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1373 Amaryllis Lane EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 P=JIT FOR WATER SERVICE CONNECTION /le Date: 6/22/63 (12/29/72) Number: 1227 ur-~ JAJ Billing Name: Tilsen Construction Co. Site Address: 1373 Amaryllis Owner: Billing Address Plumber: Week" mosevook" Location of Connection Meter Size Connection Chg. 00#7 pd 5/11/73 Meter Noad&af Permit-So 1ntcQ „d U22t73 Meter Reading Meter Dep. 50 pd 6/22173 sle Meter Sealed: Yes Add'1 Chg. Total Chg. Inspected by Date Building is a: Remarks; Residence $25.Q~J RE-(vSPECTIDN FEE: FOR Multiple :loo. Units I 1 P '_Y !NSThLLED METERS. N Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the propose work in accordance with tha,YUles and regulations of Eagan Township, Dakota County, Minnesota. i By: Lueeken. Exc. - L. Gallata. Please notify the above office when ready for inspection and connection. r EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SWER SERVICE CONNECTION DATE:. 2 2.r4b~l~~ t~~t NWER OWNER: Tilsen Constructian Co. Address 1373 Amaryllis r.i~i wr rrr~.rrwrr•w.+wrr rwww.rr - PLUMBER Luecken(Gall.ati) Exc. TYPE OF PIPE heavy caBt iron DESCRIPTION OF `BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 240.00 pd 5/11/73 . Permit Fee 10 2 P 72 Street Repairs Total Inspected bye Date Remarks By Chief Inspector r - rr.rrrr - r.~~rr~rr.~ rrrrr rrwr.+ rr ~..riw~.r rrwo~rr - rr In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Began Township, Dakota-County,, Minnesota rwrr~rrwr7~i w ~n~ iwrr i. Yly .wur.r rr.rrrr.rrrrww4rr. Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP BUILDING PERMIT N° 2919 c Owner a - ° Eagan Township Address (present) .....fir., -2... .A: Town Hall Builder Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remark: _T -5- /a7j 8,0 o c 4~S . m o Gv ,5-3; o n 5~ LOCATION "Ye o "o o Street, Road or other Description of Loc ion I Lot Block Addition o -Tract ZcJ ~...a 374t L-"' 1373 sEav '3 This permit does not authorise the use of streets, roads, allefs"oi sidewalks nor does it giv the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health. safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON TH PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that...... has permission to erect a...- upon the above described premise subject to the provisions of the Building Ordinance for Fagan T nshied April 11, 1855. ? . berd Per 0---e k 8 cha3rman- f-reswz H r- t ~ ~ wilding inspector s MASTER CARD LOCATION OWNER ~e STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING i~AT CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING L7 ~ .ed ~ GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING . j►• 7 SEPTIC FOUNDATION • CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ftI WELL SANITARY SEWER is • i 29 Violations Noted on Back COMMENTS: i -A COMPLIANCE INSPECTION REPORTS TO BE UM ONLY IN EVENT OF OBSERVED VMAVIONIS PERMIT NO. DATE OF INSPECTION' CONDITIONS OF CONSTRUCTION AT THIS INSPECTION F NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR COMPLETION OF CERTAIN IMPROVEMENTS DEVIATIONS. WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. i ITEMIZED AND DESCRIBED AS FOLLOWS: j f i ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED i i CERTIFICATION-1 certify that I have carefully Inspected the obese in which 1 have no interest present or prospective, and that I haw reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: VILLAGE OF &GAS 3795 Pilot Knob ttoad Eagan, JvUmesota 55122 PELT MO. 306 The Village of Eagan hereby grants to N41A * Of 11 err - a . P t far: (Omer) at , pursuant to application dates Fee Paid: . dated this dap of , 1i~► . MMIM or Mechanical Permits: Bid Total: 1 VILLAGE OF MAN 3795 Pilot Knob Road Eagsan, Minnesota 55122 PERMIT NO.: The Village of Eagan hereby grants to %all of 1d1, trs 1hr Pe~1 a Rum= Permit for.- (owner) n2m . at 1113. , pursuant to application dated ell Fee Paid: dated this 11th day of mom g P~ Mechanical Permits: Bid Total: CITY OF EAGAN Remarks Addition Wilderneps Run 2nd Addition Lot 5 BIk 2 Parcel 10 84351 050 02 - Owner D~ °!'&M[Q ANIZIE-MO14 Street 1373 Amaryllis State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt {late STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK IIIIJ $175.00 $8.75 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA PA4 15123 STORM SEW TRK W 1923-- 2-59-46 17-30 Is STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $300.00 7975 5-11=73 BUILDING PER. - - SAC $240.00 7575 PARK CITY OF EAGAN NO 19336 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 F` PHONE: 454-8100 BUILDING PERMIT Receipt r ILI I To be used for DECK Est. Value $1'000 Date JUNE 26 91 19 Site Address 1373 AMARYLLIS LANE 5 2 WILDERNES RUN 2 OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning W Name MIKE SJOBERG (Actual) Const Bldg. Permit' 2 0 o Address SAME (Allowable) Surcharge • 5A City Phone 683-0574 # of Stories Plan Review Length Name SAME Depth SAC, City Q Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn, - Fw Name On Site Well Water Meter R3 x Address M WCC system v~ <W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and C' Eagan Ordinances. Treatment PI Signature of'Permitee-"C 'r APPROVALS Road Unit A Building Permit is issued to: MIKE SJOBERG Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of M='S s and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL *25.50 Building Official CITY OF EAGAN x 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r a PHONE: 454-8100, BUkDING PERMIT Receipt To be used for tllllpt Est. Value $1,000 Date JUNE 26 tg 91 Site Address 1379 YLL].S LAID _ OFFICE USE ONLY Lot I Block 2 Sec/Sub. W1 MS 1IUN 21 D Parcel No. Occupancy FEES Zoning _ Name !t)€a Lwow (Actual) Const Bldg. Permit W z c Address11 (Allowable) Surcharge 030 'City Phone _6 ?4 # of Stories _ Plan Review Length 2 Name Depth SAC, City Address S.F Total _ City Phone S.F. Footprints Ac. Mcwcc On Site Sewage Water Conn F I Name On Site Well Water Meter Rz Address MWCC System a W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that i have read this application and state that the Booster Pump SiW Surcharge information is correct and agree to comply with all applicable State of Minnespta Statutes and Ci Eagan Ordinances. Treatment PIS Signature of Permitee -n0r -ft C APPROVALS Road Unit A Building Permit is issued to, y' I Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minne Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance BuldingOfficial TOTAL+ Pena& No. Penn ft Hakfw am% Tokphom a# WATER SEWER PLUMBING HNA.C. ELECTRIC Inspection Date Footings I Foundation Framing Rooting Rough Pibg. Rough Htg. isul. Fireplace Final Htg. Orstat Test Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. G Deck Final Well Pc Disp. jr4ir R 1991 BII I P A CITY OF KAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS GOMP&JAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF A tHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET' OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED._ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. JV1V 2 4 To Be Used For: 4010.- D~ RI eC.(4 Valuation: Date: Site Address 133 ~1YKAiR~_ OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit 2S Zoning Surcharge , Sa Parcel/Sub fda V - Actual Const Plan Review Allowable SAC, City Owner 5708 F-Cr # of stories SAC, MWCC Length Water Conn. Address t~73 /'*luo Depth Water Meter S.F. Total Acct. Deposit City/Zip Code E#f6Asj J~sl L3 Footprint S. F. S/w Permit S/W Surcharge Phone ~jg3 -©S7~f On site sewage Treatment Pl. On site well _ Road Unit Contractor /(/l(4F 5j-019 6"0- Gl", MWCC System Park Ded. City water _ Trail Ded. Address 137) AWAA t. PRV Copies Booster Pump _ City/Zip Code Fog ►-4*' S'Sl tai j SUBTOTAL APPROVALS Penalty Phone Planner Loi Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 4 u - r 2 AI to it r , -%=41g 04 k Permit Receipt Date: -;10'7 CITY OF EAGAN SEWER/WATER REPAIR OR DISCONNECT PERMIT 200'1 Date C - Sewer Water Fee: $50.50 Address/area to be repaired / 3 7 jq Al //y -,i~ /~k) Description A G (lD P -e e k Owner: Telephone: c~ Street Address: CIGt Zip Code: Installer: ~'L~~~G~t~S~✓~1 Telephone: (area code) Address: City jv-) Zip Code: / Signatur of Permit a 1~. 7,S- RESIDENTIAL BUILDING PERMIT APPLICATION 3 ctTV Of EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 851-681-4675 New construction Reauirsroanffi Remodel) ialmir Rggulremente • 3 registered site surveys showing 4 ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot onvmge allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • Indicate 0 home served by septic system for additions • 3 copies of Tree Preservation Plan B lot platted after 7/1/93 • 'Rim Joist Dail Options selection sheet (bklgs with 3 or less units) L2, ~ 0- DATE VALUATION 4 6 00 SITE ADDRESS 1 r n MULTIFAMILY BLDG Y N TYPE OF WORK rot $ SISOal- FIREPLACE(S) X O - I -2 APPLICANT ~1 `rte' i!'!Y r RqJ STREET ADDRESS L' 3 M CITY s STATE .ZIPJ~6_6 TELEPHONE # `f CELL PHONE # FAX # PROPERTY OWNER (hn TELEPHONE # bS ` CD g~~~ S~{( --.-------------------------.------------:-------------------------------------------------f------ COMPLETE THIS SECTION FOR "Ifl W" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted Submitted • Energy Envelope Calculations Submitted D Jill 0 1 2002 Pkimbing Contractor: _ -----v Phone # _ _ _ _ Plumbing system includes: _ `Vater Softener Lawn Sprinkle Y YFee: $90. 0 Water Heater No. of R.I. Ba y Y No. of Baths Mechanical Contractor Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System iV r Sewer/Water Contractor: Phone # - {t-- ! 1.1002 - hereby acknowledge that I have read this application, state that the information is reCt and agree to co ply 01 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ _ 13 160ex ❑ 20 Pool ❑ 30 Accessory8kig ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 18 . Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 of_ plex ❑ 09 071~4ex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt SF ❑ 04 02-plex 0 10 08-plex ❑ 13 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 05 03-piex Oil 10-plex ❑ 19 Lower Level` ❑ 24 Storm Damage ❑ 06 04-plex 0 12 12-piex Pibg_Y or _ N ❑ 25 ' Miscellaneous ❑ 31 New 0 35 int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition 0 36 Move Ridg. ❑ ' 42 Demolish (Foundation) 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Sltlg)* ❑ 43 Reroof 0 46 Windows/Doors 13 34 Replacement *Demolltion (Entirs Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stores Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS T Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Fatp i Air/Gas Tests -Final _ Framing Siding Stucco _ Stone _ Fireplace R.I. Air Test Final Windows.(new/replacement) Insulation Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total loa9a o . o 0 2005 RESIDENTIAL BUILDING PERMff APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 - Telephone # 651-675-5575 FAX #,651-675-5694 New Constru Lion Requirements RemodelRepair Requirements ¢ff(ee Use Only 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all rooted areas 2 copies of plan Cert of Survey Rao Y _ N (20% maximum tot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required „Y -N 1 set of Energy Calculations tddion - indicate if on-site septic system On-site Septic System -Y N 3 Copies of Tree Preservation Plan I lot pilau after 2/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 1 / 5 /,Os- Construction Cost 36,949• Site Address =3 fTar' l &5 Unit/Ste # Description of Work 1Q Q, It )G GC1 C ~P' Multi-Family Bldg Y ~N Fireplace(s) 0 2 Property Owner l_Qq'P!Q1~ Telephone # (C , Contractor Address . ZiAlihn4kj i S City State Zi 0 Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A' NNW BUILDWO - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . ` Residential Ventilation Category 9 Worksheet • New Energy Code Wotksheet (4 submission type) Submitted Submitted • Energy Envelope Cafcutations Submitted Have you previously constructed a building in Eagan with a similar plan? Y N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( } p Mechanical Contractor Telephone Sewer/Water Contractor Telephone # I hereby apply for a Residential Building 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 the State of MN Statutes; 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 whir D approval of plans. 2005 tiuG` 1 2 Q Applicant's Printed Name Applicant Signature Sy OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling o 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex o 10, 08-piex ❑ 18 Deck ❑ 23 Parch (screen/gazebo) 0 36 Multi Misc. ❑ 05 03-ptex Q 11 10-p1ex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12. 12-plex Plbg_Y or _ N ❑ - 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior o 44- Skiing ❑ 32 Addition O 36 Move Building ❑ 42 Demolish Foundation 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demotltioon (Entire e#g3 - dive PCA--handout to apples Valuation Occupancy MCES System Census Code Zoning City Water SAC Units _ Stories ter P urrip" # of Units 5q. Ft, PRV # of Bidgs Length Fire Sprinkler+ed Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) g Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation r HVAC Drain Tile Other Roof lee & Water Final Pool Ftgs - Air/Gas Tests Final Framing Siding Stucco ` Stone T Brick Fireplace R.I. Air Test Final Windows Insulation Rining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total oe a clv7y r EfE _ 1 flf Eap I r I Pemdt I~~ee: 3830 Pilot Knob Road i _ Eagan MN 55122 i Phone: (851) 675. 675 ~ i Fax: (651) i _.._..----r_.. 2= RESIDENTIAL BUILDING PERMIT APPUCATION owe: 9/3 /y s ads: X3'13 Am Aru l ~s C rstE suft Tenant: q - eta-g --a~ RESIDENT ! OWNER Name:. G E0g e_ < Cleo V o h n 50 -s -Phone:, Address / City ! zip; Appiisartt is: owner ~L Corer TYPE OF WORK Descriptim't of work. `(~~lk12- 01%~ `i R (2 Constt> n cost: >%0C% ~ SO AA. M : (Yes / No m CONTRACTOR Name: f: - - Address: r ~l City ~ - -State: zip: __5 Phone: X51 • - Contact Peter ICnfi COMPLETE THIS AREA IF CONSMUC IM A NEW SUED _ MkgW" R ZM Catty 1 wh1we"a Energy Code Subffftd v .gory t warkstseet New Cods Category (d submission type) • Energy Emm" cm S&rJbd In the 1W 12 months, has the city of Nissen 1m1wd a pernat for a sknow per based on a master plan? Yes No R yam, date and address of master pkn: Licensed Plumber. phone: Meehan" cam: Phone: Sewer & Water Contractor. Ptiow f hereby admwwp that this information is =nO to and arocurate: that the work wi8 be in conformance wilt the mrJ3mnm and codes of the City of Eagan, that t understwW this is not a permit, but only an aP tton for a permit, and work is not to start without a panne; that the work wi8 be in accordance with the approved Plan in the case of work wtuch m a review and approval of plans. t" \ 1 .P\ t Yu X ivu ~1 cr* X Applicant's Printed Name App pop 1Of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA091008 Eagan, MN 55122 . Date Issued: 09/03/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1373 Amaryllis Lane Lot: 005 Block: 002 Addition: Wilderness Run 2nd PID 10-84351-050-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: BFS Heating & Cooling Inc George J Johnson 4732 Beard Avenue South 1373 Amaryllis Lane Minneapolis MN 55410 Eagan MN 55123 (612) 718-0588 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. Applicant/Permitee: Signature Issued By: Signature A EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date•6/22/63 (12/29/72) Number. 1227 Billing Name: 'Pilsen Construction Co. Site Address:1373 Amaryllis Owner: Billing Address Plumber: Location Location of Connection Meter Size Connection Chg.JQU.W Pd 5/11/73 Meter No. Permit Fee 1010() wd73 Meter Reading Meter Dep. .50 pd 6/22/73 a/c 33 ? Meter Sealed: Yea_ Add'1 Chg. NO 1bta1 chg. Inspected by Date Building is a: Remarks: Residence xa $250 Multiple No, Units_ IMPROPERLY INSTALLED METERS. Commercial Industrial By Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Luaeken Exc.,- L. GaUati Pledse notify the above office when ready for inspection and connection. PERMIT City of Eagan Permit Type:Building Permit Number:EA113865 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1373 Amaryllis Lane Lot:005 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-050 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George J Johnson 1373 Amaryllis Lane Eagan MN 55123 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------- I For Office Use � � I ' � Permit#: ���� '�� I C�ty of �a��Il � I Permit Fee: ��� ' �� � 3830 Pilot Knob Road � � Eagan MN 55722 � Date Received: j Phone: (651)675-5675 � I Fax: (651)675-5694 � Staff: I � I ������______�����J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: `� /7 �� Site Address: !l�l�r �l� Unit#: n�— / �si-6g�-3s�� Name:��/ �1p-hi� c/� Phone:� " ��Sl�l@�'k� C?w11��' Address/City/Zip:��73 s'����u `�S �i'L.G. �aq.�I�J �1/V S"�/aZ 3 � � Applicant is: Owner �Contractor Descriptionofwork: F3"G.�n(�,�u,. �.p��"rs T�/p� O�W4rk ': Construction Cost: �0�0• � Multi-Family Building: (Yes /No�) ` Company: (��� L��✓►AQ Contact: �ri¢� S�Gr� ', COt1t1'�C�QI` Address:/G��o T�[ A v�e��c c�ty: Go� (�ra vc ' State,�/N Zip:SSGl6 Phone:��/.�.�-7/�t/ Email:Q/Ga�.S�prd�tt 0�8'�4�r�s��t��" I, � . License#:,P3 C ��g Q�� Lead Certificate#:N�T—r���3&6 3^ � Ii If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes �o If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Water Contractor: Phone: Fire Suppression Contractor: Phone: 11ff�T��:P1c1175 31�d Si#�?�?t!#'��'/?�t�4�tJtY1���•��„�+`�C$f.f���'�+��1������7! � ui���, .T �"#�� ,.� the ir�fctrrna#ior�may be ctass�!`"r�t as�rtrr�pr�b��f���p�'���������as�r��a��+��`�l�er�����`� ca��#���at f;hs �re ��t�� CALL BEFORE YOU DIG. Call 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.gopherstateonecall.orq 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 �z�.! ���� x Appli ant's Printed Name Applican Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156377 Date Issued:06/27/2019 Permit Category:ePermit Site Address: 1373 Amaryllis Lane Lot:005 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George J Johnson 1373 Amaryllis Lane Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158217 Date Issued:10/01/2019 Permit Category:ePermit Site Address: 1373 Amaryllis Lane Lot:005 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - George J Johnson 1373 Amaryllis Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165831 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 1373 Amaryllis Lane Lot:005 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - George J & Cleo E Tstes Johnson 1373 Amaryllis Ln Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature