EA183305 - Fire - Commercial - Issued Date 06/02/2023 PERMIT
City of Eagan ® ® Permit Type: Fire
3830 Pilot Knob Rd ®®®® ® ® ®®, Permit Number: EA183305
Eagan, MN 55122 0®®® ®®®®
(651)675-5675 EACA3 A I
www.cityofeagan.com * E R 1 8 3 3 0 S
Date Issued: 6/2/2023
Site Address: 3825 Cedar Grove Pkwy
Lot: 1 Block: I Addition: Cedar Grove Parkway 3rd
PID:10-16722-01-010
Use: Football Pizza * 1 0 — 1 6 7 2 2 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 5 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: 400.00
Surcharge Based on Valuation $0.20 9001.2195
Total: $65.20
Contractor: - Applicant - Owner:
Lifesaver Fire Protection Flats At Cedar Grove LLC
5097 Nathan Lane N Andy Chose
Plymouth MN 55442 2140 County Road 42
(763)473-9010 Burnsville MN 55337
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 slued B : Signature
� /� r________________
I//w I For Office Use r I
® ® ® ® Permit#: I 3 W
®®® ® ® ®®® ' S. 2 '
®® I Permit Fee: 0 1
EAGAN I Staff: I
j Payment Recvd: _Yes _No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I 1
I
(651)675-5675 i FAX: (651)675-5694 Plans:_Electronic _Paper I
buildinginspectionsOcitvofeaoan.com _______________
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 06.01.2023 Site Address: 3825 Cedar Grove Pkwy
Tenant: Football Pizza Suite#:
❑ Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
Name: Phone:
property Owner Address/City/Zip:
Applicant is: Owner V( Contractor
Description of work: Relocate 5 Heads to accomodate new ceilings
Type of Work
Construction Cost: 400.00 Estimated Completion Date: 6'7'2023
Name: Lifesaver Fire Protection License#: C040
Contractor
Address: 5097 Nathan Lane N City: Plymouth
State: MN Zip: 55422 Phone: 763-473-0910
Contact: Design Email: design@lifesaverfire.com
FIRE PERMIT TYPE WORK TYPE
V( Sprinkler System(#of heads 5_J _New Addition
Fire Pump _Standpipe Alterations V( Remodel
Other. Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES
Contract Value 400 X.01
$65.00 Permit Fee Minimum (does not include State Surcharge) _ 65.00
-$ Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ •020 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 65'20 TOTAL FEE
3/4"Fire Meter-$300.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$240 =$ 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.citvofeagan.com/subsodbe.
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.
XDesign Team X 2��
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: 6 01 / 2023
3830 PILOT KNOB ROAD EAGAN, MN 55122
(651)675-5675 i FAX: (651)675-5694 buildinginspectionsna citvofeagan.com
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