EA187950 - Fire - Commercial - Northern States Agency - Issued Date 11/14/2023 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd ,4+;,! °o,�`, Permit Number: EA187950
Eagan,MN 55122 `0-- ••-' EAGAN
(651)675-5675 111111111111 IN 11111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 9 S 0
Date Issued: 11/14/2023
Site Address: 1305 Corporate Center Dr 460
Lot: 1 Block: 1 Addition: Eagandale Office Park 3rd
PID:10-22532-01-010 ,
Use: Northern States Agency * 1 0 — Z Z S 3 2 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 15 heads
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: 1,800.00 Surcharge Based on Valuation $0.90 9001.2195
Total: $65.90
Contractor: - Applicant - Owner:
Dynamic Fire Protection Snh Medical Office Properties Trust
11300 275th St %Ryan Pts
Chisago City MN 55013 150 5th St S Ste 2500
(651)357-8681 Minneapolis MN 55402
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 For Office Use
Permit#: 187950
4�t
� e� s � I Permit Fee: I
EAGA
I
Staff:
I Payment Recvd: _Yes _No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 iFAX:(651)675-5694 I I
Plans:,Electronic _Paper j
buildinginsoections(Ccitvofeagan.com ---------- —
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 11/6/23 Site address: 1305 Corporate Center Dr.
Tenant:
Northern States Agency suite#: 460
0 Requirements: one electronic set of drawings,specifications, cut sheets on materials and components
Name: RMR Group Phone: 612-252-0993
Property owner Address/City Zip:
Minnetonka, MN 55343
/
Applicant is; Owner ✓ Contractor
Type of
Description of work: Add/Relocate
Work
Construction Cost: 1'800'0 11-15-23
Estimated Com letion Date:
Name:
Dynamic Fire Protection License#: C-172
3509 Commerce Blvd cit St.Paul
Contractor Address: Y
State:
MN Zip: Phone:
55110 651-357-8681
Contact;
Brian Hoffman Email: brian.hoffman@dynamicfireprotection.net
FIRE PERMIT TYPE WORK TYPE
✓ Sprinkler System (#of heads 155) _New _Addition
_Fire Pump _Standpipe ✓ Alterations _Remodel
Other: _Other:
DESCRIPTION OF WORK: ✓ Commercial Residential Educational
FEES Contract Value$180 J X.01
$65.00 Permit Fee Minimum (does not include State Surcharge) -$ 65
Permit Fee
Surcharge= Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ '90 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 83.90 TOTAL FEE
3/4" Fire Meter-$300.00 = $ Fire Meter
_$ 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
www cilyofeagan 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 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.
XAdam Fechner
App tcan`�t's Prifft d-Name Ap Ic nVs SignatuT