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�
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COM}��.ETE'1'HIS AREA R'iNLY IF CONSTRt1C11NG A NEMV BUI�,Q#NG
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Sawer 8�YMa{Eer Cc�ntrac�: Phone: `
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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