EA186649 - Fire - Commercial - New Balance - Issued Date 09/12/2023 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd �„°m," Permit Number: EA186649
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com E A 1 8 6 6 4 9
Date Issued: 9/12/2023
Site Address: 3965 Eagan Outlets Pkwy 210
Lot: 1 Block: 1 Addition: Paragon Addition
PID:10-56220-01-010
Use: New Balance * 1 0 — 5 6 2 2 0 — 0 1 — D 1
Description:
Sub Type: Commercial
Work Type: Fire Alarm
Description:
Construction Type:
Occupancy:
Zoning:
Sprinkled Area Updated Building
of Permit Totals
Stories: 0 0
Square Feet: 0 0
Percent of Bldg: 0 0
Comments: Please call(651)675-5900 for a final inspection.
Fee Summary: F1-Permit Fee% $115.55 0801.4096
Valuation: 11,555.00 Surcharge Based on Valuation $5.78 9001.2195
Total: $121.33
Contractor: - Applicant - Owner:
Master Electric Paragon Outlets Eagan LLC
8555 West 123rd St %Simon Property Group
Savage MN 55378 PO Box 6120
(952)201-3307 Indianapolis IN 46206
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
moi ie ii
----------------
For Office Use
186649
► 0 0 Permit#:
EAGAN I Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinainSDectionsf�cityofeacian.com ----------------
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 8-31-2023 Site Address: 3965 Eagan Outlet Parkway, Eagan, MN 55122
Tenant: New Balance Store Suite Suite#: 210
0 Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
New Balance
Name. Phone:
Property Owner 100 Guest Street, Boston, MN 02135
Address City Zip:
Applicant is: Owner -co ntr"ac,to'r
Fire Alarm Addition
Type of Work Description of work:
11,
Construction Cost, 555.00 Estimated Completion Date:
CORS Systems Group Master Electric EA001192
Name: License
8555 West 123rd Street Savage
Contractor
Address: city.
i State:
MN Zip: Phone:55378 763-258-2078
—
Jon Nelsonjon.nelson@cor5systems.com
Contact: Email:
New ✓ Remodel
Work Type
Addition Other:
Alterations
DESCRIPTIONOF WORK: ✓ Commercial Residential Educational
ti ...........
FEES 115.55
Contract Value$ X.01
$65.00 Permit Fee Minimum =$ 65 Permit Fee
Surcharge=Contract Value x$0.0005 =$ 5.78 Surcharge*
If the project valuation is over$1 million, please call for Surcharge
=$ 186.33
TOTAL
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.ci!yofeagan.com/subscribe.
I hereby apply for a Fire Alarm permit and acknowledge that the information Is complete and accurate;that the work will be in conformance with the
ordinances 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 start 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.
xJon R. Nelson x
Applicant's Printed Name A/Micot's Signature
FOR OFFICE USE Reviewed By Darrin Bramwell Date:-9/11/2023
Required Inspections: —Rough-In X Final Fire Alarm Test