EA188919 - Fire - Commercial - Issued Date 01/25/2024City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Fire
Permit Number: EA188919
EAGAN
* E A 1 8 8 9 1 9
Date Issued: 1/25/2024
Site Address: 1215 Town Centre Dr
Lot: 1 Block: 1 Addition: Eagan Place 4th
PID:10-22467-01-010 [nil 111111111111111 ifil HE
Use: St. Paul Eye * 1 0— Z Z 4 6 7— D 1— 0 1 0*
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 15 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: FI - Permit Fee % $65.00 0801.4096
Valuation: 1,700.00
Surcharge Based on Valuation $0.85 9001.2195
Total: $65.85
Contractor: - Applicant - Owner:
Lifesaver Fire Protection Msp/Eagan Place LLC
5097 Nathan Lane N 1215 Town Centre Dr Ste 130
Plymouth MN 55442 Eagan MN 55123
(763) 473-9010
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
r- - - - - - - - - - - - - - - -
L
\hI For Office Use
�J I 188919
Permit #: �
�® i Permit Fee: aEAGAN h"✓
I I
I Staff: I
Payment Recvd: _Yes _No I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I I
(651) 675-56751 FAX: (651) 675-5694 IX I
I Plans. _Electronic _Paper J
build inginspections(o)cityofeagan.com---------------
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 1 '24'2024 Site Address:
Tenant:
St Paul Eye
1215 Town Center Dr
Suite #:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: Phone:
Property Owner Address / City / Zip:
A licant is: Owner V/ Contractor
Description of work: Modify heads at new ceilings, wall & lighting layout
Type of Work
1700.00 1.25.2024 �
Construction Cost: Estimated Completion Date:
Name: Lifesaver Fire Protection License #: C040
Contractor
Address: 5097 Nathan Lane N City: Plymouth
State: MN Zip: 55442 Phone: 763-473-9010
Contact- Design Team Email: design@lifesaverfire.com
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (# of heads 1 _ New Addition
_ Fire Pump _ Standpipe _ Alterations V/ Remodel
Other: Other:
DESCRIPTION OF WORK: V Commercial Residential Educational
FEES 1700
Contract Value $ 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 = $ '85 Surcharge
$100.00 Residential New (includes State Surcharge) �= $ 65.85 TOTAL FEE
3/4" Fire Meter - $300.00 = $ Fire Meter
= $ 65.85 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.cityofeagan.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.
xDesign Team x
Applicant's Printed Name Applicant's Signature