4133 Ruby Lane
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,A Q Use BLUE or BLACK Ink
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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