721 Bradford CirParcel Files Cover Sheet
Unique ID: 2111
721 Bradford Cir
103299034007
. ? „ , . .
INSPECTION? RECORD
? ?J4GAN F+ERMi'I' TYhE:?
R69d ? Permit Ntunber: 001944
'
?? .
? Mkimsta 65123 DWIssued:
-0875
E&S. . ??'
?P?f
4. 0r 3 0034 t?.?. Or ?: x 00 a
BidAC?FORC1 Ctti F#Ft4CtTNSIf)f NOMES TRC ?
Or .??T#yPtt;RRT0?'iU (61.2) 429-•8E108'
- 'MAMff $l1BTYPE: , TYPE OF 1AIORK:
y
? -.
TNSl1LA"1'I{MN" F"I
4
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F-'[ Pf P #. #1C F.
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Pf)4Af1 F SS i Q 4 h. Is. FP f N !'b ?9 M ? s i4 ' m SI,'?I??' J .?
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Pam* pa eamdR Nelier @m ?ee e
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8JIIN .
. PLUMOM
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Hvac
ELECTFdC
ELECTFIC
- MOPeoftR
FOO I .z.e. l? s
n
PAum Pft 12-7-
mo?. 1'Yx),
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PMW ft •
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FqnW Mg. -/1
carl& ?
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Oft FbW
oea* ?.
na* FinW
wd
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Address 721 BRADFORD cTRr',f.F
Zip 5512 3
I.of '' 34 Blk 7 Sub urr.r s nF ,Trr?Trrp
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03/22/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish V"
Deck V/
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkIer system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy w
- MINNESOTA BOARD OF ELECTRICITY
Grfggs-Midw Bldy. - Room S173
1821 Universfty Ave., St. Psul. MN 55104
Phone (612) 642-0800
58
K
9 8 -
/??
a !J
a
C
/ / _ ? ?v
Request Date
?+
` ire No. Roug iInspection
Req ?
? Ready Now ill Notity Inspector
_
7 ^
7 Yes G No When Ready?
?licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Sircet Box or Rout Na)
? 1 City
?? q A
)
J O
8 C ,
Seaion No. Township Name or No. Range No. Counry ?
?
OtcupaM (PRINT) Phone No.
4 deo /)
Power Supplfer Address
Q l
t'C
Electnc i Contracto (Company ame) Conhactw's License No.
o s i' ?' ve c N? c C S
Mailing Address IContractor or ner Making Instdllatio )
/
A
S 3 7
Li ?^ ; v
c le ?J
Authoriz ature (ContractoriOw r M ing Stallation)` PhonWNumber
°? l
y - g D.3
?
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
K58958 , See instructions Tor completing this form on back ot yellow copy.
. 'gC" Below Work Covered by This Request
E13-00001-08
/
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ectric Heating
Apt. Building Dryer heF-(Specify)
Comm./Industrial Furnace .
Farm Air Conditioner
Other (specity) Contrectort Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool r 0 to 200 Amps 0 to 100 Amps t?
Transformers Above 200 Amps Above 700 Amps
SignS Inspector5 Use Only: TOTAL
Irrigation Booms ?V ?
ff' 5
Special Inspection (
Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in . Date
certify that the above inspection has
been made. Finel g^
J
OFFICE USE ONLV
This request void 18 months trom
?CltY OF EAGAN
3830 Pilot Knob Road
' Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: Bu x Lo z NG
Permit Number: 0013 4 4
Date Issued: 12/17f g 2
721 BRADFORD CIR
LOT. 0034 BLOCKs 0007
HILLS QF STONEBRIDGE
P.I.N. 0 10--32990-340--07
DESCRIPTION: ) e
S F DWG
NEW
F2-3 M-1
V--N
PD R-1
65
34
tV oF cagan
REMARKS:
RECEIPT #cp??U8y PRV S& W CONTRACTqR - N5I PI.BG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
5AC
SAC e
5AG Units
lice Search Fee
Subtatal
vALuArroN
$713.00
$463045
$60.50
$7td0. 00
100
1
$5.00
$ 1 ,9 4 1 . 9 5
$121,?00
MISGELLANEOUS 11,610,50
-1°ptal Fse $3,552.45
CONTRACTOR: - Ap p], i c a n t- sT.LIcOWNER:
HEARTHSIDE HOMES INC 1429$888 0002703 HEARTMSICIE HOMES INC
115 LQST" LflKE CT 115 LiJST LAKE CT
MAH7QMEUI MN 55115 MAHTOMEDI MN 55115
(612) 429--8888 (612)429-8888
(612) 681-4675
SITE ADDRESS:
LdTe 0034
721 BRADFORCI CIR
H'CI l S 0F STCINEBRIDGE
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEw
INSPECTION
FOOTING .• .
FRAMING .A
INSUL,A7IOiV FINAL
F7REPL.ACE
REhIARKS s RECExF'T #
APPLICANT:
BLOCK e 0007
HEARTMSTDE HOMES IiVC
(612) A29-8888
PF2V S& W CpNTRACTOR - N5I PLE3G
?
L
PERMIT #
It'??A6TIVATE
- 1 1444
CITY OF EAGAN
1992 BUILDING PERMIT APPLiCAT10N
581-4675
$-5z - 4ff
D E C 1 4 RECD,
P,: aU I a _ I I
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
C"ERCIAL 2 sets of architectural & structural plans, 1 set of
. specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address: h _Axfi?Jftld (??h,
STREET 5lJtTE R !
Tenant Name: (co.qxnercial only)
LOT I FLOCIK :Z_ SUBD.{41j?5 0i" Si6Np.aov, t4 P.I.D. A
Descrl tion of work: S N l PAvh1 K 2o"-}rUc5fi.ot1
The appl i cant i s: O Owner 10 Contractor ? Other (oe.or+be)
Property Name rryl e Lo Photiie
LAST FIRST
Owner
Address 53877n 7"Y, . l 1rA I?
STREET STE t
? .?n
City r! State , YIN Zip
Company e.?9X+Wtg 69v,e-A -ru c-, Phone '42 - 96
COt1tf8CtOr Address L0l?,+ LA+V-?. License #0062-763 Exp.
City I&1l?6,AV1Q41'
State Mw Zip vvll?
Archttect/ Company Phone
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber NSIMUML-Vq . Processing time for
sewer & water permits is two da s once area as be n pproved.
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.
Signature of Applicant
OFFICE USE ONLY
r
.
BUfLDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ?1ii Basqmeid Ffhish
g 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O18 Gortm./Ind.
O 04 SF Porch ? 09 12-Plex O 14 Flreplace O 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility
? 21 Miscellaneaus
WORK TYPE
15r,31 Mew O 33 Alterations O 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repalr ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Y?
(Allowable) v-N lst F1. sq. ft. City Water ts
UBC Occupancy w..1 2nd F1. sq. ft. PRV Required
Ioning pD R-i Sq. Ft. total Booster Pump
# of Stories _T Footprint Sq, f.t. Fire Sprinkler
length ?T On-site well Census Code > U L
Depth 3c? On-site sewage . SAC Code ?L
APPROVALS
Planning Building IZ?? -9z
Engineering Variance
REGIUIRED INSPECTIONS
? Site O Footing O Framing
O Wallboard ? Final O Draintile
Assessments
O Insulation
El Fireplace
Permi t Fee wimci«,: g (,z t, Oao
Surcharge
Plan Review ?'??ZA6&? 2NX 314
=$?G
License x i2 : (a y?
MMICC SAC
City SAC
7 qZ
? 67 z
XW= 1.
Mater Conn. }c27 = 837
Water Meter ?13
Acct. Deposit ._--
S/w Permtt
S/W Surcharge 65o x
?ST ?Lvo? 15? I z? ?15?
Treatment Pl. ? -
Road Un i t 21,514 T _ 65D
Park Ded.
Trails Ded.
' ?? ? ? i? .??I ? ??o
y?/
Other
Total :
SAC Units
` I,? 31 =
,( ? "
? x 13 - 9_ ??
, ?.
HY-LAND SURVEYING
TEL:612-560-2079
Dec 15.92 11:13 No.002 p•02___
65P
.:Q, h?ooa?e tev M aeek
84?:s PropaW AeroM Fleer
.A42,.Q he?eMd LoW01f Floot
TN N ftlfOMiO -
F'uL 1 ffi.s ev-,aK-l-
_
HMnH sioE HOMEs
HY-LAND SURVEYING
LAND StJRVBYiOR4
7etS aookl?a ?1. erooda Pwk wdwou am
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e44
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-- 177.3`
1•? 8 ? b?.p3
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t?• ?zt
P.R.V. REQUIRED
Lot U. Block 7. HiLLS OF ST0WR106E
MMiMw M?eirn ???r M wNA ?r ?MIM NaN?dMr
r artlf?r N?t qtr
WNW t1a t6w ?ewy wr?=ROJFX?
, ?f 6=0 ? / tlntat?
MrN?? duiNtfo#& 1Ah dW0l flae'rlar * ?
uwoim tio.
FAND 117/f
aAt.E I" ¦ ??
0 Yff-
o- aN- ir" wnw?,Mt
0 0OWN VNoae fMb $0
ibr Eseewtim O"
x000.0 OonMN EdNlns tMNllm
O oM046 wSPO..r ftvwm
4416- oN" Wno. ommm
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ai;o
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- s??_ _ ? 4'a^.k [3 RAD F
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°ta.c - •??, ?? C 1 R? t,?s
E=ACiAN SNGINtSRINC3 D
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612 560 2079 12-15-92 ?10:04AM PO
?
?0 0
0 0'' 0
8' 0 0
8' 0 0
4P 8" 0
0 D
o°' o o°
g Er_° n o
41"0 0
? 0 0
0? 0 0
13 ? 0
0 0' p
D ? p
Q? [] 0
wt] 0
Q' 0 13
B' 0 0
D 8'-'0
wT AORVEY C8ECKLI8T rOR REBIDEIfTI]1L "'
,. , SIIILDIIIti "MIT y1PBLICA 26
tudPERTY I.IAA._ ? -
Date o! nrveps ?_2 / i :44 27
an=MWB
• irt+?rsd Iand Surve or si
' ?2ciihq Pfrmit 1? lice ?aturi and co?m?any
? pp nt
ZA461 +dsscription
• 1kddrare ' 1,06rth arrow and Dar scale
' Hbubs type (ramblor, valkout, split v/o, split sntry,
16okout, etc. ) .
' Direetianal drainaqa arrows vfth .iop./qraai*nt 4.
• ??o+?ed/sxistirq sower and t?ater setvicw
• ????r?t name
• ?Iri?away
li11?szoNe
• 96v*r service • rdt,eor,ers
• 16p Of curb at the driveway
• 216vations of any existing adjacent hvmes
!d
• ?fift4t t'loor • rirbt f1oor
' . L+o???t Sxpased elevation (walkout/window)
' °ftOptrty torners
• ]Ptbht a»d raar of home at the foundation
• 961060ant line
• l??,.
• ?L
• P63td ? desiqnation
• Xtttgthcy Overflow Elevation
?B?O119 .
• ?t, lin?? .
• kioht-at-way and atreet vidth (to back of aurb)
• Proposed home dimensions includinq eny lpropostd doeks,
Oilerhanqs qreater than 21. porchea, otc. (i6i. all
struoturas requirinq permsnent lootinga)
• ??br1e?l'aasements bf rrcord and any City utilitiis Vithth
those esrements
• 96tback0 of proposed sttuctura and setback of stljaeent
ik16tfnq home • 16ttinin r?qui antt, if any
E.
RevieWd: ? ?- xS
October 1992
9.2 1/0
,
? -
,. . .
Extcrior er.velope Averare "U" computp_t-ion
I'•A' ES"46 ? R,??ff?ll7'?F'r? .
ADJnESS
De terrr.ine :lor}:ing SQ Footing of each
?
?. ..
1. Total ex; :,se d wall area Q37'? SQ FT X.11
2. ^o`.zl r3o'ic °:iir:z; area 890 S? FT X.C26= a3„ /
Y
A.
B. ^- : a _ '
?
Total
'.lr.c
Doc?:
??•: Area ............ ....
. l7E'
Area
C.
Total
Siid ................... 3
ir,g G_assD,:?o^tirea..... 40
D. i o*.al ixt. f.'as,:,n FireD_ace Area...
E. i o t a' '6-:a=1 F: a..:.::^6 tirea........... !&o
F. Total c}:resed Fra::e Wl. Area.. ,gr7
G. i o;.a? Jois t A:-ea . . . . . . . . . . . . . . 20cl
}:. i o tai r c?ur: J3t1G:'1 I*Jind:w Arez...... g
1. TJtBl !:et iouncatior tirea......... ,15?(,
re t. er--:i:;e ""C. " Va'_;:e o; Each V;all Sege:-,^,t
A. x „U„ 3,1
B. - 3? X .,
C. ?Lo X „U.,
D. r- X ., U
E. / 8? X "U., d/? _ /9, So
F. l917 X .,U..
G . .1.0j4 X U..
H. 8 X ,.U.. , 3Gse -
I.
-7 'V'
X
n U.? ?O'7 4/ G Z
3•
4.
Total. wall se ?ent . . . . . . . . . . . . . . . . . . . . . . . . . : / 9?. 9 ?.
J. i otal Skylite A: ea . . . .
K.
Total
Roof Ceiling . .. . . . . . . . .
Fra^??e Area.....89
L. Tetal i:e "? Irsulted Roof/Ceiling... gol
Le ter.ir.e "li" valve of each Roo`/Ceilino Seggment
J. X ..U„
X .. U ,.
L. 01 };
--
.o?o = o?. G7
Total Lo:?r S2Te?':t ....................... 9
. . ? o.. ?-
If tY:e sum of 1 and 2 are €reate^ t!-,an the su. of 3 an4 4
you have *;et the intent of the State Building Code.
i . -'t6 /. '-47 t 2. .z 3, / j/- _ - ? /
3•_ ?o..29
= .z . ?s
BL CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
REBIDBNTZAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
S,THEN PIItMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST '74-
ADD ON
REPAIR
CITY USE ONLY
RECEIPT
DATE /
ALSO, FOQ TOWNHOMES AND CONDOS
,
---------------------------------------------------
COMPLETE THE FOLIAWING: ------
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
?
WATER CIASET 3.00
BATH TUB 3.00 IAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00,
?? IAUNDRY TRAY 3.00
STTE ADDRESS:__1 HOT TUB/SPA 3.00
/ WATER HEl4TER 3.00 ?
? FLOOR DRAIN 3.00
GAS PIPING OUT.
?
INSTAIJ.ER: (MINIMUM - 1) 3.00 3
ROUGH OPENINGS 1.50
ADDRESS : 0THER
CITY: ?' ??
ZIP: _ WATER SOFTENER
PRIVATE DISP. 5.00
15.00
? U . G . SPRINKL?LR 3.00
PHONE ? : _ (? W . T[JRNAROUND. 15 . 00
STATE SURCHARGE .50
TOTAL: S 13/
COMMERCIAL •
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILbINGS. , ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING iJNIT.
WORK DESCRIPTION: -
OWNER NAME:
SITE ADDRESS: `
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. _
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE. _
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
$
(STGNATURE)
CITY OF EAGAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4875
New Consfruction Reauirements RemodeUReuair Reautrements -- l Q(
? 3 regtsfered sHe surveys showing sq. it. of lot, sq. ff. of house
and QII roofed areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam 3 wlndow sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 coptes of tree preservat(on plan ff lot plcMed affer 7/1 /93
DATE: FT
2 copies of plan
1 set of energy calculatlons for heated addRions
1 sffe survey for exterior addNions & decks
41
CONSTRUCTION COST: 6f fI d
DESCRIPTION OF WORK: 7?E," a Jf K F p(,' c ? Ro of •..?
STREET ADDRESS: 2,21 AJ j-JQ-
-
LOT: 3?{ BLOCK: ? SUBD./P.I.D. #: k 4 i?
iJ iC Y YYl ? S? ?
Name: sL2 R Phone #:
PROPERTY Lan First
OWNER ????
Street Address: , o ? ?
City '415'q G '4 co State: Zip:
99,
d,57 / z. 3
n
Company: ? ?o t?Qo . a? `? x??o c(c /N Phone #: 4,r/ - 702 - /a ! /
(area code)
CONTRACTOR
Street Address: 1 F'7? Wo E license #20 t-86I6v Exp. S 49
City (Ift U4 ?F State: ?ti. Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Stree°t Address: Regishation #:
City
Sewer & water Iicensed plumber (reauired for new constructton onlvl:
State:
PLLnalty applies when address change and lot change is requested once permff is issued.
Zip:
I hereby acknowledge that I have read this applicatton, state that the information is correct, and agree to comply wffh cll appitcabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appltcanh
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFF{CE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex
O 02 SF Dwelling ? 07 5-plex
? 03 1 of _ plex ? 08 6-plex
? 04 2-plex ? 09 7-plex
? 05 3-plex ? 10 8-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 14 Apartments
? 15 Lodging
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SofFts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
'' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories ? sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee ? 3? a 5
Surcharge
Plan Review
License
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
rotal: I ti a?l ??
Valuation: $
i
SAC Units
% SAC
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
-------------------------------------------------------------- - - ---------- - ------------- - ----------- - ----------------
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 9 3
FEES
HVAC: 0-100 M BTU %`a O`'" $ 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) ?06
ADD-ON/REMODEL (ExisTTNG coNSTxUCrioN) $ 15.00
STATE SURCHARGE .50
TOTAL ?3 3. 5 v
SITE ADDRESS:
v
OWNER NAME: A„rwh il-lb ,?j c, v TELEPHONE #:
INSTALLER: 7'?-, A,/??°
ADDRESS:
CITY: ?,JA H Z 7_67 16 6' /f r- G /6?STATE: 1-12 ?N ZIP CODE: S JS %? G
TELEPHONE #: `??X , S-1i >
C%Z ?? /0 /- 2.e0
SIGNATURE OF PERMITTEE
1993 MECHANICAL PERMIT (COMIVVIERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
---------- - ------ - ------ - ----- - -----------
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF qQN'';[j?M FEE $
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLl)
TELEPHONE #:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
$25.00
$25.00
$.50 FOR EACH $1,000 OF PPM FEE.
$
SIGNATURE OF PERMITTEE CTTY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164387
Date Issued:09/28/2020
Permit Category:ePermit
Site Address: 721 Bradford Cir
Lot:34 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-340
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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:
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 -
Loren P Burmeister
721 Bradford Cir
Eagan MN 55123
Highmark Exteriors
8720 Eagle Creek Pkwy
Savage MN 55378
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature