931 Oakwood Heights Cir
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CITY OF EAGAN WATER SERVICE PERMIT
3795,Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber: _
Meter No.: __ Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By r°9-' -� Date Paid:
D. e of Insp.l _�0�/ �/� r �� Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address: _
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
-For Of-RceUse
j Permit
City of Eqan I ~ oat
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
~.----------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
04ALW* 4e
Date: ltiZ Site Address: D
Name: 4''Atrtnus (CQ/U+JkSj- e_C&h hone: o ~ c..
Resident/
Owner Address / City / Zip:
Applicant Is: Owner Contractor
Type of Work Description of work: re --k=24
Construction Cost: 1 , Mufti-Family Building: (Yes ! No
Company: tiJV*: Contact: VoyeL
Contractor Address: 7,0 ,u_ city:
State: a r J Zip: o ~r 1,3 Phone: 2,10 -1
License 3Q_ 5 q S -7 4 9 Lead Certificate AJJ*N-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 & 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstatoonecall.org
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_ k)t-~ 1-C ?Jv~cati+ -iSr-f x 044 Applicant's Printed N Applicants ignature V 'V_
Page 1 of 3
Use BLUE or BLACK Ink
r------------------�
I For Office Use �
' � Permit#: / ���j
Clty of ���a� � f �"` ''� �-
i Permit Fee: / �;� ` C%�./ i'
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: rJ � Site Address: _ . � � � pp {�C 1 C�Y Unit#:
_,,__ _ ��� ��r�•v�S
` } *y Name:�°Z�pp � j-ll�Occ,}�,'{� Cbr�]orn�Ncu%s�.. /9;SS = Phone:�►_ t� Sc(-�2��
Resident/
' Owner �`% Address�c�ty i z�p: �(2 4 d A-�CV�(r�o� -F��a ��,��; . L=i4�/kr�
� �,, ,� ����� Applicant is: Owner �Contractor
�` �y �` Description of work: �f N 0 G� �e io(..i4�,�mPni'�
Type oftWork ';:;
Construction Cost: �� � � Multi-Family Building:(Yes�/No )
g ; � , \
' Company:� �'j�U`{' `�'� -t-t�S�' �C Contact: 1 u c (�c r�,na.v-�-ati
COt1t1'aCtOC = Address Z V� � City: �z 14�a14m�
State:�Zi 2 Phone: (,�(Z-Z(0- /', ail: �V'I tn,� `"�nav �1��� �'
p���-1--� �.b�' �" l'V,�f"
License#: 15�` () 5���� Lead Certificate#: �(�"-� ���'�( (
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE:.Plans and supporting documenfs fhaf you subm�t are cons�alereal fa be publ�C�nformat�on Port�ons of
tfie informatron may be c/ass�fied as non publ►c�f you proviale spec�fic reasons that would permit the City to �
� conclutle:that the .are,trade secrets{ _ 'R '� �
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. vwuw.poqherstateonecall.org
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���L�S ���G2pr .UN x �!
Appli nYs�ted Name � ApplicanY Signa ur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175137
Date Issued:03/15/2022
Permit Category:ePermit
Site Address: 931 Oakwood Heights Cir
Lot:101 Block: 02 Addition: Oakwood Heights
PID:10-53800-02-101
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Edward Ii Norberg
931 Oakwood Heights Cir
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature