1173 Tiffany Dr.CITY OF EAGAN WATER SERVICE PERMIT
3830 Prot Knob Road
P. O. Box 21199 PERMIT NO.:
,Eagan, MN 55121 DATE:
Zoning: _ No. of Units: 1
Owner:
to Address: (,antc.Furv Por ,:*
umber:
r No: 072 11. 1
ze: s K OCEC , U t
der No.: 71.70 p
ape to amp k, I kh the Qy of e,
R
Data Paid:
of Insp.: ° Insp.-
.2-CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZOnino: No. of Units:
Owner.
Address:
Site Address: - - :; fe[3y '?riv. L1. 51 C^liLcr!"Iv rozest
Plumber: r ?' Plural I r
Meter No.. Connection:
Size: A
t D 1 ?Oc'
ccoun
eposit:
Reader No.: Permit Fee:
I epe to seva* wah the C *y of Iowa Surcharge:
OVAaaaeee. Mist. Charges: -_ i`<a Ty
Total: 50nd meter
By Dote Paid:
Date of I nsp.: 1?.
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. 0. Box 21199
PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner. - a t10:208
Address
Site Add,
Plumber.
1 o.ew to .em* wwa awe cky of ypa
OrAaoaae.
By
Date of Insp.:
Insp..
Convection charge: - 0Q'
Account Deposit: l0pd
Pen.0 Fee: Oo 1
Sun*Kwgo:
Misc. C}aross: -
Total:
Dots Paid:
BUILDING PERMIT
To be used for DOCK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. Value $1,000 Date JUNY 22
Site Address 1173 T1"A" DRIVE
Lot I Block 1 Sec/Sub. CANTERBURY
Parcel No. FORZST
w Name .-" " %~A' 9Vz%A'
3 Address rAk
- - - - - - - - - - - -
0
Citv - - - - - - - Phone - - - - - - -
o Name SAME
OU< Address
Cc City Phone
Name
Address
I hereby acknowlege 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 Permitee
A Building Permit is issued to: tdARIr L 1120111IRM
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
1989
OFFICE USE ONLY
Occupancy
Zoning
(Actual) Const
# of Stories
Length 20ZU-
Depth Sx22-
S.F. Total
S.F. Footprints
On Site Sewage -
On Site Well -
MWCC System
City Water -
PRV Required
Booster Pump -
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
Acct. Deposit
S,W Permit
S,`W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
$26.00
.50
10 tau
=27.30
Permit No. Permit Holder Data Tek"Aone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
. ` CITY OF EAGAN
j
`'?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M
PHONE: 454-8100
N 55121': C
12065
BUILDING PERMIT Receipt #
To be used for ''L DWG/GAR Est. Value $62,000 Date
i l J, `?'
19 06
Site Address 1173 TIFFANY DR Erect [J? Occupancy X23
Lot 1 Block 1 Sec/Sub. CAATERBURY POR odel ? Zoning 1Z1
Parcel No. Repair ? Type of Const. VF1
W Name RSM HOMES INC
3 Address 18308 MURPHY LAKE BLVD
° City PRIOR "ne 432-2440
Name SAbJ:'
i
8R Address
City Phone
?Q
F W Name
a
c= Address
i
z
i 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 Ci of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: Rsm HOMES :VG
all work shall be done in accordance with all applicable State of Minnesc
Building Official
Assessment
Water & Sew.
Police
Fire
Permit +' ., L.7 •
Surcharge 31.
Plan Review 159.
Eng. Water Conn. SUU. UU
Planner Water Meter 6330
Council Road Unit 290.00
Bldg. Off. 5/29/8 Tr. PI. 156.00
APC Parks
Var. Date Copies
Total 0
on the express condition that
Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Date TeN Ohs M
7 7 `t y f
HMA.C. 7 ( I?
Electric
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
F
Foundation
Framing
Rooting
Rough Plbg. _ v?? G
Rough Htg.
Insul. -?
Fireplace 8 as /l>8
Final Htg.
Final Pibg. -7 -?G
&dg. Final
Cert.OcC. 2 G!?
Deck Flip.
Deck Frmg.
Describe Location:
Well
Pr. Olsp.
PERMIT # 7 yy 7
PLUMBING PERMIT RECEIPT # S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 3 U ? Ce
Sec/Sub
A BLDG.TYPE
Res.
WORK DESCRIPTION
m
?o
y
C
Name -
Address
City _
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
FOR: CITY OF EAGAN
Mult
New
Add-on
Repair
FIXTURES TOTAL
N.
Water Closet - $3.00 $
Bath Tubs - $3.00
=Lavatory - $3.00
/ Shower - $3.00
=
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
=
Laundry Tray - $3.00
Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
-/Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
3 Rough Openings - $1.50 '
FEE
STATE S/C:
GRAND TOTAL, a ? 17'
r b
PERMIT #
MECHANIC AL PERMIT RECEIPT #
CITY OF EAGAN _
c? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Addr
_4? 71 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sufi ? f
t Res. x New X
N
m ame
'
7 Mutt Add-on
Address ° 0 :
tx !
1
Comm. Repair
C
_ City r,
Y
(? -Oi"O
/ 1 ` Phon
Other
Name E f C_-1 FEES
c Address -
U e r
7 Z24 rf"LAIZ 14
RES. HVAC 0-100 M BTU
-$24.00
p city Phon ' LY O ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK ?o GAS OUTLETS - 1.50 EA.
Forced Air - ? M BTU - COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond M BTU STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE-
SIGNA URE OF P MITTE
S/C:
O
TOTAL-
FOR: CITY OF EAGAN
CITY OF EAGAN
Arlditinn CANTERBURY FOREST
?Wner Stre
? - 7,
State_ EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid undel original pa rcel
STREET RESTOR.
GRADING 1981 106.78 5.34 20 85.46 A013446 1-12-84
SAN SEW TRUNK 2, Zj 1973 Paid under original pa rcel
* SEWER LATERAL 1981 439.42 21.97 20 3
WATERMAIN
* WATER LATERAL 1981 2
WATER AREA o, 1979 Paid undo original Pa rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
( /^ / OiAT ?-LF?b ?i g Q b
AMOUNT I$
G
DOLLARS
loo
CASH CHECK
FOR / C"???' - -?
,41
FUND CODQ AMOUNT
fC) ? d
is od
Thank You
N_ 65548
- _ r White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
t
BUILDING PERMIT
To be used for DECK
Est. Value $1,000
N4 16690
C z 113S
JUNE 22 . 1989
Site Address 1173 TIFFANY DRIVE
Lot 1 Block 1 Sec/Sub. CANTERBURY
Parcel No. FOREST
w Name MARK L COLBURN
z Address SAME
o City Phone 681-0220
Name -
Address
City -
Name -
Address
City -
Phone
f hereby acknowlege that I have read this application and state that the
information is correct and agree to 2r plh all applicable State of
Minnesota Statutes and City of ag n i
Signature of Permitee
A Building Permit is issuedRo: MARK T 1201 nlrnw
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cty of Eagan Ordinances.
Building Official
Phone
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
OFFICE USE ONLY
Occupancy
Zoning
(Actual) Cons[
(Avowable)
# of Stories
Length 2046
Depth 5x22-
S.F. Total
S.F. Footprints
On Site Sewage
On site Well
MWCC System
City Water -
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variance -
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
Acct. Deposit
SW Permit
SiW Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
$26.00
.50
1.00
527.50
Z4 I. -? a
CITY OF EAGAN
BUILDING PERMIT
Receipt p
3S(o
12065
SF DWG/GAR $62,000 86
JUNE 5
To be used for Est. Value Date '19
Site Address 1173 TIFFANY DR Erect Li 1r Occupancy R3
Lot 1 Block 1 Sec/Sub. CANTERBURY FORE a'model ? Zoning R1 PD
Repair ? Type of Const. 17-14
Parcel No. Addition ? No. Stories
RSM HOMES INC Move ? Length 36
w
p Name
Address 18308 MURPHY LAKE BLVD Demolish 11
11 Depth dF
Int. Impr. Sq. FL
Clry PRI OR IlAcne 432-2440 Install ?
F Name SAME
Address
City Phone
a
w w Name
r
u o
Address
a W 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 C' of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: RSM HOMES NC
all work shall be done in accordance with all appligattle jMte of Minn 4c
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
6
Bldg. Off. 5/29/8
APC
N2
Permit 319.00
-
Surcharge 317
09,
Plan Review 159. 0
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var. Date I Copies 0
Total
on the express condition that
St to es and City of Eagan Ordinances.
Building
? qoq
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
#/S.sa
Date I IS / 04
Site Street Address
173 Ti -4GYN, 0,-
11'
? Unit #
n
?
'
Property Owner J1U?4 Ssy? ?1 Telephone #
(
)
Contractor L? i P S IV wJojnfh ? rwi ?Q f'?'c Teleph ne # ( \) Z-1- ctr)
Address__. .6L) ZOtO4(\ Akx city S -12 State .?. Zip 5SiWL
The Applicant is: _ Owner Contractor - Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next tion and check the
appliance(s) you are installing. 0?
9
-Septic System Abandonment e
AUG 0 V
-Water Turnaround (add $130.00 if a 5/8" meter is required) l ?006
Other:
Water Softener Water Heater $ 15.00
_ new - J_ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
i nereby appiy for a ttesidential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to startwithout a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved. _
Applicant's Printed Name Applicant's Signature
4P 70
X67 If
:.
2004 RESIDENW ?L, B&Jl7?jG P
ERMIT APPLICATION
City Of Eagan
p3830 Pilot Knob Road, Eagan 1V1N 551_22
_-- :.
-`--` -- ---.--- - ===-=?elekoiie?651r675?67S=--FAX'?651 6755694----=--
Nevr Constnicdo merits
3 registered site smveys sWng.sq, ft of lots , Remodel R Dart Reouiremen?
(2fl%maxunum lofcoverdge allowed) qit ofhouse; and alt roofed areas 2cropiesofplan
I set tofEnengyCakxr? addi5ons
oEnerg aingbeam §windowsaes poured founddesign,eta lse
ftonsforheated s?f of Energy calculations 1 site survey fof additions & deck
3 Copies of Tree Piesetvaffon Plan ff lot plaffed after711193 Rddrfron -irMicate ifon-s•[a septic system
Rim Joist Delail Options selection sheet (bldgs with 3 or less units
3;? Y,w
MEN
Date-1- /0 tl 6a
Site Address =1 - Construe on Cost 5
C1VP?
Unit/Ste #
Description of work f W Idav
Multi-Family Bldg _ Y, N J
Fireplace(s) )! 0 2
Property Owner
Telephone # ((p51 )`?S fZ - $amll
Contractor
Address ZU RQcId u Q_ ,'t State IA N aty nn&-AhIke J
Zip CJSI '? Telephone # ((mil)
COMPLETE TkIS AREA
Energy Code Category - lbfinnesotaRules 7670 Cate o 1
(,/submission type) !- f2esfdenut Ventilation Categ9ry,1 Worksheet
submitted
• Energy Envelope Carwla(iong §bmitted
ANIMB
_ Minnesota Rules 7672
• New Erjetgy Code Worksheet
Submilfed
1 rave you previously constructed a building in Eagan with a ee applies similar plan? - Y _ If
.
icensed Plumber
1echanical COrltractor
=Wer/Wafer Contractor
i-g ?7
Telephone # r ( ) ICT 1 ,4 U
Telephone # (
Telephone #(
iereby apply for a Residential Building permit and acknowledge accurate.
totes; it the work will be in conforrauce with the ordinau and odesao ftlie City of Eauvt? gan and the State MN
I understand &s is not a permit, but only an application. for a permit, and work-is not fo start with a
)
out Mt;that th oatfpltheans. work will be in accordance with the approved plan in the case of work which requires a review and
rov
?p7zcantsprmtedName
' App tout's Signature.
V
OFFICE USE ONLY
Sub Types
'°.?- 01' Foundation-- ?-07 -o5-pie?-M-. 13-1Epfex P6ol -- - O- 30--Accessory Bldg==
? 02 SF Dwelling Q 08 06-plex El iS Fireplace 13 21 Porch (3 sea.) ?.. 31- Ext. Alt- Multi
(7;-;03i. 01 of - `plek- 13 09 07-p(ex Q_ 17 Garage El 22 Porcf (Addn. (4-sea.)' ?" $3 , Ext. Alt= SF
[]t 0==02=918x.;_. _;.- -::?.10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ^? 36 MultiMisc:
13 03:p[ex: D 11 10-plex Q 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex' Ptbg yor_N ? 25 Miscellaneous
Work Types
? 31. New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32.Addition
.El ? 36 Moue Building ? 42 Demolish Foundation ? 45 . Fire Repair
? 33. Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowafDoors
? 34 Replacement 'Demolition (Entire Bldg) = Give PCA handout to applicant
Valuation Occupancy MCES System
Censu's Code Zoning City Water
SAC Uhits Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck) FinaUNo C.O.
Footings iddrtton) w Plumbilri
r?t gK ' "''.;fit #•zY•"' S'. tr'?q* ±i 3'.'` "?,•'?--f..? r$?.. .VCt' - ?' ?.i".±4
Poundatio ' Ii AEG..
Drain Tile Odier .1 1
Roof `. Ice; &. Watea: ` :_.. Final •% Ftgs . : tlir/Gas Tests _ Final
Framing: _ Sdidg .; !` Stucco Stone _Bric1
Fireplace _ R.I.: _'Air Test Final Windows
Insulation _ Refauiiiig Pfau
"App'roved By:
Building lbspector
Base Fee
Surcharge
Plan Review
MC%ES SAC
City SAC
Utility connection Charge -,
-S&W Permit & Surcharge
' Tfeatment Plant
License Search
Copies
Other
Total
??, .,e, c..•s iuv zc. vu tnA (OJ oil Yf46p
xruu rrw nr WLIMMIM -
re
June ?, 200i _ .
Cary of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To whoa, It May Concern:
Elder Jones is authorized to pUn building permits forRenevtal
Bider )ones to Provide tills service far us in E". `Krisauchoriz.g. Andmm Is valid four any snow
l
date beyond 616101; until a 16nevW by Andersen y revokes it in wilting
to th6 City.
I request this authodzadon be a .
our baiidjug pomoits any fur=??o xpem,
rw IfIth snot delay in the prvicesft of
contacted at 763-502-4706. any gneadgns.. 1can be
Your immgdiate attention to this matter is ftLeeisted, a
sinceialy,
and R'Rau
ostallatV Manager
Renewal by Anderson Catpotadou
y QH p. ???
i
wr won ?La•.ra. n?zaa
wuu
Received Tihe Jan. 1. 1,07pM-
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS ONj
& STRUCTURAL PLANS; 1 SET OF V 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1-SET OF v/ 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: S /;r Valuation: :;?&X;0 Date:
Site Address , i 3 ?;any ?R.
Lot 1 Block ` ?^ y
Parcel/Sub ?p@(' pV c?J r pry' $ L
Owner RSM HOMES, INC.
Address 18308 Murphy Lake Blvd.
City/Zip Code Prior Lake, MN 55372
Phone 432-2440
Contractor Same
Address
City/Zip Code
Phone
Arch./Engr. A.P.S. Home Design
Address
City/Zip Code
Phone #
Erect A
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
(APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Ze P Treatment P1
APC Parks
Variance Copies
?? TOTAL
NFRO B E ce- :9PPA6,E 71bb 140 INOMMS ENGINEERING COHSUlTI PLANNERS IS and LAND LAD
RD SURVEYORS
COMPANY, INC.
1000 EAST 146M STREET, BURHSVILLE, MINNESOTA 5337 PH 432-3000
C4070ZjE ctZ?`e aS [TY? (?
„Q?I_, ? Pc?ZCrt • LG-r / BLO-^K ! CANTERBURY FOREST
DAKOTA CCUNTY/ MINNESOTA
i
A/ 69° 57' 28"E
o,
W
D ?
N ?A
J
yy o
o"
T 4-
?. O
DRAIIUAEE AAiD UTILITY E45EMENT
N_5. F. EASEMENT
LOT
i
\ Z0
,9z
6 VIo2 JDOiDx
9°L ))
I ?
(9D
jc ?'$Yy'
1: .t
' r., y 9P
0 0 9C \
\\ on? t? J ' 6 D N
,c
o,
SURVEY LINE
? z
* ewe J
s,
9-7 898= S
898.D? 6X 've-
Z" f C / ? gB97 S? \+7.2)
21' 33
i
N
m
m,
? O
O O
DRAINAGE AND
UTILITY EA5EMEjUT
IB ' I¢ 0?
NC •i-1H
ID
\ ?• 1a1. 6 3 r
° 0
Li
- 30' FRONT BUILDING SETBACK LINE
SCALE I" ° 40' ?? ?qo°.4) X900 9j DENOTES EKIST/N6 E16YATr011
0091
e (907.0 j DEA.'OTES PROPOSED ECEYATlOw
1---- IIJNcATE5 DIRECT/av OF SURFACE DRAINAGE
901.33 > FINISHED GAR46E FLOOR ELEVATION
I hereby cartify that this is a true and corract representation of a tract of
land as shown" and described hereon.- As prepared by me on this 7-7n1 day of
/< Minn. leg. No.160Vf
5
OWNER
SITE AD
CONTRACTOR DAT3 ->'2b`a0PRONE-4-3-5-P869
Determine working square footage of each.
1. Total exposed wall area .... /960.0 sq. ft. x .2a =
2. Total roof/ceiling area .... //O y!o sq. ft. x .'D-4
Total exposed wall area above floor = X50.0
a. Total wall windovi area .9a"y
b. Total door area . .. , .:& y
c. Total sliding glass area ....
d. Total fireplace wall area o
e. Total wall framing area (average 10%)...
f. Total net wall area above floor ........ 9,9 - =
g. Total rim foist area ................... Total exposed foundation area 99.U
h. Total foundation window area .. o
I. Total net foundation area above grade 8•v
Determine "U' value of each wall segment.
a. X "U'' yj yG• s
b. yo Y. X "U" -,02,(,
m
3• /
D. o X "U" o w O
e. 196.0 X '.Ul i
f . /590 - '/ X "U': oyr? G 9.9
Q. X "U'Q o?? a
h. o X "U, a a o
i.p-- X "Ui'
3 ............................................Total
if item #3 is the same as, or less than item N1, you have met the
intent of SBC 6006(c)2.
a3 64, 3.7?) L Slt» ,. / (a//S,
?1r? fem. ?) -Sac 4(ogqo6rc.)
EXTERIOR EINE:C?E AVERAGE "U' C0I41°'JTATI0:1'
Total exposed roof/ceiling area =
J. Total skylight area .. ...
k. Total roof/ceiling framing area (average 10h)
1. Total net insulated roof/ceiling area .i..... _.
Determine-11W value for each roof/ceiling segment.
J. (J X bUil ? s G
k. //o•f X •:Un ofyo : ,3.1
1. ?9 3• L X IV, O 2 P-
4 ....... : ....• • .........Total = ;2
56G GooGCc>l
If total of i,'4 is the same as, or less than f2, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum.of
items #1 and fit. //??
