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Sep. 25. 2013 10:52AM Property Claim Solutions No, 1291 P. 19
Use BLUE or BLACK Ink
I For Office Use -7 1
• j Permit: 115~ 1 _ 1
Cat of Eap
Permit Fee: "I
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: a5 13 ;
Phone: (651) 675-5675 I I
Fax. (651) 675-5694 1 Staff• I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
i
Date: Site Address: Unit M.
Name: Phone•
01081 i n. )17
OwEter" Address i City / Zip;
y` ' `z`{s>, n * + Applicant Is; Owner Contractor
Description of work: ri bm)e
.
Y ;;:irConstruction Cost: 1. Multi-Family Building: (Yes I No
j
' e1Vf.'WiWee~Y~~ ~•T.
Company: Contact
Address: City
,,:~~=;Yv
State: Zip: 1 a~_i
Phone:
License P10 T__
1 Lead Certificate i0:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information
COMPLETE THIS AREA ONLY IF CONSTRUCTING A WM 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: i
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
.
NQTE ; Paris, and sdpporting.:dtir uti iynts: tha lt` ou uti"..aatQ:co sldered.fo'iGe.'"ubilc:lnrormatlon: "p, io s of
P
i
tfte %nformat/o» maybe classfflecl:a non;;ub c >Iyo'providespeC(fh asonsahat,wou/gpermit eifytto
conclude the
l:.fh .'are frade secrets:~w
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.aooherstateonecall.org
1 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.
Ezteriorwork authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 i
days of permit Issuance. j
X X i
Applicant's rinted Name Applicant' i nature
Page 1 of 3 + !i
Sep. 25. 2013 10:52AM Property Claim Solutions No, 1291 P. 19
Use BLUE or BLACK Ink
I For Office Use -7 1
• j Permit: 115~ 1 _ 1
Cat of Eap
Permit Fee: "I
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: a5 13 ;
Phone: (651) 675-5675 I I
Fax. (651) 675-5694 1 Staff• I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
i
Date: Site Address: Unit M.
Name: Phone•
01081 i n. )17
OwEter" Address i City / Zip;
y` ' `z`{s>, n * + Applicant Is; Owner Contractor
Description of work: ri bm)e
.
Y ;;:irConstruction Cost: 1. Multi-Family Building: (Yes I No
j
' e1Vf.'WiWee~Y~~ ~•T.
Company: Contact
Address: City
,,:~~=;Yv
State: Zip: 1 a~_i
Phone:
License P10 T__
1 Lead Certificate i0:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information
COMPLETE THIS AREA ONLY IF CONSTRUCTING A WM 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: i
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
.
NQTE ; Paris, and sdpporting.:dtir uti iynts: tha lt` ou uti"..aatQ:co sldered.fo'iGe.'"ubilc:lnrormatlon: "p, io s of
P
i
tfte %nformat/o» maybe classfflecl:a non;;ub c >Iyo'providespeC(fh asonsahat,wou/gpermit eifytto
conclude the
l:.fh .'are frade secrets:~w
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.aooherstateonecall.org
1 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.
Ezteriorwork authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 i
days of permit Issuance. j
X X i
Applicant's rinted Name Applicant' i nature
Page 1 of 3 + !i
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117723
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 4217 Juniper Pt
Lot:33 Block: 01 Addition: Boulder Ridge
PID:10-14800-01-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
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 -
Wendy S Pumper
4217 Juniper Pt
Eagan MN 55122
(612) 802-0293
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
Nov, 4. 2013_12:22PM Property Claim Solutions_ _._._No.1647_P, 20
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use I
j
j Permit*
lip
City of Eap I -I I- .
Permit Fee:
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: j
Phone: (661) 675.5675 1 I
Fax: (651) 675.5684 I staff 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
v
Date: 11-4-13 Site Address: 4213, 4215, 4217.4219 Juniper Point Unit
'r Name: moulder
Townhomes Phone: 612-290-3055
lia t Ridge
W"
;:pwrier Address/ City /Zip: 4213, 4215, 4217,42.19 Juniper Point
Applicant is,
Owner , Contractor
Description of work: Repair only siding neices that are damaged. 17 SQ
cpe,~~~~~tork?~:
construction Cost: 8,680
Multi-Family Building: (Yes ! No
Company: PCS Residential Contact: Patty Hanna
Address: onS Pin nak DriyP Cam: Fagan
Cgfraco a
w°= State:. IVIN_Zip; 55122 Phone: 651-255-0609
zs~~r:,•.:~,,:..,.,.,.~.....,..~..a.:.»:«.. Lead Certificate
License BCS93158
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: l
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I
OTE••P/sns;aads~pport/rt~ docunrentAs chat yo44L! mlt aue:cansidex ~F-0.1. e pyblrc rnforma~o~, Po1~t pns bf .
the mfoRiiatfgre maY.be o►ass;tied;is ion: pub/l't€ ou „rc;irlale s'cN~F r~~sars` wou!if' 'atttre'C to'
. Y,..p 1e~...
t~ia~ a a'~etr~cl~:~sec~ts=:<': I
CALL BEFORE YOU DIG. Call Gopher State One Call MOM) 454-0002 for protection against underground utility damage, 'Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstattonecall.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 workwhich requires a review and approval of plans.
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 Patty Hanna/PCS Residential x 1
Applicant's Printed Name Applicant' ignature Page 1 of 3