EA188884 - Fire - Residential - Issued Date 01/26/2024 PERMIT
City of Eagan , , , Permit Type: Fire
3830 Pilot Knob Rd ,�w;�+ �,;.', Permit Number: EA188884
Eagan, MN 55122 EAGAN
(651)675-5675 1111111111111 IN 111111111111111111111111
www.cityofeagan.com * E A 1 8 8 8 8 4
Date Issued: 1/26/2024
Site Address: 4809 Avery Ct
Lot: 5 Block: 1 Addition: Avery Pines
PID:10-12350-01-050 11111111111 IN 111111111111111111111111111111111111111111111111111 11111M
Use: * 10 - 123S0 - 0 1 - 0S0 *
Description:
Sub Type: Residential
Work Type: New
Description: 23 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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
-------------------
For Office Use
Permit#: 188884 i
I
Permit Fee:EAGAN
I Staff: _ I
1 Payment Recvd: _Yes No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 1 FAX: (651)875-5694 Pians:_Electronic _Paper
buildinginspections@ci ofeagen.com ---------------
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: I-ZZ.-U Site Address:
Tenant: Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut shoots on materials and components
Name: T�uL-r�zf�or�lES Phone:����•Z.Zq'-��q�
Property Owner JAddress/City/Zip: 75b6
A iicant is: Owner X Contractor
Type of Work Description of workAR Q
Construction Cost: Estimated Completion Date:
(
Name: ((M SU t'"�t�2ESS(W SE'CZwer-5 License#:
Contractor Address. �. gox 3",07 City: �Rt>NeToll
State: Zip: 55,3- t_ Phone: 7J*7L&-S•3 "?--163
Email: ----
Contact.
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads) )( Now r Addition
_Fire Pump _Standpipe a _Alterations ,Remodel
Other: _—Other. --
DESCRIPTION OF WORK: Commercial X Residential _ Educational
FEES Contract Value$ 3976 x.01
$65.00 Permit Fee Minimum (does not include State Surcharge)
_$ Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ Surcharge
$100.00 Residential New(includes State Surcharge) =$ ) 00 TOTAL FEE
3/4"Fire Meter-$300.00 =$ Wilk Fire Meter
Radio Read(required with Fire Meters)-$240 =$ �vl A _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
v"—d-ty feagan.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 aAth the ordu an cs
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 st+rl
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.
X W V2 X
Applicant's Printed Name Appl cants Signature