4221 Juniper Pt SEWER & WATER PERMIT OFF CE 1 E ONLY
CITY OF EAGAN METER # PERMIT DATE 12 /4
3830 Pilot Knob Rd. • i , 4 "7"
Eagan, MN 55122 -1897 CHI' # • ., PERMIT #
t METER SIZE B.P. RECEIPT # C 5055 - , , '
I o' ISSUE DAT B.P.RECEiP'TDATE 12
DATE .
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/--�c PRV — BOOSTER PUMP
SITE ADDRESS ,�.. PERMIT ,
LOT BLOCK I C/SU13 °• ...� ,
_If_ SEWER - VAT €f — TAPS
APPLICANT: ,,,
'ADDRESS: I41e7ff! .. - - OMM /IND . , - RESIDENTI ,
CITY, STATE -- � - - — -- ZIP �' _ l NE l EXISTING
PHONE: NE: ;r a = '
- Lawn Sprinkler Meters are to be In ,'
PLUMBER: `.«r ` Ahead of Domestic Meters on Water Une
ADDRESS: ' - ' •. ° , Credit NOT be given for Deduct Mme,
CITY, STATE ,
. 7497 ��. ..-••••=4.--.1- -••••=4.--.1- � _SIP � ,
PH NVE: "
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/Y.! s fly t AA+G O N Y . S H CITY OF
OWNER: EGAN +ORDINACE .
ADDRESS:
CITY, STATE -40" - ZIP
PHONE: SIGNATURE WHEN METER ISSUED '
ALLOW TWO ViCNVIGIO DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR. STO
SI 4414144 , ''''' . - ° € 3 41 :14 e-e 4 .4311E 2: .. ,; %«.� . /- z z -yam op
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'
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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