EA188883 - Fire - Residential - Issued Date 01/26/2024 PERMIT
City of Eagan Permit Type: Fire
3830 Pilot Knob Rd � . EAGAN
Permit Number: EA188883
Eagan, MN 55122
(651)675-5675 1111111111111 IN 11111111111111111111111111111 lit
www.cityofeagan.com * E A 1 8 8 8 8 3 *
Date Issued: 1/26/2024
Site Address: 4805 Avery Ct
Lot: 5 Block: 1 Addition: Avery Pines
PID:10-12350-01-050
Use: * 10 - 123S0 01 - 0S0
Description:
Sub Type: Residential
Work Type: New
Description: 19 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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: FI-Fire Suppression-Residential New $99.00 0801.4096
Valuation: 3,978.00 Surcharge-Fixed $1.00 9001.2195
Total: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
For Office Use _
I I
1 1
�= l Permit#: 188883
Permit Fes:
EAGAN I i
I Staff: I
1 Payment Recvd: ,Yes �No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I i
(651)675-56751 FAX:(651)675-5694 _ i
Pians:_Electronic Paper I
buildinginspectonsCa�citvofeagan.com I _______
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: Site Address: 145o5$oS AJE@q e -
Tenant: Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: aL'T'ir gemjEs Phone: 1 0 US&
Property Owner Address/City/Zip: `75,6(b 47FF ice. C t R el.E
A 11 cant is: Owner X Contractor
Type of Work Description of work:fAFP A IS D. Effie SPiZ t N k t.F a StlSTE.l�I�E W
Yp
Construction Cost, Estimated Completion Date: ..._
9�._... � ., R
Name: rl RE SU!'�C�RE-�S"Sto X(Z11tpF License#: C445-
Address:
'�4 ' -
Address:R vox 3 / ___ City: �QiNL� Tb1�
Contractor s
State: 1't g Zip: 1 153, I Phone: 7&
Contact. Email: _.__._..
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads q) New —Addition
Fire Pump _Standpipe _Alterations —Remodel
Other: Other: -
DESCRIPTION OF WORK: Commercial X Residential _Educational
FEES `�?B• oc x .01
Contract Value$
$65.00 Permit Fee Minimum (does not include State Surcharge)
_$ Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation Is over$1 million,please call for Surcharge =$ Surcharge
$100.00 Residential New(includes State Surcharge)_ _$ TOTAL FEE
3/4"Fire Meter-$300.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$240 =$ 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.citvofeaaan.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 ordirano%,
and codes of the City of Eagan and with the Minnesota BuildingfFire Codes:that I understand this is not a permit,but only an application fora permit,and work is not to tfFitt
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,
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X 'SOtJ �`+ITi� X
Applicant's Printed Name Appi cants Signature