4216 Juniper PtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4216 Juniper Pt
Lot: 29 Block: 01 Addition: Boulder Ridge
PID:10- 14800 - 290 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
445 -2840
RANDY PATTON
122 WEST 3RD STREET
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Cathy M Nau
4216 Juniper Pt
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Mechanical
EA090650
08/13/2009
ePermit
cal Inspector, (952)
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 6
3830 Pilot Ki�Rd. CHIP # WATER PERMIT 10588 Eagan, MN 5512 - #$97 c 2691
METER SIZE B.P. RECEIPT .#E
ISSUE DATE B.P. RECEIPT DATE
PRV — BOOSTER PUMP
SIT ADDS 5'`2 /l0 . ' t, - Fd /'T PERMIT REQUESTED
LOT _: igt I /�icl�
APPLICANT: N #>Zt aa Ajo 0_ e.
.,2�SEWE:R M ATER _ —TAPS
ADDRESS: 12 bi j COMMAND _RESIDEENTIAL
eiTY, sTATE A,A).2..7t, 1 =lit / 1L 1 ZIP .. . .
PHONE: 73«7 - .Y `. / _NEW _ ___ EXISTING
V i
PLUMBER: 774 Qm f so� �• H rrl /✓ _ '
A RESS /2420/ - ,7t�:,v v .e.1►o.vk . d4 . I A _ REE TO COMPLY WITH CITY OF
CRY, STATE. �v ri� .4"LS 3 RDII1 ANC€S•
�'��'� A- e::� ZIP f
PHONE: -3� . .01K G° < <
OWNER: /fie , z04-1 104
ADDRESS: - SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE: ..
PLEOISE ALLOW TWO WORKING DAYS FOR PROCESSIt G. FOR STORM SEWER PERANTSAMITACT
I NEE PT. 14 • AM PLUMB WILL F3E NOTIFIED WHEN PST IS PROCESSED.
6
Sep, 25, 2013 10:52AM Property Claim Solutions No. 1291 P. 18
Use BLUE or BLACK Ink
For Office Use In
Permit
.City of Eap
Permit Fee: l
3830 Pilot Knob Road I l
Eagan MN 56122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-6694 1 Staff. I
V
2013 i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address; Unit
Name: Phone:
--'°R~~;denfJ r y
<Q~jt1REG. f' Address I City/ zip:
Applicant is: Owner Contractor
o t ~q^f r:: Description of work: ,
e;t~llloiT`v;
Construction Cost:
;.r,~•.yn<~,.~±rr„~:,>~:1 I Multi-Family Building: (Yes / No ~
.~,~:.~;~~~•,:~4..~`~:... Company: I Contact:
n City: 1
;gtr~a'
, ....M.
,•;t,~ ;:~sb:,«~,~: state: Zip: Phone:
• License # r ~1~ c 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 Clty of Eagan issued a permit for a similar plan based on a master plan? I
_Yes _No If yes, date and address of master plan:
i
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone: t
I
Sewer & Water Contractor: Phone:
NOTE; Plans. and su or1`Iri dbtunrents that,yousubmlt:ere'consdered:fo Ge "ubtic:'rrforrriatioi~:.Po(flons;of .
Pp g. A
the rnfc~rmratron.may* be c1a49J i d as,rio~i-`publ►c If iorl provltle specific asons;tl af,WoU14AQr►riittile` C/ty.
.
::are•trade seciists
I
CA~BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours I
before you intend to dig to receive locates of underground utilities. www.oooherstategnecal.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 oermit, 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 180
days of permit issua ca.
I
x x
Applica is rir ted Name Appllcan gnature
Page 1 of 3
Nov, 4, 2013_12:22PM Property Claim Solutions -No.1647_P, 19
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use I
City of Eap PermR#: I
Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-667F I I
Fax: (661) 676-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; 11-4-13 Site Address: 4,2„1.0 4212,4214,42'6.4218 Juniper Point Unit
Name: Boulder Ridge Townhomes Phone: 612-290-3055
-j Address /City /Zip:
_4210042120421404216.4219 Iiinippr point
:~Y.. Applicant is: Owner X Contractor
i
-11 j VV
v
` Description of work: Renal_ronly siding pelces that are damaged. 16 SQ
„cu Construction Cost: 8,214 Multi-Family Building: (Yes /No m
u
.wr s Company: _PCSResldential Contact: Patty_tLan_na___
Address: 7nnS pin flak nrl rp C
; 'f]E1t[a 01.i N ity 1-man _
4State: M N Zip: 55122 Phone: 651-255-0609
License BCS93158 Lead Certificate
If the project, is exempt from lead certlflcation, 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 & Water Contractor: Phone:
NOTE:;Ptans at) $Oppoi#m9:dorutrie it~:th~lt. u>s~bm~:a~~ `considered".;>'~b'e' u1~11~ 1h>rr rii7 0»~ ..oirf t~r~s of
P,,,_ P.......
;he !nforrmat on may. bye class le as. non: plubll XyQU proir!~d ,spec c l e s?in fiat iro la f i>w l Ci o.
~,?Y
'c-
n~►uate~a>"the
~a
o rie:
`a te°;sec
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544009 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities, www.oopheMigeonecall.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 Clty of S
Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start wkhout 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 160
days of permit Issuance. I
f
x Patty Hanna/PCS Resldential
Applicant's Printed Name Applicant' nature
Page 1 of 3
I