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1127 Tiffany DrCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5991 P. O. Box 21199 PERMIT NO.: 3-25-8 Eagan, MN 55121 DATE: 1 Zoning. R1 No. of Units: Owner: Feature Bldrs Address: ite Address: 1127 Tiffany Drive L1 B1 Cante ury ores Plumber. lb & ' Ht P 3 i Meter No.: 3 9 2 s S Connection Charge: 15.00 pd ize:.??9' 4s?? Account Deposit: d 00 10 P ? 1 -2 Reader No.: Permit Fee: 0 : d 1 Gem to comply with the City of 16"a Surcharge: P ordieeeae. Misc. Charges: 63.00 pd meter Total: By Date Paid: Date of I nsp.: _ Insp.: TV OF EAGAN WATER SERVICE PERMIT 30 Pilot Knob Road 5991 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: ning: 1 No. of Units: r.ar,srA R r ra No.: M emply WNh the City of Eagan By Dote of I nsp.: mwq" Connection Charge: Account Deposit: ?.? p'l Permit Fee: Surcharge: 31. P4 : Misc Charges Total: , . pd rte G Date Paid: Insp.: C11 Y OF EAGAN SEWER SERVICE P 3830 Pilot Knob Road ERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55'2 1 DATE: 1 Zoning: -- No. of Units. B7 dra Owner: 'eature Address: 1127 Tirtanv Dr Site Address: ive L16 B1 Canteb ury rorest Plumber. I pne to ""ply w6h the City of Eepn ordisssneft By Dote of I nsp.: Connection Charge: 425.00 nd Account Deposit: ' . 00 Pd Permit Fee: i +.00 Pd Surcharge: .50 Pd Misc. Charges: Total: 10 CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM Z AMOUNT Is 8 DOLLARS ion p CASH [] CHECK ran i' FUND CODE AIAOU NT NO You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Name Address Assessment Water & Sew. Police Fire Eng. Planner council I hereby acknowledge that I have read this application and state that Bldg. Off. L /J1 eS i • a' • • the information is correct and agree to comply with oil applicable APC Total WAS • State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee A Building Permit Is issued to: P'F.7iiTIJRE BLDRS on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • CITY OF EAGAN 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100' BUILDING PERMIT Receipt # Permit No. Permit Holder Dote Telephone fk Plumbing 3 3 _ H.VA.C. YTI Electric 'K 4 A-, J L S'U Softener Inspection Date Insp. O ther Footings; Foundation l1? Framing - Roofing Rough Plbg. 3- 1 9- t? Rough HVA Insulation Final Plbg. Final HVAC 9-1 6?01 /Z 3f . Final Cart/00c. We ter Describe Location: YYell Sewer Pr. Disp. Receipt PLUMBING PERMIT CITY OF EAGAN J f fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Ljo?Blk. Permit No. -' Fee S/C Tot. I Tract 4. Owner n AYQ ) - ?? 5. Contractor 1-? P! ?,/?f "Phone 6. Address e`/ V + 7. City f !/: State Zip r 8. Building Type: Residentia,,..ll, ?'o Commercial O Institutional O 9. Work Description: Newer' Add D 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. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with7all ordinances and cows 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 4548100 Receipt f i f MECHANICAL PERMIT Permit No. J , CITY OF EAGAN Fee ' Fill in numbered spaces sic Type or Print legibly Tot. U 1. Date 2. Installation Cost 3. Job Address4/? 7/F?A,IIS Lot ?r Blk. ]_Tract 4. Owner rc61V 7 aX6 QeD?S , !/ 9 3 9 5. Contractor [J?Pd/??itJ i •?6 Phone 19 37 -49 6. Address ? g9a e??S7w000 7-6,f- 7. CityF,,?rAl State 1?7/? Zip 8. Building Type: Residential lB"' Commercial ? Institutional ? 9. Work Description: New UK' Add ? Alter ? Repair ? 10. Describe Fuel Type? 4V -Y 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg, g 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 ordinan and codes governing this type of work. Signed : k--? a Ls? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: J PHONE: 454-8100 Site Address F% T= , - BLDG. TYPE WORK DESCRIPTION Lot Block L- Sec/Sub Res. New Name r ' i'? - t< 5 ( (c 1. Mult Add-on Comm. Repair Address ' S City,-! lR((r' 1 Phone 7e , Other FEES Name 1 + r I'? ` f RES HVAC 0-100 M BTU $24 00 C Address I > r ' N . ADDITIONAL 50 M BTU - . - 6.00 p City Phone 11'"i - C(RES. HVAC ONSTRUC IONUDES A/C ON NEW GAS OUTLETS MINIMUM 1 PER PERMIT E - ( ) - 1.50 A. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ COMMERCIAL MINIMUM 20.00 SURCHARGE HARGE PER PERMIT - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other 7-13 -9 7 10A2 FEE f: a _C _ ' S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Remarks Lua- Iy Addition CANTERBURY FOREST Lot 16 Qlk 1 Owner j54rrhl Street 1127 TIFFANY DRIVE A. L J_ Ad A/ f L /_ MN 55123 i ... Improvement 11 n fr Date Amount Annual Years Payment Receipt Date STREET SURF. 00 1979 Paid unde original p reel STREET RESTOR. GRADING 6_86 JET— 106.78 5.34 20 8S.46 A013446 1-12-84 SAN SEW TRUNK 7 1973 Paid unde original reel * SEWER LATERAL 1981 439.42 21.97 20 3fij,S4 A013"6 1-12-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA p$ 1979 Paid unde original reel STORM SEW TRK 7 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 280.00 49300 1-31-85 WATER CONN. 500.00 BUILDING PER. #9865 ' SAC 525.00 " PARK This request voids If I'5 -C 18 months from B9 L?4 Request Date I Fire No. Rough-in Inspection ? ?Ready Nov Will Notify Inspec- -?S ?No :r-v- or Who. Ready Licensed Electrical Contractor I hereby ma mist inspection of above Owner electrical work installed at_ Street Address, Box or Route No. x ?J City ?/ f /?J' c--7 A' -LJ/-: /? ection No. Township Name or No. Range No. County Occupant IPRINTI ?Tus2cr i Phone No. Z713s--z?VV-3x Power Supplier Address Elect' I Contractar ICompany Name) ?17/ G ?.vc Cmvanor's License No- C7'>// ??S ? Mailing Address (Contractor or Owner Making lit;Wilation) 767s ? /3 ?c?rs 5s?7 Authorized Signature (Contra Owner irg Installation) ,A(! n G(_ 4 Plrorte NunDer D - ? MINNESOTA STATE BOARD OF ELECTRICITY TNIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 RE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN Fi51/1a UNLESS PROPER INSPECTION FEE 6 Plane (172) 297-2111 ENCLOSED. 5i 5 < REQUEST FOR ELECTRICAL INSPECTION EB-00001dN ' See instructions for completing this form on back of Yaps gPDY- Lti \/Ie) 6 6 3 2 -x- Relow Work Covered by This Request lJ) o dd Rep. Tvoe ,f Swirls. Apolfancea Wired Equipment Aired Silo Unloader Bulk Milk Tank # Fee service Entrance Size # Fee Feeders,Subfeedem tl Fee circuits 0 1o20 0 Am s 0 to 30 Amps LA 34'?? 0 to 30 Am Above 200 Am 31 to 100 Amps - 31 to 100 Amps Swimming Pool Above 100 Above 100_Arigls Transformers Irrigation Booms SC7 'Other Fe Signs Special Inspel:uon S? TOTAL FEE 'V Remarks o?'? tough-in Dace 4 ? I the Electrical +.+, I ?' " . Irc:Pacty. hereby certify amt ,Ire abeYa Final D11 fl inspection has beer. a {? 2 ' 3 ®de- Thin request void 18 months from This request void -3 18 months from J ( a J 820072 L(Cp c CA.h?LA? 6TI- I /) (0, 0 0 flP.quest Nate / ^ Fire No- Hough-in InspecU fte armed? Ready Now UI Notify InsDec- or Wh H d ( Yes ?No en ea y Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City or Contractor (Cootie" Name) S5, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST'WILL NC Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD 1821 University St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ph.. 16121 29]2I[ I I ENCLOSED. 5d ?? z REQUEST FOR ELECTRICAL INSPECTION EB-00001 r? , See instructions for ponrpietinti this form on back of Yellow covY. 3B-(IS/ ?5 2 0 6 7 2._ , "X" Below Work Covered by This Request New Add Rep. Type of Guild mit App M ceps tarred Eenipmenr Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Corrunercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm at-he, peel v Other Ispecifvl 1 r Spenfy Other Other Compute Inspection Fee Below # Fee Service Entrance Si:e # Fee Feeders/SUbfeeders # Fee Circuits 0 to 200 Am Oto 30 Amps Oto 30 Aml)s Above 200 in - 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Arnps Above 100_Amps Transtonners Irrigation Booms SG Partial•'Other Fee II Signs ' (Special Inspection Remarks TOTAL?FBE', ( In. rr L1 1. the Electrical fspactor. hereby certify that the above inspection has been made. /• l CITY OF EAGAN NO 9 8 6 5 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $69,000 pate 7 N fARV '11- 19 R., SiteAd Tr g 1127 TIFFANY DRIVE Erect Hl Occupancy R3 e6 1 CANTERBURY FORE§Ofnodel ? Zoning R1 Lot Block sec/Sub. Repair El Type of Const. 17 Parcel No. Enlarge ? No. Stories Move ? Length 7 0 W Name feature builders z Address 15513 LOGARTO LN 9 City BURNSVILLEPhone 435-8443 SAME Name Address City Phone r5w w Name i! Address ? Z . < City Phone Demolish ? Depth 26 Grade ? Sq. Ft. Install ? Approvals Fees Assessment _ Water & Sew. Police Fire Erg. Planner Council Permit J 34U. UU Surcharge 34 _ SO Plan Review 170 _ 110 SAC S9S 00 Water Conn. -5111 O o Water Meter 61 n 0 Road Unit qRn 00 I hereby acknowledge that I hove read this application and state that Bldg. Off. 1 /31 /8 S I T . p the information is corr d agree to comply with all applicable Total p'NOU8 State of Minrrewto S lutes nd Cify of Ea n rdinanws. APC Var. Date Signature of Permitm- ' - A Building Permit is issued to: FEAT. RE BLDRS on the express condition than all work shall be done in accordance with all 9.*iwble St e o innesoto Statutes and City of Eagan Ordinances. Building Official 340-00+ 34.50+ 170.00 + 525, 00 + 500-00+ 63-004 280-00+ 132-00+ 2.044.50* • 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ,Cc+yLaZ- Valuation: Date: f ,? 85® ?R aoo. Site Address: l/a7-OFFICE USE ONLY Lot: / Block / Sect/Sub Parcel # Owner ?"L& ca?Q° Address City/Zip Code Contractor Address City/Zip Code Phone # *3s -RN-V3 Arch./Engr Address Phone # Erect X Occupancy R-3 Remodel Zoning R-? Repair Type of Const ST Enlarge # of Stories Move Length -lo Demolish Depth Zb Grade Sq Ft APPROVALS Assessments Permit ?Q, w S Water/Sewer _ Surcharge o _ 3, - Police Plan Review t70. Fire SAC 525,°°= Engr Water Conn Planner Water Meter (03. Council RR?aad Unit - 2&D.°° Bldg Off 1 Parks APC Treatment Pl 132. Variance TOTAL a? C/ - S Q NOW BS° l2 S-1+ E ?oS 5c).93 0 r g1 bpq?wa?.? \: Elevations" shown are existitrg ' grade's ahd are assumed *d'efuti' ' .. ?AgE.NvEJ•>T\ Proposed garage floor = 89.0 t oT 6 p 0 0 1 N 9$ J°_ lO R 1 A Q°QO°s? ti' vi ro i A. CO 0 9 1' / o m 5 ?? ? z _ up : S ?LX, I hereby certify that this is a correct representation of a survey of: Lot 16, Block 7, CANTE3BURY FOREST, Dakota County, Minnesota, according to the recorded plat thereof. And that I am a duly registered land surveyor under the laws of the State of Minnesota. Dated this 29th day of Januirv, 198; Geoe L. Jacohsol Minn. Reg. No. 7734 DR BY E,CJ I SCALE - I" = 4CrI o DENOTES IRON MON. I'raua rcJ for: 1 Pcatur?• iir.i lJr rS BEARINGS ARE ASSUMED DATUM. JACOBSON SURVEYORS LAKEVILLE, MINN. 55044 PHONE 469 -4328 7690 W. 145th Strout F Apple Y ley, MN 65120 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER I - 2y SG SITE ADDRESS I J,? 7- '?/g3t:2W A-?j _ CONTRACTOR _FEATUV-E- BL.D¢S DATE (=2r3-Q5 PHONE X35-8'f43 Determine working square footage of each. 1. Total exposed wall area ..... l q Z-3.0y sq, ft. x .1 l - 53 2. Total roof/ceiling area .... YZOq sq. ft. x .0 2t,° 31. O Total exposed wall area above floor = ? b3 t_ a. Total wall window area ........................... ltoL0,4 b. Total door area ................................. 3 g c. Total sliding glass door area .................. Ag d: Total fireplace wall area....... .. ....... y g e. Total wall framing area (average 10%)...:........ IZct.1to f. Total net wall area above floor ................. IIto2.y y g. Total rim joist area Iq to Total exposed foundation area = 9 5,04 h. Total foundation window area............ ......... 3,15 i. Toal net foundation area above grade ............ 1,84 Determine "U" value of each wall segment. a. I LOLo.4 X "U" b. 38 X "U" 3z 53.Zy 139 5.t C. 66 X 11ull is d. 48 X ..u" , 3 Lo I?,ZB e._ 111411 to X "u" -y41o = 12,3 f • 1 162,44 X ..u.. , 043 = y9.9 8 e• 1 X ..u.. o = 8.03 h. 3,15 x "u" I SS = 1,"75 i. 011.69 X .u,. . 08Z 3 .....................19... :o4 .......Total If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 12 O? Total gross roof/ceiling area - I2 0 y 3. Total skylight area . `-' k. Total roof/ceiling framing area ........... 1'LC?.y 1. Total net insulated roof/ceiling area....... IUA 3.to Determine "U" value for each roof/ceiling segment. j. X "U" _ k. ?Z0.y X ..u.l cz4 = 2.8 1. 10i33.1o X "u" O LL 23.83 4 ................. 0-.0 y...........Total If total of #4 is the same as, or less than 02, you have met the intent of SBC G006(c)l. To utilized the total envelope system method, the values. established by the sum of items #3 and 04 shall not be greater than the sum of items 01 and #2. 1. 3. MATERIALS Exterior Air Siding Material Sheathing Insulation Shestrock Interior Air Studs Rim. Cone. Blks. + 2. + 4. Therm. Resistance "R'l ,19 ,4S l? L.0 1_ ,45 1 8 I,ZB j CITY OF EAGAN 2/84 tlpl APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION - (PLEASE PRINT) 1) PPOPERTI' ADDRESS: 1 1;?, 726 ?t'll ' =-%L DESCRIPTICN: 49pi ?- (Lot/Block/S bdivisicn or Taff Parcel I. n. NU:,per) i EIS =: S?^.-', C71-:ZE , DATE OF C:RI_GI:!,L ZUI==G :-_=IT ISSN \C PRESE` - Z.^`7II7;/P.ROPOS= .' 5r,-R-1 SivGIE FAMILY ? R-2 DUP1= (TNO TMITS) ? R-3 TC'I%Y- JSE (T=-Z - U?7ITS) ( UNITS) ? -} APR r T/CC_ZJG-tr7IG?1 ( UNITS) ? CCi-n??CIAL/ZE:'AII,/Or 'ICE ? L\Z'USiRL'iL ? INST=IC'N?L/GO=1.= 2) APPLIC:'.?7 NAhLF L (PLEASE PRINT) ?/? Y? L( S ? ' . , 7 ?1r ? f5 2 ADDRESS: CITY, SLATE, ZIP: PHCNE: 3) PLU-IRS (PLEASE PR Ni) FOR CITY USE ONLY NAIL: ? f4 ADDRESS: ?? c?GZ, ..,ems PLUMBERS LICENSE: Acti CITY, STATE, ZIP: p 1/IfI {7 ???/ ?J J ve Expired PHONE: '$haicr. 2? PLUMBER LICENSE N ,?.-2+z2 Q Not„ of Record ?J 3r, initial 4) CCCT?.kNrr/cr.-zTER (PLEASE PRINT) NF4^4E: ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDIMTE WHICH PERNUT IS BEING REQUESTED: COSINFC:T_ON TO CITY SEWER j4j COIINECTION TO CITY I'TATER OTIER (PLEASE DESCRIBE) 6) M*DICA . CNE: El PL--aSE I?OLD APPROVED PEF.MJT FOR PICT:-L BY ONE OF ABOVE PULSE :-7'JL APPRCNED PEF,%UT TO 1, 2, 4 ABOVE (Circle one) 7) SIC WELT /?(?/}^] a - DATE ' 00 R ofalflls?.as! i p l?gaca of s rv;? f-aa a? s ?sa:a :? fe at?.a?i4Jfa a? +O 1? ?r=scsaa? i F O R C I T Y U S E O N L Y PE?MTT °- ISSUED FEES: $ /O. ?d $ f 9. a S S $ ?o $ S sa s..--T S S S C.E' iER PERMIT PERMIT (I`_iCLC:DE SUD..I"...R,.r,.R.GE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEC?ER LATERAL BENEFIT/TRUNK WATER OTHER S TOTAL AMOUNT PAID; RECEIPT R 1_el.Afr3 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: C2?° e-U TITLE: -Zlj!f- GL.E/ DATE: -?'- -z S-- A`5' •?f/???w?! mwstwl?w xw: mwws-r Won Rwv44w"lw:Mwa"wk_M,*+fe wjvRip mwe iw MM RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN rl ??j?? I 3830 PILOT KNOB RD - 55122 651-681-4675 2) vr? New Construction Requirements RemodegReliair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum tot coverage allowed) • t set of Energy Calculations for heated additions 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks i set of Energy Calculations • Indicate I home served by septic system for additions 3 copies of Tree Preservation Plan if bt plated after 711193 .Rim Joist Detail Optlons selection sheet (bidgs with 3 or less units) DATE (Q l P-S f © \ JOB SITE ADDRESS __h 'd T? ?l IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWNER fV` I-k_ ' TYPE OF WORK f-(- ('o© 3_ APPLICANT t ADDRESS 55 PAGER # VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: - Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the i rmati s correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord aces. Signature of Applicant C' FIREPLACE(S) _ 0 _ 1 _ 2 KPHONE#?e\ S 6(00 1?Z ZIP CODE - V-1 CELL PHONE # SaI2 55 b1 ?'? FAX # 6's Water Softener _ Water Heater _ No. of Baths _ Phone #: Lawn Sprinkler Fee: $90.00 No, of R.I. Baths VALUATION 9 I .-%? Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing - Pool _ Ftgs _ Air/Gas Tests Fireplace _ R.I. _ Air Test - Final - Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) 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 E3 07 05-plex E3 13 16-plex E3 08 06-plex 13 16 Fireplace [3 09 07-plex E3 17 Garage 13 10 08-plex ? 18 Deck E3 11 10-plex E3 19 Lower Level ? 12 12-plex Plbg_Y or_ N 13 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg [3 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) [1 44 Siding ? 36 Move Bldg. [3 42 Demolish (Foundation) [3 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof . E3 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered _ FinaUNo C.O. Plumbing HVAC Building Inspector City of Eagan PERMIT 41' CityofEaa Permit Type: Plumbing Permit Number: EA106551 Date Issued: 08/27/2012 IIPermit Category: ePermit Site Address: 1127 Tiffany Dr Lot: 16 Block: 1 PID: 10-16350-01-160 Use: Addition: Canterbury Forest Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dan Clough 3880 Willowwood St Prior Lake , MN 55372 952-447-5761 Fee Summary: Valuation: 400.00 PL - RPZ/Lawn Irrigation $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447-5761 - Applicant - Owner: Michael Pierce 1127 Tiffany Dr Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE r BLACK Ink For Office Use CiJLt of Ea oft I Permit I Permit Fee: V , I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I I Fax: (651) 675-5694 1 Staff: fl:q I I i - - - - - - - - - - - - - - - J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b t Site Address: / f- Unit -2 -r Llw . Name ~I t/► I[~XJc~~CQ_ Phone: (PSG O Resident/ ~y ~ Owner Address / City / Zip: f #'d'l~ M AJ SS/23 Applicant is: Owner Contractor ~~f <,o C e ,v (C1 Type of Work Description of work: h Construction Cost: I Multi-Family Building: (Yes / No Company: DuBois Design & Remodeling, Inc. Contact: Dvl V1 /Jt ~S Address: 11825 Point Douglas Drive South City: Contractor Hastings, MN 55033 A/50 State: Zip: Phone: f5O" 0 8 '1' License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. rhEe rtions of the information may be classified as non-public if you provide specific reasons that would permit City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. L .v;.,.ctertte > et ti,l„{ rci I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and co es of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that ft :work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be complete, I within 180 days of permit issuance. Applicant's Printed Name Appli , nt's Signature Page 1 of 3 / ✓5 Use BLUE or BLACK Ink For OfficeUse I ~ j N !q City of Eap I Permit I ~r Permit Fee: 3830 Pilot Knob Road 13 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I I G~ a 2013 RESIDENTIAL yBUILDING PERMIT APPLICATION Date: _ ( ! 3 f f G Site Address: • Unit Name M, ` )E'er w,.Phone: Resident/ .y1 Owner Address / City / Zip: 11711 a 114 '~'5 12.3 Applicant is Owner Contractor Description of work: Y~Mgc 1~:5~ fGk ~i "fi Type of Work Construction Cost ) 1 Multi Family Building: (Yes / No Company: DuBoi's Design Remodeling, Inc Contact: J { t~ 1 ((ytQ1~ Contractor Address: 11825 Point Douglas Drive South City: Hastings, 55031 6 p,+ t r State: Zip: Phone: License # cc> 1 *7 1?~,i Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and m ns of supporting documents that you submit are considered to be public information .Por°°~...__ .fio.., the information may be classifiedas non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. kv;V J„ g c,,,,. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x_ CJ v 6 1 d ( lq."V x Applicant's Printed Name Appli . nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA150771 Date Issued:07/24/2018 Permit Category:ePermit Site Address: 1127 Tiffany Dr Lot:16 Block: 1 Addition: Canterbury Forest PID:10-16350-01-160 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Pierce 1127 Tiffany Dr Eagan MN 55123 (651) 454-8030 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature For Office Use ° x /S% 0a ?-rA Gjokts, � � � Permit#: Permit Fee: le RF CE IV r� Date Received: p ' /1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694AUGo3 2q1$ L Staff: / buildinginspections(c�cityofeagan.com �/ V/02//1 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 11 / 7Li' �/ � • Tenant: m// (CP16/2 e t Suite#: Name: 01 l Phone: ' / s - e� o Resident/Owner Address/City/Zip: /✓` 1+i) 711 5_6 4Z 0 1 Name: License#: d COMIAERS CONDITIONED WATER Address: 9I50 W 35W SERVICE DRIVE City: Contractor BLAINE MN 55449 State: Zip: Phone: '26 - ? -2g/ Contact: ti s� � � Email: Type of Work t/ New Replacement Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: ' ♦ AL.Zedel RESIDENTIAL V Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) Permit Type Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 6 Q •C)17 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L iSit} /--I4 x �.6z) efe4,n) Appli ant's Printe Name App1icaht's Si na ur FOR OFFICE USE Reviewed By: Date; Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer PERMIT City of Eagan Permit Type:Building Permit Number:EA154101 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 1127 Tiffany Dr Lot:16 Block: 1 Addition: Canterbury Forest PID:10-16350-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Michael Pierce 1127 Tiffany Dr Eagan MN 55123 (651) 454-8030 X0 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature