EA188887 - Fire - Residential - Issued Date 01/26/2024 PERMIT
City of Eagan . , , Permit Type: Fire
3830 Pilot Knob Rd ,,�;,+ ;; Permit Number: EA188887
Eagan,MN 55122 "" EAGAN
(651)675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 8 8 8 7
Date Issued: 1/26/2024
Site Address: 4821 Avery Ct
Lot: 1 Block: 1 Addition: Avery Pines
PID:10-12350-01-010 NO
Use: * 10 - 1 2350 - 0 1 - 0 10 *
Description:
Sub Type: Residential
Work Type: New
Description: 20 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: $100.00
Contractor: - Applicant - Owner:
Fire Suppression Services LLC Pulte Homes Of Minnesota LLC
4508 Baxter Rd 7500 Flying Cloud Dr Ste 670
P O Box 37 Eden Prairie MN 55344
Princeton MN 55371
763 277-8960
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
-------------------
For Office Use
Permit#: 188887
.e �6 I Permit Fee:
EAGAN I Staff, I
I Payment Recvd: —Yes _Nc I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I i
(651)675-5675 1 FAX: (651)675-5694 Plans:_Electronic ,Paper i
build inginspectionsacityofeaoan.tom -----------------
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: "�Z'ZH Site Address: 49?r lory Cr.
Tenant: 4821 Suite#:
0 Requirements:one electronic set of drawings, specifications, cut sheets on materials and components
Name: �uL�['aE �oM,;E� �Phone:�
Property Owner Address/City/Zip: 175'oO O'FFid.F„ C-I R e-LZ
A licant is: Owner X Contractor
Type of Work Description of work: ARA 13 A 'FmE SP2lNKlE:K !&4 +A gEW tD��
Construction Cost: Estimated Completion Date:
Name: J RE _,u i'�Mi:SS!031 <_Xf_U t(!CS License#:
3 Address: �. SOX 6-7 City: 'f 1W VE
Contractor
State: 1'` Zip: 15�7 J, ( Phone: -7&-2) -3M
ContacEmail:
__.. ..
t
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of headsan J New _Addition
Fire Pump _Standpipe _Alterations —Remodel
Other: Other. _-
DESCRIPTION OF WORK: Commercial X Residential Educational
FEES 3 l7S•DO x.01
Contract Value$
$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
$100.00_Residential New(includes State Surcharge) =$ )06 .00 TOTAL FEE
3/4"Fire Meter-$300.00 $ - �.�«�.�- Fire Meter
Radio Read(required with Fire Meters)-$240 =$_ K/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
MwA,qItvofeaqan.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 ordiranc u.,
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 stn"
without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review/and approvaiyof plans.
x /bd 01
Applicant's Printed Name Appl cant's Signature