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1861 Ruby Ct N Use BLUE or BLACK Ink r 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. x JuSA K x 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