1074 Tiffany Pl
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: Fy
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: -0 ., t r'_
Address:
Site Address I,- T'i f f ar, v r 1 r1 „ t
Plumber:
Meter No.: Connection Charge: r
Size: Account Deposit:
Reader No.: Permit Fee:
I ogres to comply with the City of Eagan Surcharge:
Ordinances.
Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: .4 y nn
Address:
Site Address: 1074 TIffnn• 17
Plumber: REM?
1 ogres to comply with the city of Eagan Connection Charge: !. Qj Tu
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Paid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $
A DOLLARS
goo
CASH f_1 CHECK
fJ? i ? L
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 Pilaf Knob Reed Eagan, MN 55122 n 78 GJ
PHONE: 454-8100
BUILDING PERMIT Receipt
TO be used fat! SF DWG/GAR Est. Value $100,000 Date .
Site Address 1074 Tif f na R nC4 Erect
Lot 2? Block 1) Sec/Sub. Canterbury Eo est Alter ?
Parcel # -=G 16459 ,27Q- 02 Repair ?
Enlarge ?
C9 Name Move ?
Address 1507 C1amsQn Ct _ Demolish ?
__ _ ct1'17 1. CJ. 9I.0r
°C Name Cjwner
z°
uU Address
I hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: S_ up-h
all work shall be done in accordance with all
Aarch 24 l9--E3-
Occupancy u-I
Zoning R-1
Fire Zone &A
Type of Const. V
* Stories
Length66
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
10 Sq. Ft.
Fees
Permit 1111 .00
Surcharge 5D _ 00
Plan check 216 - 50
SAC 5 2 5 .110
Water Conn45(,,,gy .
Water Meter 60 00
Rood Unit ?25().Qg_
Total ti 984 .50
on the express condition that
of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C. 3?j1 ?10 ?tS 54-
Well
Water
Disp.
Sewer
Electric Cwax?% E
Inspection Date Insp. Other
Footings 43 b ? r£ two aEd eas4- A^ t Sc u7at ? S
r
Foundation
Framing ??
Rough Pibg.
Rough HVA
Insulation
Final Plbg. 1 jc7/ asJ
Final HVAC
Final 5-25-83 D?
Water Describe Location:
Well
Sewer
Pr. Disp. `
Receipt PLUMBING PERMIT Permit No. -3
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address /J Zf //? L?`4 06t2-ZBlk. Z Tract -,d F
4. Owner ii 12/J Al t , E Al
--
5. Contractor ! ?G-/t-1) /'//-t
Phone -o?',
6. Address ,?? ?57/
7. City State Zip?
8. Building Type: Residential d
9. Work Description: New 13
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drainfield
-L Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
/ Laundry Tray
1 Floor Drains
Drinking Ftn. i , -
,
L
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.
CITY OF EAGAN
- Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 5 - - '73 2. Installation Cost
3. Job Addressl0 ?'s'litr,4w Lot 2-781k. Z Tract r r ?
4. Owner
5. Contractor "'Wo ?F? S ?! ?S'• Phone` J y G ysy
- . ??
6. Address ?'??
I?
7. City State Zip'
8. Building Type: Residential PJ/ Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe Fuel Type f ee,"'f/c
11.
No.
L,z Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Ha
dli
:
Mfg. n
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
CITY OF EAGAN Remarks Dw lyzzY
Additio CANTERBURY FOREST Lot 27 Rik
Owne '? - ? Street 1074 TIFFANY PLACE
State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid undei original pa rcel
STREET RESTOR.
GRADING 6-50 1981 106.78 5.34 20 90-79 A012028 --3-2a-83
_
SAN SEW TRUNK 1973 Paid under original pa rcel
* SEWER LATERAL y l 1981 439.42 21.97 20 373.51 2
WATERMAIN
* WATER LATERAL 1981 20
WATER AREA Qoq 1979 Paid Wide oriainal pa rcel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 50:00 -14929 3-24-81
CONN. 450-00
n
rr
BUILDING PER. a
SAC on
rr
rr
PARK
This request void
18 months from
W 066218
L?7 8 Z? Catia-F.rbur 0 33z 3 a
FC'rt_1' cm t z?o
Request Date Fine No. Rough-
in Inspection
Required? ?
Ready Now Will Nooty
Inspec-
I
-// Yes ?Np .
tnr When Ready
Licensed Electrical Contractor I hereby request inspection of above - `
Owner electrical work installed at:
Street Address, Boc or Route No. City
40-7/f T
'
Section No. Township Name or n. Range No. Count
Occ ant (PRINT) I Phone No.
Powe Supplier Address
EI tricot Contractor (Company Name) Cmmm..tnr's License No.
/Lo03-
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55194 UNLESS PROPER INSPECTION FEE IS
._. _... ENCI ORFD.
REQUEST FOR ELECTRICAL INSPECTION
' See inst... fiche for completing this form on hack of yellow copy.
l Q
"X" Be '0'? lovered by This Request
EB-00001-04
3sz.3a
Add 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 a Diner Isncdlyl
Other Sped y t r Otheer
Compute Inspection Fee Below
N Fee Service Entra ace Size g Fee Feeders/Suborders M Fee Circuits
U to 200 Amps 0 to 30 Amps 3 0 to 30 Amps
Above 200 Amps. 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100-Amps
Transformers Irrigation Booms L Partial.'Other Fee
Signs Special Inspection W
s
T
?
4
Remarks ? _
Ea
LV
I act, i cal
or. hereby
that the above
:ion has been
rnld
This request void 3-Iy L.?271 L'.QV?.?£rbt.L`T-- NO $
18 menthe from $T
W066178 T /ot?U
Request Date Fire No. Rough-in Inspection ?
Required? Ready No Will Notify lespec-
3 /? My- w ?No for When Ready
f
Licensed Electrical Contractor 1 hereby request y guest inspection of above
Owner electrical work installed et:
Street Address. Box or Route No. City
/D'7 Al- 7f?
ate,
Section No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Supplier Address
J
40 62,?
Electrical Contractor (Company Name) Contractor's License No.
- i
Mag Atl=55 (C entracte. r or Owner Moki ng sterol t
i
Authorized Signet re IContractoJOwn Making Installation) P ne u r
MINNESOTA STATE BOARU'OF ELECTRICITY THISWSPECTION REQUESVWILL NOT
Griggs-Midwey Bldg. - Be.. N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
._. _... ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' Sea instructions for completing this form on back of Yellow copy.
066178
"X"' Be/ow Work Covered by This Request
M EB-00001.04
3 X17 VY
Ney, Add 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) lhei (Specify)
t er peci y Other Other
Compute Inspection Fee Below
If, Service Entrance Size N Fee Feadere/Subfaedars A Fee Circuits
L 112,
I 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100Am s Above 100-Amps
Transformers Irrigation Booms
r Partia l.'Other Fee
Signs Special Inspection S sV T TA
EE
Remarks ?
1 "`M.A.Metr i ca I
Inspector" hereby
certify that the above
'¢ispection has been
This re0usal YOM
`' ??er#ifirtt#r of (?rru?rttnr? '''
Citp of (Eagan
Ilepbrtmrnt of Builbing Insperiiun
This Certificate issued pursuant to the requirements of Section 306 of tht Unt form Building
Code certifying that at the time of issuance this structure was in compliance witb tk various
ordinances of the City regulating building construction or use, For the following:
upCrmo..em SF DWG/GAR r... ' B14 P? N. 7868
Omp.ory Type R3 Typ Co ti. V F.Z NA zonim WA Rl
o„„„smd,. Sunshine Const. Co m,. 1507 Clemson Ct., Eagan
? Forest
?' May 25, 1983
Deb:
M. 1.. m... .......
CITY OF EAGAN Np 7868
9793 PRof Knob Reed Eagan, MN 55122
PHONE: 431-8100
BUILDING PERMIT Receipt
To be used for SF DWG/GAR Est Value $100,000 Dote March 24 l9 83
Site Address 1074 Tiffany Place Erect xx Occupancy R-3
27 Block 2 Sec/Sub. Canterbury Forest Alter ? Zoning R-1
Lot
Parcel # 10 16350 270 02 Repair ? Fire Zone NA
Enlarge ? Type of Const. V
Nome Sunshine Cnastruction Co. Move ? # Stories
1507 Clemson Ct. 66
Address Demolish ? Length
CI Eagan 55122 Phone 454-7485 Grade ? Depth-5-0--Sq. Ft.-
Nam Owner Approvals Fees
o? Address Assessment Permit ' -4-3 3
U Water & Sew. Surcharge 50.00
~ city Phone P k 216 .50
Pl
h
CW Name olice
Fire an c
ec
SAC 525.00
11 Address Eng. Water ConrA50. 00
Phone
<W cit Planner Water Meter 60.00
y Council Road Unit 250.00
I hereby acknowledge that 1 have read this application and state that Bldg. Off.
the information Is correct and agree to comply with all applicable APC TotalS1994.50
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: Sun_. .2111^P C. an the express condition thin
all work shall be done in accordance with all applicable SVIA of Min ota Statutes and City of Eagan Ordinonces.
V
;e2 rj n
Building Official Lr
G'ITY OF IF Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used Fo Valuation ?Q Oo-D Date
Site Address (b 7 5(, OFFICE USE ONLY
iota-7 flock Sec./Sub. ?/a II-aso?'IErect y occupancy
--I i Parcel #:
Address: /.5-o
City/Zip Coder
Phone #: if -s'
Contractor
Address:
City/Zip Code:
Phone #:
SSi.a
S?
Arch./Eng.:
Address: J 67c o /,y1?-e+glr C" r -
City/Zip Code: key 5 SY20
Alter Zoning 4---
Repair Fire Zone
Enlarge - Type of Const.
Move # Stories
Demolish _ Front ?p ft.
Grade Depth SD ft.
APPROVALS FEES
Assessments Permit 13 °
Water/Sewer Surcharge D -'
Police
?-
Plan Check R /6
Fire SAC S?
Eng, Water Conn. 4L5d -e?g.
Planner Water Meter (b ¢b
Council Road Unit 42,S-6 'T
Bldg. Off.
APC --
Phone #: T2 p
r"
T?7PAL ? O ` ??
3610 6ro
9? 6c
G?
?s
d
s
??Sh_
C) to
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq, it of lot, sq. ft, of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE _E) - "I " V
SITE ADD
TYPE OF
APPLICANT
Cedar Valley ExIerlms, Im.
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Rapids, MN 55489
TELEPHONE #1(4-79?- CELL PHONE #
STATEZIP
FAX #5'755-539 0
PROPERTYOWNER Ca Lt ()_)L? -TELEPHONE #(921-45Q-Q_')LT
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ---
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Pee: $90.00
MAY 0 9 2002
Phone #
IN
------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that a information is
with all applicable State of Minnesota Statutes and City of EaganjO dinances. Q
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Remodel Repair Requirements
ULTI-FAMILY BLDG _Y _N
• 2 copies of plan 0 d J
• 1 set of Energy Calculations for heated additions 7 "
• 1 site survey for ededor additions & decks
• Indicate If home served by septic system for additions
VALUATION 4cD50• ()1D
Certificates of Survey Received - Tree Preservation Plan Received - Not Required
Updated 4/02
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 EM. Alt - Multi
? 03 01 of - 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_Y or- 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)' ? 43 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 INSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile _ Other
Roof _ Ice & W ater _ 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
Building Inspector
SURVEYO.R'S CERTIFICATE
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SIENNA CORPORATION
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O DENOTES IRON MONUMENT SET
O DENOTES IRON MONUMENT FOUND
15 DENOTES WOOD HUB
(oooo),DENOTES EXISTING ELEVATION
N
REVISED 3-10-83 TO SHOW
PROPOSED BLDG. AS STAKED
FOR SUNSHINE CONSTRUCTION CO.
SCALE: 1 INCH = 40 FEET
PROPOSED GARAGE FLOOR = 920.5 FEET
PROPOSED LOWEST FLOOR = 913.1 FEET
PROPOSED TOP OF FOUNDATION = 921.5 FEET
(BLOCK)
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot 27, Block 2, CANTERBURY FOREST, according to the recorded plat
thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND. AS SURVEYED BY ME THIS Z xn DAY OF Meee µ , 19a..
APPROVED FOR SIENNA
CORPORATION
BY:
ROBERTS ARCHITECTS
DATED THIS DAY
OF 19-
PROJECT NO.
82143
FILE NO.
FOLDER
BOOK / PAGE
29/8
SIGNED: JAMS R HILL, INC.
BY
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 55431 812-884-3029
\j4athtrsiripa
Windows Dc
YerRo I -Tet
FI.I ALI_
Windows and
,.j.rL..o. Construction No.
Guide
Reference Out. Wall Int. Wall Ceiling Roof Floor
19_
Lengtf ?\' b" Width 3'6 " Height II 1 FIA (1t L'
Infiltration
Glass
Exp. wall
?-
Net exp. wall ^L
Int. wall
Floor
CCU.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Windows and
Area
tea Width
or pan. Height
of pane No. of
lights Ll.,al it.
of crack Ana
sp. R
S' Q \
Coef. Btu
Infiltration Z? 111,, 0
Glaze In 00
Exp. wall
Net exp. wall L
Int. wall
Floor
Ceil. 1
Total Btu.
Required sq. ft. E.D.R. or sq. ills. WA. leader area
? F1.1 %4- 3&aRoom Length 15 [4" Width
W;...l.,. and t]mra- -r,AP., and Area
No. Width
of arm, H•Ight
of Dana No. of
lights Lined fL
of track Ar•a
M. rt.
?t 1_
Coef. Btu
Infiltration 7 ZO
Glass b
Exp. wall
Net exp. wall
Int. wall
Floor
CeJ. S ^00
Total Btu. `a2Lt
Required sa. ft. E.D.R. or sm. ills. WA. leader area
Insulation
Kind tiol
Room I Length \ cl' QWidth
Wi ndows and Voors--41racaa ge ana m a
No, width
of Dan* Off
of past Root
lights LIvw1 IL
of track Ar•a
ft.
M.
? 3' t 2
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Floor
C•,7. I 8
Total Btu. 1tVCL (EALAI
Required sq. ft. ED.R. or sq. ins WA. Leader area I
Fllc?.QA(rgomlLength\ 'b" Width \?'b Height6 pr
Windows an d Doors--a.racaa ge ana m a
No. Wrath
of pas. Height
of pane No. Of
lights Llnul ft.
of track Area
". ft.
Coef.1 to
Infiltration IF)
Glass C'x Z SD
Exp. wall
Net exp. well
lot. wall
Floor
Ctrl.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
and Area
Na Width
of Dane Nal[hl
.(,pane Na of
light, Lineal ft.
of crack Area
q. tt
11
2- V 18 t2
1
Coef. Btu
Infiltration ' Q
Glass
Exp. wall
Net exp. wall \y 1
Int. wall
Floor
CA.
I Total Btu. I t\ oyn
Required sm ft. E.D.R..or so. inc. WA. Leader area
A-5 V.F- Construction No. Insulation
Weathcritripa
Gaida
Windows I Doors Reference Chit. WaU Int. WaR Ceiling Roof Floor Kind How Applied
es- o ?er? 0 19_
n' Width ' (n Height ' 1
. rC W r? , r ?_ \?r'? m Length 1' "Width Height Room Length
Windows and Doors-Crackage and Arca Windows and Doors-Crackage and Area
Wlatn H.46t No. of Lle.al ft. An? WIOl6 Height . Na er LIOYI 16 Aroa
Ma• IIahU or <raek aG• t4
No. of 0>na o! pars. Ilehla of crack ae. tt. No. e! ?.. of
21 A, 1 t ':l"0 1 to
11.1
Ml
Infiltration
Glass
Exp. wall'
Net exp. wall
Int. wall
Floor
Ceil.
Total Btu.
Required sq. ft. I
Windows and
wmah 1
Na or nano <
Infiltration
or so. ins. VIA. Leader area
Glass
Exp. wall
Net exp. wall
Int. wall
Floor
Ceil. I I
Total Btu.
Required sq. ft. ED.R. or sq. ins. WA Leader area
'Z F1.1 %N Room Length ij?' p Width
Windows and Doors-Crackage and Area
Glass
Exp. wal
Net exp.
Int. wall
I Floor
I Cell.
Total Btu.
I Required sq. ft. E.D.R. or sq. ins. WA Leader area I -?
I-oi at_ %A/L = 1\, ? \ q ( A-uh
Exp. wall
Net exp.
Int. wall
Floor
C4.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Z Fl I Mel ThRom I Length 1 b Width t b Height
Wi ndows an d Doors-a.racca ge ana m a
No. width
Of ego. Height
at we• Ne. of
IIfMa Llnnl rt.
et enek Ana
•O. N.
GW. Btu
Infiltration
Glass
Exp. wall
Net exp. will
Int. wall
Floor
Cell.
Total Btu.
Required sq ft. ED R or sq ins W.A. Leader area
2 F1.1 kL I I?p Room I Length Il ,?f1 Wdth?tj' ba Height 8"0
1
Windows and uoors--- ?.racaa ge ana nrca
Ne. Wldtn
or Oan• Nalaht
et,pan. No. et
IItM• Lineal n.
et crack Ara.
W. rL
2 'o 'o' 2
Coef. Btu
Infiltration `Ao
Class 1 50
FSM-
Exp. wall
Net exp. wall
Int. wall
Floor
Cell. \3U
11 _Total Btu.
Required sq. ft. E.D.R..or sq. ins. WA. Leader area
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A Guide Construction No. Insulation
Windows I Doors II Refcreacs II Out. WaU lat. Wall ceiling Roof . Floor II Kind How Applied
es-No es- 0 19_
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J
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Infiltration 14c) 1 1 C) 110
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. area
F1•1 Qlt4%ja. Room Length WV Width
W;nmrs..-Cracllaee and Area
No. Width
of eon. N.lant
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Ceiling
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Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA Leader area
Coef. Btu
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Total Btu.
Required sq. ft. E.D.R. or
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB B RD RD -
55122
651-681-4675
New Construction Reaulrements
Remodel/Reoak Reaulrements
? 3 registered site surveys showing sq. It. of lot, sq. ff. of house 2 copies of plan
and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions
? 2 copies of plans (show beam R window sizes; poured fnd. design; etc.) 1 site survey for exterior additions E decks
? 1 set of energy calculations
? 3 copies of tree preservation plan R lot plaited after 7/11/93
c+d
DATE: --2 g y7 ?e SjCO?NSTRUCTION COST: S, 06-0
DESCRIPTION OF WORK:
STREET ADDRESS: /0 /Y / rt'f-zz f7l )
LOT: 1711 BLOCK: SUBD./P.I.D. #:
Name: 6A.117,514- 70'f Phone #: 65j - ys%" 6 38,L
PROPERTY Lost First
OWNER Street Address: / 7y / eLc ±? z?
City LQ 4n /n . State: 11`1 ti Zip:
Company: ?P57TnYn ?1??it/nfl/Y Phone#:
(area code)
CONTRACTOR
Street Address: 9747d l3 /%,P .V• License# 0//33346 Exp.3-3V-ObQ
City I V P C?/ i State: /'K/ Zip:
ARCHITECT/
ENGINEER
Telephone #: area code ( )
Name:
Street Address: Registration #:
City
Sewer k water licensed plumber (required for new construction onlv):
State:
Penalty applies when address change and lot change Is requested once permit Is Issued.
I hereby acknowledge that I have read this application, state that the information Is
State of Minnesota Statutes and City of Eagan Ordinances. A
Signature of Applicant: /V//-(
Zip:
and agree to comply with all applicabl
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
J {91999
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115415
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 1074 Tiffany Pl
Lot:27 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-270
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Aleksey Burlakov
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 -
Joseph A Chanslor
1074 Tiffany Pl
Eagan MN 55123
Diamond Cut Homes Inc
965 Evergreen Tr
Circle Pines MN 55014
(612) 868-9460
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125017
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 1074 Tiffany Pl
Lot:27 Block: 2 Addition: Canterbury Forest
PID:10-16350-02-270
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph A Chanslor
1074 Tiffany Pl
Eagan MN 55123
Diamond Cut Homes Inc
965 Evergreen Tr
Circle Pines MN 55014
(612) 868-9460
Applicant/Permitee: Signature Issued By: Signature