605 Crane Creek Lane Use BLUE or BLACK Ink
I For Office Use I
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• Permit#:� I 1
City of Eantan ^>
� Permit Fee:
3830 Pilot Knob Road I I
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Eagan MN 55122 1 Date Receive 1
Phone:(651)675-5675 I I
Fax:(651)675-5694 f ����' 1 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/9/2016 Site Address: 9 a 6ot 6b'�, v o,5—Crane Creek Lane Unit#:
Crane Creek Townhomes Association 952-922-2500
Name: Phone:
Y Address!City!zip: 5707 Excelsior BLVD St. Louis Park MN 55416
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Applicant is: —Owner ✓Contractor
Description of work: Reroof entire building
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J C' 35 Multi-Family Building: Yes ✓ !No
Construction Cost: , Y 9 (Yes
Xtreme Exteriors N.A. Inc contact: Jeffrey Sigler
Company.
7722 289th Ave NE North Branch
Address: City:
MN 55056 763-441-1334 jeff @xtremeexteriors.com
Zip. Phone: Email:
BC362463 NAT-25417-2
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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: �f
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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.goaherstateonecall.orct
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.
Exterlor work authorized by a bullding permit issued In accordance with the Minnesota State BuIldh g Code must be comp leted within 180
days of permit Issuance.
Jeffrey Sigler 1�
Applicant's Printed Name Appli matt fre
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