1964 Ruby Ct Nr CITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
_ a t
. u c, r r r N
PERMIT SUBTYPE:
It -%P1 1 Nti
INSPECTION RECORD
PERMIT TYPE: -'
Permit Number: 0A M!-' N
7 Date Issued: Oft / t (I J q R
APPLICANT:
` TYPE OF WORK:
PA I R CH)
I TNAI
01AItt::". ; Itt'l,A I It t. 111 MN} Y 11tIV TO '.'I ORMt IIAMAW
1-1
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS 1
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
IDECK FINAL
MY OF EAGAN
3830 Pilot Knob Road
Lagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued: H *.l
SITE ADDRESS: APPLICANT:
1, l i l i l N1A„rJ ; N1) n 1 1 1. P f 0 104
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DDATE INSPTR.
iv ia5 ? 5°°
i , 1?,. 4?7G
2 00
? !p 7G
r oo
'
? t?t.ttt,-
?%
70 ,t9
J
Nlo
,, ; .
.li , 2oo
Sr C
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ra r7o
70
i I G5??I70 ?o
) t? a
K I Mrlf
43
. r r H
• f F?NI
W F' I Fifc - VA f U V 1' i f+I i
7
J
I-
Permit No. Permit Holder Date Telephone M
S/W
PLUMBING // y •???
HVAC 'r
ELECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation I
Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Mg.
Orsal Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final 1'J 1 m-IJ
Deck Ftg.
Deck Final
Well
Pr. Disp.
x?
r-e
??S^
SrTE ADDRESS Unit # Permit #
L B Sect./Sub.?'D7ts
INSPECTION INSPECTOR DATE COMMENTS
tr it
rt lr '? r, / 4 - 6-6x=70
f f It it i.
l t? gIJ-3 - a5 =?7--
???. q-11-? 41 loQ/
r, ,0 try/ ?= i/.9 y ? d- 3 - g 14?,J ?y-- l9 /0
INSPECTION INSPECTOR DATE COMMENTS
all,
rP- " 9 ° ?/IZ 3 d - -11V
/U S Q L fl y/ 2?/ a 3 ?- i s .?svc t _
?, ,, ,t , l l ryJ? ?.
s
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
• :?; tit
i, I t ! ? !fvrttil .'idly
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
7 Date Issued:
APPLICANT:
030 2.
i ilih ')dl ?
TYPE OF WORK:
1tu I I it I NN
01.4 H41)
ORIjA/48
ria
R1 MARKsi RrVA!R C141MNl Y Pliff Tu ';i'IItM DAMAW .
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
40J INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
l u l : ?I fl l.rr? k
I ••,1 I.111tY f.I H
t) i 1 f L.E Y r 0HN0N% ?ND
PERMIT SUBTYPE:
M r r•r r:
111111 111
N;'N sl .
i17 / t ?? /???:
APPLICANT:
ri r ? .• '111
TYPE OF WORK:
! i I „ 11.
r l i l I I r r l i I I N11 & WA I F R IlANA61
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1.1110.11 IN I I I
E IN/1f
I,ImI I N1,
kF'NAkKk,, INcI IJF#FS
1966. (IH. AN11 1'+!N R118Y r. I N & 4173. 2b. 27, 29 RIMY I ANf
1.083 OH2 #HI 0N0 079 87x3 871
F
L
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 1964, 68, 66, 70 RUBY GalRT N & 4123, 25, 27, 29, RUBY LANE Zip 5512 2
Lot 3 Blk 2 Sub DIM-EY OMMS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF^THE FINAL INSPECTION.
Date: ,j AN Yes N Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
M 6470
Request Date / Fire N . ou in Inspection
'9"
es ? No NOTICE: You Must Call Electrical Inspector
If A Rough -In Inspection
Is Required
I Cj? icensed contractor ? owner hereby request inspection of above electrical work at:
.lob Address (Street, Box or R No.)
3
2?crL City
Section No. Township Name or No. Range No. County^ n
/!X'
Occup PRINTI ?J Phone No.
Powe upplier Address
Electrical Contractor (Company Name) Contractors License No.
Mailing Add.. r?tl'IGrnst11?iPa)
225TH ST- W., FGTN.,
r\ A?'
C
Aullumized Si tracto ner Making In - Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., SL Paul, MN 55166 UNLESS PROPER INSPECTION FEE IS
Phone (612f 642-0666 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
??pp Ii, See instructions for completing this form on sack of yellow copy.
lol 6,4770 X" Below Work Covered by This Request
EB-d"I-08
New itsid Rep. Type of Building AppliadceAVired Equipment Wired
Home 11ange Temporary Service
Duplex Water Heater Flectnc Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below: 6-0
# Other Fee # Service Entrance Size Fee # Circuits/Feeders e
Swimming Pool 0 to 200 Amps $ 100 Amps
Transformers Above 200 _ Amps l _ Amps
ft
el
Signs e
f
Inspector's Use Only:
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-In Date,,
certify that the above ins ectionhas
P
been made.
Final
Dat ?/ f p
/l
OFFICE USE ONLY
This request void 18 months from
M ?"v
6 4 7 6 'd ?5
Request Date
'
3 Fire o gh-in Inspection
a '+-
es F1 No NOTICE: You Must Call Electrical Inspector
II A Rough-In Inspection
Is Required.
I fte?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or R to No.
L0 b' City
Section No. Township Name or No. Range No. County
Occupa PRINT) Phone No.
Power Supplier
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address, (Contractor or Owner Making Installation)
CITIES ELECTRIC, INC. CAOM81
Authonzed Sign re (COntractor/ nei Malang Installers rS. Phan. Number
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRI
IINTY
Gdggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
J(? Y / REQUEST Fork ELECTRICAL INSPECTION
1 'nne' 1 64763 Sea Ins,m,om- for completing this form on bads of yellow copy.
X" Below Work Covered by This Request
EB-0000108
' fee 7
ew dd Rep. Type of Building ApoancesWi.ed EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Be F # Circuits/Feeders ee
Swimming Pool 0 to 200 Amps j p 0 to 100 Amps
Transformers Above 200 Amps 100 Amps
Signs Inspectors Use Only:
U TOTAL
Irrigation Booms //' / G
) 10
Special Inspection `f J
- kot2
Alarm/Communication THIS INSTALLATION MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final t Date
Date T
OFFICE USE ONLY
This request void 18 months from
M 64 64 3 Ad 712
Request Date
p q
l ! - ( 3 ! Fire N R gh-in Inspection
ui
es ON. NOTICE: You Must Cell Electrical Inspector
If A Rough-In Inspection
Is Required.
ensed contractor El owner hereby request inspection of above electrical work at:
I akm
Job Address (Street, Box or m City
-C'f?
Section No. Township Nature or No . Range No. County
y
&'`
Occupy PRINT) 66l
Phone No.
^ Power pplie? Address
Electrical Contractor (Company Name) Contractors License No.
Mailing Address t o
ST. pta CA00381
W., FGTN., MN 55024
Authodzetl Sg acI tallation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GNggs-Mitlway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
/-/ -- REQUEST FOR ELECTRICAL INSPECTION
?p c lo See instructions for eampleting this form on back of yellow copy.
M 6 4 6 4 X" Below Work Covered by This Request
???`- EB-00001-08
ew Add Rep. Type of Building Appliances Wired Equipment Wired
ome Range Temporary Service
Duplex Water Heater - Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors RemaMS:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders
Swimming Pool 0 to 200 Amps S 114 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only TOTAL O
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Flnel Oate
o r
OFFICE USE ONLY
This request void 18 months from
M 6475/y
Request Date
^q? p
/ Fire
rj
2b ug -in Inspection
equirad'+.
? No
NOTICE: You Most Call Electrical Inspector
If A Rough-In Inspection
Is Required.
I 14censed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route J
9
? City
Sectiori Township Name or No. Range No. County
off',
Occup RIM) Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractor; License No.
Mating Atltlresssly,?tglprLCy1P41V.re?Ir4Gr) CiA001111
S ff SSii TH ST, W... FGTN., MN 55M
Authorized Sign re (Contractor/ ner Making In n Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs•Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
G -y [ L REQUEST FOR ELECTRICAL INSPECTION
J See instructions for completing this form on back of yelbw copy.
M 6 4 7 6 ? - .X„ bjblow Work Covered by This Request
EB-00001-08
/Fa77
New dd REp: Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other(specity) connectors Remarks:
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders ee
Swimming Pool 0 to 200 Amps Q 0 to 100 Amps
Transformers Above 200 Amps A Amps
Signs Inspectors Use Only: OTAL
Irrigation Booms ?,? Gtr
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
OFFICE USE ONLY
This request void 18 months from
rr 5546 89?-
3 6P 5
Request ate
^r-a
l\ Fire R gh-in Inspection
wired?
Yes El No NOTICE: You Musl Call Electrical Inspector
II A Rough-In Inspection
Ia Required.
??1......???
I l(licensed contractor ? owner hereby request inspection of above electrical work at,
Job Address (Stree6 Box or Route No.) Ciry
Section No. Township Name or No. onge No. Col
O nl (PRINT) Phone No.
P liar ? Address
Ele ricid Contractor (Company Nam) Contractors License No.
Mating Address (Corygy ftffgWp¢41yYio4ft-io*M
10 CLCi T.?W. ?7Rr
Authorized Signature (ftractooorar-4Making Installati Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY J THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0 888 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
lp See instructions for completing this form on back of yellow copy.
M.. 55461 ,X" below Work Covered by This Request
EB-00001-08
et Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Atove_100._ Amps
Signs Inspectors Use Only: / V
(J TOTAL S
Irrigation Booms r
s
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in r Date
certify that the above inspection has
been made. Rnel
"
OFFICE USE ONLY
This mAU68t void 18 months from
ae 77
?
66 d
M 647
Request D;le Fire N o h
m Inspection NOTICE: You Must Call Electrical Inspector
ui IIA Rough-In Inspection
!(/L,??- [ s
es ?No Is Required.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street,, Box or Route No.) City
row
CP 7 W ?
Se ion No.
Township a or No.
Range Ni
County
???
Ocwpa PINT) Phone No.
Q
Power pliar Atltlress
edncal ntraaor (Company Name) Conhamm's License No.
Mailing Address (Contractor or Owner Making Instalie6on)
goa
S
ELECTRIC. TRIC
a
wn
Aullrorized l a 4inf
?o
nuN ?
ANO Phone Number
:?l
?Q?
?
0 10
MINNESOTA STATE BOARD OF ELECGFfY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Rao. S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 66104 - -'-' UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on back of yellow copy.
M ,6 4 7 6 6 _ 'X" Below Work Covered by This Request
ky- EB-00001-08
?006 71?1
N" Ardd F*, Type of Building Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Speciry)
Farm Air Conditioner
Other (specify) Contractors Remarks:
1
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders e
Swimming Pool 0 to 200 Amps s' 61 0 to 100 Amps
Transformers Above 200 Amps Above 100 Am K
Signs Inspernork use Only: TOTAL
Irrigation Booms
7,7- a,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 "S.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final •
4/Z 1Z Date
OFFICE USE ONLY
This request void 18 months from
x
7
647
M 67 a ?,o $
a
Request Date Fi floeugh-itlo spadon
W NOTICE: You Must Call Electrical Inspector
7 7
e ? No II A Rough-In Inspection
Is Required.
I Icensed contractor ? owner hereby request inspection of above electrical work at:
Jab Address (Street Box or Route No.) Orly
C
Section No. Township Name or No. Rito. County '
t/C//y//eA?C'Gucc-Q/
Occupy RINT) Phone No.
6
Power piker Address
Iectrical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
CMEB ELECTRI
Authorized Sign Mliftln ftm MN
5wo Phone Number
MINNESOTA STATE BOARD LEM THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg- Room S-173 74 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55106 --"? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
1'I ` 6 4 7 6 See instructions for completing this form on back of yellow copy,
?eyal
' 'X" Below Work Covered by This Request
u
EB00001-OB
YO/
New d Rep: Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Comractorls Remarks:
Compute Inspection Fee Below-
# Other Fee # Service Entrance Size Fee # Circui1a
eeders F
Swimming Pool 0 to 200 Amps 0 p
O to 100 Amps
Transformers Above 200 _ Amps Above 100 -Ann
ps
Signs inspectors use Only: TOTAL p
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF T
Other Fee COMPLETED WITHIN IS MONTH .
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final Date
Date
OFFICE USE ONLY
This request void 18 months from
` /d7a 7?1
647 8 A
M N? ?? °°
,
Request Date
p Q
/pZ. Fire o gh-in Inspection
wre ??
g
es ? No NOTICE: You Must Call Electrical Inspector
It A Rough-In Inspection
Is Required.
icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No., Township Name ar No. nge No. County
Oau INT) Phone No.
?? qq????
Power upplier Atltlress
Electrical Contractor (Company Name) Contractors License No.
Mailing Address (Contractor or Owner Making Installation)
GTIEB ELECTRIC. IN
Authorized Sig re on c / 463-3810 ?? Phone Number MINNESOTA STATE BOARD OF ELECT ITS THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 - UNLESS PROPER INSPECTION FEE IS
Phorw(612)642-0800 ENCLOSED.
el REQUEST FOR ELECTRICAL INSPECTION
?`-' ? Sea instructions'gr completing this form on back of yellow copy.
M 6 4 7 6 8 W- Below Work Covered by This Request
0 /E/rB?J0i110?0J1-08
/
e did Rep. Type of Building AppliancesWiretl Equipment Wired
Home Range
Temporary Service
Du
plex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders e
Swimming Pool 0 to 200 Amps -Q 0 tp 100 Amps
Transformers Above 200 -Amps Above 100 Amps
Signs Inspectors Use Only: OTAIL
O
Irrigation Boom s
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Dale
certify that the above inspection has
been made. Flnal Date
.'Lr
OFFICE USE ONLY
This request void 18 months from
M 64T6 y? X07
Request Date ^
/ "' L
?._ L Fire ug -n Inspection
equi
es ? No NOTICE: You Must Cell Electrical Inspector
If A Rough-In Inspection
Is Required.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. V6 No. Cuunty Q?
Occup RINT) Phone No.
Power Supplier Adtlress
Electrical Contractor (Company Name) Contrdctor5 License No.
Mailing Address (Contractor or Owner Making I
gTIES ELECTRIC.
AktrAL nstallation)
INC. CADMI
Authorized Sig ura (Contracto ner ids n (0 M Phone Number
MINNESOTA STATE BOARD OF ELECT RI THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55IN UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
1?6 - t/ REQUEST FOR ELECTRICAL INSPECTION
?p / ? See instructions for completing Otis form on heck of yellow copy.
M. 6 4-7 6 9 --X" Below Work Covered by This Request
EB-00001-08
ew dd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders e
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A Amps
SIgi Inapectl Use Only: UO OT Q
Irrigation Booms
Special Inspection L VP
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOUTH
S.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final . Date
- ( •?(
OFFICE USE ONLY
This request void 18 monMs from
41b? City of laps
9850 Pilot Knob Road
Eagan MN 65122
Phone: (861) 5756675
Fm., (861) 676.6084
-------------------
I tNiti ,
vermk e: ? ? a 3 / ?
I
Date a Pae Aoei - L I
r 1fN_!? I
I I
l Etas: I
--------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
OVA.
Tenant=
RESIDENT / OW'N£R Name: MOWS Phone: M 70'
Address 1 City i Zip: .
Applicant is: _ Owner _?[_Contraolor
TYPE OF WORK Description of work: stding
Constriction Coat: Mukl-Family Building: (Yes,_ / No_J
CONTRACTOR J? h
Narrm: C II)YYIRIi
C"
1 jardUS14
''
? License *:
/
/i
yyy
7'5 L ?J?Q n
Address: -9 Sg fjlll j
coy: 00560 State: w_Zip: 5_ga(I
Phone: &5L.4 . %a7? / Contact Person:
hl 1 / Q./'kS07`1
&-r e
COMPLETE THIS AREA ONLY IF CONSTRUCTI NG A M& BUILDING
_ Mlrnewlis Rules 76ZD Catecory I
Energy Code itsslderift ventilation Category I WortahNl PAnnesota Rules 7672
• New Enemy Code Wortehttet
ca"ory Stmmeted Submltlad
(J submission type) Enemy Envelope CetcLAshom Submitted
In Um No 74 monnis, hen the City of Eagan issued a permit Im a ehairar plan based an a rmaatar plan?
_Yes __No It yes, date and address of matter plan:
Licensed Plumbae: Phone:
Mechanical Contractor. Phone:
Bawer A Wow Cermacter: Phone:
1 I1E1• OpetlMSldi.if6ld)1Df/ rk mF* -lobepsilafib
???p aNYfMed,p f?tat?O b;Pp1+;? , i!?pe?ItK.i?18! NianO)tl}IE?III? ?::
•rraF
I hereby acknowledge that this irrtornietlen a eanplete arld aamuste; that the wpk wall be corttorrrt es the now and CaWS at the City, of
Eager: srst I understand this in not a pa mh, INA only an appkcalmn for a permit. and snot ert *,4h , permit that the wwk wile be to
ao¢erdir o v/0 nre approved plan in the case of wart wtach reWre9 a review led al of plane.
xe } -t?
App s Prlttted flame Appi jO 1`111
Page 1 of 3
sc
Built s: l li lqk e W z4
-'r IQ(QI
T•d XHd 1312I3Shc dH Wd02:B 6002 6T Sad
??Aj?
2007 COMMERCIAL BUILDING PERMIT APPLICATION 0C
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why.
• Structural Plans . (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• Project Spew (1)
• Spec Insp & Testing Schedule (1) -
• Soils Report
(1)
• Meter size must be established
1
)
. SAC determination -call 651602-1000
• Soils Report (1)
• Certificate of Survey (1)
• Structural Plans (2)
• Architectural Plans (2) sets
O• HVAC units req'd. on bldg elev. I site plan
Civil Plans (2)
• Landscaping Plans (2)
• Code Analysis - (1) '•
• Energy Calculations (1)
• Emergency Response Site Plan (1)
• Spec Insp. & Testing Schedule (1) "
• Electric Power & Lighting Form (1) "
• Project Spew (1)
• Master Exit Plan (1)
• SAC determination - call 651602-1000
• Fire Stopping Submittals
• Fire Suppression/Alarm Forth
or
• Architectural Plans (2) sets
• Code Analysis (1)
• Project Specs (1)
• Key Plan (1)
• Master licit Plan (1)
• Energy Calculations (1) not always-
• Elec. Power & Lighting Form (1) not always-
• Meter size must be established-if applicable
• SAC determination - call 651-602-1000
** Contact Building Inspections to see if it is required and fora sample.
*"* Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date/ /0_ Construction Cost 14 GY7D `
Site Address Z- 1, / Unit/ste #
Tenant Name ? Former Tenant Name
/Z,5- 1z7 y129 r 16 J/ elk,(", I`ia ?y7G I(Al
Description of Work Ae ?oOP
Property Owner Telephone # ( )
Applicant is: _ Owner X Contractor Contact #: (9-,61 Z/ 94j72
Contractor G1q,-k5 A-) ?s
ar
?
Address 7o2]S Ak,?4 otk City
State /yliU
Telephone # (9.-52) X5.3 -?/9s8
Zip S'S--0(.?9
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewer/water service: Phone #. (_)
_ _ .. .. • .. __? _ ? .L .L ..--1....:111.-:..
I hereby apply for a Commercial Building Permit and acknowledge that me lrnormanon is curnplclc RUM aw?lmc, mm uro ..v.•...•., •••
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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.
/Y/' A? 13ero e? / .
Applicant's Printed N?me Appli ignature
Pioneer Ensineering 7831883 P.02
>K J+ Y 2422 Enterprise Drive
Mendota Heights, MN 55120
* RIOIV?tEl? LAND SURVEYORS r CIVL futahl " (612) 601-1914•Fox.681 ; Wis
engineer • LMIO9oAK relaa7Gp7s 825 Highway 10 Northeast:
-Fng
Jf * Blaine, MN 88434
?[ * * (612) 783-1880•Fox 783-1883
Certificate or Survey for: THE ROTTLUND COMPANY, IN,C.
8 UNIT BUILDING DETAIL
19292 _ _ _
.r- _ - . - -
F - - - - S2.3e .?.. -. r 44.08 44.06 -
1
C= 17-1
9.67 9.67 9,67 9.67 E
I 7.50 ^n m 7.00 $ 165a 7.60 n 7.00 $ 22 56 $ 7.00 7 ^18.50 8 T.0 T.s0
$ r, "' - n 14 Wi
m &07 I
} fl87 00 fl36 14 ` &33
A B B A
1.33 P OPOSFD BUILDING FOUNDATI N 1.33
ry
M1 If _-?_ _ ?_ I N
UNITS: ? 7 - 84 1 1.33
B
A
8
e.33
n
fl33
A
8.67
1
.67
? I
n
M1 r I
I
?
00 g 16.511
e
7
7 60 n M1 h
7.50 ref 7.00 g 22 M1 P ..
5 $ 7.00 ref 37.50 `! 1660 8 7.00 n rS7•50e
p
j
9.67 . 9.67 9.67 9.67
p p I G r"".? M1
I I
L62.38_`_1_ I
-_?06 -- 44.00 51 M
192.92
Scale: 1 inch = 30 feet
aNOXa r.
AN bfterfdr buffdit life steam aver Me
_ oeNtefte of we f " at
.1
o/
shown are assumed
Demotes Ex13 ft Elevation
Denotes Proposed Elevation
Denotes Drainage & Utfilty Easement
S 8618147" aE
R ¢ Ap 00
-Denotes Drohlage Row Direction
- Denotes Monument MWO M7g>;'D CONDD1lIMW MUM N
i.-Denotes Offset Huh Garage Fioor Stab Elevation. 902,1+;
LOT 3 BLOCK 2 DjWY COMAf0I?TS
MMWY camw Mw m
I hereby certify that foils sun", Pin w report wo prepared by ma or under my direct supervision and that I am duly Re9ietered Land s4l w w
under the Wm of the State of Minnesarm Dated thft iL MU day of t o-sa' ,14 A.0.19.13_.
0 . 7 4 tttek a r%ftak
L;5SgL/
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15.56
CHAMBERLAIN, MARY
Date V 1 l I 0
1968 RUBY COURT NORTH
Site Street Address EAGAN, MN 55122 Unit #
(651) 905-3713
?
J
Property Owner "elephone # ( )
Contractor (612) 827-4033 Telephone # ( )
Address 2905 GARFIELDAVE. SO. City State Zip
I
I
PA
S, MN 554M
NNEAPOL
The Applicant Is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 518" meter is required)
Other:
K Water softener Water Heater $ 15.00
replacement - additional
_ Lawn Irrigation System repair -rebuild $ 30.00
? 2004
I AUG 16
State Surcharge „ $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
J e? ly 0 6b clvy?.
Applicant's Printed Name A s Signature
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT:
1964 RUBY CT N
DIFFLEY COMMONS 2ND
PERMIT SUBTYPE:
8-PLEX
TYPE OF WORK:
NEW
BUILDING
022495
11/09/93
INSPECTION TYPE
FOOTINGS DDATE INSPTR. INSPECTION
FOUNDATION DATE INSPTR.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: INCLUDES 1966 1968 1970 RUBY CT N
4123 4125 4127 4129 RUBY LANE
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
3 B L 0 C K: 2 APPLICANT:
ROTTLUND CO INC, THE
(612) 571-0304
S & W PLBR - VALLEY PLBG
L J
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 022495
Date Issued: 11/09/93
SITE ADDRESS:
1964 RUBY CT N
LOT: 3 BLOCK: 2
DIFFLEY COMMONS 2ND
DESCRIPTION:
B,uildin°tf Permit Type 8-PLEX
Building Fork Type NEW
tJ80 0 cupancy.,, R-1 M-1
ff. Construction T14pe V-N
Zoning PD R-4
Building Length 193
Building Width ` 72
B.ui'l-dirig. stories _J 1
quare'Feet, 11,748
x
t `ti r
REMARKS:
INCLUDES 1966 1968 1970 RUBY CT N S & W PLBR - VALLEY PLBG
4123 4125 4127 4129 RUBY LANE
FEE SUMMARY:
VALUATION $368,000
Base Fee $1,577.50 CITY SAC $800.00
Plan Review $1,025.38 WATER CONNECTION $5,560.00
Surcharge $184.00 S & W PERMIT $100.00
SAC $6,000.00 S & W SURCHARGE $.50
SAC % 100 TREATMENT PLANT $2,592.00
SAC Units 8 ROAD UNIT $3,120.00
Subtotal $8,786.88 Total Fee $20,959.38
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ROTTLUND CO INC, THE 15710304 0001335 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
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 MR.
Statutes and City of Eagan Ordinances.
L?
APPLICANT/PERMITEE SIGNATURE -IMUED Y: S NAT RTl EE
REACTIYAE
PERMIT
Ui I Y VI' CAtaAN U
1593 BUILDING PERMIT APPLICATION
681-4675
B-pex
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL set of
2 sets of architectural & structural plans, 1
.
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date //- / / Valuation of work ?? 00 U
Site Address: (e -(G r W 970 la -q?a7-?Ii?S- a3
STREET SUITE •
Tenant Name: (commercial only) -7'ie Ro4J4urid CO ZAC--
LOT BLOCK SUBD. P.I.D.
Z
'D '.t'4l C caw.
Description of work: ' ow ?1no.
The applicant is: '.Owner M Contractor 0 Other (Describe)
Name'=the l_af4-1urid C-o. =oc. Phone 571 -o3o4
Property LAST FIRST
Owner Address 520( S ZW VU #-3o ?
STREET STE #
City Fcj"4140y State hilt zip
Company `.aAe- RS W106+1-e Phone
Contractor Address License # 133.5 Exp.3-SI
City State Zip
Company Wk 1. A, LGSne. Phone 6,12) 933-3ZS?
Architect/
Engineer Name Tiw` Wk l?er? Registration # t(o36:Z
Address Li l S? +?PetLjlEr +D?r` I??AG?
City NrtP_-lyok L State Zip S5"t+4?
Sewer & water licensed plumber o`pdy'M 1Aw Processing time for
sewer & water permits is two days once a el a has bee approved.
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.
i
Signature of Applicant: J :??
Ie? CL+µwyM?y4,<
caarCU'K gco%cs
mos+e 5)'0' Q-6 3?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
1561 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) y" W Basement sq. ft.
(Allowable) v N 1st F1. sq. ft.
UBC Occupancy 7i m_ 2nd F1. sq. ft.
Zoning PP, •R-4 Sq. Ft. total
# of Stories 1 Footprint Sq. ft
Length I. On-site well
Depth X2,0 ! ' On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
n !a
sertient?P'f`nish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System yE5
City Water y?
PRV Required
Booster Pump
11157 S Fire Sprinkler
Census Code !o'
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee !5'1`7,5, valuation: S 309 (JOO r
Surcharge
Plan Review y,no
p?3
??%?s. r?.eoQ 6
License 26?M 3.50 = `i38.oo
MWCC SAC
City SAC ??oa0 ?00
8 00, pp
elan Rem e a; ?s-n sr
Water Conn.
Meter
Water 55(00.00-
151?1.SbX b5/
/o7S,38
Acct. Deposit SArtka
S/W Permit oD,o ----"
S/W Surcharge O 3l??,aoo ?c , 000.5' x dy.Ot?
Treatment Pl. 2592
Road Unit 3?QO.oJ
Park Ded.
Trails Ded.
Copies
Other
Total:
a
SAC % Do
SAC Units ?_
NOV-05-1993 1025 FROM TO
rxTr:K!OR },NVKIdgl'r: nvratnrlr, "17-' UUMV11TRTION
os?Ea
SITE ADD9tSS
CONTRACTOR
2
681?Z; E
y -
iE4 Cerj, v S D
oATT
PHONE
Dete^^in working; square footm c of each-
S. Total exposed wall area 90 W/ sq. ft, x L
2. Total roof/ceiling area sq. ft. X
•
Total exposed wall are-.1 nbovc floor = -, &2?
n. Total wall w-ndov area . D &-
b. Total door area, ............................... . r
. L
c. Total sliding glass door area ...................... d. Total fireplace well area .........................
e- Total wail frwai.ng area (average 10S) .............
f. Total net vall aree above floor .. .........? '
S. Total rim foist area ................ -
Total cxposed foundation area = -'
?- 1
h. Total foundation windov are4 .......................
?i. Total net :Cwhdition area ove grade .............
Dete^:ne "U" value 01- each call re.Fment.
a. X, null5y?
b. /pG/? ..? •t ..rNill /V/? _ 1? .
C. -c37?141 1 X "ull . `i', f Ifr Zl ,
d Pull
e.. 07, L
f. X 'lull
g. llull
h. -..+ x null _
3. ..... .... ..,a :13 All
I b?• S
YL itaw ?3 is the some'" or lesr. 1.1um .ir.cm Mt, yon have met the inter.:
,.. ?,.aT S8C boC6(e)2. i
r,
R=98% 11-05-93 09:02PM P006 1324
NOV-05-1993 1026 FROM TO 6814612f AP.007
Total exposed root/ceilinr wren
Total gross roof/ceilings area =
- ?"
3. Total skylight area ....... ......
k. Tote1 roof/ceili^.s t amin3 are=. .............. Z7?
1. Total net insulated roof/coiling area /09.x`
Date-lne "U" valuc for anah "of7co11Ingt eogmant.
a
J. x lull
k:, x a`1n ??? a? •
1. X t1ull Ogg,
?? . ................................. Total = ?S, 9
If total of A is the sene as.'er less than 92, you have aet the intent of
sac.6o06(c)1.
To utilize the total envelope system method, the values established .by the
outs or items 13 and A shall not`be greater. thwn the sun of items 11 and 12.
3•. + L .
{
t
=s
6
11-05-93 09:02PM P007 #24,
NOV-05-1993 10:24 FROM TO 6814 P.02
tx*rmicoi FNvrddu'r. nvr.nnl.r. U U)M1,11Tli F111 r/••
o?+rfea` lZ07T 41n/D 60.
MTB ADDRESS _ L-vlT ?3 , T3 Loc% 2 17r FFN Ez/ ?rHs?uaS ?.o-u 4NT'/ U .
CONTMCfOR DATE PfiOSi$
De:ernin working square foota.te of each.
1. To.el ezpcsed v?.:l area .. 7.^ sq. ft. x 0.11 ° ry
2. Total roof/ceiling araa .. / // sq. ft. x B X023 a?
Total exposed vall area Above floor =
a. Total vall window area ............................
b. Total door ores ................................... _sk
C. Total sliding glass door area ....................
d. Total fireplace va11 area .........................
a. Tata1 vall framing area (average 1DS)
!. Total net vp-11 erea above floor '
g• 'total rim Joist area
Total exposed foundation area =
1 f _
h. Total foundation vindov a: ea ................ ....... -
i. Sbtal net foL•1d3tion area hbove grade ...... .......
-?
t Determine "_J" ra l?ue of each wall ar.,rcreri.
a. 93 Z5 x f.Uff 37 ,s a
b. 2. o x fluff. . /38 5.:79
. - c. 39. goo x ..u.. , ?!o 1 S? ??
d. x
.
e....?1 171
9. x 'lull
h. x 'lull
1 1. x f v,
3. ........................... .......1 •rnt?.l I p 7f (/ /
..
If item 13 is the same as, or tear _utn item N1, you have met the inters.
of BBC 6006(c)2.
?.. n
•
R-96% 11-05-93 09:02PM P002 #24
NOV-05-1993 10:24 FROM TO 6814612 P.03
0 GM
Total exposed roof/ceilinc area
Total gross roof/ceiling area =
3. Totaa skylight area ..........................
k. Total roof/ceiling Framing area ..............
2• Tatal net insulated roof/cellinr area . 4,6
Determine "U" value for Inch mr+r/cciiintt soh-aent_
J' a .r X ?lun a
t.
ttun
L, ..... Total m
If total aP 66 is the ss--Le as,'e-less than M2, you have met the intent of
sic 6006(c)l.
To utilize t.e total esvelo5e system method, the values esta.:,i=bed by the
a= of itts 13 and. 04 shah notlI be gre Ater. thKn the sure of it®ws 11 and. 12.
pJ /Z
l .
a
a
.e .
Rm96?
11-05-93 09:02PM .P003 1$24
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-20451-084-04
DESCRIPTION:
WIND & WATER DAMAGE
ermit Type STORM DAMAGE
' k Type REPAIR
'e- 1 434 ALT. RESIDENTIAL
F_
-i A
-n r
,•r I
REMARKS:
INCLUDES: 1966, 68, AND 1970 RUBY CT N & 4123, 25, 27, 29 RUBY LANE
L083 082 081 080 079 078 077
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
OU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS
636 39TH AVE NE 1964 RUBY CT N
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411 '
I
I here
nfiw
Statut
PERMIT
1964 RUBY CT N
LOT: 84 BLOCK: 4
DIFFLEY COMMONS 2ND
PERMIT TYPE: B U I L D I N G
Permit Number: 028312
Date Issued: 07/19/96
APPLICANT/PERMITEE SIGNATURE IS D BY SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
a a ?/Z 681-4675
New Construction aReauirements RemodelfReoair Reauirements
+ 3 registered site surveys + 2 copies of plan
+ 2 copies of plans (include beam & window sues; poured fnd. design; etc.) + 2 site surveys (exterior additions & decks)
+ I energy calculations + I energy calculations for heated additions
+ 3 copies of tree preservation plan if lot platted after 7/1/93
required: -Yes _ No
DATE: 108 I (0 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STRE ADDRESS:
TR ?'
BL
PROPERTY
OWNER
CONTRACTOR
.vt.., UI !M-d?-?
rq?p Nodl,,? -
I
SUBD./P.I.D. #: f. t. t
> 12-9 [W
Name: Phone #:
uer wgsr
Street Address,
City: State: Zip:
Company: & W sew' r Phone #: 70 0p t3 _q4111
Street Address: 631,304twryE License #• 31 ? p o
City: State: /?)i4t Zip: 5,54V
ARCHITECT/ Company:
ENGINEER
Name:
Street
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Phone
Registration
Zip:
Penalty applies when address change and lot
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
J U ' C 1996
Tree Preservation Plan Received - Yes - No L=
OFFICE USE ONLY
BUILDING PERMIT TYPE
s 1 i
o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-Alex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 3 2 8 5 0
Date Issued: 08/10/98
SITE ADDRESS:
P.I.N.: 10-20451-081-04
DESCRIPTION:
?a
1970 RUBY CT N
LOT: d81 BLOCK: 4
DIFFLEY COMMONS 2ND
REPAIR CHIMNEY
8 l l ft Permit Type STORM DAMAGE
B [%1cJiMg O' Rrrk Type REPAIR
r. BnW?i Cade. 434 ALT. RESIDENTIAL
V" i,
s d? ( Yi F3 ?tM P tf Y- '! E3{ 3 L
°'n? ,k F ap,F,s` "' '=`tw y _-i-I ',TSI 'T xau? s? >T. €
REMARKS:
REPAIR CHIMNEY DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC. OWNER:
OU ALL SVC CONSTR INC 17889411 0003178 SHELTON DAVE
636 39TH AVE NE 1970 RUBY CT N
COLUMBIA FITS MN 55421 EAGAN MN 55122
(612) 788-9411 (651)688-8741
I hereby iolcnwledge that?I hove read this-appl1c ation and state that the I
1nf r,mat3c6 34 correct and agree_to coirply with all appl?oab e State of Mri. '
Stoatutgs and G ty of Eagan. Ordinances.
APPLICANT/PERMITEE SIGNATURE CJ SUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
v CITY N OF KAGAN
3830 PII.OT SNOB B RD RD -
55122 ?i
681-4675 - U a
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (inducts beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required: _Yes _ No
DATE:
DESCR;DDRESS-: IO WORK:
STRE /'
LOT: BLOCK:
L+-
SUBD./P.I.D. #:
Name: Zit-Al Phone #: g:?t ffly -,4//
PROPERTY Last First
OWNER
Street Address: 197D 44 OV ?' edU{-7"
City State: 0*0?r Zip:
Company: ?v .411 ??¢?/"G Phone#: ZAr- 990ell
CONTRACTOR "-'
StreetAddress:/(03G 394 /??£ y? License# ?l?
City State: A& - Zip: J r?lz I
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information i correct and agree to co ply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
RECEIVED Signature of Applicant i1 771
AA
USE ONLY
Certificates of Sufvey Received Yes
No
Tree Preservation Plan Received - Yes - No - Not Required
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior addiction & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; fb*-A* J,)?4f 4E
IZECEIVED
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq, ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCM/S System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
n _, R
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 3 2 8 4 9
Date Issued: 08/10/98
SITE ADDRESS:
P.I.N.: 10-20451-077-04
4129 RUBY LANE
LOT: 077 BLOCK: 4
DIFFLEY COMMONS 2ND
DESCRIPTION:
REPAIR CHIMNEY
ermit Type STORM DAMAGE
€, k Type REPAIR
e434 ALT. RESIDENTIAL
=ss?
iL£* nq? a
[t*xP
I } ( +k*t ^i t ' ? «h .'..raj k"?'S
11
REMARKS:
REPAIR CHIMNEY DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. -IC. OWNER:
DU ALL SVC CDNSTR INC 17889411 0003178 BUSS EDITH
636 39TH AVE NE 4129 RUBY LANE
COLUMBIA HITS MN 55421 EAGAN MN 55122
(612) 788-9411 (651)681-8741
'hereby ,ackh',ovle,,dge- that I have read this 4pplipatlon and state- tilat the
in.fcrmatiom is porrect .and agree to comply with all appoleatxle, State of Mn.
fat? toe ertd-0ity, ro E-agarT Ordi,.harrcas.
APPLICANTIPERMITEE SIGNATURE ISSUED BY: SIGNATURE
I
` 1998
New Construction Requirements
BUILDING PERMI
T APPLICATION (RESIDENTIAL) p g
CITY OF EAGAN
3830 PILOT KNOB RD 55122 ` /^ l U
681-4675 1 v
RemodellReoair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; eta)
? 1 energy calculations
• 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: Ars,
DESCRIPTI OF WORK: ?? E h: ?irsu.r r.G
,-
STREE ADDRESS: ??/?29 //. ?u .G:?,
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? t energy calculations for heated additions
CONSTRUCTION COST; s o bs &&t2Wa
11
LOT: BLOCK: I-` SUBD./P.I.D. #: kXt C C1 Y"VKO K,0 D KW
6wss _ y
Name: 011 S Phone #: G i'I - 9 7 Yl
PROPERTY Last First
OWNER
Street Address: /?/j.
City ,zc r d State: Zip:J
Company: oa #-/// Phone #: 7839 -946,11
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: "de - -? Q70 *V1,15 ?? License # .11749
City 1WIR-Is / State: oyk," _ Zip: LJ51- Z-/
Company:
Name:
City State:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to
State of Eagan Ordinances. ?j
USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes
Signature of Applicant:
No
Yes - No - Not Required
Phone #:
Registration #:
with all applicabl
A I?7 05. 0 J
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
LOT BLOCK Z SUBD.
RECEIPT # C l(?lo Cv & DATE
wt, ? ?. ?JP3
1994 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
? Uy. V 3n
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date:
Area/address to be irrigated:
Installer:
Street address: A'V
Owner ? Plumber J4
City, state & zip code: Phone #: - ;) /,p /
Owner Name:
Street address: :1. ?0 ? 1
City, state & zip code:
Irrigation contractor, if different than installer:
Phone #: 1038-oso0
Telephone #: 9 SQ _ a-} 00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances.
Signature Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner
Commercial GPM
Residential (boulevards) GPM
Existing residential
914, 6 A` 0 ,..@9.,., O,
Date
Approved by: ? Date: J-uK e T / f 94
PRV ? Yes No
New service 14 Yes ? No Meter Size_ & Cost 7 i • D o
Fees due: I /?/' 0 Calculated by:
y 9 y ??_7 1,31f
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department for review before installing an irrigation
system. A permit to work within City property/public easement/right-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 irrigation system permit to cover installation of backflow preventer.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City.
b. Residential project: $ 20.50 irrigation system sprinkler permit to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 per connection - WAC.
$348.00 per connection - water treatment facility.
c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer - (not
required if backflow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter charze: If gallons per minute are less than 25, a I" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supplied by the designer
of the system.
4. No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
CITx USE ONLY
L ? BL /.Nil
SUED. TYK4$t0tI0 C20
RECEIPT#: A)0 RECEIPT DA'65-7 E: .511M??
PERMIT # 14 I
1999 PL mmm SIT (F.Es mIVnAQ
CrrY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
A'I^A YRES
I;LCH
Tv1AL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet " minimum - 1 3.00 X = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ` requires MPC lic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
new installation/re air 30.00 x $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $ p,
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surcharge .50 > > ----> $ .50
Total > > > > $ D. S
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement,
SITE ADDRESS:
OWNER NAME:: TELEPHONE #:
?V // / n ?1 (AREA CODE)
INSTALLER NAME: ? E?l?¢itz'li l?" L .TELEPHONE #: /,a erlo
,?./ (AREA CODE)
STREET A RESS: ?(>ti,
CITY: STATE: ZIP: SS-has'
SIGNATURE OF PERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
FEES
$ 24.00 `fig = \gas
6.00
$ 20.00
.50
SITE
OWNER NAME:??c?.?5?c TELEPHONE
INSTALLER:
CITY: CT V STATE: ZIP CODE"' "ZN:,
TELEPHONE #:
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF
FEES
CONTRACT PRICE:
FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE
$25.00
$25.00
$.50 FOR EACH $1,000 OF rf,
F FEE.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INST.
CITY
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
Digital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
7- 7 - 7t
Seriai # WPeo 7 7 Z -
Chip # 6 39 g 3 5 7,?
Permit # c9a? 0 8
Address: l 9 ?V - / I
1 AGREE TO COMPLY WIT CITY OF EAGAN
ORDINANCES
Signature:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES
U SHOWER
WATER CLOSET
BATH TUB
LAVATORY
L KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
cf_ WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum -
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. - naiXty. iic.
U.G. SPRINKLER • home under cont.
ALTERATIONS - to existing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOT
3.00 x,-
a.00 3!, -
3.00 a t -
3.00 3 t9 -
3.00 a +'
3.00
3.00
3.00 L, ,
3.00 +
3.00 3" -
1.50
5.00
15.00
3.00
15.00
15.00
.50
s?).Su
SITE ADDRESS: Li a3-34? (: S i L-) £ I'qbq`lo
OWNER NAME: Cl
INSTALLER:
ADDRESS: l C K
CITY: STATE: r ZIP CODE: S S 31 a
PHONE #: ( ) 1
SIGRATUAt OFD RMITTEE
U v v 1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681A675
PLEASE COMPLETE FOR ALL COM MRCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UN7.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMIT FEL
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR•
CITY OF EAGAN APPLICANT
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-467S
ON) RESIDENTIALBUILDINGs Z
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. fL of lot sq. ft. of house; and L11 roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
AdMon - indicate if on-site septic system
office Use only
Ced of Survey Reod _Y _N
Tree Gres Plan Recd_Y _N
Tree Pres Required Y_ N
On-site Septic System _Y _N
Date d/ 24 0(' Construction Cost ?$ U #• 007 d v 4 '1 l (d J o f r nv??
Site Address a GH 116 G l R 68 l 9 ? 0 N d. ?2w?w (?? -1- x(1 2 3 41 2S U nivste. #
t4 l ?I-)
?l l Z`I \2?1?
Description of Work ??(? r \ ?c 1o.yftCrS t c the S pwr S - g ????We??d?a? S?s
Multi-Family Bldg - Y - N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
,,//
Contractor C`cJ r` ?G d ?p 1 '
nre S l
S tlo \0?. ?.a f• 7??nu \ ? 4n k Q "A ? ?
Address °l0 MJr??t^^r'+ a
\2dr? City (1o,14 Zlt
State M(J zip S S35 ( Telephone # (q S-7)
} 4 S'4l (r (.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I - M' ules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet E Opheet
(J submission type) Submitted
J U itted V
• Energy Envelope Calculations Submitted Mq y 2 D _J
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? cS/2006
Y _ N If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
appro of plans.
l.-r dr' 'b• rUr JV•S
pplicant's Printe ame ppli t' ature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of-plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) kD 36 Multi Misc.
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Watteer Damage Yes
Valuation Coe • 0C)
Plan Review _ 100% or 25%
Census Code q3q
SAC Units
# of Units
# of Bldgs
Type of Const r?L
Occupancy f2-2- MCES System
Zoning P City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
- Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water Final
?0 Framing
- Fireplace _ R.I. - Air Test _ Final
- Insulation,/ / - 'A
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
?o Final/No C.O.
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I k5s
?o
/
Date /
}
Ln
Unit #
Site Street Address
l)?.J
r ?)
xM r ?l/
p lck
Lt V)d 9 U ? Sf T
l
h
#
)
Property Owner
N ,
e
ep
one
(
H.P. PIPE7WORKS
Contractor 3670 DODD ROAD Telephone #
( }
Address €3AtaAN, IVI 1 55123 City State Zip
9 Q"W
The Applicant is: - Owner "?- Contractor -Other-
New _ Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
- new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
S2 ir $ 50
State Surcharge
JuL / S ?v
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is reguiredto be revie?eed andyapproved.
Applicant's Printed Name App' ant's Si ure
1,3, S° 0
74n/
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN-MN 55122
651-675.5675
Please complete for modifications to existing residential dwellings.
® 0 U
8 ® 6
Date
)
1 MULLIN, BETTY
1970 RUBY COURT NORTH
Site Street Address -
Unit #
EAGAN, MN 55122
- (651) 681-9795
Property Owner
{ )
Telephone #
III
Contractor Nor b l tmi P La rn 191 n Telephone # ((ply} ?7;7-14052
Address 2-QQ5 f2arfl?,Ld Av. So'-city MpiS Statemki ZipC-6q09
/C
The Applicant is: _ Owner V
ontractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plan's and MPC license Includes County fee
$ 100.00
Per as-built ' $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are Installing only a wat?softener_and(or-water
'
heater, do not complete this section; move to the nextrsectioL a?doched
the]
appliance(s) you are installing.
AUG
1
2006
-Septic System Abandonment II i lj
-Water Turnaround (add $130.00 if a 5/8" meter is required) I
Other.
_ Water Softener
Ywater Heater $ 15.00
//
- new V replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ 15.5n
I hereby apply for a Residential Plumbing Permit and acknowledge that the Information Is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City'of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is n t to start without 'a permit and work will be in
accordance with the approved plan in the event a plan is required-to be vi ad and approved.
Applicant's Prin d Name Applicant's Signature
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
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City of EaK an Permit
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3830 Pilot Knob Road Permit Fee:
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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
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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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153550
Date Issued:12/31/2018
Permit Category:ePermit
Site Address: 1964 Ruby Ct N
Lot:084 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-084
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 -
Roxanne Ianovich
1964 Ruby Ct N
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167219
Date Issued:03/02/2021
Permit Category:ePermit
Site Address: 1964 Ruby Ct N
Lot:084 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-084
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Bruce & Marjorie Family Trust Bundgaard
1964 Ruby Ct N
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176665
Date Issued:05/25/2022
Permit Category:ePermit
Site Address: 1964 Ruby Ct N
Lot:084 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-084
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bruce & Marjorie Family Trust Bundgaard
1964 Ruby Ct N
Eagan MN 55122
Gv Heating & Air Inc
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature