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
