4421 Overland Cir
\'J r-----------------
, l ;For'Office.Use 1
3 1~ I
0 Q Qp ~ Permit
City I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 i Staff: I
1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: •J / ! Site Address: r,. , / " ✓ ` " ,J Gl~'r` r,lr d'
Tenant: Suite M
RESILIENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: & -/9
Construction Cost: Multi-Family Building: (Yes, / No
CONTRACTOR Name: ) /z_:: License M.
Address: -5-
City: ~/J:7t?P/ /,J /1 State: 1,1141 ~Z/ip:
Phone: 2-3 / ; ~o%~(> ( Contact Person: BI sc~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Cade Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last,12 months, has the City of Eagan issued a permit fora 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 sLibinit arc considered to he'public in/brmation. 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 I
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 in i
accordance with the approved plan in the case of work which requires a review and approval of pl ns.
App"licant's Printed Name ApPlica is Signature
Page 1 0 .
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129366
Date Issued:02/04/2015
Permit Category:ePermit
Site Address: 4421 Overland Cir
Lot:030 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Ann Hoffman
505 Randolph Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Derrick Vandromme
4421 Overland Cir
Eagan MN 55122
(320) 808-5339
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature