4145 Ruby LaneVo0
City of Earn T19-1F
Address / City / Zip:
Phone:
New r eplacement Additional Alteration Demolition
Description of work
NOTE ,Roof mounted and ground mounted mechanical equipment is require ® to be screene byCi
Code. Please contact the Mechanical Inspector for information on per screening methods.
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
COMMERCIAL FEES:
$75.00 Underground tank installation /removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010- $11,010 Permit Fee requires a $ 5.50 surcharge)
= $ Permit Fee
= $ Surcharge
= $ TOTAL FEE
RESIDENT / OWNER
CONTRA CTOR'
TYPE OF WORK
PERMIT TYPE
Name:
Address:
State:
Contact:
Suite #:
1 4 #�'► ,U ME _ City: II
gi Zip: Ae _ Phoike r � e•
Mr, . Email: LIIMUM Q At Ala 1
RESIDENTIAL FEES:
$60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEE
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
CALL BEFORE YOU DIG. CaII 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.uopherstateonecall.orq
1 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.
Applic. nt's Printed ame
2012 MECHANICAL PERMIT APPLICATION
Site Address: 91 45 PIIJ `A
x
Applicant's Signatu
335q 'WO. (56
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
0
r
FOR OFFICE U
Required Inspection
ndergroun
Use BLUE or BLACK Ink
JAI
I For Office Use
Permit#: k-1S of I Permit Fee: 1E2~
City Ea~d
3830 Pilot Knob Road I
Eagan MN 55122 t
Phone: (651) 675-5675 i Date Received: 1 3
Fax: (651) 675-5694 j Staff: I
L-----------------I
2013 COMMERCIAL BUILDING ERMIT APPLICATION S u.~ I
Date: 1 27 1-75 Site Address: YGIV
Tenant Name: 0-,,VR j convoy", a.~►\\S ®4,.~ ~ar~cn kor&'*(Tenant is: -New/ Existing) Suite
Former Tenant: Q
Name: ~tN Z.oeUne. S V~~~a.5 w~~ d1aC~,n IwncS Phone: lJo- 4 3 a• 87
9
Property Owner Address / City / Zip: P~~ok J N>3e_ o n~ n m 5,5-0 (0
Applicant is: Owner Contractor
Description of work ~GwC O~F on-\C- Govt GK~► 5"A1^h Ct~ai~
Type of Work Construction Cost- 155 1 3 11
Name: O ~ (_0V%5. ('QC1i o License V5 L Z2 t a
Contractor Address: kouvtd{ lc_ ayL City: 1~5L ~yJ~'1 T
State: M 1 Zip: J~t~( Q Phone:G S- I" 2 k;L
f
Contact: LC4. Email:
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: 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 they are trade secrets.
- . n..,........ r..... m_t
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 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.
x
x D -qm. wi
Applicant's Printed N We Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148213
Date Issued:03/14/2018
Permit Category:ePermit
Site Address: 4145 Ruby Lane
Lot:071 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-071
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Deborah Kadlec
4145 Ruby Lane
Eagan MN 55122
(651) 688-0196
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151992
Date Issued:09/21/2018
Permit Category:ePermit
Site Address: 4145 Ruby Lane
Lot:071 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-071
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Deborah Kadlec
4145 Ruby Lane
Eagan MN 55122
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152492
Date Issued:10/17/2018
Permit Category:ePermit
Site Address: 4145 Ruby Lane
Lot:071 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-071
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
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 -
Deborah Kadlec
4145 Ruby Lane
Eagan MN 55122
(651) 688-0196
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature