EA188117 - Building - 01 of __-plex - Issued Date 11/20/2023 PERMIT
City of Eagan a , , Permit Type: Building
3830 Pilot Knob Rd °*` % ••° Permit Number: EA188117
Eagan,MN 55122
EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 8 1 1 7
Date Issued: 11/20/2023
Site Address: 926 Oakwood Heights Cir
Lot: 110 Block: 02 Addition: Oakwood Heights
PID:10-53800-02-110 [nil 11E 1111111111 E 11111 11�11111111111111111111111111111111
Use: * 10 - 5380 0 - 0Z — 1 10 *
Description:
Sub Type: 01 of_-plex Construction Type: V-13Work Type: Alteration
Description: Bathroom
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-3
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1(
feet of all sleeping room openings in residential homes(Minnesota State Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Minnesota Rusco Maureen P Sheridan
5010 Hwy 169N 926 Oakwood Heights Cir
Brooklyn Park MN 55428 Saint Paul MN 55123-493
(952)935-9669
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
1 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.
Applicant/Permitee: Signature Issued By: Signature
I ►� 11 �2a
---------------------
For Office Use
Building Permit#:
g j 1
I
I
t� p0 I
i� s/ I S&W Permit#: I
EAG
.._. _f., 1 Permit Fee: 137,7 - 1
((��A1%X I I
�""► I E
ryry I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
NOVlvGo2J 1 I
(651)675-5675 1 FAX: (651)675-5694 1 Date Issued: I
buildinginspectionsc)cityofeagan.com P I---------------------
BY:
RESIDENTIAL BUILDING PERMIT_APPLICATION
Date:
11/17/23 Site Address:
926 Oakwood Heights Cir Eagan, MN 55123 unit#:��� �
l�
Applicant is: ❑ Owner 14aCA�LJ0 Dol Contractor �j
Name: Maureen Sheridan � �
Homeowner Address: Y 926 Oakwood Heights Cir Cit Eagan
State: MN ZiPhone:55123 612-454-956 Email: maureensheridan.maureensheridan@comcast.net
g:
Oemo es t,,g.nsta new sower system and wal surto d M nneso a Rusco to nsula e,'nstall vapor--1 rape antl seal.Install smoke and C O.alarms to cotle.--ng permit to Ee pulled separately.
T
Description of work:
Type of
I Work Construction Cost: 10154.00
Type of building. ❑ Single Family 0 Townhome, of units ❑ Twin Home
Company. MN Rusco Contact:
� � Kelli Gugisberg
Building Address: 5010 Hwy 169 N City: New Hope
Contractor MN 55428 952-935-966 kelli@minnesotarusco.com
State: Zip: Phone: Email.
CR805613 3/31/24
License#: Ex iration Date:
i
r Sewer & Company: Contact:
Water
Contractor Address: City:
0
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
Information may be classified as non-public ifyouprovide specific reasons that would permit the City to conclude that they
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
x Kelli Gugisberg x
Applicant's Printed Name Applicant's SonaUire 61