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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