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4241 Moonstone DrR?,.,?,. . .. .. . . V? ^ _ •..... . .._ ? . . , .. ... . . . . ? ? 7/ N? HOUSE HEATING. TEST RECOVD ADDRESS I APT. FLQOR CITYSUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. Z - INSTALLED BY soLn ar .-S6A2?,6 Eleehicol Work By I?r}?i ??G Gas Line Br TYPE OF HEAT GA FA / H1q STEAM SPACE HTR. UNIT HTR. GAS DESIGN MAKE _MAKE OF BURNER Mod.l t . y_ Mod.l Seriol -z :-' \' Max. B7U Ratiny - CONTROLS THERMAOSTAT Neat Plup Yalvo Limif Limit SoHiny _ OTHER CONVERSION VenT Si:e LINER SIZE NONE Drah Hood Reyularor Filters Sixe ?---Z??--? F?lumbsr Pilot Typs ` Chimnsy Gnstruction L_- 1 Y' Pilot Maks ' Pilot Model Smoke Bomb wi?in9 Pilot Timin Oraft Tost Tay q L.W. Cut Off Door Pressure Liyhtiny insf. P eent CQ P Date Tested ressure or Z Input CFH Percent 02 Componr Tssting Stack Ttmp. Pereeni CQ Nams of Tsster Form 235 CITY OF EAGAN Addition Lot )I Blk-3- Owner Street 421.1 Moonstane DT-- Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. J 1266.95 C009402 9-12-84 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL 1272 ? OO 2. 1 2 P23,d WATERMAIN # 1NATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. /D BUILDING PER, SAC PARK CITY OF EAGAN 3795 Piloc Knob Road Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT $Z,OW. ReceiPt # Site Address i, Lot Block Parcel # Sec/Sub Erect ?X Alter ? Repair ? Enlorge ? Move Q Demolish ? Grade I-l w Name ..?... a.. ?a..,??.... Z Address ;424 '.!oon: tone 3 - 1,51._2t.7T.. ` Nome _ ? ?? Address r ?:... Assessment - Wpter & Sew. Pol ice Fire Eng. Plonner Counci I Permit g. on _ Surcharge l . UD Plon check SAC Water Conn. Woter Meter I hereby acknowledge that I har+e read this opplicotian and state that gldg. Off. the information is correct ond ogree to comply with all applicobie State of Minnesoto Statutes ond City of Eagan Ordinances. APC Totol Signature of Permittee ? A Building Permit is issued to: NUrI15 Jackson on the express condition that oll work shall be don:! in accordance with all opplicable Stote of Minneseta Statutes and City of EaSan Ordinances. Building Officiol N2 4414 r, 7f . „l . • , 19 OcCUpancy Zoning Fire Zone Type of Const. # Stories Front 1 t' - ft. Depth _ ' ft. ?Mwk # peh IswW Mn?IffM Plumbing Mechonical INSPECTIONS DATE INSP. Rouph-In Final Footings - _ )) Date Inap. Date (rup. Foundation Plumbing Frome/ins. Methonical _Final Remarks: EAGAN TOWNSHIP BUILDING -PERMIT Address Builder ....................i Address ---. -------------------------- '----......------- DESCRIPTION N° 625 Eagan Township Town Hall .. . •-- Dale ..'.?y?..?...?" - d. - - SSories r To Be Used For Froni Depfh Heigh! Esf. Cosf ermif Fee ? Remasks LOCATION or This permit does not authoxise the use of si:eefs, roads, alleys or sidewalks nos does ii give the owner or his agenf the righi Yo create any sifuaiion which is a nuisance or whieh presenis a hazard io the healih, safetp, convenience and general weifare io anyone fin the eommunify. THIS PERMIT MUST 8 K PT THE M E THE WORK IS IN PROGRESS?y') ?? This is !o aexfify, 7F`kFfi??as permission !o erec! s._-?..."i?!E?E?..?.?..?. ?........ ------------- upon the above described premise su6jecf Yo the paovisions of the 8uilding Or ance-Sor wn ip adopYed April 11, 1955. //1 ? ? . / _lie? '------------------------------- ------ Per _ Chairman of Town Board EAGAN TOWNSHIP BUILDING PERMIT Ownez ?J ....------..y...?.,............_'.....--------............. Address (preseni) ....f?_-.----L_......?1..?".!t • Suilder -----.,A-, -'- - --...__._.----- -----'-"._........"---"-"'--........._.... ' P Address ----......-------...-'-------...- .............................--------........------'-' DESCRIPTION N° 880 Eagan Township Town Hall ................. DaSe -'-.? 5tories To Be Used For Fron! Depih HeighY Esi. Cosi Permi! Fee Remarks A- l'- ??? ?d oZ0 I ? S? I e?, ? v Siseei, Raad or olhex Description of Location Lo! Slock AdG3i3on or '1'racx 17L 3 (7 ? ?/t, :7 This permii does noi au3hozise the use of sYreefs, roads, alleps or sidewalks nor does iS give the owner or his agenf the righ2 So creaYe anp siluaTion which is a nuisance or whieh preseztts a hazard !o the health, safely, eonvenience end general welfara !o anpone in the communifp. THIS PERMIT MUST B?KEPT ON T E PREMISE WHILE THE WORK IS IN PROGRESS. haapexmissioa fo erect a`-i----=T+?P upon This is !o ceriify. lhai- _1---- - --.°---- .....-..! ............__ the above described ?remise ject he py?v' ions of !he Building Ordinanee f Eaga Township a(?pled rsl 11. 1955. C ?........-'--'_. .................?.....--"'..h...-"..........._. ? ...-'-----'x""-'-_... Per .--'------------------------- -----"" airman oY T?wa Board BuildingI?%na eefor ??. / C? .C? K 17$70 7-5- sZi 5 r/S?- ? 3 ? ? oc> Request Date Flre No. Faugh-in In9pMion 8/25/92 Pequired9 K BRBeCy Naw ? Will NotityInspeclor WhanHeatly? pyas L No I E licensed contrador p owner here6y request inspection of above electrical work at: JoG Address (S1rBe1. Boz a Roule No.) Ciry 4241 Moonstone Drive Ea an Sedion No. Township Name or No. Henge M. County Dakota Occupant (PFiIM) PhorreNO. Norris Jackson -3678 Power Supplier Adtlress Dakota Electric Co. 43('10 220th St. Farmin ton MN Electrical ConVactor ICompany Name) Comrana5 Lkense No. Total Electric Inc. 039842 4 Mailing qtltlress (ConVador or Owner Making Instellation) 1537 92nd Lane N.E. Blaine MN 554 Aulhonzetl SgnaWre ICOnlraclorrOwner MaMmg Installatbry Phone Number " rlclde_? .F' ?'U? 786- MINNESOTR STATE BDAND OF ELECRiICRY THIS INSPECTION REGUEST WILL NOT GrlggrMiAway BIEg. - Noom S473 BE ACCEPTED BY THE STFTE BOARD 1811 Univetelly Ave., St. Faul, MN 55104 UNLESS PROPER INSPECTION FEE I$ Plpm (611) 642-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ????? eemom-0e ? See Instrucimns Por canpleting ihis form on back of yellow copy. K 17870 j" '7C" Below Work Covered by This Request ew Adtl Rep. TypeofBUilding AppliancesWiretl EquipmentWired Home Ran9e Temporary Service Duplex Water Heater Electric Heatinq Apt Building Dryer Other-(Specily) Comm./lndus[rial X Fumace Farm F g Air Conditioner Oiner uWe?M) Contracmr§ RemarNS: Compute Inspection Fee Be/ow: k Other Fee # ServiceEmrenceSize Fee # Circuits/Feeders Fce Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Atovenf) Amps Signs Inspectw§ Uee Only: / OTAL Irrigation Booms 15.50 Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDEflED DISCONNECTED IP NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°°9n'" cenify that the above inspection has been made. F,nei G OFFICE USE'JNLY - This request vd0 18 rtronMS 1rom CITY OF EAGAN 3795 Pi1M Knob Raod Eagan, MN 55122 N2 44 14 PMONE: 454-8100 6765 Receipt # BUILDING PERMIT APPLICATION $2,000 . To be und for StoralLe B1dfL, oate , Iulv 20 19-2-7-= Site Ad4e? 4241 Moonstone Dr. Erect py Occuponcy ? 3 CG 2 k L t Bl S /S b Alter ? Zoning R} o oc . _ ec u Repair ? Fire Zone _ Parcel # e ? Type of Canst. ? Name Norris .18ck90II ?OVe ? # Stories w Z Address 4241 Moonstone Demolish ? 12 Front ft 3 ? Cit E8geA phane 454-3678 Grade ? 16 Depth ft. Approvels Fees z t o? ur Name _ Address Name _ Address Assessment - Warer & Sew. Police - Fire Eng. Planner _ Council _ Permit 4-On _ $urcharge 1 00 Plon check SAC Water Conn. -_ Water Meter I hereby acknowledge thot 1 hove read this applicotion ond state thot gldg. Off. the information is correct and agree to comply with all applicable APC Total 1(1 (1(1 State of Minnesota $tatutes nd City of Ea?, n Ordin ce Signature of Permittee A Building Permii is issued to: NOIii .IaCiCSOA on the express condition that oll work shall be done in a ordone@ wit I opplicable 5 ate of Minnesoto Statutes and City of Eogan Ordinances. \ Building Officiol . i ? Date: 7 - ) 9 -21 _ BUILDItTG PSRMIT P.PPLICAiI0T1 IA'PIIIACK -3 SPCTIOPI I9UIIBER SF UiAPLATTED At;v"..,::; Gi' i'Ai:CEI 21DDITIO:1 ? 2- r--?== :i?%'.r:i !/ -? ?? TELEPHONE iVO.14d?.3 :]Oi;:-„?',r•;r,p, ?y?„_? TELEPHONE 110. ? F.D?. ESS x [,iute- Inclv.de site plan, building plans, and?p?fgy?\ ulations c?ith tti`O?P ? r application ? J Q, f ? v Signed 2 ?? ? .._ . ? OFFICE/'SE ??- ?/}y/? JpLU%:TIOid_ ,..., - c::.7c1i3PCT20T1 "TEt'Z _OtLDZTdG PERI•iIT FEE y ` ..-- ?r.tRCHr.P.GE FEE v ? . --- .. . ?-:yaT Cr:P.CiZ FEi°.. Q : AF2IC DEDICIATIOU FEE OT;ir^,R - -" "Y ?J ?? ? ? .-;^P:,CflL.Sz C_T,ERit BUILDING EPT. POZICE DEF'i ._ _ _, ... '."rR & SEG7VtZ Di,PT. FIRL' DIsPT. PA12K DEPT. ,?----- ? u r? ? ? 9 1?s 9?91 s7 op f , YCITY OF EAGAN . 3830,PILOT &NOS EOAD EAGAN, MN 55122(,gj.y!„oo YHONE: (612) 4*4=8 08 FOR CITY IISE ONLY YERMIT # RECEIPT # DATE: CS ?SiDEN?IAI.:; PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE 1 TOWNHOMES/CONDOS L*HEN PERMZTS ARE REQUIRED FOR EACH UNIT. -------------°--------- ---_______------°----___-__---------- WORK DESCRIPTION FEES NEW CONST 1 ADD ON ? L REPAIR OWNER NAME: lll6.15 ?fI'fil?SQ/t/ SITE ADDRESS : zi/ 7.3T;q B:.CCK ? S::BD. INSTALLER: Ron's Mechanical Inc. ADDRESS: 1812 E. Shakopee Avenue CITY: Shakopee Mn. ZIP:55379 PNONE 612/445-8585 X D,.4 _.' ,??SGfnGn'n ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: 2OTliL: DWELLINGS & $15.00 24.00 6.00 3.00 $_Ao9lwq- .50 $S d n?. a ?.r?,. SIGNA E F PERMITTEE % A 1 i°/ -ri 00 COiII4£RCiALjiNDVSTRIAL:: PLEASE COMPLETE THIS PORTION FOR ALL COPASERCZAL/INDUSTRIAL BUILDINGS, ....,.. . APARTMENT BUILDINGS, AND ?NLTI-FAHILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. --------------------------- _---- --___--____----------- _----------- _-_------- _____ CONTRACT PRICE: OWNER NAME: SITE ADDRE55: IAT: BIACK _ SUBD. INSTALLER: ADDRESS:_ CITY: ZIP: PHONE FOR : ?..y.., CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHAFtGE - $.SO FOR EACH $1,000 OF PERMIT FEE. kYKUI:E.S.?.:ti: YlY1N(i - $26.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: $ (SIGNATURE)