EA188885 - Fire - Residential - Issued Date 01/26/2024 PERMIT
City of Eagan , , , , Permit Type: Fire
3830 Pilot Knob Rd Permit Number: EA188885
Eagan, MN 55122 AGA N
(651)675-5675
www.cityofeagan.com * E R 1 8 8 8 8 S
Date Issued: 1/26/2024
Site Address: 4813 Avery Ct
Lot: 3 Block: 1 Addition: Avery Pines
PID:10-12350-01-030 1111 111111111111111111111 1111M
Use: * 10 - 123S0 - 01 - 030 *
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
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For Office Use
c Permit#:188885
Permit Fee:EAGAN
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I Staff: i
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i Payment Recvd: _Yes �No I
i
(651)675-56751 FAX: (651)675-5694 I
buiidinginspections(Mcitvofeagan.com Plans: Electronic Paper I
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2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: I-2-1-7A Site Address: 44c Aw&Y a-
Tenant: 4813 Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name i'L.IL'T� PoAes .......� Phone.
Property Owner ! Address i City i zip: r15oc C7F F•I�.�. C i R Cf.�
A licant is: Owner X Contractor
Type of Work
Description ofworkAFPA i3 h NhikbAE
wConstruction Cost: Estimated Completion Date:
Name: (Iec SU?KE:SS(W License#: C.'(45
Contractor Address: �.0. DOX 3-7 City: ?RA1Cgtb
IW
State: MK Zip: Phone: /&_5-3M 2.163
Contact: Email: _.._..
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 19 z New _Addition
_Fire Pump _Standpipe _Alterations Remodel
Other: _Other:
DESCRIPTION OF WORK: Commercial X Residential Educational
FEES
Contract value $ 3�7$ •� 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
$100.00_Residential New(includes State Surcharge) _=$ TOTAL FEE
3f4"Fire Meter-$300.00 _$_ N�� � 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,cltyofeaaan. om/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 ordtranc ii,,,
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:aio
without a permit:that the work will be in accordance with the approvad plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Appl cant's Signature