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4130 Ruby Lane - - INSPECTION RECORD CITYDF EAGAN " PcRM17 TYPE: ' ' ~ ' ~ , 3830 Pilot Knob Road Perrnit Number: ~ ~ Eagan, Minnesota 55123 Date lssued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ ~ i . i .~Nt i~„ , , ,i• , , . ~ ~ ~i' 1• I., f i ~ ~ ~ i!'1 P) i i i~ . . N ( t, I.. I 1 i,1 ~j PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . l f i • ~ ~ r•i~,~ r , , . I s.: :'!,I I ~ , , r:~ L~ ~ PermR No. Permft Holder Date Telephone M SNU PLUMBING ,t7 eur HVAC Q~ ELECTRI JrS44~ ELECTFif ~rJ ~ 9 5~ InspacHon Date insp. Commants Foptings I Foundation Framing Roofing Rough Pibg. - -Q Rough Htg. Isul. Freoece Final Htg. /Q IJ prset Test ~ Fnal Plbg. Plbg. InspecEOr - Notify Plumber Cons1. Meter EngrJPlan slag. Final 3 DeCk Ftg. Deck Final Well Pr. Disp. ~ ~ 1 _ y . Q ? CerdfiCQte af cCCI[vQ1iC~ CM4 o f ~agan Vepavt ext of 13xitbing ~a~ecrion 77tis Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliarsce with the various orrtinances of the City regulating building corrstruction or use. For the following: uwclaWficafion: 4-PLEX sieg. Pamit No. ^99 147 Oo-pancy Zype R4,.41j Zaning Distria jm Type Const. MIX owncro(auila~~ lW, rdrrrtik) n_]M Address 52f]1 P. RIM RD. F~lI~'Y suibdingAddress l.ocality T-96- R3~ T1TFF'fF.V (YTM'1QC 2A1 Datt: POST IN A CONSPICUOUS PLACE ~ r; . ~ l INSPECTI4N RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Num6er: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS• • APPLICANT: It?iV I ANY I$. I t,l i1~~ PERIVIIT SUBTYPE: TYPE OF INORK: INSPECTION D. ON TYPE D. ' . ',PI I 1'I~t i ~f~11~4! i?! • ! ( f tdAl i 1 4 8 1 11 1 1 : > _ l i • . . t l I " t A W i , rl l~~. 1.;113; ~ t r~NF L•~ l W 1; f L~ ' . . . . - . . ' - ~ Permtt No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectfon 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 FINAI HTG ORSAT TEST BLDC'i FINAL BSMT F.I. BSMT FINAL DECK fTG DECK FINAL INSPECTION RECORD CITY OF EAGAN ~ PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: f~ ~ , . i ~ ~ ~ i i1P•7i=1~i~~,~~. .'i~ll~ . . , ~ ~ i i~ , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • D. I ~ I fS+ I ~ ~ Permlt No. Permit Holder Date Telephone k S!W , PLUMBING HVAC ELECTRI ELECTRIC Inspection Date Insp. Gomments Footings I Foundation Framing Gf/ Roofing Rough Plbg. z~,H// /f~,( - ~ a~a? Rough Htg. 41 /0 - - /3 E/ Gf ~ ~ Isul. ~l /4, C FireplaCe Fnal Htg. z) OfS2d T&St ~r b Final Pibg. ~ ~?I Pibg. Inspector - Notify Plumber C1' Const. Meter EngrJPtan Bldg. Final - ~ Deck Ftg. Deck Final Well Pr. Disp. Wertijicate of cccuvanc~ Wit4 of Cfagau ZOattuteat oF 13Kiibntg ~a~~ection 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 orrlinances of the City regulating building construction or use. For the following: use caau;rwatiow 4-PiEX (1 (F 4 tg[7,R) eag. arrmit No. 22146 oaq,,-r rype R3bII zol;og astna pn" Type Const. VN o,wmr ot Buiidieg 1S FOTILIM M 1W- nd&rss 5201 R RTM vn m su;King naerew41 L-aliry t_95_ n3 tMsrv rre.= Z,m EWe: J > auOding oftkial POST IN A CONSPICUOUS PIACE 4 . . INSPECTIUN 1~CORD CITY"OF EAGAN ~y PERPJIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: r , APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: . , ~ ~ , . • , INSPECTION D• DA ~ ~1A is ; i r,7~t 1 ri~. t;J'.111 i~ 1 I t~p,~ 1! i•1n1 I ~ ~ ~ Permit No. Pxmit Holder Dab Telephone N ~ S/W PLUMBING HVAC ~ ELECTFdi~ ~ ELECTRIC Inspectbn Date Insp. Comments Footings I / ~~5//~~ Foundation Framing /a t~l Y,/ CL Roofin9 . Rough Plbg. ~ . y 4W .-3--?3 Aff -6- Rough Htg. ~w !A ~ / IsuL Freplece Final Htg. ~p/y/ y.t ar Orsat Tesl o! /r Ffnal Plbg. Plbg. Inspector - Notity Plumber Const. AAeter Engr.lPlan Bldg. Flnal 3 ~ Deck Ftg. Deck Final weli Pr. Disp. . • bp, ' CtL`tifiCQ#e df cCCIivQYiC~ Cfi#v of Cfagatt Wepartmeut of 1sxiLbacg au#0ecrian This Ceriifrcate issued pursuanl to the nquirements of the U?eiform Buildrng Code certifying that at the time of issuance this structure was in compliance with the various orrlinances of rhe Ciry riegulating 6uilding construction or use. For the following: Uu Qassificatioa: (I OF 4 tNT$) Bldg. Pcrmit No. 21 14Q Oawpancy'[}rpe R3MI Zaning Distrin ~~/D4 Type Const. [u owner of saiiding 7RE RC)T'ITI]M M DE aadnsc 7570FR RDrFREM~ swlding weoress4134 R[1BY iAi~ L-wuy ~ - eu;w;~,o~i, / POST IN A CONSPICUOUS PLACE INSPECTIUN RECORD IC1TYOF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4fi75 , SITE ADDRESS: APPLICANT: r1Nt" PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . .A iie.i V A 1 I t ~ i~ F ~ L Permit No. Permit Holder Date 7elephone k ~ S/W PLUMBING 1 HVAC ELECTRI G,~7 ~L! . Q ~ ELECTRIC Inspectlon DaUe Inap. Commenta fIll Footings I / C/ Foundation Framing 7 Roofing ROUgh Pibg. ~ ~~C r-3 ~ ~ ^'G ~ • Rough Ntg. U'? ~ 'T~r Q Isul. ~ Zb, Firepiace Fnal Htg. - 7 Orsat Test f ( i, Final Plbg. Plbg. lnspector -Notify Plumber Z~ 7 Const. Meter Engr./Plan Bidg. Final 2 ~ ~ Deck Ftg. Deck Final Well Pr. Oisp. n i L , - Wertificate of cccupanc~ (F" of Wagan ~c~arta~ext e~ sB~ilii~g ~a~rccriou This Certifrcate issued pursuant to the requerements oj the Unifornr Building Cade certifying tleat at tlre tinee ojissuance this structure was in compliance wivh the various ordinances of the City negulating building consrruction or use. For the following: use C7auirwation: 4 HIIXX (I nF L? j1NTTS) e?dg. Permit No. 12148 OccuP-Y TYP~ ROAM I Zoaing Distna PD/1?/_ Type Consi. VN OwnerofBuilding ~R=-Y-W~(o BE Address Building Addrtss 4136 I=l-°n!'q' /1)~ ~ D.: Budcrmg ` ~ . "orfkii ~ POST NV A CONSPItX10US PLACE . Address 4136 RUSY LANE Zip 5512 ? LoC ' 27 Blk 3 Sub nIFFr.FV ClTTY1NS 2N(1 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEC'I'ION. Date: Yes No Inspector: RPO Final grade (6" om siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas SodlSeeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the temoval of roof test caps from the plumbing syscem and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ~ Whire - City Copy Yellow • Resident Copy Pink - Contractor Copy Address 4134 RUBSt IaNE Zip 55122_ I.ot ' 28 Blk 3 Sub DIFFI.EY CYPmNS ZND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: t3 Rli Yes No Inspector: Final grade (6" &om siding) ~ Permanent steps (gazage) ~ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ~ Basement finish ~ Deck ~ Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of warer supply to the outside Iawn faucet before freeze potential exists. Contact engineering divisiou at 6814645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ Address 4132 xuBSt LaNE Zip 55122 LAt • 25 Blk 3 Sub nrm.ESt ca-zim 2nm THESE I1'EMS WERE / WERE NOT COMPLETE AT THE T1ME OF THE FINAL INSPEGTION. Date: 13 / c/ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway / Permanent gas Sod/Seeded grass TraiUcurb damage ~ Porch Basement finish Deck Please verify with tAe builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the ou4side lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightrof-way or installing underground sprinkler syscem. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address 4 i 3n mmv r anE Zip 5512 2 LAt - .25 , Blk 3 Sub DIFFLEY Q44ONS ZPID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: Yes No Inspector: Final grade (6" om siding) Petmanent steps (garage) Permanent steps (main entry) Permanent driveway ~ Peimanent gas J~ Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder [he removal of roof test caps from the plumbing system and the shutroff of weter supply to the oufside lawn faucet before freeze potential exists. Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contracror Copy ~91 ~7_ 55462 R2quesl Date ire No o h-in Inspectbn NOTCE: You Must Call ElecVical Inspector uiretl? II A Rough-In Inspeclion Yes CJ N. Is Fequiretl. -IS I~licensed coniractor ? owner hereby request inspection of above elecirical work at: .bb Ftldrew (Sireet, Box or Route No.) City b Section No. Town9hip Name or No. Range No. Cou~y A\ ! Y Occu ant (PRIM) Phone Plo. Paw lier Address Elecvicel Contractor (COmpany Name) Con[mctor5 Licenae No. Mallin8 Adtlress (COy[af~{y~LPwyp{ OEaYitlaln9allatiopl...1Ri. C~' 6~ 1~tii CLCIi 1 Kt4 1 s1oo.=TM sr. w.. FaX. rN OW Au~horized SignaNre VadorlOw altiriq Installeti Phone Number MINNESOTA STATE BOARO OF ELECTFICITY J THIS INSPECTION FEOUEST WILL NOT Grigga-Midwey Bitlg. - Hoom S1T! BE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Paul, MN 55109 UNLE55 PROPER INSPECTION FEE IS Ppona(fil2)W20B00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION `af~ee-acooi-oe ? See inlction5 3Y.completing this form on back oi yellow copy. / J,C ~ 9 ~i 55462 "X" Below Work Covered by This Request e Add Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporery Service Duplex Waler Heater Electric Heating Apt Builtling Dryer Load Managemem Comm./Industrial Furnace other (Specity) Farm Air Conditioner Olher (spacity) ConVactor5 Remarks: Compu[e Inspection Fee Below., # Other Fee # ServiceEmrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 700 Amps Transformers Above 200 _ Amps Above 100 -Amps SignS Inspedor5 Use Only: TOTAL 5^p Ini9ation Booms Special Inspection AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y Rou9n-in ~ oate certify that the above inspection has Final ~p been made. OFFlCE USE ONLY This request wid 18 monihe lmm "V/6 4'772 51Aa 66 ReqWst Date ire No. oug -in In ~1c~ion NOTICE: You Must Ca0 ElecMCal Inspeclor y~- ~r If A Rough-In Inspeclion es Lo Is Required. I licensed contractor ? owner hereby request inspection of above electrical work ai: Jab Atldress (SVeet, Box or Route City / Section No. Township Name or No. Range No. Counry Occ (PRINn Phone No. d owe upplie ~ Adtlress Eleclricel Contrector (COmpeny Name) Conhacbr§ License No. Mailing Adtlress DI . , N., MN 55D24 463-3810 Authorized Sig a tallation) PM1one Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway Bldg. - Raom S773 9E ACCEPTEO BV THE STATE BOARD 1821 Univnsity Ave., St. Paul, MN 55104 UNLE$$ PROPER INSPECTION FEE IS Phane (612) 642-0800 ENCLOSED. CJ (~1 REQUEST FOR ELECTRICAL INSPECTION ee-oooai-os ~ )p See insVUCtions for oompletin9 this }ortn on back oi yellow copy. AR/ / M ' q + 7 f-72 'X" Below Work Covered by This Request p n 6d TypeoiBUilding AppllancesWired EquipmentWired Home Ran9e ~ L 7emporary Service Duplex Wa[er Heater Electric Heating Apt Building Dryer Load Management Gomm./lndustrial Furnace Other (Specify) Farm Air Gondltioner plher (specrly) Contradork Remarks: Compute Inspection Fee Below: 3f Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Poot 0 to 200 Amps ~ 0 to 100 Amps 0 Tranffiormers Above 200 _ Amps A Amps $iy05 InspedorS Use Only: r^ AV ~ T T ~ Irrigation BOOms 1 5 Special Inspection J armlCommunication THIS INSTALLATION Y BE D E CONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Ro.qn-m / Date ~ certify that the above inspection has Finei ote been made. OFFICE USE ONLY ~ This request mid 18 moMhs from M~649Z ~~/ao Request Date Fire o. P h in Ins xtion NOTICE: You Musl Call EIecVical Inspedw R Gu . If A Fough-In Inspeclion es ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work aF. Job Address (Street, Boz or Route No.) Ciry~ ~f 13 Section No. Township Name or No. Rarcge No. Counk~ Owvqgp (yPR~I/N`T) Pha~ No. Power ppller AtlGreu ft7 Elecitlcal C ntrector (C any Name) Contrecror§ License No. Man„g ade~eas~ 0111HWrftrFff RIowu411116. CA00381 81~,225TH ST. W., FGTN., MN 56024 AutMrized Sign n ctor er aki Instel Phone Number MINNESOTA STATE 60AH0 OF ELECTRICffY THIS INSPECTION REQUEST WILL NOT Grigge-MMwey Bltlg. - floom S-173 BE ACCEPTED BYTHE STATE BOARD 1821 Universly Ave., S[. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phow (612) 642-0800 ENCLOSED. dY 9/9~ REQUEST FOR ELECTRICAL INSPECTION EB00001-OB ~ so See instruciions (or mmpletin8 ffiis (ortn on back ol yellow wpy. ~ M 64771 "X" Be/ow Work Covered by This Request ~--1 ew dd Rap.~ Typeofeuilding AppliancesWired EquipmentWired Home Ranga ~ .Y Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specity) Farm Air Conditioner Dlher(specity~ Contrector's Remarks: Compute Mspection Fee Belaw: # Oiher Fea # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps SQ Transformers Above 260 - Amps . Above 100 _ Amps Signs Inspecmr§ Use Only: TOTAL ` Q Irrigation Booms ~ 5 Special Inspection AIamUCommunication THIS INSTALLATION Y BE CONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Rough-in • oaia cerfirythattheaboveinspectionhas F;,ai a~e been made. OFFICE USE ONLV Thie request witl 18 montM1S bom ~F47~3 8 ~ a 5/ ~v Raquest Date Fire No h nspection NOTICE: Vou Must Cail EkcMCal Inspector e~ etl? If A Rough-In Inspeclion ~ Yes ? No Is Required. I icensed contractor ? owner hereby request inspection of above electrical work af: Job Ftldress (Street, Box ar Route ) Ciry ~ Section No. Township Neme or No. Rarge No. Cou ty Occupa PRINT) Phone I'!o. Q IL~ Pawer pplier Atltlress Eleclncel ConVactor (COmpany NamB) ConVector5 Licerse No. MaliN AddWff2%C5LEVXFUGW 'on) 8100,?2bTli ST. W., FQTN., MN 5W24 4634810 Au~honzetl onrc ' g msWllation) Phone Number MINNESOTA STATE BOAHO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT GrlggsMitlway Bitlg. - Foom S173 BE ACCEPTED BYTHE STATE BOARD .181t1 Universiry Ave., SL Paul, MN 55100 IINLE55 PfiOPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED. L~, L/ REQUEST FOR ELECTRICAL INSPECTION Esn ooooi-oe M~~4~~ $E¢ IlIS1NCIl0lIS IOf COIIIpIBtIIl~ tIII6 fO(RI 0I1 b3Ck Of Y¢IIOW COpy. 1 1 X" Below Work Covered by This Request 4. e dm ne,t Type of Building AppiiancesWiretl EquipmantWired Home Range F-r- Temporary Service Duplex Water Heater Elearic Heating Apf. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speciry) Conhacnora Femarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A Amps SignS Inspecmrk Use Onry: OTAL !J'Q Irrigation Booms ~ , v $ Special Inspection Alarm/Communication THIS INSTALLATIO V BE REp D ONNECTED IF NOT Other Fee COMPLETED WIT MO I, the Electrical Inspector, hereby Rough-in oa~e certity that the above inspection has F;,,ai oa~e been made. 71, OFFICE USE ONLY This reQUest void 18 moMh3 fmm f 4'7 7 4 ry 3 ~ ~ ~~a ~ flequesl DaJa ire No. u~h= inspection NOTICE: You Musl Call Electrical Inspeclor / ~ " Ii A Raugh-In Inspection ~ ~ Yes ? N. Is Requiretl. I licensed confractor ? owner hereby request inspection of above electrical work at: Job AtlOress (Sireet, Box or Foute " ~ City Gri(~`'~/ Sectio o. avnship Name or No. Range No. County 117 Occu (PRINT) Phone No. w uppf~ - Atltlrass ElecMCel Conveclor (COmpany Name) ConVw+ork Ucense N0. CMI,ES ECTRIC, INC. CAOM1 MailingAdd WJAV4igln 463-381Q Author'rzetl omr or w Installation) Phone Number MINNESOTA STATE BOAND OF ELECTpICITY THI$ INSPECTION REQUEST WILL NOT Grlggs-MlUway Bltlg. - Room S-173 BE ACCEPTED BV THE STATE 80ARD 1837 Univarsky Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)692-0800 ENCLOSED. 1~REQUEST FOR ELECTRICAL INSPECTION R , See insimdions br compleling ihis form on back of yellow copy. M 7 7 4 •X-- Below Work Covered by This Request ew, dd ReaTypeofBUilding AppliancesWtred EquipmentWired Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Omer (Specify) Fartn Air Conditioner omer (speciy) ConVacbrS Remarks: Compute /nspection Fee Below: # Olher Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 5 Transformers Above 200 _ Amps Amps Signs InspectorE use only: TOTAL ~ Irrigation Booms ~ Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT Other Fee COMPLETED WAT,HItd 18 , 7 I, the Electncal Inspecror, hereby R°°an-7n Date certify that the above inspection has Fnei ~~c oate been made. OFFlCE USE ONLY ' This reQUeat wi0 18 momhs irom = i ~Qn~ca us~ I C1ty Of LUp I Permit#:~4 1 j I ~ I I Pertnit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i stan: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10-13-a5 Site Address: 3 T /Q41/i•1 6n,~ Llbr4n/ TenaM: -70;7 ~ 12 (lT14 P61e f+i Suite RESIDENT / OWNER Name:--0m PUT ~i_7kA Itj Phone: Ci~~^ ~fOG~' g7l.3 Address / City / Zip: ~ Applicant is: _ Owner X_ Contractor TYPE OF WORK Description of work: ~(AC~i ~A i i o ~o~ . Construction Cost: MWti-Family Building: (Yes No ~ CONTRACTOR Name: t~MV A4sMFF+z N fr~WS% License q: ~3f ~ Z ZL,o Address: bt& q""K S • City: rJ~~''"1ir?(~7v~ State:.4v _ Zip: ZO Phone:,`'IJZ"ZZU-6cI2(~ ContactPersonAJA4X= COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Wo'ksheet C8tCg01'y Submided Submitted (4 submiSSiOn typ0) • Energy Envelope Calculations Submined In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporttng documents ihat you submit are considered to be public rniormatlont Portions of, the Intormation may be classified as non-publio it you provide speciflc reasons that would permit the C!ry to conclude that the are trade secrets. ' I hereby acknowledge ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry oi Eagan; that I understand lhis is not a permil, 6ut 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 oi plans. X~ X C,. 'i . Applicant's Printed ame . Appl' anYs IgnaturJ Page 1 of 3 City of Eapn I Permd#: ~ I Permit Fee: 3830 Pilot Knob Road ~ I Eagan MN 55122 I Date Received: ~ I Phone: (651) 675-5675 i Fax: (651) 675-5694 2008 MECHANICAL PERMIT APPLICA WL 2 4 2008 ~ Date: 7 G p Site Address: Tenant: 71" Suite#: RESIDENT / OWNER Name: %d-m Phone:6S~- z16F, " ~77 9,3 Address / City / Zip: ~3 k'1 ti5 S~ CONTRACTOR Name: J~ !f'I~ License Address: City: ~~+t State: Zip: ,i~/a ~ Phone: 6~S~A 3~ Contact Person6 TYPEOFWORK -New 4,~_Replacement _Additional _Alteration Demolition Description of work: NOTE: 8oth root mounfed and grourtd mounted mechanical equfpmentis."u/reaf to be screened by Ciry Code. Please contaCt the Mechanical fnspectol or one of fhe Pfanners for information on rmittedscreeni» =mefhods: ` PERMIT TYPE RESIDENTlAL COMMERClAL Furnace _ New Construction _ Interior Improvement r/Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ EMerior HVAC Unit ' HVAC units must be screened _ Heai Pump Under ! Above ground Tank Install Remove) Other " When installincyremoving tank(s), call tor inspection by Fire Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FifB fEpair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~ TOTpLFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x i% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Pertnit Fee is less ihan $1,000, surcharge is $.50. - If Perrnit Fee is >$1,000, surcharge increases by $.50 for each StBte SurCharge $1,000 Permit Fee (i.e. a$1,001$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowletlge that this information is complete and accurate; that fhe work will be in conformance with the ordinances and codes of Me Ctty of Eagan; that I understand this is rrot a permit, but onty an application tor a permit, antl work is rwt to stan without a permd; that the work will be in accoMance with !he approved plan in the case of vrork which requires a review and approval of plans. X G/FR2Y 1[ li H-rJ ~~~y ApplicanYs Printed Name App icant' Signature FOR OFPICE USE Reviewed By: pa}E, ; Requiredlnspectlonx;,Under Ground Rough In ,Air Test _GasServACe Test In ftoor Heat ~''_="`Fiiial 2422 Enterprise Drive -K Mendoto Heights, MN 55120 • y PIONEEFi L,ND SURVEYORS • pIAL ENCINEERS (612) 681-1914•FOX 687-9488 engineering UNO PLANNERS • LANDSCAPE ARCHITECTS ~ 625 Highway 70 Northeast * * Bloine, MN 55434 1(612) 783-1880•Fax 783-1883 ~ Certificate of Survey for. The ROttIUI'id COmPal'ly, IC1C. , r , S, 6'`SO o94` ~ 0 Q~ 4~ ' v ' ~ h~• ~B'~~p /7/ 25 H ~ SS0 O~9 $qq~ 28 76! ~ 26 . ~ Q) g' :O oR „ 27 1.8 } a 7 ~4r ~T,j ,y9h . . . . - ~O \ ^ : . , h SSRS? O~ ~ o9y Da • RAGAN EAICIYd~ RING DILPT = 900.0 Denotes Existing Elevation , PROPOSED' HOUSE ELEVATiON ` . 9ao.o Denotes Proposed Elevation - Denotes Drainage & Utility Easement Garage Stab Elevation: 09 1.70 Denotes Drainage Flow Direction Denotes Monument. , Denotes Offset Hub Bearings shown are assumed LOT 257--28 BLK 3 DIFFLEY COMMONS DAKOTA COUNTY, MINNESOTA 2 N D A D I TI 0 N I hereby. cettify thai this survey, Olan or report was~p,rered by or nder y direct supervision and- I am duly Regisrered Lan yor - untler the laws of the Stau of Minnesota. Dattd thiz_L_Llc~day of _ q,D. 19~1.. SCQI e: ~~=30feet ERT B. SIKICH REG. NO. 14891 m 13128.06 PERMIT rViA S^ ~ CITY OF EAGAN l~~(,~ 3830 Pilot Knob Road PERMIT TYPE, . g u 1 ~ ti`rN~~j Eagan, Minnesota 55123 Permit Number: 022147 (612) 681-4675 Date Issued: 10 /06 J93 SITE ADDRESS: 4130 RUBY LANE LOT: 26 BLOCK: 3 DIFFLEY COMMONS 2ND DESCRIPTION: (1 OF 4 UNITS) B,uildirt„Permit Type 4-PLEX ~uilding Wbrk Type NEW r't16G 0 ec Uparroy~ R-3 M-1 Construction 7j~e V-N 'Z,onzrlg PD R-4 ~ Bitllding Lehqth ~ 52 Builtlirtg Witfth 39 Br~i3,<iing storaes 1 I....n . l~~C r ~ ' CI "j3 ~ ~ )3 (U u REMARKS: S& W PLBR - VALLEY PLB6 FEE SUMMARY: VALUATION $89,090 Base Fee $567.50 MISCELLANEOl1S $1,744.50 Plan Review $368.88 COPY $.S@ Surcharge $42.00 7ota1 Fee $3,473.38 SAC $750.00 SAC % 1@0 SAC Units 1 Subtotal $1,728.38 CONTRACTOR: - Applicent - sT. Lzc. OWNER: ROTTLUND Ctl INC, THE 15710904 0091335 TME R0T7LUND CO INC 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 T Freeeby acknowledge tYrat T have read this applicaCion and state thaG the 3nformation 3s enrreGt and agree to comply with a11 applicable State of Mn. 5tatuCes anzi City of Eagan ordi-nanees. / ~ ~ D _j " 1. I --~A APPLICANTlPERMI7EE SIGNATURE IS UED B: SI ANR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLorNs 3830 Pilot Knob Road Permit Number: 022147 Eagan, Minnesota 55123 Date Issued: 10 / 0 6/ 9 3 (612) 681-4675 SITEADDRESS: LoT: ze BLOCK: 3 APPLICANT: 4130 RUBY LANE ROTTLUND CO INC, THE DIfFLEY COMMONS 2N0 (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF A UNITS) INSPECTION . D. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - VALLEY PLBG F- ~ ~ REACTI?IATE _ ITY OF EAGAN ~rRMIT f 3 BUILDING PERMIT APPLICATION ' 681-4675 i P 3 0 1993 SINGLE 3 MULTI-FAM tY==- s of plans, 3 registered site surveys, l copy of energy calcs. , COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of speciflcations, 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. pate 41 J5 Yaluation of work WIS Site Address: &ul~ ~n S7aEEi iUITE / Tenant Name: (commercial only) IAT SIACK ~L SUBD. b'FFLEI' P.I.D. N Descri tion of work: . The applicant is: Vj Owner Sa Contractor O Other (Deccribe) Name T7% -°--r 0 e~n &&- Phone S71-cT36_1 Property usT FIRST Owner Address G2d E /ZI" Aey%[;~ -50I STREET tTE 1 CitY Eg?r-x~ State /0"In/- Zip SS421 Company ~E: _ Phone Contractor Address License # /b3r'j Exp. -3/'9 City State ZiP Company Phone Architect/ Engineer Name Registration Address City State ZiP Sewer & water licensed plumber ~~~bM;• . Processing time for sewer 8 water permits is two days once~rea h- as beea 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: OFFICE USE ONLY BUILDING PERMIT TYPE • ? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging ,'~'416 Basement`Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O a Swim-Paol O 03 SF Addition ? OS B-Plex ? 13 6arage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Coron./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ;M 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair 0.36 Move GENERAL INFORMATION Const. (Actual) v- N Basement sq. ft. MWCC System yES (Allowable) V- lst F1, sq. ft. City Mater ~ UBL Occupancy _I 2nd fl. sq. ft. PRV Required Zoning Pn R.y Sq. Ft. total Booster Pump / of Stories I_ Footprint Sq. ft. Fire Sprinkler Length -C Z. On-s9te well Census Code ~oL Depth lei On-site sewa9e SAC Code 03 APPROVALS ' - Planning Building Assessments Engineering Variance REDUIRED INSPECTIONS ' ? Site ? Footing ? Framing O Insulation ? Wailboard ? Final O Draintile ? fireplace Permit Fee 91400Q Surcharge Plan Review e.sa~ 36p 'O )cl(. ~,6~ MWCC 5AC 76 0 License }/ow e; /tiI3L~X54 = 7732ff City SAL Water Conn. Mater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies .50 Other Total: SAC % o 0 SAC Units ' . t-cTFr-jor+ r:r+vr•.r,nj'}: AVI'.kAtlr: °u" r.Ormu•rn•rinu Xr-k 'c;w~. ouN EFt - S?TE ADD4E5S LcrT ZE'i~t_!c3 17iGC~tvr ~o,x,r, . D r CONTRACTOR f~O~~(-)Aar. CP, ~ D:1TF. Pi{ONz Deterain vorkini; square footai;e of ench. 1. Total exposed va11 erea sq. ft. x 0,11 • 2. Total roof/ceiling area . I ~ sj~. ft. x e,o..o _ • ~ Total exposed wa'±1 area nbovc C1oor a. Total vall vindou area . - . . b. Totel door area - c. Total slidir,g gt ass coor area f41, y.=. d. Total fireplace wa11 area P- e. Total vall framing area (average lOP) . •~~,i-~ f. Total net vall area nbove floor Y, . . . . , . g. Total rim Joist area . Total exposed frn:nd2tion araa = II2- ' . h. Tot21 foun3e;ion uindow area i. Total net iouadstion area ^bove grade , . • ?ete:-.ine "U" ca.lce o: eech vall ,ec;mznt. ~u 11 a. ~ a. x ' . c. 1571~ X„~„ r? . d. X 2. r-f' ~ 7 x.uUn f. ` % .~+i "~e ..^i••J+ X . 8• X „tJu , _ h. x X llUll _ / ~ n ! ~ r 3. .cot.,7 ~ If item N3 is the same zs, or les- !h:,n ile,n ML, }rou n:+vc me" the inte.^.*_ or sac 6006(c)2. o Total exposed roof/ceilinG aren = 1? v ~ . . . . ' Totel gross roof/ceilinf, ereci = Total skyl?ent arez R. Total roof/ceiling trzming area............... /!l4; i.~ 1. Total neL insuleted roof/ceilinF area Dete:mine "U" vnlue for cnch ruof/cei I inj; sepacnt. ~ x 'lUll ~ n ? k: ~ X „u., 1. l -,7 , .,u„ a.v-7 b . Totel - o Sh7_ve If total oP f14 is the sene es, or less than N2, met tt~e intent of sac 6oo6(c)i. . To utilize the total er.velooe systea method, the values establi:hed by the sua of items N3 end a+b shall not Se sreater.thxn the sum of iteo:s dl and N2. 1. ~ 2. + 4. - . ~ • O ' _ . O ° PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: suzLozNG Eagan, Minnesota 55123 Permit Number: 022146 (612) 681-4675 Date Issued: 10 J06 J93 SITE ADDRESS: 4192 RUBY LRNE LOT: 25 BLOCK: 3 DIPFLEY COMMONS 2Np DESCRIPTION: (1 QF 4 UNIT5) B*11d3ng_,Permit Type 4-pLEX F~uilding " ' rk Type NEW iUBG $ECUpartoy-1 R-3 M-1 ~!1 Construction T"~pe V-N ZvniMg PD R-4 ~ Buikding tength ~ 52 ? Bu3ltfing Width °39 suiidin~g etories ~ 1 e..,.~1n. ~ /^1 i1~~~ l ~;.:t_,,, ~ ~~G~ '~~r a,~~1~~~4~~~~.~ fl REMARKS: S& W FlBR - VpLLEY pLBG FEE SUMMARY: VALUpTION $84,000 Base Fee $567.50 MISCELLANEOU5 $1,744.50 Plan Review $368.88 COPY $.50 3urcharge $42.00 7ota1 Fee $3,473.38 SAC $750.00 SAC 8 100 SAC Units 1 Subtotal $1,728.38 CONTRACTOR: - Applicant - S7, LIC. OWNER: ROTTLUND CO ING, THE 15710304 8001335 THE ROT7LUND 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 ackrtowTEdge that t have read this apAlication artd state th&t the znfvrmatian is carrecC and egrea to eomply wtCh all applicable State' of Mn. Statutp-s and C3ty of Eagan prdl;rlances. APPLIC 7/PERMITEE SIGNATURE ISSUED : SI NATU INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLozNG 3830 Pilot Knob Road Permit Number: 022196 Eagan, Minnesota 55123 Date Issued: 10 / 0 6 J 9 3 (612) 681-4675 SITEADDRESS: LoT: 25 BLOCK: 3 APPLICANT: 4132 RUBY LANE ROTTLUND CO INC, THE DIFFLEY COMMONS 2N0 (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - VALLEY PLBG ~ _ ~ REACTIVATE _ CITY OF EAGAN .aEr2MIT 93 BUILDING PERMITAPPLICATION $3, a2l 3 0 1993 681-4675 5IN6LE & MULTI-F Y 2 sets of plans, 3 registered site surveys, 1 copy af energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1_set of 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 01 /11' / °r-> Yaluation of work tcjrfr~ Site Address: q R1i STREET ~ SUITE • Tenant Name: (commercial only) LOT ~ BLOCK SUBD. VIFFI£C Cz4W#U7P5 P.I.D. N Destri tion of work: "cLy 4 Lwll The applicant is: a Owner 42l, Contractor ? Other (Deaeribe) Name `Til~ 0-rrc.c9,f&) e5c% &JG Phone 57/-0304, Praperty LAST FIRST Owner Address c;20l E. 4&A~7 A&fo. ~l STREET . STE Y City r ~tA!7-7 State Il~~• Zip 55~121 Company dt"F_ Phone Contractor Address License # 133 S Exp. -7~' City State Zip Campany Phone Archltect/ Engineer Name Registration # Address City State Zip 5ewer & water licensed plumber 17ct~D.e~-, ~/um6rr:5. Processing time far sewer & water permits is two days once ea 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. IL_ Signature of Applicant: OFFICE USE ONLY ; BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging~_ 16 Boement Finish ? 02 3F Dwg. ? 07 4-Plex O 12 Multi. Misc. 13W17 Swim Pool ? 03 5F Additian ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE la 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demalish ? 32 Addition E3 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System `/ES (Allowable) V- N lst F1. sq. ft. tity Water _77 UBC Occupancy (t-3 M-I 2nd F1. sq. ft. PRY Required Zoning PD rt-y Sq. Ft. total Booster Pump # of Staries i Footprint Sq. ft. Fire Sprinkler Length SZ, On-site well Census Code 10-,0_ Depth 34 On-site sewage SAC Lode or_ APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED iNSPECTIONS ? Site ? footing ? Framing O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee wiuae;a,: $ gy, ow Surcharge . Plan Review GAF2 avV; x/6 = 576a License MWCC SAC J~ort56 % Jy32~ xS~1 c'7~ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies So Other Total: • SAC % of7 SAC Units ~ ~ F.xTF.itiOR I•:t+vi:LrnPb' nvh:i;nCt: "UP" C09mu•fnTiOu /44-r ,'uw4' • ouN F.R. , ~ . SITE ADD4E5S Lc7' z 5~ f'SLCC-K ~J L7iEF/, C~.. ~ ` CONTRACTOR 90j7' _Uor e~~ ~ DATF. PHtINE Dete*min vorkini; square footar,e of ench. 1. Total expcsed ve11 e^ea sn• ft. x 0.11 • 2. Total roof)ceiling area 5,l, f't, X e,020 v ~ • • . Totel exposed va'! 1 eren nbovc floor = 1i .ri s. Total vall v±ndov area . b. Total door zree " , c. mot21 slidir.g glass door area d. Total fireplace vall a:es e. Total vall :raming area (ave:age 101) f. Total net we11 e-ee nbove floor y~ • . 6• Total rim Joist area . Total exposed four,dntion area = 2 h. Total foun3etion vindcw x:ee . . ~ i. Total net fo•rndation area cbovegrade _ . • D°te^nine "U" calce o; eech wall :eFnent. , ~ ~ 1• 11 V ~ a. 3~, ,1 f X„v„ ~.13 17 - 7cr C. X .,u„ Z7.r? . d, X ~1-Lill , _ • e.. / : / 7 X .~~U~~ r' - / i f. X ~ . 8• X h, x ~ ~ . • i. 1 i ~ X U~~ . / ~ _ ~ i 3- 'iot.~] r. If item rY3 is the same as, or less :.ti:,n ite:a #l, }•ou hzve mei the inter.t or sac 6006(c)2. , • Totnl ezposed rooC/ceilinG aren v ° y. ~ Total g:oss roof/ceilinr, arca Totel skyl?e:^.t area ~ k. Total roof/ceiling fruning erea 1. Total net ir.sulaLed roof/ceilinF area ? Determine "U" vnlue for cnch rucif/ccilint; seF3Mcnt. ' X uUn . • k: X uUn O/`-' ~ / v i'y~ • 1. .,U., 4 . Total If total oP N4 is the se-ie es,'or less than N2, you heve met ttke inteZt of S3C 6oo6(c)1. . To utilize the to`..al er.velooe systea method, the values establi_hed by the sum of items X3 P-nd e'4 shall nat be 6reater. thKn the suro of iten:s dl e.Zd #2. 1. + 2, - , + 4. - . ~ . ' . 0 . • _ a • ' PERMIT C1TY OF EAGAN rc 3830 Pilot Knob Road PERMIT TYPE: s u x Lo i Eagan, Minnesota 55123 Permit Number: 022149 (612) 681-4675 Date Issued: 10 / 0 6 f 9 3 SITE ADDRESS: 4134 RUBY LANE LOT: 28 BLOCKe 3 DIFFLEY COMMONS 2N0 DESCRIPTION: (1 OF 4 UNITS) B,ya~l:din'g},Germit 7ype 4-PLER 6uildlng "Work Type NEW -`UBC Occupanc~y ,y R-3 Pi-1 Cbnstructiqn Tj<pe V-N ~2oning i_-\ pD R-4 Building Length ,r 52 ~ Building Width 39 1 l.d'3.ng storics ~ ~ REMARKS: S& W PLBR - VALI.EY PLBG FEE SUMMARY: VALUATION $84,000 Base Fee $567.56 MISCELLANEOUS $1,744.50 Plan Review $368.88 COPY $.50 Surcharge $42.00 Tatal Fee $3,473.38 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $1.728.38 CONTRACTOR: - Applicant - S7. I.IC. pyyNER: R077LUN0 CO INC, 7HE 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RTVER RD ' 301 FRIpLEY MN 55421 FRIDLEY MN 55421 (612) 571-0904 (612)571-0304 Z hereby acknowleclge that T have read this appl3cation arril state tfiat tfre in'Pormakiarr is cort^ect and' agree to camply with a11 applicakI,e Stats of Mn. 5tatutes anci Gity of Easam Ordirtances. ~ J APPLICAN7/PER ITEE SI NATURE -~ISSOED 6VI SIG A RE~ INSPECTION RECORD CITY OF EAGAN PERMITTYPE: auzLo=Ne 3830 Pilot Knob Road Permit Number: 022149 Eagan, Minnesota 55123 Date Issued: 10 / 0 6/ 9 3 (612) 681-4675 SITEADDRESS: LpT: 28 sLocK: 3 APPLICANT: 4134 RUBY LANE ROTTLUND CD SNC, THE pIFFLEY COMMON5 2N0 (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: R-pLEX NEW DESCRIPTION (1 OF 4 UNI7S) INSPECTION D. . FOOTING FRAMIMG INSULATION FINAI FIREPLACE REMARKS: S& W PLBR - VALLEY PLBG ~ F ~ l PFRMITV~TE C~ _ Us~C~I~VED 1 993 UILDNGA ERMIT APPLICATION ~,S~,r~Jn 31 0 1993 681-0675 , SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of eoergy calcs. , COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of specifications, l 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 i,s requested once permit is issued. Date /~-3_ l q~. Yaluation of work Site Address: 3~4 ~+~N~ ~ n EiREET fU1TE 1 Tenant Name: (commercial only) IAT q-?> HLOCK AE 6C4~5, 2 Y.I.D. N Descri tion of work: AErJ ~ The applicant is: 0 Owner IZ Contractor ? Other (Deccribe). Name `Tf/f 107=4-ca.v0 A< Phone 1~571-09rj-/ Property LAs, FIRST Owner pddress c'7a?L C QiAffX 4~~ STREET iTE a City alar Fv State ^X_ ZiP ~~21 Company Phone Co ntractor Address License M Exp. Lity State Zip Company Phone Architect/ Registration r Engineer Name Address City State ZiP Sewer & water licensed plumber ~/W"l Processing time for sewer & water permits is two days once a a has bee approved. I hereby acknowledge that I have read this application and state that tAe informatlon is correct and agree to comply with all appllcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE - ' • ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finisb, O 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. . 0 17 Swim Pool ~ O 03 SF Addition ? OS B-Plex ? 13 6arage/Accessory ? 1B Comn./Ind. ? 04 SF Porch 0 09 12-Plex 0 14 Fireplace ? 19 Coimn./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE p 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-n1 Basement sq. ft. MWCC Systero YL3 (Allowable) v_ N lst F1. sq. ft. City Mater y45 UBC Occupancy g.3 rn_~ 2nd F1. sq. ft. PRV Required Zoning pD R_4 Sq. Ft. total Booster Pump 1~ of 5tories ~ Footprint Sq. ft. Fire Sprinkler length Z.- On-site well Census Code /oZ Oepth ~ On-site sewage SAC Code r APPROVALS i - Planning Building Assessments Engineering Variance REQUIRED lNSPECTIONS ' ? Site ? footing 0 Framing ? Insulation O Wallboard ? Final O Draintile ? Fireplace Permit Fee v.io:ip,: S 911,000 Surcharge Plan Review GAaAc~E; 360'"'~ / -5760 LicensSAC e X 6 ~ . cWiy sac Ho ksb: Iv3z x s4 Water Conn. Water Meter Acct. Deposit S/M Permit S/N Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % l n n SAC Units j FL1'F.1ti0R Eravr•.t.rnT..nvr:i;nr,r:."ii" CoMTII'fA'PIOn 14~r ,'V y.A, outv ER S:TE ADDSESS b-cT z~ ~ L oz D ~ CONTRACTOF DATF. PHt)N: Deter.ain vorking squnre footar,e of cach. 1. Total expcsed va?1 area sR. ft. x 0.11 • 2. Total roof/ceil:ng area I4`~2::;l s~j. ft. x 8%020_ EZ(r,.[0 • • . Total exposed va'! 1 a-ca nbovc floc+r = lC~:5;, a. Total vall v:ndov s-ee b. Totel door area ' c. Tota-I sl?dir.e g?ass door area d. Totzl iireplece va11 area e. Total vz11 ;rz~?ng area (everage lOS) f. Total net vell area above iloor q • . B• Total rim Jo3st erea . Totai eaposed four,dation arca = If 2 h. Totel foc:n9e:?on vindo•: z.:ee i. To:zl net fo,.Lndst±on area ;Dove g.-ade _ • Dete.^..,ine "U" calue o: esch wall ^eF;mznt. ~ 8, rl ~ X b. 3~,"1( X „U„ ~,t3a = . ' C. 51~ . X „u„ 2-7 ~ d. X , _ • r ~ E. i 7.% ~ x -uUn r. ~ ~ . . ~ X . s• x h, x „Ull X "U" 3. 'iot.-:1 = :t.~ If item N3 is the szme as, or leaa :ti:,n .itc:1 Xl, you havc met the inte^t or SBC 60o6(c)2. ~ n - • ' Total exposed roof/ceiling area = 1 ~ ~ ~ r . . . Totel g:oss roof/ceilinr, arca _ t J. Tote.l skyl?Eht a:ea _ k. Total roof/ceiling trzming area 1114, 'r-; 1. Total net ?r.suleted roof/ceiling area Detc:-m?ne "U" vnlue for rncti ruof/cci I ing: scb'mcnt. x . . x: x p,p2 7 = a;,~ . 1. / Z & 7, % X -7,~ 7 ' L . Tocsl ~ If total oP NU is the sa:me P-s, -c: less Lhzn W2, you heve met the inte:.t of ssc 6oo6(c)i. . To utilize the to:sl eavelope systen method, the vzlues establi:hed by the st= of itens d3 e_.d P4 shall not be 5reate-.thKn the sum of itert:s 11 aZd M2. 1. + 2. + 4. - . ~ . O , ~ ~ t • ' . . PERMIT ~ CITY JF EAGAN / 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permft Number: 022148 (612) 681-4675 Date Issued: 10 / 06 ( 93 SITE ADDRESS: 4136 RUBY LANE LOT: 27 BLOCK: 3 DIFFLEY COMMONS 2ND DESCRIPTION: (1 OF 4 UNITS) 6,uilding-Permit Type 4-PLEX Building Wbrk Type NEW ,`~UBC Occupanc`y\ R-3 M-1 Constructzon T~pe v-N Zoning ~ PD R-4 Building Length / 52 ~ Building Width 39 By~ilding storiss ~ J 1 ~iF i u REMARKS: S& W PLBR - VRLLEY PLBG FEE SUMMARY: VAIUATION $84.000 Base Fee $567.50 MISCELLANEOUS $1,744.50 Plan Review $368.88 COPY $.50 Surcharge $42.00 Total Fee $3,473.38 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $1,728.38 CONTRACTOR: - Applicant - sT. LIc. OWNER: ROTTLUND CO INC, THE 15710304 0001335 THE ROTTI.UND CO INC 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 T hereby acknowledge that Z have read this application and stete that the inforrnation is correct and agree to comply with all epplicable 5tate of Mn. Statutes and City of Eagan Ordinances. L ~ ~ J APPLICA~RMITE SIGNATURE ' ISSUED B: SI 'NAT R : INSPECTION RECORD CITYOFEAGAN PERMITTYPE: Bu=LoING 3830 Pilot Knob Road Permk Number: 022148 Eagan, Minnesota 55123 Date Issued: 10 J 0 6/ 9 3 (612) 681-4675 SITE ADDRESS: Lo T: 27 B L 0 C K: 3 APPLICANT: 4136 RUBY IANE ROTTLUND CO INC, TWE DIFFLEY COMMONS 2N0 (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW OESCRIPTION (1 pF 4 UNITS) INSPECTION . FOOTIN6 FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PIBR - VALLEY PLBG r-. . ~ _ ~ L REACTIYATE CITY OF EAGAN 1'fRMIT k WED 993 BUILDING PERMIT APPLICATION 3 0 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, l copy of energy calcs. Penalty applies: 1) when permit is typed, but not picke(i up by last working day of month. in which request is made, 2) address is thanged or 3) lot change i.s requested once permit is issued. Date ~ 47--7,. Valuation of work OQ1:> Site Address: of bxi Ln STREEt SIIITE M Tenant Name: (commercial only) wT ~ BIACK ~ svan.D'~/~'j Y.I.D. N Descri tion of work: 4( &Wf 811 • The applicant is: M Owner Contractor ? Other (Describe) ep /C. Phone Q/ioWt/ Name 7f~t 471`r t-oA-10 K Property LAST FIRST Owner Address Z ~ ~ kio° A~Aa STREET fTE / CitY F&Li"`( State N/N Z1p 5G%12_l Company IS~ Phone Contractor Address License # 13S Exp.7,- 3/-') City State ZiP Company Phone ArChit@Ct/ Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber ~c~~~s• . Processing time for sewer 8 water permits is two days once rea has bee approved. I hereby acknowledge that I have read this apPlication and state that the lnformation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5lgnature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging :171,.16 Basembnt.Finish. ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. 0-17 5w1ad Poo1` C] 03 Sf Addition ? OB 8-Plex ? 13 Garage/Accessory D 18 Comm./Ind. ? 04 SF Porch 13 09 12-Plex ? 14 Fireplace O 19 Coiom./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck O 20 Public facility O 21 Miscellaneous WORK TYPE M 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-rJ Basement sq. ft. MWCC System (Allowable) v-tA ist F1. sq. ft. City Water USC Occupancy M-1 2nd F1. sq. ft. PRY Required Zoning Ep R-y Sq. Ft. total Booster Pump 1 of Stories i Footprint Sq. ft. Fire Sprinkler length .s 2 On-site well Lensus Code laz Oepth _3g_ On-site sewage SAC Code 03_ L APPROVALS ~ Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS O Site O Footing ? Framing ? Insulation ? Wallboard 0 final ? Oraintile ? Fireplace Permit Fee v,tu.c;o,: g 5~1. 000 Surcharge Plan Review C.~R2n(-6% 3~.oj° xr6= 596o License " MWCC SAC HouS2; 1432~ K 5N= 77 City SAC ~ Water Conn. Water Meter Acct. Deposit 5/Y Permit S/W Surcharge Treatment P1. Road Uoit Park Ded. Trails Ded. CoPies Sv Other Total: SAC % !Da SAC Units ' F'X7•Fr,-Lon f:uVE1,npt. nvi-:i,n;I-: "U° currru•rn•rV,n /4-~r CC wA- ~ OS: tI E,R saTE anDRESS 1-07 ' D,trl~,,~Cc-~.~~~~ ~ CONTR4CTOR l~-O UI';Tr CP' ~ DATF. pHt)NE Dete=zin vorkinr; sqijare footai;e of cach. 1. Total ezpcsed ve;l area sq. ft. x 0.11 • 2. Total roof/ceiling area sq. f;,. X 5,026 • • ' Total exposed wa'!1 eres nbnvc floor s. Total va,ll vindov area ~~.~i ~ b. Totel doo: area " c. Total slidir.g g?ass door area ~ d. Total iireplece vall crea e. Tota1 vzll ;rzmin a^.ea (ever ^ . B age 10:) `a . f. Total net vell area nbove floor . 6• Totzl riT joist erea . Totsl exposed fnunAation arca = Z h. Total founde:ion vindcv area i. Totzl net Soundstion area ;bove grade . . • L_te^ine "U" valce o; eech vall sec;menL. , a• ~ ~ . ~ ~.U11 w ~ - ~r• ~ l a. _ 7~P . ' . c . 5~f X . d. X . ~ _ ~ • B., i. J,. s _ = r~ ~ . g. X ••17,~ . • - h, i II~ X IIuII 3. . coi.-;] _ ~J:,~•~ If item N3 is the same zs, or les:, ;.ti:.n .ilr:n M1, }•ou have met the inter.t or SBC 6006(c)2. ~ n Totcl exposed roof/ceilinc arez = I~? ~ ~ Totel g:oss roof/ceilingr arc:t = • Totel skyli~:^.t erea . ~ k. Total roof/ce?1?ng fre-nin3 erea 144, i- l. Total net ir.sulated roof/ceiling area 71 Detc_^_?ne "U" vnlue for cnch ruof/cci I int; aca,~acnt. J. . X ~lUli k: X „u„ 0,02 7 = 6.;~ . • 1. z „U„ -7 ; 7 . ~ n . TotaI If total of N4 is the s~~e es, cr less ;hzn N2, you have met ttie iate:,t o; saC 6oo6(c)i. . To utilize the tobal er.velope s;sten method, the values establi<hed by the sts of ite=s d3 e=.d r'1t shall not be 6reete^. thKn the sum of iten:s 11 ead 12. 1. + ~ . l . 0 ` • _ . a . , ~ _ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuxLoxNG Eagan, Min nesota 55122-1897 Permit Number: 0 2 S 3 0 6 (612) 681-4675 Date Issued: g 7/ 19 / 9 6 SITE ADDRESS: 4130 RUBY LANE LOT: 26 BLOCK: 3 DIFFLEY COMMONS 2ND P.S.N.c 10-20451-260-03 DESCRIPTION: 0 d WIND & WATER DAMAGE ~,~;~:da.e~ Permit Type STORM DAMAGE U,~1YlS.~4~;: Type REPAIR ~ tistr, Cttcl6 434 ALT. RE5IDEN7IAL P ~ ~y f y a "Rr i ~T" ~ jk gt g it.'Y+R 2P .Mt.lg 4~h ]£A~ 1~iq' µ p~. a. `:k°~'g~•. ~ 's~"C No~s'i ~a.,,t' ~ bz'~M.•K `~7 '"B~1'°~"E.M 'LR" `~3 REMARKS: INCLUDES: 41320 4134 ANp 4135 RUBY LANE L25 L28 L27 FEE SUMMARY: CONTRACTOR: - Applicant - ST. Lzc.OWNER: DU ALL 3VC CONSTR INC 17889411 0003178 DIFFLEY COPiMQNS 696 39TH AVE NE 4130 RUBY LANE COLUMBTA HTS MN 55421 EAGAN MN (612) 788-9411 e x _ ~ . . _ k r- F m n} . ~ a I hereG~! ~~15.rruw3.~sfge =hbava rsad .this applicatzon •and sCate tHat tha :inia~matzars. is c vrr, ~et a,rid agr~~ kQ cainpiY with ali appli~cable Stite at Mr~. Statut8$, irid Eityr o1= aq~e~ ~aS.qonces. APPLICAN7/PERMITEE SIGNATURE ISSUED B IGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 - 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) c3 K3 0~ 6814675 New Genstrsdion R9auiromenta RemodeVReoalr ReaWremeots ? 3 repistered eke aurveya ? 2 coples of plan ? 2 ooptes of plana (Mdude beam d window s¢es; poured fid. deslgn; etc.) ? 2 ake aurveys (exterior additions 8 deeks) ? 1 energy ealcuiations ? t enerpy calalations for healed addRions ? 3 copies of Iree pmaarveHon pWn H Id plettad aRer 7l7/93 rsquUed: Yea _ No . DATE: -7 08 / 6 CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: 4130tIi.32,y13~,WJ6 ivr gMeK 26 z5'2 SU.D. r ' PROPERTY Name:~~~u~'"24 Phone OWNER 61 .T Street Address, Ci{y; State: Zip• coNTrtAc7oR Company: 4~ Phone -7ffMciq l~ Street Address: ME License 5 / City: state: ZiP' 55:V2/ ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City; State: Zip: Sewer 8 water Iicensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 44 I hereby acknowledge that I have read this application and state that the information is corre and gree to comply with all appliwble State of Minnesota 5tatutes and City of Eagan Ordinances. . Signature oi Applicant: ~ OFFICE USE ONLY RECEPC D Certificates ot Survey Received _ Yes No ~ ~~9~E~ Tree Preservation Plan Received _ Yes _ No OFFICE USE C'NLY : BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch a 09 12-plex o 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. 0 10 = plex a 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION ~ Const (ActuaD Basemenf 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 Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment Pi. Road Unit Park Ded. Traits Ded. Other Copies Total: % SAC SAC Units ~ !r 1993 PLUMBING PERI~IIT (RESIDEIV77AL) !D~/ q/9~ C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 53122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOT~ ;4- SHOWER 3•00 o~- YV,4'I r,R Ci3SET 3.00 I BATH TUB 3.00 - 'a. LAVATORY 3•00 KITCHEN SINK 3•00 - . LAUNDRY TRAY 3.00 = HOT TUB/SPA 3.00 WATER HEATER 3.00 1 FLOOR DRAIN 3•00 Z GAS PIPING OUTLET • minimum -1 3.00 ~ ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • nek.cy. lio. 15.00 U.G. $PRINKLER • home uncer mnsi. 3•00 ALTERATIONS • to cdating 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: OWNER NAME: /t~/y/~c~ INSTALLER: 1 ~i~G~ v7Z«a"~i 'g ~ ~n G ADDRES : ' CITY: D STATE: M ZIP CODE55--~6 ~ PHONE ( 61 Z ) ~a` ~ t'~ SIGNATUR OF PERMITTEE ~ r y!*+T*er^^x,c v . n x w a ~`,~.A s s zr s . . . . . j c . . 1993 PLUMBING PIItMTT (C0NDIIILCIAL) CTTY OF FAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALlINDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING U;::T. _ NEW CONSTRUCIION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: LRc OF CONTRACf FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE MINIMUM FEE S 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: ~~NA1V'1 N.4N3E: # OWNER NAME: INSTALLER: ADDRESS: CITY: STAT'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT • y fif• ' vc f ¢ 2 \~:t ~ c M. ~ A.3 . i I lI v.ii; . . . • : . ~ 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT. - NO. FIXTURES EACH TOT~ a SHOWER 3.00 G _ WATER CLOSET 3•00 0-- ' ~ BATH TUB 3.00 3- LAVATORY 3•00 KITCHEN SINK 3•00 _L LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 E E WATER HEATER 3•00 FLOOR DRAIN 3•00 GAS PIPING OiTTT.ET •ini m • i 3.00 1_-- ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • DakCry. lic. 15.00 U.G. SPRINKLER • eome under conat. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 1~== SITE ADDRESS: OWNER NAME: C- INSTALLER: & l`e -:P G!!/12jn 60 r -~-r' L ADDRESS: CTTy; J'p rci ;Pr ~ STATE: ZIP CODE:~S1- PHONE SIGNATURE OF PERMITTEE . kvP ...k~......w.'N..w~ .o. ~~.~3 ga~ . ..........v.ri.TSv`.E...$i=e n~P.1 1993 PLUMBING PIItMIT (COMD"IMCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMIF-RCIAL/INDUSTRIAL BUILDIINGS. ALSO FOR MULTI- FAMILY BUP.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U:~:1". _ NF.'W CONSTRUCi'ION ADD ON REPAIR WORK DESCRIPTiON: CONTRACT PRICE: $ FEE: l% OF CONTRACf FEE STATE SURCHARGE $.50 FOR FACH $1,000 OF FEE MINIMUM FEE $ 25.00 : CONTR4Cf PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NA114E: STE. # - - - - OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT y : 1993 PLUIVIBING PERNIIT (RESIDIIVT7AL) 9/~~ CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 35122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UN1T. 10. FIX1'URES EACH TOTAL SHOWER 3.00 ~ s ~i WATER CLASET 3•00 ~ BATN TLJB 3.00 ,3' ~ LAVATORY 3.00 /1 ~ KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 = WATER HEATER 3•00 ~ FLOOR DRAIN 3•00 ~ GAS PIPING OU'TLET • min+mum - t 3.00 3' ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • oeI.cy. uc. 15.00 U.G. SPRINKLER • bome una« comt. 3.00 ALTERATIONS ' io eusting 15.00 WATER TURN AROUND 15.60 STATE SURCHARGE .50 ~ TOTAL: ~ SITE ADDRESS: / ~~Ca-(y--~/ ~A~ OWNER NAME: -~to ~ INSTALLER: ~C~•-~ ~~C ~ ~ ADDRE 5: 0,16) Il~-°2 14-44l2 CITY: 'lz10(-~' STATE: ~ ZIP CODE:-5s3S F-"- PHONE SIGNATURE OF PERMITTEE 'f" 9 y j~~yt~E'9'N~ ~~,t'~.~~.~Y ~ ~ A '~I~~f~~~~~•~~',„~~'.i~r~. aa*y~'3'~. ? i e ~ + , a;',> 3wg..`. £;~~~~E>i°_~v~qd.~'.~,~.Poxa$~,~'~;~~..~i'~~~~a..2.~.rs~N .F._.~..<:. ~ ' '~~y~,~s~3kx' 1993 PLUMBING PERMIT (COMIIVIERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL CO?vMiERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI.:)INGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UN:T. _ NEW CONSTRUCTION A.DD OP? REPAIR WORK DESCRIPTION: CONTRACf PRICE: $ FEE: 1% OF CONTRACi' FEE. STATE SURCHARGE $.50 FOR Fr1CH $1,000 OF ~FEE MINIMUM FEE: S 25.00 CONTRACT PRICE X 1% a STATE SURCHARGE $ TOTAL $ SIT'E ADDRESS: TENANT NA11iE: STE. # ~ OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP GODE: PHONE FOR: CITY OF EAGAN APPLICANT ~ /e7~ ~ ~gw.s ~`n d t r Rx~. .s:£. . . ~ ,aSSr¢43a a ~ t4`m x.x~~ ' ~ ct k. 4 F aYt' '13Y~ ; b - .':it Yze ..~a aa)D>x~~i~a Saq z...k~u3q~ #x ~"~4£gaa:s4 1993 PLUMBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIdGS. AISO, FOR TOWNHOMES AIVD CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES FACH TOTAL ~ SHOWER 3.00 ~ WATER CLOSET 3•00 -1 BATH TUB 3.00 5 ~ LAVATORY 3•00 KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 ~ WATER HEATER 3•00 ~i- FLOOR DRAIN 3•00 -i GAS PIPING OU1"L.ET • m~~um - i 3.00 ~ ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • naLcry. sc. 15.00 U.G. SPRINKI.ER • eome unaer aon:L. 3.00 ALTERATIONS - to aosun8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: - ~ 71/1 SITE ADDRESS: OWNER NAME: INSTALLER: ADD S: C, 6~' ~ ~A CITY. C, rcI "q- % \J STATE: IN ~ ZIP CODE:~'~5'SZ ~ PHONE qql- ~ SIGNATURE OF PERMITTEE ~ ` ~ y r~e L~ :r~ 4 ~e8~s - ~'x~~~y~d~4~"'`4~•~"5,`a ¢~~uY~: . t3~ i ~~'ts.~~~3'" a~~`~~~a' . t..r xo w~. a.,..,....., F.... 1993 PLUMBING PERMIT (COMAiERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCIAtJINDUSTRfAL BUIIDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WFEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING U;::I'. _ NL'R' CONSTRULTION avn ox REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF p.ERll'~~' FEE. MINIMUM FEE: $ 25.00 " CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STA1'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT i' r-b et J~3Y" }3~ r<yy~ o3f ' . , a<.u. :a<.r... e x.,.. N. . j 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE • DATE FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6•00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ZN ADD-ON/REMODEL (Ex1STING CoNSTRUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL ~ Sq SITE ADDRESS: ~2` OWNER NAME: TELEPHONE INSTALLER ADDRESS: CTT'y; STATE: ZIP CODE: ~ TELEPHONE \\\c~n SIGNATURE OF PERMITTEE ? 'S G ' 3 J}635 . S ~A7T ~,7~.t~ Y,Y ~V R~ ~ ~.Y~ ~ ~ i~ X3~ 2i £ tY Y s y t~xF ~AE~T~~Y R9~ i~' a.ar~ i)~9yk)A2 ~SM~~ N~' Y r"~~ f F: <l ~C' v c . t"3 .F> s ~y x.~ ~:s~ >..a.a~ t~$z s~e z _ydt 3ai.~, aY lr' 3i r `o- _ > 2 w's , 'N' ~kxo s~ 3 nwk a aytaf,~ : -~.xyam} ~ ~dzzs': 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALI. COMMERCIALJINDUSTRIAL BUILDWGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII.DINGS VVHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF [:OI+ITF2ACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.SO FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEN7'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE r'iTY INSPECTOR } ~yw trs~~nt y~ a w~ ~ RA ~b ~!r'YS a~'+~•,~~3~ .4i. x~ x: •~^~i~~ a t,~z~ q`~z'~`i,u r Khi~,`~b.F~3~~, ~,~4F ie~ d '`t's~ F~~'r~~ ~€~-~r`F,"~y~~c~ i~3h.e^s t~&a G.~,~';,,~, ,;s .<z . . a.a.i£ 1993 MECHAMCAL PERMTT (RESIDEN7'IAL) CITY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. A1S0, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - - - - - - - - - I~ NEW CONSTRUCI'ION ADD-ON AJC ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24•00 ADDI710NAL 50 M BTU 6.00 GAS OU7LETS (MINIMUM 1@ S3.00 EACH) ADD-ON/REMODEL (Exisr[NG CoNST[zucrloN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS:V-\`'~ OWNER NAME: TEI-EPHONE INSTALLER: L-- ADDRESS: Q~.i STATE:_'Z,~ ZIP CODE. f~~I_l TELEPHONE SIGNATUFtE OF PERMITTEE ` x i.: 33 f. S t£~-¢ t~3a r a~° ~i ~x ~7My~w,'n e5 t t~~yi, i^. 1993 MECHANICAL PERMIT (CUMMERCIAL) CI'IY OF EAGAN 3530 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCL4IJWDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDIIVGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COI+lTI2ACI' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TO'TAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANf NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURr OF PERMITTEE `'?TY INSPECTOR , ^+X ~ nhN~ ik oYJi s». k§' LF s x 3.i R r, ts x~. g ~ 'T" F~I ' : ' - °i7 S' r e~".' I. x.« . °C .s. , ,.c7•S? :H'~",<';ui 1993 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN NW 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - - - ~ NEW CONSTRUCI'ION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0.100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ~0•a,% ADD-ON/REMODEL (EXISTING CoNSTtaucnoN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER: ADDRESS: CTI'Y: C~-~~c`~~-• \1 , J STATE:'~Z\~ ZIP COD TELbPHONE S ~Lo SIGNATURE OF PERMITTEE ~ "as 'sFare ;e ~ S: s~aa~szac` z~ i.i.x n z a Fi~a ram ~a~e Hy r; E mR ~dn. S 3ari, e.rnr ~ ~-'&S, e " a 'k xq'~n p " e. y . ,c : " ~..m ,Sy„c+y"~'1€~~° ~~.'°"£+n~ a",,,Y~.dy ~~.~^.'4 tg•g $ ~'SU : 1993 MECHANICAL PERMTf (COMMERCIAL) CITY OF EAGAN 3830 PILOT IQVOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUWDUSTRIAL BUILDIIVGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING LTNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1°lo OF GON'I'RAC'F FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~!$RMTT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANf NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATUR?= OF PERMITTEE ''tTY INSPECI'OR ) S * S S~SS Wmr.)rsY~/tq~ 3 fZ3< y~.y~1 F Ei;c S): ~L > 3R a~ rr `?o~ F~',~h~'~`w`'~,c SI.Z'w f rg~i3 r~~~ ~fms~•'t~~ ~ T~clw,~zl+~ k _ ~ o . i l$ 1 x arra - 2. uk ~ac 0~"~ S 3 1993 MECHANICAL PERMTT (RESIDENT~AI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNTf. ~ NEW CON3TRUCI'ION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL SO M BTU 6•00 GAS OUTLETS (MINIMUM 1@ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE:`-~`a0 TELEPHONE ~~~titi~ SIGNATURE OF PERMITTEE 4's' ~Y.aS a - _ 'k ~ . t ~7`" r - .,e ws zs o k,, 'xxt . w~ .dK ~ 3 cnA'~s."~',w .•h z 5 1993 MECHANICAL PERMIT (COMIVIERCIAL) C1TY OF FAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. - - - - - - - - DATE: CONTRAGT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COI±7TRAC1' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'ER~13iT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE: TELEPHONE SIGNATURF OF PERMITTEE ~iTY INSPECI'OR 1~J'. ~D ~ ' . 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN C~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside lumbin on the same a lication; se arate a lications and ermits are re uired. Date9 /io !o Site Street Address L ~ Unit # Property Owner 94r) ,A') LIgsO F'l Telephone #(V) y) 10 S^ 5 Champion Contrector 651"365"1340 Telephone # ( ? flOu Address ~~MN 5R1~z4 339 City State Zip 7he Applicant is: _ Owner 8 Occupant ~ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plum6ing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark neut to the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $136.00 if a 5/8" meter is required) Othec Water Softener ~ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 15,50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comple[e and accurete; that the work will 6e 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 wit Ix+-iat t a plan is required to be reviewed and approved. D ~jr,~~Pf t -t-D { p ApplicanYs Printed Nam App icant's Signaiure 2~ ZOO~ `403 f0 BY ff 0 09l30/2008 08:51 7577641426 G&K MACHINE PAGE 06 -------_-_------i ty Of EaQaII . I Pennk C b(~ 0 ~ I Pam* Fe,: 9830 PIIa Knob Rosd ~ I DofsA~IMd' ~ Eagen NN SSf 22 ~ I Phons: (651) 675-5676 Fau: (651) 6755684 ~ ~8rt` I -----------------i 2008 RESlDENT1AL BUlLDING PERMIT APPLICATION o.t.: /e e SM AddIr...:yrj~; ~isz, yrTyr~~ ,4.1P~~„ L07. rsn.nr suia r RESIDENT f OWNER Name: Pharm: Adems / Cny / np: AppllcaiR Is: OVYner CoMracta TYPE OF WdRK . Dascriptfon ot work: S~/'Ir constnraion cost: '?/5. 2'SI• 7? MUWFarnNy stAdrrq: (ves.~, No _1 CONTRACTOR Neme4e~iteS iu7?rivs" Zite._Uvarsss*; ?5109 Address: ~~z9x dy: CeGw 4j.liOj Srete: ~ ZIpsJ.S y-~,~~ Ptane:32_-&_z - .9 f4r2 Camtent Person: COMPLETE 7HIS AREA ONLY IF CONSTRUCTING A-NLM BUILWNG _ Minnastrta Rules 7670 Catenarv 1 " Mirmesota Rules 7672 Energy Coda . aRe~dd~pl ventl~omon cedepary ~ wMeheel Enxqy cade wensnaee • (+/w Wbn tyW) ' EnmpyEnvelope Caladatlais Subrrdtted `In ths fest 12 mantha, has ths Clry of Eapan isswd s psrmtt lor a simBsr pkn based on s master plsM _Ye6 _MO If yas, dste and addroce af master plan: Lbensed Plumhsr• phoM• Mxhanlcal CoMractar. pim; SwAsr a Water ConerxWr- phone• I nere6r adviowledae that wc lmammlan tc epnprxe ena aawue: mm ms woiic wIN bs In mmom7anes Wu, the adlnsea+e and eadss of tna cny a Eepen: tlW I undmdand this Is nat s Dermk, 6irt adf'tri rPPkahm br a PsmA. mld wak Is not to odrt WtMiq e parmL tlW 91e wak WV Ds In aOrArdance wMh M9 pproved plmi In CM Cese d wak whkh ieq+hms a reYisw andBtlg, App"' ~ ~Y Name Ilea t'nuWra Page 7 of e ~/P 5 Sep 30 13 08:55a LS West, Ilc 9522368445 p.7 Use BLUE or BLACK Ink I For Office Use t My Permit: of Eap I ; 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: idlOt (3 Site Address: 2D 911-1, 4 IL LHle.- Unit: 1 Name:Wii 11~~~reW&45 dht) xl1ir~60 Phone: Residentl Owner Address / City / Zip: Applicant is: Owner Contractor W! ~d~'A~~i ir~✓t S~ti~tg~~S " r`IrU.`1 Type of Work Description of work l ^eAr- dl` Construction Cost: J~ ~l 1 Multi-Family Building: (Yes ! No j&k lie Company: Contact te &AJLrJ e Contractor Address: 2e u~ keOtle- City: kd~g1ieJ State: Zip: 5 U '7 Phone: LJt d ' ~71 - License bU J L1 D .1 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: •Sewer& Water Contractor. 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 dlg to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be In oonformance 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State B dldigg Code must be completed within 180 days of permit issuance. 91 x sit ti lN/! SL J. ' x Applicant's Printed Name Applica s Signature Page 1 of 3 O 4 1 r Permit#: / For Office Use ` te [ o � (y J 2 NCPb 10 JL e� PermitFee; 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 MAR 06 201$ Date Received: �`' s ip (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 L Staff: 7 bu i ldi nginspections(a,citvofea gan.corn J 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION 4LI Date: , ') – ( 8r 14.10 Stte Address: ii, U b Li i-v\._ 1.-)` Tenant: x � z$4 ) �: N �t� Suite#: A J P, - . S— 'r d erne' 4 , Phone: Address/City/Z ' ' FiName: MILBERT COMPANY dba CULLIGAN WATERWC641376 . License#: �.: Address: 1801 50TH STREET EAST •t a. City: INVER GROVE HEIGHTS State: MN Zi 55077 651-451-2241 . , p: Phone: ; " _ Contact: BILL MILBERT Email: gloria.abas@culligan4water.com , • _New _Replacement Repair _Rebuild Modify Space _Work in R.O.W. �iv;: : Description of work: z eft,r ' i'lr ti p t:`'~ RESIDENTIAL. '.V T <° Water Heater '0461, X; X Water Softener '''T.0,,,•,:-‘44441:40;,i _Lawn Irrigation(___RPZ/ PVB) ' �Pe V r t `#Yp Septic _Add PlumbingFixtures `�4p' System _Main/,_„_Lower Level) * �i. �i� —New __ Water Turnaround q �,, “" . _,,,Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(Includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours before you • Intend to dig to receive locates of underground utilities. www,gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 ace rdance whit pprovxLuutc(4ean in the case f ork which quires a review and approval of la s. qass... k.._/)(Ii Applicant's'Printed Name Applic nt's Signature FO�ROFFIC K l fi' s , is ? . . Y,,, � $ #4 i.i rJ'E �'� � *4.4,11,1.1 , ., B �. < r t• k ,gs+ Asa,�„z, .,a; Alt ��#r�€,*. - , -,-4 1-Y9::1.4*,.;-1, Re u ed'ins•act • S •c4 `'_� ` . " , �' >' �0 n•f � o •A "� � t� 'rMeterrRelate• Items: Mete�Size'„ ." -,, �r*-Ra o.'leo. ' \Mario, eta ,e11. t .TM� . ` x,. Rea. o PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169451 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 4130 Ruby Lane Lot:260 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner 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 - James E & Darlyne E Lyons 4130 Ruby Ln Eagan MN 55122 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature