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1895 Ruby Ct N t?m5 ' ~~1 I 1~ O' Use BLUE or BLACK Ink 'R." N - - - - - - - - - - - - - - - - ; ' I For Office Use ` Permit 15q City of Ea a~ I Permit Fee: O 3830 Pilot Knob Road I I Eagan MN 55122 I t Zk I 1-;~ Phone: (651) 675-5675 i Date Received: 0 Fax: (651) 675-5694 j Staff:. I t-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: '1 d~7 ~3 Site Address: --1 Tenant Name: pmky, Ccx t\ ~ _i \\&S es4,I (Pa,dt4 kortS(Tenant is: New / > Existing) Suite Former Tenant: QQ Name:D ~t Gonv\pnS .l \j%kk&S wnl choar k4,~ IrwrwS Phone: _ l ob- y 3 a' 8~7 9 Property Owner Address/ City/ Zip: v ~ t JrJ~Ob$ - Y.h elk 5 ROSet~o~►n Applicant is: Owner Contractor Description of work I Gcoc- O ~c- ~Ac- Govt' AK ~ K nor. 5 . ^h Ct O w. C` Type of Work Construction Cost: O r 0'"1~ $S Name: O ~ Cph . (_1 1 i o License \J ~a2 1 t a1 Contractor Address: ~kojv\At 'C' a`uC- City: IO~jL i"`ea~~1 ~ State: Zip: '750(61? Phone: G Jr I - 21.1- `I 9 Go Ur Contact: Email: ~~~t ~d ~e~ftC~ od'S. C~or1 -Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone 11 11 11 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.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 b\e-in accordance with the approved plan in the case of work which requires a review and approval of plans. x Lces)_ I O 'T x ~6L Applicant's Printed N We Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA167012 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 1895 Ruby Ct N Lot:052 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-052 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - John E & Cathryn M Debaker 1895 Ruby Ct N Eagan MN 55122--217 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature