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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