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1126 Tiffany DrCITY OF EAGAN WATER SER 3830 Pilot Knob Road VICE PERMIT P. 0. Box 21199 PERMIT NO.: 517Q- Eagan, MN 55121 DATE: 11-9-t33 Zoning: R 1 No. of Units: Owner: CLA Const Co Address: Site Address: 1126 TiffAny Drive L17 B2 Canterbur Pores Plumber: DC Mech Meter No,: Connection Charge: 450.00 t)d Size: Account De it pos : Reader No.: Permit Fee: 10.00 »d 1 agree to comply witle the City of Eagan Surcharge: 150 pd Crdinonow Misc. Charges: _ 60.00 Ed :aete Total: By Dote Paid: Date of 1 nsp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road F. P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 11-9-83 Zoning: R1 No. of Units: 1 Owner: CIA Conist Co Address: Site Address: 11"16 T? L17 i3' Canterbury Forest Plumber. D`' 10-155-33 39-1S. 1 agree to comply with the Cihr of Eagan ordinances. 0v Date of Insp.: Connection Charge: 425.00 pd Account Deposit: Permit Fee: - 10.06 nd Surcharge: _ Misc. Charges: Total: Date Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ ac-DOLLARS 17 100 ? CASH ? CHECK 4 7 FUND CODE AMOU Thau BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To 16a u. d fie. -1tiI,ti1 Poo] Site AdVr Lot // Parcel No. _ a: I W Name z Address City ac =0 oV ? u $ 10,000 Receipt * N° \ 894 l a?y6 Erect 6 Occupancy ' Alter 0 Zoning Repair ? Fire Zone Enlarge ? Type of Cont. Move ? * Storie? Demolish ? Length - Grade ? Depth Sq. Ft. Approvals Fees Name --- - - - _--- T1VF. Address . '' Assessment _ City Rorie' x 9 3 3- 22 5 5 Water 8 Sew. Police Name Fire Address Eng. City Phone Planner Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. _ the information is correct and agree to comply with oil applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Petmittee _ A Building Permit Is issued all work shall be done in a Building Official Permit 77. 50 Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total $ 8 5 . 5 0 on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Water Describe Locatio n Wall Sewer Pr. Disp. CITY OF EAGAN 5795 Pilot Keob Road Ease-, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt ?qt TA ka aged 0" or Fet_ Vnltrt $104,000 Dnte Oc l Site Address 11?.v L.L I. La111 )/ LL1VC Lot 17 Block Sec/Sub. Canterbury Forest Parcel # 10--16350-170-02 m Name Ric lard Vos-an zz Address 1271 Vildmark Drive city 454-3931 pho Eagan a Nome CLk Construction Co., Inc. 0 uU Address 6431 E. 19()t1? St. rzt., Prior Lal a Phnna 447-6128 Nome _ Address I hereby acknowledge that I hove read this application and state that the information is correct o agree to comp) with all applicable State of Minnesota Statut and _C'ty of?foWn r nances. Signature of Permittee !.: e ? ' /'-4-1" -42 7 ..s ruc n o. , N: G' 85"176 Erect :ff Occupancy R-S Alter D Zoning R-1 Repair D Fire Zone CIA Enlarge D Type of Const. V Move D * Stories 2 Demolish D Length 75 Grade D Depth 3 Sq. Ft. Approvals Fees Assessment Permit 44 J • UU Water & Sew. Surcharge 52.00 Police Plan check 221.50 Fire SAC 525. Q` 0 - Eng. Planner )() - 0 Water Conn. 4- Water Meter 60. ?n Council Road Unit Off Bld . g. APC Total" gous o Inc. A Building Permit Is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ` "' Permit No. Permit Holder Misc. Permit No. Holder Plumbing Well Water ' Disp. Sewer Electric 0(w)4 &L 1! Z? Inspection Date Insp. Other Footings ?G 1 42 Foundation Framing / •1/.?? ?/ - Rough Plbg, (,d d, Rough HVAC _ Insulation 43 Final Plbg. Final HVAC Final r r? . d Water Describe Location: Well / >.VY a LLr ?y ?f' Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly T ot. 1. Date I 2. Installation Cost 3. Job Address L Lot Blk. Tract 4. Owner -. ?- la! q IN rt ^ ' ) 5. Contractor Phone 6. Address k AA lAk e- 1Y 1 7. City State Zip T 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New I? Add ? Alter ? Repair ? r 10. ff Describe t - '`? '?1 Fuel Type 11. No. EQuinment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. ` Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Oth Air Cond. er Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances andcodes 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 PLUMBING PERMIT Permit No. -? CITY OF EAGAN ¢ ?O ({ Fee l Fill in numbered spaces S/C S U Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address 11-?76 Ti r ri-.ri !>> Lot 1 / Blk. L Tract T= T 4. Owner 5. Contractor (:_ !! ! E? [. / , Phone 6. Address State Zip 7. City 5?5 S'7Z 8. Building Type: Residential ? 9. Work Description: New `Bl 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. y Fixtures Water Closet No. Fixtures Cesspool/Drainfield 2 Bath tubs Septic Tank Lavatory Softner _- Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains f 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 45448100 ;y CITY OF EAGAN Remarks L)L\1 m 2 Additio CANTERBURY FOREST Lot 17 Owne LZQ 100d treat 1126 TIFFANY DRIVE f h) 44(A6 State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid undei original pa rcel STREET RESTOR. GRADING 1981 106.78 5.34 20 85,46 A013446 1-12-94 SAN SEW TRUNK Z 1973 Paid unde original pa rcel * SEWER LATERAL 1981 439.42 21.97 20 715-11 S4 A013446 _ 2_Sd WATERMAIN * WATER LATERAL 1981 20 WATER AREA ^ 1979 Paid unde on final pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD 1INrr 1 20,00 9231 WATER CONN. 450 .00 to tt BUILDING PER. SAC 11 It PARK SURVEYOR'S' CERTIFICATE ''SIENNA CORPORATION %? i 2A9 51 / oo? rj ?,? / '2 / L- o18 / SO t? - N? % 1, 7D a? 30 i 26 ? LOT. ya-- / ?ft? 7t5a4 I 0 J I 9`t L. r ? -o to ?T 9 66 9 N I 1/ 1 ? L- NOTE: PROPOSED GRADES ARE PER THE DEVELOPMENT PLAN BY JAMES R. HILL, INC. l N c? 2 ? `? 2o' 24"W G. L /.?. GGrti?T.???C-7t'?t? Go, tINL? O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 50 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9110 93&.9 FEET FEET O X 000.0 DENOTES DENOTES WOOD HUB EXISTING ELEVATION PROPOSED LOWEST FLOOR PROPOSED TOP OF FOUNDATION = 41/1/0 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 17, Block 2, CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 22ND DAY OF MARCH , 1983 . APPROVED FOR SIENNA SIGNED: JAME R. HILL, INC. CORPORATION BY: BY: ROBERTS ARCHITECTS DATED THIS DAY HAROLD C. PETERSON, LAND SURVEYOR OF 19 MINNESOTA LICENSE NO. 12294 PROJECT NO. 82143 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 612-884-3025 ELIE INFORCARRIER LOAD MATION CENTER OPTION 1 1. Summer design degrees .... ......... 9 # (90, 95, 100, 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A.) 2. Daily range (0°-35°) tt 3. Winter design degrees ................. I p (Precede a minus number with M) 4. Number of windowpanes ...... ...... # (1, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Storm windows? (Y or N) ............... ?' (\ # 6. Windows weatherstripped? (Y or N) ..... # 7. Four window areas starting with N or NE orientation .. .......... # (Ex: N#25#30#20#25##; Max per side: 999 sq. ft.) 71 N or NE 49 # 72 E or SE 3 # 73 S or SW a 3 a a 74 W or NW ;L 3 ## 8. Shaded window area ... ............. 0 # (0 or sq. ft. Enter 0 if not applicable. Max: 999 sq. ft.) 9. Door area ............................ 3 # (0 or sq. ft. Max: 999 sq. ft. If 0, Items 10 & 11 N.A.) 10. Door weatherstripped? (Y or N) ......... fys # 11. Storm doors? (Y or N) ................. OPTION Z D tt # # a O 3 OPTION 3 F7-- 1 # # ## D O 12. First story perimeter ................... 4 a # # # 13. Second story perimeter ................ I O* # # # 14. Thickness of wall insulation ..... ..... 1_- # # # (0, 2, 4 or 6" fiberglas. Enter MA for masonry; R values, enter R, then value. Ex: R19) 15 Basement perimeter .................. yA # # # (0 or linear ft. If 0, Items 16, 17 & 28 N. A.) 16. Basement heated? (Y or N) ............. S # # # (If N, Item 17 N.A.) 17. Percent above grade (Ex: 5% = 5) ...... # tt # 18. Area of roof with exposed beams or studio ceiling ............ .. .. ... o ## (0 or sq. ft. If zero, Items 19, 20 & 2.1 N.A ) 19. Woodorfiber ......................... # (W for wood, F forfiber. If W, Item 20 N.A.. If F, Item 21 N.A.) 20. Thickness of fiber .................... ?. # (1.5, 2 or 3" or R values) 21. Insulation ............................ (Y, N or R values, Y assumes 1'.5") ## ## OPTION 1 22. Area of ceiling under vented roof or unconditioned space .................. otL # (0 or sq. ft. If 0 Item 23 N.A.) 23. Thickness of insulation ................ .. # (0. 3. 6, 12 or 18" of Fiberglas or R values. Ex: R30) 24. Area of floors over unconditioned space # (0 or sq. ft. If 0 Item 25 N.A.) 25. Thickness of insulation ................ # (0, 3 or 6" Fiberglas, or R values) 26. Area of floors over open or vented space, orgarage ............................ Cj ## (0 or sq. ft. If 0 Item 27 N.A.) 27. Thickness of insulation ... ?• # (0, 3 or 6" of fiberglas or R values) 28. Basement area ...................... 170 # 29. (0 or sq. ft. If Item 151s 0 skip this entry.) Total heated area ..................... (sq ft ) 30. Perimeter of concrete slab ............. # (0 or linear ft.) (If 0. Item 31 N.A.) 31. Thickness of slab insulation ............ (0, 1 or 2") 32. Desired summer indoor temperature swing ................................ 3 ## (Value between 1 and 6 inclusive.) 33. Desired winter inside temperature ..... # 1 " 1 34. Duct location ......................... 31 # (AT = attic, BA = basement, SL = slab. CR = crawl space, CO = conditioned space) (If BA, SL, or CO, Item 35 N.A.) 35. Thickness of insulation ................ # (0. 1 or 2". Use 2 for 1" rigid.) OPTION Z O I ## OPTION 3 D D ## ## ## # # ' REPEAT DATA? .......................... 55 ## ## ## YorN "CORRECTIONS?.. ....................... If there are no corrections required enter ## If there are corrections to the data, enter question number, #, the new data, and ##. Ex: 19#W## ## # ## If no further corrections, enter## only. ## I ## I ## COOLING B.T.U.H. EQUALS 1155 AT R, °F B.T.U.H. AT °F B.T.U.H. AT IF HEATING B.T.U.H. EQUALS -75 AT ?I IF B.T.U.H. AT °F B.T.U.H. AT °F "REPEAT THE ANSWERS" (Y or N) ......... ##1 "SAVE YOUR DATA?" .................... ## ## ## Y or N: or YR## will save your data and goes to beginning for new Analysis, or NR## will not save data but goes back to beginning for new Analysis. JOB NUMBER ............................ If you want to save your data CLIC assigns Job Number "STRUCTURE CHANGES?" .............. . If there are no changes required enter ## If there are changes to the data. enter question number it. the new data, and # ## # ## Ex:25#R30## # ## If no further changes. enter ## only ## as ## Mt I HU AN Normandale Road nCjAN (T9401 PrjoZ Lake, Minnesota 55 ?T- (612) 447.8124 OPPORTUNITY HOME 3-7e Printed in U.S.A 838-039 Z -W 4 e ' e I r: , J Z ? 11 3 d Wat V Y t ? -. 3 a k r ss` + G y y . ?. OF `. R 8.. .,I; * L i ; T m? r 1 r;? A nk • ? 1 - ? L ` ? ' ?' ? ? '? fir t - . Y .' _- - 2 SIT a.: J p q t , i ? j - .r,.'.k ? _ "\? . 'mss! :'Y:X . ? ? .'i0. { , t y c Tr .i r F Thisrequest from id Z. /'71 Abt Z,, Citderlo0cry FO reSf A n n 1 gild ail3o/Y3 J $3?./sa Raq uest Uate C fire No. Rough-in Inspection ? [gZ " ?Ready Now Ly Notify Inane.- t f Wh / El L`Kes No o or en Ready n-r-l-ensed Electrical Contractor 1 hereby request inspection of above ' ? Owner electrical work installed at: Street Address, Box or Route No. City IIA l(l /n '60- y'/?(?f/f G.r: " r Section No. Towns ip Namn or No. Range No. County Y ?04 Occupant (PRINT) Phone No. Cr (-A Power Supplier Address /yam Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Instailation) Authorized Signat pntrac r/Owner Making Ins t' Ilan an) Phone Number ?? -S19 MINNESOTA STATE 86A/RD 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 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-0000011--04 ' See Instructions for completing this form on back of sallow Copy. '51017S P A '-X" Below Work Covered by This Request 1g.3 aAC flap. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures t Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank r Farm Other peu v Other fSpecifv! t er pecifY mor Other Compute Inspection Fee Below N Fee Service Entrance Size h Fee Feaders/Subteeders +? Fee Circuits Q 0 to 200 Amps 0 to 30 Amps 0 to 30 Awns Above 200 qm 1s 31 to 100 Amps 2 31 to 100 Am Swimming Pool 6- Above 10 Above 100_Anaps Transformers' Irrigation Booms Partial-'Other F Signs 5pecial Inspection ou S 7 -7 OT F 6 Remvrks ? " ?,6 Rough-In Date I, the al (? ?6 Y Inspector, hereby ertity that the above Final T) ( D/tte?/ ns pection has been ??a? n. n? I made. this request void 18 months from This request voi / LI a y- 18 months from 1. ??j.0O 7t lQ.{G1,?11.f-ay ??? C?-5??5-?4-?1? A 37490 g3400 Request Date 12 e 1 Fire No. Rough-in Inspection Re. Iredl ?Ready N(Jw 'Notify, In.pe.- h ? Iq+es No for W en Peady p, icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Bpe or Route No. Cit M y! G W 4tl" ecb On NO. Township Name .. Range n. County Occupant IPRINTI Phone No. Q,Cie ?',0 `I54-39 3 Power Supplier Address Electrical Contractor (Company Namel Contractor's License No. ?5IF L C- LeC'fv, 1L ©v Mailing Address (Contractor or Owner Making Installation) v v' ? c-,+ Auer X110 rC ra Authorized Si nature tract /Owne Making Inst l ation) Phone N Umber a r 1 p 1 L MINNESOTA STATE B D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bid,. - Be.. N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS pi,--- IR121 297-2111 ENCLOSED. q d t D ? REQUEST FOR ELECTRICAL INSPECTION . 8X0001 -104 See instructions for completing this form on back of yellow copy. A .11 4 "X-- Below Work Covered by This Request Add Rep. rType of Building Appliances Wired Equipment Wired Home Range Temporal et?12 Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othe! w a i y the, (Specify) (June, pccl y QIhor 01h., Compute Inspection Fee Below b Fee Service Entrance Size It Fee Fenders/Subfeeders p Fee Circuits 0 to 200 AMPS 0 to 30 Amps 0 to 30 An)s Above 200 Am ps 31 to 100 Amps 31 to 100 AMPS p. Swimming Pool Above 100_Anlps Above 100_Am s Transformers Irrigation Booms O Partial,'Other Fee Signs Special Inspection $ TOTAL Remarks i IC -1) I 'mil Hough-in Nie_ the Electnl nspector, hereby tify that the bove Final nspection has bean made. This reauest o d IS months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUIILDING PERMIT Receipt # Ts M toed list SWIM POOL/FENQP, Value $ 10 r 000 Date APRIL 6 19--8A- Site Address 1126 TIFFANY DR. Erect Occupancy M Lot 17 Bl ock 2 Sec/Sub. CANTERBURY FOR . Alter ? Zoning Zoning R 1 Parcel No, 10-16350-170-02 Repair ? Fire Zone N A l E T f C t V n arge ? ons ype o . I Name DICK VOGEN Move ? # Stories 3 Address 1126 TIFFANY DR. Demolish ? Length 36 ° City EAGAN Phone 454-393 1 Grade ? Depth 18 Sq. Ft.- CUSTOM POOL Approvals _ Fees Zu p °u? Name Address 601 E. EXCELSIOR AVE. Assessment_ City HOPPFS r M2 55 Water 8 Sew. Wuaw. Name Fire Address E xG ng. U <W City Phone Planner Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. - the information is corr and agree to comply with all applicable APC State of Minnesota S1 tuts and CiW,of Eggon Ordinances. Signature of Permittee ' v\Na cs v r A Building Permit Is issued to: all work shall be done in - c ordant with all a pli 1 State of Building Official N° 8946 a.35? Permit $ 80.50 Surcharge 5.00 Plan check SAC Water Conn. Water Meter Road Unit Total $ R`+.50 on the express condition that Statutes and City of Eagan Ordinances. / // CITY OF EA? Include 2 sets of plans, U / 7 p 1 Certificate of Survey '& BUILDING PER= APPLICATION 1 set of energy calculations. ?? To Be Used For ?'^^ ?f?©O' V?uation ?G OOG Date Site Address 1Ia Tit OY? d) OFFICE USE ONLY Lot 11 Block sec./sub. A? ? Erect ,x Occupancy Parcel #: ID - 6 3 S O Alter Zoning li Fire Zone Owner: -01c c V? Address: 1 l? b -f F Lky\\ f / City/Zip Code: l(ic,(YV\ Phone #: `q 3 r, Contractor: C' V S44 ry rod /S --? Address: 60 ( F /S10A ?f t1 e City/Zip Code: f fd (? k Ins r h SS 3`( 3 Phone # : C? _;,t, Arch./Eng.. Address: City/Zip Code: Phone #: Iepair Enlarge _ Type of Const. Move # Stories Demolish _ Front 36, ft. Grade Depth ig ft. APPROVALS FEES Assessments Permit So [4ater/Sewer Surcharge S Police Plan Check Fire SAC Eng. Planner Council Bldg. Off. APC Water Conn. Water Meter Road Unit TOTAL V' ?5 ADa CITY OF EAGAN 7795 Pilot Knob Road Eogon, MN 55122 PHONE: 454.8100 BUILDING PERMIT r., k...A br SF DWG/GAR Site Address Lot 17 Parcel * - n Name Richard Vogan z Address 1271 Vildmark Drive tor. onoi r1) o"__ o Name CIA Construction Co., Inc. u Address 6451 E. 190th St. ,...Prior Lake oa,.,... 447-6128 Name - Address N° 8576 Receipt * -2 %2 al n_.., October 13 ra 83 Erect II Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? * Stories 2 Demolish ? Length 75 Grade ? Depth 30 Sq. Ft.- Approvals Fees Assessment Permit 443. UU Water & Sew. Surcharge 52.00 Police Plan check 221.50 Fire SAC 525.00 Eng. Water Conn. 450.00 Planner Water Meter 60.00 Council Road Unit 250.00 Bldg Off . . APC Total O2OE71 ??© Inc. I hereby acknowledge that I have read this application and state that the information is correct c94 agree to compl with o11 applicable State of Minnesota Stotut nd C' y of a d Or nonces. Signature of Pertnittee Construction o., A Building Permit Is issued to: on the express condition thin all work shall be done in accordance with pµ-gpplicable StateA Minnesota Statutes and City of Eagan Ordinances. 126 Tiffany Drive $104,000 Block 2 Sec/Sub. Canterbury Forest 10-16350-170-02 Building Official CITY OF EAR Include 2 sets plans, 1 site plan w/ele levations & I^(/ BUILDING PERMIT APPLICATION 1 set of energy calculations. } r a /Oy/ oO d To Be Used For f!}1Hi/evaluation } Date Site Address 11 -2 -VU)F ??'r C y c Lot Block Sec./Sub. OA'rg6ua ?ect OFFICE USE ONLY Occupa Parcel #: (-7C> - 0 Z- Alter Zoning Repair Fire Z Owner: r o O- 9 H N Enlarge - Type c t move # Stor Address: City/Zip Code: Phone #: Contractor: Q41# Ca.-b1-? &-IT va.' Address: 4y5/ GS/?b Pi City/Zip Code: P&K- 1,AJQ- &7,j ?6S$3V'Z Phone #: ?y7- 6 /Z° Demolish _ Front Grade Depth APPROVALS FEES Assessments Permit water/Sewer Surcharge 5',2 Police Plan Check`/ - Fire S SAC .S°2 Eng, Water Conn. S?- planner Water Meter /?O Road Unit ---j 'C-^ Arch./Eng.- J)c`.vNrs 14011, piLi Council Bldg. Off. / Address: _'7797 Ij APC City/Zip Code -65 Y-'7 Phone #: `SQ ÿ ÿ þýý üüÿÿ úýýÿùþ àæòöüýöúïö âæà þýø þýüûúùø ÷ ö ò öýûúù øöûúùø ÷ ö õ÷ôùó öù ý ò ý òîýùú ñ þðýöï óùöíó óöðýö óö üöó ì ëö ù ÿëöëöó ý ùìòëöë ùëö ì òöüóêö ööðýöüú ëóúó ì ïèçèìæì óú þýöö éýèçèæìåìæå éýÿì ò ñÿ øðõ ùù õø ëöóö ôç ú âåøòýúôæâûëëú ö þöíäõæâ äõæ ßâÞæå öüú íö ùù ëöó öö öóùúùùüþ ëä þý òúë îö ì ùù÷öóþ ýö ýúþ ýö PERMIT City of Eagan Permit Type:Building Permit Number:EA116604 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 1126 Tiffany Dr Lot:17 Block: 2 Addition: Canterbury Forest PID:10-16350-02-170 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 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 - Sean Green 1126 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:Mechanical Permit Number:EA129516 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1126 Tiffany Dr Lot:17 Block: 2 Addition: Canterbury Forest PID:10-16350-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Wade Sedgwick 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Sean Green 1126 Tiffany Dr Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153897 Date Issued:01/31/2019 Permit Category:ePermit Site Address: 1126 Tiffany Dr Lot:17 Block: 2 Addition: Canterbury Forest PID:10-16350-02-170 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Sean Green 1126 Tiffany Dr Eagan MN 55123 (651) 272-8790 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170154 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 1126 Tiffany Dr Lot:17 Block: 2 Addition: Canterbury Forest PID:10-16350-02-170 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Sean & Catherine Green 1126 Tiffany Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature