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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