1561 Antler PtRESIDENT /
OWNER
Name: Phone:
/ /
Address / City / Zip: /3 3 9 /1,J /c r f' ,q Al 6 2
Applicant is: Owner Contractor C ,C r/ s-4-1.G6 I
TYPE OF WORK
Description of work: R gip pc
Construction Cost: i,,,2 a 6 Multi - Family Building: (Yes X / No )
CONTRACTOR
Company:AMECC. & )c. 1 , eJ Contact: V,..,A RPME-
Address: /7549_ ( AR-7 0 t e. ( City: P , 5
State: IM eJ Zip: 5:5 / 9- Phone: 7 to " Liao Z /®
License #: Q6/' ,r5 9 / z Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
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Applicant's Printed Name
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Applica 's Si
tore
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Permit Fee: C9(9 7' SO
Date Received: "2 ' L I
Permit #:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
Date: Site Address: Unit #:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
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, . 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 - •proval of p
Page 1 of 3
Use BLUE or BLACK Ink
r
I For Office Use I
Permit
City of Ea~d~
Permit Fee:
3830 Pilot Knob Road I )
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I /Ip I
Fax: (651) 675-5694 I Staff: irJ
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?Z>13 Site Address: Unit
Name: ~W G~iD T0L03J ` r 6*S'~ pC-:1 /4'7 Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ~y Xr_&4 wit--c 6i✓7-
Construction Cost: Multi-Family Building: (Yes / No )
Company: 11 /''t~~`!► ~y Contact:
Address' s'~~ S`%7~ Ell City:
Contractor
State: A Jv Zip: ~/V Phone: __26?, Y 26) 6
License X C g 1 oqU Lead Certificate s 979f ~ Gatj
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 Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 autho►ted by a building permit issued in accordance with the Minnesota State Buildin
de must be completed within 180
91
days of p7/7L-1 L~
166HI C~ .
x x
Applican ' 'nted Name Applicant' ignature
Page 1 of 3
Use BLUE or BLACK Ink
. r----------------�
� For Office Use �
' � Permit#: /�c/ �/7 �
C�ty of ����� —
� Permit Fee: , �� �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received:��
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: � ��/ �n ��C� �� Unit#:
' Name: �"")<n n�S Phone:
Resident/
'Owner Address�city�zip: /��/ ,/�n'�ki ��
Applicant is: Owner Contractor
Typ@ Of WOPk Description of work: �e S�c��' rd f�i nGlvwS
° Construction Cost: � ���1vG � Multi-Family Building: (Yes /No�
Company: �nu�,2�n ��,�e Contact: Cy� ���P�
: Address: ��7� ���� City: �n/hJ�� ��� �fc
Contractor
State: �'i/1/Zip: ��� Phone: ., o� `�1��JY�3Email:
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. Portio�ns of
the information may`be c/assified:as non-public if you provide specific reasons thaf would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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. ,
x / lic��J C�- X � _
ApplicanYs Printed Na Applican Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147345
Date Issued:01/02/2018
Permit Category:ePermit
Site Address: 1561 Antler Pt
Lot:13 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Laurie J Hennes
1561 Antler Pt
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152862
Date Issued:11/05/2018
Permit Category:ePermit
Site Address: 1561 Antler Pt
Lot:13 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-130
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Laurie J Hennes
1561 Antler Pt
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature