No preview available
 /
     
1968 Ruby Ct NCity of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i( a' Site Address: I " l 41 y . 52— -- Applicant's Signature Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 03 3 2- TYPE OF _WORK CONTRACTOR Name: (440.v7 ( Phone:(oS )-3S" ^70F3 Address / City / Zip: N 1C16, g"b/ Ct`. -.c1.5):7, . /ln L,, 53 a- Applicant is: Owner 1C. Contractor Description of work: �� 64. s Construction Cost: O O v Multi - Family Building: (Yes ,( / No ) Company. 13 Rvcp SfiuveS Address: (V 4 a '1 - (a-° Sf State: ( " � ` Zip: 5 License #: C (°3`r)( 7 Phone: c Lead Certificate #: Contact: Sfe 'c .CCIn( k City: "rrs ec>'f'f 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 they are trade secrets. Unit #: 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.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. J x of ^ c !n 4C(IS Applicant's Printed Name Page 1 of 3 1°I toy t l ci (e (a , late tcrl0 Rwloi~ CA N la3 A k t,51 A ► ~)"j t 41 Rq g Ili' 1S~NW Use BLUE or BLACK Ink I For Office Use n r~ ~ 115gsS I City of EaK an Permit I F ~ 4~ I 3830 Pilot Knob Road Permit Fee: i 1 Eagan MN 55122 1 Phone: (651) 675-5675 1 Date Received: Ind k 1113, ~ Fax: (651) 675-5694 1 Staff: n^f) i-----------------1 2013 COMMERCIAL BUILDING PERMIT APPLICATION (1o Abel I°Il~il ~ Date: C~1 12-7/ t3 Site Address: G~(OJ' 4 _ ~1Z31~rzS~ y►zilyl~g ~J~ t~4~O~{ G`_ V Tenant Name: Q~ F~th (QMft5 komtajenant is: New / X, Existing) Suite Former Tenant: Q Name:D 4.0m\oAs a, SAW-1 OtAl %!?Kr n I,MS Phone: 4 3;L- 81 7 9 Property Owner Address/ City /zip: RD Do)( 5 C1C3eh0Jv4 MAI 5'S b$ Applicant is: Owner Contractor Type of Work Description of work ► Cc~t' d ic~ - Coy~ GK C1„nit 5 a . ~h Ct C- ~y Construction Cost: 5 S 1 b 3 3 1 Name: O " C ov\.~ (-%xC -i a License lJ 22,11-1:L Address: IL L IL C `ojv\dt omic - City: I05L MOJvl T' i Contractor 4 State: Zip: T50(69 Phone: GPI " 2 1(.5 Contact: Email: ~Lut ~d ~e~~tC~ 0~5. Ca•o~'1 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. 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.goi)herstateonecall.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 LI~, I x IJ~a I o L Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123221 Date Issued:06/02/2014 Permit Category:ePermit Site Address: 1968 Ruby Ct N Lot:082 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-082 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. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Mary Chamberlain 1968 Ruby Ct N Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160698 Date Issued:04/06/2020 Permit Category:ePermit Site Address: 1968 Ruby Ct N Lot:082 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-082 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Mary Chamberlain 1968 Ruby Ct N Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature