3016 Timberwood Tr Reliabuilders 952-226-5514 p.9
Use BLUE or BLACK Ink
For Office Use �.3 Or]LJ
Permit#:
City of Ea au Permit Fee: ) u'
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-31-17 Site Address: 3012,3014,3016, & 3018 Timberwood Trail Unit#:
Name:
Advanced Innovative Management Phone: 651-739-5544
Resident! 1303 Geneva Ave. N. Oakdale, MN 55128
Owner Address l City!Zip:
P I
Applicant is: Owner X Contractor
Description of work: Remove and replace roof
Type of Work i
Construction Cost: 35'000'00 Multi-Family Building:(Yes XI No )
Company: Reliabuilders Construction, Inc. Contact. Jason Michels
3351 Griggs
Contractor
Address: St. S.W. City: Prior Lake
Phone: 612-581-6255 Email: Jason@retia-builders.com
State: MN Zip: 55372
License#: BC650191 Lead Certificate#: R-I-30358-13-00160
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?
Yes No If yes,date and address of master plan:
Licensed Plumber, Phone:
Mechanical Contractor Phone:
Sewer 8 Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oro
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 riot to start without a permit;that the work w01 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 130
days of permit issuance.
x Jason Michels xA,
Applicant's Printed Name AppLant's Signature
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