4240 Boulder Ridge Pt R Ol tCE`usE Nix . ,�
� METE PEF A FT DA J
Pik t b . `` #. WAT kPEt k l 0, 1 07
� MN5
E1ER
B.P. RECEIPT � C 39
DAT B.P. RECEFPT DATA 911 : -::„,.
PRv .,,. 090STER P
_
..
.p
PEROMT STED
C RESS ' . • LUfsFC /
ti . _ _. SE t / ATEF ,. — TAPS
R _t� _'- _ CO RESIDE, . srAti V* t _..
, n' =SS ,/ r : 1 TO C A Y : A WITH
•' H CI' 'Y OF
STA ' f FA IN O NANCES•
t
ENE
OWNER ./ .
aoti�F S ;: -� � . ,1 , $IGNA E, C U
CflY, STATE / '% �' ZIP « ''�''
ry '4�s, �` JCT
�' . APPU ANT t W L BE N ECI {T w' . P
Sep-25. 2013 3:56PM Property Claim Solutions No.1299 P. 1
Use BLUE or BLACK Ink
I For Office Use - T I
City of Eap 2 j Permit I J 140
In.
Permit Fee•
3830 Pilot Knob Road 1~~ Z • Z I I
Eagan MN 55122 ` Date Received:
v[ j
Phone: (851) 675-5675 I I
Fax: (631) 675-5694 1 Staff:
2013 RESIDENTIAL, BUILDING PERMIT APPLICATION
Date: Site Address: Unit
g!.;4 `'ss Name: Lp i1 In DYYij!5 Phone:
tsideniJ~ Li23
er. ` Address / City /Zip: t
v; Applicant Is: Owner Contractor
x
Description of work
c1
jam homes Nkxj
Construction Cost:( 1 Multi-Family Building: (Yes I No
.J~y,~<(•.•.. •r':~~~<c~<-r.~)~ 1 it t~~` 1 JI~~ I L~'~ ,
Company: Contact:
; 4 w Address:
City
Chin rpcasM;
State: Zip: Phone:
license#: Lead 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 jVJ9W 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: i
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone: j
i
. i
Sewer & Water Contractor: Phone: i
NOTE: P aril and su "
l pportin' do u Tents that you submifare.'considered:foae. public:lnfornration..".'Po'rt/ons of
.
the. rnformatlon may tie classi A d as:non- ubllcl if you;'proyidespeC c[easons tfia(.would permit the:C/t
conclude that'the are trade secrets,
C LL 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.gooherstateonecall.arg
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
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
S x Q&JF
Applicant's P nted Name App icant's i n ture
Page 1 of 3 '
....."...Nov, 6. 2013_..11:03AM ....-Property Claim Solut ions . No. 1669 P. 7
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Offlce Use
j Permit CD j
City Of EaEan
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 6755694 1 Statf: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _11-4=13 Site Address: 4238, 4240, 4242.4244 Boulder Ridge Point Unit#:
Name: Boulder Ridge Townhomes Phone: 612-290-3055
Ift"
Address /City/ Zip: 4238, 4240, 4242, 4244 Boulder Ridge Point
P. ~
's
Applicant Is: Owner X Contractor l
,21 Description of work: Repair only siding peices that are damaged. 55C!
ii-it lVaiK!I'
cziµ?'u 's 5ivyS„ ;;A Construction cost: 2,204 Multi-Family Building: (Yes / No X~
:t a axe>`rx;;_ Compan
y: PCS Resideatia_L_ Contact: Patty Hanna
ti 7 Address: X1115 Pin Oak r)rive city: Fagan
State: IVIN_ZIP: X5122 Phone: 651-255-0609
`u' License P 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?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone: j
Mechanical Contractor: Phone:
i
Sewer & Water Contractor:
.
one:::....
1iCO.TE.: Plans and sup .9 P . docufite~its :th t Lisa rt'aret ;cvrlsldecad .to:.a utili iifor a on too a: !:of
:
formallan maybe c/ssslYted gs;non^ptrl~l~ A.124 ptrad specrfic reasons.tftat w.opld: pertrlt ilia `pity to
r .t. -
~ ~e;:Erade~ secri..~ s
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 utllftles. www.aopherstateonecall.org
I hereby acknowledge that this Information is complete and accurate: that the wolr 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 psrmlt: 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. I
Exterior work authorized by a Wilding permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
I
x Patty Hanna/PC5 Residential r% A. f)A6a
Applicant's Printed Name Appllcan ' Ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178958
Date Issued:09/13/2022
Permit Category:ePermit
Site Address: 4240 Boulder Ridge Pt
Lot:15 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-150
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Melissa M Hyvare
4240 Boulder Ridge Pt
Eagan MN 55122
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature