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: $65.25
Contractor: - Applicant _ Owner:
Lifesaver Fire Protection Diffley 35 LLC
5097 Nathan Lane N 1646 Diffley Rd Ste 200
Plymouth MN 55442 Eagan MN 55122
(763)473-9010
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
r— -----�
�11� I For Office Use
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1 '; I Permit#: 181518
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%t ®®®®® Permit Fee: 65.25
EAGAN I I
I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i Payment Recvd: _Yes X No
(651)675-56751 FAX: (651)675-5694 I X I
Plan
buildinginspectionsC&-cityofeaaan.com ;— s _Electronic _Paper -
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 03.01 .2023 Site Address: 1646 D'Iffley Rd
Tenant: KOWalskis Suite#•
�( Requirements: one electronic set of drawings, specifications,cut sheets on materials and components
Name: KOWalskls Phone:
Prorty QWrt@I` Address/City/Zip:
Applicant is: Owner Contractor
.
'Type of ''ork
Description of work: Relocate 1 sprinkler head in deli area
Construction Cost: 500.00 Estimated Completion Date: 03.0$.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
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3830 PILOT KNOB ROAD EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinainsoections(cDcityofeagan.com
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