EA182158 - Fire - Residential - Issued Date 04/14/2023 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd ®,•;� e;:, Permit Number: EA182158
Eagan,MN 55122 EAGAN
(651)675-5675 111111111111
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www.cityofeagan.com * E R 1 8 2 1 5 8
Date Issued: 4/14/2023
Site Address: 4889 Avery Ct
Lot: 2 Block: 5 Addition: Avery Pines
PID:10-12350-05-020
Use: * 1 0 — 1 2 3 5 0 — 0 5 — 0 2 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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
-----------------_ ,
CHECK ATTACHED For Office Use
I
Permlt#:182158
Permit Fee:
EAGAN vcno pva� I I
I Staff;
I Payment Recvd: Yes _No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675.56751 FAX(651)675-5694 plans._Electronic Paper
buildinainsoectionsCa>tcitvofeaoan.com
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 3-21-23 Site Address: ���
Suite#:
Tenant:
❑ Requirements:one electronic set of drawings, specifications,cut sheets on materials and components
Name: ...,r►► o b�E S -Phone:
Property Owner Address/City/Zip: 5%) OF
Applicant Is: Owner X Contractor —� - � • _: -
•�m.�..,�.»
Description ofwork:
N�tAI (3D t�tQ� G�......�u.�A c.i�rr_., n�sr.1 1e�,1Nl•�61K1✓
Type of Work
3�� •� Estimated completion Date: 623
Construction Cost: _
Name: T;e c SL Ppeemi ate op v, License#:
Address: i�0 . X l City:
Contrector
State: AA Zip: 531 Phone:
Contact: F1 Email: -
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads Z New —Addition
_Standpipe _Alterations _Remodel
Fire Pump
Other. Othery_
DESCRIPTION OF WORK: Commercial Residential _
Educational
y, .. ,.._.
FEES Contract Value$ 3q7&b0 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$1 million,please call for Surcharge =$
$100.00 Residential New(Includes State Surcharge)
n$ I n^- 00 TOTAL FEE
_$ _A Fire Meter
3/4°Fire Meter-$300.00
=$ O/Q TOTAL FEE
Radio Read(required with Fire Meters)-$205 FES-___.-
m the City of proposed ordinances by signing up for an email update on the City's website at
You may subscribe to receive an electronic noti}ication fro
WVWcltvafeaaan cam/subscribe.
I hereby apply fora Fire suppression system permit and acknowledge that the information is complete and accurate;but that the Work WIII n f r conformance with the ofordinances
to start
without permit:thaand codas of the t of Eagan
will be in accordance the r Minnesota
the approvedFreCadens;that I undo
the case of workrstand which ioh reqs not aubes enrevlew and apan proval of Plans.
���end work is not to alert
x
x Appl ant's Signature
Appllcanre Printed Name
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain fest X Rough In
Trip Pump Test Central Station X Final
Conditions of Issuance:
Darrin Bramwell 4 14 2023
Permit Reviewed by: Date:
3830 PILOT KNOB ROAD i EAGAN, MN 55122
(651)675-5675 i FAX: (651)675-5694 buildinoinsoectionso-citvofeaaan.com
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