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4249 Boulder Ridge Pt T - - Use BLUE or BLACK Ink For Office Use I AY 2 8 WT I I I Permit l Ny of Eatan I ! Permit Fee: 3830=Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: PERMIT APPLICATION 2009 MECHANICAL t~J &WcE Date: Site Address: qa -I I T enant: / Suite RESIDENT / OWNER Name: Nm'ini-aue c css Phone: (Ako 3 - (Qc9a3 Address / City / Zip: 5 CONTRACTOR Name: 1~ + r~ C Licen e - q 697 q Address: 50to~) / 1 c-0-70! Jar i /-IUt P City: ShG J ) jjak r State: /J Zip: 6^ O Phone: 15~Jl Contact Person: GNILA/6,ill J Dhn TYPE OF WORK New . Replacement Additional Alteration Demolition I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction ` Interior Improvement Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas ` Exterior HVAC Unit _ Heat Pump _ Under /Above ground Tank C_ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.aoaherstateonecall.orci 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 pe it; that the work will be in accordance with the approved plan in nthecase of work which requires a review and approval of plans. x~n j J +L/c✓l yr x t/ Applicant's Printed Name Ap " ant's Signatur FOR OFFICE USE Reviewed By: _ Date: Required Inspections: -Under Ground - Rough In -Air Test __Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection Parcel Files Cover Sheet Unique ID: 1989 4249 Boulder Ridge Pt 101480009002 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 79 CASH RECEIPT VW OF EA-OAN 3830 PILOT KNOS ROA15 EAGAN, MINNESOTA 55122 DATE - 19 AMNEO - j FROM A - - ~1~ UNT~)DI~ DOLLARS 101_~ 61 ~r to'o' O CASH O CHECK FOR - f7p FUND OBJECT AMOUNT p; .rte -QA.CJ ° s ' Thank You s BY " K r ^ l $ White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RttEPPT, y CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 S ~ DATE z 19 _ RECEWED 't ) E AMOUNT $ t E _ & DOLLARS 100 O CASH 9,.dHECK j FUND OBJECT AMOUNT r t Thank You BY C 4d+ V V+ite-Payers Copy YeAow-Positing Copy Pink-File Copy INSPECTION RECORD CITY OF EAGAN PERT" TYPE: t; t.~ f l r t~ 3830 Pilot Knob Road Permit ter: 0 , 1 WlA t Eagan, Minnesota.,; 5123 bate Issued: 4,t., { 4 ~ 4 (612) 681-4675 SITE ADDRESS: to l ti t(h. APPLICANT: • 9 l~ t ; , 1) f 4 fit 0 L' V It 10 (1 f PI PERMIT SUBTYPE: TYPE OF WORK; I'll ",l" 111P) ION ~ 6AS HNSPECTIONTYPE i k00611 IN 1- INAI f Mo. Dale $iW PLUMONG ESC a ELECT D" tom. commeras F I Foundation Fratift 6fi~c~trtg taint. II F r f r Rwiw t~aiN Nom. \ Or"That Final Pty. Const MAW E gr.Mfa n MD-Final hook FV. i i Do* Farm Wt~ Pr. Lisp. INS EC I4N EC CITY OF EAGAN' PERMIT TYPE:` 3830 Pilot Knob Road Permit Number: Ott/~~~ Eagan, Minnesota 55122-4897 Date Issued: (612) 681-4675 SITE ADDRESS: t ct 1 to r APPLICANT: 4tt~t4l< 1.l4~.1~, .1~ i t4tt~ t td 1 t nfi~,~4 • ~!~!~tJ PERMIT SUBTYPE: TYPE OF WORK: 4 itllt1 H IN I i NAi Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ` PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE Key AIR TEST e Z 9 I FINAL PLBG i FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ' PERMIT # PLUMBING PERMIT Q CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ONE: 454-8100 Site Address 4251 Boulder Ridge t BLDG. TYPE WORK D TION Lot v Block ec/ b Res. New / Mutt. Add-on p on it PIu i Comm. Repair Name hom o Add, ss 12201 tka B d Other C C i M t k a o e 3 3- 2 5 21 RES. PLBG. ONLY - COMPLETE THE FOLLOYIi'II FIXTURES TO AL N me NeW r Homers Water Closet - $3.00 r\, d No Bath Tubs - $3.00 c A ress 0 2 Ave P t h Lavatory - $3A0 p Ci 1 o Phone 473-4055__ Shower - $3.00 71 Kitchen Sink- $3.00 EE Urinal/Bidet - $3.00 COMM/IND FEE - 1% O CO RACT FEE Laundry Tray' $3.00 ;fP Z16 _ APT. BLDGS - COMM RATE APPLIES Floor Drains - $1,50 TOWNHOUSE & CONDO- RES. RATE APPLIES LWater Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEY ND $1,00 p) Well - $10.00 Private Disp. $10.00 ,,,Rough Openings - $1.50 iTURE OF MPERMMITTEE FEE: z (111,61) STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL 11 4-1 CITY OF EAGAN ~ 1yt' SAW T. H. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 LO 16610 !t i`,. PHONE: 454-8100 BUILDING PERMITZZ Receipt # To be used for Il R•8 Est. Value $72,000 Date 3m.Y is 19 Site Address 4249 I~DI~ RIDGE P? OFFICE USE ONLY Lot 9 Block 2 Sec/SUtb. BOUL t RMIX Parcel No. Occupancy FEES Zoning cc x9v WRIZON mom 00 Name (Actual) Const va Bldg. Permit 514 * W AddreSS (Allowable) itt 36.00, o Surcharge City Phone 933-2522 # of Stories 257*00 Length Plan Review e Name SAM Depth 100000 SAC, City ou Address S.F. Total SAC, MCWCC~ City Phone S.F. Footprints MOOD On Site Sewage Water Conn ~W Name D#R* G11310011310 $ Ali On Site Well 90000 F W POMM Water Meter Address A MWCC system f)o aw City 3"Vi Phone 8 City Water + Acct. Deposit 2O.Cilti PRV Required X S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge Z~►1 information is correct and agree to comply with all applicable State of 22$oOt Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: MW MMKIN low Planner 'Park Ded. on the express condition that all work shall be done in accordance with all Council 010 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies $29772.00 Variance TOTAL ' Building Official 1 Permit No. Permit Holder Date Telephone # WATER SEWI PLUMBING H.V.A.C.. nn p ELECTRIC dcF' ~/Q Vf Ile Inspection Date Insp. Comments Footings 1 We. Foundation Framing 2 Roofing Rough Plbg. Rough Htg. 3U tsul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT For V CITY OF EAGAN PERfAT.# CONTRACT 383 PILOT KNOB ROAD, EAGAN, MN IS'M RECEIPT # PRICE P OWE 434>3IQfJ CJATEs''~` Site Ad &s- - Lot Blopk`` Sec/Sub Res. MuIt:~ Add-on comm. Repair _ L Name Other Addrewl. t City ` Phone RES. 1PL . ONLY - COMPLETE THE FOLt-OW'M:t N FIXTURES J Water Closet - $3.00 $ Name Bath Tubs - $3.00 Lavatory - $3.00 Addres " U City ,rte Phan Shower - $3.00 Kitchen Sink - $3.00 Urinataidet - $3.00 FEES Laundry Tray - $3.00 COMWINDF. FEE ::i b$F 1dT!TJ T F Floor Qrairts-_$1.80 x APT. BLDGS. COMM. RATE APPLIES Water I4 ' er $1-.6~3' - TOWNHOUSE & CONDO -RES. RATE APLLIE3 ~Vhirfpo $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Pi ' Outlets - $1.50 - 1 MINIMUM - COMM.IND./FEE $20.00: (MINIMUM -1 PER PERMIT) STATE SJLWHARGE R'PERMIT .50 r"-$5.00 (ADD PE A H 1,000 OF PERMIT FEE) WON - $10.00 Privati$iap. - $10.00 Rough Openings - $1750 SIGNATURE OF PERMfTTEE PERIff ICE : r STATES SIC: - FOR CITY OF EAGAN GRAM TOTAL: ' , MTS CITY OF EAGAN 1 1 1 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BULL G X ~RMIT Receipt # To be use r i tW 2 TaN. Est. Value $7290M Date M JA 19 Site Address 4251 1I11# Rl= PT Lot lid Block 2_ Sec/Sub: RIM OFFICE t15~ ONLY Parcel No. Occupancy FEES Zoning:. &Tt- t moat= 111111MM - 4 Name (Actual) Const VBlg. Perirtt Address OO* =2 1367 (Allowable) 4 City s o Phone # of Stories Surcharge Length M Plan R"iew . o Name Depth ~ SAC, City 1~1.!d~. o ¢ Address S.F. Total MG>xVCC 115.00 t SAC, I" City Phone S.F. Footprints On Site Sewage Mater Cann 90*00 Name ~X ASSOC on site well ~ " ° water Meter Address MwCC.System.. Bev-LW AcW- 'CW City Phone City water Deposit PRV Required_ S/w f?armH 1 hereby acknowlege that I have read this application and state that the Booster Pump S/w Surcharge + information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI M06 Signature of Permitee APPROVALS Road Unit - A Building Permit is issued to Planner Park Ded. on the express condition that all work shall be done in accordance with all council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies { Building pff"f Variance TOTAL PWW* Hower Dowi T # WATER C/Cp v / s€ PL g 02 ;VAC. l ELECTf# kupocti4m c aft 11"p. COMMOMS i Fw*V 3 . UZZ4 Fief hop. Fad Pft. cow. Meter Pibg. In Nofiry P1wAb- Final Deck Fig. Deck Final wen Pr. Dap. .1 +w mp + PERMIT # 3 Zo MECHANICAL FE'IiiAIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE-.'454-8100 For Office Use Only: Site Ad ess BLDG. TYPE ' WORK DESCRIPTION L lock ub r New Res]~, Mutt Add-on Name Comm. Repair ;o Address RTH AVE. S0. Other c City MINNEAPOLIS, MN PA40'ne UP, t-90007 FEES Name RES. HVAC 0-100 M BTU -$24.00 .00 c Address f ADDITIONAL 50 M BTU - 6 (RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. HATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater. M BTU REMODELS - 12.00 Air Cond.L M BTU MINIMUM COMMERCIAL FEE _ 20.00 STATE SURCHARGE PER PERMIT .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) r Other FEE: SIGNATURE OF PERMITTEE SIC: TOTAL: FOR: CITY OF EAGAN • _ as a; PLUMBING PERMIT For Office 1 CITY OF EAGAN PERNT CONTRACT- 383 PILOT KNOB ROAD, EAGiAN, MN 55122 I CEIPT # PRICE p NE 100 DATE: OJD Site Ad r ss LDG. TYPE WOW DESCRIPTION Lot ck ec/Sub. Res. Mult. Add-on COMM Repair Name Other Address - COMPLETE !I FOL LOYIt}tJC; r City Phone w~} ° RES. PLBG. ONLY NOI FIXTURES Water Closet - $3.00 $ ` Name - Bath Tubs - $3.08 • c Addres - Lavatory - $3.00 City Phone - ~ r - Sink - Kitchen Sink =$5.08 Urinal/Bidet - $3.00 SEES . 4laundry Tray - $3.00 74 floor Drains =,$1,50 COMMAND. FEE _ 1$6 OF C~FITRA6~ FEE _ Water Hefter - tt150- APT. BLDGS. -COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLES ftirlpoo4 $3.W MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping ©ulfets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener-$5.00 (ADD SIC P CH $1,000 OF PERMIT FEE) ftp - tl*-00 Private Disp. $10.00 Rough OperdtVr, - $1.50 SIGNATURE OF PERMITTEE PERMIT FEE: STATES SJC: FOR: CITY OF-EAGAN GRAND TOTAL- } ,3 ~9C E~ s PERMIT # MECHANICAL W-0fi RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - r CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION ot p BI c Sec/Sub 47 Res.. New ~yy Mult Add-on m Name To Address _({910 VCIFNT Comm. Repair WURIM A112. So. V; City MINNEAPOLIS, MphO Other c FEES Name RES. HVAC 0-100 M BTU $24.00 c Address _ ADDITIONAL 50 M BTU 6.00 (RES. HVAGINCLUDES A/C ON NEW p City Phone CONSTRUCTION) , GAS OUTLETS (MINIMUM - 1 PER PERMIT) 1.50 EA: TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE t 4 APT. BLDGS. - COMM. RATE APPLIES Forced Air M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE = ALL ADD-ON Unit Heater M BTU REMODELS - 12M MINIMUM COMMERCIAL FEE - 20.00 Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN I n SEDGWICK HEATING & AJB-C-MDITIONING CO. OUS/E'H EATI G TEST RECORD, t»~ ( ~ -1 -P-1 Aq ADDRESS ,k• Uc r 1 h_ CITY OCCUPANT OWNER HEAT LOSS DATE HT G. INST. SOLD BY INSTALLED BY W&W Electrical Work Byt7 d 1'C1F~ Gas Line By 6 ,pGwtCX TYPE OF HEAT GA FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER j AIN J_GAS DESIGN CONVERSION MAKE 1 tt MAKE OF BURNER Model 3 Model` Serial gC Max. BTU Rating INPUT MAKE OF FURNACE Model ; _ C TROLS THERMOST T lei 1) t Plu Vent Size Valve KIND OF LINER SIZE NONE Limit 5-re M C Draft Hood Regulator Limit Settingi Filters Size Number! Fan Setting Chimney Location Inside l/ Outside , Pilot Type IL Chimney Construction L.i15} Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing N C""° Draft Test Tag L.W. Cut Off 'Door Pressure Lighting Inst. iP Pressure 36 Percent CO2 ~ Date Tested 41 Input CFH Percent 02 Company Testing Stack Tempe Percent CO Name of Tester .r Form 235 SEWE,R,& WATER PERMIT OFFICE USE ONLY :CITY ©F EAGAN PERMIT DATE 7 / 21 / 84 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # P.E. Box 21199 Eagan, MN 55121` METER # 7 B.P. RECEIPT # C 101 READER B.P. RECEIPT DATE 711$1_89 METER SIZE ISSUE DATE /c51 ~Tk T KWRV _ BOOSTER PUMP SITE ADDRESS I e' PERMIT REQUESTED LOT SLOCK SEC/SUB 4 APPLIG~ANT: r'VG W Ai~P/Z.oX , L• --SEWER WATER TAPS ADDRESS: • OMNVIND ' RESIDENTIAL CITY,. STATE .r?/r,~ 5 ~/'~V• ZIP / PHONE: ~/Z Q'-:► / NEW EXISTING PLUMBER: P ADDRESS; 1 AGREE TO COMPLY WITH CITY OF F CITY, STATE ZIP EAGAN O DIN NOES: PHONE: OWNER: ADDRESS: S URE WHEN ED CITY, STAT ZIP PHONE: • ` ~~y PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWO & WATER PERMIT OFFICE USE ONLY CITY+ F EAGAN PERMIT DATE 7/21189 3830 Pilot Knob Rd. WATER PERMIT # I L1676 SEWER PERMIT # PA. Box 21199 METER-# !fi~ R 3 LLy B.P. RECEIPT # c 3021 Eagan, MN 55121 # .0 ,0 1& Z B.P. RECEIPT DATE T 1 METER SIZE ~T A- CA ISSUE DATE A K7 -,w-x PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK L,2LSEC/SUB t✓` f WATER - TAPS APPLICANT - SEWER _ ADDRESS: ✓ ~ - COMM/IND "R IDENTIAL CITY, STATE ± ZIP PHONE: 4 c- _22 ✓ NEW ` EXISTING PLUMBER: ADDRESS; I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGA!NODINANCES: PHONE: OWNER:• ADDRESS: - SIGtTURE WHEN MET ISSUED CITY, STATE ' J• ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. BLDG. PERMIT NO. 16$1 zf-,V4,~Z~ 19 jo Y - 'lea 'a -7 01-3210 BI g. Permit 01-3422 Plan Check `Z 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit _ p© 20-2275 SAC / 20-3865 Water Conn. D 20-3868 Water Trmt. 20-3716 Water Meter r~ . 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit o 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ~ •7 C DATE: 7/21/89 RE: 4249 & 4251 BOULDER RIDGE POI P Lots 9 and to, B2 BOULDER RIDGE XX our Sewer & Water Permit for tFie above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. -~t Your Sewer & Water Permit for the above property cannot be completed for the following ! reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot ` be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATERTURN ON POLICY. i Secretary, Building, Inspections. Dept. DATE: 7/21/89 RE. 4249 & 4251 BOULDER RIDGE POINT Lots 9 and 10, B2, BOULDER RIDGE pur Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT' WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following + reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay.Jor meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing -inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. j 0 .41 A Cite of Cagan Dpimrtmmt of ludamg Pft This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use classification 1 CF~ `2 T H Bldg. M-it N.. 158 ! 1 O-upancy Type ' R3lPt1 Zoning 13,11 R'; Type cons[. Owner of Building MW ~ I$ Address 1E 1367, M PIS Building ddress 4251 Localityl.l~ BCXR. - R~ t a{~ Date: SEMMM 28, 14M Budding ffi~ POST IN A CONSPICUOUS PLACE t Ter#iftratt of rPu u ry Citp of (kagan Erva tatmt of ludbhv Ampertimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• $ Use Classification 1 (W 2 T .H. Bldg. Permit No. 16810 Occupancy Type F3/M1 Zoning District R3 Type Const VK Owner of Building NEW HQRIZCN Il Address OP-0, BM~ 1367, 1E'LS. Bwldi Address 4249 BOUMER RMM POINr Locality L91 B211 BODUIER RMM Date: OGTOM 23. 1989 ~_--7Building OBici POST IN A CONSPICUOUS PLACE CASH RECEIPT 0 CITY OF EAGA 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE' 19 RECENM FROM AMOUNT & DOLLARS ,w ❑ CASH NECK FOR ~ V ti f A FUND OBJECT AMOUNT` i Thank You fly c 8021 vftw--Pay- copy Yel --Posing Copy Pink--File Copy BLDG. PERMIT NO. /eTr Y~5 ,&aC~4 Z'10 Za"l 01-3210 Bldg. Permit n- 01-3422 Plan Check J` CSb 01-3445 Surch./Adm. 01-3446 SAC/Adm. 7.S 01-2155 Surcharge 3(o 2?L 75-3860 Road Unit yo 11) 20-2275 SAC "5-6 52 5 20-3865 Water Conn. CTb 20-3868 Water Trmt. 6z go 613 20-3716 Water Meter 20-2252 Acct. Dep. 0-0 20-3713 Water Permit 0 CO 20-3743 Sewer Permit /O 6v QU 79-3866 Sewer Conn. /00 28-3855 Park Ded. 0/-. 3-V110 60 TOTAL 7 7,2 F 43264 "9:d ~i Request to Fire No. Rough-in Inspecf n equired? ❑ Ready Now ill Notify Inspector No eady? Fertsed contractor ❑ owner hereby request inspection of above electrical work at: Job Address treet Box or Route No.) City Section No. wnship Name or No. Range o. County Occup t (PRINT)} Phone No. 1 f fi~~6f-cn tibOO&E12 up lie ~ ej,,, Address PoJ Electrical ontractor (Company Name) Contractor's License No. . M =ntracbA or Owner Making InstallationI \ ` d "+i45!4o' ~5G Authorized Sig (Contractor/Owner Makin Installation) Phone Num . "52- MINNESO A SATE ARD OF ELECTRICITY THIS INSPECTION REQUESTwILL NOT Griggs-Midway Bid if. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUES,T.FOR ELECTRICAL INSPECTION Es-00001-07 No- SFSe' instructions for completing this form on back of yellow copy. / F 3 B 4 X" Below Work Covered by This Request ew Rep. TypeofBuilding Appliances Wired Equipment Wired Home /iftnge Temporary Service Duplex Water Heater Electric Heatin X Apt. Building Dryer her (Specify) Comm./Industrial Furnace Farm it Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms t' G Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in ( Dat certify that the above inspection has Flnal , oatelo~ ~ been made. ® A OFFICE USE ONLY 4", This request void 18 months from F 4 3 2 6 5 Request ate Fire No. Rough-in Inspection 2 t Re fired? ❑ Ready Now Will NotiTy Inspector r~~J v s ❑ No n Ready? I t*.eased contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Str et, Box or<- Route NO.) City jy, Sectign No. Township Name or No. R ge No. County Occupant! (P INT) Phone No. ` Cl Address I _M wer Su f~~ A, c~~ +yj k Electrical Contractor (Company Name) Contr ctor's License N Mailing Address (Coot acto or Owner Makin Installatio 45~t A thorize nature (Contracto er a ing Installation) P _hkne Number MIN ES A S TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midw Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Universtty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. - R joSee EQUEST FOR EL E CT'RIoCAoL hINSPEICTION ~EB-00o C / r> F 3 2 65 X" Below Work Covered by This Request ew ildd Rep. TypeofBuilding Appliances Wired Equipment Wired Home nge Temporary Service Duplex Water Heater Electric HeatirA_ s Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) - Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms I' Special Inspection Alarm/Communication Other Fee el - I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final { ( Daty/ been made. 7 OFFICE USE ONLY This request void 18 months from COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always** • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always** • Meter size must be established . Meter size must be established • Meter size must be established if applicable Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 4 1 • Master Exit Plan (1) l 1 . Emergency Response Site Plan (1) 1 1 . Soils Report (1) 1 • MC/ES SAC determination letter MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities -submit plan to MN Department of Health. Cali 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: Arica WORK TYPE: NEW REMODEL CONSTRUCTION COST: 1 -7• D~ SITE ADDRESS: El I L 105 L. Aukuy f ) (~i cd-, TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK oyn AR Name' W&.~ ~ l V V~ U PROPERTY Last n n First OWNER o5 Street Address: City: State: Zip: r~ L-/2--~ CompanyMO-, lb n Phone C 90 T`' T CONTRACTOR ~j Street Address: o City: State: Zip: l ARCHITECT/ LF) ENGINEER Company: Phone Name: Registration ~u SEP 1 1 lul Street Address: B City: State: Zip: Licensed plumber installing new sewerlwater service: Phone#: ( ) i hereby acknowledge that I have read this application, state that the informatio ' correct, a pd a t com with aH applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican Updated 7/02 OFFICE USE ONLY . SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility Q 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt -PF ❑ 37 Nail Salon WORK TYPE ❑ 31 New ❑ 35 Tenant hnpr ❑ 42 Demolish (Foundation) 46 Windows/Doors ❑ 32, Addition ❑ 36 Move Bldg ❑ 43 Reroof ❑ 47 Repair ❑ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation Plumbing 0 Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total BOULDER RIDGE 14800 APPROVED 1998 PAGE 3 OF 3 PERMIT DATE & USE LOT BL ADDRESS 7/89 DUP 090 02 4249/BOULDER RIDGE PT 100 02 4251 110 02 COMMON AREA 12/88 4-PLEX 010 03 4277/ BOULDER RIDGE PT 020 03 4275/ 030 03 4273/ 040 03 4271 12/88 3-PLEX 050 03 4220/ BOULDER RIDGE PT 060 03 4222/ 070 03 4224 11/89 6-PLEX 080 03 4226/ BOULDER RIDGE PT 090 03 4228/ 100 03 4230/ 110 03 4232/ 120 03 4234/ 130 03 4236 9/89 4-PLEX 140 03 4238/ BOULDER RIDGE PT 150 03 4240/ 160 03 4242/ 170 03 4244 180 03 COMMON AREA 5 PF..±MIT 4, 5 (P 5 1 ( RECEIPT DATE: 2008 RUIDENTIAL PLUMBING P IT APPLICATION crrY of EAeLAN 3830 PILOT KNOB RD EAeM, MN 55188 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow prev/enter for it , atiog st M t j A~ SITE ADDRESS: t_l ~ 4 V1 1 V- OWNER NAME:: TELEPHONE (AREA CODE) ,7 INSTALLER NAME: TELEPHONE (AREA CODE) f Lt STREET ADDRESS: 4;0 CITY: STATE: (110 ZIP: SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. - Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: ter softener water heater $ 15.00 _LZ n State Surcharge .50 Total' $ t 5 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for an damag s caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/righ of-way a e nt. SIGNATURE OF PER I E 1/ CITY OF EAGAN IF6R SALE T.H. N0 _ 168 1 O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C3021 BUILDING PERMIT Receipt # To be used for 1-00 '2 T . H . Est. Value $72,000 Date JULY 18 19 89 Site Address 4249 BOULDER RIDGE PT 9 2 BOULDER RIDGE OFFICE USE ONLY Lot Block Sec/Sub. R-3 M-1 Parcel No. Occupancy FEES Zoning R3 W Name NEW HORIZON HOMES (Actual) Const Vn Bldg. Permit $ 514.00 c Address P.O. BOX 1367 (Allowable) Vn 36.00 Surcharge City MPT.S Phone 933-2521 # of Stories ~ Plan Review 257'00 Length =o Name SAME Depth 58- 100.00 SAC, city 00 Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints 580.00 On Site Sewage Water Conn ~W Name D.R. GRISWOLD & ASSOC - 90.00 Fw On Site Well Water Meter Address 11975 PORTLAND AVE SO MWCC System 30.00 a W City B' VILLE Phone 894-6287 city Water XX Acct. Deposit PRV Required XX _ S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: NEW HORIZON HQMF$ Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes andjj City of Eagan Ordinances. Bldg. Off. Copies Building Official ' -fvl o 'eid, ~ Q l1 Variance TOTAL 1,2, 772.00 1989 BUILDING PERMIT APPLICATION ' CITY OF EAGAN 1(0210 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS f OF UNITS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. or- Z. -149 N 40"b'- JUL 7 ' 989 To Be Used For; Valuation: ~2 dl7J Date: Site Address ~+•f , OFFICE USE ONLY Lot Block Occupancy 3 M'~ FEES Zoning 2,-3 Parcel/Sub Actual Const V-N Bldg. Permit rJ"1L1,~b Allowable V-N Surcharge 5('.00 Owned ° +i of stories Plan Review 2-5 0, bo Length ► SAC, City 0 0 . 0 Address /Depth y' SAC, MWCC . o0 '/O~. _ S.F. Total Water Conn .580.00 City/Zip Code - Footprint S.F. Water Meter 10. Acct. Deposit :~O,oo Phone On site sewage 8/W Permit 20 , o 0 On site well S/W Surcharge Contractor ZI~ MWCC System y/ Treatment Pl. 22t?- City water Road Unit 3 yo• Address PRV required Park Ded. Booster Pump Copies :00 City/Zip Code SUBTOTAL_ APPROVALS Penalty Phone Planner - TOTAL 2 Council Arch./Engr. /~1~Y / SG+~ • Bldg. Off. ]X Variance Address ~/yff City/Zip Code LLB J°~r~ , Phone # e~w- - IMYhIori Ml'Ara' "II" rttltl'I~IAYIUi: N E'rV VAG) K ITV YbMeS \,r,l r "P o. t3o?( ~'1 I Irr.tt,. 4? 3 - q o S S nlltlirn Ibrt, q'~-S'~ I,rrl ti...,. t il•i tin „I I't,,,•r•t tt•: I.•t 1 I...-t. MonEI- SI ENd n\'FI'.A(:1. I INI'AI. PliliT 01. I'Ii•tllr tht. . I `:I'tt1:l'N I:A1 f. AGI'.A ABOVI! CPAIII g' -7 Q54 } . l in,•:rl I1 .~t I t:nn,•rl vni I nhn•,rr ,~r;nlr / V s height or tanll _ 1i.., :rl It ,•I rim hr ipltl nl rim I.in~•al Ir ,•I It:nnr,l 1:x11 nl,rr..•r• 1"1 :I'll- GE, he iphi or wnli l in••.I I I n.r:.nrt "'nII nl..••.. 1.1 :101- height :11,-r pt;tdr nn.l rlnrt 12'1- ~ Int,\i, '-'I I ar.•:t :rl...vr• pt:~•ir !nr-Imlioi. wlnrlntr•: i ;r,•n6". '.,t.' •~alnr• oR LQ 11 (I' 2 .1C 1✓O (11)(r\) 322 bti • Il rlr. t N. vU.a _ gs(7 x 'II S lfo.S (11) (A) 3224 tN_ nr,. r1 .2.1(_. 11, I l . o (I') (A) sn rl - (III (A) „ ~ - - i (il) (11) (A) n r, . r' rlirr Y. (11) ( A) q (11) (A) (1!) (A) rrl . (11) (A) nq. II - (II) (A) „ gin. rL. ('1) A) (1') (A) rt )z "till 1 • 1a3_'.?- ,gntpq• Ate:t r "II" ortlnr 2A II'r .015 4 (11) (A) Int„ ! \,,,.t Kam! pcVP~N"(I ~rl , x r l- . 'f t , A ~5 1 (1) ( ) - x ' 11 O -7 Itl'n11111. VALE CONSTRUCTION Area x "U" vnl.ne i RANEE WALT. (total oven less npeal",, frnming memhern in Irr•tnll tr'I,'t Z Irmo rnrr (tour all, rm Inist nr-n f. wnnonry)nq. rl.. Ind "(r• .DAB _ - x u ob ^ frnnin~_Inembers in wall_ nd. ft - ~ t rl :herl s HIT Aptn _ n r I. (1.) (A) rea~ _ . F)nsonry_;il t os& TOTAL Ws111 Area Inclodinlt I~~S It& TOTAL (U)(A) 153,2 Windows 6 Doors ~ ✓ " 0 53.2 ' _ nVr•. "u" Irlrnl. (u)(n) vnhuis _ /,~75 Q~k. ItiVIIIIJI BY 'I'01AL WALT. ARIA 11 Avr.RACP. "N" Nlnimum riff 0v )r•nn for I 2 romtl.y duel llnnn t ?tintmonl QT nt less for nll other 1uA14F "r-,P 3 S7tyC/ lltrl'I it :tvctapn "11" vnlnerZA rnlc"Inte.d nhove do not Mee! the I'.nerpv Corte rrnolrrmcntn, the "A.Irtnnic Fnvelope hel(pn" as lodicnted nn Pn(,e 5 may he need. ' rl Outside All, I Ilu, tor:ol:,r 1ou ll~~ J I I/(. foccrior :rir film IOIA1. It 1 I - 1 / It .61 . outside sir 1.nsvlhCion . Drywn _.6- 0._:. 1~ - " Interior .~i r: film G1.. 't'O.1'AL it 11 ~ 1/R 11 17 outside nir M"' 1) / - Hu11t_np roof J.no j5 Wood oeckim, Tot:e.rlor o).r 111111 . i R(t(tf/CIiILINCt ;11, fC. 101A. AREA _ - 1 t7~" - 2"1 ~ _ (I►) (A) Ill~t:rli rr.f,•roorr 11- T _ _ _ , r, sq fC. (11) (A) bovr. 3 r rt. I Iom n s - - - (1') (A) in roof - - x q . f t - x nq. r1:. - (A) - •1'07A1.S- ~ 11_.•__•1!, I t '1UTAL (U) (A) VALUES 0.03'2- AVC. „1,.. It I v i DED HY '10TAI, I,OQI'/ (:r:lI.JtIC AIWA .053 ..gi for vent-i.lal:ed roots ion AvfltACE "U".01-f- CT►T1AL o77+E~ ;l(tl'I? If avcrafr• t' vnluos as 1':rlculntpd nbovc do not moot: Cilr linpr'r,y C.odo n•qulromtoCs. the "Alrcrnntr• 1?uvclnpr Desip.n" n"• Indicated on 1'np.c 5 may bn lined. . - .....,«<o.,.•., cur.,uccw ~ nnsw ,r , r,rrs n. ~ ~ {JCAT LUSSCAICULAlIONS HEATING& AIR CQNDI-nONING Co. MIJJIJGA.('OLIS, MINN. We it IIwrstrips A.S.H.V.E. Construction No, Insulation Windows Doors Guide Out. Wall Int. Wall Coiling Roof Floor Kind How Applied reference Yv-- No Yes- No `yL,l'I. _ ~~idt!an Longth Width % Height 01. Huum Longth ,Z Width Ileillhtf Windows and Doers-Crackaye nd Area Windows and Doors-Crackaye and Area Nn, Wrdrh HnRlhl Nn. of Luutal 11, ~Araa - l ill .rung OI ran0 I~.hly_ of rrzrck ny. It. No. Wrdrh Ilmght No, ill l urea. h. A.un - of Irann of rnnb Ir~hls of crnr•.k .q. h. 2' S.G -Ak' g ~ ~q t /4- Coot Btu Corr 11 r; r Inlillratitxl ff[y Infiltration Glass ~rj Glass Exp. Willi _Exp. wal I Net exp, will Net exp, wall ~Intywall -Int. Willi Ceiling Coiling /000 Floor 5 Total Btu. Total Otto. - 3a Itt)quired sit, ft. E.D.R. or sr., ins. W.A. Leader area Roquired sq. ft. E.D.H. or !,q. ins. W.A. I_o.rtJr:r auaal FI. Horan length 20 Width Z Height FI. - Huum Length W,dlh- tl bi 12- Windows and Doors-Crackaye and Area Winduws and Doors- Crackaye and Area Width Ilnrght No. of Lrnaal It. Aren of a k Apra Nn. of uto MOM No. rhh ilmtlhl No, ill of cr Vane Irphts of crt+ck No aq. fly of guru of Palm h~IHS of c:r:+c u. It. 2 50 _ (n Goer B ttl i Coer It t,I Infilt6tion 0?-,T 117 . j Infiltration ~ Glass t ~r Glass Exp. wall - Exp. wall Net exp. wall Net exp, wall lilt, well -lilt, wall Ceiling Floor J.C ~F loor t Total Btu. _ - Y Total Btu. - Requiled sq. ft. E.D.R. or sq. ins, W.A. Leader area Required sq. It. E.D.R. or sq. ins. W.A. Leader area Roan L Length /Z Width _ Hoight FI, Room Longth Width Height Windows and Doors-Crackaye and Area Windows and Doors-Crackage,dnd Arua N,t, Wn1n, Haryht Nu. of Lrnual It. Area No Wnhh Haryht No. of l meal 11. Aren ill 1.^+nr! of~pa, huhts of crock sy. 11. ill I+~+na ill ranrr I+Uhls of crack Sri. It. cnet !H ill Coe. is lilt Iillation 11 s / IntiltraUOn 11,75 glass ~Gla •s Exp: wall- Exp, wall 1~- Net /±xp.'wall Not exp, wall Z 7- Int. Willi lilt, wall _ Ceiling c731 I' lur,rr I lt+toI Litt). lutal Otu, nt:riunetl sq. It. 1..L).R. o+ >:q. tn5, 17.i:. Ln,uicr arn,t 31.:ytnr,al ^,q. It. L:.Il.lt, ur ors. ':.'.A. I rartl.rr iU(ra HEAT LOSS CALCULATIONS HEATING&AIR CQNDI-riONING CO. MIIJIJlAl'011 r.. . We;Ittrer .trips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wall Int. Wall Coiling Roof Floor Kind How Apples f Reference Yes-No Yes-No t9 FL 1. E63 a Ftean Length Width Height F1. Ruum Length Width Hei,llrt Windows and Doors-Crackage and Area _ 01- Windows and Doors-Ciaackage and Area No. Wrdrh Ifmolit No. of Lrnu;ll 11. Arad h 11nryM Nn. of t areal 11 Amd ut IL"- of p:uln to Ins of crack Kq. 11. No. of Wuh Irma al gams Ir4hls_ of crack eq. r1. Cowl B tit Intillraticxl i/~ 11-55 Infiltration GIASS OO Glass - ' Exp. wall Exp. wall Net exp. will 70W ~p 9-j Not exp. wall clot. wall Into Willi Coiling Al Coiling Floor O Floor 15 Total Btu. z 1a05 Total Btu. Required s11. ft.. E-.D.R, or sq, ins. W.A. Leader area Reljuirod sq. ft. E.Q.H. or sq. ins. W.A. Loader aroa F1, Room Length Width Height Ft, Room Length Width Height Windows and Doors-_Crackarge and Area Windows and Doors-Crackage and Area No. Wrdrh Ilerght No. of Lrnent 11. Alen ------•t _r _ 01 1,11110 el pnne fr ,,,s of clock nq, ft. No. of p paim nW e Ilarey of ~ l It, ^Ared of p aim lls of f crock '.q. 11. Coef B tit CUof B to (nfllllatlOn Infiltration Glass Glass Exp, wall wall Net exp, wall 4/0 ~~fb Net exp. wall Int. wall Int. Willi `Ceiling_ Coiling Floor Floor Total Btu. _ 35~a Total Btu. Required sq. It. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. O E~ Room L Length Width Heiflht FI. Roorn Length Width Height Windows and Doors-Crackage ~iti Area Windows and Doors-Crackage and Area No. Wrdrh Horaht Na. tit Lineal n. Area Wnlth Haight Nu. of I meal fl. Area _o11of o;ure It Its of cr Irk sq. 11. No. of pit ul roar IMits- of crick sq. fl. 'c ~0 1 - - Cnnl it to Cool - 11 1 r _Inllltration infiltration Glass ~ Lo2o Z;45~6L_ /DOO G l"!;!; Fxp, wall -Exp. Wall - Net exp wnll-___ Not oxf). wall lilt, wall Int. Willi ~Ceiling Ceiling Flour -Fluor I Will Btu• 3~o Sr* Total Btu, lir'luilcrl Srl. It V.D.H. fir s:rl. ms. W.A. 1 rr:ulcr aro;r Nix 1lircrl !,r l, fl. ur III- I FOR SALE UNITS CITY OF EAGAN (VO' 16811 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # u3021 To be used for 1 OF 2 T.H. Est. Value $72,000 Date .111T.Y 18 19--L9- Site Address _ 47 51 BOULDER RIDGE PT Lot _10 Block _2_ Sec/Sub. BOULDER RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES NEW HORIZON HOMES Zoning R- ~ 514.00 w Name (Actual) Const VTl- Bldg. Permit c Address P.O. BOX 1367 (Allowable) VT}-- Surcharge 36.00 City mpls Phone 933-2521 #ofStories 257.00 Length 50 ! Plan Review ZF Name SAME Depth 24! SAC, City 100.00 00 ug Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints - On Site Sewage Water Conn Sgt)-0 Name GRISWOLD & ASSOC On Site Well 90.00 Lu w Water Meter XZ5 Address 11975 PORTLAND AVE SO MWCC System XX 30.00 ccZ B r VILLE $94-6287 Acct. Deposit a W City Phone City Water XX- PRV Required XX- S/W Permit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump 1 .00 S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: NEW HORIZON HONES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official a Variance TOTAL $ 2,772 00 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS !MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (C fl WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ~ # OF UNITS y NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORA MEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES BILL BE ALLOTTED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PF.'w`-' T FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR-IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. In~L' Used For: -TOWN "o'.ksE Valuation: a, C)00- Date: ""'a Site A ~s l.•~.Sf - OFFICE USE ONLY Lot `e Block Occupancy CZ 3 PA-1 FEES Zoning R-s Parcel/Sub ZL-C~-/444r'o Actual Const V~~I Bldg. Permit Siy,ou Allowable Surcharge ,00 Owner 1~.//,ip/iVf1~,✓~° # of stories Plan Review ZS ,tom Length SAC, City 100 co Address ~i Depth Zy' SAC, MWCC cac? Water Conn Coo, O® S.F. Total City/Zip Code Footprint S.F. Water'Meter 90.00 / Acet. Deposit ®o Phone On site sewage S/W cap, 00 / On site well S/W Surcharge 1. oo Contractor MWCC System Treatment Pl. 16, 0-3 City water ~ Road Unit 340.00 Address PRV required Park Ded. Booster Pump Copies 1,00 City/Zip Code SUBTOTAL APPROVALS Penalty _ Phone Plate TOTAL Council Arch. /Engr. /S Bldg. Off . 71~ Address Variance t ~ do, pee- City/Zip D Cit3'/ZiP Code Phone # ! IOG~~ } ` f.`'.111'II`I: I'~•I\'t 1.1111 .AVIVM:I', "II" I0111TIA1ION N 12 ~z~ N Y ~S "P ~K I'~'1 1 I,,,r,,. 47 3 - 4o s S n.lniI Ir,r, 1•:,1r 4-~5"~ I r,l i,..,;I•ri..,, ,,I 1', ..1„•,r\•. ~UL~ i)e ~It~c~E MoPC-L S1 END AVtRACI 1 11,,1 1 1: e1 ;-1' n' rl arll r ?Ir t`:I1,l:rn 1,AlI A1:I'A A11OVI', iTAIII 1. 1 Q~ ' g{ 7g,4 ~ 1 i n, n I I 1 . It 1 , .,m.•r1 n 1 1 ❑bnvr I;rmlr l/. hr• i {;Itl (rr ,t:, 1 I . . Ir41I ~3~}. I in•:,I I, ~•I r i,n ~L hr•i,•It l of rim t 448 ~4+ _ 1 in.•a1 I' .~1 I,:,n~r•,I ,:•nII :,1,~,,.•r• I•,r:r,lr• 5(O hrip,ht of will I ins. ~I I' „I n,.,•:~•nr': ~.•rtl l rtlv.••r S~r:nlr, I,r•ip,l,f nhevr pr:nlr 12'1 S ~ . I n I'.\1. ,::r 1 1 r :,b"er• :,•Ir i or 1 n.l i n{; .v I n.l„~: nn.l ,Inr„ Il ,t,. , No(~C-O TIA 1~t-1_. Mv_I_ts,i: rc.2X_?--o Go n" ( ) '~2i4 17N_ q. rc.2._1( (11) 2 10 4t rt 2__)C 3 x 1 4 (11)(A) 1_171A . V4_ FN V r (1! (A) x ,r11rr gfl . _ - - 11" (II) (A) (11) (A) - tl rI. _ -(1!)(A) ----g q . t t • (U) (A) gq. tt. (tl A) - - (1') (A) sq. ft. - I`I'ul";• Alrn r "11" vnlnr , . 2q x „r, , og pwANT l (11) (A) I:1.,• I,, 4N( rr tl 1 .0 (11(A) (11) (n) gq. fl fIVAr111P. IWA. Ct\NSTIIII('TI(1N; Ave n x "U" valor ITAwr) WALT, (tnttnl. wren less ol„•uin{;, frnmin{~ mrn,hrr!, i.n I'rl:ril Ir lr•1 ) c n r,n It, Ilrnntnlry) - tt ~t7d2 "N" DAB 0q'S. ( -)(A) ~•:,t i 1 inl 1,i gq, rt - I'r nnu,~-nlr nlbet , in will (C) (A) esq. rC. ttasonry_nrca__tl~nva_.era. c_____---=• 53• Co l051o CA-k. 1'0TAI, 11:0.1 Aten Tncludinl ~,~15 rnTAl. (tl)(n) ' ~3.Z 153.2 _ n~rr•. "u" ~ ' - IuIAL (y )(A) VALULS Ili v i 1I I)Y T6 TA1. IJA1,1. Alll?A it AVI'.IIACI: "II" 1lininlcrn, A-t-or leg!: for l & ! tntnily dwellill(; t 3 S7tM[/t HIit ilnlim r>!9 0l lest: for nli other hulkeFf*t1!7 tr" Z~8 rnlcointed shove do I,ot sleet Ilse f.nclp.v Codl. rr•t,llirenrt•olg, Ill'. 1!rrff I ( :IVeI apr "It" vnlurs "Alrloale fnvrlope Dorlpn" ns indicnl.ed on I'al;e 5 may hr• n.^.rd. r. l llutsirlr, alr I i Im ' lor:ulnl inn fntctLnr n r film tttl A1. It ' 1 I - I/it outside sty film..._._. lnsulntion / tSn 1) rywn 1. t _ _ - (~1 . - G 1 l.nterior. nit: fill" 'ro'I'AL It II 11 „ I /R .17 outside n.tr f.ilnt _ Built _111) roof ills, 1 ----.`-1C1~~1~~~ LnsulnCton Wood deckilliv, Wood - -1 lutertor nir [llm 0 'IOUAI. n IlifAI. AItrA' (U)(A) u' .025-___ 1 (I')(A) Ur~tal l tefrrr•rtr•r _ _ - - Ii, r, sq. ft. 1 1 lint nbovc. g~(i-1 II(~crlllo opontngs : - - - X sr) . f 1. . (U) (A) x - - - ~Jw - tc) (n) TOTALS- - -sq I t TOTAL (U) (A) VALUES p oAvt'. UIV1pi:U 11y '101'AI. Root'/ cr:1tIm' AItrA AvrOACI? "U",OLf, -r" for veot". Il.ed roofs ion TH~gN Z . 7pWezN~,.S I'I,y (•odr rrqu{rr.mcnl-- the 03 ~'7V7//IC.O~~ r•1 Lltr I'.ni D mr do tt(tt . 3 R 1,v(! nl ( '1 Vn tltf•3 71 t: 1-:It (al ~.ntCd I! nver;tl!r. "I "Alternntr• 1?nvelnpr Destpo" ns Iadtcntrd on )'np,e S Inny Ill, n!:(-d. a PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028711 (612) 681-4675 Date Issued: 08/28/96 SITE ADDRESS: 4249 BOULDER RIDGE PT LOT: 9 BLOCK: 2 BOULDER RIDGE P.I.N.: 10-14800-090-02 DESCRIPTION: (GAS) Buildinq Permit Type FIREPLACE Building Work Type ALTERATION Census Cade 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY. Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - OWNER: HEARTH SERVICES INC 16530242 DAHLVANG DAVID 6693 E SHADOW LAKE DR 4249 BOULDER RIDGE PT LINO LAKES MN 55014 EAGAN MN 55122-1893 (612) 653-0242 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 Mn. Statutes and City a# Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE IS-SUED him 9,P)AMA B SIG TURE i t. i i i r. :~(:.,f,.,,. +•b•Y + 1 i i.,:,i. V + ,r •i ,!r •i: 9M Q49 BOULDER RD 25AM TM 900i 4249 BOULDER RD 0.50! i T-Tal Receipt Amoum&~ E5.50 i it •i i 13 : •1: a, ,J ,t•i : •i ~ i ,1• i j. 1 f: :f:• H i CITY OF EAGAN 3830 PILOT KNOB RD - 55122 / ✓ qjj ~ 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: _ WOOD BURNING GAS INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE] c,-}- G 4066 _ OTHER:6 h►tP~eJ 1 0 e~ V C9d2~ r_y (QC 1 txi5 n ROOM TO BE INSTALLED IN: STREET ADDRESS. a LOT BLOCK _ SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOD 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. PROPERTY Name: 11RA Phone OWNER Fl Signature: Street Address: ~fz- U~ City: State: zip: FIREPLACE Company: VA! ;5'~~V' P-S Phone ~ INSTALLER Signature: Street Address: 7---E- ki a Lc , ~-k ense City: 41 0zL ak'oS State: - Zip: -S a C `1-~5 GAS LINE Company: A/,,~~-(-V41 - Phone INSTALLER 1 Name: 'zq Signature: Street Address: City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 14 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. PERMITS ~3 Y CITY OF EAGAN tLD ~~I 3830 Pilot Knob Road PERMIT TYPE. B U YN G Eagan, Minnesota 55123 Permit Number: 0 2 3 4 9 4 (612) 681-4675 Date Issued: 05/04/94 SITE ADDRESS: 4249 BOULDER RIDGE PT LOT: 9 BLOCK: 2 BOULDER RIDGE P.I.N.: 10-14800-090-02 DESCRIPTION: (GAS) Fun ding Permit Type FIREPLACE Bui.l.ding Work Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. L I C . OWNER: FIREPLACE SPECIALIST 14511970 0003924 DAHLVANG DAVID 1200 9TH AVE 4249 BOULDER RIDGE PT S ST PAUL MN 55075 EAGAN MN 55123 (612) 451--1970 (612)687-9268 - I hereby acknowledge that h have read this application and state that the. information is cor,re,.t and agree to comply with all applicable State of Mn. Statutes an :ity o Eagcin Ordinances- APPLICANT/PERMITEE NATURE ISSUED : S NATU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 3 4 9 4 Eagan, Minnesota 55123 Date Issued: 05/04/94 (612) 681-4675 SITE ADDRESS: LOT 9 BLOCK: 2 APPLICANT: 4249 BOULDER RIDGE PT FIREPLACE SPECIALIST BOULDER RIDGE (612) 451-1970 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ROUGH--IN FINAL CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 1 \ Valuation of work ISO O ~r • U L D LL Site Address.1 o v/ oA Q r d0 \ T STREET SUITE # Tenant Name: (commercial only) LOT _ BLOCK SUBD. P.I.D. # Description of work: ~Jsial 0,5 ,rj 9 d. Z.-< Ci r-k ~~Ge The applicant is: ❑ Owner M Contractor 0 Other (Describe) Name _ D o vo i,, lb c-v I d Phone-69'7- 6$ Property LAST FIRST Owner Address e4~ L q 45 L, a STREET STE # City Gv)fj u~ State M'f`g zip -5yl _ 45-H677 0 Company 57i T< tA Gt S~CtraI Phone Contractor Address b O 0-11-N flv_t_ :3G License # 39 .:1 Exp. City S. -5-4 fav ~ State Mt Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this appl` ation and state that the information is correct and agree to comply with 1 applicab St to of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vahmt;on: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units f 1 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT THOMPSON PLUMBING. INC. ADDRESS 12201-MINNETONKA BLVD. MINNETONKA, MN 55343 4249 BOULDER RIDGE POINT-L9, B2, BOULDER RIDGE Location 4251 BOULDER RIDGE POINT-L10, B2, BOULDER RIDGE Receipt No./Date 88703/10-28-88 Reason for Refund TOWNHOUSES NOT BEING BUILT AT THIS TIME. Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ Surcharge 01-2155 $ 2.00 Water Connection Permit 20-3713 $ 20.00 Sewer Connection Permit 20-3743 $ 20.00 Account Deposit 20-2252 $ 60.00 Utility Account Over-Payment 20-2250 $ Other: $ TOTAL $ 102.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. ARCH 10-1989 Signature Date APPL1 ATION FOR PERMIT : PAYMM of FEE AT TIME OF * APPLICATION DDS Wr CON * * . SrIWM AppROM OF PM=. ,*r SEWER AND/ WATER : O NECTION * INSFEMIM OF SO= M/CR Wh%M INS MIATIONS K= Wr W SCEXTM *k LVaL PEWT HAS B'EW .AMU=. ~ ~ iFlr*#it9r#####*!t#int##iFirtr*##~r+F**###M+tt,rfrlr# C City of eag f I PLEAM PRINT . 1) PROPERTY ADDRESS :..."c.'7` ..'T. LEGAL DESCRIPTION:.. Lot B ock S vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mton - Year PRESENT ZONING/PROPOSED USE: Q :CON ERCIAL/RETAIL/OFFICE 1=j R-1 SINGLE FAMILY Q INDUSTRIAL E:l R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE ' ree 1 U } ( C2,,Units) F9.R-4 APARTMENT/CONDOMINIUM ( Units) 2) 99:29000, klig NAME: MMMMN PLUMBING CO- NC. ADDRESS: 1x201 MNNNETIONKA 06 we mthIN TONKA. MN 65343 CITY, STATE, ZIP: PHONE: 3) : NAME.; TaymN PLUMBING CO., INC. For City Use Plumbers License: 12201 mm"E:F-- ADDRESS: MINNETONKA. MN 55343 Active Expired CITY, STATE, ZIP: -7 Not recorded PHONE: MASTER LICENSE # s Staff nat 4) NAME : ADDRESS: CITY, STATE, ZIP: PHONE: 5) BOOM-, CONNECTION TO CITY SEWER C~fCONNECTION TO CITY WATER OTHER THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE' METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tim CITY WILL Comm YOL? IF THERE ARE ANY PROBLEMS. . FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ / - S- SEWER PERMIT ` (INCLUDE ' SURCHARGE) $ $ LL`' ° S2j WATER PERMIT ; (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ / • C9 t) ACCOUNT DEPOSIT SEWER $ $ ACCQUNT` DEPOSIT WATER y $ $ WAC` $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ ,TRUNK SEWER ASSESSMENT $ $ LATERAL BENEF•ITyyTRUNK SEWER $ $ LATERAL BENEFIT/TRUNK, WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF'YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING EJ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APPL.I~ATION FOR PERMIT *carn : PAF t' HE AT TIME S'Trmz APFpa AL or PERMIT. ,*k SEWER AND/OR WATER NNE&ION * I z s CRJM PRRM" HAS SM APPROM. t QI 1141 -It c►F ea c n (PLEASE PINT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION:.... Lot B ock'S vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Man ear PRESENT ZONING/PROPOSED USE: Q _COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Lints) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three h-1 s) ( oZ.Units) R-4 APARTMENT/CONDOMINIUM ( Units). 2) NAME: _ TNOMn0N PLUMBING CO..'INC. 12201 MINN ADDRESS: MIUVr nNKA_ MN 55343 CITY, STATE, ZIP: PHONE For City Use 3) Nom: N PLUMBING CO.. INC. Plumbers License: ADDRESS: 12201 MINNE N Active MINNFsnmKa_ MN 55343 Expired CITY, STATE, ZIP:' Not recorded PHONE: MASTER LICENSE # ta'f Initiate 4) 0124 ml' NAME: ADDRESS: ' CITY, STATE, ZIP PHONE: 5) c CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) @ 'W .,Faj * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TD PUBLIC wom To FACILITATE m PICK-UP. ~ * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TM CITY WILL CONTACT YOU IF TAE y* * ARE ANY PROBLEMS. ~ ...-FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: lC> 52~ SEWER PERMIT- (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (-INCLUDE CORPORATION STOP) I $ $ SEWER TAP ACCOUNT DEPOSIT SEWER $ 0 ACCOUNT DEPOSIT WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL $ ENEFIT/TRL K SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL' RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT. FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. -LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: fi N t CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT THOMPSON M N ADDRESS 12201 MINNETONKA BOULEVARD MINNETONKA, MN 55343 4241 BOULDER RIDGE POINT, 4247 BOULDER RIDGE POINT Location 4245 BOULDER RIDGE POINT, 4243 BOULDER RIDGE POINT 4249 BOULDER RIDGE POINT 4251 BOULDER RIDGE POINT 1-5. B2. BOULDER RIDGE, L8. B2, BOULDER RIDGE, L7, B2, BOULDER RIDGE L6, B2, BOULDER RIDGE, L9, B2, BOULDER RIDGE, °L10, B2, BOULDER RIDGE Receipt No. /Date R9703/10 -88 Reason for Refund RITIL 1RR NOT BUMMING AT THIS TIME Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ 258.00 Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ TOTAL $ 258.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. DECEMBER 7, 1988 I'I Signature Date p-~3 9 ~ ZSg. ~-S 2005 RESIDENTIAL BUILDING PERMff APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements Remodel/Repair Requirements office Use only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and A roofed areas 2 copies of plan Ced of Survey Recd Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y N 1 set of Energy Calculations Addition - indicate N on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detal Options selection sheet (buildings with 3 or less units) Date Construction Cost AM 00 Site Address 4 `j- t B1fx JAt ` Q; N Unit/Ste # Description of Work u6 F_yI5riN(r Aft8CJiW SIAM(r jNS Ct.- ~VtRr`OZ-L s~SO(frdl tsCjt Multi-Family Bldg Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner EJCl.~C,I JQ 1~1OCr TOWN F~btN{ES Telephone # ((~j ) ~($Z 6-044 Contractor &OCK (2,ONSTRUC-Tj( S iZF4-nOtil f iVC, Address f Zc)z--q T )GK.E.t, Ao City (5 ( State t Zip `.9 37 Telephone # (6 12-) Z B7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota. Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagagrr tL ~simlc~ ? - Y _ N If so, 25% plan review fee applies. Licensed Plumber CEP 2 0 0 zo Telephone # ( Mechanical Contractor 18Y Telephone # ( j Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 approv plan n the cage of work which requires a review and approval of plans. 6AmigL, A SLoy,-K, Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 _ Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco - Stone _ Brick _ Fireplace _ R.I. -Air Test -Final r Windows Insulation - Retaining Wall Approved By: , Building Inspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total o ~ ?6 9Z2.l) ~c ~ 'v1Qo 3Q c~g91 CP_ ~ 0~ A a tj 12 .c T 7 1 20 ; , o .o y i, o 33 p o WZ 30 ti ~p~ o o o, o Denotes Iron Monument o M ED 8 0 10-00 o ° Denotes Wood Stake EY R0P 1 a,°°' o~ X000.0 Denot s Existing Elevation ,r.~o N N N P_ L31 3 Date h W - Nc' yo 3 N (000.0) Denotq* Proposed Elevation W Al DE ~ Denotes Direction of Surface Drainage EAGAN ENGINEERYNG _ 5o DG. _c - 0 0,1) ,m P05E- ►~33 Proposed Garage Floor Elevation: Lot 9 = 921.30 A N j3. pR0 - I 2z 0 _ • -7- LOt10=921.30 L - a W Z B - r' `9 Proposed Lowest Floor Elevation: Lot 9 = 921.80 69 o99 74 o Lot 10 = 921.80 S~ 2°E " ' 1 hereby certify that this is a true and correct representation r sr, ~ ~9z, of a survey of the boundaries of: ' 1 \ O Lots 9 and 10, Block 2, BOULDER RIDGE, Dakota County, 1` ~ N Minnesota. And of the location of all buildings, if any, thereon, and all I visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 2Z ) (9 18th day of October, 1988, r` 30 Y .J MCCOMBS FRANK ROOS ASSOCIATES, INC. V~ Paul A. JohnsoVZ WIN Land Surveyor, Minn. Reg. No. 10938 PAV. REQUIA"FM SHEET REV. DESIGNED CHECKED I HEREBY CERTIFY THAT THIS PLAN WAS PREPARED, BY ME OR F69 UNDER MY DIRECT SUPERVISION AND THAT I AMA DULY REGISTER ED PROFESSIONAL E McCombs Frank ROOS ASSOCIBt@S, Inc. PREPRE© foR• NGINEER UNDER THE LAWS OF THE STATE OF DRAWN APPROVED MINNESOTA~!A 15050 23rd Ave. N. Engineers Bp PI mouth MN 55447 Planners Y ~ IiIEW y0RlzON HOMES F NO. DATE BY REMARKS DATE COMM. /0s,tia7s so,a surveyors REVISIONS DATE REG. NO. n Sep-25. 2013 10:53AM Property Claim Solutions No.1291 P. 20 I Use BLUE or BLACK Ink For Offlce Use • LC qz Jam/ ; permit I 1 )3- l 1 Crt of Eaian ~5 Permit Fee: 3830 Pilot Knob Road 2 Eagan MN 55122 Date Received: a`s fl j Phone: (651) 675-5675 I t Fax: (651) 675-5694 1 Staff - I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' Site Address: Unit j Name: Phone: y"yner"' Address /City /Zip: Applicant is: _ Owner Contractor : w~ Description of work: Construction Cost .4- Multi-Family Building: (Yes /No l ';~."~,:'=~•'F~:~...:.:.~;' Company:. Contact: 1 Address: City: C#O~ ~,.:~,;M•. Vii: ~;~.:*;ul<°'s°,< `Nr~"'; ~ 4 ^ State: i 1lN\ Zip: I Phone: U\ ya i:.;>.:<}•r,,,,;! License Lead Certificate pr aff)2 acng 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: I i Sewer & Water Contractor: Phone: NOTE.:P14; s`andsupporting documents that .you.sutiinrt:are' consld~red.to,be public information:: Port/o»s:of tftOnformat/on:may be:classlfled:at non ublic: f":vu' rovide.?eclflc reasons'ftiat:would' ` ermit the`Clf'` A p A. conclub►e'~iiia tt a .aretra e`secirets CALL BEFORE YOU D , 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.Qopherstateonecall.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 f 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. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 l d X f perrnlt Issuance. A-'~a N~ '4x cs t x kl' Applicant's d Name Applicant's ~ ,a ure Page 1 of 3 6. 2011 11:02AM__.......Property Claim Solutions No. 1669. P. 5 Boulder Ridge-1013279 _ Use BLUR fir BLACK_Ink For Office Use Q C[ j Permit 0 U ~ City of Ealnon b Permit Fee: 3830 Pilot Knob Road I I Eagan MN $5122 - Delp- Received: j Phone. (651) 675-5675 1 l i Fax: (651) 675.5694 1 Staff: I • I I 2 013 RESIDENTIAL BUILDING PERMIT APPLICATION i Date: 11-4-13 Site Address: X49._5251 Boulder Ridge Point Unit Name: Boulder Ridge Townhomes Phone: 612-290-3055 Res tden Address /City ! Zlp. 4249, 5251 Boulder Ridge Point Uwner Applicant Is: Owner x Contractor ! Description of work: Reaair only sidingpeices that are damaged.12SQ Construction cost- 6,348 Multi-Family Building: (Yes _/No Company: PCS Residential _ Contact: Patty Hanna _ Address: 7hf1; air, flak rlrivp_. • City: Figa11 State: M N Zip: 55122 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 Mechanical Contractor: Phone: j Sewer a Water Contractor: Phone: _ KQ7'E-plans andrippottrng documents fit y~trsl!bi»;t~re CO~ridet'~G(to'4e public irifois~atron Po%tiQns o !h ~7tf rma e o bo» to maybe classtflQid as norm-poll~rp~ provrpe sj~ecrfrc masons What would p~rm,t'ttie.C;ilr _ ~raoii~lrld~~1><at tfte . ~re:ti~idle,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 utllltles. www.oooheMlateonecall.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 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 100 i days of permit Issuance. . i x Patty Hanna/PCS Residential VnLti Applicant's Printed Name Qpp ant ' nature Page 1 of 3