EA184980 - Fire - Residential - Issued Date 07/14/2023 PERMIT
City of Eagan ® ® ® , Permit Type: Fire
3830 Pilot Knob Rd E
A
N Permit Number: EA184980
Eagan, MN 55122 ®-®® �®®®
(651)675-5675
www.cityofeagan.com * E A 1 8 4 9 8 0
Date Issued: 7/14/2023
Site Address: 4869 Avery Ct
Lot: 2 Block: 4 Addition: Avery Pines
PID:10-12350-04-020
Use: * 1 0 — 1 Z 3 S 0 — 0 4 — 0 2 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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
CM-ea< 61 fm C1}e
For Office Us
/e�
Permit#: I T�"f I 0
Permit Fee:
%L E(A jm'o AsN' I I
I Staff: I
Payment Recvd: _Yes ,No
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 1 1
(651)675-5675 FAX:(651)675.5694 Plans:—Electronic _Paper 1
build indinsaections(acityofeagan.com -----------------�
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 62-2ZZaSite Address: �� Ami 7
Tenant•. Suite M
1 Requirements:one electronic set of drawings, specifications, cut sheets on materials and components
Name: �i li't"� ® S Phone:
Property®wear Address/City/Zip:
Applicant is: Owner X Contractor
Type of Work
Description ofwork:�VPA 135 i_lger ! 'wlildyar2 Safgz ��ino rlstA lU46J C
Construction Cost: •(o Estimated Completion Date:
x Name: i�IQB; J 1 Qpe o gut, old License#:
Contractor Address: Y. 3'7 City: �iZtNC Reis
State: N Zip: 5�� , Phone: 713 a 391 " 83
Contact: (?)
aKT�R Email:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads 612 X New _Addition
Fire Pump _Standpipe _Alterations r Remodel
r
Other: Other -
DESCRIPTION OF WORK: Commercial Residential Educational „
FEES
Contract Value$ 3q7g•a0 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
A$100.00 Residential New(includes State Surcharge) $ loo• 40 TOTAL.FEE
1314"Fire Meter-$300.00 =$ Fire Meter
Radio Read (required with Fire Meters)-$205 =s N1rl 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 citvofeaaan com/subscribe.
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 BuildinglFire Codes:that I understand this Is not a permit,but only an application for a permit,and work is not to stars
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.
�,I
Applicant's t s Printed Name�� Applt 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 132023
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinoinsoectionsa-citvofeaoan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.