2110 Water Lilly Lane
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:Mechanical
Permit Number:EA167868
Date Issued:03/31/2021
Permit Category:ePermit
Site Address: 2110 Water Lilly Lane
Lot:304 Block: 03 Addition: Eagan Heights Townhomes 1st
PID:10-22425-03-304
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ann D Barry
2110 Water Lilly Ln
Eagan MN 55122--193
(651) 894-3291
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature