1364 Amaryllis LaneReceipt PLUMBING PERIrA1T Permit No. ?
;
C17Y OF EAGAN
? Fee
FiII in numbeied spaces S/C
` Type or Print legibly Tat.
,-.-/
?
1. Dat? ?? l? / 2. Installaxion Cost
? -- ?. ,a - ' .
3. Job Address ? Lot Blk. ; Tract
4. Owner-:-` ? ? -- . . -
5. Contractor l7! Phone
6. Address f""? ? ?? ? •? ? ^ ?7. City State Zip `
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New'C7 Add ? Alter. O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower VVe I I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
-- -
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date tnsp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 45448100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I PERMIT SUBTYPE:
?
i l ?.,t iNr,
TION
A fll 141 K
i pwF.
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
, APPLICANT:
, I? I,? ?i 6g w1 Ey 49 si
TYPE OF WORK:
? . , I i kilt
'
r+U rt c?aNia
H'; si rj F 7
el 9l 10/') K
IiA': I !t
Rr Pw r a
4 kijn r [ No, i
.r
Permit No. Permit Holder Date Telephone It
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
FiOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATlNG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FIIJAL ?
BSMT R.I. i
BSMT FINAL
DECK FTG
DECK FINAL
L-
CITY OF EAGAN Remarks
addicion . Wilderness Run 2nd Addition Lot 4 sik 1 Parcel 10 84351 040 01
Owner t- ??-Street 1364 Amdryllis Lamt State Eaqan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTQR,
GRADING
SAN 5EW TRUNK 2 Z ?175.00 .
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
70RM SEW TRK 1983 28.98 21.93 328.98 C007797 8-19-82
S7ORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 800 7-28-75
BUILDING PER. #3721 800 7-28-75
s,ac 800 7-28-75
PAR K
([ ? ? CITY OF FSC-tAN
3795 Pilot I{nob Road
Eagan, iV1innesota 55122
PERi?T NO.: 596
The City of Eaoan hereby grants to wuis H. Peter Ca.
sf 1959 Grand Ave.. St. Paul 55105
a-.d+•S67A?iNG Permit for: (Owner) Tilsen xomes Inc.
1327 Carlson Iake Lane and
at i pursuant to application dated 8/25/75 & 8/2,7/75
Fee Paid: fi40 00 dated this __21_day of Auaust ? 1975
1.00 s/c
Building Inspector
iQechanical Permitsc
Bid Total:
CITY OF Et1GAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNIIT NO.:79i
The City of Eagan hereby grants to uP'i r HLhbard Heating G A/l' rn_
Of ao No. S__lli..,. w. et oanl 45104
_
a ?,ATI Permit for: (Owner) miiSLN HOMES TNr.
36 Amaryllis, 1327 Carlson Lake Ln.. 4353 & 4359 Svensk Ln. and
a w' r?es R R. , pursuant to application dated 9/4/75
Fee Paid: S85.00 + $15.00 C""d this 11_ day of a_ po_9 19 75•
2.50 s/c
Building Inspector
Mechanical Permits:
Bid Total•
?
CITY of EAGAN
BUILDING PERMIT
Owee: .......... ......?C?/.?-1Vi ...........................................
Addrasa (Presea!) ..m?.rJ.....`SP..:..S.... GJ?...
Buildar ........ ........................... ............................................................
Address ....... .................................................................... . ..............
w ;'4
N2 3721
3785 PiloY Knoh Road
Eagaa Minneeola 55122
454-B100
Dels .......... Y.f.
6loriee To Be Usad For Fxon! Deplh Heigh! Eel, Cos! Pszmt! Fee Remer?
S)ncj/E
ool
8(?-
uaGO I
16=
/6? S?cl£ /07- /i??
?rrt. c
%u1 ?/E yH?A9s ?s iS 36 ' slrZft sidF-
LOCATION /R+ "=
$Sz00t, R08d oT OfhBi DBSC[lpItOn ot LOClSiOn I LOI HIOCk AqQiIlO=1 O! TSdCI
136'1 Amx, eu/hs t-N,?&- I `/ / 'euJ --,M-
T61a permit does aot aufhorise the use oi sizeeis, roads, alleys or sidamalks ao: doee it give the ownes ot LU agen!
the righlio creale anp si2uarion which ia s auisanee or whieh presente a hasard !o the heallh, safelp, eonvealenee and
general walfare !o aayone in the eommunify.
THIS PEAMIT MVST SE KEPT ON 'fHE PAEMtSE WHILE THE WORK IS IN PROGAESS. ?
T6is is !o cerfitp, ihal._....../.??,5? t-?......CI?la,_"? ................ has permiuioa !o ereef ??-?:---cN?L9.::._?1f.. '.?..Q!Q!_npon
the above desoribed premise subjecf fo the p:ovisions of all applicable Ordinanees fos the Cifp o1 Eagan
...................... Z?......?..? ?c. ............................ Pe, ........--??e..--..... P???.c.:
.................................
Ma..?? ?uild3nq Impeetos
.iL!ASE OF EAGAN
3795 Pilot Knob Road
Eagan,MN 55722
Zoning:
Owner: T115fI1
Addrexs:
Site Address: 1364 7U
WATER SERVICE PERMIT
YERMIT NO.: _.Z82_7
UATE. 9/?6/75
No. oP Units: 1
Meter No.: °?'Cmmection Charge: 320.00 pd
Size: Accoun[ Deposit: -
4eader No. 61 U --- Permit Fee: -?4 ? 00 _pd
I ag to eomply with fhe Village of Eogan SurcharKe: •$0 -?--
Ordina tes???? ° Misc Charges: 60.00 pd
< Total: -
gy Date Pxid:
Dxte of lnsp.: Insp.:
-YltfdqE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob 0.ood PERMIT NO.: 2586
Eagan. MN 55122 ? DATE: 9/16/75
Zoning: RI No. of Units: 1
1
Owner: Ti1aPn ron tm f-'nn rn /
Address:
S1te Address: 1164 arvl l' c Tann
Plumber: nPV-uoC
I oprya b aomOlY wifh t1H Villoye ef Eoqan Connection Chazge
Ordinonem Account Deposit:
Permit Fee: 10.00 pd
Surchazge: .50 pd
Ry: Misc. Chazges:
Date of Insp.: Total:
lnap.: Date Paid:
EAGAN TOWNSHIP
N°. 2924
BUILDING PERMIT
Owner Eagan Township
Addcess (Present) ------- ---+_.`...._--U`.`.'.`:_.`.e--_..._.......... ..._......... Town Hall
Builder ._....------- -- - - ............ .. ............. ._.... .... _ ..
Dale J. a- -'}- 5_ 7 Z
................................
Address . .. ......._..._...__ ....... ...... .' . ....... __ -.
DESCRIPTION
Storiesl To Be Used For Fronl Depih Heigh! Esf. Cosi Permii Fee Aemazks
?,_,? a-+??-?
9 C',-?J
/c o ss0
3:i/, o0 _
' u LOCATION ?, 37-?-00 )
5ireet, Aoatl or oiher Uesonphon ot Locat¢on I Lo! Slock Addifion or Trae!
.-I 3,7 s, y s y/) <J 3r3 , 2---.- ?--
( 3c y, ? 36 8 c?r%,Ly?2<-.? I y 1-.S
This permii does nof aufhorize the use of slreefs, roads, alleys or sidewalks nor does if give the owner or hia aqani
the righf fo creale any sifuafion whieh is a nuisance or which presenfs a hazard !o the heallh, saEeip, eonveniance and
general welfare !o enyone in the Communify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This is !o cerlify, ihai-------
-- `.?...... .-.---...has permission !o erect a...... 7 ............... I- ......... ._ `pgn
the above descri6ed premise subjec! !o the provisions ot the 8uilding Ordinance for Eaqenshi !ed April ll,
1955.
:--.........k.?..' ?^'.?...._?'~---?°,?
...... Per _ ..._ _..........._............_....__.....
.. ..........................
Cz" " - ? Suilding Inapecfor j3
? ? L?? ? A?E/?1? Ai2oOFie TY LwE ? I
L
,
-------------
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rkomT_PROPEtq-TY LINt ?
-7
PLOT V? L AN
MASTER CARD
LOCATION
;
' ' L.--
OWNER
STRUCTURE AND r ry? .f
LAND USED AS _ --5C
Permif No. Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK .re, a
VJELL
ELECTRICAL
HEATING
-
?
GAS INSTALUNG -
SANITARY SEWER
I I
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTWG SEPTIC
FOUNDATION ? CESSPOOL
FRAMING
TILE FIELD FT.
FINAL
ELECTRICAL
'
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ,5 i
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USEU ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
n NON-COMPLIANCE. BUIIDER WILL COMPLY
I? WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REqUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I hava reported herein
all significant conditions observed to be at variance with ardinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments tor off-sit= improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
,q? ?3
(f i I'M1NIAl._ ni na ri 3 9
,, , . ,.?:.
0 .i<<:;Fr, ? i i ' 4:. ,, ?t?_
r? ,,..L _. ..
<1011.:364 i"iP1!'d.-"r'I.I :''., :'51.,OQ
?5 ? `.i??? •>i.fU:L '13f-Ah AMFiiiV!.{...I `..+
' Jft f7F:
USEti .fTl° NI/dP:f.'V
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.t 10-84351-040-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1364 AMARYLLIS LANE
IOTa 4 BLOCK: 1
WILDERNESS RUN 2ND
BUILDING ' 1
028857
09/18/96
DESCRIPTION:
(ROOFING)
Permit Type
40_rk Type
SF (MISC.)
REPAIR
434 RLT. RESIDENTIAL
s&w`fsi• .,icia?!F
?-°F ?e -' ,?
?? ?a
un ?_ . yyt?s
REMARKS:
FEE SUMMARY:
VALUATIQN
Base Fee $54.00
Surcharge $.85
Total Fee $54.85
$1.700
CONTRACTOR: OWNER: - Applicant -
REINKE oavxp
1364 AMARYLLIS LN
EAGAN MN 55123
(612)405-1009
! :x her,e,byaclcffo+?l??tge t?at'-Z h?ve rQad Gh?s applfeat3.an anif ?:ta?w th?tfthe ;
(? r prfttyr? in ,atianj1?}n ?'{??a? ,an? a{grJ?JEey.s tV,€[?? ply w.Ithf??.l?? apP1?.?abie
YS4f?.tN??si?'CIV?Sc1?2P ? ?$YY?L` UY}ISIPA'?lY?+*5 ? R £ .y ,
t el .Eri L 4 Hv" nni .e e
? ...._ . z .[ ._ ren . ..zn e .T
v Uw
G1J
APPLICANT/PERMI EE SIGNATURE ISSUED BYGNA RE ,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 7
01996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
ruMion Reauiremenls RemodeVReoair Reouiremen
? 3 registered site surveys ? 2 copies of plan
? 2 cropies of plans (include beam 8 window sizas; poured fnd. design; ele.) ? 2 site surveys (exterior additions 8 decks)
? t energy calculations ? 1 energy wlculations (or heated additions
? 3 copies of tree preservation plan if lot platted after 711193
required? _ Yes No
DATE: ?1, I? I -16 CONSTRUCTION COST: ??
DESCRIPTION OF WORK: -5?,C
STREETADDRESS: ?-CAn
LOT (.? BLOCK SUBD./P.I.D. #:
PROPERTY Name: "n 1<1 .r a Phone #:
OWNER `I"b'
Street Address: ` A?Ur L
City: E G State: H 1A Zip: SS ?'L 3
CONTRACTOR Company: <t Phone #:
Street Address: license #:
City. State: Zip:
ARCHITECT! Company:
ENGINEER
Name:
Phone
Registration #:
Street
Gity:
State:
Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that I have read this application and state that the information is coriect Ragree to compiy with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: 6\ ?
OFFICE USE ONLY
Certiflcates o( Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
BUILDING PERMIT TYPE
OFFICE USE ONLY
A?
144
Yr
? Y v?'4 ' ? -?, A•' ?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 36 Moue
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APpROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Suilding
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAG
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
MC/WS System
City Water
Fire Sprinklered
PRV
8ooster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
I 2?,x5 sa ??u \
b$'y D Z RESIDEWTIAL \.?4
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881•4675
NewConahuctlon Beaulrementa
• 3 regWered stte suroeys showing sq. tt. ot Pot, sq. tt. af house; arM p_N roafed areas
(20% ma)imum lot coverage albwed)
• 2 copies of plan stwwhg beam & window s¢e4 Poured found design, etc.)
. 7 set of Energy Catculetions
• 3 cople3 Ot Tree Pr9ggrvetron Plen H bt platlBtl after 7/1/93
. Rim Joist Detail Optbns selection sheet (Gldgs wiN 3 or less untls)
DATE _ _-7 IIto Z
NemodeVHeoeir Heaulrements
. 2 coPies o1 plan
. 1 sef ot Energy C21W hdtbns for heatBd atltliti0ns
• lsitesurveyforeMerbreGtlAlons&decks
• Intlicate il home served by saptic sys[em for addttrons
VALUAflON 15S07f
SITE ADDRESS 13(4 Avh A" I ? 15 L.PrKE MULTI-FAMILY BLDG _ Y )g? N
NPE OF WORK I REjLooF FIREPLACE(5) ^ 0-L 1 _ 2
i
APPLICANTO'GRIM RobFi tiu ', 00AfS'f2Ut-TIOkI
v?
STREET ADDRESS /4143 N I N iUElI?A1414 ftVE CITY_A$S STATEAW ZIP S54
TELEPHONE # f91'Z `_7Z$' 032Q-CELL PHONE #
FAX# CoLZ• `7Z2 • 032-1
PROPERTYOWNER 1AVt 7 12FrNKE_ TELEPHONE# (912'Cr87•C16ZZ
-°-----------------------------° ----°----------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLF,S 7670 CATEGORY 1
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ?_
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read mis application, state that the Information is conect and agree to comply
with all applicable State of Minnesota STatutes and City of Eagan Ordinances.
Signaiure of Applicant?Z,,1,
..... ..._......... °-°......... _._............ ____..._.?e_--°°.._..._..?__...?.......?.__._-------- ................_??.. ,
OFFICE USE ONLY
_ Water Softener _
_ Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFIGE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Mufti
? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-pYex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) O 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level C] 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Yar_ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Atldition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratron ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
? 34 Repiacement •Demolkion (EMire Bldg onty) - Give PCA handout to applicaM
Vaiuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
7ype of Const Width
REQUIRED INSPECTIONS
_ 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 _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Buikling Inspector
Total
?- ?o cv
Abbb-
Clty of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL
Date: Site Address: ??L
Tenant:
RESIDENT / OWNER I Name:
Suite #:
Adtlress 1 Ciry / Zip:
Applicant is: _ Owner Contractor
TYPE OF WQRK Description of wark:
Consduction Cost: ,7 131.901 , Multi-Family Building: (Yes _! No )c
CONTRACTOR Name: d License#:
Ciry: SrH, State: fY1lY Zp: !S50FQ
Phone: (2) 51 " t1 ?;1 • "l 3J.0 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CateAorv 1 _ Minnesota Fiules 7672
Energy Code . Residentlal Ven51a5on Category 1 Worksheet • New Energy Code Worksheet
Category Suumitted suumitted
(J submission type) • Energy Efrvelope Calculations Submitted
In the last 72 monlha, has the City ot Eagan issued a permk for a stmilar plan based on a meater plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer 8 Water Contractor:
za /
Phone:
Phone:
I hereby acknowledge that tfus information is complete and accurate; that the worK vAll be in confortnance with Ne ordinanCes and cades of Me Ci[y of
Eagan; that I urMerstand this is not a permk but only an application for a permit, and work is not to start without a pertnit; that the xrork wiil be in
acrnrdance with thg approved plan in the case uf wark which requires a review and approval of ptans.
X o gy ??a????1 X C,/Y? ,f)?.2?a04
ApplicanYs ri ed Na Applicant's Sigmaye
Page 1 of 3
,?,q-100
------------------
?
?
j Pertnk #: ?,II ` t6 " j
I Permit Fee: ? ?
I l..- ?
? Oate Received: ?
i ?
I StaH: ?
I
BUiLDtNG PERMlT APPLICATION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152000
Date Issued:09/21/2018
Permit Category:ePermit
Site Address: 1364 Amaryllis Lane
Lot:004 Block: 001 Addition: Wilderness Run 2nd
PID:10-84351-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Boguslawa Rura
1364 Amaryllis Lane
Eagan MN 55123
(651) 230-6240
Weatherguard Construction
10860 60th St N
Stillwater MN 55082
(651) 439-4320
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158280
Date Issued:10/07/2019
Permit Category:ePermit
Site Address: 1364 Amaryllis Lane
Lot:004 Block: 001 Addition: Wilderness Run 2nd
PID:10-84351-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Boguslawa Rura
1364 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:Mechanical
Permit Number:EA162142
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 1364 Amaryllis Lane
Lot:004 Block: 001 Addition: Wilderness Run 2nd
PID:10-84351-01-040
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 -
Boguslawa Rura
1364 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