620 Lantern Cti
i ?..? <Z r -
01-3210 Bidg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
?5-3860 Road Unit
20-2275 SAC
t0-3865 Water Conn.
F?0-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 SewerConn.
28-3855 Park Ded.
C"
?a
.
,.
c r- / o
.
?
TOTAL
CASI+RECF4PT
CITY OF EA?G??N
.,. ,
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
r?cervEO . . ? / . ?
FPOM '? ? - -,f-•. . ` .
AMOUNT I $ - -
y E? ? c- C"
& DOLLARS
im
? CASH ? CHECK
' v
.1?
?
C n 4-?!,y t White-Peyers CoPY
Yellor-POSGng Copy
Pink-File Copy
Thank You
aY
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ?' y
WATER PERMIT # 1 +? `SEWER PERMIT #
METER # B.P. RECEIPT # n 221"
9
READER # B.P. RECEIPT DATE 112
METER SIZE
ISSUE DATE :2L PRV _ BOOSTER PUMP
? 'I
t? tl ?G?Ur ?
SITE ADDRESS
" ` "
.
LOT `
BLOC K,LSEC/SUB ??'%'' ?• i' /a
?
<
.??,
APPLICANT: ? 1
?i.'' 1/' f+?n
t h- i ?G r.
`
ADDRESS:
% J
.
CITY, §TATE 5 l/ /1/E ZIP
PHONE:
?P
"
? ?
?
PLUA?BER:? !iE?-s?J/P6
9/l
? /
/?+
ih9
ADDRESS: j`? r ??/ Yo v? ?
CITY, STATE cs e,.,, ?: vh ZIP ?=?r-??
PHONE: 312
OWNER: •/? ?? Tro ?vs??., fi - 1 r ?, ?, c.
ADDRESS: y
CITY, STATE n
ZIP
PHONE:
PERMIT REQUESTEO
v SEWER - WATER _ TAPS
- COMM/IND - RESIDENTIAL
XNEW - EXISTING
I AGREE TO COMPLY 1N17H CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE %4 "1 ' '"
WATER
. METER
METER SIZE
ISSUE DATE
1
SITE A DRESS
LOT ?BLQCK ? SEC/SUB 01' r" H' ja *'
APPLICANT:
AUDRESS: _ o ' 0
CITY, STATE !?t S "/E ZIp
PHONE: ,?7
PLUMBER: mqN?A41/ei
SEWER PERMIT #
B.P.RECEIPT#F C ''3 g
B.P.RECEIPTDATE 513118G
Y;: PRV _BOOSTERPUMP
PERMR REOUESTED
f
= SEWER __?ZWATER/ _ TAPS
-COMM/IND ? RESIDENTIAL
XNEW - EXISTING
ADDRESS: C14 a o_-e { ?':. • I AGREE TO COMPLYIAA7'H CITY OF
CITY, STATE Se /^ c' UH Zip Sp ? EI?GA14'QRDINANC0:
PHONE:
? ?
YU ? - ? J ?O
?- " ^---_ -- _..----
"
OWNER: C_!/S/J
7,
ADDRESS:_ U?X S NATUR WH METERI
_
CITY, STATE
`??I'`'S ?, ??P
1 . '?
SS' ?? i
ZIP SSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CONTRACT PRICE:
Site Address
I Lot Block _
m Name
Address
c City
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /
PHONE: 454-8100 For Office Use Only:
' 1
BLDG. TYPE , WORK qESCRIF1
70N
_ Sec/Sub Res. New ?
MuR Add-on
Comm. Repair
Phone
? Name
3 Address
O City Phone _
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?
Other
FEE:
5/C:
TOTAL:
Other
FEES ?
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M 8TU - 6.00
, (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT - .50 ?
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
! `. ,• :' '? r
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
liC? L`!:«i ; _ ;; ,:;:r: : :'?•:.t:',e.;_ 'Nrt ? CITY OF EAGAN . . 16i734
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor Est.Value 0,00() Date ?Ay 3'- , 19`rt9
Site Address 620 •'
Lot Block SeciSub. "li ?f'fRy I:QI.t40U
Parcel No.
¢ Name rqT':i?;aP :::C
i Address
° City SUR1? J:L'. Phone : g4-W38?
&
:o Name
Address
? City Phone
Name -
Address
City _
Phone
I hereby acknowlege 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.
Signature of Permitee
A Building Permit is issued to:
''`T??;, '-t?????':' ??????• T?
on the express condition that all work shall be done in acwrdance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R- 3 4'1
PEES
Zoning ?` i
(ACtuaq Const ??t? Bldg. Permit 674`Orj
(Allowable) V-"
Surcharge 53.Q.Q
# of Stories -
Lergth PlanReview ?37•?
Depth 460 SAC. City 2 ?• ?
S.F.7otal - Snc, MCwCC 575100
S.F. Footprints -
580600
On Site Sewage _ Water Conn
On Site Well Water Meter 22U •?
MWCCSystem ??
OC
Ciry Water X+I Acct. Deposit .
PRV Required
xlx
S/VJ Permit ^
20.00
8ooster Pump - SrW Suroharge I . 00
Treatment PI 22, . • OC
APPROVALS qoad Unit 14fi.
Planner - park Ded.
Council -
BIdg.Ott. _ Copies
3 " ^ 31 `k " 6' O
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER `C4, t.?s
.
SEWER
PLUMBMG
LY,.a I ^lLCli,?" ??g/? ? rsD
H.V.A.C.
ELECTRIC Ci 7 ? 7D
Inspeetion Date Insp. Comments
Footings I "1571
Foundation
Framing / O
Roofing
Rough Plbg. . . . .
Rough Htg. %2 Q S L L.- i- i r k?--
Isui. "/Vi:g
a.+s
G . L. '' ?? Q
Fireplace ?1,2 ?/ (1?
Final Htg.
Final Plbg. ?
Const. Meter Plbg. Inspector - Notity Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
9 . , a
(gerfifiratr n# (Orrupanry
titp of eagan
EPpal'fttiPllY 0f lIItlbitlg JriH,pPCftDt[
This Cenificate issued pursuant ta the requiremenu ojSection 306 of rhe Unijorm Buildirtg
Code certifying thar ar [he time of issuance this structure was in compliance with the various
ordinances of the City regulating bui/ding construction or use. For the jollowing.•
uw cmienw. SF DWG/CAR eiae. Ptriiit No. 16534
oaupaay rype R3/M l zonioe Disu;ct Ri TYPe CauL VN
Owner of Building ?M ai.5rc"I HUIES Addreas BOX KA9, 3AW=
Bwldi Address , L?Wity 128+ B3• OWWRY H31ZW
`,. . /
?g op„,: ADQ)ST 17. 1989
?
?
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT
. ' CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site
Lot.
Name
,?-? Addre?s
?
F? `>", `' J
c CRy `
'? ' phone '
Name ?
c
? Addre
L
Cfty Phone
FEES
COMM./IND. FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CANDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $ 50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF EAGAN
For Offi???Un)y/
PERMIT #? C !?
RECEIPT* 7
DATE:
BLDG.TYPE WORK
Res. New _
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ, FIXTURES TQTAL?
d? Water Closet - $3.00 $ I
-r Bath Tubs - $3.00 -
? Lavatory - $3.00
S snower - $3.00
-r iGtchen Sink - $3.00
UrinaVBidet - $3.00
-r Laundry Tray - $3.00 ?
-r Floor Dreins - $1.50
-? Water Heater - $1.50
?- Whirlpool - $3.00 '
?- Gas Piping Outlets - $1.50 ?-
(MINIMUM • 1 PER PERMIn
Softener - $5.00
_ Well - $10.00
_ Private Disp. - $10.00
_ Rough Openings - $1.50
PERMIT FEE:
STATES S/C: . "r l
o0
GRAND TOTAL: v-?'
NO CO WITHOUT ENG APPROVAL CITY OF EAGAN N? 16534
? • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ????
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $110, 000 Date MAY 30 , 1g 89
Site Address 620 LANTERN CT
Lot 28 Block 3_ Sec/Sub. COITNTRY HOLLOW
Parcel No.
W Name METRO CUSTOM HOMES. INC
o Address BOX 1049
City BURNSVILI.E Phone 454-9383
=o Name SA14E
$? Address
City Phone
UQ
W w Name
?
? ; Address
a w City Phone
I hereby acknowlege that I have read ihis application and state that the
information is correct agree to comply with all applicable State of
Minnesota Statutes an an Ordinances.
Signature of Permitee
A Building Permit is issued to: MF.TRO C1iSTOM HOMF'S, TNC
on the express condition that all work shall be done in accordance with all
applicahle State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial -(^\J"l
1'
OFFICE USE ONLY
Oceupancy R-3 M=1 FEES
zoning R=1
(Actuaq Const V-N Bidg. Permit 674. 00
(Allowable) V-N
Surcharge 55.00
# of stories -
?L
Plan Review 337, 00
Length
Depth 46' SAG City 100. 00
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage - Water Conn 580.00
On Site Well - Water Meter 90- ?0
MWCC Sys[em XX
XX
Acct.Deposit
30-n0
City Watar
PRV Required xx S!W Permit 20.00
Booster Pump - SNJ Surcharge 1. ?O
Treatment PI 228, n0
APPROVALS RoadUnit 34n_o0
Planner - Park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL 1,030.00
REQUEST FOR ELECTRICAL INSPECTION
? See instruCAOns for co ?pleflng (his form on 6ack of yelbw copy.
f? 3.4. 9 0 4 "X" Below Work Covered by This Request
• ea-ooooi-o7
" ?o yz
Nplp dd Rep. Type of Building AppliancesWired EquipmentWired
.a Home Range Temporary Service
. Duplex Water Heater Electric Heating
Apt. Building
e
Dry
Other (Specity)
Comm./industrial urnace
Farm Air Conditioner
Other (speciry) CoMractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize # CircuitslFeeders e
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps A 0- Amps
SignS Inapector5 Use Onty: i
) TOTAL ?
Irtigation Booms ?C
?;? i ? s•
Special Inspection
Alarm/Communication
Other Fee
I, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rouyn-io r
Finai Date??
oat
?
DFFICE USE ONLY .
This requast voitl 18 months from
`
?/rg/8y 9?ao ?
r 3 4 9 0 4,C??
Re Da[e //?? ire No. Rouqh-in I tion
Requiretl.
0 Yes No
? Reatly Now ? Wili Notity Inspeclor
When Ready?
I censed contractor ? owner hereby request inspection of above electrical work at:
Jo Atldress tree Box or M Ciry }? ,?,
?, {? _
Se lon No. Township Na e or No.
I I Rarg¢ No. CAUnty
[
Occ tS? v-i \ ? / /' l
L Phon
?
Power Supplier Address
Electricel CorrtracNt (Compeny Name)
KENDRI ntr w?s Li se No.
Mailing Addre?s?trdc?qr ?Owner akin I Iludial,
4
? U EIVIVOCK
Authori 7]Idipfng?t5124
L. 1 , PhoneNum6er
MINNESOTp STATE BOARD OF ELECTRICITY THIS INSPECiION REQUEST WILL NOT
GNggs-Nlidway Bldg. - Hoom 5-773 BE ACCEPTED BY THE STATE BOARD
7827 University Ave., SL Peul, MN 55104 UNLESS PROPEFl INSPECTION FEE IS
Phone (812) 642-0800 ENCIOSED.
`I 'J?'l:? J ?P ?
? 15134
Request D ire o. Rough-in Ins ection
? Requiied7 ? Resdy Now ? Will Nolify Inspedar
? Yes ? No When Ready?
Iylicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address ( treet Box or Roule No.)
. Clly
Section No. Township Name or No. Range No. Co
OCCUp i( RI ) - Phone ? ?
Povrer lier qtldress
Elei?cf?6?pqelpqJ?ppt?.a?{NSp181 L+/^P7Li'.\..l+RT/`l.. ?
f?1Vl,Jill\.+ia A l Co trec 5 L.icrense N
MaiOng Addr
E VALLEY MN 55124
JPI
?
.
ANh ' ed Sgneture (COntractor/Owner Meking Installation) Phon N ber
MINNESOTA-STATE 80ABD OF ELECTRICffY - THIS INSPECTION REQUEST WILL NOT
Grigga-Mltlway Bltlg. - Room &173 BE ACCEPTED BV THE ST.4TE BOARD
7821 Unlversity Ava., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION
? ? See instrud'mns for completing this form on back of yellow Copy.
151 3 4 `X" Below Work Covered by This Request
r'. ee-00001-07
ew lidd Rep. Type of Building AppliancesWirad EquipmentWired
Home Range Temporary Service
Duplex Water Heater lectric Heating
Apt. Building Dryer Other (Speciiy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) CoMractor?s Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19115 Inspector's Use Only: TOT
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee -
I, the Electrical Inspector, hereby
tif
h
h Rouqn-in ( oafe
cer
y t
at t
e above inspection has
been made. Fnal 0 ate
OFFICE USE ONLY - This requesl void 18 monihs from
RESIDENTIAL
? 3 j C?? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PiLOT KNOB RD, EACAN MN 55122
651-681•4675
New Construction Reauirements
• 3 registered site surveys sh(ywing sq. ft. of !ot, ;q. ry. ot house; and all mofed areas
(20°; maximum lot coverage allowed)
• ? copies of plan showing beam & windcw ;izes; poured found design, etc.)
• 1 sel of Energy Calculations
• 3 copies af Tree Preservation Plan if lot platted after 7/1193
. Rim doist Detail options selecfion sheet i bidgs with 3 or less units)
DATE / -
, ?-- 7. L?>
RemodellRepair Requirements
• 2 copies af plan
• i set of Energy Calculabons fcr,heated adCitions
• 1 site survey `or extenor additions 3 decks
• Indicate f home served by septic system for additions
OQ
vALuarioN ?gov r
SITE ADDRESS ?
L?v
Z?N?AI /Io ej'
MULTI-FAMILY BLDG Y N
TYPE OF WORK 'gUc )?- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?r
c
l
STREET ADDRESS 17 sS- /? Q?/? ? CITY Avoni-t4i STATE
TELEPHONE # CELL PHONE # PAX #
PROPERTY OWNER e Ze,G 6 TELEPHONE #
ZI P
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?(INVESOT.1 RC;LES 7670 CA"l'EC;ORY" I ?II?\CS01':A W1.
FS 767?
(•J submission type) • Residential Ventiiation Category 1 Worksheet Sutimitted • New r7n Qp?le? ost?t • Energy Envelope Calculatlons Submitted l?r? I?' ?J 15 2002
Plumbing Contractor: ?_.
Pluiiibing system includes
Mechanical Contractor:
Mcch.uiic.il scstcm inclu(Ie5
Sewer/Water Contractor.
_ Water Softencr
Water Heater
v o. of Baths
Air Conditioning
HeaC Recoven Svstem
Phone #
Pcc: Si0.0O
--------------- ------------------------------------•------------•---------------------•------------...--------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ory?r)r_eis.,
Slgnature of Applicant
OFFICE USE ONLY
_ Phone #
L.awti Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
-t ie ,
1989 BIIILDING PEffiKIT APPLICATIDN - CITY OF EAGAN
co w'?k" ?nq kPINJ"t
SINGLE FAMZLY DWELLINGS ? ? INCLUDE 2 SETS OF PLANS' 3 CERTIFICATES ENERGY CALCULATIONS
- -
NOTSs ADDRES5E5 FOR CORNER LOTS - CONTR9CTOR/HOMEOiiNER MOST DESIGNATE WHICH ADDRFSS
IS DFSIAED. NO CHANGFS WILL BE ALLOWED ONCE BUILDING PERMIT I3 I33IIED.
IiQI.TIPLE DFIELLINGS RENT9L DNITS FOx SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURDEY - CHECg WITB BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COhR4ERCIAL
INCLUDE 2 SETS QF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
To Be Used For:
Site Address F'/vZCa 2d h??? 1 i
& STROCTURAL PLANS,
SET OF ENERGY CALCULATIONS
?jl p ada
Valuation: ?0O Date:
DSE
Lot oZg Block
Pareel/Sub
Owner
Address fQ. &z( IC2?I/
City/Zip Code ,j 5337
Phone `-/ 5 7 -
Contractor / //d ,
Address L - 422S /2 Y9
City/Zip Code ??Ur'nS?il/_p 5533?
Phone ?L/
Arch./Engr.
Sddress
City/Zip Code
Phone #
Oecupancy
Zoning ?
Aetual Const j////
Allowable 1//li
# of stories
Length
Depth ?
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water v?
PRV required _
Booster Pump `
ARAY 2 5 1969
Bldg. Permit G
Surcharge Is`s
Plan Review 3 3
SAC, City ldo
SAC, MWCC S9 5
Water Conn 5-80
Water Meter ?D
Acet. Deposit 30
S/W Permit z D
S/W Surcharge /
Treatment P1. zzl
Road Unit 3 Yo
Park Ded.
Copies
TOT9L ,. ?
APPROYAIS ?
Planner /
Couneil
Bldg. Off. ?
Variance
Couneil
NOTE: 3ewer & Wates Permit fees and account deposit Pees will be ineluded in the building
permit fee. Processing time for seWer and water permits is tvo days once a licensed
plumber has applied for a permit at City 8a11.
s?. - 7' .
? SS
?
z -2- ? -z ?S
s ?- ?? ? ss
22,??z v Li ??
!! X Z z z -z.
S°
...?-
Z,ykZzklS ? ?Zo
'L..,I ;
?.
/floae ..
ENGINEEtiING
COMP(INM, INC.
± ..1000 EA9T I46111 STftEET,
i19ETR0 CvSroM
ca11SVi,TIIIU ENUIi1E4117? ?2237,0/
f'lI1NNElIS ond LIIIIU ?UIIVEVoI1S
i24
PA6E 68
BUf1145VILLE, MINI1ESOlA 653377 PII 433 2?3 000
Certificate ofi Survey
Leyal Descripfit
LANTERN
GovRT
10
z 50` 93fcs ?
Q
- ?,52•? /
.
? °-
?8Z3.5? r `
5
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-?
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: 1-07 29, BL46X 3, GDUNTKY 11,04WW,
, pA,COTA COUNTY) M/NNE$OTfI
?22.4'(8z3.o?
30' ,r,eavr Bv1t,oiAvF,
? ?; ?SETBACf? G?NE
9" 6y `•
0
6AR?E $ ?
5•p0 ?
i Z2 00
rr $
ODOSE
8 i
e
00 t.0
% ?.
I
ab. •
5&v!0
- e-o / p o??, a1
50 0
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OR4 /NA6E ANO U71U7Y
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DATE
i
By
Dat° ?
EAG , ?GI EERi?d?l'
lr.
,
ir
L ? T ?8 Jf?:. ,
i-?
L i i i r
_i-?'?-?'? ?.??j-?:.%
?
NwL = 8on.m
Nj,vL = 8/8• o0
EP:;,
?
:.
:N
\
?
18916 9 n n ? ?? ? ?
N 89° 55' d8" E ? o o ? , V. {?; ? .--' ? ? . . .
9fphy v4rtlfy Ihatthls Is.a Srue anO 9orroct repre4entatlorl of A lrnai of innd ns ehown and descilbed heteon,
prepered by me onthls L-7-!' d"ny vf 18
REV/SEG 5,-19-89 FGiPPED f/SE ?
CE111`..55D 5-23- 89 MoVED
?
SC11GE : /„ - 30•
?$?3 % ; DENOTES EXISTINO ELEVATION
(BZ¢. 3) DENOTES PROPOSED ELEVATION
r INDICATES DIRECTION OF SURFACE DRAINAGE
82-9, 60 m FINISHED GARAGE FLOOR ELEVATION
916.g9 - gASEMENT FLOOR ELEVATION
SZ4.93
2 m TOP OF BLOCK ELEVATION
°
3
K ? ? ? ? ?
A
`' S
??
4z- REVIEWED
L
Vol
, p ~r 7 City Off F.~~~~11 0 ! 2010 1 Permit
I Permit Fee: 1_
3830 Pilot Knob Road
Eagan MN 55122 l Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i_ Staff- - -
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 0 Site Address: 6 2,0
Tenant: Suite
RESIDENT / OWNER Name: _6cb.61 Czech Phone: b1~ bV _C6
Address / City / Zip: ?)CLM& F-Cl q Q l~ _ j :2-3
CONTRACTOR Name: I 1'y License
Address:
City: afi e '1 State: / )V1 N Zip:
Phone: ~ ~ ~7 / 2-
" ) `"t o Contact Person:
TYPE OF WORK _ New /Replacement Repair -Rebuild _ Modify Space Work in R.O.W.
-CP
Description of work: ~lC~ GtJJC,( r 1e ~t 1 5~~ ~~~r
PERMIT TYPE RESIDENTIAL
✓Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
l RPZ PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES.
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $_C50_
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..
XX_ #
Applicants Printed Name Applicant's,
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground --Rough=In -Air Test Gas Test ---Final
~~`J 014-0
Use BLUE or BLACK ink
For Office Use
j -
Permit
of 1
,"T~ WY n Wan
1 Permit Fee_TT
3x30 Pilot Knob Road 1
Eagan MN 55122 r. pate Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff
INFLOW & INFILTRATION PERMIT APPLICATION
- Plumbing / Sewer & Water
Date: Site Address:
Tenant:
Suite P
RESIDENT /OWNER Name: g/ p Phone: &4V 1480 "O /ZZ
Address 1 City / Zip: 6ZD Lai: t ld 4VC! t- , twit Art riz-3
E Name: - P -S 3 i C.
r. f 1 . h > h e v rr , T)n c License* Address: U > c ! `1 a City: `C ry
CONTRACTOR
State: k, Zip. SS/- Phone: tom) tm ! 5
n
Contact: -i'n KNe l' t t)-
Email: tyi Mil h t
- s s 1 ~ ~ P w. r. b r 0,
ro c.., C".",
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other.
Other.
DESCRIPTION Description of work: e ►0 t ~ , ,t,h ~ ~ , ~ ~ ~ } ~ ~
)
FEES:,.
~ e ~ ch t vt
$60.001 Each (includes $5.00 State Surcharge) (-;j', G TOTAL FEE r 0 0
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeacian.com/inflow, or City Hail at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali
4t3 hours before you intend to dig to receive locates of underground utilities, www.ooP erstateonecall.orc
! 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
permit; that the work a
will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x t, Kg_ S 1+z-
X 422A~L- ~J~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-!n ____Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168392
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 620 Lantern Ct
Lot:28 Block: 3 Addition: Country Hollow
PID:10-18275-03-280
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 -
Bradley C Czech
620 Lantern Ct
Saint Paul MN 55123--161
(651) 688-8422
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature