Loading...
2114 Water Lilly LaneDate: Tenant: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: Name: Address: State: Contact: 4i7/4 Address / City / Zip: , 7i Zip: S S zdfir Email: Phone: New Replacement Additional Description of work: a Lftit 91/h ; J4'IL' 1 License #: Ley City: /Ard , ' s 66P47 Altera n pemolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other CO New Construction Install Piping Gas Under / Above ground Tank W tI 111 ©11 2012 MECHANICAL PERMIT APPLICATION /--� Site Address: .07// / 7 / //i<//liaie RESIDENTIAL FEES: $60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = COMMERCIAL FEES: $75.00 Underground tank installatio removal (includes $5.00 State Surcharge) OR $60.00 Minimum (includes State Surch. _e) - If the Permit Fee is Tess than $10,010, surc rge is $ 5.00 - If the Permit Fee is > $10,010, surcharge incre ses by $.50 for each $1,000 Permit Fee (i.e. a $10,010- $11,010 Permit Fee requires a $ surcharge) x 1 , ) , Applicant's Printed Name x For Office Use Permit #: 0 33 ?' Permit Fee: T -2Z / Date Received: Staff: Suite #: Use BLUE or BLACK Ink 1 Phone: CS, 7 1).536 MERCIAL Interior Improvement Processed Exterior HVAC Unit Install / _ Remove) TOTAL FEE Contract Value $ x 1% $ _ _ Permit Fee Surcharge TOTAL FEE 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 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 • .10 . -tart without a permit;, at the work will be in accordance with tJ e approved plan i0 the case of work which requires a review and approval of pl A. ice's- 3igna re FOR OFFICE USE Required Inspections: Underground RougE erviceTest, , In -floor Heal creenin a~oa , al 0A I -.;I-\() (0 , aln 8 2110 1211; Use BLUE or BLACK Ink 2 t 4,► t t S t~- Ll4 I For Office Use ' 11~5a Permit#: Y I ' C"l3a.75 I Permit Fee: 3830 Pilot Knob Road 1 c I Eagan MN 55122 1 Date Received: J Phone: (651) 675-5675 1 j Fax: (651) 675-5694 j Staff: I t-----------------1 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor Description of work: ' Type of Work Construction Cost: Name: License Address: - _ City. Cot State: /-ip: Phone: Contact:— Email: Name: Registration Address: City: Arch itect/ ngineer State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service Phone # NOTE: plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that then are trade secrets _ . .._fn _ 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which re uires aview and approval of plans. X tr` x t Applicant's Printed Name Ap cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154073 Date Issued:02/15/2019 Permit Category:ePermit Site Address: 2114 Water Lilly Lane Lot:302 Block: 03 Addition: Eagan Heights Townhomes 1st PID:10-22425-03-302 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 - Sandra R Nelson 2114 Water Lilly Lane Eagan MN 55122 (651) 331-1508 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature