1572 Antler PtCity of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Lc
Use BLUE or BLACK Ink
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: Phone:
Address / City / Zip: /S7 ,4 .j i/J ' 41 /19 A •,.) T..5 /2'Z
Applicant is: Owner %C. Contractor �-�'i" li,i' s4 ) 2D
TYPE OF WORK
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Description of work: IRF ge,pc
Construction Cost: l,2/60 6 Multi -Family Building: (Yes X / No )
CONTRACTOR
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'i
Company:41 }MM � 1 r. k - t ) Contact: 10,0E Plo rsrn
Address: /7549..en,.,,f(I27 0ie., E City: "`"'5
State: F'1 dJ Zip: '55-67 i Phone: 7 Co -b •- q 2.1) 310 -2
License #: Q0/' rj 9,9 17_ 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.
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.gor herstateonecall.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, .. • 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
Applicant's Printed Name
Applica 's Si • ture
Pagel of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: //?1Z Site Address: / S- 70lit .5-72 L Li< / por Unit #:
Resident/
Owner
Name: P PWL01 /OLuAi ff-vi-tc / SOC`t'l4'� Phone:
Address / City / Zip:
Applicant is: Owner ' Contractor
Type of Work
Description of work: /Op f t gt-/ (- -t (Air --
Construction Cost: Multi -Family Building: (Yes / No )
Contractor
q- . ,1 fwd, 6 ,r,c-c�'P ),/ta vr—
Company: !! 7''L rc-A Av Chi-- Contact:/(tom 60/111../4-1-1
Address: ?1 7 .;)/e, 57-e .T_ City: Uff- Z 4 / l4-( .�
State: /-4/' Zip: S-51/0 Phone: %b t 4/ 2v ' 1 i O 7
License #: 661 Oro Lead Certificate #: 5 6C ,ei--(-4>63
If the project is exempt
g •LT-
from lead certification, please explain why: (see Page 3 for additional information)
(7 7e ( 796 , u L,)
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.
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.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 autho ed by a building permit issued in accordance with the Minnesota State Buildin. .de must be completed within 180
days of per s, ance,f L�
Applican ' 'nted Name Applicant' signature
Page 1 of 3
*'
City otEap
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JUN 1 0 2014
Use BLUE or BLACK Ink
For Office Use
Permit #: /�" 56-4/ 7
Permit Fee: /"' 4� • 26-1
//
Date Received: (O l0
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 1770 /5-2. n f/C,— P/ Unit #:
Name: e /1 r`ll % D A ` /044 /; i Phone:
Address / City / Zip: I /Sl / %tea /i11 /LJ lam /T
Applicant is: Owner /)Contractor
Description of work: )t
Construction Cost: $
Company: /mer7Gi„ l j1c- Contact:
Address: ) W ✓ City: )4/)//k 15c
State: 144/Zip: c---116).. Phone: Gla— gw 3/k :
License #: 7 fU Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Resident/
Owner
Type of Work
Contractor
Multi -Family Building: (Yes Y / No )
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:
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.
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.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 ,24,e1 l x
Applicant's Printed Name— Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA139938
Date Issued: 11/15/2016
Permit Category: ePermit
Site Address: 1572 Antler Pt
Lot: 26 Block: 01
PID: 10-20200-01-260
Use:
Addition: Deerwood Townhomes
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
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
- Applicant -
Owner:
Michael J Dahlin
1572 Antler Pt
Eagan MN 55122--287
(612) 385-3261
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170927
Date Issued:07/23/2021
Permit Category:ePermit
Site Address: 1572 Antler Pt
Lot:26 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Michael J & Monika E Dahlin
1572 Antler Pt
Eagan MN 55122--287
(612) 385-3261
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature