2142 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
4,1b* City of Eaaall
Qp2n ZnSpecFrc�S ��0
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
E
For Use
Permit #:56
pp��
Permit Fee: / V
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z-* 25-- 1 '4 Site Address: of II `t Z WO-4rI (/ / a
Tenant: C)i i / 5 h (7 4- galfrid fj0/11
Suite #:
RESIDENT / OWNER
Name: p /�1/4 q ilCC`i/®l-504 Phone:
C'!
Address / City / Zip: g 1142- K?dt/t / / /4 /G- Y/ e
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: (9a(CR ADD r 1AC-eW it
Jf_
r
Construction Cost: Multi -Family Building: (Yes' / No )
d a
CONTRACTOR
r
Name: C-Ctv5T EX � D '(S Ltc, License #: 43Yi52
Address: 2-2 ' 2 CA z p en /X� ede_ (
p
City: F-44'/kt i 1') 7o ✓"l / State: niA) Zip: J�'65�l�
q
Phone: &SI Ll U0 6 18 t Contact Person: 5CC.) 1+ 65( a-29 o�
COMPLETE
Energy Code
Category
(4 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 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 are trade secrets.
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 permit; that the work will be in
'ccordance with the plan in the case of work which requires a review and approval
x ` 0 / rpj
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA150993
Date Issued: 08/02/2018
Permit Category: ePermit
Site Address: 2142 Water Lilly Lane
Lot: 104 Block: 03 Addition: Eagan Heights Townhomes 1st
PID: 10-22425-03-104
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
- Applicant -
Owner:
Seth Werpy
2142 Water Lilly Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature