EA188625 - Fire - Commercial - Issued Date 01/03/2024 (2)PERMIT
City of Eagan Permit Type: Fire3830PilotKnobRd %
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Eagan, MN 55122EAGAN
Permit Number: EA188625
651) 675-5675
www.cityofeagan.com ]MR 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
Use: Agiliti [slim
K 1 D— 1 4 7 S 4— 0 1— 0 1 2
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 36 Heads
Construction Type:
Occupancy:
Zoning:
Stories:
Square Feet:
Percent of Bldg
Sprinkled Area Updated Building
of Permit Totals
0 0
0 0
0 0
Comments: Please call (651) 675-5900 for a final inspection.
Fee Summary: FI - Permit Fee % 81.74 0801.4096
Valuation: 8,174.00 Surcharge Based on Valuation 4.09 9001 2195
Total:
85.83
untractur: -
Applicant - Owner:
Lifesaver Fire Protection
5097 Nathan Lane N Boulder Lakes Industrial Owner LLC
Plymouth MN 55442 United Properties Development LLC
763) 473-9010
250 Nicollet Mall Ste 500
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 afterstarted
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable StateofMinnesotaStatutesandCityofEaganOrdinances.
Applicant/Permitee: Signature Issued By: Signature
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I For Off lee Use I
188625
0 Permit #:
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0 I Permit Fee:
pp
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I IEAGANIStaff: I
rPayment Recvd: Yes No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651) 675-5675 1 FAX: (651) 675-5694 I I
Ibuildinginspections@—Cityofeagan.com I
Plans: Electronic Paper— ----
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date:
12/28/2023
Site Address: Eagan, MN 55121
Tenant:
Agiliti at Boulder Lakes 2999 Ames Crossing Rd. 200
Suite #:
Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: Jorgenson Construction 763-784-3877Phone:
Property owner
Address /city /zip: 9255 East River Rd., Coon Rapids, MN 55433
Applicant is: Owner V Contractor
Ty,pe-o , Work , Description of work: Tie into existing overhead ESFR wet system for tenant build of
Construction Cost: $$ 74
Estimated Com letion Date: 2/12/2024
Name: Lifesaver Fire Protection
License #: C-040
Contractor Address: 5097 Nathan Ln. N.
city:
Plymouth
State: MN
Zip; 55442 Phone: 763-473-9010
Contact. Jennifer
Email: design@lifesaverfire.com
FIRE PERMIT TYPE WORK TYPE
V/ Sprinkler System (# of heads 36) Y/ New _ Addition
Fire Pump — Standpipe Alterations Remodel
Other: Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES 74. 81ContractValue $ x .01
65.00 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
it%W110-tTlliP aJc (61
Applicant's Printed Name plicant's Signature
PERMIT
City of Eagan , , , Permit Type: Building
3830 Pilot Knob Rd
Eagan, MN 55122 EAGAN(651)
Permit Number: EA188433
675-5675 ,,..„
www.cityofeagan.com E A 1 8 8 4 3 3
Date Issued: 1/3/2024
Site Address: 4121 Oakbrooke Curve
Lot: 6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060 [Ell 11111111111111111111111111111111111111111111111111111111111 IlionUse: *
1 0— S 3 7 6 S— 0 2
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Addition
Description: 10 x 17 addition
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $331.75 0801.4085
Valuation: 16,274.00
BL - Plan Review 65% $215.64 0720.4222
Surcharge - Based on Valuation $8.50 9001 2195
Total: $555.89
contractor: - Applicant - Owner:
M and J Services LLC Kevin D & Mindy A Stultz
204 1st St
4121 Oakbrooke Cury
Farmington MN 55024 Eagan MN 55122
952) 457-4582
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
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3830 PILOT KNOB ROAD i EAGAN, MN 55122-181 SEC 11 2023
651) 675-5675 FAX (651) 675-5694
it±din„n5L)er_tions(a)cityofeagan com BY:
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I For Office Use I
Building Permit #:
188433
I I
I S&W Permit #: I
I
Permit Fee: -5-5,5. r 5,
Date Received: 12/11/2023
I i
Date Issued: 1------------- ------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12-11-23
Type of
Work
Site Address: 4121 Oakebrookr Curve
Unit #:
Owner Contractor
Name: Kevin Stultz
Address: 4121 Oakbrooke Curve
m
Phone Email'
Description of work: 10X17 addition
Construction Cost: 56000
of building 0 SinglA Familyµ Town
s company: M and J Services LLC
i
Building = Address: 204 1st Street
Contractor ,
55024State:
mn
Zip: Phone:
i BC665315ILicense #•
Sewer $ A Company:
Water
e,
9524574582
Expiration
City,
eagan
Ve; 00Kbr-00
Of units_ Twin Home
Contact David
City: Farmington
Email: davidmarsh01 @charter.net
late: 3-31-25
Contact:
Contractor 1 Address:
E
City:
Required for 1 State: Zip: Phone: Email: new construction' t
License #:
Expiration Date
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d
0 I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
1 111alliay o@ ciassmBp as noil!pybliC if you provide specific reasons that would permit the City to conclude that theysttaretradeesecrets.
CALL BEFORE YOU DIG. Contact Gopher State One (tail at (659 4) 454-0002 or www.gopherstateong call cyres for protection against underground utilitydamage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ofEagan; 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 inaccordancewiththeapprovedplaninthecaseofworkwhichrequiresareviewandapprovalofplans.
X David Marsh
Applicant's Printed Name x
Applicant's Signature /I