4213 Heine Ct SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 512189
3830 Pilot Knob Rd. _ PERMIT # 10401 z SEWER PERMIT #
P.Box 21199 METER # B.P. RECEIPT # C 1 Tau
O_`
Eagan, MN 55121 s READER # _- B.P. RECEIPT DATE ' 5/1109
METER SIZE
ISSUE DATE -XX PRV — BOOSTER PUMP
'A
E ADDRESS if.2. /.3 //t►r✓ . -- C.40 C.40 K �aN.?' D PERMIT REQUESTED
LOT 0BLOCK_. SEC /SUB v` / 1 .. .-,
APPLICANT: 74"'' P.LL CA , ,,. , , ER _,WATER •, —TAPS ii
ADDRESS: / -D/ ft7) ,' , 6'6 — COMM /IND t ic RESIDENTIA4
CITY, STATE 404 • J ®rAdrAtAl - a, . ;,0",x+""3 V-47 r>
PHONE: f 3 e+ --2--,-.41 '" . , NEW EXISTING `
P I TIBER: ` sis•f. ' i' t C .
ADDRESS:
,_ 1 AGREE TO:COMPLY WITH CITY OF ~
CITY, STATE c-►' a DINANCES•
PHONE: ' ."' # C. `
OWNER: A'i .' a ►-2e ve,J A4pew "s , .Zr '
;:ADDRESS: / 2 - ' r, ".'?y! 4 ° :' ' + SIGNATURE WHEN METER ISSUER
CITY STATE . - i ✓ .F.c h /* ! ✓ zip X. Y 4
PHONE , 9 `'' r 2./' _
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PLEASE ALLOW TWO WORKING DAYS FOR OCESSI . FOR STORM SEWER PERMITS,,CONTACT --► , , .-
• E1iitNEER DEPT. +� '�%
Sep.25. 2013 10:48AM Property Claim Solutions No.1291 P. 7
Use BLUE or BLACK Ink
For Office Use r, 1
Cit of Ealan Permit#:
1 0
I Permit Fee: i .
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff. 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name:
v Phone: I
•;a GOwn~r Address / City / Zip: Off/ / iJ 1 46'lle cat
^
Applicant is: Owner Contractor
-.a 01. Description of work: ~ bj )r) Llnwe!s C ) &a45(2
Construction Cost: r
Multi-Family Building; (Yes / No
` Ja t" is C s
2vte.iN;i: Company: Contact :l (1 ±~J_Lc
.w ,....:...:.v°~ = Address:
'Gfli11t1aCQI'r City: t~C
State: -
Zip:
Phone:
License ! 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? I
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
• I I
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE:;Plansand sapporting. documents that you ub iiit a e'conslaleried to;be.public'lnfor riafion.. Portlons.i,0
the lnformat pn maybe classified as non-publJc rf}%ou provJde specific;:ra~s ou/d
ons. th w {n
at. pt;rtriitaJ, Clfy
conclude fhaf•fh~ :are Erectsecrefs~>'' :v':
i
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Cali 48 hours i
before you Intend to dig to receive locates of underground utilities. yrww.Qooherstateonacall.ara
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
days pOrmit Issuance.
Applica s ril d Name Applicant's ' na ure
Page 1 of 3
Nov. 4. 2013_12:20PM Property Claim Solutions No. 1647__P, 14
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use
ZJ~ 2~
G~ 1.1VIAZJ~ f I Permit j
t 1
City of Ea I
~a~ I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 l l
Fax: (651) 675-5694 1 Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address: 4209, 4211,4213, 4215 Heine Court Unit#: j
I
Name: Boulder Ridge Townho e5 Phone: 612-290-3055
Re~~de~f
t~wner Address /City/zip. 4209 4211 4213 4215 Heine Court
Y
r Applicant is: Owner x Contractor
I
a"> Description of work: Repair only siding aeices that are damaged. 3 SQ
NM i
Construction Cost: 1,752 Multl-Family Building: (Yes / No
I
_ C
omPanY: CS Residential contact: Pally H
nna
. ~ws,:~>:~:ae,>.,. Address: ___~f1fIS Pin flab nri is City: Fagan
>~4ottrac~ot: u<
h„ °Liey: State: IVIN_zip: 55122 Phone: 651-255-0609
w`atsi is u3
"u license BCS93158 L
;i sad CoMficate
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?
t
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
l
Sewer & Water Contractor: Phone:
AIOTE~ P/ansia d seipporfinglbfocUments ihatF iou sotinilt4M"66itsldered to tie,pul~lktrdomation:; Poet on5 of
the Information may be classlfleal as norrpublfa if yob provlde'sp~cNtc feasiair~s f th+uXd nrirt the' Ctty to
Ra
16
concltltl 'f if'the' na
d@:
CALL BEFORE YOU DIG. Call gopher state One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utllltles, www.aoohenstateonjpll.orq J
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordlnances 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 i
days of permit issuance.
I An
x Patty Hanna/PCs Residential x
Applicant's Printed Name Applicant's g ature
Page 1 of 3