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4266 Boulder Ridge PtCITY OF EAGAN Permit No: Date: 3830 Pilot Knob 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. 1 agree to comply with the City of Eagan Tr. Plant Ordinances. BY LA Meter: Misc' WATER SERVICE PERM IT lee) CITY OF EAGAN Permit No: Date. 3830 Pilot Knob 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: Permit Fee: I agree to comply with the City of Eagan Surcharge Ordinances. Misc • By SEWER SERVICE PERMIT Sep. 25. 2013 10:47AM Property Claim Solutions No.1291 P. 5 Date: City oiEagaIl 92.16, A1277_, 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 551 Permit Fee: 1 I.95 Date Received: t,951 3 Staff, 2013 RESIDENTIAL BUILDING PERMIT APPLICATION side �Qwneir .r' 4- ,a> J Site Address: Unit #: Name: Address / City / Zip: Applicant is: Owner Description of work: Phone: Contractor Construction Cost: __s541S(Dg Multi -Family Building: (Yes Company: "C,,7-) { ',r").‘c'1* ice) Contact: Address: City: tt'� State: fi11\1 Zip: o„ . 1 ac-') Phone: nca\ c3?(._00 / No ) License #:p prep tc )n 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, JEW BUILDING, In the last 12 months, has the City of Eagan issued a pemtlt 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 and supporting: docurr ents::that you submif;are considerad::to bepublic iriformatlon:::Po' i' n the lnformatron.may be classified as:,non-publ/c If you provid e;3peciflc�eeso►�.s:af would permi't:tife City conc/ude .thet;ths are " = � < `�tii .. ........... .....,....,... 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,000herstateonecall.oro 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 thls 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. r) 3 P 2 Applicant's tinted Name App can�,%7 fs gna Page 1 of 3 2013. 11 01A Property Claim Solutions..__._ ................. . 4Boulder Ridge -1013279 11' CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6754675 Fax: (651) 675-5694 Date: 11-4-1.3 __No, 1669 . P. 2 Use BLUE or BLACK Ink • For Office Use Permit #: 11V Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 4264, 426¢, 4268. 4270. 4272. 427 Boulder R1dee Pt unit #: AI e' -; wner" ` • Name: Boulder Ridge Townhomes Phone: 612-290-3055 Address / City / Zip: 4264, 4266,4268, 4270, 4272, 4274 Boulder Ridge Point Applicant Is Owner x Contractor --.7,r t ork .x , e 's 1: x V'' Description of work: Repair only siding Deices that are damaged. 23SQ Construction Cost 12,956 Multi -Family Building: (Yes / No, 1_) or. 7 ' o r '- S' a ` 7.;.; :::::ss,;;;;. Y .a.... Company: PCS Residential Contact PAM Hanna Address: 7nric Pin r)2k11rivp City- Fagan State: 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 muter plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE Ptans arnlf*up enomaionmaybe:clasfled:es portm 9..dcmQnau'stikm►ta s:co dd:to be4b4: 00//ofo ''"`Pdtail of ' " nort- , ublie: �f . u rov..sde�s .ectfld;t ons that tot ICF' (i� re,tra e. ec ,...,. .... •... ....: , .. k` d s.. rets.<,:.:: ...,,..:.,, �:,::.:.:::, .:. , . CALL BEFORE YOU DIG. Call Gopher State One Can 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.aopherstateonecaltorq 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 pandit, 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�Y,UV� j 3 Appl cant'snature Page 1 of 3 City otEapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUN 062014 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 L11,8'9 Date Received: Staff: 42014 RESIDENTIALBUILDING PERMIT�vvA�PPLICATION Date: ��5Site Address: 4 266 /u lc/P_ i;, e I T Unit #: Reelovvner Name: TeY)i fe ( Mar kGe Phone: .56/-3c(-,9777 Address / City / Zip: 46/.2#a e Ee. 2) &/ e / ii 4 v FL 331aq Applicant is: Owner X Contractor Type tib l Description of work: (,hj DIM .tJ t lee pet #1 i Construction Cost: LC.// /6'1/o 0- / Multi -Family Building: (Yes / No 11( ) gi tractor rk Company: 1; A h- I^o eh VIe64-if,!r6-41OY1 Contact: g J' f'� /t74City: 0101 did- Address: 2 1 P111 State: pp' Zip: 4S y4 / Phone: 763 -51N-174/ Email: License #: RC- i/L g 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 16inea CJS ii -f- j fri /.f, 16th ?D 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: s nsi a the in etion may be ciassi red as non-public if lc x mat _ ire Ctty to conclude that y are $ .e secrets g 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.aopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co days of permit issuance. Lirkelf1,©01M Applicant's Printed Name must be completed within 180 Page 1 of 3 Z(oCo (3Z,;at( d 2 - DO NOT WRITE BELOW THIS LINE 17-s t ss - SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% t/ ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair SD ct o 4,31( 1 1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies (9. Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant IMMO Jti MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service TesttjGas Line Air Test mar Pool: _Footings Air/Gas a Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: , Building Inspector TOTAL 2r - Page 2 of 3 City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA124314 Date Issued: 06/26/2014 Permit Category: ePermit Site Address: 4266 Boulder Ridge Pt Lot: 9 Block: 01 Addition: Boulder Ridge PID: 10-14800-01-090 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. Diane Wagner 1770 Gervais Ave. Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Perfection Heating & A/c 1770 Gervais Ave Maplewood MN 55109 (651) 777-7620 - Applicant - Owner: Jenifer A Markoe 4266 Boulder Ridge 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