4229 Boulder Ridge Pt
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CITY OREAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P"O. Box 21199 Reader No: Date: --
Eagan, MN 55121
Owner.
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
misc _ B 0 a).
WATER SERVICE PERMIT(
CITY OF'EAGAN Permit No: Date:
38'34 pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning.
City Chg: No. of Units:
Acct. Dep
Permit Fee:
I agree to comply with the City of Eagan
Surcharge: Ordinances.
Misc. B
SEWER SERVICE PERMIT
Sep.25. 2013 10:49AM Property Claim Solutions No.1291 P. 11
Use BLUE or BLACK Ink
I -
For Office Use I
; Permit I I ~
City of
Min
Permit ' 1 I
Fee: -75
3830 Pilot Knob Road
Eagan MN 55122 Cate Received:
Phone: (651) 675-5675 I I
Fax: (651) 675694 1 Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name, Phone:
- ;`.'cbCVCler? ` N;' Address city I Zip: '
Yc7
Applicant is: Owner Contractor
s6-
Description of work.,
J-M T~Jw l
Construction Cost: Multi-Family Building, (Yes /No
~
1 ~ 1 (;~4t I
Company: Contact: I
• t..•..~:'u•n''
Address:
City: ti
.-Contract State: 01 1 i Zip: Phone:
Vii'` '`>5 t
,,.;•~License -
l ~ , Lead Certificate
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 & Water Contractor:
Phone:
NOTE::: Plans and "su . ppo..rtf _ , . .
ng documenti-;; at you sdbrrii. are considered to be public information.': f'brtlons of
the mfoi'matlon:ma
y° classified ss rion; ubbc rfyou provide sped l ` eesons thaE would permit the C/tyto
conclude th4tiMhbj~4:arearade sebre&
CALL
EFORE 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.oooherstateonecall.ora
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 r
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.
i
Exterior work authorized y a building permit Issued In accordance with the Minnesota State Building Code must be co led within 180 wilir 1
day rmit issuance.
X
a
CA Lr- 4tA, n m At I-i . -.1. ~5
Applican 's rtn ed Name A p ca s S g ture
Page 1 of 3
....Nov. 6• 2013.11:03AM_... Property Claim Solutions No. 1669.. P. 9 ._1
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use I
; Permit
City of EaLmn
Permit Fee: 5f,
3830 Pilot Knob Road 1
Eagan MN 55122 Date ReceNed: j
Phone: (661) 675-5675 I I
Fax: (661) 675-5684 1 Staff. I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address; _4223, 42254227, 4229 Boulder Ridge Point Unit
1Vame: Boulder Ridge Townhomes Phone: 612-290-3055
~r Address /City/Zip; 4223, 4225, 4227.4229 Boulder Ridge o'nt
Applicant Is: Owner X Contractor I
4:<ev.w~i
Description of work: Repair only siding peices that are damaged. 295Q
-1 1. IN
;z., u<U :un. Mno Construction Cost: -6,360 Multi-Family Building: (Yes / No
>ti 'a rr:;tdiwa' Company: PC5 Resident'al Contact: Patty Hanna
; ' • :a"`':r Address: 7t1nr, pin Oak nrivp _ City: Fagan
x«<%:,,v. ari`: State: I_Zip: 55122 Phone: 651-255-0609
r?w License BC593158 Lead Certificate
If the project is exempt from lead certWication, please explain why: (see Page 3 for additional information)
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING l
I
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:
I
Sewer & Water Contractor: Phone:
Half: PlaRS and su octln . Yo tlocumenfs;th~f= a~u ►tra o srdered:ftt'g ::+alld ritetritiatlan_;;Pili ":of':
P.P... 9...'M.. p,.
e►nformatran:rtraY: ba.Iasslfled:~snQrt- a
l►
1._ ttb . :►f.r rov►d s .er-tftc:oafsrf`woild :;ztffe :fr " {aa 1
IXF doncILde>~ha
a.... >il>! :°are<adthe ec i
4..• i
CALL OgFORE YOU DIG. Call Gopher State Ono call at (651) 454-0002 for protectlon against underground utility damage. Call 48 hours i
before you intend to dig to receive locates of underground utilities. nynr.copherstateonecall.oro
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 I
accordance with the approved plan In the case of work which requires a review and approval of plans,
i
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
i
x -Patty PC5 Residential x iIv UV`~ ~C-5
Applicant's Printed Name Applicant's SI a lure
Page 1 of 3 ;
i