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4096 Diamond DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4096 Diamond Dr Lot: 1 Block: 7 Addition: Cedar Grove 1st PID:10- 16700 - 010 -07 Use: Description: Sub Type: e- Reroof Work Type: New Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $90.00 Owner: Pamela E Palmer 4096 Diamond Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 Building EA086229 09/19/2008 ePermit - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State CITY OF EAGAN 5795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt * -•13 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Portal * k2 1 &7 0 U 010 0 -7 Repair ? Fire Zone Enlarge 0 Type of Const. W Nome Move ? # Stories Address Demolish ? Length b City Phone Grade f? Depth Sq. Ft. o Name uuu Address ?^ r-u., oL--- I hereby acknowledge that 1 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. Signature of Pennittee Assessment Water & Sew. Police Fire Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total A Building Permit is issued to: on the express condition thav all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric T (0Si t o-z -Fs Cs?cv« 771&s ? Inspection Data Insp. Other Footings Foundation Framing j Rough Plbg. Rough HVAC Insulation =? 3 - r Final Plbg. Final HVAC 000 Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN Remarks-* _Cedar Grove Acquisition Addition C DAR GROVE #1 Lot 1 Blk 7 Parcel 10 16700 010 07 Owner `7 Street 4096 Di.amOnd Drive State Eagan, MN 55122 Cdr, UG Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. F J 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP BUILDING PERMIT Address Builder Address DESCRIPTION N° 607 Eagan Township Town Hall Date l---------------------------------------------- Stories ToB eUsed For Front Depth Height Est. Cos! Permit Fee Remarks e Chairman of Town Board , /ing Inspector This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST 3{E T O HE PR/ ''?SE HILE THE WORK IS IN PROG ES3,:-. , This is to certify, lha1... .. QZ/i .. , ras?ermissio to erect a...._ ..-..__ ...................upon the above described premise subjec to the provisions of the Buildm dinaftce for Ea o ship adopted April 11. 1955. .? _ .r t P/ CITY OF EAGAN 9795 Pilot Knob Read Eagan, MH 55122 NO G809 - PHONE: 454-8100 - BUILDING PERMIT Receipt # ??. 1G•5 To be used for ADDIT.TCN Est. Value 16,000 pate 8-13 , 19 81 Site Address 4096 Diamond Dr Erect ? R3 Occupancy 1 7 Cedar Grove 1 Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge [$ Type of Const. 143 W Name Gary HOUCk Move ? # Storic z 4096 i i 5 ? D cm nd Dr ve L l Address Demolish ? ength ?- city 55121 Phone 454-2850 Grade ? Depth Sq. Ft.- 0 _ Nome Address Assessment r' city Phone Water & Sew. Police W Name Fire Address Eng. <W City Phone T' Approvals Fees dWY1P Planner Council Permit lit), _1)U Surcharge 8.00 Plan check 58.25 SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I hove read this application and state that Bldg. Off. I_ the information is correct and agree to comply with all applicable APC Total 182.75 State of Minnesota Statutes an City of Eagan rdirwnces. Signature of Perm...__ c' A Building Permit is issued to: Gary HOUCk on the express condition thoi all work shall be done in occordance.,tith all applicabl"ate of Minnesota Statutes and City of Eagan Ordinances Building Official CITY OF EAGAN Include 2 sets plans, 1 site plan w/ele levations & BUILDING PERMIT APPLICATION 1 set of energy calculations. A 1 ` Y l^ S% 'lb Be Used For /4d tl.? F l d ^- Valuation I?L'900 e! _ Date F- I Site Address /qQ q(g /)/AM 0A/D b2. lot / Block '7 Sec./Sub. CFDAf- GeaVE 1 Erect Parcel #: Owner: (TARN H6UCK Address: 1{A( e DMAA0Al0 DRive city/zip code: l AGAA1 S512 I Phone #: 4/S y - 2850 Contractor: y t J YL? Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Alter Repair Enlarge ? Move Demolish _ Grade OFFICE USE ONLY Occupancy - 3 Zoning - 1 Fire Zone Type of Const. # Stories Front 4 ft. Depth ? ft. Water/Sewer Surcharge _ Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter 'IfIA Council _-? Road Unit ;11A? Bldg. Off. APC I `loan I r Z- k. -T,5- This request void 18 months I am T 71653 8-7/C;Cot .? -tot c7o aZ ss q Benuest Uate File No. Rough-in Insper.Lmi Nequired> y,..,? Ready Now M W,ll Notify hespec- ?? - 30- I JKVes ?NO for When Ready E) Q Licensed Electrical Contractor I hereby request inspection of above 90wne1 electrical work installed at. Street Address, Bo n ,, Route No. I I City hh (gypA 'Y69C- Y /A M O Al U D , eEI 6-A (/A Section NO. Township Name or No. Range No. County DN KO rq Occupant (PRINT) GAS L. POUCK Phone No. y54-? Bsv Power Suppbe Address S Ele//c t???n cal ,,?C?ontractorl'(CCi purl ny Name) Cnntractor's License No. Mailing Address (Contractor or Owner Making Insmilabon) q09 to DIFMONr) IDR. Authorize Signature (Con actor nor Makin Ins tallaL On) Phone Number y5Y- 3456 THIS INSPECTION REQUEST WILL NOT rMINNESOTA WBy BldSTATEg.BO RD Room OF N.•1191 91 IC ITY BE ACCEPTED BY THE STATE BOARD 1, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 18221 1 University Ave.. o?.....,, lain ong?nt ENCLOSED. .tS p REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 J 34 53 See ii. noobnns for completing this form on back of yellow copy. Y` X" Below IR1arVk Covered by This Request -<-755? N Add Rep. Type of Building Applmncea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Budding Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm OthFlr pecifv Cohn, (Spei.ifv) Cher lSUecny Other Other Compute inspection Fee Below B Fee Seryrce Entra nce Srze 9 Fww FwederslSubfeeders p Fee circuits u to 1 uU Am is U to 3U Am s U to 30 Am ]s 101 to 200 Amps 31 to 100 Amos 31 to l0U Amos Signs Special Inspection ?do TOTALF a?,Q ftemaiks Sat, Rough-in ??;.? D iO I, the Elects cal l r'n?? /'?Gj Inspuc tor, hereby L/ carts ibat th b 1 / F m a e a ove d ; '1 ? G o inspection has been aC e:. A made. This request void 18 months from mnnesota crate twara or tiectncity Griggs Midway Bldg. - Room N191 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-0 O1-Y? S N - CJ Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? LList List Other - 0 ? ? p Hehers r Others Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee # Fee 0 to 100 Amps. ,?. 0 to 30 Amperes Amperes 101 to 200 Amps. 31 to 100 Amperes Amperes 31to Above 200 Amps. Above ]00 Amps. j 6 Transformers emote Control Circ. Signs S ecial Inspection Remarks AAQV? p L('O AM/° 2) yr? 1, the Electrical Inspector, hereby certify that the above inspection has been m?tle% It) r 0 (Rough-in) Date (Final) 71 ate & G- ? This request void 18 months from t void 14 z7 01 637, C. G t /ao C( from ? -+'-7y Date of this Request ©, / , /Q? / Fire No. 94650 1, as (Licensed Electrical- C?tor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. S''D9 r .Z?/4-AWOL 0-4P1I/E CityFAww Section Township Range County Which is occupied by 6i4,CY 110UC (Name of Occupant) Is a roughin inspection required on this job? No bI Yes ? Ready Nowx Will Call Power Supplier /j1.SP 7 Address_ lie Electrical Contractor A-COVR YiyR'G/7 riv e `'!OZ ? ?/ Contractor's License No. _ (Company Name) Mailing Address 77Yr ClfiPlLL Ave IG!>/ ?? S?i 07ff Authorized Signature /fo-?. (Electrical Contra pr or Installation) Phone No. Y•fS // 7,r This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. PHONE 454-5242 EAGAN TOWNSHIP 5795 PILOT KNOB ROAD ST. PAUL. MINNESOTA 55111 April 27, 1972 Dakota County Auditor Hastings, Minnesota 55033 Attention: Norma Dear Norma: I have discovered in checking the assessment payments that the following assessment has been paid at this office : Parcel a3275, Lot 1 Block 7, Cedar Grove #1 Sewer & 'cater Lats for Cedar Grove Acquisition, 1972 Please pull this card from your files. If possible mail a corrected tax statement to them at 4096 Diamond Drive, 55122 Sincerely, J Ann Goers Assessment clerk PERMIT City of Eagan Permit Type:Building Permit Number:EA118278 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 4096 Diamond Dr Lot:1 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Pamela E Palmer 4096 Diamond Dr Eagan MN 55122 Rick's Roofing & Siding Inc 13736 Johnson Street NE Ham Lake MN 55304 (763) 269-8022 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use1.2Li City of Raaall ::::e! ' Q 5Lit �J 3830 Pilot Knob Road _ I Eagan MN 55122 Date Received: , '�� Phone:(651)675-5675 RECEIVED Fax:(651)675-5694 Staff: sr„ JUN072017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: TO t if Name: ,4Phone:,4 �or�mP!` E?5 o2g S-Q J:=` " siderti ,!d'E 014000 iiC,a"l� Address/City/Zip: 4o q6 /j/G#17011el ,J/'L.ve Applicant is: Owner 1v Contractor a l Description of work: 1"- �e,?t.c r / lac sr� j't e�.^ " ype Of � I I R3se P =ti Construction Cost: /� oqCIG Multi-Family Building: (Yes I No ) 4;04, E#JtEr ,rr :L>n s n r/' ' Company. �st �''1 KP,r�ofc�rd� Contact: �/c�C' C�iN4 t°✓Yc }figAddress: 9.6a / A%`Y,7G(N � n, City: �? 'P/ B7 tt��� c � � c�� '�63 6 .?Ft as { State./�/V •Zip: 'y/ Phone: /+rico ceLQ Email: lle�t� r�`e Ec�acn�CGn1 (Ir 1:J= License#: ac 0-0/D g Lead Certificate#: /Y197-T""c?/ 7-Z.2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: `NOTE:, sns� d supporting documents 'J+ gtha I Jou#r nsi+e ' r a ► is i, Jt th8 rmation I My°+be l 4 on ' i�f .• F® ° -441 ('ha •� Ji�� � k aJ � �6� „a f�} � 'J=I 3 u b t �.".. Ii �t.' ii t,S II c! `bs r a that : +e3 i' .";:�; • sa.+�3>J»;���, rE tit F$. FJJ xr s da JF i'• J��t�i25i1 s 1a=J u Jai:.,`k 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 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 �/c k 6/A `}e"c x Applicant's Printed Name / Applicant's Sig tura — Page 1 of 3 KD ' l:-/ tip bJ DO NOT WRITE BELOW THIS LINE / `7 -- J -- 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 )eWater Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation IC6f. 2'6 ? Occupancy }., MCES System Plan Review Code Edition p Is' SAC Units (25% 100%_) Zoning in- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V0 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 Siding: Stucco Lath _Stone Lath _Brick_EFIS k 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: 1-1...-, Building Inspector RESIDENTIAL FEES Base Fee /_(94 4,Surcharge !'V Plan Review MCES SAC City SAC 60P // Utility Connection Charge I`ML / 9,.- S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 #s°ONo LINDSTROM RESTORATION r V ¢ 44, 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 alit„ Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 Client: Pam Palmer-Supplement-Mick Home: (651)454-2850 Property: 4096 Diamond Drive Eagan,MN 55122 Operator: JFORSHEE Estimator: Jeff Forshee Cellular: (763)898-2398 Position: Estimator E-mail: jforshee@firerepair.com Company: Lindstrom Cleaning&Construction Business: 9621 10th Ave N Plymouth,MN 55441 Type of Estimate: REBUILD Date Entered: 6/25/2017 Date Assigned: Date Est.Completed: 6/25/2017 Date Job Completed: Price List: MNMN8X_FEB17 Labor Efficiency: Restoration/Service/Remodel Estimate: PAM-PALMER-SUPP-MICK This estimate does not cover or include any repairs to hidden damage or damage that may become known after covered surfaces are exposed. If additional damage is discovered it will be estimated and submitted to the insurance carrier for approval. Code upgrades required by the local building authority will be submitted as a supplement to the insurance carrier and/or a change order to the client. __ .w _2 ..m. oka LINDSTROM RESTORATION r V ¢ 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 7h. Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 PAM-PALMER-SUPP-MICK Basement Family Room Height:6'10" Subroom: Stairs(1) Height: 14'3" Missing Wall 3'3"X 14'3 1/16" Opens into FAMILY_ROOM DESCRIPTION QTY UNIT PRICE TOTAL 1. Electrical(Bid Item) 1.00 EA @ 1,550.00= 1,550.00 Electrical work need to meet code requirements. Per sub estimate. 2. Batt insulation-4"-R13-unfaced batt 266.00 SF @ 0.61 = 162.26 New insulation needed for stud wall. 3. Stud wall-2"x 4"x 8'non-bearing- 16"oc 35.00 LF @ 15.11 = 528.85 New furring needed to accommodate electrical boxes.Electrical boxes need to meet electric code. Labor Minimums Applied DESCRIPTION QTY UNIT PRICE TOTAL 6. Insulation labor minimum 1.00 EA @ 75.51 = 75.51 Grand Total Areas: 2,058.94 SF Walls 672.99 SF Ceiling 2,731.93 SF Walls and Ceiling 697.92 SF Floor 77.55 SY Flooring 272.31 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 271.87 LF Ceil.Perimeter 697.92 Floor Area 743.48 Total Area 1,775.63 Interior Wail Area 1,209.19 Exterior Wall Area 144.32 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length PAM-PALMER-SUPP-MICK 7/17/2017 Page: 2 0140 LINDSTROM RESTORATION ry 4621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 �� Phone(763)544-8761, (877)544-8761 Fax(763)544-8766 lvIN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Ped TIN 41-0847540 Summary Line Item Total 2,316.62 Matl Sales Tax Reimb 19.24 Subtotal 2,335.86 Overhead Profit 233.59 233.59 Replacement Cost Value $2,803.04 Net Claim $2,803.04 Jeff Forshee Estimator PAM-PALMER-SUPP-MICK 7/17/2017 Page: 3 CPhonLINDSTROM RESTORATION V 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 , �, e(763)544-8761, (877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 Recap of Taxes,Overhead and Profit Overhead(10%) Profit(10%) Matl Sales Tax Manuf.Home Tax Cleaning Sales Tax Clothing Acc Tax Reimb(7.125%) (7.125%) (7.125%) (7.125%) Line Items 233.59 233.59 19.24 0.00 0.00 0.00 Total 233.59 233.59 19.24 0.00 0.00 0.00 PAM-PALMER-SUPP-MICK 7/17/2017 Page:4 1 LINDSTROM RESTORATION k*,) 9621 TENTH AVENUE NORTH,PLYMOUTH,MN 55441-5098 „1Phone(763)544-8761,(877)544-8761 Fax(763)544-8766 MN BC0001087,ND 40339,WI 961187,EPA NAT-21722-2 Fed TIN 41-0847540 Recap by Room Estimate:PAM-PALMER-SUPP-MILK Area:Basement Family Room 2,241.11 96.74% Area Subtotal: Basement 2,241.11 96.74% Labor Minimums Applied 75.51 3.26% Subtotal of Areas 2,316.62 100.00% Total 2,316.62 100.00% PAM-PALMER-SUPP-MICK 7/17/2017 Page:5 PAM-PALMER-SUPP-MICK 7/17/2017 Page:6 O PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166475 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 4096 Diamond Dr Lot:1 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Benjamin & Anna Havelka 4096 Diamond Dr Eagan MN 55122 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature