4224 Moonstone DrCITY OF EAGAN
3795 Pilet Kwob Reod Eegoe, MN 55122
PHON[: 454-8100
BUILDING PERMIT Receipt #
To be wW fer Est. Value Dote , 19
Site Addre ss Ercct ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoniny
Repair Q Firo Zone
Parcel #
Enlorye Q Type of Const.
W Name Move p # Stories
? Addreu Demolish p Length
.-,-_ Grode fl Depth - Sa. Ft.
ce
Name Avvro.oa
?o
? ^?re? Assessment _
u
~ Cit P?? Water 8 Sew.
Pol ice
?W Name Fi
?
? ro
- /Wd.ess Enp.
?,
?
<W Ci phone Planner
Counci I
I hereby acknowledga thot I have read this opplication and stote that Bldy. Off. _
the informotion Is oorrect ond ogree to comply with oll opplicable
State of Minnesota Statutes and City of Eo9on Ordinonces. ^PC
Permit
Surchorge
Plan check
SAC
Water Conn.
Woter Meter
Road Unir
Taol
Siynoturc of Permittee I
/1 Building Permit Is issued to: on the express tondition thnt
all work sholl be done in acoordarxe with oll appliwble 5cate of Mlnnesota Statutes and City of Eagon Ord{nances.
Buildinp Offlcio)
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9
H.V.A.C.
Wrll
Watsr .
Disp.
S?wer
E??.,? i5 12
(nspection Date Insp. Other
Footinpt
Foundetfon
Framinp
. . f
. A.
Rouph Plbq.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Final
Watar ?ibe Lacation:
Well
Sewer
Pr. Dhp.
Recaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
, Fae.
Fi!l fn numbered spaces S/C
Type or Print /egibly Tot.
1, Date 2. Installation Cost 3. JobAddress )r' Blk. Tract
4. Qwner t'-1W,`? i-r
5. ContractorCe::iar i1a1 y°,r Phone
6. Address 4$70 I'{iCO1S F.+l.
7. CitY Faqar; State
8. Building Type: Residential 13 CommerCial ? Institutional ?
9. Work Description: New O Add Alter O Repair O
10. Describe ?? • ?E- r?=?? jFuel Type t. ?d5
11.
No. Equjpmgnt BTU - M. Ea.
Forced Air . -. ?>>.- •?? , '? , .; No. Eauiament CFM
Ai
H
dli
Mfg. i'?la rI c? ; r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. o ::?•_:`:Ld .
Mfg,
Ges, Piping Outlets
12. I hereby certify thai the above inforrnarian is true and correct, and 1 agree to
comply with a!1 ordinances and codes governing this type of work.
? Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks Cedar Grove Acquis3tion
Addition Cedar Grove #2 Lot 27 eik 2 Parcel 10 16701 270 02
Owner 1221`L f 2 -' L' street _ 4224 Moonst rne Dr. State Eagan,MN 55122
' ttLkA-) M Ll .2i L
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. FS's 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 197 2 1304,00 52.16 2 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC
PARK
r
EAGAN TOW'NS I°°I I P No .. 794
BuoLDirvG PERMaT
Ownex .L,G.eC?...?6`7.E-:,c?•c------'---- "- - - - `z!------.-.."--- Eagan Township .
.. -?---.....
Address (Preseni) ...... ...:..;,iA?:.-.... --------------------- Town Hall
Builder .................... --------------------------------- -'-------------...__...._--"-------
Dafe .._._?------------------- Y ?
---------'---'°-°-°°°'
Address ..---------------------------- ------------------------------------------------ '---'-"-----
DESCRIPTION
52ories To Be Used For Froe1 Depih fieighf Esl. Cas! Permif Fee Ramarks
LOCATION
SSreei, Road or other DescripYion af Location Loi Rlock I Addition or TracT
i t ? , i ?./?•?/ ?'?*R?-C -7L` ?2.,
This pexmiS does not auihoriae the use of siseeis, roads, alleys or sidewalks nor does it give the owner or bis agenl
the righ! So creafe ang siiuafion which is a nuisanae or which presenYs a hazard !o the healfh, safely, convenience and
general welfare !o anyone ?n the commvnify.
THIS PERMIT MUST B£ KEPT ON THE nPREMISE WHILE THE WORK IS IN PROGAE?S/g. '
This is fo eerlifY. 1ha!-_-------- C0_-`----- as permission !o erecf a---'-__7._--??---'- -' - ._-upon
!he above descr'ed premise subje !o !he provisions of the Building Ordinance for Eac?an Township ad 3ed April 11,
1955. ?
........ ........... ._.--?-------------------------- ...------------------------------- Per ........ -------...._....... ...... i.-----
Chairman of Tnwn oa ? Building Inspecfor
?t/ °C.'/J •
? I C27.y pF g.GAN Include 2 sets of plans,
-? 54 ?/?I 1 site plan w/elevations &
? 1 gtTILpING pER= AppLICATION 1 set of energy calculations.
Zb Se Used For?W /+-Q0Vlua 'on 0 Date
site Aaaress Ya a b n?nC?- t? f' - oFFzcE usE oNLY
r'ot siorak r ? sec./sub. C, C:, • a ttect Occupancy
Parcel #: r? r (0--??? o a Alter zordnq ?
Repair Fire Zone i(/ff
Oo-mer: ??Je ?_ TYPe of Const. ?-
?? Move # Stories
Address: Donolish Front ft.
City/Zip Code: Grade Depth ?7--ft.
Pnone #:
Contractor:
Pddress:
City/Zip Code:
Phone #:
Arch./Eng..
Address:
APPR(7VALS FEES
Assessments Permit </y
?4ater/Sewer Surchaxge
Pplice Plan Check
Fire SAC
Enq, Water. Conn.
Plaruies Water Meter
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
Phone #:
TUTAL N6 ?`0
13 `76 -P?` C"-f-?
EAGAN TOWNSHIP
BUILDING PERMIT
owae: .... 1o_.----?-[z---H------- /•?C..a-........................
Address (Presen2) ---- ?'
suiia0:.....,-...... iF.?...It-d--4 ---- _•.-J_ --
Address ......... ..........-...--'-------------------------'
DESCRIPTION
N° 1.166
Eagax Township
Town Hall
Daie V/ O .??x ......... ....."-'_.--'.
5fories To Se Used For Fronf Depih HeighS Est. CosS Permi! Fee Remarks
? v LOCATION
Sireel, Road or oSher Descripiion of Loeation Lo! Block Addilion ox Trae!
°Z 7 ?
4 "q E-?- ?.i
v
This permit does noi aulhorise the use of streefs, roads, alleys or sidewalks aor does it give the owner or his agen2
the xighi !o create any siluaiion whiah is a nuisance or which presents a hasard !o the heallh, safelp, convenience and
general welfare fo anyone in the communifp.
THIS PERMIT MU5T BE KEPT ON'T?.H'E PRE/MISE WHILE THE WOAK IS IN PAOGRESS.
This is fo cerlify, fha!_.7."..'<..... ....... ........... ....has permission to ereat a.......... ............. ........................... ..upon
the above described premise suhjeci Yo the yrovisiona of the Building Ordinance for Ea... Town ip adopled April 11,
1955. "''
n / ??-4j 94e?'?. L -
' /._ ....?..:.. ' l .. 8 InsP
'-°---.._-....... ?i.rmant of Tnw ......_ n .................... oard Per ...................... _'. Bvildin``.'i--..`"--..........
Cha $ ecior
h ,?4 ,
CITY OF EAGAN
9795 Pibf Kneb Road Eayaa, MN 55142 - Np 7001
PNONEt 451•8100 ,--?276i 3
BUILDING PER#41T Receipt # --
WINDOyr
Te M wed ferDWG. ADD.& BAY Et,yaim $3500.00 Dare No vember 4 ,19-]__
Siro Addrcss 4224 Moonstone Drive Erect ? Occupanq R-3
Lot 27 Block 2 Sec/Sub. Cedar Grove 2nd Alrer ? Zoning R-1
10 16701 270 02 Repair ? Fire Zone NA
Porcel #
Enlorge TYPe of Const. V
s Nomo David Steinmeier Move ? # Seories
Z Addrexi 4224 Moonstone DriVe pemolish ? Length 51
C; Eaqan 55122 phom 454-1731 Gmde ? Depth LE Sq. Ft.-
o Nam Gary Johnson ADVravala Faes
jr qdd,en 13716 Heather Hills Drive Assessmenr Perma
qt Burnsville pho? 432-8057
?'anr & Sew. z_OD
Surcharge
Polite Plon check
?w Name fire SAC
Addrea Enp. Water Conn.
iCf Phone plonner WaterMeter
Council Road Unit
I hereby acknowledge that I have read ihis apPlication and stote thot Bldg. Off.
ihe informotion is correct and ogree to tomply with oll npplicabla APC Total $46.50
Stote of Minnesoto $tatutes ond City of Eogan Ordinonces.
13% Lot Coverage
Signature of Permittee
A Building Permif ls issued to: GdYV O 50 on the express condiHOn thol
ali work shall be done in ocwrdonte with oll olble newta Statutes ard City of Eagon Ordinonces.
Buildinq Official
?
2z-zk C, C-? . a-
20NING - NOTZFICP.TION OP INTENT
Foster Family Hames
Day.Care Homes
T0:
??\??O
DAK 544
Street
SSIA ?)'
BR04t: Dakota Countv Social Sarvicea
357 9th Avenue North
So. St. Paul, MN 55075
??ICANT
SOnj
?
6 7
r)
Number of Natural ChiZdren under 18 ia hame: 0 1 20 4 Sf
(circle r)
.numbe
N?ber of Foater Children included in license: l 2 3 4 5
circle numbe
Numbex of Naturai PreschoolCh3ldrea in Aome: 0 r)
2 3 k 5
?c rcle numbe
Numb 5 ?8910
er of Day Care Cifildren iacluded in licease: 0 1 2 3 4
(circle mmmber)
DAT$ OF NOTIFICATION.
-t Ca o . S?
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: J fA. V-t ?0_ ang 9!?_
tiU/ao?. 2 ?- Uhl??
Descri ption of Work: N Construct new fireplace _Gas _Masonry _ Alterations to existing
_ Install gas insert onlv
Other
_ Install gas Ifne onlv
Job address: Vt P nY` ?
Lot: Block: ? Subdivision/P.I.D. #: C o S OA I\ C?
Applicant (circle one only): Owner ontractor
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: ?fQlIA ?hPkL Y/p I/
Last First
Street
City l.r a l1J (X h State: P2 ?vt Zip:
J
/?^ ? ??, ,? 0
Company: ??1('Q S?' l l7Y Vl P Y'?? liP T-? 1e Si r e Phone #:
(area code)
Street
C1ty f A'? V\ C' f 1 ?? `I P_ S[at`e Zip: ?..?
Company:
Street Adc
City _
State:
Zip:
BFee: $60.50
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statut s and City of Eagan Ordi ,ances.
?
Signahue
RECEIVED
JUN 2 4 1999
lU,57/' ?/
Phone #: y.J ?y - ? 23?
Phone #:
(azea code)
OFFICE USE ONLY
BUII,DING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 3! New
? 32 Addition
? 33 Alterations
? 34 Repau
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
? 39 Gas Line ? 41 Wood Stove
? 40 Gas insert
CITY UF F..AGAN
CFlSH7:f:li ; !; 7rRMTNAI.. N0: 764
DFl7E: 06/29/99 T.T.MF: 07e40a°48
ID
NFlME; AL.L.TEG FI:RESIDE_ TNC
3210 9001 4224 MOON57QN'L-" 60.00
2155 3fJG1. 4224 hfOI:JNS70NE:
0.50
,
7ota7. Recei.pt AiuEyent: 6C1.50
CFaiicti.76
? use:a IDa NaNcv
,
L 0?7 BL -og- CITY USE ONLY
SUBD. fiP/ILIi/C. 0.?
RECEIPT #: I!'(?
RECEIPT D l
qyi
ATE:
PERMIT# G
/
.9JI3 /
1999 PLUM$INH PER14tIT (RESID£NTIAI.)
CITY OF EAfiAN
3$30 fILOT E{N09 RD
EAfikN, MN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
STEINMEIER, DAVID
4224 MOONSTONE DRIVE
EAGAN, MN 55122
(651) 454-1731
TOTAL
tsati-i tub .n .3.•v"0 n ' = a
Floor drain 3.00 x = $
Gas i in outlet " minimum -1 3.00 x = $
Hottub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x
Rou-h c"2nin- 1.50 x $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --? ---? ----? $ .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------- -------------- • ------------------------------------------------------- --- ---------------------- --------- _.
I hereby acknowledge Nat I have read lhis applicaUOn, state that the informa6on is correcl, and agree to comply with all applicable City ot Eagan ordinances.
It is the applican£s responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/righPOf-way/easement.
i --- - -- . . _ . .- --..
SITE ADDRESS:
OWNER NAME: :
tNSTALLER NAME:
STREET ADDRESS:
cirv:
EACH #
TELEPHONE#:
(AREA CODE)
C<0•- i TELEPHONE#:
(AREA CODE)
MINNEAF'OUS. MN 65408 y STATE:
ZIP:
?;?1-7
I TURE OF PERMITTEE
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
9y as
?
New Construction Reouirements RemodellReoair Reaui2ments Office Use OnIv
3 registered site surveys showing sq, k, of lot, sq. ft. of house; and all roo(ed areas 2 copies oi plan Cert-of Survey Recd.? _ Y_ N
(20°h maximum lot coverage allowed) 1 sel of Eneyy Calculations far heated additions Tree Pres PIanRecd ., _Y _ N_
2 copies of plan showing beam & window sizes; poured tound desgn, eic 1 site survey for addipons 8 decks Tree Ptes Required _Y _ N
7 set of Energy Calculations Add'rtion - imYicate if onsite septic system On-site Septic System .?;,Y _ N
3 copies of Tree Preservation Plan it lot platted aNer 711193
Rim doist Detail Options selection sheel (61dgs with 3 or less unfls
Date Construction Cost /??j l!Q-V
Site Address ?
Unit/Ste #
u
?JOI r/u?
Description of Work 141? // / I
Multi-Faroily Bldg _ Y<?' N FSreplace(s) _ 0 Z 1 _ 2
Property Owner Telephone #( )
Contractor ?? S -smZ-t:1? S
Address City
State Mn/ Zip 0?3? Telephone ?'r?7°o7 Y-3
;7 7 (Ui
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde CategOry , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
. Energy Envelope Calculations Submilted
Have you previously constrvcted a building in Eagan with a similar plan? ` Y -LIN If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Perit?
that the work will be in conformance with the
Telephone # (
5 Telephone # (
? v Telephone # (
?
wledge that the information is complete and accurate;
and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only 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.
ApplicanYs Printed Name
Ll?jl
Applicant's Signature
Sub Types
OFFICE USE ONLY
,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgZYor_N ? 25_ Miscellaneous
W ork Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 pemolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement `Demolition (Entire Bidg) - Give PCA handout to applicant
_
0=V__0_0_ A -
7
Valuation -3 MCES System
Occupancy
Census Code 113?( Zoning f? ? l City Water -
SAC Units ? Stories ? Booster Pump ?
# of Units - Sq. Ft. - PRV ?
# of Bldgs '- Length "- Fire Sprinklered ?
f C
t ?
T Wid
h f
ons
ype o t
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
? Pootings (addirion) Plum6ing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace
R.I.
Air Windows
Test
Final
?
_
_
Insulation _
-
Retaining Wall
?
Approved By: I f , Building Inspector
---------- --------- -- - - - --------
Base Fee
------?5; --------------------------------------------------------------
--------92
L Zjq *p/
H
---- ? -, ------------- -
,x ?
Surcharge
A/fcH2A?
15Iv6'
?
Plan Review ...1---
MC/ES SAC •3 9?
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Pernut Number
AEScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release 1
Datafilename: UMitled.rck
COUNLY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION T'YPE. Single Family
WINDOW / WALL RAT[O: 0.19
DATE: 11104/04
PROJECT DESCRIPTION:
D. & S. STEVENS CONSTRUCTION
COM['LIANCE: Passes
Maiamum UA = 44
Yaur Fiome UA = 44
0.00/o $etter Than Code (UA)
Checiced By/Date
?
^-?
?
Gross Glazing
Area or Cavity Com. or poor
PeSIffieter R, Value R-Va.lle U-F ILA
Ceiliag 1: Flat Ceiling or Scissor Tmss 250 48.0 0.0 7
Wall 1: Wood Frame, 16" o.c. 320 21.0 0.0 IS
Window 1: Above-('nade:Wood Frame:Doubk Pane with Low-E 26 0.360 9
Door 1: Glass 34 0340 12
Floor l: Nt-Wood JoisVTmss:Over Uncondirioned Space 21 30.0 0.0 1
Proposed and Maaimum U-FaMOr Averages
Proposed Maximum
Average U-Factor Allowed U-Factar
Above-Grade Wmdows and Glass Doors 0.349 0.370
Includes Foundation Windows > 5.6 112
Flaors Over Unwnditioned Space 0.033 0.033
COMpLIt1NCE STATEMENT: The ?roposed building design descdbed here is consistent with the budding plans,
specifications, and other calciilations submitted with the permit applicazion. The proposed building has bcen designed to
meet the 2000 Mnnesota Energy Code reqnirements in RES clreckVersion 3.6 Release i(fotmerty MECclec4 and to
comply with the mandatory requirements Gs(ed in the RES checklnspection Checklist.
BuildedDesigner Date `?/r/
Dakota County Real Estate Inquiry
Dakota County Real Estate Inquiry
Dafa Updated 71/72004.
? Select option and click map: Identity '
Whole County ? Refresh Map ? Big Map
a CGRALLN
?
¢
Z
j
t
,
Legend
Real. Estate Parcels
0 Parcels
E3 Common, Omnership
IRwater
RRNU, EasemeM
? Oedica[ed R7N+
Standard -
Page 1 of 1
Choose a search methotl, enter
crileria, and clidc Go or hR enter key.
House #:F-- Go
Addressf- ;Go
PINF- Go
_ _ I Details
_P_I_N: 10-16701-270-02 2004 Est. Value,(Payable_2005); $181,500
Owner: DAVID D& SANDRA STEINMEIER 2003 Taxab_le Valu_e (Payable 2004); $148,000 TaxStuh
Address_ 4224 MOONSTONE DR Payable 2004 Tax; $1,279.88
City_ EAGAN, MN 55122 Total Acreage; 0.25 Plat Year Built: 1961 ? photo
in cooperatlon wilh Assessing Services, Treasurer_Auddor and Property RecoNs DepaAments
VYCOu ry?
Clidc on Ne Dakota County Logo above to rntum to ihe home page
http://207.171.98.200/scripts/esrunap.dll?Name=vebql &Left=527671.129237288&Botto... 11/3/2004
m
6 ? (??3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
k?
Please complete for modifications to existing residential dwellings.
Date 11_ / l / S ?/
Site Street Address Unit #
Property Owner ?C?v?- ??'? n W?e-i ?? Telephone #( )
q,,fradn Telephone#
Contractor -e
4
Address f?ol9l? ? a S ??'l- City StateoOtl-/ Zip
The Applicant is: _ Owner A(Contractor _Other
Alterations to existing dwelling $ 50.00
_ir_Add plumbing fixtures.
If you are only installing a water softener andlor water heater, the fee is $15.00 plus the
state surcharge - see next section.
_Septic System Abandonment
naround (add $121.00 if a 5/8" meter is required)
Water Tu
r ?
,(
?
Other: V0.zA&\-kJ- ?i v?.c %?, -v -Q-?-?
Vv,t?1 CLQ,
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00
? ? = l ^r,
State Surcharge }
$ 50
NGV 0 4 Z004 ;L ?
Total $
By-_---
I hereby apply for a Residential Plumbing Permit and acknow edge 4hat the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and SpRroved. ?4 14
/ r
w?j4- ?
ApplicanYs Printed Name pplicanYs Signature
OP
?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
'4 7
New Construcfion Reauiremenis
RemodeVFteoair Reauiremenis _..
Otfii??USeQnN
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan CerE ot$tuti?yRecd .? Y ?1
(20% mauimum lot coverege allowed) 1 set of Energy Calalations for heated additions Free PiesPfsn RECtl '. Y_N.
2 copies of plan shaxing beam & window sizes; poured found design, etc. 1 sife survey for additions & decks Tree PresRequrced
lsetofEnergyCalculations Addition - indicafeifoo-sitesepticsystem On-stl956piicSy618m ..7:Y_N?
3 copies of Tree Preservation Plan if lot platled afler 711193
Rim Joist Detail Oplions selection sheet (bldgs wtlh 3 or less units
n
Date /d-- / a0?-/ a? Construction Cost /
Site Address Unit/Ste #
Description of Work
Multi-Family B?dg _ Y? N Ftireplace(s) _ 0 _ 1 _ 2 731 1
Proper[y Owner
v?d Isl ?.
eflWel Telephone ( -:
- emodeiii:t; lria. d(w
M
iI eg6 Point DoN9? • ,
s
?
Contractor ,
9
Address ?
City
State Zip Telephone # v
-S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimnesota Rules 7672
Energy Code Category , R¢sidential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone #( J
Mechanical Conhactor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan inAe case of work whichj?qu'ues a review and
approval of plans.
Je (l'e- t)j6n 6
?n
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-pleac ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of_plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_Y or_ nl ? 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 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire 81dg ) - Give PCA handout to applicant
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) _ FinaVC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Frammg _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?? 1
,1n.
V
City of Eapll
3830 Pilol Knob Road
Eagan MN 55722
Phone: (651) 675•5675
Fax: (651) 675-5694
Date:
Tenanl:
--------,
? For olrice use I
I Permil q'
? -- _ ?
? Permll Fee:
I ?
I ?
I Dale Received:
? I
? Slall: ?
---------------J
RESIDENT / OWNER Name: phone:
Address/City/Zip: y2,Z??QO'i??
?it?
? J°•J/:2Z
_
_
--- /---
CONTRACTOR p,?
Name; SQ ry:
---
Address:
?- _Y?! _-----
----
??--- -
r?
//
City: __/ E?.GCdS,Q? -- 51 te: Gf? Zip:
i
Phone: __ Conlact Person:
TYPE OF WORK _ New fleplacemenl __ Repair __._ Rebuild Modily Space __ Work in F.O.W.
Descri Ilon ol work:
PERMITTYPE RESIDEN7IAL
_ Water Heater W21er Sollener
Lawn Irrigation _ Add Plumbiny FixWres
?
? RPZ I_ PVB)
(___ Main ___ Lower Level)
Septic Syslem Waler Turnaround
New
Abandonmeni
RES/DENTlAL FEES:
$50.50 Nllnimum Waler Healer, Water Solfener, or Water Healer and Softener (includes $.50 Slale Surcharge)
$30.50 Lawn Irrigalion (includes $.50 Slale Surcharge)
$50.50 Add Plumbing Fixlures, Septic System Abandonment, Water Turnaround' (includes $.50 S121e Surcharge)
'Water Turnaround (add $136.00 il a 518" meler is required)
$100.50 Septic Syslem New ($10.00 per as builQ (includes County fee 2nd $.50 State Surcharge)
$90.50 Fire Repair (replace burned oul appliances, duclwork, elc.) (includes $.50 Slale Surcharye)
TOTAL FEES $ J?J
I hereby acknowledge Ihal Ihis inbrmation IS complele and accurale; Ihel Ihe woik will be in conlormance wilh the ordinances anA codes ul Ihe Cily ol
Eagan; Ihal I understand Ihis is nol a permil, but only an applicalion lor a pennll, and work is not lo slail wilhout n permil; Ihel Ihe wnik will be in accordance wilh Ihe approved plan in Ihe case of work which requires a review and aPProval ol plans.
/
x ?l airr P-S S?G? oljCR x cr?r?/.? a
Applicanl's Prinled Name Applica s Slgnalure
FOR OFFICE USE Revlewed By: Date:
Required Inspections: _Under Ground _Rougli-In _Air Test _Gas Test _Final
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
-,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4224 Moonstone Dr
Lot: 27 Block: 2 Addition: Cedar Grove 2nd
PID:10- 16701 - 270 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Ludzack Construction Inc
13485 Skyline Circle
Shakopee MN 55379
(952) 445 -9067
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
David D Steinmeier
4224 Moonstone Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA083742
06/23/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 43/7$,+
-./$%'63/7-.1 89:;<<L
>*%-'!??3-519=@=;@=A9<
-./$%'#*%-+(.&1- -./$%
B$%-'855.-??1'';==;'' ((,?%(,-'>.''
):#$ %& '')*++, , - ''.0+34'Y4 L0')-+
678 !(9!\[:(!9()9):('
<10
>-?E.$0%$(,1
=>?'@AB0 E01,+0- ,3$
D 4&'@AB0 E0B$3%0
801%4,B , - D3 04'\\03 04
20 04'=,a020 04'@AB023->M3% >404=04,3$'Z>P?04E0P 0'Z>P?04 ,-0'=,a0
6$0310'%3$$'#>,$+,-C'7-1B0% , -1'3 'S\[;!T'\[:;9;\[:;' '1%/0+>$0'3'M,-3$',-1B0% , -O
#(//-,%?1
.34? -'P - R,+0'+0 0% 41'340'40I>,40+'N, /,-'!('M00 ' M'3$$'1$00B,-C'4 P' B0-,-C1',-'401,+0- ,3$'/ P01'S2,--01 3'= 3 0'
#>,$+,-C'. +0TO
6 '9'604P, 'J00'SD='^\] 4'D\\TV;XO(('("(!OF(":
F--'B3//*.&1
=>4%/34C09J,R0+V!O(('X((!O)!X;
"(%*41
GLAHAA'
#(,%.*E%(.1IJ,-.1
9''*BB$,%3- ''9
D0$+'^'= -1'6$>P?,-C83L,+'8'= 0,-P0,04
GF!('W,$P04' 3-0'Z 4 /F))F'2 -1 -0'84
6$AP > /'2Z'';;FF!53C3-'2Z'';;!))
S:\[GT'F:;9()X\[
7'/040?A'3%&- N$0+C0' /3 '7'/3L0'403+' /,1'3BB$,%3 , -'3-+'1 3 0' /3 ' /0',-M 4P3 , -',1'% 440% '3-+'3C400' '% PB$A'N, /'3$$'3BB$,%3?$0'= 3 0'
M'2,--01 3'= 3 > 01'3-+'., A' M'53C3-'K4+,-3-%01O
*BB$,%3- \]604P, 00 '=,C-3 >40711>0+'#A '=,C-3 >40
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166786
Date Issued:02/04/2021
Permit Category:ePermit
Site Address: 4224 Moonstone Dr
Lot:27 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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:
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 -
David D & Sandra Steinmeier
4224 Moonstone
Saint Paul MN 55122--204
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166841
Date Issued:02/09/2021
Permit Category:ePermit
Site Address: 4224 Moonstone Dr
Lot:27 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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:
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 -
David D & Sandra Steinmeier
4224 Moonstone
Saint Paul MN 55122--204
(651) 454-1731
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature