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1085 Tiffany DrCITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: Plumber. Meter No.: 3 5Y Size: -19" &-d- _TFI FPNf WATER SERVICE PERM PERMIT NO.: DATE: No. of Units: uanteburv Forest schorge: OSit: Reader No.: 03 m t . U thx . 1 egne to esswoy whh I; rx- ONlwe Misc. Charges: 1 12.00 Total: By Dote Paid: Dote of Insp.: - ?i , Insp.: CITY OF-EAGAN 3830 Pilot lot Knob b Road WATER SERVICE PERMIT P n. Box 21189 PERMIT NO.: Eagan, MN 55121 DATE. Zoning: No. of Units: Owner: t Address Site Address: Plumber, Meter No.. .Size: Reader No.. 1 some to sevo* with the Gty of hpw. OMflwwesa, By Dote of Insp.: Connection Charge: 100.00 ae Account Deposit: Permit Fee: SundiarQe: Misc. Charges 1 ` 0 r?rj Total: Date Pttld: Insp.: CITY OF EAGAN 3830 Piint Knob Road SEWER SERVICE PEMW P• O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: 1 Owner: :c,• - No. of Units: _`Tt S C Address: Site Address: i f f as J) r Plumber. - ,'&7) U -- Canteb?u, 1 e?ree to asaw>I with Ne phr e/ Lelow ordin now By Dote of Insp.: Connection Chaff: y -5 7+ Account Deposit: ` Permit Fee: Surcharge: Misc. Charge:: Total: Date Paid: CASH RECEIPT \ _rr CITY OF EAGAN' P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE / 19 ++ MCKIVIED FROM `r! ,',t! • , j! l - AMOUNT $ I Uc? & _DOLLARS Ino CASH y CHECK FOR FUND CODE AMOUNT f . Thank You 3 i White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN • 3830 Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING FEWIT Receipt #t _ TA to ma" fir .il /•-h:: FN VAI'. L, GO0 r.-I. 40 10427 Site Address ' DR Erect ".. Occupancy C????1 T ?: b 11 K i Lot Block sec/Sub Remodel ? Zoning . Repair ? Type of Const. Parcel No. Addition ? No. Stories . Move ? Length ; I Name Demolish ? Depth Address Int. Impr, ? Sq. Ft. City Phone Install ? I hereby acknowledge that I haw read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to. all work shall be done in accordance with all applicable State of Mii Building Official Assessment Permit I • U U Water & Sew. Surcharge `' • 00 Polio Plan Review ! ` t 0 Fire SAC i; 0 Eng. Water Conn Planner Water Meter Council Road Unit -"i Bldg. Off. i' ! S Tr. Pl. APC Parks Var. Date Copies Total ' an the express cordition that rota Statutes and City of Eogan Ordinances. p - • r_ o r r _ y ~ ° 0° a 0 3 3 r , g g 00 a a al c J 41 » 1 r'. PCZ) 1 ? r N Receipt PLUMBING PERMIT 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 Lot - ` r Blk. Tract 1 4. Owner ^ i f 5. Contractor Phone 7G 6. Address 7. City 'r'' ''' • State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN i Fill in numbwod spaces Type or Print legibly Permit No. S Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address i fany Lot Blk. Tract 4. Owner Sons Consttuccti(,n 5. Contractor Cleve R(-ttina ", "- T;.c Phone 6. Address 13075 Pioneer Trail 7. City r1-4°" r-,;it... - State `i nnesc)t Zip " 144 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 137 Add ? Alter ? Repair ? 10. Describe : -x House Peatin(f Fuel Type -4atuf-al ras: 11. No. Equipment BTU - M. Ea. Forced Air ??' ?' No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets _<< 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I I , ,;1 1 Z 4 N t-„ I, APPLICANT: V::' I I FFANV (1 17 I lot I f411 I ; 1:111 ( i i. ', I I 1 PERMIT SUBTYPE: TYPE OF WORK: r;l I I ? ?r? fill IlDINo 6.1C104 y i0/14/q6 RFPAI f f7 f O V I N t, ? Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING / 17 l'f ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks-ad Addition CANTERBURY FOREST Owner ..E Street 1085 1-l17Lll7 Ili ltg f,?j. A DL'., /W Kr?a.66 24 TIFFANY DRIVE State EAGAN PIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid unde original pa rcel STREET RESTOR. ' - GRADING gr? 198 1 106.78 5.34 20 85.46 A013446 1-12-84 SAN SEW TRUNK y ZI 1973 Paid unde original p rcel * SEWER LATERAL 5 5' 1981 439.42 21.97 20 351,54 A013"6 1-12-84 WATER LATERAL 7991- 20 WATER AREA 1979 Paid unde r original pa rckki STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 n n BUILDING PER. 10427 SAC PARK This request void5g?. ) 18 h s4 r3? BTI L 2 y ? 50 - a Request Date Fire No. Ro gh-in Inspection fle !rred? []ReadyNow[SWillNotify o"'n'- ? l f h 7,9_ 7,98.5 ?+}Yes ?No or W o. Ready rr--yT??L icensed Electrical Contractor L.6? 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1085 Ti i ng Dr Fa en Minn. ecUOn o. Township Name or No_ Range No. County Lot 1 Block 1 Dakota, Minn Occupant (PRINT) Phone No. Sons Construction Co 452-4721 Power Supplier Address Dakota Electric Farmington Minn Electrical Contractor (Company Name) Contractor's Liconse No. Nelson Electric 041-54.5-9 Mailing Address (Contractor or Owrter Maki" Installation) rrldU Webster M1 155088 - Authorized Signature ICOntracror Owner Making Installation) Phone Number 1 61- 274 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Ph... 16121 297-2111 ENCLOSED. ?? a J}, REQUEST FOR ELECTRICAL INSPECTION EB-oooot w j ' Sea irrstroctions for completing this hrm on back of -11- copy. I ?• 113343-R "X" Below Work Covered by This Request 7 Add Rep. Type of Bui ldinp Appliancae 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 peer Y Oil,., ISperifyl i ar pecrfy Other Oth., Compute Inspection Fee Below _ p Fee Service Entrance Size J, Fee eders k Few Circuits U to 200A s Amps 0to 30 AM DS Above 200 Amps. s 31 to 100 Ann? Swimming Pool Amps =00- Above 100_Am ' Transtormers ms Part a l`Other Fee Signs ction s C rge r- TOTAL FEE ` Remarks ? 50 1 ` ; c e,,,, Rough-in Date'?r ` vY ,the EleClrjcal?? Inspectors hereby r=aryifY"that the above Final Da ` pection has been ? . iL de. This reouest Void l8 moniMfmm // ? 064Q9 5 a-i7 Request Date Fire No. Roug Inspection Req tl? ? Ready Now WAI Nobly Inspector 11-13-89 J yes No hen Heady? A licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 1085 Tiffany Drive E agan Section No. Township Name or No. Range No. County I Dakota Occupani Phone No. Sons Construction Co. 452-5555 Power Supplier Address n/a. Eleclncal Contractor (Company Namel Comractor5 License No. Midland Electra Inc. 41610 Mailing Address (Contractor or Owner Making Installation) 14055 Grand Avenue So Suite E, Burnsville, MN Authorizetl ure IGOmradorlOwner Making Installati Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Mldeay Bldg. - Rao. S-173 BE ACCEPTED BYTHE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plane (612) 642-0600 ENCLOSED. /SI REQUEST FOR ELECTRICAL INSPECTION g ES- 1-0] ? See'nst- ons fv'comple[ing this form on back of yellow copy. ooo??yooo'ooo?J @ 0 6 4 0 9 X' Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building d Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) contractor's Remarks: Com •!e Inspection Fee Below: 7.241- }/OCl.S?, Ol?Ly # 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 Irrigation Booms / J ,aG -/15-. S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final oa ?, ?p ?^'?J ^tTT OFFICE USE ONLY This request void 18 months from i CITY OF EAGAN o 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N- 10 4 2 7 PHONE: 4548100 BUILDING PERMIT Receipt # To be wed fer SF DWG/GAR Et. Value $82,000 Date JUNE 20 Ig85 Site Address 1085 TIFFANY DR Erect Occupancy R3 CANTERBURY FOR Lot 24 Block 1 Sec/Sub Remodel ? Zoning R1 . Repair ? Type of Const. V Parcel No. Addition ? No. Stories SONS CONST CO Move ? Length 48 w Name z 4370 RAHN RD Demolish ? Depth 36 Address Intlmpr. El Sq. Ft. City EAGAN Phone 452-4721 Install ? SAME N Approvals fees ame ou Address Assessment Permit 0 u City Phone Water a Sew. Surcharge 41.00 Police Plan Review 189.50 G= b5 Name EDWARD MELICH Fire SAC 525, 00 H Address 901 E 77TH ST Eng. Water Conn. 500-00 <W City RICHFIELD Phone 866-3500 planner Water Meter 63 - 00 Council Road Unit 9Rn_n0 1 hereby acknowledge that I have read this application and state that Bldg. Off. 6/17/8 S Tr. PI. 1.19 _ 00 the information is correct and agree to comply with all applicable APC Parks State of Minnesota Stgtutes and City of an dinances. Var. Date Copies Signature of Permittes i U9 0 Total A Building Permit I3 issued to; ONS CONST CO an the express condition than p{l 'amble State Min yl all work shall be done in accordance with a?p syjg2gtutes and City o7 Eagan Ordinances. J / C ? Building Official - `+! -?!?? ? '? ? - RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements 3 :egislerea site surveys showing sq. ft. if it. sq. ft of house; and all rooted areas (2001. maximum lot coverage allowed) ? cocas of plan showng beam & window saes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot darted after 711193 Rim Joist Detail Options selection sheet;bidgs with 3 or less units) DATE 7P-c-a SITE ADDRESS IONS / r /F?F nI/ ?? TYPE OF WORK i 09??rf?T APPLICANT L4,kf,51kfr\ STREET ADDRESS ?74:?7n / TELEPHONE # 763 -55`1 e3? CELL PHONE # Phone # Lawn Sprinkler No. of R.I. Baths PROPERTYOWNER ' n;e TELEPHONE# &5H/9_y? y ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNP:SOT.1 RULES 7670 CATEGORY I _ MINNL•SO'C:A 12ULES 7672 t': submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbin.- systern includes: Mechanical Contractor: NIcchm1iGd sestcm includes: Sewer/Water Contractor: Water Softener _ Water Heater _ No. of Baths :'Ltr ConditloI nil; Hcat Rccoccn System MULTI-FAMILY BLDG _Y ,,ZN _ FIREPLACE(S) _ 0 _ 1 _ 2 ?'? ZIP Ss1l STATE Phone # 1 2 2p02 Fee: S ---------------------------------------------------------------------------------------------------°--------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of 10innesota Statutes and City of Eagan Ordinances. Signature ot Applicant e ft:?_ -'--`---------------------------- --------- _--------------------------------------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RemodeVRi it Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks • Indicate if tome served by septic system for additions VALUATION T FAX # D Phone OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 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 IN SPECTIONS - Footings (new bldg) Final C.O. Footings (deck) _ FinaVNo C.O. - Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile _ Other Roof - Ice & Water _ F inal Pool Ftgs Air/Gas Tests Final - Framing _ _ _ Siding Stucco Stone _ Fireplace ` R.I. -Air Test - _ Final _ _ _ Windows (new/replacement) Insulation Retaining Wall Approved By 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 Building Inspector qz17). 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 G?/? 651681-4675 Date:_ / ?? 00 Description of Work: _ Construct new fireplace _Gas Masonry _ 1.G Install ras insert only _ Other Job address: G Lot:_ Stater Zip: _L Applicant (circle one only): PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Block: f J Subdivision/P.I.D.Canler6uf st Contractor Permit Fee. 860.50 Name: Phonesl#: Last First Street City State:/ / h"" Zip: sr uu ? Company: a ?C 1 Phone it: `7 &-O q0 -67 _ (area code) Street city Company: v City Phone #: (area code) I hereby acknowledge that I have read this application and comply with all applicable State of Minpesota Stag State: q bo.5o Alterations to existing Install Pas line only Zip: that the information is correct and agree to OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. i ?a yap 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFITATES OF SURVEY 1 SET OF ENERGY CALCULATIONS U. To Be Used For: MCI ,I, a Valuation: 67-1000' ~ Date: Site Address: l OF V- 7i 71/4 , y Dr • OFFICE USE ONLY Lot: ZL Block Sect/Sub 41,7en)i4,tq Erect .:;i Remodel Parcel 11 04.?,7flL Bw-r? Fate-ri Repair Enlarge Owner SaA s ed USA Move Demolish Address L-/37,j Ayti A Grade City/Zip Code EA &,A,. -------- Phone L/SJ - ?/7.? Contractor SeAf I L'6,Ls -,. a Address L/37o 2A?.u A City/Zip Code 2E 4CwA N Phone 4 - l Arch./Engr° Me 2,C ?j Address gG l 'J7 {? S) City/Zip Code // R i yi 2 ail' h,?Aj S Sy6j- Phone U d l 6- -; S-0 6 APPROVALS Occupancy R-3 Zoning 2 I Type of Const 11 of Stories Length 48 _ Depth 3(0 Sq Ft Assessments Permit OD Water/Sewer Surcharge ¢( °Y Police Plan Review lp?], so Fire SAC SZS `° Engr Water Conn Planner Water Meter (03. ° Council Road Unit 28D. '- Bldg Off -/J Parks APC Treatment PI (?Z. = Variance a G ??/ ? S . TOTAL CI 24-x 24 - 5?co x 5q- ro 12-X Z 4- ;-xz4? 192x4( ' ?Z4-7 Z 0(-120 TRI=LAND INC. SITE PLAN for SURVEYING SERVICES DON -OLSO N Eagan, Minnesota 55122 o WILDERNESS RUN ROA D 0 N89.571 xe'E _ p, A•Ya...... 51.72 R, LOT 24 5\?J EASEMENT `S ? W r- vkaQI 00-W eon ti o 117. SS -- (^ 4 I '? 1 2 i Ail 2 a i `wa° vs l" ?o nI d m "\0 m r., Ali Ir :1 1 1 '. ? _ tzs 24 R vs6.ls L*gr.oo l? n . ii•ss-sq, 00 TIFFANY DRIVE " I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. NORTH Scale • 1U %40' LEGAL DESeRIptIOAP: LOT ay, BiR 1, CR11TgRBvRy FOSA37 6ARAa FLOOR "%LL bL Its Abov[ C."cb Oa" UISTIN6 ELEVATIONS ,v v • is2.3s 6?iy/8f " ,EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: f SaN3 `oys'f/twerlo?iJ / L'o SITE ADDRESS: ?OT 24/ CONTRACTOR: Soup C'(,.yp-7 rrin V eQ DATE: 6- 7- cP PHONE: 7So?-?7? I DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,,, 3.01.75. sq ft x "U" .11 = 338,58 2. TOTAL ROOF/CEILING, AREA........ 1 60 sq ft x "U" .026 = 27.976 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall. area above floor,,,,,,,, 26. '12 sq ft tt) a) Total wall window area: glazed...... (C.3 sq ft x "U" 59 9G, ll glazed,,,,,, sq ft x "U" _ b) Total door area ,,,,,,,,, 40 sq ft x "Lill .23 c) Total sliding glass door area: glazed...... $O sq ft x "U" •S`1 "1,20 glazed...... sq ft x "U" d) Total fireplace wall area g a sq ft x "U" 610 = ¢, O e) Total wall framing area = 23.40 (Average 109.) .......... 215 4- sq ft x "U" .16 f) Total net wall area above floor (Insulated)....... 2! O-1 sq ft x "U" 04 84, 2g q) Total rim joist area...... 3 1 O sq ft x "U" .04 = 1 Z.4 o Total foundation area (Exposed)......... c}G, sq ft 3 h) Total foundation window area............ I) Total net foundation area above grade........ sq ft x "U" 9`60 sq ft x "U" • O'1 TOTAL a) thru i) n = 284-,! 7 If Item k3 is.the same as, or less than item PI, you have met the intent of 2 MCAR 1.16008 A and 0. E Page 1 . 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ 1rI_ sq ft J) Total skylight area ....... -- sq ft x "U" k) Total roof/ceilinq framing 2-?9 $ area (Average iWO ......? 8 sq ft x "U" ° 1) Total net insulated , 024 ° 23. 23 roof/ceilinq area ....... ?_ sq ft x „U„ TOTAL J) thru 1) L6.21 4. if total of 04 is the same as, or less than M2, you have met the intent of 2 MCAR 1.16008 A and 0. I ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items R3 and A shall not be greater than the sum of items M1 and R'2. 1. 3• + 2. ° + 4. ° C E R T I F_I CAT I O N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Signature (Date) Page 2 f CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16350-240-01 DESCRIPTION: PERMIT 1085 TIFFANY DR LOT: 24 BLOCK: 1 CANTEBURY FOREST ?., (ROOFING) ?;q'ild J ,Permit Type ,Building abrk Type Census Code ? t PERMIT TYPE: BUILDING Permit Number: 0 2 9 0 4 7 Date Issued: 10/14/96 STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL REMARKS FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC OWNER: ARTISAN CONST 14513371 2005688 MILLER SUE 7293 DEGRIO WAY 1085 TIFFANY DR INVER GROVE HTS MN 55076 EAGAN MN 55123 (612) 451-3371 (612)452-4624 I hereby acknowledge that I-,have read this a,ppli.ca Lion and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY: SS NA R Iq o4l New Construction Reauirements CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: CC DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK _ 1 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR COSTX500. Dy ? f?f/cf Name: VSl FMT Street ARCHITECT( Company: ENGINEER Name: Street City: Sewer & water licensed plumber: change are requested once permit is issued. la-9ldy Phone #: 1 Phone Registration #: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes State: City: a ?]'n State: Zip: S s? Company: f l!^ll?n?i Cent? Phone* YS 2-3321 Street Address: ? ? %? C ??If 1C3 wG//tLiice/?jn??se # x0656 fe- City: hdrv 2 hl ewkr State: I Zip:SSD No Remodel/Repair Reauirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions No OFFICE USE ONLY BUILDING PERMIT TYPE .,Y?' ?.r alt ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 1 2 8 4 / r`? 1 7EIR CITY OF EAGAN / i' (tln APPLICATION FOR PER1MIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PPOPEIRT- Y ADDRESS: fO 6 K r Z 1:7 PA y y N? LEGAL D .sv r:rrlCN: (Lor/dock/Su^divj.sicn or Tat Parcei D. Ntr;-er) I E'µST.i ST^T ?J E. CAT-2 OF CZTG^ l u I'?DL:G ISM ??C P.RESc l.T/P?JFOS? DS: W R-1 SL:GL- :P:•tSL': - --- ? R-2 DL: r i Mr.%D LN=S ) ? R-3 ' ,,-L,77iCV'SE (T= U ^ S} f r? ITc} ? R-4 APA R=T/CC:D II. ;^II ( LNi S) Q CCi.?niE?CZ=i./RE?`AII?Oc_ IC ? Mcr:Sll-= S, ? ?TSTI:?iIC;NAI./Cri?v?I^tF'?; I' 2) AnPr?Ic7- NT (PLEASE PRINT) NAF1E: SO U?? ?D k1y C/ BUJ ADDRESS: C=7, STATE, ZIP: L / J tJ mil, H "T/ 3 PHC',lE: / / PLU.2 NAME: RELEASE PRINI) FOR CITY USE ONLY AODFESS: _ J n/ U ?`, PLUMBERS LICENSE: Active CITY, .,STATE, ZIP: J ?i? 3 : PHONE: G Q D PLUMBER LICENSE # v l Zf- 3r-r ;n:ua ; 4) AJi cr.oRecord OCCT'?A i /CS-;, ITE"2 NAIME: ADDRESS: CITY, STATE, ZIP: PHONE: JVN> L-B,1/S?'YLLAJt YH 1711) 5) INDICM-E WHICH PERMIT IS BEING REQUESTED: 0/CC.LVECTION TO CITY SLVm [;J CNN'E:CTION TO CITY WATER E] Q.-HER (PLEASE DESCRIBE) PMSE I?CID APPROVED PERMIT FOR PICK-LP BY ONE OF ABOVE PLEASE :*AIL APPROVED PE.<•_•IIT TO 1, 2, 3, 4 ABOVE J (Circle one) 22 oATE? l P, F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ /6;SU $ ?G -5-& $ .jou S S $ % uu $ S $ $ $ $ o-2 , ol& S P7?? T- (11711 WATER PE!Ul= (11:CLUDE SURCHA2GE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE',.7ER P ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS::--NT TRUNK SE:'iER ASSGSS:iEy^ LATERAL BENEFIT/TRUNX S-,1,7=-- LATERAL BENEFIT/TRUNK (•JATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOU.:T PAI:) RE 7?T R 37? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C 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: TITLE: DATE: fw ?'• ? W s" i.w i= "t W"+ w*,wwt w w aif wm wum wt w rm m iosse stm Mw n sin w! A v* ow R am w... City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA125948 Date Issued: 08/08/2014 Permit Category: ePermit Site Address: 1085 Tiffany Dr Lot: 24 Block: 1 Addition: Canterbury Forest PID: 10-16350-01-240 Use: Description: Sub Type: Reroof & Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Fee Summary: Valuation: 8,000.00 BL - Base Fee $8K $162.25 Surcharge - Based on Valuation $8K $4.00 0801.4085 9001.2195 Total: $166.25 Contractor: Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 - Applicant - Owner: Richard M Martinek 1085 Tiffany Dr Eagan MN 55123 (763) 301-1062 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature City o Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 �Ut 12 1 16 Use BLUE or BLACK Ink For Office Use j Permit #: 1 )1 ` r , � `/' Permit Fee: 6? 0 Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: Suite #: Address / City / Zip: iv 0,0 /pi Name: &A S- ik-A ert/G1,L37 4 sr GO,t/dLicense #: Address: 91‘S frt$c G T City: /�W� F e°r State: /VI) Zip: S-SW �� Phone: 612 - eO ?x2 7 Contact: �/ f ..< /1 Email: 5/1 / New X Replacement Additional Alteration Demolition Description of work: i- /1 Gc -- v r . �S a :�✓ C d and gr fast the 1 Punted m :al lnspec RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other 1' i /f: COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee = $ Surcharge = $ TOTAL FEE with the or ces and codes of the City of I hereby acknowledge that this information is complete and accurate; that the work will be in conformance Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to s rt wit out a per with the approved plan in the case of work which requires a review and approval of plans. x -195 A d a e o, Applicant's Printe Name x Ap cant's Signre at the • will be in accordance cb r City of Ea�au Ci(6,k' �r 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2016 RESIDENTIAL PLUMBING PERMIT Date: ._ 1 Site Address: 1l 11S. Tenants Resident/Owner Contractor Type of Work Permit Type Name: 0-ki\ 1i4 -- t 1\c, Address / City / Zip: Name. [ Cj Address: t 1 C /JCk State: k Zip: Contacts -Nr ' 664Email: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: bo Date Received: Staff: J APPLICATION Suite #: Phone: (OD— CyUI -ist tV1 License #. L-044.e..br, city: C(Sk,ck. pC \�l (� _ , i k Phone: �� '"'`-1cic- New Replacement _ Repair Rebuild Modify Space Work in R.O.W. f��\ Description of work: f �.��. { RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener t i" Add Plumbing Fixtures (t) Main / 2- Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn lnigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) `Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali 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.gopherstateonecaii.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 accor ance with the roved plan in the case of work which requires a review and approval of x -\nck6 e2.\-cnkcit; Applicant's Printed Name FOR OFFICE USE Reviewed By: Required Inspections: Under Ground Rough-ln - Meter Related Items: Meter Size Radio Read Manometer Staff: Air Test Gas Test Final C!tyofEa I� 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 11 Use BLUE or BLACK Ink For Office Use 1.31n4 Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 6/16/2016 Q,+e e,,,,.e��. 1085 tiffany drive Unit #: J vaac. ...... ........... Resident/ Owner Name: Metz Properties LLC/ FF realestate services Phone: 612-202-9909 Address / City Applicant is: / Zip: 11423 National ct ne Blaine Mn 55449 i Owner _ Contractor Type of Work Description Construction of work: General remodel 20 000 f Multi -Family Buil`diing: (Yes / No ✓ ) Cost: Contractor Company: Address: � t i* 3-e 3✓?/) -� `-' Contact: �/ /C- :.)..-t %ti- --, U$? City: -6et'ef226 4'" ‘.2..20 /6 State: /,f ,?() _ /Zip: S15 ' Phone: 76,35/6 e/7 ail: ,s- 7-5-E-- ,7c-heic'-e. License #: C `2c' 60 5- 7 Lead Certificate #: If the project is exempt Post 1978 from lead certification, please explain why: In the last 12 months, Yes No COMPLETE has the City If yes, date THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING of Eagan issued a permit for a similar plan based on a master plan? and address of master plan: Phone: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: NOTE: Plans and supporting the information may be classified documents that you submit are considered to be public information. Portions of as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Ca before you intend to dig to receive lo I hereby acknowledge that this infor Eagan; that I understand this is not accordance with the approved plan in Exterior work authorized by a build days of permit issuance. !Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours tes of underground utilities. www.aopherstateonecall.orq ation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of permit, but only an application for a permit, and work is not to start without a permit; that the work will be in the case of work which requires a review and approval of plans. ng permit issued in accordance with the Minnesota State Building Code must be completed within 180 Applicant's Signature Applicants Printed Name Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ?<,) Census Code # of Units # of Buildings Type of Construction IDBS DO NOT WRITE BLOW THIS LINE ireplace arage eck ower Level — Porch (3 -Season) _ Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool terior Improvement ove Building ire Repair epair REQUIRED INSPECTIONS Footings (New Building) Lr Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Framing 30 Minute Fireplace: Rough In x Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final 1 Hour Air Test Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharg0 Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant w J;o:( 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 <7) /" Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector 1A4-)%ioat,-X (7) rvt Lrratfir'") tt 30,1/ (00(2° G6,00 ( Page 2 of 3 TRI -=LAND INC. SURVEYING SERVICES Eagan, Minnesota 55122 SITE PLAN for DON -OM N 1 3,7753� o WILDERNESS RUN ROA 4 s WOG/ 51.7 ftv /MIA L • I logs 0 L T 24 c\-- o EASEMENT 41 s 1; 1 t‘ 1 00 R• 45b. Jr L • 4i oa L►` 4 • 11•15 5$• A TIFFANY dRlvv O I hereby certify that this survey, plan or report was prepared by me or under my direct supervisiOn and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. NORTH _Seale: IN 14Q' LEGAL Deseltiptcoa: Lora% Bek 1, CAnrrfJ 8t,Ry Fo* xr CRRA6I Above. FLOOR skaLt bi. i? Cwcb (ioaoa EXISTING ELEVATIONS 13c7 *Arms- Zf/s/8.f City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA145769 Date Issued: 09/25/2017 Permit Category: ePermit Site Address: 1085 Tiffany Dr Lot: 24 Block: 1 Addition: Canterbury Forest PID: 10-16350-01-240 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 - Applicant - Owner: Terry T Brassard 1085 Tiffany Dr Eagan MN 55123 (719) 482-5067 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162227 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 1085 Tiffany Dr Lot:24 Block: 1 Addition: Canterbury Forest PID:10-16350-01-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Femi Oye 1085 Tiffany Dr Eagan MN 55123 (612) 720-6824 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162227 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 1085 Tiffany Dr Lot:24 Block: 1 Addition: Canterbury Forest PID:10-16350-01-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Femi Oye 1085 Tiffany Dr Eagan MN 55123 (612) 720-6824 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172738 Date Issued:10/14/2021 Permit Category:ePermit Site Address: 1085 Tiffany Dr Lot:24 Block: 1 Addition: Canterbury Forest PID:10-16350-01-240 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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 - Femi Oye 1085 Tiffany Dr Eagan MN 55123 Les Jones Roofing Inc 941 W 80th St Bloomington MN 55420 (952) 881-2241 Applicant/Permitee: Signature Issued By: Signature