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4260 Moonstone Dr Use BLUE or BLACK Ink For Office Use I I Permit /on9yq ~ City of Eanpim I ~ Permit Fee: I 3830 Pilot Knob Road I Eagan (N 5j 122 i Date Rece' ed: l Phone: (651) 675-5675 a Staff: i Fax: (651) 675-5694 / 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (ZZ 2^bt Site Address: 210 od`1~ S~-V-,~L Tenant: Suite RESIDENT/OWNER Name: Phone: f(~ O~ be 91?` Address / City / Zip: -42&0 ~---Q av,, S / 2Z CONTRACTOR Name: d ~1°~S ~ Lr- r Inc{ License (c,3 2 q-S Address: 3 g53 l SSA` S~ W , City: State: " ~J Zip: S S }C) Phone: ~l2 2f a 4t)eV Contact: MgAov~ ~ tax Email: C"1vvkC4\ ° TYPE OF WORK -New ~ Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W. Description of work: ?,ovS-- K- RESIDENTIAL `r L" "C'-" PERMIT TYPE Water Heater Water Softener Lawn Irrigation RPZ PVB) ?C," Add Plumbing Fixtures C-),,^ Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.orci 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. x mckrto,, ~~;~s x ~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink - ~ -------------o---- For Office Use/j Permit Cnon 1 _5 City of Eaed Permit Fee: ~ / C Q 1 3830 Pilot Knob Road i Date Received: 1 Eagan MN 55122 ~ ~ q f ~ sw 1 I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 1 Ir„ I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 3 Z.s Site Address:_( Unit Name: L--EF- G'$ VLli Phone: (.0 2 3 0_4 -04 31 RESIDENT / OWNER Address/ City /Zip: 4L&O A,0" J2kC paj vC Applicant is: Owner _,Z Contractor TYPE OF WORK Description of work: FF_&V_r P-A*-P RXA^-OQ MQ JR-eDAI /RC..,_UP gap,"Al Construction Cost: ab )I d-O Multi-Family Building: (Yes / No _Do!~J Company: Vie- Cd&fOW &-T)W Contact: Cafe 7 174 V9- CONTRACTOR Address: 11435" f 4 LT) J;A AA) P City: ~L✓1/~$ l/ILL State: ► A _ Zip: &Y310-4- Phone: 95 Z ` -Lm W1 License Z 04) (93 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: 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 the 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.gopherstateonecall.org 1 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. x- /"In x c4R7 of Lt t_ Applican s P me Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage ~C Single Family _ Garage T Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck Porch (ScreenlGazelw/Pergola) Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level T Pool _ Miscellaneous Accessory Building WORK TYPES ffN~6'- New _ Interior Improvement _ Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows - Demolish Foundation _ Replace Repair _ Egress Window Water Damage Retaining Wail *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation( Occupancy 4LnsL MCES System Plan Review Code Edition SAC Units (25%-100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Vo_ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in __-Air Test -..,...Final Windows insulation Retaining Wall: _ Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge -.Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge S~ 1(' Treatment Plant 000 Copies TOTAL l Page 2 of 3 NMM* 06- L ,i& l~ ~r rQ 13 f ?d ??/? PERMIT # MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454•8100 For Office Use Only: m Name _ .S Address c City _ L Name c Address O CitY ; `y `. `," ` ' BLDG. TYPE Sec/Sub Res I"1G 77 Muit. - '3'_ A?VD A=T "' Comm. - 0 eN A m., -, Other TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # ? Other OUTLETS APT. r. ii FEE _ 1 S/C: TOTAL: _ WORK DESCRIPTION New Add-on Repair ` FEES M BTU - $24.00 ITU - 6.00 r ,(-) v- ncQ. nn I r_ nr r "n FEE - ALL ADD-ON & 1.50 EA. REMODEI.S - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C iF PERMIT PRICE GOES 6EYOND $1,000) SIGNATURE OF PERMITTEE JI FOR: CITY OF EAGAN ?/?????i.v x<? ,?..?.? s???? . ?/? y /? ? ?-P ?? ,. s f I ? . ?f 4'. , ?. iN SYLC'1'ION CITY OF EAGAN ?tagoan, Pilot Knob Road Minnesota 55122-1897 (651) 681-4675 KIE(:UKll PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: ' PERMIT SUBTYPE: TYPE OF WORK: [Ir .c r, 11, t- I i I ts ? ? ' to ` APPLICANT: 1 . , ? Nl n? ? -1 I Permit Holder Data Telsphom # SEWER/ WATER . PLUMBING HVAC Inspection Dato Insp. Commenta FOOTINGS FOUND FRAMINC3 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 21 sik 2 Parcel 10 16701 210 02 Owner Street 4260 Moonstone Dr. State Eagan,M1V 55122 Improvement Date Amount Annual Years Payment Receipt Date STFEET SURF. ? 1985 766.95 51.13 15 STREET RESTOR. SOQ. 00 ,. SQO. 00 C009292 8-29-84 GRADING SAN 5EW TRUNK # SEWER LATERAL ! 1 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ? 9UILDING PER. 5AC ? ?• '• PARK m 6 8 3 2 2 4P Request Dffie Fire No. Rough-in InspWion Requiretl? , ? ? Ready Now ?j Will Notity Inspector ?Yes VNO WhenReaUy? 0.licensed contractor ? owner hereby request inspedion of above electrical work at: Job Atltlress (SVeei, Box or Rate NoJ 1 Ob Ciry -a cai; F I o - Section No. Tawnship Name or No. Range No. Cou nry y 1?? C-IRA Occupant (PRINT) L¢(f C"?5-, vQ% Phona No. Power Supplier , Mdress Electrical Coniractor (Compeiry Name) CoMraciWs Lkense No. +1 i '1Zde M2- 3 Mailing Adtlress (Conlraclor ar Uv r Meking I n stallation) / ? , .. F lc.t ?. lwlhorized Signa CoM alQrrner Ma ' stallaH PMna Number i?t 5a5? ? MINNESOTA STA B q0 OF ELECTflICRV ? V THIS INSPECTION REpUEST WILL NOT Grlgge-Mltlway 81Eg. - Raom 5-173 BE ACCEPrED eYTHE STAiE BOFRD 1821 Univeraky Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phmre (812) 602-0800 ENCLASED. REQUEST FOR ELECTRICAL INSPECTION es000mo7 ! ? See,instructions for compleiing ihis form an back of yelbw copy. J^ ?? 9 6V22 "X' Below Work Covered by This Request e Adtl Rap. TypeofBuiltling AppliancesWired EquipmemWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (apecily) Conlractoh Remarks: Compute Inspection Fee Below: # Other Fee # ServiCeEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ? p? 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Signs Inspedor5 Use On1y: 1 TO7AL Irrigation Booms 5cs Special Inspection l Alartn/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oale certiythat the above inspection has been made. Finei oa?e OFFICE USE ONLY This requesl voitl 18 rtwnUis irom //4 9 6 5 5 , 9(a3? 9 % 1 l? ?. FeC"' ete Fl No. Rough-in Inspeclion Required? Ready Now ? WII Natily Inepeclor ? M R tl ? Yes o . ea y I licensed contractor ? owner hereby request inspection of above electrical work at: Adtlress (Streel, Boz a Rwle Na.) _ `f.sbIp /",0oN SiQ rvlt Ciry Sedion No. Township Name or No. Range No. Cauntyfn', L!,'7?o rA Ocwpam (PRINTI P,4u(- Phone No. (? 8 a'°- Power Supplier Address Electrical Contrador (Companry Nertre) CoMractork License No. G?/f'LA).Ffi 6La_C, l & C. /NC. O Y?7-?.? ( Mailing Atltlress (COMrector or Oxner Meking Insl (1 3910i E Aiiii tion) 116411. 6RGfhv i'YyN ?'?'1 el ?Z Autnorized ' netu '(COnt r/ n allation) Phone Numbet ,ti. V7 cjS1-°-Yr3 • Y MINNESOTA STATE BOAR OF ELECTNICRY THIS INSPECTION REQUEST WILL NOT Grigps-Mldway BWg. - Room &173 BE ACCEPTED BV THE STATE BOARD 1827 University Ave., St. Paul, MN 55104 UNLESS PfiOPER INSPECTION FEE IS Phone (812) 642-0Bro ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION AI'M ee-ooom-07 y5ee inslructlons br wmpletingthis form orv back of yellow copy. CJJi?,%, 5? 17515 X" Below Work Covered by Thrs Request e Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Oryer Other (Specity) Comm./Indusirial Furnace Farm ' Air Conditioner Olher (speciy) Contreclor5 RemeM1S: t'ompute Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fee # Cimuits/Feeders Fee Swimming Po01 0 to 200 Amps 0 to 100 Amps TransfOrmers Above 200 _ Amps Above 100 _ Amps SIg05 InsVector§ U. OnN: TOTAL InigationBooms iQ'.SID Special Inspeclion Y Alarm/Communication Other Fee b' I, the Electrical InspecWy hereby Rough-in Certifythet[heaboveinSpectionhBS been made. Fnal oete OFFICE USE ONLY This request wid 18 moniha imm /08133 IO /Jr 7 ?- ? ? d- ??9C J7/?. ? p100 ?J FeQUe?L,Date (/ ?Q `._ •_•? d re No. Houg?-inlnspection Requiretl'1 1 / Y? Reetly Now ?Will Nofirylnspector d ? Wn P ? U = ves o en y ea I? licgnsed contractor O owner hereby request inspection of above electrical work at: Job AOOress IStreeL Box or Ro J o )o h ,? Dv- ? c CI "?a ? tr ?ns 0 - Sedion No. Township Neme a No. Range No. Cou ? l lY (]Gcepen RINt,(p T? ? ?1 h '\ l.lJ--'?, ll Phone No. Power Supplier AtlEress Electrt ft Conhapor Ia? ? I / CqMratlor$? n? No. /'1 !\ Mailing?AtldrsIConlra0oror ner MakinA g ns^talla'on) ? ? ? O' AuM2J 5i ? aW?¢ IC ntr c10?/OwnBr Makin Ins?allali n? 9 P umbBr ?o-35ss MINNESOTA STATE 8 RO F LE PICITY THIS INSPECTION REOUEST WILL NOT Gtlgge-MlAwey BWg. Ro ]3 9E ACCEPTED BV THE STAiE BOARD 1821 Ilniversity Ave.. St. ul. MN Od UNLESS PPOPER INSPECTION FEE I$ Phone (612) 642-0BOD ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION K 29385 , See instmclions !or compleling4his jorm on back oi yellow wpy "X" 8elow Work Covered by Thrs Request ?p8`%a a ew Aotl Rep,; _ TypeolBuilding AppliencesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Electric Heating Apt.Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Omer (sueciry) Comraclor's emarks: -5a L?-e-w cSLo;+e.h o n A ll Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Cireuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps A4oye1(!q,_ Amps $I(Jf15 Inspector5 Use Only. ' OTAL -?? Irrigation Booms r J • U(J ?,5 ? Special inspection ? Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETE? WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-m ? oare certify that the above inspection has heen made. F;,,,i ? _ oa l6' ?'yY OFi1CE USE ONLY Tnis request voitl 18 monfis imm ` EAGAN TOWIVSHIP A^ BUILDING PERMIT Ownex ...4b.?F.VS/..1°?'.... ..?.. ?..,._.._----__ Address (Presenf) Builder ............. ............................. ....................... --....--........_ Address .......---...--.' -........... ..... DESCRIPTION x? 1013 Eagan Township Town Hall Date ??/G. ...?:s3'.-- 5iosies - To Sa Used For - Frbn! --- DepYh I Fieighf Est. Cosi P mit Fee Remazks ?? ? ? _ I ? f S r-c-i al ? _ la D . dr-I --- LOCATION 52reei, Roaa or other DesCripilon of Loca3ion Lo! Block I Addiiion or Traci . ?O / , CcLw.?.? ? 1 - cfi i f I n i This permit does noi aulhorise !he use of sireels, roads, elleys or sidewalks noz does if give the owner or his sgeni the Figh3 fo creafe any situaiion which ic a nuisflnce or which presenfs a haaard !o the healih, safety, tonvenienee and genexal welfare fo anponein the eommunitp. THIS PERMIT MUST B£ KEPT ON T E PREMISE WHILE THE WORK IS IN PAOGRESS. ,• . Thic is !o cerfifp. Shaf..&4o-4,? ..f..Af-_t.4?__...has permicsian So eret! ?._?. !"?........._...... ._. ..upon the above desc*ibed premise subjecf to the provisions of the Building Ordinanee for Eagan 7ownship adopted 11. 1955. :.................. ...1(.?G.f/CJ..??............ . Per ................. --!?G•?--../. ....F???.._..?.- ^L ._. _ ...................... .. . Chairman of Tnwn .Board Building I _ nspector . .caM++V & 1 4 EAGAN TO\IVN S H I P IDILDING 1 11 Ownex l?.M Address (presenS) Buitder Addxess PERMiT ??140 ------'--- DESCRIPTION N° 667 Eagan Townshfip Town Hall Dale ??:.:./P...._?.....-'--..... SYOries To Be Used For Fron! Depih Height L;; sS Permii Fee Remarks / - QP Thispermii does noi authorise the use of sireeis, roads, alleys or sidewalks aor does it give the owner os his ageni the righifo creaie any sifuafion which is a nuisance or which presenPs a haaard io the healSh, safeiy, eonvenience and general welfase !o anyone in the communi3y. THIS PERMIT MUST 8 PT THE RE I?WHILE THE WORK IS IN PROGFjFSS. This is fo cerlify. !ha ?t` -- - - - --?. ..?-----_---has permission 3o erect a_tCC.li..?..-- -_ ' - 1--- i_--------------------------- the above descxi ed premise sub'eei fo e provisions of the Building qxd4"nce f a-p adopied April 11, 1955. .._._._.... ,., . _. _...:.:!?..-`? C------------------- ...._ P . ...._ _ ..'. .. Ch ..._......._._....... airman of Town Board ° nsaecfor ?o CITY OF EAGAN 3830 Pilgt Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMITTYPE: BuzLozNr Permit Number: 033919 Date Issued: 11 / 0 3! 9 8 SITE ADDRESS: 4260 MOONSTONE DR LQTs 21 131-OCK: 2 CEOAR GROVE #2 P.I.N.: 10-16701-210-02 DESCRIPTION: ?T.O. & RERDOF B ilding?Permit Type uilding g Wo`r-k Type / (?Cer?sus Code ?? \ -. ? SF (MISC.) REPATR 434 ALT. RESTDENTIAL ? ?!`i? ??? ? • _ REMARKS: FEE SUMMARY: VALUATTON Base Fee Surcharge Total Fee $2,000 $62.25 $63.25 CONTRACTOR: 4 I I OWNER: - p,pplicant - GFlVLL PAUL 4260 MOONSTONE DR EHGAN MN 55122 (651)688- 8806 I hereby acknowledqe that I hsve read this application and state that the information is cprrect and a4ree to comply wiT.h all applicable 5tate of Mn. Statutes and City oP Eagan Ordinances. ??\ APPLICAM/PERMITEE SIGNATURE - I ED BY: SIGNATURE ? ? ? -- _ ? _r, r T4' t:iF I_:AWN CASH?i.i::.R,". ?.. ? .., TERM.i.i.,i.? ziny 787, ?"?:... ?., ? n.. D?.f...., 1.:}./03.'98 `i:i:h;E;; 0141m1"i;: xr?. _.. „ ,.,.?..,, i.,?t.? ..l(.. 321::' 9001 4260 iii.ifJNCTON:. r,+'',.'?.` ?1..? i `?3f)f?:l 4260 rf!.)t7?1 ; rn?..'ir , . . . . J. ..:::1 q?I, ? .. ?, .:..:. I'ie["L•i.l:i'i; AO':ci:_!'r5`;; _ CR'-19`aLi!'..?, (-•:i;.,c _ U':i!!:.',; ,:fi,: NANf'Y 5 1 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 9 l n 3830 PII.OT KN ?O 7 RD - 55122 New Construction Reauirements ? 3 registered site surveys • 2 copies of plans (inGuda beam & window saes; poured fnd. Cesign; etc.) • 1 energy wlwlations ? 3 wpies of tree preservation plan ii lot platted after 711/93 required: _Yes No DATE: /t' 3 .? ? RemodeVReoair Reauirements ai? 11-3-9e ? 2 coPbs ot plan ? 2 ske suneys (exterior add'Rions & decks) ? 1 energy calculaUons for heated addRions CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: D Y1,100"\ s S"??` e 13'iz- LOT: ? BLOCK: -,)-- SUBD.lP.I.D. #: CQ o? C, V PROPERTY OWNER Name: yav le ?\ Phone#: (o S? gC)(0 l.ast First Street Address: q.Z (?p W00 ri.5 ?o''LC City ? n ?i 4 h State: Zip: Company: CONTRACTOR Street Adc City _ ARCHITECT/ ENGiNEER Company: Street City Sewer & water licensed plumber (new conshuctlon only): and lot change is requested onCe pertnit is issued. ;?, oov Zip: Penalty applies when address diarg I hereby_ acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applica6! State of Minnesota Statutes and Ciry of Eagan Ordinances. p Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received _ Yes _ No Phone # License # State: Zip: Phone !Y: Registration State: Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? 08 8-piex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = piex WORK TYPE ? 31 New ? 33 Afterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Muiti RepaiNRem. ? ? 13 Garage/Accessory O ? 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. Building Engineering Variance Permit Fee Co a- a5 Surcharge - O C Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 3. a?S- 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 % SAC SAC Units PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084442 Eagan, MN 55122 . Date Issued: 07/17/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4260 Moonstone Dr Lot: 21 Block: 2 Addition: Cedar Grove 2nd PID 10-16701-210-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Ludzack Construction Inc Kyoung H Lee 13485 Skyline Circle 4260 Moonstone Dr Shakopee MN 55379 Eagan MN 55122 (952) 445-9067 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-123/4$,+ -./$%'53/4-.16789:;N <*%-'!==3->1?8@?7@:?7; -./$%'#*%-+(.&1--./$% A$%-'6>>.-==1''B:;?'' ((,=%(,-'<.''  W!#$%& ''W())**+ ''M,)-@'b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c7'(==$*-+%,a<9+F'.',, W2U2'M9+<'>-)'"W'?,7"WH2'A+7+,'1@ #9@+7X*$$,'AD''5544JY-F-+'AD''55!WW GU5WI'"453W""W 0'K,@,:<'-%&+P$,)F,'K-'0'K-X,'@,-)'K*7'-==$*%-*+'-+)'7-,'K-'K,'*+C@E-*+'*7'%@@,%'-+)'-F@,,''%E=$<'P*K'-$$'-==$*%-:$,'8-,' C'A*++,7-'8-9,7'-+)'M*<'C'Y-F-+'Z@)*+-+%,7L (==$*%-+S/,@E*,, '8*F+-9@,0779,)'#< '8*F+-9@, PERMIT City of Eagan Permit Type:Building Permit Number:EA179694 Date Issued:10/18/2022 Permit Category:ePermit Site Address: 4260 Moonstone Dr Lot:21 Block: 2 Addition: Cedar Grove 2nd PID:10-16701-02-210 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Kyoung Hwa Lee 4260 Moonstone Dr Saint Paul MN 55122--204 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature