1124 Tiffany DrCITY OF EAGAN
1830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
zi
Zoning:
Owner: "_'.-o-2a i Webber
Address:
Site Address: 1125 Tiffany D:
Plumber: Lakeville P]AW,
Meter No.:
Si".
Reader No.:
I agree to eoewly wide &a City of Eoge•
Ordinances.
I3v
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: I
Connection Charge: ' ?" • "" t"`
Account Deposit:
Permit Fee: 00 -a
Surcharge: • 50 PQ
Misc. Charges: 0.00 i>d meter
Total:
Date Paid:
Insp.:
F -1
C
O-Y or FAGAN SEWER
? 3795 Pilot Knob Rood SERVICE PERMIT
Eagan, MN 551,22 PERMIT NO.:
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address: Jr L1 32
Plumber: :,ti?evi 1 7.? ':»
I agree to oomph wMh the
' of 1%0.00 P
Ordinances. Eago• Connection Charge: 1i- 5 00 _
Account Deposit:
Permit Fee:
By Surcharge:
Date of In Misc. Charges
Total:
Insp.:
Date Paid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DAVE
(9 -
RECEIVED
FROM
AMOUNT
DOLLARS
too
? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
'Irk You
By
CITY OF EAGAN
3713 PM* Knob Road Eagan, MN 33122
PHOHEt 434.8100
BUILDING PERMIT
Site Address 1124 Tiffany Drive
Lot Block 2 Sec/Sub. Canterbury Forest
Parcel # 10 16350 180 02
W Name _
Address
b city
Name _
0
:0-
Su Address
:... Ha.
Last
Nome
Address
1 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: F. 11% L . , inc
all work shall be done in accordance with all applicable St to of Mit
Building Official ?' ~f
Receipt *
000
• ??t.iy
6 o8
Erect Occupancy t?13
Alter Q Zoning _ -1
Repair ? Fire Zone „iA
Enlarge ? Type of Const. V
Move Q * Stories
Demolish Q Length _5 2_
Grade ? Depth -A-I-Sq. Ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit -*vv•w
Surcharge 55.50
Plan check 230 • 2
SAC 525.J0
Water Conn. 450.00
Water Meter EG •'JO
Road Unit
Total $2,031.25
on the express condition that
Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C 7aZ3 I t Jc 1 II
Well
Water
Disp.
Sewer
Electric Wo534?o ti ?-?4-?
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg.
Rough HVAC 71
.,,
Insulation
Final Plbg 3 Z,) a
Final HVAC
Final
Water Describe Location:
Well
Sewer
Pr, Disp.
Receipt r " PLUMBING PERMIT Permit No,
CITY OF EAGAN
Fee
I f Fill in numbered spaces S/C
Type or Print legibly
Tot. r
1. Date 2. Installation Cost
1J r ? i r: r ?
3. Job Address': k-t yot t Blk. Wa- Tract 1 r
4. Owner - -?'
i
5. Contractor Phone _ ?.
6. Address / • / '
7. City State zip
8. Building Type: Residential $- Commercial ?
9. Work Description: New 0 Add ? Alter ?
10. Describe
11.
Institutional ?
Repair ?
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
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 ->(Z ( r?
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee
S/C ?J
Tot - r?
1. Date 2. Installation Cost
3. Job Address 4"ix" Lot r 8Ik. Tract i
4. Owner (r?-f ! Y ?-
Af -? . ?.
5. Contractor ?•
Phone
6. Address Z" C V
7. City 4 State I'Z/ < Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New '0' Add ? Alter ? Repair ?
10. Describe Fuel Type
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
Receipt
1. Date _
3. Job At
4. Owner
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ?., f.
Fill in numbered spaces S/C
Type or Print legibly Tot
.
2. Installation Cost
Lot B l k.:
5. Contractor -lone
6. Address
7. City State 4 Zip - "?
8. Building Type: Residential Q 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 ordinance$ 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 i7F EAGAN Remarks bw ?? L Z
Additio CANTERBURY FOREST Lot 18
Ownev Street 1124 TIFFANY DRIVE
Loa() ninly.A)v
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid un a original pa rcel
STREET RESTOR.
GRADING 5-4 106.78 5.34 20 95.46 A013377 12-30-83
SAN SEW TRUNK 1973 Paid wide original pa rcel
* SEWER LATERAL 5 1981 439.42 21.97 20 U1 SA A013372 12-In-AX
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA qN 1979 Paid unde3 original pa rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Fli,D UNIT 250.00 36190 6-6-83
WATER CONN. 450.00 ^ ^
BUILDING PER. 8103
SAC 525.00
"
PARK
(prriifiratr of (Orrupaury
Citp of (fagan
Erpartmrnt of +guiliiing 3myntiou
This Certificate issued pursuant to the requiremenu 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:
SF DWG/GAR 8103
Uu Clgmfiuam Bldg. Penh, No.
w"<r Trrr R3 T,,C...CU n V Fia Z. NA 2omy D.Wd Rl
Ovne, otBWlding Thomas Webber Add,.4534 W. 148th Ct. Apple V
Buddlog Addma 1124 Tiffanv Drive L,,;,,L-ot- 18,B1-ock 2,Canterburv
D
By: Forest
BuJding OlFioL ?? ,,.: October 11, 1983
D
BUILDER: F.M.L., Inc.
Muve??aeu oecvwai t.onvact°r I hereby request inspection of above
M Owner electrical work installed at:
Street Addryes/s, Be. o1 ROgte?p.
P City
r 5o2 /7
eclion No. Township Name or N Range No. County
0'a k/p t
Occupant (PRINT)
I Phone Nn.
-e-/
Power Su liar f Ad ress
-
t1
172 Q .
Ele ri cal Contra for (Company Name)
f/
J? Contractor's License No,
0YT
9
a en.sa? ? Q r`
iv? 3
ing A dies (Contractor or Owner Ma 'np nstailation)
th iz Slgna[ (C ra wn Mak In tallati nl Phone Number
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 65104 UNLESS PROPER INSPECTION FEE IS
m. --- rato, oo, 11r1 ENCLOSED.
;e ';pmftl -z Co L(S, ga, Co r,4 .VraS? 373a 3
REQUEST FOR ELECTRICAL INSPECTION kift E13-00001-04
?Y?g R Il S(?eee instructions for completing this form on back of yellow copy. U
XBelo '/?1 tN u E'ot'e& by This Bequest
JVd Rep. Type of Building Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dr er Electric Heating
Commercial Bldg. Io Orl ace Silo Unloader
Industrial Bldg.
k! Air Conditioner Bulk Milk Tank
Farm
l they peel v lher (Specify)
t er Sueci y Othm 01her
ompute Inspection Fee Below
a Fee
i Service Entrance Size
0 to 200 Amps
Above 200 Amps fl Fee Feaders/Subteeders
0 to 30 Amps oZ0
31 to 100 Amps b
F_ Fee
&ROD Circuits
0 to 30 Amps
31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms . 5-0 Partlal,'Other Fee
Signs Special Inspection $
57 ?
Remarks r/ - t
? 77 ?
TOE 'Y )
certify that the above
inspection has been
made.
CITY OF EAGAN ?T p
3795 Pilot Knob Rind Eagan, MN 55122 N? 8103
PHONE. 454-8100 j?v
BUILDING PERMIT Receipt # `J
To be used far SF DWG/GAR Fst_val.. $111,000 rw.e June 6 ,.83
Site Address 1124 Tiffany Drive Erect M$ Occupancy R/3
Lot 18 Block 2 Sec/Sub. Canterbury Forest Alter ? Zoning R-1
Parcel # 10 16350 180 02 Repair ? Fire Zone NA
Thomas Webber Enlarge ? Type of Const. V
rc Name
yr
4534 W. 148th Ct.
Move ?
# Stories
Address Demolish ? Length 52
C; Apple Valley phone 432-1213 Grade ? Depth 43-Sq. Ft.-
Name F.M.L., Inc. Approvals Fees
ou Address 16229 Levi Ave. East Assessment Permit bU.JU
u1- Ci Hastings 45033 Phone 437-8007 Water & Sew. Surcharge 55.50
Police Plan check 230.25
Fw Name Fire SAC 525.00
T! Address Eng. Water Conn, 450.00
<W City Phone Planner Water Meter 60.00
Council Rood Unit 250.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information Is correct and agree to comply with all applicable APC 25
031
l $2
T
State of Minnesota Statutes and City of Eagan Ordinances. .
.
ota
Signature of Permittee
A Building Permit Is Issued to: F.M.L., Inc. an the express condition that
all work shall be done in accordance with all applicable to f to Statutes and City of Eagan Ordinances.
Building Official all ?' 1 rr.rfI e
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
t l BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Us For5F p 6Q,?_ Valuations/dOb Date
Site Address: jL24 1i£fany Ur. OFFICE USE ONLY
Lot 18 Block 2 Sec./Sub. Cai:tencur„ Erect ? Occupancy 43
Parcel #: jO ((0350 (8D OZ oreF sE R
Owner: Thomas Webber
Address: 4534 W. 14&th 1,;t.
City/Zip Code: Apple valley 55124
Alter Zoning
Repair Fire Zone k
Enlarge Type of Const. ),-
Move # Stories
Demolish Front 2 ft.
Grade _
Depth 43 ft.
Phone #: 432-1213 APPROVALS FEES
Contractor: F.M.L.. Inc.
Address: 16229 Levi Ave. E.
City/Zip Code: Hastings 55033
Phone #: 6127437-8007
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Assessments Permit
Water/Sewrer Surcharge _
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit _
Bldg. Off.
APC
TOTAL d+ 0 31 '# I
-•
RESIDENTIAL qwl?
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 (McIgs with 3 or less units)
DATE 16 ? 'r J -6 2-?
ATE ADDRESS I/ Of I
TYPE OF WORK'
'S
VALUATION
MULTI-FAMILY BLDG _Y "
FIREPLACE(S) _ 0 - I - 2
Iss?.??
APPLICANT 1"" N • c%fwi ' 6?
STREET ADDRESS 10'M AC- 41A-SQ CITY f 'L STATT"4 ZIP
TELEPHONE #W-707-6f6F CELL PHONE # 9W'd`W_9'f" FAX # `fV'?OT' L`•?
PROPERTY OWNER J/L C QS ?d? TELEPHONE # "&ay -600
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ 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:
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone
n '?C.In $AI U. )f??f" I 'i
OCT 2 1 2002
Phone #
--------------------------------------------------------------------------------------------------- - - -----------------
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
Water Softener
Water Heater
No. of Baths
RemodelMapair Requirements
• 2 copies of plan
• t set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received - Not Required
Updated 4102
OFFICE USE ONLY
e-
? 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) _ Final/No 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
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ti.y ?,
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74
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OVENOTO IRON MONUMENT i?
PKO POO "W"Ir FLA. EL.
PROp04Cp TOP FOOMPA'r W EL.
79
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DEtiGR/PT 10.1
LOT 18 13?LoaK-??
C."TaCaUel FOREST,
APPICOV69 FOIL SIEUX& COICP• PA PTO? COUNT`(,
gY:-.___ MItiIt.IESoTA --:
-.-- RoBE¢T4 ARCH?TE.cTti.-
DATED pAY
I hereby certify that this survey 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.
Date: May , 1933 Z5?ez_d xzf?
LeRoy Bohlen
Registered Land Surveyor No. 10795
Ir
?3 % \ 6.E+s ?o
b
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..
Energy. Conservation Supplement To Building Permit Application
BUILDING AND SAFETY DEPARTMENT
CITY OF Eagan DATE: May 16, 1983
This supplement is provided to assist the applicant In computing the EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INFORMATION. This Information Is required so the BUILDING
OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S
responsibility to accurately and completely compute the data; reflect the proper DESIGN
CRITERIA in the plans; submit product specification, as needed to support the "A" and "U"
factors used; and to assure that construction Is accomplished per the approved plans.
JOB LOCATION 1124 Tiffany Drive
OWNER(S) Webber PHONE
CONTRACTOR FML Tno. PHONE 437-8007
A. Determine the Total Exposed Wall Area as follows;
1. Total wall window area 192.93 so.ft.
2. Total door area 37.82
3. Total sliding glass door area 80.00
4. Total fireplace wall area 36.00
5. Total wall framing area (average 10%) 252
6. Total net wall area above floor 1921.25
7. Total rim joist area 140
Subtotal: Total exposed wail area above floor 2520
8. Total foundation window area 3.75
9. Total net foundation area above grade 164.25
Subtotal: Total exposed foundation area: 168
GRAND TOTAL EXPOSED WALL AREA 2352
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .185 = Item I 435.12
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total skylight area 16.00
11. Total roof/ceiling framing area 1328
12. Total net Insulated roof/ceiling area 1179.2
GRAND TOTAL EXPOSED ROOF/CEILING AREA 1328
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .04 Item 11 53.12
E. Determine the "U" value of each segment (1 -9) and multiply by the area as follows:
1. 192.93 X „u., .54 = 104.18
2. 37.82 X .,u„ .45 = 17.02
3, 80.00 X :58 = 46.40
4, 36.00 X .030 = 1.08
6, 252 X .085 = 21.42
6. 1921.25 X "1J" ,049 94.14
7. 140 X „U., .046 6.44
8. -_a. 7 5 X "t," .048 = 0.18
g, 164.25 X „U., .047 = 7.72
ADD 1-9 FOR TOTAL WALL SEGMENTS = Item III
298.58
F. Determine the "U" value of each segment (10-12) and multiply by the area as follows:
16.00 .55 8.80
10. X "U ' -
11. 132.8 X U .029 _ 3.85
12. 1179.2 X .024 - 28.30
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS - Item IV 40.
G. It item No. III is the same as, or less than item No. 1, you have met the intent of State Building Code 6006(c) 2.
H. It item No. 1V is the same as, or less than Item No. II, you have met the Intent of State Building Code 6006(c) 1.
I. Add Item No. I
J. Add Item No. III
435.12
298.58
+ Item No. 11 53.12 = 488.24
40.95 339.53
+ Item No. IV =
K. It the sum of items 111 and 1V are less than Items I and It, you have met the Intent of the code for total envelope
system.
In addition to the above items you may have to add for such Items as floors over unheated spaces, such
as cantileverd areas, etc.
To arrive at "U" value divide the total of the R values for each segment (as above) Into 1,000. Answer
you have is the "U" value for that segment.
Example: A total "R" of 35.08 divided into 1.000 = .028 "U"
The undersigned, as applicant for a Building Permit, hereby
affirms the above Information has been prepared and submit-
ted by himself or under his direction; hereby acknowledges
the information to be correct and accurate; and hereby pre-
sents the Information with required plans in support of the
Building Permit Application
Signature
Date 5 "I ?• LIF3
r?4
v
uJ
e_x,., w,
i;
a
int. air film
1/2" gyp. bd.
3-5/8" F.G. ins,tl
3/4" Tuff R s hthy
hardboard siding
ext. air film
U 1/20.37 - .049
U
J:j
[. _= 0.66
0.45
13. ?0
5.40
0.17
R 20.37
ext. wall framing int. air film 11 0.68
- 1/2" gyp. hd. v 0.45
3-1/2" softwood = 4.38
3/4" Tuff R shthg. = 5.40
hardboard siding - 0.67
ext. air film = 0.17
U - 1/11.75 .085 R Y 11.75
U
rim joist int. air film R 0.68
3-5/8" F.G. insul. = 13.00
1-1/2" softwood - 1.88
3/4" Tuff R shthg. = 5.40
hardboard siding = 0.67
ext. air film = 0.17
U - 1/21.80 = .046 r = 21.80
U
ext. found. wall int. air film 0.66
1/2" gyp. bd. = 0.45
6" F.G. insul,. = 19.00
5/8" plywood 0.78'
ext. air film 0.17
U - 1/21.08 s .pQ7 R 21.08
U
ceiling/roof !int. air film = 0.61
5/8" gyp. bd. M 0.56
12".blown cellulose - 40.00
ext. air film = 0.61
U 1/41.78 .024 R - 41.78
A
U
ceiling roof framing int. air film R - 0.61
5/8" gyp. bd. W 0.56
3-1/2" softwood 4.38
8-1/2" blown cellu lose 28.33
ext. air film 0.61
R 34.49.
U - 1/34.4V' , :gym
Assigned value Taylor steel.walk doors u .45
Assigned value Andersen insul.p,S. casement wdws. U .52
{ Assigned value Andersen sliding doors U = .58
3
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,Z. 1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115797
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 1124 Tiffany Dr
Lot:18 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-180
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Thomas J Germann
1124 Tiffany Dr
St Paul MN 55123
(651) 206-5529
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126874
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 1124 Tiffany Dr
Lot:18 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Thomas J Germann
1124 Tiffany Dr
St Paul MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
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FORM 235(REV.10/10) FORM DI6TRIBUTION: COPY•JOB FILE YELLOW COPY-CITY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155788
Date Issued:06/03/2019
Permit Category:ePermit
Site Address: 1124 Tiffany Dr
Lot:18 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
David H Pricco
1124 Tiffany Dr
Eagan MN 55123
(651) 319-1094
Great Plains Windows & Doors
6866 33rd St N, Suite 100
Oakdale MN 55128
(651) 207-4571
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179125
Date Issued:09/19/2022
Permit Category:ePermit
Site Address: 1124 Tiffany Dr
Lot:18 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-180
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David H & Danielle M Tstes Pricco
1124 Tiffany Dr
Eagan MN 55123
(612) 940-1348
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature