EA188861 - Fire - Commercial - Issued Date 01/25/2024City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
• g A P � f
EAGAN
Site Address: 2999 Ames Crossing Rd
Lot: 1 Block: 1 Addition: Boulder Lakes 5th
PID:10-14754-01-011
Use: Boulder Lakes Business Center
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 137 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.
Permit Type: Fire
Permit Number: EA188861
111111111111111111111111111111111111111111111111
* E A 1 8 8 8 6 1*
Date Issued: 1/25/2024
* 1 0— 1 4 7 5 4— 0 1— 0 1 1*
Fee Summary: FI - Permit Fee % $289.34 0801.4096
Valuation: 28,934.00 Surcharge Based on Valuation $14.47 9001.2195
Total: $303.81
Contractor:
Lifesaver Fire Protection
5097 Nathan Lane N
Plymouth MN 55442
(763) 473-9010
- Applicant - I Owner:
Boulder Lakes Industrial Owner LLC
% United Properties Development LLC
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 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 V /25
s
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810
(651) 675-5675 i FAX: (651) 675-5694
buildinginspections(a)cityofeagan.com
r- - - - - - - - - - - - - - - -
I For Office Use
Permit #: 188861
I Permit Fee: � I
I I
I I
I Staff: I
i_____________
Payment Recvd: _Yes _No
I l
I I
I— Plans__ Electronic _ Paper I
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
1/19/2024 Date: Site Address:
WINSTED BOULDER LAKES BUSINESS CTR
Tenant:
2999 LONE_QAK_ROAD Ames Crossing Rd
Suite #:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: JORGENSON CONSTRUCTION Phone: 763-784-3877
Property Owner I Address/ City /zip: 9255 EAST RIVER RD. COON RAPIDS, MN 55433
A licant is: Owner V( Contractor
Type of Work
Description of work: Use existing overhead ESFR system for tenant build out office
Construction $28,934 934 maEstited Completion Date: 2/16/2024
Name:
LIFESAVER FIRE PROTECTION License#: C-040
5097 NATHAN LN. N. PLYMOUTH
Contractor � Address: city:
State: MN Zip: 55442 Phone: 763-473-9010
DESIGN DESIGN@LlFESAVERFIRE.COM
Contact: Email:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (# of heads 137 _ New Addition
Fire Pump _ Standpipe _ Alterations Remodel
Other: — Other: -
DESCRIPTION OF WORK:—YCommercial Residential .m Educational-�„
FEES � Contract value $289'34 X.01
$65.00 Permit Fee Minimum (does not include State Surcharge) 6' `�
_ $ Permit Fee
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge = $ 14'47 Surcharge
$100.00 Residential New (includes State Surcharge) = $ 1 3 �� TOTAL FEE I
3/4" Fire Meter - $300.00 =$ Fire Meter�Na
�$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.
xJENNIFER PRESTWICH x /)U1qC
Applicant's Printed Name plicant's Signature