EA188129 - Fire - Commercial - Issued Date 11/21/2023 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd ��` � ; %,�
Eagan, MN 55122 Permit Number: EA188129
(651)675-5675 EAGANIflWEIRM
www.cityofeagan.com * E R 1 8 8 1 2 9 *
Date Issued: 11/21/2023
Site Address: 1950 Rahncliff Ct
Lot: 1 Block: 01 Addition: Rahncliff 4th
PID:10-62728-01-010
Use: Norwood Inn and Suites * 1 0 — 6 2 728 —MO , — 11 00 *
Description:
Sub Type: Commercial
Work Type: Alteration
Description: East dry system replairs and def corrections
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% $120.00 0801.4096
Valuation: 12,000.00 Surcharge Based on Valuation $6.00 9001 2195
Total: $126.00
Contractor: - Applicant - Owner:
General Sprinkler Corporation Woodbury Lodging LLC
1863 Buerkle Road 2401 Prior AveWhite Bear Lake M
N 55110 Roseville Av 55113
(651)484-5903
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
LM -----------------
I For Office Use j
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a ` / 1 Permit#:
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Permit Fee: I
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I Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 f
1 Payment Recvd: —Yes —No I
(651)675-5675 1 FAX: (651)675-5694 1 I
buildin-ginspections@citvofea.gan.com 1 Plans: Electronic —paper j 3
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2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 11-20-23 Site Address: 1950 Rahncliff Court
Tenant:
Norwood Inn & Suites s
Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components �=
Name: Kishor Patlola 612-876-0603
Phone:
Property 0wY indr
Address/City/Zip:
� vl, Applicant is: Owner V( Contractor
C�
Description of work: Repair fires sprinkler system stem & correct deficiencies
TYpdof Work , p p
Construction Cost: $12,000
Estimated Com letion Date: _
Name: General Sprinkler Corporation C#002
License#:
Address: 10661 Nassau St. NE STE 400 Blaine �
Contractor City:
State: MNZip: 55449 phone: 6514845903
Contact: Jay Lindholm
Email: j �9enerals lindholm rinkler.com
p
FIRE PERMIT TYPE WORK TYPE
—Sprinkler System (#of heads
_New _Addition
—Fire Pump _Standpipe
Alterations _Remodel
—Other: Vi`1East d s
Other: dry system em repairs&def.corrections
DESCRIPTION OF WORK: Commercial
Residential Educational
FEES
$65.00 Permit Fee Minimum (does not include State Surcharge) Contract Value$ 12000
X.01
Surcharge=Contract Value x$0.0005 =$ 120
Permit Fee
If the project valuation is over$1 million, please call for Surcharge =$ 6
Surcharge
$100.00 Residential New(includes State Surcharge) _$ 126.00
3/4"Fire Meter-$300.00 TOTAL FEE
=$ 0 Fire Meter
_$ 126 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.citvofeaaan.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.
x Jay Lindholm (Ng1Mlysigned1, a,Lmdholm
pN u5,E-Jhodholm@genemisprinkler.com,
x Jay L i n d h o l r� Ueneral Spr nkler Corporation,CN=Jay
Applicant's Printed Name ''", 2023120054535.06'00'
Applicant's Signature