3. + 4.
v? •s?-
/Z=
?1 ` i1 ao -e-z, !? ft
&-^4a
o?U _ v
y' - zx V94.,,
c0`cc ?
y,Bg
- a
h= X46 -2 t- ,DAR
I
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
-1 t (0 L, 170
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS
1 SET OF ENERGY CALLS. (CHECF WITH BLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALLS. 1 SET OF ENERGY CALLS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS f OF UNITS
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEVER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: Valuation:
Site Address 1173 TIFFANY t)Riui5
Lot I Block I
Parcel/Sub (? gNT?RauA?l To WEST
Owner (%' V'- L Ca t?Of- )
Address I I -) 3 Ti FfAN? n)?-.
City/Zip Code r-A (,N?j N nJ .
Phone (, ? 1 - 0-a a U
Contractor s, q I?--
Address
APPROVALS
`OOV Date: L-7-1-S'q
Occupancy
Zoning
Actual Const
Allowable
of stories
Length do fvb
Depth SX ZZ
S.F. Total
Footprint S
On site
On site
MWCC Sys
City watt
PRV requi.
Booster PL
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 26 • a?
Surcharge
Plan Review
SAC, City
MWCC
Conn
Meter
Deposit
-mit
charge
it Pl.
t
ma
..opies ?o
SUBTOTAL
Penalty
TOTAL
,one e
,
13E COHSULTIHO EN61HEfA5 ?? ?A ??
.tNGINEE8ING PLAHHEAS and LAND URYEYO!!S
COMPRNYI INC.
4 10.00 LAST 146es 57RE=T, BURHEVILLE, YIHHENTA 55337 PH 432'3000
C4SP rZz i ccz?e a?`I,LrYe? . .
,?eQcl IJe?Cr 2iort; LGT /, BLOCK 1, CANTERBVRY FOREST
DAKOTA CC)uNTY1 MINNESOTA
I
r
m
H
D W
? p N
0
T ?
L
t
Nc;-.H
Al 05' 57' eO'E
DRA/NAE6 AUD UTILITY £A'EMENT
1
1 . _ N_5. F. EA5EMEIJ7
LOT
2
N
m
m
? O
_o
SURVEY LINE
?'sc?J
/ /tB9BQ 9
_ Tg
fO +?Yj,2? / s
ti
ym 33 DRAINAGE AND
o ,b 9 ,/ E UTILITY EASEM£/JT
a
\ Cc.. ?o ? I 01 2 3D
30' CROAIT 80ILDIA16 SETBACK LINE
DENOTES EXISTING ELEY.4T14/
o? °9? ?,c ( 901.0 j DENOTES PROPOSED ELEY.gT/ON
?- IN0ICATE5 DIR£CTiov OF SURFACE DRAIAIA(PE
9o1.33 . FINISHED GAR*C FLDOR ELEVATION
I hereby certify that this is a t:na and correct representation of a tract of
land as ¦hown'and described hereon.. As preparsd by tan on this Zr? day of
i
i
\ Z°
fJ brI°Z.9 A;
E
001. i1
? \
C
/ ` Minn. Res. No. /L_S
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NUTG': PAYmEr OF FEE AT TIME OF
APPLICATION DOES NOT CONSTIT=
APPROVAL OF PERMIT.
INSPECTION OF S&M AND/OR WATER
IrSTArr.ATIONS WILL NOT BE SCHEo-
ULM UNTIL PERMIT HAS BEEN
APPROVED.
(Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Mon Year)
PRESENT ZONING/PROPOSED USE:
El COMMERCIAL/RETAIL/OFFICE _,[E1R-1 SINGLE FAMILY
Q INDUSTRIAL 0 R-2 DUPLEX (Two Units)
n INSTITC;TIONAL/GOVERNbEM R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
NAME:_ I-A-?e-' G d e_ ?A?? . /?Fr1 21
ADDRESS: /_) t4 :? r /;tf/?
CITY, STATE, ZIP:,f
PHONE: %7( Q O
3) a : NAME:
ADDRESS:
CITY, STATE, ZIP: ,5e -2 7
PHONE: t? - ) MASTER LICENSE#
NAME:
__?. S: YYi
ADDRESS:
CITY, STATE, ZIP:
PHONE: ?f4f 7 /? 3 !J • .
Active
Expired
Not recorded
S?tial
5) : r• i a •: : o? • a• ?•
CONNECTION TO CITY SEWER {j, CONNECTION TO CITY WATER Q OTHER '
6) • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
0, PLEASE MAIL APPROVED PERMIT TO 1, 2, 0 4, ABOVE
(Circle one)
7)
FOR CITY USE ONLY
PERMIT # ISSUED
77'1-5;
Pd w/Bldg. Permit FEES:
$ $ /O1 S -D SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 16 - S-6 WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ S mT? ACCOUNT DEPOSIT - SEWER
$ $ / ?- -C) ACCOUNT DEPOSIT - WATER
$ ? $
WAC
$ 7
S / ?' U U $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ //
O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ``
$_ d e.-6 TOTAL
3 3 s'-? ?s z4
RECEIPT R
ECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
NO
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
IS
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : (}
A 3
of a ag an
3630 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454.8100
DATE: July 3, 1986
1 ASSESSMENT SEARCH
Universal Title Insurance Co RE: Canterbury Forest
14031 Burnhaven Drive I 10-16350-010-01_ _
Burnsville mN 55337 1
BEA RLOMOUIST
Mayor
THOMAS EGAN
.KMES A SMITH
VIC ELLISON
THEODORE WACHTER
Coins MaMpf
1HOMA5 HEDGES
of, Pdmu 1100
EUGENE VAN OVERBEKE
GN cmk
Enclosed herein is the search which you requested made on the above described
property.
Kind of Improvement Years Beginning Original Amount Balance Due
SEE ATm= SHEET
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved and are
now in the process of planning or completion.
Kind of Improvement Approximate Date of Completion Approximate Cost
ANY PEMOINGS WILL BE LISTED ON THE ATTACHED SHEET.
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the
above information which was requested by the person or persons indicated.
Nor does the City or its employees assume any liability for the correctness
thereof. In consideration for the supplying of the indicated information in
the above form and for all other consideration of any nature whatsoever, any
claim against the City or its employees rising therefrom is hereby expressly
waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob
Road, P.O. Box 21199, Eagan, MN 55121.
Very Truly yours,
SP CIAL ASSESSMENT DI N
THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
TRANSACTION ID: 8768 SPECIAL ASSESSMENTS
SPECIAL ASSESSMENTS SEARCH SUMMARY
PROPERTY I.D. TODAYS DATE: 07/07186 ---SPECIAL FLAGS----
10-16350-01 1-2-3-4-5-6-7-8-9-10
-0-01--- ?.?-z?/-----------------------------------
----------------------------------------------
S.A.# ASSESSMENT DESC.R. YR YRS RATE TOTAL ANN.PRIN. PAYQFF COMMENT
**jrx SUMMARY OF ACTIVE .00 .00 .00 Comm
#* THIS YEAR'S TOT P&I .00
Press ENTER (Comments), F1 or Fi (Header Form) or F7 (Restart R768)
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109363
Date Issued:02/28/2013
Permit Category:ePermit
Site Address: 1173 Tiffany Dr
Lot:1 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Dayna Gardner
505 RANDOLPH AVE
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 -
Jeffrey J Smith
1173 Tiffany Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131977
Date Issued:07/17/2015
Permit Category:ePermit
Site Address: 1173 Tiffany Dr
Lot:1 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-010
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jeffrey J Smith
1173 Tiffany Dr
Eagan MN 55123
(651) 688-8291
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178666
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 1173 Tiffany Dr
Lot:1 Block: 1 Addition: Canterbury Forest
PID:10-16350-01-010
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jeffrey J Smith
1173 Tiffany Dr
Saint Paul MN 55123--189
Norblom Plumbing Company
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature