EA188290 - Fire - Commercial - Issued Date 12/07/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 3795 Pilot Knob Rd
Lot: Block: Addition: Section 16
PID:10-02100-01-022
Use: Great Lakes Neurobehavioral Center
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 39 Heads
Construction Type:
Occupancy:
Zoning:
PERMIT
Permit Type: Fire
E A G A N Permit Number: EA188290
1111111111111 IN 11111111111111111111111111111 IN
* E R 1 8 8 2 9 0*
Date Issued: 12/7/2023
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.
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Fee Summary: FI - Permit Fee % $108.00 0801.4096
Valuation: 10,800.00 Surcharge Based on Valuation $5.40 9001.2195
Total: $113.40
Contractor: - Applicant -
Owner:
Summit Fire Protection
F430 INVESTMENTS LLC
575 Minnehaha Ave W
10195 INVER GROVE TRL
St Paul MN 55103
Inver Grove Heights MN 55076
(651) 251-1880
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
App FireSuppression 2023.pdf
littps://cityofeagafl.coin/iiiiages/CoiiiiiiuiiityDevelopiiietit/Buil...
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For Office Use
Permit 8, 188290
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% 51 Permit Fee: -4-
Staff:
E ALi
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
Payment Recvd: —Yes —No
(651) 675-56751 FAX: (651) 675-5694
1 Plans:Electronic Paper
buildin,ginspections(a�citvofeagan.com L - - - _— — - - - - -- - -- - - - -
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 11/30/2023 Site Address: 3795 Pilot Knob Rd. Eagan, MN 55122
Tenant: Great Lakes Neurobavioral Center Suite #:
Qi Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Great Lakes Neurobavioral Center Phone:
Property Owner Address/ City/ Zip: 3795 Pilot Knob Rd. Eagan, MN 55122
ARR[icant is: Owner ✓ Contractor
Type of Work Description of work: add/relocate 39 sprinklers for new floor plan 12/10/2023
Construction Cost: - 10,800 —Estimated CoTpLetion Date:
Name: Summit Fire Protection License #: C-075
Contractor Address: 575 Minnehaha Ave. W City: Saint Paul_.
State: MN zip: 55103 Phone: 651-251-1880
Contact: Jeremy Wilson Email: sprinklerpermit@summitcous.com
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (# of heads 39) New Addition
Fire Pump Standpipe Alterations ✓ Remodel
Other: Other:
DESCRIPTION OFWORK: Commercial Residential Educational
FEES Contract Value $ 10800 X.01
$65.00 Permit Fee Minimum (does not include State Surcharge) =$ 108 Permit Fee
Surcharge = Contract Value x $0.0005 5.40
If the project valuation is over $1 million, please call for Surcharge = $ Surcharge
$100.00 Residential New (includes State Surcharge) = $ 113,40 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.citvofeagan.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 , ,, only 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 nr'enitb,
q
ui, review
and ",.Val of plans,
x Jeremy Wilson x
Applicant's Printed Name Applica-ht's Signature
I of 11/30/2023, 11:10 AM