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1168 Tiffany Drc1-rY of EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Brix 21190 PERMIT NO : 5487 Eagan, MN 55121 . DATE: 5-17-84 Zoning: Owner: No. of Units: _ ? Address: Site Address: -_11 8 T ; ff W Dr L2 B2 Cant Obury F&Hit Plumber: Weie ke Trench & Exc Meter No.: S? C? g 7 _i? tea: 4 rge Size: 70.00 Account Dept; 15.00 d Reader No.: Permit Fee: - _ 10.00 pd Tflo 1 a to con* of w Surcharge: . 50 d 0j , ? Misc. Charges: 63.00- By r Dote Paid: Insp.. CITY OF EAGAN 3830 Pilot Knob Road Y" WATER SERVICE PERMIT P. 0. Box 21199 Eagan MN 55121 PERMIT NO.: -'1'? r , Zoning: ? DATE: 5- Owner: 1 No, of Units: Address: Site Address: 1168 TiffanY Dr I.? an ur Plumber. Heierke Trench F?tc Meter No.: Size: Connection Charge: ' Reader No.. Account Deposit: 1 "rse to oomph with fits City of E0 9'n Permit Fee: p S "own"*. urcharge: P Misc. Charges: BY Total: Date of Insp.: Dote Paid: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6F77 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 5-17-84 Ad to emply with the City of Eases of Insp.. Connection Charge: 425000 Pd =.Uu PC Account Deposit: !0. 00 Permit Fee: Surcharge: .50 pd Misc. Charger Total: Dote Paid: CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE e ?. i 19 RECEIVED / .. FROM AMOUNT $ & DOLLARS +oo ? CASH fl CHECK FOR / C - ?! i ?• ti-?'I 423k1 a21e? BY / li- White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 .a DATE 19 RECEIVED FROM / AMOUNT Is & DOLLARS loo CASH FJCHECK FOR ' FUND CODE AMOUNT • 1 4 .J J ? i 7 q? Thank You ?? j C?1 D By White-Payers Copy Yellow-Posting Copy Pink-File COPY REACTIVATED FOR DECK 7/86 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 O ??F PHONE: 4548100 r e f SS Lt e. BUILDING PERMIT Receipt # 4 " I r;GjGA? $119,000 i•,AY 16 to 84 T- 1. -A s... c.. V.1- ri f. Site Address Erect ? J Occupancy J-1, T Lot Blofk -Se?Syg._ 02 Alter ? Zoning Parcel No. Repair ? Fire Zone Enlar e ? T e of Const r. t g yp . at .. J J Name Move ? # Stories Z -1,4 t) V r Address ':1 01Z SUITE 2T4 Demolish ? Length 9 City , ,,r Phone L)4- Erode ? Depth Sq. Ft. o Name iu Address City Phone Name _ Address City _ Phone 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 777777- A Building Permit Is issued to:_ all work shall be done in gccordort;e with all , rligoble of Mh Building Official ' Fees Assessment - Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit 0 -7 5 > Surcharge k Plan chec - ? C• SAC Water Conn. 470.00 - '= 0 Water Meter tai.1 .00 Road unit Total ' L' . Z S on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing StLpLI ? ell 6.._ -/( / 7 H.V.A.C. -J AS Well Water Disp. Sewer n?5?- . ES 7. vv Ekctrie Y 26 A(cwir? ?t ?}a3 (4 v? Inspection Darr Insp. Other Footings Foundation Framing S Rou Plbg. ?. Rough HVA Insulation Final Plbg. _ 4i- -L All c" Final HVAC / Final Water Describe Loc on: A1 e Wolf . Sower i'?? t ?- . k. L> o ; Pr. Disp. r Receipt 1. Date r' S ?' Jt 3. Job Address 4. Owner PLUMBING PERMIT CITY OF EAGAN Fill in Installation Cost f Lot z.? Blk. Permit No. r Fee S/C 'oL /C. 577777-- 2- 5. Contractor ? • n w f? > Phone .z 6. Address 7. City` ! c c..?'s State?? f •"? Zip U' 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: NevJ'ff- Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield '`- Bath tubs Se tic Tank ?- Lavatory p $oftner J? Shower Well Kitchen Sink Urinal/Bidet Other L 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: - %. " r t• x• ?:'? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt Fill 1. Date 2. 3. Job 4. Owner MICAL PERMIT Permit No. OF EAGAN Fee umbened Wacas r Print legibly S/C TOL illation Cost Lot . Blk. - Tract 5. Contractor rJ 6. Address 7 =? . 7. City State /,79, Zip 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. EnnipMent. STU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boiler Mfg. Mech. Exhaust N , 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Rece' To be used for Est. Value 1 * 0i `? Date HAY 8 13592 19 Site Address I I, I_ r r i " Lot -Block Sec/Sub. f0kt ; On Site Sewage MWCC System Parcel No. On Site Well City Water Name tj LUKI•: W = Address City Phone 4 5 , o Name o < Address APPROVALS City Phone Assessments Water/Sewer F m Name Police = n Address Fire W City Phone Planner Council I hereby acknowledge that I have read this application and state Bldg. Off. thatthe information is correct and agree to complywith all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Variance Signature of Permittee OFFICE USE ONLY Occupancy - Zoning - Type of Const (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL 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 Data Telephone it Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final e Cert. Occ. Temp. LP Deck Ftg. y? Al, Deck Frmg. Well Pr. Disp. CITY OF EAGAN Remarks l lLU lct 4 t V Addition CANT RB RY FOREST Lot 2 Blk 2 Owne ?_ ?r' Street 1168 TIFFANY DRIVE fi n J . Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. qCC- 1979 Paid unde Ori inal e STREET RESTOR. GRADING $ 1981 106.78 5.34 20 88.46 A013446 1-12-94 SAN SEW TRUNK 2-2 .1 Paid unde Original rcel *SEWER LATERAL 5 1981 439.42 21197 20 3S1 ,S4 A013446 1-12-94 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid unde original STORM SEW TRK low' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $260.00 #43330 5-16-84 WATER CONN. 470.00 it BUILDING PER. 9076 if SAC 25.00 PARK ' This revues[ o, 18 months tram LI /5'? 3o O) `G 3 ( ? A 068-663 La Req [ Date ? ?jL/ Fire No. Rouplr-in Inspecli N¢q u red? y.In spec- ?Needy Now 12rYill -' o T ? ? es No Nhe^ R Wt.. P for eady G?rJ.iceased Electrical Contracmr 1 hereby r®paest impaction of above ? Owner electrical work installed at: Street Address, Box or Route No. - City //411f -r Z435^1-1 & an eouon No. I Township Name or N flange No. County Occupant (MINT) Fbo a No. a -s e- Power Supplier -1 address 0 IL. Electrical contractor 1Coataarny Mama) Convector's License No- - o - Mailiaa Ad s iCoohacter or kin g Imleilation) g ??? . ?• (/lam p " ad Signatu ICoutra Owner Making Installatioul Phone Number 31a-6?f MINNESOTA STATE BOARD OF ELECTRICFTY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1521 Ilniver 97Aye., 54 Paul, MN 55109 Pfere (612) 2 2972111 ENCLOSED- Eh 'r5) 3 V REQUEST FOR ELECTRICAL INSPECTION ?+ [+ f+p?, SS" imtrlrCtiprs fm aoemlotiye this form m back of rsllo coev. 9? 4i'll, qN A np?Q g 4 --X-- Re/ow Work Covered by This Request Eeuimnent Wired M Fee Service Entm.S¢e k Fee FeederarSIAbedere • Fee Circuits /,g lpc? Oto 200 0!230A 1 ,M Rffl Oto30 Am Above 200 Ami>5 31 to 100 Amps 31 to 100 A Swirteni Pool Above 100_ Above 100_Am Trarksfof s lfrigation Botwr ..S Partia l,'Other c-- I I ISigts I I (Special 1r pection?s ,s-pl AL E Resorks TAT/'L ? ®O Rough-in ?d ?,? ?/ `1Q the IE cal a 10 oee herabv cartily that the above Final f Die , petion has been ? a y 4? ode. Ibis repueslvdd 18maMal0 .qm'd 4 5 4'/7 J< r 7-J6 $.6 4 4 Q a- , . •DTA STATE BOARD OF ELECTRICITY Aidwatr Bldg. - Room N-191 ,miversitY Ave., St Paul, MN 66104 . 16121 297_2111 /? $1.161 AY I e4.I-0 / 16 n' .1 Neques[ Data Fire No. Rough-in Inspection flegyired7 Ready No ('Will Notify Inspec- ?? C?I ? e IR]llxos No Ttor When hen Ready N'L)censed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et: Street Address. Box or Route No. City Tr ?? a ?r Fu cs r7 Section No. Township Name No. Range Nb. Count 'Occupant PRI//NT) ?//J?1 Phone No. K lA/BSG Power supplier Address L/?/ .. CCJ7 Electrical Contractor (Company Name) Contractor's License No. t> 3 r Mailing Add s )Contractor or Ow king Installation) S AuNorize Signature 1 dntractor/O net Making Installation) Phone Number THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. q76y7 . REQUEST FOR ELECTRICAL INSPECTION ER-00001.04 `1 ??++n ' See instructions for completing this form on beck of yellow copy. v:- ? 2 Q O y nPl ACu A •-X". Be/ow Wtgk Cov ed by This Request Equipment Wired ex g Fee Service Entrange Size g Fee Feeders/Subleeders M Fee Circuits U o2 00 Am s- 0 to 30 Am s 0 I030 Amps Above 200 Am 31 to 100 Amps 31 to 100 Amps Swinvnin Pool Above 100 "Psi Above 100---AMPS Transformers Irrigation Booms Partial.'Othe ee Signs Special Inspection [$'- TOT FEE Remarks _ _ e /D• 1. the E-falffirical Inspector. hereby certify that the above tudDection has been ThIerequesivold This request void 18 months from 5 1 (/ ^ Q? 'Z (? ?7 C I j1 J ?+'? 6 063834 L 6a Cgf-? Request Date Fire No. Rough-in Inspection Reouired? ?fteady Now FILW ill Notify Inspec- 8-21 1985 901es ?No for When Ready B' {Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1168 Tiffany Eagan ecuon o. Township Name or No. Range No. County Dakota Oc6uAnnt_IPRINTI Phone No. Power 'Supplier Address Dakota County Electric Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric Co., Inc. XIMM A40602 Mailing Address (Contractor or Owner Making Installation) 12201 Mtka Blvd., Mtka 55343 \ Authorized Signet 4(Contractor/Owner Making Installation) Ph n r u be p - ?? - ni MINNESOTA STATE BOARD OF ELECTRICITY '? THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be,, N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. Phone (612) 297-2111 EB-00001-0 REQUEST FOR ELECTRICAL INSPECTION 04 Q 'I O / ' See instructions for completing this form on back of yellow copy. o MA U "X-" Below Work Covere This Request ?lewlAddl Ra p-1 Type of Building I Appliance. wired I Enuipment Wired X?j??-Home Range 5.00 Temoorarv Service ce M Fee Service Entra nce Size p Fee Feeder.Bebfaedera N Fee Circuits 0 to 200 Am s- 0 to 30 Am s U ?b .00 0 to 30 Am 12 • bove 200 Amps 31 to 100 Amps 31 to 100 Anips Swimming Pool Above 100-Amps Above 100_Am s Transtormers Irrigation Booms 1 .50 Partial/Other Fee Signs I I (Special Inspection $ L47.50 TOTX 1. , Remarks Dan Smith /' f Inspector, hereby certify that the aboy e inspection has been 7?J made. This Gbquest void 3 611 Elie A1- lo.ou flegget Oate ;Z Fire No. Ro Th-In Inspection Required? ?Ready Now ®Byill Notify. Ins- pec 1 1985 KRes ?NO 10, when Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1168 Tiffany Drive Eagan ctron No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Oak Chase Builders Power Supplier Address Dakota Cty. Electric Farmington Electrical Contract. (Coni,any Name) ContraclOn s License No. O.B. Thompson Electric Co., Inc. A40602 Nailing Address (Contractor or Owner Making Instailation) 12201 Mtka Blvd., Mtka 55343 Authorized Signat e l ontmct. Owner Makir)p-,(nstall nl ? D Phone Nrmrber ( ? 933-2521 MINNESOTA STATE BOARD OF ELECTRICITY G THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE 6 phone 1612) 2974111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION b1ft ee ggoDt w/ . ,See "nstruetirms for rnmpieling this loan on hank o1 yellow copy- -4(f.' V' J 4 215%96-x"" Be/ow Work C?This Request o Add ReD. Type of eui kung Appliances Wired Equipment hired I I I. 1 Industrial Blda. 1 I Air Conditioner 1 I Bulk Milk Tank I # Fee Service Entrarree Siza # Fee Feeders/Suhfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps. Above 2 31 to 100 Amps 31 to 100 Arrips Swimmin Above 100Amps Above 100_AnWs Transfor Irngation Booms Partial.'Other Fee Sigls Special Inspection S 10.50 TOTAL F Rerrurks Dan Smith o Rough-in Date the Electrical Inspector, hereby Final 1 013 D m ry tIm me above Tiwpection has been made. TMSrequeattold lh nlpnlMhom CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 _ PHONE: 454-8100 ==? BUILDING PERMIT Receipt To be used for t!£CIC Est Value a 1.000 Date `L1.Y 8 fg 87 Site Address 1165 TIFFAi:Y 1)R t 2 ..A"'E""URY FORES' Lot Block Sec/Sub. Parcel No. rc Name F LUKE z Address 'A''.i' e City Phone 452-4111 (:)/ 454-1902 (ll) o Name u< Address ? City Phone Name W _E Address aw City Phone 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 Clty of Eagan Ordinances. Signature of Permittee (!- .)L?r'F c A Building Permit is issued to: all work shall be done in accordance with all applicable State Building Official OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL 820.10 . Ji) on the express condition that of Minnesota Statutes and City of Eagan Ordinances. I'. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 9076 PHONE: 4548100 BUILDING PERMIT Receipt # - ??(7 To be aced for SF DWG/GAR Est. Volue $1191000 Data MAY 16 19 84 Site Address 1100 '1'11-'Y'ANY IJH Lot 2 Block 2 sec/Sub. CANTERBURY FOR Parcel No. 10-16350-020-02 m Name _OAK CHASE BLDRS INC Address 3460 WASH DR., SUITE 204 City EAGAN Phone 454-7965 o I Name SAME 0 Address t- City Phone Name _ Address City _ Phone 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. Signature of Permittee A Building Permit is issued to: OAK all work shall be done in a anea ith Erect Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone T? N? `s Enlarge ? Type of Const. V Move ? * Stories Demolish ? Length 45 8rr Grade ? Depth " Ft._ Approvals Fees Assessment _ Water 8 Sew. Police Fire Eng. Planner - Council _ Bldg. Off. APC Permit $ 480.50 Surcharge 59.50 Plan check 240 • 25 SAC 525.00 Water Conn. 4 7 0. 0 0 Water Meter 63.00 Road Unit 260.00 Total $2,098. 5 t,nrsaa 13LL1C.l. on the express condition thin all pppii ble S re Of Minnesota Statutes and City of Eagan Ordinances. Building Official `7C7 6 AL CONTRACTORS MUS BE I q /Jp)y To Be Us'TFor: S G/c ?L WITH THE CITY OF EAGAN Valu4atrion: NCLUDE © SETS,OF PLANS, CERTIFICATES OF SURVEY © SET OF ENERGY CALCULATIONS l 00, 000 Date: - ?- ?? Site Address: I F(,Y 11R=R+H D2iv? Lot:_a B1 c]::D Sect/Sub: 01'17'e4-6val (-d0g4-Erect,: Parcel #: Remodel: Repair: Owner: QA-K-CWISE CUILosKS ' (h( Enlarge: Move: Address: ?ISzS ()Air"a-se WAy Demolish: City/Zip Code: EA&, . Lhn SS113 Grade: Phone #: LAS4-`7961 S Contract or: A".? Address: Assessments: Permit: City/Zip Code: Water/Sewer: Surcharge: Police: Plan Rev.: Z1? - Phone #: Fire: SAC: 5 25.E ?Q Engr.: Water Conn: 50o =• Arch./Eng: t, l?+cin Planner: Water Meter (P 3. Address: {1011 VPi-ot) Council: Road Unit: Z ZFx0 Bldg. Off.: P'ax3Cs:TPc.- ? City/Zip Code: hill APC: // Phone#: 'il- I-5r651 Variance: 219 `I. • • X Occupancy: 2-3 Zoning: -I Type Of Const: 4 # Stories: _ Length: SS Depth: 3Q Sq. Ft.: Z?x Z? P?(Zx s4` $3848 l?X 14' Zlv n54 340 2 n 2 Z 48 4- '5(-o Za " o x 4t = z29co0 149 Z?- 9) 39 b 2O x to = Zcxo K & i (ooo 1?1 5II(? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3`Z 3830 PILOT KNOB RD, EAGAN MN 55122 /") 651-681-4675 New Construction Reguiremems RemodelfReoair Reoulrememe • 3 registered site surveys showing sq. N. of lot, sq. h. of house; and BU roofed areas • 2 copies of plan (200% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addillons • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate d home served by septic system for additions • 3 copies of Tree Preservation Plan r lot platted after 7/1193 aw _ • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) -'T©/3 DO b p DATE 624 4(g109_ SITE ADC TYPE OF APPLICANT STREET ADDRESS TELEPHONE 06a 983 CELL PHONE # VALUATION &", M AULTI-FAMILY BLDG -Y -N FIREPLACE(S) _ 0 _ 1 _ 2 r; >? STATE M Y1 ZIP 554 FAX -9J"3 -OL090, PROPERTY OWNER/ e-Ve- ¢ Kl " /E TELEPHONE# IOS?-?S`? -8-7qO COMPLETE THIS SECTION FOR nNEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • Ne 11 ¢?deTT"tTetIC • Energy Envelope Calculations Submitted Pn 13 Llrl IJ u JUN 2 7 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # 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 Ordinar)ces. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 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. All - Multi ? 03 01of_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_Yor _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)' ?3 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 I NSPECTIONS 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/replacement) - 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 ' a Building Inspector OWNER SITE ADDRESS CONTRACTOR TE 5'1'5-b5 PHONE Determine working square footage of each. 1. Tot al exposed wall area..... 9)12)1 .1 sq. ft. x ll • L J 2. Tot al roof/ceiling area..... `?3)sq. ft. x -OZf. = Z? Total exposed wall area above floor = ]?j( a. Total wall window area ................. .. Z14,b b. Total door area .... .................. .. 145 c. Total sliding glass door area.......... .. 8 6 d. Total fireplace wall area....... .. .. (e e. Total wall framing area (average-10%):. .,.. Z3 4-• f. Total net wall area above floor.:.:..... ... Zll'k•3 g. Total rim joist area .................... .. 2?t(e Total exposed foundation area =- `i31•1(-- h. Total foundation window area...... .. .. 1075 i. Total net foundation area above grade.. ... 01$644- Determine "U" value of each wall se gment. a. Z'li4't) X "U" b. `L6 X "U" C. X. "U" d. X "U" e. 23+j X "U" f. -Zjj 4-2) X "U r1 g• Z?(o X fluff h. (a ?J X "U r. i. ?2•S? X „U„ ?5 = ?5. I . I'S = (11 ,3b = 3l•cv X3(0 = LZ-•5 ?04 04 = I 1 `8 13 = l2•0 3 . ................................Total = 2-4& EXTERIOR ENVELOPE AVERAGE "U'! COMPUTATION If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (02. Total exposed roof/ceiling area = lJ? Total gross roof/ceiling area = 4. J. Total skylight area... ......... ?o k. Total roof/ceiling framing area.... `13.3 1. Total net insulated roof/ceiling area Q?3`}•? Determine "U" value for each roof/ceiling segment. J. q? x "U" .64 = 2.0} k. 1?•? X "U" O'5 = 2 • 1 1. x Ifull 02 = llo•? ....................................Total = El - If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. To utilize the total envelope system method, the values established by the sum of items #3 and #4, shall not be greater than the sume of items #1 and #2. 1. + 2. 3. + 4. Materials Therm. Resistance "R" Exterior Air l? Siding Material 5 Sheathing Insulation Sheetrock Interior Air Studs (n' 3u Rim . ?U Conc. Blks. ( Z? 1' s7'If o 5 . -z>?t1 OWE . Z. t`j i i DELMAR H. SCHWAV Z LANDSURVEYOR S, \ Registere ! Under Laws OI The State of Minn ota 2978-14 H STREET W. - BOX M ROSEMOUNT. MINNESOTA 612 SURVEYOR'S CERTIFICATE \ \'' ?9 \ 5c G /1& 40 Elevations shown are existing \\ 3 a' \ \ Denotes set wood hub N m \ \ d* `?\ j ~ I ?. Z m __ /p./OQ?r oN ?o \` mow.. oN m PO '61 I Off I yj >? \ Nd, /OI Zo \ sa ..r 104.6 a ?. r Y\ Propooed rarage floor elev. L hecer?ttf y that thlo 13 a true and correct represent-tion of a ?urvit of the,boundjrios of: LPT Z, BLOCK L, CA'1TLFtBt1F,Y FOF.EST, City of Eagan, Dakot i .,ounty, ',Innesota. Al: f aho::in, the location of a proposcca d;re111nc, :.c st.ik.:d, thorec rC? ' Datek" : "'ay 3, 1934 °`.arv ,y for: Fevlsed house .".eptez ber 2f, 1984 0,.k Chr,.oe Bldr:, hevicc3 hoase 7 1;9 lzc -";7.Y, MINNESOTA REGISTRATION NO 8625 E: ,an, i•`1ni7., i.1L3 E '.. zlw /9 5 f4;Lwv 1987 BDILDZNG PERMTT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS r0MNRur.TAT. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ? Valuation: Site Address t 6p Tif T Lot ,- Block r Parcel/Sub ? ? OwnerQ A Address < < ( ?i ( , City/Zip Code Q? , IfIt q S?/z3 Phone '( S4'-(1*-°[ /?TZ-?lL( Contractor ?? 6wt o? w Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Q? Date: sgr'i b On Site Sewage_ MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance PLANS, co Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 2-0. 5O - 17 ? CITY USE ONLY / L ? BL ? RECEIPT SUBD. RECEIPT DATE: 3OZ? S/ 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAEAN 3930 PILOT KNOB RD EAGM, MN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow, ppreventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ` minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' re uires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ W set 3.0o x = $ ater heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ ._ Water turnaround 30.00 x --- _ $ State Surcharge Total .50 -> > > > ---> ----> ..--> $ 50 $ 30 0 3-0 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. - ---- -- I hereby acknowledge that I have read this appticaton, state that the information is mrrect, - and agree to comply with all applicable City of Eagan ordinances. --------------------------- It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 6 - OWNER NAME: ? '1.1 ?d0 I -r JJ?? n ^ INSTALLER NAME: ?? r}I ??({UYt 4J% fL TELEPHONE #: STREET ADDRESS: CITY: G CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 i 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: J// T 65 O k 1 4 ? R r.FrAL DESCRIPTION: _ 4 or: „2 Ldok / C,f.mTL/Q ?E/?RY FB/1RtST (Lr?t/Biock/Subdivision or Tax Parcel I.D. Number) 7-? IF EXIST- :G STRUCITURE , DATE OF ORIGUZAL .=UILDLT G P=,-,??ST ISSUANCE: PRESyT 3^.`I1 ?/P ^POSr) USE: R-1 SINGLE FAmjLy ? R-2 DUPLE;.{ (TWO UNITS) ? R-3 TOAMMUSE (TREE + UNITS) ( UNITS) ? R-4 ApAR?2^z T/C^vDIlJCs]PIIL^4 ( WITS) ? CCMA?RCIAL/RETAII,/OFFICE ? INDUSTRIAL. ? INSTITUTIONAL/GG4?NIJENT 2) APPLICA-'T (PLEASE PRINT) NAME: CJ A t ft ts-£ a U i? DER S ADDRESS: /j? G?i9Sf?/?('? ?on/ DR CITY, STATE, ZIP: PHONE: ,S_y ?9lvS 3) PLL^9BER PLEASE PRINT) FOR CITY USE ONLY NAME: _PdJ?/E?? If?E t i?C r,.6 oLXCa ADDRESS: ?? D (vIF` /TIC PLUMBkRS LICENSE: Active CITY, STATE, ZIP: F4-6'1fy q1 Expired - PHONE: R ,?y PLUMBER LICENSE N BU 9,7X Not of Rgcord G/ arr Ionia 4) OCCUPANT/C[4NER NAME: ADDRESS: CITY, STATE, ZIP: PHONE: rr?? IPLLASL PRINT) 5) INDICATE WHICH PEPMIT IS BEINIG REQUESTED: ?ZON TO CITY SEWER CONDIECZ'ION ,TO CITY WATER ? OTHER (PLEASE DESCRIBE) b) LIIUlQ?i U?.L: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle One) 7) SM?aTC'RE: J DATE: -%O!OI:aFY#JOAWM Mt[wAo? ftsk s-s:aAI 1i iw If r;ss:a i? at ul?:,?:rrti??.wwl tt'Mt 4N.' v F O R C I T Y U S E O N L Y PERMIT °: ISSUED 1 -1 FEES: $ $ $ SE;IER PE???trT (I`;CL;;DE SURC?:ARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE;•IER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ AMOUNT PAID/RECEIPT $ 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: TITLE: DATE: ?s?w?t?w?t???cw?e??twwawww-ww?w.awt?w??f?w.???s?si+?+irt?aasww? I . 2/84 - i CITY OF EAGAN re APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: (' ) Irrar• DESCRIPTICN: (Lot/Block/S vision or Tax Parcel I.D. Number I EXIS72K, STRUCTURE, = OF ORIGPNAL BUII.DLNG P=--_-.IT ISSZ: k.\;=-: PRESy^ _-MT . r/DRC'°OSED A USE: /01-R-1 SINGLE FAMILY ? R-2 DUPLEX (TNO WITS) ? R-3 T(7aMiCUSE (THREE + UNITS) ( UNITS) ? R-4 APAR=T/CWIDQ%=T..M ( UNITS) ? COMIMERCIAL/RETAII,/OFFICE ? LMUSTPSAL ? INSTITUTIONAL/GOVERNMENT 2) APPLMPL'T (PLEASE PRI /' TJ tAME: ADDRESS: I/Y??/i/1 ?l;LF. _>cLeZ°L ?Q7 CITY, STATE, ZIP: PHONE: I 3) PLUMBER NAME: (PLEASE PRINT) FOR CITY USE ONLY ADDRESS: PLUMBERS LICENSE: Active CITY, STATE, ZIP: Q Expired PHONE: PLUMBER LICENSE b Q Not of Record arr nLt:a 4) OCCUPANT/CFNINEct TPLLAJb PHINT) NAME: 7 //ZED ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ? CC,.-iF TION TO CITY SEWER ? CO^.'NECTIOZN TO CITY WATER / OTHER (PLEASE DESCRIBE) b) =IC=IZ ONE: ? PLE SE HOLD APPRWID PERMIT FOR PICT;-UP BY ONE OF ABOVE ?-PLEASE MAIL APPR= PERMIT TO 1, 2, 3, 4 ABOVE ' (Circle one) / 7) SIB' ,TL'RE: DATE: -5- (y- -` -! ?! ilili liFJ91! i !!ls:?! ! /? !tlii??i iA i i ?asia?:! ! ! ?! ?.l .?!'f.! ! ! ?!! i t9s`si Q F O R C I T Y S E O N L Y PERMIT i ISSUED FEES: $ $ $ . S $ $ $ hL7? . cY-? S $ WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER. TAP (INCLUDE CORPORATION STOP) SEINER TAP ACCOUNT DEPOSIT - SEINER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SMIER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT $ --,« 7 / 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:? Z) TITLE :' `ice 7 - t0 DATE: ?ss?www??ww?c?wwl?wt?w?wswwwRaw+w?i?wwwawrsfs?+wa?c?w?rw? city of eagan PATRICIA E. AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members THOMAS HEDGES City Administrator November 16, 1999 Nathan Poole _ 1168 Tiffany Drive Eagan, MN 55121 ` Dear Nathan: Thank you for you letter dated November3 concerning the installation of a signal light at the intersection of Wescott Road and Lexington Avenue. The City Council received many letters, a-mails and phone calls from residents in support of a signal at this location and the subsequent preparation of a feasibility report indicated that a signal was warranted. The signal will help to reduce the unsafe conditions that exist when drivers are unsure about who has the right-of-way. Thanks again for taking the time to express your support for the traffic light. Best of luck as you continue to work toward the completion of your Citizenship in the Community Merit Badge. Since Patricia E. ada Mayor E. J. VAN OVERBEKE City Clerk MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (651) 681-4600 FAX: (651) 681-4612 - TDD: (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer www.cnofeagan.com MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FAX: (651) 681-4360 TDD: (651) 454-8535 November 3, 1999 Mayor Pat Awada Fagan City hall 3830 Pilot Knob Road Eagan, MN 55122-1897 Dear Mayor Pat Awada, t1?Q1? i I recently read an article in the `Eagan This Week' newspaper about the new traffic light at the corners of N''escott and Lexington. 1 am in favor of the new stoplight because it will greatly improve safety and reduce car accidents at the intersection. In talking with my parents, one of the main problems there is deciding who should go next through the intersection. This causes a lot of anxiety, frayed nerves and near accidents. 1 am also tired of listening to my dad cuss out the other drivers. I am glad that you and the City Council decided to have the traffic light installed. In addition to expressing my opinion on this much needed improvement for the city of Eagan, this letter is part of earning the Boy Scout Merit Badge `Citizenship In'The Community'. 1 would greatly appreciate a response so I can show it to my inerit badge counselor. Sincerely, Nathan Poole Boy Scott Troop 345 1168 Tiffany Dr. Eagan, Mn. 55123 1168 TIFFANY DR.. EAGAN, MN. 55123 -11-t5SO 2006 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 130 so Date ( / a 7 / ac>oC nn Site Address 6 % 7 ?0 JJ? Unit # Property Owner e PnCD Telephone #(6?? 8740 Contractor Street Address 122553 Nieollet Avenue Soulk i State telephone 452-746.5200ZiP -nen sin rnnn Y •'Y city Telephone # ( ) Expires: Bond #: ? B S 6 7 L` A ? The Applicant is Owner t1- Contractor Other Add-on or alteration to existing dwelling unit furnace -Additional eplacement _ New $ 30.00 air exchanger air conditioner heat pump other State Surcharge `I ` ' $ 50 006 2 3 1 Total JUL $ 3o S 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 Mechanical Codes; 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 o work which requires a review and approval of plans. Ie?H'r 4H h ?? ApplicanPrinted Name Applicant's Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor 't.2,ja 7f: i, A 1 f?"6i•°.? r ltuoa avsvA T 11;ozillii SCSI Street Address W"11 t1fl!V-1.0ml,!t :it?T . l? ("`` •c"}A t .-ea State Zip , # ? ) SAMP0: ,t.al Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground T ank _ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If permit fee is less than $1,000, add $.50 If ep rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial 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 Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: Required Inspections: - U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final x Applica City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Signature Use BLUE or BLACK Ink r F0.100. Permit 9? 70 Permit Fee: 0/ C0 L� Date Received: Staff:(��, 2009 RESIDENTIAL BUILDING PERMIT APPLICATION (Weed i6'//3 Date: 0/4/ 7 Site Address: C l (o 8 7 ff4) A.A. Tenant: 6666 GGGG Suite RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: 5776i� q rat Phone: 5i' 7"s Z,"' 8 7 (CG: Address City Zip: /16 f i\ )-4.1 P t 466 Ari 114 Applicant is: Owner 7 Description of work:'').—is-1—..n. 3 w c -��S V Lid. Z E ZCtchi rr ,20 0 6t- S. �e� 5 v LT t-f e 4% w i Construction Cost: '7 AOO Multi Family Building: (Yes No Name: u �Sa (1v.�tirt) U License (4odeta: -s Address: 2- I 1 c b to t% YL City: e „Ls state: Zip: S S 37 Li Phone: /C3 100 G S Contact Person: ..5 Ga `t-qv 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 o If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Phone: Mechanical Contractor: Sewer Water Contractor: NOTE- Plans` and supporting documents that you submit are consider to be public information. Portions of the information may be classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets; 7 CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aopherstateonecall.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 th's is not a permit only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approv: d F; n i ase of work which requires a review and approval of plans. s ir/ x o ot.n5 5 to.25 ame Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% Census Code #of Units of Buildings Type of Construction Fireplace Garage Deck pd V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice Water _Final `7(, Framing Fireplace: _Rough In Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies Interior Improvement Move Building Fire Repair Repair TOTAL //h DO NOT WRITE BELOW THIS LINE Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required Final /No C.O. Required HVAC Other: Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage 'Demolition of entire building give PCA handout to applicant Pool: Footings Air /Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Air Test Final Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control Building Inspector 0 OD 0 0 k Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118435 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 1168 Tiffany Dr Lot:2 Block: 2 Addition: Canterbury Forest PID:10-16350-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kevin Sandau 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 - Stephen D Poole 1168 Tiffany Dr Eagan MN 55123 (651) 452-8740 Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature Citi of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use h t - Permit#: f Qov5-1 Permit Fee: 1101 131 Date Received: 1 /10/1q - Staff: 10/1q - Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I — t 'LI Site Address: l ilpe Unit #: Name: 5tephevl I1, IWl 12O0tL Address / City / Zip: //68 Ti. Hopi y Applicant is: Owner )C. Contractor Description of work: tk11 11 Construction Cost: 49®J - 1 Phone: i5/-9$2 — 97 yd 619,),-, mkt 55123 o`^� inew c�Pz., ^"fit^ Multi -Family Building: (Yes / No x) Company: can da(AGair StrU.C'hevi tti .10. c -Contact: Kett AA Sd10c1aw Address: 9 925 `, Umid it. Alpe- 5 City: 1310Om (lien-- State: 44/1/S Zip: 1 5 / ?12 Phone: 95? c/O3 - 9 / n7 c1 License #: 8e, 00 725'1 Lead Certificate #: A% - 25855- 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ` t il$5 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 an 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.gopherstateonecall.orq 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 g Code must be completed within 180 days of permit issuance. x Applicant's Printed Name x Applican 's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 0o3 7 SUB TYPES Foundation Fireplace Single Family _ Garage Multi _ Deck 01 of _ Plex _ Lower Level _ Accessory Building WORK TYPES New Addition Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓ ) Census Code # of Units # of Buildings Type of Construction _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Storm Damage Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Interior Improvement Move Building Fire Repair Repair yar REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required fe Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Air Test _Final . Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control RESIDENTIAL FE Base Fee / 03 4/ -t - Surcharge Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL , Building Inspector Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132683 Date Issued:08/28/2015 Permit Category:ePermit Site Address: 1168 Tiffany Dr Lot:2 Block: 2 Addition: Canterbury Forest PID:10-16350-02-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Stephen D Poole 1168 Tiffany Dr Eagan MN 55123 (612) 839-1272 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173103 Date Issued:10/28/2021 Permit Category:ePermit Site Address: 1168 Tiffany Dr Lot:2 Block: 2 Addition: Canterbury Forest PID:10-16350-02-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Stephen D & Kimaree Poole 1168 Tiffany Dr Saint Paul MN 55123--189 (612) 839-1272 MN Plumbing & Home Services Inc 12040 Riverwood Cir Burnsville MN 55337 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176939 Date Issued:06/08/2022 Permit Category:ePermit Site Address: 1168 Tiffany Dr Lot:2 Block: 2 Addition: Canterbury Forest PID:10-16350-02-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Stephen D & Kimaree Poole 1168 Tiffany Dr Saint Paul MN 55123--189 (612) 839-1272 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature