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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 If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.