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1589 Antler PtC!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use -7 Permit#: /Q -7 3e Permit Fee: 1'61' a% Date Received: ! sp/ �Y// V Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Address / City / Zip: Applicant is: Owner X Contractor Description of work: Construction Cost: (n cOcaDS 7 Company: --51 Address: 3' l 7 JG� " State: 14491) Zip: Multi -Family Building: (Yes X / No ) Contact: eines_ City: 9: (.J 1 Phone: Email: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: 'Plans and supporting documents that you submit are considered to be public information. Portions of he information may be classified as non-public if you provide specific reasons that 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.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 k f d/,vµe s Applicant's Printed Name Applicants Signature Page 1 of 3 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r Permit #: 9975e Permit Fee: (9,(,) �, 66- Date CDate Received: --6'�/ Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: Phone: / / Address/City/Zip: /S87 M,'/4 Pi �, 4,L)S/22 Applicant is: Owner V- Contractor (f l)C6S 1C1 TYPE OF WORK Description of work: I0 Construction Cost: 1,2/ DO 6Multi-Family Building: (Yes X / No ) CONTRACTOR Company:A/A 8,(C... Rc tj ,c r) Contact: VkvE Rots/VIE-5 Address: /75/ 2 Qte, r City: Pc 5 State: Ali.) Zip: SSW -7 I Phone: 7 (c,--. 142_0 S /C3') License #: Qo/ 5 ?9 1 7_ 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.gopherstateonecall.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 x 1_ E- Rt' Applicant's Printed Name Applica ' 's Si• :ture Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA082458 04/03/2008 ePermit Site Address: 1589 Antler Pt Lot: 1 Block: 01 Addition: Deerwood Townhomes 2nd PID:10-20201-010-01 Use: Description: Sub Type: e -Fireplace Work Type: Gas Insert Description: Construction Type: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985-6675 - Applicant - Owner: Ellen Dee Linse 1589 Antler Pt Eagan MN 55122 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 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA092771 Date Issued: 02/08/2010 Permit Category: ePermit Site Address: 1589 Antler Pt Lot: 1 Block: 01 PID: 10-20201-010-01 Use: Addition: Deerwood Townhomes 2nd Description: Sub Type: e -Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633-2561 - Applicant - Owner: Ellen Dee Linse 1589 Antler Pt Eagan MN 55122 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 City of Eaau 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: C//c-3/ /Z Site Address: / 5-8 7/56rf Unit #: Resident/ Owner Name: ,e W C otJ To,,,,j tf/ti lr A OC4`fr �IPhone: Address / City / Zip: Applicant is: Owner ' Contractor Type of Work Description of work: /O0 -- 146Pl4 C iA-c CAJT Construction Cost: Multi -Family Building: (Yes / No ) ContractorAddress: q- f `t, C ;a 1/ tl Company: w- I<I- }(�--i Contact: Al -6- 60/0i'il. ;-1 —7 s'4/1 $fle L7__ City: U/ -f- - 7- AE- -de -(c State: /� f--/ Zip: 3 ;S r/o Phone: 76 ` '/2c) ' I/ a License #: / C 6 I' 070 Lead Certificate #: S 6 c IZi-GG' L If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 8 ..LT-- (7e (I7?6 d am. 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 CaII 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.00pherstateonecail.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 ized by a building permit issued in accordance with the Minnesota State Buildin days of per s, ance,, L� Applicant' : ignature de must be completed within 180 Page 1 of 3 411,111 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 1 r Use BLUE or BLACK Ink For Office Use Permit #: � 5- (4 Permit Fee: 66.56 k -(61-1s Date Received: O tC Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f ►- `)' l r 0i S Site Address: ISD 9 Atli -le /7,7) " Unit #: esl® Name: Phone: , Address / City / Zip: I'~SO % /,,P er id ) %1 - Applicant is: Owner v' Contractor 1iOtrk Description of work: /%e i� Ire '?1 ; 0''� . " "' Cif L. �`o r 0- �' Construction Cost: / Fat, ` 00. Multi-FamilyBuilding:(Yes V ,r / No Company: Je 7'- / resi-o. COn.i'71', r4 ( • Contact: J 1 Address: /D d) E t oa47' c 4 . City: J f State: MiZip:,r(0° l! Phone: 710-1-07213 �i9 Email: -0 6%- i.; Coo, License #: d / o'1 �L d(Certificate #: If the project is exempt from lead certification, please explain why: 11471 ; ., l 9 9,E In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: OTE: Plans: ands ants Q . . « #' %� are CoSi'deret� • 't"i ii��b the in,•. a r atic n � be assified as nt m lic if yvuwprovide specific reasons t o would a _ ci ®® hat they are trade secrets.` to 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 uilding Code must be completed within 180 days of permit issuance. xJep1C Pre$ -/D)., Applicant's Printed Name x Ap ignature Page 1 of 3 SUB TYPES Foundation _ Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) _° Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL sv Page 2of3 CERTIFICATE OF SURVEY/5,,/ for GOOD VALUE HOMES /68el 0\ Q' L o -f -s PROPOSED BUILDING ELEVATIONS Top of foundation _Il - Garage floor _ 17 ••____ Lowest floor arrow denotes drainage Front of house 420 Rear of house O 5 ____ Walkout YES direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED: 76r) /V VT o-14 yDg4N-T-C /o A,„ 1 E e\f• = 905.-1q 1 -tela 15' 0/5 to Building Envelope EAGAN ENGL. ERING DEP 15' 0/S to /4 98 Building Envelope \s 15 . aa$ 8.41 t 82°13107" E 88.33 5AJ.1'1v. g04.ox 0 4- lu szt C11 Lc(1) z TIc (417•-4- \O . 0 88-33„ 8.41 S 82.13'0, 15' 0/S to Building Envelope NOTE: ALL DIMENSIONS RE FOUNDATION DISTANCES Lots 1 and 2, Block 1, DEER WOOD T OWNHOiviES 2ND ADDITION, according to the plat of record thereof Dakota County, Minnesota. • 0 DENOTES IRON PIPE SET { FOR BUILDING OFFSET ❑ DENOTES WOOD LATH SET FOR EXCAVATION ONLY ) = RECORD INFMAT1ON PouNn DENOTES 1/2" IRON PIPE & CAP ET L.S. # 23945 8.41 15 0/S to c) Building Envelope LEGAL DESCRIPTION N PASSE ENGINEERING, INC. REGISTERED PROFESSIONAL• LAND SURVEYORS 9445 EAST RIVER ROAD, SUITE 203 COON RAPIDS, MN 55433 Tel. (612) 755-6240 Fax. (612) 755-1362 I hereby certify that this survey was prepared by me or under ray direct supervision, and that I am a duly Licensed Land Surveyor under the laws of state oil, Minnesota. Ic Donald E. Sigety, MN Date: "I/00/967 23945 JOB NO: 93-34 SCALE: 1 INCH = 20 FEET FIELD BOOK: /10 PAGE: 9 DRAWN BY: MR) o DEERCRTI.DWI Citi of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: /c2. r(J Date Received: Staff: 2016 RESIDENTIAL�BUILDING PER APPLICATION Date: (a (Voi.°1C Site Address: 15o l / -d/ -� fa tyT Unit #: Name: E,\"e,f\ QQ,t✓ TSre- L n )t' Phone: .esident! Owner Address / City / Zip: I O 5 4411 er 1"alt ' 6a� co ,fl ( ,t 5 5 / a).,)- Applicant is: Owner Contractor Description of work: re-P(&ce- ?,eisw411-46„ Construction Cost: 5 0-0- Multi -Family Building: (Yes / No ) Company: i 12,[-k ge—S 0.ray..`(j ,„ Address: pa 4>K 33& Contact: A0L Q?n State /V Zip:5 ' ' - Phone:65 ` ' le City: 5 `/l ..-- Email://.' p 4.7 e License #: C 625-36 C- Lead Certificate #: (V1 rT —F 1 553 8-1 if the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING n 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. Phone: u tr st a . Irae prove the Iic . CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 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 permd; 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 S Building st be completed within 180 days of permit issuance. f_ob (&-&14.-r• Applicant's Printed Name x Applicants Signature Page 1of3 /5g6; DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation CTL; Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair g ) Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof /576sV' Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Windows _ Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant t11120t 3: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings, Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other. Reviewed By: 3 L( a , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Date: City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 buildinginspections aC�.cityofeagan.com RECEIVED SEP 1 12017 Use BLUE or BLACK In For Office Use Permit # 11 /y4/7 colt a cc Permit Fee: II/7- Date I 7, Date Received: Staff: 217 RESIDENTIAL BUILDING PERMIT APPLICATION '-/".7 Site Address: '— $ 9 /4M f 4 Resident/ Owner Type of Work Name: Address / City / Zip: Applicant is: Description of work: Construction Cost: Owner Contractor �YG✓ e71,•C/ > g� Unit #: Phone:‘ -C/ 335-3 $ Ala 1;0 101 i OQ • Multi -Family Building: (Yes V / No ) Company:.) ( ieSC/1101) C0/7.s ]'C • Contact: ✓ f P ��t'S , Address: /042) E . 5A747- -fj` • City: ,c//r" / 101, State/'Zip: -rto// Phone: 263- I'S )9(#Email: Jr(/Y.-9/2 // 1".' ense #: •D ( ‘9 i-)/ Lead Certificate #: If the project is exempt from lead certification, please explain why: c-6")7 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: ILicensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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. x.Je)P/C i rrCtOb) Applicant's Printed Name x K-7847)441-11410 NOT WRITE BELOW THIS LINE /61_4'6e-77 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration 70 Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% (0) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant ,✓a)42o1� .tet_ gc. - 3 Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required ,d Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath Brick ^ EFIS Windows Retaining Wall: _ Footings Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: / Dill 1h Ik) 1/ ' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA149961 Date Issued: 06/14/2018 Permit Category: ePermit Site Address: 1589 Antler Pt Lot: 1 Block: 01 PID: 10-20201-01-010 Use: Addition: Deerwood Townhomes 2nd Description: Sub Type: Residential Work Type: Replace Description: Air Exchanger 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 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 - Applicant - Owner: Ellen Dee Linse Tste 1589 Antler Pt Eagan MN 55122--287 (651) 335-3937 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