EA185107 - Fire - Commercial - Issued Date 07/14/2023 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd ®®®®® ®;®® Permit Number: EA185107
Eagan, MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111 IN 111111
www.cityofeagan.com * E R 1 8 S 1 0 7
Date Issued: 7/14/2023
Site Address: 2975 Holiday Ct
Lot: 1 Block: 1 Addition:
PID:10-22455-01-010
Use: Midwest Surgery Center * 1 0 — 2 2 4 S S — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Fire Alarm
Description: add fire alarm to tenant on first floor
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% $120.00 0801.4096
Valuation: 12,000.00 Surcharge Based on Valuation $6.00 9001.2195
Total: $126.00
Contractor: - Applicant - Owner:
Low Voltage Contractors Eagan Mob Partners LLC
4200 W 76th St %Davis Real Estate Services Group L
Edina MN 55435 33 6th St S Ste 4650
(952)835-4600 Minneapolis MN 55402
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
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For Office Use I
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+I I Permit#: 185107
EAGAN 1 'Lv0-0
Permit Fee: I
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Date Received: 7/7/2023
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3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 I I
(651)675-56751 FAX: (651)675-5694 Staff:
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buildinainspectionsO-citvofeagan.com -----------------J
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 07/07/2023 Site Address: 2975 Holiday Court
Tenant: Midwest Surgery Center Tenant
Suite#:
Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
Name: Midwest Surgery Center Phone:
Property Owner Address/City/zip: 2975 Holiday Court, Eagan, MN 55121
Applicant is: Owner � Contractor
Type of Work
Description of work: Add Fire Alarm for Tenant on first floor (LVC job#2300484)
Construction Cost: 12,000.00 Estimated Completion Date: TBD
LVC Companies, Inc TS000375
Name: p License#:
Contractor
Address:4200 W 76th St City: Minneapolis
State: MN Zip: 55435 Phone: 952-516-6085
Contact: Michelle Cottingham Email: Permits@lvcinc.com
_New _Remodel
Work Type _Addition _Other:
Alterations
DESCRIPTION OF WORK: Commercial Residential Educational
FEES .
1200000
Contract Value$ X.011
$65.00 Permit Fee Minimum _ 120.00
-$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ 6.00 Surcharge*
If the project valuation is over$1 million,please call for Surcharge 126.00
_$ 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/subscribe.
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.
xMichelle Cottingham x/ L,eSigned by Michelle Cottingham 717/23
Applicant's Printed Name Applicant's Signature
FOR OFFICE USS Reviewed By Darrir Bramwell Date: 7/11/2023
Required Inspections;' �2ou h In FiRat Fire Aiarm Test