4243 Boulder Ridge Pt SEWER A WATER ',BRANT ' ,,, bklICV 'U tN� SE Y
CITY OF EAGAN
PERMIT DATE 8 / 3) /R9_
3830 Pilot Knob Rd. WATER P MIT # 4 C 8 ' SE PE .IIT i
P.O. Box 2119
E an, x � 1 �R # B.P. 38/2 ..,
READER # S.P,.RELEIPT DATE 8 f 2/89
METER SIZE k
ISS#JE DATE XK PR1 ., OOSTER PUMP
, SITE AD ESS r _ :. - v *ERl t11giouE STED
LOT _LOCK - SEC /SUB e
APPL ANT: 101$ # ' OW /�+ SEW LATER _TAPS
ADDRESS:./ 4! ' ; '+' /S7 T:: ce /IND RESIDENTIAL .
CITY, STATE .c.r _ '. a �1P ' 1� ? , ,/�
PHONE . . �'.►� __. +�' NW
EXISTING
PLUMBER: '-.4 . . }
ADDRESS: .. 1 AGREE TOOOMPLY TH TTY OF
CITY, STATE NA'
vim jerAg EAGAN . 4 00e
PHONE ',f-?" -
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ADDRE : • 42- - ` r? ,y r � SIGNATURE METER IS D
CITY, STATE • , . zip
PHONE: 9! f» . �
PLEASE ALLOW TWO K DAYS FOR P NG. FOR ST# A SEWER PERM CONTACT > i
Et4 1NEEREIG`DEPT.
' 71-1*." ��-
Sep.25, 2013 10:49AM Property Claim Solutions No-1291 P. 10
Use BLUE or BLACK Ink
i
For Office Use
Permit#:
City of Eajan 1 Permit Fee: `l'~ • I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 51 \3
Phone: (651) 675-5675 I I
Fax; (651) 6755694 1 Staff: 1
i I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name, Phone,
- Resiens; y /
Address I Ci ! Zip:
VA ly -/V
Applicant is; Owner ,Contractor
Description of work
- a
Construction
;:D-T✓+• >~r,..y ,ti.¢~;n,yi Cost: 16C 2
Multi-Fatuity Building: (Yes / No
{•.^Yl..;;~.>k',''X~: Company: Contact;
Address: ~ City: i
Contra` Eli
"stsSvr'x:,:<ti hs`Y': N State, Zip: Phone:
License -
i ) (S Lead Certificate I
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
l
_Yes -No If yes, date and address of master plan;
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE 'Plans and sppporting.do ume»ts that.': bm rare cons/dered fo ire ub►ic information !!Pr of
the lnformat/on maybe•classlt%d as non publ/c ifyou prof S spd reasons. a'f WW pern~ii( lie':CItY to
:conc/udr;;thaf'th$ `;are Jade.secr && r :
I
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.goaherstateonecall.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
day permit Issuan e.
x xA- v
z> 61 kj,
- V1 - /or wa/^, ZAk Applicant's rlnte Name Applicant' I ature
Page t of 3
6. 2013..11:024...Property Claim Solutions.............. No. 1669 P. 6..
Boulder Ridge-1013279 _ Use BLUE or BLACK Ink
- - - - - - - - - - - -
For Offic
e Use
i I O Ov I
Permit
City of Eap
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 56122 Date Received: j
Phone: (651) 675-5675
Fax: (651) 6765694 I staff-, I
i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater 11-4-13 Site Address: 4241, 4245.4247 Boulder Ridge Point Unit
r<a < :ci:: >l Name: Boulder Ridge Townhomes Phone: 612-290-3055
1 ziP• 4241, 4243, 4245, 4247 Bou )der Ridge Point
Address / City
OUjItSti
Applicant is: Owner x Contractor
Description of work: Reoair only sliding geiees_that are damaged.16SQ
c:.....YP 3
Construction Cost: 8.132 Mufti-Family Building: (Yes /No X ,
r;.9,x.;mzwJ:urse,~
Company: PCS Rg5ldential Contact: Patsy Hanna
h~~n „ e ve
yob S ' J
Address: 200 pin flak iyya City: Fagan i
State: MN Zip: 55122 Phone: 651-255-0609
q>es ice` <;:i
~Y~ r JJ:N'uii
Y :1•ileN:e:O::
;:.;:;:wLead Certificate
BC593158
License
If the project is exempt from lead certlflcation, 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 slmllar plan based on a master plan?
_.Yes _No if yes, date and address of master plan:
Licensed Plumber: Phone: j
l
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
l il'QXF PtSna and supporting dooumerlts that youssbntil! act corCo b~ti infori»afioa.: PorGaiis o
'.'lie /nfon»at( ma be ass
on ad's.oriT` 6b/I~ N i51dvLis i-reasaa thi :typo%►`' `rnrit the;C`o .
l
;>.orielridel>~thi~t:tffe":~a'►~~~cle-secr~ts
l
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.aooherstatsonecall.om
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 appllcation 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. I
' i
Exterior work 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 Residential x ' 1J~ lOc
Applicant's Printed Name Applicant's) ig ature
Page 1 of 3 l
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