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)