4204 Sumac Pt SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER #
3830 Pilot Knob Rd. PERMIT DATE 11/27/90
Eagan, MN 55122 - 1897 CHIP # PERMIT # 11736
METER SIZE B.P. RECEIPT # C 1 1 193
DATE
NOV 26, 1990 ISSUE DATE B.P. RECEIPT DATE 11/76/90
X PRV BOOSTER PUMP
SITE ADDRESS 4204 SUMAC PT PERMIT REQUESTED
LOT 4 BLOCK 1 SEC /SUB BOULDER RIDGE 2ND X SEWER X WATER TAPS
APPLICANT:
ADDRESS: COMM /IND X RESIDENTIAL
CITY, STATE ZIP X NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOUTH PLUMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHARY LN N Credit WILL NOT be given for Deduct Meters.
CITY, STATE MAPLE GROVE MN Zip 55369��
PHONE: 493 -2474 �'
1 AGREE TO COMPLY WITH CITY OF
OWNER: NEW HORIZON HOMES INC EAGAN ORDINANCES
ADDRESS: 12201 MINNETONKA BLVD
CITY, STATE MINNITONKA MN ZIP _53/i3
PHONE 933 -2521 SIGNATURE WHEN METER ISSUED
5f c fe 7 e...0 /4 /k-_74
PLE ALLOW i w0 WORKING DAYS FOR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. (��
Sep. 25, 2013 10:47AM Property Claim Solutions No. 1291 P. 6
Use BLUE or BLACK Ink
I For Office use
j Permit ` 1 ✓ ;
qty of Eap
Permit Fee: ` l
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: ;
Phone: (651) 675-5675 I
Fax: (651) 675-6694 I staff ^ I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
YmOlivn "s' ` Address/ City / Zip:
4-1
1- Applicant is Owner Contractor
Description of work: --a Y try r 11 1J
Construction Cost: Multi-Family Building: (Yes / No
'wr%,> °asar Company. Contact:
Address City:
'for #r 05,
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? '
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor: Phone:
NOTE: Plans andsupporting. docum` e,n: , ts that,.0 n. maybe classified as•rtonubllc d you providespclf/C reasonsahat +vou%d peririif ttie"C/fy fv '
canc~ude thatahe :ail; Trade secrets
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. mm-ctopherstateonecall.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 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. i
i
x x I
Applicant's Printed Name Applicant's Signature I
Page 1 of 3
Nov. 4. 2013_12:21PM Property Claim Solutions No.1647_P, 17
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use R
j Permit A • W j
4ill~ !
City of Eap I 1
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 555122 Date Received:
Phone: (651) 6755675 I I
Fax: (651) 675-5694 I Staff I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _11-4-13 Site Address: X202.4204.4206, 4208.4210 Sumac Point Unlt
Name: Boulder Ridae Townhomes
Phone: 612-290=3055
.pywna _ Address / City / Zip: _4202.4204.4206, 4208, 4210 Sumac Point -
Applicant is: Owner X Contractor
Description of work: Repair only ciding neicec that are damaged_ 721;Q
e~ia~ti?Vq~lk:~ -
Construction Cost: 13,613 Multi-Family Building: (Yes / No X )
<<,; r Company: PCS Residential Contact. Patty Hanna
Address: 2005 Pin A Drive FAP
city:
Contrati ;In
P
State: IVINL- Zip: _ 55122 Phone: 651-255-0609
s` License 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? I
_Yes _No If yes, date and address of master plan: I
Licensed Plumber: Phone.
i
f
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
IIIOlE;::Plans attd supportrng dgcuments ihatyou submit are coaysSafe(0 to i~te publrc b► onnat on. ;Portrons;:of
the rriformaf~on may .9:c /ass led as non'ppbl164 y.6 :provide spep c asvrrs fhaa> would pelnirt the:C
doncludethatthe ar~>tlrade'secrets.,:" . s....
CALL BEFQR,E,YO DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours i
before you intend to dig to receive locates of underground utilities. www.nooheFstateonecall.ora
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
1
Exterior wont 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
I
x Patty Hanna/PCS ResidentialS 1
x
Applicant's Printed Name Appllcan ' Ignature
Page 1 of 3 I
i
i
Use BLUE or BLACK Ink
-----------------,
� For Office Use I
� ��4 �.� ,
�1��10����l�Il � Pe�,�t#: �
e ,
o a�= i
3830 Pilot Knob Road I Permit Fee: �
Eagan MN 55122 j �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 � I
I Staff: �
L----------------�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit twa(2)sets of plans with all commercial applications.
Date: ���f� / 1`"�" Site Address: �{"'2-�� :�:��'� ���C..., �i^1 N'� �
Tenant: Suite#:
��,`�J���'1F�C�WFl�'T ,
Name: ���-� � � �t f`�� ��,�v j `��+� Phone:
�~_.:.',...•: ' °< Address/City/Zip:
_; _ j
m�.�.��.�,.�.�.a..�a��.va� ,.�_ �.��...
Name: ��'"�"tl��i � ��i�+t�� ��..�/(V(V License#: ��'����
' �t>[�'����Di'' Address: �i���(:' /et�l.� v'� - City: 13�'7`�1��
State: M a Zip: ��`�' ��__ Phone: "-J�''�'�`�� • ���I�
�� . . - �
;� v ' : Contact:_;L t�' Email: 1-����`�t,.t�i-U�ttf�('�-k�"'(�M�1� w�'�/I
New 7� Replacement Additional _�Alteration Demolition
'�"�'��a� q���� Description of work ���, �1 �
�..
N€�T�,I�e�vf rnnur��i�����r�ra�nd mt���nfi�d;machanrc:�1��uipment�x�qu�r!�d�a#��; 1��>#y��� .:
� � � �, , .
< ' l��...•RIe�����Ctt��t th�:M�ct�ani�ir����tiar for���rmaticn�iCi';pertriitt�e��c�:�ttM. �rrcl�.', .: ;:
� � RESIDENTIAL � � COMMERCtAL
�Furnace ib'wA1 t��fi�l� New Construction Interior Improvement
� 7� Air Conditioner � Install Piping _Processed
Per'mit Ty� —
� _Air Exchanger _Gas _E�erior HVAC Unit s
°, ,�� , � _Heat Pump __Under/Abaue ground Tank (`Install/_Remove)
Other
—.�.��..�.��m.��., . ...�u„ ...m..�u.��....���.�,,,,...��.,�....r.,.��a�r��,
RESIDENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharg�) _� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 permit Fee Minimum
$70.00 Underground tank installation/remova� _$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"`
'"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
�"*If the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the� rk will�b�in c��nfor nce with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permi,and work is t to sta without a permit;that the work will be in accordance
with the approved plan in the case of work which re�quires a reviev��and appro I of plans.
x �1C:���' x 1
ApplicanYs Printed Name p'c ' nature
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