3070 Timberwood Ct Reliabuilders 952-226-5514 p.4
Use BLUE or BLACK Ink
For Office Use
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1 J Gc8City o Eaafl Permit •
Fee: •s 3 g L�-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
3068, 3070, 3072 & 3074 Timberwood Court Unit Date: 5-31-17 Site Address: t#:
iName: Advanced Innovative Management Phone: 651-739-5544
° Resident! i 1303 Geneva Ave. N. Oakdale, MN 55128
Owner Address i City/Zip:
Applicant is: Owner X Contractor
_,__,_____,__i
Type of Work
Description of work: Remove and replace roof
35 000.00 Multi-FamilyBuilding: (Yes X i No )
. Construction Cost:� � I Company: Contact Construction, Inc. Jason Michels
Address:
3351 Griggs St. S.W. o ,: Prior Lake
Contractor 1
State: MN Zip: 55372 Phone: 612-581-6255 Email: jasan@retia-builders.com
License#: BC650191 Lead Certificate#: R-I-30358-13-00160
H.
If the project is exempt from lead certification, please explain why:
N/A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
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:
I
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer&Water Contractor: Phone:
•Fire Suppression Contractor: Phone: s
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 3
the information may be classified as non-public if you provide specific reasons that would permit the City to 9
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work wit be in conformance with the ordinances and codes of the City of
Eagan;that 1 understand this is not a permit, but only an application for a permit, and work is riot 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.
xJason Michels x ,,- ":1.,.ti,
Applicant's Printed Name App icant's Signature
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