EA189231 - Plumbing - Commercial - Issued Date 02/14/2024 PERMIT
City of Eagan Permit Type: Plumbing
Pilot Knob Rd � a � � EAGAN
Permit Number: EA189231
Eagan,MN 55122 `••' •--°
(651)675-5675 r�
www.cityofeagan.com * E R 1 8 9 2 3 1
Date Issued: 2/14/2024
Site Address: 3902 Cedar Grove Pkwy
Lot: 011 Block: 01 Addition: Stryker
PID:10-72840-01-011
Use: La Paz Bakery * 1 0 — 7 Z 8 4 Q — 0 1 — 0 1 1
Description:
Sub Type: Commercial
Work Type: Replace
Description: RPZ in kitchen
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Northland Mechanical Contractors Inc Cbc-Jwf LLC
9001 Science Center Dr %Dora J Fitzgerald
New Hope MN 55428 3683 Jeffers Pkwy NW
(763)544-5100 Prior Lake MN 55372
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
r-----------------
I For Office Use
Permit#: 3 I
Permit FeerEAGAN
S�
I I
am
I I
I Staff: I
ECEIV I-----------------I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Payment Recvd _Yes No
(651) 675-5675 1 FAX: (651)675-5694
FEB�B 14 X024 I l
Email: buildinginspectionsgcityofeagan.com I plans:_Electronic _Paper
-----------------J
BY: _
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
Please submit one set of electronic plans via email
Date: 2/14/24 site Address: 3902 Cedar Grove Parkway
Tenant: La Paz Bakery Suite #:
Property
Owner Name: La Paz Bakery Phone: 952-500-3442
Northland Mechancial Contractors PC643880
Name: License#:
Contractor Address: 9001 Science Center Dr City: New Hope State: MN Zip. 55428
1 Phone: Email:Email: permits@northland-mn.com
New Construction Addition Y/ Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Installation of RPZ in kitchen-Serial Number 39220C, Model Apollo 1/2"DCLF4A
Type ofWorkIrrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic: Size 8 Type Fire: 1
Average GPM High demand devices? Yes No Flushometers_Yes_No
COMMERCIAL FEES 1000,00
Contract Value$ x .015
$65.00 Permit Fee Minimum $ 65.00
$65.00 PVB/RPZ Permit(includes State Surcharge) Permit Fee
$ 00.50 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call City for Surcharge $ 65.50 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
= $65.50 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 Doeden x
Applicant's Printed Name Applicant's Signature