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4244 Boulder Ridge Pt ( ` - ' PERMI OFD CE` E O�ti.Y k PERMITT ATE 9/ 0/89 # PI K ! Rd ;. . WATER PERMIT # S`EW # ;O. B!x 2'4$x► ERPER TER # 8 # EC BPT # �:.3' MN 121 READER # a . RECE T DATE _109489' : 9 ;' METER SIB ISSUE DATE xx PR t _.. 4STER PUMP �� fi µ,- . ✓' t . � � ` � � � r _ r ' e iA f PAC D , T g , , x. r , � , ' SEWER W TER �. _ T ,Y doolio jt .- 70... tr E / t NE11V Axe , fi F 4 ii•" d T ,• ; � T 1 i d t ADDRESS: . ...._ .. _ t AGREE TO '1N�#7'H C 'Y CITY, STATE f *r' EAG C iIF g . - :. ff -:. 1 ss ; ' =4r:. ,•'gi - CITY, STAB zip r , -, a EPt 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