1378 Amaryllis LaneCITY OF EAGAN Remarks
Additi?? Wilderness Run 2nd Addition Lot 7 sik 1 Parcel 10 84351 070 01
owner f Street 1378 Amaryllis Lastate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $175. 00 $8.75 0 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA =
STORM SEW TRK 198 2 2 11-21-80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $320.00 13041 3-24-75
BUILDING PER. #3530 13050 3-75
sac 1 3-24-75
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .....
.? ...-----....-- ....... . .........................
'-. -
Address (Preseni) ........t?±?.`-:......?°.`-?"..x .:........................... --....
Suilder ---._...................-..................---°----_...........
Addreas . ............................................... -
DESCRIPTION
N': 2925
Eagan Township
Town Hall
aa:e -?7. I-..: z. _
Slories To Be Usad Foz Fron! Dep1h Heighf
- Est. Cost Permi! Fee Remarks
I - /??sV 0 1.7, !3l</ -
LOGATIOpI
St a oad or oiher Descripiion of Loca2ion Lo!
3 Block I Addifion or Trac!
I 137 y/ '? / 3 P? ?s 6?, i?-?- 3? J ?, ?. ?- L? •, ,, --- --
to / 'i'
? This permit does not aulhozise the use of sireefa, roe?s:`211g?•} or §idewalks nor ?ea it give the owner or his egeni
ihe rightlo creafe anp situation which ia a nuisance or which presenfs a hazazd !o the heelih, safefp, eonvenience and
gene:al welfare !o anpone in the communilp.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGAESS.
This is !o eerlify, fhaS.....v-rD------ _-.__ '___....... hes permission fo erect a..... 5..'.._...". .."_ upon
?"' . . . .. .. . . . . . .' . . . .".
the above described premise subjec! !o the pxovisioas of the Building Ordinaaee for Eagan Township adoptad Ayril 13.
1955.
........... !......................... ?.?..:......Per _.._..- ............./IY..'-'.-`---°???Z?-,..d-.. ?
.... ............ . .............
. d 6(3 Suilding Inapeclor 4
VLI:aae-oF E?oaN
3795 Pilor Knob Road
Eagon, MM 55122
Zoning: - FZL
Owner: _jpj,38en-}k
Address:
Site Address: -137$.
Plum6er petCTS -
WATER SERVICE PERMIT
PERMIT NO.: _1729_
llATE. -_5/12/1.5- -
No. of Units: - 1 _
Meter o.c??? e- ?Q--Connection Charge320.00-F$-Size: Account Depasit.
Re er No.: Permit Fee: _ 10. 00 Qd _
I og fo ?pmply wifh tAa Village o4 Eogan Surcharge: --'-S?d
O?i ? ? Misa Charges:69s90 Ad
To[ul:
By Date Paid:
Date of lnsp.: ' Insp
xiliJ6GS OF EAOAN SEWER SERVICE PERMIT
3795 iilot Knob Road PERMIT NO.: 2491
Eogan, MN 55112 DATE: 5/12/75
2oning: R7 No. of Units: 1
Owner: T119en HOIIIES
Address:
Site Address: 1378 AmarVllis Lane
Plumber: peters - Bey-Roc
1 aqrae to eomply with tha Villaye ef Eaqan Connection Chazge425.00 pd
O.dinonew. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: •50 pd
By: Misa Chazges:
Date of Inep.: Total:
fnep.: Date Paid:
CITY of EAGAN
BUILDING PERMIT
oWn.r ?..??
.............. ............................ &-
...................................................
?-?-_-
.......... ..... ............."e....................................
Addrass (pracenS) °
Builder ........
Addrets ......
. ,,
N4 3530
3785 Pilo! Knob Road
Eagan, Minnesota 55122
454-8100
Dale ......?.: ??....?? ................
6toriea To Se Used For Fson! Deylh Haigh2 Eai. Cos2 armSt Foa
- Aamarks
/OJ
ti,,. - "I. r :L„ iJ LOCATION 9
os
/371
`7 1/ 1 Zr/. ??- --2-
This permit does aot auihosiza the use of sireels, roads, alleyc or sidewalks nor doea it give the owae[ o[ hb agent
the cigh!!o ereate enp situation whiah is e nuisanee oz whieh presenls a hesard !o the health, aa4efp, eoavanienee end
general welfare !o anpone in the eommuniip.
THIS PEAMIT MUST BE K-1EP,T ON THE PREMISE WHILE THE WOAK IS IN PROGR SS.
This is !o eerlifY. !hal--.......'.-.'.'_`°-:'-.................... haeyermisaloa !o asae! a....... ..`..-.?':^:•:..?1?.:.................... _upoa
the above described premise subjeck to ihe provisions of all applieable.Ordinances for the C...._i?f Eagan
.............................. ?°. ....... .'_"_"_...""""...
Mayor ? -6
Per ............................. ?.. ...... ........................
Suilding Iasyael?
?- ?-?-
CI'L'Y OF EAG.?N
3795 Pilot Knob Road
Eagan, iAinnesota 55122
PERiCP NO.: 705
The City of Eagan hereby grants to Neil & Hubbazd
ef St. Paul
g HEATING Permit for: (Owner) Tilsen Hamea Inc. _
1374 3?701364 Aimryllis, 1371 Cleame, 1342 Cbsmos, 4378 Thunrovln, and
at i Srenak rane , pursuant to application dated 7/15/75
Fee Paid: S140.00 dated this 21 day of Julv , 19 75
3.50 s/c
Building Inspectar
PQechanical Permita:
Bid Total:
A= - ?f
&; /? .-1-1
ciTv on
3795 Pllot itnob rioad
fiar;an, iiinnesota 55122
PER-,i ivO.. 5
The City of Eo;;:?n hereby grants to I.ouis H. rr,ter Co.
o° 1854 Grand Ave-, St. PavAt, 55104
a PLUMIIZNG Per^i: t f,)r: (Owner) Tilsen Homes Inr.. _
`-
-Arhi-
at 137i37+marvll an pur;;sar:t tu 7/28 i= •
application datea
__
Fee Fai3: $,0.?',q .'cd th:.s 253ay of July . ?? 7 5
1.0(> s/c
cuilding Inspector .
Mechanic:l Perc.i t ;:
Did Total:
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-PLQ`I 1 L AN
MASTER CAKD
OWNER T?ssr
LAND U ED AS 40fAt '76 A1 -
Permit I
No.
Issued Issued To
Contracfor Owner
BUILDING 4
PLUMBING
CESSPOOI - SEPTIC TANK
WELI
ELECTRICAL ?
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
O7HER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION ? CESSPOOL
FRAMING + Q- f 7 r??Jjr? TILE FIELD FT.
fINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING f 3 C) -X
WELL
SANITARY SEWER
- Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION R.EPORTS
70 BE- USEG ONIY IN EVFNT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
?
? COMPLETION OF CERTAIN IMPROVEfJtENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROI.
ITEMIZFD AND DESCRIBED AS FOlLOWS:
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE Of REINSPECTIaN
CE RTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Ea9an, approved plans and specifications, and any specific require-
menu for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
NSPECTOR
DATE
_ a.
RESIDENTIAL
i ? 9c? BUILDING PERMITAPPLICATION
CITY OF EAGAN ?
?? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ?
• 3 fBgIStBfBd 6it6 SuN8y8 ShOWifIQ SQ. R Of IOf, SG. fl. 0f h0U5B; efld 111 f00fBA BfB83
(20°k mOmum bt coverage albweA)
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Cakulatbns
• 3 coples N 7ree Preservatan Plan If lot pletted afler 7/1/93
. Rim JoW Deteil Options seledbn sheet (61dgs w8h 3 or less units)
DATE d?
SITE ADDRESS 1? 7S A-k7n,e- LL/S
TYPE OF WORK e, /-_O Dr
APPLICANT
STREET ADDRESS 7y&?0 I/UI.?llef
TELEPHONE # ??1?FZ?3?-CELL PHONE #
?13,7S
HemotleVHaoelr Beaulremente
. 2 oopies of plan
• lsetofEnergyCakulatbnslorlceatetladditbns
• lsitesurveylorezlerbraddttbns&decks
• Intlicate If home served hy sepfic sy5tem for addllans
VALUATION
MULTI-PAMILY BLDG _ Y ZN
_ FIREPLACE(S) _ 0 _ 1 _ 2
/L'441 P 5'? 3V?1'
FAX #
PROPERN OWNER L-/ S62L TELEPHONE #
COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Su6mittad • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechankal Conhacfor:
Mechanical system includes
SewedWater Conhactor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
:
IF H ? D
Phone # MAY 3 0 2002
I hereby acknowledge that I have read this applicatlon, state that the information
wii) all applicable State of Minnesota Statutes and City of Eagan O[NinaQces./<-
Signafure of
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
and
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated M02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling O 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 EM. Ak - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Afteration 0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Odier
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ 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
ToWI
0.6?
2004 RE5IDENTIAL BiJII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWdionReouiremenFS RemodeVReoairReoulremertls
l DfACase()nlit
vej%Recd,:
Cejff4tS6 r _
_ Y«:? N
3 registeretl she surveys shonvim,7 sq. ft o( bf, sq. ft of house; and all ruofed areas an
2 copies of p
1setofEnergyCalculafionsforheatedaddihons ,
???esPfa4ReW4?:? r?Ix?H
(20%rreximumlotcoverageallowed)
2 coples of plan sMwing beam 8 window s¢es; poured found design, etc. 1 5ite survey for additlons 8 decks ,'_:1'.'.: N
S
1 set M Energy Calculatians
AddAon-uMkateifon-sifesepflcsystem
ystei%v
?ileSepbc
3 mpies of Tree Preservation Plan if bt platted after 711193
Rim Joisl Defall Optiais selecibn sheet (bidgs with 3 or less units
Date ZIA_ &\-z) / ?
Site Address
Descrlption of Work
Multi-Family Btdg
Property Owner
Cost o?sl.lJ ?
'?SL UniUSte #
_ y?& N(41? Fireplace(s) _ 0 _ 1 _ Z
RMA HOME SERVICES INC.
Contractor Home Depot Installed Salesste. #200
Address 3200 Cobb Galleria Pkwy-,
Atlanta, GA 30339
State 763-542-8826
Telephone # (&:G' ) (dz(0 ' b$ I cs
CiTy
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( ]
?
Telephone #( ) !?j r?R .
Telephone #?? u ,. ??04
ii
I hereby apply for a Residential Building Permit and aclmowledge that the information i&onxPIete-and-areurate:
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate 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
pemut; that the work will be in accordance with the approved lan in the case of work which requires a review and
14)6 A P?? p M 0?7? 4,)
aTNCZ&Ift?Oa al ofplans
pplicant's Printed Name pplicant's Signa re
A
r - .•
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plax Plbg_Y Or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish Building' ? 43 Reroof ? 46 WindowsfDoors
? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWi
Building Inspector
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
c;uuN i Y Ur c;OBB
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 Sa1_es loca±ed at 660 Mendelssohn Avenue Nerth, Golden Va!!°,y, MN
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Ina ("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, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit 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, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and appi_y solely to the Work.
This Limited Power of Attomey shall expire and automaticaUy be revoked on the 21 st
day of iVIay, 2004, which date is one year from the execution hereo£ Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
al1y time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN Wi_"1'NESS WHEREOF khis Limited Power of Attorney is execi.rtcd this
21 st day of May, 2003
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 200?
c? C)-
Notary Pic in for the State o eorgia
My Commission Expires: January 21, 2006
396816 v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120196
Date Issued:01/24/2014
Permit Category:ePermit
Site Address: 1378 Amaryllis Lane
Lot:007 Block: 001 Addition: Wilderness Run 2nd
PID:10-84351-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Tu Cung
1378 Amaryllis Lane
Eagan MN 55123--170
(651) 387-2364
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature