EA185959 - Fire - Residential - Issued Date 08/23/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4909
Lot: 2 Block: 6
PID:10-12350-06-020
Use:
Description:
Sub Type: Residential
Work Type: New
Description: 23 Heads
Construction Type:
Occupancy:
Zoning:
PERMIT
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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:
Permit Type: Fire
Permit Number: EA185959
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* E R 1 8 5 9 5 9*
Date Issued: 8/23/2023
0 G 0 2 0
Fee Summary: FI - Fire Suppression -Residential New $99.00 0801.4096
Surcharge -Fixed $1.00 9001 2195
Total: $100.00
Contractor:
Fire Suppression Services LLC
4508 Baxter Rd
PO Box 37
Princeton MN 55371
- Applicant -
Owner:
Pulte Homes Of Minnesota LLC
7500 Flying Cloud Dr Ste 670
Eden Prairie MN 55344
. permit a 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
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
build inginsaectionsQcitvofeaoan com
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For Office Use I
185959
Permit #t: I
I
Permit Fee:
I
I Staff:
I Payment Recvd: _Yes __No i
I I
Plans: _Electronic Paper j
- - - - - - - - - - - - - - - - - J
e2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION S
Date: _ - • 23 Site Address: 496 mal C -r
Tenant:
Suite #:
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
a Name: 1�[1L'I' �AM�� Phone: - tS� •ZZ� -�%�
Property Owner y p "1560 0%7F Imo„ r I R CLc
Address /Cit / Zi
is: Owner X
Type of Work Description of work: NFPQ I3 �tS�� `per tNtC (Z StJSTE �EW l > >wj-�i(�
Contractor
Cost:
Name:rl �E Su t�'t'RESS(0�1 CZ1i l�_ License #: C' l4 57
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Address:?. 6 . 8Cx 3 -7 City: ?R I ner_To N
Stater Zip: 75�j'� ( Phone: -7&2 -32��a3
_ Contact:
FIRE PERMIT TYPE
X Sprinkler System (# of head)
_ Fire Pump _ Standpipe
Other:
Email:
WORK TYPE
New _ Addition
— Alterations _ Remodel
Other:
DESCRIPTION OF WORK: Commercial ie Residential Educational
FEES _
$65.00 Permit Fee Minimum (does not include State Surcharge) Contract Value $_3970-06 x .01
Surcharge =Contract Value x $0.0005
_$
If the pro'ect valuation ' $1 :IN
Permit Fee
1 s over rn on, please call for Surcharge = $ Surcharge
$100.00 Residential New (includes State Surcharge) _ $ )06.06 TOTAL FEE
3/4" Fire Meter - $300.00 = $ Fire Meter
Radio Read (required with Fire Meters) - $240 =$ ��Q 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 t -.t
vvww. 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 ordman;-,
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 wuik is nut to ate:,.
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 TASOV4 &k 1+rrz x �d
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(a citvofeagan.com
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