EA181809 - Fire - Commercial - Encore Medical - Issued Date 03/22/2023 PERMIT
City of Eagan , , , , Permit Type: Fire
3830 Pilot Knob Rd Permit Number: EA181809
Eagan,MN 55122 �- -- EAGAN
(651)675-5675 111111111111111 1111H
www.cityofeagan.com * E R 1 8 1 8 0 9 *
Date Issued: 3/22/2023
Site Address: 2975 Lone Oak Dr 140
Lot: 2 Block: 1 Addition: Blue Ridge 7th
PID:10-14581-01-020
Use: Encore Medical * 1 0 — 1 4 5 8 1 — 0 1 — 0 2 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 37 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% $83.40 0801.4096
Valuation: 8,340.00 • Surcharge Based on Valuation $4.17 9001.2195
Total: $87.57
Contractor: - Applicant - Owner:
Frontier Fire Protection Waters Hm LLC
550 County Road D West,Suite 18 250 Nicollet Mall Ste 920
New Brighton MN 55112 Minneapolis MN 55402
(651)489-1200
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 sZed B : Signature
For Office Use ---------
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181809 1
Permit#: �
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Permit Fee:A A N + I
I Staff: 1
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I Payment Recvd: Yes Pio 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 1
(651)675-56751 FAX: (651)675-5694 1 1
buildinginsoectionsO- Plans Electronic Paper Icitvofeagan.com _
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 2/24/2023 Site Address: 2975 Lone Oak Road—(The Waters A)
Tenant: Encore Medical T.I. Dr. Suite#: 140
❑ Requirements: one electronic set of drawings,specifications, cut sheets on materials and components
Name: Phone:
Property Owner Address/City l Zip:
Applicant is: Owner Contractor
Azoc.2-rte OR ASD 6PA AS ,M 'x;A Lod vA-4,
Type of Work Description of work: .iS7StwJ4 s7z i AJC i': 1 Aa/�C�JS 7tD�
Construction Cost: $8340.00 Estimated Completion Date:
Name:Frontier Fire Protection License#: C120
Contractor
Address: 550 County Road D West#18 City. New Brighton
State: MN 7Jp: 55112 Phone: 551-489-1200
Contact: Dave Gazda Email: dgazda@frontierfiremn.com
FIRE PERMIT TYPE WORK TYPE
✓Sprinkler System(#of heads _New _Addition
Fire Pump _Standpipe ✓ Alterations _Remodel
Other. Other.
DESCRIPTION OF WORK: ✓ Commercial Residential Educational
FEES 00.
8340
Contract Value$ X.011
$65.00 Permit Fee Minimum(does not include State Surcharge) 83.40
$ Permit Fee
Surcharge=Contract Value x$0.0005 417
If the project valuation is over$1 million,please call for Surcharge __$ . Surcharge
$100.00_Residential New(includes State Surcharge) =$ 87.57 TOTAL FEE
3/4°Fire Meter-$300.00 =$ '"'- Fire Meter
Radio Read(required with Fire Meters)-$205 =$ 87.57 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.citvofeaaanxom/subscribe.
I hereby apply for a Fire suppression System permit and acknowledge that the intformation 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 sundhng/Fire Codes:that 1 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 r uires a review and approval of tans.
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station X Final
Conditions of Issuance:
Permit Reviewed by: Darrin Bramwell Date: 03/21/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX:(651)675-5694 buildinginsnectionsCa-D-citvofeagan com
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