1584 Antler PtRESIDENT /
OWNER
Name: Phone:
/�/
Address / City / Zip: /56 4.J lie v' / , 31$'/2 2
Applicant is: Owner Contractor &Ail 15ec4
TYPE OF WORK
Description of work: R P I e-
Construction Cost: / 2, 6 0 6 Multi- Family Building: (Yes _ / No )
CONTRACTOR
Company:41E40W f -re"� il
Contact: t , 0E Re raleS
Address: /75/ L 0,-...m.rif2 0t e. C City: Pcleg.
State: / Zip: 3:5 Phone: 7 (( " 1 420 3 Id _)
License #: QO( 59 i 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 classified as non - public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
46 City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
cec
ApplicMerrture
Use BLUE or BLACK Ink
Eg
Permit #: 99 ]]
Permit Fee: l d(7 c50
Date Receive, : -//
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
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.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 - •proval of p
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I
I ✓ ~ ~ I
City of Ea(IQH I PermitRd I Permit Fee: (p3-75- I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2`013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ r ) /V, -66c s Unit
Name: l JAW 76)Uo'+j ff-0 `"LL 145D~ l~t¢_ /Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner _X Contractor
O~
Description of work:
;.Type of Work
Construction Cost: Multi-Family Building: (Yes /No
)
Company: /!Contact:
Contractor Address: r.;?_1-70 s X11 S~~`~ E~ City: LJtf~- r~ ~l~ 4r
State: /U/ Zip: Phone: ~b 1-1,20 . 1% 6 7
License Z C Lead Certificate S C> 413
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 author ed by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180
days of per snce / L~
x X
Applican ' 'nted Name Applicant' ignature
Page 1 of 3
L
IC Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
For Office Use
Permit
City of Ea~~~
I
I Permit Fee: 162
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address: /~~3 JCS / Unit
40 Z-11-
I
Name: Z_i 6 ~C v%~a Phone:
Resident/
Owner Address /City / Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work d
Construction Cost: Multi-Family Building: (Yes Ai / No
Company: ✓i~ ~C Contact:
Address: ~1176- City:
Contractor _
State: ,,//LL,, /'~/Zip: Phone:
License 1_*C 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. 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.orp
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 'Ai `4 el I / C Gy~l . x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK ink
r-----------------�
I For Office Use !
� � Permit#: /��(�3j �
City of ���a�
� Permit Fee: , �S I
3830 Pilot Knob Road � I�,.
Eagan MN 55122 � Date Received: �� �` / �
Phone: (651)675-5675 � ��'1 I
Fax: (651) 675-5694 I Staff: �
I i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: !,5 r�`� r!���r /-� � Unit#:
Name: ��►��'' Phone:
Resident/ �-�� ���/���.--
Owner Address I City I Zip: �
Applicant is: Owner �Contractor
Type of Work Description of work: ___J�e Si%�� � l�v��nG�vwS
Construction Cost: � f�G`GCi � Multi-Family Building: (Yes X /No_) �
T
I
� 1e .� � �t,� '
Company: �ir•c�,2�,� �ti Contact: � . P!
�4 ,,� �
Contractor Address: �17� � �� City: �,,/h i�- ����T �/�_ �
State: ��/�Zip: Sy�� Phone: �/vC `��U'�f�jEmail: �
�'
License#: �7 � ���� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
1
r�-�-�---�- �...n.,�.�.,�,...�.,�
� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
�
;
i
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 fhat you submit are considered to be public information. Portions of �S
the information may be classified as non-public if you provide specific reasons that wou/d permit the City to �
�� conc/ude that fhey 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 must be completed within 180
days of permit issuance.
x / (�E��L l CF,� X �� _
ApplicanYs Printed Narrye'� Applican s Signature
Page 1 of 3
, ' Use BLUE or BLACK Ink��
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� � For Office Use �
� %� ��/� � ��E�
� � Permit#: �
Clty of �a��� � /� ��� ,� ,��<�
� Permit Fee: l!"/ �
3830 Pilot Knob Road I J
Eagan MN 55122 � Date Received: �`� - S �
Phone: (651)675-5675 RECEIVED I I
Fax: (651)675-5694 OCT 1 2 2015 I Staff: I
I ______ I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �� ���-� Site Address:!�__p 7 �/����� ��`l r� � Unit#:
Name: Phone:
RB�s#t��T�,t1
(j�y��- ' Address/City/Zip: /r.s �� /�' G'�'�`1 Gf Gf
: Applicant is: Owner Contractor
' t'X%S�t!n `
���� ���� Description of work: � t��y�/� S" Gi r�r� �o�'�-l' �
Construction Cost: f��� ' �� Multi-Family Building: (Yes /No�
Company:�'t't�� �(Pf.S���J"1 Cor�S� • �nf.• Contact: .�Pt� �P�°S�"��1
�ontra�tor Aaaress: /��� ,�: S'��-�' S�-. c�ty: /„�//f /�/�i��'
' State:/��Zip: .����/',� Phone: ���''-ZZ�'�1��`�Email: ..I��''°�' ���� /� /► �< . ��1'►'1
` License#: �� �/ �r�3� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
l�uj,�i� I �► /�l 9�
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:
Fire Suppression Contractor: Phone:
Nt3�L�':f�la+��.;�r�d� � � ' .. �
�p r�9►alocuir����t��#;�Zu��r�.#are c��rs�f�retl�b��t�b�rr���a� ���pt'
t#�e i�t'or��rt��ra��r�be;c�ass��l,���ion���'y�pro�ala��ec�r�e�c��s.#�t�a��e�perrn�;�i�G�i�o
����u�th�t�te -�'e t��.se�ret�.
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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 ��
days of permit issuance. �
X,..���'� ,�r�s�oh X -------__._ I
Applicant's Printed Name A c s Signature I
Page 1 of 3
���� /����E�2 7 T- DO NOT WRITE BELOW THIS LINE �����`-� �_ - - .
SUB TYPES �
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement Siding Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
� Replace Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,�•-� ,
>_�
Valuation � � Occupancy � MCES System
Plan Review Code Edition ���'' SAC Units
(25%_ 100%�) Zoning � � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction' __�� Width .
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) �/ Final/No C.O. Required
Foundation �� HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: ' 1 `Y�""� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge � �r���
Plan Review t�� ����,,,
MCES SAC �����'
City SAC �
Utility Connection Charge , �� � �
SB�W Permit& Surcharge ��
Treatment Plant
Copies ��
TQTAL
Page 2 of 3
� �ERTIF'ICA'TE C�F �UR�E�
f or
G�flD �iTALUE H�ME� ���-f�f
� PROP�SED BUILDiNG ELEVATIflNS �5�� 1`��`���1�- f�
7op vf foundation � rr'7 ____ Front of hoUse _ 91j�'a___ �
Gvrage floor 1�•�+ ____ Rec�r of house �L�___
. Lowest floor �Q.�- _.___ Walka�t � ___�.___
� r
�..�-- arraw denates drainage direction per develvpment p1an.
890E denokes existing spot ele�ation o.ss
890P denotes proposed spat elevation �„�,��^'�`°°`
�+�+
6ENCHMARK USED:
`, (Q4 � � � t7.33
TO� luUT hl���i�►t�77r ��� �7.btJ �
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� c� +��" �cAN EN INEERIl�tG DEPT.
�,�: c�,�, �s N�- ��Ww +b s��� � LE�AL DES�RIPTIa�J
NaTE: A�1 UlMENS't�Ns ARE Ft)UNUATION DtSTANCES Lv�s 27 and 28� Blodc 1. DEERWOOD
(, ) � RECORD INFORMa'fiON �01M+�Ht}w1ES� accQrding ta the plat of
O �E�oTEs 1/2" 1RO�d PIPE ac CAP SET �eord th�reof Dakota County, M�nnesota.
I�S. � 23945 � ( her�by certify that this suk�rey was
� [}ENOTES iRON PIPE SET prepared by me or under my dlrect
FOR BUILD�NG t?FFSET supervision, Qnd that I arn a �uty
[7 DENOTES WQQD lATH SET Lieensed �and Surveyar under the
FQR EXCAVATItNa ONLY laws of the state of Minnesota.
�� � � o �. 1 _
RBC�IBTERED p�4FF�SiONAL LAND 6URY 7tt?&9 pQ�n1d �. Si e4 MN . 23945
9446 EABT AIVER RUAD, t3UI'T� 209 g yf
GOQN RA�'ID9. MN b648� '�`�' �� '��,Q ��►,�a �f!4���0
Tsl. �Bilq 786-88l0 Fsa. (B1B1 766-186� ��#@:
JQ� AtQ: 93-34 SCAL�: 1 IwCH =_2(?._._FEE7 FIELD BODK: 1� PAGE: l I DRAWN BY: CKP '
Use BLUE or BLACK Ink
For Office Use
• �h
ge- Permit#:
City of Eaaall oft A Ch,CM(E Permit Fee: /fOc.
3830 Pilot Knob Road
Eagan MN 55122 " � /�` Date Received:
Phone:(651)Fax:(651 675-569475 C0/6"--- co�
Staff:
� J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -/) Site Address: Unit#:
Name: rh ctrl( J6'V eit-1 Phone:6-Ci-(J U 3 -7)30i
Resident/ �� [ $4Ie -
Owner Address/City/Zip: /S L/ n7,4-4- F-Gt rA) it) 5 572:2-
Applicant
7Z ZApplicant is: Owner Contractor
Type of Work Description of work: 1 ,Q- t r
Construction Cost l 3 <s-- Multi-Family Building:(Yes 1 No
Company. Ory [C C Uf\5 �)U Contact: d PIA�//-r
�^ �
c ntr ctor Address:cq ICI (.41a '%Up_- v City Lc e
State Zip:S-S U-I 2 Phone:OJ 1-%3?*I Email: Y, `^A' F 1 � JO/,co
yr,
License#: L6 3)S6") Lead Certificate#:
If the project is exempt from lead certification,please explain why:
_ 3
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 Oan 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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are<c 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
CALL BEFORE YOU DIG. Call Gopher State One Cali at(&51)454-0002 for protection against inelerground Laity damage. Cain 48 hours
before you intend to dig to receive locates of underground utilities. www.popherstateonecail.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 wilt 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 ld accordance with the Minnesota Stare Beading Code , , completed within 180
days of permit77-e-rrL?
issuance. �/
(. `W x
Applicants Pri Name Appi s S . .:
Page 1 of 3
/32(/46.-1--lex- + DO NOT WRITE BELOW THIS LINE 1"b6- -
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
4. 01 of X. Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
—
Replace _ Repair _ Egress Window *" Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation /az, ff., Occupancy yRG-1. MCES System
Plan Review Code Edition 2.0 /� SAC Units --
(25%_100% / Zoning jt-3 City Water
Census Code 4 3 f Stories — Booster Pump
#of Units 1 Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) jf Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: Footings Air/Gas Tests _Final
PavL Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick
it Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: t' r , Building Inspector
RESIDENTIAL FEES
Base Fee 73
Surcharge
Plan Review 'Y7 "
MCES SAC
City SAC
Utility Connection Charge
S&W Permit &Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142575
Date Issued:05/09/2017
Permit Category:ePermit
Site Address: 1584 Antler Pt
Lot:28 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-280
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.
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 -
Mark Agnew
1584 Antler Pt
Eagan MN 55122
(651) 683-9739
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143258
Date Issued:06/08/2017
Permit Category:ePermit
Site Address: 1584 Antler Pt
Lot:28 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-280
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mark Agnew
1584 Antler Pt
Eagan MN 55122
(763) 367-4139
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168960
Date Issued:05/10/2021
Permit Category:ePermit
Site Address: 1584 Antler Pt
Lot:28 Block: 01 Addition: Deerwood Townhomes
PID:10-20200-01-280
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Mark & Frances Agnew
1584 Antler Pt
Eagan MN 55122--287
(651) 792-5785
Ed Brown Plumbing Llc
328 County Road E
Houlton WI 54082
(612) 328-0827
Applicant/Permitee: Signature Issued By: Signature