floor cea. 3e total Btu. Required s:t. ft. E.D.R. or sq. ins. WA Leader area Construction No. Insulation -II Kind How Wi ndows a nd troors- -a.racxa ge Boo ru es No. Width of pa oa Height of pace No. of Ilght. Lfesal ft. of en<k Area so. IL coef. Btu Infiltration Glau Exp. wall Net exp. wall Int. wall Floor c-?. 3S siztl Total Btu. Required sq. fL E.D.R. or sq. ins. W.A. Leader area f F1.1 AAO 644)4 Room I Length -/gm _Width_ _ Windnwa and S?nra-t_.raeltatre and Area Noa width of pane }1e16ht or pane Ne. of Ilghb Llneal ft. of cook Area s0ft. Coef. Btu Infiltration Glass Exp. wall Net exp. will Int. wall Floor red. / y Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I &1] ? RoomI Length 7/6A WidthSt(palHeight9rON Window, and n..,e-CrAA err. And Area No, Width of pane Height efAana No. of lights Lineal ft. of creek Art. se• ft. Coef. Btu Infiltration Glass Exp. wali Net exp. wall Int. wall Floor cea: 113 ZL- 7 2. _Total Btu. 2 Required sq. ft. E.D.R..or sq. ins. W.A. Leader area SURVEYOR'S CERTIFICATE SIENNA CORPORATION TIFFANY COURT k - 938' - 48°!1'23 h . R=30.00 L to = 25.23 a M+ ro ? •N39030'00"W 75.65 ?a?30 0 1 93.9;x: %V 0 (k? 30 I 10 _ -'? <94aa? ??qr0???,\ x939.5 1° w 10 r LOT R 15 0 0 h o o _ C9S46) {` 94x0)_- (Y) r M 134,14 - T a3ld` 31.00 30. cm 7 94309 I f I q\\n Q l? I i R M GAR. 0 ? az i ? m 943.2'4 \3-00 ?i 4V?, I N Z?W/ L- W N 9o ti5C1 8.00 1x9Lgd ?M ti/O/ try C9_ OO PROPOSED p ?y w I ro F/OUSE N 1 ( a x 940.4_ rj) Iq N pp 32./7 4.00 N 1-30-00 -- - x O 1??0 Z w I g42•q C93q,zj ?9?4?/?'L•? ' I`° I O M? 10 1?6RAINAGE 9 6f^1 Is 2 011 11 1 UTILITY EASEMENTS PER PLAT 1 V?^t_ L__ - - g %940.7'. "?30X N40.016'52"W 110.00 mti ,1P L_ I? I P O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 , FEET DENOTES IRON MONUMENT FOUND (PROPOSED GARAGE FLOOR__ 9414-•9 FEET LOOR 9 3 -7 •8 FEET 11 DENOTES WOOD HUB PROPOSED LOWEST FLOOR- X 000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 9 4Cn,6 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 19, 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 22ND DAY OF KAP.CH 1983 . APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION BY: ROBERTS ARCHITECTS BY: Ira"tG?C b G1i- DATED THIS DAY AROLD C. PETERSON, LAND SURVEYOR OF 19 MINNESOTA LICENSE NO. 12294 REV. 5-`j-$3 TO SNOW PRAPoSEO HouUE FCR 5u N`.7AINE COM',7T. PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 29/5 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South ,FOLDER Bloomington, Mn, 55431 812-884-3029 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 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) 1 Soils Report if proposed building is to be placed on disturbed soil 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 71l 193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel(Reoair Requirements tAce1lsd Only ? 2 copies of plan showing footings, beams, joists Certof Survey ri ` _Y _ N 1 set of Energy Calculations for heated additions Soils Report Y _ N I site survey for additions & decks Tree"Pres Plan Recd ?y _0 Addition - indicate if on-site septic system Tree: Pres Required y - N On-site septic System _Y _N Plnnc nro rnncirlarael niihlic information unless you state thev are trade secret and the reason. Date Co .../ 6 Site Address J oZC) Ia?U Construction Cost ? f (f CM• CID o Unit/Ste # ? Description of Work ro?(d_to Lit (O t_.?S Multi-Family Bldg _ Y ) N Fireplace(s) _ 0 - 1 - 2 Property Owner p•? I tn g.- Lisa q - f / a +-Ke- Telephone # (614) 50R • D?-1 7 Contractor r Address State M n ) ?^ U City=lrl L)&.rl f`arl r° tt Zip S r?? Telephone # ( jl) L-l.7 • QU l0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (v submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 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 (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PGA handout to applicant Description: Water Damage _ Yes Valuation Occupancy MCES System Plan Review ! 100% or - 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) - Sheetrock Footings (deck) - Final/C.O. _ Footings (addition) Final/No C.O. Foundation _ HVAC _ Drain Tile Other _ Ice & Water Roof Final Pool _ Ftgs _ Air/Gas Tests -Final _ Framing - Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _Air Test -Final _ Windows _ Insulation - Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector City of Eagan PERMIT 41' CityofEaa Permit Type: Plumbing Permit Number: EA106552 Date Issued: 08/27/2012 IIPermit Category: ePermit Site Address: 1120 Tiffany Ct Lot: 19 Block: 2 PID: 10-16350-02-190 Use: Addition: Canterbury Forest 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: 400.00 PL - RPZ/Lawn Irrigation $55.00 Surcharge -Fixed $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: John P Nathe 1120 Tiffany Ct Eagan MN 55123--187 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 Date: C!ty of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1I Permit#: l I _71 0 /p<7< Permit Fee: Date Received: Staff: z 2_15 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 1,2--0/15 Site Address: �2� TWAV7 c i'.r Address / City / Zip: Applicant is: Type of Work Description of work: Contractor Construction Cost: Unit #: Phone:6-v- 7 %-2 - y5' 77 /l624 70;43T at' 64604-i, fri.✓ Owner Contractor T o'f 4- Xe jux( Multi -Family Building: (Yes _ / No Company: Tw C ITt—S £ .rcitActul -rte iu ) Address: /70 6i fp'' sr- State:l - Zip: --TCY? License #: sir got Contact: /6 tL l4 Phone: City: (' w" nU GTd'i yam- Lead Certificate #: N r T��il �5 7' / 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 1 the information may be 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. dwrw.000herstateonecall.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 Minnesota State Building Code must be completed within 180 days of permit issuance.// I _ f,' !-� 0*/k car x Applicants Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA166387 Date Issued:01/06/2021 Permit Category:ePermit Site Address: 1120 Tiffany Ct Lot:19 Block: 2 Addition: Canterbury Forest PID:10-16350-02-190 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - John P Nathe 1120 Tiffany Ct Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature