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4155 Ruby Lane Use BLUE or BLACK Ink Y I For Office Use Permit City of Ea~a~ I Permit Fee: 04Y1 i 3830 Pilot Knob Road I Eagan MIN 55122 I ? Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff: j 1-----------------I 6 2013 COMMERCIAL BUILDING PERMIT APPLICATION 4 whl ~ Date: O~ 1771 (1 Site Address: 1 ^ i I y~~~~y~ssf y~ s~ 124 L VZ Tenant Name: Q~ ~~th (,otfts ~.i►~~aS ~ ~ar~cn kom%(Tenant is: New / > Existing) Suite Former Tenant: Name: r.N Got~hohs V M0.6 ok,%A a1aC~s w ~cS Phone: S5a- 4 3 a' 817 9 i Property Owner Address/ City /Zip: _P.d D&X S f103e.ho\)V% ~ M u 55n (oe Applicant is: Owner Contractor Description of work 1 Graf" d ~F GK nor 5, Ct'Oh%(- Type of Work Construction Cost: 3 1;t s 3 7 Name: O ~ LOVX 5 ~ ("JA i o License l ) 1 { oZ Address: lle `p~ fe V `ojv\a{ 1C- a%/L City: 1C)S<- MOJVX Contractor State: Mk Zip: '75_0(69 Phone:" GJr I - 2 ` 9 605" Contact: L&J Email: LL`Jt Name: Registration Address: City: Arch itect/Engmeer State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone n.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 L,,~ . , g-o v x_- Applicant's Printed N e Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r-----------------� I For Office Use � . ; ,a �� .. , . ` Y � i Permit#: I � �, � Perm�Fee: ��'� � 3830 Pilot Knob Road � � p�T 1 7 2014 � �D -/�7-/� Eagan MN 55122 �; � ,; i Dafe Received: ' Phone: (651)675-5675 � � vt-' � �� i tknrz � I Staff: Fax: (651)675-5694 �:r u _ �_�_...._ . .,._._ _ L–––– � 2014 RESIDEN�'IAL PLUMBING PERMIT APPLICATIC�N Date: �� " Site Address: � �� ,�� Tenant: � � �L� �.�� Suite#: � . � ` � � [�, � _. � ��:'�i��'1�" Name: v � ; � � Phone�,`71 '1 � � ��) � � � � L'1 � � ` ; Address/City/Zip: �� . . . � .w ��.r� � �`-'1 �` ° �� -�.,.� �. � (� � ('�,L� n ; Nam�: l.i �' � ;�,�L License#: � �' �-�` 'l l� �-:��- � � � � ' ' < Address: Lt �C �-� l �- CitY: �,'��y`� � �f�!'�� - � � � � State�_Zip: ��- (�� _ Phone� t, � �7�( Q t\t� �� i < Contact:� �1 EmaiL � � �.� �,�� _ _ n,�,,,� � ` ` � _New �eplacement _Repair _Rebuild _Modify Space _Work in R.O.W. � "�`y�i��E�� Description of work; � � � � RE5IDENTIAL � � � � Water Heater � � � � �Water Softener � � �awrt trrigatiorr(_R�Z I_PV8) � � ��:�� , � � Add Plumbing Fixtures�Main/_Lower Level) � Septic System � � � New Water Turnaround � � : ' � ' Abandonment � � �r,��> �s— ��.� ��,�.�. r� I � RESIDENTIAL FEES: � � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.0o state Surcharge) � �� $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) � � $60.40 Add Plumbin Fixtures, � g Septic Svstem Abando�ment,Water T�rnaround*(inciudes$5.0o state surcharge} F � � 'Water Turnaround(add$200.00 if a 5/8"meter is required) � � $115.00 SeqtiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) (,� � � TOTAL FEES $ � �,�.Q� . �� .� CALL BEFORE Y�U DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this irrformation is complete and accurate;that the work will be in corrformance with the ordinances and c�des of the City of Eagan; that 1 understand this is rwt a permit, but only an application for a permit, and work is not to start without a permit;that the worlc will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �� x � = �---- x App ant's Printed Name Applic t's Signature , �C��C'��f�� j : I�+��d�y` - ��* ` �� e�� r��r�zc�� ..,.,�r�� 1� ; ,�,.