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=
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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
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For Office Use I
185957
Permit M
I I
Permit Fee:
I
I i
I Staff:
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1 Payment Recvd: —Yes _„_,__No I
I I
Plans: _ Electronic ` Paper I
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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
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