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Sep,25, 2013 3:56PM Property Claim Solutions No,1299 P. 2 I
I
Use BLUE or BLACK ink
Z
For Office Use I f
LIZ 3L) City of Eap I Permit#: I
~ Permit Fee:
Z-, Z3 .Z3 '
z
3830 Pilot Knob Road 1 ~ /as I l i I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
f
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name. Phone.
Address /City / Zp:
Owing, , p/
Applicant is: Owner Contractor
Description of work: An'7,ODE 4 N=&zb 1610-80
M.rp<o 'Gll
Construction Cost:
Multl-Family Building: (Yes
:i:Y` a / No
? Company: I C1 Contact
1
QL
Address: ° , -
City:
YGracgr~;;r
State: ,Zip: Phone:
License Lead Certificate
4
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 NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a slmllar plan based on a master plan?
_Yes -No If yes, date and address of master plan:
Licensed Plumber:
Phone:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I
atyousU
d supporting:dor;ume~tts th bm/t,8re;consldeed°ope.publlc lnfornaiot:;Ptirfto»s V.
the Infor 0.6ri ,maybe class%fledl as.non~pubhc ~f you proV%de specific reasons That tii ould penmf the C/fy to,
aonclud that.the ::ate trade secrets.:: r ` • r I
CALL BEFORE YOU DIG. Call Gopher State One Call at (051) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dlg to receive locates of underground utilities. www.gooherstatfoneeall.ora
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 I understand this is not a permit, but only an appliCatlon 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.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of penult Issuance.
x x I
Applic natc-s Hinted Name Ap Ilcan s gnature j
Page 1 of 3
i
_....._...Nov. 6. 2013...11:03AM __.Property Claim Solutions No. 1669 P. 8
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use ~f
Permit#: 0 I
CIV of Ealan I
Permit Fee.
3830 Pllot Knob Road I I
Eagan MN 55122 I Date Received: I
Phone: (651) 676-5675 I I
Fax: (651) 675-8694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 site Address: AU6, 4228, 4230, 4232.4234 Boulder Ridge Point Unit
Name: Boulder Ridge Townhomes Phone: 612-290-3055
Address /City /Zip: 4226, 4228, 4230,4232, 4234 Boulder Rldge Point
Applicant ls: Owner X Contractor
„ °>a ° Description of work Repair only siding peices that are damaged.12SQ
Construction Cost 6,001 Multi-Family Building: (Yes / No
Lui;,w>
Company: PCS Residential Contact: petty Hanna
Address: :)nn; Pin flair nrivo City: Fagan
State: _~LIN Zip: _5 122 Phone: 651-255-0609
<..MM
" License BC593158
s::v w4<ir Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
l
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~ P/srts lndsi~pportnrg'doC.Um-e~it>►s:•'tttalt rgit ' Ub»i t:are;cairas t to die pei Ii lntfor~rlatlon Palttan oF„
the Intormat►on ma be class~fled asian cF„~
Y rov, a sc s er t,he-:E7
r:rb7/ y~ p a(c lea Qnta wPUtdp.. i» r >[y to
.%.r. ,r
~r.Ponclualet~'iattfie.
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.aooherstateonecall.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.
Exterlorwork authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x Patty Hanna/PCS Residential )ok X rji-,41 I Applicant's Printed Name Appileant's g tore
Page 1 of 3
i
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172878
Date Issued:10/20/2021
Permit Category:ePermit
Site Address: 4230 Boulder Ridge Pt
Lot:10 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Scott Alan & Lisa Suzanne Ziegler
4230 Boulder Ridge Pt
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179425
Date Issued:10/04/2022
Permit Category:ePermit
Site Address: 4230 Boulder Ridge Pt
Lot:10 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-100
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Scott Alan & Lisa Suzanne Ziegler
4230 Boulder Ridge Pt
Eagan MN 55122
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature