EA185956 - Fire - Residential - Issued Date 08/23/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4901
Lot: 4 Block: 6
PID:10-12350-06-040
Use:
Description:
Sub Type: Residential
Work Type: New
Description: 20 Heads
Construction Type:
Occupancy:
Zoning:
PERMIT
®* w � s r
0 e. .... EAGAN
Avery Ct
Addition: Avery Pines
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.
Permit Type: Fire
Permit Number: EA185956
* E R 1 8 5 9 5 6*
Date Issued: 8/23/2023
II I II IIII III I VIII I I IIII II III I I IIII II VIII I VIII I III I III I I IIII I III I IIII II I I I IIII I I
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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
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
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinainsoections na cityofeaaan conn
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For Office Use I
I
Permit #: 185956 i
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Permit Fee:
I i
1 Staff: _
1 Payment Recvd: _Yes _ No I
I I
Plans: __ Electronic _ Paper I
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2023 ---------------
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: Site Address: 4R al t .
Tenant:
El
Suite M _
rements: one electronic set of drawings, specifications, cut sheets on materials and components
I Name:LL �� �,�
- —�. Phone: - l S�.- Z.29' • 093
Property Owner Address/ City /Zip: 15bo 01:FitE_ C (R e LZ
nt
x
Type Of Work Description of work: �FpQ 13 D �C2 C'Pp- (14 k e Sam t & NEW ` �wttin
Contractor
Name:. tRE SUM �ESS(af4 QUICES License#: A57
Address: ?. 6.13 OX 3 -7 City: ?1zI W_rTbW
State: MM
Contact:
FIRE PERMIT TYPE
X Sprinkler System (# of heads
Fire Pump _ Standpipe
Zip: _q5 25, ( Phone: -7&_5 - 3M 2.183
Email;
-
WORK TYPE
L New
Alf—it; —
r�
o
Other
Other:
DESCRIPTION OF WORK: Commercial i( Residential Educational
FEES
$ .
$65.00 Permit Fee Minimum (does not include State Surcharge) Contract Value O 6 X.01
= Surcharge = Contract Value x $0.0005 = $ Permit Fee
If the project valuation is over $1 million, please call for Surcharge
_ $ Surcharge
$100.00 Residential New (includes State Surcharge) = $ ) . OO 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 nt
www.cityofea-gan.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 ordirarn
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 7,t;rt
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.
Addition
Remodel
x . .... TA so 14 671114 x q044.4- Id"
Applicant's Printed Name Appl cant's Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinginspectionsCa citvofeaoan com
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