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1067 Tiffany DriAGAN Pilot Knob Rood MN SS 122 No.. to comply with the City of Eagan WATER SERVICE Connection Charge: Account Deposit: _ Permit Fee: Surcharge- Misc. Charges: - Total: Dote Paid: G1 , EAGAN SEWER SERVICE PERMIT 3791 Pilot Knob Read PERMIT NO.: Eagan, MN 35122 DATE: Zoning: No. of Units: Owner r-nr-. - ., t-'.Ction Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: PERMIT # MECHANICAL PERMIT RECEIPT # /rf ; AL - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: RACT PRICE: $1,000-00 PHONE: 454-8100 Site Address City 'rai ri Name c Address p City - TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU - 1 `-7 n 3 1 Vent. l C.u.i 4 sc??bFM - Gas Piping Outlets # y Other FEE S/C: TOTAL: BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU aj (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000) OF EAGAN $24.00 6.00 1.50 EA. - 12.00' - 20.00 - .50 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. y" l 1. Date 2. Installation Cost 3. Job Address Lot2781k. Tract 4. Owner 5. Contractor , i r_; iL ?rJr`l E +` `r Phone 6. Address -1 7. City 4r I ' L I_, State ! Zip 8. Building Type: Residential= Cr Commercial ? Institutional ? 9. Work Description: New Q 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 : f for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 L Re ceipt PERMIT MECHANICA Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. • "-' 1. Date 2. Installation Cost 3. Job Address `rL-ot Blk. Tract 4. Owner me Construction 5. Contractor :, ? !`' Inc - Phone 211- 6. Address 131 )7.5 -i n .•--? `r it , H![iCRh Y±?fl?CXa*' :$$BFi3 7. City "n ',)rairi<. State -rn<,rrta Zip : 34•- 8. Building Type : Residential El Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type .4itural Gas 11. No. Equipment BTU - M. Ea. Forced Air ° `?l No. Equipment CFM Air Handling: Mfg. „ ,- Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. T :cde1 . ' 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 " . . CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT $ acDOLLARS loo ? CASH ? CHECK FUND CODE AMOUNT Than You tl< r_./ BY White-Payers Copy / Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 5795 Piiet Knob Reed Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT 000 Site Address J.vvr L111d1L.Y UrL.VC Lot 27 Block 1 Sec/SubCanterbury Forest Parcel * 10 16350 270 01 0, Name Corporate Construction. Inc. 4466 Wedgwood Drive Address ,.._, Eagan 55123 454-0644 o Name Owner OU Address F Receipt * Erect )a Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone CIA Enlarge ? Type of Const. V Move ? * Stories Demolish ? Length 56 Grade ? Depth 46 Sq. Ft. Approvals Fees Assessment - Water 3 Sew. Police Fire Eng. Planner Council I hereby acknowledge that I have read this application and state that . Off. _ Bldg the information Is correct and gree to comply ith all applicable APC State of Minnesota Statute ;d City of E rdirwnces. Signature of Permittee Corportive oti uc .on, A Building Permit Is Issued to: all work shall be done in accordance with off applicable State of Minne Building Official Inc. 7 ti6? Permit -5:):). VU Surcharge 37.00 Plan check 177. 50 SAC 525.0 Water Conn. 4 50 0r Woter Meter f' 0 - r, I Rood Unit Total '-854.50 on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? Z 3 p 5_(D H.V.A.C. ?? 31Y 3 -./ ?U fc ??- ?0 Well Water Disp. Sewer Electric Wo'1Z3?7 Xs??drl'ck -2 -?s3 }E wt t wok z( ?I (a-f7-$'3 Inspection Date Insp. Other Footings Foundation Framing v Rough Plbg. Rough HVA Insulation Final Pibg. u/ Final HVAC Final C Water Describe Location: Wsll Sewer Pr. Disp. C°"°' No. RECORD I CITY OF EAGAN PERMIT TYPE: 11" 1 t D 1 NN 3830 Pilot Knob Road Permit Number: 000111 Eagan, Minnesota 55123 Date Issued: 06 (612) 681-4675 SITE ADDRESS: LOT: 21 g L wt_ f, . APPLICANT: 1067 TIFFANY OR MAC DONALD HOME IMPR CANFERRURY FOREST (612) 869-8101 PERMIT SUBTYPE: TYPE OF WORK: ? llrlirr if NEW REMARKSO RFC.FIPT Ili SEPARAIC PERMIT REQUIRED FOR ELECTRICAL Pei It No. Pennit Holder Date Telephone 0 SAN PLUMBING HVAC ELECTRI ELECTRIC Inspection Date Insp. Comments Footings 1 ?l65 Foundation Fran ft Roofing Rough Plbg. Rough Hig. Isul. Fireplace Fines Hill. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final t, ?3 Well Pr. Dlsp. K 13748 a01015i 7 3?9 l ?.S Request Date Fm No. I Rough-in I Requiretl. ed n ?? ? Ready Now Mvv?ll Notify InspeMOr R tl ? W ? Yes o ea y Jhen I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.l ?66`7 1 C)rIv_2 City & aa, Section No. Township Name or N l Range No. County 1n1 'JQ Occupant(PRINTI \ r t- 1 KJDt Phone No. MID Power Supplier Address Electrical Contractor (Company Name) Conlrac1or5 License No. Mailin Atldress ICOntractor or Owner Ma??GJg Installation art} ?t3 - 1 16,C2, pl t « , r?? >f? Authon2e(1 Si net ure IConlractodOwner Ma ing Inst ration) 7K Phone Number -100 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs?Midwsy Bldg. - Room 5-123 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6420800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION orTM% °. K 13748 ,See instructions for wmpienng this form on back of yellow copy. r X' Below Work Covered by This Request ew Ndd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speciy) Contractors Remarks: /1 ?j 'L11,? 1 1? Compute Inspection Fee Below: JET ICa/ ?r"Vv t # Other Fee # Service Entrance Size Fee # Circui s/Feeders Fee Swimming Pool 0 to 200 Amps 0 to too Amps Transformers Above 200 _ Amps 100 Amps Signs Inspector's Use Only: TOTp? Irrigation Booms ?? ? `i{t{trlt Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1„ the Electrical Inspector, hereby f Rough"' Date certi y that the above inspection has been made. Final - 4 4 pate 1 , OFFICE USE 9NLY ' This request void 18 months from "a y J35 02 Request Date Fire o. Rough-in Insp Required? ? Ready Now .7.Will Notify Inspector Ves ? Np When Ready? I ?flicensecl contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City { (/? efow Section No. Township Name or No. Range No. County Occupant (PRINTI Phone No. T Power Supplier Address Electrical Contractor (Company Name) Contracrmt License No. r .;5W-600 emc-? L° O Mailing Address contractor or Owner Milking Ineldllali0n) ?/ 31VO WV, T Authorize er Mabn Innallauon / /?'r ? Ph ne Number 830 -[3q MINNESOTA STA O OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BIE Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. C( ? 9? REQUEST FOR ELECTRICAL INSPECTION ° E6Op001-08 j J' 35902 ? See instiuoYons for completing thls form on back of yellow copy. X" Below Work Covered by This Request ( /Q iC S Mew Adtl Fr-p: Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm At Conditioner Other tspecityl Contradont Remarks' /I r"OrTeao Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circurs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps _ Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT . Other Fee COMPLETED WITH MO H r I, the Electrical inspector, hereby f Rough-n oats certi y that the above inspection has been made. Final pate /J? G l OFFICE USE ONLY This request void 18 months from 7.1a 9?- ! / 0G mod- J35 134.nel. x Request Date +1 Fire No. Rough-in In ion Required? ? Ready Now Will en Re Inspector Natty hen Reatly7 i-- G Yes o I nkcensed contractor f] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route Ni /0(07 TFFP.? Dr. city E y'+". SediOn NO: TOWneM1ip Name N0. Range N0, County 4 Oc an4+?INTI ' 1 T I ? ? Y. fw Phone No. 0 s q,C1. , , - YV tlP Power Sup Ile, DaKo?.? uBGT?iL Mdress G 300-..290St. W, C?rw.1M h S3b2 Electrical Contractor ICompan Name ; ?o Contnuddi License No. CA- ! /2 ? er? n 0 Mailing Maness (Contractor, or Owner Maki g Installation) !O W, , - 574- oam • dot .S5y32 Authorized Sign raclodOwner king Installation) ".Iii Phone Number 83©- 3 0 I MINNESOTA TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., 51. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 71,Vjl7A? REQUEST FOR ELECTRICAL INSPECTION 1 _ /-a000:0V Gee in c Mr -plminn raic In- nn hack of vullnw mnv X X' Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (spech) Contracmr5 Remarks _ 04 ptoK a r?tr?? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Signs Inspectors Use only: {? TOTAL O Irrigation Booms O ??y Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in r Date certify that the above inspection has been made. Final Da ^? / OFFICE USE ONLY This req.esl void is months horn 'is request vor ?T95W .13 ?Oglh?f Lai /? c h A < (zero flequesF Dal ' 1 Fire No. Rou9h-in Inspection Regm flReady Now ? Will Notify v - ? 6/18/85 ? Yes es ?p tri 7XC tqr when Reaay ® Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City 1067 Tiffany Drive E on ecvon a. T owns hip Name or No_ flange Nn. County Occupant (PRINT) Phone Nu. G W Cable Power Supplier Address Da "&& eet Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Ow r n Instailation) 55082 Authored Si lure ontrac r ymer IPai Phone Number 426-5517 1 MINNESOTA STA9111 RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigps•Midway Room N-191 BE ACCEPTED BY THE STATE BOARD /ffil University t. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Ph..... 1612129] ENCLOSED. ?? Z Z REQUEST FOR ELECTRICAL INSPECTION EB-000"t'o° ' See instructions for 00TWeting this form on beck of Yellow copy. 3 21 ?7 ""X"' Below Work Covered by This Request 1 I` E? o Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liqhtin_ Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othur 5M.i v Other specityl other specify Other 01he, Compute Inspection Fee Below g Fee Service Entrance Size h Fee Feeders/Subteedws H Fee Circuits 1 12. U to 200 0to 30 Amps 0to 30 Am Above 200 Am - 31 to 100 Amps 37 to 100 Amps Swimming Pool Above 100Amps, Above 100 _Amps Transformers Irrigation Booms Partia L'Other Signs ' I (Special Inspection X51 _ Sn ( TOTAL FEE eltl Renmrks 30 A 1 Phase Service N" Rough-in Date 1, the Elaetrica Inspector, hereby, ?//? /7A y [het thv " Final K M DJ ?Pection' ww LI 1 2 21 2 / nwde. // TMs request witl 18 months bona This request void -?? L 7 f I 5, ll, `Qq, (?Ie LI ? to q q 19 W fmirn r//ues. v, e ne wp. nougn-in inspecoorl Inspec- -lD .1 / ///?? f 0 n ?j _-s RM<e MIN. ?ReatlY New ® for When rReadV icensed Electrical Contractor I hereby request inspection of above 1-1 Owner electrical work installed m: Stre t Address, box or ;Y o. n 6 '1 0 V 1 1 Ci Section No. wnship Name or a No. County Occu) P T, C, / (?(+ Phone No Power Supp a Atltlres , Electrical Co tra or's License No. 14340 PENNOCK LANE 9 9 Mailing Add, eA" tEt"ONTdltlr, nlYL, Na 1 ) 1L9 T V l'111 .•11 .•LL?i 11 j''?r L X n Authorized 11. i n Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St Paul, MN 55104 ENCLOSEO_ REQUEST FOR ELECTRICAL INSPECTION ?'?] ' Sea instructions for completing this form on beck of yellow copy. "'XI Relow.rk PA red by This Request « EB-00001-04 '(00 (? New, Add Rep. Type of Building Appliances Wired Equipment Wirw1 Home Range Temporary Service Duplex Water Heater ighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldq. Furnace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm then pecily the, [Specify) 007 pec,fy Other Other Compute Inspection Fee Below k Fee Service Entrance Size p Fee Fenders/Subfeeders a Fee circuits 0 to 200 Amts 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps .e 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms , 50 Partial.'Othet Fee - Signs Special Inspection s./ T flemarks O r EEEG7 J, the Electrical Inspector, hereby certify that the above inspection has been 72112 Reeuest Date Fire No. Rougn-, speclion Requir 0 Ready Now Will Notify Inspector Nov. 1, 1989 ?Yes No When Ready? I X1 licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 1067 Tiffany Drive Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Gregory J. Haupt 452-4910 Power Supplier Address Electrical connector (Company Name) Cormactor3 License No. Kleve Htg. & A/C 0427379 Melling Address (Coatrector or Owner Making Installation) 13075 Pioneer T '1 , Eden Prairie, 55347 Author¢etl Si (Conte r Installation) Phone Number '? 941-4211 MINNESo'KiTATE BdARIJ OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg"kiway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Urdeerelty Ave., SL Paul, NN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 10A1,9191 - P _12112 REQUEST FOR ELECTRICAL INSPECTION to See instructions for completing this form on beck of yellow copy. X" Below Work Covered by This Request • EB-00001-0] ~ 7??c d aw l Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (specify) Contractorls Remarks: Compute Inspection Fee Below: Wiring condensing unit change-out. # Other Fee # Service Entrance Size Fee # Circuits/Fseders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication ?? ' Other Fee I, the Electrical Inspector, hereby Rough-in ( oats certify that the above inspection has been made. Final Oate OFFICE USE ONLY This request rod 18 months from Trr#ifiratr of Orrupaury Citp of (eagan i9rpartmMt of Buitaino Amputimt This Certificate issued pursuant to the regairnntnts 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: w,Ch.swum SF DWG/GAR Jj I&dg.PamrilNo. 7968 0--P^gr'n'RRI --TY,C.wc V _Finz. NA zowq u,da R1 o.rs.ofo,md, Corporate Const. AM. 4466 Wedgwood Dr., • Eagan 0.&dftAdd.1067 Tiffany Drive L.,N,rLot 27 Block 1 Canterbury ?p?,,__ Forest tL 44,C1/C,02 it ey. August 3, 1983 O(IIUY g? . O.u: rasp IM . w..wweu..uc. ' BUILDING PERMIT N° 7968 Receipt # s-3-t-- 4 To be wed for SF DWG/GAR Est. Value $74,000 Date May 2 , 19-83 Site Address 1067 Tiffany Drive Erect X$ Occupancy R-3 Lot 27 Black 1 Sec/Sub.Canterbury Forest Alter ? Zoning R-1 Parcel # 10 16350 270 01 Repair ? Fire Zone NA E l T f C t V n arge ? ons ype o . W Name Corporate Construction, Inc. Move ? # Stories z s Address 4466 Wedgwood Drive Demolish ? Length 56 G Eagan 55123 Phone 454-0644 Grade ? Depth 46 Sq. Ft.- p Name Owner Approvals Fees zu Address Assessment Permit 355.00 u5 Water & Sew. Surcharge 37.00 city Phone Police Plan check 177.50 w Name UW Fire SAC 525.00 Address Eng. Water Conn. 450..0.0_ iW City Phone Planner Water Meter 60.00 - Council Road Unit 250.00 1 hereby acknowledge that I have read this applicat n and state that Bldg. Off. the information is correct and gree tow ply tth all applicable APC Total 1854.50 State of Minnesota Statute d City of E rdinonces. Signature of PermiMee 0 or e onstuction Inc A Building Permit is issued to: ---- , . ?- on the express condition that all work shall be done in occordonce with X 17 applicable State Minnesoto Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 5705 PBM Knob Reed Eagan, MN 55122 PHONEz 454$100 CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For SF pu.D r- valuation ?y Gov Date 9-L'9-13 Site Address: 0%7 'I LRAR Ay I)ttve Lot 7-7 Block _ I Sec. /sub. rwxtrect Parcel #: jv x(0350 -to C DJ Alter Repair Owner: Enlarge - - - Move Address: City/Zip Phone #: Contractc Address: Demolish _ Grade City/Zip Code: j5_4t2 ah MN SSIL3 Phone #: 4Sy-0 1, Yy Arch. //trig. . Address: City/Zip Code: Phone #: OFFICE USE ONLY occupancy le_ Zoning Fire Zone Al Type of Const. # Stories Front ft. Depth y? ft. APPROVALS FEES Assessments Water/Sewer Polio _ Fire Eng Tanner Council Bldg. Off. APC Permit 3SS Surcharge S 7 Plan Check SAC S a Water Conn. 4qslv Water Meter d O6 Road Unit gS-6 og TOTAL l l? .54 U CITY OF EAGAN Remarks , 10 _ , Addition CANTERBURY FOREST Lot 27 Blk 1 Parcel OwnelY_ - L, Street 1067 TIFFANY DRIVE State EAGAN MN 55123 9C?r?0; AIiJL? r ? ? 7l Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. yr: 1979 Paid unde or " inal rcel STREET RESTOR. GRADING 1981 106.78 5.34 20 90.79 A017588 8-9-83 SAN SEW TRUNK ?z 1973 Paid unde Ori. inal rcel * SEWER LATERAL 19$1 439.42 21.97 20 WATERMAIN * WATER LATERAL 19$1 20 WATER AREA 14 .t 1979 Paid unde om inal a al STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT 250.00 355 6 -2-83 WATER CONN. 50,QQ n st BUILDING PER. 7908 SAC 525.00 n n PARK REQUEST FOR ELECTRICAL INSPECTION ' Se instructions for completing this form on back of yellow copy. w 69or ee overed by This Request oft E B-00001 A4 355-7 j Add Rep. Type or SuildinJ Applie.... 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 other ,peel y (her (Specify) Other I eecrty her 01hij Compute Inspection Fee Below tl Fee Service Entrance Size 4 Fee Faeders/Su eders a Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Boorns Partial,' her Fee Signs Special Inspection s TO C Remarks e?, ? U :EM I, thAElctSfrlcal Inspector, hereby `n rtify that the above I( spection has been This request void J - Z LpC`t, P I ! CQL1?.-? 1. 3S S7 1 18 months from (f W 072397 ?o+ ?droo Req Datn /` ...!!! Fire No. Roue h-in Inspection /J? t (/? Regw red? Ready Now Q Will Notify, Inspec- ?1/ ?yes ONO for When Ready teens ed Electrical Contractor 1 hereby request inspection of above 7 Owner electrical work installed at: -Street Address, Box or ute No. 1?rt'v City j?? V? ? ecUOn not. Township Nei r No. Range No. County Ocrypent IPRINTI ?o N Phone No. Power S Its, / Electrical Contra actor girds Conhactdr' License No. Mailing Address ( r Iation) - 432-3036 Authorized Signature IContra ctor Ownor Making Installatiun) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1521 University Ave., St. Paul. MN 56704 UNLESS PROPER INSPECTION FEE IS ENCLOSED. ow..__ tarot ogzvt tt RESIDENTIAL 52, D? BUILDING PERMIT APPLICATION CITY OF EAGAN /I I 3830 PILOT KNOB RD, EAGAN MN 55122 - r( 651-681-4675 New Constmction Requirements • 3 registered site surveys showing sq. R 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.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (hldgs with 3 or less units) DATE ?f SITE ADDRESS TYPE OF WORK APPLICANT STREET ADDRESS TELEPHONE Wdtl )'JY f -9.16i CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# 65/ ??^y9ia COMPLETE THIS SECTION FOR "NEWS" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'T'A 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. RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for healed additions • l site survey for exterior additions & decks • Indicate d home served by septic system for additions VALUATION I 70 MULTI-FAMILY BLDG _Y r?tJ _ FIREPLACE(S) _ 0 _ 1 _ 2 _ Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Pee: $90.00 ---------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is cor with all applicable State of Minnesota Statutes and City of Eagan Ordinances.. Signature of Applicant OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $70.00 2 p 2002 and agree to Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace O 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ _ Plumbing - Foundation HVAC Drain Tile _ Other Roof - Ice & Water _ Final _ Pool Ftgs Air/Gas Tess 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 CITY OF EAGAN CASHIER: JS TERMINAL NO: 781 DATE: 09/19/00 TIME: 08:32:06 ID: NAME: GREGORY J OR DEBRA C HAUPT 3210 9001 1067 TIFFANY DR 167.25 2155 9001 1067 TIFFANY DR 4.50 Total Receipt Amount: 171.75 CR137496 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?461 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction ReWranrents D 3 registered site surveys showing sq. fL of lot, sq. ft. of house and gl( roofed areas M% maximum tot coverage allowed) D 2 copies of plans (stow beam & window sizes: poured Ind. design: etc.) D 1 set of energy calculations D 3 copies of tree preservation plan ti of plotted after 7/1/93 in I DATE: l0 j w CONSTRUCTION COST: ter sbaw DESCRIPTION OF WORK: WPIt-c£ C n S'1XrJG ow(30 j S STREET ADDRESS: LOT: q BLOCK: k SUED./P.I.D. #: 1.fV OTC -(>S?±? EY`E S$ - PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: +a CU, Phone#: Lad First Street 11(.15 2 copies of pion 1 set of energy cdculatlans for heated oddltlons 1 site survey for extedor additions 8 decks city state: melt zip: SS Q"'> Company: Phone #: (area code) Street Address: License # Exp. city State: Company: Name: Telephone #: ( Street City State: Sewer/water licensed plumber (if installing sewerlwaterl: Phone #: Zip: Zip: I hereby acknowledge that I have read this application, state that the Wom anon is coned, and agree b co ply wtih all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required ` Registration C OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 36 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC LOT: BLOCK: SUBD./P.I.D #: Cast r ?n fltUOtt??" 2000 BUILDING PERMIT APPLICATION {RESIDENTIAL4pi'q CITY OF EAGAN N57 3830 PILOT KNOB - 55122 0 651-681-467 75 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ff. of house and all roofed areas (2017, maximum lot coverage allowed) ? 2 copies of plans (show beam L window sizes; poured fnd. design; etc.) Y 1 set of energy calculations * 3 copies of tree preservation plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) DATE: DESCRIPTION OF STREET ADDRESS: 13.257.00 If mulff-family bldg., how many units? Name: ?AUPT (Kff l -h0C-,6, &Phone#: 6151-y52- Y9/-D PROPERTY Lost First OWNER , - . . . , 1 , n n Street City Zq 6 /9/ State: /P A-) Zip: a ?;l9 Company: A /0/ZTL? C /1JTQj}Z.? .?LPr s 4hofie #: J (area code) CONTRACTOR ,, // r/ l ucense # _Exp 3? Street Address: 77D t1 g0,0,0 &EA)V&- 100 4,?.c City kkuj V,10tn'L- State: 61 Zip: ARCHITECT/ ENGINEER Telephone #: ( Street City Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks Name: Registration #: State: 7Jp: Sewer/water licensed plumber (If installing sewerlwater): Phone #: 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 Ordinances. Signature of Applicant: OFFICE USE ONL Certificates of Survey Received Yes J No Tree Preservation Plan Received Yes - No Not Required OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Parch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 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 ? 32 Addition ? 33 Alteration ? 34 Replacement VALUATION Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 42 Demolish (Foundation) C ? 36 Move Bldg. ? 43 Reroof C ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) * Demolition (Entire Bldg only) permit - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width INSPECTIONS REQUIRED - Footings: New Bldg - Footings: Deck - Footings: Addition _ Foundation Framing APPROVALS Planning Insulation Final/C.O. Final/No C.O. Fireplace: _ r.i. Pool: _ 8gs Building air test _ final air/gas tests _ final MC/ES System City Water Booster Pump PRV Fire Sprinklered 45 Fire Repair 46 Windows/Doors _ Windows - new/replacement _ Siding Stucco/Stone Roof: ice & water final Variance Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: Engineering aWNEYOR'S CERTIFICATE "SIENNA CORPORATION O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND O DENOTES WOOD HUB 000.0 DENOTES EXISTING ELEVATION (000.0) rENOTES PROPOSED ELEVAT_ON PROPOSED GARAGE FLOOR = 918.3 FEET PROPOSED LOWEST FLOOR = 915.5 FEET PROPOSED TOP OF BLOCK = 918.7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 21', Block 1, 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 29TH DAY OF MARCH 1983 . APPROVED FOR SIENNA CORPORATION BY: ROBERTS ARCHITECTS DATED THIS DAY OF 19 SHEET 1 OF 2 SHEETS SIGNED: JAMES R., HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 REVISED 4--27-83 TO SHOW. PROPOSED SOUSE FOR CORPORATE CONSTRUCTION, INC. PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 83223 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn, 55431 812-884-3029 1.;SUAVEY'0139'S?. CERTIFICATE ' SIEN11A CORPORATION WILDERNESS RUN RpAD R=72929 L48g?6.'1R-8865'57° 0 I r o _ 29.9!". 47 T i_ lJ I 2 \J I H I } J Ida J WQ Ira z Id? z N I?w w IQ N a low N W M W W U LOT 27 r, T J2.29 O0 ? 2 1M IN P \ 'n N W p ?o O O Q 6 \? F-I SOm_ _ P ? 28.00 0-\ 51 I'OVERWAm L!. ---- 0 o R= 4593 A= 20 53' 915.1)- - 7 1;to I n'i I I `0- W I M I I I I N I N I ?. NI ?I j I I? I f . 4 ? ? Ifl 1P IN 1 ?1n11 Z N 1 /1-1- L_lJ I G, SCALE: 1 INCH = 40 FEET n TIFFANY _ (915 6) DRIVE REVISED 4-27-83 TO SHOW PROPOSED HOUSE FOR CORPORATE CONSTRUCTION, INC. SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.; 82143 83223 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 56431 612-884-3029 .,?.....1..?- .` ..,,... ..`TinT :rt,!Y9Mii:tiB4tCtsN2V1Y. :AYG?.. .. 4 l3e.k?? 5?^T??sit ry ?At?? taRi^'. tSU.ki?1 t yyt .?1???„ ?i 'y'rXt ?R?t1?$ ?1!•j». Y?' ? e.+3A i'. s?r`?1 /? ,'?? j>t t{? 4 ''.Y. "^ 14t ,<. P;? ?? ;! A N ?:i ?10R1QRERItER,t3°F" CI1tTAj?"t ,.. r -' SIfiE AQtlRESj T r cot mACTOR Determine wOrktny square footage o£% each. ,'> 1. 'Total ex{iosed wa.1,i area. :'226 g ft. x ? :d ' 2. Total roof/c?iJik?g area. , , .:- ,. 19 ft x ? Iofb1 ??th` 6d wall. at?ea above fYebh P. 'Total wa11 window area` r A9 "? . b. TOAI d.QOr area : ... .. c. Total slti in d. Total fireplace'wall`area . > , e. Total wall framing area (average t0%)`. f 1 n ' r Y E ..Tota et wall . ares 'above frlcor -7 g. Total rim JOJs't area .:' .............. R Totah exposed foundation area,F yZO 4. h. Total foundation window area...... .v.. „; ' , i. Foal net foundation area above grade .......... Determine "U value of each wa'11. segment. 3 C. x uQ„ _ d. jo X+ 1,0l1 - _, G? - J ../ .--?.-w 'Ak w'`c A V .?.. Iota If item p3 is ty•srige a;?t Z?lit.? item 6t Of. SBC 6006(6 ` `' g ^h 4, ??9 TI f ? ?./?Iq ' i v ,.?K,t 1 s Yid 1ep'?.`Yt*M'a Yr i'-have met' the ihtm ` i '1. 45 . 45 4 , f!e i ?.µ R - t. . '- k\ z ?` f i Y {?iaFk t Fd E+IhjfX3L3w S µ 1 'Cnnutriictiors R-ya2uo Fi 1 - T G 1 ... 'i4\L Vented;'" rs zi, ?? •ij 1 f--'- up 1 J y fJ A? i 1 '.l F 4 J ? ;1. IaE,erior air film. G 0: 61 77,7 A xer or a r sit*t4ll ' ?y - s4bti?il + , 1 j P T I . 1 ..FIG. #6 { 0.61 ?1 . ' ` ' tr• r MJ II At 1 J a' •. 1 P' Ivf C t' i yr 1 ? ._' r . total ezpnsed roof/ceiling area T l " M '" ota skylight area.. •; t k. "T,tel a^oof/ceilingframing area (average 10X)., t.' Total pet insuW64 roof/ceiling area.... ...... ?i 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 53122 crh I cs G 51-881-4875 ???FF p -5q 500 -l ? l - CS Remodel/Repair iteautrements 3 registered site surveys showing s4 H. of lot, sq. n. of house and go roofed areas (20% maximum lot coverage allowed) 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) > 1 set of energy calculations 3 copies of tree preservation plan If lot platted after 7/1/93 DATE: Ly 31 D DESCRIPTION OF I STREET ADDRESS: LOT: ?7111LOCK: SUED./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER !l£ Name: 1166 P 1 6 2 j Phone #: l b ?? ? ' Y lr? Lost nrst Street Address: 1 0 6 9^9 4JI city Ui? State: MN Zip: ?S(?3 Company. S Phone #: _ (area code) Street Address: License # Exp. City 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & docks CONSTRUCTION COST: State: Company: Slack L " vA 6k!L Name: Telephone #: ( Street Address: Registration C city State: Sewertwater licensed plumber (if installing sewer/water): Phone #: Zip: Zip: I hereby acknowledge that I have read this application, state that the infonTKftn is correct, and agree to com ly with off applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant / OFFICE USE ONLY Certificates of Survey Received Yes _ No V/ Tree Preservation Plan Received Yes - No I! Not Required JW - 3 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex 17 O Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of_ plex ? 09 07-plex 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Mufti Y 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ('71 # of Stories sq. ft. No. of Units o Length ?w sq. ft. No. of Buildings I Width 2ti Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) -,2r.-I Main level sq. ft. MC/ES System UBC Occupancy U-1 u. sq. ft. S 7 6 City Water Zoning yo sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning B uilding JS 67 Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ /U DO }QUU . a pp o v ?_ -1-0 \,/ a cojz;,- Y2 U w S/l (. /o c) SAC Units % SAC i I nT N TIFFANY 0 Starting at the southeast corner of Lot 27,8Iock 1, Canterbury Forest, Dakota County, Minnesota, thence northeastly along the southeast line of said lot 27 a distance of 88.00 feet, thence left 90 degrees a distance of 5.00 feet] to the point of beginning, thence southwest parallel to the southeast line, of said lot 27 a distance of 36.00 feet, thence left 90 degrees a distance of 1.50 feet, thence left 90 degrees parallel to the southeast line of said lot 27 a distance of 36.00 feet to the point of beginning and there terminating. PROPOSED EASEMENT VACATION DATE Lot 27, Block 1, Canterbury Forest 4-7-2000 City of Ewen 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF E:AGAN 3830 PILOT KNOB RD - 55122 651-681.4675 New Construction Reaulrements C n l ?'? I 7/ ? Remodel/Repair Reouirements 3 registered site surveys showing sq. 1t. of lot, sq. ft. of house O3-o 2 copies of plan and gQ roofed areas W% maximum lot coveraae allowed) o 0 1 set of energy calculations for tad additions > 2 copies of plans (stow beam & window sizes; poured Md. design; etc.) 1 site survey for exterior additions & decks > I set of energy calculations > 3 copies of free preservation plan If lot platted Offer 7/1/93 DATE: 9/1/00 CONSTRUCTION COST. 74 coo w DESCRIPTION OF WORK: .PEma'rcr MRLAra _<"J'J&LisS If multi-family bldg., how many units? STREET ADDRESS: Jot .7 77PF,a..l y 7Je EAQw-W 5-S123 LOT: 21 BLOCK: I SUBD./P.I.D. l.anleYIlurV tore f" Name: PAu.p7 (71213CG Phone #: Gs1- 452- y91o PROPERTY Lost First OWNER Street Address: /0f.7 7JTFA",1 iJz City EAC Anj State: M?1 Zip: ,55123 Company: k&9&jSS0a jC.C E>ermzjja4 Phone #: '7[n3 -7reo- ZoOO (area code) CONTRACTOR / Street Address: ZSS(a. 'Hwy 10 Ucense# 2ozzoz.ts•5' Exp. a 3r/OI Clly /?vr. ins View State: nw Zip: S"Q 17. ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street city Registration #: State: Zip: Sewertwater licensed plumber (if installing sewer/waterl: Phone #: I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with ail applicable Sk of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:) ?iuw,ur Err. Certificates of Survey Received Tree Preservation Plan Received OFFICE USE ONLY Yes No 2 Yes No Not Required llwl OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? 31 Ext. Aft - Mult ? 33 Ext. Aft - SF ? 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC X CITY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT r' Control No. 0614 PERMIT TYPE: BUILDING Permit Number: 000771 Date Issued: 06/11192 1067 TIFFANY OR .LOT: 27 _BLOCK: 1 CANTERBURY FOREST rguildng Permit Type Bu iadi ng'Work . T.y p e r SF PORCH NEW. Li "?,i I?t t i L4 REMARKS: RECEIPT 0 o,g 3 ?8 SEPARATE PERMIT REQUIRED FOR ELECTRICAL FEE SUMMARY: VALUATION $13.000 Base Fee $144.00 Plan Review $93.60 Surch arge $6.50 Lic. Search Fee $5.00 Total Fee $249.10 CONTRACTOR: - Applicant - ST. LI OWNER: MAC DONALD HOME IMPR 18698707 000460 HAUPT GREG 7024 15TH AVE 1067 TIFFANY DR RICHFIELD MN 55423 EAGAN MN (612) 869-8707 (612)452-4910 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 Mn. Sta es and City f Ea n Ordinances. I 621 ?J_ APPLICANT/PERMITEE SIGNATURE ISSL&D BY NATURE PERMIT # / CITY OF EAGAN 4 REW.TIVATE 7 r 1992 BUILDING PERMIT APPLICATION 681-4675 L0119 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re Quest is made or lot Chan a is requested once permit is issued. Date J4'?e valuation of work - ?? Site Address: '7 71-I// L STREET SUITE N Tenant Name: (commercial only) L T BLACK SUBD. A L _ /e Description of work: 6 The applicant is: ? Owner ? Contractor ? Other (Describe) Name lla Phone _y ? 7 - y9/Jl _ ' Property ? LAST ? FIRS - Owner //11 Address 1,&17 /, 7`?cnlT,l X/' STREET STE f City Ear, ew State Zip Company A/ Alllh? / Phone Contractor Address 4?4 License #000!/lPF Exp. h City State // ,,/ rZip a Company Phone Architect/ Engineer Name Registration # Address City State Zip 40 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read thi application and state that the information is correct and agree to comply with all pp i abl,ee Mate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYP E ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 04 SF Porch ? 09 12.Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE X 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st Fl, sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee v.Umt;m: $ 3400 Surcharge / Plan Review License (9 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 2) 2(1,6 SAC % SAC Units • AV.EYOR'S CERTIFICATE ' SIENNA CORPORATION ------------------ WILDERNESS RUN RpgD R 4=6°4443° ' a= ° °72929 L=85.86 , i R=85g5 57° o 15r-° 29.91: 47 I ?\T ?_ll I C_ ? J I } a. I~a J Ira z N wz W ? I • N Q N la w N W M I I LOT 27 as - 1,0VEG L ( Is.3 O La R= 456315 N5704 I ni I -° I ? W I CA I M I I I I I N I ? ---f=- -,- 28.00 I 1 GA\m I 29.00 I? ?, I'1 f. ,,, 1 a I a 5 Z N I /-N -1- L - lJ I SCALE: 1 INCH = 40 FEET 53 20 TIFFANY ° (91s•I) _ (9r5 6) DRIVE REVISED 4-27-83 TO SHOW PROPOSED HOUSE FOR CORPORATE CONSTRUCTION, INC. PROJECT NO. 82143 83223 FILE NO. FOLDER SHEET 2 OF 2 SHEETS BOOK / PAGE JAMES R. HILL, INC.. Planners / Engineers / Surveyors 6200 Humboldt Avenue South Bloomington, Mn. 65431 812-884-3029 -j k4 U 2006 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. k. 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. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated a?f'Nons 1 site survey for additions & decks Addition - indicate N on-site septic system d#t a° Office Use Only 1 Gert of Survey Read _Y _N Tree Pres Plan Recd LY -N. Tree Pres Required _Y _N On-site Septic System ''_Y _N c 3tq --Cvl \- Date Construction Cost (J 4a_0 Site Address 6`1 N 1 ? Ff? rte/ ?? 1) s f ft6 0,,J MtJ LL S? S ( aUnit/Ste # Description of Work REwwVs_ tldrr-Loor< f1gAn.?G Uh« V>k-t Rfl? , t--,ktJ KyrVfl-E,j e bwJN106 RE rw 1) h Multi-Family Bldg - Y x N Fireplace(s) '0 - 1 - 2 Property Owner t2 4 6 OLAN)i ,L u Telephone # (6TI) 1 S a- 1 T(Q Ga??? ?1? tP i 66 3 {1& y Contractor - Address ®p ? t ?' !y tiJ Q City IF ? 4T' _ / State /vl `J Zip Telephone # (GS i) q SD ^ H MI l Q i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category l Worksheet New Energy Code Worksheet. (J 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, re' and approval of plans. QM I1 D V-VL Applicant's Printed Name p 3 is i ture ?I DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg x( 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) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex ? 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 PCA handout to applicant Description: Water Damage_Yes Valuation D Occupancy MCES System Plan Review _ 100% or _ 25% Census Code L;/ 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) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace - R.I. -Air Test -Final ?C Insulation Sheetrock _ Final/C.O. ?C FinaUNo C.O. ?C HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Approved By: I 7i' -,Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total /l/zLt? oza/? ?r? A,1oVr b/ pVO PERMIT City of Eagan Permit Type:Building Permit Number:EA117283 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1067 Tiffany Dr Lot:27 Block: 1 Addition: Canterbury Forest PID:10-16350-01-270 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 . Ashley Harrington 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 - Gregory Haupt 1067 Tiffany Dr Eagan MN 55123 Cedar Creek Construction 23383 Redwood Ct NW St Francis MN 55070 (612) 564-6888 Applicant/Permitee: Signature Issued By: Signature < w U 4CL. 1—CO yr LL a ® W CI_ O w w0 4 XWWd N3A0 f1VM„CF CO LU V) 7, < 0 X U Cw1- CO 0< Or- CD 0 CIL s7� - , eZ c Nr, --. QQQH fl /HX dQl xoo)Jioly4,9 t_ —11bih 9NIAv32-NoN 91\11-15rx3 -3A01^1321 1-3 RU'i N.GeRkAZoik (11 m' r W Z z 0 4 Use BLUE or BLACK Ink ---------, j For Office Use 1 ' l��i 9�� � ' � Fermit#: i h�•w.". y�v..w.. l�� D�����Il �� �����::���4��� � ���- a� � � : � Permit Fee: 1 3830 Pilot Knob Road � ��p 6 � I �`�/_—�,y Eagan MN 55122 � � � ���4 < � Date Received: �0 7`I Phone:(651)675-5675 � � �,�` � °� ��' � Staff: j Fax: (651)675-5694 �i�;,,,___._Y� _ � � _.., L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �i �Qate: Site Rddress: Unit#: 5 }; Name: Clnt" �Q,�{� Phone:�JI�'3�y"�� �'��d��l�' � � ��� �'� Address/City/Zip: /�� � �� � Applicant is: Owner Contractor • . . ���� � �� Descriptionofwork: �'y�+����. � ���'� '��: Construction Co � Multi-Family Building:(Yes l No __�_) � ;r� } � Company: h �tact: � , J Address:L���—+/�c, .�� Nfi.rL�,/ CitY� �....2!/ /1`J't/� � ���� � State:�Zip:���0 Phone:�' ` Email: � � .��- ='s License#: I.ead Certificate#: "' " if the project is exempt from lead certification, please explain why: (see Page�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 pian? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Water Contractor: Phone: �, �i�f���if��A�j,� h ���� �. 3�T .����� . �� �,;; `� �. �� �, ���y�� ��'�. ����� k ������ ��' ���� '�'- ,.?k''��� ��. h.'�K 'Sk k� [ ;?_ � ������ *n,�Y. a � : .r E ,.��;�i _ . K.�� ,r.afi v,F. `�� ,�<�ai� . � , .i�n , ,,.�,,:u, ,. .�._,.. : ._}fi�F,.0 S . . ;. ..�..... . ....,. _... ,.� .._,'t, .�,t s.�,.� m',', , --s.;.�.. xr.n:; _.�...tE.. �. � .+4 :. CALL BEFORE YOU DIG. Cali Gopher State One Call at(657)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 confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but ooly an application for a pertnit, a�d work is not to start without a permit; that the work will be in accorciance with the approved plan in the case of work which requires a review and approval of plans. E�cterior work authorized by a building perrnit Issued in accordance wlth the Minnesota State Bu ding C st be completed within 180 days of permi issuance. � a � X Appl9canYs Printsd N� App ica ' i�n re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA136933 Date Issued:06/07/2016 Permit Category:ePermit Site Address: 1067 Tiffany Dr Lot:27 Block: 1 Addition: Canterbury Forest PID:10-16350-01-270 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Gregory Haupt 1067 Tiffany Dr Eagan MN 55123 (651) 329-3871 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature )' Use BLUE or BLACK Ink /I n For Office Use i ✓/ Permit#: Cityof a all Permit Fee: g72(,(6- 3830 Pilot Knob Road ��`� Eagan MN 55122 Date Received: Phone:(651)675-5675 ` buildinginspectionsOcityofeagan.com Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 0(7.-1-3 r'yi`tL, I Phone: (a) I 3P3 Resident/ Owner Address I City/Zip: C CDC-7 /(,r'- AL Applicant is: Owner , ' Contractor Type of Work ' Description of work: % (( /ci. . q /�i. � ,.—s �V 1�..,�e,•.� '�t Construction Cost:, =. " Multi-Family Building:(Yes /No X ) Company:j i . )"R_i (*L( (2) 71'-' Contact: 3 Address: ° 7'31( L!ic,;t.. ('( ' ._ rte-- City: A1L)9a: Contractor State."" Zip:.012 Phone:c5:2') J-3,32-3Email: � ,4t"-3 G2�ee `7C3-1 / (` «' License#:( ) C (o S— 5� 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 topic information. Portions:of the informationmay be classified as non-public if you provide specific reasons that wuild permit the City to conclude that they trade 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 underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.4opherstateonecall.orci I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x S t-t► � Applicant's Printed Name A.p i'. "4"--ignature Page 1 of 3 /067 If f /? ,a1--( DO NOT WRITE BELOW THIS LINE l`7 �Gt 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 j L1 II 1 Occupancy ,11/ MCES System Plan Review Code Edition 'J)O E 4,' SAC Units (25%_100%\I.,) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ``//(),,, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 7( Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: \1/ , Building Inspector RESIDENTIAL FEES Base Fee V PC 14" I Surcharge 'N ,` 1- .� fi Plan Review tt f. MCES SAC ''y{ City SAC tSP*11 Utility Connection Charge 11 0 ix f - aV S&W Permit&Surcharge te ' Treatment Plant Copies TOTAL Page 2 of 3