EA181612 - Fire - Commercial - 24 Golf - Temp Space - Issued Date 03/13/2023PERMIT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
675-5675
www.cityofeagan.com
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E(651)
Permit Type: Fire
Permit Number: EA181612
111111111111
* E R 1 9 1 6 1 2
Date Issued: 3/13/2023
Site Address: 1565 Cliff Rd 3
Lot: 1 Block: 1 Addition: Thomas Lake Center
PID:10-75925-01-010
Use: 24 Golf - Temp Space
* 1
0— 7 S 9 2 S— 0 1— 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 24 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 final inspection.
Fee Summary: FI - Permit Fee % $65.00 0801.4096
Valuation: 3,000.00 Surcharge Based on Valuation $1.50 9001.2195
Total:
$66.50
Contractor: - Applicant - Owner:
The Fire Group Brackenridge Tlc LLC
833 3rd Street SW #4 922 North Broadway Ste 100
New Brighton MN 55112 Rochester MN 55906
(612) 242-4676
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 sued B :Signature
-----------------
For
----------------For Office Use
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® ® Permit #: 181612
2 A ebb. 5 I
�� I Permit Fee: I
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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 II
buildinlainspections(cDcitvofealaan.com I—Plans_ Electronic _Paper j
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 3/8/23 Site Address: 1565 Cliff Rd
Tenant: Golf 24 Temp Space suite #: 3
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: Phone:
Address / City 1 Zip:
A licant is: Owner Contractor
fiype' p# W ' "k
Change 24 pendent sprinkler heads to new upright heads.
Description of work:
Construction Cost: 3,000.00 Estimated Completion Date: 3/13/23
Name: The Fire Group Inc License #: C190
833 3rd St SW #4 New Brighton
+ d>i#iradl or Address: city:
State: MN Zip: 55112 phone: 651-285-2238
contact: Brad Zurn Email: brad.zurn@thefiregroupinc.com
FIRE PERMIT TYPE WORK TYPE
V( Sprinkler System (# of heads _2A _ New _ Addition
Fire Pump _ Standpipe Alterations _ Remodel
Other. Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 00.
3000
Contract Value $ X.01
$66.00 Permit Fee Minimum (does not include State Surcharge)
= $ Permit Fee
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge = $ Surcharge
$100.00 Residential New (includes State Surcharge) =$ 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/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.
B �� � Z � �� Digitally signed by Brad tum
x B rad Zu rn x Date: 2023.03.08 07:06:55
06,00,
Applicant's Printed Name Applicant's Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-56751 FAX: (651) 675-5694 bgildinginsnectionsOcitvofeagan com
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