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1140 Tiffany Dr
CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Brx 21159 ' PERMIT NO : Eagan, MN 55121 . DATE: Zoning: Owner: r. PetFCi, No. of Units: J Address: . ?' t bite Address: I G lk fu;f fi nt zti : Ij' • !-S Canter -r- 'o-e- t umber: en<; L'tL \Meter No.: e: ??¢?, IL De Re der No.: 0 ;?e 9 O / sit: 15. OD n,l 1 as"* to eoeeplp with the City of re ew Permit Fee: _ 101 00 nd Ordi neu s Surcharge: 50 rd . Misc. Charges: - J0 ? d mete: B By Total: D e of Insp.: Date Paid: Insp.: (nob Road 1199 55121 WATER SERVICE PERMIT PERMIT NO.: DATE: i No. of Units: Svend Peterson Address: No.. No.. to eomply with the City of E69e0 By Date of Connection Charge: 470.00 Del Account Deposit: 15.0:1 nr' Permit Fee: Surcharge: Misc. Charges: peter Total: Date Paid: 1- A CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: -1 07 Eagan, MN 55121 DATE: ' - Zoning: No. of Units: I Owner: Sveud Peterson j Address: Site Add 1140 Ti Plumber: 1 agree to oomphr wkh the %WY of mown r ordhneese. By Date of Insp.: Connection Charge: 5 • n0 Pd Account Deposit: 157. Pc Permit Fee: ` 77T-77- ?t P4 Surcharge: Misc. Charges: Total: ?- Date Paid: CASH RECEIPT CITY OF EAGAN ?.. P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECSIVKD FROM AMOUNT & _DOLLARS Ioo ? CASH E]-,CHECK FOR - G? /.j L .??/ L'1' ,(i'„??' '1 FUND CODE AFA OU NT Thank You A a" White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 9 $ 3 2 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eapan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # T. tr M. A 0" F.T_ Value Date ji•...'tt i9 ' FF 7,N Y DK 4 0 ' ` 1 Erect AJ Occupancy _ . Site Add te'r ' t W" T FT- .r." r k sec/Sub Bl L Remodel ? Zoning oc . ot Repair ? Type of Conat. Parcel No. Enlarge ? No. Stories :: t;:J +,ai1'!' • ?;? Name Move ? Length Y 11 W r+ Address Demolish Grade Depth ? Sq. Ft. City Phone Install ? Name ; Address City Phone - I W Name ?W ?? Address <W City Phone _ I hereby acknowledge that I have read th Assessment Water & Sew. Police Fire Eno. Planner and state that Bldg. Off. all applicable „s„ Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Parks Total Signature of Permittee I A Building Permit Is issued to: 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 Permit No. Permit Holder Date Telephone * Plumbing H.VA.C. 5 a ?S5 ?(a3-r?? Electric Softener Inspection Date Insp. Other Footings ` Foundation Framing Rooting Rough Plbg. Rough HVA Insulation Final Plba f? it) Final HVAC ./?. At Final A* vv ?. S Cert/Occ. Water Describe Location: VWII Sewer Pr. Disp. Receipt' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legibly Tot . 1. Date 2. Installation Cost 3. Job Address Lot Blk. - Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New D Add ? Alter ? Repair ? 10. Describe 11. No. - t 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 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 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fe. r 1 Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract r' 4. Owner J 5. Contractor 6. Address 7. City 8. Building Type: Residential .®., 9. Work Description: New D Phone State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe Fuel Type 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 ordinances and codes governing this type of work. Signed : for Rough F Inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EANTERBURY FOREST Remarks /t/1 Z10 2 Additio - CA Lot Rik Parcel Owner t, 1 r? Street 1140 TIFFANY DRIVE State F.AGI MN 55123 Improvement Date Annual Years Payment Receipt Date STREET SURF. q0(0 1979 original p roel STREET RESTOR. - GRADING ?iL 1981 5.34 20 95,46 AO 1-12-84 l SEW TRUNK 2 1973 Pauldundej orl inal rcel • SEWER LATERAL 1981 21.97 2Q 3-51 - -54 A0121"A 1 - WATERMAIN * WATER LATERAL 1981 20 WATER AREA STORM SEW TRK ? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 1-9-85 WATER CONN. 470.00 11 It BUILDING PER, n It SAC PARK This request Wid 5 69 o3 18 months from m ! J A- -(L A 212 I o r3 ?c.? - -- fir,. t rJ , o d Reques Da ire No. Rough-in Inspection ? J a red? Ready Now 11 Notify Inspec- ~ r/ - ?No or When Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box qr Route No. City Section No. T i ame or N Range No. Count A Oc pant PRINT) A e - ? r Phone No. SfS S/ f P if i r . Power upplier ? r ?' A ress ' ? l ? c o t„ E ctrical Contractor (Company ame) Contractor's License No. r /ea ?" ? Y Maili g Address (Contractor or Owner Makin i$U/ lestadation) v Au rized Signat a (Contr r O ner k- g Ire ation) Ph ne NumberD MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BOARD Griggs-Midway Bldg. - Room N-191 UBEN ACCLESSEPTED PROPER B ITHE STATE NSPECTION FEE IS 1821 University Ave.. St. Paul. MN 55104 Phone 18121 287-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION /Ee•00007.04 1 1, • ' See instructions for'completim this form on back of yellow copy.' A f ?. 1 '"X' - Below Work Covered by This Request 1 1 7 (U / Equipment Wired Heater # Fee service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 20 s 0to 30 Amps 7 . 0to 30 Ams 12,00 IAbov(C20 ,._Am{a 31 to 100 Amps 0 31 to 100 Amps Swinaning Pool Above 100_Am S Above 100_AmpS Transformers Irrigation Booms artial/Other Fee Special ;nspection+?D'rbOTAL F?F??f, cc/ the Electr'cal /J - el s Inspector, hereby "rtify that the above Final , Date t^ inspection has been (Q lu matle. Thisnglwslyol! CITY OF EAGAN N! 9 8 3 2 s P.O. Box 21.199, Eagan, MN 3830 Pilot Knob Road 55121 , PHONE: 454-8100 ING PERMIT Receipt # / BUILD - To M used for SF DWG/GAR Est_ value $168,000 Data JANUARY 3 Iq 85 1140 TIFFANY DR Erect 17 Occupancy R Site Address CANTERBURY FOR Remodel ? b k 2 S /S 10 Zoning R1 Bl Lot oc ec u . Repair ? Type of Const. V Parcel No ? . Enlarge No. Stories Move 11 Length 72 . W Name SVEND PETERSON CONST INC Demolish C1 Depth 42 Address 4701 W 110TH ST Grade ? Sq. Ft. City MPLS Phone 884-5144 Install ? Appromis re" O me N SAME a Address City Phone ?W Name z? Address i W City PhoneT-- I hereby acknowledge that I have read the information is correct and agree State of Minnesota Statutes and Cipj Signature of Pennilfr ?_,Y1C A Building Permit Is issued to: all work shall be done in accordance Building Official and CON Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. 12/19/ 84 APC , Permit `' W " Surcharge 84.00 Plan Review-3 0 1 . 5 0 SAC 525.00 Water Conn. 4Q0 Water Meter -i31a0 Road unit --2-611.-(10 Parks Total $2.306_50 i NA- on the express condition that Statutes and City of Eagan Ordinances. 0• * 603-00+ 84-00+ 301-50+ 525.00+ 470-00+ 63-00+ 260-00+ 293o6-50* ALL CONTRACTORS MUST ... INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: Site Address: ?y p,?t? ??08'?0 ?? • • C?r7nii5?RY Lot: A Block: a Sec / ub /' x,16 sir2T Erect: Remodel: Parcel #: Repair: Enlarge: Owner:- PG= i L ,2 S;f-- /1"-Move: Address: 1?,170 / Lv //n ?24- .S? _ Demolish: City/Zip Code: s 5 S-y 3 7 Grade: Phone #: ?/ - 5 /4?f u Contractor: Address : City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: phnnafl- BE LICENSED WITH THE CITY OF EAGAN . Occupancy: Zoning: Type Of Const: # Stories: Length: Depth: Sq. Ft.: Imo' 3 RI 12- 47- I APPROVALS Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: Permit: ("03.: Surcharge: F24,` Plan Rev.: 30 1. 5 SAC: 525. Water Conn: 410.° Water Meter Road Unit: -2-(90.° Parks: a,3od, sz) N x O rl it ?? ? O 1" ? X x -j _ J O r d Iv n d ? ? G N N N u n ? ? ? N N RESIDENTIAL ?55?? 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. fL of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Jost Detail Options selection sheet (bldgs with 3 or less units) DATE I I (C` ?? SITE ADDRESS 11 `1 U I l G r" . TYPE OF WORK Te -f - 65 -L 6- APPLICANT _KetYa-W45) r,) FIREPLACE(S) _ 0 _ 1 - 2 STREET ADDRESS Q 1-I L-I Dr-d)IIQn CITY d TELEPHONE # a52 g 91'1919 CELL PHONE # i1 X09 - T761 FAX # PROPERTY TE ry!N 21P55 Id-y TELEPHONE # CO5D_ Sy 93 9 9 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # $90.00 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 t// I . 6? ------------------------------------- - - ------------------- - - ------ - ------ - ---------------- -------------- - --------------- - - - ------- - - - - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 • Residential Ventilation Category 1 Worksheet Submittn gyf_ode Worksheet Submitted • Energy Envelope Calculations Submitted i?? (r l?Jn r ll?? S.= P 1 8 2002 Ij Phone # -' Water Softener Water Heater No. of Baths 2 coUReo Requirements * • 2 copies of f plan • 1 set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions Lawn,Sprinkler I No. of Air Conditioning Heat Recovery System MULTI-FAMILY BLDG _ Y _ N VALUATION ? ) to 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) - 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/replacernent) 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 Certificate for: Bk: 78/55 Svend Peterson ,'4701 West 110th Street Bloomington, Mn. 55437 DELMAR H. SCHWANZ LAND SUNVEVpgS RaO PIPrp? UmtrLdwP Of TbP $IM A 14750 SOUTH ROBERT TRAIL ROSEMOUNTOM PHONE 612423.1 M ? T i SURVEY CERTIFICAT Scale: 1 inch - 40 feet ?J` t?,so Q o Denotes iron monument S 7Pr4 l st ? Denotes set wood hub g2. ss 9l? •o ? Fem. oy ? 9 0 T°o?"8 Av +? r? ?p77 M ph9 ',Oar 1 / ?? / 3s'} p o Propoted { j rr House _ / fav lice 9L 73 1 / \' 9L7 Denotes existing elev. Drainage and tilt // Utility Easement , O Denotes proposed elev. (Elevations are assumed) f 'T f cJ I hereby certify that this is a true and correct representation of Lot 10, / Block 2, CANTERBURY FOREST, according %j to the recorded plat thereof, Dakota \V&unty, Minnesota. A( Also showing the location of a proposed house as staked thereon. _ JG `\ t? Dated: December 17, 1984 E / All, s? ?? " r MINNESOTA R GI TRATION NO. 8625 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER J?. /^? C- SITE ADDRESS Z /D- t5- / sc-< 1-3U,e CONTRACTOR DATE ?`??? edrHOPIE ?? S/1/y Determine working square footage of each. 1. Total exposed wall area .... - ? / sq. ft. x .19 = 10/Y& 2. Total roof/ceiling area ... 3 3 sq. ft. x .04 = Total exposed wall area above floor = a. Total wail window area ................ 3 7-5- b. Total door area ....................... _3c? c. Total sliding glass area . d. Total fireplace wall area .......... e. Total wall framing area (average 10?)... 33 X33 f. Total net wall area above floor ........ 227/ g. Total ........ rim joist area ........... ?.2 Total exposed foundation area = /G h. Total foundation window area .......... /O i. Total net foundation area above grade . Determine "U" value of each wall segment. a. x "U'7 0,56 c6 b._a? X ttUt; C. _ X flu;. T47c/ `8 D.Vc X "U•' C.'. ae2 e. 338 X '•U" = 0//9 a _ f .'xa? i X "U" _ 0- 0 Ll '91 g• 2a'2 X "U'- 0u7 = 13 h. /c X ? i. X t 17U O /y 1.3 3 .............................................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 = ?Jr J. Total skylight area .... ...... O k. Total roof/ceiling framing area (average 10• /gZ? 1. Total net insulated roof/ceiling area ry 7 Determine IV value for each roof/ceiling segment. j • Ci X "U' = k. /5-S X "U" 4, 019 = -7 7?1 1 ??d S X "U" n D/ q - X. cro / 4 ......................................... Total Y If total of #4 is the same as, or less than E2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope syster. method, the values established by the sum of items N3 and M4 shall not be greater than the sum,of items X11 and #2. 1. + 2. _ 3. + 4. _ i `r 4 7 t 1151 CITY OF EAGAN APPLICATION FOR PEP-MIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PP.CP=r- - ADDRESS: ? I7 r?????J ???vC =-AL DESGRIPTICN: ?aT /0) 7- (Lot/Elock/Subdivision or Tax Parcel I.D. N=berg i E = :G STRLCT= , DATE OF CRIG1 ;AL uIZ ?:G p=---1I1 ' --- _- -= • F.o2S .. LTSE: 42rR-1 S12,;G.. r MILY ? R-2 DUPLEX (tiC0 UNITS) ? R-3 TO:v't\TiCUSE (TTTIREE + LNITS) ( UNITS) ? R_4 APA-R7 ='`.':/CCLMa-I? I'u:•I ( IINITS) Q CaNME°,CI:-,L/RETAIL,/CFFIC ? amusTRL:'L (3 P,ISTITLTIa'AL/GCM-?L7SE: 2) AnPLI-C??II' IPLEA?E PRINI) 3- NA'%T-: 11-67ulo .SA-AJ C_?ox s7 ADDRESS: R ?7t9/ 4J //O ST CITY, STATE, ZI?: LIX?/8 lr?® TDd? /,7 ' s?3 PHCNE: ?s1i- Lli'g?r 3) PLL IBE•R (PLEASE?ItIi) FOR CITY USE ONLY NAME. ADDRESS: /y7,0_<-f- SQ07iS! AC)& pr 7e7p4/` PLUMBE 17?1 RS LICENSE: Active CITY, STATE, ZIP: /jJ iai eJ??? g [? Expired - PHONE: ,Aa ic:; 11623-leVY PLUMBER LICENSE # $ fl9?J 0 Not /pi Re rd ?l 3rr Inltla 4) CCCUPA:dT/OWNER NAME: IrLCAat VNINi) : ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUE=: X?CC::NECTION TO CITY SE4ER CC:.TIFX.TICN TO CITY WATER ? G= (PLEASE DESCRIBE) 6) `:NIA.. C:W: ? PLE`,SE 11OLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABO`,'E f,KPI-EASE MAIL APPROVED PERMIT TO 1, 2?3 4 ABOVE ! (Circle one) 7) SICZ?:L?RE: ? DATE: / ?i? F O R C I T Y U S E O N L Y PERMIT °- ISSUED FEES: $ /o, . SO $ ! L? S $ lJ $ S Y? (? ?sy S $ WATER PERN(IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:dER TAP ACCOUNT DEPOSIT - SE:IER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK ?WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SES•IER LATERAL BENEFIT/TRUNK WATER OTHER 22 TOTAL $ oo AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C 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: r DATE: _I - me a WU=mwwim MMMmomwMw?ll?wsw MPG wawi w,Wrii li Wwj"w"" wi wi"a ww im 77gal 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 7 Site Address //4,/6 1 ! r y Unit # It_ X/ oy e 7` P O -12 ! ( 6 T l h ne # ( / ) 7J Y ?13 9 2 7 roperty wner l e ep o Contractor Bl IRNSVILLE HEATING & A/C INC. 3451 W. Burnsville Parkway Street Address Suite 120 City Burnsville, MN 55 Zip St t qq hone# (7c??j ?Cl?pUUS Tele a e p / Bond #: Q 5?`5 1 !j Expires: * ?W " The Applicant is Owner _,9 Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 _ furnace -Additional Replacement New air exchanger air conditioner heat pump other State Surcharge v? $ .50 Total Mg 1 5 2007 $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the M anrca odes; that I understand [his is not a permit, but only an application for a permit, and work is not to start without a permi ;that the ork will a in ace dance with the approved plan in-the case of work hie requires a review and approval of plans. Applicant's Printed Name Applicant's Signature q°1 ?q 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 . 651-675-5675 Please complete for modifications to existing residential dwellings, e Date Site Street Address 1J1 - Unit# Property Owner vunQ S n ( Telephone # (bf )) y5y--9 3V) Champion Contractor 651-365-1340 Telephone # ( ) Address 3670 Dodd Rd. City man. MW&r? 1329 State Zip / Contractor - The Applicant is: _ Owner Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per n-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of heater at the same time. if you are installing on/v a heater, do not complete this section; move to the a water softener and/or water water softener and/or water next section and check the appliance(s) you are installing. `Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Heater Water Softener $ 15.00 _ / new ? replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total -t_ ..a....: ..In 1c ?nA orrnrA}a' MAY fhP. I hereby apply for a Residennai riumomg vermr ana acrcnowiauyn u iai U1= -, •-•- -• •- ---- -- • work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required reviewed and approved. !Q o p? , S? ??_ Applicant's Printed Name Applicant's Signature 2OOJ p AUG :?,3 lly PERMIT City of Eagan Permit Type:Building Permit Number:EA130733 Date Issued:05/12/2015 Permit Category:ePermit Site Address: 1140 Tiffany Dr Lot:10 Block: 2 Addition: Canterbury Forest PID:10-16350-02-100 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 - James G Knight 1140 Tiffany Dr Eagan MN 55123--189 (651) 454-9399 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:Plumbing Permit Number:EA165508 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 1140 Tiffany Dr Lot:10 Block: 2 Addition: Canterbury Forest PID:10-16350-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - James G Tste Knight 1140 Tiffany Dr Eagan MN 55123 (651) 271-0178 Mr Rooter Plumbing Of The Twin Cities 5155 East River Road, Suite 418 Fridley MN 55421 (763) 551-0555 Applicant/Permitee: Signature Issued By: Signature