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4210 Sumac Pt04/18/2014 13:36 FAX 651 451 7740 CULLIGAN 10001/0001 (�� .{=c, a f ed, per5/ S/-�`,2 v/ -71,0,11 yak - Cit of Eaaari. Date: 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: .1.(4(15 Date Received: Staff: 2014 RESIDENTIALPLUMBINGPLUMBING PERMIT APPLICATION Site Address: Yi� ( 0 scLii ci C . P Tenant: r en. OW pz- C Phone: 0 ,'_ lfS3.A/ / i Name: 11, s - Address /City /Zip: 0 /- , l !j /- 5 aG` � hr`r s ,,."nraco - {L� , . 4 ` Y Milbert Company Inc dba Cullign Water Name: License #: WC643176 1801 50th Street East Address:City: Inver Grove Hgts. state: MN Zip: 55077 Phone: 651-451-2241 Contact William" R_Milbert Email: +a++ OT {1- } New Replacement Repair X Descriptionofwork: Rebuild Modify Space Work in R.O.W. '�- $ RESIDENTIAL _ Water Heater Lawn Irrigation ( RPZ / PVB) X Water Softener . < - r}' trm1Y..P ti .. x�`r .. Add Plumbing Fixtures (___- Main / Lower Level) _ Septic System _ New ,_ Abandonment — Water Tumaround t K . • �� ar; r : 1r,; RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation. $60.00 Add Plumbing `Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Tumaround' (includes $5.00 State Surcharge) and 55.00 State Surcharge) 0� TOTAL FEES $ V, (includes $5.00 minimum State Surcharge) Fixtures, Septic System Abandonment, Water (add $200.00 if a 5/8" meter is required) New ($10.00 per as buil) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48: hours`beforWyou `intend to dig to receive locates of underground utilities www.Qooherstateonecall.orq 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 case of work which requires a review and approval of plans. Apphcant's'Printed Name x Applicant's Signature ti öîö ì þýý üðü ûýýúû ö ÿ÷õ ñã þýö ÿþýüûíÿ÷ß÷ò÷ ú÷ýüûöù ÷ûíÿ÷ß÷ò÷ Ýÿ÷ ÷ ÷û÷ô÷îÿ÷ôêÿþ÷â÷÷ ÷ û÷áà ý ññãñ â ÷ôíáõûôàåéãéñãã õû ÿ÷ê÷ íçåéé ôÿÿó öòñ ûû óôó ßò òä÷Üê ÷ä ÷ëñ ÿô âöð âö áàñðãð ê÷þüù ê êë÷êûûêêè÷ô÷÷ ÷ôûüùêûûþ èâ ÿòüè ì÷é ûûø÷ô ÿ÷ ÿü ÿ÷ ù þýý üûÿüûû úýýùûú ö ÿøö å þýö ÿþýüû úù óøÿýüû øýüû úù ø÷úùöûõ ôÿ óÿóòîÿûü ñ ðÿøï õûøíõììõøðÿøõøþøõëêøúúûêøêøõ ý ûëóêøêûêøë óøþõéøøøðÿøþüúêõüìõë ïçç òëæå ëåæ õú ÿøìøèÿççë ë æ èÿë ô óû öòñ ûû ýêøìøéøøøÚì å÷øõí ÿõ õä÷ææòâä÷ææ áæßåå å ìøþüúììíøìûûììêøõøøøõûüúìûûþ êä ÿóüêîøë ûûù øõ ÿøÿü ÿø SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN ' METER # PERMIT DATE 11/27/90 3830 Pilot Knob Rd. Eagan, MN 55122 -1897 CHIP PERMIT # 11733 METER SIZE B.P. RECEIPT # C 11193 • DATE NOV 26, 1990 � ISSUE DATE B.P. RECEIPT DATE 11/26/90 �i__PRV — BOOSTER PUMP SITE ADDRESS 4210 SUMAC PT PERMIT REQUESTED LOT 1 BLOCK 1 SEC /SUB BOULDER RIDGE 2ND _XL SEWER X WATER TAPS APPLICANT: ADDRESS: COMM /IND X RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: • Lawn Sprinkler Meters are to be Installed PLUMBER: PLYMOUTH PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHARY LN N Credit WIL , NO be given for Deduct Meters. CITY, STATE MAPLE ` GROVE MN ZIP 55369 /(//Z2/ PHONE: 493 -2474 1 A c ' EE TO COMPL WITH CITY OF OWNER: NEW HORIZON HOMES INC EAGAN ORDINANCES ADDRESS: 12201 MINNETONKA BLVD CITY, STATE MINNETONKA ATAN ZIP 55143 PHON 933 -25 1 SIGNATURE WHEN METER ISSUED PL SE k WO'ffKIN S' O PR CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Sep. 25, 2013 10:47AM Property Claim Solutions No. 1291 P. 6 Use BLUE or BLACK Ink I For Office use j Permit ` 1 ✓ ; qty of Eap Permit Fee: ` l 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I Fax: (651) 675-6694 I staff ^ I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: YmOlivn "s' ` Address/ City / Zip: 4-1 1- Applicant is Owner Contractor Description of work: --a Y try r 11 1J Construction Cost: Multi-Family Building: (Yes / No 'wr%,> °asar Company. Contact: Address City: 'for #r 05, 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: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans andsupporting. docum` e,n: , ts that,.0 n. maybe classified as•rtonubllc d you providespclf/C reasonsahat +vou%d peririif ttie"C/fy fv ' canc~ude thatahe :ail; 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. mm-ctopherstateonecall.org 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. 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 i x x I Applicant's Printed Name Applicant's Signature I Page 1 of 3 Nov. 4. 2013_12:21PM Property Claim Solutions No.1647_P, 17 Boulder Ridge-1013279 Use BLUE or BLACK Ink For Office Use R j Permit A • W j 4ill~ ! City of Eap I 1 I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 555122 Date Received: Phone: (651) 6755675 I I Fax: (651) 675-5694 I Staff I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _11-4-13 Site Address: X202.4204.4206, 4208.4210 Sumac Point Unlt Name: Boulder Ridae Townhomes Phone: 612-290=3055 .pywna _ Address / City / Zip: _4202.4204.4206, 4208, 4210 Sumac Point - Applicant is: Owner X Contractor Description of work: Repair only ciding neicec that are damaged_ 721;Q e~ia~ti?Vq~lk:~ - Construction Cost: 13,613 Multi-Family Building: (Yes / No X ) <<,; r Company: PCS Residential Contact. Patty Hanna Address: 2005 Pin A Drive FAP city: Contrati ;In P State: IVINL- Zip: _ 55122 Phone: 651-255-0609 s` License BCS93158 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? I _Yes _No If yes, date and address of master plan: I Licensed Plumber: Phone. i f Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: IIIOlE;::Plans attd supportrng dgcuments ihatyou submit are coaysSafe(0 to i~te publrc b► onnat on. ;Portrons;:of the rriformaf~on may .9:c /ass led as non'ppbl164 y.6 :provide spep c asvrrs fhaa> would pelnirt the:C doncludethatthe ar~>tlrade'secrets.,:" . s.... CALL BEFQR,E,YO DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours i before you intend to dig to receive locates of underground utilities. www.nooheFstateonecall.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 i 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 1 Exterior wont authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 i days of permit issuance. i I x Patty Hanna/PCS ResidentialS 1 x Applicant's Printed Name Appllcan ' Ignature Page 1 of 3 I i i Jun, 23. 2017 11 :22AM Genz - Ryan No. 1328 P. 1 • Use BLUE or BLACK Ink For Office Use �i/ ft: ��0l City of Eaafl Permit Permit Fee: 6,9 t 3830 Pilot Knob Road R CEIVED Date Received: Pagan MN 65122 Phone:(661)676-6616 01— Fax:(651)675-5694 JUN 2 3 2017 staff: � J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/23/2017 Site Address: 4210 SUMAC POINT Unit#: Name: JUDITH FAVIA Phone: 612-802-0911 Resident! 4210.SUMAC POINT Owner Address/City/Zip:•• • Applicant is: Owner x ContractorFID l7escri tion of work: BATH REMODEL-RECONFIGURE TUB&SHOWER-SEE PLANS Type of Work p Construction Cost: 7500.00 Multi-Family Building:(Yes X /No, ) • Company: INSPIRATION DESIGN CENTER Contact KELLEY BARKER 'Contractor Address; 2200 WEST HIGHWAY 13 city: BURNSVILLE • State: MN Zip; 55337 Phone; 952-767-1819 Email: kelleyb©lnspirationdesigncenter.com • License#: BC639507 Lead Certificate#: • If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting.documents that you submit are:'considered to be public information. Portions of . the inform'atlon 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. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 45 hours before you Intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 Issuance. x KELLEY BARKER Applicant's Printed Name Applicant's Signature Page I 013 Jun. 23. 2017 11 :22AM Genz — Ryan No. 1328 P. 2 DO NOT WRITE BELOW THIS LINE 4/3 SUB TYPES Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) IA Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck Porch(ScreenlGazebolPergola) — Miscellaneous _ 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement — Siding — Demolish Building' Addition _ Move Building — Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation 4 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall `Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation oZDba Occupancy >\; . MCES System Plan Review Code Edition v„,ti,,,i' c, ) SAC Units (25%_100%7``) Zoning - City Water Census Code TT Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction id) Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:,_,Ice&Water ,_,Final Pool:_Footings Air/Gas Tests Final Framing X 30 Minutes_1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation Windows • Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: I , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (SO41 Plan Review6(/ MCES SAC � ' 4 City SAC Y Utility Connection Charge S&W Permit&Surcharge Treatment Plant 2. E2 47 ‘D Copies / TOTAL Yt t ,i- Page 2 of 3 Jun. 23. 2017 11 : 24AM Genz - Ryan No. 1328 P. 6 Use BLUE or BLACK Ink 1 For Office Use j Permit#: " r3 /(02 City of Eapali Permit Fee: l//l1 `® 3830 Pilot Knob Road Eagan MN 55122 RECEIVED gats Received: t% Phone: (651)675.5675 Waif. Fax:(651)675-5694 JUN 2 3 2017 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/23/2017 Site Address: 4210 SUMAC POINT Tenant: Suite 1/: .Resident/Owner. Name: JUDITH FAVIA Phone: 612-802-0911 Address/City/Zip: 4210 SUMAC POINT Name: GENZ-RYAN License#: PC643433 Contractor'' •• Address: 2200 WEST HIGHWAY 13 City: BURNSVILLE State: MN Zip: 55337 Phone: 952-767-1819 Contact: KELLEY BARKER Email: kelleyb@genzryan.com '• NewReplacement _Repair —Rebuild Z.Modify SpaceWork in R.O.W. :TYPe of Work, Replacement — •• Description of work: EAT"REMODEL•RECONFIGURE TUB&SHOWER,REPLACE TOILET,REPLACE LAV SINKS&FAUCETS • RESIDENTIAL Water Heater • • ' Water Softener Lawn Irrigation(—RPZ/—PVB) Permit,Type Add Plumbing Fixtures(_Main/_Lower Level) Septic System New _Water Turnaround Abandonment 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 bIG. Call Gopher State One Call at(651)464.0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.or4 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 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 case of work which requires a review and approval of plans. x KELLEY BARKER x � Applicants Printed Name Applicant's Signature 'FOR,•OFFICE•USE Reviewed By:_ • Date: • Required Inspections:. Under Ground x Rough-In Air Test Gas Test , Meter,Related,'Items: Meter Size Radio Read • Manometer • , Staff: • PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147855 Date Issued:02/12/2018 Permit Category:ePermit Site Address: 4210 Sumac Pt Lot:1 Block: 01 Addition: Boulder Ridge 2nd PID:10-14801-01-010 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 - Judith Favia 4210 Sumac Pt Eagan MN 55122 (612) 325-2999 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature