EA189867 - Fire - Commercial - Herself Health - Issued Date 04/02/2024 PERMIT
City of Eagan , e Permit Type: Fire
3830 Pilot Knob Rd ,'';�� `';e�, Permit Number: EA189867
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 9 8 6 7
Date Issued: 4/2/2024
Site Address: 2000 Rahncliff Ct 400
Lot: 1 Block: I Addition: Rahncliff Ist
PID:10-62725-03-001
Use: Herself Health * 1 0 — 6 2 7 2 E — 0 3 — 0 0 1
Description:
Sub Type: Commercial
Work Type: Fire Alarm
Description:
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% $65.00 0801.4096
Valuation: 5,165.00 Surcharge Based on Valuation $2.58 9001.2195
Total: $67.58
Contractor: - Applicant - Owner:
City View Electric Inc Eagan Ventures LLC
14309 Lake Drive NE %Wallingford Properties LLC
Columbus MN 55025 9531 78th St W Ste 350
(651)659-9496 Eden Prairie MN 55344
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
L R4 4 l2
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For Office Use I
1 I I
Permit#: 189867
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Permit Fee: 10-1.� U I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Staff:
buildinginsi)ectionsacityofeagan.com I-----------------J
2024 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 3-28-24 Site Address: 2000 Rahncliff44ead court Suite 400
Tenant: Herself Health Eagan suite#:
❑ Requirements: one electronic set of drawings,specifications,cut sheets on materials and components
Name: Herself Health Eagan Phone:
Property,Owner Address city zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Install fire alarm devices, smokes and auxiliary power supply
Construction Cost: 5,165.00 Estimated Completion Date: 4-30-24
Name: City View Electric Inc. License#: EA000384
,Contractor
Address: 14309 Lake Drive NE city. Columbus
State: MN zip: 55025 Phone: 651-389-3363
Contact: Jerry Bailey Email: christyk@cityviewelectric.com
_New _Remodel
Work Type V/ Addition Other:
Alterations
DESCRIPTION OF WORK: Commercial Residential Educational
FEES Contract Value$51.65 x.01
$65.00 Permit Fee Minimum =$ 65.00
Permit Fee
Surcharge=Contract Value x$0.0005 =$ 2.59 Surcharge*
If the project valuation is over$1 million, please call for Surcharge _$ 119.24
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.citvofeagan.com/subscribe.
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the
ordinances 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 start 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 Jerry Bailey x !3
Applicant's Printed Name Apo(cant'iVSignature
FOR OFFICE USE Reviewed By Damn Bramwell Date :412%2E?24 -
Required Inspections: Rough-in X Final Fire Alarm Test