EA186935 - Building - Pool - Issued Date 10/04/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Building
Eagan,
,MN 55b Rd ®a`s�` ®-p« EAGAN
Permit Number: EA186935
Eagan, ��-� 4•-•
(651)675-5675 111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 6 9 3 $ *
Date Issued: 10/4/2023
Site Address: 841 Govern Cir
Lot: 13 Block: 5 Addition: Gardenwood Ponds
PID:10-28800-05-130
Use: * 10 - 28800 0S — 13 D *
Description:
Sub Type: Pool Construction Type: V-B
Work Type: New
Description: Inground
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-I
Zoning: R-I
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $215.90 0801.4085
Valuation: 10,000.00 BL-Plan Review 65% $140.34 0720.4222
Surcharge-Based on Valuation $5.00 9001.2195
Total: $361.24
Contractor: - Applicant - Owner:
All Poolside Services Jeffrey P&Jennifer R Sellner
121 E Cty Rd C 841 Govern Cir
Little Canada MN 55117 Eagan MN 55123
(651)483-6600
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.
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.
Applicant/Permitee: Signature Issued By: Signature
inial led 10 14- rIo phoned)
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I For Office Use
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® I S&WPermit
EA #:
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I Permit Fee: X I
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PILOT KNOB ROAD EAMN 55
(651
(651)675-5675 1 FAX:(651)675-565-56 Date Received:
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buildinoinspections(cilcitvofea an.com I Date Issued: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Data: 'h 0'3 site Address: 841 Govern Circle
Unit#:
Applicant is: ❑Owner ❑Contractor R WWA
J
Name:Jeff and Jennifer Sellner
Horneow"ner841 Govern Circle Eagan
Address: City: g
State: MN Zip: 55123 Phone:6514912376 Email:jensellner@gmail.com
.... ...... ..
Description of work: Install Inground Swimming Pool
Type of 65 500
Work Construction Cost:
Type of building: ®Single Family ❑Townhome, of_ _ units_ ❑Twin Home
Company:All Poolside Services Inc Contact: Rob Anderson
Building Address: 121 County road C East city. Little Canada
contractor MN 55117 randerson@poolside.biz
State:_Zip: Phone: Email:
License#: Expiration Date:
Sower& Company: Contact:
water
ContractorAddress: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date: i
❑ I understand that Plumbing,Mechanical,and Fire Suppression work require separate applications.
N07E 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. Contact Gopher State One Call at(651)454-0002 or www.gopherstaleonecali.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 conforma ce with the or 'nances 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 no o start wi a permit;that the work will be in
accordance with approved plan in th case of work which requires a review and approval of pia
x o
x
Applicant's Printed Name APpllca}is Signet e '
DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level !C::L Pool _ Accessory Building
WORK TYPES
New — Interior Improvement. _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair — Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 4>0o Occupancy 2-,4c_ MCES System
Plan Review Code Edition Mmac-aa to SAC Units
(25%_100%--J Zoning jZ--\ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) /Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: (Y -- , Building Inspector
RESIDENTIAL FEES /0,000
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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