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4137 Ruby Lane Use BLUE or BLACK Ink JAI I For Office Use Permit#: k-1S of I Permit Fee: 1E2~ City Ea~d 3830 Pilot Knob Road I Eagan MN 55122 t Phone: (651) 675-5675 i Date Received: 1 3 Fax: (651) 675-5694 j Staff: I L-----------------I 2013 COMMERCIAL BUILDING ERMIT APPLICATION S u.~ I Date: 1 27 1-75 Site Address: YGIV Tenant Name: 0-,,VR j convoy", a.~►\\S ®4,.~ ~ar~cn kor&'*(Tenant is: -New/ Existing) Suite Former Tenant: Q Name: ~tN Z.oeUne. S V~~~a.5 w~~ d1aC~,n IwncS Phone: lJo- 4 3 a• 87 9 Property Owner Address / City / Zip: P~~ok J N>3e_ o n~ n m 5,5-0 (0 Applicant is: Owner Contractor Description of work ~GwC O~F on-\C- Govt GK~► 5"A1^h Ct~ai~ Type of Work Construction Cost- 155 1 3 11 Name: O ~ (_0V%5. ('QC1i o License V5 L Z2 t a Contractor Address: kouvtd{ lc_ ayL City: 1~5L ~yJ~'1 T State: M 1 Zip: J~t~( Q Phone:G S- I" 2 k;L f Contact: LC4. Email: 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. - . n..,........ r..... m_t 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.aopherstateonecall.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 D -qm. wi Applicant's Printed N We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA153987 Date Issued:02/07/2019 Permit Category:ePermit Site Address: 4137 Ruby Lane Lot:075 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-075 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mary E Meinert 4137 Ruby Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179711 Date Issued:10/18/2022 Permit Category:ePermit Site Address: 4137 Ruby Lane Lot:075 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-075 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Mary E Meinert 4137 Ruby Ln Eagan MN 55122--216 (612) 824-3462 Clearwater Plumbing & Heating 19260 Mushtown Rd Prior Lake MN 55372 (952) 440-3779 Applicant/Permitee: Signature Issued By: Signature