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1080 Tiffany PlCITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: Owner: ! No. of Units: Address: Site Address: A f _ r Plumber. Meter No.: Connection Charge: Size: Render No.: Account Deposit: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances, Misc. Charges: Total: Date of Insp.: Date Paid: Insp.. ;ITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: Zoning: DATE: No. of Units: ti ',Owner. y Address: Site Address: _ 1 ? - { Plumber:. i I agree to comply with the City of Eagan ordinances. I BY Dote of Insp.: Insp.. Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Dote Paid: 1©0.00 pd CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 RECEIVED DATE AMOUNT $ I 1,4_ ac DOLLARS too ? CASH ? CHECK FUND CODE AMOUNT Thank You L? t " BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ' 3795 Pilot Knob Rood Eagan, Mr'1 55122 PHONEt 434-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Fct. Velum $77,000 not. ;larch 3 10 83 Site Address luoy Ti rrany r lace tot 26 Block 2 Sec/Sub. Canterbury Forest Parcel # 10 16350 260 02 ne Name Addre Name ou Address Z. Name _ Address 4 I hereby acknowledge that 1 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: Dennis Lunski Cons._ all work shall be done in accordance with all applicable Stgtejo 4MIir Building Official Erect M( Occupancy `,-1 Alter ? Zoning R-'B Repair ? Fire Zone I1A Enlarge ? Type of Const. Vn Move ? # Stories Demolish ? Length 64 Grade ? Depth 40 Sq. Ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge _ Plan check SAC Water Meter F) J' w Road Unit 250 • Cy Total $1369.50 on the express condition thni Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3 3 L Ut1?? H.V.A.C. 3S `Z arson -MclC 4'zs--ts Well Water Disp. Sower Electric %0041q-&t S?-EP??K• 3-? r ` \ L J Inspection Date Insp. Other Footings Foundation F Insulation Final Plbg. Final HVAC 7? ! Final 7 y Water Describe Location: Well Sewer Pr. Disp. Receipt ". PLUMBING PERMIT Permit Nas= --- CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tat . 1. Date 2. Installation Cost 3. Job Address Lot Tract- 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential C1 Commercial ? Institutional ? 9. Work Description: New 0" 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. T ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address i Lot Blk. Tract 4. Owner n ' A.- V 1 5. Contractor : - t '-- Phone - 6. Address - 7. City State Zip 8. Building Type: Residential 'lb 9. Work Description: New 6 Commercial 11 Institutional C3 Add 0 Alter ? 10. Describe 11. C' Is k ?-:. I No. A Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H li Mfg. r and 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 Rough for Final Repair ? Type ' A Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks DIm /H- 1 V Addition CANTERBURY FOREST Lot 26 Rik Own .Ft4 + 1 1s,-AQ/O, -.c treat 1080 TIFFANY PLACE i Sf .?..,? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (0 1979 Paid under original pa rcel STREET RESTOR. GRADING - 1981 106.78 5.34 20 90.79 A01247S 7-IS-83 SAN SEW TRUNK ZZl 1973 Paid undev original pa rcel * SEWER LATERAL 1981 439.42 21.97 20 WATERMAIN * WATER LATERAL 1981 20 WATER AREA ?(Q?y 1979 Paid under original 2? rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT RQAI) TINTT 250,00 446-43 WATER CONN. - - 4 0.00 ?? rt BUILDING PER. 783 B SAC 525,00 PARK This request void ` I 18 months tram W061432 L2(pt S7I Can-Idly, ? 3sz-L ? 3 q 'sO Request ate Fire No. Hough-in Inspertion P qu-red? ?fleady No Will Nnti ty Inspec- Yes ?No for When Ready icensed Electrical Contractor I hereby eq east inspection of above Owner electrical work installed at: Street Address, Box or Route No. d I ?1 City +-- ? D n ate a t ecvon No. Township Name or Ub. Range No. County Occupant IPRINT) Phone No. ? nski De bin r Pow Suppler M E/ed ?sso@ G Addres e a fjrl"in ElecXal Cgntr etor 2rICo ny Ne) f'! S f rl Contractor s License No. or Li Q• Mailing Address (Contractor or Owner Makin Instaila tionl f?oo ?u .^t Sava ure o tractor/Owner Making In tallatio I Au ri ed ?8t ho a Number ?J MIfl STATE BOIRD OI1LECTRICITV 1.. ? THIS INSPECTION REDUEST WILL NOT Bldg. - Room 191 BE ACCEPTED BY THE STATE BOARD 1821 UniveraBiVts ABldve., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 1821 University ,,, - II ,,e .,... ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00001-04 See instructions for campletirg this form on beck of yellow copy. - 14? "X' Be/oyv Work overed by This Request 3sz-Z& Add Rep. Type o1 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 pcr:r y Other ISpecilyl t .r Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size it Fee FeedersrSubfeeders # Fea Circuits 01 20 raps Oto 30 Amps Oto 30 Ams Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above I00_Amps Tralrsformers Ifrigation Booms 0 Partial'Other Fee Signs Special In s Remrks A FEE Rough-in to v` cal Inspector. hereby ce rt ily that the above Final ( as inspection has been 7,jO made. reie ..1.??e.t -.A 19 mnntbn from This request void 7j - 3 18 months from @061431 ( 24( ) 15 1?n?ErLtxr? ?-o+rES-? 3 q(0 a ( /DroO Request Uate Fire No. Rough-in Inspection Requited? ?Ready Nuw ? Will Notify. Inspeo 2hz /7 ?Yes ?NO for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route?,Ns. qz ce I' - City D T r-ti ,q a -? action No. Township Name or N..1 - No. Co rty y d a? o K L? Occupant (PRINT) i Phone No. A"IlAd ower Sup or " k 6 i c:, 67 fe sa Address Jr- r -`, i yr EI trical Contractor (Company Name) Contracto rs License No. ?l ? G Mailing Address )Contractor or Owner Makin, Instailationl 414 7 g n W S Scva AA,4 5 3-77 Aut oriz d Signal re (C tractor/Owner Makin Installation) 4CC Phone Number -355$ MI NESOTA STATE BOAR OF ELE RICITY THIS INSPECTION BEQUEST WILL NOT Griggs-Midway Bldg. - Room N-19 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 561 04 UNLESS PROPER INSPECTION FEE IS ,,,_ ,e,.,, „o ,,,,, ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION « EB-00001-04 w: ' See instructions for completing this form on beck of yellow copy. "XI, of Ueled by This Request Add Rep. Type of Building Appliances Wired Equipment Wired t 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 Sped v other (specify) t or Specify other Othor Compute Inspection Fee Below p Fee Service Entrance Size a Fee Feeders?Subfeeders ti Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An+. >s Above 200 gmps, 31 to 100 Amps 31 to 100 A s SWimmin Peol Above 100-Amps Above 100-Amps Transformers irrigation Booms Partial!Other Fee Signs Special Inspection D & ?i T K- - Tz? emarks V L FE /n /tY'1 /L Aough-in ate _ I, ctrical Inspect., - hereby certif that the ab Final ` i?'?7- ( y ove 'ns pec ton has Eeen made. Thin mouest void 19 months from v CITY OF EAGAN 3793 Pilot Knob Read Eason, MN 55112 PHONE: 454-0100 BUILDING PERMIT To be used far SF DWG/GAR Fd vahre $77,000 Site Address 1080 Tiffany Place Lot 26 Black 2 Sec/Sub. Canterbury Forest Parcel # 10 16350 260 02 m Nome Dennis Lunski Construction z Address 205 Stevens Court r:.. Burnsville ac___ 435-5832 Name Owner R vU Address city ?W Name zA Address 1 hereby acknowledge that I hove 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 Permittes A Building Permit Is issued to: Denni all work shall be done in accordance with all Building Official N° 7818 Receipt # ' T Dote March 3 q =-?d 19 83 Erect $$ Occupancy R-1 Alter ? Zoning R-3 Repair ? Fire Zone NA Enlarge ? Type of Cont. vn Move ? # Stories Demolish ? Length 64 Grade ? Depth 40 Sq. Ft.- Approvols Fees Assessment Permit ??'* • vv Water 8 Sew. Surcharge 38.50 Police Plan check 182.00 Fire SAC 525.00 Eng. Water Conn 450. 00 Planner Water Meter 60.00 Council Rood Unit 250.00 Bldg. Off. APC Total $1869.50 on the express condition thin ?soto Statutes and City of Eagan Ordinances. ry ?y ?t tes Ge wi?vL°fi l02?2.V0 ?'icNS,rn 5 le, N 5F lc> LO To Be Used For Site Address: /LSD T? CITY OF EAGAN 6 -t?L Include 2 sets of plans, BUILDING PERMIT APPLICATION valuation 1 site plan w/elevations & 1 set of energy calculations. Date A MHM_ -C- OFFICE USE ONLY Lot a4.9 Block ,_ Sec./Sub. W,IIee 'x EYect X Parcel #: (D 1('a S S C) a Co O o ?- Alter Repair Owner: 0 z'vN/S 41W..Ir- e xrl Enlarge - _ Move Address: / c?DS` _Si?r ?i*u? t Demlish City/Zip Code: &V 12,6,C416-111 _ Grade Dccupa Zoning Fire Zone Type of C # Stories Front _ Depth Phone #: -7 APPROVALS FEES Contractor: Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments Permit 3 0 t DD Water/Sewer Surcharge 32',--? U Police Plan Check j TZc o a _ Fire SAC o5r Z5 , a0 Eng. Water Conn. 5p CDC Planner Water Meter (Do o b Council Road Unit S Bldg. Off ' APC TOTAL ? ? ?O L S ??3 l 2005 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 Date OS Site Address ?V l ?rt'?1 Unit # Property Owner L-e rlst J C d 1 r Telephone # (/"S/ ) J r ???? Contractor STANDARD HEATING & AIR CONDITIONING Street Address 410 WEST I AKE STREET City y MINNEAPOLIS, MN 55408 State 612-824.2656 Zip ( Telephone # ) Bond #: Expires: The Applicant is - Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 lacement l Re Additi ?? p ona furnace _ air exchanger I_ air conditioner -New -Replacement other State Surcharge $ .50 $ GrD Total 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 appro ' that the wor accordance with the permit, ,but only an applic r a permit, and work is not to start witho per plan i the case IF work hich requires a review and approval o tans. rVl?rl Applicant's Printe Name 2005 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 Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ 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 installationlremoval 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 = $ State Surcharge if ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ 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 ` 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 (W -I C)'00 V_8 Q d -71 119 New Construction Requirements Remodel/Repair Requirements Once Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maxbnum lot coverage showed) ^^'.r.. '?.:oefgy r?'•'_?^° `^• "^"°'' °"a*^"" Tree Pres Plan Reod _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. -.d site survey for additions & decks Tree Pres Required . _Y _N l set of Energy Calculations AddPobn - indkele H on-Me septk system On-site Septic System _Y _N 3 copies of Tree Preservation Plan g lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 1 / A-) / 1J 5 Construction Cost ©©0 a S® Site Address A/) ?U rt ll /-4 wit Lee [ •e i -6 > /Y1AI 5 S /a Unit/Ste # Description of Work / 0,/ S7' A L i_ l1? r W (?? ??? Multi-Family Bldg _ Y X N Fireplace(s) _ 0 2 Property Owner r STS L Y 5 f Telephone # (?pS /) yS ?' Ok `/ 733-7/Sy w? I-`r .51 Contractor / /T 4 M _e a w N p t? le S I ?V S !7 y e e // Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar I fee applies. C Licensed Plumber 5, ? \ `' ' !, Mechanical Contractor Sewer/Water Contractor - Y _ N If so, 25% plan review I hereby apply for a Residential Building Permit anYacknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Le_R,Yr.5 "o?;- Applicant's Printed Name Applica is Signature OFFICE USE ONLY Sub Types . . ? 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. Alt - Multi ? 03 01 of _ plex ? 09 07-plea ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation / Occupancy MCES System - Census Code f .1 Zoning City Water SAC Units Stories Booster Pump r # of Units ? - Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _ Width _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector I URVEYOR'S• CERTIFICATE .•' SIENNA CORPORATION TIFFANY N------.- - OR/`?e 1 A=280 50'0711 R= 396.1.5 199 37 --T-1-. -- _ - \ A? r - 1 I Ir In - O Sy f`{ 3p w tiX / r 3 r , I?c? ?qs IO Q O m T1 E; X -i I(D y K b N VY ; IV: 7/1 r N T2 0 ?, 4 t'SQ00 23'. \tb/ \a, 10 hQQ auycP 3 -10 rOOo o o e°• 4 y l? Q o ' TIFFANY PLACE Q? O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND 13 DENOTES WOOD HUB X000.0 DENOTES EXISTING ELEVATION SCALE: 1 INCH = 40 FEET PROPOSED GARAGE FLOOR = FEET PROPOSED LOWEST FLOOR = FEET PROPOSED TOP OF FOUNDATION = FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, 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 11TH nAY OF OCTOBER 19 82 , APPROVED FOR SIENNA SIGNED: JAMES HILL, INC. CORPORATION / BY: ROBERTS ECTS BY: DAT HIS DAY HAROLD C. PETERSON. LAND SURVEYOR OF , 194 MINNESOTA LICENSE NO. 12294 ` PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 FILE NO. FOLDER Planners / Engineers / Surveyors 8200 Humboldt Avenue South RloomingtoN Mn. 55431 812-884-3029 SURVEYOR'S CERTIFICATE SIENNA CORPORATION N TIFFANY OR/V? A=28° 50 07" R=396.!5 199 _ 3? _\ IN 1-1 ----? ` \ r r _ 51 ?Z ?o ?J 0? Nn O '0 OO 30 / m - __r Z 0 ?0K A C /? ?-4 (V r?l l(D (JI i ? ? ` 7/1 1 NT2,?? , ; _ - / oho zs a0 J;o ??,?? Op 6? L ?^ X2/93 - .,v "(d I rO TIFFANY PLACE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = FEET n DENOTES WOOD HUB PROPOSED LOWEST FLOOR = FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, 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 IITH DAY OF OCTOBER . 1982 _ APPROVED FOR SIENNA CORPORATION BY: ROBERTS ARCHITECTS DATED THIS DAY OF 19 _ BOOK / PAGE SIGNED: JAMES HILL, INC. BY: r: 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 PROJECT NO. 82143 FILE NO. FOLDER OWNER SITE ADDRESS T??A7 EXTERIOR EINELCPE AVERAGE ':U*, COMPUTATIO11 S7 C f e-loff- e/. CONTRAGTQR_ S F)Me DATE PHONE Zf3 S Sd'31 1 2. Determine working square footage of each. Total exposed wall area ... 6 G sq. ft. x .19 Total roof/ceiling area ... /3(,o sq. £t, x .04 Total exposed wall area above floor = 3 70•; G a. Total wall windc:•r area 139 b. Total door area /g c. Total sliding glass area .... 3G d. Total fireplace wall area Lf8 e. Total wall framing area (average 10?)... /66 f. Total net wall area above floor ........ 66 g. Total rim joist area iV` Total exposed foundation area - is z- h. Total foundation window area .......... 8 i. Total net foundation area above grade . / zz-_ = A? = Sy`? Determine 'U' value of each wall segment. a. /Z5r- x "U': o s = g!a • Zj b. /q X "U" ?s Z• 3y c. 6 X 11U:; ?s = Z3• D. _ ye X "U' o u i 3 i• z I?- f. 166•1 X wsU:: n:o = /G•?f ?,43 2-Q Irv h. 7S X "U' ?9 = 53 81 i. /2 2 , X "U" O/o ° L2 3 ......................... .. ..... ...... .. ....Total 0 o S o If item #3 is the same as, or less than item @l, you have met the intent of SBC 6006(c)2. i Total exposed roof/ceiling area = J. Total skylight area .......... ... k. Total roof/ceiling framing area (average 10 1. Total net insulated roof/ceiling area ...... Determine "U' value for each roof/ceiling segment. 1. X NVI - -- - 1. X ';U"' 4 .........................................Total If total of #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 #2. 1. + 2. a 3. + 4. ° SuRVEYOR'S CERTIFICATE SIENNA CORPORATION N. TIFFANY M ' A=28° 50' 07" R=396.15 OR/V\ 199.3? a) 1 L` I X11 I? I ,coo ?V r n a ND O mZ 3D m? ?m v o' m? N / .r 1pti. `J <) a O ,,, r 23 w c, 06 ' Qvy 4 6 1 TIFFANY PLACE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = FEET D DENOTES WOOD HUB PROPOSED LOWEST FLOOR = FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, 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 1_11I1111 1 -DAY OF OCTOBER , 19A2 APPROVED FOR SIENNA CORPORATION BY: ij:Cl' ROBERTS ECTS DAT HIS DAY OF 19 SIGNED: JAMES HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 ` PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82143 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER BloominytoN Mn. 55431 812-884-3028 1 ? 7 e 1 ` 04/ /'O Q 3o N \w°' ?aj?? h?'°? ?, 2SQOO ?`3" 0 3 ?/'O 1:; ? -b 176 L 0 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. R. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design. etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Deta9 Options selection sheet (bldgs with 3 or less units) DATE 5 - L?y bZ SITE ADC TYPE OF ULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT CWK Yeliq k X59 In, anon 7"', STREET ADDRESS Coon Rapids, MN 65433 CITY STATEZIP TELEPHONE #-413-155' ZM CELL PHONE # FAX #77in3- 7S5-S310 PROPERTY OWNER O Y (SLt ? ??e TELEPHONE # (/X'))- Y52 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" 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. Phone # Phone # Fee: $90.00 Fee: $70.00 ----------------------------------------------------------------------- ------------------------------------------------- hereby acknowledge that I have read this application, state tha th information i onect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga O dinances. Signature of Applicant ----------------°--°°°---------°------°-------------- -- ' '-- -°° OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning - Heat Recovery System RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for healed additions • i site survey for exterior additions & decks • Indicate ti lame served by septic system for additions VALUATION -I X404 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. 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-piex ? 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)' ? 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 & 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 , Building Inspector 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 X<? Y, t :? X: r: >;: kc W. ? t;+R ?C?k XC:M ?a iX>X X<Xt <i:;?;: )„ k' w„ ae;>;>,'t ):Ok X' rt R< ? t::<%? v?>:; cr.rY OF E(V.,AN CASPIER; JS T*EPMINAI_ NO: 748 LATE, 88.•'30!75 TI iE. 12:23 r. C)7 ID. NAME: ALI...IIiC FIRE:SHIE.y INC. 3218 '38ni 1880 fIF'i=ANY FI_ 60.80 205 9001 1088 'TIF'F'ANY F9_ 0.50 MY Receipt Amount t 60.50 rR:l.ir:,i62 USER IDc JAN >XXz?:?aR?t)k>Y??k>k?kX;W.)tX?)Yw,.v;:iRX<>k?F%k?;t ;cri<?„X??.:.Xti)vi#X?9d?k 1999 FIREPLACE PERMIT APPLICATION g 3o g9 CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 D d d ate: I u Description of Work: Construct new fireplace ZC Gas -Masonry Alterations to existing _ Install gas insert only Install gas line only Other Job address: ! D 0 7 (? 2T TT a o t A f ! Lot: ? (v Block: Subdivision/P.I.D. #: C0. v? lx ?CY? e AS Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: Sia P r Z P PO C Phone #: PROPERTY Last FirstJ OWNER Street Address: -7-r ! / / ?/ P City State: / Zip: /yS Company: 1 e ( 0V" YI'?J?t ?X RV'ES??JPhone #' (area code)? 253 FIREPLACE INSTALLER Street city C? rr?? l l i e State: 11?41 Zip: -515-3-3 Company:. GAS LINE INSTALLER Street a 0-- Phone #: (area code) City State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to ' ces. , comply with all applicable State of Minnesota Statute d Cit? of agan OZE -?i Signa lire h r ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. 7& ?o ib350 ft ®F 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 May 31, 1984 MR LEROY STOLBERG 1080 TIFFANY PL EAGAN, MN 55123 Dear Mr. Stolberg: BEA BLOMQUIST MWer THOMASEGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Cbumc Members THOMAS HEDGES City Admomhafo EUGENE VAN OVERBEKE Cay Clerk I stopped at your home today, but no one was in. I regret that I must inform you that City Code 10.22C does not allow trees to be planted in the City boulevard. The same section also disallows Lombardy Poplars in Eagan. The City boulevard extends back 13' from the backside of the curb. Thank you for your anticipated cooperation in removing the Lombardy Poplar trees from the City boulevard and I have enclosed a list of approved trees in the City of Eagan for any future plantings you may do. 'ncere/ Dale Peterson Chief Building Official DP/js cc: Tom Hedges, City Administrator Bill Branch, Street Superintendent Parcel File' THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY c4j 2 1, o o a, ? N5'?76 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF E:AGAN 3830 PILOT KNOB RD - 55122 651-681-4675 law Construction Reguiroments 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units) )ATE IOB SITE ADDRESS / 0 F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY YPE OF WORK 4PPLICANT i ADDRESS 'AGER # LevC R L P l?n 5 /? f-6? ^m2 "pp0 , S 5 CELL PHONE # - & -l , LfS- Y7 G 3 l ?0 Remodel/Raoair Requirements (,ctl? • 2 copies of plan 1 set of Energy Calculations for heated additions ryl 1 site survey for exterior additions R decks • Indicate if home served by septic system for additions 17y53b,°° - VALUATION ?Ce? k Irv s5i? 3 -e ?- )"o FIREPLACE(S) _0 _1 _2 _3 PHONE # CODE S3i?3 IV_ 6ss_ NEW ESIDENTIAL BUILDING ONLY - FILL OUT COM Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Suq - Energy Envelope Calculations Submitted / MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone #: Plumbing System Includes: _ Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 UI above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y Signature of Applicant ;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required Air Conditioning Heat Recovery System FAX # ---?/S LY Fee: $90.00 Updated 1101 OFFICE USE ONLY , t 7 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 3 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ] 03 01 of _ plex ? 09 07-plex V1 17 Garage 4,66 ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 3 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 3 06 04-plex ? 12 12-plex Plbgyour_N ? 25 Miscellaneous 3 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding p 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 7 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 7 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation [loo Occupancy MC/ES System :ensus Code Zoning p-Q City Water SAC Units U Stories Booster Pump Jbr. of Units L Sq. Ft. PRV Jbr. of Bldgs Length Fire Sprinklered -ype of Const A? Width Footings (new bldg) _ Footings (deck) Footings (addition) / Foundation Drain Tile Roof V Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Final/C.O. FinaWo C.O. Plumbing HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco _ Stone Windows (new/replacement) Approved ByU14f , Building Inspector 3ase Fee Surcharge 'Ian Review AC/ES SAC -ity SAC Hater Supply & Storage MW Permit & Surcharge -reatment Plant 'lumbing Permit Aechanical Permit -icense Search ,opies ether 6 k -- AV ley ??oa f_ $'0 D ? 696 S fatal City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1080 Tiffany P1 Lot: 26 Block: 2 Addition: Canterbury Forest PID:10- 16350- 260 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Leroy Stolberg 1r 1080 Tiffany Pl Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA090951 08/31/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ñü ð û þýýüûúÿú û ùüüýýûï á ýþ ûù áäïá þý ÿþýüûú÷õ à þüûú ÷ ÷õ à öõàëúó ãþ þ íäíåþúû ß ÿòþ óú çó ó òþ ó ý ó éæ õõú æ æ ó ý úéæ æ úæ é ýóè òþ ýûõ æóûó é ùêäâêììéïì éíìï öù ÿþ ê éïð é ðï Þþä é õô óò úú ëõ ûÿý Û ðþûë÷ ìüææû ë ç öïï ä öïï ä ñáï îáíí ýûõç úú æ ó óúûõúúýÿ æ ÿþ ûæå é úúà óÿþ þûÿþ îý ûñ ÿþþý üõüû úýýþþñ ììùýþûç éôìì ÿþ ÿþýüûúÿ ùþüûú øüûúÿ úâþáó ùþùéòþúû Þ ÿïþç øî èããð ðèä ðíååýîþýèëú þ þðäðþðèåùããúãå ùýðäïþýûö ãðûîðå çæéÜæêêåôê åêô ÷ú ÿþî ÝþæéÜæ åô åì ô Ýþé å öðô óò úú ÿð áäùûÿý Û é êüããû õ÷ôôéé õ÷ôô ìé íéë éé îýûö î îèîúúîîãð ðúûöîúúýÿ ãõÿþùûã òå úúà þûÿ þ Use BLUE or BLACK Ink I For Office Use 1 I Permit#: ~J City of Ea- ~ Z I Permit Fee: 110 ~ 1 3830 Pilot Knob Road I ~i 1 Eagan MN 55122 Date Received: 9' ('0 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff:) 1 ~ I 2013 RESIDENTIA~rL, BUILDING PERMIT APPLICATION Date: "i 3 Site Address: 10(o 178h Unit Name: Phone: Resident/ Owner Address / City / Zip: [ (y✓ du a(~ Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Q, W-b Multi-Family Building: (Yes / No Company: Contact: Address: \2 \ \11~i~\ Contractor City: State: Zip: Phone: G-Z License #___Q ~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) w I 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: I Licensed Plumber: Phone: I Mechanical Contractor: Phone: I Sewer & Water Contractor: Phone: j [-NOTE: Plans and supporting documents that you submit are considered 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. 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in 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 to di Code e completed within 180 days of permit issuan X. ~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147726 Date Issued:01/30/2018 Permit Category:ePermit Site Address: 1080 Tiffany Pl Lot:26 Block: 2 Addition: Canterbury Forest PID:10-16350-02-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leroy Stolberg Jr 1080 Tiffany Pl Eagan MN 55123 Royal Plumbing 23310 Canby Ave Faribault MN 55021 (507) 202-1969 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175157 Date Issued:03/16/2022 Permit Category:ePermit Site Address: 1080 Tiffany Pl Lot:26 Block: 2 Addition: Canterbury Forest PID:10-16350-02-260 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - James & Tina Marie Deike 1080 Tiffany Pl Eagan MN 55123 (651) 246-8853 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature