3081 Timberwood Tr
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Use Bf.UE or BLAGK Ink
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RECEl1�Et� ; p�`"��F�. ,
3830 P�lot Knob Raad � �
Eayan MN 55122 1 Date Received: �
�nan�: (s���s��-�s7� NOV 3 0 2015
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FaX: (651)675-56�4 � Staff; �
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2015 RESIDENTIAL PLUMBING PER��T AP"PLtC�4TfC1P�
Date:�.c����S'rte Address•__�JL.y�"�� � �-� `IF�'6'^�.�L�L�` � � �--
Tenant:_ < � �-��'- ��`� l�'�`�(�e.�... Suite#;
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� � Water Heater `
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' � Lawn irrigation{____RPZ/T PVB) `
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� RESIDENTtAL FEES. � �
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; $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) �
" $60.00 Lawn Irrigation (includes State Surcharge}
� $60.00 Add Plumbing Fix#ures,Septic System Abandonment,Wa#er Turnaround"`(includes S#ate Surcharge) °
"Water 7umaround(add$21�.00 if a 5/8"meter is required} `
�' $'115.00 Septic Svstem New(inclucies County gee and State Surcharge) ` � �� "
' TOT�►L. FEES$ (.-E'�� �
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CALL BEFC?RE Yt�U Q1C;. Call Gopher State One Call at(651)45d-0Q02 for profiecfian against underground utili#y damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.qc�phers�tear,ecatl.orq
I hereby acknawledge that this inforenation is compfete and accurate;that the work will be in confarmance with the ordinances and cottes of the City of
Eagan; that I understand this is not a permit, but only an appiication for a permit, and work is nat to start without a perm�; that the work will be in
accordance with#he appraved plan in#he case of work which requires a r�view artd appraval of p(ans.
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Applicant's Printed Name Applic 's Sigaature
�E3�i���'�'�� Re�r�w���r �;
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�r�c��#r�d l��+�ot��.. l�ntl�sr�r��ir�d �R�ug�-#r� �ti�'6"�t �:,,,�a���"� , �,G,,.�,�,��� ;
Reliabuilders 952-226-5514 p.1
Use BLUE or BLACK Ink
For Office Use, Z
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City oEaaai : 53 g oc
3830 Pilot Knob Road
Eagan MN 55122 Dale Received:
Phone:(651)675.5675
Fax:(651)675-5694 Staff:
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Site Address: 3077, 3079, 3081 & 3083 Timberwood Trail mitt:
Advanced Innovative Management 651-739-5544
Name: gemenPhone:
Resident/
Owner ! Address/city Zip: 1303 Geneva Ave. N. Oakdale, MN 55128
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Applicant is: Owner X Contractor ----1
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1 Remove and replace roof
Type of Work Description of work: p
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1 Construction Cost: 35'000'00 Multi-Family Building:(Yes X J No )
Reliabuilders Construction._
, Inc. Jason Michels
Company: Contact:
R Address: 3351 Griggs St. S.W. City: Prior Lake
Contractor 1
I State: MN zip: 55372 Phone: 612-581-6255 Email: jason@relic-builders.com
IBC650191 R-I-30358-13-00160
License#: Lead Certificate#
If the project is exempt from lead certification, please explain why:
NIA
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?
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Yes No If yes,date and address of master plan: I
Licensed Plumber: Phone:
Mechanical Contractor: Phone: 1
Sewer&Water Contractor. Phone:
Phone:
Fire Suppression Contractor. r
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade 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 utilrtles. www.aopherstaleonecall.orq
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 wit 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 Minne State Building Code must be completed within 180
days of permit issuance.
xJason Michels x �_ r
Applicants Printed Name Ap cant's Signature
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