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1980 Ruby Ct NINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: .` 11s s 1 ; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I c? I : :; ; ?; 11, c ? t, 11111Y t 1 N i?st ;"j t ti' I t4f [I t V1 f Y f t11MME1Hf; .140 (Eo.w) /H"--441 I PERMIT SUBTYPE: TYPE OF WORK: F { hi I ': h? t I 1' 41 t ft 1111 '.?- I• I t' i 1 1114 i 11 Nit h WA 1 FIR 11AMAfif INSPECTION DATE INSPIR. INSPECTION TYPE DATE INSPTR. r,.+11r?11 c r-.a cl r r. ? ? it-tit Rf i ARJ( `i : TM 1 I UHi' 00HY f N & 4 1 31 ANt? 4133 RIMY I. AN(. i OHO 0Hft ON6 Permit No. Permit Holder Date Telephone M ELECTRIC 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN .3830 Plot Knob Road Eagan, Minne6ota 55123 (612) 681-4675 SITE ADDRESS: i 1 t 1.1N . fil, PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 1 off APPLICANT: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. t ?itl< If r ra 1 f t^.. t,r),ill 1 tf it ! ?. rV,f3 ?? 7353 7a °? (1ss?) '73533 ?7? °°?9 80? Permit No. Permit Holder L Date Telephone N S/W PLUMBING c HVAC 5 - IG ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg- -/a - / 5/ /r !// ' C7 ? dk t Rough Htg. ?1 3 ib - y ?N 3 3 3 yc G ? Isul. i r r? u- a-?a Fireplace Final Htg. .Z7 J Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Sr J? 4 /? L Deck Fig. Deck Final Well Pr. Disp. SITE ADDRESS Sect/Sub. Unit # Permit # INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGN HTG. INSUL -FIREPLACE FINAL HTG. FINAL PLIG. UNIT FINAL of CERT/OCC INSPECTION DATE INSPECTOR COMMENTS G -,irk-qC _'? ?/3 4'33 k ?r rr Ir A 14 A %erdl irate of cccupancC Witij of Wagan Meoartment of Vnitbing 3x6pection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was, in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: 4-FM Bldg. Permit No. 22773 Oocupa-Y Type RIM Zoning District Pn A?A Type Const. V I L7R Owner of Building im P1Dnump OD IW- Address 5201 F. Rim_RD.-FE.m a Building Address "I0 MW OUM NM - to®tityTA. FO- D=.y tMIM 9m r f. /i - - Date: /1"-d Buuo* Official { T (, AL90 D [IIiTS: 1482 ?dJBPOS?I A C'ONS? Gl'U ?? PuC&RW I.AI? v o l 4 V 3Z 3// iz _ '; e ReSuest Dele Fi Roug?-ih sp ev: nn NOTICE: You Must Call Electrical Inspector / _ Na ? Yes II A Rough-In Inspection Is Required. ( I Icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route Ncy. City F© NO.ugy Section No. Townsmp n_...., of No. Range No. County Occupant (P T) Phone I-An. S Power plier Address Electrical Contractor (Company Name) Contrecto,s License No. Mailing Addre"Tff Making Installation) : 50024 JA_ le . u Authoraetl ntr - nstallation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-MM ENCLOSED. g/9 REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on hack of yellow copy. 7 5 3 3 "X" Below Work Covered by This Request EB-00001-M w-01 2 .; pa• Re '. Type of Building AppliancesWired Equipment Wired Home ange 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 0 Transformers Above 200 Amps 100 Amps Signs Inspectors Use Only h TOTAL TO Irrigation Booms 00 7a Special Inspection Alarm/Communication THIS INSTALLATION MAY OR DI?CONN ECTED IF NOT Other Fee COMPLETED WITHIN 1 TH I, the Electrical Inspector, hereby Rough-in • - ateay /Q'q certify that the above inspection has been made. Final 4A 1? Dale OFMCE USE ONLY This request void 18 months from ? 9 ? ? rl a_,o ' M 7 3 5 4 &a r a 7a ? Request Dale / I,/ 9 - 9 ' fire N61 61 gh-in InsPecton o uu NOTICE: You Must Call Electrical Inspeolor II A Rough-In Inspection { 0 es ? IN Is Required. icensed contractor ? owner hereby request inspection of above electrical work at: Job AOtlress (Street, Box or Route No.) Orly /??+ Section No. Township ame or No. Range No. Caun yam ^ ? {/ Gaup (PRIM) ,, LL Phone No. 7ZUA1,o TT© S Power upplier Atltlmss Electrical Contractor (Company Name) Contractors Ucense No. Mailing Atltl I on) H Si Aulhorbred - ntr a Installation) Phone Number J MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. 9 REQUEST FOR ELECTRICAL INSPECTION ??pp??Nff?// ? See instructions for morplefing this form on beck of yellow copy. 7 J 534 X" Below Work Cpvered ¢y This Request N E6-00001-08 e d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water He er 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 Amps Signs Inspector's use Only: TOTAL ?Q Irrigation Booms ?a. Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED 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. Final Dace OFFICE USE ONLY This request vold 18 months from '% i 191-f- 001P Request Date Fi ough-in Inspection NOTICE: You Must Call Electrical Inspector Reqm '+ _ It A Roughin Inspection R es ? No Is equired, I icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, or Route No.) cry AN ? 3 e ? Section No. Township Name or No. Range No. County 46?. ? Omu t (PRINT) Phone No. f #ZA Powe upplier ?,? ??,/?Q! Address L1?G?... Electrical Contractor (Company Name) Contractors License No. Mailiig Addre oror C8p71arylaltlr)g Ins'MC ` . 0100-225TH C[[ ?rRR11rl CA00381 $l o - „ Aulhodzaci Slg&W (Contract rrer Making Ins)?.II_II ,%I0 Phone Number MINNESOTA STATE BOARD OF ELECTRICITY - _J THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-800 ENCLOSED. C /C REQUEST FOR ELECTRICAL INSPECTION M / See instructions for completing this form on back of yellow copy. JC X" Below Work Covered by This Request 0 EB-00001 0a 08 e Ad Repf - Typeot Building AppliancesWilr 1- Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial 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 20, Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only. / _ TOTAL ?+ Irrigation Booms /.,l 1 G( J ` ?.7 Special Inspection ' C ? Alarm/Communication THIS INSTALLATION MAY BE ER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rough-in ?' Data ,' jam d certify that the above inspection has been made. Fnal ace OFFICE USE ONLY This request void 18 months from Request Late Fire N R ugh-in insp-ftbon egwre NOTICE: You Must Call Electrical Inspector A Rough-In Inspection es ? No Is Requiretl. I i i d cer se Contractor ? owner hereby request inspection of above electrical work at, Job Address, (Street, Box o Route No.) City, /3 g E ,? 14N S Township Name or No. Range No. County ?Q *Omt Phone No. 7'Le?fi' Address Electrical Contractor (Company Name) Contractorb beense No. Mailing Addres 'Em'- wsta0ggo caoo?? NTH ST . W- FGTnI Authorized Sig tractor ner Making InsuA%Qpe jayG Phone Number MINNESOTA STATE BOARD OF ELECTRICITY --- -,_ ,? THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg, - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Pool, MN 55101 UNLESS PROPER INSPECTION FEE IS Phone (612) U2-0800 ENCLOSED - REQUEST FOR ELECTRICAL INSPECTION / ! J Iiii See instructions for completing this form on back of yellow copy M 7 3 5 3 6 X" Below Work Covered by This Request .+? EB-OW01-08 ew dtl Rep. Type of Building Appliances Wired EquipmeniWired 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 Remi Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 -Amps xhv? Amps Signs Inspectors Use Only: TOTAL 'O? Irrigation Booms 7, Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT Other Fee COMPLETED WITHI Ili r I, the Electrical Inspector, hereby Rough-in Date ?' I certify that the above inspection has been made. Final oa OFFICE USE ONLY This request void 18 months from Address 1980 & 1982 RUBY COURT NQPdH - 4131 & 4133 RUBY LANE Zip 5512 2 Lot 4 Blk 2 Sub pizuY oams 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) J/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish LI/ Deck LI/ 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 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 4b? ut 0 Bags, "m pilot Kttrob Road ESW INN 35122 Phan: (661) 6744673 Fat: (461) 1175-SM o.,e: Tenant: hortifteum ---------- 1 Pemtll s: Permit Fee: ' . -7f5 l pate W: -2120 41 i r + staff; ----------------- I 2009 RESIDENTIAL BUILDING PERMrr APPLICATiou Ste. Address: RESIDENT i OWNER TYPE of tNORK CCWTIVAMR Name: Ai*koss I Cy I Zp. APPiicant is: __ Owner Contractor OeaCrlpGOn or work- Construction Cogt: Harry. address: ??, Chy: ??? Phone: Contact Person: Multi-Family &alding: (Yee ! No _J Liaense s: COMPLETE THIS AREA aW IF 29NSTWICTINQ A 1VM BUitpllrG ErmrGY Code _ 7 K"Jal _Ventaation Catesory I W~" Now N aupmtson error coca WaMBMet tYPe) Energy EnnNOOe Calewniprra Submined 3utknefed ,in thq IMN 12 rrrottdu, hea tha City at EaW teepsd a Pent It for a elmllrN Plan beaed on a rttastor plan? _YeS -NO !t yea, date and addrass or masm,r plan L VWMd Pttanbor: II attamem Copheolor: _ aewer a Wator 4"Mitor: Ph***: Phone: PhoMt - r--rwr?r owa`a?i 'hereby p Esg tMt ! tryt thls irrbmreb. is oompau ano aoa,rare that era mm %Wth n» approved plan In tr+e Via. o0u ban awication for a p nit ?enawo aonMrmanca naeeaaAenlarm that ct+dnw ar or n the I be of City t Oren wtawu ,a the will be in wMSn requMes a review and 4: Arm. SIM s Prdb*d tAWm S X Apptioen e Page t of 3 t3'd XH3 13C835b-1 dH Wdl2:E 6002 al qa3 2007 COMMERCIAL BUILDING PERMIT APPLICATION 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 . (21 sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec Insp & Testing Schedule (1) " • Soils Report (1) • Meter size must be established J J • Certificate of Survey (1) • Structural Plans (2) • Architectural Plans (2) sets •9 HVAC units req'd. on bldg elev. / 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 Specs (1) • Master Exit Plan (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Fire SuppressiorlAlarm Form • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit 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 at or J J 1 J J • SAC determination -call 651-602-1000 ** Contact Building Inspections to see if it is required and for a sample. ««« Permit for new building or addition will not be processed without Emergency Response Site Plan. Date OZ Construction Cost Site Address y 31 12uu L ?1aa-p Unit/Ste # Tenant Name Former Tenant Name 411 3 ? 0-Vil t.G,? 1 Z AA?I-r ///// GLX 2 Description of Work Re - DOT' Property Owner Telephone # ( ) Applicant is: _ Owner x Contractor Contact #: (Q$a ) ?s3 - y9S8 Contractor GA,?SF?y !`?? ?. Address ?oZ?$` ?jrfyS Lake / ?oa.d City State ?J1J ) X53 -y9sg Zip $-?529 Telephone # (92 Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewerlwater service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and the State of N4N 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. /YIGK ?erm e` Applicant's Printed e Appli ignature Z-z s ?J Pioneer Ensineerins 7831883 P.02 i( 2422 En * erprise Drive 55120 * Mendoto Heights, MN (612) 6ffl R -1910FOx 681-84E , y,D suNW oas . a a ENCNESas PIONEE ?y? ?l1?t?P?/1 LAND PLAW"S • L.MOSCAPE ARMTMIN 625 Hig g way 10 WOrtheaat 6latne. ?- * k * (612) 7 N 55434 3-1880-rax 783-18 THE ROTTLUND COMP NY, INC Certificate of survey tor: . 4 UNIT BUILDING DETAIL Scale: 1 inch W 34 feet _ 104.75 - - - -sac 3e - r - r -1 r- 52-M 7.50? 36 t2 $tl .00' P7. 11 F L ^, UN ITS:s s - s8 N n PNOposEO BUILD G FOUNDATION- 1.3 1 Id lrf82 1'?3 3 ?'I`IBO .-1J _-?_= L _. ' 1 r 1 t I d I 8.67 11 Ij I o 67 1 $ j l 1 n ° I 7.50 n X0,7. 1 0 36.2 ° II7.00„1D? o 9.6 Ir { I m nI I 52.38 r I 5135 I 1---J . Nate ,- , I AN interior b9d" Mm aen oro the N 0532 4r aer incline or tla 1 tae o* space: EAGAN ?_.. `79.64 REVIEWED WV °W I 1, san+ _ _ 5f i 2?Z 143 .w '? paoPO`SrD ? -- i ?'?"^1 • P? r Fb?JNQTION A I [ i INN, 170 $ I 4ay2 R 8i.7$ =. e4 r3? N 05*J2'47' E 4 J, '41 1GAN E?10 r flEP'f p?Cp f R a 'rt N + t f2 ; s3 ??l D C)P? I 7P? RU9Y 1 4 X MID Denotes Existing Elevation xCINO Denotes Proposed Elevation Q,? I Denotes Drainage do Utility Easement Denotes Drainage Flow Direction Bearings shown are esumed - o Denotes Monument -a- Denotes Offset Hub UM ELEVA p I PRDPOM AR10 Garage Floor Sla Elevotion: s01.2a LOT 4 BLOCK 2 DIFFLEY CO iIMONTS DAKOTA CDUr1Tr, "INW-50TA 2ND ADDIT ON I hereby certify that this survey, plan or report vies prepared by me or D eetsapero tered lend Survey aMar the lawn of the State of Minlwsota. Doted this-Ta -. day 0 [)ara? hrt - A.D. t9 4?. 1 C, - -11 - . 4 t..,.t. 0 r'14r_?a i CITY OF EAGAN 3836 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT Cx PERMIT TYPE: Permit Number. Date Issued: 1980 RUBY CT N LOT: 4 BLOCK: 2 DIFFLEY COMMONS 2ND i7g3 ? 9-93 BUILDING 022773 12/29/93 DESCRIPTION: B,S.ldin-g? p eermit Type 4-PLEX ; ,, ?,, 1 E BC 0ccupan cc -1 M-1 R Construction Ty e V 1 HR Zoning PO R-4 Building Length ))) 117 Building Width 68 Building stories 2 7 `it e Feet \`? n 11,700 ?D[ o ?Q Li Li REMARKS: INCLUDES 1982 RUBY CT N 4131 & 4133 RUBY LANE FEE SUMMARIF. S & W PLBR - VALLEY PLBG VALUATION $224,000 Base Fee $1,073.50 CITY SAC $400.00 Plan Review $697.78 WATER CONNECTION $2,780.00 Surcharge $112.00 S & W PERMIT $100.00 SAC $3,000.00 S & W SURCHARGE $.50 SAC 100 TREATMENT PLANT $1,296.00 SAC Units _4 ROAD UNIT $1,560.00 Subtotal $4,883.28 Total Fee $11,019.78 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 Mn. t St es and City of Eagan Ordinances. 4 APPLICANT(PERMITEE SIGNATURE ISSUED : SIGNATURE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 1980 RUBY CT N DIFFLEY COMMONS 2ND PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: NEW BUILDING 022773 12/29/93 INSPECTION TYPE FOOTINGS (DATE INSPECTION FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLED ROUGH IN HIS FINAL PLBG FINAL REMARKS: INCLUDES 1982 RUBY CT N 4131 & 4133 RUBY LANE INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 4 B L O C K: 2 APPLICANT: ROTTLUND CO INC, THE (612) 571-0304 S & W PLBR - VALLEY PLBG REACTIVATE CITY OF EAGAN D:1'I?y Cam„ -PERMI1 # 93 BUILDING PERMIT APPLICATION ? 681-4675-P(?jc Goardeoa 1~IcS 211993 SINGLE & MULTI-FAMILY 2 sets f plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of set of architectural & structural plans, l . 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 149015S / / Valuation of work $ $(09,DO U Site Address: 413( --4133 STREET SUITE t JQLO A2 Tenant Name: (commercial only) -T1&_ 4444Uvd CU Z&je- tN T 2 LOT : BLOCK SIIBD. 2 C P.I.D. M 0 Descri ti on of work: i ew,.?ov e The applicant is: 19.Owner MContractor ? Other (Describe) Name The fb4-F-luxd Phone 571 -o3o4 Property LAST FIRST Owner Address 5201 It, Z Ver to X34* STREET STE k City FCX'eJh0j State Zip 9-74V Company to-ke- QS Sba?-C Phone Contractor Address License # 133 ..5 Exp.'S City State Zip Company 6 A '4eA, 4 - _ 49s,,c. Phone (f.IZl at 1 3 -sz s2. Architect/ Engineer Name Tian, lAJ1A 1??? Registration # tro3/o-7 ?6I I S? Address J. city `MytP_-?ORkat State rt Zip 5..3s4-!S Sewer & water licensed plumber 1101 loq ,V7'?b;A Processing time for sewer & water permits is two days once area has been 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. Signature of Applicant: Tsq / 1 LW-. BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex EP 07 4-Plex ,I 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 11 i A d t ? t pt./Lo g ng 6 8a men Finish ? 12 Multi. Misc. a17 '#wieToo51*- ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE eM 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 37 Demolish ? 36 Move GENERAL INFORMATION Const. (Actual) V / /!K Basement sq. ft. MWCC System A - (Allowable) _ll? 1st F1. sq. ft. City Water ? UBC Occupancy 2nd F1. sq. ft. PRV Required _ Zoning y Sq. Ft. total app Booster Pump N of Stories -- Footprint Sq. ft . G,Beo Fire Sprinkler Length 119 On-site well Census Code /e%r/ { Depth On-site sewage SAC Code APPROVALS Le., sUS ce sus v..;t 'g ¢ Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insul ation ? Wallboard ? Final ? Draintile ? Firep lace Permit Fee 10,>3 So vetuatim: $ 22Y Ooo Surcharge //2 Plan Review 7 98 License MWCC SAC _ City SAC p Water Conn. ar Water Meter Acct. Deposit S/W Permit 1p6 - S/W Surcharge So Treatment Pl. 1-5.? 1,0 Road Unit _14-zo Park Ded. Trails Ded. Copies Other Total: SAC % L SAC Units ?T: ONCIL^c, /Z/7?r?,Ij JIAI / % SITE ADDRESS CONTRACTOR DATE PHONE Deterin vo-.Mnr; ssquare footra::c of cac`:. 1. Total exPcsed w-1 area sq. ftpx C•='- _ ??JJ 2. Total roof/ceilia3 area ft. x e ? 0 20 _ ?/• 7L 16 Total extOSed wall arcs abovo flcc- = ?O a. Total va,11 _-indo_ area ...... ............ .......... ?OSr b. Total door area ............. ............ .......... Sze- . c. Total sliding g1aSS door area ........... .......... .a9..Co d. Total fireplace vZl area ... ............ .......... e. Total wall framing area (ever age 101) ... .......... f. Total net wall area above floor ......... .......... 646,11 g• Total rim jcist Brea ........ ............ .......... - Total ex_osed foundation arr.a = h. Total foundation window arca ............ .......... i. Total net fc•._nd_tion area hbo ve grade ... ... ....... Dete:nine "U" value of each wall a. ZOL11 SJ x '.U" . 7 / - ?? ?O b.? x lull J O p = S / C. x 'lull (P = /d 21 x llU l _ e zz .. r. tD v. %? x ,lull DL13 7o 9. ? x "rill h. x 'lull 3. ............................... 'int. n] = I 9?, ?? If item #3 is the same as, or less Lh:n ilea: PL, you met the intent of SBC 6006(c)2. 0 i r Total exposed roof/ceiling area = , ZZ? Total ,ross roof/ceiling arcn = ?. Total skylight a-ea .......................... k. Total roof/ceiling fram.ind area ............... Z 1. Total net insulated -oc`/ceiling area / O 9 (y _ Dete_r_iae value for each ruaf/cci l in;,, sc •meat. - x „L , _ h . .....:.........................:. Total C If total of #4 is the sane as, c.- less than N2, you have =e- -he inter of sBc 6806(c)1. To utilize the total en•:elc-pe syste_ method, the values es--ac'_hed by the sun of ite=s N3 and 14 sna'_1 not be greater.than the sum c' items 91 and 12. 1. + 2. _ r. FCTE1ii0[i 1•:Nvr.i.nvF. AVE[W1.1: I'll" CUMfUTAT1:):1 U (1N%/ OWN ER, Zy rl SITE ADDRESS CONTRACTOR DATE PHONE Dete-in work:nnj/ square footar,c of each. 1. Total ex?csed v='1 area .. / 9 sq. :t. x 0.11 /- • 2. Total roof /,ceiling area .. sq. ft. x C '0:0 = ,v Total ex?osed =all area above floor = 11 a. Total vall vindov area ... ................ p ......... b. Total door aces .......... ................ ......... ?.D C. Total sliding glass door area ............ ........ d. Total fire?lace vall area ................ ......... - e. Total wall raring area (a verage 10,') .... ......... f. Total net wall area above floor ...... ........ SS-?7'5"•l g. Total rim icist area ..... ........... -- Total extesed foundati on area = r h. Total foundation vindo area ............. ......... i. Total net .,,_.d?t-on are Total above grade .... .? .... Determine ••U'• value of each Wall 93. Z? a X 3? = 3S?D b. Z. a x ••U" 5,1179 C. 39. ?o x ..U.. ?? = l8• al f. j- 3? Lf`? x o ?3 = 2 9- -? 7 h. x "U„ _ 3. .......................... ..... c) l = I ? 7, If it em N3 is the sp-me as, or ie sr. ! h:,n itc:. Yi, ou have met the ante: = of sac 6oo6(c)2. 0 Total exposed rocC/ceilinC area = II Total gross roof/ceiling area = ?. Total skyliEht area .......................... k. Total roof/ceiling r.ramina area .............. ??•?? 1. Total net insulatedroe`/ceiling are- ........ ioT J •? ?__ Dater=--.e "U" value for each ruar/cciiim,. sc..=cot. 1. /os e3 4 . ................................. Total = 9 0 If total of N4 is the same es, cr less tha.-1 N2, you have =__ the intent of sac 6oo6(c)1. To utilize the total s? of items N3 a-id en---elope syste_ 14 shall not be method, the values esta`_liahed by t`.e greater. thKn the sum cf --.e-::s 11 and 12. a on/;T G7r4e;?d CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 1980 RUBY CT N LOT: 87 BLOCK: 4 DIFFLEY COMMONS 2ND P.I.N.: 10-20451-087-04 PERMIT TYPE: BUILDING Permit Number: 028313 Date Issued: 07/19/96 r DESCRIPTION: WIND & WATER DAMAGE B`Lilding-,Permit Type STORM DAMAGE Building Work Type REPAIR Census Cede \' 434 ALT. RESIDENTIAL l q`. REMARKS: INCLUDES: 1982 RUBY CT N & 4131 AND 4133 RUBY LANE L088 086 085 FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: DU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS 636 39TH AVE NE 1980 RUBY CT N COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 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 Mn. Statutes and City of Eagan ordinances. _ j??/ APPLICANT/PERMITEE SIGNATURE ISSUE :SIGNATURE i CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) a 6814675 New Construction Reouirements Remodel/Repair Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of bee preservation plan if lot platted after 7/1/93 required: - Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF tl? STREET ADDRES Name: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER FIRST Phone #: Zip: / Phone #: License #: r / v City:- AL State: /714L Zip: 55 WT Street Address, City: State: Company: SktUL`G ?,, Street Address: 'b5b-3`C' ?l?l4XWE Company: Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Phone Registration #* State: 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 RrEC E ED Certificates of Survey Received Yes No U j 5986 Tree Preservation Plan Received Yes No --------------- 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 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MCNVS 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 MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNFF. 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 -1, LA z?!O 6.00 $ 20.00 .50 ?So ?? LSD SITE ADDRESS \? ?-`b1 \? ?-\\?? < OWNER NAME: TELEPHONE #: TELEPHONE #:?c -?? oLP 1994 MECHANICAL PERAUT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CITY: STATE: ZIP CODE: 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: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) 424 1 z" ? ;a era INSTALLER ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL:/INDUSTRIAL?BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: t% OF CONTRACT FEE, STATE' SURCHARGE: $.50 FOR EACH $1,000 OF PE" FEE, MINIMUM FEE: $ 25,00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. #' OWNER NAME: INSTALLER: ADDRESS: CITY: STATE ZIP' CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN,SSI22 (612)' 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL L4 SHOWER 3.00 WATER CLOSET 3.00 ay BATH TUB 3.00 .3,J- LAVATORY 3.00 ay KITCHEN SINK 3.00 q&P- (D LAUNDRY TRAY 3.00 1 - - HOT TUB/SPA 3.00 ?I WATER HEATER 3.00 C.`) - FLOOR DRAIN 3.00 l'?- GAS PIPING OUTLET • minimum -1 3.00 11- ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry. lic. 20.00 U.G. SPRINKLER -'home under cont. 3.00 ALTERATIONS • to existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: • T u SITE ADDRESS: i°Q180 4- D (Q Q„ ?y t- 4131 -'33 R'lf I OWNER NAME:_ R n [?? c INSTALLER: U aI1??t M-\ r"' 1 ADDRESS: Coto. re c cl( L_ CITY:_ -5,0 ej a_ STATE N ZIP CODE: Y S 3 S _f PHONE #: ( ) SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN $5122 (612) 6814675 Cities ity 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. G Cb Fg d i k n i Ms ;i?? 1 1 .°TJ 1 l TWA 1 Serial # x/80 S' 7,2 S( i Chip # 0 3 6 7 r/? Permit # c? z 7 9.S Address: zll-3 33 a /98%a / ?t1 10 1 AGREE TO COMPLY VfiT.H CITY OF JEAGAN ORDINANCES I Signature: / 7361 (1p a0 0 ( RESIDENTIALBUILDINGo City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements 3 registered site surveys shoving sq. ft. of lot, sq, ft. of house; and all 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 RemodeiReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system "10 .°a Office Use OnN Cad of Survey Recd '_Y _N . Tree Pres Plan Recd _Y _N Tree Pres Required _Y' _N On-site Septic System _ Y _N J44 Date US / 24 06 Construction Cost 400. Utz ii( I OIJ,OJ etf wrv? 1 Site Address 19£fJ Y 1182, ?Qub?• C ?rN F It m 3 m J 133 2?.b? unit/Ste # Description of Work {? t r?-L 1?o.-ff?L.R ?f(.q w1fW a f?1 11 ?I .. i r? AJCTI? SAUCR3 - -1 P?F-?° f S Multi-Family Bldg _ Y N Fireplace(s) - 0 - 1 _ 2 Property Owner ) phone # ( Tele Contractor V-Lw n -.J, n sdri w-r-S nL' - ( Address q0 l tt ?M ( 4wuu ?r7? JL 1?Ft?s c' City State Mh) Zip Telephone # M 2) 71 (?- D 1(? (m COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - s to Rules 7672 Energy Code Category Residential ventilation Category 1 Worksheet Code Worksheet (J submission type) Submitted ulor a {1n/? Energy Envelope Calculations Submitted MQ), 2 4 ll ?0 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 2006 D 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 approval of plans. 2 ??(t ?? ?! Applicant's P - t Name plic t' gnature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex TI'?reaDs Work Types ? 31 New ? 32 Addition k 33 Alteration ? 34 Replacement Description: Water Damage ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF A 36 Multi Misc. ? 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 Yes Valuation d / D6o.oo Plan Review -4 100%or-25% Census Code _ SAC Units # of Units # of Bldgs Type of Const 'ey /3 Occupancy Q Z MCES System Zoning 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 `O Framing Fireplace _ R.I. -Air Test -Final Insulation , / 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. i Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Inspector '11414U 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. 015.50 Date y O 6 I ? Site Street Address RETTLER, MARY Unit # 1982 RUBY COURT NORTH EAGAN, MN 55122 Property Owner (651) 6686-4613 Telephone # ( ) Contractor Nbrbiu-m ("b(,{.rni )( t'1 G] Telephone# ((ply) 527-?IO?'3 Address 2g05 C-lar-Field +V. LSD, city MDIS Statem m zip!?-0409 The Applicant is: Owner V Contractor -Other Septic System - New - Refurbished Submit 2 sets of plans 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 water softener, and/orwater, ;--__ heater, do not complete this section; move to the next section and check i;thei 1; h appliance(s) you are installing. ;Uh t 0 { OG" . f -Septic System Abandonment ° i J Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ '- - _ Water Softener Ywater Heater $ 15.00 / - new V replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 1 5.5-O 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 e r iew d an approved. Jeffrey L. Nor,hlory. Applicant's Prin d Name Applica s Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1980 Ruby Ct N Lot: 87 Block: 4 Addition: Diffley Commons 2nd PID:10- 20451- 087 -04 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435 -2442 e - Water Heater Replacement Water Heater Mike Skaja 2090 County Road 42 W. Bumsville, MN 55337 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Gerald E Amtson 1980 Ruby Ct N Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA082468 04/04/2008 ePermit Line Size 1OtS 2 IZlAAot~, C N ,A Q Use BLUE or BLACK Ink A\2, ` 33 ,S"'"w J J I C) I For Office Use City of Ea Rd~ ~ Permit#: 3830 Pilot Knob Road Permit Fee: 52t9.15 11 I Eagan MN 55122 I I Phone: (651) 675-5675 1 Date Received: 10 Fax: (651) 675-5694 j Staff: j L-----------------I 2013 COMMERCIAL BUILDING PERMIT PPLTCATION 4 Date: 1 27 11- Site Address: -,,1148 tZV l3/ Ay/ 33 IV R,w Y Tenant Name: D"gk'e'i ('0M0T'5 ~.i►~~c.S (71-1, korw5(Tenant is: New / > Existing) Suite Former Tenant: Q t Name:D ~t~► c or~hohs ym04 ^-'\A I".S Phone: 5*A- 4 3 a• 817 9 Property Owner Address / City / Zip: C3ak J N>3 e- ywo N1 JU SSO (0$ 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