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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 C C, x Applicant's Signature r 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 /0 -3](7 Applicant's Signature 0by , .4.' 1 3•' i'� '('Y ?,0‘ b •i - f,'�. �'4s-• y .. F; DFS e Q{,ti .. -- iVkt'. .ESy nth tris: c•`)`�'P, ,! , . i:Jl .t:[, -.i` ,t - - Re0¢I:e .: onQ(� U1 S.. 5 !S{ >• F;� 5�0 t. • MeL r � ,, e`o tp rns '!,Y ttl� �._ } £ ja:!F,�S • ,ii t!7., �, 3, „�i�'%„Ct T 4 G ">� ., r.Yc�#5 '4• i j't�s7� .l h• F. s . 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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