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EA185135 - Building - Single Fam - Issued Date 07/25/2023 PERMIT City of Eagan , ° e ® Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA185135 ° + Eagan, MN 55122 (651)675-5675 EAGAIN www.cityofeagan.com * E R I B S 1 3 S Date Issued: 7/25/2023 Site Address: 4072 Nicols Rd Lot: 1 Block: 1 Addition: Cedar Grove 1st PID:10-16700-01-010 Use: * 10 - 167QPJ — r01 - 01fD * Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: Bath 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 $83.50 0801.4085 Valuation: 2,000.00 BL- Plan Review 65% $54.28 0720.4222 Surcharge-Based on Valuation $1.00 9001 2195 Total: $138.78 Contractor: - Applicant - Owner: Clear Choice Bath Harvey A Tam PO Box 386 4072 Nicols Rd Carlisle IA 50047 Eagan MN 55122 (800)484-2833 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 ssued B : Signature rFor Office Use "_ w —I f [ 7 r i Building Permit#: S&W Permit#: A G A NI I I I Permit Fee: 13 7 I diI Date Received: 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 viive I (651)675-56751 FAX: (651)675-5694 I i buildinoinspectionsCcDcityofeaaan com Date Issued: JUL 10 lues —__ ' RESIDENTIAL BUILDING PERMIT APPLICATION Date: July 7, 2023 Site Address: 4072 Nicols Road, Eagan, Mn 55122 Unit#: od Applicant is: 13 Owner ® a isContractor R_I � I Name: Shawn &Jackie Tam Homeowner Address:4505 Scott Trailcity: Eagan an State: MN Z;p5122 Phonef 51-890-7963 Email: shawntam2380 ahoo.com Description of work: Bath Remodel &replace window in bathroom Type of 16,000 Work Construction Cost: Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home Company: Clear Choice Bath Contact: Sid Tyler Building Address:PO BOX 386 City: Carlisle Contractor State: *' -Zip: 50047 Phone: 515-989-9115Email: sid@clearchoicebath.com License#: CR712412 Expiration Date: 3-31-2024 Sewer& Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License#: Ex iration Date: ® 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications E TE:Pians and supporting documents that you submit are considered to be public information. Portions of the ormation may be classified as non-public if you provide specific reasonsthat would permit the City to conclude that they trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org 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 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. off) f, X.Sid Tyler with Clear Choice Bath , ; Applicant's Printed Name ApplicantX Signatuur