4268 Boulder Ridge Pt CITY 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.
Meter:
Misc: By/4
WATER SERVICE ERMIT (
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CITY OF EAGAN Permit No: Date:
3530 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: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
Sep. 25. 2013 10:47AM Property Claim Solutions No. 1291 P. 5
Use BLUE or BLACK Ink
For Office Use i
y
LIZ • ~2(o Lo~, L-t Eq ; Permit r I X31
y of Eap '
3830 Pilot Knob Road
2 l r ; Permit Fee: -f , 0/6 Eagan MN 55122 Date Rscelved: ~3 I
47i -7, 1 q101r 11
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
``YV .::•.'i.; , v:`<: Name: Phone: I
tWoo' ~ ,p I
?Qwnflr r' Address / City /Zip,
JJA
Applicant is: Owner Contractor
Description of work:1~CX ,t.)Y1 ~QCA ~tGl('Y1
Construction Cost: Multi-Family Building: (Yes /No w,? :°k x abet: Company: Contact
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7 Address:
-Lai
:Garit.cQ. CS6
C'h':
State: _DZp: ( c Phone: ' c
License L O 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 hIEW 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: j
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer R Water Contractor: Phone:
I
NOTES Plans aid support/ng:doc`urrieh`0th atyou sdtimif;are corisidaliad:ao`be. `ublic•iriformatlPo `i'
J
the lnformatrQn maybe ciass/fied as non: publ/c q6; f providespec~f~c;7e880ns titaf would permltaife: Citji`fo
conc/ude •a ha tlh'
a are trade:secrets;'
CALL BEFORE YOU DIGS. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities, www.aooherstateonecall.om
i
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 oermit; 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 18o i
days of permit issuance.
X ` PL
-&L - Applicant's tinted Name App cans gnature
Page 1 of 3 i
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.__..__Nov, 6. 2013. 11:01AM . Property Claim Solutions..^_. _..No. 1669 . P. 2
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use 4
j Permh
Ciq of Din
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675,6675 I I
Fax: (651) 6755694 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address: 4264, 4266, 4268, .4274 Boulder Ridge Pt unit
Name: Boulder Ridge Townhomes Phone: 612-290-3055
'Rsideilw"
;Owner" Address City / Zip: 4264, 4266, 4268, 4270, 4272, 4274 Boulder Ridge Point
Applicant Is- Owner x Contractor
-1-4 x
!e;Atwrlr Description of work: Repair only siding eices that are darrigeed. 235
Construction Cost: 12,956 Mufti-Family Building: (Yes /No X )
;M:::<~„U: y,< W~ u <,;•:y:.
Company: PCS Residential--- Contact: uh~1f Hanna
LS W;:1
Address: ?nnS pin nalr Drive City. -Fagann <a
:a y4; State: M Nzip:
22
Phone: 651-255-0609 '
W. 110:
License BC593158 Lead CerUflcate
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:
• 'I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
NOTE•`Plans ancfupportmg documQnis tfia't u su~m afis cortTed'to be pelbll'rrifprmafio Pditlo s:o
it sd
the inlb itt
align ma b ecl "
al" as nbn p bi c ~f yqu pFOVide s eclf~a reason$ that wbcrlc►permrt it a CftY tQ it 1
u connlt~tle that e v
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45"002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utilities, wNw.Qooherstateonecall.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 160
days of permit issuance.
x Patty Hanna/PCS Residential X Q!Lw~La 'U\v AP:
Applicant's Printed Name Appl cant' aturs
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Page 1 of 3
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