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