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1128 Tiffany Ptl pF &^GAN WATER SERVICE PERMIT ,,. Pilot Knob Road PERMIT NO., . O. Box 21199 MN 55121 agan DATE: , Na. Of Units: Ing: rend pe.teT:,vi' i S i. . C) Owner: est Addrew ,n Sits Adder rnz ?.F.p illt Plumber. Meter No.: D Size: - Reader 1 0.: QI 1 Mres to COMA W" *0 City of onamoom ¦ d meter v Date POW: By Ines,,: Date of Insp.: Lam- - _ -- -- CITY OF EAGAN WATER SERVICE PERMIT 3830 4ilot Knob Road Box 21199 P O PERMIT NO.: , . . Eagan, MN 55121 DATE: 4 Zoning: No. of Units: yam'?'' GwY rQOf2 rUt:S: n O w er: Address Site Address ] 1. _ R Tiffnny „ + > r' :? t r T r? sL Plumber: pan Meter No.. Connection Charge: 7 5 : Size: Account Deposit: t ? Reader No.: Permit Fee: U some to eoew/ly ero dw City of laws Surcharge: dimenom O Misc. Charges: 1 r Total: (? - S Q s"'it Q 1 B Dote Paid: y Dote of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE POW 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: _ r Eagan, MN 55121 DATE: Zoning: Id No. of Units: ...?__ Svend Peterson G : t . _ Address. T if f. any Po int Ll else to eeesril wide lie City of 16900 By Date of trap.: Insp.: 100.00pe Conrwctlon Charge: 4 % 5. 0 Orr' ? rJ • - Account Deposit: 1 . Don Permit Fee: Surcharge: Misc. Charges: Total: Dote Pout: {"Y Tertiftratt of (Orruvaury 4Citp of ceagan Dp}iotitmt of ludbing JwWrrum This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification SF Bldg. Permit No. Occupancy Type P} zoning Diatriet R! Type r- r.r.? -1, 1 Date: ' Lt`s i Building OfTidd POST IN A CONSPICUOUS PLACE CITY OF EAGAN 0 7 r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' ' - 2 PHONE• 454-8100 BUILDING PERMIT Receipt # . ' To be used for SF Est. Value $130,000 1986 Site Address 1128 TIFFANY PT Erect Occupancy R3 Lot 16 Block 2 Sec/Sub. CANTER BURY FOR-Remodel ? Zoning R1 Parcel No EST Repair ? Type of Const. V . Addition ? No. Stories SVEND PETERSEN CONS T Move ? Length 64 W Name 4701 W 110TH ST Demolish [I Depth e2 o Address MPLS h 884-5144 Int. Impr. ? ? Sq. Ft city P one Install o Name SAME = Address ~ City Phone F w Name Address W City Phone Assessment Permit Zpvo.vv Water 8 Sew. Surcharge 65.00 Police Plan Review 254.00 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 4 2 $ 6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee Total SVEND PETERSEN CONST 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 Date Telephone k Plumbing , 7 -7ZJ y HMA.C. ' 3 lip EMZbk softener Inspection Date Insp. Comments Footings I I ?U+ Footngs II Foundation J Framing Roofing 4 Rough Plbg. Rough Hip. Insui. Fireplace Final Hill. Final Plbg. Bldg. Final fl Cart. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. 1 PERMIT # S u PLUMBING PERMIT RECEIPT # CITY OF EAGAN /p , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE "/ / D PHONE: 454-8100 Site Address a 7'11c??50Vf 1-77 BLDG. TYPE WORK DESCRIPTION Lot / y 5J y eu ? / Res. New Name UZ? Mutt Add-on Addressl ` yam' d Comm. Repair C City Sir' Phone °? /??? Other FIXTURES Name 5? ? 'v d/ /?T Water Closet - $3.00 Ov c Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 ' Shower - $3.00 ' Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE -7-Urinal/Bidet Laundry ry Tray y - - $3.00 $33..000 3 ,r30 MINIMUM - RESIDENTIAL FEE -$10.00 . S? TFloor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?l 37Rough Openings - $1.50 5 SIGNATURE OF PERMITTEE FEE STATE S/C: " FOR: CITY OF EAGAN GRAND TOTAL- 1NSFEU ION REUOKI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Dumber: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' APPLICANT: !OTt ih BLOCK: TIFFANY P1 r AN I ERHURY FORF';T PERMIT SUBTYPE: °i 111 ( tFr.Nti a? s/0A I41?t0?<i? I AFFU000 CON l k i _' l ai!{ 1- 1. 4 TYPE OF WORK: 7 RE MARKS: PLAN VFVTV1J; f? BY CHAIQ 1Wr?Vr CM( Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DIV DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: „ I i? i i IIII 'I PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ` f 16 H I Of. ?; APPLICANT: txMlf•fntt ?.r?lr ><nl.?=.1 r l ''1 1'.I 1' '0 TYPE OF WORK: N t 1-1 Irf t.f.'lI' I I(IN (/I I:rt r'r I AI+AtJI =mod .. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace / ! C.wL Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # r O -- 3630 PIL - OT KN B ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE J? • PHONE 454-8100 Site Address f BLDG, TYPE WORK DESCRIPTION Lot Block 2 Sec Sud- LIZ R N _ - ew es. m Name N Z M lt Add 9 4 Addr ' ` ' u -on i C R _ -T - - Q? r epa omm. c City Y ' / avyv 7 Phone Other Name V 1 ^/ FEES c -.2 r7 v Add r /J RES. HVAC 0-100 M BTU -$24.00 3 CRytj Phon - ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 3? GAS OUTLETS - 1.50 EA. Forced Air M BTU 1 COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD SIC IF PERMIT PRICE GOES Vent Z CFM ^ J BEYOND ND $1,000.00) Gas Piping Outlets # - Other FEE `.? v OF PqWRTEE SIGNATURE S/C: - TOTAL FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: '?,:fara; 1? PERMIT SUBTYPE: :'.11 16 l3 F. fi c Ic APPLICANT: TYPE OF WORK: 11iI toIr1ji .' rtit}H INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Rf MAI?Ik.: SE11 A14AIF t PFIt MI' I INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ARf- REUIfIriuu tUf? ANY I'1 IIM111146 011 1 1 f 4 1frl1:AI Permit No. Permit Holder Date Telephone s« S/W PLUMBING J al?f y - ?GSG? HVAC ELECTRIC Q Ov ELECTRIC Inspection Date Insp. Comments Footings t Foundation Framing yvzl?y - 1P Roofing T 7 - Rough Plbg. ?C Q(/ Rough Htg. 7 Isul. Fireplace Final Hig. Orsat Test Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final CJW v? icr c a- Deck Fig. D Deck Final well Pr. Disp. CITY OF EAGAN Remarks K Z Arlditio CANTERBURY FOREST Lot 16 Rik 2 Parcel Own Street 1128 TIFFANY DRIVE State EAGAN YIN 55123 c ?t Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 0(o 1979 Paid undei original pa rcel STREET RESTOR. GRADING 6- b 1981 106.78 5.34 20 95.46 A013446 1-12-84 SAN SEW TRUNK 2Z 1973 Paid undei original pa rcel * SEWER LATERAL 1981 439.421 21.97 20 11-12-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA y 1979 Paid undex original pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK V a?8 112 f3ae Request Date 3 Flre No. Rough-in Inspe n Req ad, % Ready Now ? Will Notify Inspector Wh R d ? s ? No en ea y IIVlicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Bos or Route No .) City 1 rJ Section No. Township Name or No. Range No. Counry Occupant (PRINT) R -r 4 &-k '- Phone No. b1?-- 45 e 68 a Power SUppller ? P Address s Electrical Conaactor (Company Name) Contractor's License No. kic"5-5 El r ('J 0, Mailing Address ICOnlractor or Owne Making Installation) D hy'r(j O? y? n r lVld4rSh o s& s'? Author 1Owner Making Instillation) Phone Number 14--1-x-- S(5? -5 3 3- sy MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (6121642-0800 ENCLOSED. ?' 024,112 REQUEST FOR ELECTRICAL INSPECTION ll? See instructions for completing this farm on back of yellow copy. 'X" Below Work Covered by This Request E&00001-08 ryv.?. New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (specify) Contra tar's Remarks'. I v r t'? 6 7-Alki,i, e" 1 12ti Pte-- c,? dt $ abo P Compute Inspection Fee Below: # Other - Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms C ©, SQ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT Other Fee COMPLETED WITH MO C I, the Electrical Inspector, hereby Ri oat certi that the above ins ection has P been made. Final r Oat e of OFFICE USE ONLY This request void 18 months from 7, CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MI SOTA 55122 D E AMOUNT 'I $ We? u? & DOLLARS f 00 0 CASH 0 CK FUND 0 ? V Thank You No- 63703 ??. White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN CONST 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 5 121 - PHONE: 454-8100lla? BUILDING PERMIT Receiptri To be used for SF DWG/GAR Est Value $130,000 Date APRIL 2 1986 Site Address 1128 TIFFANY PT Erect ] Occupancy R3 Lot 16 Block 2 Sec/Sub. CANTERBURY FOR-Remodel ? Zoning RI Parcel No EST Repair ? Type of Const 11 . Addition ? No. Stories SVEND PETERSEN CONST Move ? Length 64 Name w 4701 W 110TH ST Demolish ? Depth 4 P2 c Address MP Cit 884-5144 LS Ph Int. Impr. ? ? Sq. Ft y one Instal a SAME ADDrovals Fees ,o Name u a Address ON Phone a W City Phone I hereby acknowledge that l have read this a is information is correct and agree to com Minnesota Statutes and Ci agan nanc Signature of Permine SVEND P A Building Permit is i ued to: all work shall be done in actor ce with a Building Official Assessment Water & Sew. Police Fire Planner Council BIdg.Off. 4T2786 Var. Date N0 Permit y ?.,.,..... Surcharge 65.00 Plan Review 254.00 SAC 575.00 Water Conn. 500-00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies Total on the express condition that of Minnesota Statutes and City of Eagan Ordinances. 11727 RESIDENTIAL BUILDING PERMIT APPLICATION 5 I l? ?f / f V CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 ?- 651.681.4675 New Construction Reguiremerds RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE }?l? /? ?? VALUATION SITE ADDRESS / ,Z F T-IA-rY /_7/. MULTI-FAMILY BLDG -Y " TYPE OF WORK N ?qw( R Abc`Y , FIREPLACE(S) _ 0 _ I - 2 APPLICANT 4 heed- L x' ? or5 STREET ADDRESS -7 J tfR? GLiz .12 ek d.,le cave CITY Trrhac 7 mH STATElt&, ZIP 5162 Y TELEPHONE # C, '>l 't" 670')CELL PHONE # old 1421 0 7 °-? FAX # O , f -W'3 -,-PC 93 PROPERTY OWNER 4lit 6 s I, 686 -'? 4 79 TELEPHONE#j&."j 6s .17,?,t 7edJ1 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RITLES 7670 CATEGORY I _ 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 Phone # I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or( Signature of Applicant OFFICE USE ONLY Phone # Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Fee: $90.00 Fee: $70.00 12002 is correct, and a ree to comply 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 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-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 & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final - Framing Siding _ Stucco _ Stone - Fireplace - R.I. - Air Test _ _ Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector C?2'111 /-71?11?1? "I "' 7'/' 4 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND %? (30, ocx? To Be Used For: - Valuation: /?- -` Date: Site Address Lot C6 Block Parcel/Sub('AILIZ?EK/StfAV )noeEs- Owner J-'- ?,±f-7A2CSL=,-/ A02,1,4& Address X70/ /z/ /l Q S?-- City/Zip Code (Y,,5"Z J y?7 Phone k-- Y -?,/ - '5-/ Zr" `y- Contractor S.,f /,.f ? Address City/Zip Code Phone Arch./Engr. Address OFFICE USE ONLY Erect K Occupancy ?13 Remodel Zoning 2•I Repair _ Type of Const SL Addition S of Stories Move Length (?4-_ Demolish Depth Int.Impr. _ Sq Ft Install APPROVALS FEES Assessments Permit 2D Water/Sewer Surcharge (v 5, Police Plan Review z54. Fire SAC 575• Engr Water Conn 5GY01 Planner Water Meter Council Road Unit z-Q Q Bldg Off z f/ Treatment P1 I5(c. APC Parks Variance Copies TOTAL 2 ¢ 11 City/Zip Code Phone R NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ifi,cate Fort Sven2 Peterson Construction 4701 West 110th Street Bloomington, MN 55437 , Elevation: assumed di Proposed c O ti Lot 16, Block 2, CANTERBURY FOREST, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. As stakedby me this 24thday of February, 1986. MINNES0 A GISTRATION NO. 8625 I hereby certify that this is a true and correct representatibn of the following described tract of land: U1`Y UF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION:L or T ILOt/aleck/Subcaivis ion or Tax Parcel ID #) ., IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbn ear .. PRESENT ZONING/PROPOSED USE:- C3 CCXn1ERCIA1/RSTAIL/0FFICE f-I INX'STRLAL . f7 INSTITUTIONAL/GOVERNMENT e vrin ?a R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: SVEND PETERSEN CONSTRUCTION INC. ADDRESS: 4701 West 110th Street CITY, STATE, ZIP: Bloomington, MN 55437 PHONE: uR11+lSS__ 3) a .: NAME: GENZ-RYAN PLUMBING & HEATING COMPANY For City Use Plumbers License: ADDRESS: 14745 South Robert Trail 0 Active Expired CITY, STATE, ZIP: Rosemount, NN 55068 Not recorded PHONE: 423-1144 MASTER LICENSE# 1849M Sttial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) :.? X CONNECTION TO CITY SEWER EF CONNECTION TO CITY WATER OTHER 6) i o r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ' - ®{ PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circ e one) W q/ APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNM PERMIT HAS BEEN APPROVED. 3' FOR CITY USE ONLY PERMIT # ISSUED Lll?2- y Pd W/Bldg. Permit FEES: $ $ /D .7 d SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?Q•?`C WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $_ L?e-Z! ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ J L O !/ T $ WAC $ S ' $ SAC $ Y1 $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER ?J l 'C? $ v WATER TREATMENT PLANT SURCHARGE $ $ OTHER: T7ST $ 4- /n SZ} $ ""5-1, 0-71 TOTAL - RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? O YES .'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUE12 BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: ,APPROVED BY: TITLE: 1 bATE :' ?? ??? #X? kXtXtXCXi#ir?>kXiXtX<>kXtXtXtXrikX?X?xXsXtiXM'?RtXtXtXt ;okYF?i'tXtik CITY OF EAGAN CASHIER: 5 TERMINAL NO 78F DATEw 10/0/98 TIME 15e4009 ID. NAME. LAKEWOOD CONSTRUCHON? INC. 321.0 9001 028 TIFFANY PT 50.00 205 9001 1128 TIFFANY PT 0.50 t Total Receipt Amountt 50.50 CRO984£3i USER IDr NANCY rk*Xt?iu>KY,tvtl"XtXt?ycik?XX'Xtg:?h:?Xok"dXt?k ;:;tikik;kikiX??;<?Y?ikm PERMIT CITTOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 033704 10/16/98 SITE ADDRESS: 1128 TIFFANY PT LOT: 16 BLOCK: 2 CANTERBURY FOREST P.I.N.: 10-16350-160-02 DESCRIPTION: B , , - ermit Type ililditc? W? Type drisus., CE?d@. ?hi?-wry ?h a? x a14 ?4;3 DECK NEW 434 ALT. RESIDENTIAL VC z E rep sh °} ?g a. "v' fl? °q S{rs ?S" s PFx _n REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. FEE SUMMARY- Base Fee $50.00 Surcharge T,$.60 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: LAKEWOOD CONST 18816452 20037759 SCHMIDT BRAD 401- LAYMAN LN 128 TIFFANY PT BLOOMINGTON MN 55420 EAGAN MN 55122 (612) 881-6452 - (651)454-6825 acf gw1 s4gir,tHat I trai+e read th app3icat on a,6d stave t15dt ba n,i carr of arid' agred to cemplsy y1th' 411 "P:.tiaiable Mate of Kn. and City' Ot Ea,9an, Ard,irtarices. PLICANT/PERMITEE SIGNATU R E UED BY SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?-71r ?3 0 681-4675 % v .9v New Construction Reouirements Remodel/Repair Requirements ? 10 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured find. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: (O- 157-°i `5 2 copies of plan 2 site surveys (exterior additions & decks) I energy calculations for heated additions vU CONSTRUCTION COST; C(Z200J DESCRIPTION OF WORK: STREET ADDRESS: 1 Z `? FFA? P LOT: Na BLOCK: ?- SUBD./P.I.D. #: ?? td YV a?` PROPERTY OWNER Name: 56-)tk"I 6-)- r::, T2-F?7 Phone #: 5?(- Z Last First Street Address: l1Z '(1 Fr-1,-/Y City Cq (,AL-' State: I -A A-1 'Zip: Company: L-. A Y Z, WfDb7 Phone #: 46,0- 6(S Z-- CONTRACTOR ?7 Street Address: GtD l Z A,y -,A? 6AIIAG License # Z005-7 ?-cc l city (?jLUOMt c?tC7N StatFpT IN Zip: 5`i ?l-2 ARCHITECT/ n ENGINEER Company: Name: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. State: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant`` OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required Phone #: Registration #: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 5 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition A J - J ctual) Const. ( I\. Basement sq. ` ft. MCNVS System (Allowable) V -N Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. WET Depth Footprint sq. ft. SAC Code o / Census Bldg -L Census Unit o APPROVALS , Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies 5 Total: Valuation: $ r- % SAC SAC Units _ate For•. nd Peterson Construction 4701 West 110th Street Bloomington, MN 55437 1- DELMAR H. SCHWANZ 9741¢3 1 LW09URVEYORS INC Rwsl+,.`tl Unan 1,1., N Tnn sw 0 MnIwaOla 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA SSO88 PHONE 612 423.1769 SURVEYOR'S CERTIFICATE A A?? Elevations shown are existing and on assumed datum. Q//? Proposed garage floor elev. 0/1 77f,?,.4Nf? o. rB'Sr'i o` .o° f/us ? r4,. z o.s%e b a N Via.o „'?1}oN 4 0? A0 I hereby certi of the followi 1 I l- v I 1 n v I ? ?M 4/ Lot 16, Block 2, EASAM HONED ti o? ?1 N Cv ? rect representatibn FOREST, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. I'?`3o As stakedby me this 24thday of February, 1986. MINNESO A GISTRATION NO. 8625 PERMIT X915 , CITY OF EAGAN PERMIT TYPE: Bulr=? 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 023008 (612) 681-4675 Date Issued: 02/25/94 SITE ADDRESS: 1128 TIFFANY PT LOT: 16 BLOCK: 2 CANTERBURY FOREST DESCRIPTION: BLiildingl.Permit Type Building llo,rk Type 1 \ I BASEMENT FINISH ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - CHMIDT BRADLEY .128 TIFFANY PT AGAIN MN 55123 612)973-0123 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L dun n APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. J ISSU BY: SI TURE z3o0t CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 F 1 S 1994 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Pena applies: 1) wh en permit is typed, but not picked up by last working day of month F h request is made, 2) address is changed or 3) lot change is requested once permit ed. Date fi JB 199y I Valuation of work */e,ooo ?d? oeo n Site Address: Zei* 1??E+1f STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SU } ) BD. W 1 P.I.D. # /? / / Description of work: <ier?4f' 14Vyt?c/ The applicant is: X Owner ? Contractor ? Other (Describe) Name c'Haid? Phone yS?/-1v8a5 Property w?.eX?- y93 0?3 LAST FIRST Owner p Address 1167-6 Gi&4tj? STREET STE # City Z9,9,1) State .A;.I? ZiP :5,51-43 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Si of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck WORK TYPE ? 31 New M 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ?.Site ? Wallboard Basement sq. ft. 1st F1, sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing Final ,0 Framing ? Draintile D ,® Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: Vahatian: )8 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units CIT(OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: B U 11. D I N G Permit Number: 0 2 2 9 3 0 Date Issued: 02/07/94 SITE ADDRESS: 1128 TIFFANY PT LOT: 16 BLOCK: 2 CANTERBURY FOREST DESCRIPTION: (ZERO CLEARANCE GAS) Borildin".sPermit Type FIREPLACE Fhui.lding WF&Ck Type NEW v v i% U'00 ?Q REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - A p p l i c a n t - ST. L I C. OWNER: FIREPLACE SPECIALIST 14511970 0003924 SCHMIDT BRAD 1200 9TH AVE 1128 TIFFANY PT S ST PAUL MN 55075 EAGAN MN 55121 (612) 451-1970 (612)454-6825 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 Mn. Statutes and City of Eagan ardinanres. J PERMIT nou &kaj W APPLICANT/PERMITEE SIGNATURE ISSUE B -P. SIGNA URq M -a-0? qa 1994 11930 CITY OF EAGAN BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ?OC?Q Site Address: STREET SUITE # Tenant Name: (commercial only) LOT J L BLACK SUBD. r l P.I.D. # Description of work: INS o } ?- ti ?' The applicant is: ? Owner ontractor ? Other (Describe) Name S? h r,% I'd 4 Phone ZIS LI- C2- D6-Property LAST FIRST Owner Address I /'? S? I F??N r STREET STE # City G? r--) State Yh N Zip / Company Fr re a l Sio);s ? 5 Phone °fT it Contractor Address JOB yo . License # a q Exp. City S• S-1 PCAV 1 State MN Zip 95 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. r this ap i tion and state that the information is I hereby acknowledge that I correct and agree to comply applica t e of Minnesota Statutes and City of ., f Eagan Ordinances. Signature of Applicant: v' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging t? ? f 16 Bgsememt?Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well. On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET ROUGH OPENINGS WATER SOFTENER • minimum - I PRIVATE DISP. • Dak ay. tic. U.G. SPRINKLER • home under cont. ALTERATIONS • to existing WATER TURN AROUND 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 STATE SURCHARGE .50 TOTAL: 0 PHONE #: ( ) V/ ??i 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S ADDRESS: -S ^ cC /f--- CITY: lnat?? STATE,;r? ZIP CODE: 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CO _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1128 Tiffany Pt Lot: 16 Block: 2 Addition: Canterbury Forest PID:10- 16350- 160 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Steven R Mcnally 1 128 Tiffany Pt Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Issued By: Signature Mechanical EA090192 07/14/2009 ePermit      îü    ø þ ý ü þýýü ûúùûùúû     ÷üüýý ûûúí ã  ùú ö  ãã ÿ  þý   ûúùø ÷  ôòß  úø ÷  ô ø ÷ ôòß ó òßê ÷  ð    ÷áú õÚ ý  ú åú÷   Þý ûïú ö  ð÷  ð  ð  ïú ð     ù  ðèæ  ýòò÷ ýü æ æ ðý  ý ÷ è æ æ ÷  æ   è  ùðç      ïú ù  òý æ ð ð è   ö éÜé è è  ò÷  ûú  ý   Ý ú éÜéèìèì Ý ú üè  ñð  ïó ÷÷  þç  û  êî  â ÷÷ê  øææ    û þ ý îó íãëìã âì  ù  ò ý      ÷÷      æ ð    ý ð÷ ò  ÷÷ ù û   æî  û ú   æþ ý å   è ÷÷ ß ú  ûý ú PERMIT City of Eagan Permit Type:Building Permit Number:EA114069 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 1128 Tiffany Pt Lot:16 Block: 2 Addition: Canterbury Forest PID:10-16350-02-160 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 . Eva Lewis 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 - Steven R Mcnally 1128 Tiffany Pt Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature