4253 Moonstone Dr1NSYL(:'1'lUN REUUKD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ?„ i. t, ;?, E?c r. :
? . . . Nl,'jWS roNr na
tilttFVF #2
till i t D TNC,
0.;^r1 :
0i/2y/98
APPLICANT:
? rch:i 0 V3 a<,
PERMIT SUBTYPE: TYPE OF WORK:
1;1 1'A31
t. r kOtll
I
L
4; f tM A Ft K S: R F Ft 0 e3 F tJl1 f.- T(J Sy" O R M D ii M A tiF
Permit Holder Date Telephone M
PLUMBING
HVAC
Inapeclion Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYllRO57ATiC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Rema?ks Cedar Grove Acq4sition
Addition Cedar GY' Lot 6 Blk 3-Parcel 10 16701 o6o 03
OwnerC'? 1-4'?Street 4253 Moonstone Dr. State Eagan,MN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF. `- 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL ? 1 1
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
8UILDING PER.
sac A l1
PARK
eI?twa^y.,qY?';,.?<L'?. •? /? ? ? ,. .. , .
MECHANICAL PERfY11T
g1?3186 cmr oF E?GAN
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT #
RECEIPT #
DATE:
Site Address " BLDG. TYPE
LotBiock Sec/Sub
' Res: k
m Name • Mult
9 Address Comm.
S City ?Phone -1' Other
_ Name
c Addre;
o Clry -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
M BTU
M BTU
M BTU
? M BTU
CFM
FEE
S/C:
TOTAI-
3 5.5 U
WORK DESCRIPTION
New
Add-on '
Repair
FEES
RES. HVAC 0-100 M BTU - a24.00
ADDITIDNAL 50 M BTU - 6.00
ADQ-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMMfIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
A
EAGAN TOWNSHIP
Ownez'(
Address
Suilder
Address
e. I I . r,.
PERMIT
DESCRIPTION
N° 648
£agen Townahip
Town Hall
Dale'L!?._/?'__C"?Z .
..'-..............
iiories To Be Uaed For Fronf Depfh Heighf Esi. Cos! Permif Fee Remarks
--
TION
sxree:, noaa ox oxner uescrip:ion ox Loaaxion _ I Lol. I Elack I I . AddiYion ox Tracf -
/?-
This permii dces noiavlhorize the use oE sireeis, roads, alleys or sidetivalks nor does it give the owneror his ageni
the right fo creafe any sifuation which is a nuisance or which presenls a hasard !o the healih, safeiy, convenience and
general welfare !o anpone in the eommunity. THIS PEAMIT MUST/,g.[??{ T THE/ [ 7??/.??[)LE TSE WORK IS IN PROGRES?fS ? .
This is !o cerfifp, Sh?tl'Lr.y?i4` ,?_V...l.`...?s_permissi4n fo erecl c?._..Cb.._?_.?..?.
/ ' _.V? - _....._.'_.__ u
. Pon
the' above described premise subject to the provicions af the BuildingI ?O 'aaace adoP!ed APril 11,
1955. . . . . ?X . l ?ii .
.___..___.'.___.:....._._..:..._____ ?.?.i p C ,
Chairman of Town Board ? ??? tor
EAGAN TOWNSHiP Nc 1052
BL.lILDING PERMIT
Ownea ---.--------------- Ea4an Township
Address (presenl) ..''?`????_.. ----- Town Hall
Builder ._??1 RF"? "'. ?
-._........ .'-'-`°•---- .-_'--........... ......_......._----...
Dale . ..............
Address ....
------- ,?' : Ocu.....Qi.................... .------------......"-----
DESCRIPTION
5lories To Be Used For FronS
- Depih
- Iieight Esl. Cosi Permit Fee Remarks
/,I A CC'?' (QO) u20 oZ,?.- --- 1/ .? ? , -/g.t?.[?
LOCATION
S1ree1, Aoad or ofher Descripfion of Loeafion Lot Slock Addifion or Traof
& 3 &-E'' /.A 2"t- 1-.
This permif does noi auihorize the use of sireets, roads, alleys or sidewalks nos does iY give the owaer or his ageni
the righ!!o cxeafe any siiuaiion which is a nuisance ox which presenis a haaaxd fo the heallh, safely, convenience and
general welfare 1o anyone in the communiSy.
THIS PEAMIT MUST BE /gEPT O?N? T.y}JEA PRvEMISE WHILE THE WORK IS IN PROGRESS.
This is to cerlifY. Shal...?F.?4d....f?-F-t-..`:<2.............. ---- haspezmission !o ereet a......k??7 ...... ..........' _"..... .......uPon
!he above described Flemise subjeef to the provisions of the Suilding Ordinanee for Esgan T nshibtv p adopied April 11,
1955. /J
.".'.' ................ ........ ......r.___....._....'.."""'."""_
........... I ----------- \.e`cl[.??'-'-""------.. P¢r ?,-"d.?":
Chaixman of Tnwn Board Huilding Inspeclor
4.0
Thisrequeslvoid
18 months tmm . J
412 6 3
Request Date Fire No. Pouph-in InsVectlon
- o_o oL Reqmred? ?Neady Nuw QWsII Nolity InsPec-
U V-UV ?Ves ?.]No , tor When Ready
F&I Licensed Electricat Convactor I hereby request inspaction ol ebove
?Owner electricel work installetl at:
Straet Atldress. Box or Poute No. Citv
4253 Moonatone Eagan
ecUOn o. Township Name or No. anBe No. CoumY
- Dakota
Occupant IPPINTI Phone No.
Terry Klanke 454-8064
Power Supplier Address
Dakota Electric Co. 4300 220th Str. Fa n
Electrical Con[ractor (COmpany Name) Contrarbr's License No.
Zbtal E;lectrics, Inc. !
Mailinp AtlJress IContractor or Owner MakinB Instailationl
1537 2nd La N
Au[bor' d 5?0^a ure (CoMrector Owner aking InstallatioN
4 Phone Number
6
?
-(/ ? -8484
78
MINNESOTA STATE BOAflO OF ELECTRIGTY TNIS INSPECTION PEQUEST WILI NOT
Grip9a•MiOwey Blda. - Room N•191 0E ACCEPTED BY THE STATE BOARO
UNLE55 PROPER INSPECTION FEE IS
7821 Universitv Ava., St. Paul, MN 55104
Pn..e 16121 297.2111 ENCLOSED.
REQUEST FOR E AL I SPECTION EB-00001-0•
0 See'instrections far campleting ihis iprm on beck oi vellow capy. & L SS ?
/
C_41263 ??x"" Below Work Covered by lhis Request
N-q AAd.F!}. Type ol BuildinB ApPllunces Wired Equipmenl Wired
A Fea ServicaEntrenceSize M Fee Fanders/SuEleaders N Fae Circuits
0 tp200qm s 0 ro30Am s 0 to30Am s
Above 200 qmpy 37 to 100 qinps 31 to 700 Am s
Swinvning Pool Above 700_Amps Above 700_Amps
TranstOrmerS Irn ation l3ooms PartiaL'Other Fee
I$igns ? I ISVecial Inspection 5
10.5 TOTA EE
em3 r ks
the
Final
ceitily thet the nbove
jnspaction hea been
mie repuest
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNe
Permit Number: 032712
Date Issued: 0 7/ 2 9/ 9$
SITE ADDRESS:
4253 MOONSTONE DR
LOT: 6 BLQCK: 3
CEDAR 6RbVE #2
P.I.N.: 10-16701-060-03
DESCRIPTION:
REROOF
11di1difi"g permit Type
p:uilding Wqrk 7ype
?'Census C0de
$;
?
s
?
a F ?raY
v ?
`?\~{?.?+ ?.??
?q?`? ? It5 =r.'
i
S70RM DAMAGE
REPAIR
434 ALT. RESTDENTIAL
iC
'? . .... ? i .. . ,??- . _.
a s... ...v?, v,. _..,
REMARKS:
REROOF DUE TO STORM DAMAGE.
FEE SUMMARY:
a
CONTRACTOR: - Applicant - 5T. LIC OWNER:
RIGHT WAY ROOFING 18530049 0003999 KLANTE TERRY
1200 E. 79TH ST 4253 MOONSTONE DR
BLOOMINGTON MN 55425 EAGAN MN 55122
(612) 853-0049 (651)454-8064
Z hereby acknowledge that Z have read this applicatzon and state thet the
information is correct and agree to compiy With a11 applicable State of Mr?:
L Statutes ond Ci:ty pf Eagan Ordinances. J
APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATURE `
? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOH RD - 55122
-?) a? I a- 681-4675
New Conshuetion Reauirements RemodeVReDair Reauirements
• 3 registered sde surveys ? 2 copies M plan
? 2 wpies of pWns (inGUde beam 8 windav sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions & decks)
• 1 energy calalations ? 1 energy wlculations tor heated add'Rions
• 3 copies of Vee preservation plan iF lot platted after 717l93
required: Yes 7?No
DATE: lv[?_„( _ CONSTRUCTION COST; ? l o
7S1
OF
ADDRESS:
LOT: ? BLOCK:
Name: / V
PROPERTY
OWNER
Street Addres:
C,Ty
ComF
CONTRACTOR
Street
ciri
ARCHITECT/
ENGINEER Comn
- ic ( ) (r-r? ??-TT) r vv\-
3 sueo./P.i.o. #: G ? (i j -e- :;-
A v- r-e..
T Phone #: 44?A- O oA
First
C. State:
,. , i . . .-. ..
Zip: 5 S o
L Phone #: TS 3 00
I Licrnse ')Q0 3 ct c? +
h? r\ Z,P:ss 4 -:?S
Phone #:
Name: Registration #:
Street Address:
City
Sute:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comp with all applicabi
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: UA--
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 S-plex
? 04 SF Porch ? 09 12-plex
0 OS SF Misc. ? 10 _-plex
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging ?
? 12 Muki RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Pianning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°k SAC
SAC Units
------------------
? ForOfficeUse
? Pertnit k:
; Permit Fee: '?`
? Date Received: j
I I
I Staft: I
I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ???7ok SiteAddress: 4-453 rn.pu sj-o,..
Tenant:
Suite #:
RESIDENT/OWNER Name: T
,f l?-V Phone:
Address / City / Zip: y? ? 3 g4.h
c?,.w Cn'w
,
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of wark: itK? -?? A? P.?
Construction Cost: ?-? S° Multi-Famity Building: (Yes _! No
CONTRACTOR Name: Afl. . zi t,_ C?n1rr?b+a License #:
Address: 1 ? ) fi k??w?v? ?r•??'?
. City: bY4t-O?_? State: #y Zip:
Phone:(_S!-2.tY-?u+? ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Calegory 7 Worfcsheet • New Energy Code Worksheet
Category Submitled Submitted
(4 submission type) • Ener9y Envelope Galculalions Submitted
In the last 12 mon(hs, 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: Pians'and supporting documents-thatyou submit areaonsidered !o be public information. Portions of
the informaNoh may be cJassrf7ed as non-pubAc !f you provlde specif)c reasons lhat would permit the Ciry to
conc/ude that the are trade secrefs.
I hereby acknowledge that this information is complete and accurate; Ihat the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I undersland this is not a permit, but only an application tor a permit, antl work is not to starl without a permik Ihat the work will be in
accordance wiih the approved plan in the case of work which requires a review and appmval oi plans. X x ?
Applicant's Printed Name ApplicanY
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
Permit 0
I
non 7)
City of Ea Permit Fee: l I C ~
3830 Pilot Knob Road f~
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I / I
Fax: (651) 675-5694 1 Staff: t7 `Z I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: f-441S S dtl.5 C~ f Unit M
Name: y r ` s a16 Phone:
Resident/ e
Owner E Address / City / Zip:
Applicant is: Owner ,/Contractor
Description of work:
Type of Work
Construction Cost: oc Multi-Family Building: (Yes / No _nz
Company: r il J) ^ v Contact: L. ~U~ ~1 3i~ a 7
Address: L~ ~lg~ s~(i7L~ ~ L o i? City:
Contractor
State: V1 Zip: Phone: l al
License #:L Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
su _.~at 'eit a are .~w. e a .._a we. _
NOTE: [31-a nsand pporting documents th y ou subm 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.
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x L~o,,~_,_ bv~. x
Applicant's Printed Name plic n i's Sign
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120513
Date Issued:02/18/2014
Permit Category:ePermit
Site Address: 4253 Moonstone Dr
Lot:6 Block: 3 Addition: Cedar Grove 2nd
PID:10-16701-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
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 -
Terry L Klante
4253 Moonstone Dr
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143047
Date Issued:05/31/2017
Permit Category:ePermit
Site Address: 4253 Moonstone Dr
Lot:6 Block: 3 Addition: Cedar Grove 2nd
PID:10-16701-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Terry L Klante
4253 Moonstone Dr
Eagan MN 55122
(651) 454-8064
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature