EA188625 - Fire - Commercial - Issued Date 01/03/2024 PERMIT
City of Eagan , , Permit Type: Fire
3830 Pilot Knob Rd Permit Number: EA188625
Eagan, MN 55122 - EAGAN
(651)675-5675
www.cityofeagan.com E A 1 8 8 6 2 5
Date Issued: 1/3/2024
Site Address: 2999 Ames Crossing Rd
Lot: 1 Block: 1 Addition: Boulder Lakes 5th
PID:10-14754-01-012 111111111 ENE
Use: Agiliti * 1 0 — 1 4 7 8 4 — 0 1 — 0 1 2
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 36 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: Fl -Permit Fee% $81.74 0801.4096
Valuation: 8,174.00 Surcharge Based on Valuation $4.09 9001.2195
Total: $85.83
Contractor: - Applicant - Owner:
Lifesaver Fire Protection Boulder Lakes Industrial Owner LLC
5097 Nathan Lane N %United Properties Development LLC
Plymouth MN 55442 250 Nicollet Mall Ste 500
(763)473-9010 Minneapolis MN 55401
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
X13 � m
I For Office Use
1 188625 1
44 ® Permit#:
® ' SBS. g3
„r wr I permit Fee: 1
EAGAN I Staff: I
I Payment Recvd: _Yes _No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i I
651 675-5675 FAX: 651 675-5694 I I
( ) � ( ) 1 Plans:_Electronic _Paper j
buildinginspectionsecityofeagan.com ———————————————
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 12/28/2023 Site Address: M&ONW Eagan, MN 55121
Tenant:
Agiliti at Boulder Lakes 2999 Ames Crossing Rd. Suite#: 200
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
` Name:
Jorgenson Construction Phone: 763-784-3877
Property owner
Address City Zip:
9255 East River Rd., Coon Rapids, MN 55433
i / /
Applicant is: Owner Contractor
Description of work: Tie into existing overhead ESFR wet system for tenant build of
7ype'of Work
l Construction Cost: $8,174 Estimated Com letion Date: 2/12/2024
' Lifesaver Fire Protection C-040
Name: License#:
Contractor
Address: 5097 Nathan Ln. N. city: Plymouth
i
St MN Zip: 55442 phone: 763-473-9010
Contact: Jennifer Email: design@lifesaverfire.com
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (#of heads 36) New _Addition
Fire Pump _Standpipe _Alterations _Remodel
Other: Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 74.
81
Contract Value$ X .011
$66.00 Permit Fee Minimum (does not include State Surcharge) =$ 65.00
Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge = $ 4.09 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 150.83 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 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.
Jennifer Prestwich x �Jca� 104�zt)ww ?/
Applicant's Printed Name plicant's Signature