4224 Boulder Ridge Pt 10159 Date:
CITY OF EAGAN Permit No:
3530 PiloIJ(nob Road Meter No: Size:
P.O. Box 21199 Reader No: Date: - --
Eagan, MN 55121
Owner.
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
Misc.: By 41-4...41_, — Z ��
WATER SERVICE PERMIT C �'�
•
CITY OF EAGAN Permit No: 11298 Date:
3830 Pilot Enob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning
City Chg: No. of Units:
Acct. Dep. I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
Sep-25. 2013 10:52AM Property Claim Solutions No.1291 P. 17
Use BLUE or BLACK Ink
For Office Use ^
; Permit 1 153q 5 ;
City, of Ea a~ 3. 56
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:13 ;
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff. i
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Phone: I
s del':::<>.G
Address /City/ Zip: aaa qrBa
Applicant is: Owner Contractor
i > <;:; ~1r 1 t ~ly~ l~~rnS„ r rZ~ v! rr~° rT
rAn,a ' Description of o
w rk:
;~~'~pe~'Q~iNork
; ` . {•G;, - ConstrudIon Cost: Multi-Family Building: (Yes ! No
`i3 r Company: Contact
M1 Address:
bF_S111 City:
~.MG: ptr~aclQ'k
:5"" State
: Z►p' Phone: Lc9l
mom .1
License - c'2 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: i
i
Mechanical Contractor, Phone:
Sewer & Water Contractor: Phone: !
NOTE ;'Plans and suppcrt►ng.:douments #hat:youlsuGmit.are:'consideredto b'e,public':nfornta>ifon::Pat lons::of
the Informatiori.ma `be c/assied as rion. ubllc /f yorl
vi
Y . ~ pro de' specific. ~ason.~ that ,would pe~niit tffe' C/ty..to•..:
'
conk/ude'fhat: he "::are tradesecets ,
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.aooherstateoneoall.ora i
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 i
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 ennlt Issuance.
x • _ i' l ~(J~ x '
Appllcan tad Name A*11canra Oature
Page 1 of 3
i
..Nov. 6. 2013. 11:04AM . Property Claim Solutions ___._...._.._.-..No.1669......_P, 10.......
Boulder Ridge-1013279 Use BLUE or BLACK Ink I
For Otrim Use
I Permit 0 ;
Pit Of Ea
MY Jan
Permit Fee: 20
3830 Pilot Knob Road I I
Eagan MN 55122 j pate Received: j
Phone: (661) 675-6675 I I
Fax: (651) 675-5694 I Stefi I
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ 11-4-13 Site Address: 4220, 4222.4224 Boulder Ridge Point -Unit
"N°° "-Name: Boulder Ridge Townhomes Phone: 612-290-3055
Address /City /Zip: 4220, 4222,4224 Sgulder Ri a Point
Applicant is: Owner x Contractor
ADesch (r
tion of work: Reoa onl siding eices that are damaged, 3SQ '
Construction cost: 2,203 Multi-Family Building: (Yes /No
yr+ ?y E s> Company: PCS Residential Contact Pa1tY HaaO_
Address: Inns Pin nak r)riyp- City: F2g2n
State: _IVIN Zip: 55177 Phone: 651-255-0609
License BC593158 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: i
i
Mechanical Contractor: Phone:
_ i
Sewer & Water Contractor: Phone:
1110TE Plar1 alyd s0ppo . n:docr~mentstfta~iou'subi»ir; coraside[d tc~'be pul~llc /►stbtrfr~>tiblt 'Rofiori<s.of
ffie i~farmation ma 4 cfassffled asiii= "UbL rl
i~wo
r p yarxp..rorsid'ec l:igaasis rildc~r»ki Gify
$>b
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. m8lyw mpherstateonecall.org
I hereby acknowledge that this Informatlon 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 of permit issuance.
x Pa Hanna PC5 Residential x Oct, I rY111 10.._
Applicant's Printed Name Applicant's tune
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129796
Date Issued:03/16/2015
Permit Category:ePermit
Site Address: 4224 Boulder Ridge Pt
Lot:7 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Diana L Mosloski
4224 Boulder Ridge Pt
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature