4244 Boulder Ridge Pt ( ` - ' PERMI OFD CE` E O�ti.Y
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MN 121 READER # a . RECE T DATE _109489'
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ADDRESS: . ...._ .. _ t AGREE TO '1N�#7'H C 'Y
CITY, STATE f *r' EAG C iIF g . -
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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