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1103 Tiffany DrCITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Plumber. WATER SERVICE PERMIT Eagan, MN 55121 Zoning: Ri 0 low Owner: Address: cote Address: 110 3 PERMIT NO.: 5441 DINE: 4-30-84 . No. of Units: 1 r No.: Connection Charge: P q Account Deposit: - Rea No.: Permit Fee: 1 p? oomph with the city of Eggs" Surcharge: Misc. Charges: _ Total: T Date Paid: By 'L4?1-- Z v - Date of Insp.: Imo" TY OF EAGAN WATER SERVICE PERMIT 3a Pilot Kne B Road 544 0. Box 2.1y9 PERMIT NO.: gan, MN 551 DATE: 4-30-?•• R1 No. of Units: n"'?' Oak CK -a s e B re Reader No.: 1 agree to comply whit the My of Eeyar Ordieeepe. o.. Date of I nsp.: CITY P. O. Box 2 Address: _ Site Address: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: OF EAGAN SEWER SERVICE PERMIT 3830 Pilot P Knr i Road Eagan 1199 PERMIT NO.: , MN 55121 DATE: Zoning: No. of Units: Owner: Oalc Chase Bldrs 173 i) . eproe to ownply whit elm CRy of gagan Connection Charge: 425.0! 1 llnence& ,- Account Deposit: I rh Permit Fee: Surcharge: - - Misc. Charges: ate of Insp.: Total: ?" Data Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt Te be wed foe `-r Dvr,/r-"R Est. Value 1J4,000 (7atP MARC Site Addre Lot Parcel No. W Name \-11t1J L' .JLL•L\J . L14 . z Address 3460 WASHI NGTON M., #20 City ^'1 Phone 454-7965 e T A" r E Name ,o ? Address U r- City Phone Name Address City I hereby acknowledge that I have read this the information is correct and agree to c State of Minnesota Statutes and City of Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with Building Official TQ 8878 ., q4 Erect 0 Occupancy :c,5 Alter ? Zoning R1 Repair ? Fire Zone N/A Enlarge ? Type of Const. y Move ? * Stories Demolish ? Length 6 0 Grade ? Depth 3 4 Sq. Ft. Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Fees Permit a 5 0 .?' Surcharge 5 2 0 ? Plan check - 0 SAC 525.00 Water Conn. • 00 Water Meter ' n 0 Road Unit Total t on the express condition that to Statutes and City of Eagan Ordinances. and all Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?. ? erJQ - an H.V.A.C. C( J 4 i t Y a J- 6 f 0? L` Well Water Disp. Sewer Electric ?? ( ?k ?? 11? 1 ,/ (0? 1 •? Inspection Date Insp. Other Footings /any Foundation Framing Rough PIbg. ZJ ?i Rough HVAC Insulation ` Final Plbg. Final HVAC 3 Final -?? . D. Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly T t o . 1. Date 2. Installation Cost 3. Job Address ?3 Lot Blk. Tract ?-t,R d.- r 4. Owner 5. Contractor IV4/ Phone ZZ 3 /f y - 6. Address ?/ Z/r 7. City "'.'7 State ,,411V Zip 8. Building Type: Residential M--- Commercial O Institutional 0 9. Work Description: New ® Add O Alter O Repair O 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. L 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 464-8100 Receipt ?? 7 3 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee - ' - Fill in numbered spaces S/C Type or Print legibly % T t . o 1. Date V 2. Installation Cost 3. Job Address Lot I Blk. Tract + 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air No. Equipment CFM dli Ai H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 .-?T•.n rvF-?,?ngq?F?++;cWr?.ipralq??'+?dR....? 7?yw?re'?e r•. CITY OF EAGAN N£1 17964 3830 Pilot i_nob Road, P.O. Box-21-199, E gan, MN 55121 PHONE: 454100 BUILDING PERMIT Receipt # To be used for D= Est. Value slow Date JUNE S 19 90 ¦ 41A7 T7 001A~ Rn.%;S Site AIT SS Lot Block Parcel No. Name _ Address City - Sec/Sub. Phone Name ""'....'° "„""°"s Address 4225 COUNTY RD 42 Citv SAVAGE Phone Name _ Address I hereby acknowlege that I have read this application and-state that the information is correct and agre to comply with -aLappficable State of Minnesota Statutes and City of #agan Or;linallcep. Signature of Permitee DUNIZE lR RSI&BY A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statu and City of Eagan OFdin nces. G. c Building Official = i ? OFFICE USE ONLY Occupancy FEES Zoning $25.00 (Actual) Const - Bldg. Permit '(Allowable) • 50 Surcharge # of Stories S Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System - City Water Acct. Deposit PRV Required S/W Permit Booster Pump SMI Surcharge Treatment PI APPROVALS Road Unit Planner Park Dad. Council Bldg. Off. Copies r Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg, Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. ` Q ? 44V--/j C),-)7- Deck Final Deck ?d " tJ t'f/ 'tk NGS C P Pr. Disp. ' CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RCCEIV ¢D FROM AMOUNT $ I • C DOLLARS loo ? GASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You f \.0 BY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: till t1111N11 p . •.I 1 06 / /0 /9 4 ADDRESS: AN I F (iNI1R! 11)1. 11 r f ANY W I III l_ 1 1?1 trl 1. APPLICANT: I ..L I. 11 11 14111,1 (612) 44/ -H"OH IIAV 111 PERMIT SUBTYPE: n .I t'1! 111 1 It? I ;I TYPE OF WORK: AL I F I'A I I IN INSPECTION 1 1•r ? tip DATE INSPTR. • TYPE ? I? I I ,Ii DATE INSPTR. ,: f1t11111 ?hl I?I i:t? 1 1li,il RI MAIgk Si t'#f VANAIF t,UONI 1'-, Alit fit U0If Vt.(I I of ANY NI l1MHINCO (IN FLk1'. 1Ir11,AI WOO fit L Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI jotO Jc ?/ ,2q Q O4 ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Z RIP Roofing Rough Pibg. z - Lc? O Rough Htg. Isul. ` Q I1iOr ye'T r - Fireplace Final Fltg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Fngr./Plan Bldg. Final G ss 9 ahl t. Deck Fig. 41- Deck Final Well Pr. Disp. t:i t Y OF EAGAN Remarks h w 1wi `' Y Addition CANTERBURY FOREST Lot 21 RIlk Owner 41' < L'bm-LU'"'Street 1103 TIFFANY DRIVE Q?r)_U_ ih ; i. a A AIL ANN f6 11M- State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid uncle evi inal rcel STREET RESTOR. GRADING l b 1981 105.78 5,34 20 95.46 A013"6 SAN SEW TRUNK 12-1 1973 Paid unde r original p rcel * SEWER LATERAL - 7 19$1 439,42 21,97 20 XSLS4 A013"6 1-17-u WATERMAIN WATER LATERAL 1981 20 WATER AREA °l0 1979 Paid unde ©se' inal rcel STORM SEW TRK 4Z AL - STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 931 3-9-94 WATER CONN. 450.00 s? ?t BUILDING PER. 8878 SAC S2S.00 PARK "'i-7/V425 ` c o ?o7i 8 / Request Date ? 2 Fire No. Rough-in Inspection R uiretl? NOTI : You Must Call Electrical Inspector N A Rough-In Inspection i C/Nc 7, yes ? No Is Requ red. I )licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Rome No.) City _ Section No. Township Name or No. Flange No. Count' Occypant (PRINT) / 171" l? '( "I S Phone No. ?5-z - 3? 33 Power Supplier // // Address _ Electrical Contractor Company Name) C C'c ffC s E/ Con actor's lice a No. C¢ CSC j?S . ?C7vI LP' Mailing Address (Contractor or Owner Making Installation) S?/ f/ N / v. A4 tii?r/ SS iL3 Authorized! Sig ure oNramor/Owner Me sM 'on) Mne Number - , dCr ?? MINNEsorr?TATE BOARD OF ELECTRICITY/ THIS INSPECTION REQUEST WILL NOT Griggs-Mi ay Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?a 42425 ? See instructions for completing this form on track of yellow copy. X" Below Work Covered by This Request 0 EB-00001-00 a s3X ba ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner r.. Other (specify) Contractors Remarks'. W Compute Inspection Fee Below: /?r3 e f,--A11.1" ?Z ItI, 4? e•??5, # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O to 100 Anrl Transformers Above 200 _-Amps a 100 Amps Signs Inspectors Use Only: ?Cv T TAL Irrigation Booms ??(? r? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT r I, the Electrical Inspector, hereby Bougn-m Date y?• certify that the above inspection has been made. Final Date OFFICE USE ONLY _ ?- This request void 18 months from This request void 18 months from 44011 u (P1 + 4,, ??( If T A 41711 L'a-k 6 CA t qT-g . 6-1.n Reeuest D Fire No. flepug rri?,lns section it ?Ready Now Will Inspec- for Wh R d Yes ?No en ea y ? Li cansed lectrical Contractor I hereby roe uest inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. ? City Section No. Township N ymeota No. Range No- Cow ?I I CC?i PT Occupant (PRINT) _ Phone No. J 7?6 Power plier Address L,, Electrical Contr t (Company Name) Co tractor's License No. Mailing Address (Contractor or Owner Making Installation) ?( n-13il N?- , O z igna wre (Contra or/ ner Making Installation) Phone Number P-4 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-MidweY Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 18121297-2121111 t ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E8-00001-104 Sea instructions for completing this form on back of vellov, copy. ti b ? (? ? 6-N( Q 41711 X" Below Work Covered by This Request NWAAddl Aep.l Tvpe of Buildina 1 . Appliances Wired 1 Equipment Wired I al p Fee Service Entrance Size b Fee Feeders/$ubteede rs Fee Circdits t 0 to 200 0 to 30 Amps ?- 0 to 30 Am s M Above 2m is 31 to 100 Amps 31 to 100 Amps SW imming Pool Above 100 Amps Above 100-Amps Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection Remarks TOTA E ?• r, the E hirai inspector, hereby certify that the above inspection has been BUILDING PERMIT To be used for DECK Site Address 1103 TIFFANY Lot 21 Block 1 Sec/Sub. Parcel No. w Name JOHN HAWKINS 3 Address SA14E ° Citv Phone 452-3833 o Name DUNDEE NURSERY ua Address 4225 COUNTY RD 42 City SAVAGE Phone 894-8740 Name Address 1101 Citv Phone I hereby acknowlege that I have read this application and a that the information is correct and agre9 to comply with all c e State of Minnesota Statutes and City of agan Ogtin . 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 Signature of Permitee O - y APPROVALS A Building Permit is issued to; DUNDEE NURSERY Planner on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Status( and City of E n Qrdin nces. Bldg. ON. Building Official o" ! Variance 1 CITY OF EAGAN NO 17964 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 _ Receipt # -1 U a 1l0 Est. Value $1,000 Date JUNE 5 19 90 OFFICE USE ONLY FEES 25 22_ Bldg. Permit Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit SM Permit SAN Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL $25.00 .DU $25.50 CITY OF EAGAN BUILDING PERMIT N° 8878 Receipt # / !;3 To be used for SF DWG/GAR Est. Volue $ 104 , 000 Date MARCH 9 19 84 Site Address 1103 TIFFANY DRIVE Erect ® Occupancy R3 Lot 21 Block 1 Sec/Sub. CANTERBURY FOR. Alter p Zoning Rl Parcel No. 10-16350-210-01 Repair ? Fire Zone N/A Enlarge ? Type of Const. V Name OAK CHASE BLDRS. INC. Address 3460 WASHINGTON DR 0204 City EAGAN Phone 454-7965 O oG Ua5 Name SAME City Name _ Address City Phone 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 A Building Permit Is issued to: _ all work shall be done in accordonce wi all applies S to of Mir Building Official - 14 OA 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone Move ? * Stories Demolish ? Length 66 0 nr Grade ? Depth 34 n Sq. Ft. Approvals Fees Assessment Permit .00 Water &Sew. Surcharge 52.00 Police Plan check 226.50 Fire SAC 525.00 Eng. Water Conn. 450.00 Planner Water Meter 63.00 Council Road Unit 260.00 Bldg Off . . AAPC Total -$250 ?-Sn the express condition that and City of Eagan Ordinances. „•,? ,_ - CITY OF EAGAN 2 sets of plans, ?"/T'Include 1 site plan w/elevations & BUILDING PERMIT APPL?I ION 1 set of energy calculations. To Be Used Tor SF/GAR valuation "/o /, "-? Date March 1, 1984 Site Address : 1103 Tiffany Drive Eagan OFFICE USE ONLY Lot 21 Block 1 Sec./sub-Canterbury F oYm3-t _ Occupancy Parcel #: /? - I b 3 S O - a Q - O / Alter Zoning / Repair Fire Zone L/ A Caner: OAK-CHASE BUILDERS, INC. Enlarge _ Type of Const. Id, Nbve # Stories Address: 3460 _Wa:stii-n:gtQ."Drive #204 City/Zip Code: EAGAN. MN 55123 Phone #: 454-1,9-6:5: Contractor: (4 a k-GF s e -8 ua-l dew Inc. Address: }3L 6OWashington? Drive #204 City/Zip Code: EAGAN, MN 55123 Phone #: 4XX-X3M)0X 454-7965 36 g? Arch./tng.: 5 Address: City/Zip Code: Phone #: Demolish _ Front lp ft. Grade Depth 3 Y ft. APPRIUyALS FEES Assessments Permit ys3 Water/Sewer Surcharge Sa Police Plan Check ?2 ?2 to Fire SAC ? A 6- - Eng. ? Water Conn. 19 Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL/ O a ?J' C ?' tificate for: OaF Cinase Builders • • 4525 Oak Chase Way Eagan', MN 55123 4 DELMAR H. SCHWANZ B? 7?f6 LANDSURVEYOR6, IuC., Registered Under L&WS of Tiro State of Minnemote 2978 - 148TH STREET W- - BOX M ROSEMOUNT, MINMESOTA 88888 RWNE 812 423.1788 SURVEYOR'S CERTIFICATE ?IL11E.??dESS ?uN SCALE: /62 6 ! n/ffq- S7_ Z$E 1 inch = 30 feet /NSP EA1Elr?E?YT ?- ns shown are existing O Denotes set wood /J?A/iVA6? hub EAS?m ?T /29 26 Neg. 30 %z a/ - _" - ? v Drainage & utility easement :n 0 1 ? 9 ro \ 76e. ? 16 ? ?1Si 4oPN''9 \ /Z t l N 2/ 1 10.0 Y` 103. ?¢ ? '? ,ki.s ? qa•y Proposed garage TOPNu[3 •o r' t ? S floor elevation = N? ?- ?q ?a 0 ?oy.2 p,0° 1 Gk } JE? I hereby certify that this is a true and correct representation of Lot 21, Biock 1, CANTERBURY FOREST, according to the recorded plat thereof, Dalcoi.a County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: February 27, 1984 MINNESOTA REGISTRATION NO. 8625 EXTERIOR EWVET_C.°E AVERAGE "U` CO?;?'.,'TATIO:? OWNER SITE ADDRESS CONTRACTOR OalpPc ??IGO DATE PHONE Determine working square footage of each. 1. Total exposed wall area ....??OB•o sq. ft. x .19 = 2. Total roof/ceiling area ....?0%?•o sq. ft. x .04 = Total exposed wall area above floor = a. Total wall window area ......... ....... b. Total door area ................ /.? ........ c. Total sliding glass area ..... ....... O d. Total fireplace wall area ...... . O e. Total wall framing area (average 10$)...??o.ES f. Total net wall area above floor ........ g. Total rim joist area ........... ....... ay Total exposed foundation area = //G-G h. Total foundation window area .......... 15 i. Total net foundation area above grade . Determine "U" value of each wall segment. a. ?/.-3/ x "U': lay/ b. /4/8• y X nUr; ?h = o. C? X IfU:: D. !J X "U': Ci ° O X 'Uu / 2 = T 1- f X U': g. f. X ::U.. i. X I:U11 _ /3. /??•S 3 .................. .......................... Total If item #3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. LcJ2LJ(2e C?-,ec. Gleam 5.3r,) &o06 ?- (c,) Total exposed roof/ceiling area /O?,G•O J. Total skylight area .. ...... O k. Total roof/ceiling framing area •(average 1G fO?- G 1. Total net insulated roof/ceiling area ....... Determine IV value for each roof/ceiling segment. J. X VVI D s k• 10,316 X •`U" 0 ?3 1. r. -L x OV, -0;? _ ?O•J 4 .........................................Total If total of P4 is the same as, or less than £2, you have met the intent of SBC 6006(c)1. J a ? ' ' d a v .,2??//. 9J ? u y3? /oooC??/ 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 81 and #2. 1. -/r9.5 + 2. y% 9 = y?/ ?/ 3. + 4 . "2?;-. a =>c s1;7 Gs/G a? /l e 5 3 c 6, C?, / CITY .Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1103 TIFFANY DR LOT: 21 BLOCK: 1 CANTERBURY FOREST P.I.N.: 10-16350-210-01 DESCRIPTION: Building--Permit Type Building Work Type j L i PERMIT TYPE: BUILDING Permit Number: 0 2 3 9 2 5 Date Issued: 06/20/94 BASEMENT FINISH ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: SCHWEICH CONST, DAVID 14498808 0003607 HAWKINS JOHN 17160 HAMILTON DR 1103 TIFFANY DR LAKEVILLE MN 55044 EAGAN MN (612) 447-8808 (612)452-3833 I I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. J r tL?Qj _.sr _ APPLICANT/PERMITEE SIGNATURE PERMIT cR 11129 R o?? l rn Dom ISSUED BY: IGN UR 13913 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION QL 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit su s, c o energy calcs. JUN 1 5 1994 COMMERCIAL set of 2 sets of architectural & structu 1 plans, 1 -- -- --------- specifications, 1 copy of energy Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date L / Valuation of work /ds S-CD 0 Site Address: STREET SUITE # Tenant Name: (commercial only) LOT __jL BLOCK SUBD.Caj W P.I.D. # Description of work: The applicant is: ? Owner C Contractor ? Other (Describe) Name 1-6 1,4W1('iNS Phone 9f-2 Property LAST FIRST Owner //b 3 Tr Fit:-1_t Address _ STREET STE # City CA64M/ State /,-V- Zip Company /)AI/) e S--(,9F /CV 60&'S7" Phone Contractor Address n NX/'I 1 ?-rPAI ?Q License # 2&' a 2 Exp. 9s' City L'4 /r-f:y/? ?C State Zip ?s °y'-/ Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of innesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. MAY 2 9 RE6 Valuation: Date: To Be Used For: ??G K -z1-4 0 Site Address uo 3 ; Wt K,? Dr. Lot ?21 Block Parcel/Suu'b+ V.-1N7T-]?yuvzv, •1-D1?2 'T Owne r vk 14.q a,J K.1.•? S Address Uo'z> T? awJ DY' City/Zip Code Uot IA K 551 Z 3 Phone ?Gl Z " 3 ?3'5 Contractor DVy, o1.P2 ?/ vYSC r-? d .? Address -lu!j cyyti, 4! City/Zip Cod(pe? 5s"^!) e 553?8 Phone U?? '8`lQd Arch./Engr. %C1w E:I Me -2) Address r7C'W-10-- City/Zip Code 1pbL7 OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth a S.F. Total Footprint S.F. COMMERCIAL ?i FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL a S • Sty On site sewage_ On site well MWCC System - City water PRV Booster Pump APPROVALS Planner _ Council Bldg. Off. 3d Variance Phone # Cal: Chase Builders 4525.o,oak Chase Way Eagan, MN 55123 DELMAR K SCHWANZ LANOSURVErORLO 1NC, ? Rpis[M?o Urbn Lawf o/ TM ftaM W MinrNSOt? 2978 - 146TH STREET W. - BOX M pO6EMgUNT, MINNESOTA 66688 SURVEYOR'S CERTIFICATE u1lLIIE?Ns? 162. ill N89- S7- Z$E D,¢A/NA6E PHONE 612 423.1768 SCALE: 1 inch = 30 feet Elevations shown are existing G Denotes set hood hub ?Z 4 ivBg_ 30 _ 47 w w a `` Drainage & utility easement c 0 o Zy 9 c. \ 1A°p J? `o1. 10? 24 ? ?'?kf.8 Proposed garage 7°?/?'a L floor elevation = N 10 0 I ' L 1V 9 ?? f/l. SS a I 3p /02.1 d.0? Lh l° I hereby certify that this is a true and correct representation of Lot 21, Block 1, CI.NTERBURY FOREST according to the recorded plat thereof, Da'.cnta County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: February 27, 1984 p i wal /Z 21 MINNESOTA REGISTRATION NO. 8625 96.E y 1nP N"s 1 x i 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: yy?? fin 3 T ff?/?J" LEGAL DESCRIPTION: _ [ b % - RLb e/C? f cA vA-& 6 1 t s r (Lot/Block/Subdivision or Tax Parcel I.D. NuTher) IF EXIST=_:C STRUCTURE, DATE OF ORIGINAL EUILD=G P=-,',.IT ISSUANCE: - PRESENT Z0'TrirVPROPOSED USE: m2-1 SINGLE FAMILY ? R-2 DUPLEX (TWO UNITS) ? R-3 TUaNHOUSE (THREE + UNITS)( UNITS) ? R-4 APAR12=/CONDCMP1LN, ( UNITS) ? COMMERCIAL/REPAII/OFFICE ? IIMUSTRIAL ? INSTITUTIONAL/GOVERNMENT 2) APPLICANT (PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) PLUMBER PLEASE PRINT) FOR CITY USE ONLY NAME: JAJ-c-#,g ![t TR,EA,,:; F ?f- FX C / rl PLUMBERS LICENSE: ADDRESS: 4406 L, ?,7 F RD In Active CITY, STATE, ZIP: ?ff?? e? S?/lam Expired Sitrt- Q Nopo? R?ford PHONE: S'4?al,6? PLUMBER LICENSE # (}Q ?9af(/ ? G? CSC/ a nitia 4) OCCUPANT/OWNER \(_PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) 6) INDICATE ONE: INDICATE WHICH PERMIT IS BEING REQUESTED: 0 CONNECTION TO CITY SEWER ot CONNECTION TO CITY WATER E] CIPHER (PLEASE DESCRIBE) 0 PLEASE HOID APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIGNATURE: DATE: t' _ . ??+ id?rtFS,?.?a..?.rah.r.?aw?r?rrr.irirl.?a?'sasac.. F O R C I T Y U S E O N L Y PERMIT r ISSUED FEES: $ r o .S- a $ $ /?=tea $ $ $ ?S-o1.S- 0 G $ $ TOTAL AMOUNT PAID/RECEIPT-f DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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: _,Z,-e_6 DATE: ?/-.:!?D -ff q SERER PERM-IT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER 4 wig wf? ?l?i? !# !M M& RA wJt R W l4 W.% OUG W,4W WE=" Wig Wpm ##N&=j% ar wl4W ¦k W M WON w OAK,-CHASE BUILDERS, INC. 3460 Wahington Drive Suite 204 Eagan, MN 55122 April 23, 1984 Weierk.e Trenching & Excavating 660 Cliff Road Eagan, MN 55123 Dear Roger; We will be calling you for sewer and water connections at the following address: 1103 Tiffany Drive Eagan, MN 55123 The legal description is: Lot 21, Block. 1 Canterbury Forest Our job number is 83-33. We have made the account deposit. Sincerely, Philip W. G7evre cc: Genz-Ryan Plumbing L 021 BL CITY USE ONLY SUBD. EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.170 20.00 20.00 75.00 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, HN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backtlow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum -1 Rough Openings Water Softener ' for dwellings under construction Water Softener ' for existing dwelling U.G. Sprinkler ' for dwelling under const. U.G. Sprinkler ' for existing dwelling Alterations ' to existing residence Water Turn Around Private Disposal System ' MPC lic. (new and refurbished systems) Private Disposal Systems ' Abandonment RPZ (new installation only) X X X X X X X X X X X X X RECEIPT #: 7 RECEIPT DATE: 7z/ # TOTAL O? 20.00 = 20.00 = STATE SURCHARGE TOTAL .500 ?_J o - - ------------------- hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply w@h all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: f`1Ary#76 / TELEPHONE#: r 4 - ° STREET ADLWESS: /71 EJ % / 4n)eG ^ u r CITY: STATE: ZIP: `5 7::i, r? t SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. SHOWER WATER CLOSET BATH TUB I LAVATORY KEN SINK (20A LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN -,A_ GAS PIPING OUTLET ROUGH OPENINGS WATER SOFTENER minimum • I PRIVATE DISP. • Dak.Cty. lic. U.G. SPRINKLER • home under cons[. ALTERATIONS -to existing WATER TURN AROUND STATE SURCHARGE TOTAL: SITE Owr INST EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 ao.oo .50 (:ao . so ADDRESS: 1961(nD 20 CITY: P t j(ca2e_ STATE: L9 ZIP CODE: ,3 7a PHONE #: ((Q/? 14 4 o -3 7 9 JUN 2 31994 F c c1ty ®F uugan _wax?_4 a E0_c't'jc_'c SIGNATURE OF PERMITTEE 1994 YLUMMINU FhKMl'1" (KENU VI AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 68IA675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF "" FEE. MINIIIIUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1103 Tiffany Dr Lot: 21 Block: 1 PID:10- 16350- 210 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888 -5550 Addition: Canterbury Forest Applicant/Permitee: Signature BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Marissa A Hawkins 1103 Tiffany Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA086736 10/09/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature