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EA185957 - Fire - Residential - Issued Date 08/23/2023City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com Site Address: 4897 Lot: 5 Block: 6 PID:10-12350-06-050 Use: Description: Sub Type: Residential Work Type: New Description: 22 Heads Construction Type: Occupancy: Zoning: PERMIT ®®, E A G_ AN 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: Permit Type: Fire Permit Number: EA185957 * E A 1 8 S 9 5 7 Date Issued: 8/23/2023 II 1 II IIII III I VIII ( 11 II III I I IIII II VIII I VIII I III I III 1111111 111111111= G q r 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. hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State f Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature "w H, d E AG A N 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-56751 FAX: (651) 675-5694 buildinginspectionsCa)cityofeagan com ------------------ For Office Use I 185957 Permit M I I Permit Fee: I I i I Staff: -------------- 1 Payment Recvd: —Yes _„_,__No I I I Plans: _ Electronic ` Paper I -----------------J 2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: _ ZJ Site Address: +S -7 Tenant: Suite #: ❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components 70morName: 1-L;: ..} bwtE� Phone:ProperAddress / City / Zip: 75_60 0V1' Id -,F, C 1 R Il A licant is: Owner X Contractor Type of Work Description of work:fAFPQ M b Tsre Sptztts LEL Construction Cost: Estimated Completion Date: Contractor Name: "IRE S CC-PS(014 SCQUICC,S License #: Address-.-?. 6 • Dox 3 -7 City: ?R State: MN Zip: _9 51-1 I Phone: 7766-5 -3-M Z-193) _ Contact FIRE PERMIT TYPEV Sprinkler System (# of heads a) Email: WORK TYPE L New _ Addition _ Fire Pump _ Standpipe �' _ Alterations _ Remodel Other _ Other: DESCRIPTION OF WORK: Commercial X Residential Educational ; FEES Contract Value $ 3�t7B • b6 x .01 $65.00 Permit Fee Minimum (does not Include State Surcharge) Surcharge = Contract Value x $0.0005 _ $ Permit Fey If the project valuation is over $1 million, please call for Surcharge = $ Surcheirgo $100.00 Residential New (includes State Surcharge) _= $ . 0� _ TOTAL FEE 3l4" Fire Meter - $300.00 _ $ Wilk Fire Meter Radio Read (required with Fire Meters) - $240 =$ tl 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. citvofeagan. 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 ordwan,•. and codes of the City of Eagan and with the Minnesota Building/Fire Ccdes; that I understand this is not a permit, but only an application for a permit, and work is not to stars; 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. x TA So VA &* Nm lz x 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 buildinginsr)ections(@cityofeaaan.com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.