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1933 Ruby Ct N VAS tOt, ja i, tq3~ ` I~►3~I Use BLUE or BLACK Ink ~ °l h 1 °l 43 10146 t0(4 -7 19~1 1 I , I For Office Use City of Eajan R, Permit el I Permit Fee: 1 •~b 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 Staff: la - u~ ~t5 -----------------I 1 2013 COMMERCIAL BUILDING PERMIT APPLICATION W Date: o1 77 13 Site Address: Z fQ I43 ! 3 <S < Tenant Name: ~✓~~~r~t'1 comftS ek %i \\&S 0-4 (PQt-\ kov%%(Tenant is: New / 1 Existing) Suite M Former Tenant: Q r Name: Q► Cor~howS X \(M*,S ok^A yacc~4.%~wmS Phone: lJo~- 4-3;L- 89 79 Property Owner Address / City / Zip: P. C2 D&X S N>3C.hnJv~t Au 5-5-0 b$ Applicant is: Owner Contractor Type of Work Description of workGAC- d - (\ot~~ GK C1ar~r S a ~h Ct ' 1 Construction Cost: too 10. Name: O_N c.ov,s~c_.,A oti License \J Contractor Address: ~L~2L C`ojv\dtc- awL, City: OSLP'~~~vt~- State: M k 1 Zip: '75'C(612 Phone: _ ~T• ( 'es' I - ~z 1 •Z ' 9 ti06 Contact: Le,4• Email: LG✓! 0~ 04 . Lon s Name: Registration a Architect/Engineer Address: City: i State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: _ 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) 454-0002 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. x o V 4 (A-~ 0" x Q! Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177808 Date Issued:07/19/2022 Permit Category:ePermit Site Address: 1933 Ruby Ct N Lot:015 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-015 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Mark D Johnston 1933 Ruby Ct N Eagan MN 55122 (612) 240-0692 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177884 Date Issued:07/22/2022 Permit Category:ePermit Site Address: 1933 Ruby Ct N Lot:015 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-015 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mark D Johnston 1933 Ruby Ct N Eagan MN 55122 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature