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1109 Tiffany Dr
CITY OF.EAGAN 3830!1.^t Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: '.1 Owner: On Address: Site Address: 1 I `' Plumber:_ F Meter No,: Size: . Reader Z., Wit, WATER SERVICE PERMIT PERMIT NO.: `f DATE: ] 2-: 3 No. of Units: 1 ft By ak-?' Date of Insp.: Drive L20 B1 Cantebur Connection Charge: amount Deposit: _ Permit Fee: 44. Charges: Total: Date Paid: - 3d30 Pilot Knob Road --- ----- ---- - -- - - ------- P. O. Box 21199 PERMIT NO.: ;4 J? Eagan, MN 55121 DATE: 12-2-:: ; Zoning: ,1 No. of Units: 1 Owner: Jak Chase QtlrS Address: Site Address: L1W Tiffany Drive L20 .I La;,tel-ary Forest Plumber: r^ne;i - Exc Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 "• W) Pd 1 egroe to comply with fhe City of Eegee Surcharge: 50 nd ordieeeem Misc. Charges: Total: By Date Paid: CITY Of•'LAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO., 6298 P. 0. Box 21199 12-2-83 Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: '-G, :ice S Address: Site Address: Plumber: 1 no. 00 Dd 1 eyree to ordineeo By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: ?'>>0 Receipt PLUMBING PERMIT Permit No. ? - CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly f } = Tot. 1. Date 2. Installation Cost ?_ 116?9 T??-ANY ? ,1, L:- 19IU rE 3. Job Address Lot AU Blk. I Tract %:«' 4 > r 4. Owner ?/ r -5- 5. Contractor !,?C/V-?, ??lY%7/? Phone 6. Address ?( fl ?? c3Z' •1 //?/" i / 7. City ()71 Z? State Zip SL'? 8. Building Type: Residential) G?_Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe it 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 ?, - I r f 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 : p for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8100 Y k' Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly T t o . 1. Date 2. Installation Cost 3. Job Address Lot Blk. ! Tract , 4. Owner 5. Contractor - j Phone r 6. Address 7. City i.. State Zip B. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New © Add O Alter ? Repair ? 10. Describe Fuel Type 11. No, Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. r an 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 Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RKCKI V ED AMOUNT -& -DOLLARS 100 ? CASH ? CHECK iy POR White-Payers Copy Yellow-Posting Copy Pink-File Copy Th You BY I 4 i CITY OF EAGAN i I 3795 Pilot Knob Rood Eagan, MN SS141 PHONE: 454.8100 BUILDING PERMIT ?ecelpt # TA Ir MuA t,.. SF DIX/GAR cam. v,..._ $76,0uv ri f. -'". Site Address ++v' `" "•" Lot 2 J Block 1 Sec/Sub Canterbury Foz Parcel # l')'-L6350-200-01 it Name v zr_ a.uasac a?uiiucaa, iuc. Address 3460 Washington Drive ,--Cagan 55122 454-7965 $ Name _ to Address ?- ra•„ Name _ Address 1 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 Oat la -u ule nc. A Building Permit Is issued to: all work shall be done in accordance with all applicable State of Minnes 8653 -7 r 1' ._ 33 Erect 0 Occupancy A-J, Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Cont. Move ? # Stories Derholish ? Length - Grade ? mil Sq. Ft. Depth Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit _ - - . - - rjo Surcharge Plan check. 50 SAC 4 -?1.00 Water Conn. b Water Meter Road Unit Total 1 6 .50 on the express condition that Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3170 H.V.A.C. 4d-0 5 ?_ ?? - g3 Well Water Disp. Sewer Electric (J?7 Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. ,. y/ . Rough HVA ?d_? to c Insulation Final Plbg. .2 _ Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. This request void ` 13 • `J 18 months from C r WO 79223 L a a, g $S7.OO c*.vrE&sut.y fo,e.4)b3ilo Request a Fire No. Rough-in Inspection Fen red? ? ?.? ?Ready Now pyWill Notify Inspec- Wh R Ya a ?No r en eady r KLi nsed Electrical Contractor I hereby request inspection of above ? Own l i i er e ectr cal work nstalled et: Street Address, Box or Route No. Aff- zcrja? City act on o. Township N e or No. ange o. Cou Occupan[}RIy NTI ??? Phone No. ? Po er Supplier ( ° Address G At AtA 0 - fcr m,N Electrical C tre for ICompa Name)) C tractor's License No. Mailing Address (Contractor or Owner aking Insta flat ion) 3 /i G f O - ST z re Afri, Au nature (Contrac w r Ma -ng Installation) Phone umber ' I31fc ll a MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1821 University Ave., St- Paul, MN 55104 1.11i 10, I'll THIS INSPECTION BEQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 2-2 3' Y REQUEST FOR ELECTRICAL INSPECTION ES-00001-04 ?' see instructions for completing this form on back of yellow copy. 1 / '"LSeloW Woik`Ea by This Request Nevl Add Rep. Type of Building Appliances Wired Equilrmant 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 the' peci v they ISperityl t er Speci y Other Other Compute Inspection Fee Below Fee /ZT Service Entrance Size U to 200 Amps Above 200 Amps, b Fee Feeders/Subfeeders 0 to 30 Amps 31 to 100 Amps # Fn Circuits 0 to 30 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms, Partial/Other Fee Signs Special Inspection S FFE TOT Remarks c?7 1. the cal Inspector. hereby certify that the above dispection hes been v CITY OF EAGAN 3795 Pilaf Knob Road Cogan, MN 55122 PHONE: 454.9100 BUILDING PERMIT To be used for SF DWG/GAR $76,000 N° 8653 Receipt Site Address iIU9 TIttany Drive Lot 20 Block 1 Sec/Sub. Canterbury Forest Parcel # 10-16350-200-01 Name Oak Chase Builders. Inc. 7 Address 3460 Washington Drive V. --- CSl g9 _. A.S/._7aLG p Name A su Addre Name _ 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. Erect XX Occupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA . Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 521 4" Grade ? Depth ----I1-Sq. Ft._ Approvals Fees Assessment _ Water & Sew. Police - Fire Eng. Planner Council Bldg. Off. _ APC Permit JV1.Vv Surcharge 38'00 Plan check 180.50 SAC 525.00 Water Conn.450.00 Water Meter 60.00 Road Unit 250.00 Total $1864.50 Signature of Permittee 1 Oak Chase Builders, Inc. A Building Permit Is issued to: an the express condition thn: oil work shall be done in accordance with all opp icable State f innewta_Stotutes and City of Eagan Ordinances. Building Official <<ze LL.-e ? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For j 64/Z- Valuation O O Date Site Address: D OFFICE USE ONLY Lot 20 Block Sec. /Sub.CAA*f4'" F; .t Erect Occupancy Z-3 Parcel #: - ,t 0 - (.(p 3 5 C7 -Zoo U Alter Zoning / Repair Fire Zone Owner (OAK- CHASe &Jj t., IN 6. Enlarge _ Type of Const. Move # Stories Address: 3yb0 WAS,i«f,4w^ D.wwo Demolish _ Front Sir y ft. City/Zip Code: t:4 6A^, VAK $5 i Zz Grade Depth Phone #: LIS4- 'Ig6t5 APPROVALS FEES Contractor: OAe- C?FlS? $ ;?dwo ih? Address: SAw e City/Zip Code: Phone #: Arch./Eng.: AoS Address: City/Zip Code: IriUa rim Wt{ Phone #: cl_;b-ou67 Assessments Permit Water/Sewer Surcharge 3 g g Police Plan Check J 8o Fire SAC Say` = Eng. Water Conn. 44Sp ?P Planner Water Meter Go as Council Road Unit a Sy ate., Bldg. Off. APC TOTAL lR k S CITY OF EAGAN Remarks U Addition CANTERBURY FOREST Lot 20 Owner Street 1109 TIFFANY DRIVE -,--0.0- EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. _Err 1970 Paid unde original pz rcel STREET RESTOR. GRADING ,• 1981 106.78 5.34 20 85.46 3446 1-12-84 SAN SEW TRUNK 1973 Paid unde original p rcel * SEWER LATERAL 1981 439.42 21.97 20 3-51-54 A013446 1 -17-84 WATERMAIN * WATER LATERAL 1981 20 WATER AREA i i', 1979 Paid unde original pa rcel STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD I 250.0 7 11-15-83 WATER CONN. 4SO.00 n n BUILDING PER. It 6; 3 SAC PARK ° CITY USE ONLY PERMIT #: ry / RECEIPT DATE: IESIDFMIAL MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: f C J I t-1 I c SITE ADDRESS: I In01 y OWNER NAME ?AWU? l 1 V1 ? f? TELEPHONE #: 1.4)) 44504 - ZJJ n ' (AREA CODE) INSTALLER NAME: C,2Aj?2- IC?1?(l TELEPHONE #: u5k yZ5- ) I? 4 (AREA CODE) STREET ADDRESS: V( ?bpj?, Y« CITY: STATE: " I` ? Place a check mark next to the hermit work tvne ZIP: 55Z»g New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ SD.DO • furnace replacement • air exchanger • air conditioner • other nn Natureofwork: ICL?Q??(QlJ`2tJF?CQ_ State Surcharge $ .50 Total $ Reminder: Call for inspections. certificate for: Oak Chase Builders -4525 Oak Chase Way Eagan, Mn. 55123 'J 1 F 5 DELMAR H. SCHWA1NZ LAND SURVIVORS Iw't Registered UMN Law$ of The Sub N wwhaaota 2978- 196TH STREET W. - BOX M ROBHMOUNT. WWSM ITA SWISS PHONE B12 4MT759 SURVEYOR'S CERTIVOICATS .?114??XIVLZ .5 d?r 14P _ ?J5 7000 /q_377- 28E q?q SeALE: 1 inch a 30 feet D ?QSEm? Iti? \ Elevatiohe shown are existing ,G ? Denotes set wood hub Proposed garage floor elevation v Drainage & utility \ \. easement \ R ti? e A 441 N e ? ? \ ?? ? ?pdkB ` f o >r /06,/ ? ?o o?- ,os8 1, ic ?s x1oZ-2s )062; 17 TbpdMide roe yNO . ? c ?-oypsN•?/moo ° /NV : 47 fo I hereby certify that this is rue and correct representation of Lot 20, Block 1, CANTERBURY FOREST, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: November 3, 1983 MINNESOTA REGISTRATION NO. 186325 ' e ?•xr:;:to?z r.?trrs???r r•?raur; " I: ';:•., ola= t 1, ` )tal a-- Osi13 : cal c•'(3 ?G?° ?'?.?j 2: 'D.,tal zmficr?.ai:?? ere.•._f70. f _: ,;r Pt< x r EsB•S Tetz exposoO im!). area F2:,vr: floor. La., Tot '? W'41l wiclaa area....... n... I ea o U.. b aeeeecoeeoea ae . ctktl dOGr W-Ga •.oeo...o... n a..... ec e...,<cu oa: ..ne.e eee C" Tot;-l slicUme. glass door aae'3., . a d. 7otc1 fir %)l wall area..,, I e. Tot l wr?i1 frail-' f ar,,% f. , TotAl riot oral?. &n<.o alm ve f loo. a . e g'. 4bt&I ram 3oi3le a:ceHoeer.....ooe..ee. nc ...na _...aec er.cr. Total exTosarl f-am-Oation are,, _- //G•y h. Tot.-I forridtion winim,, area... ., „...r. c. O i,. Total net fou-rda"Uon arec'i above ?•a le, .. : a ....... ? .. e, y'd . ' - a, ?• __._. !{ " it "-.-..??? ° __.__'??_ ...-.. b,. !K -p x :' it a 09/ C'. X d. a x" U o = a li0•y :t u 1! Z. a 39..E if item # 3 ie the sam as, or less than iten t! I . ?,aoz have rant tlv- 11 1 yet 0° SlIc ('006 %'c) 2, 494" 1. S-) LStl%- -'/ Ok/te<t 404 SIM AUDM-SS _ -A6y°e9r -1 i C.... ,; _ . _ i37os? •i.. 71:'11 ?:?•- .;, 1:. ?xG. .??te<. pGr tatut.a_ t • [., [..t t C{[.Oa[t! D ? i:r ?:::?:? ..•A'• ,' O.''.).Ld? ?YLi a:'?'Y_J Fi:L-':ta est.. c:? . 7 // / ...lt ?."o .; ?e. .. e. [- 1+Q' "/ c Tb Li_. rot 1•'WiLf<': {J11.( ?•a)f., Cl.Sa.?.:LS2[ r?:.ty^:nr<• . _o ?, 00 oeoe e.tae e.• /03?3 Dew rai;:? " U " va.u : for each rooV o. ilin- se7revit If. re" a°. of ie ::'.i? ea;x as, or xe_s 'er 3 . yrr.i hm-e mat the inomt of Sir, 6006 (c) le To •?? i?<5 .. :f_ 'i.??::i:. E:I%wlcf rc 3, ':tcl• ?t`?'. is •:'• t:i? V:.J:u..a.8 E•sst-L' lI'shed by tb•- stn of tiTws - ?. .... '10`.::L'. .,;.??Y?a,. t.: ,c . .ii?, f•.: •'t O•. ].t4sili; it J. a%'! :. 2, City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 ' Fax: (651) 675-6694 2008 RESIDENTIAL BUILDING PERMIT Date: 2 D? Site Address: Tenant: ----------------- 1 I j Permit #: I Permit Fee: ?A) 1 0, I I ? Date Received: I I I Staff: - - ai lllt? Q 7 2008 I Suite M RESIDENT I OWNER Name: Mxa-t_ { triteJk C4 r4'/1 Phone: Address / City I Zip: 11 0ciTbr. Applicant is: - Owner Contractor TYPE OF WORK Description of work: eIe/ ?? Construction Cost: 17 SDi co Multi-Family Building: (Yes _ / No CONTRACTOR Name: L_aY in????n License Address: GOI /n / State: ? Zip: !?_C' el Cit : y Phone: '/S? -SS'S 6 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Plan nal . pR g 7o mefstliatubr»i> 8recrorrsllY+B' t6? 7il °Por1K ! o sthtv rirR r a?1 l pea oup ut o /a 1 ed 6f y ? } in o? E F ?rr y . 0 ; ?? u.... F l ` /ai/e Se tY at!Y.!n?il et Yt/Ie Afri - _ _ k; 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 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 p x a..) x Applicant's Printed Name Applicant s Signatu Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1109 Tiffany Dr Lot: 20 Block: 1 Addition: Canterbury Forest PID:10- 16350- 200 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888 -5550 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Matthew E Carroll 1109 Tiffany Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA087461 11/17/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA121674 Date Issued:04/11/2014 Permit Category:ePermit Site Address: 1109 Tiffany Dr Lot:20 Block: 1 Addition: Canterbury Forest PID:10-16350-01-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Pelant Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven L Kath 1109 Tiffany Dr Eagan MN 55123 (612) 396-6632 Legacy Restoration LLC 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()' *+*, -./$%'"&0-1O6$4@$,+ -./$%'56/7-.1 89:;A;E >*%-'!??6-@1=ABAPBA=9C -./$%'#*%-+(.&1- -./$% D$%-'8@@.-??1''99=P''"$))*,&'>.'' M3"# $% &&!())* * + &&/-+ :.=<.?&T .:9 ,12 !34!6'5343!4M33& 89: >-?2.$0%$(,1 ;<=&>?@: B*+) S9Z2 .9/ +9 .<$ * +&>?@: B .%&>?@: A:@#-$: 2:9$.*@ * + >S & .&J .:&B*+) S9Z2 .9 /:+9<9&/ ): O'O&4&W$$<@-+$? c +*+D ;F<-.:&T:: 3 1E@. V:E:+ 9& & G:&G E:&.:F<*.:&9E %:&): :$ .9&*+&-##&=:). E9Q&10&-# :.*+D&S*+) S& @:+*+D9& .&*+9 -##*+D&"-?& .&" S& #(//-,%?1 S*+) S9I&$-##&0 .&0.-E*+D&*+9@:$ * +Q&/-##&0 .&0*+-#&*+9@:$ * +&-0 :.&*+9 -##- * +Q /-.= +&E + R*):&): :$ .9&-.:&.:F<*.:)&S* G*+&!3&0:: & 0&-##&9#::@*+D&. E& @:+*+D9&*+&.:9*):+ *-#&G E:9&KJ*++:9 -&; - :& " &4&"-9:&T::&UO_U!3'QM5&3P3!QO3P5 G--'D6//*.&1 ;<.$G-.D:&4&"-9:)& +&d-#<- * +&UO_UMQ33&L33!QM!L5 d-#<- * + &&OI333Q33 "(%*41H9=;IA;' #(,%.*2%(.1JK,-.1 4&&(@@#*$-+ &&4 A:+:S-#&(+):.9:+; :V:+& &_- G !LM3&/ <+ ?&A -)&/&B:9 !!3L&>*00-+?&2. A 9:V*##:&JY&&55!!'H-D-+&JY&&55!M' K65!N&M6O4O777 1&G:.:=?&-$%+ S#:)D:& G- &1&G-V:&.:-)& G*9&-@@#*$- * +&-+)&9 - :& G- & G:&*+0 .E- * +&*9&$ ..:$ &-+)&-D.::& &$ E@#?&S* G&-##&-@@#*$-=#:&; - :& 0&J*++:9 -&; - < :9&-+)&/* ?& 0&H-D-+&W.)*+-+$:9Q (@@#*$-+ Z,:.E* :: &;*D+- <.:199<:)&"? &;*D+- <.: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143721 Date Issued:06/26/2017 Permit Category:ePermit Site Address: 1109 Tiffany Dr Lot:20 Block: 1 Addition: Canterbury Forest PID:10-16350-01-200 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 - Steven L Kath 1109 Tiffany Dr Eagan MN 55123 (612) 396-6632 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature