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EA181518 - Fire - Commercial - Issued Date 03/02/2023 PERMIT City of Eagan EAGAN Permit Type: Fire 3830 Pilot Knob Rd ®; Permit Number: EA181518 Eagan,MN 55122 ®®®® ®m® (651)675-5675 111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 1 S 1 8 * Date Issued: 3/2/2023 Site Address: 1646 Diffley Rd Lot: 4 Block: 1 Addition: Diffley Plaza PID:10-20500-01-040 Use: Kowalskis * 1 0 — 2 0 S 0 0 — 0 1 — 0 4 0 Description: Sub Type: Commercial Work Type: Alteration Description: relocate sprinkler head 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 final inspection. Fee Summary: FI-Permit Fee% $65.00 0801.4096 Valuation: 500.00 Surcharge Based on Valuation $0.25 9001.2195 Total: $65.25 Contractor: - Applicant _ Owner: Lifesaver Fire Protection Diffley 35 LLC 5097 Nathan Lane N 1646 Diffley Rd Ste 200 Plymouth MN 55442 Eagan MN 55122 (763)473-9010 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued B : Signature r— -----� �11� I For Office Use ® ® L� 212 1 '; I Permit#: 181518 ® ® ® ® %t ®®®®® Permit Fee: 65.25 EAGAN I I I Staff: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i Payment Recvd: _Yes X No (651)675-56751 FAX: (651)675-5694 I X I Plan buildinginspectionsC&-cityofeaaan.com ;— s _Electronic _Paper - 2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 03.01 .2023 Site Address: 1646 D'Iffley Rd Tenant: KOWalskis Suite#• �( Requirements: one electronic set of drawings, specifications,cut sheets on materials and components Name: KOWalskls Phone: Prorty QWrt@I` Address/City/Zip: Applicant is: Owner Contractor . 'Type of ''ork Description of work: Relocate 1 sprinkler head in deli area Construction Cost: 500.00 Estimated Completion Date: 03.0$.2023 Name: Lifesaver Fire Protection License#: C0040 Contractor' Address: 5097 Nathan Lane N City:5097 State: MN Z;p. 55442 Phone: 763-473-9010 Contact. design team Email: design@lifesaverfire.com FIRE PERMIT TYPE WORK TYPE V( Sprinkler System(#of heads New _Addition _Fire Pump _Standpipe _Alterations _Remodel Other: Z Other:relocate DESCRIPTION OF WORK: Commercial Residential Educational FEES 500.00 Contract Value$ X.01 $65.00 Permit Fee Minimum (does not include State Surcharge) _ 65.00 -$ Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ •25 Surcharge $100.00 Residential New(includes State Surcharge) =$ 65'25 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.citvofeaaan.com/subscdbe. 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. xDesign Team x Applicant's Printed Name Applicant's Signature .t1? ��j b+ �tl� f1i 1 1 tl I� 1 �I a w t it Its i li 1 1� i t i Dain Test f�att�hitn 4 1 a 1 5 1 s b i 0mtetitral`3ttian , iri q- GOtx{'it to"O Ctho �Iss�uari�� L?at 1 trt�t mM 31,12012 f'erMitSYi$W by t� 3830 PILOT KNOB ROAD EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinainsoections(cDcityofeagan.com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.