EA185385 - Fire - Public Facility - Issued Date 07/25/2023 PERMIT
City of Eagan A g Permit Type: Fire
3830 Pilot Knob Rd ,�+,�9 %�°�°, Permit Number: EA185385
Eagan, MN 55122 ,om_ EAGAN
(651)675-5675 * E R 1 8 5 3 8 5
www.cityofeagan.com
Date Issued: 7/25/2023
Site Address: 1540 Deerwood Dr
Lot: 1 Block: 1 Addition: Deerwood School 2nd
PID:10-20001-01-010
Use: Black Hawk Middle School * 1 0 — 2 0 0 0 1 — 0 1 — 0 1 0
Description:
Sub Type: Public Facility
Work Type: Fire Alarm
Description: replacing bad fire panel
Construction Type:
Occupancy:
Zoning:
Sprinkled Area Updated Building
of Permit Totals
Stories: 0 0
Square Feet: 0 0
Percent of Bldg: 0 0
Comments:
Fee Summary: FI - Permit Fee% $109.75 0801.4096
Valuation: 10,975.00
Surcharge Based on Valuation $5.49 9001.2195
Total: $115.24
Contractor: - Applicant - Owner:
Nardini Fire Equipment Independent School Dist 196
405 County Road E West 3455 153rd St W
St. Paul MN 55126 Rosemount MN 55068-494
(651)483-6631
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 sued B : Signature
r----------------�
For Office Use
a ; o 1
of I Permit#: 185385
EAGAI Permit Fee:
I
Date Received: 7/20/2023 I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 1 FAX:(651)675-5694 I Staff:
buildinctinsaections(ccr7cityofeagan.com I-----------------'
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 7/20/2023 Site Address: 1540 Deerwood Dr
Tenant: Black Hawk Middle School Suite#:
0 Requirements: one electronic set of drawings,specifications, cut sheets on materials and components
Name: Black Hawk Middle School Phone:
Property Owner Address/City/Zip: 1540 Deerwood Dr
Applicant is: Owner ✓ Contractor
Type of Work
Desoription of work: Replace bad fire alarm panel
Construction Cost: $10,975 Estimated Completion Date: 7/31/2023
Name: Nardini Fire Equipment License#: TS797269
405 County Rd E., W. ci St Paul
Contractor Address ty:
State: MN Zip: 55126 Phone: 612-346-1936
Contact: Eric Robertson Email: edr@nardinifire.com
_New _Remodel
Work Type _Addition ✓ other: replacing bad fire alarm panel
✓ Alterations
DESCRIPTION OF WORK: Commercial Residential ✓ Educational
FEES Contract Value$10975 X.01
$65.00 Permit Fee Minimum =$ 109.75 Permit Fee
Surcharge=Contract value x$0.0005 =$ 5.49 Surcharge"
If the project valuation is over$1 million,please call for Surcharge _$ 115.24
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.ci,ofea an.com/subscribe.
I hereby apply for a Fire Alarm 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 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.
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x Fr I C a av1 x �
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: I Darrn Bramwell Date: 7/25 2023
Required Inspections: Rough-In X Final Fire Alarm Test