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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.