3008 Timberwood Tr Use BLUE or BLACK Ink '
I For Office Use I
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~ ~ Permit 1 O► I
I
a ita R ( n ~''1 Ui
I Permit Fee: lJGli
3830 Pilot Knob Road I
Eagan MN 55122 j Date Received: 2 J
Phone: (651) 675-5675 1 staff: 09
Fax: (651) 675-5694
2014 RESIDENTIAL, PLUMBING PERMIT APPLICATION
Date: 221 a Site Address:
Tenant: Suite
Name: AcAlf KA 7_L V-iv1 Phone: je(L `5S.sa'- l
Resident/Owner
ti Address /City /Zip:
1C~f 1 ~'Yl 1, -W !Name: lei CU i X C-f /Sk-d License 1146 ? 1 wL
Address: y-7 td 7t7P1Q1 l/~' City: yUJ~
Contractor -,o
State: Zip: ~/w ! s
I~J1 .~~j~GI U Phone: /5 3oc .
Contact Email:
New Replacement -Repair Rebuild _ Modify Space Work in R.O.W
Type of Work -
L1
Description of work: A
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type ` Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
~ TOTAL FEES $ 100 c.-:) . B
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. r t
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or4
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 lans.
X x
Applicant's Printed Name Applic nt's Signature
FOR OFFICE USE Reviewed By: _ Date:
Required Inspections: Uttdpr Ground Rough-In Air Test Gas Test Final
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Use BLtlE or BLACK Ink
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If the proje+ck is e�pempt frorn tead cettiffcatian, plea��cpiain why:
COAAPI�ETE THIS A1�EA ONLY 1F GON$TRUGTINCi A��IN UlLD1�1G
1n the iast 12 months,h�the City af E�gae�sue�d a�rrn[t fR►r��imllsr p�an ba�et+oc�a masbar pFari7
Yes No ff yes.da#e ar�d addr�ss af master�lan:
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i�ensed i�9umber. Rhawwa:
Ma�chantqi Contracbo�: Phor�e:
Sew�a�r t�1iYataC G�ttraator. ph,p�. '
Fkro�Suppr�rt Cotttractor: Phone-
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c�f that. �re fra�te�
CAi1 BEFOR�YOU DIS3. �caopt�ar stsm t��att at(es�)4s4-000z tar�xn�caor►a�t underqrou�d un�asmaqe. c�t as naus
before ypu ir�tend ta dig M rac�iv�e lat�tes ef unde�ound udpl�es. www.g.4Phers#ateonecatE.ara
�1�rebY acknowiodye that tt��twrnatlon is c�e and aoaret[�e:tt�ihs+�k w�be in co�far�uance w�h tlue ordi►s�and r�od�s of Cre C�y�
Ea�an:th�! urxlBrstand d►6a is no#a pennft.birt oniy an app{ft�tion ior a peret�t,and work ts not bo�rt v�itht�ut�pe'mti�tlaet tlte work w�!t�in
sccur08inCo wah die sppnrvad pia�t in tf�e t�of vKxk trAridt requi►^�8 a revle�w arld appr+av�Of p16n6.
E:e.Nor woek a�m,or�a��sy a b�awine pvr�f�suod in a�order►ce with a�e Nim�st�s�itdi�coae�st t�e c�emq.t.a,�hin�so
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AppltcanY`s Pri�d�lame Ap cartYs Signabi.tne
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Reliabuilders 952-226-5514 p.7
Use BLUE or BLACK Ink
For Office Use �
4fil Permit#: 1 Lt 3 �
City O1 � �� Permit Fee: 161 6i -
3830 Pilot Knob Road Date Received:
Eagan MN 55122
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
J
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
6-1-17 Site Address: 3004, 3006, 3008 & 3010 Timberwood Trail Unit if:
Name: Advanced Innovative Management Phone: 651-739-5544
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128
I Owner I Address/City/Zip:
i Applicant is: Owner Contractor .
1 I remove and replace hail damaged metals from roof.
c . Description of work:
Type of Work i10 000.00
i ( Construction Cost Multi-Family Building:(Yes /No )
; company:
Reliabuilders Construction, Inc. Contact: Jason Michels l
s i Address: 3351 Griggs St. S.W. city: Prior Lake
Contractor iMN 55372 612-581-6255 jason@relia-builders.com
? State: Zip: Phone: Email:
BC650191 R-I-30358-13-00160#:
i License#. Lead Certificate
If the project is exempt from lead certification, please explain why:
E
N/A i
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING a
I
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I
1
1 Yes No If yes, date and address of master plan: 5
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
I Phone:
I Sewer&Water Contractor:
I Fire Suppression Contractor: Phone: 1
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of l
3 the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude atrade secrets. •_ J
tht theyare
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. wwww.uocherstateonecall.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.
xJason Michelsxiti
Applicant's Printed Name Applic nt's Signature
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