1565 Antler PtRESIDENT /
OWNER
Name: Phone:
jI //
Address / City / Zip: /SG 3 Air1le 42 274947 .S,S/
Applicant is: Owner Contractor
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TYPE OF WORK
s
Description of work: ' Pp - g pc
Construction Cost: / .2, 00 6 Multi - Family Building: (Yes _g___ / No )
CONTRACTOR
Company:A/11 n) (C. l frm•J Contact: atkOE Ro^MEI
Address: / ?5 /L £L 0te. E City: Pc YL,S
State: f') dJ Zip: 5SS 4 Phone: 7 — u20 S10
License #: Q D/ 59 / 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.
CityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x a r 3 ), ' 5
Applicant's Printed Name
Applica ' 's Si •
GG'
ture
Date Recejved:e) v6
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.org
I hereby acknowledge that this information is complete and accurate; that the work wit 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
For Office Use I
Permit #:I
City of Ea ~a~ I I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I C I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: c13`/ 26lS Site Address: 15'6/r' y f ~ I Ci Unit M
Name: k wvQt1 /'p<<J,A1 ff-dk r~tS~0 G(-1~ /Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner _X Contractor
Type of Work Description of work: X610&4C ~iA-c 6A,17-
`
Construction Cost: Multi-Family Building: (Yes / No )
Company: 6 Contact: /144 CE7cJr.I1
Contractor Address: City: (c
State: /v Zip: Phone: - _26,?, Y 20 - 3V 6 2
License C ~61 0 y Lead Certificate S '97C lecGo4_~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
LT-
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.oro
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 ized by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180
days of per s ~ce
X-11 f rt(ci__
x
Applican ' nted Name Applicant' ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117041
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1565 Antler Pt
Lot:11 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Heather Brockman
21210 Eaton 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 -
Bernadine Dorn
1565 Antler Pt
Eagan MN 55122
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r________________�
I For Office Use �
C� � Permit#: /�V �� � �
��J O� ��6�� I Permit Fee: ��C/��s' I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � � �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / 5 �� !Ti't��(/ �� Unit#:
Name: �JG�'/� Phone:
Resident! ,/�
OWt1eC Address/City/Zip:� � � �r���" d" �
' Applicant is: Owner Contractor
Type of Work ', Description of work: V�e 5���� � �i nC�v�-S
Construction Cost: � fs;�/GC� — Multi-Famity Building: (Yes X /No�
Company:_ �Mc�',2�,1 ���!e Contact: ��,� �ti�Pl
' Address: ��7� J��� City: �,,/h!� �C�� �,�c
Contractor '
State: �1/j/Zip: 5��� Phone: n vC ���'.���-�Email:
License#: (� ��1 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 thaf you submit are considered ta be public information: Portions of
the information may be classified as non-public if you provide specific reasons that wauld permit the City to `
conc/ude 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.qopherstateonecall.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 rr�Yist be completed within 180
days of permit issuance.
x / /ic<l�1 Cs, � ____
X
ApplicanYs Printed Na Applican s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135546
Date Issued:03/22/2016
Permit Category:ePermit
Site Address: 1565 Antler Pt
Lot:11 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bernadine Dorn
1565 Antler Pt
Eagan MN 55122
(651) 405-0632
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138156
Date Issued:08/12/2016
Permit Category:ePermit
Site Address: 1565 Antler Pt
Lot:11 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bernadine Dorn
1565 Antler Pt
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161484
Date Issued:05/28/2020
Permit Category:ePermit
Site Address: 1565 Antler Pt
Lot:11 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Jillian Reed
1565 Antler Pt
Eagan MN 55122
(952) 261-6231
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168133
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 1565 Antler Pt
Lot:11 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robin Brennan
1565 Antler Pt
Eagan MN 55122
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature