2176 Water Lilly Lane
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3830 Pilot Knob Road I
Date Received:
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Eagan MN 55122
Phone: (651) 675-5675 j Staff:
Fax: (651) 675-5694 I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: D~ t 1 lk' uv uu i t i
Tenant: Vl`~ _Tk A, V", Suite
RESIDENT / OWNER Name:- Phone: 310I
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Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: D'
Construction Cost: Multi-Family Building: (Yes, / No
CONTRACTOR Name: l~G'Jrl License
Address: ey7
City: //wln l ~r'1 Stater Zip:
Phone: 4~P61 ~V60 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: 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 the 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 a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
S6NC /tLG1'~Z x
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Applicant's Printed Name Applicant's Signature page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135703
Date Issued:03/30/2016
Permit Category:ePermit
Site Address: 2176 Water Lilly Lane
Lot:903 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-903
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Clayton M Francis
2176 Water Lilly Lane
Eagan MN 55122
(605) 549-5002
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155277
Date Issued:05/07/2019
Permit Category:ePermit
Site Address: 2176 Water Lilly Lane
Lot:903 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-903
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Clayton M Francis
2176 Water Lilly Lane
Eagan MN 55122
(605) 549-5002
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161165
Date Issued:05/08/2020
Permit Category:ePermit
Site Address: 2176 Water Lilly Lane
Lot:903 Block: 02 Addition: Eagan Heights Townhomes 1st
PID:10-22425-02-903
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Clayton M Francis
2176 Water Lilly Lane
Eagan MN 55122
(605) 549-5002
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature