EA181173 - Fire - Commercial - Issued Date 02/01/2023 PERMIT
City of Eagan Permit"': Fire
g ,
. eoeo ®
3830 Pilot Knob Rd m o m Permit Number: EA181173
.•.® mea,
EOa•• •mB
agan,IVIN 55122
(651)675-5675 111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E R 18 1 17 3 *
Date Issued: 2/1/2023
Site Address: 3436 Denmark Ave
Lot: 1 Block: 1 Addition: Town Centre 100 20th
PID: 10-77069-01-010 111111111111111111111111111111111111111111111111111111111111111111 11111M
Use: Tea Time * 1 0 - 7 7 0 6 9 — 0 1 — 0 1 0
Description:
Sub'Type: Commercial
Work Type: Alteration
Description: 20 Heads
Construction Type:
Occupancy:
Zoning:
Sprinkled Area Updated Building
of Permit Totals
Stories: 0 0
Square Feet: 0 0
Percent of Bldg: 0 0
Comments: Please call(651)675-5900 for a fmal inspection.
Fee Summary: F1-Permit Fee% $65.00 0801.4096
Valuation: 2,800.00 Surcharge Based on Valuation $1.40 9001.2195
Total: $66.40
Contractor: - Applicant - Owner:
Lifesaver Fire Protection Mfc Properties 151td Ptnshp
5097 Nathan Lane N 3460 Washington Dr Ste 100
Plymouth MN 55442 Eagan MN 55122
(763)473-9010
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B :Signature
I Vh I For Offi------------------
- ---^^_--- I
I I
o ® Permit#: 181173
® I
® ® ® ® ® ® 4
® ® ®
E A � Permit Fee:
I
I Staff: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 i Payment Recvd: Yes _No
(651)675-5675 1 FAX: (651)675-5694 Plans: Electronic _Paper I
buiidinginspections aO _citvofeaaan.com ____ ______
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 1/27/2023 Site Address: 3436 Denmark Ave. Eagan MN 55122
Tenant: Tea Time suite#.
❑ Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
San Tieu 6127474351
Name: g Phone:
prvpctyr"ovaner 3436 Denmark Ave Eagan
Address/.City/Zip: g
A pplicant is: Owner 1( Contractor
" "", of 11Vo�le
Description of work: Modify sprinkler coverage
Construction Cost: 2800.00 Estimated Com letion Date: 2/20/2023
Lifesaver Fire ProtectionC040
Name: License#:
5097 Nathan Lane N Plymouth
i�ftl�BiLtrs Address: City:
MN 55442 763-473-9010
State: Zip: Phone:
contact: Design Team Email: design@lifesaverfire.com
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads _New Addition
Fire Pump _Standpipe Alterations Remodel
Other. Other.
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 2800.00
Contract Value$ X.011
$66.00 Permit Fee Minimum (does not include State Surcharge) =$ 65.00
Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ 1.40 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 66.40 TOTAL FEE
3/4"Fire Meter-$300.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$205 =$ 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-.cltvofea-gan.com/subsedbe.
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 perms 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 Bieta Azmoudeh x 8�drLaa�a
Applicant's Printed Name Applicant's Sig ture
" ,� ,° ,I, .� ?;:;u i ,s'mt,, ,1-. i i 7 IC mt r E�.u.� v. ;ba.:� ,. ,iU.d '( r..:h,.^i i� k „:€,�#c':>�4• to ,�...,hr vs a -e}'.;.,,,. "1�k, � �`"".�;,.I i%I Ii ,.�`^G r ,�,€vl-::o,.° .. , I -,„�,,:.,4 �' !,haat..p�i Y{.,.k,; ......�u ,,,:S.y ,"„ >•x i.'d. to a ah ;w �(d,,Nu , k �S � a "y.a,;.��;�a. am r.. ,;,:. �(l t�. .,� x
., ,^ r "�,r�,. a.Vu1;4 r w, w� h a - r.'p''itFn,,.. � mz m i q ..., hi,,_^r ..a. �:vtm�„� trr � ,;•a,.. w d;81. a4
i�;..gr.,a,-...,e..^..F`x..w...,.n...-..5,.,�.da�"9.�a,a„�r;✓maa,-"�-'i,N.,h.,.�...,,.,q..,...._.r...._....,,'-r<a".4.,......_,��::�5P`as>Iw...v:..,e�...m.....�...Y,;t�ry,ti.i..,�.JpI�r.,>:).;.r,.r..i.d°°.atN,..dcv4
?.Yr
Rol,�Fs.;...
r V't,IN
u("''A'i .�r
,,.,
.s'i v
4YI ri;�:,”
:,ti a a `� .:r :+ N51°v�� 1,v,'°r� ,,: 5 .:::..�,.��u� � t 3'S. rr.t.N � .,s! °•.:v�{ i c v. : aC�ro "Y tliiiy @N I ;t..g,. .,.,°_.��3;3�J'i �'��.,u y ,:I pvt 4 a ,it�?��xa� ny, t�Na4
6#�.v,: ii, ..aik�,,�y�t`'$� �9irv5.: -k,r. ;:3'T�?a Wr,,:N_4y t r ._.r,� �'ar i ry^���1 ,. ,}°-✓nhtitrN.. n h ,.ys rr,#s ^,.rT,i a 'rf,,vpli :-'.,IreS, �!'14x .� ". '�.. ,-pal..%,,�.,
i I,It,2-�,, '..7i n'1" c � a ,,...n � r✓ .,,, P#°.a;;..- a n,.% -a.a.,,� ry .,1;*�T �'*,' a
.dE
:!:
,
r;r,
t .
•.11_' h.=, b(;"id rC INii,P_',';r°g,Li lil".- 6Si) �u1r:;Nq e .,i�i,i:;�za i�'t i..i r �a..x 4R+Tl�+,n. ai iJ'ss'•re �kS
+
.� :;. � � (11.s5:, r. al `"3'k..,,Y a =•3�x. ,-(.`k--+a: gnu..��.. r i � a':, km ;cr �"� m-'. `.,�.',«`a,_. ,*'"k-.. i�;,,A�.�:-Fr s a, 1.. y,.
��,
p €. k 2ity a,'rl Ll'al h.ik rvw- III t;Y:,�s".,S N,i y,,..'fix,: kY+: _P;i i' }n .a 14,1 , ` ir'It„t ..a....::. ,E rGiNay .� z: w µ^1 v'f.„.n"t%' :a!'I%iso,Fl a1".ttJ..d"r,- ktEIN%1+f Ni• r 'r r y i � ✓h y" �,*Lt IF; d pilrn d
w,U,';ai uti { ,at gxeu LU,G,YI,s r 4-s a t.,Gih! al s
i t G ,A, iA � r„:,, N U....T.;,,@1 _r ', 4}4 ,1 F§..tat�'141,"-i � :�`.. °. v” .„,.�,✓ v:'`.,'.
rF t,., ,vt+.,r.•t;.} ida :: ,c.. IB..tl a S k.,y WY.+. v, �,ati,: 's t'?FI li,1
Its L.:ra.,llmA .a.-}kiv 4. ,u azkr i�r,.. it,
7....,..,.. �..,.... 4 mC. (1 ,..l.N h.7i."..,,YS,.i
�W f< I L Pa,.fi
ii 'k i.„,ei
�.-: .....
:fir kW {alq WP 41 r k�JiN 9 1!„,a} r .Il , r., f
MMM Ivl 'N €-�...H 1 .ra,;;
�” iYv v T 61
fit::.,
1a .at',z
III�Ni.�i” Ji:S!liii� IA�.^,,r°r,.e9F Jii �,1r 1 vilY,�
rV..
r
T�
.�� k_.a.d'Y P r+znt °V,I %�} , :. �ti q P.ta91,�1r� N »L ; } T '”a q a lii'���'i i �Ff .N i ir(`Nj' � �'i f��, ,r. NJSi� a'� i„p91 tut `"�.a•.. + }P N 1,1'�l 61 '^4' Y
r d.
+Y-:
.1S
i!i
�".1-
3830 PILOT KNOB ROAD EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinginsoectionso-citvofeaoan.cam
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.