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Page 1 af 3
Reliabuilders 952-226-5514 p.5
Use BLUE or BLACK Ink
For Office Use
Permit*: 1 1 i 30e)Ih�j
City of Eaau
lCf!
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 Staff:Fax:(651)675-5694
,- J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1-17site Address: 3036, 3038, 3040 & 3042 Timberwood Trail unit#:
Advanced Innovative Management 651-739-5544
v Phone:
I Name: gement
Resident/ ? 1303 Geneva Ave. N. Oakdale, MN 55128
Owner ? Address i City i Zip:
XJ
�.! Applicant is: Owner ri. Contractor
I remove and replace hail damaged metals from roof. ¢¢
Type of Work I Description of work: p g
` 10 000.00
I I Construction Cost: Multi-Family Building: (Yes /No )
t Company: Reliabuilders Construction, Inc. Contact: Jason Michels
Contractor
Address: 3351 Griggs St. S.W. City: Prior Lake
MN 55372 612-581-6255 jason@relia-builders.com
A I State: Zip: Phone: Email: i
BC650191 R-I-30358-13-00160
� License#: Lead Certificate#:
j If the project is exempt from lead certification, please explain why: 1
N/A
s 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?
1
Yes No If yes,date and address of master plan:
I
t. Licensed Plumber: Phone: I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
i
3
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
z the information may be classified as non-public if you provide specific reasons that would permit the City to E
i,., conclude that they are trade secrets. l
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 x i,,:
Applicant's Printed Name Ap ' ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149678
Date Issued:06/05/2018
Permit Category:ePermit
Site Address: 3038 Timberwood Tr
Lot:016 Block: 02 Addition: Timberwood Village
PID:10-76800-02-016
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Dorothy M Hoffman
3038 Timberwood Tr
Eagan MN 55121
(651) 994-7097
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature