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.