4222 Boulder Ridge PtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4222 Boulder Ridge Pt
Lot: 6 Block: 03 Addition: Boulder Ridge
PID:10- 14800 - 060 -03
Use:
Description:
Sub Type: e - Fixtures
Work Type: Replacement
Description: Basement Fixtures
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Home Depot Home Services
40805 Forest Blvd.
North Branch MN 55056
(651) 645 -5040
Jason LaBelle
700 Prior Ave N
St Paul, Mn 55104
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Manufacturer
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Charles A Fischer Tste
4222 Boulder Ridge Pt
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA080045
09/26/2007
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY Or EAGAN Permit No:
10158 Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21-199 Reader No: Date:
Eagan, MN 55121
Owner. ?IFS 140R1tOt1
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: / f
Misc.: B y `t d'a� /, g
WATER SERVICE PER IT
•
•
•
CITY OF EAGAN Permit No: 11297 Date:
383C4ilot Knob Road B/P No: Date:
P.O.,Box 21199
Eagan, MN 55121
Owner: NEW ROR1ZONi HOMES
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:Mechanical
Permit Number:EA161540
Date Issued:06/02/2020
Permit Category:ePermit
Site Address: 4222 Boulder Ridge Pt
Lot:6 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Daren L Grotjohn
4222 Boulder Ridge Pt
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature