1874 Ruby Ct NPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127534
Date Issued:10/06/2014
Permit Category:ePermit
Site Address: 1874 Ruby Ct N
Lot:200 Block: 03 Addition: Diffley Commons 2nd
PID:10-20451-03-200
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Betty L Budde
1874 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
Sep 30 13 08:54a LS West, Ilc 9522368445 p.5
Use BLUE or BLACK Ink
t For Office Use 1
CI
Perrnif ci ty of Eap I 6, 5~1
1 Permit Fee:
3830 Pilot Knob Road 1 I
Eagan UN 55122 ~ Date Received: ~
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: , ~l~ti r 3 Site Address: ! D r>~' ~4 r Unit
Name: ` f 1t wrwr"5 h i X111} 6" Phone:
Resident!
Owner Address I City Zip:
Applicant is: _ Owner Contractor
Descriptionofwork~ I elAr- IOL j~~YO~'. In ~drkp~ a✓! Shr~[gl~
Type of Work S
1
Construction Cost: ` 3 Multi-Family Building: (Yes I No
Company: _2-< t Contact: )-ean Av'l S~
Address: b'1 2euk'e~city- ta~ d ~yi It e J
Contractor ~t
State: J ' ~ j Tip: S l3 L/L1 Phone: '7l '1
License Lead Certificate: /V!t ' - ^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 b 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0802 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.cooherstateonecall.org
I hereby acknowledge that this information is complete and actuate; that the watt 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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
e'!~L- X 5:
Applicant's Printed Name Applicant's ignature
Page 1 of 3