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20'I5 R.E�IDENTIA� BUlLQING PERMIT AP�'LICATION
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Reliabuilders 952-226-5514 p.6
Use BLUE or BLACK Ink
For Office Use41* I 1-___4.\3111_��Cityof Permit Fee: 1 v�`0 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1-17 Site Address: 3020, 3022, 3024 & 3026 Timberwood Trail Unit#:
f
iName: Advanced Innovative Management Phone: 651-739-5544
Resident/ i 1303 Geneva Ave. N. Oakdale, MN 55128
Owner Address/City/Zip:
Applicant is: Owner K Contractor ;
, Description of work:
remove and replace hail damaged metals from roof.
Type of Work i
Construction Cost: 10,000.00 Multi-Family Building:(Yes I No ) Hi
company: Reliabuilders Construction, Inc. Contact: Jason Michels
I 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 i
License#: BC650191 Lead Certificate#: R-1-30358-13-00160 8
If the project is exempt from lead certification, please explain why:
N/A !
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:
l
Licensed Plumber: Phone:
i Mechanical Contractor: Phone: i
Sewer&Water Contractor: Phone: I
E
Fire Suppression Contractor Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
`1 the information may be classified as non-public if you provide specific reasons that would permit the City to 1
0 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 utilities. www.aopherstateonecall.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 Jason Michels �.
Applicant's Printed Name Appliit's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169711
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 3022 Timberwood Tr
Lot:007 Block: 02 Addition: Timberwood Village
PID:10-76800-02-007
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rodney L & Madalyn K South
3022 Timberwood Trl
Eagan MN 55121
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature