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1753 Meadowlark Rd         ôí þýü ÿþþ  ý ý ü     ûþþ üñôìõî  óà ä  ó ÿ ÿþú  û ú øõë  ú ù ø ú øõë áõëÞùï  ùà   óóð ù  òý ûñ    ïù îïííï ñ  ï   ïìê ýõõùýüê ê ïý  þ ùìê êùê ì  ïé   ñ   õýêï íïì  çæçååì åìóå ùû  û í ýè çæçì äìä è üì  ø÷ ú öõ ùù ÷ øõÝûýþã ó ÷ ß ãõ Þ ùùè þýãá  öä ôåäó í  õýííî íùùííê ï ý ïù õíùù û êãû  êþýð ì ùùë ïûý   ûý  Ve�:.AGE "OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: fi Plumber: Meter No.• Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By , Date Paid: Date of Insp.: r 7' / nsp.: VILLAGE * OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119390 Date Issued:11/26/2013 Permit Category:ePermit Site Address: 1753 Meadowlark Rd Lot:050 Block: 04 Addition: Hillandale 1st PID:10-32950-04-050 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. Ashley Orman 130 Plymouth Ave N 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 - Donna E Mattson 1753 Meadowlark Rd Eagan MN 55122 (651) 452-7190 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink �___--_--____.__--^. iFor Office Use�� i � � Permit#: (� � CltV of �a a� � . . a � " � � Permit Fee: ���� � � 3 8 3 0 Pi lo t Kno b Roa d � I Eagan MN 55122 � � Phone: (651) 675-5675 i Date Received: i Fax: (651) 675-5694 � � � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: I ��S � Site Address: Tenant Name:_ �e���Q v..� \��� 1l�:�g��,� (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: {' �-e a.cM��n� X, o'\�� �� � � Phone: PropertyOwner Address/City/Zip: j7�'3 , ��51, I '>>(�A , �-��}'7 1 ��IS � �`� �(3 . 1 ?�`� ►'�'?q �`13 7 , � �3�' Applicant is: Owner �Contractor �� � � k� o� �� _Type of Work Description of work:�'I� . •�.��e �r�N� h i��,,,�t.,�� Construction Cost�� S.2� � Name: C� 1�vr��� i`1�� C o v.��1��c��v� License#: �3�..�� � Contractor , Address: Z O7'� V�1�����-o,� Q r. City: �/, ��.'.�� State: �1 h Zip: �S 3 �' b Phone: G SZ " � �� �" �� `v b � Contact: %he �'�'� �.� Email: � .^� v.�- �o L...�i�� Name: Registration#: Architect/Engineer Address: city: ` State: Zip: Phone: ' Contact Person: EmaiL Licensed plumber installing new sewer/water service: Phone#: NOTE:P/ans and supporting documents that you'submit are considered to be public information. Partions of ` the informatiori may be classified as non-public if you provide specific reasons that wou/d permit the City fo conc/ude that they are traale 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 w rk w�I be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion�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 r whi h requires a review and approval ofplans. X `✓�4 ��-� g v� � �eY.) X ApplicanYs Printed Name ApplicanYs Sig Page 1 of 3 Use BLUE or BLACK In tIIt(t tA 4 TE121/) For Office Use 411/1' ���/// Permit#: / 7�� g..1' 17 City ofEaQaIl / g7, 70 Permit Fee: 3830 Pilot Knob Road Date Received: ' Eagan MN 55122 • �3 t _ Phone:(651)675-5675 , ` \5 .... Fax:(651)675.5694 Staff; V -J i YI h2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C Site Address: 175 3 /f+' 0+Q �/..o 4 (1 Unit#: x � ,, s; � Name: L/+�5� c'�e) � � 4 .��.. j t�---> Phone: XV 1 , . ,' i'..,.; 5 Address I City/Zip: 7 3 IA 4 „444 ,1;121:- .:1147)-",-;:.7 ,- !_-`,'•( ;,+ Applicant is: Owner Contractor & IV Y Stucco repair • h�, + #F , Description of work: ,..4/ J 1-.). �L� s Y k -- s ,��,�,,, _- Construction Cost: � � Multi-Family Building:(Yes /No ) Company:Austin Remodeling Contact: Mike /4US4-� ,,1 ' 1 i 4 19306 Oelke Dr Prior Lake : T Address: City: }}-=�• ' T State: MN Z. 55372 Phone: 612-221-4428 Email: mike@austinremodel.net : � _t- ` ** License#: BC664409 Lead Certificate#: NAT-F158156-1 If the project Is exempt from lead certification,please explain why: 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 X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: 1Y4 � �d 1,,+ = 3. ill thaEy�a i Marne cons#der'ed ttxbtepublic litl a:< fa, in it Ji of +0'1 in8'idas n©n-pu provide S reasonsshat wo q ,a a M..1'..vG9 ., . Q:i fs. .., n ., .r-a. ayy'.,.c.4,...Y CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.ggpherstateonecall.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 Buildl Code u; be completed wtthin 180 days of permit issuance. xMichael Austin x 1 Applicant's Printed Name Applicant's Signature Page 1 of 9 oc.�l 2 -7 "1 `�' / -,4-7-252 DO NOT WRITE BELOW THIS LINE /`� `� 6 � �O SUB TYPES Foundation — Fireplace — Porch(3-Season) ___. Exterior Alteration(Single Family) X 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 T Alteration — Fire Repair Windows _ Demolish Foundation 7c Replace _ Repair , Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation S( ( k9 0 Occupancy ,(„ S MCES System Plan Review Code Edition )14, x-'011 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 v b Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final N[ Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation t` Windows Sheathing Retaining Wall:_Footings_Backfill+Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control v. Shower Pan Other: Reviewed By: r, ! , Building Inspector RESIDENTIAL FEES Base Fee t%,�} Surcharge �(� V Plan Review �" MCES SAC CitY SAC Afeiri) prit t tt tt Utility Connection Charge , S&W Permit&Surcharge5 l Treatment Plant a 0 Copies r TOTAL Page 2 of 3 b- IVD 1,,4, AUG 0 8 2018 For Office Ise j �/I ,� " , I �7� gib � , I r,: Permit Permit Fee: /° Date Receivad: U 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspectionsi citvofeagan.com L 17 , 018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (4/ / Site Address: d B Iii/ii/d/ / c Unit#: Name: DOM A)k-• f "4 ' cry( - 1-, ,1 Phone: 65.1- r -! Z/ Resident! !J rat Owner = Address/City/Zip: 1 7 J 3 A4 z-c n e2 ac - l� ., Applicant is: Owner / Contractor I'3 �" Descri tion of work: N � 42....c./‘- goo Type of W,,, Qrk. Construction Cost: , / 5e)° _ Multi-Family Building:(Yes II-No ) r Company: �A ,,A 1O# Contact: 76 Goner .CtOPn Address: 2, 11- City: 5-7"-- Cee,/AJC / �► State: ,t(A1 Zip:777 2...0 Phone472 327 7mail: r-ex 5 re/ltode.4-Ai License#: eS (Z 5 o 37 Lead Certificate#: / cA° t1 (D 11/ If the project is exempt from lead certification, ple a explain why: r /1/D -" t2 - 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: NOTE:Plans and supporting docents that you ubmit are co ;erred to be public informatio Portions of the i matron may classified as.non- u c ifyou ro fide specific reasons that wo " h xe` P P w . p y. dire/rri#the City to conclude th,�t tdr ire trade Iteration fs ... 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.citvofeagan.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.000herstateonecall.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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv plans. x ABX C rn 'j1€ A) x v` Applicant's Printed Nagle Ap licant Signature 0 DO NOT WRITE BELOW THIS LINE ( 7 6.1`1`60 ii314_ a -jam 7 1" 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 X 01 of!QPlex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior 70 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 `' iOccupancy ....)--Xe-'c-3 MCES System Plan Review Code Edition 47/1 2 0 i5 SAC Units (25%_100% `ii°) Zoning -3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 11 13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) _ Final I C.O. Required Footings(Addition) i0 Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: ?°Ice&Water p Final Pool: Footings _Air/Gas Tests Final a Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS 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: .d Reviewed By: / ) ///;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 I—For Office Use• �-- i 7 5%a-- • ' • P ermit% E AG N ).<1 + Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6'771 Site Address: // D 1,4ric p- I G -# Unit#: Name: Re-001,),--4 k-945-5-6 (477°'\•) (477°'\•) Phone: esit ent/ ;owner Address/City/Zip: /735, 37 , 37 /`/f / Y 3 ,q5, `l 7 `/? , s/ , 5 3 Applicant is: Owner K Contractor A Type of:wor�C. Description of work: 44-77( ,/ SoN /NS7A-t-L- �� ON G 4 G E S Construction Cost: ��j�, Multi-Family Building: (Yes /No ) Company:____C---170C-4:-.)77/../G ,CriZto12 5 Contact: .J I^^ 2)41/IV S°'`J Address: /72/3 /fz t-E y C/lze-e City: // ,1 -5 Contractor 7 /15/ _[State:/Lr" Zip: 5503 3 Phone: 657 Z7�iZ3Email �n-�rer /09 eSier-ierSt'' . c'-- License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: NOTE Plans and:supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public ifyouprovide 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.citvofeaoan.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.aopherstateonecall.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 tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app • • • •lans. JAI' esl Applicant's Printed Name Applic. Signature r For Office Use • Cj L 5-1/(0)- ; •; RE may. �.� Permit#: EAGAN,��• •�+� SEP 0 5 2019 Permit Fee: i n- �� Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsc cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: E61-77-- I Site Address: /70 S3 ��'I atOO /L 41C /246' Unit#: Name: - Phone: -Resiiet1_ Address/City/Zip: Applicant is: Owner X Contractor ar Type::sof work. Description of work: /7o j l 01-1/`? >`-T' .04-174-6 11-91S 7 p1 /71-41-E Cr I /r' O€as Construction Cost: eP,OCO Multi-Family Building:(Yes /No ) EI/E37-e-4 Sn'l 6 EX7rE2rc/�s JDA-V 7--Sb Company: Contact: Contractor Address: /7 Z l& /�T sc. y eta C.L€ City: 4-577^1SS /l'W Zip: Phone: 6 5/ Z7e1zeto rpt Q✓mr zs ;� exer�b rsM.,, (' -. State: ���3 3 Email: � � '� 7 • License#: EC 67333 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: NOTE:plant and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that wOuld permit the Cityto-cvncJude 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.citvofeaaan.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 st•' i.ut a permit; that the work will be in accorda ) with the appr ved plan in the case of work which requires a review and approval of.laps. vro 519/‘) Applicant's Printed Name Applic- s !nature DO NOT WRITE BELOW THIS LINE 1-75-5 Mg. /Y7 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\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 _ 1c Replace _ Repair _ Egress Window _ Water Damage '` Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation (2'O Occupancy 9V4, - MCES System Plan Review Code Edition ii , i 5 SAC Units (25%_100%\k) Zoning to 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) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing ) 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS 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: , Building Inspector RESIDENTIAL FEES Base Fee j Surcharge `0 [ Plan Review MCES SACfpoi-il- \f' -'— City SAC Utility Connection Charge V S&W Permit&Surcharge 1 0 (9 Treatment Plant l Radio Meter Read Copies TOTAL Page 2 of 3 Received 10/23/2020 Affidavit State of Minnesota, County of Dakota water damage permits My current legal name is James K Davidson, and my current occupation is President Of Everlasting Exteriors, Inc.. I am presently 39 years old, and my current address of residence is 17218 Presley Cir, Hastings, Minnesota 55033. After framing inspection all 19/32" OSB wall sheathing was installed with 7/16" crown staple 2" in length at pattern of 3" around perimeter and every 6" in the field. . I hereby state that the information above is true, to the best of my knowledge. I also confirm that the information here is both accurate and complete, and relevant information has not been omitted. Signature o dividual 10-23-20 9 permits permit # Address 157753 1735 Meadowlark Rd 157755 1737 Meadowlark Rd 157756 1739 Meadowlark Rd 157757 1741 Meadowlark Rd 157758 1745 Meadowlark Rd 157759 1747 Meadowlark Rd 157760 1749 Meadowlark Rd 157761 1751 Meadowlark Rd 157762 1753 Meadowlark Rd Notary Public Title And Rank Date Of Commission Expiry WALMNO SURFACES GREATER THEN 30" ABOVE AREA BELOW REQUIRE GUARDRAILS MINIMUM 36" HEIGHT AND DESIGNED jC,HTHAT A4" SPqRE WILL NOT PASS VffiWjLMt4C s OFk it 6- gg or- -6 Crwtkl LAY 10 lK w4avx0l IN i PL A f JP pAq ?Lg TIN L V;.A w !R(Wk I q 016 -rc, To 7m gang m the residence FIRE PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173576 Date Issued:11/18/2021 Permit Category:ePermit Site Address: 1753 Meadowlark Rd Lot:050 Block: 04 Addition: Hillandale 1st PID:10-32950-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener 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 - Donna Eileen Tste Mattson 1753 Meadowlark Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature