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1144 Tiffany DrCITY OF EAGAN WATER SERVICE PERMIT z ; 3830 Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 6011 Zoning: No. of Units: Owner: . arlshine Const Address 1144 Tif any Dr !.`-' C3ntebury Fort,st Site Addre= ` Meter No.: Connection Charge: Size: Reader Na.: I deree to comply wkb tM city of Began Ordloomew By Date of Insp.: Account Deposit: Permit Fee: 1 ?u ? n"I Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3834 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 5511 DATE: 7-28-6-- Zoning: No. of Units: 1 Owner: o n S t Address: Site Addi Plumber. I egreo Iie oemgly willlr dw Cky of Iowa Convection Charge: arahmaces. Account Depwk: Permit Foe: S ?_:TT Surcharge: 1 By Misc. Charges: Date of Insp.: Total: Inso.: Date Paid: Receipt 3 7 MECHANICAL PERMIT Parmit No."- CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address ?_Blk. SO I-x Z Tract 4. Owner. n4_::jA11jV A1F7 . 57- j 5. Contractor/,Pry2,e& 1 rtr! <: Phone '1 y - d 9 6. ??? Zip ? ??3yS? 7. City-' State 8. Building Type: Residential 9 Commercial ? Institutional ? 9. Work Description: New 0- Add ? Alter ? Repair El 10. Describe Fuel Type 11. No. i" 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 a)l 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 PLUMBING PERMIT Permit No. - CITY OF EAGAN I Fee Fill in numbered spaces S/C Type or Print legibly Tot. ;:?4 ? •? 1. Date ` -4 2. Installation Cost / 3. Job Address '' Av ?LotBIk. s?- Tract 0f 4. Owner/,.t if.' J l? 1 A? Jai ` 5. Contractor e Phoneb l ^f 6. Address 7. City l? '-r L/ State '1 Zip j J 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i f l Bath tubs sspoo ra n ie d S ti T k Lavatory ep c an S ft e Shower r o n ll W Kitchen Sink e _ Urinal/Bidet l Otfi Laundry Tray er / . 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 CITY OF EAGAN Remarks- I)L'V w4,2 V Additio CANTERBURY FOREST Lot 9 Rik Own `-- 'L41 Street 1144 TIFFANY DRIVE MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 Paid unde r original reel STREET RESTOR. GRADING 6- Sb 1981 106.78 5.34 20 90.79 A013043 10-1S-83 SAN SEW TRUNK 2?I 1973 Paid unde r on ina reel SEWER LATERAL 5' 1981 439.42 21.97 20 373.51 A0130 43 - 5-83 WATERMAIN * WATER LATERAL 1981 20 WATER AREA q0 1974 Paid unde r orl inal Par cel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 37512 7-2743 WATER CONN. 450.00 11 11 BUILDING PER. 8297 SAC tt tt PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RiaICivED PROM AMOUNT $ tf DOLLARS loo E]CASH F]CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Th You BY BUILDING PERMIT •r- L- -AS.. . " i CITY OF EAGAN 3795 Pilot Knob Road Eogon, MN $5122 PHONEt 454-8100 Receipt # Site Address 1144 Tittany Drive Erect Ej,, Occupancy R-3 Lot ' Block 2 Sec/Sub. Canterburv Forest Alter Q Zoning R-1 10 16350 090 02 Repair Q Fire Zone ?4A Parcet # Enlarge ? Type of Cont. V K Name Sunshine Const.ru?:tion Co. Move ? ,# Stories W Addres s 1466 Richard's Court Demolish ? Length 69-3 .... Eaean 55122 454-7485 Grade n Depth 33 Sa. Ft. Ot Name _ o uU Address Name _ Address 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. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Co. Permit 40 -5. VU Surcharge a0 • s Plan check 2 l,1 SAC 525.01) Water Conn. 450-0-1 Water Meter 60. 00 Rood Unit 50. Total $2069.50 on the express condition thni Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? feif- ?UI H.V.A.C. 3 V o /l? h ?C - Wall Water Disp. Sower ? Electric w0? 3iO(o? EGt fG. ?? ?. 4'-24-?5 Inspection Date Insp. Other Footings ?_g3 DP 0aa Foundation Framing Rough Plbg. r/-e RoughHVAC Insulation ! ` ?1 1 Final Plbg. ; Final HVAC ??? Final p .? , Water Describe ldhation: Wall Sewer ?: . Pr. Disp. Is S CERTIFICATE Q?.S?tK (C 00 h? o0 qqy 0 / IVA t SIENNA CORPORATION Z IN, Sg,A 9'3 \ `r 9 3 F/s o ool /I REVISED JULY 20, 1983 TO SHOW PROPOSED • T BUILDING AS STAKED FOR SIENNA CORPORATION / O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 50 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g/7 1 FEET p DENOTES WOOD HUB PROPOSED LOWEST FLOOR = 910.1 FEET X ooo.o. DENOTES EXIST ING ELEVATION PROPOSED TOP OF BLOCK = 911.3 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY-OF THE BOUNDARIES OF: Lot 9 , 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 7TH DAY OF MARCH 1983 . APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION BY: ROBERTS ARCHITECTS BY: DATED THIS DAY OF 19 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 83311 18/68 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 65431 612-884-3029 0 %trr#ifiratr of (Orrupaury Citp of eagan Bepartment of 18uilaing 3nspertion This Certificate issued pursuant to the uyuirementt 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: VmChmfum SF DWG/GAR Blab 8297 Pema[ N.. °?warna R3 7rypc...w.a.. V F1..z... NA z.m.ym.. Rl a.....fftfl .j Sunshine Const. ?aa,.„1466 Richard's Ct. Eagan B.aeea Aae¢n1144 Tiffany Drive t-.-..Lot 9.Blnek 2_Cnnrorhnr., By: Forest D.w October 14. 1983 q IM . .pNM1C.W. R request vo,d ii5Lct ? 5;I C&k? Int.L.Nllr 38' 7-7 mths from qY -5a ,409,3661 Res[ Oata' Fire No. ?ouNh-in Ins Vection equ ned? -Ready Now?Will Notify. Inspe, f Wh R Ryes ?Nn or en eady Licensed Electrical Contractor I hereby request inspection of have Owner electrical work installed at: Street Address, Box or Route No. City f 14?? /JAG ?? V 1 Section o- Township Name or No. I Range No. County an1IPRINTI 1c Phone No. 6 l 1410 Power Supplier Adtlrass Electrical Contractor (Com any Name) Contractor's License No. Mailing Add ss (Contra tar or Owner Making Installation) - Sf- _ L Z KS 1• c?7 A uthonz ed SignaturalCtmtra tor/Owner Ma ing I ns to l l a t ii on) Phra umber T , 1 77 ?tiN?/ ?j ??1 C MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD 1021 University Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS o?___ raver vo, orrr ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION F. ER-oorol-oa See instructions for completing this form on beck of yellow copy. JC. Be ow or overed by This Request J7 ga 1 1XI I ?V?I Nsv? Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FIXtUteS Apt. Building Dryer Electric Hosting Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm $?J r ther ISnecifyl t rer SpQOlfy te Other Compute Inspection Fee Below N Fee Service Entrance Size g Fee FeedersySubfeeders p Foe Ci uite 0 to 200 Amps 0 to 30 Amps 0 Am s Above 200 Amps- 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Amps Above 100-Am s Transtormers Irrigation Booms ?J Pa rtia Other Fee Signs Special Inspection 5 T L EEE Remarks -(/{/ ?t `? Rough-in t O'}? 9 rical nspector. hereby certify her the above Final D me , especFOn has been 1 ,p made. Thin runuw¢t.aid is months from CITY OF EAGAN NO 8297 t 3795 Pilot Knob Reed Eagan, MN 55122 PHONEI 450.8100 BUILDING PERMIT Receipt # ?7s? ire be used for _SF DWG/GAR Est. Volue $120,000 Date July 27 19---§-3 Site Address 1144 Tiffany Drive Erect gg Occupancy R-3 Lot 9 Block 2 Sec/Sub. Canterbury Forest Alter? Zoning R-1 Parcel # 10 16350 090 02 Repair ? Fire Zone NA Enlarge [] Type of Const. V e Name Sunshine Construction Co. Move ? # Stories z Address 1466 Richard's Court Demolish ? Length 6969=8 9 ru- Eagan 55122 Pin. 454-7485 Grade ? Depth 33 Sq. Ft.- 0 (Nome Owner Address Name 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. Fees Assessment Permit 483.00 Water 8 Sew. Surcharge 60.00 Police Plan check 241.50 Fire SAC 525.00 Eng. Water Conn. 490-00 Planner Water Meter 60.00 Council Road Unit 250.00 Bldg. Off. APC Total $2069.50 Signature of Permittee uns i ons ru on Co. I A Building Permit Is issued to: on the express condition Ihni all work shall be done in accordance wit'nll a pli bie lu of Minsota_?totutes and City of Eagan Ordinances. Building Official si.& Gl `- CITY OF EAGAA D 3 v- 16 BUILDING PERMIT T -7 ,>ets of plans,/, 1 site plan w/elevations & I set of energy calculations. To Be Used For Valuation W/ a0,D oa Date c Site Address: Lot C1 Block Sec./Sub. Parcel #:c 4 WS?k Owner: ,,/ 1.- 7? It L Address: WC4 - (2 w?? csa- City/Zip Code: &g, ?5 /aa Phone #: JI-5-y ?kx-5- Contractor: 111Q-+ Address: City/Zip Code: Phone #: ,I t. Arch. /Eng.: Address: 1a o 3.- City/Zip Code: r?- S 5l ti L Phone #: -?/Ss - 3 g9/ n I OFFICE USE ONLY Erect x Occupancy Alter Zoning Repair Fire Zone Al? Enlarge _ Type of Const. Move # Stories Demolish Front / - ft. _ Grade Depth 33 ft. APPROVALS FEES Assess:rents Water/Sewer Police _ Fire Eng. Planner Council Bldg. Off. Q - APC Permit 183 aa Surcharge (oo -05?- Plan Check 4% SAC. ,ras-ig:p Water Conn. C/SO e Water Meter 640 Road Unit &,576 1s 8. UO A M Y/ 30 A, M, ,-? t? yl-4? . . . ti Si1RVEYOR'S O 3o a h CERTIFICATE' SCALE: 1 INCH = PROPOSED GARAGE FLOOR = PROPOSED LOWEST FLOOR = PROPOSED TOP OF FOUNDATION = O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND ? DENOTES WOOD HUB X0000, DENOTES EXISTING ELEVATION 50 FEET FEET FEET FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 9 , 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 TT-H- DAY OF MARCH , 1983 . APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.' CORPORATION BY: ?jd??Z rq-' i,- ROBERTS ARCHITECTS BY: ll r DATED THIS DAY HAROLD C. PETERSON, LAND SURVEYOR OF 19 MINNESOTA LICENSE NO. 12294 PROJECT NO. 82143 FILE NO. FOLDER BOOK / PAGE SIENNA CORPORATION z L- JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 612-884-3029 :VE ? Construction No. II Insulation Weatherstrips II Ar S .. Reference II I. Wall Int. 19- r ?_.L7t...•?mattf.r_ Na Width at pant Height of pane No. of lights Lineal ft. of ereak Ans, M. CL , TOM Wo' 1 1 VU 66 w 1 1 14 Coef. Btu Infiltration 5 D 100 Glaze p Esp. wall Net exp. wall 1) ?ns Int. wall Floor y Ceil. Total Btu. Kequired_sq. It. E.D.K. or sq. ins. W.A. Leader area I Fl.l Lhut% RoomI Length WINO Widthla'U' Height 'O" Windows and Na Width of pane Height of pane No• of lights Lineal EL of crack Ana M. fL Coef. Btu Infiltration Glass Esp. wall l3 to Net exp. wall S2. InL wall Floor. 1 S Ceil. Total Btu. Rewired so. ft. E.D.R. or so. ins. WA. Leader area I Na Width of "no Height of pane No. of lights Lineal fl. of track Arc .4C L 1 2' \ Coef. Btu Infiltration 1 X10 bo Glass O OAS 0 Esp. wall Net exp. wall l lot. wan Floor 1 Cell. Total Btu. Floor Windows and Door s-t racaa W it Haight No, of NM of papa of pats lights ge aoa nr LISea1 [L of track ce Area p: ft. 'l t \t O 1 Coef. Btu Infiltration PAO ) to Glass 5 Esp. wall 1 Net exp. wall Its . \ Ina wall Floor L eJ C.O. Total Btu. 120-3 \ Z Rewired sq. ft. E.D.R. or sq, ins. WA. Leader area Windows and Voots-A racca ge ant to a No. Width of pane Haight of P.M No. of lights Lineal ft. of crook Area p. ft• roef.1 to Infltratios Uses _- Exp. wall Net exp. will lot. will Floor Ceil. Total Btu. Required sq ft ED R or sq ins WA. Leader area FI.I Room I Length Width Height Windows and Doors-4-racaa ga and raMs No. Width of pane Haight otmans No. of liable Llnoai fL et crack Ara an. ft, Coef. Btu Infiltration Glass Esp. wall Net exp. wall Int. wall Floor Gal: Total 11 Gide 'inflows I Doors Referenceu 11 Out. Wall I e ?0 19_ Fl.1 h\ . , t Room Length l Width •.' 1 Windows and Doors-Craekaae and Area Construction No. ce. Width of vane Height of pane No. of ilekto Llnul ft. of crack Ana p. ft. , Cocf. Bto Infiltration l' t:. tl2 n Class c) Exp. wall Net exp. wall ' \ l i Int. wall •loor Ceil. t 1 CICI ?, Total Btu. ^ y + Required sq. ft. E-D.R. or sq. ins. WA. Leader area 171•1 t, it t' •' Room I Length : Width ^ ? Height Windows and Doors-Crackage and Area No. Width of Dann Height of Dane Ne. of lights Lineal it. of crack Area sq. M Coef. Btu Infiltration Glass Exp. wall Net exp. wall 1• r • SZ, lat. wall Floor Cell. le U 2 b Total Btu. 2bs' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 - v;- Room Length Width Hei_ght`t i O Windnws and Doors-Crackaae and Area No. W ldlh of Dane H<liht et vans No. of lights Lineal ft. of crack Area p. ft. Coef. Btu Infiltration Glass Esp. wall irJ ' Net exp. wall - r 1 Int. wall Floor Ced. LA 3uo Total Btu. FlI 1\:k ill . ;Room Insulation How App Wi ndows and Doors--4,racu ge aou ru ca o. Nldlh of Daee Nelint of Dens Na. of lights Level St. of crack Araa sal [t. .? .. , 1 ??. \1 Coef. Btu Infiltration Glaze Exp. wall 1 Net exp. wall Int. Wall Floor C.a. Total Btu. t O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 7 Fl.I - 2 8.0 Room ( Length j-\'0 " Width Heighti ") r Wi ndows an d Voors--a.racaa ge ana area No. Width at pane Height of vane No. of lights Llnnl it. of crack Aru it. M.. 0 %4 f C«f. Btu Infiltration Glass 1 G ^: Esp. wall l=. Net exp.wfill Int. wall Floor Cell. I '1 Total Btu. Required sq ft E.D R or sq. iris. W.A. Leader area Fl.? t! 'j AP Room ILength \-1O ' Width Height vrnd.,W. nod onnrs-Crackaee and Area Na. Width of Dana Haight -flans No. of llghta Lineal ft. or emek Area sa, it. I ?(tY ";?.. I Coef. Btu Infiltration 1 1 l ;1 Glass \O C, Exp. wall Net exp. wall t±-1 -2 Int, wall Floor Ceil: tl _ Total Btu. Recruited sq. It. E.D.R.,or sq. ins. W.A. Leader area Gide vindows_ ( Doors Refeurence Out. Wall Int. es- o s lO 19- F7.1 !i l t) Room length I l'(? Widthtl'b' Construction No. all. Ceiling Roof Floor Insulation Kind How AF 11 ieight 8'(1" II 1 l1.1 f c:r. Room I Length c , n.. Width 1•'r; Windows and Doors -Crackage and Area Na Width of pane Haight of Dana No. of Ilgh to Llnaal fL at tract Ataa an. H, ' y'o" 1 I Coef. Btu Infiltration LAO glob Clsss In Exp. wall Net exp. wall Eft 1 11 fat, wall Floor Ced. I e 1 lA O Iota] Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 7 FLI 14 ALL Room I Length l :'rl' Width V N' Heiaht A " Windows and Doors--Crackage and Area Na. Width of Pan* Height of ram No. of Ilghta Lineal ft. of crack Area M. tL Coef. Btu Infiltration Glass Exp. wall Net esp. wag lat. wall Floor Cell. L{ I I C) (V Total Btu. b Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i F1.1 1 t y , n e, Room Length ! =• : Width V1,' Height IV Q Windeiwa and boors-Cracka" and Area I Re. Width of pane Height of Deana No. of lights Lineal IL of enek Area as. ft. I-Act Coef. Btu Infiltration 5 _ t 1 Q Glass LAU so 00c) Exp. wag 'L\ Net exp. wall laA Int. wall Floor rj11 Cell. Total Btu. - Required sq. ft. E.D.R. or sq. ins. WA Leader area W indows and Doors,--Craeka ge and Area No. Width of papa Haight of men, rlo, of lights [deed rt. of Ones Area ad. ft. Coef. Btu Infiltration 1 ?u ri b O Glass fit? ?Q 4CnC Exp. wall i lL Net exp. wall ^t 1.. L, %A tA Int. wag Floor 1 It fl "{ Lt7 CA 11. Total Btu. Required sq. & ED.R. or sq. ins. W.A. Leader area F1.1 E AtH . ?u Rtwm I LengthZa l, Widthl3 ' o Height 8 -0" Windows and Doors-Cracka ge and Area No. Width of pane Height of pane No. of lights Llmat ft. of enek Ares att. it. 2,0" 4 yo Coef. to Infiltration US ',040 Glass I - so 7 Exp. wall Net exp. will LA CAC- t ) Int. well Floor Ceg. Total Btu. M )CL () 1 k' `l "k '?- /P I Required sq. h. E.D.R. or sq. iris. W.A. Leader area Fl-1 A-t l4 RoomI Length A'6" Widthq'0" Height^I °+ Windows and Doors-Crackaae and Area No. Width of pane Llnaal ft. of Crack ere. ee. (L M Coef. Btu Infiltration Glass Exp. wall j2.. Net exp. wall Int. wall Floor f{ 1{ CAI: Total Btu. 7L a 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. It. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 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 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-ske septic system Office Use Only Cert of Survey Recd _Y _N Soils Report _Y_N Tree Pres. Plan Real -Y -N. Tree Pres Required - _Y N On-site Septic System _Y_N Plans are considered public information unless you state the are trade secret and the reason. Date_ Construction Cost Site Address // L/?/ / ! ? ? A- Unit/Ste # Description of Work ke /Cc, Multi-Family Bldg - Y N Fireplace(s) _ 0 1 1 _ 2 Property Owner Svc ?f - Telephone # ( ) Contractor 17F?2%rf5jrr?E I?KSh?I Address 1?-33- / City i_ fU State N? i? Zip 5??2 ( Telephone # 7-? N 40 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670Rules 7670 Category l _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building 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 the State of MN Statutes; 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. Applicant's Printed Name Appliaant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation Plan Review 100% or Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System 25% Code Edition Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - Footings (new bldg) - Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final - Framing Fireplace - R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Pran Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco Lath _ Stone Lath- -Brick _ Windows Retaining Wall Building Inspector City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 11 Use BLUE or BLACK Ink Fof ff}ce`,,Jse Permit #: /00 9 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: _I I-( I Tenant: Site Address: l l `iLI TI-FFa Or EQ.CjG)°1 Suite #: RESIDENT / OWNER Name: S 4SCI n A-1 la n Phone: (105 l- 3 3 3- 35y r Address /City / Zip: II3 ; I8QT.1 Of7 `[ti Gan M N 551'D 3 CONTRACTOR 4 Name:Appliance_connc tjp..n License #: Address: 1313 Danita Circle City: State: ShAlIcopee, MN 553p,9 e: 95Q- L1 L15 , q$03 Contact: Email: TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ Description of work: PERMIT TYPE RESIDENTIAL '�j Water Heater X Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing "Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 5:-)100 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.gopherstateonecail.orq 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 accordancgeywthpthe approved plan in the case of work which requires a review and approval of plans. x Qill\` Q�fo x App icant's Printed Nail A icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA115200 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 1144 Tiffany Dr Lot:9 Block: 2 Addition: Canterbury Forest PID:10-16350-02-090 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Matt Kral 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 - Benjamin L Berkey 1144 Tiffany Dr Eagan MN 55123 (651) 253-0984 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121379 Date Issued:03/27/2014 Permit Category:ePermit Site Address: 1144 Tiffany Dr Lot:9 Block: 2 Addition: Canterbury Forest PID:10-16350-02-090 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Benjamin L Berkey 1144 Tiffany Dr Eagan MN 55123 (651) 253-0984 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122725 Date Issued:05/16/2014 Permit Category:ePermit Site Address: 1144 Tiffany Dr Lot:9 Block: 2 Addition: Canterbury Forest PID:10-16350-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Follese 5182 West Broadway 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 - Benjamin L Berkey 1144 Tiffany Dr Eagan MN 55123 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151817 Date Issued:09/13/2018 Permit Category:ePermit Site Address: 1144 Tiffany Dr Lot:9 Block: 2 Addition: Canterbury Forest PID:10-16350-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Ryan G Cosgrove 1144 Tiffany Dr Eagan MN 55123 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature