The URL can be used to link to this page

4126 Ruby Lane õìõ ÿþ ýüü ûúûúþ ùüüþúÿ è ó óëëõïï ôó ó ýüõ ýüûúùøüÝõ ÷úùãé ùøüÝõ Üüÿÿùïñüïüûåþý ùþá à ü ôôô å ç í íô ôù ýüÿøêçí í ó÷÷ò õñð ùù öÙÞ æøäú ÷äÿéóôÞüû üîåãóóß ÿåã á àßß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü Sep 30 13 08:56a LS West, Ilc 9522368445 p.8 Use BLUE or BLACK Ink r-----------------. f For Office Use I Permit City of Eap I Permit Fee: I 3830 Pilot Knob Road t Eagan MN 35122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: I t I 2©13 RESIDENTIAL BUILDING PERMIT APPLICATION 10 9Lb 11L-L S LAa~ Date: 0~ 3 Site Address: wUnit#: Name: t~vrrt+~t:~ S p~M J~ ~1f Oin Phone: Resident/ Owner Address/ City / zip: Applicant is: Owner X Contractor Description of work: t e Ar (,V O f 4dbau.0j)6j.kAA s~ 9 S Type of Work Construction Cam 3 Multi-Family Building: (Yes / No Company: Contact" jAN awl je&T Contractor Address: ,bq Zf✓ uP eyuQ__ City: LAeolI1 c-i /11 Stater Zip: b LtL1 Phone: 6- ~Q_L _ 4,1 "I License a -I D Lead Certificate* MAT- ^f D 6 l _ 1 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 for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer s 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. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive bcates of underground utilities. wwwyophwstateonecall.cm 1 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 1 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 caseof work which requires a review and approval of plans- Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Suildi g Code must be completed within 180 days of permit issuanc~esl`_ x "4540 x Applicant's Printed Name Applic s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137195 Date Issued:06/22/2016 Permit Category:ePermit Site Address: 4126 Ruby Lane Lot:300 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-300 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 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 - Kenneth F Hrdlichka Tste 4126 Ruby Lane Eagan MN 55122 (763) 458-3488 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168055 Date Issued:04/08/2021 Permit Category:ePermit Site Address: 4126 Ruby Lane Lot:300 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-300 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Kenneth F Tste Hrdlichka 4126 Ruby Ln Saint Paul MN 55122--216 (763) 391-5552 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature