3841 Overlook Ct
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
For Office Use
I
4b~ I
City of Ea~d~ ; Permit#: //rr~~,~,
J I V•
I Permit Fee: V6
I
3830 Pilot Knob Road I a I
Eagan MN 55122 Date Received: l~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (9- / q- 10 Site Address: Cam. C, A&..
Tenant: rte..: Suite M
RESIDENT/ OWNER Name: Cpxr b ~ Phone:
Address/ City/ Zip: 5,?- V1 C-J, C.l}GA J
Applicant is: Owner X, Contractor
TYPE OF WORK Description of work: R2
Construction Cost: '!7 ~~oTlt7~ Multi-Family Building: (Yes / No
CONTRACTOR Name: east B,.o i~o~c 14 Ana) -1:«. License#: a7J 7-d~~d°a'
Address: I 3 9kP,, ed LA) ,Al City: /1jru- C rvj~e,
State: o4iO Zip: SS Phone: ff- a .7. W- 7/RS
Contact: T-rv-v Email: LaI -ees ocb, J j Q koinan,/® a;,in
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.orci
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.
x x
Applicant's Printed Name Applicant' Signature
Page 1 of 2
IL/
For Office Use / I
® a Permit#: / 57( / I Int J
E AG N
Permit Fee: /
�-" Date Received: . /� `
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEVED iprif
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsCa�citvofeacian.com AUG 2 12018 L J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: DAW 0 0 P Phone: &SI - 2-'33-346-6
tesidelt/
Owner . Address/City/Zip: .3' 1 ! OU ZL-O b/L 0217 641c-ii- J M W' 733
Applicant is: Owner contractor
Description of work: — � /7 / I /t.
Type otwork
-a-4
Construction Cost: ,,,-4/00 b Multi-Family Building:(Yes /No)( )
Company: 14:- Zaan4,, 1-7e-SiCt \, ft.1L Contact: 15 l t--4-- IZ'iadel I.
Contractor Address: 2- I b wtk ' LgWt 1' City: -FLy/
State: Zip: ca-r ? Phone: -/ `I ?Email: i-ol aYl d I j C2 Ot/c,O ,Co
License#: .(p X9 9 Lead Certificate#: 1440-1Z..-00 8 `(1)
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 No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
*NOTE:Plans and supporting documents#.that you: ubmit are considered to be publicinformation- Po ions Of the in ation may he
:classified as non public f you provide specific easons that would.permit the City to conclude that they are trade m
secrets. ...i .004.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora
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 no 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 plan .
x L(J/LLl Cfifrk! 411C/0 . x
Applicant's Printed Name Applicant's Si re
DO NOT WRITE BELOW THIS LINE f cz-4. 1 Q (oo -- CI- • / e - 4
ill
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi _ Deck — Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
ValuationL1Occupancy MCES System
Plan Review Code Edition ( SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings -\ Length Fire Suppression Required
Type of Construction —14F-33$ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill " HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: —Footings— Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES till
Base Fee �"
Surcharge 2" ;, r" '
Plan Review -,'
MCES SAC
City SAC
Utility Connection Charge
6 -- 9 , i OS"
S&W Permit&Surcharge 02 y - /
Treatment Plant
Copies
TOTAL
Page 2 of 3
1NSYl;U'1'lUN KELUKII
CIl"? OF EAGAN PERMIT TYPE:
3830 Pilot F(nob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
. . ? ,. .
SITE ADDRESS: APPLICANT:
? ,,. : 1;. Y1! !?Il?!. If t
i1 i1f1p.. I ? ,
, , 461
; i
PERMIT SUBTYPE: TYPE OF WORK:
1;II I t n ! r+t,
034 4
AJ /: rt/efi
INSPECTION D. . D.
i i?:,?? ; ? ? Fiflio!
E Fti•MqkKri: 56 6J F'I UMHFh: M h W WAft R& SEWFR F'fitlNF p 761 -83fl3 f•I RN vIFWf tl FlY 1101
t V(.1p L `ti 11
1
- Permit Holder Date Telephone #
PLUMBING
HVAC - -- 8 LLrA ??
Date Insp. Comments
FOOTINGS
v
FOUND
?
l ?•fCl
FRAMING
7 7
uY
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ?
GAS SVC
TEST
INSUL ?
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
0
FINAL HTG
ORSAT
TEST
BLDG FINAL v??p
O ?
DOMESTIC
METER '
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST '
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
WRrttftCQte 0f cCC1tvR1tC?
wit? of C?agatt
Zepartraettt oF Zuiibing aaapectiun
Ticis Certificate issued pursuant to the requirements of ihe Uniform Building Code
cenifying that at the tirrte of issuance this struzture was irt compliance wirh the varioeu
ordinances of tJre Crty rrgulating building coastnection or use. For the following:
ux ctassir?aion: SE IIC eMg. reffnit Na. 32644 _
Occupancy Type R1 T I Zoning Distria Type Const. VN
O.of BuildinE n R ??K IN; Add.ess 9
Building Add. 3M I amwnK rT Localiry
• ?? '? -- Da?t: ? " ? 7 ! /
' 16uilding
?
POST IN A CONSPICUOUS PLACE
.4ddresd 384 i ovMDxc Cr Zip 5512 3
Lot 2 B k 3 Sub GARDIIRM POAIDS 2rID
THESE ITEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 4 /? 9 Yes No Inspector:
Final grade (6" from siding) L-?
Pertnanent steps (gazage)
Permanent steps (main entry) l?
Permanent driveway ?
Permanent gas
?
Sod/Seeded gtass
Trail/wrb damage j?
Porch 1/
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawu faucet before freeze potential exists.
ContaIX engineering division at 681-4645 before working in rightof-way ar installing underground sprinkler system. ?
Whi[e - City Copy Yeliow - Resident Copy Pink - Contractor Copy
RESIDENTIAL oZ 7 3 ? ?
BUILDING PERMIT APPLICATION
.? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4875
New Constructlon ReauhemeMe pemodeVReoair Neaulremente
• 3 registared stte surveys showing sq. fl. of bt, sq. ft of house; aod II roofed areas • 2 coples of plan
(20°/a maxtimum bt ooverege aNowetl) . 7 set of Energy Calculatbns tor heated aOtlAions
• 2 copies of plen showing beam & window sizes; poured fountl tlesipn, e[c.) • 1 sAe survey tar ez[erior adtlilbns & decks
• 1 sel ol Energy Calculations . Intlicate tl home served by septic syslam lar atldltbns
• 3 copias of Trae Preservation Plan If bt platted aker 711/93
• Rlm Joist Detall Optans selection Sieet (hldgs wilti 3 or less units)
DATE 4;P-6- 0 ? VALUATION ?S ? ?l `l • ?1 ?
SITE ADDRESS 3F-Y ? O v ee iidu Ic A 2 5MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK Ze'?lJg- FIREPLACE(S) _ 0_ 1_ 2
APPUCANT A,CC,v? ?w ?.%r¢ ?- 5xcks
STREETADDRESS 6,r gf {31va CIN C °P STATEr-tlNZIP
TELEPHONE #c1n q `14 S_03S CELL PHONE # FAX #
PROPERN OWNER 69«.o () G wG v J\ TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RIILES 7670 CATEGORY 1 MINNESOTA RULFS 7672
(4 submisslon type) • Residential Ventilation Catepory 1 Worksheet 5u6mitted • New Energy Code Work3heet Su6mitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: ____
Plumbing system includes:
MechaMcal Confractor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
------°--°-----------°---------------------------------------------------------°---•°--°----------------------------
I hereby acknowiedge that I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordlnan
Signature ofApplicant
OFFICE USE ONLY
, Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatad 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 09 of _ plex
? 04 02-plex
? 05 D3-plex
0 06 04-plex
? 31 New
? 32 Addition
? 33 Afteretion
O 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (&sea.)
? 22 Porch/Addn.(4sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Mufti ? 33 Ext. Alt - 3F ?
? 36 Multi
? 35 Int Impravement ? 38 Demolish (IMerior) O 44
? 36 Move 81dg. ? 42 Demolish (FOUndation) ? 45
? 37 Demolish (Bldg)* ? 43 Reroof ? 46
•Demolition (Entire Bldg only) - Give PCA handout to applicarit
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumhing
Foundauon HVAC
_ Drain Tile Other
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
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
0 07 05-plex ? 13 16-plex
O 08 OCrplex ? 16 Fireplace
O 09 07-plex 0 17 Garage
O 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
O 12 12-plex Plbg_Yor_N
Building Inspector
CITY OF EAGAN
CASHTEFi: 5 TERMINAL NO: 778
DATE: 07/28/98 TIMC: 13:32:12
IIi :
NAME. D.R. HORTQN, INC.
2256 3001 3841 OVEFL00}; C Sp?17.'r'i
Tota7. fiereir_A, Amoun+,a 5121r'.r'i
CRO3`,4:33
U,E.fi ID: NANCV
, = 3
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
gy?LQ;NG
07J28/98
SITE ADDRESS:
P.T.N.: 10-28801-020-03
3841 OVERLOOK CT
LOT: 2 BLOCK: 3
GARDENWOOD PONDS 2ND
DESCRIPTION:
Permit Type
4,qrk Type
°°- 7crna:ng ' ?
loing Length .., ;;
'8ui1di'[rg WIdth ?
buteig a,5t 0r ie- a..,y??.
VALUATION
IN ??
w R
e
{=ea E?t%ia ??g? c s?v.p's?
di8
x 0w 2` aw' -t?-€ } `a%CN'ak
e ?` a* ?. u? `? ? sh e?
vc6?? ?
REMARKS:
S & W PI.UMBER:
VOELS.
FEE SUMMARY:
ease Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
M& W WATER & SEWER PHONE # 753-4383
$1,522.25
$989.46
$113.50
$1.000.00
iee
$3,625.21
SF DWG
NEW
R-3(U-1
V--M
R-1
68
44
2
2,360
101 1 - FAM. DETACH
$227,000
MI5C. FEES
Total,Fee
PLAN VIEWED BY JOE
$1,592.50
$5,217.71
CONTRACTOR: - Rpplicant - sI. L jI OWPER:
HO.RTON INC OF MN, 0 R 14544663 2000565 D. . HORTONIIVC.
3459 WASHINGTON DR 204 3841 OVERLOOK CT
EAGAN mN 55122 EAGAN MN 55122
(63,2) 454-4663
?
in
Cutes aCEel
.•
1495 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACiAM
3830 PII.OT KNOB RD - 65122
681-4675
New Construdion Reauirelnents RemodeVReoair Reauiraments
? 3 registered site aurveY$ • 2 cepiea of plan ?-0,"
? 2 copies of plans (Indude baam & wintlow s¢es; poured fnC. design; etc.) ? 2 afte surveys (exRerior addRions 8 dedcs)
• 1 energy calalationa ? 7 energy calwlations for heated additions
• 9 copies of tree preservalion plan H bt pla(tad after 711/93
required: _ Ves 4 No .
DATE:
Name: Phone It:
Last First
WORK: NeW
i: _ 38Y/ ?i?er?au/c (.,,... t
LOT: 0
BLOCK: 3 SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
CONSTRUCTION COST; S.3?i?
State:
Zip: '_
Company: Jc.-/+V .r/elG Svr /Y1,llt? gmcs Phone#: `?SS! S?Colo3 P?'? ?G
Stree[ Address: 3z&?„ 1Jri vC, S,?r.?O f/ License #?pUlz$7w$' 7 ?
City ?Gl,r n ° State: //1N Zip: .5-5421
Phone it:
Name: Registration #:
Street
CiTy
State:
Zip:
Sewer & water licensed piumber fnew construction onNl: /m-w k/,a? 1- Sec?tcv. . Penaltv aoolies when address chana
and lot change is requested once permR is issued. -? 5 3-`+ 3 z 3
I he d this applica6on and sfate that the information is correct and agree to comply with all applicabl
Sffi 4=- of Eagan Ordinances.
Signature of Applicant: 1?
IUSE ONLj
?.I(?•4
Yes
Tree Preservation Pian Received _ Yes
No
_ No Not Required
Certificates of Survey Received
:
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
,,?02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
AP-31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Mufti Repair/Rem. 0
? 13 Garage/Accessory ?
0 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
?<' N Basement sq. ft. ?, -7Z0 MC/W5 System
jr- ^.' Main level sq. ft. /, 736 City Water o??--
• 3 Ct•i sq. ft. f9 Fire Sprinklered
sq. ft. PRV
47,&4. sq. ft. Booster Pump
? sq.
Footprint sq. ft.
ft.
Z, 3G0 Census Code. /a 1
SAC Code 0(
Census Bldg /
1-7 Census Unit f
Building
:::f Engineering Variance
Valuation: $ 2 Z -7, dat,: ?) ?
PermR Fee
Surcharge
Plan Review
License
MCNVS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
---
Z F ? = Ifa
y ,? 38 =
!o K 'f8 - Yfs?
/ V' : 1,73U
< Zy?s < !la,?
/7 Z pR t S
goo
,
4=
Zo t??o : Loo
/173(O x?.
?-
/?1k3?: s-3Z
(?W3? s 3 Zo
Y
Zf r2 ` <Z3?>
$9 ?,. y .
r
,i; 0, Z
?
z??, 3?
y?,?o?
9
LOT SURVEY CHECKLIST FOR RESIDENTIAL
-AW--
? ?
C1 J 0.'
6 ?
m
u o ?
i?a 0
?
?
?
e" ? ? ?
? ?
?- ?
er ?
? O
9?? ?
[3' ? ?
PROPERTYLEGAL:
DATE OF SURVEY:
IATEST REVISION:
• Registered Land Surveyor signature and company
• Building PermftApplicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arcows with slopelgradient %
• Proposed/ebsting sewer and water services 8 invert eleva8on
• Street name
• Driveway
ELEVATIONS
Existina
,?? ? • Sewer service (or Proposed) -
p?? ? • Propertycomers
P-- ? ? • Top of curb at ihe driveway
p?o ? • Elevatlons of any eristing adjacent homes
Prooosed
?o ? • Garage floor
?o ? • First floor ,
?o ? • Lowest exposed elevation (walkout/windaw)
10-? ? ? • Property corners
9/p ? • Front and rear of home at the foundation
PONDING AREA Cd aoolicable)
? ? ? • Easement line
? ? ? • NWL
O ? ? • HWL
? ?
? ? • Pond # designation
w Elevation
fl
O
? ? • o
ver
Emergency
DIMENSIONS
?
o ? • Lot IinesBearings & dimensions
/
[y ? ? 0 Right-of-way and sVeet width (to back of curb)
ef, ? ? • Propased home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
?o O • Show all easemenfs of record and any Cily utilities within those easements
G5' ? • Setbacks of proposed strudure and sideyard setback of adjacent eristing structures
? • Retaining wall requir
,ftmenls, zl?
Reviewed: k ^ z / Date
January 7998
CqMG199ygL00GRGfTFM
DOCUMENT STANDARDS
? ?J - J 00
PNERGY CODE WORKSEiEET FOR 1& 2 rADSILY DWELLTNGS
sxre r.nuRessGs ? '-
_ CITY
Q&jk
CoHPLHTED AYj
-1I??
---------------
PIIOL76 b
PATL
BUILUIIIG CLnSSIFICATIUq: ? cat a?ocy 1(otandard) or ? catagory 2(muaL includa vanLilalion)
'--' -" -' -
HI11IlfUH CRITERI7, --------
Foundation Inoulation-R70 Plalla & Windowu Roof. Act1a Inoulacioni
Slab on Grade Inr?ulation-1210 foLeallo?wabla ?>ercenta?e.!?
[ 9) R44-WiCh Attic No lieel
Ploor over unheaLed ppacec-R24 R30-171Cli AtC1c Ralned 1Iee1
Foundation 47indowo 7./2"
inoulaCed Claus, 1138 k RS-Solid RaECers
-4food or Vinyl I`rame
ST6p 1 Window 4 Door nrea . STHP 2 Calculat6 aroa ao a percent of wall
A. Total IJindow & Door Ax-ca in Sq. Feet
WINDOIL'; (Including Goundation lJiudown):
Y7ItIDOW !lAtIl/FACTURE tIAM6o_ C. Prom SCej> 1 divido box A(6iindow k Door
'
h7IlIDOW M
AIIOPACT[Ig? Typ7;;
Area) by 6ox 11 (COCal wall ai'ea) Cimeo 100
Qyitaln t6o w3pdow and door area ac a
WZtIDOY! tITt1[7PACTURQ U FTC1'OR: perrcenL oE wa11 area (bpy, C) ,
R. O. QuanCiCy ?q.(C.Atea AQX A 7C.K-? a 100
DimensionE.
fiox Fi
= F
?q I
x
- L STBP 3
'
_
1 M
Z -o x 9 -a'1 1I1?/ /{J
Deulgn 6
eatuieo
A
SSIi1
i3
.1_
2?-O X J-n ?' ??If- ? .
1,Y
1
-??
x PRAP(ING TYPi::
?(
STAY1DflRD CRAFfING
/y
3 _
utudc 16" o.c.
X AnvnUccn ranwnN. ,;cuao za-- o
c
.
.
x _ cr:vrTy rrisut.n'rion 1i2?(
-- ---
X
- 9HHATIIIt7G TYPii:
? ?
?' - -
- ?
LESS I'l1AtJ < R-5
--
X R-5 > OR 61oRL•'
x
I U-FAC7'OR I!
DOORS: ['rom C6o tablo,
(reverce side) determine the
--T_. maxlmum porcent w7ndow 4 door
rca f
?p p
X
?
r
? a
or Che
dcei<jn optiona uelcvCed and enCeL Che 4 value
in Dox p bcl
w U
d
?
?
/7v o
ur,e
ou tho window mEg. U-
E,ctor:
l ? X
o
'PuCal Area of Ty.EC.
Wi
d
n
ow¢ & Doors J -
A• Total 41a11 AYea in Sq, FC, The 1 value Crom Cha Czble ih Box D ohall 110
eqiial. to or greaCr.1 chan t1le t ii, 13nx C
Flall To[a] IlcigllC Arcu
PeL'ImeCe1-
? ? -1
s ° 9,6)
--
'Pclal ACeii uC plal7s R'?Ir r.y.Ct
r ?
P. Tlie Uuilding must not exceed lhe maximum wiildow and door area as a
percentage of overall exposed wall area listed below for the combiitation
of Framing technique, R-value of insiilation within the insulated cax•ity-,
shealhing IZ-value, and ivindow U-factor. Other components must ineet
Ihe requirements of this snUpart.
n4nxiM1Int tViNnOw nrm Dnon Aitr:.a
A5 n PEa scr:Nr or• OveRai.i . I?xro sr:n Wni.I.
Cavity . . 1Nindnw l;- FaUOr
_Framing L Insulalion =5healhing Q_A9 ; 0.36 031- --0_27=--
SPANpARD R-13 _R-7 13A6/. 17.80/6 21.3'% 21.31.
STANpAKD K-IS 2R-5 12.90L 17.1 % 20.1 ;'. 23.9"..
STANDAItD R-18 . dt-5 11.1% ;16.00,16 22.0°0
STANDA12q N-18 2R-5 13.59? 18.60,6 21.80,'. 25.3%
ADVANCLD . R-10 <IZ-5 I1.106 .:79.1"/0 20.10,' 234%
AI]VANCLD It-18 ?ft-5 . 13.S:L 122% 22.50% 26.1".' 0
STANDARD I{-21 <H-5 11.8°1. .' 17,01'. 19.90,, 23.10,1.
STANDARD It-21 ?R-5 14.001L 19.3°'. 22.54L 26.1;L
ADVANCfD R-21 <It-5 11.8°1. -18.1 % 2121L 24.6%
ADVANQ?D K-21 ?I<-S . 14.00L 19.90,a 231°;, 26.99.
Subp. 3. Perfonnance crileria. The combined thermal lransmittance (iIo)
factors for walls, roof/ceilings, antl floors over unlieated spaces inusl be less tlian or
equal to:
A. 0.110 fltu/h ftz °F for malls;
D. 0.026 Beu/h ft2 °P fnr roof/ceilings; and
C. 0.01 13tu/h flz °F fnr floors.
STAT A l Il'! 1: A15 § 116C.19
fl15T: ]8 Sit 23G1
7670.0480 Hepenled, 18 SR 2361
?
PAinn. Itules Chaplcr 7671) 26 )unw19')I
. ., .....,... ,
: ,;.., ,_,... :.. . ....... .. . .. .....:...:...: .. .......... ...:.:....
.:..,< ........:..:...::.:.?.>-..,?,.>, ,,.,.,...,....,.,,.>, ,..............,...5 ....
C:f.T'7' n, E:r;.r,aart
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?
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,?TE,. . ,: c,?-,,,o: ..;.... ;. . i .
.,, .,..,?,? , ?,. . ?--?..,,;,.;.
z„
? ??_:: ? ? i t t'•?
_-:Lr1 900{. 384!. GVS_;LCr:t: C 60.00
900; 304.:! JV!::',f `i0'; i]
W ?'I ti??cqi.Nr
C3 ± i ??3'!. `3
Uc;ER .`Dg ,.:NAiry
.. , k:. , , .. ..'..?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4VO ?
7 ? CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
65'1•681-4675
New Conshuctlon Reauirements Remodel/Renalr Reauiremenls "
? 3 regislered sHe surveys showing sq. ft. of tot, sq. k, of house
and.qLl roofed areas (207, maximum lol coveroae ollowed)
? 2 copies of plans (show beam R window sizes; poured Ind. design; etc.)
? 1 set of energy calculaHons
? 3 copiea of hee preservaFlon plan H lot platfed afler 7/1/93
DATE:
?
2 copies ol plan
1 set W energy calculaflons for heated addMions
1 alle survey lor exferior oddBioni 3 decks
CONSTRUCTION COST:
DESCRIPTION OF WORK: 0'17 Ce ffl.?/,! rJ-`vi?
STREET ADDRESS:
l2LOo
LOT: ? BLOCK: ? SUBD./P.I.D. #:
?
Name: /)A W--j o 0 13A/AN 94- Cy/t/ Phone #: d,S/-
PROPERTY laat flrst
OWNER
Street Address: ? V6/ ?za. --,C D2, Z/iF
Ciy Y' ,A GAM Stafe: Zip:
Lr_'1, c d / t - 6-.r -" -"V J', v,-
Company: rw 17,t ul d-Do o i! U• ""IC • Phone #: e47-`?? L
(area code)
CONTRACTOR ?
Street Address: //d 3 2- A???,^/ .9-d?f /z License # S?S 7 Exp, ? o0
City 11?l11'?7146rtv44? State: AiN zip; -5--9-0 7 s-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sfieet Address: Registration #:
City State: Zip:
$ewer 8 water Iicensed plumber (reauired for new conshucNon onlvl:
Penaly applfes when address change and lot ehange fs requested once permH Is isaued.
I i hereby acknowledge thaf I have read thls appllcaHOn, state thaf the tnformaflon Is cortect, and agree to compty wRh all applicabl
State of Minnesota Statutes and Clty ot Eagan Oidinences.
Signafure of Applicanh '?Y f1%=%'1•Y?%?'er?
OFFICE USE ONLY
Certificates of Survey Received /,/ Yes _ No 2 5
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
f, t
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ,? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code .3
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of 5tories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding ? Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge .
Treatment PI.
Park Ded. '
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
CITY USE ONLY p
L ? BL o'? j RECEIPT
? FI' S 98?
SUBDr RECEIPT DATE: I
1998 PLUI+BING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGPN, MN 55122
(612) 661-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
??- --------------------------------??__
FIXTURES ?_?_???__?
EACH _?
#
TOTAL
Shower 3.00 x = I!T-D
Water Closet 3.00 x !Z • 00
Bath Tub 3.00 x -
Lavatory 3.00 x
Kitchen Sink 3.00 x = 3 00
Laundry Tray 3.00 x = 3.00
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
-
Floor Drain 3.00 x ?
_ • D
Gas Piping Outlet ' minimum -1 3.00 x ? -
Rough Openings 1.50 x ?
Water Softener ' for dwellings under construdion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Spflnkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AltefetlOnS ' to ezisting residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems"Abandonment 20.00 =
RP2 (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL _??q. DD
- •------------------------------------------------------------
I hereby acknowledge that I ha-ve read-this application, state that the infortnation is corred, and agree to comply wdh alI appliwble City of Eagan ordinances.
It is the applicanYs responsibility to notify the property awner that the City of Eagan assumes no liability for any tlamages caused by the Ciry during its
nortnal operational end maintenance activRies to the facilities constructed under this pertnd within City properry/right-of-wayfeasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
ciTV:
(L7ELEPHONE
ZIP: J56(1:200
SIGNATURE dF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
?
CITY USE ONLY
LOT BL RECEIPT #: 9S / 7 7
SUBD. ? RECEIPT DATE: s/sJ58'
1996 M£CIIAIVICAL P£RMIT (R£S1DENTIAL)
crrY oF Ens,va
S$SO PILOT KNOB RD
f.AfitkN bIN 551 EE
Date•1v (618) 6$1-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
= HVAC: 0-100 M E T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) co• ?
• State Surchazge: .50
• TOTAL: 7:;jI
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS: . O? --I\ l J v C?l l lSl
OWNERNAME: v?? \d_A??-?PHONE #:
[NSTALLER NAME: l o 'C 1 IP l? ? ? ?- PHONE #: A(00-6n00`41--
STREET ADDRESS: Ct \ ol- \
CITY:
1S/FORMS BLDlMECH PERMIT (RES) • 1998
_STATEfn'v ZIP: Svv
JIRNAT?U OF PERMITTEE
cirr use oNLv
L Bl
SUBD.
APPROVED BY: ,INSPECTOR
RECEIPT #:
RECEIPT DATE:
199$ MECHAN1CRL P£ftMIT (COMM£ftCIi4L)
CITY OF E4fiAN
3$30 P1LOT KNO$ fiD
EAfiAN, MN 55122
(612) 6$1-4675
Please complete for: all commerciai/industriai buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 ofvermit fee due on all permiu.)
TOTAL
SIT'E ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
{
, CERIIFlCATE OF SURVEY M 3 2-17 6 8- 9 8
for
/JOE MILLER HOMES
?
?
i
M?
ry / ? \ R
oo,?\?.? ?o`' g) ??9pS4 zO ^ qaS?mY /
0 S
8 Po o
,
oy
S ^p. `? ?V 3 tl ? ` O
? `•oo y
? J? 4oQ ??'t'crr 9 J? ?
ao t? 0yw1p
?.0?+ \ O r V`• \ 'Y ?'41 "'h i:A
?a06
\ O? ? ? ?L {
? n?o Q? yC 2 „^• ? `? ! 1",`?'? '= 1? O
? ?? ? 8 / "? qc13
?ooso a .? ` •
S S ? -?W
S9S2 00 ? ' ,vo2\ / 8 4 /?
0 0?n ` O
? ? ?QuV o ? 9? ?1
70
BY ----- C?• ,? 899. ?
DAr UILDIiVG INSPE TIOiVS DEPT.
r
?
?_..
Top curb to Gar slab
? ??1? Top block = 311?9G
R?r ?,T:J?L!-'IN^T)... Lowest bsmt flr
Scale: 1" = 30' 3841 Overlook Gourt
DESCRIPTION
I hereby certify that this survey, plan, or
Block 3,
Lot 2
report was prepared by me or under my direct ,
GARDENWOOD PONDS SECOND
supervision and that I am a duly Registered Dakota County, Minnesota
Land Surveyor under the laws of the 5tate
of Minnesota. Plat bearings shown
o Denotes iron monument
Da e '1 TUL`i 1998 Rea. No. 8140 ? Existing j Proposed
.. ?. , .,. -,-. .. .. n _
BRANDT ENGINEERiNG & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
?
d
901,
?
/
y
/
?
,, q0k?
' o,?s?
? ph? 0
Q'?' 8
OQmyF
?
_
k`
R
BY _,
2,2, a IkSP?PTIONS DEPT.
. t .?..:? . ? Y.r? ?? ? i... T ?
P
- -- ?; -7.??---....
'?'' ' ? ?? i' ?T??'-:;'iiV'.a TT".?••-,.
?.' .
Scale: 1" = 30'
?0?
M32-1768-98
/
•- ij ?
dD ^.
0•
/ O
?0
- Top curb to Gar slab =?iO-__
Top block = 3QIL96
Lowest bsmt fIr = 9YL5
3841 Overlook Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 2, Biock 3,
supervision and that I am a duly Registered GARDENWOOD PONDS SECOND
Land Surveyor under the Laws oi the State Dokota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
Da e -1 IT' 9$' Reg. No. 8140 ? Existing? Proposed
??.. ?..,-,.., nn ?-
BRAiVDT ENGINEERING &
, 1600 West 143rd Street,
. Burnsville, MN 55306
(612) 435-1966
CERTiFlCATE OF SURVEY
for
,/JOE MILLER HOMES
?
/
e?J
\
\ sss,
95??
,a.
4Y OoyycC
SURVEYING
Suite 206
M32-1768-98
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA091746
Eagan, MN 55122 . Date Issued: 10/23/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3841 Overlook Ct
Lot: 2 Block: 3 Addition: Gardenwood Ponds 2nd
PID 10-28801-020-03
Use
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Chris Musta
21210 Eaton Ave
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Controlled Air Brian A Dawood
21210 Eaton Ave 3841 Overlook Ct
Farmington MN 55024 Eagan MN 55123
(651) 460-6022 X253
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
R
Use BLUE or BLACK Ink
For Office Use / J
City of Eatan Permit
Permit Fee: 7W
3830 Pilot Knob Road I 1
Eagan MN 65122 RECEIVED f Date Received:
Phone: (651) 675-5675 I staff: 1
Fax: (651) 675-5694 DEC 01 2011 I
L-------------- -7
06
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 011`~ Site Address: 10 %rt n~C Unit
Name: ~Z)JZ I~ Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner ontractor
TYPE OF WORK Description of work: ~8;!A Wf 1 1 n>)S) +
Construction Cost: 5;W 09D Multi-Family Building: (Yes / No )
Company: Contact- $Q.SC
T ~ZA
CONTRACTOR Address: 'Jt~41;z. City: q 9-112?
State: Zip- Phone: 9C / ~7 ! License Lead Certificate -
If the project is exempt from lead certification, please a plain (see Page 3 for additional information)
u A 7 h :
l (C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes -No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are consideredto be public information. Portions of
the information may be classified as iron-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oopherstateonecall.ora
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 ;xi asS ding C =oompleted 180
days of permit issuance.
x ~DeiTsn{~ Applicant's Printed Name nt igna tu
Page 1 of 3
00~- a ~Iej
DO NOT WRITE BELOW THIS LINE le
SUB TYPES
Foundation _ Fireplace T Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building"
_ Addition _ Move Building T Reroof _ Demolish Interior
CAlteration Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall "Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy t MCES System
Plan Review Code Edition v SAC Units
(25%_ 100%1 Zoning City Water
Census Code iii Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings - Air/Gas Tests Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace: Rough In ]Air Test Final Windows
Insulation TT Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
(VICES SAC C.
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
12/14/2011 21:32 6519948701 JANECKYPLUMBING PAGE 01
Use BLUE or BLACK Ink /
r-----------------1 V
I For Office Use I
Permit#:
CA Of Ea ~]n
3830 Pilot Knob Road i Permit Fee:
Eagan MN 56122 Date Received:
Phone: (651) 675.5675 I I
Fax; (651) 675-5694 I staff:
I
cc2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dane: Site Address: J C6 g r V r ex1 /e- &1-
Tenant:
Suite
y ~ e RNA ~N '
I T... Name: Wuud
Phone;
~u r r Y t' (~L1 U r /
Address / City /Zip: d t`j (J~-'*
i Y I1Y "~h Ri;
r++ IS Nam : License 1`1641
-j A Address: 7,!;o O ~ L (~9 City: /447t47~A-
State: Zip: Phone: cs
rte.
contact: /3hulC~ vJAA~ afn~li
Email: s/` 4~ l
-dA I Yr~ 1
New Replacement „ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work: S (3 .h'aawi -Pt (f,trk RESIDENTIAL
Water Heater Water Softener
W
Add Plumbing Fixtures
-I Lawn Irrigation RPZ PVB) Main lower Level)
round
Septic System Water Tumf
_ New
i
Abandonment
RESIDENTIAL FEES:
$55.00 Mini um Water Heater, Water Softener, or Water Heater and Softener (includes $5,00 State surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55,00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 518" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95,00 Fire Repair (replace bumed out appliances, ductwork, etc,) (includes $5,00 State Surcharge)
TOTAL, PEES $ ~5 ~OtJ
ALL BEFORk(OU 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. ooherstateonecall ore
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances antl 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 it without a permit; that the work wltl be in
accordance with the approved plan in the case of work which requires a review and approv of plans.
,U d4ne"'e
Applicant's Printed Name x
Applicants Signet re
.I i
rv
mitt
\V _ .I. !q Zib 4h nYl YJtjt~~yln ' f
. Cali ~1~; ,q
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA102371
Date Issued: 12/08/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3841 Overlook Ct
Lot: 2 Block: 3 Addition: Gardemvood Ponds 2nd
PID: 10-28801-03-020
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Heath and Home Technologies Brims A DaNvood
2700 N. Fairview Ave 3841 Overlook Ct
Roseville MN 55113 Eagan MN 55123
(61)638-3309
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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA117527
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian A Dawood
3841 Overlook Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142747
Date Issued:05/17/2017
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
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 -
Brian A Dawood
3841 Overlook Ct
Eagan MN 55123
(651) 233-3456
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158453
Date Issued:10/15/2019
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
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
Valuation: 1,500.00
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 -
Brian A Dawood
3841 Overlook Ct
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:Building
Permit Number:EA168747
Date Issued:05/03/2021
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian A & Cari L Dawood
3841 Overlook Ct
Eagan MN 55123--246
(612) 889-2406
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172922
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian A & Cari L Dawood
3841 Overlook Ct
Eagan MN 55123--246
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173126
Date Issued:10/29/2021
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian A & Cari L Dawood
3841 Overlook Ct
Eagan MN 55123--246
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179519
Date Issued:10/07/2022
Permit Category:ePermit
Site Address: 3841 Overlook Ct
Lot:2 Block: 3 Addition: Gardenwood Ponds 2nd
PID:10-28801-03-020
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brian A & Cari L Dawood
3841 Overlook Ct
Eagan MN 55123--246
(651) 233-3456
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature