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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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145358
Date Issued:09/06/2017
Permit Category:ePermit
Site Address: 4236 Boulder Ridge Pt
Lot:13 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-130
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Maria A Hutera
4236 Boulder Ridge Pt
Eagan MN 55122
(612) 486-2068
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145738
Date Issued:09/22/2017
Permit Category:ePermit
Site Address: 4236 Boulder Ridge Pt
Lot:13 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 -
Maria A Hutera
4236 Boulder Ridge Pt
Eagan MN 55122
(612) 235-1517
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature