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1278 Spruce Pt • 7202 -, • 7' 1' 7E1. • • -• 77, .4, :-):t t'01/1* _;•• g4!"- :. 771. N a 24 Units 3-18-86 lFl� .4F A 4 i.frjl }�. Site ' ' .. P 1 Thr " 7 2 3203 Sd ',Atilt"- 01002ft; Af1d11iR ebe of �e� ►s,e �` s 12/02/2016 11:11 7207336427 FEDEX OFFICE 1752 PAGE 01/13 Use BLUE or BLACK Ink For Office Use 41,66 City of Eaaau Permit 0: 1 Permit Fee: 31 (1 3830 Pilot Knob Road Eagan MN 55122 Date Received; Phone:(651)675-5675 Fax:(651)675-5694 Staff: Q 2016 RESIDENTtAL BUILDING PERMIT APPLICATION Date: 12/02/16Site Address: 1270, 1274, 1278 Spruce Point unit : .' :,:: Forest Ridge Partnership651-454-3352 Name. Phone: '.000,1400/..! 1500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 Address/Cit /Zi ;Owner, • p: Applicant is: Owner X Contractor • Description of work: Remove & replaced asphalt shingles ;Typeo ;1>Albrk. $ - ? ;:.,.::; Construction Cost , 8000'00 Multi-Family Building:(Yes /No ) Company: Bulldog Contractors, LLC Confect: Peter Retka Address: 21663 Cedar Avecry: Lakeville MN 55044 651-253-8211 pretka©bulldogroofs.com state: Zlp: Phone: Email; BC639635 NAT-F162654-1 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: t4 orisons of NOTE;�?laYtO:WO,:p tppi�0, •doui0onts'tNBt.you`submit:ere.00.s ole;rtd'.fb'b00.410c`irl 0.0000••.'0, ,P the lnfor let on• maybe classified'as,non-public•if•yoy Odli de'sp'ecific:reesons that;would permit•rhe•City'to .,• . . condole that they oro 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 utilities. www.00aherstateonQoali.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 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 Peter Retka ,x 4 : ��dill Applicant's Printed Name Applicant's Signature Page 1 of 3