EA184978 - Fire - Residential - Issued Date 07/14/2023 PERMIT
City of Eagan ® ® Permit Type: Fire
3830 Pilot Knob Rd ®m.®® ®®®®® Permit Number: EA184978
Eagan, MN 55122 ®®®® ®®m® EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 4 9 7 8
Date Issued: 7/14/2023
Site Address: 4861 Avery Ct
Lot: 4 Block: 4 Addition: Avery Pines
PID:10-12350-04-040
Use: * 1 0 — 1 Z 3 S 0 — 0 4 — 0 4 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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
N C R atmcm e d ---------------
I For Office U Q (�
Permit#:
IL 0 1 Permit Fee:
�E A A I Staff: I
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Payment Recvd: _Yes No
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
(651)675-5675 1 FAX:(651)675-5694 Plans:___-Electronic _Paper I
buildincinsaections(&cityofeagan com —__— _---_--
2023 FIRE SUPPRESSION. SYSTEMS PERMIT APPLICATION
Date: tp"Z�'Z� Site Address: I Lau
Tenant: Suite#:
❑ Requirements:one electronic set of drawings,specifications, cut sheets on materials and components
Name: �. _apfiAISS Phone: 52
Property Owner . Address I City I Zip: 15-b0 ODIC '�,j tZ Cly
Applicant is: Owner Contractor �� .
Type of Work
Description of work: V A I11�Vi M S' i�t�t ci i crlen IV 9Gt.1 1 r5�h41�b 9�1�
Construction Cost: 3�� •� Estimated Completion Date: ,,
Name: t"'IfLE StILicense#:
Address: 'P.® X *;I City: �aINC -rets
Contractor 't2
State: N Zip:553-1 L Phone: �� • 7�9 —����
s
Contact: F�t3TEmail:
�. •s
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads___) New _Addition
_Fire Pump —Standpipe _Alterations _Remodel
OtherOther:
: „�,..� .e.�..-�
DESCRIPTION OF WORK: Commercial Residential Educational
FEES Contract Value$ 3g7g•b0 X.01
$65.00 Permit Fee Minimum(does not include State Surcharge)
$ Permit Fee
_
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ Surcharge
$100.00 Residential New(includes State Surcharge) _$ (00. 00 TOTAL FEE
3/4°Fire Meter-$300.00 =$ Fire Meter
_$ 01A _ TOTAL FEE
Radio Read(required with Fire Meters)-$205 —v
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
^v citvofeaoan comisubscribe,
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 withouta perm t that the the of Ework will be In accordd with the annesota nce with theing/Rre Codes;that I approv d plan in the case understand ork which not
as review and approval an tion for a o plans.��it,and work Is not to start
X
Qr7Sp� (0AOTE %
Applicant's Printed Nam® Appli ant s Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow. Alarm Drain Test , . Rough In,
Trip - . Pump Test 0t 01 Station Final
Conditions of.Issuance:
Permit Reviewed by D rrlrt Br2tryy ll Date: l 13 j"t02
3830 PILOT KNOB ROAD l EAGAN, MN 55122
(651)675-5675 l FAX: (651)675-5694 buildinainsoectionsOcityofeagan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.
C�ec q � d ------------------
For Office Use
A A Permit#:
c, Qadd I I
p
AMA Mr � Permit Fee: �
I Staff: i
* WW �a mrar�-.c saa caa�sas m
1 Payment Recvd: Yes _No k
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX:(651)675-5694
buildln fins ec,t� tions&ityofeapan,com j Plans:—Electronic -_Paper 1
2023 FIRE SUPPRESSION SYSTEMS OPERMIT APPLICATION
Date: l p'2� Bite Address: Qd�Qy CT
Tenant: Suite#:
❑ Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
Name: T� 5 Phone:_ J�2.-• � ���I�
Property Owner Address l City l Zip: 5 DO OWF14E iz CI
AnDlicant is: Owner X Contractor ,
Type of Work
of work:�IFPIA I3 b"Fliim ! 'w wz t SHI M N�W�dt.S N�l6 iA
Construction Cost: •LSO Estimated Completion Date:
Name: 1129, ,�Ll PP�ESSlet� _�llIC" _ License#: lam"`45
Contractor Address: 'P.® F-2)®X 3-7 City: �t2lNCf'rQis
State: N Zip: ��J' Phone: -7(2-3 -391 83
_ Contact:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads�) ,New _Addltlon
Fire Pump _Standpipe Alterations _Remodel
Other. Other.
DESCRIPTION OF WORK; Commercial Residential Educational �v ,
FEES
Contract Value$ ��7$•60 x.01
$65.00 Permit Fee Minimum (does not Include State Surcharge)
=$ Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for.Surcharge =$ Surcharge
$100.00 Residential New(includes State Surcharge) =$ (00. OD TOTAL FEE
Fire Meter-$300.00 =s NI/ A Fire Meter
Radio Read(required with Fire Meters)-$205 =$ �l a 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 citvofeaoan.comisubscribe.
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 perrrdt:that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans.
x Tlqsptj Liwreg x
Applicant's Printed Name Appli ant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test X Rough In
Trip Pump Test Central Station X Final
Conditions of Issuance:
Permit Reviewed by: Darrin Bramwell Date: 7 13 2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinainspectionsecityofeagan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.