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Building Permit 11.0118
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I c" rfty -ry S4J0R -T (Phone) :Address) BUILDER, (N 1e) O(LT thl- AJb j r2 E cS- S E Cori. %Ty (Phone) �5Z_ e43 07 0 S (Contact Name) C 2C. `\ %6VN Ci.S (Phone) SA ' & T (Address) 4/0 :5 C.. 77 " 5-i- ).tits A M iv SS Sl 3S TYPE OF WORK 0 New Construction DDeck DPordr DRe-Roofmg DRe-Siding DLower Level s Finih 0 Fireplace DAddition DAlteration ['Utility Connection imisc. /u S u L t " s .i5 \ rte+"' l STA PROJECT COST/VALUE (excluding land) $ a a S' 00 • I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted r .. I am aware that the building official can revoke this permit for just cause. Fwthermore. I hereby agree that the city o o a designee may enter upo . i t property to • . .. needed inspections. a , / ( _ immure Contractor's License No. Date ti Permit Valuation a'/gt)Q . 66 Park Support Fee # S Permit Fee $ EA . 2< SAC # S 1 Plan Check Fee • S _. 5f1 . 3G Water Meter Size 5/8';; 1 "; S State Surcharge S 1 • Ste Pressure Reducer S i Penalty S City SAC and WAC # $ Plumbing Permit Fee S Water Tower Fee # S Mechanical Permit Fee . S Builder's Deposit _ S Sewer & Water Permit Fee $ Other I $ � Gas Fireplace Permit Fee S • TOTAL DUE �, , j Z . Z 4 . I ( $ 1 +7. . ` i r . 1 . : - . ' , .. - Your Building Permit when Approved Paid / 4 7. / ( I t No. 6p Z D g3 L_ Date 2. 2M. l/ B / A I M Buildin :1; ' •.' . '(D ate This is to certify that the request in the above application and accompanying dotuntents is it aaordance with the Cart Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to confluence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any • • I ra.:4 1 5/7 Laura, Sorry guys- I was out on vacation last week and returned today. Yes we do have one outstanding item that we need to remedy. We recently issued a permit to install a new Ansul system (kitchen hood fire suppression) in the existing kitchen hood. I just left the contractor a voice mail requesting that they have the system finaled by the city. The contractor, Northland Fire & Security picked up the permit on Feb 28, 2011. I will try and reach Jessica Farnsworth or Shelby, owners of Memories on Main for assistance in seeking closure of the building permit. Thanks for the notification. oe rxr041, Vim Jlrv1��' Robert D. Hutchins Building Official'�� ��� �- Cie -✓ City of Prior Lake �Q 4646 Dakota Street SE �'�'t�CZG/4fLc(, / Gam. Prior Lake, MN 55372 952.447.9851 Fax 952.440.4263 k�- � (4.4c-5T / T City Email Updates. Sign up now. 7-Ctf, At',,/,9,41., Original Message From: HUSEBY, Laura (MDH) [ mailto :Laura.Huseby @state.mn.us] Sent: Tuesday, March 08, 2011 12:03 PM To: Bob Hutchins Cc: Mathews, Calvin (MDH) Subject: Memories on Main, Prior Lake Hello Mr. Hutchins: This is just a FYI email on the facility proposing to open next Wednesday (March 16). I understand building inspection or fire department may have some outstanding issues with the facility (fire suppression, etc...). I am sending an email to let Prior Lake Building Inspections know that Memories on Main (formerly O'Malley's) is requesting a final inspection for licensure on Friday, March 11, 2011. I will be conducting the first final inspection with MDH colleague, Calvin Mathews at that time. If there are outstanding issues, Mr. Mathews will be following up for me prior to their license being released. My cell phone number is 651- 201 -4259 if there are any issues that would hold them closed from building inspection /fire dept. perspective. Mr. Mathews' cell phone number is 651 - 775 -8092. An acknowledgement of the email and yes or no regarding outstanding issues is appreciated. Sincerely, Laura Huseby, REHS Minnesota Department of Health Environmental Health Services Desk: 651 -201 -4259 Iaura.husebyOstate.mn.us www. hea lth. state. m n. us PROJECT NAME: ❑'Motley'su. PROJECT ADDRESS: 16211 Main Ave SE, Prior Lake MN 55372 1 , ttl te a, C') In -�w Ls � JOB SUP. INFO: Shelby @ 952 - 452 -4313 �, , 0 > =N N Z d N y O } Q1 ❑ a C CU ' i " m z: a W�, \LJ N N U1 u1 d N 0c' N X • \ i C O N If> Q : i O OJ X a1 Z C N d r N ' '71.-d.. 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I 8m - _ • T CD .): 4 ' 7 - E- : - > ..X — = O z . .t ' — S .T > C > cn a � - cz 1T1 Ac f i 5r :74 ° V O V oft Di; tz ., cr F, . 07..,-. V 1 1 7 to ; , -.1-, -i vi 4 M et) VRI4p Date Rec'd 4 ` : -+ CITY OF PRIOR LAKE PLUMBING PERMIT a t 7' c..,)*p, r. t.17 s5- - 11 /1v fir ..... I Blue File 2 cold city PERMIT NO. i ( i� 4 3. Yellow Applicant 1 (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6� 4 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT c7 (Name) /c r/�"c c� ��C� rI �J" /.,i7 ,vie - (Phone) / 2 — 44) —.779 Z (Address) , re)/ :)T /Z$ 7 (17CK 4k S.S.f7z_ (Address) (City) (Zip Code) (Contact Person) Jci' (Phone) 6:7!Z_ 2 7d ._ f' 0 7 Z ' APPLICANT SIGNATURE (/L- 42 DATE 3 2-0 — 7/ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins / Dishwasher Water Heater Floor Drain Water Softener y' Lavatory (Bathroom Sink) % Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Z Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ � / f Building Permit # PLUMBING PERMIT FEE $ 4 50 STATE SURCHARGE $ .500 TOTAL PERMIT FEE $ 54-. 5 (Office Use Only) y I This Ap • ' ti BecomeN■Your Building Permit e A roved Paid � Receipt No. 3 Z/ 11 Date B y /� Buil e in8 O ici. Date � � 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �oPR In.e CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd o NE TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 .3 1. 1 1 AND UTILITY CONNECTION PERMIT r 1yNE50 E L _-6 - L _-6 - w/ (1.0110 I. white City 2. Pink City J PERMIT NO . 1 1 01 Gi 0 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) i bZ II MAIN r?VF 5E ?Ka' or,E , .MN 55372 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER (q 5Z) X93 U w0 5 (Company Name),n�OTh L ND FIRE A- SE(.u[? ITy (Phone) (Contact Name) tg VIE (KWE2Ttt (Phone) (q C7) 543- ell°C (Address) L1L4 S W 77T ti ST X 12.5 E DMA , iM 5c2-13C TYPE OF WORK ❑ New Construction ['Deck ❑Porch [111e-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ID Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. is:i FIFE AI.AW PANEL IfiSTkLLAT ICN t ANSuL N OO4UP Type of Construction: I II III IV V A B I I z 0 Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ • Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above- mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Nit( TS008S7 3/28 /1 11 Signature Contractor's License No. Date Permit Valuation $ I I g 0 Park Support Fee # $ Permit Fee $ 4 7, 75 SAC # $ Plan Check Fee $ 3 / 0 4- Water Meter Size 5/8 "; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 0 79, 3 This Applicat' . Bec�� es • uur Building Perm When Approved Paid '7 q. 3 9 R 37 • pt No. h 2i/1(p Date 3 3 /, / ( B / / �� 3l Buil.. g e tcial Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 51101M .. ow co M .. EPICIAL SYSTEMS DAWN Fire Alarm Communicator E and DACT o An ADEMCO Group Company CD he 5110XM is a UL Listed, microprocessor „ ,,„,„, ,.... :,,,,,,„ z.,,„„„..,,,.,.,,..:,_. „...,,„, ,',,,,,,„,,„;.,,,, 4,,,,,,, -,„ '”, based fire alarm control /communicator that supports five hardwired zones. It may be used as a slave Digital -. Alarm Communicator Transmitter (DACT) providing central or remote station service for a central or remote v , 1 station listed Fire Alarm Control Panel (FACP). It may also be used as a stand alone non -coded local, central "` station or remote station control. - ` The model 5110XM is fully supervised and supports one two -wire smoke detection circuit and - four -wire smoke detectors on all five circuits. Its powerful microprocessor continuously monitors and reports system status of AC, standby battery, zone inputs and telephone line connections. In the event of a fault condition a local audible sound is activated as well as reporting directly to central station. Industry's most flexible control for slave or stand -alone dual digital communication. Key Features: • Five supervised style B zones • Supports up to four keypads • One master code • Backup digital dialer • Five user codes • Auxiliary form "C" relay • Seven built -in LED indicators • Built -in warning buzzer • One notification appliance circuit • Programmable via 6139R alpha keypad or downloader • Temporal code compliant • Supports major communication formats • Supervised digital dialer • UL864 Listed • Optional panel door mounted silence /reset • NFPA 72 compliant switch when AHJ approved NEW • MEA Approved NEW • Supports two -wire smoke detectors • Upload /Download capable The information contained is intended to be up -to -date and accurate. All IS09001 Engineering and Manufacturing specifications are subject to change without notice. For more information, Quality Systems Certified to International Standard ISO -9001 contact us at 800 - 645 -5430 or visit our website at http:llwww.ademco.com = o 0 o = u 1 51101M E E CommEnDAL SysTEms Otvisim Fire Alarm Communicator © and DACT An ADEMCO Group Company APPLICATIONS Dialers: The 5110XM Fire Alarm Communicator (DACT - Digital Line seize: Alarm Communicator Transmitter) is well suited for a — Double Pole variety of applications as stand alone fire control or slave Ringer equiv.: DACT. A diverse line of ADEMCO alarm notification — 0,7B appliances as well as initiating devices supports this Formats: powerful control. Some of the applications supported are — ADEMCO Low Speed, ADEMCO 4 +2 Express, ADEMCO monitoring of sprinkler supervisory or waterflow switches High Speed, ADEMCO Contact ID, Sescoa and in factory or warehouse environments, fast food chains, Radionics department stores, retail stores, library and museums as well as professional and office buildings. This panel Mechanical: complies with the new, June 1, 1998 NFPA Cabinet Dimensions: requirement to alternate testing of dual phone lines — 14.5 "H X 12,5 "W X 3 "D on a rotating basis. Environmental: INSTALLATION Storage Temp: The 5110XM Fire Alarm Communicator (DACT) has been — 10 °C to 70 °C designed to mount both quickly and easily. It meets all Operating temp: applicable requirements for UL Commercial Fire — 0 °C to 50 °C installations. Remotely program and troubleshoot panel via Humidity: ADEMCO's Windows" based Compass Downloader. — 85% RH SPECIFICATIONS EMI: Electrical: — Meets or exceeds the following requirements: Primary power: — FCC Part 15, Class B Device — 120VAC, 60Hz, 600mA max — FCC Part 68 — Secondary rated 18VAC, 40VA — IEC EMC Directive Backup battery: AGENCY LISTINGS — 12VDC, 7AH min to 14AH max The 5110XM has been listed and approved for use in — Lead acid battery (gel type) commercial fire applications. It has been listed under the following agency approvals: Quiescent Panel Current Draw: Fire: — 155mA — UL864 /NFPA72 Central and Remote Station DACT and Charging voltage: Local, Central Station and Remote Station Control — 13.7VDC, nominal — Factory Mutual Alarm power: — California State Fire Marshall — 12VDC, 1.0A max for notification (bell) output — MEA Aux. 12VDC, 35 0 mA max — 12 COMPATIBLE DEVICES V, 35mA Total power: A complete line of ADEMCO hardwired sensors and — 1.OA from all sources initiating devices support the 5110XM for Commercial Fire applications. See ADEMCO Group Control Accessories Aux. relay output: Compatibility Chart. — Type: Form C ORDERING INFORMATION Standby time: — 24 hours with 1A standby load or 60 hours with 210mA Part No. Description max standby load using 14AH battery 5110XM Fire Alarm Communicator and Fusing: DACT — Battery input, aux. and notification (bell) appliance 5110XM - PAK1 Consists of: 5110XM and circuits are protected using PTC circuit protectors. All 6139R - red alpha keypad outputs are power limited. 165 Eileen Way, Syosset, New York 11791 • Copyright © 1998 Pittway Corporation ADEMCD ADEMCO is an IS09001 Registered Company. R c Li P L /5110XM /D 2/98