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1174 Tiffany DrCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5206 P. O. Box 21199 PERMIT NO.: 11-22-83 Eagan, MN 55121 DATE: 1 Zoning: Ri No. of Units: MS lower COSst C Q Owner: Address: ry Forest b to Address; 1174 Tiffany Driv Plb R h u e 1152 C nter nrm g nnt bar: No.: _3 3 7 I G ?- Connection Charge: 450.00 pd Site: G/ g " Account Deposit: Reader a.: 2 5'?o y Permit Fee: 10 011 nd 1 some to comply with the City of Eegsa Surcharge: SD n-- - pr?iaeaoes. 9d netE Misc. Charges: 60,06 Total: B Dote Paid: y e of Insp.:r- Insp.: rITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: R1 Owner: M Address: Site Address: -112A-Tjff&ny JJr Plumber. i Meter No.. Size: Reader No.: I earoe to comply wfth the City of Eayea ordineaosa, By Dote of I nsp.: WATER SERVICE PERMIT PERMIT NO.: ?< J L DATE: 11-22-3 - No. of Units: 1 Co ye I&L' Canterbury Forest - Connection Charge: '? 0.00 nd - Account Deposit: - Permit Fee: ------ Surcharge: Misc. Charges: S,?,Ot7 ^•d mete Total: - Date Paid: Insp.: C?7Y CF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE; i = - _ - - n Zoning: !` Z No. of Units: Owner: tayflower ::oast Co Address: Site Add Plumber: I some to campy with the Gtr of ""a ordiaeaem. By Date of Insp.: C nnoctlon Charge: `, J!) -d . Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: 11 ?W- 7/ f °9bT CERTI .. WILD ER >. ? N ASS R = 1018.19 O 146.11 v h I , ( M ' O t o } _. z ICATE OF SURVEY RUN 896•0 ROAD 895.9 0 a6?° -?I `10 ?l T co I N.S. P. EASEMENT 1 v ? Z a1 N 89° 57'28" E I t 154.81 ro I _ t7' A •CP O 896 T b EXISTING GRADES SHOWN THUS - 895.9 PROPOSED FINISH GRADE SHOWN THUS - 999 0 O ELEVATIONS ARE N.G.V.D. LOT i -aF? 6 097 .2 p`?` Qe9 .9 ? BLOCK 2 ? \0 zyc?? \ , v0 8974 r ?N 9 7 I 4 flew bo DRAINAGE & UTILITY EASEMENT / I 1 hereby certify that this is a correct / representation of a survey of: 0 / 00$ Lot 1, Block 2, CANTERBURY FOREST, Dakota / bZ County, Minnesota, according to the plat 51 /.? thereof on file and of record. and that I am a duly registered land surveyor under 1 the laws of the State of Minnesota. Dated this 29th day of September, 1983 Gene L. Jacobson, Reg. No. 7734 = 40'I C DENOTES IRON MON )R. BY W I SCALE - I" Prepared for: John Victoria Mayflower Constr. 17720 Jalisco Court Lakeville, Minn. 55044 BEARINGS ARE ASSUMED DATUM. JACOBSON SURVEYORS LAKEV I LLE, MINN. 55044 PHONE 469 - 4 328 CITY OF EAGAN Remarks Arldiri?? CANTERBURY FOREST 1174 EAGAN MN 55123 ?i 11/1. Improvement It I Date Amount Annual Years Payment Receipt Date STREET SURF. qp(o 1979 Paid unde original p rcel STREET RESTOR. GRADING 5.34 A013"6 1?12-94 SAN SEW TRUNK 1973 Paid under original pz rcel * SEWER LATERAL 67 4, 1982 439.42 21.97 20 351,54 A013"6 1-12-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid under on inal reel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 2SO.00 39148 10-7-83 WATER CONN. 450.00 n n BUILDING PER. SSG SAC 525,00 PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCC6IVCD FROM AMOUNT $ Q DOLLARS goo ? CASH ? CHECK FOR Than BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN =795 Pillet Km4 Rood byoo, MN 55122 PRONG 454-8100 BUILDING PERMIT Receipt # To lir lima f" Sr, DWG r-/'." Fet vm,,. "94-000 Date Site Address iii4 lirrany vrive Lot I Block 2 Sec/Sub. Canterbury Forest lti-16350-010-02 Parcel # I zza Name Michael & Jana *tinnick Address 1725 ?:.,1nut Circle city Earn: 551..2 Phone 454-6447 o Name ny11w cr (7anst. Co., Inc. i0 Address 177i) Jalisco .,t. City Lifl-eville Phone 435-6259 ?W Name t- IZ Address I hereby acknowledge that I have read this application and state that the inlormotion is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. NT 8562 Erect SQ Occupancy -3 Alter ? Zoning Repair p Fire Zone ETA Enlarge ? Type of Const. Move ? * Stories Demolish ? Length 56 Grade ? Depth -L'- -Sq. Ft Approvals Fees Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit 4i? . uu Surcharge 47.00 Plan check 207.50 SAC 525.00 Water Conn. 450, 0 Water Meter 60.00 Road Unit 250.00- Total • 50 Signature of Pennittee I :•_av_ over Coast. Co. , Inc. 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 Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric w?Q$Zp II ?fSi??A0.1 /O-IZ 83 f C{?E '' IL t l -t 7-$3 Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. 7 Y Rough HVA Insulation Final Plba 13_Sq Final HVAC ,13-?? Final ?? .. Water scribe Location: Well Sower Pr. Disp. Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date ' 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner - 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner - Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp._ __ Date __ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. "z - CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City ' . State Zip 8. Building Type: Residential 9. Work Description: New 11 Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11 No. Equipment STU - M. Ea. Forced Air No. Equipment CFM Air H ndli Mfg. a ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 This request void [ I -(`-9 / I' b L CL ?? QoZ.(? 18 months from l l f? ?•J oG l1L cL }9 A nu-cm ??ES+- ?1sy,sa Rations- Date ??r_ / Fire No. Rough-i Inspection flequ Ready Now Will Notify Inspec- ?? r /1 Ct/ rLtJYYes ?No or When Ready CRLicensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street A dress, eax or Route No. City action No. Township Name or No. Range No. County Occupapt(PRINT) Phone No. Pa.., Supplier Adigress Ele ical Contractor (Company Name) Contractors License No. L EL S cG w?C e . Mailing Address (Contra tm or OwnerMaking Installation t -- ! -11 , C-e- S/. G Authoriz Signature (Contractor/Owner Making Installation) _ Phone Number 4044 2z - t0 Y NESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT e'-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 29].2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-o4 'see instructions for completing this form on back of Vellow copy. 1 1 t4 tj j? "X" Below Work Covered by This Request (40020 dd Re . Type of Building Appliance. Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. C. -Furnace Silo Unluader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer a y Other (Specify) ther Sper.ify Other Other Compute Inspection Fee Below N Fee Servic. Entrance Size p Fee Fe.dersrSubfeeders p Fee Circuits L "I 17p 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps / ?rt7* 31 to 100 Am Swimming Pool Above 100_Amps Above I00_Amps Transformers -I L I Irrigation Booms . Partial-'Other Fee Signs I ISpecial- Inspection S I TOT FEE R¢marks ? ti 3-lu LvuV V ?I ' I. t Ele Inspector, hereby ...... 91 Final at certify that the above inspection has been 112 xy t Ed.. This request Vold is This egos yL L1 3Qzo-7 18 months ro '£ is roo W080820 I I Request ?Date ?''^. I' Fire No. RRenggheaylnsprne "c'wtiioa []Ready Now Og?ill Notity, Inspec- (/G []yes Lyo for When Ready E']Tpdensed Electrical Contractor I hereby request inspection of above ? Cwner electrical work installed at: Street Address, 60. or Route No. r ? City ! < < Section No. Township Name or No. Range No. County -/n Occupant( PRINT) Phone No. 4gSi1 Power Supplier : Ad ress jz. f 3L .Z , Electrical Contractor (Company Name) f ' Contractors License No. 5 2 C c. e c 1 a Meiling Address (Contractor or Owner Making Installati ) s `G A l Nt .jam Z/ 7 Aut ized Signet re Contractor/Owner Making Installation) ? Phone Number -l r INNESOTA STATE BOARD OF ELECTRICITY THIS ICNSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam N•191 BE ACEPTED BY THE STATE BOARD 1821 University Ave.- St. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS o.___ icwr ea, attt ENCLOSED. lmeST FOR ELECTRICAL INSPECTION pp?? pnq , Seel(i$mitructions for completing this form on back of vellow copy. V®? ' 8eloVAD PO nd by This Request EB-00001-04 v:. 3Qzo`7 dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify Other lSpecifyl t ,r Spocify Other Other Compute Inspection Fee Selow 4 Fee Service Entrance Size k Fee Feeders/Subfseders 4 Fee Circuits 0 to 200 AMPS 0 to 30 AMPS 0 to 30 Amps Above 200 Arnps. 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100-AMPS Transtormers Irrigation Booms O Partial.'Other F ee Signs Special Inspection 5 ? l TO X Remarks C T .C..__ _ )?. ,-f' s ? , R FEE 1\ / 1- /)? ?- - -1 I, theme I Inspector, hereby certify that the above inspection has been made. This mauast Vold . - CITY OF EAGAN NO 8562 + 9795 Pilot Knob Rood Eagan, MN 55122 PHONEt 454-8100 BUILDING PERMIT Receipt To be used he SF DWG/GAR Est. Value $94,000 pate October 7 Iq 83 Site Address 1174 Tiffany Drive Erect X$ Occupancy R-3 Lot 1 Block 2 Sec/Sub.. Canterbury Forest Alter ? Zoning R-1 P l 10-16350-010-02 Repair ? Fire Zone NA # arce ar Name Michael & Jane Minnick z z Address 1725 Walnut Circle p Name Mayflower Const. Co., Inc. ou Address 17720 Jalisco Ct. t r:...Lkkeville o..,..- 435-6259 Name Address Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 56 Grade ? Depth 28 Sq. Ft.- Approvals Fees Assessment _ Water 8 Sew. Police - Fire Eng. Planner Council _ Bldg. Off. _ APC Permit v? J • uv Surcharge 47.00 Plan check 207.50 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 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 Mayflower Const. Co A Building Permit Is issued to: Total $1954.50 Inc. an the express condition that all work shall be done in accordance with all„applicoble State Minnesota Statutes and City of Eagan Ordinances. Building Official d3C l?x?? CITY OF EAGAN Include 2 sets of plans, c tNW l? 1 site plan w/elevations & ?// v I c a BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For = valuation 6'9y d00 Date Site Address 11?V //hl 4 / Y%f I61( Lot I Parcel #: Block Sec./Sub. ")'J76 -4 eo (O-«3S0 -0l0-oz Alter Owner: Rl _, Ae(- G f v A NC M / Address: f 7'??,r aj AA) CUT C' (f7G(F- City/Zip Code: CW6AA1 - t(161 yL/J7 , Phone #; ?J f ?9 7 Contractor: ?CoLyc-n C©? • (?. t?( Address. J AC(SCO Cr City/Zip Code : L J C 0 0 0 M (? J J "O Phone #: 4 ? S? °g Arch./Eng.: Address: City/Zip Code: Phone #: Repair Enlarge Move Demolish _ Grade ?water/Sewer Police _ Fire OFFICE, USE ONLY Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth I?e E ft. Eng. Planner Council Bldg. Off. 727, APC Surcharge -VT Plan Check 9F O 7 SAC 6-'o26- Water Conn. S/?D Water Meter / o Road Unit eG? d TOTAL -t' f L es t J© EXTERIOR ENVELOPE THERMAL TRANSMITTANCE STANDARD WORKSHEET Site Address Owner <:,I L t"r.-R,c _de l•1 1. :- contractor?41A` ;:?1 1-t 1 "f L•' F ` Phone Date Building Type (Check One) (t1_'?One and Two Family Dwelling ( ) Other Area LA I A ssembly (Show calculations on Pa e 2 and 3) s IS Ft) :U-Value U x A ei ipg rear essay ignt a 14 I nsulated Area Area See Fig 1) ?L Framing Area (101/• of Total Calling Area, See Fig. 2) ! . bZ L C' `$ Sk li ht$ (From Page 3) $ O ther (Describe) ? 1 Totals ' .vrtw.k 2 Average U-Value (UxA)/fA) from Line 1 "*"'"""• ww or then an one an wo ami y 04 ****"'* 3 Required U-Value Dwellings See ASHRAE 90 - 75) y. of ota Wa rea, Less Window an 6 _ I nsulated Area Door Area, See Fig. 31 Framin Area (10% of Total Wall Area See Fig. 4) 1 el, c 14-1 1 1 (00. .. indpws (From Page 3) . fxl n" Doors (From Page 3) -' ' , , . Rim Joist Area (See Fig.. 5) -zo(, c)4- 1i 1-44LI fireplace Wall m Foundation Wall (Above Grade Less Window Area See Fig. 6) w Foundation -Windows (From Page 3) z e?wa„r L Other (Describe) - At, - e A ?Aj 4- 53 ther (Describe) , 1 ?errrkr 4 Totals 5 Avere a U-Value, (UxA)/(A) from Line 4 (For ther an ne an Two ami y "*"** 6 Required U-Value Dwelling, See ASHRAE 90 - 75) If Line 2 is greater than Line 3, or Line 5 greater than Line 6, complete the following to determine alternative U-Value For total exterior envelo e. 7 Area (Line 1) + Area (Line 4) + ° Z 8 UxA (Line 1) + UxA (Line 4), + 7 9 Area (Line 1) x U-Value (Line 3) x = W 10 Area (Line 4) x U-Value (Line 6) 72 11 "Budget", Line 9 + Line 10 x+<wa..w 0 r If Line 8 is greater than Line 11, alter assemblies as required so Line 8 does not exceed Line 11. -I- I t •. :" 1 1 ,rA 5ti) - saem?o ree i]att) _ Material Wescribe ue Ic ess R- Vi 4 I I - I• r .? r J Interior it { m - aue M a e s '- tenur it Film R-a ue at a e S ta 3se maly I erma esistance - . a ( a u .. I 20 ssemol Area qrt) material esai a is n ess - a ue / t 1 Al ? I )? 1 v ` 3 G Ir I m - a us (See mGn Or 7 xtenw Ir r r1 m R- Value (See 30! 7l I ata ssemal • erma esistance LAsilerably - due ( n e - e,I , 641, Cr.jr? ?- ssemo ~ .? atarti esc e) rea ort) Thickness K- Value 1A V , I Interior it I m - ague (See a e 4 4 -1 I enar it n m -Value ee a e 0o ssembl Inerma esismece z 1, K -Va ue a i or, ,gZ3 1 w{ I .. I "? "'1 7 rea c or ' ssemo Thickness -Va ue ateria (Describe ) - Ilz ? c i I II2 2'L I r tmenor Air r. m -Va ue . ea age ?l I xteriar it r, m Poe -V-V1UG ''Zee ail ssemoly dermal ResisWlce fL.z_Ac As _' a ue 1 ) =tar an Page I - r. . 1' 1"•l 4A' "? 14/11 rea ' seem art ateria .esai el IScmess - a ue )I I t_ ' a r l Ii I I ! [ 1,7 g 117 4 5 / y I ??r / IZ.'J Interior Air i m -'/a ue ea mile xterior it I in -Value as 30 • I ata asemb I arma esistance Assemialy - a ue cm on a e ssemb v _ - r a esrnbe aren Area ari is tness - a ue ' // // l n error Air -Film -Value (See a e • o c.4 xtanar it I m - a ue ee aaa 4 & 21 1-1 am dssemb + erma esistance - a ua lAsxemQiv nter an e I rod arts SSW y atana (Describe) l iciness - a ue 11 merfor it Film -Value (Sea a e 7 - I enor it . m - a ue See, a e ota ssamo i nermal tlistdncG ":,. '1-! ! fi-sseM v U-9a?us i at an Page c -L." 1 - ..1.11 --.n LAS L?n Ss Ill:: rea art) aterfa C5 f e! I X11 351 - a ue t f2iI d °. ? Cr_. ? • alu ace Interior Air r Jl I - enor Air r1 m -Va us . r • a e . I " I ota asema v l nermal Resistance '. I 1 1C. f. ,I..__.,, - A.le . ,. anter an raga t c?4¢ ,6,14- SKYLIGHT, WINDOW AND DOOR ASSEMBLIES Sk li ht Manufacture Manufacture No. No. Used Total Sash Area(p) R-Value -Va ue U=1/R U x A Totals Enter P aqe 1. _ X X X X X XXXXX Windows Manufacture Manufacture No. LG u A No. Used Z Total Sash Area (A) R-Value z_.. -U-Value- U=1/R U x A r L?_ - ' 1"1, (. ?t GL G .'. i ', r C I r -. ota s ntar aoe xxxxxx - a ue oun ation Wall Window Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A O nra s nter aye xxxxx .22; a ue - a ue R-Value Storm Dom Ooor U-Value f Size Used No Total Door Area (A) Door (If Used) Assembl U=1/R UxA Doors Manu acture . - Q A L) >;,C g L I .t Jr ( C) •I oars -,ter_ aqe XX c xx o, x x -3- Figure 1 Ceiling/Roof Insulated Area * -Interior air film R-Value .61 Insulation (Vapor barrier required) -Interior Finish -Interior air film R-Value .61 *Attic ventilation required Figure 2 Ceiling/Roof Framing Area o 'Interior air film R-Value .61 Wood member Interior Finish (Vapor barrier require. P"? .. Interior air film R-Value .61 Figure 3 Exposed Wall Insulated Area Interior air film R-Value .68 Interior Finish (Vapor varrier requires insulation Sheathing Exterior Finish Exterior air film R-Value .17 -4- Figure 4 Exposed Wall Framing Area 4-Interior air film R-Value .68 Interior Finish (Vapor barrier required) Wood member Sheathing `'' Exterior Finish Exterior air film R-Value .17 Figure 5 Exposed Wall Rim Joist Area interior air film R-Value .68 Insulation Wood member Sheathing Exterior Finish Exterior air film R-Value .17 Figure 6 Exposed Wall Foundation Area air film R-Value .68 on Wall air film R-Value .17 -5- SUBTERRANEAN ENGINEERING COPP, .• 7476W BLVD. vken 140-0180 MINNEAPOLIS, MINNESOTA 66x26 dAr! EARTH WORK OBSERVATION REPORT ?o?2O?S3 OBSERVED Job Name n.J{,yiFPY ??FQT' Job No. S-?iQCQ_ EXCAVATION: Jab Location T85A16Y t1tJfLDEP?/ aSTdt•I Lot Contractor FuER/},L` /au/.S'L / ^?D t S /F /AA ` Cli Bloch . en Blot Arrive Jab B LDG Names, a Total l Chxpeabb 1 +'30 T t J b D FILL PLACEMENT: rave o epar S Noura Let Time me Lein Plo -? . Total Noun ti r On Job V )/ -2117tEn V R d Th t Plat /?1fT(FY FpPtrSf ape wb Thos w at Summary Of Technical and /or Engineering Service, Performed Includes Field Test Data. Locations. M;4410 C *ad Depth. are eHhnatad. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THE COMPACTION QUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF. feel deep p feet 1. Etuurellon Is e of -end. grading to at end ____ _ Ebrsllo Elevation 2. Side Slopes are appro..: vem ? 1/2 hurls, lvert. ? /-hertz.: t Fort. ? 2 hertz: 1 ult. ? flatter than 2:1 ? ether _ E 2. Construction Slaking le: adequate ? not available ? incomplete ? X a. Saturation Is overalted feel oulaide or building line. C a. Excavation b: - dry ? wet ? A 51._ WAtor Is V 6b. Depth of water In excavation opera.. A Bo. Dewalering b: necessary ? not required ? - - T S. Fxcav8110n it with : dragon* ? bpckhoe ? acres*, ? dater ? 1 7. AN unsuitable poll, harp been oxtavated YES ? NO ? 0 To. bet of poll wealm, to be nmared. N S. tell at excavation but Is: any City ? sandy clay ? clayey silt ? $toy Band ? Clayey Send ? Clean Secd ? Other 0. __ bet of fill required to leech design subw"&. 10. En Watlon N: APProyod ? Not Approved ? for US pbtemeM. 11. FIN Is RL22IN1 FiAIE -?®IUN 38Np (typo Of 8011) lta. Imported ® On-Mb borrow ? 11b. Compaction Ie with aheeyefoot roller ? manual tamper N vibratory 50 F enmolh strum roller W SeWVmpelled ? ""Vfbrotm ? 1 12. Pelfermed Z Hold deceit, teats. Bee CO gecdp O"I ty Control L - Test Roped No. L is. feel of rill remaine to be Placed. 14. Density bets meet compaction aped0c.,,m, YES ® NO ? fax Tel No'., did net meat coweatbn specinestbnA reas 1SJldmHbe41 o U.n. ang?., 12,16 are remedied. YES NO U BE AieNINQ FROST ADJACENT p N : wee ptdnb PROTECTION: strew blankets STRUCTURES: SFDfr WEATHER CONDITIONS: Hot ? Dr ? E 4 dNU w b? bou man ? y We're ? Rain N 1 dump CI k ? host rip p ? INIMn 20 lost ? Coal ® teew ? L N sump?umP ? bme. et. ? 20-40 bet ? >22-F ? g ether __ ? din ? 40 dr mare lest ® sub-hee.ma? RECOMMEIIDATIONS/SUMMARY/WORN PROORESB: f%F1.D TxjjMTY TFSFS MFF1 ' ' ( 4xiPC P Tin4r 5lfl'+3"i[ATbAAK __S_I?o IS SEEAA lIr6 tN7b ? ? _,?ot9N/. rvi? F2oJ' TaF_ y1(a(y?%PA?ATIOA/ ALr4 'j7AE _ <Elor?l? RF ('-L.FRwFh ? -ue_ ?%S AQ ???' - . OI TRIBUYION: cc; Z7 tt: sjAY£Lel•r=o r?,.icr : ?,6 3a1J lL'CTd a by ?? ?•[.?ivrOi J,, __ __ oc: J__$(.+a???ydf SUBTERRANEAN ENOINEERINO INC. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149057 Date Issued:05/03/2018 Permit Category:ePermit Site Address: 1174 Tiffany Dr Lot:1 Block: 2 Addition: Canterbury Forest PID:10-16350-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jordan Loeks 1174 Tiffany Dr Eagan MN 55123 (612) 369-4798 Marsh Heating & Air Conditioning 6248 Lakeland Ave N Brooklyn Park MN 55428 (763) 536-0667 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170767 Date Issued:07/16/2021 Permit Category:ePermit Site Address: 1174 Tiffany Dr Lot:1 Block: 2 Addition: Canterbury Forest PID:10-16350-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jordan Loeks 1174 Tiffany Dr Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature