EA187151 - Plumbing - Commercial - Issued Date 10/11/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd -+ %,;s, Permit Number: EA187151
Eagan, MN 55122 `--- �--• EGAN•�
(651)675-5675 111111111111 IN 11111111111111111111111111111 A
www.cityofeagan.com * E R 1 8 7 1 S 1 *
Date Issued: 10/11/2023
Site Address: 3902 Cedar Grove Pkwy
Lot: 011 Block: 01 Addition: Stryker
PID:10-72840-01-011 DUE
Use: La Paz Bakery * 1 0 — 7 2 8 4 0 — 0 1 — D 1 1
Description:
Sub Type: Commercial
Work Type: Replace
Description: nstallation of(1)mop sink, (2)hand sinks,(1)coml
sink&grease trap,(1)water heater&piping
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $429.00 0801.4087
Valuation: 28,600.00
Surcharge-Based on Valuation $14.30 9001.2195
Total: $443.30
Contractor: - Applicant - Owner:
Northland Mechanical Contractors Inc Cbc-Jwf LLC
9001 Science Center Dr %John W Fitzgerald
New Hope MN 55428 3683 Jeffers Pkwy NW
(763)544-5100 Prior Lake MN 55372
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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I For Office Use I
0 0 Permit#: 187151
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Permit Fee:*d.43. 3 c I
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I I
I Staff: I
Ems UE V I-----------------I
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 a F
I Payment Recvd: Yes No I
(651) 675-5675 1 FAX: (651)675-5694 M9=> ` 2023 I I
Email: buildinginspectionsCay-cityofeagan.com I I
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I Plans: Electronic _Paper I
BY: ----------------
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
Please submit one set of electronic plans via email
Date: 9/28/2023 Site Address: 3902 Cedar Grove Parkway
Tenant: La Paz Bakery Suite #:
Property La Paz Bakery
dWnel Name: Phone: 952-500-3442
Name: Northland Mechancial Contractors License#: PC643880
Contractor Address: 9001 Science Center Dr ;ty. New Hope State: MN zip: 55428
Phone: 763-544-5100 Email: permits@northland-mn.com
New Construction Addition V Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description Of Work: Installation of(1)mop sink,(2)hand sinks,(1)comp sink&grease trap,(1)water heater&all associated piping
Type of Work Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers_Yes No
COMMERCIAL FEES28,600
Contract Value$ x.015
$65.00 Permit Fee Minimum 429.00
$65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee
Surcharge=Contract Value x$0.0005 $ 14.30 Surcharge
If the project valuation is over$1 million, please call City for Surcharge $ 443.30 TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
=$443.30 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.cityofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;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.
xNicole Doedenx - C
Applicant's Printed Name Applicant's Signature