1949 Jan Echo Tr i
I ForOffice:Use I
City 0 ~ Permit Eali
n I D I
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174295
Date Issued:01/14/2022
Permit Category:ePermit
Site Address: 1949 Jan Echo Tr
Lot:072 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-072
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 -
Kevin Khao Ly
1949 Jan Echo Trl
Eagan MN 55122
(651) 492-0348
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature