1079 Tiffany DrCITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning: ? 1
Owner. o r i? c
Address:
Site Address:
Plumber. - ,-_a •, mc
Meter No.. 6 550
Sine: 1, +Qa. l
Reader No.:
I Gros h comply Wkh
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units-
Co.
5
J" l 1-Gq
1
Ca nirt.t•„r. ?S
WVP" Misc. Charges;
Total:
By Paid: _
Date of Insp.: Insp.:
4ltr- L(- o
r
CITY OF EAGAN
3830p8ot K
b R
d
WATER SERVIC
E PERMIT
no
oa
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: z : v a e [ _
Add
drear
(
J1q Address:
F «t
Plumber. -
Mohr No.: Connection Charge:
Size: Acco nt Deposit: 1 `_+ , 022d
Reader No.: Permit Fee: I n'
I 08M to oe.rply va the C*y of ggpn Surcharge:
onsomoeoa. Misc. Chorea:
Total:
By Doh Paid:
Daft of Insp.: Irw
:
p.
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 "fee to I- -pig wah an My of Imp*
ordieenoee.
By
Date of Insp.:
Connection Chorge:
Account Depodt:
Permit I":
Surcharge:
Misc. Chargm
Total:
Date Paid:
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 _
RECEIVED
AMOUNT $
& DOLLARS
+oo
? CASH ? CHECK
row
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
..
i r r CITY OF EAGAN 16183
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for BA5E1,1191 f Est. Value it 1 -4*W Date 19
Site Address 107° T1
Lot ' ` Block 1
Parcel No.
,,, Name CAL ROBERTSW"
It Address 1079 TIFFANY T)R
o City EAW Phone x+.56-9564
Address `+,"-s J IIA HU
City L AGAti Phone 432- 5 53 5
U¢
wW Name
Address
a W City Phone
I hereby acknowlege 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 Permitee
A Building Permit is issued to: n ?- IAALA- V z V AE4 1 L, ura? 1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S'W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
36.00
1.00
Sc
37.50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING /!-
J
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
FootingsI
Foundation
Framing % i
.;t
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
• PLUMBING PERMIT RECEIPT # CITY OF EAGAN
Site
Lot.
City
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Name xon vivant
c Address 4543 ]1 South Hay
p City man, NN Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X)=a?X New
Mult. Add-on MXX4.
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
-TWater Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00 3.00
Shower - $3.00 '
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: M1N11r?M 12-00
STATE S/C: .50
GRAND TOTAL: ' 2.50
BUILDING PERMIT
To be used for :i F DWG/GA-13 Est Value $107,000
1079 TIFFMY DR
Site Address
Lot 25 Block 1 Sec/Sub.' CANTERBURY FORE
Parcel No.
Name CORPORATE' CONSTRUCTION CO
1z`5 Address 4466 WEDGWOOD DR
ci FAGAN phone 9 54 - 0 6 4 4
Name SAME
,j c Address
~ City Phone
a
F W Name
u o Address
i W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all,applicable State of
Minnesota Statutes and City of agan Ordin
Signature of Permittee
A Building Permit is issued to: CORPORATE CONSTRUCT]
all work shall be done in accordance with all appligible State of Minneso
r` a
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
19 86
R3
Erect ( Occupancy
R nodel ? Zoning R
Repair ? Type of Const y
Addition ? No. Stories
Move ? Length 61
Demolish ? Depth 54
Int Impr. ? Sq. Ft
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 2/10/8(
APC
Permit 5 450.50
Surcharge 53.50
Plan Review 225.25
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Var. Date I Copies
Total $2,313.75
IN CO
on the express condition that
Statutes and City of Eagan Ordinances.
N2/. 11583
Receipt #
Parni t No. Permh Holder Date Telephone M
Plumbing f a
N.V.A.C. 0 L ???
Electric 5?1 a.
Bonener
Inspection Date Insp. Comment
Footings I
Footings ll
Foundation
Framing ?j
Rooting l
Rough Plbg.
71
Rough Htg.
Insul. ?G -
Fireplace
Final Hig.
Final Plbg.
Bldg. Final r
?-
Cert. Occ. ;<
Deck Fig.
Deck Frmg.
WON
Pr. Disp.
r
PERMIT # CITY OF EAGAN
PLUMBING PERMIT
RECEIPT # 454-8100
I b MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE ? MINIMUM COMMERCIAL FEE - $20.00 + $.50
5. Owner
1. Bldg. Type: Res Comm Inst 2. New Add Alter
3. Total Bid Price
Lot Block _
6. Contractor
(Name) ? ?-
7. Contractor Phone # _
NO. FIXTURES
Water Closet - $3.00
=Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
Laundry Tray - $3.00
TFloor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
Softener - $5.00
FEE
S/C
TOTAL JJ
-. .
Repair
(zip)
-Well - $10.00
Private Disp Syst - $10.00
Rough Openings w/o
Fixtures - $1.50
J7^+
COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. r
Signed: .:;
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt (MECHANICAL PERMIT
CITY OF EAGAN
Pill In numbwvd Wacas
Type or Print legibly
Permit No. "" Yf
Fee
S/C
Tot.
1. Data 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner 'n, 10 _ a
5. Contractor Phone
S. Address
7. City State Zip
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
0. Describe Fuel Type r-_1
11
No. Esuiiamant BTU - M. Ea.
Forced Air . - -.,,;? No. Equipment CFM
Ai
H
i
Mfg. ` 140 r
andl
ng:
Boilers
Mfg. Mech. Exhaust d
_
Unit Heater „ .
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets i
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
CITY OF EAGAN Remarks lbw ?L/ G L
Addition CANTERBURY FOREST Lot 25 Rik 1 Par
Owner/ ?-Street 1079 TIFFANY DRIVE State 5123
Uqw 1)ck?.-a Chi. 1hOiL . kn mc,N-S
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 0(0 1979 Paid unde Ori inal a cel
STREET RESTOR.
GRADING 9A 981 106.78 5.34 20 85.46 A0134"- -12-84
SAN SEW TRUNK ?z 1973 Paid unde k,
original ,rcel
* SEWER LATERAL 1981 439.42 _
21.97 20 351 -5A AAlAA"- 1-17-94
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA 1979 Paid unde r original p- rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
*#*?#?K?K?k#**%KKK**###*###?k####*#**######?k*
CITY OF EALAN
CASWIER: JS TERMINAL NO: 692
DATF-. 08/10/99 TTME7% 13:02.-12
II+..
NAME. KENNETH E. FRIEl"CES,
3210 9001 1079 TIFFANY DR 111.25
2155 9001 1.079 TIFFANY I 2.50
Total Receipt Amount: 11 ?. 75
CR 9.1.51.4.2
USER ICl-. JAN
This request void
` a55
7. D b
n onth? from
0$5272. 4,;-5i81, (?ANr&RBvXy fok. 3/G/8L
Requ t Date Fire No. Rough-in pe ction
flequire I
E] Ready Now Notify, Insper.-
s ?No for When Ready
K"ensed Electrical Contractor I hereby request inspection of above
? Owner - electrical work installed at:
Street Address, B0>t,yt Royte No.
12 --7q ?.
. CC,
action No. Township .or No. Range
NO. County
O pant IPRINTI ` Phone No. ? q
P r p r Address '
Electrical Contractor (Company Name) Con arto/•S Li
ccense No.
5
Mailing.AdJ 9 g r.? bQv7neS A?a?r(?e?lhstaila tionl
:454 F. TAT !? A ;trc ,
Authorize Signamra ,( M act r.f EY/Owner Making - ns tal ationl
?dtr: LE ?r ?1, MN 55124 Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - floom N-191 - BE ACCEPTED By THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul. MN 56104
Phone 16121297-2111 "-?-^- ENCLOSED.
.3_t REQUEST FOR ELECTRICAL INSPECTION Ea 00001 A<
n1 , See instructions for completing this form on beck o1 yellow copy. / Q? E-rE
p 1 1 X15 272, . ""X' Below Work Covered by This Request (f N V
Hdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary, Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peu y [her lSPVCify)
Other Specify Other Other
Compute Inspection Fee Below
# Fee Service Entre ..Size # Fee Feeders /Subfeadars # Foe Circuits
0 to 200 Amps 0 to 30 Amps 0-00 0 to 30 Amos
Above 200 Amps 31 to 100 Amps .06 31 to 100 Amps
1Z1 L) Swimming Pool Above 100_Amps a Above 100-Amps
- Transformers Irrigation Booms Partial-'Other-Fee-
Signs Special Inspection
Y?7 /
TOTAL FE
Remarks E r ?L
Final
I, the Electrjcal/
Inspector" hereby
certify that the above
inspection has been
.do.
This request void 18
`- 1/i 7?f
0 315 3 . (/,;? , k ?*L-
Request Date F Fire No.
- Rouglhin b n equi
R
Reatly Now Wl
e or
Nofify Ins
-/ D
u El Yes O No hen Ready?
I awmni red contractor ? owner hereby request inspection of above electrical work at
Job Address (Street, Box or Route No.)
D q % City
L?`?q
?
7
GG.9 r. /Z a
u
i
d4n No. Township Name or No. Range No. Ceun
/
Occupant (PRINT) Ffhone No.
Power Supplier Address
Eledri mrector (Comp>any Name)
`
J
'
-7? Conbauaor§ License No.
o o h 415,, ?
c c
G O v//
M fi
ngg Address (Contractor r O wne r Melding Inataliaudn) /
V
0
4e
?
?
"
-- X
J
G
iE
2' R L.? /
• L-
C7/?
.
Authorize gnature (COM /Owner king Installation) Phone Number
MINNESOTA STATE Bpgi1O OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GdggaMldway Bldg. Roorn 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Univerelty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
NEST FOR ELECTRICAL INSPECTION ES-x0001-07
instructions for completing this f 5rm on backof yellow copy. 6)/ ?,' 4
I(° Below Work Covered by This Request
ew Add Rep. Typeot Building Appliances Wired Equipment Wired
Home Range
rvice
Se
Temporary
Duplex Water Heater Electric Heating
Apt. Building
- Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify)
Compute Inspection Fee Below:
• -- icontractor§ Remarks.
# Fee e # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspeclor5 use OnIY' 1 7pTAL
Irrigation Booms
S
w
pe
//Coommunimnnutu
Alarm/cation
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
final Dare i`
?^ f
This
A USE ONLY
This request voitl 18 months from
Y
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt If
N0j 11583
A
Est.Value $107.000 Date MARCH 6
used for SF DWG/GAR
86
1079 TIFFANY DR R3
Site Address Erect ? Occupancy
Lot 25 Block CANTERBURY
1 Sec/Sub FORESI%model ? Zoning
Parcel No . Repair ? Type of Const V
. Addition ? No. Stories
$ Name CORPORATE CONSTRUCTION CO Move ? Length
4466 WEDGWOOD DR Demolish 11 Depth 54
3
o Address
5 4--M-Af
EAGAN Int Impr. ? Sq. Ft
City Phone Install ?
o Name SAME
=
u ¢ Address
City Phone
?Q
F W
Name
E Address
Z
a W City Phone
I hereby acknowledge that] have read this application and state that the
information is correct and agree to comply with jil applicable State of
Minnesota Statutes and CEagan Ordi
Signature of Permitt ea
A Building Permit is issued to: CORPORATE CONSTRU
all work shall be done in accordance with a ble St a of M
Building Official
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 2/10/86
Var.
CO
Fees
Permit $ 450.50
Surcharge 53.50
Plan Review 225.25
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
ota
T; 2 , 313.7 5
Total
on the express condition that
City of Eagan Ordinances.
BUILDING PERMIT
To be used for BASEMENT
Est.Value $1,500
N4 16183
M9
-9 ,g?n1
Site Address 1079 TIFFANY DR
Lot 25 Block 1 Sec/Sub.CANTERBURY FORES
Parcel No.
w Name CAL ROBERTSON
o Address 1079 TIFFANY DR
City EAGAN Phone 456-9564
o Name RONALD VIVANT CONSTRUCTION
Uz0 Address 4543 S HAY LAKE RD
Q
i- City EAGAN Phone 459-5545
Name
Address
City -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 e
Receipt #
Phone
I hereby acknowlege 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 Ci!j of Eagan Ordinances,
Signature of Permitee z64 /
A Building Permit is issued to: RONALD VIVANT CONST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesotalnl PrlStatutes and City of Eagan Ordinances.
Building Official ?nfIri I` I A ) i
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
S1W Permit
SOW Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
36.00
1.00
.50
37.50
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?5-
CITY OF EAGAN $(13--
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenh Remade(/Repair Reaulremenh
? 3 registered site surveys showing sq. ft. of lot, sq. lt. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam a window sizes; poured Ind. design; etc.) 1 site survey for exterior additions a decks
? 1 set of energy calculations
3 copies of tree preservation plan If lot plaited offer 7/l/93
DATE: g- 10 - AR
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
CONSTRUCTION COST:
Name: K 03?tL'?S tit C A r _ Phone #:
Last First
Street Address: )-79 --nVV-P?-ki?I 02
City F'AC--A-IJ, State: P1 .1 Zip:
Company. 4rl 1- 1z. Ob C0r.1S'r Phone #: L1IZ 07-IB32-
(area code)
Street Address: 1610? Z G-i frLA MC 1 S t t.7 License # 26Q 42A 1) Exp. 00(7
City Vcuz v-- "m State: 01U Zip: SS372
Telephone #: area code
Name:
Street Address: Registration #:
City State:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change Is requested once permit is issued.
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabl
Statewt Minnesota Statutes and City of Eagan Ordinances. 'I \
Signature of Applicant: Fvy"
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes No
Yes No Not Required
i?
AUG 101999
uL I+
DESCRIPTION OF WORK: T?R2- b? F Ipizew?= 4Z) U S i`
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ( 42 Reroof _
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft, Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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:
SAC Units
% SAC
Gam'
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFIC/OSURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL CE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ON FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, RTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: yj-a ' Date: uT S ?S`1
Site Address 12']12 TE?an. 2S , OFFICE USE ONLY
Lot 2 5 Block
Parcel/Sub CAt-ITIER'?URy FORES'T'
Owner CAL R, e n+5 0'1
Address k579 `7;44n? 1)n+ Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
36,09)
I. on
S.F. Total Water Conn
City/Zip Code ?-zA9-R h M n, 55113 Footprint S.F. Water Meter
Acet. Deposit
Phone N5.( 15Lq On site sewage- S/W Permit
On site well S/W Surcharge
Contractor 1,1.4kl Y'A' C?OA- MWCC System Treatment Pl.
a City water Road Unit
Address `f5g3 6a_4154. Lk. ? PRV required Park Ded.
Booster Pump Copies 5
City/Zip Code HAGAh w o, S5113 TOTAL
APPROVALS
Phone ?5a-s535 Planner _
Council
Arch./Engr. Bldg. Off.
Variance
Address Council
City/Zip Code
Phone #
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
F?
?Irl'`? /1683
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For:'?OWLg.Valuation: 07 COO Date:
Site Address IQ-lq r+?f&A?1; L OFFICE USE ONL
Lot J-3 Block rr) ,.//
Parcel/Sub ( 174W /tr 7 eOresb
Owner _ rQfD D / c4W Kc
Address D-
City/Zip Code " C' , M / ? S?13
Phone Li S q 0649
Contractor Sit
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone U
Erect X
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
APPROVALS
Occupancy
Zoning
Type of Const
0 of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit 4
Water/Sewer Surcharge
Police Plan Review 2
Fire SAC
Engr Water Conn 5
Planner Water Meter i
Council Road Unit
Bldg Offi Treatment P1
APC Parks
Variance Copies
TOTAL a
f
or
l? 2
d
75-
32x?o? J?o ??g= ?2g?
-5 4x Z ?82 n ?2 = X384
9x(5 -
12 x 44 ?
31 (?, s
144 X g 11 S 2
t2 xt2
?C) Co 50 ¢
SURVEYOR'S CERTIFICATE " ! SIENNA CORPORATION
-
0 WILDERNESS
UN ROAD
.a¦12°39'52° R¦ . •9.29 °
1 L °!61.20
N S P EASEMEN
a PER PLAT BK.62
G.437 MISC. RECORDS I
Op` Pp
°o gy?p?
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_ \9F
rn LOT 25
W
N nil .o
O
L4 DRAINAGE ISA550ENT
PER PLAT
I $B9'2lb0
_S r 175
m q1m I
/1 T $ r •?_l/ I 7? 0
IS.2)
?, et ','---}-- 50.0 ---T
C- t I wPROPOSE D Si I
AN, N
o m 1 ??- Y H USE /o I 6
J A / n
270/ Ioi
W w N I'D
00 ry (` C 91 g A? I O
a.
!I A :?.m/GAR./ C,
340 °
N
6 1 • °.
I? ?a 75L ^1L'' __??? Ir? (9w,?' - R•456.15 X95
?1 1
Z
T
0
rtj SCALE:.
1 INCH = 40 FEET
l?
1 ,
L_ V I c rv
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O
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O
. Q¦I1055'58"
o w
TIFFANY DRIVE
SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAGE
86353 JAMES R. HILL, INC.
82143
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomington. Mn. 55431 612-884-3029
SURVEYOR'S
CERTIFICATE `SIENNA CORPORATION
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
O DENOTES WOOD HUB
(000.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE FLOOR = 91$,$
PROPOSED LOWEST FLOOR = 9IS.5
PROPOSED TOP OF BLOCK = 91$,11
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 25', Block 1% CANTERBURY FOREST, according to the
recorded plat thereof, Dakota County, Minnesota.
FEET
FEET
FEET
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..
SIGNED: JAM ILL, INC.
By. P"Z?
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
APPROVED FOR SIENNA
CORPORATION
BY:
ROBERTS ARCHITECTS
DATED THIS DAY
OF 19 _
SHEET 1 OF 2 SHEETS
PROJECT NO. I BOOK / PAGE
86353
82143
REUI2)EO 2-6-86 -M SNOW PRoPoseo
NouSE Fop, eo2PoRArE- coaSTRUGTIOM,
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO.
FOLDER
. 8200 Humboldt Avenu• South
Bloomington, Mm 65431 6 i 2-884-3029
LOMpulATION
AVERAO?
EXTERIOR ENVELOPEIG}v
am (\ ??
'OYlNER P}IDNE y5
SITE ADDRESS S
s,C
CONTRACTOR re footage of each. r/
working squa ft• x .]1--sq. . Total exP
osed wall area ..../ 5Q ft. xh
area
2, total rooflteilin9 .
above floor
is Total :exposed wall area ab
wall window area........
•' a:, Iota door arealass door area
b, al sliding 9, j1 area..... ...
T.otdl firePlaCe wa area (average / 21
d'. Total framing floor ..
d, a 'Total wall area above 11 r; f : Total n im 3o st area • • • • • ... ''P?
g• Total r foundation area T
Total exposed
` window area.• 'Made ...
Total foundatidaontion area above 9 ment•
Toal net foun At lue of each wall 5eg
Determine "u va ` !f 3?
x ?, L5
C. "Lilt
--------------
a.?----? x „?,.
r N
----'-' - - It-value
w11LG araa POr'
..
ua waih OoTSt
Use
^Bj ' tiPT
15? on r
I
%40( 3A
v
2.
soft
i.nehes
3.
4, 2 /? "
0.17
Exterior air Eilm1 91 p
r .lQf
`,.9ASIq
`,WALL
0". 68
FIG:=,, 81 ?iB N?
or air film
1 ITteYi
^ r
3
-
f
j
.
r
??
/1
4. L V
0.'17
5. for a film _
Bxterlor Total y
. tq
6. ,
6a
film --
1 I terior air ^'
2. a ` ly -?--
3.
l - 6
t_6
4.
0 1'7
film
Exterior air Total..
0.GB
1, Inter ari°-r air film
1,2
. 3J
5. film
Exterior air ota
6 v
7 ' .
.
SLABSLAB ON GRADE
PI C., t of in pPVIvq Ojr
Ilt ' A ?
_ •Irl
a r ? .
FIG. 84 1(l
. /tt M r l ^ r,r - .
1 _ r.. value # depth an
NOTE: IndiCate 'tYPei
yaot tla'?
va?tad
FIG c.
T.
..t
•?ented
Heat ao*' vP
??g A' FIG 46 - 1.
3?Ya J k r r! ?'.
+ Keat
'. tlo'J up .
n.61
e mol t
Motor . Use add tiolltailfi al a calculi
peeaea for
? r.
r
4 it r-
Y'r Total exposed roof/ceiling area
Total skylight area.... ....'...
k. Total roof/ceiling framing area (average 10%)... 1-272
1. Total net insulated roof/ceiling area ..........._L/?
Determine "U" value for each roof/ceiling segment:
x loin, _
.. k. /?7 z x "u" 026
x „u„ , 422 = .?s
4 .
Total =
. .. ........
.
` If total of #4 is the same as, or less than #2, you have met the intent of -
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of.items #3 and #4 shall not be greater than the sum of items 01 arid #2.
1. any S/ + 2. 3s. 07 _ 25 .5b
3. X22' 35 + 4. ab-5D a?? 5
Is:L
••• • • i •• • ia• a r. ?•
Xj hi
CITY OF EAGAN (L4 ?
APPLICATION FOR PERMIT SEWER AMID/OR WATER CONNECTION
1) PROPERTY ADDRESS: 'LLL4 )??
LEGAL DESCRIPTION: UU a
(Lot/Block/Subdivision or Tax Parcel I.D. Number)
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month Year)
PRESENT ZONING/PROPOSED LSE: tR SINGLE FAMILY
DUPLEX (Two Units)
TOWNHOUSE (Three + Units) Units)
APARTMENT/CONDOMINIUM ( Units)
COnIlERCIAL/RETAIL/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERMIDIENT
2) ' • i?L
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) r.?• For City Use
NAME: RAYMOND E. HAEG PLia,G. INC.
Plumbers License
ADDRESS: 7226 Cedar Ave. So.
?
CITY,
STATE, ZIP:
Richfie
ld, N. 55423 e
Qt=
E
xpired
S
PHONE: p MASTER LICENSE # C)4q i ?rt
?
1:t t Record
Staff Initial
4) • • ia•
-
NAME: OhC 1 L rte.
Lt? l Y\JL$h c a_( U J
ADDRESS:
CITY STATE
ZIP: 5I? 3
, ,
PHONE:
5) • •. .:? • :•
CONNECTION TO CITY SEWER ONNECTION TO CITY WATER
Q OTHER (Please Describe)
6)
? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 3, , ABOVE
(Ci one)
7) LQ??nn " a7 k ICS l ?J L b
0 R C I T Y U S E O N L Y
PERMIT °: ISSUED
E::???
FEES : $
$ ?y.
$
S
$
$ _0 0
$
$ Scn- ?rz
$ ?75 0- -2)
S
$
S
S
$ /?S (v - O L7
S
SETI-ER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID/RECEIPT 4 ?O 27 f'?
?Y
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: r
TITLE: p
? a
DATE:
city of eagan
THOMAS EGAN
Mayor
February 26, 1997
Kristen Robertson
1079 Tiffany Drive
Eagan, MN 55122
RE: Easement Vacation
Dear Kris;
PATRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Administrator
E. J. VAN OVERBEKE
City Clerk
As I indicated in our telephone conversation today, there are a few items which need to be
addressed before we can go forward with the review of the easement vacation.
These items are as follows:
9 elevation of the pool (top and depth) and of any decking around it
• the width of any decking around the pool
• the proposed elevations of the area surrounding the pool after it is regraded
• what the plans are for disposal of the dirt removed from the excavation
• - a plan for restoring the bank of the pond if it is disturbed -
Hopefully these are all the items which need to be looked at. After I have received your
response to these items we will continue the review. If you have any questions feel free
to call me at 681-4646.
Sincerely,
Lane Wegener, engineering Technician
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE: (612) 681-4600
FAXI (612)681 4612
TDD'. (612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunity/Affirmative Action Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE. (612) 681-4300
FAX'.(612)C81-4360
TDD'. (612) 454-8535
- \ ym
14.
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0 0 24 25
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50
i
Wool
SURVEYOR'S: CEATIFICA:TE ".SIENNA CORPORATION
Ith
O
WILDERNESS RUN ROAD
12°39'52" Re.", __
1
Z
/i - -- 1--"161.20
a? PER PLAT 8K.62
`
?? Ob PG.437 MISC. RECORDS I
O e a'
O yypOJ\ ? .
1
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01I
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'.xf.....
\o SURVEY LINE
LOT 25
DRAINAGE EASEMENT
PER PLAT
=r
S8ee2t??W X12`
_ b.
OD
p 0
"
m
d
O
N
SCALE: .
1 INCH = 40 FEET
i
W
1
Ri
I
N N f '
e, m
I .(\ O
i_ll I 0 L_lJ i 2 Iv
1 k115,2) IS•2? -'? I
?., A 1
Lt I 50.0
I I
?
o.:. m w
ROPOSED W I
i 66644\\\ ?- v H USE / 0 6
I
/
Y
I W 27.0
m o
W? ?? ?9f 8A? I p l A O
I 'I A b _ GAR. maa Ifa
rn
?w
4
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5 fb
cd
11
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o
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A=11°55
"
_ to
TIFFANY -DRIVE 0
SHEET 2 OF 2 SHEETS
PROJECT NO.
86353
82143
FILE NO.
FOLDER
BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 66431 612-884-3020
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115798
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 1079 Tiffany Dr
Lot:25 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-250
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Calvin Robertson
1079 Tiffany Dr
Eagan MN 55123
(651) 456-9564
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:Building
Permit Number:EA117672
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 1079 Tiffany Dr
Lot:25 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-250
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Calvin Robertson
1079 Tiffany Dr
Eagan MN 55123
(651) 456-9564
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #/
: / 3 g c
Permit Fee:
Date Received: —1 -70
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
J
cc
Date: 1 _ 19— W) (o Site Address: I UY' Unit #:
Resident/
Owner
V
Name: Cc.) 4- Kris ►v,.,., Phone: 6c61— &e0- 750
Address I City / Zip: (0 1 q 1i'Wo, V r.
Applicant is: Owner K Contractor
Type of Wolk
Description of work: W O.AAJ .G k -
�-
Construction Cost: i ;ODD Multi -Family Building: (Yes / No )
Contractor
Company: OC Alh LL&A a 5 raC, Contact N r`CJ( I kC t —
Address: H Li to (o W„ ci Tr. City: C'ra► .,
State: 14-04 Zip: 554 Phone: ((5i -2..4 '11 '16 Email: h icik%Mui•scA^.@ , A0.;1 . c
License #: I I —7 Lead Certificate #:
If theproject is exempt
1 4
from lead certification, please explain why:
Ae4 «lS VO
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
if yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions
the information may be classified as non-public if you provide specific reasons that tartuld permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ICAACACAS
Applicant's Printed Name
Applicant/ Sign off\
Page 1 of 3
J % 9 -77 qp O NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
C Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)I )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season) _ Exterior Alteration (Single Family)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ Pool _ Accessory Building
Exterior Alteration (Multi)
_ Interior Improvement
_ Move Building
_ Fire Repair
_ Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
ic Footings (Deck)
Footings (Addition)
Foundation
_ Roof: Ice & Water _Final
_ Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Final
_ Siding
Reroof
Windows
_ Egress Window
_ Demolish Building*
_ Demolish interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill + Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other.
Reviewed By: L. , Building inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3e)
Page 2 of 3
,SURVEYOR'S CERTIFICATE '.!SIENNA CORPORATION
SS RUN o ROq D
-a512°39'52" R°:
9.29 L.'/61.20
NSP EASEMENT
PER PLAT BK.62
P0.437 MISC. RECORDS
0
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LOT 25
et jt ,O
DPRA"41TEASEMENT
, 88021'00"W
1 17
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PROJECT NO.
8C,353
82143
FILE NO.
FOLDER
BOOK / PAGE
JAMES A. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 55431 812-884-3029
•
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164956
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 1079 Tiffany Dr
Lot:25 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Evan & Claire Welo
1079 Tiffany Dr
Eagan MN 55123
(612) 723-8793
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179546
Date Issued:10/10/2022
Permit Category:ePermit
Site Address: 1079 Tiffany Dr
Lot:25 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-250
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Evan & Claire Welo
1079 Tiffany Dr
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature