4127 Lantern LaneINSPECTION RECORD
-CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: _ APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .• . .A
,.
; 1 t f?=?M•;
?? ???ork: m
Permit Hoider Date Telephone #
SEWER/
WATER
PLUMBING 99
HVAC
Inspectlon Date Insp. Comments
FOOTINaS
FOUND
FRAMING
1 /
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
a? `t3
GVP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTCa
ORSAT
TEST
BLDG FINAL 3-1.Affm C7Q
? ! D
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
:; 1 10'.
CASH RECEIPT
?
CITY OF EAGAN ,
3830 PILOT KNOB ROAD .
EAGAN, MINNESOTA 55122
DATE ? 19 ?
n[cErveo ? " ^ ...
r?
AMOUNT
? CASH
WCHECK
ti .
Y
BY ?
wM?e--Peya?s copy ?
C 14766
relbw-Poatlnp Copy
PiMC-File Copy
& DOLLAFS
lm
Thank You
DATE
AUG 2, 1991
RE: 4127 LANTERN LN (MITTELSTAEDT BRO?HERS)
X Your Sewer & Water Permit for the above properry has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL BUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Yqur Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?., _ . ? _. .. _. . , :. .. . . : _ ,. : ;
SEWER & WATER PERMIT OFFICE USE ONLY
CIT1l OF EAGAN METER # PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # '
ISSUE DATE B.P. RECEIPT DATE f'?' - t 1 ` 2 !
DATE ,11 (1+ 1? 1997
_ ? ? PRV - BOOSTER PUMP '
i I
SITE ADDRESS '? 117 ?-ANT1.:,1 L, PERMIT REQUESTED
LOT 11 BLOCK SEC/SUB f%('vEt:Tny YA:;S `LNCi
? SEWER - WATER -TAPS
APPLICANT:
ADDRESS: - COMM/IND ?:- RESIDENTIAL
CITY, STATE ZIP Y, NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed ?
PLUMBER: r1C?0;?A±,J? ?LU HBIiiG aYSSEMS I,'VC Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 ::FNWOO D TR Credit WILL NOT be given for Deduct Meters. ,
CITY, STATE I-AKEVILLE YN ZIP 55044
PHONE: 435-3334 - +'
r
I AGREE TO COMPLY WITH CITY OF
OWNER: AITTELSTP.@i)T GRCTIiER£ EAGAN ORDINANCES
ADDRESS: 785 S?SET D R
CITY, STATE EAGA;J MJv ZIp 55t -"
PHONE: 4` ,--91; S SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER# ??? cUj2?q PERMITDATE 08/02%91
CHIP# PERMIT# 1219•;.
METER SIZE `?J St'?Si? C B.P. RECEIPT # C 9 4] ot`!
ISSUE DATE "?'' ??-
" PRV
I SITE ADDRESS ! = ? ???MLL'_ 1 1
?
? LOT `? BLOCK SEC/SUB ????
' APPLICANT:.
? ADDRESS: _
CITY, STATE
PHONE: _
ZIP
PLUMBER: i<iCJGIr'HLD l? i,UPi ri: Y;:
ADDRESS: 1$271 P;E?'i.tiUGD 'I't.
B.P. FiECEIPT DATE 6610 ()7
BOOSTER PUMP
PERMIT REQUESTED
X SEWER x WATER -TAPS
- COMMlIND - RESIDENTIAL
= NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
CITY,STATE LAnLVILLt, r:h ZIp ,?+w __-
PHONE: 4?5-3334
I AGREE TO COMPLY WITH CITY OF
OWNER: [:'`!'TEL.°,'PA:.iJ'i EAGANORDINANCES
ADDRESS: 7'?% SUNSET DI? ( 9 f1 pt
ZIP I?ltl1?
CITY,STATE ="? `'n
- ?
PHONE S ATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCES§ING. CALL 54-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
UILDING PERMIT
Site Add"ress 4127 1.I1
Lot 4 Block A-
Parcel No.
W Name HITIELSYIIEDT BROTIIERS
o Address 785 Sl1Ng8T DR
City EAGAN Phone 456-4125
Name SAME
Phane
bW
, Name
?w
; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correcl and agree lo compiy with all applicable Stale ot
Minnesota Statutes and City of Eagan Ordinances. •
Building Official OFFICE USE ONLY
A euilding Permit is issued to: MITt81S't'AIEDT bROTHBR$
on the express condilion that all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Occupancy R-3 -H--1 FEES
Zoning
(ACtual) Const V-N Bldg. Permil 631 • 00
(Allowable) Surcharge 49-M
k of Stories -
Lergth 54' PlanReview 61p.M
Depth ?Z SAC, City 100•00
S.F. Tolal - SAC, MCWCC 650•00
S.F. Footprints - j
On Site Sewage _ Water Conn 660.00
On Site Well - Water Meler 9S.U0
MWCC System x
City Water _x Acct. Deposit 30-00
PRV Required x_ S/W Permit 30-00 ;
Booster Pump - S/W Surcharge -? 1
Treatment PI 276-AO
i
APPROVALS ,
Road Unit 37Q.00 ?
Planner
Council - park Ded. ?
BIdg.Otl. _ Copies j
Variance - TOTAL 3,301.50
. PermM No. Permit Molder Date Tekphone #
WATER 1Cw4
SEW6R
PLUMBING -, ?yLa a ?+a 9I ?,3'?'
H.V.A.C. g?G ? 077" OW.s
ELECTRIC
Inspeetion Date Insp. Comments
Footings I ?12-111
L.JC
Foundation ?.'? •g? ?s-_ ?,?C?. '
Framing
Raof ing
Rough Plbg.
I 9 3 ?
Rough Htg. Q e g? ?
Isul.
Fireplace
Final Htg. l i??7-
Test
Final Plbg. _ -? Plbg. Inspector - Notily Plumber
Const. Meter
EngrlPlan
Bldg. Flnai % /9l z 1
Deck Ftg.
Dedc Final
Well
Pr. Disp.
Address: 4127 IANTERN J-AM Lot 4 Blk 3 Sec/Sub COVENIRy p[SS ao
These items were/were not complete at the time of the final inspection.
' 9/27/91 Yes No
Final grade (6" from siding) tx."
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
PLease verify with the builder the removal of roof test caps from the plvmbing
system and the shut-off of water supply to tha outside lawn faucet before
freeze potential exists. t?j
6v
MfCREYML4R
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN N2 19506
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 $98, 000 Date AUG 1 . 1991
Site Address 4127 LANTERN LN
Lot 4 Block 3 Sec/SutfOVENTRY PASS 2ND
Parcel No.
W Name MITTELSTAEDT BROTHERS
; Address 785 SUNSET DR
° City EAGAN Phone 456-9125
=F Name SAME
?Q Address
Ucc
? City Phone
?
Ww Name
?
? ; Address
a W City Phone
I hereby acknowlege that I have read this applicaiion and stale that the
inlormation is correct and agree to comply with all applicable Stale ot
Minnesota Statutes and City ot Eagan Ordinances. ?.
Signature of Permite,--?'--s*'~'?-?-i?
A euilding Permit is issued to: MITTELSTAEDT BROTHERS
on the express condilion ihat all work shall be done in accordance with all
applicahle State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
OFFICE USE ONLY
Occupancy R-3 -&-1 FEFS
zoninq R=1
(ACtual) Const V=N 81dg. Permit 631.00
(Allowable) V=N Surcharge 49.00
# of Stories -
Length 54' Plan Review 41 n_ no
Depih 59, SAQ City 100.00
S.F. Tolal - SAC, MCWCC 650.00
S.F. Footprints -
On Site Sewage _ Waler Conn 660.00
On Site Well - Water Meter 95 _ 00
MWCC Syslem X
City Water _
x Aat. Deposit 30.00
PRV Required x S/W Permit 10.00
Booster Pump - S/W Surcharge - Sn
Treatment PI 9 76 - On
APPROVALS Road Unit 370- nn
Planner - park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL 3, 301.5
Q
? ? ?
?
?
?4
?
0
p
76
Request Da[e ire No.
?/ `,,, o h-in Inspection
Re ired?
D Ready Now?Will Notity Inspector
When Ready?
No
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress ISireet. Bo/x or Route No.l / City
Setlion No. Township Name or No. Range No. County
Occupanl(PRINT)G Phone No.
`J/o2S-
Power Supplier
AAtI67-4 4-. Adaress
?-f4•?? A ?"r?
Elechiwl Contractor (Company Name) Contrector's License No-
E-Ii j E IL1Snx-" T _
Mailing AdUress (Contractor or Owner Making Installation)
. i?'?
Number
Auihorizetl SignawreiContractor!Owner Making Installat?on' Phon
e
/
?
MINNESOTA STATE 60ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-173 , BE ACGEPTED BV THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 - UNLESS PROPER INSPECTION FEE IS
Phane (612) 642-0800 ENCLOSED.
?/??/?? REQUEST FOR ELECTRICAL lNSPECTION
? See inslruc6ons for complating this form on baCk of yellow copy,
, [1 nUR `X° aelow 'rbbrk Covered by This Request
ea-oooo,-oe
y?+?Rii g
New Adtl. Rep. Type of Building AppliancesWired EquipmeMWired
Hame Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./indusirial Furnace
Farm Air Conditioner
Other (specify) Contrector5 Remarks-
Compute Inspection Fee Below:
? Other Fee # ServiceEntranceSize Fee # Circuils,?Feeders Fee
Swimming Pool 0 ?0 200 Amps ?" 0 to 100 Amps
Transformers Above 200 Amps 100 Amps
SIgnS inspecror5 Use Onry: TOTAL
Irrigation 6ooms
Special Inspection -
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Aouyr,-m te?
d
?
certify that the above Inspection has
been rnade. oate
Final
OPFICE USE ONLV
This request voitl 18 months from
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date
L
n Unit #
Site Address n +C--f n
Property Owner Y 1e`? ?CCU-:4= Telephone #(0S 1)
Contractor BURNSVILLE HEATING & A/C, INC.
3401 . umsm a way
Street Address SUlte 120 City
e, Zi
hone#?Z)?"l?'?[?
Tele
St
t
p
p
a
e
Bond #: Expires: ? IIJy_
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional _)(Replacement
' air exchanger
airconditioner _New _Replacement
other
State Surcharge $ '50
l ' s , SZ3
Tota
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 plan,sa
(?(?? jueka ?CJt
Applieant's Printed Name Applicant's Signature
C,
hiHY ?1 8 2005 ; ?
f: ? J
?
;
r,I1Y EJF f.-::fSC,r"iN
Cf1:iFiI[:Fi„ S ''I-:RM.T.Nr"J... NO.^. 689
StRTE::;; i.!1:2iJ98 ":'l:Mlc:;: i.`;s1.;3a.'`9
Ii7 a
NAME ° JOV E G;I;:ftY
320 90(]1 4J.27 1..i1NTL.RN i...N 5(:1,.00
2:1.`'i5 9001 407 I._AN71i::N?N LN 0.50
To'I;7l Ri?t=E?7.(?t A;ir,7Ui31;:, 50.50
CRO95G,(?6
U,r:::r, rr..? : NnNCv
PERMIT
G°iTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(651) 681-4675 Date Issued:
SITE ADDRESS:
4127 LflN7ERN LF1NE
LOT: 4 BLQCK: 3
COVENTf?Y PflSS 2NC1
P . I . N . : 10-18401-040--03
DESCRIPTION:
Buaddx-n6`'?F?erma.t lype BASEMENT FINISH
6c.tiidirtg Wof'rk TYpe ALTERA7:IUN
:C?ensus Code434 NLT, RESTDENTIRL
;
?.. . . ?-
i qy l?
A
? ? ?..
'h? S a4
BUILOT.NG
033712
10/20198
+?iwk '?`9?`? ,p ?
? vsnc ?E3.
c,"m„
REMARKS:
PLAN REVIEWED BY WflYNE MTLLER4
SEPARRTE PERMIT REQUIRED FpR ANY PLUMBIiVG WORK.
CALL 445-2840 ftEGARDING ELECTRICAL FERMI7 flNp TNSPECT'IONS.
FEE SUMMARY:
8ase Fee
5 u r c h a r q e
Tatal Fee $5m>58
CONTRACTOR:
OWNER: - Applicant -
GRAV KET7M
4127 LflN7ERN LANE
EAGRN MN 55123
t6127266-4060
f I
T hereby acknow).edge that I have rsad this applicatiori and staCe that the
anfiormati.on is correc.t and aqree tca eamply with'a11 aPRlio4bie State Qf Mn,
Statutes and Ci crf Eagan Qrdinances.
ffi w1k
EE SIGNATURE ISSUED BY: S NAT E
. ' 1998 BUILDING
? J? I D-
New Conscruction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675 C-?Xl
RemodeUReoair Reauirements
? 3 registered sde surveys ? 2 copies of pian
? 2 capies of plans (inGude 6eam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8, decks)
? 1 energy calculations ? 1 energy ealculations for heated additions
? 3 copies of Vee preservation plan ff lot platted after 7/1/93
required: _ Yes _ No _et
DATE: CONSTRUCTION COST; t I I,?d
DESCRIPTION OF WORK: ?T
`i ?-G4
STREET ADDRESS: I?-?
LOT: ? BLaCK: ? SUBD.lP.I.D. #:
PROPERTY
OWNER
CONTR.ACTOR
ARCHITECT/
ENGINEER
, 4OF ? 4' -qo(' a
Name: r Phon #: l(! 92-) - d 6!`?
Last F rst
Street Address: ql? D-7? LCA,?(Iti L??
City ??,?-- State: Zip: ( 'Z3 .
Company:_
Street Address:
City
Company:_
Name:
Street Address:
Phone #:
License #
State: Zip:
Phone #:
Registration #:
City State:
Sewer 8 water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Zip:
Penalty applies when address chang
is correctAjrrd?agrjae to wmply with all applicabl
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging 32< 16 Basement Finish
O 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
O 15 Deck
? 36 Mave
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq, ft.
Footprint sq. ft.
APPROVALS
Planning
Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/V11 Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code o i
Census Bldg 61
Census Unit O
4LAI Engineering Variance
Valuation: $ U
°!o SAC
SAC Units
L BL CITY IJSE ONLY
SUBD. C 0V--eVJ77C , ?K-0
RECEIPT#: I03,g/
RECEIPT DATE: 3 3zl
1999 PLUM$IN? PERMIT (RESIT?fN"TIAL)
CITY OF ERfi2R1V
3$30 P[LOT FCId08 ItD
E,kfiAlV, MN 55122
(651)6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are requir ed for each unit
? backflow preventer for undergro und sprinkler system
---------------------------------------------------------------
AlterationS to existina residence ----------------
30.00 ----------------------°--------------------
a-?
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 -
(new and refurbished systems)
Private Disposal Systems * Abandonment 30.00 =
RPZ (new instailation/repair) 30.00 =
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ? minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellings under construction 5.00 X =
U.G. Sprinkler ' for dwelling under const. 3.00 =
STATE SURCHARGE .50
Reminder: Call 6814675 for inspections of water heaters,
water softeners, alterations, etc. ?p ?-?
TOTAL
-------------- ---- --•-------------------------------------- --
1 hereby acknowledge that I have read this application, state that the informa5on is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normai operalional and maintenance activitles to the facilities constructed under this permit within City propertylright-of-way/easement.
51TE ADDRESS:
OWNER NAME:
INSTALLER NAME:
I`\
TELEPHONE #: ?fJ? I'lS? J??J? I
STREET ADDRESS: /IjQ/r? ?-- V\„
CITY: STATE: M t\'
SIGNATU
ZIP: ?s ! a3
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CZTY UF FAGAN
CASH.T.EF: 1S TEFMIMAL NOe 775
nATE: 12/23i99 Trrsr. , 07:36a28
FL, w
NAME: CUBTOM CONCEF'T5 CONSTfiUCTTC)N
:3210 9001 4127 LANTERN I_N 153.25
2155 9001. 4127 LANTEfiN LN 4.00
7o+a1 ficceipt Am0uT7+; 157,25
Cli12j.670
U5ER .T.Lie lAN
?k%c?k%c?K*%c?k?C?k?C?k?X?k?k%c?X?X?X?X?K?ck?XtNc?CXc?XA?%cXt?cs?X??kkc%?kC*
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
? 651-681-4675
New Conrtruction Reauirements Remodel/Reoalr Reauiremenis
? 3 registered site surveys showing sq. B. ot Iof, sq. fl. of house 2 copies of plan
and all roofed areas (20%, maximum lot coveraae allowed) 1 set of energy calculations for heated addflions
9 2 coptes of ptans (show beam 8 wfndow sizes; poured fnd. design; etc.) 1 site survey tor exterior addNions 8 decks
> 1 set oi energy calculations
> 3 copies of tree preservation plan'rf lot piaMed atter 7/1/93
DATE: I a -I o `1 6( CONSTRUCTION COST: 8C-0
DESCRIPTION Of WORK: 'C-Q cO0T
STREET ADDRESS: ? I L,
LOT: BLOCK: J? SUBD./P.I.D. #:
\ Co5 l ?J
Name: Gr?N ? 101 ?1 Phone #: 7
PROPERTY Lan FlrstJ
OWNER
Street Address: S(,l /Y1?
City 5tote: Zip:
Company: l?d?L? L-42-n (n? r) tA Phone #: tO t Z
(area code)
-2p'7-9 ?7 9 .5
CONTRACTOR
Street Address: 1Sl`? O? Ckf4 License #20i`-?a y? 7Exp 3/oc;
City ?i?(.Y VI ?17?? ?? State: rn+? Iip: ?
SS 523 7
ARCHITECT/
ENGINEER Gompany: Name:
Teiephone #: area code ( )
Street Address: Registration #:
City State:
Sewer S water licensed plumber (required for new construciion onlv):
PenafFy applies when address change and lot change is requested once perm(t is issued.
Zip:
I hereby acknowledge that I have read thls application, state that the information is cortect, and agree to comply with all applicoble
State oF Minnesota Statutes and Clty of Eagan Ordinances.
Rl. CEl 'F/ = ? •,
Signature of Appllcant: ? ?
DEC 2 2 1999
OFFICE USE ONLY
ived Yes No
Tree Preservation Plan Received _ Yes _ No _ Not Required
P1991 BOILDING PEMIT PP CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUEtVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WtiEN: TYPING OF PERMIT IS RF,QUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED, NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. 74 Z R
To Be Used For: Cj?t- F?VL.Y Valuation
Site Address q/27 (..?
ECD
Date : ??a 9l'?'!
r
Aaagwe Lot Y Block 'I_
I OFFICE USE ONLY
EES
Bldg. Permit / typ1,vJ
Surcharge 411,00
Plan Review ft??o0
SAC, City 100,00
SAC, MWCC ,DO
Water Conn. (?(,b,vJ
Water Meter -js,oO
Acct. Deposit 3 DjDn
S/w Permit 30e o0
S/W Surcharge j.rV
Treatment P1. ? (r
Road Unit .1970,00
Park Ded,
Trail Ded.
Copies
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address 765' 442
City/Zip Code Z
Phone _ y:5(' c?/7 S
Arch./Engr.
Address
City/Zip Code
Phone #
SIIBTOTAL
Penalty
Lot Change
TOTAL
Occupancy -3 M-)
Zoning R -)
Actual Const V. N
Allowable 1/-N
# of stories
Length S y
Depth ?L
S.F. Total
Footprint S.F.
_ On site sewage_
On site well
? MWCC System ?
City water ?
_ PRV ?
Booster Pump _
3
APPROVALS _
Planner
Council
Bldg. Off.
Variance
Sew ater Licensed Contr.__ ?V4,4?
agrees that all work ahall be done in accordance with
(Signature o ontractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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SURVEYQR'S CERTIFiCATE
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NOTE: NO SPECIflC SDA.$ INVlSTOffqT10N
NAS EEEM COMftEiEU ON TH19
EAGAN EN
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LOT B`l THE 9URVEYOR, TMIE NOTE: BVLDING DIMENSIONS SHOWN ARE FOR NORIZPN7AL
SUI7,O,BIL,ITY OF 901LS 10 5UPPpif Sk VERTICAL LOCATION OF STRUCTURE ONLY. SEE ??----^--'7
THE 9PECIFIC HOUSE PHOi'OSEQ AfiCil7ECfVAL RLANS fOR BUI ?.8i--fQUNO
iS NOT TFIE RESPONSIBLITY OF DIMEN510N5. ? ? ???
TNE SURVEY?in. ?
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M (? (j
?+ OENOTE5 PROPOSED SUHFALE DRAINAGE o
a
o ?vf ?
o DENOTES ipON MONUMENT SET G SCALE: 1 INCN = 30 FEET
• DENqTES IRON MONUMEN7 FOUND PROPbSEd GARAOE FLOOR - 831.8 FEET
X000.0 DENOTES EXISTING ELEVATION PRQPOSED LOWEST FLOOH - 8z4, f FEET
(000.0) DENOTES PROPOSED ELEVATION PROP05ED TOP OF BLOCK - A 3 t•2. FEET
WE HEREBY CERTIFY Tb M Il'TELStAEDT BFiDS. CONST. THAT 7HIS IS A 7RUE AND GORRECT
REPRESENTATION OF A SURVEY OF THr: BOUNDARIES OF:
Lor a, Block 3, OOVENTRY PASS 2ND ADDITION,occordinp to tha
recorded plat ihprsd, Dokoto County, Minnesoto
IT bOES NOT PURPORT TO SHOW IMPRQVEMENTS OR ENCRQACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OH UNDER MY bIRECT SUPERVISION THIS 28TH QAY OF J U l.Y 11991,
SIGNED--"`.IAM5d R. HiLL, INC
PROPOSED GRAOES SNOWN WFAE TAKEN
FROM THE pEVELOPMENT pIAN FOR
COVffNTpY PASS 2ND ADDITION, LAST
DATED 5-17-89
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JOHN C. LARSdN, LAND SURVEYOR
MINNESO7A LICENSE NUMBER 19828
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVIILE, MN. 55337 • 612-890-6044
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EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
DATE ?/;2 ?y
?
SITE ADDRESS "Z 7
CONTRACTOR (YI ?'i 1"F ? STA ?t?T I?ItOCi `? JNS T.' ? ?JL.
ADDRESSSU Il75ET h(1. C,4 (,A,) PHONS 4 S(s °II',2 S
DETERMINE WORKING SQUARE FOOTAGE OF EACH.
1. Total exposed wall area .... 2'7 g!7 sq: ft. x.11
2. Total roof/ceiling area .... 1'7 2-5 sq• ft, x•026 ? IL/,
Total exposed wall area abone floor = 2ti q c,L
a. Total wall window area ......................... NO. -/
b. Total door area ................................ NO,n
c. Total sliding glass door area .................. 1 D 9',d
d. Total fireplace wall area ...................... O
e. Total wall framing area (average 10X) .......... 2/vg,0
f. Total net wall area ahove floor ................ 1.2151.10
g. Total rim joist area ........................... 6,D
Total expased foundation area a q ?
h. Total foundation windocr area ................... p
i. Total net foundation area above $rade ..........
Determine "U" value of each wall segment.
a. Z Nl7. y $ nuli i y
/ J s );gi 2.
11
b. yd,Q % ntln •07
C. fD9,0 g ntln . y7. ° NS.9
d. p gflUu 0 ? 0
e. 2li9.D x"U" ./ I m 24.4
f. /'7% /.i-e g irUn i 0 Y'73 ° 77. _"?
g. 25t..o x IFU,T ,pyy = 11,3
L. O P IITTt/ O a Q
ll A V
i. G J, d xifnll . 082 ' '7-
3 . ...............................Total
If item li3 is the same as, or less than item 0 you have
of SBC 6006 (02.
1' t
?? 3t;,
t t i
h (..
intent._
-1-
Page 2 of 2
Total exposed roof/ceiling area
J. Total skylight area ........................ Q
k. Total roof/ceiling framing area (average IOX)..
JeW
1. Tota1 net insulated roof/ceiling area ........, i I,
Determine "U" value for each roof/ceiling segment.
j- e) g nUn 0 ? -
k. ?o'7,(Z x„U„ 2,?8
1. ? to? 7. 2 A„Ulf
4 ..........................................Total
If total of #4 is the same as, or less than 112,
of SBC 6006(c)1.
Alternate Building Envelope Design
intent
To utilize the total envelope system method, the values established hy
the sum of items #3 and #4 shall not be greater than the sum of items
#1 and l12. ?
1. + .?.
2. ?
3. + 4. 0
-2-
CITY OF EAGAN
? - 3830 PILOT KNOB ROAD
EAGAN, liN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # ?
DATE :
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
--------- ---------------------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON
(
SNOWER
3.00 ?
REPAIR ? WATER CLOSET 3.00
BATH TDB 3.00 ?O
? LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00
SITE ADD ESS: HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: B K SUBD. FLOOR DRAIN 3.00 ?
,
? GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
RDUGH OPENINGS 1.50 ?
ADDRESS: OTHER
WATER SOFTENER 5.00
CITY: ? \J ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL -§Z)
5T. SURCHARGE .50
TOTAL :
c?IMI?ERQi:?,f??U?T?TAL:;? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS.AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------____-_---------------------------------------------------------------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS-
IAT: BLOCK SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
( S I GNATIJRE )
CITY OF EAGAN
F CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
' PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D
DATE:
?S???i?T?1?,I; ;: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
.. .. .. _ . . ... .. : ... ...:.. : :.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------
WORK DESCRIPTION FEES
DWELLINGS &
NEW CONST V- ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU MZ?D7
REPAIR ADDITIONAL 50 M BTU 6.00
OWNER NAME: *" 17-7e- e- S 7t4
SITE ADDRESS: YI Z 7 Lt7 °vr?k'-V Lo9?/ C
LOT :4 BLOCK 'V SUBD. C? cff +v r'R" /7'`9 S S 2k"b
INSTALLER:
ADDRESS: BUrn3VIIie Hcatlng & A/C, InC.
o e s an .
cizx: Savage, MN Z5 378•1122
-00?5
PHONE
GAS OUTLETS - MINIMUM z A-3.00
OF 1 PER PERMIT
00
SUBTOTAL: $ 3d
STATE SURCHARGE: .50
S=°
TOTAL: $ 3'6
SIGNATURE OF PERMITT
G
OW"MPIRV:STgAx>.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EA.CH 91_ _ p00 OE PARMZT FEF..
PROCESSED PIPING = $25.00
$25.00 MINZMUM FEE.
CONTRACT PRICE x 1$
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127627
Date Issued:10/08/2014
Permit Category:ePermit
Site Address: 4127 Lantern Lane
Lot:4 Block: 3 Addition: Coventry Pass 2nd
PID:10-18401-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Dan Lahr
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Keith R Gray
4127 Lantern Lane
Eagan MN 55122
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature