4159 Lantern Lane01-3210 Bidg. Permit
01-3422 Plan Check •?? ?
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ?
75-3860 Road Unit ?
? 20-2275 SAC
20-3865 Water Conn. ?
' 20-3868 Water Trmt. ?
20-3716 Water Meter Z
20-2252
20-3713
20-3743
79-3866
28-3855
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
? CASH RE,CEIPT
.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE 19 ?
,
i f?' ; ?? • AL
AMOUNT
O?
? CASH
L9,CHECK
; n
v ?`-? ?. " i = . . . . .•/
( /
FUND I OBJECT I I I AMOUNT
Thank You ?! -
,
aY
& DOLIARS
,m
C ?. White-PeYm Copy
Vellovr-POS6rg Copy
Pink-File Copy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT QATE !
WATER PERMIT #`B,SEWER PERMIT #
METER # Z Z ? B.P. RECEIPT #,
READER # 3 B.P. RECEIPT DATE "/, `
METER SIZE$ ?? -/?'e.??
ISSUE DATE 7' I v'? S _ pRV - BOOSTER PUMP
SITE ADDRESS ?h tc Yv'3
LOT _?BLOCK ' SEC/SUB
APPLICANT:
ADDRE35: i?' -'
CITY, STATE ZIP ? -
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: -
AODRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
? SEWER _? WATER _ TAPS
- COMM/IND RESIDENTIAL
NEW - EXISTING
I AGREE TO COMPLY WRH CITY OF
EAGAN ORDINANCES:
S NATUR WNEN M SS ED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER RERIIAITS, CONTACT
ENGINEERING DEP7_
•lr
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT ATE, ? I
WATER PERMIT ??-i? ` SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE K_t PRV - BOOSTER PUMP
SITE ADDRESS ??Z n ?t ? v`1 l ::. Vl.." LOT BLOCK -SEC/SUB 161.41
APPLICANT:
ADDRES,S: CITY, STATE ZIP
PHONE: ?' -
PLUMBER: _
fQ
ADDRESS: t_CITY, STATE ZIP _e y%, ?:.
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE:
ZIP
PERMIT REQUESTED
? SEWER ?, WATER - TAPS
-COMM/IND __,?SRESIDENTIAL
.1(_ NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
?.
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
• ' PERMIT # .
. MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: =
CONTRACT PRICE: PHONE: 454-8100
? Name
m Address
.S City '" - Phone Name
c Address ? -f
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outiets # ?
Other
FEE:
S/C:
TOTAL:
v? ._'U
;V._5
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERrAIn - 1.50 EA.
COMM/IND FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
., ? .
SIGNATURE OF PERMITTEE
?i
FOR: CITY QF EAGAN
Site Address N
Lot Block -
PLUMBING P
CITY OF EA
3830 PILOT KNOB ROAD,
PHONE: 454
Sec/Sub _
? Name
? Address
c City Phone
?, .
Name
c Address -?
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM FiATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
MITTEE t•
FOR: CITY OF EAGAN
-
PERMIT#
NIT
N
RECEIPT It
GAN, MN 55122 DATE:
DO
i. TYPE WORK DESCRIPTION
'N New
Add-on
M. Repair
hSt ': F'LdU. ONLY - GOMPLETE 1 Fit FULLC
i FIXTURES
? Water Closet - $3.00 $_
Bath Tubs - $3.00 _
A.Lavatory - $3.00 _
I-Shower-$3.00 -
T' Kilchen Sink - $3.00 -
?Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
-LWater 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
? FEE:
' STATE S/C:
GRAND TOTAL:
• • • a
(Irrtifiratr uf (Orrupttnry
titp of eagan
Mrprtmrnt u# luilbing Jwrnimt
This Certificate issued pursuant to !ke requiremenls of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building consrrucrion or use. For the followirtg.•
Use Qescfinuon SF DW/GA/??R Bldg. Pormit No. 16?
Oocupartcy Type ?/t'?1 Zoning DisMct RI TYPe VN
Ownerd'BuBdingST. ?M BM Address 4194 W2UMM DR•+ FAGAN
ewiahng naarais 4159 IANTERN I.AtE La.ury I.23, B3. qOUNiRY H(XILB
Dau
POST IN A CONSPIGUOUS PLACE
CITY OF EA
G AN
,
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt #
To be used tor Est. Value Date +? pir. 1!
`' t
19
Site Address 4159 [,N
Ci??.`?1'.Y i'.C`Li.i7iti
Lot Block Sec/Sub. OfFIC E USE ONLY
Parcel No.
Occupancy '?•-? '"'rl
FEES
9-1
Zoning
W Name ?T = AY?' (Aclual) Const d`" Bldg. Permit 7 iL.l'iii
_
;
°
Addf@sS .R
(Allowable)
Surcharge
66.00
Cit AA'x Phone 4 `i4-75r25
y uotstories
701
Plan Review 376.U0
Length
Name ;;?t•;?? oeptn ''? snC
ary 10'J.?^,C:
i? ,
0, a
m Addf2SS S.F.TOtal - SAC,MCWCC 57.J OC
•
City Phone S.F Foolprints - Water Conn ?Y
"?'
On Site Sewage -
ww Name On Sde Well - Water Meter
?Z'-y Addf2SS MWCCSyslem ?'x qay pe osN '?•?Q
aw City PhOne City Water W P
mit
S 20• '?
PRV Required er
?
I hereby acknowlege that I have read this application and state that the Booster Pump - StW Surcharge 1•00
information is wrrect and agree to comply with all applicable State of 2`?
???
Minnesota Statutes and City ot Eagan Ordinances. Treatment PI •
SignaWre of Permitee APPROVALS Road Unit 340 , `?0
A Building Permit is issued to: ST '11'r'1ES Planner - parkDed.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff. Copies
:. ?'?F1,(L?_I
Building Official Variance - TOTAL
? Permit No. Permit Holder Date Telephone #
WATEF
SEWER "
PLUMBING
H.V.A.C. //G 3
ELECTRIC , /ol,,pr
Inopee6on Date Insp. _ Comments
FOOIIfNJ61
Foundation 75
Framing
Roofing
Rough PIb9.
Rough Ht9. 7 a e
fsul. P,P .
Fireplace
Flnal Htg.
Final Plbg. '
Const. Meter Plbg. Inspector- Notify Plumber
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN N? 16300
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE:454-8100
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $132,000 Date APR 17 , 1989
Site Address 4159 LANTERN LN
Lot 23 Block 3 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY
Parcel No. occupancy R- 3?L-1 FEES
R-1
Zoning
c Name ST CHARLES HOMES (nctuaq Const V-N Bldg. Permit 759_ nn
w
Address 4194 COUNTRYSIDE DR
(Allowable)
V-N
S
h
66.00
o Clty EAGAN PhOne 454-7925 #otStories -
?? urc
arge
Plan Review
376.00
Length
o Name SAM? Depth .40' sac
ciiy 100.00
Z
Q
o Address S.F.Total - , 575
00
r
j
¢ City Phone S.F. Footprints - SAC,MCWCC
Water Conn .
SHO. 00
On Site Sewage _
?Q
w
Name
On Site Well
-
Water Meter
90.00
w
=Z AddfB55 MWCC System xx
30
00
u?
aw City Phone Citywater .,
nX Acct. Deposit .
? S/W Pe
it Z?• ??
PRV Required rm
I hereby acknowlege that I have read ihis application and st A that the Booster Pump - S/W Surcharge 1.00
information is correct afid agree lo omply with all applic le te of
Minnesota Statutes anQ Cit 'of Eagai Ordinanc Treatment PI 22$-00
Signature of Permitee 1 APPROVALS Road Uait 340. f1(1
A Building Permit iS issued lo: Planner - park Ded.
on the express condition that all work shall be done in accordance wit all Council
applicable St2te of Minnesota Statutes and Ciry oi Eagan Ordinances. Bldg. Off. _ Copies
? 3,158.00
f ? I 1?
Building Official 1?.lUl Variance - TOTAL
v .
qa 4,Zy C;
? 90324
Request Date ire No. R gh-in speclion
? ?O` Required?
eady Now ? Wili Notily Inspector
a t es ? No When Ready?
Q<icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) ? ?
f Ci?, ? ?
(r a ez 2 ?
Section No. Township Name or No. Range No. CouMy
Occupant (PRINn tI
( Phone No.
- l
G l°-
I S
y ,7 e7:G
Pow Supplier AEdress
a L° ?`/`
EI I Contrattor. (Company me)
`
?
` Contrador5 Litense No.
s
,'ve
? ? r, ? 2 ?f12
Mailing Address (Contractor or QKvmr Making Instailetion)
- ? N ? ? 4 ,? S SY33
Authorizetl Signature (C orlOwner Makin nstallation) ? Ph e Number
7SS - ?
MINNESOTA-STIlf 80 ELECTRICRY ? THIS INSPECTION REQUEST WILL NOTGriggs-Midway Bldg. --Roorn 5-173 BE ACCEPiED BYTHE STATE BOARD
7821 Universfty Ave„ SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
5/3//$`9
2 REQUEST FOR ELECTRICAL INSPECTION
? See ipstmcticns fiir compleling Mis brm on back of yellow copy.
? 032 4 "X" Below Work Covered by This Request
• Ee-ooa S-o7
INiew Add Rep. Type of Building qppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (speciry) Contractor5 Remarks:
Compute Inspection Fee Below:
# . Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool r 0 to 200 Amps 0 to 100 amps 4/0
Transiormers . Above 200 _ Amps Ab 100 Amps
Si9f1S Inspectork Use Only: ,.. ?
? TQTAL
Irrigation Booms ?
Special Inspection c
Alarm/Communication ?
Other Fee t
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in ,i te
Final ?e -
• ?
OFFICE USE ONLV
This requast voitl 18 monlhs irom
?oq S_)_
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 aze requued for each unit
?
?
?
Date 2 / c) 5
Site Address 4 ? Jc ? L q n t er .-? Lc, ie Unit #
Property Owner ? G?,V e J o n r, 5 o n Telephone #(?c,S ) ) 56/- Ca l8(o
Contractor Cor r-o /lsd
,/1" ! r-
?
StreetAddress i 7U ? e,'-On A V 6 S J iTt 17 City
State Zip SS o a y Telephone #((D S I) U CD 0 -(6 0aa
Bond #: Expires:
The Applicant is _ Owner ?Contractor O[her
Add-on or alteration to ezisting dwelling unit $ 30.00
v' furnace _Additional ?eplacement
? air exchanger
? air conditioner _New -Replacement
other
State Surcharge $ 50
Total
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is completc 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 pernut, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in thc case of work which requires a review and approval of p s.
C i n U c? L h+?l G ? ?
Applicant's Prinfed Name Applicant's i nature
RESIDENTI,AL
BUILDING PERMIT APPLICATION - t0°
?\\ CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft, of lol, sq. ft, of house; and ail roofed areas
(20% maximum lot coverage allowed)
• 2 copies o( plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies oi Tree Preservation Plan it lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 25 • OGk• O 21.
RemodellRepair Requirements
• 2 copies of plan
• 1 set ot Energy Calculations for heated addflions
• 1 site survey for exlerior additions & decks
• Indicale if home served by septic system (or additions
?
VALUATION Kaff
SITEADDRESS S1`J9 Louni'u.tti?) l.o.N-Q-- MULTI-FAMILYBLDG _Y _N
TYPE OF WORKin,oAox Cn? C?- t.,.l,ndnAA??. W&A{,?;.,,.. k?;S-?y.o?_ PIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 3200 Cobb Galleria Pkwy., Ste. #200
Atlanta, GA 30339 TELEPHONE # 763-542-8826 FAX #
BG20268257
ATE ZIP
PROPERTY OWNER-b01,111(?. 5d*1NSOtI:) TELEPHONE #(961• 452• 2OI$'
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJI.ES 7670 CATEGORY 1 MINNESOTA RIJI.ES 7672
(J submission type) . Residential Ventilalion Category 1 Worksheet Submitted • New Energy Code Workshee[ Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Nlechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
??l IN
n-, r ? '?;
e t c
and agre?to co{nply
L
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Orcjyhances. ^
Signature of Applicant
-----------°----------------------------------------°--------------......-------°------------------------------°-----------°------------------------------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Water Softener
Water Heater
No, of Baths
_ Phone # .
Lawn Sprinkler
No. of R.I. Baths
Air Conditionuig
Heat Recovery System
, .
Installed
Siding andl%yaWspOWER OF ATTORNEY
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue Nnrth, Golden Valley, MN
55427, having a license.number of BC- 20268257, do hereby.appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknow(edge, sign and deliver (in such
form as may be required by the municipality) a per-mit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minx?esota for the installation, maintenance and
repair of windows and siding (the 'Work").
The powers conveyed to-tiie Agent by this Limited Power of Attomey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attomey shall expire and automatically be revoked on the 3&
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WIT'NESS WHEREOF this Limited Power of Attomey is executed this
3OVA day of M h`(' 12002.
a ci? ? -
David . z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May,
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
3968t6.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atianta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79•DEP
, t 1989 HIIILDI6G mmRT 1PPLICATION - CI?Z O[p EAaAN
3INGLE FMILY DiiELLIliGS
I G4500
INCLODE 2 SEfS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDBESSFS POH CAaNBE IATS - COIITRAClOfl/HOlBOiiNSE lWT }DESIGNATE tiffiCH ADDRFBS
I3 D&SIRED. : HO CBANGFS iTII.L BE ALLOQED ONCE BQa.DIN(i PEHt+iIT I3 I83DED.
MQLTIPLE DWEI.LING3 RSNi11L OBITS [?OH 3ALS UNI?3 # OF 08Tl8
INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYfiY - CBfiCB UITH BLDG. DBPT., 1 SET OF ENERGY
GALCULATIONS
COMMRCIAL
INCLUDE 2 SETS OF ARCHITECTORAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
TO Be Dsed Fori STN(:T.F. FAMTT.Y Y81t75ti0IIL $+-3?? Dat6: 4/14/89
Site Address 4159 LANTERN LANE
Lot 23 Block 3
Parcel/5ub COUNTRY HOLLOW'
Oimer JOHN & JUDITH.'PRICE
Address 10541 KENTUCKY AVE. SOUTH
City/Zip Code BLOOMINGTON, mn 55438
Phone 944-5963
Contraetor ST. CHARLES HOMES
Address 4194 COUNTRYSIDE DRIVE
City/Zip Code EAGAN, MN 55123
Phone 454-7925
Arch./Engr. DONN ANDERSON
Address 13426 FLORIDA COURT
1 32,Ob0? OFFICE 1kSE OPLY
Oecupancy R 3 M-I FS$3
Zoning R-1
Aetual Const V-N Bldg. Permit r752.00
Allowable V-N Surcharge O
# of stories Plan Review (,,00
Length '70T S9C, City ? OQ,O0
Depth 4 O' 3AC, MWCC , 00
S.F. Total Water Conn Sf30,a0
Footprint S.F. iiater Meter 0,00
On site sevage
On aite well
MWCC System _
City vater ?
PRIi required ?
Booater Pump `
JPPHOVAIS
Planner
Counoil ?
Bldg. Of'f
Varianee
Council
Acet. Deposit 3 O.CO
S/il Permit o,Do
S/W Surcharge 1,0
a
Treatment Pl. 228.oD
?
Road Oait 3L40,0
Park Ded.
Copies
?OTAL
City/Zip Code APPLE VALLEY, MN 55124
Phone # 431-6107
HO'fSs Sever b iiater Permit feea and account deposit tesa xill De included i.n tbe building
permit fee. Proceasing time for aever and rater permits is tvo days onoo a lioensed
plumber haa applied for a psrmit at City Hall.
, VALu AT? o?l
G?2qC?E ,?
? X2y ? 516
z ?c lu = (2??
-a------?---
??8 k/? = I I ??-v
SsM -r
(6X48=?(0g
1?-X11} = ?9G
a4X Io = 240
2 y10 = ?2 0
12.7-4 x Iy= 1rl 13G
i Sr FLooR
---?_
r?s?-r
Zxr(-07 - 2?
1244 x So = 6z2 00
2n,e F`?oUtz r?
---------?
3 2. u 2?r r769
1z
13135?
?,
I CERTIFICAI't ui- Jur-tvr:. ,
FO? -S`i c'K???"?tJ " MES KUR7H SURVEYING INC.
4002 JEFFERSON STREET N.E.
IMEPEaY CERTIfY TH??T TNIS BYRVEY, PLAN,OR PEPORT WAS PHEPAHED ?Q??µd?A HEIGMTS MINNESOTA 33421
BY YE OR UNDEN YYOIflECT SUPENVISION ANO TNAT 1 AM A OULY 612.780-9189 . pEGISTEHtD L S RVEYOR OEN TN IAWS Of TNf SL4TE Of YINMESGTA. OATE .1.
SCALE I"• ?
IAINNESOTA 'MMSTRATION N0.kb?1'3, PROPOSED OsIRONMONUGIENTFOUNO
GRADES ` BEARIMGS ARE ON AN
ASSUMED DATUM • (iARAGE SLAB • &Z-3•? ?• 60 0 SPIKE SET
. (:)• SPOT BLEVATION
•
.-bTOP OF 9LOCK $?' ? ( ? ¦ PROPOSEG ELEV.
?2.c.,
BASEMENT FLOORt ORAINA6E ARROW
. ?
??
?q?i
? _..
43°DO ZO ? E? 4,? '\ 5 ? ? dz i
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EXTERIOR ENYELOPE AVERA6E " U" COMPUTATION
.V
Owner:
Site Address• ??J 1 LANMQN ? ' .
.
Contractor: ?jT G?-{-ARL?ES }{t,'?Me?>Date: 4-7??59 Pbone: --
Determine working square footage of eaCh.
1. Tota1 exposed wall area ZfvCP0 Sq. Ft. x.11 = Z 2: ?Q.=t
2. Total roof/cei 1 ing area '-I 4"44 Sq. Ft. x.026 ,?
. ,
_. . _ _. - . s .. . . .
a. Total wall window area ... ...................'..................
b. Total door area . . .......................................... LP 'Cr
t. Total sliding glassdour area ................................... 'j Z
d. Total fireplace wall ... ........ . ...........................
e. Total wall framing area (avera9elOX) ........................... ?
f. Total net wall area above floor .................................
g. Total rim joist area ............. .............................. 'T
Totatexposedfoundation area = 10 e>
h. Total foundation window area .................................. I
i. Total net foundation area above grade ..........................'. aj'7,Co
Determine " U" Yalue of each wall segment.
a. ! Cv? x° u 4oj
b. Cp Z X u,; -7, p,
c. 12 x.? U,? ? 4-1
s Z°1,5
d. ?-? x" U° ?lo = 4-.e
e. 2(o Cv x M i1 " lOq ! = 24-'1-
f
• ICP(PI x `?-
9. 27 8 x w u„ 4-1 =
.
; n. ?
?o, M x y" u .N .
- j g) ?7,(v x? u? ; 14-
`_ ?3;`?
3. Z I ? . 4- TOTAI
61 ;r 4h, ??,..,n ac nr ?nr? +hor itnm N7 ..,.,, hi;,o tnnt
(?
t11P 1n±Pf!t of Sec. 6006
?
TotAl•exposed.roof / ceiling area ?t-
3. Total skylight area. -
...... ............
k. Total roof / ceiling framing area?lOX...... .............
1. Total net insulated roof / ceiling area ................. ,
Determine " U" value for each roof / ceiling segment.
J. x q 11
? ? a
K. 1 q-4 , q- X„ u„
x is u 2
. '? .
4. Z TOTAL 1)
- . ?? .? .A bZ ,? .1 {(.Y•:.I .
If total of 4 is the same as, or less than #2, you have met the intent of SBC.6006
(c) 1. To utilize the total envelope system method,,the values established by.the
sum of tines d3 and #4 sha11 oot be greater than the sum of lines #1'and M2.-°??''
1• Z92,lo +2. 3-7,?5 = 3 oi?:..4
$. q' #4. ZCJ? / a-^77- ?
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- __,... __.?_._ .._.._. ..: ?.?. .? ?? ?.:4...
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:ity oF eagan
MUNICIPAI CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122-1897
PHONE: (612) 681-4600
FAX: (612) 681-4612
September 28, 1992
MR DAVID M JOHNSON
4159 LANTERN LANE
EAGAN MN 55123
MAINTENANCE FACILITY
9501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (612) 681-4300
FAX:(612)681•4360
Re: Lot 23, Biock 3, Country Nollow
Sepfember 8, 1992 Request For fncroachmerrt Into Drainage Easement
For Retaining Wall Construction
Dear Mr. Johnson:
THOMASEGAN
Mayor
PATRICIA AWADA
PAMELA McCREA
TIM PAWLENTY
THEODORE WACHTER
CouncU Members
THOMAS HEDGES
City Admininsfrator
EUGENE VAN OVERBEKE
CIN Clerk
As a follow-up to our conversation and your September 8, 1992, letter, I must clarify your understanding of
the Ciry's concerns with respect to the ponding area/easement encroachments within the Courrtry Hollow
development. To date, the City has not given any authorization for any encroachment into the designated
ponding easements within the Country Hollow development. As I previously stated in our meeting,
encroachment into a ponding easement greatly compromises the capacity of the designated ponding areas.
These ponding area capacities within the Country Hollow development are critical because these ponding
areas do not have ovedand dralnage outlets and are controlled solely by a storm water lift station.
The existing ponding area encroachments wfthin the Couritry Hollow development have greatly
compromised the existing capacity of the ponding•areas. At this point, the Ciry is currently reviewfng the
most appropriate remedy to the existing ponding area encroachments.
At this point, I would like to thank you for requesting authorization to encroach within the City's ponding
easement. The City will be in contact with you in the near future regarding your request.
Thank you for your cooperation and understanding in this matter.
Sincerely,
? I.? 6y`^ ?/
Mic ael P. Foertsch, ./LS.
Assistant Ciry Engineer
MPF/jj
cc: Tom Colbert, Director of Public Works
Doug Re1d, Chief Building Official
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunffy/Affirmative Actton EmRloyer
RECOVED SEP 1 ? 1992'
September 8, 1992
Mr. Mike Foertsch
City of Eagan
Engineering Dept.
2830 Pilot Knab Road
Eagan, MN 55122
&o? '-- "- --?. t
` .. G('CC r " %
Dear Mike:
In followup to our brief conversation following our neighborhood meeting,
enclosed please find the initial proposal for my retaining wall which the
City rejected.
It is my understanding, after our conversation, that you are willing to
make an allowance for this wall to be built as allowances have been made
in other cases.
Please review this plan and call me at 887-5829 (work) or 452-5618 (home)
should you have any questions.
It is my intent to construct the retaining wall next spring.
Thank you for your cooperation and understanding in this matter.
Sincerely, ?
David M. Johnson
4159 Lantern Lane
Eagan, MN 55123
vr
tiURTH SURVEYING INC.
-4002 JEFfEN?ON STHEET N.E.
.cer ccNriFr THwr TNio yuHVLr,r?Ar+,oN nLi'UHi wAs vncrANto ?OLUMUTA HEIGN75 MINNESOTA Ob?2?
JY1rL UH UNOEN MYDiHECf SUPCHVISION AnOTHAi I AN A UU1.Y tiiy-7etl-YTeP
NEGiSTENCO l S Hw EYOR DEN TIi LAWS OF TItE STATE OF MIXMESUTA. OATE
`-7 $CALE I"a ?---%-
PROPOSED O?IRON?IONUMEN7FOUNC
AAINNESOTA ISTRATION NO.kb?I-3. GRADES ' BEARINGS AREONAN
AssuMeo ua7uM-
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GAHAGE SLAB • ("). gpoT ELEVATION
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BASEMENT fL00R+ 8 1 ?46 ?- ..?-). pRAIHAGE ARROw ???19__l_,
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----Us------------
For OnceseeCity uT Eaian
it
Perm
11 1111 2 y~ y~ ?1
I Permit Fee: I vy ' yy
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 staff: °
2009 RESIDENTIAL BUILDING PERMIT APPLICATION 6e&Id &18D
Date: lV Site Address: q16 1 l ? I r l_
Tenant: Suite
RESIDENT / OWNER Name: PhoneJrd`( J'!~ !
Address/ City/ Zip: V`im` S
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: C ~O Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 they are trade secrets.
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 ithout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review ]]anndd approval of plan .
X S ~ L/ Ir,
Applicant's Printed Name
IN Iicants rgnat e
JUN 2 62009 Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition }44 SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) 4L Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
_ Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee ~,eL/ M ~ 3l
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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ÿ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116480
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 4159 Lantern Lane
Lot:23 Block: 3 Addition: Country Hollow
PID:10-18275-03-230
Use:
Description:
Sub Type:Reroof & Windows/Doors
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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Hung V Ly
4159 Lantern Lane
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123160
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 4159 Lantern Lane
Lot:23 Block: 3 Addition: Country Hollow
PID:10-18275-03-230
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Hung V Ly
4159 Lantern Lane
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
r
+ w+ 1 , / r (....______For Office Use
% 4 i i �r.. Permit#: 15 `13
*
•,..., E
AG A N
+ .oe Permit Fee: I?-.)4°1
.0. • 4 to Received:
-
3930 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 J TDD:(651)464-8535
® FAX:(651)675-5694 �� 3 Z��g I
buildinainsoectionscitvofeaaan.com ,
tit
2019 RESIDENTIAL BUILDING' (n
(CATION L&_1,1-(-1
Date: 6/3/19 Site Address: 4159 Lantern Lane Units: AO
;,i�,l1�Mc rvr' ',gig'', Hung and Casey Ly 763-213-5439
,y
..marx-. h.;, Name: Phone:
;;,,;„I G8;; �,4 .` 4159 Lantern Lane, Eag-n, MN 55123
Address/City/z
' - fil I I I ril lins/0
Nvi y ,, „Ali-,gat;w� �: Applicant is: Owner Contractor, ilf-
,.-:-"r
rlr1 ' rli+r,- Ff
-.� r'44-� ' .1;' ' Description of work: Master Bath remodel -2nd floor
�J� t ,,, , $8700.00 1
�; �!, a' °1 ;,�,:, Construction Cost Multi-Family Building: Yes /No )
▪,' 1 V Company: K2 Bath Design and Remodeling Contact. Damon Lee
'', Address: 2010 East Center Circle, #100 Ci Plymouth
..,,,▪ -,,:,,,::;,:,-,-;,-(7:,,,i,..,,-,-,,, ty:
J1..P.--:, 4y ° MN 55419 612-226-44 dlee@k2bathdesign.cor
111177,' ;• 4 f ,t State: Zip: Phone: Email:
%' ,�ii - '` BC638895 NAT120063-2
. r 4', ,, License#
. � -�<�4�:�': �1 Lead Certificate#:
If theproject is exempt from lead certification, please explain why:
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:
Fires Suppression Contractor: Phone:
i'7•� ' 4 vp• II '14 1 ;, ( T 1 r 1 :
��;� 4
�f�� • P � ,.n �.: �[ �`� �i)� 11 f ( � 7 � � r+�� i 1 � .k 1 a i -!..,-J ..,.o-��µ`
n.,,L b :1.,2_�..<<l�, t,,Lii.,a. :'a' :,,t,-. _� . ,,S.7_4.,:6,,-..i..,-,,':,„:,,j.`. N,'.�"_-_1_t ..L '2, tE._. li --''2,1-'a.-:;--.,' 1t.' -�a
You may subscribe to receive an,electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan,com/subecribe,
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454.0002 for protection against underground Witty damage. Call 48 hours before you .
intend to dig to receive locates of underground utilities. www.aonharsteteonecall.orst
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 plane. •
x
Damon Lee ,tDamon Lee :`.° �,a. 03y�;o o3`0s0
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE �C clLeie�- rn �.�.� ?V-
..
, , SUB TYPES
• __._ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) •
_ Single Family Garage ._ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) ..._ Miscellaneous
_ 01 of_Plex — Lower Level — Pool ` Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
Addition _ Move Building _ Reroof _ Demolish Interior
4 Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation OccupancyPvtil--" . MCES System
Plan Review Code Edition *A ,tad.. 1< SAC Units
(25%___100%4) Zoning r City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
�—
Type of Construction Y (� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) x Final/No C.O.Required
Foundation, Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings __Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS-
3 Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
_ Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: �/ ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge bro.,
f��,!
Plan Review , , it
MCES SAC �
City SAC f.../V\
Utility Connection Charge .
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read • fl10,,,,
Copies
9f
0 0 0
TOTAL f
1 • Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156258
Date Issued:06/21/2019
Permit Category:ePermit
Site Address: 4159 Lantern Lane
Lot:23 Block: 3 Addition: Country Hollow
PID:10-18275-03-230
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Hung V Ly
4159 Lantern Lane
Eagan MN 55123
(763) 213-5439
K2 Bath Design & Remodeling Llc
2710 Urbandale Ln N
Plymouth MN 55447
(952) 393-5712
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168788
Date Issued:05/04/2021
Permit Category:ePermit
Site Address: 4159 Lantern Lane
Lot:23 Block: 3 Addition: Country Hollow
PID:10-18275-03-230
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Hung V Ly
4159 Lantern Ln
Eagan MN 55123
(612) 366-3923
Roofle Inc
2155 Old Hwy 8 NW
St. Paul MN 55112
(612) 722-7663
Applicant/Permitee: Signature Issued By: Signature