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2138 Water Lilly LaneaV64 D--13149 /2_130 &AAA <Piikto P-148 v30,,W.r For Office Use Date: Use BLUE or BLACK Ink City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit #: 13 to 0 9 Permit Fee: (06115 • 5o Date Received: 9 /5 / Staff: 8T5 2013 COMMERCIAL BUILDING PERMIT APPLICATION Tenant Name: Site Address: 34, .13 tApalic th Property Owner Type of Work Contractor 7Igto 2 4 (Tenant is: New / Existing) Suite #: Former Tenant: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor ...-- ..-- r: Description of work: 9...e..) 'k- ,, ----, g..c.k.4 t '1-1 C.' C C- -• N f ' Construction Cost: Name L k 1„,4 7 2 6e uity: License #: !Alt Address: L7:,..-.):::),))) (,) fr; State: iiqfk, Zip ett ittt Contact: Phone: Email: 72-2'21 Name: Registration #: Address: City: ArchitectiEngineer 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 they aretrade secrets. , 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.popherstateonecall.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 is not to start without a permit; that the work will be in accordance with the approved plan in the case ofysgc which re uires a review and approval of plans. x Applicants Printed Name Ap nature Pagel of 3 zn6pe_C3h0q541j. City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit#: W� Permit Fee: L%, Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 02" (2/1" / 11 Site Address: 2 3 h Tenant: /�r'►n kr71A-11 o.4.J Suite #: RESIDENT / OWNER Name: 4 /✓: kei JA, */:5©=11 Phone: 657 2,11;' 11760 Address / City / Zip: s1q-/ PA).. rn,V 5 / .2-2'— Applicant is: Owner )( Contractor TYPE OF WORK Description of work: 6141lPE. D RSP / 7effi t Construction Cost: Multi -Family Building (Yes / No ) CONTRACTOR & ZJ�` s2 Name: ie3 f 74Ce/e 2r3 #: - j��- //License Address: ZZ362. CA°/a/yenCom'fe /-rve %'r) City: Ca//Z//h? /49 n State: M/// Zip: 5454‘::: //i __5Z. e) /71 //berm e5/129d®4/.5' Phone: 1�� -- 4/6:;C) CO/ 51/Contact Person: COMPLETE Energy Code Category ('1 submission type) In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting the information may documentsthat you submit are considered to be public information. Portions of be classified as non-public it you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 rIccordance with the approved plan in the case of work which requires a review and approval of plans. 5if /iiGi'iyj Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165568 Date Issued:11/06/2020 Permit Category:ePermit Site Address: 2238 Water Lilly Lane Lot:502 Block: 02 Addition: Eagan Heights Townhomes 1st PID:10-22425-02-502 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Kaitlyn Orzechowski 2238 Water Lilly Ln Eagan MN 55122 (612) 202-8769 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature