4236 Moonstone DrCITY OF EAGAN Remai
Addition Cedar Gr 2
, a
awner???'/? % ??? l)7l"1.'r:%StrPPf
Moonstone Dr.
22
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 88-5 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL _ 1972 1304.00 2.1 2
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. - ?
BUILDING PER.
SAC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ITE ADDRESS•
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
$ • ! 0 C: ?5
•i 11ii(rN:;7oNf= l:Oh
Mli
I
APPLICANT:
: ?; ? ; . ;? ? ; ;•?????? ? ! riF,
( i:I,' q h ! q 1 1
i ?? 1 Nf'%
4,.?yat?,a
W, fea iq.3
PERMIT SUBTYPE: (?? \ TYPE OF WORK:
., : FFInif?
i,, •,? ? ? i ??,?,?, ? f Il I N(i
PermR No. Parmk Holda Da6e Tekphone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectton Dab Insp. Commsnts
Footings I
Foundation
Framing
Rooflng
Rough Plbg.
Rough Fltg.
laul.
Fireplace
/
Flnel Htg. -
Orsat Tast
Final Plbg. Plbg. Inspector - Notily Plumbe?
Const. Meter
EngrJPlan
Bidg. Fnel
Deck Ftg.
Deck Final
weli
Pr. Disp.
EAGAIV TOONN S H I P
BUILDIIV9"., PERMIT
DESCRIPTION
N° 1.068
Eagan Township
Town Hall
Dale ...?d.lS-16l3 ......................
$tories Ta 8e Used For Front AepYh Heighr Esl. Cosi Permif Fee Remaxks
?./Nsk..tr_-?mxF
I A/
u21
LOCATION
S1reeY, Road or olher Descripfion oE Locafion La! Block Addifion or Tsac!
ACS` .4 i . ?'J. r j3
This permii does noi auihorise the use of sfreeis, roads, alleps or sidewalks nor does if give the owner or his agenf
the righifo creafe any sifuafion which is a nuisance or which presenls a hazard !o the health, sately, convenience and
general we2fare 1a anyone in the communifp. .
THIS PERMIT MUST BE KEPON THE PA ISE WHILE THE WOAK IS IN PROGRESS. ?(? ?nadopK?ted??pr
This is fo ceriify, ihai__._.`? ..........................__.has permission !o ereet a_... _ ..,,?--..^...'.`?...'._'... _ upon
the above described presnise subjeci to the provisions of the Building Ordinance fo aga ? ownship il 11,
1955. y?
---------------..._---.... .? - '•--......----?-...-- Per ---------- . .b..-.5-....-- '---""---gt---- ...............
hairman of Tnll. wn Bo r ? Buildin Inseclor
EAGAN TOWNSHIP No 702 ,
BUILDING PERMIT
Ownex ...........--_...Si.T..".:`d..,..._Cic?.------.._ . . Ea9an Township
Address (Preseni) ---- -----_....._.----------- -------------------------- ...... ---- ? Town Hall
Builder .............. ------.............. ...... .-------------------- _ . ? /L
? . ' Daie ._T----...?.-?----__... Y'
Address. . . . . . ??? ?????....
_......... .------ ..__.------------------ :..__------------- ----- .------- ..--------------- _
DESCAIPTION? ?
Stories To Be Used For Froni Depih tIeigh! Esi. Cosi Permii Fee Remarks
LOCATION
SSreef. Road br ofhex Descr?piion of Locafion Loi P•lock I Addifion or TracS
I-_ - ---
. '
I >? ?,•
y ask-- -- ? P4'YE
This permil does no2 auth ize the use of sfreels, roads, alleys or sidewalks nor does iY give the owner or his agent
the righf fo cxeafe any si3uafi n which is a nuisance or which presenfs a hazard fo the healih, safefy, convenience and
general welfare to anyone in the cammuniiy.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WFIILE THE WORK IS IN PROGRESS. ' This is fo cerfify, ihaf----------------- ------- ....... ............ .------------------- has permission !o ereci a__..------------- ----------- _ ............... _........... upon
the abave dESCribed premise Subjec! !o the provisions of the Suilding Ordinance for Engan Township adopted Apri] 11.
1955.
............... ---------------- °°-........................ :._........ Per ---- ------- :_-------.........--- -----....-------------
- ? Chairman of Tnwn Board , . Building Inspecior
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT 0c;
PERMITTYPE: urLozNGf
Permit Number: 020854
Date Issued: 0 5/ 0 4/ 9 3
SITE ADDRESS:
P.I.N.: 10-16701-250-02
4236 MOONSTONE OR
LOT: 25 BLOCK: 2
CEDAR GROVE 2ND
DESCRIPTION:
Building
Suilding
siDiNc
Permit Type
Work Type
SF (MISC.)
REPAIR
,
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$72.00
$2.50
$74.50
$5,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
WESTERN REMODELING 16451411 0003847 DOMKA JOHN
2520 W LARPENTEUR 4236 MOONSTONE OR
ST PAUL MN 55113 EAGAN MN
(612) 645-1411 (612)454-3590
Z hereby acknowledge that I have read this
infiormation is correct and agree to compiy
Statutes and City of Eagan Ordinances.
L
APPLICAPII'lH RMITEE SIGNATU -
application and state that the
with all applicable State of Mn.
n N,Ql R,D-? 17Y,?
ISSU D BV: S GNA URE
REACTIYATE _
PERMIT # _. •
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION -s q#,,?Q
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, i copy of energy calcs.
Denalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
T
6 K?
S9te Address: 1 'f'a??-i ?n o'(1S'ro A? ?6`
STREET SUITE M
Tenanb Name: (commercial only)
IAT ? BLOCK ) SUBD. P.I.D. M
Descri tion of work: Q-L- 51 ?
The applicant is: 0 Owner Contractor ? Other (Deccribe)
Name I?,nY{?I?? J<?hV\ Phone gS '35w
Property L•ST FIRST
Owner Address %0q11:?''f411.? D 12
STREET STE M
Zi
P
City State
Company W S? Phone 6
Contractor Address ?'S2 ,12 WLzA(Q&-?-(A License # 794_j Exp.
city S'l? flUl? state ?Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
correct and agree to comply with all applicab State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
? /
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
? 02 Sf Dwg. ? 07 4-Plex
? 03 SF Addition 0 08 8-Plex
O 04 SF Porch O 09 12-Plex
O 05 SF Misc. ? 10 Multi. Add'1.
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REDUIRED INSPECTIONS
O 5ite
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
} ?
O 11 Apt./Lodging
O 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
O 15 Deck
O 16 Basement Finish
? 17 Swim Pool
O 18 Comn./Ind.
? 19 Cortm./Ind. Misc.
O 20 Public facility
? 21 Miscellaneous
? 35 Tenant Finish
O 36 Move
? 37 Demolish
MWCC System
tity Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuation: $
SAC %
SAC Units
t i.:i!",'. .?;?'[
::n'tl:i'..I-17 I:;" .?Ii I?i?.iG:t:'?.?.i•?T1 ?",?..)2 19::11.
?.
I.;[[QC'J4i.
'1A..s;?:;?. . .. _• .... r... _?'tN'.. (t;
,..
50
''Cj
'';._ _ :r:r.?:i - . ':?i:f'}? r•fF, ; , ? ....7";
6pA 1999 BUILDINC
4 ?-
New ConsfrucNon Reauiremenh
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ' 41""
3830 PILOT KNOB RD • 55122
651•681-4675
Remodel/Reoair ReauhemeMs
9 3 regisfered aXe surveys showing sq. H. of lof, iq. k. d house
and all rooted areas (207a maximum lot coveraae allowed)
? 2 coples of plans (show beam s window sizes; poured tnd. design; etc.)
D t ie1 ot energy calculaftons
? 3 copxs of hee presenatbn plan B loT plaHed alter 711/93
DATE: 9`0` gq
2 copies W plan
1 set W energy calculations for heafed addNions
1 sBe svrvey (or exterior addttions 3 decW
CONSTRUCiION COST: 4 7
DESCRIPTION OF WORK: 11_? IW? V 1-? / Pa/ V-t-r
STREFf ADDRESS: l?
LOT: C?5 BLOCK: SUBD./P.I.D. #: ?ve, :11
Name:?? L A- Phone #: fIJS I - ?5 'I - 3 590
PROPERTY LCZSI pm
OW N ER Sheet Address: 92:L1;1 ADN`3mN P"
?
CNy fAtt&j State: (N Zip: .5!5 aZ
Company: ?7L(26 ?i Phone #: (o 12. 1C l' W`tq
(area code)
3-zoOG
CONTRACTOR Sfreet Address:/ ZZ 14 -7 , NJ i fS I .e ?1 P ? Licersae#?id) by ?Exp
City ?IIS ?QQ Stote: J[?Zip: 5'?7 ?7?J?
ARCHITECT/
ENGINEER
Telephone #: area code (
Streefi
City
Name:
RegishaHon 0: _
State: Zip:
Sewer t water Ilcensed plumber treaulred for new eonshucNon onN):
P?naNy apptles when addresa change and lot change Is requested once permit is hsued.
I tt-reby acknowledge ihat I hwe read this applicafion, stafe fhat ihe Information is correct, and agree to eomply wRh all applicabl
Sfate of Minnesota Stotufes and CiFy of Eagan Ordinances. ?/?/
Signalure of Applicard: /`-"/
OFFICE USE ONLY
Certifcates of Survey Received _ Yes _ No JCr ? 9
Tree Preservation Plan Received _ Yes _ No _ Not Required J? ? Iv
? v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 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 InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handou t to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main tevel sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
1 icp,n,gP
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
k
SAC Units
% SAC
12753
For i~~ Use non Per
City of Eaall I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b. l' U`1 Q Site Address: Mu y11t17r,'strr•~ l~rl~t
Tenant: X fir` iJ 'ICA Suite
RESIDENT / OWNER Name: n.,lta Phone: Gr/- yS'Y^ 3'5 o
Address / City / Zip: ;I2ZL Y 1 OJ e, SivRt- i PAM
Applicant is: A_ Owner Contractor
TYPE OF WORK Deslc ip n f work: L fz Construction Cost: 'fit 3y Multi-Family Building: (Yes / No
CONTRACTOR Name: An^trrca-, Q,.7(cl 6`n+-e&,t4z/l License 771 (.038.7
Address: ? 31,ti Uf~cis.I ??G(,J
City: A* & ^Su lc.Q, State: iTh. Zip: 5707 3
Phone: I7S'd° 707 - Ce~P, Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 they are trade secrets.
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.
xi7cti x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116069
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 4236 Moonstone Dr
Lot:25 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-250
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Aaron Hippe
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Domka
4236 Moonstone Dr
Eagan MN 55122
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature