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1577 Antler PtRESIDENT / OWNER Name: Phone: Address / City / Zip: /575 4J %rr / /.719) 72 7 Applicant is: Owner / Contractor (td.0.S - t7 - /577 TYPE OF WORK Description of work: !RP i e o Construction Cost: 1,2 6 Multi- Family Building: (Yes / No ) CONTRACTOR Company:A/YWCA/0 E)c. RE ( c,r Contact: c )E RS`MIT Address: /7549. CbL,r R7 Ott, C City: Pc 5 State: /t)tJ Zip: 55 Phone: 7 (c — 426 3 /d License #: go/ 59.9 1 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, 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: _Yes 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 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 Applicant's Printed Name x Applica • • r :ture r ' airAJI � Permit Fee: *6297. 5O Date Received: / 6 r 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.00pherstateonecall.orq 1 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112013 Date Issued:07/23/2013 Permit Category:ePermit Site Address: 1577 Antler Pt Lot:5 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Crystal Cochran 7588 Washington Ave S 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 - Robert J Perzel 1577 Antler Pt Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112014 Date Issued:07/23/2013 Permit Category:ePermit Site Address: 1577 Antler Pt Lot:5 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-050 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. Crystal Cochran 7588 Washington Ave S Eden Prairie, MN 55344 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Robert J Perzel 1577 Antler Pt Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I City of EaV PermitI / I Permit Fee: Co I I ~j I 3830 Pilot Knob Road Eagan MN 55122 Date Received: ('3✓~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 ► Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C~Ua3/2613 Site Address: _f X75'// 5-77 Unit Name: - ~ ~WU, TC)L,) J ` l /Af 14S pt"X_"1'7Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor ©~i~ c c~/✓i - Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: Address: r s S City: Contractor State: /v Zip: _S 5 U Phone: 20 License Z C g Lead Certificate 5 979f 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 "zed b a building permit issued in accordance with the Minnesota State Building~de must be completed within 180 days of per s 2ce -{L~~ X-11 (~i__~ x TV Applican ' 'nted Name Applicant ignature Page 1 of 3 Use BLUE or BLACK Ink r________________-� I For Office Jse I � � Permit#: ������ I Cll�d O1 ����� I P rmi F • � � �/ I � e t ee.�(� I 3830 Pilot Knob Road l_ Eagan MN 55122 � Date Received: cf/"l�0��'� � Phone: (651)675-5675 I /1. /l I Fax: (651) 675-5694 I Staff: ��-r i I I 2014 RESIDENTIAL BUILDII�IG PERMIT APPLICATION Date: Site Address: �5�� /�✓►�'/� /"� Unit#: Name: /'�/�2e� Phone: Resident/ Owner Address�City/Zip: .�� 7� ,�,�/�r ,f�� Applicant is: Owner � Contractor Type of Work Description of work: ✓�e. S�a(� rG �i nG(awS Construction Cost: � f��/GC� — Multi-Family Building: (Yes X/No_� �� { /� i Company: �Mc�,�Rn ��.,�e Contact: ��r.� I-.�°��e=� Contractor Address: c2�7� J r� �� City: �r/h l� �-��°,T �/�� State: �'1/UZip: Sy�� Phone: � a� "?lrU'�f�3Email: � License#: L-� � ��/ ��� Lead Certificate#: } If h ro� i � t e p �ect s 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? j _Yes _No If yes, date and address of master plan: � , � ' f � Licensed Plumber: Phone: ! ' i � I Mechanical Contractor: Phone: [ � Sewer&Water Contractor: Phone: � I NOTE: Plans and supporting documents that'you submit are considered to be public information. Portions of s ' the information may be classified as non-public if you provide specific reasons thaf 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.aoqherstateonecall.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 ��f i /'�'�/f�� --__ !,�C 11�L/ Cs'e.% X C � ApplicanYs Printed Narrye Applican�s Signature Page 1 of 3