EA185960 - Fire - Residential - Issued Date 08/23/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4913
Lot: I Block: 6
PID:10-12350-06-010
Use:
Description:
Sub Type: Residential
Work Type: New
Description: 19 Heads
Construction Type:
Occupancy:
Zoning:
PERMIT
Permit Type: Fire
Permit Number: EA185960
EAGAN
* E R 1 8 5 9 6 0
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
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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 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
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raEAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginsr)ectbns@cltvofeagan.com
-----------------
For Office Use
185960 I
Permit #: I
I
Permit Fee: I
_......
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I Staff:
_
I Payment Recvd: _Yes __No
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Plans: _ Electronic _ Papet j
- - - - - - - - - - - - - - - - - J
QQ2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION T%
Date: �ISite Address: _� I &res LT
Tenant:
Suite #: _
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: "Ps �.�
Phone:
Property owner Address / City / Zip: 1156c 01:FtC-e- C t R et s
nt is: Owner X
Type of Work Description of work: KEPA (3 D Ftjz CP2lhlli!e95�STL- �1EW� �wiLlnrt�i�
Cost:
Estimated Completion Date:
Name: "ZE SUIPPKE9<10W License #:
Contractor Address: �. �• DoK -6-7 City: ?1ziW_;9-roil
State: W4 Zip:. Phone:
Contact:
FIRE PERMIT TYPE
X Sprinkler System (# of heads )
Email:
i WORK TYPE
X New _ Addition
— Fire Pump _Standpipe [ _ Alterations _ Remodel
i,
Other: Other:
DESCRIPTION OF WORK Commercial X Residential T Educational
FEES ov
7
$65.00 Permit Fee Minimum (does not include State Surcharge) Contract Value $ x .01
P Surcharge = Contract Value x $0.0005 = $ Permit Fee,
If the project valuation is over $1 million, please call for Surcharge $ Y Surcharge
$100.00 Residential New (includes State Surcharge) _ $ TOTAL FEE
3/4" Fite Meter - $300.00N�a
_ $ Fire Meter
Radio Read (required with Fire Meters) - $240 _ _ $1TOTAL 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
www.cftyofeagan,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 ordtnap,,,o..
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 Mar,
without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review an
d approval of plans.
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Applicant's Printed Name Appl cant's Signature
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REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test X Rough In
TripPump Test Central Station X Final
Conditions of Issuance:
Rough In & Final' for all 5 Units.
Permit Reviewed by: Darrin Bramwell Date: 8 22 2023
3830 PILOT KNOB ROAD l EAGAN, MN 55122
(651) 675-5675 l FAX: (651) 675-5694 buildinginspections(c)cityofeagan.com
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