2132 Cliffhill LaneBUILDING PERMtT
To be used for ? ?<•
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 - i
Receipt L-?
Est.Value Date i 19 ?
Site Address ' ? -? '' ?•?_ i: r :: : ?.. i:;
Lot Block " Sec/Sub. "'A.P. CLl.rF IST
Parcel No.
a Name .. . ,.. .`""..
z Address
p i, ti - l+?.F / •.;
City Phone
, o Name +;L?nr:b
z 1 . Y-.,. " C 1. :
oU Address
UP City Phone `
Name
I hereby acknowledge fhat I have read this application and state
that the information is corcect and agree to comply with all applicable
State of Mfnnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: `all work shall be done in accordance with all applicable State of 1
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zorting
On Site Well _ Type of Consi
City Water _ (Acfual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
f
Assessments _ Permit
WatedSewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bidg. Off. _ Aoad Unit
APC _ Treatment P1
Variance _ Parks
TOTAL
on the express condition that
sota Statutes and City of Eagan Ordinances.
Pertnit No. Psrmft Holder Date Telephone ?k
Plumbing
H.V.A.C.
E lectric
Softener
Inspection Data Insp. Commants
Footings I 4?/o
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final `
cerL occ. a
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
. '
. CITY OF EAGAN
, 5795 Pilot Knob Raad Eagon, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt
Ts 6e used far Fc+ Vnhla . Dnte
$1tQ /,ddfe55
Lot Block Sec/Sub. (
Parcel #
oc Nome :'ac mRn :-pgiE-+4 Tn ..
W
z
Address - ,
Ci Phone -
p Nome
Address
H t":w, M-
Name
I hereby acknowledge that I hove read this application ond state that
the information is wrrect and ogree to comply with all applicable
Stote of Minnesota Statutes and City of Eagon Ordinances.
Erect ,0
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Grode ?
Water & ?
Pol ice -
Fire
Enfl. _
Pianner _
Council _
Bldg. Off.
APC -
k ' N! 6471
OCCUpOf1CY
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Permit
Surcharge T
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol
5iynoture of Permittee I
A Buildin9 Permit is issued to: on the express condition that
ail work shcll be done in accordance with oll applicoble Stote of Minnesota Statutes and City of Eogon Ordinances.
Buiiding Officiol
Pwint! ?j DaN Isood PenaiMN
Plumbing ' /
Mechcnitol
INSPECTIONS DATE INSP. Rouph-In Finol
Footings Dote Insa. Date Inap.
Foundation Plumbing /3 ?,s• rr
Frame/ins. MecFanical
Finol
Remarks:
(Strtif tra#e uf (Orrupttnrg
? .;:Citp of Cagan
?.
?rpwbmc# of luilbing 3wertim
Tbit Certificatc iuxad pwmww to tIx rcqutreuscwi of Sation 306 of the Uxifom Building
Codc cMi ff yixg tbat at tbe timc of isnww tbis mrctx?c was in cow pJiarue witb tbe varroru
•rdiuasas o f tlx C.itY rrgalatixg 6oa/di+sg aoiutrxctiox or xu. For tbe f ollowing:
-- - -- - F;F nwr; .? Fmok N& 6471
?2-20-81
.e., m „ co....c„d,. ..^«
...
No.
crnr oF Eac,aN
3795 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 454-8100
? - ' PERMIT
Dote:
2"3.8^81.
Site /lddress:
Lot Block Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. I
Ncme - `c31 I:Ct"r:? S1rlc w/Alt
r
N
/R
i
.
e
e
epa
r
3 Address ' f Inst
ti
n
t
ll
C
os
o
a
o
o
O
City
Phone:
Permit Fee
Name ' Surchor
e
?
?
g
? Address
e
0
V
ity
hone:
ofal
This Permit is issued on the express condition that oll work shall be done in acwrdante with all applicoble State of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Officiol
No.
cirir oF .EAGAN
3795 Piloe Knob Roed
Eo9ew, Minnasota 55122
Phone: 451-8100
PERMIT
Date:
1-1.3-a1
_ -
Site Address: - '
Lot 1 Block Sub/Sec.
Name
`Y `C• :C
e Address
?
City f?.•- - t- Phone: ,- 1
Nome
p.
y
? Address
c
? • •?
City Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesota Statutes and Ciry of Eagan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repofr
Cost of Installotion
Permit Fee
Surcharge
Total
done in occordance with al l applicable State at
Buildinfl Official
CITY OF EAGAN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ?- 1982 1496.30 299. 1496.30 C 10-1-81
RESTOR.
GRADING 1981 541.38 108,28 5 433.11 A009940 2 25 81
SANSEW TRUNK 105 5 7?04 42.26 A009940 2 25 81
* SEWERLATERAL s ? 19$1 2541.51 568.ZQ S 2032.81 .21.25/81
WATERMAIN
* WATER LATERAL 1981
WATER AREA 944 33
6
*
STORMSEW TRK 5y/ 1981 405.09 81.02 5 324.08 A009940 2 25 81
* STORM 5EW LAT I981
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY dr EAGAN
3705 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
I agroe to comply with the City of Eagan
Ordieances.
By
Date of Insp.:
CITY OF EAGAN
3705 Pilot Knob Roud
Eogan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 ogree to eomply with tue City of Eagae Connection Charge:
Ordinanees. AccounY Deposit:
Permit Fee:
Surcharge: .
gY Misc. Charges:
Date of Insp.: Total:
Insp•: Date Puid:
. t?
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
-t ci
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total: -
Date Poid
I nsp.:-
PERMIT NO.:
DATE:
No. of Units:
This request void
18 months from ? 3C '7
Date of this Request 1-20-81 1 20141
I, as O Licensed Electrical Contractor 0 Owner, d he eby request sni' p tei
c on of the above electri-
cal wiring installed at:
Street Address or Route No. 2132 Cliffhill Lane
Section City E_ a?
Township
Range County ko ta
Which is occupied by Zachman Homes
(Name of Occupant)
Is a roughin inspection required on this job? No C] Yes Ck Ready Now ? {y? Cafl p
PowerSupplier Dakota Electric, A
Electrica! Contractor Sunrise E ectric Inc.
(Company Name) Contractor's License No. 39778 Mailing Address i}12p g3rd pyP Nn _
,YS? Minnn S z?
(Electrical Contractor or Qwner Makin9 Th3s Installation)
Authorized Signature Keith R Hesli
(Electrical Contractor or Owner Makiny This Installatlon?one No. 566-860p
S1'ATE BOARp Cpp'? This inspection request wili not be accepted by tha
State Board unless proper inspection fee is endoaW.
Minnesota State Board of Electricity
r
t821 Universi YAVe.MStwPa u! Minn. 55104 191
HECK BELOW 111 EB.00001_02
'?EQUFST FOR ELECTRICAL INSPECTION
Wp?
?Ype of Building New qd COVERED d. R BY THIS REQUEST
T
.
Duplex
Apt
Bld
[]
? U
? Ran
ge
Water Heater xx L9u?Pment Wired
mpotary Wiring [?
.
g,
Commercial B(dg.
I
d ?
? ?
? ?
? Dryer
?umace j 8hting Fixtures
ectric Heating ?
?
n
ustrial Bldg.
Fazm ?
? ?
? ? Air Conditioner
L o Unloader (]
Other. ? ist
f?rr,a lk Milk Tank
* .
?
(Final) -
This reques v io
18 months from
I, the Ele ? ? '
ctrical Ins , TOTAL
.- cto er ??,,:-?....?_ . ._ ?
? o
?
1987 BOILDING PERMIT gPPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF S08VEY, 1 SST OF ENERGY CALCOLAYIONS
NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAAYS WHICH ADDRESS
IS DESIRED. NO CHANGES iiILL BE ALLOWED ONCE SUILDING PBRMIT IS ISSDED.
MU[.TIPLS DWELLINGS - RFSIDENTI9L RENTAL OPITS FOR SALE QHITS
INCLUDE 2 SETS OF PLANS, CERTIFICARS OF SDRVEY - CHECK SiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COl"MRCSAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
> o $2,000 LANDSCAPE BOND
00
To Se Used For: E(?"m Valuation: I Date: ta
Site Address t?\u_ (.(•?.
Lot ? Block S
Parcel/Sub ezj?
Owner _60_1s?1A?
Address Z-132 - C(,l.kk j..lt'tS. L,hk.
City/Zip Code
Phone jL'-'
Contraetor t9311Q?y?( 2N?
Address4oL3:? Euo\ [c2
City/Zip CodeCgC?r•,_.?8?r4 , pV.;V SS??TO
Phone qZb - Lq `
Arch./Engr.
Address
City/Zip Code
On Site Sewage_
MWCC System _
On Site Well _
City Water _
APPROVAT 4
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Occupaney
Zoning
Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FESS
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAI,
-11. -
4-1
Phone #
?
CITY OF EAGAN N°_ 13 8 01 - -
3$30 Pilot Knob Raad, P.O. Bax 21-199, Eagan, MN 55121 '
BUIIDING PERMIT PH ONE: 454-8100
Fecaipt # --47?,}? ?
Tobeusedfor GARAGE EstValue $8,000 Date JGNE 19 ,1987
SiteAddress 2132 CLIFFHILL LN
Lot 3 Block 5 Sec/Sub. CEDAR CLIFF 1ST
Parcel No.
? Name BRIAN CROWLEY
? Address SAME
0 City Phone 454-4676
a Name WOODEN WORKS
oQ Address 6230 ELM RIDGE CIR
? City CORCORAN phone 478-6413
w w Name
F
xz.
Address
aw City Phone
I hereby acknowledge that I have read this apDlication and state
that the information is correct and agree to comply with all applicable
State ot Minnesota Staty\t?e\s and City of Eagen Ordinancea
Signature of Permitt9e `a- - --??"-41?1?
A Building Permit is issued to: WOODEN WORK
all work shall be done in accordance with all applig4ble State of I
8uilding Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Ste Well _ Type of Const
City Water _ (ACtual)
(Allowa6le)
# of Stories
Length
Depth
S.F. Total
Footpnnt S.F.
APPROVALS FEES
Assessmenls _ Permit $79.50
WatedSewer _ Surcharge (i-(lfl
Police Plan Review
Fire SAC,City
Engr. SAC, MWCC
Planner WaterCOnn.
Councd Wafer Meter
Bldg. Oft. Road lJnit
I APC _ Treatment P7
Vanance Parks
Copies
TOTAL $83.50
on the express condition thal
AinneButa Statutes a?d City of Eagan Ordinances.
0
SD•
y <
?" S?• P,aNC?+ ?J?uu?.,? y13Z C1,:L 1.lt« Zr/ ,.
1
? S Zq'` -?
1?-rtA . ?
` ? ... UJii>tcj2c
? ? .
..._.. ._ ... . _ _..._ ___ ?
EA6AN- ' . ' .
? RE EW d C2
BY_...
i Z- I % ?xl?
?
, 2?? .
-- -?- -
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6471
PHONE: 454-8700
BUILDING PERMIT APPLICATION ReceiPt #
7e 6e used fer SF DWG e? vMh,P 33,000 n.,fo 12-22 ?a80
Site Address 21"j2 Cl"1ffY1111 Ln.
Lor 3 Block 5 Sec/5ub. Cedar Cliff 1
Parcel # 10 16600 030 05
_
? Nome- Zachman Homes Inc
3 Address 7760 NLitchell Rd.
° cj E den Prairie,Ab 937=9520
ne
p Name
;t
Address
~ Ci Phone
Fw Nome
Address
I hereby ocknowledge that I have reod this epplication ond state that
the information is correct ond agree to comply with oll applico6le
State of Minnesoto Statutes and City of Eagan Ordinances.
Erect xy Occupancy R3
Alter ? Zoning R2
Repair ? Fire Zone 3 _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 22 ff.
Grode ? Depth 3$ ft,
Approvals feea
Assessrit _
Water & Sew
Police
Fire
Eng.
Plonner _
Council -
Bldg. Off. _
APC
Permit Y25.UU
Surchorge 1h.50
Plan check 49 _ 00
snc 525.00
Woter Conn3D5. 00
Water Meter 60. 00
Road Unit 185.00
Toral 1,23$. 50
Signature of Permittee I
A Building Permit is issued to: ZaChI1l3Z1 HOID85 IriC. on the express condition Hwt
oll work shall 6e done in accordance th oll appiic Sta?te, of Minnesoto Statutes and City of Eagan Ordinonces.
Building Official
CITY OF EAC,AN
BUIIDING PEf2NIIT PPPLICATION
Include 2 sets of plans,
1 site plan w/e]evations &
1 set of erergY calculations.
TO ge Used For S ?C ? Valuation _
Site Address: ??I 3?. ?"A t't't 1????
u,t 3$1«-x $ sec./sub. Cc r?--
Parcel #: Ze i/ z qd ??``P 'n5
Qaner:
Address_
City/Zip Code: Q
Phone # : q 37-9 C7ri
ContsactDr:
Address: ? '/M Q ? -
City/Zip Code:
Phone #:
Arch. /Fn9 • • _
pddress:
City/Zip Code:
Phone #:
3. 006 _ Date
OFf'ICE USE ONLY
Erect occupar,cy Tr' 3
Alter Zoning 2-
Repair Fire Zone 3
En1,arqe _ 'Iype of Const.
Move # Stories f?
Deirolish Front 21
Grade _ ft.
?P?
Assessrents Perndt 9 t, a D
Water/Sewer Surcharge l'k.sa
Polioe Plan Check Y 9
Fire SAC .126;aa
Eng. Water Conn. 3oS.00
Planner Water Meter %0 , o m
Council Rxd iJnit / 8? o 0
Bldg. Off.
APC
qVrAL /a3,P? s a
?
l CALVIN H. HEDLUN_,
Land Surreyor CIv11 Enqinesr
9 04.5
surveitortfs eertificate
JOB N0. j41
SURVEY FOR: Zachman H«uea
? OESCRIBED AS: Lot 3, ffiock 5, CEDAR CLIFF. City of Eagan, Dakota County,
Minnesota, and reserving easementa of record.
9o4z
Io'O sfakas
L_T _ -ea.
900.4
"75•00
?---- ----?
OI DECK I
NI -
9
03.b 19 903._ ?$
* 22 J"16-'? ? ?1A
I OAKWpDD
? , ?e ,=ut. ?, ?r? r
M SPL?\'? ? ?
I `FOYER b GBr, NI?15
? 20
?I? - -y? ?
I qa3,6 03.6 W ?
'
Ll_ry?_ O I
y? J
75.
0 0
cn M
8609 6iraro Avenue Soutp
Bloominqton,Mionssotq 55431
Phone: B 8 8-2080
Top of Founda+ion = 904.3
Basemen+ Floor= 901.1
Gera9e Floor • 903.9
ProPosed E ICVS+-lo1'+s C=>
Exis+;ng Eleva+ioru -
Deno+es Draina9e -?
W (P slakes
q o I .-r
qo0.6 CLIFFHII..L LANE 901.4
q01.1
CERTIFICATE OF SURVEY
I hereby cerfity fhat on i I- 26 - So I surveyed the property described abov and thot
fhe above plot is a correct represenfotion of sald survey.
?a?.. -4. ae? ciz)
Colvin H. Hedlund, Minn. Rap. No. 5942
CALVIN H. HEDLUNW
Lantl Surveyor Clvll Enqineer
9609 6irard Avenus South
Bloomfaqton, Minnsaota 55431
PDone : 8 8 8-2080
SAW(liewr`s GJOB N0. 141
SURVEY FOR: Zachman Hanea
DESGRIBED AS' Lot 3, Block 5, CEDAR CLIFF, City of Eagan, Dakota Cowaty,
Minnesota, and reaerving esaements of:record.
!
?
l
i
?
9 04.2
10 1'J s+akes
L:i.T- 4
900.9
_75_oD
?-- ---?
I i
I ?
? I
?
tR??
? Nj 01=
?b
"I ro?AKWtD\ CK I
u?.
iGar N IS
? M?FOVER b 2o I
~) qo3.b o3.6 W ?
? q I
75.0
o a
? M
90 4.5
•?7r. .
Top of Foundc7+i0n = 904.3
Basemen+ Floor: 901.1
Gara9e Floor • 903:9
Proposed Elevations C=>
Exis+;ng Elevai'ions -
Deno+es Drdino9C -^-r
10 ?sQ S?akes
r Q
0
?z m
qo I.7
100.6 CLIFFHILL LANE ?901.4
- 1 901.- -
CERTIFICATE OF SURVEY
I herehy certify that on f t- 26 - 80 I survayed the property described above and thar,
fhe obove plot ia a correct repreaentation of soid survey. '
-4.
Colvin H. Hedlund. Minn. Req. No. 5942
CITY USE ONLY
LOT ? BL ? RECEIP'f #: O ozp_o 9
SUBD. (1Q,d(anL lJ(?.t,(/ RECEIPT DATE: la
zk/Q?
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date: !
Complete this section only if vou are installing HVAC in sinLyle family, townhomc or condos that are
undee construction and are not owner /occunied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if vou are remodeling, adding to, or repairinE egistinE single family
dwellings, townhomes, or condos.
??u?
? Add-on fiunace _ Add on air conditioning
_ Add-on air exchangez, i.e. Vanee system, etc. _ Other
Minimum fee apglies to all remndel or add-ons of exisdng residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: oVI?/ o;z
OWNER NAME: -- -? T 19?'-?l PHONE #: (??? ?! 3 7 /
INSTALLERNAME: .5&7X?pHONE #:
STREET ADDRESS:
CI7'Y: aj,Y72l? STATE: ? ZIP:S5Y3?
??J'?i /L • SIGNATCTRE OF PERMIT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114867
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 2132 Cliffhill Lane
Lot:3 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-030
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 .
Marcial Obregon
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 -
Gerald L Storey
2132 Cliff Hill Ln
Eagan MN 55122
(612) 819-3831
Taylor Brock Corp
6565 City West Pkwy
Eden Prairie MN 55344
(952) 888-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120785
Date Issued:03/03/2014
Permit Category:ePermit
Site Address: 2132 Cliffhill Lane
Lot:3 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Joann Zinken
9320 Evergreen Blvd Nw Suite B
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald L Storey
2132 Cliff Hill Ln
Eagan MN 55122
(952) 428-8337
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
House heating test record
Owner YV0/2/1 �\
Address i1.52';;i5 �' 1
City q‘340�1
Heat loss Date htg. inst
Sold by CenterPoint Energy
Installed by CenterPoint Energy
Electrical work by CenterPoint Energy
Heat type .. FA 0 Space heater
Gas line by
Unit heater Other
Gas design
Make Modeli,
Serial no. 0 /i�>�3
InputtPS
Controls
Thermostat 11%2 Heat plug
Valve 1-,! / ?
Limit t/lev
Limit setting
Fan setting 1 ,4
Pilot type 74-5 /
Pilot make nine'
Pilot model '6
Pilot timing g,57.4feL
qtr
Pressure: Hi fire/Lo fire - S ,
Percent CO2
Input CFH1
Stack temp
'7 9J.7
,
Percent 02 ',0
46, Percent CO igim
Energy
Conversion
Vent Size
Kind of liner/size -i/e/
Draft hood Z;egi Regulator
Filters: SizeIo/2 4/ Number I
Chimney locations: .'Inside 0 Outside
Chimney construction
Wiring Gx Test tag
Lighting Inst .'l Date tested -WO/
1f
Company testing CenterPoint, 1nergy
iTester's name ///1
CNP 235 (11-2008)
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135864
Date Issued:04/08/2016
Permit Category:ePermit
Site Address: 2132 Cliffhill Lane
Lot:3 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gerald L Storey
2132 Cliff Hill Ln
Eagan MN 55122
(612) 819-3831
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature