Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
4127 Ruby Lane
1°I toy t l ci (e (a , late tcrl0 Rwloi~ CA N la3 A k t,51 A ► ~)"j t 41 Rq g Ili' 1S~NW Use BLUE or BLACK Ink I For Office Use n r~ ~ 115gsS I City of EaK an Permit I F ~ 4~ I 3830 Pilot Knob Road Permit Fee: i 1 Eagan MN 55122 1 Phone: (651) 675-5675 1 Date Received: Ind k 1113, ~ Fax: (651) 675-5694 1 Staff: n^f) i-----------------1 2013 COMMERCIAL BUILDING PERMIT APPLICATION (1o Abel I°Il~il ~ Date: C~1 12-7/ t3 Site Address: G~(OJ' 4 _ ~1Z31~rzS~ y►zilyl~g ~J~ t~4~O~{ G`_ V Tenant Name: Q~ F~th (QMft5 komtajenant is: New / X, Existing) Suite Former Tenant: Q Name:D 4.0m\oAs a, SAW-1 OtAl %!?Kr n I,MS Phone: 4 3;L- 81 7 9 Property Owner Address/ City /zip: RD Do)( 5 C1C3eh0Jv4 MAI 5'S b$ Applicant is: Owner Contractor Type of Work Description of work ► Cc~t' d ic~ - Coy~ GK C1„nit 5 a . ~h Ct C- ~y Construction Cost: 5 S 1 b 3 3 1 Name: O " C ov\.~ (-%xC -i a License lJ 22,11-1:L Address: IL L IL C `ojv\dt omic - City: I05L MOJvl T' i Contractor 4 State: Zip: T50(69 Phone: GPI " 2 1(.5 Contact: Email: ~Lut ~d ~e~~tC~ 0~5. Ca•o~'1 Name: Registration } Architect/Engineer Address: city: 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.goi)herstateonecall.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 LI~, I x IJ~a I o L Applicant's Printed N We Applicant's Signature Page 1 of 3 use ts��C v� o�t�►�.n �nn ' r-----------------� i For Office Us � , I ��� I • � Permit#: � ��� ���� �� ' h � � I `�6f I � Permit Fee: � � .� I 3830 Pilot Knob Road Eagan MN 55122 � oate Received: � p��y�� t I ,�' � Phone: (651)675-5675 I Staff: »`,� j Fax: (651)675-5694 �----------------- 20�4 RESIDEN�'IAL�PL M ING PERMIT APPLICATION Date:� �/" l Site Siress: , . Tenant: �-Gy � Suite#: � ,_ � . �.� . . _ ... � _ ., . , �-.,-,-.,�,.-�,,: , t '� � ` /� '� � �������iiV'��' Name: Phone: CJ_'���J�`: ,, a: • Address/City/Zip: - � Js,��,�.�,.�,� .... _...� .�„�, . ...:,.... ,�,_m . .. . �,,,n�.,.,...,�.. .,... . . _ ._... ` �����:: � - �j'�. .--,� ;: � Name: License#: � / � ` � _� ����`d+����' Address: C . ' f ` `l � State:��Zip: � Phone: �/�) ��C Ci"7 �IG�CI� / �! <;,.:�:.::;_.:.. ` �, .. . _� � . . . r � -.�� :.��; _.l. :.�: ,. . , 4 ; Con act: - �����,�� .�� tmail: �,�,. ..:. . _ . . ...��,�,.� .�,�._-.���a�,�, . �, k �,, � � .. µ ,. ; _New �eplacement _Repair _Rebuild _Modify Space _Work in R.O.W i; � T��C;��'�Cf��t�� �. $. t�> ti� . , . ,. .<t�w�,; � � ' �, �� Description of work: _ ... ..� p; ���� ���:��,..,�, � . . p � X 5 � >` �r RESIDENTIAL �: � , � � �� �� ir � ' � Water Heater � �; � t� t -��ater Softener �' � , Zawrt Irrigatiort(_RPZ/_PL'8) ; �-������F�� ' Add Plumbing Fixtures(_Main/_Lower Level) � { ' � Septic System F � Water Turnaround �' New t � � � ` Abandonment ���„ .���,;_..�-�,-, _,.. �.-�,..�.->�.�x,������,.� m:.�„�,��.,�, .��,:m,em�:,.���.�M..�,�,�.� �a. ..,.-�.-:,�.;n�.. _.._ ,� �; � RESIDENTIAL FEES: T'� � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �; �, x $60.Q0 L�wn lrrigation(includes$S.00minimum State Surcharge) " � $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) � "Water Turnaround(add$200.00 if a 5/8"meter is required) ` ,, , $115.00 SeqtiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � , !� TUTAL FEES$ >"` . - r. � ,-��,:.,�...� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours 6efore you intend to dig to receive locates of underground utilities. www gopherstateanecall.ora I hereby acknowledge that this iriformation is complete and accurate;that the work will be in conformance with the ordinances and codes of the City af Eagan; that l understand this is not a permit, but only an application for a permit, and work is not to statt 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 pl ns. ��� x X Applicant's Printed Name Applic t's ignature . .�. �..�..,:.'.-::::..:.:...:.....d, . ...:.:-..ti::',.i^...:z:i,i:" ' - J � :;:�:�.:_...::=....�,., ...,,v>c�sv.s�Fi,. 1 E_:�:i:��£a:.h:2.-.'c.i53�.�.e *}� .`;.,e?''r,, �.$2']1 �tz �J y�z`C �`"�, � > .:.,:r._k. � r{ >:z5tv'" ,.mg. ��s..�.-, r .Y.: � �.,.v..;,....,..r.r.r,z,;:�c> .c._�..., _ , ._. ::....o..: ..�.., a.�....,.:..nw. �..<._,.c=oc x.,...t....._..,<.r:�,:r..aa,.aR ,4. .- ... . ..:... ..:..... ..� .,..,.a•....:::... ........ 3 .. . ...1: ,o,...... 4 ...... .r..,..+� -"a"'+t:�" ,.t, _E 7. :�'n=:i _tiL;C9.';I.(7:�.� s 4 .1._ .1. >:t.s �_.�� :;�,;; .�5.. :��3i'':c+ r.�.. ,�%TG��>'� ��yy. y� :✓4: e:i::.Y:: "r��° 5..1 Y��.�.� �°,�.§ ::i:>?. �y �j.'�,:`„`-ir;. ��...z, :,5 ��� '�.w s�;`''��t'r '-�et`a>`- r-M>=.'�,�,:�'� '"t:i .� sri .�,- vt i�;�" - y a� -2.,''_ ,�` .st c .�- ..� x '�,fi 4"�y^ U��. ,� �rTiF 'l� p� �+� �.c��y, r��i'�;� :.3:«; :,a"3l'+' �M"_. ^s.,o�.�+�'' ^�'iiF �<� 'S `Y`::::5.:,. .�i, ,� <:{>�� ..�'.� �v.i'-i � :<s<�": �", � �=`�:' � f"w :..;s: ;�*e..-..e .F< .�... .:>.`s'r,::� �. � .s � :i �.�: .:. � 2.�r �";-'..ii-`;' �;:. .... � +n....,.w.;n:.. ;,:,,. ;4... .. .�s'�.:: ..... .....:.....•:..::..;,_.::....r�.{:';:.; ........,..!.:,:�..,. ....._ .....:..�.. ......,� .. ....... .... .: .....:...�., -..,,�:.„�..,.::.,...:•^:•:..�..;:�arc . . ........ . . . ....... . . ., . .... ... .,. ... .. ........,...,.,.. . . ,:::, .,y.,:,� .,.6 . ..... . ._,.. ...,.. ... . .. ...... .. . .n . .,. ...�.. .. ..., .. .. °aYr'^v'� _�T' .:V b z..^'�'.-4•Vy,u.�` iT`-:� ...... ........... ...... . ......: ....r.. .., ...., e..:..... .. ....... � .._....,.,..v.v�.. . , . .., v.. .s...a.�v.... ._ .a .....::.........a.�_.,w.,Jv...>..y%,..:�.�:c..i.�....,..�i.3:��:�:. ' . v .fi u. :,�::'::::;:: - ' :... �.`... ... ... .� ..,..,. a....... _ .. .... .. .. ...>..� i:.: . ...b..... . ...... . ... .f.`v'' `�.�}...Yi.�SY. �N.. �S�X�,...:L.:. ......,...�.. .. . . . . .. ..ts ... .. .... . .... .� . .. ...n .. .. ...r... ... zf:� . . . ..... . ., r. .�r �, ... .�.._, r... ..::� .<:::�::::.��_. � �.?i•?±� v1�. .Y� .... .......... ............. ,. .+L_.....,_. -ti-..a. .....,. . _.v.S, . i... . .\.. �'%2°'...f .. . .. ... .. ._ < t . > . ,_ , ,. .� :. : .f..,<.,... _,.. .t.-•-:i, r; . .... c . . .i � , .c.„ A::r.a:..�..,_ .t:..ra .'Ra'r'� ..rC.� ..ti<: ...................1.,....._v h .. .._.... ,. .,.r_. ._. .._._ . .. . ...,. .... ._.�..... ..3'..u.. .Y., .it= _'{, �..�? .k �1`Y;; .. .�.... . . .. .. , .�. x . . .. .. ... .Y..'.r_. i . a . ........ . .. .. <,.. ... `w. > 1' -*'-, u-�'e:.:ua`,:x"S;:e 'S �'�� . ...<......... . ... .. .....>.....,. ... ...,n�.s:, .. .-.... . . .. +s. ,.�.... ...... ... . . , .. .. . .,� . f . .. r.. . . .,_..�c... ...... .s ........ . . ...<...-. _YS>.v.e .\,_ ..... .._. , k. .. ... .. ..... .<. , . z . _. , x.., .�t-. .o. . ., . . �: . ., . . ..a. ... .. .... . . . . . .. .. �. . .... .x_ c .- ., _ .. . .. . .,,..., . . .. ^c... i "". ,...,_.... . ..�,...,_d . ..�....>h. ,.,.. , ...,.. . .� . �.. .. a : .., ,. . Y.a .. _. .. , . .... ..7:. ^�� '_:;;^ . . . .. . . . .. . ,� . .c . '�,.. ... . :h., . . , , ..... . ,.. .,.... .�..,,,..�.....,..,:.:,.sx6:.: - ..... ....v. . __, . .. . . ......... . . tV . . .. . . . . .+A... � ...... . .'� . - . .. . ... . .. ..._..s . . ._v. .. . . ., . +... . • i.T .-. ..r.. .. .....3: .. ...... . . . ..... _ . _ . . .. +l .. , . .. . _ .. .. ,. . \. . . ... ._rv... ,l ...� .... �.......,....r,......t.:.;..�.............. ....F�...:n,.. .... .n.W\i......>...a;.,.: \,..a................ � 3�{ ._.._..........:.......... . ,.,.. . .. . .�. . f .. t�e.:. r.�..?. ..w. ... ...........f.... .._....�. ....... ..t ... x.. . ., e . .a.t . . . . e. . .._.. ... .... s.....,. . .. ,� ., .. ..... , v . . ... ......�..:.:..,c.. %"n`�. ,.. �.1 , „ , �:. .. . ,�r� .:s3aZ ..,..:.-..... ... ..... .. ..... .. . ....... ... ,. ., �'.�::�c..:.,,, r.,:_�..... ... _ . . . . .. _...... ...... ... . � � : ,..��.....,.�.c:i. � :,' Q '!. 4%%y¢ya 7 Y .......,. ):w�w�;'<.. ����..'',�,5 Jn{.i� ,�y�•,V`r_ '�N� 2WJ'..^ - z:'�� � .>�V ti' r���F� ,`�-.� ci+ e�r,.��c4.��. •��' .�.�r<,�....r<,-',�'Y"'�°'.�.r., - :�: „:r�, 'z��� ��.: � fz�; .� .�., -:a*xa.'.'a.F._�,.T.. ::a.� ..,. .,, .... ......... � . ,.. _- `', . . . '. . .,;�::... Yr�n �� �. � .��Wrr..:>�;;.<.z: :`"=T�'-��. `�#'F. .:.:r. ..,„�..w,,....f:,,... ^;:a:. ,:.�E !:. :...�. �� _ �.-,_... , .,>,_.::: �_, 1's�#� ' .,., �;.-�::�- <...,;..�.„ .., .. t;,,. .. . „ ,�...�..._. � . . �... ...........�...._.... ..,. _.._.,. ..� ..... .. . ,....,�.....,,:.:.,,. .:�..„ .:.�: _ :�,.._ °:>.._ ... .... . . ... . .. _ . ...,. , .,. .. ,. .......� .. .,...,., ����' ,,.�.-. ._.,..�._. ...._._..... ...._�.. ..... _ ..,,.r.<.�-.�..�.�•r,�.t.._.,..:.� . .. ..s.f <....,.��.. ?.�,. , � .. .,>,E:,..,,.,..:....,� ....�. . ..�. ..,. ,,..... . .. . ... , ... .� ...�. . �,.....:._>,.....,... -..�::.�, .._... � . ... ..............._._... ,. . . ,,. , . . ..:..::..:.....:..s.:_�.,._.:......,.._.....,....�..,.........: _ ... ..,rt_.,„�.......>. , - - - . .. ..........:...:. .. . ... .. .,.:.....�-:h<:...,,...<..,.:.:...,.X <;;;:> ,..:�,,..0__..,,,.,. ....._ . ...... . . .. ... .. .. . . z x �. . . .k ..< x •.:�o ."'`.'ii::;;�-R.�:'Y'3,.`:;e. _......:. ........ ,...�....:......r.�....... ............... .... ... ...) .,.. �. - .. ... .. .... . .. . . .. . ,. . . ,...:.,..,i..�......... ..... ...,�,.,.:c;.,..,,':�e:z;%;y: , .... .., �:......_ � .. ...::✓.,.::»::,.. .... ........,.... ....... . _. . . ........x_� .. ..�.. � . .. - ._.. . . . ... . ...._... . . . . . . . .. . .... ...v....y.. ..,...2., ......_ i:FO.<:';�z� .... ...... . . ., . .. . .. ... ... „ . ..l -, �,. �� - ...... . . .. . ... ... ... . ... . . .. ... . _ . . . .. .. ..:.,�............. '^=`3::'"r�„` . . . ... .. .. r , ., ,_.. . . . . , .o.e . .x�c�,:">:i:;:F�.'s:2J:4%:4::<r�..::..:i' . . . �... .. .. . ,i �F .. ._ . . .. . . .. .. . ...... ."2. .....u.:n.�... .... .. ...... ... ���5:` ...................$�... .. . .i....... ....... r.... . ��......�. .. .x . .t� .� - .. .. . . .... ... . .. . . .. ..� r♦ . n..f........ .v...tn.. .... .w.v....r:.i.. � ?i��.•.'�Xn� .. ..�.. ...... ..... ......n... ...... .t ........,....... v c...v.0 . . .. .. .. . v ... ..a . . _ . .. •e . .�...� ...n. . :.v.... .:...........> .... -:z�' �'.i"> - ................. ....., ... . ... , v. ..... .. .. . , . . . v.. .,�._. ,. 5. . a.. ....._. ... -.�..,v'. 'i:2 . ... . . .. . . n ..+ _... .. . ._ ,. ... . . . .x.. .. . . ... .. -..(..,t.-:.;ur.,..`�'f..� - . .(... / :..........:��..+._.. ... "i:;�;'''�::';' ....... ......... ..v. ......�.. ... . ...,. .. . ...✓:.. ... . . L . ,..v ... . .}. .i ' "'J_'>::::��: ............/..n..�....a..........�..L.. .. ......n....... .... r.. `v. - . ... ... .. . . x . ..n . .�. .. ..:.. ."I. .. ..tb .. ... r..+z.�..>.Y t...�a:;... ..... ..... _ ..... �_�.. .....i. .. ...r . s.�Y. �,..a�.Y� . .�..- . ... . .. . ...:h�.:.r`. `x>`.?�) ' s ;w{�i::i:': . ........... . . ... ... .. ... <_.. ...,... . . . .. . .r .., .�... . .. .. �tY''. . . ... . ,. .. .. .,. Y . ... . .., � ,...� ..z _:< . .. . _�:�t_^.:. ^��`_' - .. ,. ., . . ._.. . , . .......,.,y,..y, ,.,... .. .-,. . w . . c. c... ... . . .z. . ..; . . . ..:.�„a:-..:.., N'r% _,..._.....> ..... .,..... -�z.-M. ..•z::,�.. ... ..... .. . . ..:. . . ._..... . .. .. .,.... . . o-.� . _. . . .. _ .. . �':'�:`::is'2�i�:`:.!j�i;i�:,:;•:�:,... y... ;r•;,;:e.: , .> ,,... ..;,.,x....,i :. � , , <., e .� . . .....:.:'r.•,..�,:r.o;..,,...,r .. . .. . . ..... . . ...... . ..._...>. ._. . . ... _... . . . . ... .,..., . „ .:,.:....�:��.."''.' _ .. ._ ... . .M , .. ..........._ . , .... ,�-. .... -,. - ...... .. .\... ,.. .,..... . . . . . . . ._ . . ,. ........n..........,.:.,... .. :. . ,,...::,:,... �:�:i:sv. _ ...........: :�..:.�.c..,.>�.�:,.:_::;;.`.'.';'„-3>`. „ . .. . ., .....:......:� . . _.....,. ._. ...... , . .... . .:__. . .:n...;,.;,.., s . . '`i�Y<' �`'ir .. . . . . . iu.:........ . :r._...�.......... ....,.. .. , _.,......,� .. _ �.. .7 - -... , . .... ...:,<. . .� ._.�_,:..,..,:,.. ,.u..... . .. ..f.: .. , . .... . :v. . .3. < , � . . .r. .. .. �... . � .,. r . . . . .... ... ... .... .. . .....�s. >..��'r,...;.=.: `a�i'�'�"=`, sr: - .....t �.., . ..�;..__;;:;:;., F�.I .,�". ,�`�. - 8 �"�����lc��t�'!�#� �:�����.`'"'_�,��.,:�.. .� .�;, .�.. :�-->• - �CI! �t�� „�,,..� ;<�.. ,�s.: .:�. -:�„ . . , .F.-y...n..�r.._. . . sv-.;.n�.. 3.:.;:i..:t'�'4.'�� + a . ....;.., .�...y.':.s:3 ,.:a�..... -. .Y`r•���u,� .. , . ..,s _ � PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156036 Date Issued:06/13/2019 Permit Category:ePermit Site Address: 4127 Ruby Lane Lot:078 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-078 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 - Diana M Stock 4347 Bear Path Trl Eagan MN 55122 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature