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Sep,25, 2013 3:56PM Property Claim Solutions No,1299 P. 2 I I Use BLUE or BLACK ink Z For Office Use I f LIZ 3L) City of Eap I Permit#: I ~ Permit Fee: Z-, Z3 .Z3 ' z 3830 Pilot Knob Road 1 ~ /as I l i I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: f 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name. Phone. Address /City / Zp: Owing, , p/ Applicant is: Owner Contractor Description of work: An'7,ODE 4 N=&zb 1610-80 M.rp<o 'Gll Construction Cost: Multl-Family Building: (Yes :i:Y` a / No ? Company: I C1 Contact 1 QL Address: ° , - City: YGracgr~;;r State: ,Zip: Phone: License Lead Certificate 4 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a slmllar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I atyousU d supporting:dor;ume~tts th bm/t,8re;consldeed°ope.publlc lnfornaiot:;Ptirfto»s V. the Infor 0.6ri ,maybe class%fledl as.non~pubhc ~f you proV%de specific reasons That tii ould penmf the C/fy to, aonclud that.the ::ate trade secrets.:: r ` • r I CALL BEFORE YOU DIG. Call Gopher State One Call at (051) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dlg to receive locates of underground utilities. www.gooherstatfoneeall.ora 1 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 appliCatlon 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 days of penult Issuance. x x I Applic natc-s Hinted Name Ap Ilcan s gnature j Page 1 of 3 i _....._...Nov. 6. 2013...11:03AM __.Property Claim Solutions No. 1669 P. 8 Boulder Ridge-1013279 Use BLUE or BLACK Ink For Office Use ~f Permit#: 0 I CIV of Ealan I Permit Fee. 3830 Pllot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 676-5675 I I Fax: (651) 675-8694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11-4-13 site Address: AU6, 4228, 4230, 4232.4234 Boulder Ridge Point Unit Name: Boulder Ridge Townhomes Phone: 612-290-3055 Address /City /Zip: 4226, 4228, 4230,4232, 4234 Boulder Rldge Point Applicant ls: Owner X Contractor „ °>a ° Description of work Repair only siding peices that are damaged.12SQ Construction Cost 6,001 Multi-Family Building: (Yes / No Lui;,w> Company: PCS Residential Contact: petty Hanna Address: :)nn; Pin flair nrivo City: Fagan State: _~LIN Zip: _5 122 Phone: 651-255-0609 <..MM " License BC593158 s::v w4<ir Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) l 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: Sewer & Water Contractor: Phone: ; NOTE~ P/srts lndsi~pportnrg'doC.Um-e~it>►s:•'tttalt rgit ' Ub»i t:are;cairas t to die pei Ii lntfor~rlatlon Palttan oF„ the Intormat►on ma be class~fled asian cF„~ Y rov, a sc s er t,he-:E7 r:rb7/ y~ p a(c lea Qnta wPUtdp.. i» r >[y to .%.r. ,r ~r.Ponclualet~'iattfie. 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.aooherstateonecall.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. Exterlorwork authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Patty Hanna/PCS Residential )ok X rji-,41 I Applicant's Printed Name Appileant's g tore Page 1 of 3 i