613 Crane Creek Lane Use BLUE or BLACK Ink
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For Office Use Q / l
permit r ? j
City Of Eapn ► Permit Fee: ��C
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone:(651)675-5675 // I I
Fax:(651)675-5694 `� G s.: I Staff: I
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2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/9/2016 Site Address: 66 r i Crane Creek Lane unit#:
Crane Creek Townhomes Association 952-922-2500
Name: Phone:
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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Construction Cost: 1, bS r Multi-Family Building: (Yes ✓ I No_)
Xtreme Exteriors N.A. Inc Jeffrey Sigler
Company. Contact:
Address: 7722 289th Ave NE City:
North Branch
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IN 55056 �s3-441-1334 jeff @xtremeexteriors.com
State: Zip: Phone: Email
BC362463 NAT-25417-2
License#: Lead Certificate#
If the project is exempt from lead certification, please explain why:
COMP ETE 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:
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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.gopherstateoner-all.org
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 building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
Jeffrey Sigler f
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Applicant's Printed Name na
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Applicant's Printed Name App cget>tture
Page 1 of 3
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