3062 Timberwood Ct Reliabuilders 952-226-5514 p.5
Use BLUE or BLACK Ink
For Office Use ( /���Permit#:Cityof Etailn r Permit Fee: 53 ,vi
3830 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: 3060, 3062, 3064 & 3066 Timberwood Court Unit#:
Name: Advanced Innovative Management Phone: 651-739-5544
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128 i
Owner Address/City!zip:
l Applicant is: Owner X Contractor
I Remove and replace roof7
Type of Work / Description of work:
__—_. I Construction Cost: 3rJ.000.00 Multi-Family Building:(Yes x 1 No )
F Company: Reliabuilders Construction, Inc. Contact: Jason Michels 1
L Contractor
1 Address: 3351 Griggs St. S.W. City: Prior Lake 1
T. State: MN Zip: 55372 Phone: 612-581-6255 Email: Jason@relic-builders.com
BC650191 R-I-30358-13-00160
,' License#: Lead Certificate It:
t
s
If the project is exempt from lead certification, please explain why:
NIA
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?
1 Yes No If yes, date and address of master plan:
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I Sewer&Water Contractor: Phone:
i
i Fire Suppression Contractor. Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
1 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. w:vww.00pherstateonecall.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 1 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 Building Code must be completed within 180
days of permit issuance.
XJason Michelsx ,,`
Applicant's Printed Name Ap lcant's Signature
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