EA189132 - Fire - Commercial - Issued Date 02/21/2024 PERMIT
City of Eagan *--
Permit Type: Fire
3830 Pilot Knob Rd Permit Number: EA189132
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 9 1 3 2
Date Issued: 2/21/2024
Site Address: 3311 Terminal Dr
Lot: 1 Block: 1 Addition: Transport America
PID:10-77199-01-010
Use: AM Roofing * 1 0 — 7 7 1 9 9 — C 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: New
Description: 274 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.
Fee Summary: FI-Permit Fee% $780.00 0801.4096
Valuation: 78 000.00 Surcharge Based on Valuation $39.00 9001.2195
3/4"Meter $300.00 6101.4509
Total: $1,119.00
Contractor: - Applicant - Owner:
The Fire Group Health Landlord(Mn)LLC
833 3rd Street SW#4 %Bcbsm Corporate Tax Dept M104
New Brighton MN 55112 PO Box 64560
(612)242-4676 Saint Paul MN 55164
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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For Office Use
Permit#: 189132
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Permit Fee:& E� AGANI I I
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I Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Payment Recvd: Yes _No
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(651)675-56751 FAX:(651)675-5694 � Plans:_Electronic `Paper I
buildinainspections(@tcitvofea aq n com
2023 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: Site Address: �®�161A/ r-
Tenant: Suite#:
❑ Requirements; one electronic set of drawings,specifications,cut sheets on materials and components
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor
i
Type of Work Description of work'`i✓1e '6�„LP j �L� �° j 6/11,1 el" ,
Const-r-uc�tioon Cost: M7. Estimated Com letion Date. � 1
Name: t I ii-f'�/i_ � 1 License#: c-.•""
Contractor Address: _ -) � � �r n l,'"E C;ty: f J� Lah74
State: Zip:_ �� Phone: -
Contact:W, e_614 Email:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of headQit New !Addition
Fire Pump Standpipe Alterations _Remodel
Other. Other.
DESCRIPTION OF WORK: Commercial Residential Educational
FEES - � v
Contract Value$ X X.01
$65.00 Permit Fee Minimum (does not include State Surcharge)
Surcharge=Contract Value x$0.0005 =$ O.�Permit Fee
If the project valuation is over$1 million,please call for Surcharge =$ ,®D ___Surcharge
$100.00 Residential New(includes State Surcharge) =$ 61'('.00 TOTAL FEE
3/4"Fire Meter-$300.00 =$- 300 Fire Meter
_$ GO 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
wwwsitypfeagan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information Is complete and accurate:that the work will b n conformance with the ordinances
and codes of the City of Eagan and with the Minnesota BuildingtHre Codes;that I understand this isTuirsareviJewdapprova
t only an applicati r a permit,and work is not to start
without a permit;that the work will be in accordance with the approved plan in the case of work whicl f tans.
x �--
Applicant's Printed Name Applicant's Signature —17