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1769 Gabbro Tr Use BLUE or BLACK Ink 4 ~S O I I----- For Office Us,4 I I Permit I City of Ear ~s I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 i Date Received: _fS ! Phone: (651) 675-5675 + staff: Fax: (651) 675-5694 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: / Site Address: /76 ~ 64i'" < 11.64_4 4-~ s~✓2 2' Tenant: DAVID In-4-1 Suite Name: ✓Q Phone: ~Os~'7i7~0-79~1 RESIDENT /OWNER Address / City / Zip: 7& -7 F 4432a //G. A) s /Z z 7 5- Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK -X Sump Pump Repair Repair Other: Other: Description of work: A"eo l o ✓t f 1 eA l to /e Dlgo . 4AJ 14d14 6C c.1 > DESCRIPTION FEES $55.00 /Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/l repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.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 1 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 wh' quires a review and approval of plans. X Allo«'J ✓ylAy X Applicant's Printed Name 4- plica ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF EAGAN Remarks Sew & wtr ermit anwtr c d o 11-2 -68 f Addition Cedar Grove #6 . Lot ? eik $ Parrel 10 16705 140 08 owner?'1. 0. d ( )! -1 Z.or'?.2 screec _1769 Gabbro Trai.l state Eagan,MN 55122 CLKC'9-f /1 i7 r,1, Improvement Date Amount Annual Years Payment Receipt Date STR E ET SUR F. STREET RESTOR, GRADING SAN SEW TFiUNK *SEWERLATERAL T970 f 72,00 20 Payd WATERMAIN 4c yyqTER LATERAL 1970 ZO WATER AF2EA j? STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 200,00 109 12-2-6$ 6UILDING PER. snc 200.00 109 12-2- PARK CITY OF EAGA 3830 Pilot Knob Road Eagan, Minnesota 551 (612) 681-4675 INSPECTI4N RECORD PERMIT TYPE: Permit Number: ? Date Issued: SITE ADDRESS: ? ' t{ ' I (k I J: k. , 1'lSfi{il'lll IR 1?? jIP'11: Irlil1'-:I 4-I?• PERMIT SUBTYPE: j 'tri ,, , re+l s 1 i? c++tG N:'AhiJ! 0 Hre7 196 10 (, 1 4 W N ri APPLICANT: i n r? 1 0 v V. ? 114? . i .' 1 . ? • ? i, TYPE OF WORK: Pertnit No. Permit Molder Date Telephone / ELECTRIC PLUMBING HVAC Inapection Date Inap. Commenta FOOTINGS FOUNO FRAMINCa ROOFlNG ROUGH PLUMBINC3 PLBG AtR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK PitJl1L ? - ? -- I I CITY of EAGAN BUI DING PERMIT owne: ?????%?fa..:!?/l•:•••.r.?f Addrese (Preseai) ....... 7,-.,/.._.-•-_ ..- ? . . ... ...... .......:? Buttder .... Addreas DESCRIPTION 0 i• N°_ 3976 3795 Piloi Knab Road Eagan, Minnesota 55122 454-B10D na:. AXZ...ea.. 112Z ...... Blosias To Be Usad For Fronf Deplh Heighf Eel. Cos! Perm i! Fee Ramarka ?? ry E ys y ; LOCATION or This permif does nW sulhoriae the use of slreaSs, roeds, alleys or sidewelks aor does it give fhe ownes or k[s agenl the right to areale anp situation whicL is a nutsanee or whieh presenls a hazasd !o the heelih, salefp, eonveniance and ganeral welfarefo anpone in the communify. TFIIS PERMIT MUST S PT P MI WHILE THE WORK IS IN PRO ?R"E?SqS. This is io ceriifp fhai.... ..r..?d?has permusion !o erect a??,P......`?.?. ... .Lr??t ..?..._upoa the above descr?6ed premi subjeci 2o the pxovisions of all applicable ' s for the i agan . ...............?... .... .. _?.`.?..^.......-°---.................. Per <?.-S.fL?? ?Y''' ---- ... ......... . . ......_.............................. pq ' or Suilding Impeclaz Eagan Township Dakoia Covnlq, Minnesoia Application fo: Bnilding Peemit Type of building or work contemplalad. Circle carracl deseriplions. Residential Commerciai Iadustrial Other---------------------- ................_......:._....._.._----.-- Euild Enlasge Alier Repair Dimeneions................................................ Delails or remarks_-............... ..................... Loeatioa xisf Mov¢ Wzeck Cocl.. . ?.7??t. ?. ?--- PEAMIT NO. °`L..??... Dafe Number SFxee! Beiween whaf ezoss sireefs Siao Esl. Valuatioa Lo! Blocic AddiY?on Rearrangemeni or Txae! l4 e Ced.9 26rt> i1 e b . ....... .C_?_1..?.C..f.?/.??.L"_?:...?RCC{.P?SCII?-'-.. Ownes Address .... ?--/--?--(-----17..A??rE_...1._/14iL...__.....__'.. ?. --LP?1/....--.'_!(td? L? ... ..--?--,--/" Confracior ...."'-"" ----' Addross --'-'- \^/ ''-- ............................"-. ' ----...."'--""-"'---__' ? The undessigxed hereby makes apnlication fox a permii !o $ do work as herein specified, agreeing !o do all work in slrtcS Tofal fee collecied. eccordance wilh !he huilding ordinanee adopled April 11, 1955 by !he Eagan Township Board of Supervisors. PermiY fees are not refundable. ................................... -......................... '.................................... ------ Signed EAGAN TOWNSHIP BUILDING PERMIT o..ne= ----C.'s..J .w.s.r.--...?:•rx-......_..?rw... C -7 ------ .?-'------ i Addzecc (Psemnt) :..f--- ._... t---""'--'----- Builder Address DESCAIPTION N° 1922 Eagan Township Town Hall ne:e ..... ...-._?F._l.2. ??e:..... Sto:iei To Be Used -For Fron! Deplh Height Est. os Ct ermii Fee Reroazke I??-?-- ????? ? TION D:reeL noaa or oiaez ueceripsion oi i.ocjtnon I Lo! I Sqock I Addition or Treci This rmi! doas aot aufhoriza the use of slreels, zoads, alle ? y pe ps or sidewelks nQs doea it give the owner or bis agenf the riqh! !o ueate any sifuation which is a nuisaaee or which presenfs a 6asard !o She healfh, safelp, eonveaience and gsneral welfara 2o anpone in the eommunitp. THYS PERMIT MUST SE E?C PT ON T}IE PR£MC ISEWFIILE THE WORK IS IIi PROGAESS. Tlu .s u . to eerlitY, f6al ---- ..... has parmission lo erecf a. . . f?l?. upon /? -- -`----...--..... ......... ffie above desoribed premise subjeei !o the provisions of the Building Ordinanae fof?Eagan ---wnship ad !ed April 11. 1955. , i"=„-`-'? .. Qt.c.l?-/ .......... L ........ . . . .. ... {.?_.°.......------....._ Per ------- ...._._"'l/ r ..... ? Chai an of Tnwn Board Buildinq Inspeefor I ^ G• B , EAGAN TOWNSHIP 3745 Pilot Knob Rosd St, Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 3-1/27/68 Billing Name• Ocaner: Gedar Grove Constr. Co. Number• 196 Site Address• 14.8-6 1769 Gabbro Trsil Billing Address P1um3er• Stein Inc. Meter NO [Total Chg Buildiag is a; Chg. 200.00 Meter No, (Permit Fee 7•50 Meter Reading iMeter Dep Meter Sealed: Yes jAdd'1 Chg. Inspected by DaCe Remarks; Residence 1 Multiple g+o, Commercial Industrial Other Sy: Chief Inspector ° In consideration of the issue and delivery to me of the ahove permit, I hereby agree to do tYe proposed work in accordance with the rules and regulations of Sagan Township, Dakota County, Minnesota. By• St.9p Inc.,?? Plea;e notify the above office when ready for inspection and connectian. EAGEN TOWNSHIP 3795 Pi2ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SA.47ER S$RVICE CONNECTION naxE• 11/27/68 OWNER: Cedar Grove Gonst. PLUMBER Steixi Inc, NUMSER 305 Addrese 14r$..6 - 1769 Gabbro Trasa TYPE OF PTPE , Gast Iron DESCRIPTION OF BUIIAING Iadustrial? Co?ercial. I Residential ? Multiple Dwelling ? No. of unfts x 1 Location of Connections: ConnecYion Charge 200.00 Permit Fee 7.5p Street Repairs Total Inspected by• Date Remarks: $y Chief InspecCOr In consideratioa af the issue and delivery to me of the above permie, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toemship, Dakota CounCy, Minnesota By. , Please notify whea ready for inspection and connectian and before any portion of the work is covered. czrv or- Er-;r.,AN r.A;;taz.r-_rc;: s ic.csMzNaL Na: 29 DA7E.z 08/08/96 'i'IH4Z: 13.09:51 ID r NAME=: PANEt_CkFlF7 CJF MN .T.NL' 321.U 9001 j.769 GABBRO 7I'i 1.3'i'.2.°i 2155 9001 1.769 GA$EsrO 7fi 4,.00 3210 90[)1 1i30 FiFll`rT'C:I_l AV ].Li?,c'S 2155 9(:)01 !'30 SARTF.L.L AU 3.00 3210 9()01. 4715 W W[NLI TR 11?_.25 2155 900:1. 471.5 W WSNLi 7fi 3.00 Tota1 Feceipt prt,p«nt s 371.75 CROEii' i'46 l.lili=R :f.Il; NANCY ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE Permit Number: Date Issued: 1769 GABBRO TR L07: 14 6LOCK: $ CEDAR GROVE #6 P.I.N.: 10-16705-140-08 DESCRIPTION: ? 146ui 151ing, ~Census Go ermit Type p.rk Type 6i ? ' f{ 5F (MISC.) REPAIR 439 flL7. RESTDENTIAL , ? ? BUILDING 028501 08/07/96 REMARKS: SIDIN6 SOFFIT FASCIA 7RZM FEE SUMMARY: Base Fee Suroharge Total Fee VALUATION $137..25 $4_00 $141.25 $8.000 CONTRACTOR: - Applicant - sT. Lrc.OWNER: PANELCRAFT OF MN INC 17216628 0002179 HEINZEN TOM 3115 SNELLING AVE S . 1769 GA88R0 TR MINNEAPOLIS MN 55406 EAGAN MN 55122 (612) 721-6628 (612)686-4600 I hereby aaknowledce that I have read this application and state tMatthe information is correet and'ag.ree to comply with all applicabZe State ofi Mn. Statutes an'd City 6fi EagB:n Qrd3nances. - ? . . - ;1 .=_ ,. . . . ,..._ .. . _.-._ „ . .. . . ._ .? APPLICANT/PERMITEESIGNATURE --1SSUEDSIG ATURE Tk ? 1&4011 CI TY OF EAGAN 3830 PILOT KNOB RD - 55122 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodeVReoair Reovirements ? 3 registered sita surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addRions & decks) ? i energy ealculations ? 1 energy calculations for heated additions ? 3 copies of hee preservalion plan H lot plaNed afler 711/93 required: _ Yes No / DATE: ?I I? I q? CONSTRUCTION COST: ?S?lJ7, DO DESCRIPTION OF WORK: << 'r r 11 " 760ibiUro ?r0.1 L STREET ADDRESS: LOT ? BIOCK C ?2 D # ? SUBD /P I " , . : . . . PROPERTY Name: Tom Phone#: 686" OWNER /? ""°` I L Street Address, (? abbro TrGt.l City: ECtqQ.rL... State: M Zip: SS?a'a? CONTRACTOR CORlpeny: ?0_I1eIGr0_. FT ?f M r V• Phone #: 702 1-!0!0 Z g ?olq Street Address: 3l I ShP l 1i na AS License #: 42 179 - ::. ( 115? 1j City: P ?5 State: ?rL Zip: Ss?? ARCHITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowiedge 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 Applicant: OFFICE USE ONIY Certificates of Survey Received Tree Preservation Plan Received Yes No No _ Yes BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS 8-plex a 04 SF Porch o 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE o 31 New 33 Alterations ? 32 Addition A34 Repair GENERAL INFORMATION OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition N S ? ^? ?. •+? , N, .? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelianeous ConsL (Actual) Basement sq. ft. iNi:NVS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNN Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Tota1: -. 2157? Valuation: $ -7510700 % SAC SAC Units MASTER CARD LOCATION ???" J? ? I/ 14 OWNER STRUCTUR£ AND LAND USED AS Permii Na ? Issued . Issued To Contractor Owner BUILDING A9-761 PLUMBING I CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEA7ING GAS WSTALLING SANITARY SEWER I ? I OTHER i I O7HER I I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOl1NDATION CESSPOOL FRAMING ? , J TILE FIELD FT. FINAL EI_ECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITqRY SEWER -? Violations Noted on Back COMMENTS: MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGiNEERING TECti DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: BloCk 1, Lots 1 1 Biock 2, Lots 1-8 8 Block 3, Lots 1-18 18 Block 4, Lots 1-11 11 Block 5, Lots 1-9 9 81ock 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Ed Kirschf Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je PERMIT City of Eagan Permit Type:Building Permit Number:EA118493 Date Issued:11/01/2013 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - David S May 1769 Gabbro Tr Eagan MN 55122--291 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162668 Date Issued:07/23/2020 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Sarah E Quinlan 1769 Gabbro Tr Eagan MN 55122 (612) 308-6277 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171532 Date Issued:08/20/2021 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Sarah E Quinlan 1769 Gabbro Trl Eagan MN 55122 (612) 703-5026 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171564 Date Issued:08/23/2021 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - Sarah E Quinlan 1769 Gabbro Trl Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176416 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 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 - Sarah E Quinlan 1769 Gabbro Trl Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178992 Date Issued:09/13/2022 Permit Category:ePermit Site Address: 1769 Gabbro Tr Lot:14 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-140 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Sarah E Quinlan 1769 Gabbro Trl Eagan MN 55122 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature