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1454 Yankee Doodle RdCity of Eapli 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 .IAN 2 El 2011 Use BLUE or BLACK Ink Permit #: 7ee-0 Permit Fee: v 6 Date Received: /4? -4 Staff: //// 201 /FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: /// / 7 Site Address: / r _s �i 46' City of bpi' /-- 3830 Pilot Knob Road no C1 Eagan MN 55122 Phone: (651) 675-5675 i�L / /�s Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Receiv I Staff: 141 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: I - // Site Address: /5/6 /. i, CC- 404:,006.#£ - L J Tenant: L. (t -(— - 1 7(. AU i2 suite #: PROPERTY OWNER Name: / licC 0/:€Ties Phone: /"98...Z c13493 CONTRACTOR Name: 44-10✓LEL - Apgeouvi 86 GLC License #: 0.6/553"- ,,%t/ , 46)(Aw 4 ' , . City:. ei4t(s 4• J State: "01 Zip: vrf/L/ Address: /7/O 2 Phone: 4,55/ - Y52 — 4575- Email: CAiic% as e LJ,4 f, /. co AA. TYPE OF WORK New Replacement Repair _ Rebuild X Modify Space _ Work in R.O.W. _ _ _ Description of work: AW e? - ,2 -core eof%'/i irtlJ - Com/° eX4 fzeg PERMIT TYPE COMMERCIAL New Construction X Modify Space Irrigation System ( yes / no) (_ RPZ / _ PVB) _ _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ /2 3f x 1% Required - If Permit Fee is Tess than . = $ Permit Fee on ALL new buildings and boulevard irrigation systems --> = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 0 0 CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.orq 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 .4406 /fle he%s' Applicant's Printed Name 1 zFOR: OFFICE 41 €1 SCF S `i=. .equired Inspections., 3� nder,GroundR • , Rough- n Efi-AirrTes x Applicant's Signature Approved B is� es Final PRY Required Page 1 of 3 4401P City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: q 7.55-0— Permit Fee: q6-7. -7' 6 Date Received: Staff: J /27.2 / 2010 COMMERCIAL BUILDING PERMIT APPLICATIONAL'- Date: /:7 - 9 -/© Site Address: / /;i/Y Vft 6-"E" Poo /� tet` fS o4 6 X We/0raie Eft Tenant Name: Z e L / a u alf (Tenant is: New / X Existing) Suite #:from /Yqy fp /+s,/ /V 5 - Former Tenant: Zn &lhi L05S y'- PROPERTY OWNER Name: /t-/ f C. i4-Qp ei- i- P 5 E Ltd Arh,o Phone: 65`/ - 4-5-Z- 33D3 Address / City / Zip: 34-7 0 C,Ja Sit " 1 1)1111 fr. AiiDZ. a, 4 k, AO S s7Z.Z- Applicant is: Owner X Contractor TYPE OF WORK Description of work: %na n/ Mt i.S £ - /Qe/o ca 7/e ,& 441-1 L( ver .batt/ Siarc Ani Construction Cost: 40� wt� CONTRACTOR Name: C. -/V5 Cori S1i-acft 4 Ser vices, LLC License#: 0® 331g Address: 3+10 e�s1010r. Dr. # l 0 Z City: Fa ak-, State: NA Zip: 12Z, Phone: to i 2 199 — S-8 ‘-'86� Contact: L0.. Sa.LAil Email: CSClt.V1af%y e `Mk` rcIper ie5 -UPI ARCHITECT / ENGINEER Name: iA V AR—CN i TT. -'t -T51 LLL Registration #: Z4 21 () Address: Z O (o Eck6f GIle,,+1,) .ti St • City: S}i II t..,6171 -- State: MIQ Zip: S5 OS Z, Phone: 651 ` 3 b 1 - 1'1%00 Contact Person: 3--0 - 14 0 €'er )e -r Email: J oC, ( tri o a.r C1r+ r rQ S• • C:b`y.% Licensed plumber installing new sewer/water service: 14 1 P. Phone #: ,4-`-. 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.ora 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 worlwhich requires a review and approval of plans. CMS cow C-T't O N :nay i CC �� '•, t � �'r x C. h 0.4 S a A.d Applicant's Printed Name Applicants Signature Page 1 of 3 ryL-f „?de DO NOT WRITE BELOW THIS LINE q 7.s -;- SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Retaining Wall ,Public Facility Commercial / Industrial Greenhouse / Tent Antennae /Interior Improvement Exterior Improvement Repair Water Damage _ Accessory Building Exterior Alteration -Apartments _ Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows _ Demolish Foundation Fire Repair Salon Owner Change *Demolition of entire building — give PCA handout to applicant DESCRIPTION ai Valuation 1-1-bI000 Occupancy 1\1\ Plan Review `ie"5 Code Edition (25% 100%_)v) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction P Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: 07 MCES System SAC Units - 0 - ' r City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: ,:14 L. , Building Inspector Reviewed By: _ , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 3'73.4 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 90, 57 Page 2 of 3 j4 Metropolitan Council AA Environmental Services December 21, 2010 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of the City for E&M Liquor to be located at Yankee Square —1454 Yankee Doodle Road within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Retail 2786 sq. ft. @ 3000 sq. ft./SAC Unit Credits: Retail (Look -Back Period) 3095 sq. ft. @ 3000 sq. ft./SAC Unit 0.93 1.20 Net Charge: 0 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651- 602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, mCo on Cappaert SAC Technician Environmental Services Division KC:kb: 101221C8 Determination expiration: December 21, 2012 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Chad Sandey, CMS (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer DEC -23-2010 02:02P FROM: T0:6516755694 P:2'3 1,10 C»\ e411111/1 a+•1 City of Etali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink atakiit Permit x: 4 / 5 f � Penult Fee: / Date Received: r� Staff.�� 1� 2010 MECHANICAL PERMIT APPLICATION 01411 Date: 12-25-10 Site Address: x54 AN th 104 - 76 -) Tenant: E 4 XI L.1,pW Suite #: I45+ RESIDENT / OWNER De - Name: 161 r e Yrop4/•4349 Phone: 65!- 4,2 ` 3303 Address / City / Zip: 547a 1A)4.5haNC� +0v-4 'Dr- ;4:r. I (} . �J'1 �..., CONTRACTOR Name: 4 S A,....)- ji,.p,•J41L--7.4.. License #: Address: 117- • l S4 S4*. Lt.) . City: PI State: l'If\ Zip: 5555 �i Phone: 5-3- ' 49A A " Contact: ( ,XX O. I f') Email: )0( ( re Ar\of S W S . it) C 4 TYPE OF WORK New X Replacement Additional _ Alteration Demolition - Description of work: .,- s, :r ' 4.. a . A 'DA RAZ . NOTE: Roof:mounted anid;grot,nd.ntountsd.thechanicaIequipment' is:nequired to be screened by City ' Code.:Please contact She Mechanical Inspector forirtfotmation on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL New Construction _ interior Improvement _Furnace Air Conditioner _ Install Piping _ Processed Air Exchanger _ _ Gas ' Exterior HVAC Unit Heat Rano----.,„ Under / Above ground Tank L_ Install t _ Remove) When installing/removing tank(s), call for Inspection by Fire Marshal and Plumbin• ins •- for — Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75,00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) surcharge is 5 5,00 surcharge increases by $.50 for each 51,000 Permit Fee requires a 5 5.50 surcharge) wa Contract Value S t/ `3 "'' x 1% 1� G�j _ $ Permit Fee - Ir the P rmi I9 Iess thaa510,010, Fee = ..--‘'CP $ ✓ ° 'CP 0 Surcharge , - If the Permit Fee is > $10,010, (Le, a $10,010-$11,010 Permit = $ -7'j ' O 0 TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Gall 45 hours before you Intend to dig to receive locates of underground utlilttos. www.00nheratateonscslLorq 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! 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 ba in accordance with the approved plan in the case of work which requires a review and approval of plans. x y fi. V't'ef) Applicant's Punted Name Appli is ignature FOR OFFICE USE _..::. .. Reviewed By: :...::..:::.. Required. Inspections _Under :Ground:; ..Rough In._Air.,Test..,_pas .ServiceMits. E.xterior HVAC Screening Inspection Date: zet in-floor.H _... eat. mal . 0 C!ty ef aaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ufa' 1C14-11 Poie RECEIVED JAN 2 4 2011 Use BLUE or BLACK ink Permit#: 1-7e5 It4q, n Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION CI4 /l6c" try ViaNKrE - �� _ ��/ Date: - ‘C:)(' Site Address: Tenant: E- 4' RESIDENT / OWNER Name: Phone: Suite #: Address / City / Zip: CONTRACTOR Name: nse #: Address: 10.3-r2 -Prj.CW of City::e� U2 (C -i / FIE_ L L State: IN Zip: r 3- Phone: F K-1 2 l J Contact:I te \ Email: TYPE OF WORK Additional Aation PERMIT TYPE ✓ New ReplacementPC-AP4E 7/c-�C Qco Pr .sir Fjg Y� /55. `/At /,vSrA-'c Description of work:d- ,QFpcH iN eraeLF/?, 7 t c,." E.1WN.6 1_0//2S. &/[.G, t-mCA1 02=.'V Tele alf RESIDENTIAL Fumace Air Conditioner _ Air Exchanger Heat Pump Other New Construction _ Install Piping Gas COMMERCIAL Interior 1 , • rovement Pr• sed Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin• Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) OR - If the Permit Em is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ /'SS 9ekT3 .$ p,3 /. Permit Fee = $ '5/. Surcharge _ $ I `7 , CliZ TOTAL FEE 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.aopherstateonecall.orq 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 pyrmit; 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 <C40_ k)k_ IZ Applicant's Printed Name x App lman t's Signature E. yEe1wP.`Sii , L • For Office Use l PI) � �-Permit#: //C 6sOi �7 Ii t wt`. r#41,0.., 1 i i ; r I- Permit Fee: I E AGAN x_ 11' l ECEIVED Ste: J J--- -- I � if Payment Recvd: Yes No I 1 3830 PILOT KNOB ROAD( EAGAN,MN 55122-1810 I (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 JUL 0 9 2019 2cElectronic Plan Submittal:eplanslicitvofeagan.com LPlans: J�Electronic aper I 2Y:.� P 2019 COMMERCIAL BUILDING APPLICATION Date: ( ---5 El Site Address: 1�Cj 1 \641,1V. --- L-)G e.o LL 110 Tenant Name: 0 k{6' 1'n L vli T1't1 k1/ 4 1 (Tenant is: New/ Existing) Suite#: Former Tenant: r -r Name: ti C f f);�DA.T4 k L S 0 Phone: i Property Owner . t ,� ._ Address/City/Zip: 3%0 V�d Skt t,A)1-11/4( t i1 16 1:34co . # Applicant is: Owner )( Contractor . wo t rt L 4.3 T e of Work Description of work: I Dik,i t 4 L U.'I t.- (SLC f1E gt-vi L�� t) ('&S�(t1 } Type Construction Cost: 2S Name: t4 4 h VIA('.A104,41-1 C4 — License#: Contractor Address:egg U ‘cam. t- erYL, 1A-u.6,t' City: L.; 1 1� E UA1 i State: 14,4 Zip: SS-l L 0 Phone: {u':;t 'f1 L — Lt i?O lGic.-441r ti oda.urninAe440.t>CQR9irvaten Suety •Co Avtk 4L�� Contact: � `, vi.E Email: t(�►1'1.►r.�+a C' �, �t r(t S G';����,(�TVt��i 1(AS 11�.0 t S Name: P"ST At all/7 TS Pic . Registration#: Architect/En ineer Address: 4'7 W 14/411f 7/v6 tt" s4*'f City: U'//f7 3fif>1— L� State: /41A1Zip: 501/4 Phone: ( ci) 47-7 - 7s Contact Person: iviumn S� Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. R You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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.aopherstateonecall.orq 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 work44ot t rt ypltfout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f;it ,fi ,�;r' Applicant's Printed Name •p1. a. ....-411,1",� ". .. DO NOT WRITE BELOW THIS LINE / e 6e7 ,SUB TiePES J / / IiocJ& -1 . Foundation Public Facility i Exterior Alteration-Apartments — Commercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments — Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New ✓ Interior Improvement Siding Demolish Building* Addition — Exterior Improvement Reroof Demolish Interior Alteration ____ Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair — Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ?StODd.w Occupancy F MCES System Plan Review ✓ Code Edition 2A/5 MSG SAC Units ? JJt-e?li 0---- (25% 100% `/) Zoning City Water Census Code Stories I Booster Pump #of Units 0 Square Feet 3+ I PRV t / #of Buildings 1 Length Fire Sprinklers Type of Construction Tr.PP Width REQUIRED INSPECTIONS Footings New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control ✓ Framing 30 Minutes ✓ 1 Hour Steel Reinforcement insulation Street/Curb Cut Inspection Sheetrock Other Roof: Decking Insulation Ice&Water Final Meter Size: Siding: Stucco Lath Stone Lath Brick EFTS Electronic Set of Final Revised Plans Windows Fireplace: Rough In Air Test Final s/ Final 1 C.O.Required Pool: Footings Air/Gas Tests Final Final/No C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: '/Yes No Reviewed By: , Planning New Business to Eagan: Reviewed By: , Building Inspector FEES Water Quality Base Fee '/1.3 * a-o Storm Sewer Trunk Surcharge /Z .S-0 Sewer Trunk Plan Review 7 G g . '{-( Water Trunk MCES SAC Street Lateral City SAC Street SSW Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Co P165 -f S.6 0 Trail Dedication TOTAL: 413.15- # 6f ti ..IS- Page 2 of 3 MCES USE:Letter Reference: 190621A8 Address ID:5482 Payment ID:422529 /5, S�7 Date of Determination:06/21/19 Determination Expiration:06/21/21 Greetings! Please see the determination below. Project Name: Original Mattress Factory Project Address: 1454 Yankee Doodle Road Suite#/Campus: N/A City Name: Eagan Applicant: Mark McGuire, MN Construction Special Notes: None Charge Calculation: Retail: 3089 sq.ft. @ 3050 sq.ft./SAC= 1.01 Total Charge: 1.01 Credit Calculation: E& M Liquor(SAC 01/11)=0.93 Total Credit: 0.93 Net SAC: 0.08 = 0 SAC Due The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at:toni.ianzig@metc.state.mn.us. Thank you, Toni Janzig SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.ore/SACprogram 390 Hobert Street North ( St. Paul. MN 5510'-1805 241L-11116 Phone 351.602.101)0 1 Fax 651.601.1000 1 TTY 651.291.0904 ' rnctrocouncil.orcl M EU ROPOLI I,AN art .�rrfl'?:':airi( COUNCIL• L For Office Use Permit l770 a Permit Fee: (C.YO Staff: RECEIVE 1 ent Recvd: Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NI) (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 SEP 041019 l Plans: Electronic Paper buildinginspectionsCa�cityofeagan.com 2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 8 f c(- 1 61 Site Address: /ii g q Vi94Ace Dt4 le fe-D Tenant: f C�fl G� ( 1'�10" �rd' �h � � 6-C—T0/ Suite#: 0 Requirements:nomplete sets of drawings and specifications, cut sh ets on materials and components Name: Phone: Property Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: (Le Pp✓K._ Sp.ft nc&t e.� in ck�� �0v Vt. 3 Construction Cost:�� Estimated Completion Date `J Name: SC AR pcpro License#: C 0 - O • Address: 2000 C.' A+ J U1 le_ City: L:11-1 e_ Crg/vI, o/4 Contractor -- / -h-hq State: fV1P) Zip: �J� �� �' Phone: s Contact: i t( /� I'll Email: . m1,,E±C..41.7-.. J F`IR ERMIT TYPE i WORK TYPE ,\‘. V Sprinkler System(#of heads�� i New Addition Fire Pump Standpipe ✓AIterations Remodel i — Other Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES k $60.00 Permit Fee Minimum Contract Value$ ?in' v x.01 64 ad =$ I Permit Fee Surcharge=Contract Value x$0.0005 �[ If the project valuation is over$1 million, please call for Surcharge =$ e �/ 0 Surcharge 9 $100.00 Residential New(includes State Surcharge) =$ f*--) TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter Radio Read(required with Fire Meters)-$190 =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;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 acc rdance with the approved plan in the case of work which require mtew a approval of plans. x ,1I1 pi OC 194 x App nt's Printed Name Applicant's Signature 1 i FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by: (/1 elAnioie1lDate:n / S /. l