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3040 Timberwood Tr4 CityofEa�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RESIDENT / OWNER PERMIT TYPE 0-w Applicant's P ted Name RESIDENTIAL Furnace Air Conditioner Air Exchanger _ Heat Pump Other G-;3) SZE -Wff-)) JUN 1 4 2010 al x Applicant's ture Permit #: L"'® 933 41 " 5 Permit Fee: 6 Date Received: O"-- /5 Staff: i `� 2008 MECHANICAL �r PERMIT ER APPLICATION /j Date: (4 101 10 Site Address: �C-�` -0 6) rte y e ' "' /" ' ' ' , li I Tenant: + nr 6v f:.. -o �/ CONTRACTOR TYPE OF WORK Name: t /. Address: 122 City: - WW1 T 1 Phone: (- q . , 0 11ie. State: L Contact Person: New ) � Replacement Additional Alteration Demolition Suite #: Name: T n Y_/�fr,1 ► - y4, p,- y�� Ph � one: 1 C.J�-� Address / City / Zip: ���-�t D + I r 0 'PVC.,/ � aZ Ph E License #: COMMERCIAL New Construction _ Interior Improvement _ Install Piping ^ Processed Gas Exterior HVAC Unit * HVAC units must be screened Under / Above ground Tank ( Install / — Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add - or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SO . TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Use Bl.UE or BLACK Ink �C� rForo(IkaiJseT _____.__; � j P+�TIi!�; 1 � C.�" i �t� of�� � ����: ��--s � ������ � �� �,w��,� , ��: ; �:��,���� � . k F7tX:(�1�8T$�4 1 St�H: i I ( . � . � . ����r.....�.��..�.�.������J 24't5 RESlDENTIAL. BU1LDtlVG PERN�T APP�ICA"t�tyN D�Iti!►: ������ SEts Ad�: �3 b 3D 3 e E► �'t� +�•.�: .e �G►; t�it 11E: NaCC18: A'�'✓4.►c.l'.�. �I�rti�r t��n V`t �A wyl„C�!r�u js►�y[�P11011ff.�O�� ". '�3 t '.�'�'1�t� Residet��tl �, J ,M �.�'f a t3v�mer a�ros��C�tyy r z�p: l30 3 G-e'.,e,.a ,�1 �c, ,,N. p�,k�,t� /✓ ,.� A�Ik�rc is: o+�ner �` corr4rac�o� '{�IpB Of VYOiIC E�saiptian af v�o�ric:,��,_�t� '� Const�dian Go��� �'�V Ad�i-Famiy Building:(Yas, 'r J No� �.�14p8iyy; : �u;�d�'�l' orn ��/'✓c'T.p �c� CCl�Bt.��"St�,Y�, �+ Crh� �!"r1.7 ContraCtor �ress:3�� � �T�-�;����.� . I'.�". City: r: I' �.a, t StatB:/��p:�S37.� Ph01'se:�►,i�'�Sl�"���EmBii;��o•�f rc�:a�.s:'+1+,�J[n,nS'4wra"�'��'^ ��: ��n I '9 � te�at�#:R�'3o�S�~t3—�+o � b d c� �f the proj�aci is exempt fr�rn lea�d certiflcation,ple�e e��ain why: COM}��.ETE'1'HIS AREA R'iNLY IF CONSTRt1C11NG A NEMV BUI�,Q#NG �tha b�st 42 me�rrttts,ha+�tt�Ctty af Eagan�Ssued a pecm�t far a s�phn based on a master qlan7 Yes No If yQs,d�8nd address�mast�r pian: t.lcan�d Plwnber. F+hone: All�ttic�Co�lr�actor. phone: Sawer 8�YMa{Eer Cc�ntrac�: Phone: ` FIro Sup�rression Contrae�ar: Phor�: NOTE:PVans mcl se�ppar#�ng dc�c�s ifra�►yau subrMt ar�►�td�ei't4�be p�bltc InMrma�ov�: P�ui6�a�of �e irrh�rnrat�o►t r�tay be clas�d�nonyo�rel�Gtc ff ya�p�ravtde apadHc��wwrld Ae�rnut ifre t�iy�o► tx�lt�t�ia# a�+s lra+de�1�. �A���,�F4F�Yot!olr3. ca�cacp,w�s,�o�c�i a�����aa�s�p�e�aae���a�r dan�a• c�a ae nov+s be �you ir�er ta diQ to reoeiYa iacates of urKlsr�und�. www.at�h�r�ateor�ecaN.ora {t�reb'+ac:knawiad�e fhat�is infarr�Ion is canpfeDe and 8�acurate;thad Ure work wiN be in carth�nmenoe wNh the ardir►ano�srxi c�des at tlre City d Eag�:�t� ulxteratsnd adR is not a permik hut on�y�►r►a�pppCsa«�f�cr a pentyl, rnd wak is n�tc starc wiatiou�a p�lh�t�e wawk v�ba in �rvi��!s approvad pi�17 ir1 U1e t�s8 0�1Mqt[c MA�3d1 roc�as a reriew an0 spprOvall d plsia- . Fam.dar wa�ic autharL�.a by s buuarr�p�satt k�w�s in ec�no.,Mltlr u�.l�i�oa s�ede&dk�coa.mu�dt 6.�a writlrin 18n ds�s aE P�nnit,Ns�- x ��f flv. • C.��� �' Appilca�tt's Prinba�d IMl+�rtw� App s 8�e�#ute Page 1 af 3 Reliabuilders 952-226-5514 p.5 Use BLUE or BLACK Ink For Office Use Permit*: 1 1 i 30e)Ih�j City of Eaau lCf! Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Staff:Fax:(651)675-5694 ,- J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6-1-17site Address: 3036, 3038, 3040 & 3042 Timberwood Trail unit#: Advanced Innovative Management 651-739-5544 v Phone: I Name: gement Resident/ ? 1303 Geneva Ave. N. Oakdale, MN 55128 Owner ? Address i City i Zip: XJ �.! Applicant is: Owner ri. Contractor I remove and replace hail damaged metals from roof. ¢¢ Type of Work I Description of work: p g ` 10 000.00 I I Construction Cost: Multi-Family Building: (Yes /No ) t Company: Reliabuilders Construction, Inc. Contact: Jason Michels Contractor Address: 3351 Griggs St. S.W. City: Prior Lake MN 55372 612-581-6255 jason@relia-builders.com A I State: Zip: Phone: Email: i BC650191 R-I-30358-13-00160 � License#: Lead Certificate#: j If the project is exempt from lead certification, please explain why: 1 N/A s 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: I t. Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: i 3 Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of z the information may be classified as non-public if you provide specific reasons that would permit the City to E i,., conclude that they are trade secrets. l 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 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. x Jason Michels x i,,: Applicant's Printed Name Ap ' ant's Signature Page 1 of 3