1943 Jan Echo Tr i
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City 0 ~ Permit Eali
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I Permit Fee: [
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
200 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 11410 Iq / 4
Tenant: Suite
RESIDENT/ OWNER Name; Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I Jc-G~fl -142
Construction Cost: Multi-Family Building: (Yes, /No CONTRACTOR Name:. e) Z--!!5 IVIf CtE License Fes- Zzlz)
Address: ? IG~ SLCI '7 i' . w~ z l If 2YO
City: Aili7je-/l/a,21",~5 State: ft~/ Zip: J. 11,..._
Phone: 1-a12-,381`,`
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
submission type) Energy Envelope Calculations Submitted
In the last 12 months, has 'he 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:
Sender & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be 'public information. Portiohs 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.
1 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
approval of plans.
^ccordance with the approved plan in the case of work which requi:77X
x~VV L. VVL1 Applicant's Printed Name Applicant's Signature
Page 1 of 3
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3830 Pilot Knob Road � �
Eagan MN 55122 1 Date Received: �
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Phone: (651)675-5675 �
Fax: (651)675-5694 � Staff: �
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2015 RESIDENTIAL PLUNIBING PERMIT APPLICATION
Date: Site Address:
Tenant Suite#:
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'Resident/Ow�,e Name: Phone:_
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��������� ��� rvame: p, _y Inc dba Culligan Water WC6413 76_
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� License#:.
�����on�tra �"to � � � AdafeSs: 18Q1 50�h St East � c�ty: Inver Grove Hgts.
������� � � � Mn 55077 651-451-2241
~� ,� � State: Zip: Phone:
��� � � � William R Milbert �
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��.���`� � �� x�- Contact: � EmaiL• � � �
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����Type�A�f 1�Vo�r`k .�New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
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� � �'""� �`�� � Description ofwork: � � � � � �
,����t �u. �,'�,
���, �, �,, �r RESIDENTIAL �
�a�'�k r�� :
� � � '���� � Water Heater
z N�:
���� � Lawn lrri ation �water Softener
�„, g (_RPZ/ PVB)
Perr�nit� p ; —
�`��� �� � �, Septic System � � Add Plumbing Fixtures�Main/_Lower Level)
�:�
� ����� New � Water Turnaround
�,�. —
��� �°� Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State SurchArgP)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
'Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) f�
TOTAL FEES$ �/ O O
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.qopherstateonecall or4
I hereby acknowledge that this information is complete and accurate;that the work wili 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
acco�dance with the approved plan in the case of work which requires a review and approval of plans.
, X�1Ll��1q � 4'� ..���'�'� X L� �,
/�pplicant's Pr�nted�Name � � � � � � �
ApplicanYs Sign ture
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173653
Date Issued:11/23/2021
Permit Category:ePermit
Site Address: 1943 Jan Echo Tr
Lot:069 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-069
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Fang Lian
1943 Jan Echo Trl
Eagan MN 55122
(651) 353-5076
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature