EA182451 - Building - Single Fam - Issued Date 05/01/2023City of Eagan , ®®® Permit Type: Building
3830 Pilot Knob Rd ®®®;® ®®:® Permit Number: EA182451
Eagan, MN 55122 ®®®® ®®-®EAGAN
(651) 675-5675 111111111111
www.cityofeagan.com E R 1 8 2 4 5 1
Date Issued: 5/1/2023
Site Address: 665 Brockton Cur
Lot: 20 Block: 5 Addition: Hills of Stonebridge
PID:10-32990-05-200 11111
Use: * 10-32990-05-200*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Kitchen Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $166.25 0801.4085
BL - Plan Review 65% $108.06 0720.4222
Valuation: 6,160.00 Surcharge - Based on Valuation $3.50 9001.2195
Total: $277.81
Contractor: - Applicant -
Owner:
White Birch Design LLC
Jason E Halverson
16465 Dunfield Dr
665 Brockton Cury
Lakeville MN 55044
Eagan MN 55123
(952) 686-8443
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.
Applicant/Permitee: Signature
sued B : Signature
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%..a+ WOW
E AG
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
bulldinginspections _ciyofeagan.com
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For Office Use 182451
Building Permit #: I
I
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I S&W Permit #: 1
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I Permit Fee: . I
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i 4/24/2023 l
i Date Received: I
I I
I Date Issued:
1----------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
4-24-23 665 Brockton Curve
Date: Site Address: Unit#:
Applicant is: ❑ Owner 0 Contractor
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Jason and Laurie Halverson
Name:
Address: 665 Brockton Curve Clty; Eagan
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MN 55123 612-816-5732 Jhalverson@q.com
state: Ziphone; Email;
Description of work: Kitchen remodel, replace on wdw same size
65000
Constructlon
Cost: R-1, Hills of Stonebridge
Type of building: 0 Single Family Townhome, of units ❑Twin Home
i
Company: White Birch Design LLC Contact: Steve
6465 Dunfleld Lakeville
Address' City:
<:
state: MN zip: 55044 phone; 612-910-295 Email: steve@whitebirchdesignllc.com
3
BC736504 4-25
License #: Expiration Date:
.4lt'j�t
Company; Contact:
AIX
Address: City:
State: Zip: Phone: Email:
License #: Ex (ration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.cocherstateonecall.om for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
I hereby acknowledge that this informatlon Is complete and accurate; that the work will be in conformance with the ordinances andco� 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 t ork will be in
accordance with the approved plan In the case of work which requires a review and approval of tans.
XSteve McDonald X
Applicant's Printed Name P an 's Signature
SUB TYPES
D� Single Family
— 01 of Plex
Deck
WORK TYPES
New
— Addition
✓ Alteration
_ Replace
Site Address: 665 Brockton Curve
_ Fireplace _ Lower Level
_ Foundation _ Porch
_ Garage — Pool
Repair — Siding
_ Fire Repair Reroof
_ Water Damage ✓ Windows
Egress Window _ Solar
DESCRIPTION t l;P
Calculated Valuation I
Plan Review 1125% 1T100%
Census Code
# of Units
# of Buildings
Type of Construction V13
Permit #: 10 1415
_ Retaining Wall
_ Move Building
— Demolish Building*
'Demolition of entire building — give PCA
handout to applicant
Occupancy MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wall
Framing: 1 Hour IC Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain Tile
Meter Size:
Siding: _Stucco Lath _Stone Lath _Brick
Roof: _Ice & Water _Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wali: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
Windows
Other:
Grading Final/No C.O. Required
Final/C.O. Required
Reviewed By: . Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
Ww
y5
/as.
.;. so
TOTAL Z77• 11
309 s?.P k 4 zo