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3025 Timberwood Tr Reliabuilders 952-226-5514 p.3 Use BLUE or BLACK Ink For Office Use 411' Permit 0: I 13 061 City of Eaau Permit Fee: 3c, 3630 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: ` J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-31-17site address: 3019, 3021, 3023 & 3025 Timberwood Trail units!: s Name: Advanced Innovative Management Phone: 651-739-5544 i E Resident/ a Owner Address/City/zip: 1303 Geneva Ave. N. Oakdale, MN 55128 i L--------- I Applicant is: Owner X Contractor .. i Remove and replace roof Type of Work j Description of work: 1 i Construction Cost: 35'000.00 Multi-Family Building:(Yes x 1 No ) i; Reliabuilders Construction, Inc. Jason Michels E Company: Contact I Address: 3351 Griggs St. S.W. City: Prior Lake Contractor I i State: MN Zip: 55372 Phone: 612-581-6255 Email: jason@relia-builders.com E BC650191 R-I-30358-13-00160 i License#: Lead Certificate#: r 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? i i Yes No If yes,date and address of master plan: i i Licensed Plumber: Phone: 1 Mechanical Contractor: Phone: • Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. -.I 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 wit 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, .Eason Michels x x111' Applicant's Printed Name Ap Ircant's Signature Page 1 of 3