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1115 Tiffany DrCITY OF EAGAN 3830 Pilot Knob Road P. 0. Box 21199 Eagan, MN 55121 /Z?o? Zoning: Owner: V .i Tess: Site Address: 1115 connection Charge: Account Deposit: _ Permit Fee: - ELECTRIC. "Misc. Charges: - 6(3.0 0 od mt r GAS L;. dotal: h °rTL_ .. Pate Paid: ClT" OF r-AGAN 3830 Pilot Knob Road SEWER SERVIC E PERMIT P. O. Box 21199 Eagan, MN 55121 PERMIT NO.: -6 7 19 Zoning: r I DATE: off-S4 Owner: David No. of Units: i i Zman 1 Address: Site Address: i 3 F n 11 ?1 Plumber enze tec rQX at 4/20121' I agree to "a* *J& the Cit of 42719 E 100.00 d p y Ordinances. ase, Connection Charge: r Account Deposit: 15.00 A Permit Fee: 10.00 pd "- By Surcharge: -? Date of Insp.: Misc. Charges: Insp.: Total: Dote Paid: CITY OF EAGAN 3630 Pilot Knob Road P. 0. Box 21199 Eagan, MN .55121 Zoning: 1.2 Owner: Day L ui]IZIin Address: Site Address: 1 I 1 'TI I Tangy, Plumber: t,enzel :'sech Meter No.: Size: Reader No.: ------------- 'agree to ce,rPly wNh ON City of Eagan Ordinances. WATER SERVICE PERMIT PERMIT NO.: 55ju DATE: 6-8- R 4 No. of Units: 1 WATER SERVICE PERMIT PERMIT NO.: DATE: 6-8-8, No. of Units: 1 t By Dote of Insp.: Connection Chori Account Deposit.. Permit Fee: - Surcharge: Misc. Charges: _ Total: Dote Paid: je? 7 p . [10 d 1 . 00 gd 10.00 pct .50 pd 60.00 red rnt ? h rn I a % CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ? .016, 9 AMOUNT I$/ 9 t?2 I V C ? & DOLLARS 'oo CASH CHECK ?' e-4 I/ FUND-- CODE AMOUNT 1 .• 1. c - r u "h? You F. BY WhitatPayers Copy Yellow-Posting Copy Pink-File Com CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 8901 ' PHONE: 454-8100 BUILDING PERMIT Receipt # 1.;. '7,01-10 ,-)ri1 20 84 Te V rrd for Fst_ Value Dote % . 19 Site Addrft a ; ? Erect [}? Occupancy Lot . ,inte ?iiry Forest BrkSec/Sub. ^ Alter ? Zoning Parcel No, - v 11 ft S to Repair ? Fire Zone A Enlarge ? Type of Const. ae Name Davi (' - Move ? * Stories Address { i Demolish ? Length -- 1+23-V"38) City Phone Grade 13 Depth Sq. Ft. }larrisoi Name ?t Address u? City nP t n Phone 1 1 Name 77 1 ?.,-, ,n .,ve Address City `'O c:en Va Phone 571-? i 77 I hereby acknowledge that I h the information is correct or State of Minnesota Statutes Signature of Permittee= A Building Permit Is issued to: all work shall be done in acre this application and state that to comply with. all applicable i State of Assessment Permit J "'.,1 Water & Sew. Surcharge ' k 197.0'! Pl h Police an c ec 52S ' Fire SAC 4 /-J . 1 Eng. . Water Conn. 77 7T 77- Planner . Water Mete r,, a i Council •? Road Unit .) Bld Off . g. 7 77 APC 2 , - Total ' on the express condition that nesota Statutes and City of Eagan Ordinances. Building Official ," LJ-l? ° x r J lw ? ? d ? • r ?_ . J E O ti S e° ti ? d g v o L - ` D K S r0 W Pl p S u-I LL e U. Q , 0 C C LL C LL C LL '_ Receipt PLUMBING PERMIT Permit No. l I .q CITY OF EAGAN Fee y Fill in numbered spaces S/C Type or Print legibly Tot. -k_ 1. Date 2. Installation Cost 3. Job Address ll ?) r ??. { j tot Blk. I `Tract ; ', I ;+ I 4. Owner ), l . , 5. Contractor ?IJ', Phone 6. Address 7. City 1 + • State (A \I J Zip ? ? . 8. Building Type: Residential IC5 Commercial ? Institutional ? 8. Work Description: New)Q Add ? Alter ? Repair ? 10. Describe 11. No, - Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet ',1 ffi fir,. Other/t Laundry Tray , Floor Drains Drinking Ftn. +:? r nYt ?'Er' 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 r Receipt MECHANICAL PERMIT Permit No. ri f CITY OF EAGAN q ?? Fee Fill in numbered spaces S/Cti Type or Print legibly Tot. 1. Date / 2. Installation Cost 3. Job Address / ? S of Bik. -L-Tract 4. Owner t.- 5. Contractor 1?,....? Phone ?J 6. Address "7 7. City +a?. State Zip , S G L 8. Building Type: Residential 1?1--- Commercial ? Institutional ? 9. Work Description: New L, Add ? Alter ? Repair ? 10. Describe 11. Type No. Equipment BTU - M. Ea. Forced Air i> G /n No. Equipment CFM Air Handling: Mfg. 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: 2 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks !I),y It( 2 Z' q Addition CNATERBURY FOREST Lot 19 Owner Street 1115 TIFFANY DRIVE u?k?0 U•..??fr ?i?h?s4r ,I?irJ5?V?5 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. qn? 1979 Paid unde Ori inal cel STREET RESTOR. GRADING h (p 1981 106.78 5.34 20 85.46 A013369 12-30-83 SAN SEW TRUNK ZZ 1973 Paid unde original pa rcel * SEWER LATERAL 69-5 1981 439.42 21.97 20 351-SA AM X-369 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 404 1979 Paid unde ovijZinal pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 #42719 - - WATER CONN. 470.00 BUILDING PER. 8991 SAC 525.00 rr rr PARK r PETERS, PRICE & SAMSON LAND SURVEYORS, LTD. 124CO PRINCETON AVENUE SOUTH. SAVAGE, MINNESOTA 55378 a 612-890-9201 Certificate Of Survey ? eP2n Eay? rQ9? ? l9 N ti o ? SCALE 1" = 30' DESCRIPTION Lot 19, Block 1 CANTERBURY FOREST N 1 Dakota County, Minn. w? (0/ I' lk t foyr l l N? e ill °??;' \ Y rage GP ?_ o Denotes iron monument 9375 Denotes existing elevation o Denotes wood hub VI J 32 ?, 03.,. 931.5 n ?O ? a 0 'moo / fk hZ CIOR Oa a G BENCH MARK Elevation = 936.56 Proposed Garage Floor Top of Manhole at Elevation = 938.6 centerline intersection of Tiffany Drive and Tiffany Ct. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location 01 all buildings thereon, and all visible encroachments, it any, from or on said land. l ? ! As surveyed by us this d day of 1Uove1n6e1- 19 " L S. -r Minnesota License No j48 20 ? a 1?i ? °"x/130 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements . 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE RemodegReoair Requirements / . 2 copies of plan • 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks . Indicate if home served by septic system for additions VALUATION fr GL'b SITE ADDRESS 111-5 MULTI-FAMILY BLDG - Y TYPE OF WORK T O' R?ex:,f' FIREPLACE(S) _ 0 - 1 - 2 APPLICANT 4'Ct wrN , STREET ADDRESS TELEPHONE # 7a 3-55(!-d 3dr/ CELL PHONE # P STATE/,,,.,, ZIP Sr*l FAX # PROPERTYOWNER Dq_dc'U SGr??wvr?? TELEPHONE# 651~ 9/Sl/- 770 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 -------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY E JUN 2 $ M Certificates of Survey Received _ Tree Preservation Plan Received _ Ny t Required Phone # Lawn Sprinkler No. of R.I. Baths Phone # as Fee: $90.00 4102 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 INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaUNo C.O. - Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile _ Other Roof - Ice & Water _ Final _ 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 This eq es void l? bhp V r - 8 r 18 months from 44 A? J 51017 LI? Request Date Fire No. geQVhedl nsp.ction ?Ready Now ?'YYill Notify. InsVec- ?,ye. ?Na ter When Reatly ?censBd. Electrical Contractor ? Owner I hereby request inspection of above electrical work installed at: Street Address. Box or Route No. Cityy r F - ? G wE" Section No. Township Name r No. Range No. County 1 Occupant (PRINT) Phone No. LL Ovil Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. ( / 0 Mailing Address iContractor or Owner Making Instailation) ' f c.. 'SV ut orured ure ntra tar/Ow r Makin stallation Phone Number MINNESOTA STATE B O OF ELECTRICITY Griggs-Midway Bldg. - Room N•191 1821 University Ave., St. Paul, MN 56104 Phone 1612) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 4l{bV 3 REQUEST FOR ELECTRICAL INSPECTION ?J.W?yysyy. Ee-0000011.04 b See instrugtiens for comnletinv thic fnrm on back of vwltew ceov. R3E[IiC "I 9 a A 051 0 NEW 17 .._ y "'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 Heating 1 Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel v Other (Sp.rify) 01pute ## t r Specify Cher Other ection Fee Below ervice Entrance' Size # Fee Feeders/Subfeedera # Fee Circuits Oto 30 AmL)s Oto 200 Ams 0to 30 Amps Above 200 Amps. 31 to 100 Amps 3 1 to 100 Amps Swimming Pool Above 100-Amps Above 100-Am - Transformers Irrigation Booms Partia L'O r Signs Special Inspection tion g ""?? TOTAL EE - Remarks If I J T/ L, ) Rough-in - I o Electrical paetoq hereby ;?r ? z. cartyyy"fy that the above Final u O • / ection has been de. This request Vold 18 months from C?ertifirate of (Orruvaury eitp,of (Eagan Department of Builbing Jnspertion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: U.<cla..ir<.<p. SF DWG/GAR Bid,P«mdNa_ 8991 o<.w.a<yryPa_ R3 zamag ni.m<I Rl _Tyvcaaa V a ,.wxadamg HARRISON DFV. Add .._7020 CEDAR AVE S-BLOOMING' BnnaiagAam... 17$ TIFFAM- DRIVLF, nr.1;1. I 19 R 1 CANTF BURY FOREST Budding Official \. POST IN A CONSPICUOUS PLACE 1 5 i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT SF/DWG/GAR Site Address 1115 Tittany Drive Lot 19 Block I sec/Sub. Cantebury Forest Parcel No. 10-16350-190-01 a Name David H. Spillman z Address 15494 Dresden Trail 9 City AV Phone 55124 (423-1638) a: N Harrison Development A O o Address 7920 Cedar Ave. S. U9 City Blmgtn phone 854-9311 Grc Truman Howell Architects Z Name 0 Men elssohn Ave _K Address <W City Golden Vallq5Rone 571-9777 I hereby acknowledge that I the information is correct State of Minnesota Statute Signature of Pennittee ??• A Building Permit Is is wed to, all work shall be onajn pcpt7 this application and state that to comply with all applicable 000 N° 8991 Receipt n...e Aoril 20 to 84 Erect $}; Occupancy R3 Alter ? Zoning R1 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? * Stories Demolish ? Length 61 Grade ? Depth 48 Sq. Ft.- Approvals Fees Assessment Water & Sew. Permit 39.4.00 Surcharge 43. ?O Police Plan check 197.00 Fire 525.00 SAC Eng. Planner . Water Conn.470. 00 Water Meter 63.00 Council Rood Unit 260.00 Bldg Off . . APC Total $1,952.50 )oment, Inc. on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. Building Official ---ill, ' CITY OF EAGAN Include 2 sets of plans, 1 Certificate of Survey "& BUILDING PER= APPLICATION 1 set of energy calculations. To Be Used Fors b, Valuation /- -87°-0-6 Date „. Site Address . II ! s Z c Lot _L7 Block sec/Sub 1-L Parcel #: O 16 3 SO lG 0 - 1 Owner: Address: /599J/ k ' i1€' ? /'Hit. City/Zip code: %r< !f r %%,i ' ;5 Phone #: /=J i - /G 3? Contractor: J(J ?Fi'?7ii ?/!Jr_'- >, Address: City/Zip Code: Phone #: Arch./Eng.:r/?i Address: F- city/Zip Code: -?J A,;xZ its ////7/. Phone #: 5 %/ 9i - OFFICE USE ONLY Erect _ Occupancy ?°3 Alter Zoning Repair _ Fire Zone A Enlarge _ Type of Const. Tl Move # Stories Demolish Front ft. Grade _ Depth 5 iR ft. APPROVALS FEES Assessments Pernut 3 5 ? Water/Sewer Surcharge Police Plan Check 7c Fire SAC 5a s ?' - tre -'-/7,0 Water Conn. Planner Water Meter /03 Council Road Unit A6 O ? Bldg. Off AFC TOTAL / 9,51;t ' 5 O L TRUMAN ' HOWELL ARCHITECTS Ft ASSOC.,INC. EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman 620 MENDELSSOHN AVENUE SITE ADDRESS: Lot 19, Block 1, Canterbury Forest MINNEAPOLIS, MINNESOTA 55427 Eagan, Minnesota SUITE 130 PHONE: (612) 541-9777 CONTRACTOR: Owner DATE: March 27, 1984 (Based on drawings dated February 21, 1984 prepared by TH-A) Total Gross Floor Area = 3073 sq. ft. 1. Total exposed wall area 2312.5 sq. ft. x .17 = 393.125 2. Total roof/ceiling area 1531 sq. ft, x .05 = 76.55 3. Total exposed wall area calculations: a) Window types and area: Type a-1 Wood Double Glazed Area 61 x (U) x .40 _ (U) (A) = 24.4 a-2 Wood Triple Glazed 187 x .326 = 60.96 a-3 Wood Basement with RDG 5 x .375 = 1.875 b) Door types and area: Type Area x (U) _ (U) (A) b-1 Insul, metal door w/alum. storm 23 x .10 = 2.3 b-2 Insulated metal door 18 x .12 = 2.16 b-3 Wood/Glass atrium door 64 x .40 = 25.6 c) Wall types and area: (framing reduction included, see exhibits) Type Area x (U) _ (U) (A) C-1 Wall Type A 1238.5 x .04 = 49.54 c_2 Wall Type B 219.5 x .05 = 10.98 c-3 Wall Type C 113 x .04 = 4.52 c-4 Wall Type D 132 x .08 = 10.56 d) Rim joist types and area: Type Area x (U) _ (U) (A) d-1 Rim_Ini t o 81 n x n4 = 3-24 d-2 Rim joist B 20.5 x .04 = .82 d-3 Rim joist C 23.0 x .04 = .92 EXTERIOR ENVELOPE "U" COMPUTATION (continued) e) Soffit types and area: Type Area x (U) _ (U) (A) e-1 Soffit A 60 x .03 = 1.8 e-2 f) Foundation wall type s and area: Type Area x (U) _ (U) (A) f-1 Foundation Wall A 18.5 x .10 = 1.85 f-2 Foundation Wall B 11.5 x .10 = 1.15 f-3 Foundation Wall C 24 x .11 = 2.64 f-4 Foundation Wall D 13 x .06 = .78 3. TOTAL (a thru f) 2312.5 206.095 If Item #3 is the same as, or less than Item #1 you have met the intent of SBC 6006 (02. 4. Total exposed roof/ceiling calculations: g) Glazed areas: Type Area x (U) g-1 Double Glazed Skylites 16 x .42 g-2 h) Roof types and areas: Type h-1 Roof Type A h-2 Roof Type B h-3 Area x (U) 759.5 x .017 755.5 x .016 (U) (A) 6.72 (U) (A) 12.9 12.1 4. TOTAL (g thru h) 1531 31.12 If Item #4 is the same as, or less than Item #2 you have met the intent of SBC 6006 (c)1. I hereby certify that I have calculated the "U" Factors and "R" Values herein and that the building herein described meets and/or exceeds the STATE of MINNESOTA ENERGY CONSERVATION ACT. m G?VuP'?? C1 . ` Michael E. Simon, Project Manager, TH-A EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota 0L716=Fs AIR FILP1 .17 ==CBEs GLA55 W/ AIR SPACE 1. i INSIDE AIR F;Lm .68 4";7? L-'( U- V&L.j? ,qo -max: rlT ---- D?GFzIP%l0 _-.._. - _ ??AIMIUaS oc?lsiv?=A?= iKIP_L.=G?,A55-I^7r--yb"-A1R 9PAZ 0gSHrC f _ =rtzccve ------- - n v7 • _O?;TSIDE _AIR___EIL.I __-_-- . - -. _.17..__ ----- . - I, al EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota - oaGC rZ Pt co . _ . - . _ ---- ?.L. CLAD 1?4` POLYSTYREi?S _ y FCAM,? INeULATION SIDE Af <-FIr? -A: ??Frt Y?tr i l? - VaLUs - ccb -CL T5IDE AIK FILM i". TAL CLAD I3/??, POLYSTY;K?E FC. A ?`1 I N,?. L' L 4 T I O ,? --- ,?"? -- ?A??GJFN1 bt:'(--CT-= VG.tU6------ - , l2 _, Q?ihEMP??.'( Iz-VbLUE 2,01 N, V"OR EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota I i. EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota ?H -2?_ ?IbID_F1bE?COLRS_?- l I i AIC?G1.fpGE ---- I °- '?j°?AGE?7F?-? E - -ArEMbi-bT _.U-:V1LUE 5 EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota 2x10 '.RIM 7015T a L G -?4?-5n ?.'tT:JN6UCAiID2: -- ??EM Q?t? _.(t=V6CClE= _.__.?°`AP7Ct U _vaLUE il5 EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota - Fo U N Dar1v bx??- oap _°A° - Fxuiv?ir oeo?Gh1.P_tto_ - - v°L00 . - - -If 5TYR0F0AM ::- --8 ?- 'Wa-20- MO) 7Nh4RE o1}? r'll: - - ?ie8 -_GirdSEMQ??-Y VcY01.tJE: EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota EXTERIOR ENVELOPE "U" COMPUTATION OWNER: Mr. & Mrs. David Spillman SITE ADDRESS: Lot 19, Block 1, Canterbury Forest Eagan, Minnesota ?xt?IPaIT. __ __ _DF?GlVP'rlaN --- ?=V?u1s _. ouTSIpE_AL[i_FlYL_-_?.__ .. .._...17 -, --1N_SIDE_AIR FIL wl i ?l4lJ IrTE -- EXRIP71r /? =OUTv!108 _AII?=F[LM.._.._ -__?l"1 [07- -Z X"1- KAP1'FiK5 I -.-12? BA2T.-[NSULATION-:-- - __315,00-_. ... VAPOR _.bARRIl:R-___ -- -- .. ._ ?Q45EMb!-r. Val U -- - -- r i )E =?1? - ---.-I7 -- owING Wood- -'- -:?2w X4. KAF.TER-_ - ---??`? . 6AfKRt = --P - ' 15P --- --- ?5? _ _ . "'O?XaEMQ7L'(. R'VOLUE :::0,88 L?f?cM$L? U-VG_UE ?.Gt. ca CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 2/84 (PLEASE PRINT) 1) PROPERTY ADDRESS : 1115 1 'i i 2 ( l P ? f l V P , LEGAL DESCRIP'T'ION: Lot I fl 1Z` nck (Lot/Block/Subdivision or Tax Parc 1 I.D. Nunber) IF EXI-5- =:-C, STIv. = Lar-, ^`^ O? 0^r J - _ :•ffT = '; i r : PRESENT Z^NPX;/PROPOSED USE - E3 R-1 SINGLE FAMILY ? R-2 DUPLEX (TWO UNITS) ? R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ? R-4 APARTMENT/CONDOMINIUM ( UNITS) ? COMMERCIAL/REPAII/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNh1ETP1' 2) APPLICANT ? (PLEASE PRINT) NAME: .11i S(?l1 mo i? .? r fi.?rn ?ev ADDRESS: ?<1 )C7 C°r ?G.Y w S CITY, STATE, ZIP: ?,fA!t PHONE: SS?bk31 r 3) PLUMBER (PLEASE PRINT) NAME: '(V'M ...__._ ?VVENPEL MEeMANICAL ADDRESS: =0 KENNEBEC DRIVE, EAGAN, MINN. 55122 CITY, STATE, ZIP: 452.1565 PHONE: PLUMBER LICENSE N 001445M2 4) OCCUPANT/OKNER (PLEASE PRINT) NAME: 5G i?ti ? , r, ADDRESS: CITY, STATE, ZIP: PHONE: FOR CITY USE ONLY PLUMBERS LICENSE: Q Active Expired Not of Record a aitia 5) INDICATE WHICH PERMIT IS BEING REQUESTED: m CONNECTION TO CITY SEATER Q CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: ? PLEASE 11OID APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE [3-,PLEASE MAIL APPROVED PERMIT TO 1, 2, (3) 4 ABOVE (Circle one) I/ I r 7) SIGNATURE: Jl LF?lr DATE: 1 /SIXz/ ?e ?etatee?.?. sr re.erd?,.?n ry ?t ?twra=.ar+i?i? ioi i?w ?I?!? h!k!!?4?rrs!!?+y! wi ? ?i?uc}ia? v FOR C I TY USE 014LY. PERMIT = ISSUED FEES: $ /0 f c) SEWER PERMIT (INCLUDE SURCHARGE) $ /0 5O WATER PERMIT.(INCLUDE SURCHARGE) $ w 3 0b WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER. $ 970. L7b WAC $ 5 2S- c.X7 SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL Y $ 71- 5,0 y: r AMOUNT PAID/RECEI P714 14 q--3) 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: DATE: g- .a öëö îïÿ ÿ þýý üûïûü úýýüüüïþ äò üý úî àñä þýö þýüûúùîý ûúùöø ùîý Þý ù ô ïý ô ëýü ã ÿþ ù ÿ ý ä öë ú ó ëøúñ ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ÜÛõúýôü Ýó ìþùô ó ëøúñûééú ý ìãöññ ãöñ áäßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA120135 Date Issued:01/21/2014 Permit Category:ePermit Site Address: 1115 Tiffany Dr Lot:19 Block: 1 Addition: Canterbury Forest PID:10-16350-01-190 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David Spillman 1115 Tiffany Dr Eagan MN 55123 Twin City Fireplace 6916 Washburn Ave S Richfield MN 55423 (612) 282-2684 Applicant/Permitee: Signature Issued By: Signature