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EA184977 - Fire - Residential - Issued Date 07/14/2023 PERMIT City of Eagan • ® ® ® Permit Type: Fire 3830 Pilot Knob Rd ®®'m® ®®®°® Permit Number: EA184977 Eagan, MN 55122 •®®® ®®®® EAGAN (651)675-5675 11111111111111111111111111111111111111111 www.cityofeagan.com E R 1 8 4 9 7 7 Date Issued: 7/14/2023 Site Address: 4857 Avery Ct Lot: 5 Block: 4 Addition: Avery Pines PID:10-12350-04-050 111111111111 IN 11111111111111111111111111111111111111111111111111111111 im Use: * 1 0 — 1 2 3 S 0 — 0 4 — 0 S 0 Description: Sub Type: Residential Work Type: New Description: NFPA 13D Fire Sprinkler System 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 Surcharge-Fixed $1.00 9001.2195 Total: $100.00 Contractor: - Applicant - Owner: Fire Suppression Services LLC Pulte Homes Of Minnesota LLC 4508 Baxter Rd 7500 Flying Cloud Dr Ste 670 P O Box 37 Eden Prairie MN 55344 Princeton MN 55371 763 277-8960 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued B : Signature c � ------------ --- For office use 1 I I I Permit#:.�, — I Permit Fee:EAGAN i I Staff: 1 aZs� 1 as.ara.�'aa.mra�,sr.�ar.aa.m-.+� payment Recvd: ____Yes `No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 (651)675-5675 1 FAX:(651)675-5694 1 Plans:_Electronic —_Paper h�didinainsoectionsr"�citvofeapan.com — 2 FIRE SUPPRESSION SYSTEMSPERMIT APPLICATION Date: �" ��� Site Address: Suite#• Tenant: Ings,specifications,cut sheets on materials an components ❑ Requirements:one electronic set of draw -... - Name: Phone; 'r® Property owner R Address/City!Zip: Applicant is: Owner Contractor - Type ®$Work Description of work: SPA 1%D I Construction Cost: •� Estimated Campfetion Date: License#: Name: 1�1K� .�L�t'�'�•� Address' Q City: tN �'fePs Contractor I �_`� Zip: �h��� " State: --�'' _ Phone: Contact: ..��Si? s�4 � Email r��.�. ® �� "r��a� •ll� +�► _ FIRE PERMIT TYPE WORK TYPE New Addition Sprinkler System(#of heads !I Alterations ,Remodel Fire Pump _ Standpipe -- Other: Other: _..�....._ .-_<._ -mem..a»on-,�..—.—...,aww.wr-.x.tv...—• .. OF WORK: Commercial Residential _Educational�- ......... DESCRIPTION ` FEES ,.. M..,�m. .._ .._, m -... . . . .,�Contract value$ o2gl • 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$1 million,please call for Surcharge =$ $ too. 00 TOTAL" FEE $100.00 Residential New{includes State Surcharge) $ t,1Fire Meter 314" Fire Meter-$300.00 01TOTAL FEE Radio Read(required with Fire Meters)-$205 . $ (� fication from 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 nod twrw c(tvofeataan comisubscr(be. I hereby apply for a Fire Suppression System permit and acknowledge that the Information is complete and accurate;that the work will for a permit.and work sent to starts and codes of the City of Eagan and with the Minnesota Building/Fire doles;t the case of vrork which requind this is not a res a'review and apprt but only an oval of plane. without a permit;that the work will be in accordance with the app LIA(Nr�9 x :c Appi ant's Signature Applicant's Printed Name FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test X Rough In Trip Pump Test Central Station Final Conditions of issuance: Dards Bramwell 7 13 2023 Permit Reviewed by Date: / 3830 PILOT KNOB ROAD EAGAN, MN 55122 (651)675-5675 1 FAX: (651)675-5694 buildinainsr)ectionscccD-citvofea4an.com If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.