4040 Lexington Avefl,ld
CITY OF EAGAN Remarks •eg
Addi2ion SeCtion 13 Loc Blk Parcel LO 0230f1 070 50
oWner screet 4040 Lexington Ave. So. State Eagan MN 55123
_e?? 1if -J:?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STAEET RESTOR.
GRADING
SAN SEW TRUNK 1985 835.80 55.72 15
SEWER LATERAL
WATERMAIN 0 1986 2262.4 150.83 15
WATER LATERAL
WATER AREA
S
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RC?dCl UTllt
WATER CONN. 500.00
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4845
PHONE: I54-8100
BUILDfNG PERMIT c1 ? ?, 000. ReceiPt # 10413
?
73
To be utad for '\ddition Est. Value Dote June 14„ 19
Site Address It L040 So. I.exfne,ton Erect ? Occupancy
LotL%XQ_ Block 5-0 Sec/Sub. CU Alter ? Zoning
Parcel #
W Name Lester Seidschlag
Z Addreu 4040 SO. LeXlIIgton
3° r:... F88an oL.,..,e 454-4710
p Nnme ?i?n ?+l.six;?tns
z? Lexington Ave,
o Address
ul
H r-:... -$?ban ok....e
I hereby ocknowledge that 1 hove read this opplic
the information is correct and ogree to comply
State of Minnesota Statutes and City of Eagan
Signature of
A Building Permit is issued to:
oll work shall be done in accordonce with all
Buildirg Officiol
Repair ? Fire Zone _
Enlarge ?a Type of Const.
Move ? # Stories
Demolish ? FroM ?L ft.
Grade ? Depth ft.
Approvals Poes. . .
and state that
all applicable
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit ??'°•uu_
Surcharge 6. ?0
Plan check
SAC
Water Conn.
Water AAeter
Total b • `) Q
i' '' ei :i `L!, i a n, on the express condition that
Stote of Minnesota Statutes and City of Eagan Ordirrances.
?
Pumk # Dafe Inad PWwMht
Plumbing
Mechanical
INSPECTIONS DATE INSP. Mln
Ra Find
Footings p
Oate Irnp. Data Imp.
Foundation Plumbing
Frome/ins. •,Jo?1 /_ 1 Mechonital
Final Z4-6
?oA
.lic/?K/
? • .•
Remarks:
. .. ,. ?_ ..
CITY OF EAGAN ;?:;0 18330
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # J`? ?.
To be used for SIDING Est. Value ;79S00 Date sEP s , 19 ?
Site Address 4040 I.EXINGT'ON AVE
Lot 2 Block 50 Sec/Sub. SECTId?) 23 OFFICE USE ONLY
PBfC@I NO. Occupancy - FEFS .
¢
Name ?STER b LEiiELLE SED61iE&G
Zoning
(ACtual? Consl
-
ldg. Permit
99.00
; S L?XI?1C'PQN AVS
AddfeSS (Allowable) _
- 4•?
0 ?? Surchar e
9
Cily
Phone # ot Srones -
Plan Review
Lenglh
a Name CONSOLIDATED HUILDERS Depth Cil
SAC
=
o
`
Address 5930 PORTI.AND AVE S
S.F. To1al - ,
y
m
U
City MPLS Phone 869-3355
S.F. Foolprinls
- snc, nncwcC
Water C
nn
?
w W
Name
On Site Sewage
On Sile Well
-
o
W
M
F w -
aler
eter
?? AddfBSS MWCCSystem
a W City PhOne Ciry Water _ Acct. Deposit
PRV Required - S/W Permit
I hereby acknowlege that I have,aread this, application and state that the
information is correcl and a
r
e t
l
ith
ll
li Boosler Pump - SiW Surcharge
g
g
o comp
y w
a
app
cable Slate of
Minnesota Statutes and City pYEagan L3rciinances. Treatment PI
Signature ol Permitee APPROVAIS Aoad Unit
A euilding Permit is issued to: CONSOLIUATED SUILDERS Planner - park Ded.
on the express condition that all work shall be done in accordance with a11 Council
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Bidg. O(t _ Copies
103.00
Building Oflicial Variance - TOTAL
Permit No. Permit Holder Date 7elephone A'
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date Inap. Comments
Footirgs I
Foundation
framirg
Rooting
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
BIdg.Final
Deck Ftg.
DeCk Final
Weli
Pr. Disp.
^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
.i i 1 t i1P?1 . .
? PERMIT SUBTYPE:
raii I.1 0 rNr;
q; 9 ,:1 N
Itilti/<Iti
APPLICANT:
? ,?s rti Ir rp??
TYPE OF WORK:
,, :i':: ?, Ib'fli VkNI1
INSPECTION D. • D•
.?r?
Penmit No. Parmit Holder Date Telephone ff
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
L 4
FIREPLACE
AIR TEST
% .
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EFiGAN Permit No:
; 3830 Pllof Knob Road B/P Na Date: ?
1 PO. Box 21199 = r? . .
i ?
FSgan, MN 55121 Date:
SnTrR
, ?2easchlag
? SiteAddress 4040 go. Lexia ton Ave 10
Plumber. F72Yenehino
?v1WCC: 550. (!or.d
City Chg: 1 0 {). OOpu 2oning.
Acct. Dep: 15.00 pd No• oi Units: 7
' Permit Fee: 10. Oppd
Surchar
i
e: • SF? 1 a9?ee to comply Wnh ry? C
HY a Eagan
T
g 0???es
Misc.: .
BY
SEWER SERVICE PERMIT ?
?CITY Oc
EAGAN •
38
30
Pilot
K
`? ? '
Ml
nob Road
o .
p.
Box
21199 •
ATER SERVICE PERMIT
?+gan, MN 55121 ?RMIT NO.:
Zonirp: DATE:
Ownsr. LeUtrr ^ t , No. of Un1rs: i
Addross:
h
Site Add?eas 4 ii i 7 I e
Plumber: 2R .>
•??,? ? P) ??
<300-0??-50
t r
Matar No.•
?Stze: S19? 0- ?^-- - Conneai(n p,o,y,; 501, o(' :)j :
Reodar No.: Aiccount?Depoalt: i 5. C?'
? Mew le ? -}^T-+-------
Clf' MY6 !Iw ph' oi Eo
w ? Permif ile: I;!;r -,?
N
?n? Surcharge: -
Mlsc. Chorpea: 132.,)1) nd
gy TotaL•
t e r
Dare of ? ?e Poid:
6?? °/ Ss Insp
??
CITY OF EAGAN NO 18330
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 t l1
BUILDING PERMIT Rec?ipt # -.??. ?/
To be used for SIDING Est, Value $7,500 Date SEP 5 , i g 9Q-
Site Address 4040 I;EXINGTON AVE
Lot 2 Biock 50 Sec/Sub. SECTION 23
Parcel No.
WlName LESTER & LEWELLE SEDSWERG
o Address 4040 S LEXINGTON AVE
City EAGAN Phone
o Name CONSOLIDATED B ILDERS
$? Address 5930 PORTLAND AVE S
? City M •S Phone 869-3355
Name
? ; Address
<W City Phone
I hereby acknowlege thal I have r d this application and stale that the
information is correct and agr o c y with all applicable State ot
Minnesota Statutes and City gan 'n .
Signature of Permitee
A 8uilding Permit is issued to: C)N 'O •TDAT .D T D RS
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uildingOfficial
?•
OFFICE USE ONLY
Occupancy _ FEES
Zoning -
(Actuat) Const - Bldg. Permit 99 - 00
(Allowable) - Surcharge 4.00
# of Stories -
Lenglh _ Plan Review
Oepth - SAG City
S.F. Tolal _
SAC,MCWCC
S.F. Footprints _
On Site Sewage - Water Conn
On Site Well - Wa18r Meter
MWCC System _
City Waler Acct• Deposit
_
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.INf. _ Copies
VarianCe - TOTAL 103.00
cIrr oF eacaN
3795 Pilot Knob Road Eagon, MN 55122 N-0 4845
PHOWE: 454-8100
BUILDING PERMIT APPLICATION $12s000. Receipt #_. 10413
To be used for Addition Est. Value pate June 14,__ 1978
Site Address 3 4040 So_ Lexington Erect q Occupancy I
Lotc?A - Block ? Sec/Sub. A5 Aiter ? Zoning A
Parcel #
W Name Lester 5eidsChlgg
Z Address 4040 So. Lexington
o Ci Eagan Phone 454-4710
o Name Sim Wibliams
i? Lexington Ave.
a Address
u?
r r:.., agan ow....e
Name
Address
I hereby aaknowiedge that I hove read this application and state that
the informotion is correct end .agree to comply with all applicable
State of Minnesoto Stotutes and City of Eagan OrAinances._
Repoir ? Fire Zone
Enlurge [3X Type of Const. V
Move ? # Srories
Demolish ? Front 24 ft.
Grade ? Depth 14, ft.
Approvols Fees
Assessment
Water 8 Sew.
Police
Fire -
Eng. -
Planner -
Council _
Bldg. Off.
APC -
Permit 39.00
Surcharge 6.00
Plan check
SAC
WMer Conn.
W4ter Meter
Total 4 S ,00__
Signature of Permittee I
A Building Permit is issued to:,- s Seidschl on tMe express condiHon that
oll work sholl be done in nc r nce with f a 'cable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official - ?? ?' ?
EAGAN• TOWNSHIP
BUILDING PERMIT
,
Owner _ ....... _ . . ---- ----- Address (Present) 7a??1....?---•? ? ....................
. . .-- - -- ••- ...............................
Builder .......... cf;?---l -.-°• ......................°_.......---•------........---°-....
Address ............................ ..........................°-----...----?-------...------------°
DESCRIPTION
N° 2'72'7
Eagan Township
Town Hall
Date ?,?.fY
/
5tories To Be Used For Fron! Deplh Heighf
? Est. Cos! Pesmit Fee Remarka
? S? !? 6 I ?6' 1o
LOCATION
Street, Road or olher Desaripiion ot Location I Lo! Block AddiYion or Trac!
eg 04 "'L?
This pe:mit does not suihoriae ihe use of streets, :oads, alleys or sidewalks nor does it give the owaer or his agent
the right to ereate anp situalion which is a nuisanee o: which presents a hasard to !he health, safety, conventenae aad
general melfare !o anpona in !he communi3p.
THIS PERMIT MUST BE KEP ON WHILE THE WORK IS IN PROGRES .
This is io ceriifp, tha!(_?._- ._.?4?._.. ,_.. ....---.has permission io erec! a............. r- ..........:.........•....upoa
(
the above described pre ise subjeci a-m s of !he8' Ordi ca for g o ship adopled April 11,
1955. ?
_...?i??1,l;i':!.^.?l....I?L-4 ...... --- ........................... Per !L.._...:_._.:..._....••-••--••-
an of Tnwn Board ? Building Inspector
? ., ? .
EAGAN TOWNSHIP
BUILDING PERMIT
A 6112
Address (presen ..
---° -
Builder -° ......... .. . - -- -- ?
Address ----- ----- -
.?. ?
DESCRIPTION
N° 631
Eagan Townsh'sp
< Town Hell
Dafe ?r???.
Stories To Be Used For Froni Depih Heighf Est. Cosf Permii Fee Remarks
I o? . ? I .
LOCATION
S1ree3, liefad ox oiher Descr3pi9on of Location I Lof I Elock I AddiYion or TrecY
This permit does not horize the use of sireefs; roads, alleys or sidewalks nor does it give the ownex or his agenS
the xighi to creaie any tuaYion which is a nuisance or which,presenYs a hazard Yo the healYh, safety, convenience and
general welfare fo anyone in the community.
THIS PERMIT MUST BE ON E P E E WHILE THE WORK IS IN PROG SS. p
This is fo ceztifp, fJ(af _..?-??f??.._.__..has permission erect a° -- °-----°---°- ----------- ---.................. upon
the above described pre se subjec3 to the provi o s of the Building Qkd inanc for adopied Apzil 11,
1955. z !
-- -
------------ - Per - - ?
Chairm--- -an - of - -------- Town Board
5I uq9 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PtLOT KNOB RD, EAGAN MIV 55122
651-681-4675
New Construction Reauirements
• 3 registered sde surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan sbowing beam & window sizes; poured (ound desgn, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted after 711l93
• Rim Joist Detail Options seleclion sheel (bidgs with 3 or less units)
DATE ?O?__
RemodellReoairReauiremeMs
• 2 copies of plan
• i set of Energy Calculations for heated additions
• 1 site survey for extenor additions & decks
. Indicate it home served by septic system for additions
?
VALUATION 4D60
SITE ADDRESS ?OtED t?C6?&l1 A1J2 MULTI-FAMILY BLDG _Y XN
TYPE OF WORK FZe- 'l QC& FIREPLACE(S) _ 0_ 1_ 2
APPUCANTG"?1Q? ? bRS?%?LCDI/l ? 5? (
STREET ADDRESS -v?_0b 't>e llpA $L,y(`Q :br, CITY LD TATEM&ZIP 5?_?
TELEPHONE #Wp1-4Io1-361q CELL PHONE #6IoZ-`7?e -38?6 FAX # gSo?- LW?'" 97l i
PRaPERTY OWNER LlAqV0? S i?,SG?Ia pp TELEPHONE #6S I' ?S?I ?LI7/D
7
------------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIINNL:SO"1'A RL?LES 7670 CA71'EGORY 1
(J submission rype) . Residential Ventilation Category t Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Mechanical syslem includes
Sewer/Water Conhactor:
Water SoFtener
Watcr Hcater _
No. of' Baths
Au• Cotiditioninn
Hcat Rccovcry Syslcm
Phone #
Fcr. $90.00
Fec: :670.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan dinance n
Signature of Applicant
OFFICE USE ONLY
MINN
• New
_ Phonc # '
Lawn Sprinklcr
No. of R.i. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - tvlulti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-piex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 5iding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Buiiding inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
GTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4040 LEXTNGTON AVE
LOT: 2 B40CKs 50
SECTTON 23
p.I.N,: 10-02300-020-50
DESCRIPTION:
r?
3t s`
?
? ?? ;??"? ? ?? •r?h° `? ,??"?Y'.G
;Na i?
c?
(?kMsa
BuzLpzNG
029238
ss/1s/96
REMARKS:
FEE SUMMARY:
Base Fee $25.00
5urcharge $.50
Tatal Fee $25.58
COIVTRACTOR: - Applioant - sT. LIC OWNER:
FIRESIDE CdRNER INC 16331042 0061068 SIEDSCMLA6 LESTEft
2700 N FAIRUIEW AVE 4040 LEXINGTON RVE S
ROSE1/ILLE MN 55113 EFIGAN MN 55123
(612) 633-1042 (612)454-4710
I
APPLICANT/PERMITEE SIGNATURE
(ozREcY vEnt7')
Permit Type FIF2EPLACE
49rk Type ALTERATION
434 flLT. RESIDEh1TTAL
J (V:U?l Ol I o_x
SSUED BYI SIG ATURE. ,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 xqlwg 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: /( `I5- -C ?-
DESCRIPTION OF WORK: _ CONSTRUCT N W FIREPLACE: _ WOOD BURNING _ GAS
? INSTALL GAS??SERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN: 11-.?'-vu"L 1??-to-qy`1
STREET ADDRESS: 4tnq'0 L.-c3 )4l i.J GT-?0 /J ?c cSo
LOT BLOCK -10 _ SUBD./P.I.D. #:
AFPLICANT: (circle one only) OWNER C CONTRACTOR
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.
,?--? AVA)
PROPERTY Name: ryLUELL-+Y Phone#: 45-4- '4 7?o
OWNER
Signature:
Street AddressAc' 4-c->
City: ls?q W1Q-O,) State: /.? Zip: S-5't" 2---3
FIItEPLACE
INSTALLER
GAS LINE
INSTALLER
Company:
Signature:
Street Azss:31wc) r-4; * 13
Cityb JYt.?.??V l,,-l.C State:
Company: _
Name:
Signature: %
v
Street Address:
City:
Zip: .3373 3 7
Phone #:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
DEC.-19'91(FRI) 13:39 DAKOTA CO ENV MGT TEL:612-891-1588 P.00
?s
Municipal Notice af Wel1 Permit Application ?
Dakota Cnunty Environmental Management Dcparmient
Water and Land Managernent Seotion
14955 Cralaxia Avenue West
Apple Vallcy, MN 55124 ?
Tel (612) 841-7011 Fax (612) 891-7031
DAT'E: December 17, 1997
TO: Tam CalbertlWayne Schwattz Fax #: (612) 681-4612
FROM: water and Land Management
RE: WellPermit#: 97-H131342
Municipatity: Eagan
Well Type: Sealed
Environmental Specialist: ltutten
The Waeer and Land Menagement Sectian of the bakota County Enviranmenrtal Management Department
has received the fallowing permit application for the well descrihed. Tf ynu sequire ftu-ther review of the
spplication or if you have any questions or concerns abaut it, wntact the Environmental Specialist listed
above or our office ae (612) 891-7011. If there is no resgonse from yoar off'ice within 24 HdURS (excluding
weekends and holidays), we will assuma that you have no objectians to the issuance of the permit. Please
aote that permit iesuanee is aiways eonditioned on the permit applicant's observance of and compliance with
all Qpplicable state, caunty, and municipal laws and codes.
Well Conhractor: Hartmaan'We11 Company
17ate application received; December 15, 1997
Anticipated Drilling Date: Time:
Anticipatad Grouting Date: Time:
Property Owner: Lester Siedschlag
WeI] Owner: Lester Siedschlag
R'ELL LUCATION:
PLS Coordinates: 1/4, nw I/4, nw 1l4, sw 1/4, Sec 23, Town 27, Range 23
Street address•,L,4o40 Lexin an Ave S
PI1V Number: ' "10-02300-02,
WELL IlYFOItM'ATION:
Diameter. 2
Casing depth: 121
Total depth: 124
5tatic Watier i.evel: 105
Aquifer: Unconsolidated SedimenCs
CQMN[ENTS:
R=96% 612 891 7688 12-19-97 02:48PM P001 #03
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MASTER CARD
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LOCATION
OWNER Sedsa&a cb L rs rTi/
STRUCTURE AND
LAND USED AS
yo
SE6 '=?3
Permit '
No, i Issued • Issued 70
Coniractor Owner
BUILDING ?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL ?
HEATING
GAS INSTALLING
SANITARY SEWER ?
OTHER I
OTHER i
I
•
?
?
Approyed
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
'FOUNDATION i CESSPOOL
FRAMING TILE FIELD FT.
FINAL s
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER ?
C J
COMMENTS
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
•
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to tha property inspected.
F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
r
23
• w?
SUILDING PERMIT APPLICATION
qq ?
Include 2 sets of plans, 1 site plan w/elevations and 1 Set of energy calculations.
To be used for
valuation ` %? G' C d
Site Addresc:
Lot
Owner
Addres
Contra
Addre.
ArCh./Eng.
Address
Erect
Alter
Fepaiz
Enlaxge _
Move
nenolish
GraBe
OFFICE USE
Date of ApProval & Initial
Assessment
waier/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
Parcel Number Id '03G" Daep SO
Telephone VU
Telephone
Telephone
OFFICE USE
?
Occupancy ?
Zoning ?
Fire Zone --?
Type of Const.
# of Stozies
Front 2 ?4
Depth >4
FEES /
Permit
Surcharge
Plan Check ?
SAC
G?atei C.Onn.
Water Meter
TOTAL
Black Sec. Sub.
19330..
1990 BUILDING PERMIT APPLIGATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECR WITH BLDG, DEPT.) 1 SET OF SPEGIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, Bi7T NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be used For: ll?y1,??cL'?? ?
l
Site Address Z4411/)-* LeX/thi
Lot ? Block SO
Valuation: -?5 00 ?- Date : ? Lq! v
OFFICE USE ONLY
Parcel/Sub '-'?? C;?-3
Owne r
Address y??Q S6 LLOX??y7r"?
City/Zip Code
?-
Phone
Contractor ? f`?cfwfw/' /'erlais
Address /?yr So
City/Zip Code SS?/Z
r
Phone
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
T
?
Phone #
!23/2007 11:39 FAX 651 437 9745
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la002/002
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4040 Lexington Ave
Lot: 002 Block: 050 Addition: Section 23
PID:10- 02300 - 020 -50
Use:
Description:
Sub Type: e - Fumace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Brian Welke 122 W 3rd St hastings, mn 55033 651- 437 -0338 bwelke@haleycomfort.com
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Daryl L Siedschlag
4040 Lexington Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA076398
01/12/2007
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144409
Date Issued:07/25/2017
Permit Category:ePermit
Site Address: 4040 Lexington Ave
Lot:002 Block: 050 Addition: Section 23
PID:10-02300-50-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Daryl L Siedschlag
4040 Lexington Ave
Eagan MN 55123
(651) 770-5570
Window World Twin Cities
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150439
Date Issued:07/09/2018
Permit Category:ePermit
Site Address: 4040 Lexington Ave
Lot:002 Block: 050 Addition: Section 23
PID:10-02300-50-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Daryl L Siedschlag
4040 Lexington Ave
Eagan MN 55123
(612) 817-7792
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158412
Date Issued:10/14/2019
Permit Category:ePermit
Site Address: 4040 Lexington Ave
Lot:002 Block: 050 Addition: Section 23
PID:10-02300-50-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Daryl L Siedschlag
4040 Lexington Ave
Eagan MN 55123
(612) 817-7792
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168151
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 4040 Lexington Ave
Lot:002 Block: 050 Addition: Section 23
PID:10-02300-50-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daryl L Siedschlag
4040 Lexington Ave S
Eagan MN 55123--151
Sps Contracting
19945 Dover Dr
Farmington MN 55024
(612) 702-8083
Applicant/Permitee: Signature Issued By: Signature