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1091 Tiffany DrCITY OF EAGAN Permit No: 3830 Pilot Khob Road Meter No:?.? 7 P.O. Box 21199 Reader No: -ZAP T Eagan, MN 55121 T 4-1.3-88 Date: Size: Sri t?wK Date: r'Zq-b'J? Owner sons Gonst. Site Address Plumber. with the City of Eagan .y ' ST •• a r? s r .. __ tiw'1 •. ._. .- - ??_+?.sr4 ` ??.i9`.- ?}?? `}?^'.i -..p.:? OP EAGAN Permit No: Date: PiRR Knob Road Meter Na. Size: Box 21199 Reader No: Date: in, MN 55121 -- C;- s Coast. nn. Chg: 5 none Zoning: ;t Dep: '' f)pd No. of Units: mit Fee: in, Ofipd charge: 1 agree to comply with the City of Eagan Plant Ordinances. ter. 5c_ By MY SfF EAGAN 38.30'jJIot Knob Road is O. Box 21199 Eagan, MN 55121 Site Address: MWCC: Zoning erjurv r'oi City Chg: ? -?O • oapa No. of Units: Acct. Dep: 1 5 ' f!()rd 0 ?,? I agree to comply with the City of Eagan Permit Fee: t.pc Ordinances. . Surcharge: WATER SERVICE PERMIT Permit No: Date. B/P No: ` 1''7:' Date: Misc.: By M WATER SERVICE PERMIT CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 EWILDING PERMIT Receipt# To be used for ; Est. Value Date ,19 Site Address Lot Block Sec/Sub. Parcel No. Q W 2 0 City Address r' i4" D K- 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. 0--, Signature of Permittee A Building Permit is issued to: 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 On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) nst City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Date Telephone Plumbing C• _? ??to . /?? H.V.X( Electric Softener Inspection Date Insp. Comments Footings I g4 Footings II Foundation $ Framing Roofing Rough Plbg. Rough Htg. V Isul. r 1, Fireplace Final Htg. br Final Plbg. /-? Bldg. Final Cert. Occ. r7Z . 411 Temp. LP ?,G•+.-.Q /?+&?T rte. - iYc,r Deck Ftg. 5,0 - Sc.-y cc?vvc - ?I-f -S Deck Final Well ' V;O- Pr. Disp. v a? 6h,? Site Lot. Name m Addre c City Name _ c Address 0 City - Phone FEES 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 t, } PERMIT # - PLUMBING PERMIT ' CITY OF EAGAN RECEIPT # d 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S rBath Tubs - $3.00 " Lavatory - $3.00 Shower - $3.00 3 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 i Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: 9 STATE S/C: 0"0 GRAND TOTAL MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Name c,enz?xy5n e&" Address 14745 South Robe c City Rosemount, MN Phone Name s m's CODSMUCL] c Address 1334 St.-Andrew' p City Lavan. HN Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other PERMIT # ! RECEIPT # i DATE: Aj'RTi, ]rte, i ?`; _100 M BTU M BTU M BTU M BTU CFM 1 BLDG.TYPE Res. xxx Mult Comm. Other FEES RES. HVAC 0-100 M BTU - ADDITIONAL - 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 1% 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) WORK DESCRIPTION New 6818 Add-on Repair -$24.00 - 6.00 1.50 EA. FEE: ?5- S/C: • TOTAL 26• - 12.00 - 20.00 - .50 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN LDG. B PERMIT NO. / U ll?y 01-3210 B1dPermi t ` 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 3860 Road Unit 2Q-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 40 20-2252 Acct. Dep. 20-3713 Water Permi t 20-3743 Sewer Permi t 79-3866 Sewer Conn. p?d-3855 Park Ded. TOTAL CASH RECEIPT CITY-®F*AGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE - > 19 FtEafVEO FRM AMOUNT $ - DOLLARS loo Thank You BY ?Noa Copy Yank-Re Copy Cpy 249 8157 PMFile Copy ? CASH ? CHECK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt } 1 To be used for SF DWG/GAR Est. Value $128,000 Date AARCH 1? 19Ji?L- Site Address Lot 23 E Parcel No. __ 1091 TIFFANY DJt 1 VE OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X Zoning PD. it--1 On Site Well (Actual) Const Vn City Water X (Allowat4e) 1/11 PRV Required * of Stories Booster Pump Length Depth 41 S.F. Total Footprint S.F. 1 Sec/Sub. CANTERWRY F08 ix Name SONS 3 Address 1334 O rife EAGAN a Name .o o i Addre City . W Name MAX RUSTING i- Address 1334 RZ. AADft " BLYR- s W City 6AGAN Phone 452-5355 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee aA Building Permit is issued to: SONS CONST. CC). 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 JC"'' r. ., 1 APPROVALS FEES EngrJAssess. Permit 66?,_M Planner Surcharge 64_00 Council Plan Review 1141-00 Bldg. Off. SAC, City 1Q()-iN[)1 Variance SAC, MWCC 5".00 Water Conn. 530.00 Water Meter 67.00 Road Unit 32 AG Treatment P1 NA-00 Parks TOTAL 2,859.00 CITY OF EAGAN Remarks bi J ?LJZ 2 i/ Addition CANTERBURY FOREST Lot pN,r?ev [[ rls L*; - `Lf4 * i CLt)E?C L? Street 1091 TIFF [Iwi[rl 11,4,.' k1 It.AL AA114,ril l- 23 ANY DRIVE MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid unde eDi inal rcel STREET RESTOR. GRADING -rggY-- ' 106.78 5.34 85.46 A013446 1-12-84 SAN SEW TRUNK 71 1973 al un a origins p rce SEWER LATERAL -179T- 439.42 21.97 A013446 1-12-84 WATERMAIN WATER LATERAL 20 WATER AREA 1979 al Uri a origins pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This request void 2?('/gp' 18 nwnths from -?/ 7 O ® 30500-/.??.3,,e/ °/J[] ?fO ?/?? O d Request Date 3 ??% g0p ( Q Fire No. Ro u0h-in Ins ue. u Re u redl ' .a-a l Ready Now pU Will Notify Inspec- /' 'o ? t When Read, C Licensed Electrical Contractor I hereby req oast inspection of above O wner O // electrical work installed at: Street Address, So. or Route No. it, 2 ' + _ WA d action o. Ti Township Name or No. Ra n9a n. Co u o t y Occupant IPRINTI?/?? !``-??? ??? S© In S COA OI 1 1GU-CJ? L V ? Phone No. Power Supplier ?/{??-1r,?? Wf' W?.L . Address ? z ? ?J.?' Q?.'??n•"1 43W al C Ea?le rintrac or IC?OmPBny iic Name) Cnn tracmr's 'c Lic ense No. ttf ( ? ? p ? / j ? ? T`Yi'Wll e .l ??dic Mailing Address (Contractor or Own r Making Installation) rr , Authorized ature (C rac r/Ow er Maki Installatioril Phone Number 32-? SiI tp atI iggs OTA STATE B(T/.8D OF) ELECTRICITY Or THIS INSPECTION REQUEST WILL NOT ig98-Midway Bldg- - R,. NM-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 Sad instructions for completing this form on beck of Yellow copy. p? D 3*0 5 0'0 "X'' Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater - Lighting Fixtures Apt. Building Dryer Electric Hearin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm thei pem y Other (S,,cifV) t r Specify Other Olhru Compute Inspection Fee Below # Fee Service Entrance Size # Fee Fenders/Subfeedars .# Fee circuits 0 to 200 Amps 0 to 30 AMPS 0 to 30 An: ?s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Am s Above 100_Am s Transtormers Irrigation Booms Partial.'Other Fee Signs Special Inspection S , T T Ramsrks 8 O FEE Le, ////???,L(i /tom Rough-in Ds}te I, the tr' • .7-?(e Inspector, hereby certify that the above Final Date inspection has been r?ir, made. Th19 redueet Vold 18 months from CITY OF EAGAN N_ 14 6 3 9 3830 Pilot Knob Road, P.O. Box 21.199; Eagan, MN 55121 PHONE:454-8100 /f y BUILDING PERMIT Receipt# 0/C) To be used for SF DWG/GAR Est.Value $128,000 Date MARCH 1, Site Address 1091 TIFFANY DRIVE Lot 23 Block 1 Sec/Sub. CANTERBURY FOREST Parcel No Name SONS CONSTRUCTION CO W I Address 1334 ST ANDREWS BLVD City EAGAN Phone 452-5355 p Name SAME u< Address w City Phone FW Name BRTAN AUSTING Address 1334 ST. ANDREWS BLVD. aw City EAGAN Phone 452-5355 I hereby acknowledge that I have read this a plication and state that the information is correct, and a ee to c !!!CCCyyy ly wit ? applicable State of Minnesota Statutes ad Cit' f Eag ?Jt i e . Signature of Permittee / A Building Permit is issued to: S014S ONST. CO. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statujgs and City of Eagan Ordinances. Building Official / .5C OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X Zoning FD, R-1 On Site Well (Actual)Const Vn City Water X (Allowable) Vn PRV Required # of Stories Booster Pump Length 48' Depth 34' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 666 no Planner Surcharge -64 Q0- Council Plan Review 33-3.-00- Bldg. Off. SAC, City 100.-_Q0_ Variance SAC, MWCC 550. 00 Water Conn. 5 54.0.0_ Water Meter _67-00_ Road Unit 325_,.00_ Treatment Pt -204.,00 Parks TOTAL 2,859.00 f _ RESIDENTIAL BUILDING l(/ 0?w Permit Application S1 s City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Reoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan Geri of Survey Reod _Y N . (20% maximum lot coverage allowed) i set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _Y _N 1 set of Energy Calculations Addition - indicate Ron-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options sefection sheet (bldgs with 3 or less units Date / 2 / Construction Cost Site Address ly / T( ?tr/)1 y 1] (? , Unit/Ste # Description of Work TeR f-" d-f? J?- h-Vi(dl_c e r T 4 L y Multi-Family Bldg _ Y `"!v Fireplace(s) _ 0 - 1 ?2 Property Owner 3f?uc?? y :?;74sr4-2/cf w!? Telephone # Contractor !C O le P• 7- (/a t- I( -te yk.e, k _-Z 17 kj 1 p Address ./fo 3 ?10 le u ?Z y c-f C Loo City C,4l ze U c [(--P- State N . Zip S 50 qc/ Telephone # *!<< 9- 39 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1,4,es?,ezeV?? e Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg^Y or _ N ? 25 Miscellaneous Work Types ? 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 Refoof ? 46 Windows/Doors ? 34 Replacement - 'Demolition (Entire Bldg) - 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 & W ater _ 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 , 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 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reouirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks -Tree Pres Not Reqd l set of Energy Calculations Addition - indicate d on-site septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date 5 / 9 Site Address iOq 1 / 03 - 'Tr('t:'^r% j or Construction Cost IZ Q'S[> r r-- 55! 23 Unit/Ste # Description of Work ! e,4Nf ce ao.Ai4-:pr. Multi-Family Bldg _ - Y I'N Fireplace(s) /0 - 1 _ 2 Property Owner Q3r` j1 .L ATtA Soj_fcx- L+ A Telephone #((a$ t ) l--¢SCA `1SJ?>5 Contractor ?4P>er# S Re;SLAa. f? L- P121 Q[r1e t `nc, Address tli3ZU ' 1/Ve_r0.te_K Lo&P State(,): r-1 City Lcsfley:I4e.. Zip S50&IZ4 Telephone # (45n ) yf!l 3!122 Il 4L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (+1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (buy s )??;g+:c.*is? Applicant's Printed Name plican' Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex )`< 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 36 Demolish (Interior) ? 44 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg ) - Give PGA handout to applicant Valuation OLV t7 , ) Occupancy J {'Y 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 Footings (new bldg) Footings (deck) Y Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation e ? ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS Final/C.O. y Final/No C.O. Plumbing HVAC Other - Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone - Windows Cnew/replacement) Retaining Wall Approved By T Z _,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 0001MOX' )-!'6-';? a • V RI-LAND CO. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 88 - 015 SITE PLAN FOR: SONS CONSTRUCTION CO. LEGAL DESCRIPTION; LOT 23, BLOCK -L-, CANTERBURY FOREST ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA N 89057'28"E 104.81 LOT 23 LC> T 24 ?N POND 3 SCALE: I" =30' vQ _ 00 coM 0. DRAINAGE 8 UTILITY LJ I 22 Nd EASEMENT zorr1 Z Z N 89°59'38" W 5 91 10, 9 919`3 52? ,/ ( o-_ PRoeoseu 2? I l? HOUSE ?r M C4 GARAGE N 'ID 36 I a 1 _ °1 22 9?}I 1-921 120 i 5 51 ?? i °- 917 K' LLL o W..V TBC ?76 1 94.244„ E R?3 919'276C N 83°32 Qrp g86„ M pRIVE TIFFANY - LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= ° DENOTES SET SPIKE PROPOSED FIRST FLOOR ELEVATION= 77 7 , b 91910 DENOTES EXISTING SPOT PROPOSED 13ASEMENT FLOOR = 714, 0 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS 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. Bradley I/Swenson, Mn. Req. No. 15235 Date 2//888 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 y? Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / / b 3 Site Address t2 Orr TLiG? 13 ? Unit # Property Owner Telephone # ( ) Contractor Q 14 / t° Gf?ll l'? ? // -2d /?®YI -"raC-.- ?L. City Address e? ?T //,?, State /rlr(r 1 1 Zip C 37a6 Telephone# (BT-() 36 ?- (56 t?C? The Applicant is Owner X Contractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including X Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) Other: t?CtiA--sc?W\ ,L v P f _ RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener - Water heater $ 15.00 replacement _ additional n ?State Surcharge U MAR 2 7 /003 I $ 50 Total $ I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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. 1??}flC n P G Applicant's Printed Nam Applicant's Signature ?- I RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodelRteoair Requirements Office Use OnN 3 registered site surveys showing sq. ft. of k4 sq. t of house; and all roofed areas 2 copies of plan _ Geri of Survey Reed (200% maximum lot coverage allowed) 1 set or Energy calculations for heated additions -Tree Pros Plan Recd 2 copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate Ion-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Jost Detail Options selection sheet (blgs with 3 or less units Date 2 ( z-( / d3 Site Address lop / r Ian /?i 1Ga Construction Costa p251 UUU ?Q ??)G/?) Unit/Ste # Description of Work 1 i"YwJh ?w ? c^ 4 - - Multi-Family Bldg _?./Y 0/N Fireplace(s) 2? 0 L/I - 2 Property Owner ? 1 1Vt f ham! l(J T T n? Telephone # (& 51 ) 660 20 Contractor f ?X a'r) ?`J ?r7? -? C? r [(l r1'?r Address 14)3Z State r n C\ CD 1 >?C V?1 GIL /0CPO City (":qVe?"LLX-_- Zip H L? Telephone # (95Z) y?O? CICiJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infj;nation is complete arV accurate; that the work will be in conformance with the ordinances and codes of the City of Eaganane ate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. V)ej`(Q S 6(- t541 PnSe-T) Applicant's Printed Name L` Applicads Signature OFFICE USE ONLY Sub Types ? 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 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New 5e 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg) - Gi ve PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const y VA Occupancy 3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors Footings (new bldg) Footings (deck) - Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS _ Final/C.O. X Final/No C.O. _ Plumbing K HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone - Windows (new/replacement) - Retaining Wall Approved By 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-o we/z 1 eve_) 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I +- I SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE 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 C4 To Be Used For: 7??h Valuation: Date: Site Address /0 7 f //FFkry br/ U e OFFICE USE ONLY 1 Z8, r?o -' Lot 2? Block 1 On site sewage Occupancy - 3 - MWCC system ? Zoning PD PI-1 Parcel/Sub ?Alu-'E-IL5GLA,1 Foae s On site well Actual Const , U-N City water je!!? Allowable V-N Owner SC w J Co ids T. G PRV required # of stories kk Booster Pump Length ?B Address /33`/ ST Q/j>ILe ?>of Depth 34, S.F. Total City/Zip Code E4eA/? 5f l L?, Footprint S.F. Phone y ) - 53 n - I APPROVALS Contractor SG/v_T colu ET.C', ,_ I Engr/Assess Q Planner Address / 33 `/ ST A /J D/1cw r 84)y Council Bldg. Off. City/Zip Code Cjf-GA iu S / Z S Variance Phone ? a - S31 S Arch./Engr. DL/4i? w5; T'/ •C9 p Address I33Y S T AAb),ew1 ) (e, I City/Zip Code EAC Aid Phone # 7)) - FEES Permit GG (a.oo Surcharge y,oo Plan Review 17/7-y SAC, City 33,.° 10o, _° SAC, MWCC 55D,00 Water Conn 550,00 Water Meter (0rl.00 Road Unit 3z5) oa Treatment P1 ?Oq,oO Parks Copies TOTAL S p o VA L?kATIvN ZSX so= gyox?N= fl??o 22x22 = evYr. 58b$ 'Sr F4ooP0. ZZx !s= 33o Z 8,K 30. 'fNO 2 xd= IZ 121 ! x 4y: E3y1(v zN„ r?L>o « Z?x22 = yyo 3oX Zg = ?yo 2X ? = IL s 12`?2 nvv-- S(p Byg /2r?1d 32 88 - 015 TRI-LAND CO. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: SONS CONSTRUCTION CO. LEGAL DESCRIPTION; LOT 23, BLOCK I ,CANTERBURY FOREST ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA N 89°57'28"E 104.81 LOT 23 L(D T 24 SCALE: I" =30' CDI ?o LO 1 22 o M Z P 0 N D DRAINAGE a UTILITY EASEMENT N 89°59'38" W 5 91 1®_ 919'3 52 - o FRNOUSED 22' I ? c6 m m1 a GARAGE to a t----_ ?- 92P'G 20' 3 rn i? z --O 10' m wx`r I v. dm I`n N _1 -1 I 15 \1 919`8 94.24' ?19I2TOC ry 83° 32' 44!'E p8 .46 DRNE TIFFANY - L o DENOTES c DENOTES 9194o DENOTES DENOTES DENOTES EGEND IRON MCINUMENT SET SPIKE EXISTING SPOT ELEVATION PROPOSED SPOT ELEVATION DRAINAGE DIRECTION 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. INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= 921,5 PROPOSED FIRST FLOOR ELEVATION= 977_.5 PROPOSED BASEMENT FLOOR = / 7 ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Bradley WSwen son, Mn. Req. No. 15235 Date : 2 //8/8 B b=0 FEB 24 ,988 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Owl[ R: IY1L1fZK C70LI?Y3?t2G TE ADDRESS: iNTRACTOR: _!sor? S Cnf1ST?'i ll Tlr^t(' DATE: 2-3- PHONE: _45Z-! as DETERMINE WORKING SQUARE, FOOTAGE OF EACH: TOTAL EXPOSED WALL AREA,,.,. 12-56. sq ft x "U" 11 259 .'/ I TOTAL ROOF/CEILING AREA „ Ilo sq ft x "U" .026 A. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor " •'••• sq ft a) Total wall window area: t) glazed I(A .y sq ft x "U" • 2S b glazed,,,, Total door area ,,,,.,.. sq QQ,2S sq ft ft x "U" x "U" 40 jr c) Total sliding glass door area: glazed:..... _sq ft x "U" _ .7Z • cy r ,lam ?•?.?Y1 glazed...... sq ft x "U" d) Total fireplace wall area 6.0 sq ft x "U" oil 29 e) Total wall framing area (Average 109).......... /Z 3C0 sq ft x "U" o I 0 . 2(0 2g co f) Total net wall area above floor (insulated)...,,,, . sq ft x "U" q) Total rim Joist,area...... 2Cv2 sq ft x "U" Ip•48 Total foundation area (Exposed)......... 1 2Cp sq ft h) Total foundation window area ............. 0 sq ft x "U" 1) Total net foundation area above grade........ 2(p sq ft x "U" 0 7 8 . F32 3 TOTAL a) thru 1) _ If Item X; Is the same = :ICAR 1.16008 A and 0 . as, or less than Item ?- NI, you have me t the Intent of Page 1 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ Ala SU sq ft 0 _sq ft x "U" j) Total skylight area....... k) Total roof/celllnq framing area (Average In%)...... -1 to s sq ft x "U" 42 3.3 1) Total net insulated roof/celllnq area....... 48)5 sq ft x "Ulf 29.x] 4 TOTAL J) thru 1) 33.0 If total of 04 Is the same as, or less than N2, you have met the Intent of 'L P1CAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE nESIGN To utilize the total envelope system method, the values established by the sum of items d3 and k4 shall not be greater than the sum of items ql and 02. 1. 25°1.11 + 2. 4'Z .91 302. co l 2-44. 39 + 4. 33 - o 2"1-1. 39 C E R T I F I CAT 1 0 N 1 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. Ts 7q- (Da Pagi- 2 b p A ,p. .-ter p: o: p'°-'•'• d? ? 4 TOTAL R U a I/R , C)"I SLAB ON GRADE .a 6I -.d .4" U .'? •a p• •? r V, ?4 • USTRUCTION AMING SECTION:. WALL SECTION (INSULATED) ---? 1 Interior air fI R VALUE RIM JOIST SECTION: 1 Interior air film n .6A 2 _'I Id e,LIL. 110.00 5 ?? !07 6 Exterlo air film fl- 17 FOUNDATION INSULATION REQUIRED: TOTAL R Min. R-5 on entire wall OR U - 1'/R .off Min. R-10 down to frost depth ?- Heated Slabs: 'a' •'a? Minimum R = 8:5 A; ?•-4; Unheated Slabs: + ry ?,• ; Minimum R a 6.2 FOUNDATION SECTION: --0 Interior air film 0.69 42 _?of'7 . 11.q5 ---( 3 12?' 1L 1 2 P? -•-(4 Exterlor air film 0,17 (5 (6 .,-..,V?•v 1,•K•••4? + , ? 1; 1• • ?4 • 1 1 '.' `tea' I ? • 4 ?„ q, ,. 41 ?. • lo• q. . Page 3 U - 1/R - .10 U - 1/R . -0+ CONSTRUCTION R VALIIC• CEILING SECTION (INSULATED): 1 Interior air film 0.1,1 AIR 2D YW A 1. CHUTE 3 I r+G0LA-T it) 4 4c O 4 Exterior air film still n.Al TOTAL R - U - 1/R - •02 CEILING. FRAMING SECTION: 1 Interior air film O.bl 2 Irle° ncnYwgLL 5b 3 IaS??gTIo ?Ib•6 4 Werlor air film (still) 0. 1 5 ?,117- Inches soft wood 4 n TOTAL R - _±u. I Lo U - 1/R - ._pp C CEILING SECTION (INSULATED): I' Interior air film n.61 2 3 4 F.xterlor air film still n7_1 TOTAL R - U- 1/R- VENTED CEILING, FRAMING SECTION: 1• Interior air film n.61 2 3 4 Exterior air film still n. r1- 5 Inches soft wood TOTAL R - U- 1/R - H 1 Inside air film O.rl 2 - 3 4 5 Outside air film n.17 TOTAL R - U- I/R- Page 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS - AIR FILMS _.. R Interior Air Film (Walls) 0 68 Exterior Air Film (Walls) . 0 17 IrU rior Air Film Exterior Air Film (Vented Ceiling (Vent d ; . 0.61 Interior Air Film e Ceiling (Non Vented 0.61 0 61 Exteriur Air Film (Non Vented; . 0,17 BLOWING WOOLS Approx. 3" mPprox. 4 112" 9.00 13 00 Approx. 6 1/4" . 19 00 APP ox. 7 1/4" . 24 00 Approx. 14" . Approx. 18" 30.00 40.00 All other insulat ion materials must be verified (R Factor) SHEATHING 3/4" Wood Subfloor or Sheathing 1/2" Plywood Sheathing 1/2" Particle Board Gypsum or Plaster Board 3/8" Gypsum or Plaster Board 112" Gypsum or Plaster Board 5/8" Plywood 3/8" Plywood i/2" Plywood 3/4" Sheathing, Reg. Density 1/2" Sheathing, Reg, Density 25/32 Nail-Base Sheathing 1/2" ROOFS Built-up Roofs Asbestos-Cement Shingles Asphalt Roll Roofing Asphalt Shingles 0.94 0.62 0.66 0.32 0.45 0.56 0.47 0.62 0.93 1.32 2.06 1.14 0.33 0.21 0.13 0.44 INSULATION Insulation: Insulation: Insulation: Insulation: Insulation: Insulation: Insulation: Insulation: Insulation: insulation: Insulation: 2-2 3/4" Fiberglass 31/2" Fiberglass 6" Fiberglass 3 5/8" Fiberglass 9" Fiberglass 12" Fiberglass 8" Cellulose 10" Cellulose 12" Cellulose 1 1/2" Thermax 2" Thermax 7.00 11.00 19.00 13.00 30,00 38.00 29.00 37.00 44.00 12.00 16.00 SIDING Aluminum Siding Aluminum with Backer Aluminum with Backer & Foiled 112 x 8 Lap Siding (Wood) 7/16 x 12 Hardboard Siding Asbestos Sidings 1/4 Lapped Stucco (Brown and Finish Coat) DOORS 0.61 1.82 2.96 0.81 0.67 0.21 u :4000S 1 3/4" Solid Core Door 46 fir. Fine & Similar Soft Woods w/Storm, Wood w/Storm Metal .31 1 2 1/2" 1/2" 1.89 , Pease Steel Door Insl/N/GL 7.45R ,26 .13 3 1/2" 3.12 Sliding Glasn Door, Wood .65 5 )/2" 4.35 6.87 Metal .72 CONCRETE BLOCK WINDOWS 8" Concrete Block (S & G Reg.) (Fill d 1.11 All Windows e with Vermiculite) 12" Concrete Block (S & G R 1,93 (w/Storms 1" to 4" Space) R .56 (Filled with Vermiculite) eg.) 1.28 emoval Double Glazing (ROG) Thermo W " .55 B" Light Weight 3.15 or elded 3/16 Air Space " .69 (Filled with Vermiculite) 2,18 1/4 Air Space " .65 12" Light Weight (Fill d 5.03 2,48 1/2 Air Space (Other windows specifically tested ,58 e with Vermiculite) 5,82 can use better ratings) Page 5 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYmENf OF FEE AT TIME OF APPLICATION DOES NOT CON- i r STITUTE APPROVAL OF PEREIIT. i i TNSPECI'ION OF SEWER AND/OR FNTER w i INSTALLATIONS WILL NDT BE SCI•D= t y UNTIL PERMIT HAS BEEN APPROVED. + ki+++xrxxfiixrkir++ffff++fff###x#+rif'i of czag an PLEASE PRINT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT 2) NAME: ADDRESS: / n.P0J- (Y. (Month/Year) :R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) CITY, STATE, ZIP: PHONE: f/rj_ y fro 3) NAME: L (7 ?? s. ., ADDRESS: o CITY, STATE, ZIP: 7'f (j2?t 2 ,,H S71-U PHONE: MASTER LICENSE # 4) e o ADDRESS: CITY, STATE, ZIP: '-z?-GL S 2 s? /a/ire s? - 2-PHONE: For City Use Pl reumrss License: Active Expired Not recorded Sta Initia7- 5) s m •? ae ao W CONNECTION TO CITY SEWER E CONNECTION TO CITY WATER O OTHER 6) / i ? * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tm CITY WILL CONIACf YOU IF THERE * ARE ANY PROBLEMS. *i FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldq. Permit $ $ FEES: $ XO - 5-0 s ?? ?5 d s SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) v $ SEWER TAP $ $ ??-(J Z ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ 6-5-? $ WAC $_ (D <,, 6 %r D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $. $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ -711, /? l) $ Q D TOTAL f 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 4ti? 4001-? TITLE: ?11 ?? DATE: CITY USE ONLY PERMIT #: ,5r7 Le '1 ('0 RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3$30 PILOT KNOB RD KAGAN MN 55122 651-6$1-4675 Please complete for: ? single family dwellings I townhomes and condos when permits are required for each unit Date: -0,3 SITE ADDRESS: 101 ?br OWNER NAME` B " ? , Sa r?erl U Y10? INSTALLER NAME: STREET ADDRESS: CITY: I \ semo J1?y TELEPHONE #: (asL-(Q U?MR!?; TELEPHONE #: 6 U 1 ?_3 - 1 1 `4 v STATE: IIAV- ZIP: srs??s' Place a check mark next to the permit work type Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger • air conditioner other Nature of work:t JAN ? a2003 State Surcharge $ .50 Total ? ?GWATURE IOL?'VI OF PERMITTEE r- % voz ø ÿ ÿþþ ýüýü úþþ ÿ ñöüýöúîö á ÿþö þýüûúùø ÷öñöýûúù øöûúùø ÷öõ ÷ôùó öùòý ñýñíýùú ð þïýöî óùöìóóöïýöóöüöóë êö ù ÿêöêöó þ ùëñêöêùêöë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýÿë ôó öòñ ùù òöóúòóöýòþöý øöþõäûêêúö ãùãõ ãõ àÞáß öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö PERMIT City of Eagan Permit Type:Building Permit Number:EA117122 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 1091 Tiffany Dr Lot:23 Block: 1 Addition: Canterbury Forest PID:10-16350-01-230 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 . Eva Lewis 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 - Bruce H Satterlund 1091 Tiffany Dr Eagan MN 55123 Purpose Driven Restoration LLC 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171037 Date Issued:07/28/2021 Permit Category:ePermit Site Address: 1091 Tiffany Dr Lot:23 Block: 1 Addition: Canterbury Forest PID:10-16350-01-230 Use: Description: Sub Type:Residential 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: 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 - Bruce H & Amy W Satterlund 1091 Tiffany Dr Saint Paul MN 55123--187 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature