3148 Crane Creek Pl Use BLUE or BLACK Ink
For Office Use--_------
I I
I
My Permit#:of Eaflan I i
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone:(651)675-6675 I I
Fax:(651)675-5694 // G n 1 Staff: ------
77 -----------
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/9/2016 Site Address: 3/ Crane Creek Place unit#:
Name: Crane Creek Townhomes Association Phone: 952-922-2500
Resident/ 5707 Excelsior BLVD St. Louis Park MN 55416
of Address/City/Zip:
Applicant is: Owner ✓ Contractor
Description of work: Reroof entire building
Construction Cost: a (�jam- Multi-Family Building: (Yes✓I No
Xtreme Exteriors N.A. Inc Jeffrey Sigler
Company: Contact:
Address: 7722 289th Ave NE city: North Branch
t� "sir MN 55056 763-441-1334 jell @xtremeexteriors.com
State: Zip: Phone: Email:
License#: BC362463 Lead Certificate#: NAT-25417-2
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:
ti
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 locales of underground utilities, www.gopherstateonecall.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.
Exterior work authorized by a building permit issued In accordance with the Minnesota State 8ulldin Code ust be completed within 180
days of permit Issuance.
xJeffrey Sigler x
Applicant's Printed Name Applica re
Page 1 of 3
....._.... .......................... . .-_-
010/600'd 90 6#VV:69:ZL 960Z/0 1,/90'V6999L9[99:01 s.lolaaycatuaalX:WO�Jzl