3372 Coachman RdEAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
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BY:
2020 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 9/22/2020 Site Address: 3372 Coachman Rd
CC
For Office Use Ain V
Permit #: /64" 6
l0
Permit Fee:
Staff:
Payment Recvd: Yes No
LPlans: Electronic
Paper
Tenant: Head Start Suite #:
❑ Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
Name: Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work: Add 1 new sprinkler head, move 2 existing.
Construction Cost: 600.00 Estimated Completion Date: 9/28/2020
Name: International Fire Protection License* C084
Address: 833 3rd St SW #4 City: New Brighton
State: MN Zip: 55112 Phone: 651-285-2238
Contact: Brad Zurn
FIRE PERMIT TYPE
Sprinkler System (# of heads _)
Fire Pump _ Standpipe
Other:
DESCRIPTION OF WORK: 1 Commercial
FEES
$60.00 Permit Fee Minimum
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
$100.00 Residential New (includes State Surcharge)
3/4" Fire Meter - $290.00
Radio Read (required with Fire Meters) - $200
Ema l: bradz@intl-fire.net
WORK TYPE
New Addition
Alterations Remodel
Other:
Residential Educational
Contract Value $ 600.00
_ $ 60.00
,$ .30
_ $ 60.30
_$
$ 60.30
x .01
Permit Fee
Surcharge
TOTAL FEE
Fire Meter
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.citvofeagan.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 accordance with the approved plan in the case of work which requires a review and approval of plans.
x Brad Zurn
Applicant's Printed Name
x Brad Zurn
Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm.
Trip Pump Test
Conditions of Issuance:
Permit Reviewed