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1136 Tiffany Pt06/1712011 01:36 7637805011 mate: City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (051) 675-5694 201, RESIDENTIAL BUILDING PERMIT APPLICATION o. INSTALLATION MASTERS PAGE 01/02 Use BLUE or BLACK Ink Par Office Use qq Permit*: Permit Fee: V Date Received Staff: o-sv Site Suits a: Tenant: RESIDENT / OWNER TYPE OF WORK CONTRACTOR J iv) Contractor Description of work: Construction Cost J5 ✓ " Multi -ramify Building: (Yes / No _) —. 14-0 1. 1 11 k L b.0 -44A4 License* 2-05 7201—if State: ►ML%1p: City: ..-�1�) Phone: J..CfS l ^. r - Email: 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 bred on a master plan? Yes _No If yes, date and address of master plan_ L.ioaneed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOM Plans and supporting documents that you subml are considered to be public information. Portions of the Information may be classified as nonpublic it you provide specific reasons that would permit the City to conclude that they are trade :secrets. CA L, BE ORE . Calf Gopher State One CaII at (651) 454-0002 for rotection against uncle , round utility damage. •• - cali,a Call 48 hours before you intend to (Ng to recervre locates of underground utilities, , ri I hereby a Eagan: acoo t this information is complete a not a Permit. taut a n in the case = N to ccurate; that the work will be in conformance with the ordinances and codes of the DIY of application for a permit, sad wort i9 not start without a Permit: that the work will be In Mob requ - a review and approval of ei d4im Page 1 of WATER SERVICE PERMIT 3795 Pilo. Knob Reed Eagan, MN 55122 Zoning: PERMIT NO.: DATE: No. of Units: iress: Address ll^6 71ffanv n () nber: FIT. er No.: Connection Charge: Account Deposit: der No.: Permit Fee: irea to comply with the City of Eagan Surcharge: " inanees. Misc. Charges: ? I . 7 Total: Date Paid: of I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3755 POW Knob Read PERMIT NO.: Eagan, MN 55122 DATE: Zoning: T No. of Units: ' Owner: ?y e 1 ' Address: Site Address: Plumber: i agrea to campy w"b tlw City of Eagan Ordinances. By Date of Insp.. Connection Charge: Account Deposit: Permit Fee: Surcharge: '- Misc. Charges: Total: Date Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT DOLLARS loo ? CASH ? CHECK FUND CODE AMOUNT i Than You c> + BY / white-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3795 Phial Knob Rood Eagan, MH 55122 PHOH& 454-8100 BUILDING PERMIT Receipt # T. t..... j E.. SF DWG/GAR c.. v„i.._ $84.000 r,_._ MAY 16 Site Address 113b 1xirrany ro=c Lot _ 12 Block 2 Sec/Sub.Qanterbury Forest Parcel * 10 16350 120 02 W Nome ,. rerersen LonsErucuic, Z Address 4701 W. 110th St. ao/. cI $ Name _ F uU Address Nome _ Address I hereby acknowledge that I have read thi"r the information is correct and agree tort State of Minnesota Statutes and of Ea and state Erect gY Alter ? Repair ? Enlarge ? Move ? Demolish ? Grade n Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC ( I L 141 ,s 83 Occupancy R-3 Zoning R-1 Fire Zone NA Type of Corot. V * Stories Length 64 Depth 51 Sg. Ft. Fees Permit )t's . vu Surcharge 42.00 Plan check 192.50 SAC 5~5.00 Water Conn450.00 Water Meter 60.00 Road unit 250.00 Total $1904.50 S. Petersen Construction,-Inc. 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 Misc. Permit No. Holder Plumbing H.V.A.C. L /k2- &-2 T 3 Well Water Disp. Sewer t Electric Wo5YQ3-7 4PL Se (EA 5--11$3 C}f +? wos4'9Go ?` `? 7-24-?g Inspection Date Insp. Other Footings G-(T S Aof Foundation Framing - 643 Rough Plbg. Rough HVA / . "A Insulation ?X ?r Final Plbg ->7. Final HVAC •'J Final Water Daaibe Location: Well Sewer Pr. Disp. fit Tntifiratr of COrrupaury Citp of Cagan Erparhm# of Buiiaing 3myr fine T'bis Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the tine of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF DWG/GAR ma?e?rio 8041 UN Mukhadw O-P wyType R3 TypeConwctiao V Fire zanA NA Zm%Duukt Rl rvresL iii. July 26, 1983 Dsts- PC= W A CMMPIC OUG PLACR Receipt PLUMBING PERMIT Permit No. -" CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot f ?Z Blk. .Z Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New L1 Add D 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. CITY OF EAGAN +Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot L. Blk. -? Tract, , 4. Owner , .. c O 5. Contractor r' Phone 6. Address 7. City -- t State Zip - 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New B- Add ? Alter ? Repair ? 10. Describe Fuel Type 29, 11. No, Equipment STU - M. Ea. Forced Air No. Equipment CFM Ai Ha dli : Mfg. r n ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ?- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks ' - '1' Street 1136 TIFFANY POINT State EAGAN MN 55123 ?. Llh - H 5!,5A .5 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ( 1979 Paid undes original qLa rcel STREET RESTOR. GRADING 5-$' 1981 106.78 5.34 20 90-79 C008324 R-R-R3 SAN SEW TRUNK 2, z, 1973 Paid unde Ol'i final CeI * SEWER LATERAL 5-1.6- 1981 439.42 21.97 2 8-8-583 WATERMAIN * WATER LATERAL 1981 20 WATER AREA 1979 Paid unde original pa STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT RM 11M 2 WATER CONN. 450.00 n M BUILDING PER. AnIll SAC r.05 00 M p PARK This request Void 1 la,r nth. 3r0m N9058957 35$(10 ( zo, 6 0 Req?. Datte L) ?? Fire No. qe¢ i?nyl aspect... OReady Npw ill Notif Y. - fo Wh R ?Yes r en eatlY ? Licensed Electrical Cogf`actor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City , e on No. Township 77, N., tiange, mPc. County D Occupant IPRl ) Phone No.1 y ?? [ / ?/ r} Power Supplier A s I r r ,t,7 <r3' Ele triral Co rector (Company amel i Co actor's License No. / Mailing Address (Contractor or Owner Making ta{la on1 c 'D A [hor'zed Signature (Con ner irrg Ios1a latrue) Phone Number O/ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 1821 a U-MldWay Bldg.. St. Room Paul. -1 MN N 66104 UNLESS PROPER INSPECTION FEE IS 1821 ity Ave., _. ._--- __ ____ cNCt nscn REQUEST FOR ELECTRICAL INSPECTION QQ 9' See instructions for completim this form on back of yellow copy. ""X?' Below Work C 5overed by This Request EB-00001-04 u: 3 5?(01 Now Add Rep. Type of Building Applionees Wired Enuipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other [Specify] Other ISperify) t .r Specify Other Other Compute Inspection Fee Below # Fee service Entrance Si[q # Fee FeederSrSubfeeders # Fee Circuits 0-tOG700`Am 0 to 30 Amps 0 to 30 Am 1s Above 200 Amps 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100 Amps Above I00_Am)s Transformers Irrigation Booms 1'D Partial.'Other Fee Signs Special Inspection 6A TOT Remark - ^' JG'1 'O V 00 Rough-m to I th ectri cal f Inspec lor, hereby Final ' + Da to certify that the above u /i ?Li+' ? inspection has been made. This request void 7-? 10 mm the from W058960 Ll a L S-?> 1 3-73--23 sue. o0 Request pate /'' b 7 / Fire No. Rough-in Inspection R q fired? ?Ready Now Will Notify Inspec- tar Wh R d ^ p Q Ves ?NO en ea y Qy Licensed Electrical Contractor 1 hereby request inspection of above L/? Owner'y electrical work iestalled at: Street Address. 'T r )cute o. Cif ryn Y Sdf,tria, No. Townsh a or No. Range No. County bQ Occ - nt (PRINT) Phone N P wer Sfipp Address 1 F top E lectri al Contracto (Company Name) TT// ? Cootr ctor' ss License No. p /2 7 7 "- zA v e, V V Maili g ddress Y Contractor or wner C Makii ng Insta ll tionl v S jJ s?i' Autho' ed Signature 1 er ng hs Ilation) yp?e r.? yl/? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT MINNESOTA S -Room N-191 BE ACCEPTED BY THE STATE BOARD Griws-Midway Bldg. 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS o.--- rater egy?nt ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completing this form an back of yellow Copy. "t' " S-' 0960 X' Beyow Wor Covered by This Request EB-00001-0C ill 37 3a B New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg- Furnace Silo Unloader Industrial Bldg. Air Conditioner.? OA Bulk Milk Tank Farm Other peci Other (Soecify) t .r Specify Other Other Comoute lnsoection Fee Below # Fee Service Entrancefuze # Fee Feeders/Subteeders # Fes Circuits r 0 to 200 Amps 0 to 30 q 0 to 30 Amps Above 2 0 Am s 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Boons 6a Partial/Other Fee Signs Special Inspection $L ,: OTAL Rerryrks / r V?? E fr, Rough-in 4 r 2 `Datey (,?j f I, the Ele Inspector, hereby certify that the above Final P ?AAk Q+},te i? inspection has been made. CITY OF EAGAN ?T p 5793 Plot Knob Road Eagan, MN SS122 N? 8041 PNONEs 451-8100 ?/ BUILDING PERMIT Receipt # t7 To be wad for SF DWG/GAR Est. Value $84,000 Date may 16 -. 19 83 Site Address 1136 Tiffany Point Erect gg Occupancy R-3 Lot 12 Block 2 Sec/Sub.Canterbury Forest Alter ? Zoning R-1 Parcel # 10 16350 120 02 Repair ? Fire Zone NA Enlarge ? Type of Const. V r< Name S. Petersen Construction, Inc. y, Move ? # Stories zz Address 4701 W. 110th St. Demolish ? Length_ 64 CI pls. 55437 phone 884-5144 Grode ? Depth 51 Sq. Ft.- p Name Owner Approvals Fees ou Address u Assessment Permit 385.00- 42 0 ? city Phone Water 8 Sew. . 0 Surcharge Police Plan check 192.50 W Name Fire SAC 525.00 Address Eng. Water Conn450. 00 iW City Phone Planner Water Meter 60.00 Council Road Unit 250.00 I hereby acknowledge that I have read thi pplic ion and state that Bldg. Off. the information is correct and agree co wi appl' Is " APC l $1904 50 T t State of Minnesota Sto s and y age r ce . " o a Signature of Perini S. Petersen Construe on, nC. A Building Permit is issued ra: on the express condition that all work shall be done in accordance with all licobl tat f Minnesota Statutes and City of Eagan Ordinances. Building Official ?1 %4 S??E ?S ?f376 f/p/Orecrr? /IiifyCITY OF EAGAN (fU-dude 2 sets of plans, +W 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of e calculations. ST-, D To Be Used For ?6 Valuation!!K% 000 Date X& - f3 Site Address: ?( 3lo Ti ?? Apt ?1 Tc?esuP x Lot Z,:7-_ Block Sec. /Sub. -VRF sr Parcel #: 10 1(,4 350 X20 d Z Owner: -S ?L-?r?SF? CeJrrS? /wG Address: lyI70/ W!/oZ R-? OFFICE USE ONLY Erect Occupancy 3 Alter Zoning Repair Fire Zone Enlarge _ Type of Const. Mve # Stories Demolish Front ft. _ G ade r M. p th h^j ft. Ssrz/37 City/Zip Code: ApGS Phone #: PY t f APPROVALS FEES Contractor: Address: / City/Zip Code: Phone #: Arch./Enng.. Address: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Eng. Permit 385.2 Surcharge Plan Check SAC Water Conn. yS0 43" meter Water Council oad Unit Bldg. Off. - APC TOTAL I o Certificate for: Svend Peterson 4701 West 110th St. 'Bloomington, Mn. 55437 DELMAR H. SCHWANZ LAND SURVEYOR SI 1 e3 C.. R egistered Under Laws of The Stale of Minnesota 2976 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66086 N&30 424'W r V\ m zI d- co la 2v I ?Ati ?P? F I ? I v I ? I r'^JDrainage & utility easement r r ? X 624/ 612 423-1769 SURVEYOR'S CERTIFICATE TOP NNB / \ .$d ? .. ?pGuQB x L2 _ --- - .. lo sti ? d, xq'7. ` 3 ?s \ g Ep zB ?' ?$? op Nud r I / om I ? Sv S Elevations shown are existing A(!/ O Denotes set wood hub 91 Proposed garage fl66r elevation /oZ I hereby certify that this is a true and correct representation of Lot 12, Block 2, CANTERBURY 43,? FOREST, according to the recorded plat thereof, N ?o?3g„w Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon: Dated: May 6, 1983 ?r MINNESOTA REGISTRATION NO. 8625 CITY OF EAGAN CASHIER: JS TERMINAL NO: 771 DATE: 11/30/99 TIME: 14:07:45 ID: NAME: M.J.-MOSER CONSTRUCTION 3210 9001 1136 TIFFANY FT 1.67.25 2155 9001 1136 TIFFANY FT 4.50 !I Total Receipt Amount: l7i.75 CR1201'7S USER ID: JAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF 3830 PILOT KNOB RDN 55122 651-681-4675 c? New Construction Requirements Remodel/Repair Reautremenh l I - J D 3 registered she surveys showing sq. ff. of lot, sq. ft. of house and all roofed areas (20% maximum lot coverage allowed) a 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 set of energy calculations 3 copies of tree preservation plan h lot platted after 7/1/93 DATE: // 36-9 / DESCRIPTION OF WORK: STREET ADDRESS: ?rP Name: 1/.?/??sdv? C ? Phone #: Lost first 2 copies of plan 1 set of energy calculations for heated additions 1 she survey for exterior additions & decks LOT: I BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Street City IFfoN ass: ?/3G r,?Fati G. ?7/ State: Zip: Company` `' T Phone #: bS) qff - S? (area code) Sheet Address: o-T? /-,d City -S ? f? Stater Company: Name: Telephone #: area code ( ) Street city rSewer & water licensed plumber (required for new construction only): State: Penalty applies when address change and lot change is requested once permit Is Issued. Zip: SSG 9 S Zip: I hereby acknowledge that I have read this application, 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: dJ%?//1 OFFICE USE ONLY Certificates of Survey Received - Yes _ No Y,97d C I CONSTRUCTION COST: License # W'?- Exp3 3 )• dO . Registration #: Tree Preservation Plan Received Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee 3 5 Surcharge ?f- cv Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: I-1 (--7 ?) Valuation: 04 SAC Units % SAC PERMIT City of Eagan Permit Type:Building Permit Number:EA115191 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 1136 Tiffany Pt Lot:12 Block: 2 Addition: Canterbury Forest PID:10-16350-02-120 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 . Chuck Glum 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 - Richard L Harlson 1136 Tiffany Pt Eagan MN 55123 Highmark Exteriors 11237 Nicollet Ave S Burnsville MN 55337 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature For Office Use ; Permit#: E AG N 1533 Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinainspections(a�citvofeagan.com L 2019 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: till /1/ Fee: $65.00 City Sewer City Water Vs. Repair Disconnect Description Of Work: pA-(Q BEL pJ setAJCZ ANO c,fFSTCT Qv C.TO CA-Sr- 1'f)tIMF GTt v!J Street Address for Proposed Work LU, 71CrA ry 'PT EA-a434.1 , �lN Ss 123 Name: (ZtC.Io g-SON PhoneC t) Cps •C 313 Owner Information Address/City/Zip: (l34"TticeN PT: EAGAN 1 MI4 SS 123 Y Applicant is: Owner X Contractor Licensed Pipelayer x Master Plumber Property Owner Name: (LTD (2-0014:12- Phone 2- -3 73 0 Address/City/Zip: 14S-3o 2? Ph 111.( SS ft r Pipelayer Training Certification Card#: or Master Plumber License#: I acknowledge that the information is complete and accurate and 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. GettAN 00,-.P I a Applicant(Print Name) Applicant's Signature You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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.gopherstateonecall.orq PERMIT City of Eagan Permit Type:Building Permit Number:EA175050 Date Issued:03/09/2022 Permit Category:ePermit Site Address: 1136 Tiffany Pt Lot:12 Block: 2 Addition: Canterbury Forest PID:10-16350-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Richard L & Nancy Harlson 1136 Tiffany Pt Saint Paul MN 55123--187 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175368 Date Issued:03/30/2022 Permit Category:ePermit Site Address: 1136 Tiffany Pt Lot:12 Block: 2 Addition: Canterbury Forest PID:10-16350-02-120 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Richard L & Nancy Harlson 1136 Tiffany Pt Saint Paul MN 55123--187 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature