EA185958 - Fire - Residential - Issued Date 08/23/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4905
Lot: 3 Block: 6
PID:10-12350-06-030
Use:
Description:
Sub Type: Residential
Work Type: New
Description: 19 Heads
Construction Type:
Occupancy:
Zoning:
PERMIT
Permit Type: Fire
Permit Number: EA185958
EAGAN.. oe
* E A 1 8 5 9 5 8
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:
Date Issued: 8/23/2023
II I II II I III I VIII I I IIII II III I I IIII II I I I I ILII I IIII III I I IIII I III I II I IIIIII 1 IIII I I
r 0 0 0 3 0
Fee Summary- F1 - 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 0 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
q 6
Oro 0
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinainsoectionsaa cityofeagan com
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For Office Use I
185958 i
Permit #: I
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Permit Fee: I
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I Staff: i
I Payment Recvd: —Yes _..._ No I
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Plans: — Electronic Paper j
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2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Q
Date: E/ - I -Z3 Site Address: _ _ 4 l DSgz f f •c
Tenant:
171
Suite #:
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Property Owner
ii
Type of Work
Contractor
Name: t'G1LTrt. 96%41r -<L51 Z,'2.9 -0%�
r7 Phone:
Address / City / Zip, 15-60 O -FF lie.F,, C t R e Lz
is:
X
Description of work: iAFPA 13 D'FtQE 2 Suss rill gao
Construction
Estimated
Name: �IeE Suomi tE•-SSconlRv�e�s License
Address: ,).0• 13 &Y, s / City: RI�e TeN
State: M14 Zip; 5s3- i Phone;_'7� 2 - 3M 2_163 ry
Contact
FIRE PERMIT TYPE
Sprinkler System (# of heads )
—
Fire Pump — Standpipe
Other:
DESCRIPTION OF WORK:
FEES
Email:
WORK TYPE
New _ Addition
— Alterations — Remodel
Other:
Commercial i( Residential _ _ Educational
$65.00 Permit Fee Minimum (does not include State Surcharge) Contract Value $ 3 t ( S • Oa X.0.1
Surcharge = Contract Value x $0.0005 = $ __._._.... Permit Fee
If the project valuation is over $1 million, please call for Surcharge = $ Surcharge
$100.00 Residential New (includes State Surcharge) =$ )06.00
TOTAL FEE
3/4" Fire Meter- $300.00=$ Iq Fire Meter
Radio Read (required with Fire Meters) - $240 =$ ��A 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 It
www.citvofeaganxom/subscrlbe.
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 nrdu,an,
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 sl:c.
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.
ASot`1 t 79%1-r 12 x
Applicant's Printed Name Appl cant's Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(@citvofeagan.com
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