EA187423 - Fire - Commercial - Issued Date 10/16/2023 PERMIT
City of Eagan % + Permit Type: Fire
3830 Pilot Knob Rd ®,;+°+ Permit Number: EA187423
Eagan,MN 55122 °A• ••-° EAGAN
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 7 4 2 3 *
Date Issued: 10/16/2023
Site Address: 2767 Hwy 55
Lot: 081 Block: 0 Addition: Robert O'Neill Homestead
PID:10-53320-00-081
Use: 2767 Hwy 55 Building LLC * 1 0 — 5 3 3 2 0 — 0 0 — 0 8 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: FI-Permit Fee% $65.00 0801.4096
Valuation: 2,000.00 Surcharge Based on Valuation $1.00 9001.2195
Total: $66.00
Contractor: - Applicant - Owner:
General Security Services Corp. 2767 Hwy 55 LLC
9110 Meadowview Road 800 Lone Oak Rd
Bloomington MN 55425 Eagan MN 55121
(952)858-5000
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
r------------------
I
I For Office Use I
Perm187423
Permit 4
00
Perr-nit Fee.
EAGAN
10/12/2023
Date Received.
3330 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694 Staff:
L---...
-----------
bulldLn-g�ec Ionsjc�cityofeaqan.con",
2023 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 10/11/2023 Site Address: 2767 Hwy 55 Building
Tenant: 2767 Hwy 55 Building LLC Suite#:
0 Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: 2767 Hwy 55 Building LLC Phone:
Property Owner Address I City/Zip: 800 Lone Oak Road, Eagan MN 55121
Applicant is. Owner ✓ Contractor
Type of Work Description of work: Add a UL Listed cellular Communicator to existing Fire Alarm
Construction Cost: 2000 Estimated Completion Date: 10/31/2023
Name: License Security Services Corp License#: TS000276
Contractor Address: 9110 Meadowview Road City: Bloomington
State:
MN Zip: Phone:55425 952-858-5096
Tim Hainlin Permits@gssc.net
Contact: Email
New Remodel
Work Type ✓ Addition Other:
Alterations
DESCRIPTION OF WORK: ✓ Commercial Residential Educational
FEES Contract Value $2000 X.01
$65.00 Permit Fee Minimum = $ 20 Permit Fee
Surcharge = Contract Value x$0.0005 =$ 1 Surcharge*
If the project valuation is over$1 million, please call for Surcharge 21-00
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
���.cq of�ei(anxo�fn/subsc�nbe.
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 casepf work which requires a review
and approval of plans.
Jim Hainlin X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Darrin Bramwell Date: 10/16/2023
Required Inspections: __ _Rough-in X Final Fire Alarm Test