1899 Ruby Ct N18°11 1,591, 1`aq31 Ibq5
14��1, V69‘)1 Vqoi , 003 'Ruby,c+N
C!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:111r6Ct '3
Permit Fee: (a05 •5 O
Date Received: l 0 / t / 1.3
Staff:
2013 COMMERCIAL BUILDING PERMIT APPLICATION 4
Date: C\ 127/r) Site Address: 1 Q O .\\AA \ V\- l��0 l \ ,ck ve "\O\\oa'\� \G 3 1\\
Tenant Name: DicRti ConfkOwS On A, (nrdcq ko - (Tenant is: New / X, Existing) Suite #:
Former Tenant:
Property Owner
Type of Work
Contractor
Architect/Engineer
Name:D; t. Cort►ov V���a►S AndJ A"a444% S Phone: /Sa" ti 3 a- 817
Address / City / Zip: P,() Deck J `RO3e.hoJvt• Esso %$
Applicant is:
Owner Contractor
Description of work l Ga.c- so cc Cke, - (T'oot' C%l,t.. n: i.r 5. . nh Ct?A' C`
Construction Cost: `"I O, (0"1`1. 85
Name: l ai'V C ovvs.}r i oti
Address: 1C)(02V AoJv\cL
State: { - k) Zip: FOG, g
Contact: 1,-.,t.) 1 14 V -
Name:
ovL
Phone:
Email: L.lvt
License #: 22.1 t as
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City:
ACoCI - 2t?.- 96
-ek-tC : o4" .64,r1
Registration #:
Address:
State: Zip: Phone:
Contact Person:
City:
Email:
Licensed plumber installing new sewer/water service:
NOTE: Plans and supporting document
the information may be classified as fr
that you sub,
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Phone #:
it are consfclereq tD
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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.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Date:
Tenant:
City of fayll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 2 6 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
t MA) 551,),_
()di -I I ' Site Address: 111 9
&A_
Suite #:
J
Phone: `D3, Ijotko
a
ti
Name: 'Milbert. Company Inc 4ba C
Address: 1;8.p1 50a St East
State: Mn Zip: 55077
Contact: William R Milbert
Phone:
Email:
651-451-224r •
,_ New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn. Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ t / ot)//��
, 0 D
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.Qopherstateonecall.oro
1 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 LliJrn4LMij
a.
X111
/ x I (n w� .. Jo 1�IJ1 �'�
Applicant's Signature
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
X_ Water Softener
Add Plumbing Fixtures Lr Main / Lower Level)
Water Tumaround
Applicant's Prin ed Name
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA152066
Date Issued: 09/26/2018
Permit Category: ePermit
Site Address: 1899 Ruby Ct N
Lot: 054 Block: 04 Addition: Diffley Commons 2nd
PID: 10-20451-04-054
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
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
- Applicant -
Owner:
Ellen M Barr
1899 Ruby Ct N
Eagan MN 55122
(952) 463-6544
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.
Applicant/Permitee: Signature
Issued By: Signature