4138 Lantern LaneINSPECTION RECORD Control No. 0420
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Ln r: 1e
4138 I.ANTENN LANE
Ct1UNTRY Ho4LDt-a
PER??T PUBTYPE:
E!1 Of..k o 4
0?
PERMIT TYPE: B11t ? 1111IM6
Permit Number. 0001,21
Date Issued: 06/12r q2
APPLICANT:
HdH CROATT
(612) 462-4718
TYPE OF WORK:
KEa
+ . ?
V
PermR No. Permlt Holder Date Telephone A
S/Vd
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecUon Date Insp. Comments
Foofingsl
Foundation
Framing
Rooflny
Rough Plbg.
Rough Htg.
Isul.
Fireplece
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlen
Bldg. Final
Deck Ftg. ! V 2
Deck Finel
Weli
Pr. Dlsp.
?!
CITY OF EAGAN
CASH RECEIPT
.
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?
r?cervEO ^] . .- r
rna.
AMOUNT S
DOLLARS
O CASH ,PrtHECK
Thank You
BY
C ? ""'" ?
629
Pink-FAe Copy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE February 13, 1990
C' OFFIC USE ONLY
METER # 7r(?? PERMIT DATE ?/ 16 / 9Q
CHIP # 11 0 ? R 15 PERMIT # 11230
METER SIZE B.P. RECEIPT # C 6292
ISSUEDATE ? I B.P.RECEIPTDATE 2/13/Q0
? PRV - BOOSTER PUMP
SITE ADDRESS 4138 Lantern Ln.
LOT 18 BLOCK 4 SEC/SUB Country Hollow
APPL.ICANT: Rainbow Homes of EaRan, Inc
ADDRESS: 2367 78th St. E.
CITY,wSTATE Inver Grove Hts., MN Zlp 55076
PHONE
(612) 450-6292
PLUMBER: Tom Hessian
ADDRESS: 121 8edwood Dr.
CITY, STATE Apple Valley, MN Zlp 55124
PHONE: (612) 432-6898
OWNER: _
ADDRESS:_
CITY, STATE
ZIP
PHONE:
__ -.. f %,c?` v? `2 ip, t?.?. •
PERMIT REQUESTED
XX SEWER WATER -TAPS
- COMMiIND XX RESIDENTIAL
XX NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credii W ILL NOT be given for Deduct Meters. I AGREE TO COMP WITH CITY OF
EA RD771,-.
?IGNATUROHEN METERISSUED j
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINtERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE-`febavRrY 13, 2990
METER #
CHIP #
METER SIZE -
ISSUE DATE -
OFFICE USE ONLY
PERMIT DATE 2/16/90
PERMIT # i 12i(1
B.P. RECEIPT # C 6292
B.P.RECEIPTDATE 2/13190
PRV - BOOSTER PUMP
SITE ADDRESS 4138 Lanterii Ln.
LOT_ r` BLOCK 4 SEC/SUB Countrg Hulloa
i '
APPWANT: Paiabew Hoiues of 8aggn. Inc
, ADDHESS: 2367 78th St. E.
? GITY,STATE Inver 6rove Hts., Nh Zlp 55076
PH0IE: (612) 450-6292
PLUMBER: T?m Hessian
ADDRESS: 231 Red+rood Dr.
CITY, STATE APDle Va11eY. NN Zip 55124
I PHONE: (612) 432-6896
? OWNER:-
ADDRESS:_
CITY, STATE
, PHONE: -
ZIP
PERMIT REQUESTED
?`? SEWER XX WATER -TAPS
COMM/IND
XX NEW
XX RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be installed
Ahead of Domestic Meters on Water Line.
Credii WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
MECHANICAL PERMIT DATE: 4/9/91
RECEIPT: 100726
SITE ADDRESS 4 138 i.ANTF.Rtv T.ANF. Unit # Permit #1Z908
L 18 B 4 SeCt./SUb. CniiNTRY H(1T.T.(1W
. . . . ? ? ,.? .
, .. . . . .. . ,.-;,?_ t . . . . - . .
CITY OF EAGAN
? 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 $93.000 Date TEB I I
Site AdAress 4
Lot AS Block
Parcel No.
w Name
3 Addre.
o .
o Name 8AM
?Q Address
`- City Phone
Name _
Address
Phone
Building Official b Sec/Sub. COMRY HOLIAW
I hereby acknowlege that I have read this application and state thal ihe
in(ormation is correct and agree to comply with all applicable State ot
Minnesota Stalules and City of Eagan Ordinances.
Signature of Permitee
A euiming Permit is issued to: RAINHOi? RO!!6S OF EAGAN
on the express condition that all work shall be done in accordance with all
appllcable State of Minnesota Statutes and City of Eagan Ordinances.
USE ONLY
1
Occupancy R'3 M-1 FEES
Zoning ltwwf
(AcWat) Const V-N Bldg. Permit 608.00
(Allowable) v-N
Surcharge ?
•
a or stones
? .
Plan Review 395.00
Length
Depih 509 SAGCity 100•00
S.F. Tolal - SAC, MCWCC bW•OO ?
S.F. Footprinls -
w
625.00
On Sile Sewage _ ater Conn
On Site Well Water Meter 90•00
MwCC system IWL 30.00
city waier x? Acct. Deposit
PRV Required
?
SNJ Permit 30.00
Booster Pump - S/yy Surcharge 1 •00
Treatment PI 252.00
APPROVALS RoadUnit 355.00
Planner - park Ded.
Council
BIdg.Off. --
_
Copies 1.00
Variance - TOTAL 3o133 • SO
4Q
FWPM
17503
Permit No. Permit Holder Date Telephone N
WATER ? T , e*;3Co2
' t
SEWER
PLUMBING
H.V.A.C.
ELECTRIC F)" & al xTZ.. Ro O
Inspection Date Insp. Comments
Footirgs I 7-/5 fC ?.S
Foundation ,L- 2/
Freming
Rooling
RougM1 Plbg.
Rough Htg. 3 ,S' 0
lsul. 3- ? c s
Fireplace
Fnal Htq.
Final Plbg.
Const. Meter Pibg. Inspector - Notity Plumber
Enqr.;Plan
Bldg. Fnal a Z
Deck Rg.
Deck Final
Well
Pr. Disp.
-?.- .-
° a
t.
,
(grrtifiratr of Orrixpanry
Crp of eagan
Eppo'IritPrit of l1tllbiltg 3tlB}tPttlIItl ' N
?
?
This Cenificate issued pursuant to the requirements of Section 306 ojthe Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ciry regulating building construction or use. For rhe following:
ux cwnfiWUOO SF DWG/GAR alag. affn;t No. 17503
occupaocy rype R3/MI zonine o?tria RI rra const. VN
owner of ewiaioPMMOW MCS CF EAW na6m2367 78'Ili ST E, INM QtVE tg,TS
swiaing p.aa? 4138 1.ANffitN I.ANE ??ty L 18p S4, 00[A11'[aC HL?.ilJW
nete APRII. 27 1990
BuBding Ot6 '
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE , ?pNONIE 4548100
Site Add e 7 f -
Lot Biock
Name
Addr
/@,
c
y
C?J ?
FEES
COMM.IIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE API.LIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 §(C PER EACH ?1,000 OF PERMIT FEE)
PERMIT# RECEIPT # y?? y
Res. ? New ?
Mult. Addon
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOT `
? Water Closet - $3.00 $ i
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00 j
Kitchen Sink - $3.00 ?-
UrinaVBidet - $3.00
-? Laundry Tray - $3.00 ?
? Floor Drains - $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 ;zvr
U. G. Sprinkler System - $12.00
PERMIT FEE: ? W
STATES S/C:
GRAND TOTAL:
For OTfice Use Only: '
i
PERM{T # '
MECHANI CAL PERMIT
CITY OF EAGAN RECEIPT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE
PHONE
: 454•8100 :
Site Address BLDG. TYPE WORK DESCRiPT10N
, Lot Block Sec/Sub
_
Res. - New
d Name Mult Add-on
?
Address Comm. Repair
c
Ciry
Phone Other
FEES
Name RES. HVAC 0-100 M 8TU -$24.00
?
; AddfgSS ADDITIONAL 50 M BTU - 6.00
HVAC INCLUDES A/C ON NEW
RES
p City Phone .
(
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. ,
IYPE OF WORK - COMMIIND FEE -1% OP CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
I Vent CFM STATE SURCHARGE PER PERMIT - .50
Caas PiRng Outlets k (ADD $.50 5!C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE ?
: SIGNATURE OF PERMITTEE
S1C:
TOTAL: FOR: CITY OF EAGAN
CONTRACT
PRICE
Site Address
: Lot ?
? Name---j
? Address
c City ?
Name_
= Address
b? City .4
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SUR ARGE PER PERMI 50
(ADD $.50 S/PER EACH $1,?RMIT FEE)
i
. SIGNAT 0 E
, i 7 E
?
?
PLUMBING PERMIT For
CITY OF EACiiAN ' ERMIT # .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 [RECEIPT#
PHONE 45481 00 DATE: !
OnIG ?D 11
BLDG. Pjll_E WORK DES(jgIPT10N
Res. X New Const,L-
?- '
Mult.7 Add-on
Comm. Repair i
Other '
RES. PLBG. ONLY • COMPLETE THE FOLLOWING; ;
NO. FIXTURES TOTAL
Water Closet - $3.00 $ 7
W
Bath Tubs - $3.00
a
?
_ Lavarory - $3.00
_ Shower - $3.00 ?
_ Kitchen Sink - $3.00
_ UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3.00 ?
Gas Piping Outlets - $1.50 I
? (MINIMUM -1 PER PERMIT-NEW CONST.y,. ,_?
Softener - $5.00 -?-
Well - $10.00 1
_ Private Disp. -$10.00 I
Rough Openings - $1.50 j
_ U. G. Sprinkler System - $12.00 ?
PERMIT FEE:
STATES S/C: ?
_ r_onran TnTnI
Sec/Sub
0
Phone
,_ n o 0 _ _ ? / /7 _._,t_
?
'?
?
Requte o. ugh-in InSpection
p
2127190 e uiretl? ? Ready No?Will Notily Inspector
Vas L No When Feady?
I licen o' ctor ? owner hereby request inspection oT above electrical work at:
Job Atl r s(St t, ox or Route No.) pih,
•?-3?' Lan.?e2n Laae E¢g¢n
Section No. Township Name or No. Range No. Counly
Dako.ta
Occupant (PRWT) Phone No.
/2¢.inAobj flomeh 450-6292
Power Supplier Atldress
Dakota Uect2ic 1¢2m?lzyitoa, (7N 55024
Electrical Contractor (Company Name) Contraclor's License No.
[Ucl.?ancL (Siectzic In c. 041610
Mading Adtlress (COntrecbr or Owner Making Instaliation)
94055 C2¢rzcC ,QUe So, SuitQ E, Bu2n,?y.iiQe, (7N 55337
Author re (Contractor/Owner Making I allat?ioyn) ?j Phone Number
92- 6 6 8 8
MINNESOTA STATE BOARD OF ELEC7RICITV
Grlggs-Mitlwey Bidg. - Room &173
1821 University Ave., SL Paul. MN 55104
Phone (612) 642-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV 7HE S7ATE BOARD
UNLESS PqOPER INSPECTION FEE IS
ENCLOSED.
, jI ?' REQUEST FOR ELECTRICAL INSPECTION ??, ee-oaooi-o7
f See inzcluctions for completing this form on hack of yellow copy. ? ?3' ?
6 4 8 3 "X" Below Work Covered By This Request ?'??JO?COZaO
e Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contrectors Remarks.
Compute Inspection Fee Belaw:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 _ Amps
St9n5 Inspector's Use Only:
DD
G TOTAL
Irrigation Booms 7_ l?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rou9n-io Date ?
certify that the above inspection has
been made. Finai Date
.S " 1 _ V
OFFICE USE ONLY This request void 18 mon[hs Irom
CITY OF EAGAN N2 17503
•- ? 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 $93, 000 Date FEB 13 , 1g 90
Site Address 413 A LANTERN LN
Lot 16 Block 4 Sec/Sub. COUNTRY HOLLOW
Parcel No.
W IName RAINBOW HOMES OF EAGAN, INC
o Address 2367 78TH ST E
City INVER GROVE HTSphone 450-6292
a Name S?
?? Address
? City Phone
8,? Name
??' -, Address
a W City Phone
I hereby acknowlege ihat I have read this application and state that the
in(ormation is correct and agree to compty with all ?pplie Slate of
Minnesota Statutes and Citv of Eaaan Ordinances. //
Signature of
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R-1
(Actuap Const V---N_ Bldg. Permit 608.00
(Allowable) V-N
Surcharge 46.50
# or stories
44'
Ptan Review
395.00
Length
Depih 50, SAG City 100.00
S.F.Total - SAC,MCWCC 600.00
S.F. Foatprints -
W
C
625
0
0
on Site Sewage _ ater
onn .
On Sile We11 - Water Meter 90.0
0
MWCC System XXXL 30
00
Cily Water ?_ AccL Deposit .
PRV Required xxx S/VJ Permit 30.00
Booster Pump - 5!W Surcharge 1.00
Treatment PI
0
252.0
APPROVALS Road Unit 355.00
A Building Permit is issued to: RAINBOW HOMES OF EAGAN Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -- 1.00
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building Otficial tgldCLL\?? rn.Ll Variance - TOTAL 10133.5
0
?
40? Clty 0f E8iall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
,.. . _-_
.. . _.,? . _._
,..
JUN 1. 2 200$ ? u i'i
-------------,
, For Office Use I
I Pertnit
? Pertnit Fee: I
I ?
? Date Received: ?
I ?
? Staff: ?
-----------------?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
CA -0 -U CS '-1 I L ECi ?
Date: Site Address: DO L1?1 i i I?Vi?1 (,'k-Q- , QLR.YA
Tenant:3tY 4 ) McLiN A 2.1 Sufte#:
RESIDENT / OWNEA ? `-,??l, c>
Name: ??eV'?l? k,.?11.? X Q Phone: LP?? - 45q - a3 ( l?
Address / City / Zip: `1 i Jp L-o-V-t{e.r n l.an c
CONTRACTUR Name: `"l 'V LIVYUOU(i' ' Un ? License#: OU?gW4m
Address (Ac0q
Ciry: ? State: _MY-N Zip:
t2
Phone: Contact Person: ao? (.._l
TYPE OF_ WORK X-New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descrition of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
° j Lawn Irrigation _ Add Plumbing Fixtures
? RPZ /A PVB) (-_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
HES/DENTIAL FEES:
$50.50 Minlmum 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, Sept+c System Abandonment, Water Turnaround" (inciudes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (inGudes Coumy fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (inciudes $.50 State Surcharge)
TOT AL FEES
I hereby ackrwwledge that this infortna[ion is complete and accurate; that the work will be in confortnance wi[h the ordinances end codes of the City oi
Eagan; Ihat I understand this is not a permit, bu[ only an applica[ion for a permit, end work is nat to start without a permit; ihat the work will be in
accordance with the approved plan in the case ot work which requires a review arxl approval ot plans.
x ?
ApplicanYYs IIt?NB ?eE - ?Y- Ajfpli ? 5 S?n3t
FOR UFFICE USE „ Reviewed By: Date:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test -Final
? CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
BUILOIN6
000527
@5j12/92
DESCRIPTION:
z
? .
,*-MVN
?? vd
? .?
$1
REMARKS: (2? <2
FEE SUMMARY
PERMIT TYPE:
Permit Number:
Date Issued:
4138 LANTERN LANE
IOT: 18 BLOCK: 4
COUNTRY HOLLOW
CONIRACTOR: - appli
BO CROpTT
4320 HApIILTON DR
EAGpN MN 55123
(612) 452-4718
?
canL - OWNER:
14524718 RUNWING 60RDY
4138 LANATERN LN
EAGAN MN 55123
(612)452-3771
APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNATURE PERMIT
terr,oby ackno?.rledge tt?aC I~'?a?re r?a4d this apA 'Ce t.at the
tiore 3,s earrect and agree to crir?tply. .w1.tt? -all; ap?slicable State of Mn. s a d Gity, . afi E:a4gso Qrd#nancov-.-
.
- ?
a
Control No. 0420
PERMIT.. #
?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
TIAY 1 ?
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans,.l set of
specifications, 1 copy of energy calcs.
Penalty lies when typing of permit is requested, but not picked up by last working day
of month i which re uest is made or lot chan e is re uested once ermit is issued.
Date / 1 / l`t`,?L- Valuation of Work ZSCX?70
Site Address: A4 ?Es r-'s
STREET STE I
Tenant. Name: (commercial only)
LOT ? BLOCK ? SUBD.
rty (1-?,Y.OIA' P.I.D. *
Descri tion of work: DEC
The applicant is: wner 5Eontractor ? Other (Deseribe)
.?..?,.--1..?i.? Phone
Namb/
Property LAST FIRST
Owner qddress 447z?e___., L",
STREET STE N
City ???•--? ??? 5tate Yv1? Zip ?SIZ?
Company ??•? Phone
)
Contractor ?NN_L--Litense # Exp.
Address
, City S t a t e Zip
Company Phone
Archltect/
Engineer Name Registration #
Address
City State .Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two d ys once area has been approved.
I hereby acknowledge that I;have e this applica 'on and state that the information is
correct and agree to compl "with ?ap licable St of Minnesota Statutes and City of
Eagan Ordinances. ?
?
Signature of Applica :
_
OFFICE USE.ONLY
BUILDING PERMIT TYPE
?
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Fin ish 0 13 Co`mm7rWd*ew
? 02 SF Owg. ? 06 6arage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. O 15 Comm/Ind Rem
? 04 Multi-fam. T.H. 59 08 Deck ? 12 Res. Porch 0 16 Public Fac.
. ? 17 Agricultural
woRK rrPE
? 31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish O 36 Demolish
GENERAL INFORMATION
Const. (Actual) 6asement sq. ft. MWCC 5ystem
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 9-5 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
4 o# Stnries Footprint Sq. ft. ' Fire Sprinkler
Length ? On-site well Census Code 113 (-/
Depth )4_ On-s.ite sewage SAC Code
APPROVALS
Planning Building S,Iz?y? Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site [Z Footing 0 Framing ? Insulation
? Wallboard EX Final ? Draintile ? Fireplace
Permit Fee .oa r.tmc;«,: s
Surcharge . o
Plan Review -
License
MWCC SAC
City SAC
? Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Oed.
Trails Ded.
Gopies
Other
Totat :
SAC % •
SAC Units
.
. " . _
TRI-LAND C0. CERTIFICATE OF SURVEY FOR:
suRVEYiNG
SERVICES RAINB0IN HOMES
1875 PLAZA . DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOTIB-,BLOCK4, COUNTRY HOLLOWS
- ACCORDING TO THE RECORDED PLAT
THEREOF n6KOTA COUNTY, MtNNESOTA
?
SCALE: 19#=30'
)T 19
\ 'IN89°38'3 "W -
142.00 ??# s?.ao so.oo
lt1 s
' z ? CZi y, o , 0p ?}?, ? c
d Z (V .a ? ?' ,o Q
N? I Q Q
M, I \ ;
N ? o
?°' --' L4T 18
?
M N.
?,v
d. cr 40 i in
ez 16?y ?36
LQT I7
z? ?vti 0 5?60000
,
-?
wr..rw ............? ?1 ?.?,?....,
EACAkK INGINEERING DEPfi
`? ????C•?V?RE?aRED
o DENOtES,;iRON MONUMENT PROPOSED GQARAGE FLOORCE E AT 0'NN 822.?
o. DENOTES`'WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = gQ3•?
OENO'1"ES,;?EXIS'T'ING SPOT PROPOSEDBASEMENT FLOOR - gp•
; ' ELEVATION ELEVATf 0N
DENOTES;`> PR OPOSED SP4T
` ELEVATION
?- DENOTES ;dRAIWAGE„DIRECTION NOTE. VERIFY ALL FLOOR HEIGHTS WITH
FiNAL HOUSE PLANS
t henby ctrtify",'ffiaT, ihi's`tk vey, Plan' or, report w?s ptepnreQ by`.me or under my ?-?!; ;?- -
direct supervi*iiotr and that I am a duly grodley J. S%tgnfson, Mn. Rep. No. 15235
Re9isfered Land Surveyor under fh• ,,?.
?• ?.- ?c _
Laws of ihe Sfote of°-MinnesoTa Dah -
.
??,
?
1990 BUILDING PERMIT APPLICATION
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 (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
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, BUT NOT PICKED IIP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
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.
FEB 0 7 RFCo
I]!? ?- - o Date :
To Be Used For: Sihale EAtv61 V Valuation:? -
Site Address?+? 1-A1je,p°n OFFICE USE ONLY
I? ?3
Lot -R& Block ? FEES
j
Occupancy R 3 M-I
11 Zoning 'R-1
Parcel/Sub GC?I.INTRY ?IOI-?-OVJ Actual Const v-N
Allowable V-N
I-VIN Ocaner # of stories
Length
Address Depth
S.F. Total
City/Zip Code ,y. Footprint S.F.
Phone
Contractor
Address A31p77R'4 Sj, e-
City/Zip Code?
Phone 4Wa2 ` KJ d
Arch./Engr. _
Address
City/Zip Code
Phone #
On site sewage_
On site well _
MWCC System _6!f
City water 601?'
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
Bldg. Permit
Surcharge
Elan Review
SAC ,: -City
Si'C, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
'S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
?s?vv/
? Ot?
vA(,:u;AMO?J , . ? .
?
., . - ,
Cz ARp,Ca?'
22x2.? _. ???i X ?Sr ?GQO
T?sw?,-?-
?
ay x?.? r ( 72.
( le)
_?----
??Z
I s-r F?.cocZ
yy ),3os 1320
ZZX ? = I 32.
yX?2, y81
15?'i 6 ?c 60
= 75'goo
. ? 2?&?
T RI - LAN D C 0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL
x
CERTIFICATE OF SURVEY FOR:
RAINB4W HOMES
DESCRIPTION; LOTJ&,BLOCK4, COUNTRY HOLLOWS
ACCORDING TO THE RECORDED PLAT
THEREOF DpKnTA COUNTY, MINNESOTA
SCALE: l",30'
3
W
ci
i
ui
z
Q
J
v,
?
1i.1
Y
Z
cL
J?
1?
"I
EAGAN E%dGIliTEERIN? ?EW
LEGEND
o DENOTES IRON M4NUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hersby certify thot ihis survey, plan or
report was prepared by me or under my
direct supervision and that I am a duly
Re9istered Land Surveyor under the
Laws of the State of Minnesota.
,,F;?,° RqX,,,-AEQk1?RED
P?r'-,
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 8- Z
PROPOSED FIRST FLOOR ELEVATION
PROPOSED BASEMENT FLOOR = gpi
E LE VAT I ON
NOTE'. VERiFY ALL. FLOOR HEiGHTS WITH
FINAL HOUSE PLANS
h.?t? . .? _.x..
Bradley J. S on, Mn. Req. No. 15235
-?
Date ?? ? y- ?`i c.
.:! i-)ohn Br?odd?ey
. ' wChitgCtUT`G?I CaASVItG?AtS LK.
. Mot 05t. t[. osaco. wN. 56ss9 wt. tOU)-+t•-rTs
PIOR " Z?'? -
Confroctorj_
Site Address=
Z(Z?
IjTOTAL EXPOSED WALL AREA 2-70 4 s4 ft s"UN •1I - Z19 7'
2)TOTAL EXPOSEO RQOF/EE{LtNQ AREA 15i? s4ita',J" -OzC- 10 E
WALL AREA CALCULATIONS:
TOTAL WINDOW AREA
00'J 266 GLAZED
TOTAL DOOR AREA
TOTAL GLA55 DOOR AREA
Mf-,)$6,ff GLAZ£D
TOTAL FtREPLACE WALL AREA
70TAL WALL FRAhtING AF'cEA
NET INSULATED WALL AREA
T07AL RiM JOIST AREA
TOTAL FOUNDATION AREA (EXPOSEU)
TOTAL FOUNDATION WINDOW QREA
4 sa.rt.x?u? ,?F? = co?r24
?s$ sq.ft.zs UI$ 1404.00
`a sa.fr.x'u" .4 ( = 4 tCpo
38 s4-rt.x'u" -3v =? 3'40rS ,?? sq.fLs'1J°• 3= ?'?
(4
I1'3 sa.ft.xu"?= 2?•?S
sQ.ft.x"U"
. 3) TOTAL
!f ifem 3 is the some os,oi less thon /tem lI Jrou hcve met the intent of
2 MCAR 1.1600E A and O.
ROOF/CElLlNO CALCULATIONS.
70TAL SKYLIGHT AREA
TOTAL ROOF/CEILING FRAMlNG AREA
NE7 INSULATED ROOF CE1LiNG AREA
$ qa.rtx'u" t 4 ? = 3 •Z 2p
l5 L .q.tti'u", oZC. = 3 •?f ?
?Zl&3 Sq.ftx'U°,oZZ
4) TOtAL
!f item 4 is the some as,or less tAon item 2, rou Aore met fAa intent of
21NCAR 1.16008 A and 0.
ALTERP1ATE BUILDtN6 ENVELOPE DE316N
To utifize the fotal snvetope sys?em meMod, the wm oI items 1 ond 2 slwfl
ba Qreoter fhon tne sum of items 3 ond 4.
1) +2) _
3) +4) _
f Mrpby csrMfy Mct fm buflQJnQ Mrs descnbsd inMts pvftceods Mr Stote MWimeWo
Ensrqy Canssrvotlon Acr.'
v
_ Oofe '7-z"•
.LLC'i YV 2t,.w E I
,-
..
CEfLUK fECTION (1NSULATED)
Nwia air filrri 0.61
. ? 4;??r ?S H4-. F?-K • . S/c
(3 Ew.o+..ii.J I,....sS
t4 ttfaior air fllm (sttltl 0.61
TaT/1L R 4:,-g
u a I/A .ou
CEILMC FRAMtMG SECTtON .
( Llntafa olr tilm 0_6I
it n••s. ,c_. . r-?Io
. o
(3 Fscv,...J..? )"S ?53p
(4 iAfsrla air /ilm 0.61
VzfncAe: of saft woed 4'.505
_TOTAL R '-S`j. i 5p
,y s i/R •aa?c
CEIUNG SECTiON (INSULATEDI
( I fMn1a air Ii1m 0.61
_ (2
(3
(d eaferior air fJlm (stt(1) . 0.61
- TOTAL R ?
U s 1/R?
OF
VENTED
CftUNG FfiAMIFIG SECTION .
( (,/n?t?la cir fitm 0.61
t?
(3 0.61
{4 +ntorTa air /t!m
t5 in'chts of soff wood
. _TOTAL R ?-
y s 1 /R ----.
E7CPOSEO 8EAI11 CEILINB SECTION ? ?
(j into,r - air ttlm
-u
(3
(4
(a ex]KI•-QI - ai _I - -:•- mm 0.17
-
TOTJ?L R ?
L • UR--
?
?i?f C? ?.r- '?'?p? "??
I??????I •??
ibp, ot}
FRAMIMa SECTION
t ? -
3 s f soh w od
4
5
g eYreria air li?m 0.17
70TAL R • ? •?
u = IiR
SECTIOM (iNSULATED)
I- lnfe?lor air film
Z t!z SR ?4S
3 S'?''b i.? (9.c?
4
s
g axtarics ai: fit.-n 0.17
. TOM-
. U': s?•AER ? YYJ
.a•
)tST SECTION
I 'nh?i air 111m 0.68
Z t7 b?-? P- ?r --i -- MF
3
s
6 eataiot air tilm 017
. ' TOTAL R
U = I/R uD
ftON SECTIQN
in/lrlor air fitm
1 "tl-A?c- 1.a
12 c. ?r?' ? 1 •??
, aaledor air film •' i
0.17
TO?AL R
' U • 1/R • V
? Y' ` • ??•?1 .
. .-'._?I '? . .. ? '1 ... .
l
CITY OF EAGAN FOR CITY USE ONLY
3830 YILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # O
PHONE: (612) 454-8100 RECEIPT # O O°?
,.:r :. ...........:?.... . . . DATE : r9/
""?Gi4?>?:!P??S?
K?b''7lfE??':'i:":. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
h;..?, : .. .....: :: : ::: : : .: ..... .. ... :.:.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
------ ------------------------------------------
WORK DESCRIPTION FEES
NEW CONST
ADD ON ?
REPAIR
OWNER NAME:
SITE ADDRESS:_
LOT : ? BLOCK SUSD.
INSTALLER: CMZ-RYAN PLUMBING & ING COMPANY
ADDRESS; 14745 South Robert Trail
CITY: ROsemount
PHONE #: 423-1144
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
DWELLINGS &
$15.00?
24.00
6.00
3.00
SUBTOTAL:
STATE SURCHARGE: .50
? J^o
TOTAL: $
7,/ ??_---- SIGNATURE OF PERMITTEE
Ci3kIMERCTAX.fr1VDPLEASE COMPLETE THSS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
ZIP: 55068
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE/?.
AROCESS.?.•Tt DiDTI?SC = Y?i.v:l
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130654
Date Issued:05/06/2015
Permit Category:ePermit
Site Address: 4138 Lantern Lane
Lot:18 Block: 4 Addition: Country Hollow
PID:10-18275-04-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Jerome M Mandel
4138 Lantern Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150452
Date Issued:07/09/2018
Permit Category:ePermit
Site Address: 4138 Lantern Lane
Lot:18 Block: 4 Addition: Country Hollow
PID:10-18275-04-180
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jerome M Mandel
4138 Lantern Lane
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159698
Date Issued:01/10/2020
Permit Category:ePermit
Site Address: 4138 Lantern Lane
Lot:18 Block: 4 Addition: Country Hollow
PID:10-18275-04-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michael S Syvongsay
4138 Lantern Lane
Eagan MN 55123
(651) 354-9312
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176494
Date Issued:05/18/2022
Permit Category:ePermit
Site Address: 4138 Lantern Lane
Lot:18 Block: 4 Addition: Country Hollow
PID:10-18275-04-180
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Michael S Syvongsay
4138 Lantern Ln
Eagan MN 55123
(651) 354-9312
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature