1970 Overland Cir
Use BLUE or BLACK Ink
----------------t
,N r I. f
~lJl i Pert it &C?0 7/ I
V14 O Ea n
I Permit Fee: 0 U j
3830 Pilot Knob Road
Eagan MN 63122 1 Date Recelved: / -tor
Phone: (651) 075-5676 1 1
Fax: (651) 676=5694 1
L------------------
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Addnsr. 1910 0"" MA) 6S 0~a
Tenant: 6KI I ~vy\~bs Suit.
RESIDENTIOWNER 'Name: EM 11Q l.t)VVIL15 Phone: ~Q ~p3~0
Address / City / 21p:
CONUACTOR Narde: MILBERT COMPANY INC.dba CULLIGAN WA
Address: 1801507" ST EAST city, : Il~iM GROVE,=
Phone, 6S- :.45t-2241
State, MN ~ Zi 55,077*
Contact BILL.Mft2q_,7 Emall:
TYPE OF WORK _ New Replacement Repair _Rebuild a Modify apace _ Work Iq.R.O.W.
[DEescrIptIon Work: r
PERMR TYPE ~IDCNTIAL
,Water Softener
• Water Heater
Lawn hrlgadpn RP2 PVB) Add Plumbing Fixtures L_ Main / _ Lower level)
• Septic System Water Turnaround
_ New
-Abandonment
RESIDENTIAL FEES:
;56.00 Minimum Water H0ter, Water Softener. or Water Heater Ind Softener (Includes ;5.00 State Surcharge)
$35.00.Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Flxtutes, Septic System Abandonment WaterTumaround' (Includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 Ita 5/8' meter Is required)
i
;105.00 Septic System V_j* (;10.00 per as built) (Includes County fee and ;5.00 State Surcharge)
;86.00 ire Repair (replace bumej out appliances, ductwork, etc.) (Includes $5.00 State Surcharge)
TOTAL FEES; 14 X
CALL BEFOREXOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage.
Ca~;49 Hours before you Intend to dig to reeaW locates of underground utllltlea: www.ooohersteteonecan.ora
I hurroy advowledge Nat th s kf~madon le complete and accursts;,oat tin wo wlll be N oonformalnce with the ordinances and nodes d #m Clty d
Eagan; that I understand this N a permit, but only'An appikoidori'tor a permit. and work Is not to start wlNout a permit that Ne work YA be In
ecooniance with the approved pl M the case of work which requires a twlew and a
y ~ eft
Applican s Prin ed Name Ap c,.yhCs, igna un
FOR
Use BLUE or BLACK Ink
- J, For Office Use
-r i Permit # I
y city of EaEdn ai ~s 1
Permit Fee:
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 1 i
1' Staff:
Fax: (651) 675-5694 I t
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:°r Site Address: C t r ~Unit #
Name: Fahone:
Resident/
Address t City / Zi !
Owner p:,Z.`
3 ~ ,,fir A.) .,e3 ~
Applicant is: Owner _lY Contractor
Description of work:1
Type of Work
i
Construction Cost: _ fllulti-Family Building: (Yes /No
'5' C5
q
j company:' 1)J,1A1NtJrNA-AA(Contact: )312L I-frij
i
Addressrlt7D City
Contractor
i State: Zip: Phone: 'p ~
License Lead Certificate #
_
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at 651I 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wv
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance.
5d 1~ ~t
Applicant s Fnr1(edfName Applicant's Signature
NaG; I of 3
r
1 ; Ford Ice: Use
f.
City of ECG Permit#:
; Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
- - - - - - - - - - - - -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:_ Site Address:" 19bfr /1/0?1, 1X75 J411y~t'f~%> 1~" '>f
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
`HYPE OF WORK Description of work: J1~ e d
Construction Cost: Multi-Family Building: (Yes, / No
r ,
CONTRACTOR Name: License
Address:-2-/z9,0 Yf?~ i' die I 'I 7c
City: /J,-yr7r'-/yn~~~ ~ State: /IIr~/ Zip:
Phone: (<-1/2. 'Contact Person: t`a_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW SUILDIN
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
E-nergy Cade Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 'l2 months, has the City of Eagan issued a permit for a similar plan based on a roaster plan's
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
Sewer & Water Contractor: Phone:
MOTE: Plans and supporting documents that you submit are considered to he public information Portions of
the information may be classified as norr-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
:,ccordanc/enwitth the approved plan in the case of work which requires a review and approval of plans.
x vv t 1
X
Applicant's Printed Name Applicant's Si nature
Page of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145771
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 1970 Overland Cir
Lot:057 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-057
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Schneiderhan Family Trust
1970 Overland Cir
Eagan MN 55122
(651) 247-4941
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature