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2830 Lexington AveCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? ? %?v, r ?.; SITEADDRESS:' 10 li, t .t b H t u c t: .. ., i i. 11.11, 1 C)N AvE PERMIT SUBTYPE: Ili t', M 1(V 4i PERMIT TYPE: Permit Number: Date Issued: r;uiif+i NC, Vi.'t>d4.' ciRl.•4,/Cib APPLICANT: TYPE OF WORK: Ell. '? t it 11, i f UN rll if HAl fON M1li "'(?I1N1i ! N`-141 A t 1 ON k()Iflill [ t1 111 ii I';?r'?Rh q•,f 4'14k/1t1- 1'f-14M 1 1 1'. I,I t1?1l lr1 111 1014 ANY t: l i-r: t l? l f?l 1J11F.'I ? Permlt No. Permk Holder Date Telephone # ELECTRIC PLUMBING HVAC Mspntlon Date fnsp. Comments FOOl1NGS FOUND FRAMING ROOFING ROUGM PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG I!t pRSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL CITY OF EAGAN Addition McKee Addition 4k1 Ma.V(Aar-e f G '5fy,c; sueec-?$30 Lexinf:ton Ave. State Eagan, MN 55121 Improvement Date Amount Annual Years '1?5 Payment Receipt Date STREET SURF. STREET RESTOR. GRADING I SAN SEW TRUNK bin 1968 $100. 00 $3. 33 30 PAID ?e SEWER LATERAL 1968 20 WATERMAIN , WATERLATERAL & Sgg?A 1968 $920.00 $46.00 20 PAID WATER AREA STORM SEW TRK p $ 446.00 29.73 1 56(o •S'l STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $200.00 866 -1 - BUILDING PER, sac $200.00 86 = = PARK I Remarks 11 C ?1 ?... + nib 2 0-1 10 J? 'i7750 1J0 0L EAGAN TOWidSHIP BUILDINI; PERBMIT _ i i Address (preseni) Builder ..... Address .._._-_... N` 212 Eagan Township Town Hall Dale -- DESCAIPTION ,? ,?? ?/' z o= r-? /so 1 o.;.- This permii does noi auYhoriza !he se of slreets, roads, alieps or sidewalks nor does ii give the owner os his ageni the righ! !o ereale any situation which is a nuisanae or which presen2s a hazard io the heallh, safeiy, conveaienea end general welfare !o anpone in the eommunify. THIS PERMIT MUST 8G ? T ONTH( , E WORK IS IN PROGR 8? ........ _YH .._.._.upon This is to ceriify. l?hpa!$?L...C?........ .? ? Pgf.?.'..? ............. as parmissioa So ereci a..`... ... ...... !he ahove describe remise o lia rovisions of the Building Ordinance for Eagan TowoPted APril 11, ? 1955. ?i ... Per _.. -- ---................................. ----------------------------------------------- .------ .. •_'-' - - - ----.._--- -- ...... .. kl- Chairman of Town Building Inspector REQUEST FOR ELECTRICAL INSPECTION E???oy ? See instmclions br completing this form on Oack oi yellorv copy. C/ PI (-/p/'ml "X" Be/ow Work Coyered bV This Request 4V Neti, dd Rep ` Type of Building RDpliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater ' Electnc Hea4ng Apt. Builtling Dryer Load Management Comm./Industnal Fumace Other (Specify) Farm Av Conditioner Other(specify) Conuaclor's Femarks Wire A/C, Compufe Inspecfion Fee Below. k ' Other Fee # Seroice Entrance Size Fee k CircuitslFeetlers Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Am s SI nS Inspectors Use Only L TOTAL Irrigation Booms , n 5 ecial Inspection ?v Alarm/Communication THIS INSTALLATION MAY BE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if h h i R°ughan oare y t cetl at t e above nspechon has been made. Final Da X?-All USE ONLY This request vWtl 16 moniha imm Oo 2 600 ??' ? ReOU st Date fireNa Rough n InspecM1On eqw ed (YOU mesY.all v?spector when ready) Inspaclmn OthetThan Rough-In E] Featly Now ? WJI Notdy Inspector E]Ves ? No Date Reatl IXlicensed contractor ?owner hereby request inspection of above electrical work at: Job Address ($ireet, Box ot Route No ) o9830 LE??X/NGTa1V V,-- Gily 'E?&#/v Section N. Township Name or No Range No Counry ../+? ?/7 tiV 7 ? Occupant(PRINT? K?. OWNL? i' Ptlone No Power Supp ier Atltlress ? Electncal Coni (Com/pa'?ny Name) ///? 'fili , ' C.1/ •) ?" `? ConVflctof/s ILicense/N'o f-iG? Y.° Matling Atltlress (ConVactor or Owner Makmg Instellation) ? ?-??9 21st. NE .efa.?e /74 Aulh ' re(COn?rec?or/Ow er king tnstallallo ) Phone Number 'CITY I IIIII II I I I I II O I ? G 9 N W V ? III ?I ? I I I I II II I ? D ? R 9 B O 82 Ve aityA e.Sl au1 MNS5104 U 1 Niii N 1 I n ? V EE I F PER NSPECTION UNLESS pO 1 Phanef6121642-OBUO 1 I ENCLOSE PERMIT ????,? ?3 ? CITY OF EAGAN 3830 Pilot Knob Road pERMITTYPE: eurLozntG Eagan, Minnesota 55122-1897 Permit Number: 026442 (612) 681-4675 Date Issued: 0 9/ 2 6/ 9 5 SITE ADDRESS: 2830 LEXINGTON AVE LQT: 15 BLOCK: 2 MCKEE 1ST P.I.N.: 10-47750-150-02 DESCRIPTION: ? f MAC SOUND INSULATION B0ild3n4',P?ermit Type SF (MISC.) Building Wo'rk Type ALTERATZON i- REMARKS: fl SEPARflTE PERMIT IS REQUIRELI FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fe2 Plan Review Surcharge Total Fee $237 . 25 $83.04 $8.00 $328.29 $16,090 CONTRACTOR: - Applicant - sT. LIC. OWNER: SOCON CONST 7:NC 17846910 0008934 TOWNLEY MICHAEL 9901 XYLITE ST NE 2838 LEXINGTON AVE BLqINE MN 55449 EAGAN MN 55121 (612) 784-6910 (612)658-2289 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply w3th all applicable 5Cate of hln. Statutes and City of Eagan Ordinanoes. ? l TG -e ? - (pp? r, I `m?,t- ? G ?PLICA ?PERMTEE SIGNATURE rTSSUED'Y SIGNA R?Er? ? _ _ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: p' I• N.: 10-4 77s LOT: 15 2830 LEXINGTON AVE MCKEE 1ST PERMIT SUBTYPE: SF (MISC.) APPLICANT: BIOCK: 2 SOCON CONST INC (612) 784-6910 TYPE OF WORK: DESCRIPTION BUIL.UING 026442 09/26/95 ALTERATION MAC SOUNU INSULATION INSPECTION FRAMTNG „ . RQUGW TN WTG D. FINAL REMARKS: A SEPpRATE PERhIST IS REQUIRED FOR ANY ELECTRICflI WORK ? L? 7 -J ? a: CITY OF EAGAN t 0 3830 PILOT KNOB RD - 55122 1595 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Construetion Reaulrements ' RemodeVReoair ReauiremeMs ? 3 registered site surveys ? 2 copbs oi plan ? 2 copies of plens (inelude beam 8 windav saes; poured fid. tlesign; etc.) ? 2 site surveys (exterbr additions & decks) ? t energy calaladons ? 1 energy calculations tor heated additions ? 3 copias of treo presenation plan 'rf lot platted after 711/93 ' required: _ Yes _ No ? DATE: 1^116-`i S CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: ' 4UL2v LOT -? BLOCK J _ PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER SUBD./P.I.D. #: Name: TOWn 4N RU iQZ? Phone #: 6ELDBC1 Street City: T:Wn State: [fiN_ Zip E-LELLA Company: i JM. Phone #: 14-(n01a_ Street Address: ? ? r3d N. E. License MOP, 1??Lj City:lll??l State:lLL?_ Zip: rt Company: Phone #• ??=?"??2?5 Name: laI llls t . kfI I II,r tJm Street Registration #, flo5b City: 11_l ?? I beQ?TU l ?? State: MW_ Zip: , ??'7• ? Sewer 8 water licensed plumber: change are requested once pertnft is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this appiication and state that the infortnation is correct and agree to wmply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? 0 ? OFFICE USE ONLY - ? Certificates of Survey Received _ Yes _ No ! i ; SEP F p 1995 ; t Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex 0 03 SF Addition ? OS 8-plex 0 04 SF Porch ? 09 12-piex aur-05 5F Misc. 0 10 = plex WORK TYPE ? 31 New Aa-?33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning T_ 0 11 Apt./Lodging ? 0 12 Multi RepaiNRem. ? 0 13 Garage/Accessory o • ? 14 Fireplace o ? 15 Deck 0 36 Move 0 37 Demolition Basement sq. ft. Main levei sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building i ? ... .? .?. ? • e. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. ? SAC Code ? Census Bldg ? Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter ' Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total 0 Valuation: $ /??DOO % SAC SAC Units L J5 BL 3) CITY USE ONLY RECEIPT #: I 3 ,I .7 ,l 0/ SUBD. I V lr? RECEIPT DATE: /LJo" 7- U() PERMIT # Q? fl // /? 2000 PLUMSIN& PEiMIT (MIDENT1AL) crrY oF $nsnx 3850 fILOT KNOB RD £F1fiAN, Aill 551 EE 651-6$1^4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem TOTAL EACH # nn I JRES Alterations to existing dwelling - my?imum fee Describe: Q?? f)l? i? -+.? iai" • $ 30.00 Bath tub $ 3.00 x = $ Fioor drain 3.00 x = = s $ Gas i in ouUet ' minimum - t 3.00 X = $ Hot tub/s a 3.00 = $ ? Kitchen sink 3.00 = $ Laund tra 3.00 = $ Lavato 3.00 i = $ Se tic S stem newlrefurbished ' requires MPC Ilc. 75.00 = $ S2 tIG S stem a6andonment 30.00 = $ ? RpZ new insWllation/repaidrebuild 30.00 x $ h o enin Rou 1.5? x = $ Shower 3.00 x = $ Under rounds rinkler ifdwel?in isunderconstrucuon 3.00 x $ exisun dwenin Under round s rinkier if 30.00 x ? W ater closet = $ ?? Water heater 3 00 x _ - $ W ater softener If dwelling under construdion 5.00 x $ Watersoftener HexisHn dwellin 30.00 X ' Watertumaround 30.00 x ---- State Surchar e .50 Total Reminder. Call for inspections of alterations, i.e. water heaters, water safteners, etc. ................. •---••--•---------------------------- --------•--------- ---- -------- - - ---- --- - - I hereby adcnawled9e that I heve read this eppliretion, state fhat tl?e informafion is correG, and agree W comply with all applipble Ciry of Eagan ordinances. It is the applicanPS responsibiliry to notify Ihe property owner that the City of Eagan assumes no liabiliry for any damages pused by 1he City during its nortnal operational and mamtenance acdvifies lo the facilities conswcted under lhis permit wilhin City property/righl-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALIER NAME: TELEPHONE #: teS1 Io2;0 (AREA CODE) TELEPHONE #: 4up 7 (AREA CODE) STREET ADDRESS: VF v CITY: S ZIP: 22AA?j SIGNATURE PERMITTEE CITY USE ONLY LOT BL D PERMIT #: y?14 ?/ SUBD. ML KP,P ? RECEIPT #: RECEIP"C DATE: ?. -7-06 2000 MECHANICAL PERMIT (RESIDENTIAL) Date• is- ?`LS I C(.% Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under conshuction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section on/v if you are remodeline, addina to, or repairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New /(teration _ Repair _ Other _ Furnace _ Air exchanger Reminder: Call for inspections SITE ADDRESS: _ W •,)o 1 OWNER NAME: 0'11 INSTALLER NAME: liV_?C _ Air conditioning ? OtherC C4 Qr--t-??lu-c Fee $ 30.00 State Surcharge .50 Total $ 30.50 PHONE#: (AREA CODE) PHONE (AREA ODE) STREETADDRESS: I`r"[ 1Ul Nl- CITY: 61" til STATE: ZIP: SIG AAb;PERMITTEE , CITY OF EAGAN 3830 PILOT IQdOH RD EAGAN NAI 55122 651-681-4675 L/sd? BL ? CITY USE ONLY RECEIPT #: ry???9 SUB DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ; ? townhomes and condos when permits are required for each unit New construction Add-on fumace _X Add-on air conditioning ' 'Fireplace conversion (to existing fireplace) Date: Y , FEES ?., ' Minimum Fee: Add-on/Remodet (existing residence only) $ 20.00 ' ? HVAC: 0-100 M BTU 24.00 ' . ' . Additional 50 M BTU' 6.00 ` . . , ; ?, Gas 0utlets (minimum of 1 required Q$3.00 each) ?5. • ? State Surcharge - ? ? .50 . TOTAL SITE OWNER NAME: INSTALLER"NAME: PHONE #: 499- °?°2°? STREET ADDRESS: CITY: STATE:? ZfP: PHONE ?lo?Z )???`?SJ _ ?p ?. ? " . ..r. L . ? ? ? .. ? . . . . ? EAGl3N TOWNSHIP 3795 Pilot Rnob Road St. Paul, Minnesota 55I11 Telephatte 454-5242 PEAMIT FOR SEGiER SERVICE CONNECTION DATE: Julry 12, 1968 OWNEA• Sam Anzelmo PLUMBER Wenzel Plbg. & Htg. NUMBER 199 _ Address 2830 So. Lexington HC_K-, T TYPE OF PIPL+ cast iron DESCRIPTION OF BUIIAIATG Iudustriall Commerciall Reaidential I Multiple Dwellingf No. of units X Location of Connections; Connection Charge 200.00 Pezmit Fee 7.50 Pd. 7J.'12/68 Street Repairs Tota]. 207.50 Inspected by: Date Remarka • BY Chief Inspector In consideratioa of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the zules apd regulations of Hagan Totmship, Dakota County, Minnesota B]/ i.7P=al Plha- Rr Rta- Please notify whea ready for inspection and coanection and before any porticn of the work is covered. Aa yyrso /sa o 2? ?'IckrG flddn EAGFN TOWNSHIP 3795 Pilot Knob Roud St. Paul, Minnesota 55111 Telephone 454-5242 PERI4IT FOR WATER SERVICE CONNECTION Date: July 12, 1968 Number• 104 Biliing Name: Site Address:?a3n s,?Yy„g-r.m Owaer• Sazn Anzelmo Plumber: wP,Pi Pibg_ ?, ut.w- tion Billing Address Size Meter No, IPerm1Y Fee 7•50 Pd 7/12/68 Meter Reading [Meter Dep.15-00 - Meter Sealed: Yes_ lAdd'1 Chg. NO iTotal Chg. 222•50 Building is a: Residence__Z_ Multiple hTo, Units Commercial Industrial Other Inspected by Date Remarks: By: Chief Inspector Ia consideration of the issue and delivery to me of the above permit, I hereby agree to do ttm proposed work in accordance with the rulea and regulations of Eagan Township, Dakota County, Minnesota. Wen2e1 Plbg. & Htg. By: Please notify the above office when xeady for inspection and connection. " . WELL CONSTRUGTION AND ABANDONMENC Permit No. WELL PERMIT 91-9019 Dr1KOTA COUNTY PUBLIGHEALTH DEPARTMENT ENVIRONMENTAL HEALTfI SERViCES SECTION WATER QUALITY MANAGEMENT UNTT 33 E Wentworth Ave., West St. Paul, MN 55118 Telephone:(612)450-2607 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Keys Well Drilling Co. ISSIIED TO 1 62012 ADDRESS: 413 No. Lexington Pkwy. RSVIEWED BY Swenson St. Paul, MN 55104 has submitted a permit application, has paid the sum of $100.00 'dollars to the County of Dakota as required by Ordinance Number 114 land has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well(s) described herein: An abandoned well(s) with a casing diameter of 4 inches and depth(s) of 150 feet will be permanently sealed. The well(s) shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The abandoned well is located in the municipality of Eagan as follows: Well Locationa Property Owner an8 Well Owner and Address (if different) Address (if different) Pat Seng 2830 Lexington Ave. S. Eagan, MN 55121 . THEREFORE, Keys Well Drilling, Co. is hereby permitted and horized to permanently seal the well(s) described and located ve for the period March 1991 to March 1992 subject to all visions of said Ordinance, the Minnesota Water Well Construction e and any conditions attached on the reverse side of this permit ven under my hand this 19th day of March, 1991. ATTEST GO" R. I4L4g? SUPERVISOR MTROMNTAL HEALTH DIRECTOR r- FROM DpK CTV SOC SUC 3.19.1931 14:08 P. 1 DA KOTA CQUNT Y PU9LIC NEqLTH PubuC Health Nursing Services HErLv 7n : Yonnsm Sero?<. Ce+ie? 73 Eesl Wemwonn Avqn„e Yld151 Pew Na55tt9 (8121 4S0.2814 Fgx ;6121tS0.294y1 fatiionme.oiai Ljeaqn X ?atern 8n1v101 Cemor 14955 Ga4xre Ave?,e AOwe Yeboy MN SS 114 (0121 99!.'S00 FBM (E12) 691-)4]3 DONNA M.ANDERSON PUBUC NEALtn UiNtGTOR (67 21450•2614 EmergenCy Medical ServiCes DAKOTA COUNTY PjJgLIC HEALTI{ DEPABTM6vT - WATER QUALITY MANAGEMENT WESTERV SERVICC CENTER, 14955 Galaxie Ave. West, Apple Va11ey, MN 55124; (612)892-7556 FAC9IMILE (612) 892-7473 MITNICIPAL NOTICE OF WELL PERMTT APPLICATION SEND T0: IbM MUNICIPALITS[: OFFICE: ? TELEPHONE:( ) . lgtl FACSIMILE:( ) 4m «pp?Llk FROM: %05? ?'a-?INSPECTOR #,.lb& AATE/TIME FORWpRDgD;COPAtENTS: REFER TO WELL PERMIT N0. llAKOTA COUN?Y WATER QUALZTY MANAGELXL•tiT HAS RECEIVED THE WELL PERMIT APPLICAT20N(S) DE- SCAI$ED SELOW, PLEASE NOTE.: IF yQU REQUIRfi FURTHFR REVIEfJ OF 'fFiiS APPLICATION(5) OR IF YoU HAVE ANY qU85TI0VS QR CONCCRNS ABOUT IT, CONTACT OLTR OFFICE 9T 891-7556 OR THE ENVIRON.SENTAL kiEALTii $PECIALIST LISTED ABOVE. IF THERE IS NO RCSPONSE FROM YOUR OFFICE WZTHIN 24 HOURS (EXCL[mING WrEKENDS A,1'D HOLIDaYS), STAFP wILL ASSUME THaT y0U &1VE NO OBJECTIO:vS TO THE ISSUANCE Or THE PERHIT. AL50 PLF.ASE NOTE THAT PERMIT ISSUANCE IS ALWAYS CONDITIUVED ON THE OSSERVANCE QF .4ND COrtPLIANCE WITH ALL APPLICABLE LOCAI, RE- QUIRE*SENTS AND ORDINANCES. A CQPY Ofi THE WELL PERPIIT WILL BE PORWARDED WHEN COrfPLETPp. PROPERTY OWNER:?T WELi. OSINER: $pMt LOCATION OF WELL(S) : ADDRLS PROPF,[tTY ID N0, COORDINATES:WOFLOFN1bUFX OF SECTION TOtdNSHIP-22_ NORTH, RAVGEZMWESS. MiJNICIPALITY: WELL DRILLEIt _K?/S DATE RECORDED: r A.'1TICIPATED DRILLING/Sr-AI,ING DATL (2F KNOWN): WELL(5) DESCRIPTION: PRIMARY US ???, /q/--~? ? NEW CONSTRUCTION RECONSTRUCTZON TE!MPORAAY CApPiNG_ PL+xMANCNT SEALI\G-x ANNUAL MAINTENANCE: RECI,AIMED„ REGISTEREp WELL bIA.*SETER__I.ICHE5. WELL DFPTHf&FEET. AqUIFERA&WA ? - NOTCS ?? ??• _ AN EQUAL OPPORTUNIN EMPI Avco ► EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 bu ildinainspectionsra'�.citvofeagan.com CEIV D JUN 05 2020 I — For Office Usel(DI' (7�� Permit!: Permit Fee: , 106,, Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/1/2020 Site Address: 2830 Lexington Ave. S. I>A6V Unit*: Resiideiittt Owner Name: Jennifer Hellam Phone: 651-398-1545 • ' 2830 Lexington Ave. S., Eagan, MN 55121 Address / City / Zip: g g Applicant is: ✓ Owner Contractor Type of Work Description of work: Above ground pool. Construction Cos 481r, Multi -Family Building: (Yes / No ✓ ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: J \ In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor: Sewer & Water Contractor Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit ate considered to be public Infonnabton. Portions of the &rforirnation may be classified as non poldie ifyoupmvide specific reams that wouldtthe Cityr to conclude that they are badesecrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltvofeanan.comisubscribe. 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. 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.aooherstateonecall.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 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. xJennifer Hellam xJennifer Hellam sircro=75,007 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace 4 Single Family _ Garage Multi _ Deck 01 of _ Plea _ Lower Level WORK TYPES New Addition 4,Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%* Census Code #of Units # of Buildings Type of Construction _ Porch (3-Season) Porch (4-Season) _ _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building _ Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) Footings (Addition) _ Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: 1ti Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Siding _ Demolish Building* _ Reroof _ Demolish interior _ Windows _ Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Service Test Gas Line Air Test _ Hood Pool: Footings Air/Gas Tests Final Drain Til Final Siding: _Stucco Lath Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other. Building Inspector Stone Lath Brick EFIS RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Po' seo -1;7-64c9-19— Page 2 of 3 POOL PERMIT — APPLICATION SUBMITTAL REQUIREMENTS ct Address: 2830 Lexington Ave. Applicant Name: Jennifer Hellam o O ❑ O ❑ El O ❑ O ❑ O ❑ ❑ 0 ❑ 0 ❑0 DODO DODO ❑ Add/Change GENERAL INFORMATION Applicant name and contact information Property owner name Address of property North arrow, scale (1" = 30' or 40') Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. Location and name of all streets adjacent to property Directional drainage arrows (existing and proposed) Lot Square Footage Lot Coverage ELEVATIONS Existing ❑ 0 0 House corners ❑ 0 0 Property corners ❑ El ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ 0 0 Finished pool deck corners ❑ 0 ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) 0 0 0 Pool bottom (or max. depth) DIMENSIONS Existing O 0 0 All property/lot lines O ❑ ❑ All Easements on the property Proposed O ❑ ❑ Pool O 0 0 Pool plus integrated deck/patio El 0 0 Shortest distance from outside edge of pool deck to lot lines and house Reviewed By: Dave Westermayer Date 6-15-2020 G:/1 Engineering/Forms/Pool Permit Checklist 10-14-2019 Property Information Search 33 185 33 0 ao 0 40ft 43 4- r.".1ft IF: D B} Date 6/rr/Z EAGAN ENGINE.ERIN i Map Layers X County of Dakota, Esri Canada, Esn, HERE, Garmin, INCREMENT P. 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