Loading...
4133 Ruby Lane 1OtS 2 IZlAAot~, C N ,A Q Use BLUE or BLACK Ink A\2, ` 33 ,S"'"w J J I C) I For Office Use City of Ea Rd~ ~ Permit#: 3830 Pilot Knob Road Permit Fee: 52t9.15 11 I Eagan MN 55122 I I Phone: (651) 675-5675 1 Date Received: 10 Fax: (651) 675-5694 j Staff: j L-----------------I 2013 COMMERCIAL BUILDING PERMIT PPLTCATION 4 Date: 1 27 11- Site Address: -,,1148 tZV l3/ Ay/ 33 IV R,w Y Tenant Name: D"gk'e'i ('0M0T'5 ~.i►~~c.S (71-1, korw5(Tenant is: New / > Existing) Suite Former Tenant: Q t Name:D ~t~► c or~hohs ym04 ^-'\A I".S Phone: 5*A- 4 3 a• 817 9 Property Owner Address / City / Zip: C3ak J N>3 e- ywo N1 JU SSO (0$ Applicant is: Owner Contractor Type of Work Description of work: 1 Gc~,~ 0 ~1~ - (Noy~ uK C1ar~r S . nh Ct Ct Construction Cost: Name: O T ~.yv~$~t'~lc1F o License#: l )C- 22 1 to 1-j - COntlaCtOr Address: ~kouv\A{~ o.%JG.- City: 1► 1C~SG MyI)%,\~- State: M ) _ Zip: 5 SO( Phone: `7 9 tiOS Contact: LGj- Email: Lco; 6-1d ~e~~ tC cf`J. -C~I"1 Name: Registration Arch-itect/Engineer Address: City: State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone M 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 X - MA Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151127 Date Issued:08/08/2018 Permit Category:ePermit Site Address: 4133 Ruby Lane Lot:085 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-085 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Kendra M Marut 4133 Ruby Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature