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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