3053 Timberwood TrRESIDENT / OWNER
Name: , I ' 14/ Zip: W Y' Vi 1 /C11.3 Phone: 10 11 � 't 7 Sti
Address / City / Zi : 3 0 5 t 305 ` Se � . &. x_7' T' b..p.e-
Contractor W - dt, /
Applicant is: Owner X Tr
TYPE OF WORK
Description of work: 6?. e te:304
Construction Cost: C 6 Multi- Family Building: (Yes X / No )
CONTRACTOR
Name: eer fr 'lar't t &VS C.- 1:tt'e i• 6 y ense #: c 170.06q
Address: l 7573 PCX 70 t c T City: fa ii,° 41,
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State: PIN Zip: 55'0 Phone: ` 1 --- &5 8c
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Contact: $ Email: e 4r c.t p &vs, co,„
COMPLETE
In the last 12 months, has
_Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
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.
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
Applicant's Signature
For=
Permit #:
Permit Fee:
66 :040
Date Received:
Staff:
Use BLUE or BLACK Ink
Suite #:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8 - 10 Site Address: 3 '' t Vv Trot;
Tenant: MS0 41C ( &4S 3c53 ' 3 53 30 5 7
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
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 i of 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 pj ns.
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Reliabuilders 952-226-5514 p.3
Use BLUE or BLACK Ink
For Office Use
1-1
Permit 4011'City of �"�"'a Permit Fee: 7v
<�'`••'>
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Stat
` J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1-17Site Address: 3051, 3053, 3055 & 3057 Timberwood Trail unit#:
I
Name:
Advanced Innovative Management Phone: 651-739-5544
I
1Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128
Owner Address/City/Zip:
1
1 : Applicant is: Owner X Contractor
Type of Work
` Description of work: remove and replace hail damaged metals from roof.
t r 5 000.00 3
t 1 Construction Cost: Multi-Family Building:(Yes 1 No___)
Reliabuilders Construction, Inc. Jason Michels
Company: Contact
lI i Contractor ,
Address: 3351 Griggs St. S.W. � ,; Prior Lake
I, state: MN gip: 55372 Phone: 612-581-6255 Email: jason@relia-builders.com 1
BC650191 R-l-30358-13-00160
' License#: Lead Certificate#:
i If the project is exempt from lead certification, please explain why:
N/A t
I 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:
, r
ll Licensed Plumber: Phone: I
t ,
Mechanical Contractor: Phone: i
I Sewer&Water Contractor: Phone: I
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of I
the information may be classified as non-public if you provide specific reasons that would permit the City to I
conclude that the 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 w,gocherstateonecall.ora
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 Stale Building Code must be completed within 180
days of permit issuance.
xJason Michels x uA q),-
Applicant's Printed Name App cant's Signature
Page 1of3