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2026 Flint Lane Use BLUE or BLACK Ink I For Office Use 1 lion ; /0S7l?7 'I City of EaEd ~ Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: r3~1 1 1 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date:* 1-11t t" Site Address: Zo fq- L_&AA_ IE:P,6:~A-tJ Unit Name: 'a_cS_kA Phone: RESIDENT / ZnZ(- -:FLA OWNER Address / City / Zip: tJ -I ~~✓`~l-S 12-- Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / Nom ) Company: C,>W>J-Y~ cl-'s iNL Contact: FHA CONTRACTOR Address: 1s', ~a•l1 City: State: H Zip: 5512. 4 Phone: --311 ' License Lead Certificate qk ' 6 93 g r 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: Phone: Mechanical Contractor: Phone: Sewer & Water 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.oro 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_ T' 1 * 5 U.") 0-1- x Applicant's Printed Name Applica s Signatur Page 7 of 3 i 1 a S-7?7 DO NOT WRITE BELOW THIS LINE SUBTYPES ~P F1 1-.+- 4.~ ,Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* ~4ddition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION oU Valuation ~ Occupancy /ZMCES System Plan Review k4o Code Edition ;1-.007 fV,506SAC Units (25%-100%-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ✓Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows ✓ Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: I , 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 Use BLUE or BLACK Ink For Office Use I l~1 I City of Eaare PermitI- -an I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2010 SEWER AND WATER REPAIR/ DISCONNECT PERMIT Date: /C;) - ~z- 'lQ Fee: $55.00 City Sewer City Water Repair Disconnect Description Of Work: &CA2I t Ut SP_lilrr rt~,ct i i--r lV e -f~-rjpl C Lh Street Address for Proposed Work 2 o a C 7-4 i, 1 / Name: Phone: OWNER Address / City / Zip: ':2-01 n 4L CI 5iGlN Applicant is: Owner &Contractor Licensed Pipelayer Master Plumber ^ Property Owner Name: /'"/.4p~i,,r Phone: G~~ GYb`'OG22 Address / City / Zip: a C-rooo lv4ul, AN. STIZ~l Pipelayer Training Certification Card or Master Plumber License I acknowledge that the information is complete and accurate and that the work a in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is no permit, ut only an applic 'on for a permit, and work is not to start without a permit. / Applicant (Print Name) Ap 'ant's Signature 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.aooherstateonecall.org CITY OF EAGAN •• • a ?' 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHON E: 454-8 100 BUILDING PERMIT Receipt? To be used for " Est. Value Date ` ,19 Site Address `?' 1`' '• OFFICE USE ONLY Lot BIoCk SeC/Sub. On Site Sewage _ Occupancy MWCC System _ Zonfng ParCel No. On Site Well _ Type of Const City Water (ActuaQ rc Name ' _ (Allowable) W 3 Address 4t Of StOriBB L ° CitY Phone ength Depth F Total S , p Neme . . Footprint S.F. 0 ? Address APPROVALS FEES ? City Phone Assessments _ Permit ? ? Water/Sewer _ Surcha?ge ? W Name Police _ Plen Review = _ - Address Fire SAC, City - c? Z 6 W City Phone ? Engr. SAC, MWCC Planner _ WaterConn. Councll _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is Correct and agree to complywith all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks Signature of Permittee Copies TOTAL ' A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan O rdinances Building Official I I Permit No. I Permit Holde? I oas. I Teisphona it I Plumbing H.V.A.C. E lectric Softener Inspection Dsta Insp. Comments Footings I Footings 11 Foundation Framing Roofing 7 )5?/AYc?R` ' 07-40 Rough Plbg. Rough Htg. Isul. Firepiace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ' Robeipl MECHANICAL PERMIT Parmit No. ? i GTY OF EAGAN Fee Fi!l in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address 1?.Lot Bik. Tract 4. Owner 5. Contractor 0?1-lntraiZ'c, I11c. Phone a41-1044 6. Address 7 =i: " - 7. City 7-dEr? Pr3.i.ric State : 2ip S5?44 8. Building Type: Residential ,E!? Commercial ? Institutional ? 9. Work Description: New ? Add 0 Alter ? Repair ? 10. Describe Fuel Type 11 No. Equioment BTU - M. Ea. Forced Air No. EquiPment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater _- Mf9• Other • Air Cond. Mfg. Gas, Piping Outleu C,(?? 12. I hereby certify that the above lnformation is true end correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough final Inspections: Date, Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Cedar Street Lot 9 Blk State Eagan,IMN-55122 Impravement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK # SEWER LATERAL J 2 1 O OO 2 1 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK I STREET LIGHT I WATER CONN. BUILOING PEFi. SAC PARK BUILDING PERMIT To be used for REROOFING Est. Value $2,100 SiteAddress 2026 FLINT LANE Lot 9 Block 6 Sec/Sub. CEDAR GROVE 3RD Parcel No a Name WILLIAM NYMAN Z Address SAME ? City Phone 452-5218 _ ,o Name ?-LOOK REMODELERS INC ?< Address 1 19TH AVE SO ? City MPLS phone 339-3514 Ww Name_ zza Address aw City_ Eagan, MN 55121 N_ 13 9 21 Receipt # /.l ?P TV Date JULY 15 19 87 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type ot Const Ciry Water _ (ACtuaq jAllowable) # of Stories Length Depih S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application end stete I Bldg. Ofl. thettheinformationiacorrectandagreetocomplywithallapplicable APC State of Minnesota Statutes and City of Eagan Ordinances. Variance Signature of Permittee cl, A Building Permit is issued to: NG-LOOK REMODELERS INC all work shall be done in accordance with all applicakle State of Minn CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199 PH ON E: 454•8100 FEES _ Permit _ Surcharge _ Plan Review _ SAC,Ciry _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unil _ Treatment P7 _ Parks Copies TOTAL $44.50 T-.3u-- .00 on the axpress condition that Statutes and City of Eagan Ordinancea Building Official EAGAN TOWNSHIP N? 1.106 ? BUILDING PERMIT Owner 'Z. ?--. ................. Eagan Township Add ( i . ress p resen ) ..... Town Hall Suilder ... .............. . _....,.Q_-e'-.cn.^..."c?.- ..................................... ,y! i ?L D /? Address ............ ........_..._.._..._............_......_...._......_.._...._......... afe ._ ............. _.. _. ........... _. .......... r DESCRIPTION ? 5lories- - - -T o - `- Be Used Por Froni Depih _fieighf Esi. Cosi IPermit Fee -.. - --- l Aemarks S? I . ----- ? . . , ? _ _ --- LOCATION Sireei, Road or oiher Descripiion of Localion Lo! Block Addiiion or Tracf -- a' / ct -- y . to- /.3,i ! This permit does nof aulhoriae the use of sireeSs, roads, alleys or sidewalks nor does it give the owner or his agenS the righf !o creale any situaiion whieh is a nuisance or which presenls a hasard !o the healih, safety, convenienee and general welfare !o anyone in She communilp. THlS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGAESS. 4 i This is fo cerfify, ihat__-5.......:' ..... ............... has permission !o ereaf a..... .?.,A._-c:?: upon the above dESCribed premise subject to the provisions of the Building Ordinance for Eagan Y"ownship adopted pril 11, 1955. A / ........._......G......................... ... Per ?-{?c? _..__.......... 1- .c4 .............._.....,....... .. ..........-?C_......._.......... Chairman of ?wn Board ? Building InspeeSor_ ; SQUEST VFOR EL?ECT^I Q!, INSPECTIONck m renow Cocv. "X" Below Work Covered by lhis Request EB-WWl-04 JV% (0 ?/& qa? PJaw4AAdj Beo.f?SMpa ol BuilCine I Applinncee Wired I EquipmaN Wire] I I I I I Industrial BIAa. IXI Air Conditioner I I Bulk Milk Tank I N Fee SarviceEnbaneeSixe d Fee Fantlers/SUbfeetlers b Fee Circuiea 0 to200Am s 0[o30qm s 0 to30Am s Above 200 qmps 37 to 100 qmps 31 to 700 Am s Swimming Pool Above 100_Amps A6ove 100_Am s Transiormers Irnpation Booms Pyrtia6'Other Fee L I I Signs I I ISpecial Inspection ?5 ? Nemn.ks /?? TOTAL 16 '0O Pough-in Date I, the Elec ica Inspectoq ?areby CBfll{?/ t?lAt L?IB 9bOVB Final r V inspection has been Alt mede. ThlnrepueatvoiClBmontnnirom ? This request voiC /? / G/„ . ? 18 ?TpMbS' ffOm /- ?- O V? --C 16066 ? ? (/9 C'j /1,./?n m.e 3 4/o - Fenuest Date Fire No. FooPh-in Insuectinn Rea?uired? Reatly Now El WiII Notity InsPec ?yes o eor When Peatly Licensed Electrical Conlractor 1 hareb rey quast inspeCtiOn o1 aboVe ? Owner elechical work instelled aY Street Address. Baz or Route No. CicY ?i ""ax-I(/ V?.( IA.+IV ectmn o. Township xme m No. Ra?Be No. County DccaCo-?a? Occupant IPflINTI . Phone No. vsa - Power Su iar Address Electrical CoM • ComrACtor's Liconse No. 4655rC•o?. •Rd. 140 aking Instailationl MailinB O.ddies ? T"? jp ? one AuMOrized SiOnature (ConVactodOwner Making InsWllation) Phone Number - & THIS INSPECTION FEQUEST WILL NOT MINNESOTA STATE BOAPD OF ELECTRICITY Grigga-Midway Rlde. - Hoam N-191 BE ACCEPTED BY THE STATE BOARD 7821 University Ava., St. Paul, MN 65106 UNIESS PROPER INSPECTION FEE IS e.___ imv, vov i'll ENCLOSED. -- /? ? ? 1987 BDILDING PERMIT APPLICATION - CI1R OF SAGAP SINGLE FAMILY DWELLINGS INCLQDE 2 SEPS OF PLANS, 3 CERTIFICASES OF SORVEY, 1 SST OF ENERGY CALCOLATIOBS HOTE: ADDRESSES FOE COENER LOTS - CONSR6CTOR/HOMEOANEE IiOST DESIGBATB AHICH ADDRESS IS DFSIRED. NO CH9NGfiS i1ILL BE ALLOWED OHCE BQILDIHG PERMIT IS ISSIIED. MOLTIPLE DTiiE[,LINGS - RFSIDENTIAL INCLUDE 2 SETS OF PLANS, CEH 1 SET OF ENERGY CALCULATIONS RfiN'P9L OAITS FOR SALE IIHISS OF SURVEY - CHfiCB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? To Be Used For: ,E?ccT"l` Valuation: ':P? Date: 0q0?!? k Site Address "go6m OFFICE DSS ONLY 1 Lot ? Bloek (p On Site Sewage Oecupancy ? ? MWCC System Zoning Parcel/Sub lJl??- ? On Site Well - Type of Const 'lf?A^1 O / III 41n A1 City Water ? (Aetual) wner ,r - > (Allowable) Address 60d6 A11/07- Lengthtories City/Zip Code ?FthTotal Phone APPROVALS rint tp S.F. FooF? Contractor Assessments Permit 44, Address Water/Sewer P Sureharge I, ?.° l R olice P an eview City/Zip Code ?.r Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Varianee Parks Address Copies TOT9L City/Zip Code Phone # q ? CITY USE ONLY SUBD. C?L? ar GrvJC??, JRECEIPT #: RECEIPT DATE: PERMIT # 1 O 1 Please complete for: 1999 PLU14I$INS PEtMiT (RE.SIDENTIAL) CITY OF £AfiAN 3830 eu.or xxoa sn £AfiAN, MN 55122 (651)6$1-4675 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G8s I in OUtlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC nc. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ f2FZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ ' Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water soflener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ---> $ .50 Total --> --> ----> ----> S 30 , o Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------------------------------------------- ----------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activitles to the facilities constructed under this permit within City property/right-of•way/easement. SITE ADDRESS: L90 oZ? OWNER NAME: :TUXO91YL TELEPHONE #: 612- y) 6 D,f 7,K . (AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE#: l0/7 5- )./ OJ T) //D (AREA CODE) ;f 3- CITY: STATE: ? ZIP: / ? SIGNATUR F PERMITTEE PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA099930 Date Issued: 07/05/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 2026 Flint Lane Lot: 9 Block: 6 Addition: Cedar Grove 3rd PID: 10-16702-06-090 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Penny Firkus 2650 Minnehaha Avenue Minneapolis. MN 55406 612-276-1680 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Crew2 Inc Andrew J Scott 260 l\Iinnehaha Ave 2026 Flint Lurie Minneapolis NIN 55406 Eagan NIN 55122 (612) 276-1680 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use I Permit C1 I City of Ea Rd I Permit Fee: ~~/G✓ 3830 Pilot Knob Road ; j Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: - 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:` Site Address: ? Er N Tenant: J % eSuite M RESIDENT / OWNER Name: ci L,/ Phone: Address /City /Zip: Z irc t Name: 0 1 ' t::- "rw 1,30 14 aAT,~ _ License Address: z-) City: U 6 "-0( Jz 'Y~-( CONTRACTOR State: Yo Zip: ~r 5' Phone: ~ 21 3 ~41 i Contact: Email: ~ d j v :.1 e /'V! d o"%T I" I TYPE OF WORK -New (/Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: A: IA' RESIDENTIAL Water Heater I Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) - dd Plumbing Fixtures Ct,,Main / Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 approv of plans. X er Applicant's'Printed Name Applicant's gn FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink ~ - For Office Use • j Permit //0 CIt of Eajan I I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 `Staff------ m L 2013 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: t v 7~ Fee: $65.00 City Sewer City Water 4 Repair Disconnect Description Of Work: ! C4 J~~lil ~1 C Street Address for Proposed Work 'r - n" Name: Phone: Owner Information Address / City / Zip: y~ Applicant is: Owner Contractor =eK Licensed Pipelayer Master Plumber Property Owner Name: ofo- 4V-~ Phone: Address / City / Zip: Pipelayer Training Certification Card 0971 or"Master Plumber License i acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes of the City of Ea an and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is not to start wit permit. Li~,X Applican P j t Name) Applicants Signature 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116588 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 2026 Flint Lane Lot:9 Block: 6 Addition: Cedar Grove 3rd PID:10-16702-06-090 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 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew J Scott 2026 Flint Lane Eagan MN 55122 (651) 399-8653 Black Label Services Llc 6927 Rosemary Rd Eden Prairie MN 55346 (952) 563-0111 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-143/7$,+ -./$%'63/7-.189:;<=L >*%-'!??3-519=@==@=A9< -./$%'#*%-+(.&1--./$% B$%-'855.-??1''=A=L''F4$,%'O*,-''  X#$%& ''\[*++,,- ''.0+34'Y4L0'G4+ 678 !(9!\[:()9(\[9(X(' <10 >-?E.$0%$(,1 =>?'@AB0 E01,+0-,3$ D4&'@AB0 E0B$3%0 801%4,B,- D304'\\0304 2004'=,a02004'@AB023->M3%>404=04,3$'Z>P?04E0P0'Z>P?04,-0'=,a0 6$0310'%3$$'#>,$+,-C'7-1B0%,-1'3'S\[;!T'\[:;9;\[:;''1%/0+>$0'3'M,-3$',-1B0%,-O #(//-,%?1 .34?-'P-R,+0'+00%41'340'40I>,40+'N,/,-'!('M00'M'3$$'1$00B,-C'4P'B0-,-C1',-'401,+0-,3$'/P01'S2,--013'=30' #>,$+,-C'.+0TO 6'9'604P,'J00'SD='^\]4'D\\TV;XO(('("(!OF(": F--'B3//*.&1 =>4%/34C09J,R0+V!O(('X((!O)!X; "(%*41 GLAHAA' #(,%.*E%(.1IJ,-.1 9''*BB$,%3-''9 Y0-a'EA3-'6$>P?,-C'^'\\03,-C*-+40N'`'=% ))(('D01'\\,C/N3A'!G)()\['J$,-'3-0 #>4-1L,$$0'2Z'';;GG:53C3-'2Z'';;!)) SX;)T':\[:9!(((S\[;!T'GXX9"\[;G 7'/040?A'3%&-N$0+C0'/3'7'/3L0'403+'/,1'3BB$,%3,-'3-+'130'/3'/0',-M4P3,-',1'%440%'3-+'3C400''%PB$A'N,/'3$$'3BB$,%3?$0'=30' M'2,--013'=3>01'3-+'.,A'M'53C3-'K4+,-3-%01O *BB$,%3-\]604P,00 '=,C-3>40711>0+'#A '=,C-3>40 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159025 Date Issued:11/18/2019 Permit Category:ePermit Site Address: 2026 Flint Lane Lot:9 Block: 6 Addition: Cedar Grove 3rd PID:10-16702-06-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 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 - Ashley Brown 2026 Flint Lane Eagan MN 55122 (651) 319-1263 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature