4149 Ruby LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA088090
01/30/2009
ePermit
Site Address: 4149 Ruby Lane
Lot: 069 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-069-04
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Vernon A Wendorf Tste
4149 Ruby Lane
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
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sigur:P City Of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1,15%1
Permit Fee: 154 • 1S�
lb�>/13
Date Received:
Staff: cati
2013 COMMERCIAL BUILDING ERMIT APPLICATION 8 u,V1 I ts
Date: 1 j 27/ t3 Site Address: -1 ✓S/ 9l51l/y/W 01/10-791 Si7/y(417 gcteNt.)
Tenant Name: D.cRti (,Ogpy6 a u►Ac..5 0,4 6.1-led‘kor+cS(Tenant is: New / X, Existing) Suite #:
Former Tenant:
Property Owner
Type of Work
Contractor
NameD;c1t. CorrnohS .l Vaksv5 AAA aCc14,n Iwr•cS Phone: :15a-13 a• 817 9
Address / City / Zip: P.(, (5p)( J (103ehoOv%4 Mu 5-5-06s
Applicant is:
Owner Contractor
Description of work 1 eg,c OAF - Coot' GK �►
Construction Cost: 55i 311 7G
Name: k0\-
Architect/Engineer
License #: c- 22.11a).
City: 'tt 105 e....
State: t' t k Zip: ` 5-0CoQ Phone:1 % ` f (oT
Contact: 1 -.{.^Jt 14" + Email: 1.f.%);L� +'ek4-tc: o,C$. 4or'k
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that y
the information may be classified as non-public
conclude
u submit are considered to be public nformation. Portions of
c rf you provideyspecific reasons that would -permit the City to
at the' ;`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 t►�(iV ►D
Applicants Printed Ne
x
Applicants Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA137265
Date Issued: 06/27/2016
Permit Category: ePermit
Site Address: 4149 Ruby Lane
Lot: 069 Block: 04 Addition: Diffley Commons 2nd
PID: 10-20451-04-069
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
- Applicant -
Owner:
Vernon A Wendorf Tste
4149 Ruby Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA138306
Date Issued: 08/19/2016
Permit Category: ePermit
Site Address: 4149 Ruby Lane
Lot: 069 Block: 04 Addition: Diffley Commons 2nd
PID: 10-20451-04-069
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Vernon A Wendorf Tste
4149 Ruby Lane
Eagan MN 55122
(952) 890-6419
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.
Applicant/Permitee: Signature
Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO.
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952).881-9000
ADDRESS
OCCUPANT
SOLD BY
MAKE G�
SERIAL NO S?1 Li /` 0-7 Z /
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4/6-121 s.
THERMOSTAT
VALVE
LIMIT
CITY
HEATING
TEST RECORD
JOB NO L/ -J7 `1
OWNER
4!F `c.4'
INSTALLED BY
MODEL
INPUT
d e
VENT SIZE
TYPE OF LINER /L"
�v LINER SIZE
1
LIMIT SETTING ?0 �/ FILTERS. SIZE /1 1 S ) NUMBER
FAN SETTING k` ' WIRING U J
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PILOT TYPE � TEST TAG
IGNITION MODEL l!/ LIGHTING INST.
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PILOT TIMING !� S e
PRESSURE
INPUT CFH
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STACK TEMP.
FORM 235 (REV. 10/10)
PERCENT CO2
PERCENT 02
PERCENT CO
y..kI
DATE TESTED
COMPANY TESTIN
NAME OF TESTER
7/x/6
FORM DISTRIBUTION: WHITE COPY - JOB FILE
YELLOW COPY - CITY