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EA182155 - Fire - Residential - Issued Date 04/14/2023 PERMIT City of Eagan Permit Type: Fire 3830 Pilot Knob-Rd ,®®;� ®® Permit Number: EA182155 Eagan,MN 55122 °�®® ®®®a EAGAN (651)675-5675 111111111111 IN 11111111111111111111111111111 www.cityofeagan.com * E R 1 8 2 1 5 5 Date Issued: 4/14/2023 Site Address: 4881 Avery Ct Lot: 4 Block: 5 Addition: Avery Pines PID:10-12350-05-040 Use: * 1 0 — 1 2 3 5 0 — 0 5 — 0 4 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: $100.00 Contractor: - Applicant - Owner: Fire Suppression Services LLC Pulte Homes Of Minnesota LLC 4508 Baxter Rd 7500 Flying Cloud Dr Ste 670 P O Box 37 Eden Prairie MN 55344 Princeton MN 55371 763 277-8960 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued B : Signature I For Office Use l CHECK ATTACHED i Permit It 182155 0 r,�4© p p�®ps® Permit Fee: EAGAN o I ��na ®tea I 1 I Staff: l Payment Recvd: Yes _No 3830 PILOT KNOB ROAD I EAOAN,MN 55122-1810 I 1 (651)675-5675 FAX (651)675-5694 1 Plans _Electronic _Paper - _ bulldintains^�rtinncfdicityQf BaS�an.Com 2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 3"2ff-23 site Address: 4 I Suite#• Tenant: 0 Requirements:one electronic set of drawings, specifications,cut sheets on materials end components Name:_ 111L' Phone: QrJ2.77q 0( 3 Property OwnerAddress(City/Zip: �j'DV OIC t CLQ 6pelicant Is: Owner X Contractor Type of Work Description of work:�FPtA ISD�i QF �•P211►_�I�� 7� a Construction Cost: 30► Estimated Com letlan Date: Name: . Y� SuPp2ES � �� ►Ls License#: �n Address: 1�� . �X 3� City: Contractor ,t 3� 1 Phone: State: Iy gyp. •d Contact:�A N FIS(�� EmaIL t - FIRE PERMIT TYPE WORK TYPE Sprinider System(#of heads N — ew Addition q _Fire Pump _Standpipe _Alterations _Remodel Other. _Other. — ,�,-,�.�. - DESCRIPTION OF WORK: Commercial Residential -.Educc0onal FEES Contract Value$ • X.01 $65.00 Permit Fee Minimum(does not Include State Surcharge) _$ Permit Fee Surcharge=Contract Value x$0.0006 Surcharge If the project valuation Is over$1 million,please call for Surcharge =$ $ (o0. TOTAL FEE $100.00 Residential New(includes State Surcharge) �� _$ � A Fire Meter 3/4°Fire Meter-$300.00 01A TOTAL FEE Radio Read(required with Fire Meters)-$205 -$ e an the City's website at You may subscribe to receive an electronic notiffioation from the City of proposed ordinances by signing up for an small updat why c(tyofeacan.comisubscribe. be In conformance with ordinanceswill I hereby apply for a Fire suppression System permit end acknowledge that tthat I understandhe Information is complete and accurate;that the work tl�or permitand wo�ctis not to start codes of the city of Eagan and with the Minnesota Building/Fire ccd�In case of work Is requires a review only and approval of plans. Without a permit that the work will be In accordance with the app P x--Q00, lg5o _ x Appl nt's Stgnature Applicant's Printed Name FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip "Pomp Test G ntraI Statiort Final Conditions of issuance: Darrih.Brarrlwe0 4 14 202 Permit Reviewed by: at, 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinginspectionsecitvofeagan.com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.