4205 Yew PtSEWER & WATER PERMIT
CITY OF ELAN ,
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan,;MN 55121
OFFICE USE Ot+l.Y
PERMXT DAT4 10/30189
WATER PERMIT "# luu4 8iWER PeRmir # 4357
Et,P BP RECf'"# ,C
B P RECE TDATE 10/27/89
APPLICANT:
ADDRESS:
CITY, STATE
PHONE' aZ,�
@VESTED.
�►ATER: _ _ TAPS
RESIbENTIAL.:
_._ EXISTING
PLIJABER'
ADDRESS: ,, I AGR
CITY, STATE 1� ,. sai. o �' , EAGA$
PHONE' .- - '<so
Sep: 25. 2013 10:46AM Property Claim Solutions
City of Eaaau
3930 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
No. 1291 P. 3
Use BLUE or BLACK Ink
For Office Use
Permit#: I "51(1
' (1
Permit Fee: 5
Date Received:
Staff:
b
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
•'''%_� ;+: ' '
caner` `
Name: — / ulYJfl!'Y1G Phone:
Address / City / Zip: WiZ4f 14493.' id/1 , lidn714(20O I lea.)
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Applicant is: Owner XlContractor
9 0
Description o f work j�t�'i LcYI-T'iT'--/LL GYYIeS � )
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Construction Cost L > Multi -Family Building: (Yes / No )
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Company: -1 ,. J .- etc --)l ` e -l+ lap Contact:
-ds it
Address:-
//.Q \� bF-NiVe....,City �. t
State: Irnl\\, zip: 1 Phone: to i c (co
License #: Pf_.1 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
• NOTE: ]Plans and Stipporting documents that yousgbm/t ate :considered to'.be publlelnformation. Portfons::of ':
the informat/on may oe classlfled as •non public )f you'provide aii00 CJ reasons: that would permit. the'Clty:C •
a�that_they.�are tr de secrets°�.� ''';::.:��;�::::;•.-;:`:'::<:;:;':=''".. °::':>:,:.:..:;,.:..:
clod ` '
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 464.0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstgteonecaILorst
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 1 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.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days Issuance.
x Ird*,t
ruict
Applicant's Pri -d Name
x r'
ApplIcant'i • nature
41-IpvKa R -.S
Page 1 of 3
Nov, 4. 2013_12:21PM_ Property Claim Solutions No.1647_ P. 15
Boulder Ridge -1013279
440.
C!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 11-4-13
V
Use BLUE or BLACK Ink
For Office Use %19. Permit*''
Permit Fee: C l/
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
2-I
Unit*:
Site Address:
J
esd0n
f « er.,.
`
2-290-3055
Name: Boulder Ridge Townhomes Phone: 612-290-3055
Address / City / Zip: 4201, 4203, 4205, 4207, 4209 4301 Yew Point
Applicant is: Owner x Contractor
o 'Iil,or
° ^
Description of work: Repair only siding eices that are damaged. 7 SQ
Construction Cost: 3,493 Multi -Family Building: es / No X
"n ntra > •gg.
y W u uuLead
Company PCS Residential Contact Patty Hanna
Address: 2005 Pin Oak hrive City: Faun
State: MN Zip: 55122 Phone: 651-255-0609
License #: BC593158 Certificate #:
If the project Is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes _No If
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Phone:
Phone:
Phone:
: NOM: -'Plans and Supp, octmg documents that you submit:_ are consfderecf to be: publtc;lritormado n :Portions of.:::
e information may. beclassifiecR as non-public rf you prole spec►Ylc:reasons:. 0.i;titibuldperm 'Ur4 t ...
i .. ........ c -OW . ..... , .... > . ,...
.... .. , Con IpcC�ft►at't>! r� i�raafesecnei�w'
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cell 48 hours
before you Intend to dig to receive locates of underground utilities. www.gopherstateonecalkorg
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.
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
Applicant's Printed Name
x
Applicant's
442Awna 14)CS
grature
Page 1 of 3
Date:
Tenant:
City otEaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L.
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Sl(q�llo
Site Address:T o�-�� �v
Oie
J
Phone:
License #: `[ "l -C-
411
Address:t 24 CCity: / l -U90t�
Zip: iS ( Phone: C (� J-( S� Ls -3
Email: • es it Ca E>p�
Suite #:
6 -q 9
New 'Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
IWater Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this ' formation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand s is not a permit, but only an application for a permit, and not to . hout a permit; that the work will be in
accordan .- with t . roved plan in the case of work whic equires a review and appro .
x 41 fir,
x
Appl+Ys Printed Name App
City of Eagan
PERMIT
IP1' City of Eaan
Permit Type: Building
Permit Number: EA143701
Date Issued: 06/23/2017
Permit Category: ePermit
Site Address: 4205 Yew Pt
Lot: 43 Block: 01 Addition: Boulder Ridge
PID: 10-14800-01-430
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Donna J Simmons
4205 Yew Pt
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature