EA186057 - Fire - Public Facility - Issued Date 08/14/2023 PERMIT
City of Eagan , , , , Permit"':
Fire
3830 Pilot Knob Rd E AG
AN
Permit Number: EA186057
Eagan, MN 55122
(651)675-5675
www.cityofeagan.com * E R 1 8 6 0 5 7 *
Date Issued: 8/14/2023
Site Address: 2024 Rahn Way
Lot: 1 Block: I Addition: Rahn Ridge
PID:10-62750-01-010
Use: The House Church * 1 0 — 6 Z 7 S 0 — 0 1 — 0 1 0 *
Description:
Sub Type: Public Facility
Work Type: Alteration
Description: 2 Heads
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% $65.00 0801.4096
Valuation: 525.00 Surcharge Based on Valuation $0.26 9001.2195
Total: $65.26
Contractor: - Applicant - Owner:
Escape Fire Protection House Church Inc The
3000 Centerville Rd 2024 Rahn Way
Little Canada MN 55117 Eagan MN 55122
(651)771-8874
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
r————————————————
1 For Office Use I
I
Permit#:
0 0
%��a,! Permit Fee: toEAGAN
I I
I Staff: I
Payment Recvd: _Yes No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX: (651)675-5694 Plans:_Electronic _Paper I
buildinginspections(a-)citvofeagan.com ———————————————
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 8/10/23 Site Address: 2024 Rahn Way
Tenant: The House Church Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor
ype.of Work
Description of work: Relocate 2 heads.
Construction Cost: 525 Estimated Com letion Date: 8/18/23
Name: Escape Fire License#: C-086
Address: 3000 Centerville Road city: Little Canada
Contractor
State: MN Zip. 55117 Phone: 651-771-8874
Contact: Greg Krueger Email: gkrueger@escapefire.com
FIRE PERMIT TYPE WORK TYPE
Y/ Sprinkler System (#of heads 2 ) _New Addition
Fire Pump _Standpipe _Alterations Y/ Remodel
Other: Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES Contract Value$525 X .01
$65.00 Permit Fee Minimum (does not include State Surcharge) _$ 65
Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge = $ '26 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 65'26 TOTAL FEE
3/4" Fire Meter-$300.00 = $ Fire Meter
Radio Read (required with Fire Meters)-$240 =$ 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 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 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.
XGreg Krueger X0 LA
Applicant's Printed Name Ap ican ' Signature