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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: $90.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: Vernon A Wendorf Tste 4149 Ruby Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature A13, 4‘3-11 4131 411 Atha g143, 41qi i1141 sigur:P City Of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1,15%1 Permit Fee: 154 • 1S� lb�>/13 Date Received: Staff: cati 2013 COMMERCIAL BUILDING ERMIT APPLICATION 8 u,V1 I ts Date: 1 j 27/ t3 Site Address: -1 ✓S/ 9l51l/y/W 01/10-791 Si7/y(417 gcteNt.) Tenant Name: D.cRti (,Ogpy6 a u►Ac..5 0,4 6.1-led‘kor+cS(Tenant is: New / X, Existing) Suite #: Former Tenant: Property Owner Type of Work Contractor NameD;c1t. CorrnohS .l Vaksv5 AAA aCc14,n Iwr•cS Phone: :15a-13 a• 817 9 Address / City / Zip: P.(, (5p)( J (103ehoOv%4 Mu 5-5-06s Applicant is: Owner Contractor Description of work 1 eg,c OAF - Coot' GK �► Construction Cost: 55i 311 7G Name: k0\- Architect/Engineer License #: c- 22.11a). City: 'tt 105 e.... State: t' t k Zip: ` 5-0CoQ Phone:1 % ` f (oT Contact: 1 -.{.^Jt 14" + Email: 1.f.%);L� +'ek4-tc: o,C$. 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 / giAly 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 I PILOT TYPE � TEST TAG IGNITION MODEL l!/ LIGHTING INST. 4ti PILOT TIMING !� S e PRESSURE INPUT CFH t '1u: 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