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4128 Ruby Lane
RESIDENT / OWNER Name: LgLkY'q Lc tY to ic he `i^3 Phone: 0 5/ - L I S -10 7/ i vt Q- Address / City / Zip: i f I a 7� CONTRACTOR __ `` ``__ / , Name: ,, lS a WI � s +y P1 License #: 0 i f / 0 f f'Y` i .0 q 6 Address: ,G A33' C J V'��ct / A V e r ct e,_. J Cit SSe O State: {n Zip: ..j j �a Phone: 7(r;_ �' ~/ c - �- r � Contact - 1 j Li 1',c) I t'— Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O. W. — _ _ _ Descri • tion of work: i �4q i / I I OV\ l q_s a4'r V /Neci`/� r RESIDENTIAL Water Softener PERMIT TYPE Water Heater Add Plumbing Fixtures ( Main / Lower Level) _ Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing "Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $, 75;60 41 City otEaagain Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 a� Be f Appltcan 's Printed Name 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION t ( I O Site Address: RECEIVED NOV 0 5 2010 1 4 . 1(94? �2�b she Use BLUE or BLACK Ink Fat oraitatkaa Permit #: 4); Permit Fee: Date Received: Staff: J Tenant: Suite #: 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 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 Applican 's Sig ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _, Rough -In ___Air Test _Gas Test Final' 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:Mechanical Permit Number:EA148890 Date Issued:04/26/2018 Permit Category:ePermit Site Address: 4128 Ruby Lane Lot:290 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-290 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert S Porter 4128 Ruby Lane Eagan MN 55122 (651) 439-3331 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149618 Date Issued:05/31/2018 Permit Category:ePermit Site Address: 4128 Ruby Lane Lot:290 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-290 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 - Robert S Porter 4128 Ruby Lane Eagan MN 55122 (651) 336-2898 Red Wing Plumbing & Heating Llc 1615 Old West Main Street Red Wing MN 55066 (651) 388-9692 Applicant/Permitee: Signature Issued By: Signature C ‘ RC".d- E4 40 it/ '90 111 CITY OF SAINT PAUL HEATING SYSTEM TEST REPORT Department of Safety&Inspections (Use a separate form for each appliance) Fire Safety Inspection Division 375 Jackson Street Suite 220 Saint Paul,MN 55101-1806 Revised 07/2014 (1')651-266-8989 (F)651-266-8951 ADDRESS: 14 1 ggf a OWNER: W.r7�„t-:J. Fcsc.k.rr V DATE: 5-'7 115 Time of Heat: ❑Gravity Air A Forced Air ❑Gravity Hot Water 0 Forced Hot Water ❑Steam Unit Heater fl Space Heater CI Other: Type of Fuel: Gas ❑Oil ❑Other: Gas Design Conversion PC. V& Make of Burner: 1 , Make: Model: Model: Serial: Max BTU Rating: • Input: Rake of Furnace: Equipment Venting Type: tO Atmospheric Induced Fan 0 Other: Total BTU input of all vented gas appiian per chimney: Type of Chimney: ❑Masonry Class B ❑Other: Type of Liner: ❑None Metal ❑Clay Tile Vent Connector Material: ❑Type-C E]Type-B Combustion Air Supply Required? Yes ❑No Installed? Yes Yes ❑No Safety&Operating Control Tests: Yes No Fuel Analysis/Flue Gas Analysis: Yes No Pilot/Flame Safeguard Operating Properly Vents properly without spillage Limit(s)Operating Properly A Flame stays inside/Doesn't roll out Operator(s) Operating Properly Burner lights smoothly Low Water Cut-off Operating Properly All Controls Operating Properly Combustion Analysis Visual Inspection . • Yes No Stack Temperature �js p'`, °F/Net Fuel Piping System- Okay? Oxygen zg,+,( % Vent Systems:Draft hood, Connector, ` Vent Chimney-Okay? Carbon Dioxide 1,(91 % Heating Unit-Okay? Carbon Monoxide ' 3 PPM Look At The Total Heating System Beftxe You,Leave: Yrs • No Does the system operate safely and properly? ` COMMENTS: Name of Licensed CMt Address Phone Contractor Person Doing the Test(Print): ' Signature: Certificate of Competency from the City of Saint Paul for Appropriate Fuel: THIS TEST IS VALID FOR ONE (1) YEAR PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178125 Date Issued:08/02/2022 Permit Category:ePermit Site Address: 4128 Ruby Lane Lot:290 Block: 03 Addition: Diffley Commons 2nd PID:10-20451-03-290 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert S & Lois A Porter 4128 Ruby Ln Eagan MN 55122 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature