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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