1383 Amaryllis LaneCITY OF EAGAN yA 270g
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be used tor DECK Est. Value $ 6 00 Date OCTOBER 1 196 6
SiteAddress 1383 AhtARYLLSS L.i Erect C? Occupancy
Lot 3 Block 2 secisub. WILy7 :2UN ZiVD Remodel ? Zoning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
¢ GERRY TILLMAN
tv Move ? Length o
= ame
SArI Demolish ? Depth $
; E
Address I
l ? S Ft
0 nt.
mpr Q
City Phone Instali ?
o R??Y H BRAUN
Nam Approvals Faes
e
?°, Q,4ddress 3732 P ILOT KNOB RD Assessment Permit
• 5?
P City EArAIN Phone 454-3335 Water & Sew. Surcharge
? ? Police Plan Review
F W Name
= Fire SAC
Address
? Z
Eng.
Water Conn.
< W City Phone Planner Water Meter
I hereby acknowledge that I have read this application and statethatthe Council
1 O 1 E3 6
Bld
Off Road Unit
Tr
PI
information is correct and agree to comply with all applicable State of g.
. .
.
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date .
Copies 5 J
Signature of Permittee Total $12.50
A Building Permit is issued to: j;ARVEY H BRAUN on the express condition that
all work shall be done in accordance with all applicable Sote of Minnesota Statutes and City of Eagan Ordinances.
I I Rxmk No. I Permit Holder I Date I Telephone k I
lInspsctlon DaM I Insp. 11 Comments I
Hty.
Plbg.
Ffnal
Occ.
Ftg.
Frmg.
CITY OF EAGAN Remarks Addition Wilderness Run 2nd Addition Lot 3 Rik 2 Parcel 10 84351 030 0a
OwneA?-(4 `? G&cald?n? I?Ilma?)Street1383 Amaryllis Ln. State Faaan. MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1973 $175.00 $8.75 20 PAID
SEWERLATERAL
WATERMAIN
IL
WATER LATEFAL
WATER AREA Pskiti -nnnpctton 1 72
-1 TOFiM SEW TRK 983 8 3? 1.29 I
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
?
k
WATER CONN. 280.00 5368 2-15-72
BUILDING PER.
sac 1974 240. 00 48.00 5 PAID
PARK
I
?-?-1
T041N OF EAGAN
3795 Pilot Rnob Roa:l
Eagan, Minnesota 55122
PERMIT N0, 189
The Board of Supervisors hereby grants to Nei7 ,g nbarA Heati.Tle &
p4r (!amriit.imin4(ltfof 29 No_ yaw'J,j,ng Avg,y, 5t, Pwi,SS1t14 a urr.am=Ur. Permit for: (Owner) Tilsen goastruoti= C0. _
7lis & 1362 WildWadkm RAitVtplication dated
at K381, 1397 & 1391 Amax
4J4/72 .
Fee Paid: 1i . $$p,pQ Dated this 11th day of Avrcil , 197_Z.
2.00 9/0
Building Inspector
?
Cities Digi
itv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
, . ._ ..
TOWPd OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
/G d3j??
PERMIT N0. 1G?
The Board of Supervisors hereby grants to ?0. =.:'i` 'sZuLL ?: 30iJ
??,•,
of ;.? :. i,i<?nt?n_?. ":•o-.we, :i•,. ]-aui ?-'?117
a I --,'I::s „ .
Permit tor: (Owner) T, ?-_;en
I? ?aarno??--?3n'?*'35`ca 13?39
at =4-?? pursuant to application dated
Fee Paid: _.?Uv.0L) Dated this ?L:j day af ;_?•?p; , 197j,
a.oo
Building Inapector
?
ciTr oF eaGaN A1o .1 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'Y - 2709
PHONE: 454-8100
BUILDING PERMIT Receipt # /0 7 dh 5
7o be used for DECK Est. Value $ 600 paSe OCTOBER 1 1986
SiteAddress 1383 AMARYLLIS LN Erect Cic occupancy
Lot 3 Bloc k 2 Sec/Sub. WILD RUN 2ND Remodel ? Zoning
Paicel No Repair ? Type of Const
. Addition ? No. Stories
a Name GERRY TILLMAN Move ? Length 8
i
S?? Demolish ? Depth $
o Address InL Impr. ? Sq. Ft
Ciry Phone Install ?
a Approval8 Feas .
i0 Name HARVEY H BRAUN
oa nddress 3732 PILOT KNOB RD Assessment_
? Ciry F'ACAN phone 454-3335 Water&Sew.
?Q
? w
Name
Address
i W City Phone
I hereby acknowledgethat I have reatl this application and statethatlhe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci of Eagan Ordi nces4
Signature ol Perminee,?}-%?'-; j` I????'
A Bwlding Permit is issued to: nARVEY H BRAUN
all work shall be done in acwrdance with all applicable StBfe of Mmnesqt
Police
Fire
Eng.
Planner
Council
eldg. Off. 10/1/86
Var.
Permit 9ii. "u
Surcharge • 50
Plan Review
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies .50
7otal $12.50
on the express condition that
Ciry of Eagan Ordinances.
Building
CITY of EAGAN
B ILDING PERMIT
.
own.: ,_""p.-.--?1/...:...??/ .. ..................
Addresa (Preseni) 1`?. J.1.S ......................
Bullder ............................ ..... el.,l................................................ ....
Addrass ..............................................................................................
DESCAIPTION
. ;.
N4 3982
3795 PiloS Knob Road
Eagan, Minnesofa 55122
454•8100
D.? `.?.l.(Lt.,ll .1.9...7..?.....
Biosies To Ba Used Fos F:on! Depth HeiBb= Esl. Cos! Parmi! Fea Remerks
6
LOCATION ? L, ?'
Slreef, Raad or olhex Deacripf;oa of Localion I Lo! I SlocK I Atltllifon or 7'req _
;Z_
This permit does nof aufho:io the use ot siseeffi, roads, alleys or sidewelka no: does it glve the owaar ox hb agea!
the righ! 2o creffie any siYuation whiah is a nuisanee or which presenls a hazard !o the heallh, safetp, tonvealeace and
general welfare !o enyoae in the communily.
TIiIS PERMIT MUST BREMISE WHILE THE WORK IS IN PROfiAE88
This is io eerlifp, tha! . .. Y..... :0*.% ...............has permissioa eract a.....ZBufl :?:... ......................_upon
fhe above described mi e sub'eck !o !he xovisions of all appicable rdanc fox Ea
.......... .....?....!:....._"'_'-"_""' ............. Per I.' ..... .. . .....--...
1 Mavor inQ Iaspeclos
- ' Eagan Township
Dakola Counfy, Minnesota
Application for Bailding Permit
PERMIT NO. ... G.. ---
DBte - 61&17..---
Type of building ar wozk conlemplaied. Circle coxrecf descriniions.
Residenfial Commercial Indusirial Olher.._s;-e? -...,_...._.._._.
vild? Enlarga Alfer Aepair Insiall Move Wreck Other._.___.
?Y
Dimensions---' '---"_'_..---........._ Cos31t.?R.4X .----4aeD
(?
DeYails or remarks..R?S--2?D
Loaalion
Numher Street Be2ween wha4 cross slreeis Size Esi. Valuation
I J U/ I ?[v?fLRYI? Is ?H-.?G?- ;I?-trvob wA nw ?
Lof Blocti Addif?on Rearrangemeni or Tsac!
(o(-e.R ?s5 /CLL.il
Ownex ....................... ---------- --------------------- ......... ............."--.""-- Addrxss
Caniraci°r --'---' .................'_'....."`-....'---........"--'_'-------------------- Address
The undersigned hereby makes apnlicafion for a permif fo
$ do work as hezeia speaif?ed, agreeing to do all woxk in sfrici
Tofal fee collected. secordanee wikh 2he building ozdinance adopiad Apsil 11, 1955
by She £egan Township Boar Supervisoss.
Permi4 fees are naY
refundahle. ??!? ?7 '? O`... ?'i -??'?!?"•Q--?a_
...._..----....---------....._ .... ............ ............. ........._....----'-----'
Signed
EAGAN TOWNSHIP
BUILDING PERMIT
.
Ownex ..............
Address (presenf)
? ...:p............. .+.........,.,...'............................................
Builder ..... ?
Address .?O..a:?.--.iR.,.......4`?.^..^? .............------..............
J DESCRIPTION
11T° 2642
Eagan Townahip
Towa Hall
a/> >
Dale ----°° ....../........._. ... - ......................
Sioriea To Be Uced For Fronf Dapih Hei9h2 Eai. C3
os PermS! Fea
Remarks
- -- /?? ? 37.
o:
Ir
?
Thfa permit doea not aulhortsa the use of elraelc, roada, elleye or sldewalks aor doea it g[va the ownar er Lia egen!
the sigh! !o ereale anp aituation whieh is a auiaanee or which presenls a haaard !o the heallh, aefely, conven[enee and
genesal welfere !o anyone in the eommunily. ?
THIS PERMIT MUST SE.?K/EPT ON THE PREMISE WHILE THE WORK IS IN PROGAE S.
This is !o cerfifY. !ha!_...yLc.C.a.f.... ... ............. hes permission !o ereet a........ . .......: --°°?'----- upoa
- -'_"'....._...._
the above described premisa cubjec! !o the proviaions of the Building Osdiaence for Eagaa awnship opled Apzil 11,
1955.
::?.. .............. Per ........'-'......-------'-'........._._""'-"'-.....g....._......:.........?............
n..'-' ..
""'__ ........... ... .._...`?.-: ' "-"
Ch.aism`gn of'Tnwn Board Suildin Ias p eclor
MASTER CARD
.? .
;•.
?J
OWNER ?tP /'L'
i
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniracior Owner
BUILDING /S e ?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ? y
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
J
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FO UN DATI ON LL'?- ? U
1 SEPTIC
CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS iNSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIEL?
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO 6E USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
?
DATE OF INSPECTION
NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
NON-COMPIIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
D COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS FOLLOWS:
? REInSPECTION REQUIRED
REINSPECTION REVEALED
DATE Of REINSPECTION
'_ •
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved 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.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
auiLo
COMMENTS:
OATE
?y aa
.
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mianeaota 55111
Telephone 454-5242
PERMQT FOR WATER SEAVICE CONNSCTION
Date: Februasy 25Z 7972
Billing Name:Tilsen Constructian Co.
Owaer: same
Plumber: Luecken Excavating
0
Meter
2/75/72
?c?a ?
Meter No,a ?ii 72Pexmit Fee 10.00 pd 5/30/72
.:;)U'iJU
Meter Reading Meter Dep.
Meter Sealed: Yes_ IAdd'1 Chg.
NO + 1bta1 Chg.
Building is a:
Residence xx
Multiple T*o, Units,
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Number• 784 ` a5 0?
Site Address: 1383 Amaryllis
Billing r7ddress
_ ; •,
_ .. , . • ' _ .._i?J.
1 - . ? .J .?.
?','j'... . _ ..
Hy:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work ia accordance with the rulea and
regulations of Eagan Township, Dakota County, Minneao[a.
Byi ? 1 S ' `/-&-'A7
Luecken Excavating
Please notify the above office when ready for inepection and connectian.
r r
EAGESN TOWNSffiP
3795 Pilat Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE COIdNECTION
DATE: Februaxy 25, 1972
OWNER:Tilsen Construction Co.
PLUMBER Luecken Excavating
NUMBER 945
Addreae 1383 AmarYllis Lc1 R,;l
TYPS OF PIPE Heaw Cast Iron _
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential I Multiple Dwelling I No. of units
xx
Location of Connectione:
Connection Charge -0-
Permit Fee 70.00 pd 5/30/72
Street Repairs
Total
Inspected hy:
Date
Remarks•
Sy
Chief Inspector
In consideratioa of the issue amd delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Tos•inship, Dakota CounCy, Minnesota
gy???r-+-? ? cU,vt1
Luecken Excavating
Pleaae notify when ready for inapection and connection aad before any portion
oE the work is covered.
HOTE: 9I.i.
,
/2 700
i$6 BQILDIAG PEAISIT APPLICATIOH - CITY OF SAGA6
MQST BE LICSNSBD IiITH TH6 CITY OF EAG68
SIIQGLE F6lIILY DHEL-L-INGS
INCLUDE 2 SETS OF PLANSo 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
lIOI.TIPLS DW6I.LIHGS - RESIDENTI9L
INCLUDE 2 SETS OF PLANS, CEO
1 SET OF SNERGY CALCULATIONS
COMMRCTnf"
REN?AL DtiITS FO& SALE ONITS
OF S1IRYSY - CHE(K NITH BLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS A SET OF 5.?7- Pz e-t
ENERGY CALCULATIONS, S-k,a,(-
$2, 000 LANDSCAPE BOND Jn L9 ¢
g ?l? rY/s ?itf wd-
? ?
To Be Used For`:'d0--e?d „fLo Valuation:
Site Address ?3 ?,3 1 .5 OFFICE UI
Lot 3 Bloek Erect 2<-
I)?/I `D Remodel
Parcel/Sub (_ltA Repair X
Addition
Owner Cy ?_ ??? T/ lC /!?1 A?? Move _
Demolish
Address A.f 4-4 il, s, Lk,?O-- znt.Impr. _
Install
City/Zip Code Z!!4 ktA/- rs r Z"t-
?
Date:
Oceupaney
Zoning
Type of Const
# o£ Stories
Length ?
Depth
Sq Ft
Phone APPROV9I.S FE&S
Contraetor / y f} ev?-v f?. Assessments Permit
T Water/Sewer Surcharge • ?U
Address ?a 3 ,a Q u I *f??6 /LP Police Plan Review
T - Fire SAC
City/Zip Code ??a-qry,v?, SS i`L
- Engr Water Conn
? Planner Water Meter
Phone Couneil Road Unit
Bldg Off Treatment P1
Areh./Engr. APC Parks
Variance Copies . ??
Address TOTAL ?? • ??
City/Zip Code
Phone 4
HOTE: ADDSESSES FOR CORNER LOTS - CONTRACYOR/HOIiEOWNER lIIIST DESIGNATE WHICH ADDRfiSS
IS DESIRSD. NO CHANG&S iiILL HE ALLOTiED OHCE BOILDING PBRMIT IS ISSIIED.
g?? - ????- ?? 1. ? ? ? ? ?.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys shovring sq, ft. of lol, sq. R. of house; and all mofed areas
(20% maximum lot coversge allowed)
. 2 wpies of plan showirg beam & window sizes; poured found desgn, etc.)
• t set of Energy Calculations
• 3 copies o( Tree PreservaGon Plan if lot platted a@er 711193
. Rim Joot Detail Op6ons seleclion sheet (bldgs with 3 or less uniLs)
DATE la/IID?
SqfO?
SITE ADDRESS 13?,3 ?/MA,QVz1-1s" CAl ?MULTI-FAMILY BLDG _Y ;KN
TYPE OP WORK l?'E?' /?29Dvzf FIREPLACE(S) _ 0_ 1_ 2
APPUCANT WIWC Pe?'?/RJB/? l?MX?;a/G
STREET ADDRESS 58?? f?f?p'?B?OTA/07_? CITY STATE,4M'tIP Ja)?Pd
TELEPHONE # Il12' 8110"YI9-1EELL PHONE # j012 9l -q7SF FAX # IoJZ/87J'.31YO6
I'v no Li oHi?sonl
PROPERTYOWNER ?1? TELEPHONE# `S
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"1'A RULFS 7670 CATEGORY 1 MINNESO'PA RUL1:S 7672
(4 submission [ype) • Residenlial Ventilation Cate9ory i Worksheet Submitted . New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: ____
Plumbing system includes:
Mechanical Contractor:
vlcchauical-systcm includes:
Sewer/Water Contractor:
Water Soltener _
_ Water Heater
No. oF Baths
Air Conditioning
Hcal Recovery Systccn
RemodeUReoair Reuuiremenb
• 2 copies of plan
• 1 Sel of Energy Calculatians kr heated addiGons
•' 1 sde survey for ezterior addil'wns & decks
. Indicate rf home served by septic system for addilians
_ Phone k
Lmvii Sprinklcr
No. of R.I. Baths
Phone #
Phone #
Fcc: $%0.00
I hereby acknowledge that I have read this application, state ihat the information i orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
VALUATION
/z8,as
Fcc: $90.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OSplex ? 13 78-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 lower Level
O 72 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
O 31 Ext. Alt - Multi
O 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addfion ? 36 Move Bldg. 0 42 Oemolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolkion (Entire Bldg only) - Give PCA handout to appiicant
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundafion • HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tesu _ Final
_ Framin8 _
_
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final Windows (uew/replacement)
_ Insuladon _
_ Retaining Wall
Approved By
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
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction RaoWremanb
• 3 registered site surveys showing sq. ft. ot b6 sq. ft. of house, and all rooted areas
(20%maximum lot coverage allowed)
• 2 copm of plan shawing beam & window s¢es; poured found design, etc.)
• 1 sel of Energy Calculahons
• 3 copies ot Tree Preservahon Plan if tot platted after 711193
• Rim Joist Delail Options seledion sheet (61dgs wiM 3 or lass unds)
DATE ?Z /oz
6
Walec Softener
Water Hcatcr
No. of Baths
SITE ADDRESS &?• MULTI-FAMILY BLDG _ Y -?SN
TYPE OF WORK S/?ln/G - Uld ?1L FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT _':.YCG//`iL,(Zf'JJ ..S7tet?,7 C /v.'y ?vttH-? ?^? ?
STREEf ADDRESS ZVS7 ELL/OT AVUr S? CITY MPLC STAif~ZIP?'SV
TELEPHONE #&1Z CELL PHONE # FAX # lp?2-/ 821-.??87a
PROPERTYOWNER BR/t94) Z E77- TELEPHONE# !012-151SZ-3i12'
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULH:S 7670 CATEGORY 1 MINNESOTA RULF.S 7672
(J submission type) • Residential Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Ener9y Envelope Ca{culations Submitted
Plumbing Contractor: ___
Plumbing systcm includes:
Mechanical Contractor.
Nlcchanical systein includcs:
Air Conditioning
Hcat Rccovcry Systein
Phone #
I?`T a5
Fee: $90.00
Fee: $70.00
ol?F? ??M?
Sewer/Water Controctor: Phone -4.119 2
I hereby acknowledge that I have read this application, state that the informatio ?forrect, e
with all applicable State of Minnesota Statutes and City of Eagan Ordin?ces. -"' -
Slgnature of Appllcant
OFFICE USE ONLY
Remodal/Reoair RetLUirements
. 2 copies of plan
. 1 set of Energy Calculafions for heated additions
• 1 si[e survey for extenor adddions & decks
• Indicate if home served by septic system for additions
VALUATION
_ PllotlC # .
L.awn Spnnkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
0 01 Foundation O 07 05-plex ? 13 18-plex ? 20 Pooi O 30 Accessory Bldg
? 02 SF Dwelling O OB 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 37 EM. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multl
? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-piex Plbg_Y or_ N 13 25 Miscellaneous
? 31 New 13 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addi6on ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDonrs
? 34 Replacement •Demolitian (Entire Bldg onl» - 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 lNSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumhing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water , Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W PermiY & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
( , 5 (? ?-h
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City QfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single famity dwetlings & tovmhomes/condos when permits are required for each unit
G/??
Date ?? l 3 O
Site Address / ? ? A t Lzi' / / i3 Unit #
Property Owner 45s-, Y(?`( /`_ Z 6--/--7__ Telephone # ( ?.?? ) Z 3? - 3 ?2"?
Contractor ? o't ?C{!i/ ?_ Cr C% 1 I
Street Address Cit}'
State Zip Telephone # ((OJ ?) 2? J ? ??
Sond#: Eapires:
The Applicant is I?Owner _ Contractor _ Other
Add-on or alteration to ezisting dwelling unit $ 30.00
furnace _Additional _Replacement
_ air exchanger q ? r (L ?
air cond itioner _New _ Replacement
S
? other m -J qDO
State Surcharge $ 50
$ v ?
Total
I hereby apply for a Residenrial Mechanical Percnit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernut, but only an application for a pemtit, and work is not to start without a permit; that the work will be in acco:dance with the
approved plan in the case of work which requires a review and approval of plans. I
Applicant's Printed Name ApplicanYs Signahxre
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenaot Name
Property Owner Telephone # ( )
Contractor
Street Address City
5tate Zip Telephone # ( }
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Consfruction _ Underground Tank _ Install _ Remove '*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"*When instalfing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
Permit Fees: 570.50 Underground tank installation/removal
S50.50 Minunum (includes S[a[e Surcharge)
or
Contract VaIue $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 =:> $ Stste Surchazge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; 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 appfication For a permit, and work is not to start withou[ 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
1 .• 2004 RESIDENTIAL BUII.,DING PERAIIT APPLICATION
City Of Eagan
C, 4 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucEon Reauirements RemodeUReoair Reauiremenls
3 registered site surveys showing sq. tL of bl, sq. R of house; and all roofed areas 2 mpies of plan
(20% maximum lot oDverage allowed) i sel of Energy Calculatians for heated addNOns
2 copies of plan showing 6eem & window sizes; poured found design, etc, t site survey for additions 8 dacls
1 set of Eneigy CaICUHOons Addffion - irMicate i/ai-sde septic system
3 copies of Tree Preservation Plan rf bt platted after 717193
Rim Jois[ Detail Options selection sheet (bidgs w'dh 3 or less units
(o-?S
O?iee t7se`"7
C?rAStidreyRecd`="°, Y
7teeP„?sa`ilecd'?;ta rAl'M;?N
p?$?'?" -,;
On`-,sHg.S_e4 fic9 ys??
Date oi? /
6?51 CIU
Construction Cost 12? oW . eH.
SiteAddress 0 8?5 Aa7yl/rS U niUSte#
u/ (- Z3
Description of R'ork ;b? [/17.-
Multi-Faroily Bldg _ Y)'?- N
- Ftireplace(s) t? 0 _ 1 _ 2
tt-?Z,
-
Property Owner />? ?dfl? Q C 6-77- Telephone # C7 ? )lmat - ,-c, ( ?
fw" G r 2 35 - 3 t'-
Cantractor ?J? ?lyYV ?Z- ? c7
Address 4 ?l63 A94641 y llc? Lv? City
State Zip r' g/?- Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mivnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenfial VentilaUOn Category 1 Worksheet • New Energy code worksheet
(J submission lype) Submitted Su6mitted
. Energy Envelope Calculalions Submitted
Have you previousiy 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
#(
I hereby apply for a Residential Building Permit and aclmowledge th mformatio complete and accurate;
that the work will be in conformance with the ordinances and codes of th of E an and the State of MN
Statutes; I understand this is not a pemut, but only an application for a pernut, an"IT4Ak 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.
Ze" : SCvI /- C.cq-
ApplicanYs Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
- .
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
0 03 01of_plex ? 09 07-plex \ZD 77 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
Work Types
p 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buildin g" ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation o0C? Occupancy L) MCES System
Census Code Zoning 12- 1 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width Z?
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation ,
Approved By:
REQUIRED INSPECTIONS
Final/C.O.
?0 FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ W indows
_ Retaining Wall
Building Inspector
Base Fee a-f?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
s7 dtxly.oo
Dakota County Real Estate Inquiry
Dakota County Real Estate Inquiry
Data Updated 7120100.
Select option and click map: zoom In t
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Page 1 of I
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House #: :"?3
?'`? #co
Address:I...,...__,..._.,.._?__...
L
PIN i
AMARYLLIS LN
gg
PIN. 10-84351-030-02
Address: 1383 AMARYLLIS LANE 2000 Est. Value (Payable 2001): $124,000
Pavable 2000 Tax_ $1,445.04
- ?=z?;??k
?> Deta,ds r?
?
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City_ EAGAN
MN 55123 _Acreage:
o
a y:
Fp,Q?
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,
- I Year Built: 1972
fhis application was developed by [he GIS und of the DakMa Counry Survey ana Lantl inrormanon
DepaRmeM in cooperetion wRh Assessing Services and Treasurer - Audi[or OepaRmeMs
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