EA184981 - Fire - Residential - Issued Date 07/14/2023 PERMIT
City of Eagan ® ® Permit Type: Fire
3830 Pilot Knob Rd ®®°a® ®®®°°® Permit Number: EA184981
Eagan,MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 9 8 1
Date Issued: 7/14/2023
Site Address: 4873 Avery Ct
Lot: I Block: 4 Addition: Avery Pines
PID:10-12350-04-010
Use: * 10 - 12350 - 04 - 0 10 *
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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature slued B : Signature
C/6of-Mi6 �TT ----------------
For Office use
8 Permit M
0A
Permit Fee:
th
EAGAN
I Payment Recvd: Yes —No �
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-56751 FAX:(651)675-5694 Plans-_.Electronic ___.Paper I
buildinainsRectionsOcityofeaaa com -----------------.,
2023 FIRE SUPPRESSIONSYSTEMS IT APPLICATION
Data-..
Si t Address' Arm ( 'T
Tenant: suite M
El Requirements:one electronic set of drawings, specifications,cut sheets can materials and components
Nanne: I om f� s Phone:
Property®weer 1 Address/City/Zip:
A licant is:_Owner 9 Contractor
Description of work: '
�� I�
Type of Mork
construction Cost: Estimated Cam lotion Date:
Narate: i�lt�i� 'Pt'�E�'�t�tJ " �t11C S _—License M
Address: City:
Contractor
State: Zip; � Phone: ®.
Contact: Email
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads X.New –_-_Addition
Fire Pump _Standpipe _Alterations _Remodel
Other - T.,n. .., �- _w .fi'.:- Other M -
DESCRIPTION OF WORK: Commercial v�b Residential ��- Educational
FEEST brz ry Contract Value$ q� •C)® X.01
$65.00 Permit Fee Mlnimaa (does not include State Surcharge)
$ Permit Fee
_
Surcharge z;Contract Value x $0.0005
If the project valuation is over 1 million,please call for Surcharge =$ Surcharge
$10_0.00 Residential New( includes State Surcharge) w = (o0. c)o TOTALFEE
3/4"Fire Meter-$300.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$205 _ _$ �JIA _ TOTAL FEE
You may subscribe bscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
tivww citvofee an.comlSubscri e.
I hereby apply for a Fire Suppression System permit and acknowledge that the Information is complete en paccurate;that work��lotae�'conformance
with$®ordinances
sts
and codas of the city of Eagan and with the Minnesota euliding/Fire Codes;that I understand this is nota permit but only an app Pe
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.
_kSoX `,J X
Applicant's Printed Name Appl ants Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test X Rough In
Trip Pump Test Central Station. f=inal
Conditions of Issuance:
a ,
Permit Reviewed by: Darria Bramwell bate; 7 13 (2023
3830 PILOT KNOB ROAD EAGAN, MN 55122
(651)675-5675 l FAX: (651)675-5694 buildinainsr)ectionsCa)-cityofeagan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.