�.�,;��"�"�� ,,,�,��'�"� ..�.�„��a� �r�at'��lat�� : �l��t��,�„ �ai�N�� ' �t��; .. .:. - . �. . � . Oct.01.2015 08:23 Hessian Plumbing Services 6516818306 PAGE. 1/ 1 � Use 81.UE or BLACK Ink ur-----------------i . . ��,,�,+ � Q' � m� � For ofiice uso � - "�"'� r �� Permlt�,��/ j /' i I I v y�, � �ty of Ba�an � �� Permlt Fee: �' (1 � 3830 Pllot Knob Roed � � i � Eagan MN 55122 � '�, � S � Dato Recelved: � � Phone: (661)676-6676 ( U � S��, i Fax:(681)676-5694 �,____��.�_________.. 2015 RESIDENTIAL PLUMBING PERMIT APPLICATIQN Date: � $ite Address: � ��5 �l '^ S`1 t-•�^-Q. Tenant: 8ulte p: � . ' . ' .. Name:__ V► ��a► .1 /Vl� V Ci t1 � ) Phone; � '� � " � 9 S - �'Yy Reslde��/�Qwner � ' ' Addrass I City/Zip; s S 1 � �� L .� ,S,('/L L � . . � Neme; e f.1')a r ��r�� . .re � � i e:c I y. .3 S �' ��..- License!t, G � " Address� �� U` �� a :2 /'7 2 City; 1.��c ti . Cohtractor � � ' � , , , Stata:r�,,,� Zip: -�' .f /� 2- Phone: C� �" / Le 8 I �' '2 .S � . ,., .�.. . . .............. ....„ � CoMact: ' V4 Ema11; l'`�%�k. C'� h r j'�•1 a•�, N. /c.�,1;�J c. sr 7rcrxz�s � ' "'' � � _Replacement _Repai� �Rebuild _Modlfy Spece _Wo�lc in R,O.W. 'ty,�e�of Wotk Descrlpllon of work; ��f "�'u .�' ��c ..,.,.r . — ._....�. � � . � � , . RESIDENTIAL Water Heater • • .�, '' � � Waier Softener • '� • Lawn Irrigaiion(___RPZ I_PV8) � �p�r�'�'�p� �� Add Plumbinp Fixlures�Mein/�Lower Lev�l) ' ' � . Saptic System • , ; � , , ,� . .� _New Water Turnaround � ' Abendonment /0 � '��' v,� �v f .�„ ,�-� .—- ..,........ RESIDENTIAL FEES: 560.00 Weter Heater, Water Softener, or Water Heater�n ,Softener(Includas Stato 3urcherpe) $60.00 Lawn Irrigation{i�r�udes sta�e surcherge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Wate�Turnaround"(Includes State 3uroha�ge) "Waler Tumaround(edd$210.00 If e 8/9"meteris requtred) �115.00 Seotic Svstem New(ineludes Couniy fee and 31ate Surcharge) TOTAL FEES$ > �• G��' ----�-- .___�.,... �_ CALL BEFORE YOU DIG. Call Gopher Stata One Call ai(661)4J4-0002 for protectlon a�ainst underground utility damegQ. Cell 46 hours before you intend to dig to receivo locates of under8round uNlities, �ner.aophersleSeonecalLor� i hareby ecknowlsdss d�at thle InformaUon le oomplata 4nd aocureoo;thet�he work wlll be In coeformsneo whh the ordlnancee and codes of the Clty of Eegan; Ihat I understand this is not e permit, but Only an appllcatlon for a permlt, and work IF �ot to etart without a parmit;that lhe work wlii be in accordance with the approved pinn In the c�ee of work which requlres a revlow end epproval of plane. x �-,� V L.C. .J''C., �► ) 1 'ft, ' � �'G.e K �4 ��-... Appllcent's Printed Name Ap cant's Sipnature ��QR ORFICE.USE ' .. ' ' ,� � , Revl'eN►ed'@�: ' � � . � :' Qste:_ , � � Requlrsd lnapectlons:: Undm�Ground • :�touph-In ; ,,,,,�1ir�Teet�� Gas�Test _,,,_Final M,ete�Related itemst ,'.�•MQt�r Size�� .' � � .'�Radid Reed��`� .� ��.`.Mar�ometer,� ": ' 5taff: � . � � ' • PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153882 Date Issued:01/30/2019 Permit Category:ePermit Site Address: 4155 Ruby Lane Lot:067 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-067 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Hua V Huynh 4155 Ruby Lane Eagan MN 55122 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature