3862 Cedar Grove Pkwy IL./13.995 .0-- -71q‘7"(-/(7 Use BLUE or BLACK Ink
C /:l C 3 ` /0 C 0 O r For Office Use
city
Eaftall �/' % 77 �/ Permit Fee: (� /6)7 Lig
3830 Pilot Knob Road (' (� / `7 I
I
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
10/28/2016 3862 Cedar Grove Parkway Unit#: Newport
Date: Site Address:
Name: CalAtlantic Homes Phone: (952) 229-6009
l Resident( 7599 Anagram Drive / Eden Prairie / 55344
Owner Address/City/Zip: g
Applicant is: Owner 1 Contractor �,' en,C
e Type of Work
Description of work: Multi-family residence
$ 155,000 ✓ /No
Construction Cost: Multi-Family Building:(Yes )
Company: CalAtlantic Homes Contact: Kurt Niska
Contractor
Address: 7599 Anagram Drive city: Eden Prairie
; state: MN Zip: 55344 Phone: (952)229-6009 Email: Kurt.Niska@calatl.com
BC700385
License#: Lead Certificate#:
E
If the project is exempt from lead certification, please explain why:
The building was constructed after 1978.
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?
1 Yes No If yes,date and address of master plan: 10/08/2015, 4011-4019 River Valley Way
Licensed Plumber: Elander Mechanical, Inc. Phone: (952) 445-4692
Mechanical Contractor: Elander Mechanical, Inc. Phone: (952) 445-4692
g Sewer&water Contractor: Miller Brothers Excavating Phone: (763) 420-9170
Fire Suppression Contractor: Fire Suppression Services, LLC Phone: (763) 277-8960
av� SNF . ,w �.�d� ..r
NOTE:Plans and supporting documents that you submit are considered to be public information. Portionsa,,,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.oral
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Kurt Niska xctizrT✓1.1Y^ rr- --
Applicant's Printed Name Applicant's Signature
Page 1 of 3
.
_, , c_ c.im,44_, G2ie0v6
, � DO NOT WRITE BELO THIS LINE i -,E9 --. D—
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
-1( 01 of jt Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
)c 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 Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 7t4611ei �/4 Occupancy ] MCES System
Plan Review Code Edition mt.)9A9 6 SAC Units
(25% 100% ) Zoning j 0 City Water
Census Code Stories .0 Booster Pump
#of Units Square Feet aNW PRV eV
#of Buildings Length 14® Fire Suppression Required )d
Type of Construction V Width
1���� I
REQUIRED INSPECTIONS 3. 1'
1f Footings(New Building) Meter Size: �4
I ' Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
x Foundation HVAC Gas Service Test Gas Line Air Test
` Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes )6 1 Houri_
Drain Tile
Fireplace: Rough In `C Air Test Final Siding: Stucco Lath tone Lath Brick
?G Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock $ Radon Control
Fire Walls Fire Suppression: Rough In Final
-(, Braced Walls X Erosion Control
Shower Pan Other:
Reviewed By: It , Building Inspector
RESIDENTIAL FEES 6oc 1/ j )c 9S`-, ? 3 y t° 3 ) vPBase Fee
Surcharge tdi IcArqs 73 4 f, 31
Plan ReviewIN) il-n-J q yq Y ,
MCES SAC
9�2 ) �'�fi
City SAC6lirt7
vvp got y 1i. 75 -z- 4 1
Utility Connection Charge (I
S&W Permit& Surcharge vow
r 10 /t,/1 79/
Treatment Plant
Copies
TOTAL OWL- ii 699441
?i" Pttgd of 3
, , • / 3 te.i., ...., .„ ._....
New Construction Energy Code Compliance Certificate
Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel.- Date Certificate Posted
COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 10/28/2016
Mailing Address of the Dwelling or Dwelling Unit: City: 1LTT r1Ij
3862 Cedar Grove Parkway Eagan
Name of Residential Contractor: MN License Number HOMES
CalAtlantic Homes BC700385
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply X Passive(No Fan)
Active(With fan and monometer
oor other system monitoring
0 c device)
a
>- a N Location(or future location)of Fan:
El T
m u - -a o d IF fan is required;Attic
O O- 0 "N' U D o -O N
a, a m v O n a> 3
3 a CO CO s- to D C
> _ CO ° Q LL o
Insulation Location th° z m 0 0 O ,- w N
as o 3 °' E E -a v
WI p n a p o o,
E.-c z it it v_ u_ 2 (2)c Other Please Describe Here
Below Entire Slab X
Foundation Wall R-15 X R402.2.8,Exception;a.R-10-by plan
Perimeter of Slab on Grade X
Rim Joist(1st Floor) R-20 X
Rim Joist(2nd Floor+) R-20 X
Wall R-21 x
Ceiling,flat R-49 X
Ceiling,vaulted R-49 X
Bay Windows or cantilevered areas R-30 X
Floors over unconditioned area R-38 X
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skylights and one door )U: 0.29 X Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.32 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating System Domestic Water Cooling System
Heater Not required per mech.code
Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive
Manufacturer LENNOX RHEEM LENNOX X Powered
Interlocked with exhaust device.
Model ML193UH045XP24 PROE502RH91' 13ACXN018 Describe:
Input in 44000 Capacity in 50 Output 1.5 Other,describe:
Rating or Size BTUS. Gallons: in Tons:
AFUE or 93 SEER 13 Location of duct or system:
Efficiency HSPF% /FER
Residential Load Heating Loss Heating Gain Cooling Load ERV in Mechanical Room
Calculation 40298 15684 18278 Cfm's
"round duct OR
MECHANICAL VENTILATION SYSTEM "metal duct
Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace):
X Not required per mech.code
Select Type Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe:
X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 50 High: 140 Location of duct or system:
X Balanced Ventilation capacity in cfms: Mechanical Room
Location of fan(s),describe: Cfm's
Capacity continuous ventilation rate in cfms: 6" "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: "metal duct
lArrightsoft. Component Constructions Job:
Entire House Byte: 2015
By:
Elander Mechanical Inc Plan: NEWPORT
700 Valley Industrial Circle South,Shakopee,MN 55379 Phone:952-445-4692 Fax:952-496-2092
V56-40-_,._;AR M. .,:�,�. . _ ro efaira rr_nafon k - n. ' A
For: Ryland Homes
Location: Indoor: Heating Cooling
Minneapolis-St Paul Intl Arp, MN, US Indoor temperature(°F) 70 72
Elevation: 837 ft Design TD (°F) 85 16
Latitude: 45°N Relative humidity (%) 50 50
Outdoor: Heating Cooling Moisture difference(grub) 54.5 37.9
Dry bulb (°F) -75 88 Infiltration:
Daily range (°F) - 18 ( M ) Method Simplified
Wet bulb (°F) - 72 Construction quality Tight
Wind speed(mph) 15.0 7.5 Fireplaces 0
Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain
ft' BtuM12-'F fl-'F/Btuh Btuh/ft' Btuh Bluh/ft' Bluh
Walls
12F-Osw:Frm wall,vnl ext,r-21 cav ins, 1/2"gypsum board int n 838 0.065 21.0 5.52 4630 1.12 940
fnsh,2"x6"wood frm e 301 0.065 21.0 5.52 1664 1.12 338
s 832 0.065 21.0 5.52 4597 1.12 933
w 439 0.065 21.0 5.52 2426 1.12 492
all 2410 0.065 21.0 5.52 13317 1.12 2703
Partitions
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int 197 0.065 21.0 5.52 1087 0.64 126
fnsh,2"x6"wood frm
Windows
61A:Vinyl Window;NFRC rated(SHGC=0.32) e 107 0.290 0 24.6 2633 34.5 3680
w 141 0.290 0 24.6 3463 34.5 4842
all 247 0.290 0 24.6 6096 34.5 8522
Doors
11JO:Door,mtl fbrgl type w 20 0.600 6.3 51.0 1040 17.1 348
n 19 0.600 6.3 51.0 983 17.1 329
all 40 0.600 6.3 51.0 2023 17.1 677
Ceilings
Std Ceiling R-49:Std Ceiling,R-49 966 0.020 49.0 1.70 1642 1.04 1004
Floors
20P-38c:Fir floor,frm flr,12"thkns,carpet flr fnsh,r-38 cav ins, 504 0.030 38.0 2.55 1285 0.36 181
gar ovr
22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 62 1.180 0 100 6219 0 0
I J
wrightsoft Right-Suite®Universal 2012 12.1.06 RSU13410 2015-Jun-24 07:10:30
Page 1
ACCk...ardlDesktopUleal Losses 20131Ryland Newport.rup Calc=MJ8 Front Door faces: N
•
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
L. 14 p�BUILDING P�ER�MITT APPLICATION/
PROPERTY LEGAL: t`�1r rr7 2! dI.
DATE OF SURVEY: it)//0/�o
LATEST REVISION:
r=, x'22 CC- ( c2j'6 e
_tot,fo z Q DOCUMENT STANDARDS
o o • Registered Land Surveyor signature and company
o ❑ • Building Permit Applicant
0 0 • Legal description
0 0 • Address
fi0 ❑ • North arrow and scale
A ❑ 0 • House type(rambler,walkout, split w/o,split entry, lookout,etc.)
/J 0 0 • Directional drainage arrows with slope/gradient%
)2' 0 0 • Proposed/existing sewer and water services& invert elevation
' 0 0 • Street name
❑ ❑ • Driveway(grade&width-in RAN and back of curb,22' max.)
0 )2' ❑ • Lot Square Footage
❑ /0 ❑ • Lot Coverage
ELEVATIONS
Existing
/ 0 ❑ • Property corners
.j2' 0 0 ' Top of curb at the driveway and property line extensions
❑ ,' 0 • Elevations of any existing adjacent homes
0 0 • Adequate footing depth of structures due to adjacent utility trenches
•
❑ / ❑ • Waterways(pond, stream,etc.)
Proposed
0 0 • Garage floor
0 p' ❑ • Basement floor
Pf ❑ 0 • Lowest exposed elevation (walkout/window)
,e:f ❑ 0 • Property corners
$ 0 ❑ • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ 1 0 • Easement line
0 )2( ❑ • NWL
❑ �d 0 • HWL
❑ ? ❑ • Pond#designation
O 0 • Emergency Overflow Elevation
❑ • Pond/Wetland buffer delineation
Y •
• Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
❑ ❑ • Lot lines/Bearings&dimensions
f}' 0 0 • Right-of-way and street width (to back of curb)
/ 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches, etc.
(i.e. all structures requiring permanent footings)
0 ❑ • Show all easements of record and any City utilities within those easements
0 0 • Setbacks of proposed structure a-• si•- ars se sack of adjacent existing structures
A 0 0 • Retaining wall requirements: '.
By:•
Reviewed B : "O/!) Date jam/ 4
•
7'
G:/FORMS/Building Permit Application Rev.11-26-04 111
/ > 11/
ted in the NE 1/4 of
N / .' � ----,i,, Certificate of Survey for: 19, Twp. 27, Rge. 23
•
i ,1.41 !k#141.74-t!rnUrli,,..mms 11�ali l / CalAtlantic Homes �/ ;
Eitil cera'/ d// Fremont
/� - House Address: /
® // 3850 - 3870 Cedar Grove Parkway, Eagan, MN
/ri
House Model: ` �� T /
G, Pinehurst E, New•ort F, New.ort H, Ontario E, Fremont '/ '�/802-fi /� 803.6 X03,0 /
p .p.474 . 4 tr.i,
�,, k,... r , ..„1\ i•-• ___,, t 4, �O���tiiii„ TC ��By _ «- / HYD n / \Dae � �/ �` _.�.._ \\� R `� Reto! ! 803.4f� - �Y/p X800 n'n ���q Ty `, 10' OFFSET 9woq�� 8pq / TC
�(1' �� C7 �1KL1tIl3�1s{�'� R/FS '. / BENCHMARK off ; ejTUM/NO 803.3 //
`�
*3•0c `�1 / '' TOP OF SPIKE
/ I �♦ S \ ♦ . /)�` /' / � EL =807.04 g 80 os PATH ! resE/
♦\ �\ x806.7 be` 42 / /
/ / • ` ` / ♦ '1 \ \ \ ! /
Q / ` / N N / o Oroi /
/1 `'O .\\ /I/ // \ ♦ / p 807.0 - �� - - - �il;fy°�oSe�e8p6\ \ x�60/ D // TC3.4
4 `./ / `, / \ 1.9 6pS -------
/ /
�I/ /��) 1/`� / / / R80I 3 O 807.0 ` \ 8 0
/ V- / ♦/ / ♦/o o•/ / s TC //
♦ / l 1\ �\ / / `` . / ryt� ♦�O /o^ s�° 10' OFFSET /
\` ` iO. tS BENCHMARK
` �`\// /,-)- A 0 // `` ♦ Agit,,N ,� �� �J /` TOP OF SPIKE \
L_ / 03.3 ` ''
`\ T '' /\\ it / ` . /� / 0', •0:13,7 1\ EL =805.87 / /
/ 6 19,13/61'4,
/FS ` l / / ssfo h ! 6, _�
Off, `� / +6°,O • `S6 A I / /
u) 5' / • '6' S8 ,,.� / /
// �� �� 803.9 o • 10 S /I /
` ` / i 805.9 /
/ \\\ /�\ / / oc� / 00 s+goo / o 807.4 ''/o 7 //
�1 � o��oy / �f1,• d�� �0 0 �,/\O. 00 /. so4.4 /
/ / //.
/ / / ,1 / x B 1 ) Qo
CBTC /
// ' / OJT / 0' � 8068 x • ' 4 / \ ;7L 806.7 x x > ♦ .2 // * • o // 2 805.2 / // 80 .7 ` 13.5
' x40 ,X' `� P04.5 TC �/ //NZ‘
/ z. ° / / /� ///
/ / 6� 2� VP ` 6 804.5 /� //
o og �/ ` TC
/�/ 804.0 ( //O.U. �% 807.7 O • �� w �� t 4\-N ``` MH /LL /
/ 2r el• A• 0°6' s �C X16<5) � 4 6�
//
/
6/ O x P 06, "b O •P $0 6 6
803 7 / \ • !O p s6 06 3 4 3 � � n OQ J�i� TCN
/� /
T2 / /� O� Q 806 �x '> PQQG �+ Q�p �� / /
/ a O / 9x O o b 8 Y' /
/
1 •� / (b-
0 58 C/ �, moo° •OS 6 �(/
�P / Q m
''''70
�0�O7.4 ae O / TC4.7 / /L /
OJT (ler j O �x 807.2 oc0+ Q�be ��O�kP / / ///
//
`� / •le / //804.8
�� /
'CZ
;x 807.24 / Q QQ\ `O�� / /1
C \ / IC T/ 7/
�\ / \iv ',' 6+6°4 / '1%. O SC?� QC's 8455
�O VL.v 'yam / L t ' ✓ //
803.9 .6/\ s/ ,, •6Y ^� cP� 0 �!, djN / 804.9 L�/ / DETAIL
�6• o / _
�.o Qti Imo+ O � .ON l/ N /
//`ti0 , O^ x00 o / 6 do °�Gj� ��so5.o N/\<<., ��/ / /�♦
/ O�9 OS6' goo 1 x S;' 5<Z-
N'' !'+2 X10 O y>Q / TCN / 7 // / / ♦�O 4�OL
/ ‘...,70. of note 806.7 x U'~� OP O Q O� ^ / C \ LL /
/ 0 / 80�o et; /_5Ae �ti'� 6ps / 805.1 �i / O%
/ O // 1x 6a+ 0� a O / \� / �� aL d)
/ `o /c1�p2 807. x 3 (IV r1"L'0'N: /805.2 \ \i mak°'''/I'l / \\, //4\
!/�A' O' SI
/ \J 806.6 /� %x 806.7 g06. ` xe- -- Tc/ \J e
/ 6o T6/ 6POS ,00'�p QQ� ��o / �\\w,// // \ _-/,
/ 10' OFFSET I ' + 9 �S OPSAlk �N`` /805.3 / J� L / (not to scale)
BENCHMARK J1 '6jy )`. b°m r' N ( TC oa// /
TOP OF SPIKE A' vo ,� f`6+ 220 ,/A- , / �� / /
EL =806.64 'VS >S m ,/ N`\ c° L
- _ _ t�o� 0 805.4
•cf;,,•<,
i„.,1--
/
l O 41r-
-7 p; - _ O%,♦ )9.02/ �/ /
IP �O);-lot- /O QOho
-Drainage and Utility , //;°- .O� a� ��. 805.5 /� / LEGAL DESCRIPTION:
803.7 Y Easement / dp \TC
x -«---«-/__ o QO .p / 2,BOc, MH L// //Lots 1, 2, 3, 4, 5 & 6, Block 1, CEDAR GROW
(o / «-0 805.8
o",. 1 9 I - -- _ / •6' I /TOWNHOMES 2ND ADDITION, Dakota County, Minnesota
"b 1 0' I 806.1 '-«-_ ♦` 0.
II / / <<---s,
c,411
11 10' OFFSET N �1
I BENCHMARK _�/ HYo
_ -- _ _ TOP OF SPIKEco / PROPOSED BUILDING ELEVATIONS
EL =806.06 %O� x 806.4 806.1 /
TC / Lowest Floor Elevation: 807.5
Denotes Drainage & Utility Easement / Top of Foundation Elevation: 810.7
(per recorded plat) ----- - Denotes Existing Hydrant
_ Garage Slab Elevation (at door): 806.8
t Denotes Iron Monument 0 Denotes Existing Electric Box
Bearings shown are assumed a Denotes Existing Television Box NOTES:
TB Denotes Existing Telephone Box 1. Proposed building site grading is in accordance with the
GRAPHIC SCALE grading plans prepared by Alliiant Engineering, Inc., last revised
0 10 20 40 Denotes Existing Light Pole 07/28/15.
SO Denotes Existing Service 2. Contractor must verify sewer depth.
O Denotes Existing Curb Stop 3. Driveways shown are for graphic purposes only. Final driveway
(IN FEET) x mac) Denotes Existing Elevation design and location to be determined by owner/builder.
X 4. All building foundation dimensions shown on this survey
(11x17 sheet) �00.0� Denotes Proposed Elevation include exterior foundation insulation widths, if applicable.
1038 5711.011 MEP Denotes Direction of Drainage Refer to final building plans for foundation details.
Carlson I hereby certify to CalAtlantic Homes that this survey, plan or report was prepared by me or under my direct supervision
and that I am a duly licensed land surveyor under the laws of the State of Minnesota.
0
McCain Dated this 10th day of October, 2016. '
Signed: •rlson McC•'• Inc.
ENVIRONMENTAL'ENGINEERING'SURVEYING , /
11
3890 Pheasant Ridge Drive NE, -
Suite 100, Blaine, MN 55449 By Thomas R. Balluff, L.S. eg. No. 40361
Phone: 763-489-7900 Fax: 763-489-7959 Peter J. Blomquist, L.S. Reg. No. 51676
Use BLUE or BLACK Ink
For Office Use t q�tct c
1 ::::
t of Eap,ali cico-J ,i as,,ciA 14 c
3830 Pilot Knob Road /
Eagan MN 55122 Date Received: 5''�! 7
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
MAY O 8 2017 ___J
201T FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 4_2l_i7 Site Address: 7,66G. Cep/AR i/ROUE Rig 4GAT? ej JOG.Jear ll
Tenant: Suite#:
: , a 4Y: r : , x!5'2 — Z9—
i•. Name: I--AL ATI--04Q71C.- (-1 M E.S Phone:
;r lilt #1qr.` r iJ DE. P2At K I E j`441 5.5344
.� ,t�� .�'.��'�..�.,.•,;.. . � Address/City/Zip: �5� i �"1 �bQgt'[ E� � t
, , { ;'= Applicant is: Owner X Contractor ___W .._...w_
_ ; {`r' . . i ti.":,-.-' . Description of work: 11FPA IS E ` eg i t-K-C.E1 SYS' M
�y la} f:6 k`:;, MI5,
1
�� . `;� <`��; a r^ '� Construction Cost: 7&h,DO Estimated Completion Date: 7
- 2.017
ani Fye ! r[I�Cr �`
5_ - Name: J4 PP Ki SS IOW `r.,R VIe. License#: a- 14
45-06
5-
{ h
'
,�+ a r Address: 4 b QA iRD City: Pa uaCC-Mt.)
co
' x t.:� ;`y;;,; .:4af>. � _ State: '�� zip: ✓ 31 Phone:. 7b3- 389- Ztl.3.
Contact1 Sp , &NJ t Email: .4 S011 e..-4S4-I r Ives
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads l ') y,New ____Addition
—Fire Pump _Standpipe _Alterations _Remodel
Other: Other:
_
DESCRIPTION OF WORK: Commercial ) Residential _Educational
FEES
$60.00 Permit Fee Minimum Contract Value$ x.01
Surcharge=Contract Value x$0.0005 =$ Permit Fee I
If the project valuation is over$1 million,please call for Surcharge
=$_ Surcharge
$100.00 Residential New(includes State Surcharge) =$ /pp, eV TOTAL FEE
314"Fire Meter-$290.00 =$ Fire Meter
=$ /001 CD TOTAL FEE ..J
""''Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used
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 accordance with the approved plan in the case of work
which requires a review and approval of plans.
X SI5101 (,A,sJre x 441-0, .:deAA4 _J
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE -
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station Final
CoritlitionS afitssuance:
Permit.RevieW.+ d by �/`^ Date: / / ( /