EA186056 - Fire - Public Facility - Issued Date 08/27/2023 PERMIT
City of Eagan ® ® ® Permit Type: Fire
3830 Pilot Knob Rd
NN _�;,�, Permit Number: EA186056
Eagan,MN 55122 -®ffi ---
(651)675-5675 EAGAN
www.cityofeagan.com * E A 1 8 6 J S 6
Date Issued: 8/27/2023
Site Address: 3830 Pilot Knob Rd
Lot: 3 Block: 1 Addition: Ted Wachter
PID:10-75300-01-031
Use: Eagan PD HHUM
* 1 d — 7 5 3 0 0 — 0 1 — (l 3 1
Description:
Sub Type: Public Facility
Work Type: Fire Alarm
Description: 2 strobes, 1 horn strobe
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: Surcharge Based on Valuation $1.00 9001 2195
Valuation: 1,764.00 Total: $1.00
Contractor: - Applicant - Owner:
Convergint Technologies City Of Eagan
4005 Pheasant Ridge Dr 3830 Pilot Knob Rd
Blaine MN 55449 Eagan MN 55122
(970)486-0105
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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o ® I For Office Use
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A I Permit#: 1
EAGANI I
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Permit Fee: I
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Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 i FAX: (651)675-5694 1 Staff: 1
build inginspections ancitvofeagan corn I------------------
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 8-10-2023 site,address: 3830 Pilot Knob Road Eagan, MN 55122
Tenant: Eagan Police Department
Suite#:
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: Brian Flaten Phone: 651-775-8877
Property Owner Address i City i zip: 803 1st St E Hastings, MN 55033
Applicant is: Owner Y Contractor
Typ16 O'Work
Description of work: Adding 2 strobes and 1 horn strobe
Construction Cost: 1764 Estimated Completion Date: 8-17-2023
Name: Convergint Technologies TS001906
License#:
Address: 4005 Pheasant Ridge Drive Blaine
Contractor city:
State: MN Zip 55449 Phone: 970-486-0105
Contact: Keith Randall Email: keith.randall@convergint.com
New _Remodel
Work Type Addition Other:
Alterations
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 1764
Contract Value$ X.011
$65.00 Permit Fee Minimum
=$ 65 Permit Fee
Surcharge=Contract Value x$0.0005 17.64
If the project valuation is over$1 million, please call for Surcharge $ Surcharge'
_$ 8 2.64 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.cityofeagan.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.
xKelsey Carlson x
Applicant's Printed Name A plicant's Signature
FO OFFICE USE Reviewed By: Darrin Bramwellpate: 8113/2023
Required Ins ections: Rough'-InFinl Fire Alarrn Test