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3211 Black Oak DrAddress Zip 5512 ? r( ? l1tlQjlfit? Lot 1 Blk Sub ?l THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF'tHE FINAL INSPEGTION. Date: ? Yes No Inspector: Final grade (6" om siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact eagineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy J? ! 1411 ob(N9 li?fOtl'1"iMOn liltiBt b4 stl17f/1NW pri01' to pvcesshV of apOft*)M• . S, t hereby acknowledge thaf i han+e reud ihis application, stat$that the lt'?k with all applieable Stata v# Minnesota Statutes dnd Cify 4f EaWn Ordlrx signatme dApplicOW Certificates of Survey Roos hred .,,_ Tree Preservwm Plan ,?OFFICE USE ONLY 13 01 Foundatfon 0 07 05piex g'Pbx 13 1 [? :?o., Roo1 0 30 Aaamy"eIdQ 0 02 sF owen;rg o oe oe-Oex .. Q"16L 4% o2T Pora, 43-mia,y : ? ?? 4A`A,tt - a+uNn. ' o 03 oi or - plax o as aT-qaX o`tr .: awo• 0 22Pordrraddn, (4-sea.} 13 33 9* aE. SF: 0 oa 02-piex a 10 ()s-Okx . ?? a** o ?? Porcn (sa?.eroM 36 MuW O 05 03-plex ? 11 10-plec '? f# Ltww la* C',{ 34 'Storp Wmna O OB 04-pEex 012 1Z?.' IROO,,Yat N. "D ,2546109110"Ous. IW 31 Nevv G 35 lA(*p*mmWE 0 38 aenolh (l+*pWW) ' 13?4 13 32 Addition CI 36 Mavs 111dp.. 0 42 D"%Olsh f+?uedatlm) 'fl 45 Fk* Rs"ir < . 0 33 AIWaUon Id 37; Dwno"?owor 0 '4,:Rqmof 13 46 WiriO*w*'Rwara 17 34 Replaoement "o PCA haftlotAto #p~ ? - va)uation IV? SYatena'; T Cerisus Cod$ _?? •:? . . ?? .. ?WaW ? ?---?_ SAC Units ? P?A . ?...?..,.,;;. . ?#?x . of Ursits , ? . . ? ? _ .?. _ - ? , - :. . ,._...,...... . Nbr. of Bidgs . ,? fka gprklered Type o# Const Vfli#tl'i ?MM IN SPEGTION$ ? Footinp (ncw bldg) Foati?s(?eclc) ??oC,U:« Footings (addihon) Fowrftian . HYAC Ihain Tik ° ` - . { Raof kc & Waer ? .._.?. . ? Framiag , ; , Puul Air/Ges Tcsb Fi1w FircpIaca _ RI. 2es# SWne - _ I".11 ati.on , win? (aevv&epracm4at) . . . . Appr4+?mE1 E?y ftss Fes . SUtChwge F%n Review . MCIE3 3AC . . , . Cifidr SAC ?. . water Suppiy $ $tanefle G&W Permit & Surdharge ? Treatmertt Piant . , , .,:PltrMbhg Pwmi# . Mechanicat PsrmiE , Lit:enSe S@8rch ,. . . :a ?... CoPfes , Olher fiotal ' . _ _ . . . _ . _ : ? ? 0 ? tr) 174 ? ? 0 4 0 C44 (0 ? 0 ? ? 4i*v* ? O \ ? o - o?. ? ,,.,, ?uror/ ?S?QI ia 1 ».,-? •-ti aIi ? 1 , *116% 0i? ?? ?.4 IMM4 ? ?odObL 0`£06 m )13018 -40 d01 &M8d0gd C,EO6 = Hoolj 39rWD 03-s°dOMd ? cisee VV6B j,ksp c D C3 ? C ? w ? O ? T ? ? ? ? ?Xi? ? 3 1 . t ? W N e ? 4 1 (? I?, ?/ (? ? ? ? Q Q3 E +` qL s ? viv? .+I* I I ? 0? w io(n ? H ? ? ?,??r s? O x Z' ?-- s?cn?J ??? a M . ?1.. 1. . ..n •nn n -1. F- IM/a GONYEA HOMES, INC. FIFTY GROVELAND TERRACE • MINNEAPOLIS, MINNE50TA 55403 • TEIEPHONE (612) 377-0191 TO: Craig Novaczyk City of Eagan FROM: Tim Carlson Gonyea Homes DATE: August 22, 2001 The iron railing at 3211 Black Oak Drive will be completed and installed September 14, 2001. After this time it will be ready for inspection. The temporary railing in there now is secured and will hold up to most any test and is at a legal height. Thank you for your time on this matter. 'L4 ?,f ? P UHH 0? ? 35 REsID=?'??1. . 4 a q ? ? 7p. 5 0 13uILo?IIG PERMff APPLIcATfON ? Cttlf OP EAGAM 3830 PILOT KUM Rd - 53122 651-8$1-4875 a . RemkiMEO ? b, Oz 7.35 -41 Her+r co ?, n . 3 ieg? site sune? stor+ng s4• fl. of bt s4. R. of haa? end ? rocGed areas 2 ? ? ? • , ,. . 1 aet of Ene?P ?? t?eMad aGddii?ne . z m?pim nWmwn ? pl? s?f?o covemge b? 8?window sim, aoured faiM dwva, elc.) ??• 1 sile suvey fGra*ft addlUM& deft . 1 iel t?i Energy Calalations . 3 oopes ot Tree Preservation Pm I bt plaW afler 711l93 . RMt Jdst Detail OPiorB sel9tti0n ah6et (bldgs Jrw3 oNes9 Lift) 4 r , DATE VALUAn4N( xcWoIaG LAND) 308 SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNiTS? PROPERTY OWNER TYPE 4f WORK FIREPI.ACE(S) Ai NG APPLICANT HOi+?E# y:l? , ? PAGER # CELL Pt?lONE # FAX'f NEw ESIoENTtaL BuiLaING ONLY ? ?IU OUT caMP??ELY Enerqy Cade Category ? MINNESOTA? RULES 7674 CATFGORY t `; (cneck ane) - Residenfial vangLoon CateAary i 1Nrrftheet Su?lted ;? ?.. - Ene9Y ??vWoPB Calct3ladons Sybrrf*d f? - MINNESOTA RULM 7672 1?2 - Ne Energy Code Woricsheat Submltted . 'y . a? Piumbing Contractor b Ph0n* ? ; ?? ., , Plumbing System Includes: ?Water SOFtener 11 L?.? Sp??ez Fec: ?9(?.? 4?? Water Heater ,„I I''da. of R.I. Baths No. of Baths ' ? Methanical Cortractor Phan* ? _ - Mechanical System [ncludes: ? Air Conditioning Fee: Heat Recavery System t, r 6 I?? ? ?n?e # ?'" ; Sewer/Water Conhacbr. i -? Ail above informafion rrsust be su4mitted prior to prncesr5ing of application. . I hereby acknowledge that I have read this application, state #hat tiis infomwtion is correct, and Q?14P £poRh'wi-th . all applieable State of Minnesota Statutes and City of Eagan ordinances. SlQncdure of Applkant ? :?. Certificates af Survey Received Tree Preservaticn Plan Recaimd Nc? ?0 ?FFICE` U:?? ?NLY' O 41 FOURdation ? 07 05-pleX O 1 3 18-plex - 0 24 Pool ' '' ?f '?ryk aft 1 ?OZ 5F Dwetling 0 08 06-pfex . 0 16 'FftnpEsice ?. 2f Pore#i 31 E.xt. Alli'., IWtrtti ' ? 43 01 of _ plex O 09 07-Plex "? 17 Gstrage ? 22 Pordh/AddEr: , 13 33 txt Aut - SF ? 04 02-plex ? 10 OB-plex !7 18 ? p23. ppich - Waienw*; CE 36Multi 0 05 03-Plex 0 11 10-plex ? 49 . lowet Level C] 24 . Stonm.p*rage ? 06 04-plex ? 12' 12-plex Pft_Y or,? ht 0 'S MisWanecwe ?41 New 13 36 fnt tntprovlrmWtt 13 38 Derriohsh (let#s4#c3r) 44 Sidirig ? 32 Addi#fon 0 36 ` -. , ovs F?g. t?1. '+k2 G??/mcl?i,(Four?i8tto?) l?i 0 45 ? 39 Alteration ? 37 Demoiistr fBidg}" Cl 43 Reraof 46 MndmWD" . 0 34 Replacement 'Dernolitiore (Erfflre lUdg ortty) . Givs PCA haridaut 10 a?palF?t Vsluatfon ? .??,-?'(?Q ?-`' 3 - p?Y ^• IG7 ^ Census eode .,, .M E$ S?r?tem ?? ?. . -...,.? ' SAG Utits .?..z2 4 0000er Rump Nbr, & Units Sq. Ft. Nbr. of Bfdgs Flre S'xrraklsre: d TypeafConst Y ?? : I -? ? Fo ti bi . -REWRED NSPECnQNS . .t k` ; .. o nga (Qew dg) Footiags (dcck) FinaliC:O. ? Fnotings (addition) FinalfNo C.Q. Pltunb' Fouadation ?? ? , . ? Drain Tile Roof _ Ice & Water raraiag X . F . FiaaI . C}t6et Fimplace Aix/Oea 'i'asts Fit#al ?p Insulation - R1. -- Air Test _ Fi?i .,._ Siding _,_,_ SmcVo , ?t? ? wi?ws f?+Awp!st?m«,t} ?roVet18y?,,.?.?..?.., Bwilding: tnspectpr Base Fee . . . Surcharge Plan Revfew 15` eP56, Y z a'] , -; ? MClES SAC f Clty SAC Water SuppJy & Storage S&?N Permit & Surcherge :4 ±?-? 4? •?o? `L?. ""` , Treatmen# Plant Pl i umb ng Permit Mechanica! Permft 46 J74 ?? ?717°2 ' 1 License Search , . Copies Other To#at , , .a? , ; , ! ? ? PROPERTYLEGAL: W ? ? ?L ? 0 0 GY ?? ? 'D ? 0 ? o ? (t?0o 0 ? ? M" CJ ? ?'o ? ? ? L( ? I] V? O 5/ ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILQING PERMIT APPLICATION f??(?&Autj NErc tirs' DATE OF SURVEY: G - ? -61 LATEST REVISION: ?" r7' 6 1 DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Appiicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directionai drainage arrows witti stopelgradient 96 • Prvposedlexisting sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existin W ? ? • Sewer service (or Proposed) ?/ n o • Property comers l?' 0 0 • Top of curb at the driveway IV P/ Li • Elevations of any existing adjacent homes u Q/ ? • Adequate foofing depth of structures due to adjacent utif'dy Venches Proposed Id ? ? • Garage floor 6/ ? ? • First floor C/ ? ? • Lowest exposed elevation (walkout/window) ¢o/ ? o • Property comers U/ ? ? • Front and r+ear af home at the foundaCwn PONDING AREA (if aqplicable_) ? 0/ o • Easement line u ? ? • NWL u ? ? • HWL ? o • Pond # designation ? p? o • Emergency Overflow Elevation DIMENSIONS iw/ci ? • Lot Iines/Bearings & dimensions a/ ? C] • Right-of-way and street width (to back of curb) ?? ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) h/ u 11 • Show all easements of record and any City utilities within those easements ?/ ?? • Satbacks of proposed structure and sideyard setbacf adjacent existing structures L-' 0 ? • Retaining waU requirements, if any n Reviewed: Name ! Date March 1999 f:RAH`JRI f1C3RMT FM 02/14/01 14:44 '$ ` 82/14l2e01 13:43 6517785369 ? 41.4 50 &1 Z 001 sANDBOE trRAFrrrlG pAGE 61 1ob SIEe Address; ENERGY CQDE 'VVt3RKSH?ET FOR ONE & TWO FAMILY DWELLINGS INSTRUCT1aN5: Complece Pans i, !1 ersd tli. Clearly mark plans with= insularion R-rstues; windvw and 3feylight U-valuer, size and rype of equi"s; aquipment eancrvls; and iocaeien of incerior atr barster, Yspvr remrder and windwash betr+en. Mare decaited in[ormatien eael ba found in the Mrnnesoto Errerp CorJe Str.?ih+ary Shcers avai{8ble frore't alintl. DeW. af !ublit Secvice, 1-100-657-3710 Part I. BIJILDING ENVELO]a'E Check option used: O"Cookbook" Method (complete wotbhect bdow) ? MnChecfc fiettod (atterth repert) p 8uilding Component rnethed (aeach ea1culocions) ? Syscems wnat,ysis mabod (atiach s+alysis) "Cookbaok" Worksheet iNsrRVCTror?s Step 1. Check iTtm(s) ehat dtsign mttts on M+nii+enm Rrqsrirsmentr list ea che righc. Must rtieez a1l icems io usr Cvokbook opaon. Step 2. Inditete proposed wall rype on tablt beiow. S[cp 3. Inditate Window U-valur and sourct. Siep d. Verifjr coral window (ineluditt; area of ait fovndavvn wili- dovrs) & door ar" is equai or less then alidwable percentage O MIN]MUM REQUUiEMENTS !er "Cookbook" O ey Hwin +n effixie : Mini um 90°/. AFUE Entry bodts: 1+/: salid waod or maximutn U-ratue of 0.40 0 !i ts: tncluded with wlndows Q Ceifut insulstioll: Minlmum R-38 O Rimloist Irtsulatin: Mulimenn R-!0 0 Ftoon over unemditieqed gMg: Minemeun R-30 • Fvondatien w?indo++s: W" insulated gleaa in wvod or vinyl irame or maxitseum U-velur oF0.31 TABLE FoR DETERMIN c MAx1h1Ui?+? wuYDOw Alyn DooR AREw MexQnum Altowable Tota1 Window artc! Door Area as s PeE? of sed Walt =-: 10% 12•ti ld•/. Ib°1. 18% 20•d. Z2Y. 24' Z6y. 2A '/e wa11 T R•3 u ta R•]0 Foundation Insul. ; Maxim urh Avera t Window U?+a1ve exc Cou? ltivn vrindow= a 5.6 s. Q 20. lt-13 inswlation. s R-S sheethinp 0.37 036 0.30 0Z6 0.23 0.30 a.l$ 0.16 0.15 0.14 4 20, R-13 insul8tiotl a R-5 st+eacbin 0 7 0.37 0.31 037 035 033 C.28 015 0.23 0.22 0 20R-13 insularion, b R- i sheathin 037 0.37 0.37 037 0.37 0.34 0.31 D23 0.26 0.24 U 2x6 R-19 insulasson < R-3 sheathirt 017 0.37 037 037 0,34 0.31 026 0.25 0.23 O21 13 7-x6 R-19 insalation, b R-5 sheathin 037 0.37 037 037 0.37 0.37 0.33 090 0.28 0.26 ? 2x6, R-21 insulation, <9-5 sheattsitf 4,37 077 0.37 037 0.37 0.33 0.30 027 0.25 0.23 O 2x6, R-ai Insutaclon, a R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.31 029 Oz7 a?i Tyoe with R-10 Fotmdation tnsulation : ?laxin ? Aveta ae Wirtd ow V-va lua found stioa witf dow? a S.b . R . : 10221?4, R• i 3 insulaiion -S sheathi a 0.37 03-7 033 8,?8 02S 0.2Z O.ZO 0.1 S 0. t 7 4. I S 7ac4. R-13 insulatioes, 0 R-5 sheathin 037 0a7 0.37 0,37 037 0.33 0,3C 017 0.25 0.23 O 2x4 R-(3 insulation, a R•7 sheachi 0.37 037 0.37 037 037 0,341 03 0.30 027 0.25 2x8. R-t9 is,suiativn, < ft-5 sheathin 037 8.37 037 0.37 0.37 0.32 029 0.27 024 0.23 42x6 R-19 insulation, 4 R-S sheathin 0.37 0.37 6.37 0.37 0.37 0_37 0,35 0.32 0,29 0.27 4 2x6, R-Z] irtsulattoa, f R-5 sheathin 037 0,37 0.37 0.37 0.37 035 0.31 019 0.26 0.24 O 2ac6, R-21 insWalion, b R-5 shaathirt 0.37 037 0.37 0.37 Q.37 037 0.36 0.33 0.30 0.28 Wail T with RO 19 Fe?dation [nsufation : Ma+cirl? wn Av Wind ow U-Va lue exc c Foue? tion wirt dows ?+ 5 ,6 s.n : C? 2x4. R- 13 insulacivn, K R•3 sheathiR 537 0.37 034 029 02-6 013 O.Zt 0.19 0.17 0.16 C Zxq R-13 insulstion, tl R-5 sheathin 037 0.37 0.37 0.37 0.77 0.34 0.31 0.21 '0Z6 0-24 Zx4, R-131navlat+vn, b R-7 shearhin 0,37 0.37 037 037 0.37 097 0.34 0.31 0.22 0.24 O 2x6, R-19 insuladon c R-5 sltieathin 0.37 0.37 0-37 0.37 0.37 0.34 030 028 025 013 0 2x6, R-l9 insttlStion, a R-3 sheathin 4.37 0.37 0.37 037 0.37 0-37 0.36 0-33 0.30 b.28 Q 2x6 R-2l insulation, < R-S sheathin 0.37 0.37 03? 0.37 4.37 0.36 0.32 0.29 C.27 C•ZS Zx6, R-21 insulslion, a R-5 :hea[hin 0,37 039 0.37 0.37 037 0.37 0.37 0.34 0,31 0.29 _L E Wiadow U-value; Source: U1VFRC O Code Defauit 7able see p?rt 7670.070G) too x F -?3? ? 4b4b -- t5.Z FTI 4-13-2000 wjndow & door uen groSS GYpoSed wall area n?srGN ALLOWAB?£ (14oen Wble above) 02/14/01 14:45 0 62I14/20a1 13:43 6517785369 Gross Wa11 Are* SANDSOE DRAFTING Q ooz PA GE 82 LenVfh -Z Z x Heighf - ??- $q ft, It4 7'7? Sub iotal ???1 441 To rat GROSs WALL AREA Rim lbist Expased found Zbo 460 Wtndow / Door Are* Vlrrrdbwe l?nu' u vakre ' Nlanuf. caode C,?uan?(y Sssh erva Z034P Zv4Z ?r Z2, 3 4ra Z ? zl • 4- -Z44Z 3 27.3 74s 4 3 3?3. 9 1?54 2 14?Z 24 4S 2CPs 4 -2-7.. Z5 3? R '?.G6?r d ?(060 ? ?J 'TT,b 6040 tva'7Z. 2 ? 6Z.Z -s6 4 lb 2. Z ?}• ?j 7eaa s.o,K - ..?.? sioec.ITS 2 13, dt A+?cu-r?p ? z 7z, Z +Doors Size QcarrUly abot amer s°- ? 20.0 1'1 • b 8o.a TOFAL WINDOW / DOOR AREA isto•-I . - 1k, VERTIFICYA TE OF SUR VEY ,o ? ? I a = W ?- J v ? a ? 0 V ¢ w ? a N Q ? a ;%<5 G ON YEA HOMES ; ?• Bohlen Surneying & Engineering . 31462 Foliage Avenue 4819 123rd Street W. NorthTield, MN 55057 Sovage, irW 55378 Phone: (507) 645-7768 B E Phone: (612) 895-9212 ?sPax (507) 6e-7799 F= (612) 895-9259 1 ? ? • ? ?Z ? . ? I ? ? '15,.? ole , a ? ?? .? .-f..i - -•y_? . .. , . .__.__ ? FROFc'}2TY DESCRiPi ION `? . LOT 5. 9H OCK 1> ORCHARD uElGHTS WDDITION, G7Y OF EAGAN, ? OAKOTA COUNTY, MMESOTA. ` I ADDRESS ? i3211 BLACK OAK COURT i . ti. i ? i ` i ` i FECIGIC ? . rnEEs Aw eRUSH . gy1x2 t 4;1' _ ? q l I ?a' ag g I I 89Sxt r ? $? i / V I 1 39.7 l? 8944 LOT AREA = 20025 SQ PT ?ty HOUSE AREA = 2765 SQ FT gg6x3 w-S 2 !L4^ Qy? 4 a",a ? DENOTES SERVICE LOCATION ? ^- DENOTES PROPOSED DRAINAGE DIR. OOOXO DENOTES PROPOSED ELEVATION OOOXO DENOTES EXISTING ELEVATION o DEtVOTES WOOD HUB s O DENQTES IRON PIPE MONUMENT NorE: nu. MENSIoN.s nRE ? TO OUTSIDE OF BLOqC / t P 5 i.d P it teJ TN r3 tx2EEDs 3:1,, A "WT'i11NrNG tivA" MAY Zce REQu WRcO, ? cARAGE h 1 $9? 33•00 ? < ? W ? 1??11b a 58sxt ? 0 gggx3 gg6x8 PROPOSED GARAGE ROOR = 9Q0.3 PROPOSED TOP OF BLOCK = 9020 PROPOSED BASEAENT FLR = 893.0 g9?',xa 10 •` J , ? Go ?i ? ? 10? ? l_l?? `v Trt 11% R£ratH,N& hrAU. SNOUL00r SE rl I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE• 2? ' L ROY . BOHLEN, LAND SURVEYOR MINNESOTA LICENSE N0. 10795 ca7-2-o0 39e,7 ? ? ? ? i? \ ? TD / i ? ? ?. ?! s?v 1! 8? 1 1 i Hv o.EY -ess,3 1 ,.=30. PERMIT City of Eagan Permit Type:Building Permit Number:EA157414 Date Issued:08/19/2019 Permit Category:ePermit Site Address: 3211 Black Oak Dr Lot:5 Block: 1 Addition: Orchard Heights PID:10-54500-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Ernest Hinson 3211 Black Oak Dr Eagan MN 55121 (651) 905-3887 Superior Construction Services 9702 85th Ave N Maple Grove MN 55369 (763) 424-9434 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175727 Date Issued:04/12/2022 Permit Category:ePermit Site Address: 3211 Black Oak Dr Lot:5 Block: 1 Addition: Orchard Heights PID:10-54500-01-050 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Ernest & Shirley Hinson 3211 Black Oak Ct Eagan MN 55121--237 (651) 335-7697 Joel Smith Heating & Ac 13915 Lincoln Street NE Suite E Ham Lake MN 55304 (763) 792-1066 Applicant/Permitee: Signature Issued By: Signature