3064 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
Page 1 of 3
For Office Use
' ° °
Permit#: J� 78.7
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Q Date Received: /0 �i~_ f Sr
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 OCT 3 o 201
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
BY
buiidinginspections ancitvofeagan.com L_
201 RESIDENTIAL PLUMBIN PERMIT PPI TION
Date: 1 Site Address: \a...., -s--1-"
Tenant: Suite#:
Phe: �
7
IA, Name:�osie eritlOr
i, - 5 -
:- Address!City/Zip:
,-vf � ;` � Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376
r
A_ 1801 50TH STREET EAST
C t a Address: City: INVER GROVE HEIGHTS
4 `t State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
i Ty e f Ii.- k : New —Replacement —Repair Rebuild Modify Space Work in R.O.W.
-',,,, ,...,',,, ,,,Aa� 4,, , Description of work:
MrM T6''d RESIDENTIAL
" i� , ,- r , _ _ X Water Softener
Water Heater
' ,7'144 Lawn Irrigation( RPZ/ PVB)
__
:4 PermitTyp — —
_ :� Add Plumbing Fixtures( Main/—Lower Level)
Septic System
,, ' � ; —New _Water Turnaround
.6k wwt#* ,�.t
Y * , , Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 If a 3/4"meter is required) 60.00
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES
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.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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 o ly an application for a permit, and work is not to start without a permit; that the work wit be in
ac rdanceewi h the approved s
ed p n in e,g f of wor which requires a review and approv of plan
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Applicant's Printed Name ry $ App cant's Signature
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