4150 Lantern LaneINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: •
(612) 681-4675
0
SITE ADDRESS: APPLICANT:
HM I ANt
PERMIT SUBTYPE: TYPE OF WORK:
,-nrr
f:uCrF j`; iOrrN tlArtl
I t-rtl 1 w!
?-
?
Permit Holder Date Telephone #
PLUMBiNG
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING [? /4
/'l
r/C1
ROOFING
A-ZI -14
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
NEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FWSH
MAINS
CONDUCTIVITV
TEST
?
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
??
CITY OF EAGAN
3830 Pilot Knob Road .
Eagan, Minnesota 55122-1897
(612) 681-4675
. SITE ADDRESS: , . ; ? .
? 0 ,r 14 n r nNt
e t;'.. . ;iitd i .,•3
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
1 OM
li!•I`I `;
RrVatR
frI i:ui1F
?
?
lf9 f D I N?
:tl,-ct l Ic,
t CIC<pl I'r1MA61
Permit Holder Date Telephone p
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirv
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CASH RECEIPT •
CITY OF EAGAN ?
3830 PILOT KN08 FOAD '
EAGAN, MINNESOTA 55122
"DATE 19 ??
NECEIVEO
fao.?
AMOUfdT $
8 DOLLARS
iro
? CASH I? CHECK
.?
? F 0 r, ) it /! a f
FUND OB.IECT AMOUNT
Thank You ?
ay
C ? I 90 Whne-PaYM CoPY
veia?Poseris Coor
Pink-File Copy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan,MN 55122-1897
DATE JULY 17, 199;:
/O-7FFICE USE ONLY
METER# ?7lDpERMITDATE ,7/23i9u
CHIP #O /(o/ 3 oZ D S.3 oZ PERMIT # 115 3 9
METER SIZE `? Ai B.P. RECEIPT # L 8997
ISSUE DATE B.P. RECEIPT DATE (;7 20 '4?0
'2'_ PRV _ BOOSTER PUMP
SITE ADDRESS LAh'TERN LN
LOT i) BLOCK SEC/SUB C000TftY HOLLOW
APPLICANT:` C, f <) ( C? -??-f ?S- (_d11 d ? .
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: i?a,
ADDRESS: A.? . 5?..
CITY, STATE 1 4
x 1 ??V,4 ZIP 56069
PHONE: ' ?
OWNER: vF.:OLD BROTIiERS CUNS'C3?CCT1U[?l
ADDRESS: 1704 280Tt'. 3'i' lI
CITY, STATE E?: Pi:AGU!, >SDI ZIP 56171
PHONE 445-317 1
PERMIT REQUESTED
X SEWER r WATER _ TAPS j
- COMMiIND - RESIDENTIAL I
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cradit WILL NOT be given for Deduct Meters.
?
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDIDFlkFiCES
SIP"RE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r . ... a . -..... . .?... . R--.m.x_-r-.
SEY4FER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
'I Eagan, MN 55122-1897
DATE .iU1.Y i?. :t49v
. ?.. .. ...„?. T . -?-?,.--...r ..:? _... n,
OFFICE USE ONLY
METER # PERMIT DATE
CHIP # PERMIT # 115139
METER SIZE B.P. RECEIPT # C syS ?
ISSUE DATE B.P. RECEIPT DATE L/
PRV - BOOSTER PUMP
SITE ADDRE 1+150 1.AP:'£T.RP; LN
I LOT Irl B?CK 4 SEC/SUB COUNTRY ii4LIAW
f,
I APPLICAN?.
I ADDRESS:
'I CITY, STATE - ` -e ZIP
PERMIT REQUESTED
SEWER - WATER - TAPS
- COMM/IND - RESIDENTIAL
__X_ NEW
EXISTING
1A
L
0
1 Lawn Sprinkler Meters are to be Installed
+34 ,..
v,,,, nr?
PLUMBER: : Ahead of Domestic Meters on Water Line.
ADDRESS: ? vv`'=?: '4 .-?,"
, C?dit WILL NOT be given for Deduct Meters.
?
I
'v1,;
,,? ,-, .,.;, v °•...? h l ZIP 5E069
CITY, STATE
?
PHONE: / 3[,
.
r,, <..
?
I AGREE TO COMPLY WITH CITY OF
OWNER: GEROLD SRi;'iIli.I'.5 GG;dS'PltL'^?'1!01": EAGAN ORDINANCES
ADDRESS: t 704 ?..$OTH ST Yd
' CITY, STATE ?P,A( `Ji- , Vl! ZIP
I
71
I PHONE: 3 SIGNATURE WHEN METER ISSUED
.
I
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
' SEWER PERMITS, CONTACT ENGINEERING DEPT.
- ?-t.• . . . Y. . . ' ' MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE PHONE 454-8100
SRe
Name
Addre
c City ?
? Add
$ Cfty
- Block =5ec/Sub Jzi Res. SC
K Mult.
Comm.
,7.rii? /? T c T C, Othef
For
PERMIT # ?
RECEIPT #
DATE: _
WORK DE:
New Const.
Add-on
Repair _
TYPE OF WORK
Forced Air _LQiO M BTU 9
Boiler M BTU 9
Unit Heater M BTU 9
' Air Cond. .3 C? M BTU 9
Vent CFM 9
Gas Piping Outlets #
Otner 9
CommJlnd. Contract Price x 1% 9
PERMIT FEE:
S/C:
FEES
RES. HVAC 4100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - AlL ADD-0N 6
REMODELS (INCLUDES GAS PIPING)
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
NEW CONST.)
COMMAND FEE - 1% OF CONTHACT FEE
APT. BLDGS. - COMM. RATE APPLIES
$24.00
6.00
3
?
m
- 12.00 '.
?
- 1.50 EA. ?
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PE?fjFA.C? $1000.00 OF PERMIT FEE)
_ j FOR: CI OF EAGAN
a
,
I
..3-.n? .. . i
"z. . _.
Tier#ldirafe Af Orrupanry
Citp of (tagan
Ep}tubIPtlt of N1taUtg 3itS}iPl'uD11
This Cerliflcete-issued pursuaru to the requirements ojSection 306 of the Uniform Buildirtg
Codecera'fyin8 that at the time of issuance rhissrnuture war in rnmpliance wrth the various ,
ardinances of !he City regulating building rnnsuudioa or use For the following. ?
U- ckuiscadm SF IlWG7'IAR ?;M 18159 ,
RI VAI
oofWilding (ERM.D MCMIMS rJGVST. Add? 1704 280Ifl ST W. NEW RWIE 4150 ,, .,. -- ... LANfIIM4 IAM .... L 15, B4, COONIRY FOIAW
SMMMM 79 1990 ?
POST IN A CONSPICUOUS PLACE
. I rrVY?V rrfl•
' CiTY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address `+ 1_0??
Lot ti`J Block
m Name
? Add{ess ?? UU 1 j S? . S.
Cityn Phone
.S
City Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PE j.E&CH $1,000 OF PERMIT FEE)
Only
DG. TY,? N O
RK D ?S?RIPTION ?
V
RB
?'\ _ JC ?
Mult. Add-on ?
Comm. Repair
Other ?
?
RES. PLBG. ONLY • COMPLETE THE FOLLOWING: j
NO. FIXTURES . TOTA
L
3 we,er cio5ec - $3.00 n
$
? Bath Tubs - $3.00 0
? Lavatory - $3.00 ?
Shower - $3.00
? Kitchen Sink - $3.00
UrinaUBidet - $3.00
-
Laundry Tray -$3.00
T
- . tIO
T
Floor Drains - $1.50 ? I
Z Water Heater - $1.50 •
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 '?-
(MINIMUM - 1 PER PEAMIT)
Softener - $5.00
_ Well - $10.00 ?
Private Disp. -$10.00
Rough Openings - $1.50 !
_ U. G. Sprinkler System - $12.00
PERMIT FEE: L
STATES S/C: _,?? ?
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 4p 18159
PHONE: 454-8100
BUILDING PERMIT Receipt #
7obeusedtor SF DWG/CAK Est.Value 3104'OOO Date "'.'-__-_
Site Adiess 4150 LAMBRO Uq
Lot ? Block Sec/Sub. L
Parcel No.
¢ Name ............ ..«..,..o.,.. ...........,........
o Addres 1 ? ST W
Citv Phone
Name
Address
City Phone
ICE USE ONLY
R-3 Iti-1
Occupancy FEES
Zoning 654.00 :
(Actual) Const Bldg. Permil
s2•?
(Allowable) _ Surcharge
x ot Stories 425.00
Length Plan Review
100.00
Depth SAC. City 6D.oo
S.F. Total - SAC, MCWCC
S.F. Footprints - 625.00
On Site Sewage
_ _
Waler Conn .
90.00
On Sile Well
? Water Meter
MWCCSys? IUl
- 30.00
? Acct. Deposit
City Water ? ?000 -
PRV Required SNJ Permit
Booster Pump - SNJ Surcharge
252.00
Treatment PI
???
APPROVALS Road Unit
Planner - park Ded.
Council _
BIdg.OH. _ Copies .??
Variance
-
TOTAL r •
Phone
I hereby acknowlege that I have read ihis application and state tha4the
information is correct and agree lo comply with ?UFable State of
Minnesota Statutes and iry' j ol Eagan Ordinances. Signature of Permitee -
C.?$Z
A Building Permit is issued lo: ?QO? ?S on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
n.';A,..,
• Permit No. Permil Holdx Date Telephone N
WATER
SEW1iR
PLUMBING
H.v.AC. a3s? ? 7 ?
ERLECrRic ? G O °-
kupaetion Date Insp. CommeMs
Footings I 7-z3 QG
Fourwation /h L(v f r0 ,$'
Froming
Raofing
Rough Pibg. 77-7
Rou9h Fit9. a'?" 7O D_5
Isul. - ('!G 11f
FNQpI2CB al?N DS 61 .? (N ?L. ? Ac
Final Hig.
Fnal Plbg.
Const.Meter Plbg.lnspector - Notity lumber
enq../Pwn - D "
Bldg. Final
Declc Ftg.
Deck Final
Wen GhL G??'!/? .V ?
Pr. DisD•
?
I
9
CITY OF EAGAN r}0 18159
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 454-8100 n
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $104, 000 Date JUL.Y 17
Site Address 4150 LANTERN LN
Lot 15 Block 4 Sec/Sub. COUNTRY HOLLOW
Parcel No.
W IName GEROLD BROTHF.RS CONSTRIICT70N
o Address 1704 280TH ST W
City NEW PRAGUE Phone 445-3171
a Name SAME
00 Address
? City Phone
1-
Ww Name
1-
Z; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes ano?? gac Ordnces.
Signature Of Permitee
A euilding Permit is issued to: GEROLD BROTHERS CONST
on the express condition thal all work shall be done in accordance with all
applicable State of Minnesola Statutes and City Qt Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R=1
(Actuaq Const V-N eldg. Permit 654.00
(Aliowable) V-N
Surcharge 52.00
# ot stories
rj$ ,
Plan Review
42 5_ np
Len9th ,
Depth 52' SAC, City 100 _ 00
S.F. Total - SAC, MCWCC E700.00
S.F. Foolprinls -
Water Conn
62 5_ 00
On Site Sewage _
On Site Well - Water Meter 9n _ np
MWCC System .X7L
AccL Deposit 30. 00
City Water X
PfiV Required xx S/W Permit 30.00
Booster Pump - S/W Surcharge - 5o
Treatment PI 252.00
APPROVALS Road Unit 355.00
Planner - park Ded.
Council
BIdg.Oft. _ Copies
Variance - TOTAL 3,213.50
?«+•. t• € DATE: JIJLY 239 1990
4150 LANTERN i.N (GSROLD BROTHERS CONSTxUCTION)
RE:
R Your Sewer & Water Permit for the above property 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 PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasops:
?
Yo r 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.
F^/g o ?
4`??
C? 4.ZIS
Request Date
y?j, ire No. Rough-In pection
Re uire
? Ready Now Will Notity Inspector
.r ??'^ L.? Yes ? No When Ready?
I ticensed contractor EJ owner hereby request inspection of above electrical work at:
Job Atltlress (Slreet, Box or Route No.)
eJ (•' /'fik.Ij Giry w J
Seaion No. Township Name or No. Range No. Counry
?A ko
OcCUpaN (PRINT) Phone No.
9-r.S
Power Supplier Addres?,
T !k ? C/ /'h'X t^'Zi46 AJ IV
Eledrical CoMractor (Gompany ame)
2.?' I,c.?. ??c?-rE G-= ConVactor's License No.
Mailing Atltlre55 (Contractor or Owner Making InStallalion)
o-, 0 53
Am orizetl SignaWre Conirectodpwner Making s Ilalion) Phone Numher
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room 5173 BE ACCEPTED BV THE STATE 80ARO
1821 Unlver8ity Ave., 5t. Paul, MN 55106 " UNLESS PROPER MSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
2A&/5D
C?- 3:'-564
REQUEST FOR ELECTRICAL INSPECTION
? See in5[ructions tor completing this fortn on 6ack of yellow copy,
'X" Be%w Work Covered by This Request
6n??
?\ EB-0000107
???y.? e Qa?-
®
e Ad51 Rp,p, Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Building Dryer Other (Specify)
Comm,/lndustrial Furnace
Farm Air Conditioner
Olher (speciry) Contractor5 Remarks:
Compute lnspecfion Fee Below:
# Other Fee # Service Entrance Siz 0 Fee # ir its/Feeders Fee
Swimming Pool 0 to 200 Amps 2 o to Am s (y?
Transformers Above 200 _ Amps Above Amps
Signs Inspactor's Use Ony: TpL
Irrigation Booms 3
Special Inspection
Alarm/Communication TFIIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
X Other Fee ,,+"-Q COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby
tif
th
th
b Rough-in r' Date ? 6?O
cer
y
at
e a
ove inspection has
been made. Final Date /,? ('?
!/ --?
OFFICE USE ONIV
This request v0itl 16 month5 from
FERMIT
CITY OF EAGAN
38a0 Piio'"?+Cnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILoTN G
Permit Number: 0 3 3 0 7 6
Date Issued: D 8/ 31 / 9 8
SITE ADDRESS:
P.I.N.: 10-18275--150-04
4150 LANTERN LANE
LOTe 15 SLOGKa 4
COUNTRY HOLLOW
DESCRIPTION:
REROt)F f STfIRM DAMAGE
8 41°1tl?ng,sPermYt T y p e STORM pAMAGE
7ype F2EPAZR
n?u.s-d4`? 434 AI.T. F2E5IDENTIAL
= «'?
Rr i'k ? wA ?
p?w 3? ? +se.ir
r }6s N(& 44TIe g?,.:
?:.
REMARKS:
??.
t? $ E ?T
ITC.a?.T ?i°
x eis aE «r &s ?g i?i ? ?is
'.1.y31Ai5
FEE SUMMARY:
CONTRACTOR: - ApPlicant - ST. LIC. OWNER:
WES7URN CEDAR SUPPLY 15410304 2001A207 MORTS 5TEVE
705 N HWY 169 4150 LAN7'ERN LANE
PLYMnUTM MN 55441 EAGAN MN 55123
(saz) 541-4207 (651)
APPLICANT/PERMITEE SIGNATURE
? (?&' lw
?ISSUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
-? ? O--l r 3830 PII.OT KNOB RD - 55122
?O 681-4675
New Construdion Reauirements RemodeVReoair Requirements
4 3 registered sde surveys ? 2 eopies of plan
? 2 copies of plans (inWude beam 8 window sizes; poured fnd. design; etc.) ? 2 site suneys (exterior additians & decks)
? 1 energy caiculations ? 7 energy calculations for heated additions
• 3 copies of tree preservation plan if lot plafled after 711193
required: _ Yes _ No
DATE: AoAl. q CONSTRUCTION COST; 5-32Cl 0-o
DESC IP ON OF WORK: P.?l ?-?OR.YY)
STREET ADDRESS: ?J[5]D Z-A-AJ7-E4A) C.?)
LOT: X BLOCK: '4 SUBD./P.I.D. #: (?o?-'?'?-? ?a ?
Name: v C.??? 4- D,405 Phone #:
PROPBRTY Last First
OWNER Street Address: qlSO L.jq AI716kJ
City
Scate:
rnAf ?
Zip: 66-1 ?
Company:/?t,/(? 4,V CaOA4 Phone #:
CONTRACTOR
^?
StreetAddress: --)0r j?1 , r, ((0/ ,/ License# Lv ?7 ?Q/?f'`?2..0l
W
Ciry LCL/nQu tf I State: omw ? Zip: Sg7 `1 /
ARCHITECT/
ENGINEER Company:
Name:
Street
City
Phone #:
Regisuation #: _
State: Zip:
Sewer 8 water licensed plumber (new conshuction onty): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coR t and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. n „ I
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Signature of Applicant:
No
Tree Preservation Plan Received _ Yes - No _ Not Requ
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Mirnesota 55122-1897
(02)6$1-4675
SITE ADDRESS:
P.I.N.: 10-18275-150-04
DESCRIPTION:
PERMIT
4150 IANTERN LANE
LOTs 16 BLOCK: 4
COUNTRY HOLLOW
PERMIT TYPE: B U I L D I N G
Permit Number: 033107
Date Issued: 0 9/02 J 9 8
Em.? REROOF/STORM DAMAGE
B?z`IdIn°gq.Permit Type 5TORM DAMAGE
B?Ui.ldS.:ttg W&-rk Type REPAIR
d`Census; Gode 434 ALT. fiESIDENTIAL
{
? ?' Z"? A aIF ? !.^cairc
maSPnx°`-sfix? § ?9si
Sts cu ' h 3r a?-
?x?or ? '?u v?? 'k#s^ .m
y ??YE 'fa.x?u
REMARKS:
INCLUDES REPAIRING GARAGE.
FEE SUMMARY:
CONTRACTOR: -- A p p 1 i c a n t- OWNER:
RESTORATION SPECIALTSTS 17586662 PETEF2SQN JIM
P.O. BOX 128 4150 LANTERIU LANE
NEW PRAGUE h1N 56071 EAGAN MN 55123
(612) 758-6662 (651)406-9119
..?. ? ,. . .,: ?,
I hereby,peknawlsdge ?that I have, read th.i?s apcata.wn an,d state tti;at the
jn'Fcr°r?nati,o;n arrect. ?nd agroe' Cci°'camp?y; wa.tti-;,a11 °appli`?;?bL?•',S'Co?.Ntn,.
- Statutes 6nd Eity ofi Eaga rt Ordinances.
v .. .
APPLICANT/PERMITEE SIGNATURE
? ?.
ISSUED BY: SIG ATUR
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
°-? 3830 PILOT KNOB R.D - 66122
?3a1 ? 1 681-4675
New Construction Reauirements
? 3 registered site surveys
? 2 copies af plans (inGude beam & window sizes; poured fid. design; etc.)
• 7 energy ealculations
• 3 eopies of tree preservaGon plan 'rf lot platted afler 717/93
required: _ Yes _ No
DATE:
DESCRIPTI OF ORK: Gy--
.r
STREET ADDRESS:
LOT: 1) S-
BLOCK:
SUBD./P.I.D. #:
UCTIOH COST;
^/c
Name: 4 `,l Phone #:
PROPERTY Last First
OWNER /
Street Address:Ll J SD
City State: v Y l(? Zip:
Company:
CONTRACTOR
Street Address:
City
?
RemodeVReoair Reauirements
? 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
License # o4F,J
State: /v l Zip: -5?0 /J
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street
Ciry
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have rd this 9pplication and state that the information is a?? to?m/kf?ll appiicabl
State of Minnesota Statutes and Ci of Ea an Ordinances. ??
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes
_ No
Tree Preservation Pian Received _ Yes _ No Not Required
! •
i
If 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 OE PERMIT IS REQUESTED; BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WEIICH RTQUFST 7S i4ADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESZRED. N0 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.
JU L 12 RECD,
To Be Used For: Valuation: Date:
Site Address Vl5[;•
Lot L? Block L?
Parcel/Sub
Owner
Address
City/Zip Code
Phone ?(LQ l? - 32rU ?
Contractor (?;c?d-c:t_C?-
Address j ?>Oq 2,Qc-) -?-" S4,. LA_)
City/Zip Code PQc,J.pr-Gw 5?67(
Phone 3(7j
Arch./Engr.
Address
City/Zip Code
/ d4, 0,0,0 - OFFICE USE ONLY
R -3 M'1 FEES
Occupancy
Zoning R -I
Actual Const V-N Bldg. Permit
Allowable V-la Surcharge
# of stories Plan Review y?
Length $8, SAC, City oo. O
Depth rj2' SAC, MWCC 600, QO
S.F. Total Water Conn 26 S1 UU
Footprint S.F. Water Meter qD, DD
Acct. Deposit p,p'D
On site seiaage_ 5/W Permit p.Oa
On site well 5/W Surcharge ? O
MWCC System ? Treatment P1. ?
City water
? Road Unit
PRV Park Ded.
Booster Pump Copies
, SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council k-111(a
Bldg. Off.
Variance
Phone #
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?..?.IUUU EA9T 146Th BTREET, BUNNBVII.LE;, MINNEBUTA 6633i Certificate of Survey
Legal DeSCription : Z.o-r 15
DAKoTA
.BLOCK 4, CDUNTRY NDGLbW,
CouN77; M/NA/ESvTA.
CS2-E-n ) DENOTE5 EXISTING ELEVATION '
(SZI- 5 ) UENOTES PIlOPOSEU ELEVATION
--4 INUICATES DIIiECT10N 01= SUli1=/1CE DRAINAGE
SZ183 = fINISI•IEU GAFiAUE FLUoR EI.EVATION
S??.z = BASEMENT FLOOR ELEVATION
TOP OF BLOCK ELEVATION
SCALE : 1' = 30'
(gi 9.s)
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! hereby aerlify Ihat ihis Is a ttue and aorreat repreaenlal(on o( u Irncl of land as ahown
and descrlbed h*rson# As peepeted Ijy*tne on Ilds Lm day of JULY 1g 9O ,
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,.' .. EXTERIOLO?E AyfRACE 'V" CaMPIlTAT10
OMNER:
S ITE ADDftESS :'? ? SD r, I?,a,.w.?rv? ?-?.?•? ?-ra w- L0'i;7
CONTRACTOR: „C'7GwI t ms Cn.,.d • OATE:
• , DETEIIMINE 11ORKING EQUAIIE f00TACE OF EACH:
•1. TOTAL. EIfPOSED WALL AREA....,... . gqq( sq f t x"U" • I • ab?. S
2. TOTAL ROOF/CEILIHC AREA........ Iq0q sq ft x"U" • ? ?J6.S
;. tOTAL EXPOSED WALL AREA CALCUUITIQNS: Total exposed Na11
area above floor.,.,..,. sq ft
' t
•) Tota1 watl Mindow •rsa: •
10, 7 sq ft x'V" • 3 2: • y6•3
' .
g 1 azed. . . . . . tq f t x
b) Total door area • 3`? •? ........ sq ft x"l1"
. ---?---_._
c1 Tota1 sildlnA qlass door.ares: `
Y-q gla=ed...... S? sq ft x"U" '.3Z-
sq ft K "U"- . .
.?? glazed......
d) Total ftreplace wall area /OZ sq ft x"U" g-.?
e) Tota1 wa11 framing area (? ,? •
(Avormge 10lt)...........= Q? sq ft x"Il" ? D . .
?. _
f) Total nat wa11 area above
floor (Insulatad)...... .- 1?q6 sq ft R'41" ' Dq ?...Q ,.9
s) Tot.t rlm jor:c .re,...... 1 6 S sq ic xIw'' . o .._,6 6
Totel /oundetion
area (Expo:ee).......... ? y2 sa fc :
h) Total foundaclon
?'1l1IdOM1 area...&***fees*• . • !' :q ft 7L 'Va
i) Total net foundation • /? 6 6
area above grade........ v? ? • V sq ft x "U" ' ? • •
3, . TOTAI •) thru 1) ? I 6-3
If Item I; ts the same as, or leas then ttam I?1. You have a*t the intent of ,
2!lCAR 1.16008 A and 0. •
,. . . .. .. . ... .. ??..," 1. y'W.. ? ..qPeKti'?W' +.SX k5' , 9? . . .. _. .. .. ?... ..
. •
6. ?'TOTAL'EXPOSEO ROOF/CEILING vrmtULAT10NS: \
Totai txposeA
ro?of/eailtnq area........ :
J4vy '
!q tt
- j) Total :kyllght •?ea....... ? sq ft x"U" ? _ •?_?
k)
' Total roof/cellinq framing
?? a
"
ts
" .
area (Averaae 1o7t)...... ft
sq U
x
1) Total net insulated
1? 6?
"`
"
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•°t S. 3
roof/celllnq area....... sq ft U
x
I. TOTAL j)
thru
f total of th Is the same as, or less than R2. you have met the intent of
2 MCAIt 1.16008 A amd 0. ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the totat envelope system method, the values establlshed by the sum
of Items 13 and 04 shail not be greater than the swn of items RI and 02.
1. + 2. ?
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C E R T 1 F 1 C A t 1 O N
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1 hereby eertify that 1 have calculated the "U" factors aed "Il"
values berein and that the buil.dlnq here.descrlbed meets or exceeds the State
of Minnesota Energy Conservstion Act. .
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FOUq011TlON INSULATI011 REQUIRED: Y? t/11. ••?
Nin. R-5 on entlre wllQR ..--
Min. R-10 da+n to frost d_epth
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eLJ„—
CityPermit#:of�a�a� i) •
3830 Pilot Knob Road Permit Fee:
(9- #'2:—
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax: (651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: '72 '( f 1 -2 Site Address: 1” 1 cc (14-A, 1-&-W---/t) Z--//11^-)E--
Tenant:
l '`)•r✓Tenant: q,( Suite#: , L
Name: /"11 t<E /4J% ( YLca-vvN � Phone. , 7 ` LI a \Resident/Owner C /— �A
I Address/City/Zip -! (5 V L--1 -'.- 1,,.61.' ,C 1)'4,'Ya`5 MKS, 3-37 Z3
Name: 1�bw--4-c) 1 a (moi License#: 1517)-0 Iv .( 3 4 b I
Contractor ; Address: ` t1 City: t� '`t'""`�
State: VA-VO Zip: �P Phone:
1-9‘z- 3 5-3 7 3
i Contact,lkr.' \ kC be tkb hEmail '�51 -�� )w C wu� C—
New ) Replacement Additional Alteration Demolition
—
Type of Work i Description of work: V-'� c Yoc-4'G �
t NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods. t
RESIDENTIAL COMMERCIAL t
i x Furnace New Construction Interior Improvement
X Air Conditioner Install Piping Processed i
Permit Type i
_Air Exchanger Gas Exterior HVAC Unit
Heat Pump —Under/Above ground Tank ( Install/^Remove) '_
Other
RESIDENTIAL FEES
I
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge01:-.,$100.00 Residential New, includes State Surcharge =$ (. , TOTAL FEE
COMMERCIAL FEESContract Value$ x.01
-
$60.00 Permit Fee Minimum i
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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/00.0,- permit;that the work will be in accordance
Nith the approved plan inithe case of work which requires a review and a vat of pla S.
K -kora v/-e7 L , t (, e x /A, ,
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
—Underground Rough In Air Test Gas:Service Test .. , In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155514
Date Issued:05/20/2019
Permit Category:ePermit
Site Address: 4150 Lantern Lane
Lot:15 Block: 4 Addition: Country Hollow
PID:10-18275-04-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Grannes
4150 Lantern Lane
Eagan MN 55123
(612) 867-4911
The Garage Door Doctor
24250 Beard Ave
Lakeville MN 55044
(952) 461-4427
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157116
Date Issued:08/05/2019
Permit Category:ePermit
Site Address: 4150 Lantern Lane
Lot:15 Block: 4 Addition: Country Hollow
PID:10-18275-04-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 A Grannes
4150 Lantern Lane
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167961
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 4150 Lantern Lane
Lot:15 Block: 4 Addition: Country Hollow
PID:10-18275-04-150
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 -
Michael A & Amy A Grannes
4150 Lantern Ln
Eagan MN 55123
(612) 867-4911
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature