4151 Lantern Lane? CASH RECEIPT
? ?.. -
CITY OF EAGAN ? ;.
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E I ?-) q 19: 1 f
Ff1p1.1 ?
?AMOUNT Es
v'
Iro f j C.I_i?o ?J-?X ifI'I1??? ?DOLLARS
,m
? CASH C?JCCHECK
Thank You
C 016404 reuo?POStinp copy ?F,N-I
. Pink-File Copy
..,
x? ?
!;j
SE1plER.& `NATER PERMIT
CITY OF EAGAN
3830 Pilot Knob..Rd.
Eagan, MPl_55122-1897
DATE' DEC 3, 1991
M SITE ADDRESS 4151 LANTERN LN
LOT 25 BLOCK 3 SEC/SUB COUNTRY HOLLUW
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
?
iE ONLY
PERMIT DATE 12/06/91
PERMIT # 12421
B.P. RECEIPT # C 016404
B.P. RECEIPT DATE 12 /04/91
OSTER PUMP
PERMIT REQUESTED
X SEWER X WATER -TAPS '
- COMM/IND X RESIDENTIAL 1
x NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: N8U PLUMBING Ahe f omestic Meter on Water Line. ?
ADDRESS: 991 BOSTON HILL RD it NO be giver fc Ded4tNcete s.
CITY, STATE EAGAN MN ZIP 55123
PHONE:
686-9104
I AGREE TO COMPLY WITH CITY OF ;
OWNER: PETERSON HUBER CORP EAGAN ORDINANCES ?
ADDRESS: 12229 WOOD I.AKE DR
CITY, STATE BURNSVILLE MN Zlp 55337
a
PHONE: 894--60$4 SIGNATURE WHEN METER ISSUED ;
rri?
ZIP
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` DEC 3, 1991
- OFFICE USE ONLY
METER # ??? ??0 (26 PERMIT DATE 12/06/91
CHIP #dX_7??u ? 7 9 3 PERMIT # 12421
METER SIZE ??5 B.P. RECEIPT # C 016404
ISSUE DATE ?-d`,F a B.P. RECEIPT DATE 12 04 91
X PRV - BOOSTER PUMP
' SITE ADDRESS 4151 LANTERN LN ?
LOT 25 BLOCK 3 SEC/SUB COUNTRY HOLLOW
APPLICANT:
, ADDRESS:_
CITY, STATE
I PHONE: -
PLUMBER: NEU PLUMBING
ADDRESS: 991 BOSTON HILL RD
CITY, STATE rAGAN MN Zip 55123
PHONE: %?66-9104
OWNER: YCLGKJUIV nunn
ADDRESS: 12229 WOOD LA
CITY,STATE BURNSVILLE MN
PHONE: 894--6084 /
PLEkiEA`LCO /' fiJ.?7?W0l1N?OR?IVG /J.%f D5
SEWER PERMITS, CONTACT ENGIN
CORP
DR
ZIP X NEW - EXISTING
ZIP 55337
PERMIT REQUESTED
K SEWER X WATER -TAPS
_ COMM/IND 4i. X RESIDENTIAL 1
Lawn Sprinkler Meters are to be Installed.
Ahe f omestic MetPf on Water Line. ?
it L NO be give D educ eters.
??
I AGREE TO COMPLY WITH CITY OF
EAGAflLORDINANCES
SIGNATURE WHEN METER ISSUED
Gj
FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM '
NG DEPT.
• • 3830 Pilot Knob F
o? w niun nrr?u??
Site Address 4151 LANTERti LN
Lot 75 Block 3 SeGSub. ????
Parcel No.
W AddfeSS 12229 WOOD LUM DR
0 c;h, auRNssvaw.E rnv ZP 55337
Name _
Address
QtY -
Phone _
Zp
I hereby acknowlege thal 1 have Yead this applicalio and state,ihat Ipe
inbrmalion is correcc' and agree Yo cortnply with alN?pplicable State(ot
Minnesota Slatutes arj? CiEy oI!EaJqan Oildinances.
? ? ?•' ,? ' !.,','`s.a,•- .. ,
Signature of Permftee A Building Permit is issued to: pETEBSON tt11DER CORP
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Buikling Official
OFFICE USE ONLY
R-3 M--1
O FE ES
ccupancy
Zoning
R-1
Bld9. Pertnk . ?
801
(nctual)Const V-N Surctarge 73•00
(Niowable) pyn qeviey 520.00
i of Stories -
Len9tA 52?-' Licerse.
Depth 38' SAC, Ciry 100•00
S.F.ToWI - SAC,.MCWCC 650•00
S.F.FOOtprints - 6?•?
On Sile Sewage _ Water Conn
On Site well ? water Meier 95.00
MWCC System
X
?l oeposit gQ??
Ciry water ? 30•00
PRVRequired S/WPermit
Booster Pump - S/W Surcharge .50
276.00
Treatment PI
APPROVALS RoadUnit 970•00
Planner
il
C - park Ded.
ounc
BIdg.Olf. _ Copies
3
605.50
Variance - TOTAL 9
• Pttmit No. Permit Holder Date Telaphone #
w1• ? 1-441
?
PWMBING
WAC kv?mst ,
ELECTRI g
ELECTRIC
Inapeetion Date Insp. Commanis
Footings I
Foundalion
Framing 7_ '? -92 DS
Rooling
Rough Plbg.
Rough Htg.
Is,l. a/z u1f ? z
Fireplace 4? Q1 Co u4 •/L 2 ? ?
Final Htg. - J,) - q
Orsat Test 1l
Final Plbg. ''- 4 Plbg.lnspedor - NOtityPlumber
Const. Meter
Engr./Plan
Bldg. Final ?,76/5vk ?
Deck Ftg.
Deck Final
well
Pr. Disp.
3/ -Y,,'? ? S o ? a? =
'd y4 w `%
V
(Urfifixate uf (Orrupanry
(Citp of (eagan
lipparb"M Ilf ?1tt??Ut[,j ?i16}1PCttDIt
This CerYificate issued pursuant to dte requirements of Section 306 of lhe Unijorm Buifding
Code cerlifli?r8that a1 the lime ojrssuance thissrrucrure Ka.r in rnmpliance witk 1he various
ordinaraces oJlhe City reguladvrg bu"ng consdudioa or use For fhe fallowing:
um aanwcwom SF 1W/rau meg.rt, w. 19436
oomp.my'rme R3/M 1 zodwg w,,;a R 1 Tya c?.,, VN
0.orr0tBd6q PE7ERqfN HI7M '.D_RP. Add= 12224 WOOD LAKE DR. B[1_RNSVIIXF.
(l3/215/ 92
POST IN A CONSPICUOUS PUCE
T ? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 661-4675
SITE ADDRESS: APPLICANT:
. i! I t1tN 1 AMf
PERMIT SUBTYPE: TYPE OF WORK:
It,I ?
If/Arl'
INSPECTION D. . D•
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Uate Insp. Commenta
FOOTINGS
FOUND
FRAMING 7 O0 /?`r'
Gv[i ///?
????n• ? Q
Q
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDLICTIVIN
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
? 3209
HOUSE HEATING TEST RECORD
ADDRE55 L fi L, Te, v'L-, W APT.-FLOOR CITY SUBURB 6/7'"Y
OCCUPANT
HEAT LOSS DATE HTG. INST
SOLD BY
OWNER
INSTALLED BY
Elsctrieal Work By Gos Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
J GAS SIGN CONVERSION
MAKE ?? t-tL'10D MAKE OF BURNER _
Modsl n Modsl
Sxial Max. BTU Rating
INPUT ICD L,_ MAKE OF FURNACE
THERMOSTAT
Va Ive
Limit
Limit Setting _
Fan Settin9 -
Pilot Type -
Pilot Make _
Pilot Model _
Modal
CONTROLS
? eat Plug Vsnt Size
KIND OF LIN SIZE N
L"NS Droh Hood lL\ Rsgularor ? ?-
V:c Filten Sixe Num r Chimnay Location inside Outside
?? Chimney C.onstruction --? ? ?
Pibt Timing rt-\
L.W. Cut Off
Pros:ure Percenl C02 (7[ ?
Input CFH Percenf 02?L!-?
$tack Temp. _?? PereenT CO 61-??
Form 235
Smoks Bomb Wicing --r64A-, ?? ?"" • ??
Draft «1 Test Tay
Door Prossure Lightinq Inst.
Date Tested - c? L
Company Testing VOUT
Nama of Tsstar
/
Address: 4151 INA= LANE Lot25 Blk 3 Sac/Sub COUNTRy HpLi,pW
These items were/were not complete at the time of the final inspection.
Date: 03/26/92 Yes No
(,yJ
Tnspprror,
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch L/
Basement finish ?
Deck
Please verify vith the builder tha removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. &
PECKLEO WRR
White - City copy Ye11ow - Resident copy Pink - Contractor copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No 19936
nr'`
T PHONE: 681-4675
?3v`t?` /? ?\??i(-
BUILDING
i
P4F
MI Receipt # ?
To be used for SF DWG/GAR Est. Value $146, 000 Date DEC 3 ,1 g 91
Site Address 4151 LANTERN LN
Lot 25 Block 3 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY FEES
Parcel No. occupancy R-3 I-1
R-1
z
i 8kl9 Pertnit 801.00
on
ng
Narp@ PETERSON HUBER CORP (o,ctual) Const -Y---N Surchuge 73.00
W Address 12229 WOOD LAKE DR (Allowable) ?? Man Review 570_0
O
# ot Stories
Cjhr BURNSVILLE MN Zip 55337 tn
L
n Ucense
? e
g
Phone 894-6084 oaPin sac, cicy 100.00
?
SAME
Name
S.F.TOtal -
SAC,MCWCC 650.00
S.F. Footprints
? Address Sewa
On Sit
e
0
Water Conn 660.0
_
g
e
(`,jty ZIP On Site Well - Water Meter Q 5_!1h
?
Phone MWCC System
Deposit 3?1 _!1!1
Acct
o Cil Waler ?_
Y .
U Vcense # pRVRequired X . S/WPermit 30-00
I hereby acknowlege a 1 ave ad this applicatio and staie that t e Booster Pump -
0
SiW Surcharge .5
in(ormation is correct d gr e o co ply wilh al pplicable tate
Minnesota Statutes a Ci Of 0 O inanCes.
0
Trealment PI 276.0
Signature of Permitee APPROVALS
?
Road Unit 370.0
A euilding Permit is issued to: PETERSON HUBER CORP Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statules and Ciry of Eagan Ordinances. Bldg. Off. _ Copies -
Building Otficial
?
. Variance - T07AL 3,605.50
o< u Y d--
J 4 4 9 °? ? ?
Requesl Date ire No. ough-in I speclion R - ed? ? Ready Now ill Notiy Inspector
Wh
R
d
?
? es ? No en
ea
y
I/ licensed contractor p owner hereby request inspection of above electricai work at:
Job Atltl ss (Street. Box or Route No.) Ciry
All
Section No. 7ownship Name or No. Range No. Counry
?41?fi.4.
OccuDant(P?R-,IcNT) Phone No. ?/ c?
?/ f' 6 B? r
Power Supplier
ig ff_O7?4 Address
h
Eledricai Contractor ICOmpany Namel
,Go 0 e4/ Conhactor's License No.
,9
Mailing A ress (Coniraclor or Ownen Makin Nstallation)
/a GJJA7
Authorizetl gnat (ConiractodOw er Makin nstall tion)
? Phone Number
yZ? , f?13 d'
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WIIL NOT
Griggs-Mitlway Bldg. - Room 5773 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., 51. Veul, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
Vhon0(61Y11842-0800 ENCLOSED.
J Z-4 4-9 7
REQUEST FOR ELECTRICAL INSPECTION
? See insiructions lor completing IhiS form on back ol yellow copy,
`X" Below Work Covered by This Request
??a io-s°' ° ?9
ew Add Rep. TypeofBuifding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contracbr's fiemarks:
Compute Inspection Fee Below:
# . Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps -.fiC? / 0 ta 100 Amps
Transformers Above 200 AmpS Ahnye 10 Amps
SIgnS Inspector5 Use Onty: TOTAL
Irrigation eooms
??vG ?
7 ,..,?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 6E ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Aough-in
certity that the above inspection has
been made. Final
OFFICE USE ONLV
This request voitl 18 months irom
?
lC,? 30'crP
2006 RESIDENTIAL MECHANICAL PExMiT arPLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: singie family dwellings & townhomes/condos when permits aze required for each unit
Date r-/ / Z) / 0("
Site Address 141 S S La; ) _V' n Unit #
Property Owner c'-°n L. T'cil ` (LA
? Telephone # ( Co'?) t nftp - ?PN55
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146th St., #106
Street Address Apple Valley,lVIN 55124 City
(952) 431-7099
State Telephone # ( )
Bond #• ? L Expires: l ??`? ,?LJ?C?(?a
The Applicant is _ Owner Contractor , Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional '?,LReplacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge
;
t?
? $ .50
Total
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 plans.
C, en'`..y A a--?.
Applicant's Printed Name Applicant's Signature.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT ?
PERMIT TYPE: e u xLoIrv G
Permit Number: 032432
Date Issued: 07/07/98
SITE ADDRESS:
P.I.N.: 10-18275-260--08
4151 LANTERN LANE
LOT: 25 BLOGK: 3
COUNTRY HOLLaW
DESCRIPTION:
STORM DAMAGE
REPATR
434 HLT. RESIDENTTAL
REMARKS:
FEE SUMMARY:
?. e.
Ft+d v498fig1£ ?SI `?'. ?`F'4°'K61ti%14
1S Y& 18t' ? 32 AVS '?S' Yti L'a ?$ ?'?
?? h a..ag ma •i'? ?. sa i ?
CONTRACTOR: - Rpplicant - 5T. LIC OWNER:
CONWAY CONS7' 14575431 0062867 WRIGHT BRIAN
11491 5 5MSTH AUE 4151 LRNTEf2N LANE
W 5T PAUL MN 55118 EAGAN MN 55123
(612) 457-5431 (612)406-8047
APPUCANTlPERMITEE SIGNATURE
3tulLDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
. 3830 PILOT KNOB RD - 56122
681-4675
New Construdion ReaufremeMs RemodeVReoair Reauirements
? 3 registered sHe surveys ? 2 copies of plan
4 2 copies of plans (include beam & window a¢es; poured fid. design; etc.) ? 2 sRe surveys (exterior additions 8 dedcs)
? 1 energy caleulations ? 1 energy calculaGons for heated additions
? 3 copies of tree preservation plan if lot platted aiter 711/93
required: _ Yes _ No
DATE: *;7 " ? -'? &' CONSTRUCTION. COST; `J ?, V V O • ?
DESCRIPTION OF WORK:
STREET ADDRESS:
,jXJf 2 5 BLOCK: ? SUBD./P.I.D. #
Name: /6/11t? ?/'? "???`?? Phone #: 4-70? CO J gD
PROPERTY Last Fint
OWNER
3treet Address: e 74e
r? os
Ciry e aj?-"`- ` State:
Company: Phone
CONTRACTOR '/
Street Address: l7 91 5,7 ? i't4 ` License # y,F? 7
City State: 411?1- ` Zip:
ARCHITECT/
ENGINEER Company:
Name:
5treet Address:
Phone #:
Registration #:
Zip:
City State:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnatioly is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of A"licant: !
OFFICE U3E ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required
r ' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
????
.. .. .... . .. .
................. ?:;;;:.;:.:::.::,:.:<._.
FOR CITY USE ONLY
PERMIT #
RECEIPT # /Co
DATE: / O 902-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----------------------------------°---------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NEW CONST
ADD ON
REPAIR
SIGNATURE OF
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
? ? DRY TRAY
IAUN 3.00
SITE ADDRESS: .
i?r ? HOT TUB/SPA 3.00
LOT: ? BLOCK ? SUBD. WATER HEATER
FLOOR DRAIN 3.00
3.00
GAS PIPING OUT.
?
INSTALLER: (MINIMUM - 1) 3.00
j'
I
k
A
6?-
?
OPENINGS
ROUGH
1.50
ADDRESS:_
?:z S
'41 L77G
' OTHER
WATER SOFTENER 5.00
CITY:?'?ic?N ZIP: .??/Z 3 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL
ST. SURCHARGE
TOTAL:
TOTAL
?-
?
?
4-
3
3
-y
?
.50
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:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
? SHOWER 3.00
? WATER CLOSET 3.00
? BATH TUB 3.00
ZIP:
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: $
(SIGNATURE)
CITY OF EAGAN
? " CITY OF EAGAN FOR CITY USE ONLY
, 3830 PILOT KNOB ROAD
? EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #/O ,3(p ?-
go;T DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
----------------------------
FEES
ADD-ON MINIMtJM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
I GAS OUTLETS - MINIMUM
_ ?"?(lC)f't? ? ?t\\I W'(t? \ \? ? I?Q4Qi'? (G`"?F 1 PER PERMIT
OWNER NAME: ?
SUBTOTAL:
S ITE ADDRES S: ?1 I cS ? G 1?? ? 11 . STATE SURCHARGE :
LQT:aff &LOCK -,23 SI]BD. TOTAL:
$15.00
24.00
6.00
3.00
$??
.50
s_a7_5C3
INSTALLER: VWT {7FAnNO a[???n? AuINw ?./?ll? ?Q ?
3260 GORHAM AVE.
ADDRESS : ST I nI Ilg pARK, h11N 66426 SIGNATURE OF PERMITTEE?U?
SALES 929-6767 SERVICE 929-4011
CI'£Y: ZIP: ?
PHONE #
II L?nI'loX C4-51?5-?//
3b???s1 ? hoc-- ?/ JGlryer
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT• BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE,
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
1991 B G I APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
?i[TLTIPLE DWELLINGS
PENALTY APPLIES WEiEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AbDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER YERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be used For: $inqle family home valuation: SACUMP"FM te: 11/25/91
Site Address 4151 Lantern Lane
Lot 25 Block 3
Parcel/Sub Country HOllow
owner Brian"& Polly Wright
Address 5841 10th Ave. s.
City/Zip coae Minneapolis, 55417
Phone 861-5394
contractor Peterson Huber Corporation
aaaress 12229 Wood Lake Drive
City/zip Code Burnsville 55337
Phone 894-6084
nrch./Engr. 0'Keefe Design Associates
Address 15191 Fairlawn Shores Trail S.E.
city/zip coae Prior Lake 55372
Phone # 447-5046
lyb,aoo .?
OFFICE USE ONLY
Occupancy
R-3 M- ? PEES
Bldg. Permit
801,00
Zoning R -/
-
- Surcharge 7 ,oo
Actual Const N Plan Review S 0,00
Allowable V-N SAC, City 100.00
# of stories SAC, MWCC (QSO
Length .? Water Conn. 60,00
Depth 3 9' Water Meter 35,00
S.F. Total Acct. Deposit 30,00
Footprint S.F. S/w Permit 30,00
S/W Surcharge .SD
On site sewage _ Treatment P1. 7,Oo
On site well Road Unit 910,00
MWCC System je!f Park Ded.
City water ? Trail Ded.
PRV Copies
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
f•
[OOV 2 8
COMMERCIAL
SUBTOTAL
Penalty
Lot Change
TOTAL ,g L O Q
Sewer/Wat r Lice sed C ntr. Neu Plumbinq 991 Boston Hill Road, Eagan 55123 (688-9104)
?? agrees that all wozk shall be done in accordance with
, ( ignature of Contractor)
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCT[TRAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET aF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1/A l lti ?aTO? , ?'
2ZX2w? 5ZgxiS = 7920
;qVZ x 59 o
1?? X 4b'?a. ? C?5 I
12?9 X 1lq= Ir)o6(.
,
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2ND 1: '4aak
35 X30_ ?0,5? X s 3;. Ss6 sn
14?,932- vr'? l'?l6,000 ?
SURVEY PREPARED 1g7R: VQll? SU/?V6y/Ag CO., P A.
PET'ERSON - HUBER SU1TE 120-C , 16670 FRANKLIN TRAIL
12229 WOOD LAKE ORIVE FRANKLIN TRAIL OFFICE CONDOMINIUM
BURNSVILLE, MN. 55372 PRIOR LAKE, MINNESOTA 55372
'. TELEPHONE (612) 447-2570
SAN. MH
RIM 819.73
INV 806.06
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fXfSTlNO 8/9.20
HOUSE
DESCRIPTION:
\
0
,
Lot 25, Block 3, COUNTRY HOLLOW, Dakota County, Minnesota. Also showing the
location of the proposed house as ataked thia 13th day of November, 1991.
Notes!
Benchmark elevation 819•75 top of the rim of the sanitary manhole
at the intersection of Lantern Ct. & Lantern Lane.
820.2 Denotes exiating grade elevations on site
Y.
820.8 Denotes proposed finished grade elevatione
? Denotea proposed direction oY finished drainage
Set the garage slab at elevation 821.17
Set the top of Block at elevation 821.50
The lowest floor is at elevation 813.50 1-1qf
r
f;?\ff
?
E.e?GA? ???GI-,J?,d`s?:
0 30 60
SCALE ?N FEET
O Denotes 112 inch x 14 inch iron
monumenf aef and morked by
Licerqe No. I0I83
• Oenotes iron monument faurd
m DenWes P. K. Noil set
?. -...._ . ?------- --
,
?SaU 1?0?0 P
`I Aeie6y`certify flaf fNs mpvey aas prepurad
by me or under my direct supervision and Mat
r om adu?y ?icenaed Land sweyor urder me
bwi of the 91ate of Min?ta.
Dofe Llcense No. I0I83
FILE Na 6901 OWK 181 PAGE 63
, ',. .
: ? .
: ?.. ,• EXTEaIOR ENVEIOPE AVERAGE "U" LOMPUTATION
. . ..? :,
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owNER: ? ? _' • ?`?J r?'7 /? ??1 ?'?""tr~' '. .'.. . . . f
1 • !?
SiTE AQDRESS: ?I? i ?-_?'I? TL1GIl.? LALl6
CONTMCTOR: J?- f_I?SG '' I????? G,?/'? 1? _ G ,? -4 ; Q,??' .;?_ .
. `? U?Cd G?'cr1t1-? DATE: I PHONE:•
DETERMINE 410RKItIG SQUARE FOOTAGE OF EACHt . • .• •
1. TOTAL EXPOSEO NALL AREA. . .. .. . . gO _ sq,f i x "U"
:...
,
2. TATAL ROOF/CE I L I NG AREA........ p? (? Q sq f t x"U" `'? ??? •'.' .3 3
- •. ?? _
3. TOTAL EXPOSED WALL AREA CALCULATIONS: -
' Tota) exposed wall ? ? 3
• 5 y(.4 e ,+.
area above f 1 oor ? sq f t ? ?
........ ,
a) Total wall window area:
giazed...... ? bC) sq ft x"Ull
glazed...... sq ft x "U't
?
b) •Total door area ,,,,,,,,, Z/ Q sq ft x"U"a!j
--' _ -
c) Total sl iding glass door area: . , . . . ? . , , . ..., . :?s" ,
glazed...... ? (J sq ft x !oUn ! U ( ? ` ?;• O
--?
glazed......
d) Total ftreplace wall area S?
e) Tota) wall framing area /?
(Average 109,) . . . ... . .. . . ' L
f) Total net wall area above
sq ft x "U" ..
sq ft x"U"
sq ft x??U" 09 . 2?
fioor (Insulated)........ Z .7- sq ft x "U" ? ? • ? ?
g) Tota1 rim Joist area......_ S sq ft x"U" Total foundation 1 ?
area (Exposed).........._/ sq ft
h) Total foundatlon f? • ( ? window area............ sq ft x"U" `t
.?L--
:
1) Tota1 net foundatlon / --7 area above grade......... ? sq ft x"U" 3' TOTAL a) thru 1)
If item"A'3 ls the same as, or less than Item pl, you have met the intent of
2 tiCAR 1.16008 A and 0. .
• , Page 1
i
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4. TOTAL EXPpSED RQOF/CEILINf CALCULATIOIJS: - :•,.:,•r:• ?
. . , , .. . ? ,? ... ,
. ? - • :'. :
Total exposed 1 2?P ? ?:?.? ,_ :7,, ?•?;.?. .c:; ?
roof/cetlfng area.....,.. sq ft ?
r..
' ^-r • . i ? v;?i" ?.
,1) Total skylight area....... sq ft x"U"
k) Total roof/ceflinq framing ? -,
I Z ?v q ,.,.. , ..
; area ( . Averaae 1nR) ...... s
ft x
_.. __.. . . , .
1) 'Totel net Insulated ? /?? ..?.: ? .• ?t9'?, ?.,a ` ? .
?? u V?!• '_ ?.,-.?L?. !' ? ,? e? ,
------ roof/cetlinq area..... .. sq ft x U •, ?
? • 1 O1 Al .. .,. .r ?
. ? ) thru 1
. ? •. },q-,. ? i?y 4 ?
If total of 04 is the same as. or less than R2, you have met the lntent o • '? ?'
2 MCAR 1.16Q08 A and 0.
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. . ? .. . . . _ . . _. _ _ .
...: . . ? ... . .,
.. . , . . ? . s .
' .. ?
'-. .... _. ...? .. .. ....... . ........ ' .a.... -.--. . . . .._. 'c Y?? .
AITERNATE BU I LDI Mf ENVELOPE DES I GN "' : "`.'` `. ? • ` .;?? ' 1
To utilize the tota) envelope system method. the values establlshed by the sum,''
of Items f3 and 04 shall not be greater than the sum of ttems A1'and R2. ,?
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+
... .. ,3 _ - + 4. _ e ..... . ?,
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_. . _ _... _ __.. . -_ ,
?, .. ,
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C E R T I F 1 C A T .10 N'""" •
I hereby certify that I have calculated the "U" factors and "R".
values herein,and that the buildinq here described meets or exceeds the State
of Mlnnesota-Enerpy Conservation Act.
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5 nature • , .?, " ° ?
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(Date) -
Page 2 . ?. ?;. ?
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_E
SLAA ON GRADE
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Heated Slabs:
? . . •??•:•'Q? Minimum R = 8.5'
?? r _ _ •?.
a `;,,' , ,, . ; ti• •.4? . Unheated Slabs: ? •
r n•. Minimum R= 6.2
4? .. . .
.
Q• • •?? ? • ? ? '4??? r ,
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, Page 3 '
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. • • ? r •
AIR ?
FLOW
'.. ,
- VENTED
?
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VENTED
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O Z5
• • - - ._e_ ..r.,,,,'
. . . ,'. . -
CEILINC SEf.TiON (IHSULATEO):'
':•?:?-':
1'
Interior
air fitm : _
'-
2 ?
?
3 .;
•'?
4 F.xterior a r film st 0.
•. , . _ ;
, OTAI,, R
•
. . .. .. ... . .. ? ,
U ? i/R
-?.;-
. ? . ?
CEILINr, _
FRANtNG --
SECT101i: •. r ; ?''? ?
1• Interior alr fllm `. O.b) c ?.,, •
' 2
4 ?
?
3 ; ? .. _ .. .
. 4 Exterlor a r m (still) A. ? -.
S nches so t wood
TOTAL R ? • - .
• • - ' U a 1/R • .
. ;
. ,
. ? ;
. : i
. f.
1 I`nside alr ftlm
2
3 . • . _.?`? .?
' I
5 Outs de a r m n, 17
TOTAL R
U? 1/R?' !
. Page 4 ;
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j
1'
.
? • ' ..
. ? ..4 •
CQNSTRUCT I ON
. . I ?.. ` .. e
? ? . • •'Ii .
AI UC• y '•.
' i 4 .
CEILifIG
SECTIQN a..._
(INSULATEQ)':
• .
.
t,'• ?. ..
?, `
-- 1
Interior
alr ..,,.
fllm . .
Y'
2
3 . .
LiLi .6 D ? ;
4 Exterlor alr flim stlll n.Fl
:TOTAL R
;; ?. , i:
'
'
?? .. . . : ,. ' i ? 1 ? • J , y 4 ? _ . ?::? {? .:
>
.
f.E1lING
O FRAHING SECTI
" 4}. :'^ f?i ,
ON ja
??``?
w?
. _ 1 Interlor alr fllm
'-"'
2 L
3
4
intertor
alr
(
fil
t 1
m-
s fl.
5? Inches eo t rrood ? ?i Zs
.y . ?
?,..: • '. .
,,, •, .. •_ ? ' , .
' ' •- -.. ' GUIpELINE TO (R) FACTORS FROM ASHRAE MANUAL
- . , ?' • . OF TYPICALLY USED PRODUCTS
AIR FILMS
Interior Air
Exterior Air
Interior Air
Exterior Air
Interior Air
Exterior Air
Film (Walls) '
Film (Walls)
Film (Vented Ceiling
Film (Vented Ceiling?
Film (Non Vented
Film (Non Vented;
(R)
SHEATHING
BLOWING WQOLS
Approx. 3"
Approx. 4 1/2"
Approx. 6 1/4"
aPProx. 7 1/4"
Approx. 14"
Approx. 18"
All other insulation materials must
be verified (R Factor)
INSULATION
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
Insulation:
lnsulation:
2-2 3/4" Fiberglass
3 112" Fiberglass
6" Fiberglass
3 5/8" Fiberglass
9" Fiberglass
12" Fiberglass
8" Cellulose
10" Cellulose
12" Cellulose
1 1/2" Thermax
2".Thermax
WOODS
Fir, Pine & Similar Soft Woods
1 1/2"
2 1/2"
3 11211
5 )12°
CONCRETE BLOCK
8" Concrete Block (S $ G Reg.)
(Filled with Vermiculite)
12" Concrete Block (S & G Reg.)
(Filled with Vermiculite)
8" Light Weight
(Filled with Vermiculite)
12" Light Weight
(Filled with Vermiculite)
0.68
0.17
0.61
0.61
0.61
0.17
9.00
13.Ob
19.00
24.00
30.00
40.00
7.00
1].00
19.00
13.00
30.00
38.00
29.00
37.00
44.00
12.00
16.00
1.89
3.12
4.35
6.87
1.11
1.93
1.28
3.15
2.18
5.03
2.48
5.82
3/4" Wood Subfloor or Sheathing
112" Plywood Sheathing
112" Particle Board -
Gypsum or Plaster Board 3/8"
Gypsum or Plaster Board 112"
Gypsum or Plaster Board 5/8"
Plywood 3/8"
Plywood +/2"
Plywood 3/4"
Sheathing, Reg, Density 1/2"
'Sheathing, Reg, Density 25/32"
Nail-Base Sheathing 112"
ROOFS
Built-up Roofs
Asbestos-Cement Shingles
Asphalt Roll Roofing
Asphalt Shingles
SIDIN6
Aluminum Siding
Aluminum with Backer
Aluminum with Backer & Foiled
112 x 8 Lap Siding (Wood)
7/16 x 12 Hardboard Siding
Asbestos Sidings 1/4 Lapped
Stucco (Brown and Finish Coat)
_?.? ....?T? Yr..
,..+. ,
?
('?
.
0.94
? : _ ., ...
0.62
0.32
0.45
0.56
0.47
0.62
0.93 - -
1.32 "
.
2. 06
1.14 _
0. 33
-
0.21 `:
0.13
0.44 -
0.61
1.82 ?
2.96
0.81
0.67
?
0.21
DOORS (U)
1 3/4" Solid Core Door .46
w/Storm, Wood
w/Storm, Metal ?326
1 '
Pease Steel Door Insl/N/GL' 7.45R .13 -
Sliding Glass Door, Wood .65
Metal ,72
WINDOWS
Al1 Windows
(w/5torms 1" to 4" 5pace)
Removal Double Glazing (RDG)
Thermo or Welded 3/16" Air Space
1/4" Air Space
1/2" Air Space
(Other windows specifically tested
can use better ratings)
.56
.55
.69
.65
.58
Page 5
Use BLUE or BLACK Ink
r-----------------1
I For Office Use
I I
Cit of Permit Ui Eap
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
l j
Fax: (651) 675-5694 Staff: I
I
1-----------------
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date Site Address: ~Sf 44.1" 6t-t~ Unit
Name: io,.n a ilfAlf Phone: 45-1 PZY- 4X51
Resident/
n ~l~tJ 5"s/~ 3
Owil er Address i City i Zip: <7 L
Applicant is: Owner /Contractor
Type of Work Description of work: 'Caro .4~w
ae
M~ Construction Cost: Multi-Family Building: (Yes ! No
Company: )C&40 6)rS Contact: Ar&o 0!54,-C.
Contractor Address: 16, AA.".., City: ~c~for,
State: l L Zip:/D7 a- Phone: oy0
License Lead Certificate Nh-r yQ a,6 ( 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that !h are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x /7/tG
1~4
Applicant's Printed Name x
Ap .cant's gnatur
Page 1 of 3
Use BLUE or BLACK Ink
r-------------
I For Office Use
Cit of Wan Permit
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 i i
~ Date Received: i
Phone: (651)676.5675
Fax: (651) 675.5694 Staff: I
L----------------~
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Y/ V/ Unit
Name: i;t~ A,-W p Phone: ./s/~~.v~....-.. i 6~-
1~6~C~.~f
O1A sler Address / City / Zip: yI SI C 16&"
Applicant is: Owner
Contractor
D
Description of work:
T.rpe:of1~F 'k
Construction Cost: $y~~ Multi-Family Building: (Yes / No
Company: ~y~,rGrR.f'1"ac►~t/!'vtS Contact: -Arco
Address:
Gyt~K~G~O:r City: _
State: Zip: ~~a/f17 Phone:
License Lead Certificate Np+r- 41B U f f
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _„_,No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
®7'E` ,Pta~s a~►d s"r~~gor;~it~;q do~c~r~asr> oaf ymrr scrbrr~E axe•cr~~~erer~:to be ~.fc:.~~ar~~~ft ~~s~_~~ ;
t~a~x~z~o-rr~.a~~o~a..m~y b+e:cI.aa?ieGF as ~ton~~r~bt~ ~f }~~z~;pra~lde:~~~~~ ~aan~ f'~t _w'o:~~Fp~st~t<t u:f@.
.ALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Catl 48 hours
before you intend to dig to receive locates of underground utilities, www.gooherstateonecall.oro
1 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.
Exterior work authorized by a building permit issued in accordance with the Minneso
days toff permit issuance. to State Building Code must be completed within 180
X_ U~ Eat
Applicant's Panted Name X
Ap cants gnat
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163600
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 4151 Lantern Lane
Lot:25 Block: 3 Addition: Country Hollow
PID:10-18275-03-250
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: 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 -
Brian M Wright
4151 Lantern Lane
Eagan MN 55123
(651) 403-3722
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature