EA185176 - Fire - Commercial - Issued Date 07/12/2023 PERMIT
City of Eagan ® ® Permit Type: Fire
3830 Pilot Knob Rd ®e® ®®, Permit Number: EA185176
Eagan,MN 55122 ®® --®® EAGAN
(651)675-5675 111111111111 KNEM
www.cityofeagan.com * E R 1 8 5 1 7 6 *
Date Issued: 7/12/2023
Site Address: 3355 Mike Collins Dr
Lot: 22 Block: 4 Addition: Eagandale Center Industrial Pk 4th
PID:10-22503-04-241 111111111111111111111111111111111111111111111 IN 11111111111 im
Use: Dominos Pizza * 1 0 — 2 2 5 0 3 — 0 4 — 2 4 1
Description:
Sub Type: Commercial
Work Type: Fire Alarm
Description:
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: 1,791.00
Surcharge Based on Valuation $0.90 9001.2195
Total: $65.90
Contractor: - Applicant - Owner:
Low Voltage Integrators,Inc Dominos Re LLC
6592 Hudson Blvd N PO Box 1463
Oakdale MN 55128 Ann Arbor MI 48106
(651)714-7960
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
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® e ® ® I For Office Use I
Permit#: 185176 i
EAGAN 1
Permit Fee:
I
I
Date Received: I
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinoinspections(cD-citvofeaoan.com —————————————————
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 7/7/23 Site Address: 3355 MIKE COLLINS DR EAGAN MN 55121
Tenant: DOMINO'S PIZZA Suite#:
Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
Name: Trish West Phone: 6516882929 x1222
Property Owner Address/City/zip: 3355 Mike Collins Drive, Eagan, MN, 55121
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Upgrade fire alarm control panel and communicator.
Construction Cost: 1,791 Estimated Completion Date:
Name: Low Voltage Integrators, Inc License#: TS002009
Contractor
Address: 6592 Hudson Blvd N City: Oakdale
State: MN Zip: 55128 Phone: 651-714-7960
Contact.
David Olson Email: DOlson@LVlpro.com
_New _Remodel
Work Type _Addition ✓ Other. Fire Alarm
✓ Alterations
DESCRIPTION OF WORK: Commercial Residential Educational
FEES Contract value$1791 X.01
$65.00 Permit Fee Minimum
=$ 65 permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge"
If the project valuation is over$1 million, please call for Surcharge
=$ 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/subscdbe.
I hereby apply for a Fire Alarm 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. Digitally signed by David Olson
David Olson 0500'023.07.1022:38:01
x David Olson x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By, Darrin Bramwell Date: 7/11/2023
Required Ins Rough-In Final Fire Alarm Test