EA188886 - Fire - Residential - Issued Date 01/26/2024 PERMIT
City of Eagan , , , Permit Type: Fire
3830 Pilot Knob Rd �-•,-� �,,��, EAGAN Permit Number: EA188886
Eagan, MN 55122 �- •-••
(651)675-5675
www.cityofeagan.com * E R 1 8 8 8 8 6
Date Issued: 1/26/2024
Site Address: 4817 Avery Ct
Lot: 3 Block: 1 Addition: Avery Pines
PID:10-12350-01-030 1111111111111111111111111 HIM
Use: * 1 0 — 1 Z 3 S 0 — 0 1 — 0 3 0
Description:
Sub Type: Residential
Work Type: New
Description: 22 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:
Fee Summary: FI-Fire Suppression-Residential New $99.00 0801.4096
Valuation: 3,978.00 Surcharge-Fixed $1.00 9001.2195
Total: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
-------------------
For Office Use
Permit M 188886
Permit Fee: Q rl I
k I I
I I
EAGAN I Staff: I
�sa.m-srr.�.arc�
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i Payment Recvd: _Yes _Nc I
i
(651)675-5675 1 FAX: (651)675-5694 I
Plans: Electronic _Paper I
buildingnspectionsla7ctryofeagan.com _
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: I—Z1--ZH4 Site Address: 4qf1 AXR44 131—
Tenant: 4817 Suite#:
❑ Requirements: one electronic set of drawings, specifications, cut sheets on materials and components
Name: P&PACS Phone: O&CSS.
Property Owner iAddress/City/Zip:
A licant is: Owner X Contractor
Type of Work Description of workAFRA 13 A �tQa; SPR INKt�2 SCISTF NIL NEW l��t�it�lAl
! Construction Cost: Estimated Completion Date:
j Name: r'l RE SU tMEQS(oN SC2U M License
Contractor
K Address: ?.6. 13 OK�- / City: ?RIWC£•ro1J
t � -
State: 1_li Zip: 7573, ( Phone: -7&3,-3M2•�g3 ___._
Contact, Email:
FIRE PERMIT TYPE � � � � � � — � WORK TYPE
X_Sprinkler System(#of heads) L New _Addition
Fire Pump _Standpipe _Alterations _Remodel
Other Other:
DESCRIPTION OF WORK: Commercial X Residential Educational
FEES Contract Value$ 3978 00 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
$100.00 Residential New(includes State Surcharge) _$ )06 .00 TOTAL FEE
3/4"Fire Meter-$300.00 $_ Nth Fire Meter
Radio Read (required with Fire Meters)-$240 _ _ _ $_.
N Q 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.cltygfeaaan.com/subscrib
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 ordirancm,
and codes of the City of Eagan and with the Minnesota BuildinglFire Codes;that I understand this Is not a permit,but only an application for a permit,and work is not to st.,rt
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
ZH60M Lno-�P— X
Applicant's Printed.Name Appl cant's Signature