1861 Ruby Ct N
Use BLUE or BLACK Ink
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For Office Use
7
Permit f 15Y / 5 j
City of Ea ~a~ I 5a~,
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I I
tt 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~I~ b I Site Address: 0 1 I ~ ~'d~ 9~ ~k 6ur~ Unit
..__,M.....,__~- I Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
µof Work Description of work. eOmWASiHave
Type
Construction Cost: 33 J Multi-Family Building: (Ye,-,k / No )
Company: LS Contact:
/)la ~ ke-oa of Address: City: ' 1, le-
Contractor ctor I~
State: Zip: Phone: l I ~ _)o ~I q I
License lc L-xs Lead Certificate IV ~ o l
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:
yNOTE.- 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.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 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.
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Applicant's Printed Name Applicant's gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151791
Date Issued:09/12/2018
Permit Category:ePermit
Site Address: 1861 Ruby Ct N
Lot:080 Block: 03 Addition: Diffley Commons 2nd
PID:10-20451-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Marcia E Stansbury
1861 Ruby Ct N
Eagan MN 55122
(651) 452-4781
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153167
Date Issued:11/28/2018
Permit Category:ePermit
Site Address: 1861 Ruby Ct N
Lot:080 Block: 03 Addition: Diffley Commons 2nd
PID:10-20451-03-080
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 -
Marcia E Stansbury
1861 Ruby Ct N
Eagan MN 55122
(651) 452-4781
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
