4273 Boulder Ridge Pt4 , 1 ' 6 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
ant's Printed Name
- A4 uoemA AC /y
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Applicant's Signature
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Use BLUE or BLACK Ink
For Office Use
Permit #: /06
Permit Fee: Li{/ ' 6?)
Date Received: e
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
I 1
Date: Site Address: Unit #: '
Name:
tUM' D A 6
Address / City / Zip: 4273 130U P i 6E PT
Applicant is: Owner Contractor
Phone:
7c3- 4 64 -6
Description of work: / t d- a-
Construction Cost: f /CT®
,.J
-web 8
Multi - Family Building: (Yes
No )
Company: Contact:
Address: City:
State: Zip: Phone:
License #:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE - Plans and supporting documents that you submit are considered to be public information Port a
the information may be classified as non - public if you provide specific reasons that would permit the Ci
conclude that they 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.qopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit iss
Page 1 of 3
z'�„7 7 ) ctut 6 aNOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New , / Interior Improvement
Move Building
Addition
Alteratio
Replac
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Reviewed By:
X73
Fire Repair
Repair
Type of Construction Y'
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Fireplace Porch (3- Season) Storm Damage
Garage _ Porch (4- Season) _ Exterior Alteration (Single Family)
Deck Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
Drain Tile Other:
Roof: Ice & Water _Final Pool: Footings Air/Gas Tests _Final
Framing Siding: _Stucco Lath Stone Lath _Brick
Fireplace: _Rough In Air Test _Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
1 , Building Inspector
Meter Size:
Final / C.O. Required
( k Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Page 2of3
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. a 6 2119u 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: By Cl f 2 i - g
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Elox 21199
Eagan, MN 55121
Owner: x^
5tt
Site Address:
Plumber:
MWCC: Zoning.
City Chg: No. of Units:
Acct. Deb:
Permit Fee:
I agree to comply with the City of Eagan
Surcharge: Ordinances.
Misc.: B
SEWER SERVICE PERMIT
Sep, 25, 2013 10:50AM Property Claim Solutions No. 1291 P- 13
Use BLUE or BLACK Ink
y
fLu For Office Use Permit#:
My of Eap~ y ~)o
Permit Fee: J
3830 Pilot Knob Road
Eagan MN 95122 j Date Received: O
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 State I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: TJnWC:f, Phone:
,~~=~t~esii~eri~~v y~~ ,
Address / City / Zip,
Applicant is: _ Owner Contractor
Description of work: Qf" h
Type} oi~Work, '
Construction Cost: lL~ Y Multi-Family Building: (Yes / No T~
iixi.•.yi~e~.~.•.>iti i'.i~jii.::i:K Vii.
s=,:c; wis: a l Jlf'`L1CJ►'1 IC ClI Contact
:gN,a,> Company: a
;'Fzs h~„ y y.:
;..161LO..11' = Address:
>.,A~ 4 city:
;z>v « i,:;~ N ~vvy State: ~h ~Zip: Phone.
e•`..: 4ys;:r,; jm~~ r" ' Jam- ) [
License # , 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 I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i
`Yes _No If yes, date and address of master plan:
Licensed plumber: Phone: '
i
Mechanical Contractor: Phone:
I
Sewer Water Contractor: Phone:
NO,T.E:1 Piaria:'end supporUng,documents.fhat yousub»ilt.ate`consldered.tv6e putilic:informatlon. Portions of `
the informstioh ma be classified as.n. on ubllc If oil' rov/de s ecifir; re sue. at::wauld: ermlt the Gr l
p. s..th . to
Y P p i
Y p.
• conclud~ahatthe 'are tradesecrefs. i
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 4e hours
before you intend to dig to receive locates of underground utilities. www.gooherst2t2on921ll.ora II
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within I So
days permitissua Co.
S~'~-~✓
x /
a~M_4ftvfikApplic nt' Printed Name Ap Ilcant' VI nature j
Page 1 of 3 i
i
_-.Nov. 4. 2013_12:18PM Property Claim Solutions __No.1647_P. 7
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use
City of EPermit#: Permit Fee:
3830 Pilot Knob Road i I
Eagan MN 55122 j Date Received: ;
Phone: (661) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address: 4271, 4273, 4275, 4277-Boulder Ridge Point Unit M.
Name: Boulder Ridge Townhomes Phone: 612-290-3055
Relstdertt~ ;
~tMtlef~ Address/City/Zip; 4271 4273, 4275.4277 Boulder Ridge Point
e~ r
Applicant is: Owner X Contractor
Descriptlomofwork: Repair only sd~g,peices that are damaged_ 13 50-
~rpe of Work
T el
Construction Cost: _ 6,556 Multi-Family Building: (Yes / No _KJ
I
Company: ACS Rid di l Contact, Pa
es en a Hanna
ttv
I
Address: 9n S Pin Clak f)rivp City' ~n
_ Fag
State: IVIN zip: 55122 Phone: 651-255-0609
License* SC593158 Load Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A HE( BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? 1
_Yes _No If yes, date and address of master plan:
I
Licensed Plumber: Phone: j
l
Mechanical Contractor: Phone: l•
Sewer & Water Contractor: Phone:
'NOTE: Plans andsu 'ortlrf °docu►ne is t(iat: ou g br»l r Cobsldered to be ,p
"`ul~llc lriformaflori ' Portlorrs:ct:::
PP y
ih0. nformatlon mey.be ciassH/ed a non=pub alit per►rllt
~..,v a spy c reasor►s into e a : ~ I
bbq
=cotfol~ldeth, "t: he
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utilities. vwm.aooherstate2nR2all.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
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.
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.
j
X Patty Hanna/PCS Residential x I
Applicant's Printed Name Applicant' i nature i
Page 1 of 3
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137376
Date Issued:06/30/2016
Permit Category:ePermit
Site Address: 4273 Boulder Ridge Pt
Lot:3 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dennis L Thompson
4273 Boulder Ridge Pt
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
Date:
Tenant:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee:
Date Received:
Staff:
(00`
L
`,► 2015 RESIDENTIAL PLUMBINGpPERMIT APPLICATION
/5 /fSite Address: / 3 S& f�ICX
lig Sir
Name: .- r (� �o
Address / City / Zip: Ta /3 ocLd cQe
Name:
Phone:
Suite #:
ems. 6etNJL'e. i
Address: 4b, 0,5)C <34K2
State: (Yli' Zip: 5-5 3If7
Contact: Mike gioklC ( Email:
Phone:
New x Replacement _ Repair
Description of work: JfP(.J 9 ichtre c b +1troom5
License #: Z65/6/
City: 141,C140
lob- - 6GTnL
Aniv ceS� rovt-ierheI vier
Rebuild _ Modify Space _ Work in R.O.W.
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main /
Water Turnaround
Lower Level)
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
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.
xGti'V L.k $
Applicant's Printed Nam
x
App icant's Signature
City of Eaah
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
D
OCr112016
Use BLUE or BLACK Ink
For Office Use
Permit #: / 3/V
Permit Fee:
Date Received: , -1/ z1
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
f),t
Date-: `t df'41/16Site Address:
Tenant:
ssta4
Name; 1\4l1:?ert, Company l.nc dba Culligan Water License #: WC6413 76 .
Address: 1;8.01 50`h St East
City: Inver Grove Hgts.
State: Mn Zip: 55077
Phone: 651-451-2241'•
Contact: William R Milbert
Email:
_ New _ Replacement _ Repair _ Rebuild _ Modify Space _Work In R.O.W.
Description of work:
RESIDENTIAL
Water Heater
_ Lawn'Irrlgetlon (__ RPZ / PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures (_ . Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or. Water Heater and Softener (includes $5.00 State Surcharge)
$60.00. Lawn Irrigation ('includes $5.00 minimum State Surcharge) •
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge)
• "Water Turnaround (add $200.00 if a 5/8" meter Is required)
$115.00 Septic System NeW ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 400} O O
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.ore
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, bu •nly an application for a permit, and work is not to start without a permit; that the work will be in
accordan' . Ith the approve • plan 1 the case • ork which requires a review and approval of plans.
x
Applicant's Printed Name
x
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Applicant's Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151562
Date Issued:08/30/2018
Permit Category:ePermit
Site Address: 4273 Boulder Ridge Pt
Lot:3 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-030
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.
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 -
Pedaler 4273 Llc
4273 Boulder Ridge Pt
Eagan MN 55122
(651) 261-7372
The Plumbing Guys
3440 Kilmer Lane N
Plymouth MN 55441
(612) 746-5545
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153389
Date Issued:12/14/2018
Permit Category:ePermit
Site Address: 4273 Boulder Ridge Pt
Lot:3 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-030
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 -
Pedaler 4273 Llc
4273 Boulder Ridge Pt
Eagan MN 55122
(651) 238-8901
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature