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EA182154 - Fire - Residential - Issued Date 04/14/2023 PERMIT City of Eagan , , ® Permit Type: Fire 3830 Pilot Knob Rd Permit Number: EA182154 Eagan,MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 2 1 5 4 Date Issued: 4/14/2023 Site Address: 4877 Avery Ct Lot: 5 Block: 5 Addition: Avery Pines PID:10-12350-05-050 111111111111111 11111M Use: * 1 0 — 1 2 3 S 0 — 0 S — 0 S 0 Description: Sub Type: Residential Work Type: New Description: NFPA 13D Fire Sprinkler 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State Building Code). Fee Summary: FI-Fire Suppression-Residential New $99.00 0801.4096 Valuation: 3,978.00 Surcharge-Fixed $1.00 9001.2195 Total: $100.00 Contractor: - Applicant - Owner: Fire Suppression Services LLC Pulte Homes Of Minnesota LLC 4508 Baxter Rd 7500 Flying Cloud Dr Ste 670 P O Box 37 Eden Prairie MN 55344 Princeton MN 55371 763 277-8960 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued B : Signature CHECK ATTACHED i For office use Permft#• 182154 I � 00 I Permit Fee: EAGAN a6® am©m l l I Staff: i Payment Recvd: Yes _No l 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I (651)675-5875 FAX:(851)675-5894 Plans:_Electronic Paper J bulldInInsaectiona(ftIWIRaaan com -- ta2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 3-23-Z3 Site Ad dress: Tenant: Sulte#: [3 . Requirements: one electronic set of drawings,specifications,cut sheets on materials and components Name: PaJLm 42MFO Phone Property OwnerAddress!City/Zip: �'DO OFt=tC.t=��Q@lam A Iicant Is:,, Owner X Contractor -=� •- - S Description of work:NFPIA I3D eE erra t�tkl�Q � Type of Work '] 023 Constructtiio'n Cost: 300 S•W Estimated Completion Date. - Name: i�12c SaQPeES4te� ��L/t � License#: Address: ?.0- . S—'0 I% 3 City: Contractor State: #414 zip: Kh'� i Phone: 7(u3.3S9 -Z l 83 Contact: a EmaId FIRE PERMIT TYPE 17 WORK TYPE Sprinkler System(#of heads= New _Addition _Fire Pump _Standpipe _Alterations Remodel Other DESCRIPTION OF WORK: _Commercial Residential Educational -- - - - FEES Contract Value$ 3��g•do x.01 $65.00 Permit Fee Minimum(does not Include State Surcharge) _$ Permit Fee Surcharge=Contract Value x$0.0005 Surcharge If the project valuation is over$1 million,please call for Surcharge =$ $100.00 Residential New(includes State Surcharge) _$ (00. b0 TOTAL FEE 3/4"Fire Meter-$300.00 =$ 1vl Fire Meter _ (�!Q TOTAL FEE Radio Read(required with Fire Meters)-$205 $ =—r You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an small update on the City's website at ci mfeaaan com/subscribe. I hereby apply for a Fire suppression System pemtlt end acknowledge that the information is complete and accurate:that the work ti b�conformance W W work the riot ordinances start and codes of the City of Eagan and with the minnesote Buitdinamrs Codes;that I undo retertd this le not a permit,but only an application Athout a permit that the work will be in accordance with the approved plan In the case of work which requires a review and approve)of pians. x �AS0 4 Applicant's Printed Name Appli ant's Signature FOR OFFICE USE REQUIRED.INSPRCTIONS tydrostatic FlOWAlarm Dt tt Test "Rough In : Trip Pump Test Central Station X Final Conditions of Issuance: Jj Darrin Bramwell 4 14 2023 Permit Reviewed by: Dater 1. / 3830 PILOT KNOB ROAD EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinainsoectionsO)citvofeaaan.com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.