4151 Ruby Lane
INSPECTION RECORD
CITY OF EAGAN PtRIIAIT TYPE:
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55123 Date Issued: "
(612) 681-4675
SITE ADDRESS: APPUCANT:
~ . ~ ,~rir , ~ ~ , ~ ~
~
PERMIT SUBTYPE: TYPE OF WORK:
I ~1~ t 1
INSPECTION D. DA
0~ 7 yiss~ 53 ~(v'Z
, , . i,,: i !i~• ~ ~ C=)
41
F- ~
•
L
~
~ Permit No. Permit Holder Date Telephone #
S/W
` PLUMBING
HVAC I /Ll ~
ELEC7RIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
!7
Foundation
Framing
Roofing
.CL
Rough Plbg. pL o~~`1 ~~ra ~ H
Rouqh Ht9.
lsul. { ~ ~ z7"'-`~3 tl :S
fNs -c. -4(/ ss -E-
Flreplace 4/67 /J ! 2fPj
Final Htg.
Orsat Test ~
Fnal Plbg. Pibg. Inspector-Notify Plumber
/
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well I
Pr. Disp.
7,7
I
C1..t~i
,
k
4
Wertificate af Cccupanc4 .
Wit4 of Cfagan , Zepartmcnr oi eigilbiag 3860crtion ,
This Certificate issued prersuanl ta the requirements of the Uniforrn Building Code
certifying that at the time of issuance this structure was in compliance with the var,ious
oridinances of the Ciry regularing building construction or use. For the following:
Use Qassifiption: 4-41121C Bldg. Pertnit No. 29156
Oamvaocy 7ype R1411 zonins Disaicx ps]/tul~ TYpe Conu. 3m
Owoero(euildieg ?fiR R(7TIt71tM fn TAY' AWmress S9(11 R,
Buibi~ Addtess - - Localiry T I Q ll , 3TV fYIAM 761n
. natc: 0=/94 '
POST IN A CONSPICUOUS PLACE
J •
INSPECTIaN RECORD
CITY OF EAGAN PERMlT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
t,tINY 1 ANf {Vi
PERIIAIT SUBTYPE: TYPE OF WQRK:
INSPECTION DA • DA
rtsi ~ t;++ i• l~lti~11 : i't t~. I~.
t lill~,f~ 1 P1 il 1~, I I Fir'~1
1 i?4b$i flh7 Ot.H "
_
: ~ . 7
~ ~J
Permit No. Permit Holder Date Telephone It
ELECTRIC
PLUMBfIVG
HVAC
Inspection Date Insp. Comments
FODTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
' PLBG
AIR TEST
ROUGH
HEATING
~ GAS SVC
TEST
INSUL ,
GYPBdARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
_ . v ORSAT
TEST
BLDG FINAI '
. -4
- BSMT R.I.
¦i~~
BSMT FfNRL
DECK FfG
OECK FINAL
M 6479a2~3[`~ ~ - C~) ~o1,.
/ i Z 60d -
Request Dale Fire No. ugh-in nspection NOTIGE: You Must Call Electncal Inspector
11 - `p ~6 Requiretl? ItAROUgh-Inlnspeclion
Ves ? No Is Requiretl.
Ilicensed contractor ? owner hereby request inspection of above elearical work at:
Job Adtlress (Sheey Box or Roufa No.) City
15
Section No. Township Name or No Range No. County
Occupant(PRINn Piwne hJo.
Po up0lier Pdtlress
Elecldcal Coniredor (COmpany Name) Contraaor's License No.
Mailing AEtlress (Contr~~pry~ne~lnyp7Q1¢SWji,m)
INC. CA00381
E tItGTR 4
fOTN. MN 5502t
Au[honzeE Sigrmmra (C t ctor/Owner ing InsWllation463.Un Phone Number
MINNESOTA 5TATE BOAPU OF ELECTRICRY THIS INSPECTION REOUEST WILL N0T
Grlgge-Mltlwey 81dg. - Room S-173 eE ACCEPTED BVTHE STATE BOAFD
1821 Univeretty Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE I$
Phane (612) 6924)800 ENCLOSED.
f~'3 ~r3 REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi-0e
~ See insVUCtions for complefng t'is krtn on back of yellow copy, 1'f. 64752 `X" Below Work Covered by This Req
?a uest
ewAdd Rep. Type of Building AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Fumace Other (Speciry)
Farm Air Conditioner
Olher (specity) Contrecmr5 Remarks:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps 140
Tfansformers Ahove 200 - Amps A6ove 100 _ Amps
SICJfIS Inspector5 Use Only: T~TAL 50
IrrigationBooms ~~c,
Special Inspeclion (GO~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspectoy hereby Rough,in oete
certify that the above inspection has Final oace
6een made.
OFFICE USE ONLY
This request voiC 18 monfis trom
la/rs 53 0- f,17olS
M 6475
Reques[ Date Fire No,. :oug in Inspeclion NOTICE: Vou Musi Cail Elecincal Inspedor
3 Re uire0? If A ROUgh-In Inspection
ves ? No Is Re9uirea.
IA licensed contrector ? owner hereby request inspection of above electrical work aY
Job AdEress (Street, Boz or Roule No.) Ci~
4 5 [p~y~
Secrion No. Township IJame or No. Raige No. C~"U
O panl (PRINT) Phone hJO.
P upplier Atltlress
ElecVicel CoMrector (COmpany Name) Contractor§ License No.
MailingAtltlress(COn~~Tjftn¢LWTW. nNNC. CAOOWI
i1OD40TH ST. W., FaTN., MN 66M
ANhorizetl Signature ne king Inatallation) Phone Number MINNESOTA $TAiE 60AHU OF ELECTRICRV THIS INSPECTION REQUEST WILL NOT
GrlggaMlAway Bltlg. - Noom S113 BE ACCEPTED BVTHE STATE BOARO
1021 Univareily Ave., SL Peul, MN 551pC IINLESS PROPER INSPECTION FEE IS
Phane(612)fi42-0B00 ENCLOSED.
3 REQUEST FOR ELECTRICAL INSPECTION ~LL ea-oaom-oa
„
M 6 4 7 5 3 le insvuabns lor compenng mis form on back o1 yellow copy.
X" Below Work Covered by This Request 170K
e ACd Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemem
Comm./InduStrial Furnace Other (Specify)
Farm Air Conditioner
Olliar (specBy) Con[racmr§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CirwRS/Feeders Fee
Swimming Pool 0 to 200 Amps j Q o to i00 Amps O
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector§ uae OnIY: TOTAL 5 O
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has F;nai Date
been made.
OFFlCE USE ON W
Thi9 requesl voitl 18 rtwnths fram
RaQUest Oate 1 Fire Na. ough n Irispec[ion NOTICE: Vou Must WII ElecVical Inspector
\ q~ ~ e uiretl? ? If A Raughln Inspection
Ves N. Is flequiretl.
i)( licensed contractor ? owner hereby request inspection ot above elecirical work at:
Job Adtlress (Streef, 8w or Route Na.) Ciry
5
Section No. Township Neme or No. Rarge No. C I
~
Occu an~(PRINT) Phonel•!o.
Poyj;~plier . Mdress
~t~
`LJ'l~~ v~. ?
Eleclrical CoMedor (COmpeny Name) Conlractor5 License No.
MailingAtlEress(Contr a JNC, CAOOWI
M
=-1 V,. W. WTN.. MN ~
ANhonzed SignaNre ( n I ~ a'on) Pfwne Number
MINNESOTA STATE BOARD OF ELECTpICITV THIS INSPECTION REQUEST WILL NOT
GrlggsMitlway Bltlg. - Raom S-113 BE ACCEPTED BYTHE STATE BOARD
1821 UnNersity Ave., SL Paul, MN 55104 UNLES$ PFOPER INSPECTION FEE IS
Phone(612) 5412-0800 ENCLOSED.
y3 REOUEST FOR ELECTRICAL INSPECTION es-ooooi-os
~r ? See instrudions for iomyleting this form on back of yellow copg C~~QJ
M 6 4 7 5 4 X" Below Work Covered by This Request ~
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
- ~ Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Omer (Speciry)
Farm Air Conditioner
Other (apedfy) CoMrfldorls Remark5:
Compute lnspection Fee Below.'
# O[har Fee # ServiceEnlrance5ize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 10 0[0 100 Amps ti
7ransformers Above 200 _ Amps Abo 00 _ Amps
Signs Inspecmr6 Use Only TOTAL 50
Irtigation 8ooms
Special Inspection
Alarm/Communicaiion THIS INSTALLATION MAY B DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electriral Inspector, hereby Rough-in oate
certifythattheaboveinspectionhas Finel oete
been made.
OFFICE USE ONLY
This requasl voiG 18 monms from
2(] C ~ NLY This requesl vaid 18 momhs hom wlidolian dok pnnhd in~~~
J 7~J oi I~(P
PLEASE PRINT OR TYPE J
~ '4J
n Olher Than Ro~:ghlm Q Ready Now Wlil Coll
Reqoest Dote / Rouqh-in inspecti n reqoi z Nr
5-~ q-rR l0 ~You m~st mll fie Inspedar when rmdy) dy:
censed contractor ? owner hereby request inspection of ihe above eledrical work at:
I,ItLli
lob Pdd¢s (Slreel, 8ox, or k No.) ~ Ciry 6,q ~ Zip Code
4-1 5-5- r,l.~ -n,
Seclian No. Townshtp Name or No. Ronge Na. Fire No. Caonp
o Ko T.q
Occvpani ' ` ~ ^ Phone No.
' 191'e DmmanS "LL
Pavrer Supplier Address
eiMnooi r N~~llC Brp'.T Mo,K, ur. No. (vionr eien. orid
'.»;u, nda.. Ic ~ onn~
AuMonzed5l re~Con ror PeAofmi~glnslallalion) PhaneNo.
75? -6 a-o~
E8-0O00IA-10 6/95 STATEBORNUCAPY•SEEINSfR11MION5 N CKOFYELLOWCOP'/
I tl ~I REOUEST FOR ELECTRICAL INSPECTION
I II I Minnesota State Board of Electricity x ~
1821 Universiry Ave., Rm. S-1 8, S Paul, MN 55104
)K 0 2 19 6 4* Pnor~e (siz) 642-0e00 Home Dupex Apt. Bldg. alh'er' ~iLE New Addn
ICommercial Indushial Farm T' (,CC.T~ Q~ emod Re air
Air Cond. Htg. Equip. Woter H}r. Load Mgmf. Ofher:
D er Ran e Elec. Heaf Tem . Service
`X' above the work covered by Hiis request. Enfer remarks in this space and on the back of the whife copy only.
WIRE POWER & TELEPHONE TO MOBILE CONSTRUCTION TRAILER (OWNED BY
DUALL SERVICE CONTRACTORS) @ DIFFLEY COMMONS
THEY WILL BE AT THIS SITE TO REPAIR STORM DAMAGE
WM AKINS
Calculote Inspection Fee - This InspecHon Requesf will not be accepted wifhout the mrrect fee:
Olher Fee # Service EMrance Size Fee # Cirauils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
$fraet L}g./TraHic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY ^ TO-T1AL
Sign/Oufline Lfg. Xfmr. `OC~ • SQ
Alorm/Remote Confrol rV ~~J
Swimming Pool
I herab mA thot I im cd Ihe decfiml insbllofion des~ h<mn on ihe dahs ebkd
Irrigation Boom Rough-In Da~e
Speciallnspedion
Final Dote
Investigofive Fee
THIS INSTALLATION MAY BE ORDERigb DISCONNECTE OT COMPLETED WITHIN 18 MONTHS.
M 647/55/5 , (Z,e/ ;70,q,
Request Date Fire No. ough-i Inspedion NOTICE: You Must Call Eleclrical Inspeclor
~ ii. _ ~ Re uiretl? ? If A Rough-In Inspectian
Yes No Is Required.
I~4 licensed confractor ? owner hereby request inspection of above electrical work at:
Job Address (Straet, Box or Route No.) Cily
51 ~--J
Section No. Township Name a No. Range No. Co
Occilpant (PRINT) ~ Phone I•!o.
P. Supplier Atltlress
Elecnical Contractor (COmpany Name) Contracrork Gcense No.
Mailing Atltlress (Contrg~~llta Lt(i l~.
r.p~yneti,MakNal~Ye4o") INC. CA00361
{il
3T. W., F(iTN., MN 6M
Authorized SgnaWre (C doqOwnet Olking Insiellation Phone Number
~
MINNESOTA STATE BOARD OF ELECTfiICRY THIS INSPECTION REQUEST WILL NOT
Griggs-MlOway Bltlg. - Hoom 5473 eE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phoire (612) 642A800 ENCLOSED.
/ ~~~1'~j REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oe
~ See insimqions for completing ihis (orm on back of yellow copy.
M 6 4 7 5 5 "7f" 8eiow Work Covered by This Request
ewAdd Rep. Type of Building AppliancesWired EquipmeniWiretl
Home Range Temporary Service
~ uplex Water Heater Electric Heating
Apt. Building Dryer Load Managemenl
CommJlnduStnal FUrnaCe Other (SpeCiry)
Farm Air Condi[ioner
Olher (specity) ConVactor5 Remarks:
Compute Inspection Fee Below:
# O[her Fee # ServiceEntrence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ D 0 to ~OO Amps 0
, Transformef5 Move 200 _ Amps AbOVe 100 _ Amps
Signs Inspecmr5 Use Only: 7p7p/L 60
Irngation6ooms .fG (..pa
Special Inspection o7
Alarm/Communication THI5 INSTAILATION MAY B~ DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MO S.
1, the Electrical Inspector, hereby Rough-in oate
cerGty that the above inspection has F;mli oaie
been made.
OFFICE USE ONIY
This request miE 18 months imm
. f ;
~ '
~
seso wat ~cnoe Road ~ P.,~n -75 ~
~an INN ss~s2 ; ~ 0 ,
FAI[: (85163~~ 7S i Dara Raoew~i: +
~w {
t
2009 RESiDENT1AL BUILDINC; pERMlT qppUCATION
om: sh'
eu?e~+r:
REBIDEN7 i OWNBR warne" '
Phone:
Adtlreas i Cqr I Zip:
APq'lcOnt ts: - 4wner ~ CoM2tYOr
nPE OF wofw Deacriptlon oi wotk; _~1 1 h Q
COnafruc;on C~W_:_
Muui•Famiiy eufwmp: (res ;-4 i No
CONTRAC7~OR Neme: r 1':
LkiM2 N:
nadroas~ {~i~~e, la {.a
c;y: -H: ~ CXn
Pnorw: Lg51-2 S - 94-A *
Contact Peroon: _ L-~r~~r~ S
COMPtETE THfS AREA Qfij„Y !F 22NST uCTfl~lci A tiMHUILOFNG
~Rulea 7670
~~Y Resi4nlie~ Vane~alion Cai Minnea~a R Aaa i67rJ,
~o~Y suemia.e "Oon ~ woMsne.t • n,.„, e„«gr code worNgheei
(y OuOmisYbn typq) • E^erqY Envefte CWaAatbm Suhmaisa 9ub"aw M tNe last 12 enareAs. Ms tna C1tY ot Eopan laSyetl •
Wrmn ter e sFm14ar P4M Wwu oe a mwwr pnn4
'~NO H ye8. daSe and ap~ggs o{ mamtw plen•
~ro~nMtl Piuunber:
PhOM:
kNO Ceneroetor:
inw~v d MhNr CenNraaror: Phone:
PAene:
riiir ~A~nr~o~'~i ~ry~~ ~ur~ev s~e..mra,. ~tdaRrd re a. vWf+?Ge 6ubMAMre. .a
~+a?iFamlb N~veer.prn~+p~?~orw Al~r weuAdyrwiv~p2Mdy b
' her6pr 60mooladge :h0t Vds in
E97l/l: Mat i bmidlion is uraderstentl ttus la ap"pl[M an0 ioCUrRte: fhir tM wOfk wlIl pe 0 p nor a
aecarWnq w4h lnr MPPr9wd Ppwmii, but onlY on appfuNOn fa a PMtnit ~ o~Wnertn ~ ano cmee oi iM
an In Mo . 0 n~t to slar! ~ ot
0°W °}i•0k reOWres a rariew and app qans. ~ut a p~rtn : that the worx Ntry ne tn
z~fe'~1nC5~a~ ~ "~L IG
AAPMCiHt i PARIOA NpTa x
Applf ro
PaBe' r of 3
g•d XklJ 13C213SdI dH WdT2:E 600Z 91 qaj
Avvl-
2007 COMMERCIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Pians are considered public informatian unless you state they are trade secret and why.
. . . • . - . . . -
• SWcturel Plans • (2) sets • Soils Report (1) • Amhitedural Plans (2) sets
. Civil Plan (2) • Certifipte of Survey (1) • Code Analysis (1)
. Certificate of Survey (1) • SVUdu21 PWns (2) •-Prqed Specs (1)
• Code Malysis (1) • Architeclurel Plans (2) sets • Key Plan (1)
. Projed Specs (1) •3 HVAC units req'd. on bldg elev.l site plan • Master Exit Plan (1)
• Spec Insp & Testing Schedule (1) TM • Civil Plans (2) • Energy Caiculations (i) not ahvays"
• Soils RepoA (1) • Landscaping Plans (2) • Elec. Power& Lighting Form (1) not ahvays"
- . Meler size must be esW6lished • Code Analysis (1) " . Meter size must be establishe84 appllcabie
J . EnergyCalcula6ons (1) " ~
J . Emergency Response Sile Plan (1) ~
- J . Spec. lnsp. & Tesfing Schedule (1) " ~
J . Elecfric Power & Ligh6ng Fortn (1) ~
, J . ProjedSpecs (1) ~ -
J . Master E~cit Plan (t)
• SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000
• Fire Stopping Submittals
• . Fire SuppressioNAlarm Form
• Meter size musl be established
Call MN Dept of Health at 651-201-4500 for details regardiug food & heverage or lodging faciGtles.
Contad Building Lmpections to see if it is required and for a sample.
Permit for new building or addiHou will not be processed without Emergency Response Site Plan.
Date /Z IIV l07 Construction Cost _ 7_:r20
SiteAddress # iez '6t~ I-asze Unit/Ste #
Tenant Name ~o,tif ~.:a 5 Former Tenant Name
I'.~"3 1- y /5
Description af Work Ke. e-00'p
Property Owner Telephone # ( )
Appficant is: _ Owver X Contractor Contact
L)
ContraMor _ GR,556A
Address City
state zip s ss`.~7 Telephone #(CL,5'2 )653 -4958
- ArcL/Engr Registration #
Address CiTy
State Zip Telephone # ( )
Licensed plumber installing new sewer/water servlce: Phone t__~
I hereby apply for a Commexcial Building Permit and aclaiowledge tha[ the information is complete and accurate; that the work will be in
confomiance with the ordinances and codes of the CiTy of Eagan and the State of MN Statutes; I undecstand 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.
e2/ip e/~
Applicant'sT~ Printed Appli ignature ,
2422 Entcrprise Orive
Mendota Heights, MN 55120
* PIONEER UNO SURYEYtlRS CINL ENGINEERS (612) 681-1914•FO% 681-9488
~ _ - -
ng UND PLANNERS - LANDSCAPE ARCHITEC75 Highway 10 Northeast
j[625
eng~neeri -
Blaine. MN 55434
siz) 783-1880•Fax 783-1883
Certificate ot survey for: THE ROTTLUND COMPANY, INC.
4 UNIT BUILDING DETAIL
Scale: 1 inch = 30 feet
106.75
_________J,_~_______'___i___-__l
r-------
I 52.38 1 52.38 I
I rl I I
el 1 ~I
I 7.50,^0 ~7.00;°0 36.~2 °o,i;7.00n ri7.5o0 I
I °o ri li' '~i I o I
~ 8.67 °8.67o I
I N ~i I ~ I
0 .
~ 1.33
' W
~ UNITS: 05~ - 68~ ~ o
~
~ o
PROPOSED BUILOI~ G FOUNOAl10N ~ n
"I=-
.33 c
1 1.33
o f~= I o
a
1 8.67 ~ 8.67~ I
°p I
I 7.50n e7_Od~4 36.j2 °o;i7.00„ {.{7.50 I
I 9.6~ ~
I r 9.67 ~ n I
I ca I
In ~ nl
I :I I ~
I I
~ 52.38 I 52.38
L i___'______1______J
• NOTE • ~
All Interlor bullding nnee ahown arc the e+ cenledlne of the 1 Mch air epocea J 685
22 0•, r
8952'53' E --20.95,
, - 1 78.170 38.1701
.Tl ~ ial
q <
~
~ Nr"'__: p
^J,
.o~ +-u
J
m' ~~i I 11D O
i m W
v
m
0, i ~
~w.°' - ~µ?a.nosa_i~sj,-' - ,
~CP ~ ae:99`_ N I
~y
~ 61~ ~ N '995~53 E~~
r33
+ ` "o .i s
Va-
N, ~
~~i e'~~~' Y GoURs
lL ~ SOUSH RUB
, sLaxN aax~~ureG DEPT
. eoo.a Denotes Existing Elevation
x aa. Denotes Proposed Elevation ,
Denotes Drainage & Utility Easemenf Beorings sFiown are assumed
Denotes Drainage Flow Direction
-o- Denotes Monument
-e- Denotes Offset Hub
PROPOSED CONDOMINIUM ELEVATION
West Garage Floor Slab Elevation:902.03 East Garage F7oor Slob Efevation: 98 9.20
LOT 1, BLOCK 2 DIFFLEY COMMONS
V DAKOiA COUNTY, MINNESOTA ~ ~~~]~~JADP~~~
1 hereby ttrt{f that this survey, vlan or reDOrt was r ared by me o)r ~unde - rvn.en-e d Land SurveYor
under lhe laws o/ the Sta1e of Minnesola. Oated (h{s day ol A.O. 79 -T"L,
/
S c ale: 1iaCtl =6 OfeOt OBERT B. SIKICH L.S. REG. N. 11891
F3q 13128 - cos
fTY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: e u s Lo z N s
Eagan, Minnesota 55123 Permit Number. 022156
(612) 681-4675 Date Issued: 10 / 0 6 J 9 3
SITE ADDRESS:
4151 RUBY LpNE
LOT: 1 BLOCK: 2
DIFFLEY COMMONS 2ND
DESCRIPTION:
B~ ~llding~Permit Type 4-PLEX
F~uild;ing-'40,rk 7ype NEW
~UBC DcCUpan y R-1 M-1
/ Ganstructioh 7~jpe V-N
Zoning ~ PD R-4
Building Length 52
BuiYding Width 36
Byi°,kd:L" stories 1
~l
~
~~~v co-,~
REMARKS:
INCLUDES 4153, 4155 & 4157 RUBY LN
S& W PLBR - VALLEY PLBG
FEE SUMMARY
VALUATION $291,872
Base Fee $1,311.50 CITY SAC $400.00
Plan Review $852.48 WATER CONNEGTZON $2,780.00
Surcharge $145.94 S & W PERMIT $100.00
SAC $3,000.00 S & W SURCHARGE $.50
SAC % 100 7REATMENT PLANT $1,296.00
SAC Units 4 ROAO UNIT $1,560.00
Subtotal $5,309.92 COPY $.50
Total Fee $11,446.92
CONTRACTOR: - Applicent - sr. Lxc. OWNER:
R0T7LUND CO INC, THE 15710304 0001335 THE ROTTLUNp CO INC
5201 E RSVER RD 5201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereay aoknawledge that I have read this applicatipn and sCate that the
infarmation is correct and agree ta corhply with al1 applicable State af Mn.
Stat s and City of Eagan Ordinances.
- - _ _f
~
P`~c,;r,~ ~ rr.~1
APPLICANT ERMITEE SIGNANqE ISSUED Y: GNATU
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 022156
Eagan, Minnesota 55123 Date Issued: 10 /@ 6/ 9 3
(612) 681-4675
SITE ADDRESS: Lo T: i B L 0 C K: Z APPLICANT:
4151 RUBY LANE ROTTLUND CO INC, THE
DIFFLEY COMMQNS 2N0 (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEX NEW
INSPECTION .
FOOTINfi FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: TNCLUDES 4153, 4155 & 4157 RUBY LN
S& W PLBR - VALLEY PLBG
F.
. _ _ J
L
REACTIV~TE . ; L=~J'S~vv§ ED 993 UILDNG ERMITAPPLICATION II,MA~q
~ EP Z 7 1993 681-4675
C(~_~er,~ I ~-.fJ
SIN6LE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of 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 ar 3) lot change is requested once permit
is issued.
Date Valuation of work 1°1o~ca~-v
Site Address:Q~Q ' ~
~ 3, 1~1~. 4f RLZ'F~`( LA1--IG: STR~_~' SI11TE M
Tenant Name: (commercial only) ~
IAT ~ BIACK SUBD. P.I.D. *
-b
Descri tion of work: - ,r,m /
The applicant is: ~ Owner Pi Contractor ? Other (Deccribe)
Name ~-r/4e Qd-r-r Lv.c./p <I, . /,f /c_ Phone
Property LAST F,RST
Owner qddress E;Znl f• g~ut Qiti>
STREET STE /
City ~IPC.4-=r State 1?IR1. Zip SCf ZI
Company :~a~ Phone
Contractor Address License #~L2Z!~: Exp.3-3I-R~
City State - Zip
Architect/ Company l.n#lTr~/ Phone ~12-`x33- 32s2
Engineer Name -i',wt IGllllr.-&-7,l. Registration N llo~~
Address `[..9G9
City ,1~/is~n~rau~ State X/_1 Zip 523,/5
Sewer 8 water licensed plumber Vku'EY Pl-u7'0/8//,/Ga. . Processing time far
sewer 8 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 camply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? lfi Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Parch ? 09 12-Plex 0 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Misceltaneous
WORK TYPE
R 31 New O 33 Alterations ? 35 Tenant Finish ? 31 Demolish
O 32 Addition D 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Y-N Basement sg. ft. MWCC System Yi~5
(Allowable) V-~1 lst F1. sq. ft. City Water y &S
UBC Occupancy ~RIa-1 2nd F1. sq. ft'. PRY Required
2oning '-4 Sq. Ft. total Booster Pump
8 of Stories i Footprint Sg. ft. Fire Sprinkler
Length S On-site well Census Cade
Depth 36 On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Var9ance
REQUIRED INSPECTIONS
? 5ite ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iu.c;a,: g:~°f 1~ $72 ~GA;%PQDJ 44oA4E)
Surcharge
Plan Review HouS~; 5 Z X 3Z- ~O
License
MWCC SAC Il X I= Cif~
Ci ty SAC
Water Conn. ,1s X
Water Meter 1-1 x 36
Acct. Oeposit
S/W Permit 1 17'/~ x 73~~y= ~Nit~
3/W Surcharge 3g
Treatment Pl. 4%a X 9 y2 =
Road Unit
Park Ded. 1 Z 3(,o X1IN = G417Y q
Trails Ded.
Copies
Other
Total: r7%zx2ti'/2 = 142`1
SAC % ~DD- 9 X 4%z = ~yo~
SAC Units =f,~ 3 c6ci X 1(,
n 2 b R~ Xq r-
. ^ MF.iciOR F:tiVF.1.017 AVf•:KAGi•: °U" CUMi`IITA'1'IO[I ~C ~ /
/a-ITZ-vdb .
otnv ER
. ~ ' .
SITE ADD5ES5
CONTRICTOR DATF. PHt)N n
Dete^?n workini; sZuure footnr,_ of ecc1.
C _
l. To:sl expcsed v=?1 area goo~ sn. :t. x
• 2. Total roof/ceilir.3 area sq. ft. xt~G`D =
• • ~ ~
Tcte'_ ex-oese.~'. _a!1 erca nbovc flcnr
r
a. Total vzll -indoc area . . .
.
b. Totel doo: w es 5za-
c. Total slid?a'o ^plL'S$ door area 39,.Co
d. Total fi:eplece va11 e..-za
e. Total vail ;rzz?ag are: (ave:are 1G:) 77 '7 J
f. Total net vell area above iloor
B• Total rim jcis-~ area -
_ Totsl ex-.osed foi:r,datinn area
= J
h. Tat21 founa'a:zoa vindoc z:ee
~
Totz1 net .,.•`.~cation z-_a above g^ade
. Dete-'_ne "U" ralc= o; eech va11 :eE,-zn:..
a_
b. ~z x
- C. X ,.U„
a. - X
e., W. x .~~U,~ , (1~ _
r. X
. s•
.
h. x
i - x .lU,l
3. . To~.,~
If item X3 is the same as, or les: :.ti:Ln ilc;a xl, ;'ou nave met the inter.t
or ssc 6006(c)2. .
• li
I!
Total ex?ased roof/ceilinG ares
~ . .
Totel ;;:oss roof/ceiling area Total skyli(;ht area
R. Total rooi/ce:l:a5 t'rzlnin3 erea. • • • . .
1. Tota1 net insul_=ed :oa:/ceilinF area Detc^`_r.e "U° vnlue for cr%ch rucoC/cciiin;; rc,--cnt.
, X uLn
~j L~ ?
k: z l,ull Q~7 = ~ •
.,U„
4. Totel
If total oP N4 is the s_ne 2s, c: less than N2, you heve _he intent of
sac 60o6(c)i. . .
To utilize the total er.•:e':o~e systec me:5od, the vz:ues es=e~:i_hed by the
s= of items H3 a-nd d4 s:Ze.:'_ r.ot be sreate-. .hKn the sw= c` =.ems 11 and M2.
l.
• ~ ' + 4 . _
. . • .
• , r,
tl
; : , PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z Lo z n c
Eagan, Minnesota 55122-1897 Permit Number: 028314
(612) 681-4675 Date Issued: 07 /13 J96
SITE ADDRESS:
4151 RUBY LANE
LOT: 66 BLOCK: 4
DIFFLEY COMMONS 2ND
,X,
P.I.N.. 10-20451-066-04
DESCRIPTION:
~ WINO & WA7ER DAPIA6E •
,Permit Type STORM DAMAGE
400uiL-dtng ~x k Type REPAIR
ekr5 GocYor ~ 434 ALT. RESIDENTIAL
~
r
V1:
F
b d ~
w
p~• $
~w . t¢
}k ^s. ~ r,»i"e
~ ~ ~ '
tv~
~ "sr t tt 9si.'S ?~..s'5 ",-i"ffin 4 'vz.u E~ °~:.i9a
~ ~a
REMARKS: '
INCLUDES: 4153, 55, 57 RUBY LANE
' L065 067 068
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC.OWNER:
DU AI.L SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS
636 397M AVE NE 4151 RUBY LANE
• COLUMBIq HTS MN 55421 EAGAN MN
(612) 788-9411
_ , . . ~ .
> .r =
I here:bj a.~k`na~xecl~e ~hat_I,I~~~e. nead':th3s appt3catkon arrd state that tho
rrtati~n is c#~.rr,eCt "and aIqree ta~ evtirpj,y wil:kt 81,1 applioable State af.
' -StaEutis 6f°ctitia~ces.`
APPLICANTlPEFMITEESIGNATURE ISSUEID :SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
~LF ? /I~ 681-4675
/ RemodaVReoair Reauirements
New Canstrudion Reauirements
? 3 registered site surveys . 4 2 copies of plan
? 2 copies of plans (fnelude beam 8 window sizes; pou2d fnd. design; etc.) ? 2 site surveys (exterior add'Rions 8 decks)
? 7 energy calculatfons ? 7 energy caleulatians tor heated additions
? 3 copies of tree presarvation plan if lot platted after 711/93
requfred: _ Yes o .
DATE: CONSTRUCTION COST:
D RIPTION OF WO~R~- 'o 6 s 6
STREET ADDR~ESS: 151. 53 , 55 1 5-7
LOT ~ BLOCK ~ SUBD.lP.I.D.
PROPERTY NaFne: jW~6LUbY1Li'h6y1Q." 24G~~ Phone#:
OWNER
Street Address,
City; State: Zip:
CONTRACTOR Company: ~a~ ~"l • Phone
Street Address: f~I,J~c~' ~JqVI /VxC.IvE License
City: 1 I N& State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #Street Address•
Ci{y; State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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 Mlnnesota Statutes and City of Eagan Ordinances. n
Signature of Applicant:
OFFICE USE ONLY ERECFFl_jv
Ce
rtificates of Survey Received Yes No ~
Tree PreservaGon Plan Received _ Yes _ No ~
OFFICE U5E ONLY • - ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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:
% SAC
SAC Units
Cities Di _ i_ t~ al Quality 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.
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serial 9'7 ~2 -7
cnip # 7 s- S- V9
Permit # o~ ,q c{ 3 ~7
10 Address: /-7/57
I AGREE TO COMPLY WITH CITY OF EAGAN •
ORDINANCES ~
Signature:
~ .:,a ~.r< . .qR.wl. .'Na,e..w# wk~ni?~.~s.lRF`•'a~;~' '.y~ ~ a..a`'?sak~ s >~£a,.,...i{M
1993 PLUMBING PERMTf (RESIDEN7'IAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AIVD
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00
WATER CLOSET 3.00
LA_ BATH TUB 3.00 ~ a -
q_ LAVATORY 3.00
~ KITCHEN SINK 3.00 ia-
LAUNDRY TRAY 3.00
T_ HOT TUB/SPA 3.00
~ WATER HEATER 3.00 i~
FLOOR DRAIN 3.00 a-
GAS PIPING OUTLET • minimum • t 3.00 i~
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nei.ay, ii~ 15.00 _
U.G. SPRINKLER • eome under mnsi. 3.00
ALTERATIONS • w adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: `4 I 5 1. S 3, 55 5-7 L a-*
OWNER NAME:
WSTALLER:
ADDRESS: 9~ v C e. l~
CITY: STATE: ZIP CODE: S~ 3 1' l
PHONE ( ) C~) -
SIGNATURE O PERMITTEE
R~vY 5 ; fis4 £ e < ~cs,~t e.ca"S~'w #3s. ~ ug~ ~g1 u e,.~' ' ,t~ T i 4~7 ~k'~'SffiF $ >
1993 PLUMBING PERNIIT (COMNMCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNMRCLAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U;: i I'.
_ NER' CONSTRUCI'ION
snD nN
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCFLIRGE $SO FOR EACH $1,000 OF FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAASE: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
ow
e~~ ~ a< ~:i~ay~~3:€,~x .£z`#~`~~
t 4 E r £ ' hYa ' r "5'c" ~''S` a <v 3 v A b$ ~Y? fe"C~R' ° s»S h ?w ~ s .
~ . n . >>z s f i.y >E~'s> y`3 3 '`>JVk<r xpa8 { i x
' 5 3 t k9
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - -
~ NEW CONSTRLJCTION
ADD-ON A/C
ADD-ON FURNACE
DATE \z:~
FEES
HVAC: 0-100 M BTU $ 24.00 V= 0.~
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExISnNG CoNSTRUCrION) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRES~N\~~`Z?1 SS aS1 ~ ~S~e._
OWNER NAME: TELEPHONE
INSTALLER:
'ADDRESS:
STATE: ZIP CODE,: ` 1
TELEPHONE
` SIGNATURE OF PERMITTEE
. s e' , .a[ <c . t.~- +i~ sr ,,,a. 4 e~a r 4 'r i 5~ ~tnrr a~.i s3NCO a~ 4 .»ti u
: ' s t r a ir x aaw, c ~ r. s?' ~ ~¢F rz Q:~.+3¢.'t~'F` 4
1993 MECHANICAL PERMIT (CONIIIZERCIAL)
CTTY OF EAGAN
3830 PIWT IQN0B RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
- - -
DATE: CONTRACT PR1CE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CON1'RACI' FEE $
PROCESSED PIPING: $25.00
MINIMUh4 FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF 1,'ERMTf FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANr NAME: (IMPROVEMEM'S ONLY)
INSTALLER:
ADDRESS:
CIT1•: STpTE; ZIP CODE:
TELEPHONE
SIGNATURF OF PERMITTEE `'TTY INSPECI'OR
~2ESIDENTIALBUILDINGs ' ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reoui2ment5 RemodelfReoair Reouirements Ofice Llse OnN
3 registered sAe surveys showing sq. ft of lot, sq. ft of house; and all roofed areas . 2 copies of plan showing fooGrgs, beams, joisls CeR of Survey Recd,_Y_ N
(20% ma):imum lotcoverage allowed) i set of Energy Calculatlons for heated addNOns Tree Pres PIan.Rea! '_Y _N.
2 copies of pian showing tieam & window sizes; poured found desgn, etc. 1 sRe survey for additbns & decks Tree Pres Requi2d Y_ N
1setofEnergyCalwlations Addi6on-indkafeXon-sdesepGCSysfem On-si[eSepUCSysfem...._Y.-_N
3 copies of Trce Preservation Plan if lot platled after 717/93
Rim Joist Dehail Opfions selection sheet (buildings wilh 3 w less units)
Minnegasco mechanical ventilalion form
Date ConstructionCost Jd 1,0 C 4 IJJ~
Site Address UniUSte
,ian
Description of Work r~ J l. L~J ~(NS 1 w brK-1
Multi-Eamily Bldg _ Y_ N Fireplace(s) _ U _ 1 _ 2
Property Owner Telephone # ( )
Contractor J nJ S Wt'A"or`-'U~j^ JV\-
Address q01 City W o-~t Za-xrti
State Mf~' Zip 'S5 3°I 1 Telephone 9 (Q$2) 7YT' 0(~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minne Rules 7672
Energy Code Category . Ne e/~ip~C e Worksheet
Residential Ventilation Category 1 Worksheet
(~I submission type) • Submitted 5 e~~ ~
. Energy Envelope Calculations Submitted 0~
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pl ~~Y ~ 4?O ~
_ Y _ N If yes, date and address of master plan: ~6 LJ
Licensed Plumber Telephone
Mechanical Contractor Telephone )
Sewer/WaterContractor 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 Ciry 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 ap:App oved lan in the case of work which requires a review and
approval of plans.
Applic ' Ps tedName c s ignature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) \03 36 Multi Misc.
05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
JP 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Oemolition (Entire Bldg) - Glve PCA handout to applicant
DBSCriptlOn: Water Damage _ Yes
Valuation ic' C) Occupancy Iz MCES System
Plan Review 100% or 25%
Census Code (64~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const y !3 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Foofmgs (deck) FinaVC.O.
_ Footings (addition) ~ FinaVNo C.O.
Foundation HVAC
Drain Tile , Other
Roof _ Ice &:Water, Final _ Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation Retaining Wall
Approved , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ ca
' 771~~ '
2007RESIDENTIAL BUILDING rERMiT nrrLicnTioN
City Of Eagan
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New GonsWdion Requirements - ftemodeVReoair Requiremenis Otfice Use Onlv
3 regislered site surveys showing sq. ft. of lo[, sq. R. of house; and all roofed areas 2 wpies W plan showiiry foofings, 6eams, joists Cert af Survey Recd _ Y- _ N
(20%maximum lot coverage allowed) 1 set of Energy Galculatlons for heated addifions Soils RepoR '_Y N
1 Soils Report if proposetl building is to be placetl on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y: _ N
-2 copies Mplan showing 6eam 8 wintlow sizes; poured found design, eta AddRion - irrdlcate ifo~sfle septlc system Tiee Pres Requuetll --_Y _ N
7 setot Energy Calculations On3Ae Septic System ,-._Y ~_N
3 copies of Tree Preservation Plan rf lot platted after 711193 ~
Rim Joist Detail Options selectlon sheet (6uildinqs witlh 3 orless unIls)
Minnegasco mechanical venfila[bn form Date Construction Cast
SiteAddress UniUSte #
Description of Work
Multi-Family Bldg V~Y _ N Fireplace(s) _ 0 w 1 _ 2
PropertyOwner 4JVF~~1J 41~~ Telephone#( )
Contractor Fireside Hearth & Home
wadress ATTN: Danielle Ostgard c;ty
- 20802 Kensington Blvd Teieptione #(1L) C1~~lo(0`7~
stet` - Lakeville, MN 55044
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- - Minnesota Rules 7670 Cateeorv 1 _ Minnesota RulesJ672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet ~New Energy Code Worksheel
(Jsubmissiontype) - 5ubmitted Submitted
. Energy Envelope Calculations Submitted ,
In the last 12 months, has ihe City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone ~
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in confonnance 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 withouY a
permit; that the work will be in accordance with the approved p an in the ase of work which requires a review and
approval of plans.
4 ~ ,
ApplicanYs Printed Name A licanYs Sign tu e
DO NOT WRITE BELOW THIS LINE
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes "
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant
DBSG1'iptlon: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTTONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O. _
Foundation HVAC .
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco La[h _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation Aefaining Wall ,
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
Y I For Office Use
Permit
City of Ea~a~
I Permit Fee: 04Y1 i
3830 Pilot Knob Road I
Eagan MIN 55122 I ?
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 j Staff: j
1-----------------I 6
2013 COMMERCIAL BUILDING PERMIT APPLICATION 4 whl ~
Date: O~ 1771 (1 Site Address: 1 ^ i I y~~~~y~ssf y~ s~ 124 L VZ
Tenant Name: Q~ ~~th (,otfts ~.i►~~aS ~ ~ar~cn kom%(Tenant is: New / > Existing) Suite
Former Tenant:
Name: r.N Got~hohs V M0.6 ok,%A a1aC~s w ~cS Phone: S5a- 4 3 a' 817 9
i Property Owner Address/ City /Zip: _P.d D&X S f103e.ho\)V% ~ M u 55n (oe
Applicant is: Owner Contractor
Description of work 1 Graf" d ~F GK nor 5, Ct'Oh%(-
Type of Work
Construction Cost: 3 1;t s 3 7
Name: O ~ LOVX 5 ~ ("JA i o License l ) 1 { oZ
Address: lle `p~ fe V `ojv\a{ 1C- a%/L City: 1C)S<- MOJVX
Contractor
State: Mk Zip: '75_0(69 Phone:" GJr I - 2 ` 9 605"
Contact: L&J Email: LL`Jt
Name: Registration
Address: City:
Arch itect/Engmeer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
n.NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x L,,~ . , g-o v x_-
Applicant's Printed N e Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155764
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4151 Ruby Lane
Lot:066 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-066
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen Hathaway
8764 Pinehurst Bay
Woodbury MN 55124
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169112
Date Issued:05/14/2021
Permit Category:ePermit
Site Address: 4151 Ruby Lane
Lot:066 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-066
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill H Roos
4151 Ruby Lane
Eagan MN 55122
(952) 200-5901
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171240
Date Issued:08/06/2021
Permit Category:ePermit
Site Address: 4151 Ruby Lane
Lot:066 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-066
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill H Roos
4151 Ruby Lane
Eagan MN 55122
(952) 200-5901
Fritz Mechanical Llc
624 4th Street
Farmington MN 55024
(651) 246-5360
Applicant/Permitee: Signature Issued By: Signature