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Building Permit 12.1217 (Teresa's)
Ctr tfttafr of pact CITY OF PRIOR LAKE ,.,, p1p unf of W c usprrfixrn IX Final Permitted ❑ Conditional C.O. Expires Th Certificate issued pursuant to the requirements of Section 110 of the E Residential / F' International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following :' Use Classification k f(k la r"C( VA1 Bldg. Permit No. l 2 -- 1 2 f 7 Occupancy Type A Type Construction IL / Zoning District C p Legal Descri tion L . 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CO § o§§ z _ W © w w m u. 0 �� re LU Z § k W C § 2 k k k k § & 0 0 ��� ■ ■ o ■ U Q g o - 0 0 Q 00001;0 0 0 0 S. � 0, PRIG CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 �j " AND UTILITY CONNECTION PERMIT (' t ` . 1 r ` bras° ' t..._ 7 l' White i z. PNk City PERMIT NO. 12. ' Z 3. Yollow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ( ' n P)0( )6,1 Li, S ( ' v-e., tLI D LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER --- t (Name) l R.)"l' S (Phone) (Address) BUILDER �7 , (Company Name) ,, ,, 0.0.4 t�3% (Phone) Le S1 - g v( ( / `'17 t Ll (Contact Name) (Phone) (Address) S`7 c VV1 i vbUe_ t- -1A,tcv Nak CD C ' l'4.-vt O'1 -1 g - C /D 3 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection �^ - . . CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: t' 1 !t 6 s S -L€./V� ,�N g , Id`-lA Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R 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 construc.:. will co `. . to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke thisgere it for just • rthermore, I here y agree that the city official or a designee may enter upon the property to perform needed inspections. ...■-NPIte-- -- — / — / 7 — /3 1��s• ' ignature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ 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 $ This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official 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 t Metropolitan Council Environmental Services October 29, 2012 Bob Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Teresa's Restaurant to be located 6880 Boudin Street, Suite 104 within the City of Prior Lake. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Restaurant Indoor seating 60 seats @ 10 seats /SAC Unit 6.00 • 1784 sq. ft. @ 15 sq. ft. /seat @ 10 seats /SAC 11.89 Bar 35 feet @ 1.5 feet/seat @ 23 seats /SAC Unit 1.01 Total Charge: 18.90 Credits: Palace Buffet (2/10) — Suite 140 16.46 Site - Specific Credit (5/10) 1.00 Total Credit: 17.46 Net Charge: 1.44 or 1 It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a determination needs to be made, as it is also subject to SAC evaluation. The business information was provided to MCESS by the applicant at this tithe. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651- 602 -1118 or email karon.cappaert@metc.state.mn.us. Sincerely, aron Cappaert 1 SAC Program Technical Specialist / Environmental Services Division �/ KC:kb: 121029C4 Determination expiration: October 29, 2014 cc: J. Nye, MCES Jim Schultz, EFH Co (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (6.1) 602 -1477 • TTY (651) 291 -0904 An Equal Opportunity Employer i • ��'ko ".A'id:+G' 1 , r . N d6. A".. �. a. .u ° „{4, •r 1,!Mw°'- eW+IFJM'<'� +..Ar '.w,. N. a a r> c .T(.S , s ,�'� .. .:a ^2 _. ,. =t�1�. -.:G' ,4 PRIG P 7 ( txy White - Building yI �� Canary - Engineering LANES° Pink - Planning BUILDING PERMITf4PPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L / . APPLICATION RECEIVED ! x . / 7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections (r 4 _ Denied Reviewed By: / Date: Comments: rkr -- (j17e, reportall "autAl 5 /- e "The issuance or granting of a permit or approval of plans, specifications and • computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid.” t Metropolitan Council Environmental Services October 29, 2012 Bob Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Teresa's Restaurant to be located 6880 Boudin Street, Suite 104 within the City of Prior Lake. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Restaurant Indoor seating 60 seats @ 10 seats /SAC Unit 6.00 • 1784 sq. ft. @ 15 sq. ft. /seat @ 10 seats /SAC 11.89 Bar 35 feet @ 1.5 feet /seat @ 23 seats /SAC Unit 1.01 Total Charge: 18.90 Credits: Palace Buffet (2/10) — Suite 140 16.46 Site - Specific Credit (5/10) 1.00 - Total Credit: 17.46 Net Charge: 1.44 or 1 It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a determination needs to be made, as it is also subject to SAC evaluation. The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651 - 602 -1118 or email karon .cappaert@metc.state.mn.us. • Sincerely, J aron Cappaert SAC Program Technical Specialist Environmental Services Division KC:kb: 121029C4 Determination expiration: October 29, 2014 cc: J. Nye, MCES Jim Schultz, EFH Co (email) metrocouncil.org 390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (651) 602 -1477 • TTY (651) 291 -0904 M. Equal OPPortunitil Employer BOUDIN CROSSINGS, LLC 2999 West County Road 42, Suite 206 Burnsville, MN 55306 952- 890 -6450 Fax: 952- 890 -5476 October 19, 2012 Bob Hutchins City of Prior Lake 4646 Dakota Street S.E. Prior Lake, MN 55372 RE: Teresa's Mexican Restaurant 6880 Boudin Street Suite 140 Prior Lake Bob, Boudin Crossings will allow Teresa's Mexican Restaurant to use the Met Council 15 SAC units from the previous tenant. Any additional SAC units will be paid for by Teresa's Restaurant at permit issuance. Sincerely, i• - " e Happe 4i . [2. ( Fire Suppression System Distributor Certificate of Ins a a ion To be Completed by Regional Office Job Name 6-4-7.3 itY L) Job Number Job Address 6'84 lid S* Type of System: ii iip / 4 V 4J4,1) Jam"" -)`7i a.-- Pyrochem L I � Other To be Completed by Fire System Distributor Company Name o 4 ® ) 1 'r '° f'"5 ,' System Model /41_. `79 J Address ,.\ M ;; J ) -hie , j/ , ° PO Serial Number - :j A (4. ( ) fin /) e2J , 'l Fuel/Energy Shut Off Device Gas Valve: e nic I Electrical Size ,L Installed. Tested on 1°- /(9'1 Electric Equ but -down Tested: lip No Date This Fire Suppression System is installed in accordance with the Manufacturer's instructions and drawings, NFPA 96 and 17 (current issues) and all applicable state and local codes. All electrical work or work performed by others to complete the installation of this system has been completed. Exceptions to the above are noted below. (Use back of sheet if necessary) Installer's Name 2 ;.j I N Signatur Date i—/ To be Completed by Owner or Owner's Representative 1 have received a copy of the Fire Suppression System Owner's Manual and I understand it. I also understand that it is the recommendation of the National Fire Protection Association (NFPA) that the system be inspected every six months to maintain its reliability. Signature Date To be Completed by the Authority Having Jurisdiction 1 Functional tests_ha a been witnes --d an. he system performs as design_ i Print Name i Jurisdiction [' Lit Phone Num.: r 9..y. $°l //41 t 3 Signature Date I ©C �� d. ri 0 r t MP r tem Distributor Certificate of Insurance, v2 5 -1 -07 04 PR JO n CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /0_ /6. IL ` AND UTILITY CONNECTION PERMIT 4, ESow t. white File PERMIT NO . 7 2. Pink City / � , / Z 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 17442CSA. e ZONING (office use) . G 8$ 0 you nc...t si2E..r Sr'rrc l 4 C 2- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID th. 4-14-. 0 0 / - c) (N mo 6 j&s i Li... C_ (Phone) 2 Ufa (� S6 (Address) -ilei l . Grr flo 4Z id►" 266 BowAliVIL. L E 1 itoti 5 C_. 412- 343- 1301 BUILDER Z (Company Name) E F L4 4 C) (Phone) 1O .-6 (Contact Name) msil et s C L-4 if 1—T 7- (Phone) Z" e1d' ‘4S-0 (Address) 2 (. ' vLT`1 i-to 4i #2b4 jlJs WLL( le-rAr 55 TYPE OF WORK ,all New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition ❑Alteration ❑Utility Connection 14 S fiLLL- Q w w- hy l laeLocfM0 pui SW, t CODE: DI.R.C. OLB.C. ❑ Misc: (Ja44- l"l k[ ?C EL-EG Type of Construction: I III IV V A CUD 0 (... Occupancy Group: G B E F H I M R S U PROJECT COST /VALUE $74CO Division: 1 0 /3 3 4 5 (excluding land) I hereby certify .t I • . v. mished i ormation 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- menti. ed p • .e . and that .• 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 ca `evoke.. is 'rmit for j 'cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ectio . x (0/ Z-0(2— Signature Contractor's License No. ate Pe • Valuation Park Support Fee # $ Pe it Fee $ -.. .3 4 1 .r SAC # $ Z-3 fo s Plan Check Fee $ ZZpt 35 Water Meter Size 5/8 "; 1"; $ State Surcharge $ 1 0 .- Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ 1 500. Plumbing Permit Fee $ Water Tower Fee # $ I 0 O. - Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE 6 /Kkt< -,D 0 wi $ 5 434. This Ap, f cation t� es Your Building Permit When pr ed Paid 5 1) f R eipt No. �p 7 9� ' Date 1'/ [> Z- Building :' =•• ---` D e 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 P finer co titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. /c 36_(L l 6 .ia Planning ctor 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 M I N N E S O T A MDH DEPARTMENToF HEALTH Protecting, maintaining and improving the health of all Minnesotans November 8, 2012 Felipe Mata 14 Melanie Way Evans, Georgia 30809 Dear Felipe Mata: Subject: Teresa's Mexican Restaurant, 6880 Boudin St NE, Prior Lake, Scott County, Minnesota, Project No. 130225 Thank you for submitting plans to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of plans and specifications on the above designated project. The plans appear to be in general compliance with the standards of this department and have been approved with the following changes. Please see the enclosed report for the changes and/or comments. Ten working days prior to completion of the project, please contact Laura Huseby at 651- 201 -4259 or laura.huseby @state.mn.us in order to arrange for a final opening inspection. A final opening inspection can not be conducted until a license application is submitted with the appropriate fees to MDH. Please submit application and fees to: Minnesota Department of Health Environmental Health Services Section 625 Robert Street North, P.O. Box 64495 St. Paul, Minnesota 55164 -0495 If you have any questions, please contact me at 651- 201 -4825 or at dan.disrud @state.mn.us. Sincerely, Dan Disrud, R.S. Environmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164 -0975 dan.disrud @state.mn.us DLD:smp Enclosures CC: EFH General Contractor Fernando Arellano Ms. Laura Huseby, Minnesota Department of Health Mr. Robert Hutchins, Building Official Mr. Al Frechette, Zoning Administrator Mr. Steven Diaz, Minnesota Department of Health General Information: 651- 201 -5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on New Food: Teresa's Mexican Restaurant, Project No. 130225 Location: 6880 Boudin St NE, Prior Lake, MN 55372, Scott County Date Approved: November 8, 2012 Date Received: October 22, 2012 Submitted by: EFH General Contractor, 2999 West County Rd 42, Burnsville, MN 55337, (952) 890 -6450 Fernando Arellano, 1699 Victoria Rd, Mendota Heights, MN 55118, (651) 270 -4778 Ownership: Felipe Mata, 14 Melanie Way, Evans, GA 30809, Scope of Project: Conversion of the former Buffet Palace to a Medium sized food service establishment with alcohol service from a bar (license #24435). If open before the end of the year, a complete application with the prorated license fee of $378.75 must be received. Contact your assigned Public Health Sanitarian, Laura Huseby at 651 -201 -4259, for the appropriate form and to verify the fee. No food is permitted in the establishment until approval from the Health Authority is given. Approved Finish Schedule Finish Area Walls: Ceiling: Floor & Basecove: Kitchen: Stainless steel Vinyl faced gypsum Quarry tile and quarry panels behind cook board panels tile line and remaining area FRP Wait Station: FRP Vinyl faced gypsum Quarry tile and quarry board panels tile Bar: FRP Vinyl faced gypsum Quarry tile and quarry board panels tile Dry Storage: FRP Vinyl faced gypsum Quarry tile and quarry board panels tile Construction Specifics: Pay particular attention to the bolded items You are responsible for all aspects of the Minnesota Food Code. 1. Equipment Standards — General Requirements: Food and beverage equipment shall meet the applicable standards for one of the following: • National Sanitation Foundation (NSF). • Edison Testing Laboratories (ETL) to NSF Standards. • Underwriters Laboratory (UL) to NSF standards. • Canadian Standards Association (CSA) to NSF Standards. Teresa's Mexican Restaurant New Food 130225 Page 2 11/08/2012 Equipment shall bear the NSF or equivalent sticker and manufacturer information. Wood is prohibited within a foodservice area. Wood doors or frames, wood shelving, wood cabinets and wood windows are not allowed. All custom fabricated equipment shall meet NSF International or equivalent standards and bear a sticker indicating the equipment meets the standard. Lake State Industries is identified as the custom fabricator of the dish tables and the pass through equipment with pick -up counter. 2. Food Service Equipment: Table mounted equipment that is not easily movable shall be sealed to the table or elevated on four (4) inch NSF legs. All floor mounted equipment shall be elevated on six (6) inch NSF legs or casters. Used NSF approved food and beverage equipment may not be changed or altered from its original condition. Used equipment on the schedule includes the walk -in refrigeration, the hoods, sinks, and cabinetry that is existing with the building. Contact Laura Huseby or another Public Health Sanitarian at 651- 201 -4259 to schedule an inspection for approval of the used equipment. 3. Food contact surfaces: Primary food contact surfaces (tables and counters) shall be of stainless steel construction in compliance with NSF Standard No. 2 or equivalent. 4. Cabinetry: The beverage cabinetry is existing and is described as finished with a stainless steel top and installed on legs. Non -food contact surfaces of equipment that are exposed to splash, spillage or frequent cleaning shall be constructed of a corrosion- resistant, nonabsorbent and smooth material. 5. Refrigeration: All display case coolers, merchandisers and similar equipment must meet NSF Standards or equivalent and used only for storage of food and beverage items the unit was designed for. These coolers are not permitted in the food preparation areas. Enough equipment for cooling and cold holding shall be provided. Equipment should be sufficient in number and capacity to meet the needs of the establishment. Teresa's Mexican Restaurant New Food 130225 Page 3 11/08/2012 6. Walk -in Cooler/Freezer: Approved flooring and base cove for the walk -in cooler or freezer could include: a. Quarry tile or ceramic tile. b. Aluminum or stainless steel floor. c. Epoxy resin (shall be approved to installation). d. Vinyl screed base provided by the manufacturer. Shelving inside walk in coolers and freezers must meet NSF International or equivalent standards and shall be approved for use in a cold environment. Effectively enclose the area above the walk -in cooler /freezer units with fixed or removable panel(s). The area above the walk in cooler /freezer may not be used for storage. Provide access and ventilation for equipment as recommended by manufacturer. Model walk in cooler approved: existing Kolpak Floor & interior base cove: quarry tile and vinyl screed Exterior base cove: vinyl screed Model walk in freezer approved: existing Kolpak Floor & interior base cove: galvalume panel and galvalume Exterior base cove: vinyl screed Install a sufficient number of vapor proof light fixtures in the walk -in cooler and /or freezer to provide a minimum of 10 foot candles measured at 30 inches above the floor. Condensate from interior walk -in refrigeration equipment shall be drained to a floor drain located outside of the unit, or the unit shall be equipped with an evaporator pan. Food stored in the walk -in cooler must be protected from contamination related to beer storage and dispensing. 7. Ventilation System: An existing Captive -Aire Type I hood has been provided for the stock pot, range, griddle, fryers, and oven. An existing condensate hood has been provided for the chemical sanitizing dish machine. All ventilation systems, furnaces and water heaters shall be designed, installed and operated according to chapter 1346 of the Minnesota Mechanical and Fuel Gas Codes, chapter 1305 of the International Building Code and chapter 7510 of the State Fire Code. All rooms shall have sufficient tempered make -up air and exhaust ventilation to keep them free of excessive steam, condensation, vapors, obnoxious or disagreeable odors, smoke and fumes. Sufficient tempered make -up air (at least 55° F) shall be provided and interlocked with ventilation equipment. All open sides of a canopy hood shall overhang equipment by at least six (6) inches. Teresa's Mexican Restaurant New Food 130225 Page 4 11/08/2012 Exhaust ventilation systems shall be designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, walls, ceiling, linens and single - service articles. Ventilation hoods shall provide at 50 foot - candles of shielded light at the working surfaces. 8. Three - Compartment Sink: A three - compartment sink with dual integral drain boards has been provided. Sink bowls shall be adequately sized for the largest utensil to be washed in the three - compartment sink. Provide approved racks, shelves or dish tables for storing soiled equipment and utensils; and air drying clean equipment and utensils. Soap and chemical dispensers attached to the faucet of a three - compartment sink must be installed according to Minnesota Plumbing Code Chapter 4715 and have appropriate backflow prevention. 9. Warewashing: Chemical Sanitizer Dishmachine: Leased unit from EcoLab Chemical sanitizing warewashing machines shall have space for a minimum of five racks for air - drying utensils. Six racks of drying space is measured with the table and shelf layout on the clean side of the machine. A warewashing machine that uses a chemical for sanitization shall be equipped with a device that indicates audibly or visually when additional chemical sanitizer is needed. Warewashing Machine General: A warewashing machine shall be provided with a data plate affixed to the machine that includes temperature required for the wash and rinse, pressure required in the sanitizing cycle and conveyor speed for conveyor machines and cycle time for stationary rack machines. A warewashing machine shall be equipped with a temperature measuring device that indicates the temperature of the wash and rinse cycle. Integral drainboards, utensil racks, or tables large enough to accommodate all soiled and clean items shall be provided. All warewashing activities require an area for disposal of garbage and scrapping. 10. Food Preparation Sink: A dual basin food preparation sink to prevent cross contamination between produce preparation and raw meat, seafood or poultry preparation or thawing has been provided. Teresa's Mexican Restaurant New Food 130225 Page 5 11/08/2012 11. Hand Sink: Each handwashing sink shall be provided with hot and cold water through a mixing valve or combination faucet. Self - closing or metering faucet shall be designed to provide a flow of water for at least 15 seconds without the need to reactivate the faucet. 12. Storage Area: Provide approved (NSF or equivalent) shelving to maintain food items, single - service items and equipment six (6) inches above the floor surfaces. Designate an appropriate chemical storage space separate from food products, single- service items and food equipment. 13. Walls: Wall surfaces in splash zones or high moisture areas such as warewashing, food preparation sinks, handsinks and janitorial sink areas shall be finished with smooth, light colored, durable, non- absorbent materials. Approved materials include: a. A fiberglass re- enforced panel (FRP), or b. Ceramic tile that is smooth and cleanable. c. Stainless steel or equivalent materials. Wood is not an approved material for a wall finish. Utility service lines and pipes shall not be unnecessarily exposed. Exposed utility service lines and pipes shall not be installed directly on the walls or floor, except: a. Quick disconnect gas hoses approved by the American Gas Association or NSF International; b. Flexible cords and caps for commercial cooking equipment on casters, listed by Underwriter's Laboratory. 14. Floors: Floors in kitchens, bars, other rooms where food is stored, prepared or washed, employee dressing or locker rooms, toilet rooms and janitorial rooms shall be smooth, non - absorbent, durable and easily cleanable. Approved materials include: quarry tile, ceramic tile, and terrazzo or an epoxy flooring system installed on a concrete surface. Epoxy or polyurethane base grout shall be utilized. All flooring, tile and grout shall be sealed per manufacturers' recommendations. Teresa's Mexican Restaurant New Food 130225 Page 6 11/08/2012 Where a wall meets the floor it must be properly coved within any foodservice area. A four inch integral base cove shall be installed at all floor /wall junctions. CORRECT METHOD . ` INCORRECT METHOD ..: k ..• ..:,,,,,,, .. :. 1 441to... IMMIKIIIIIMIII __,' ‘11111WIIIIIIIIIi --- - Al Non - slip quarry tile may not be located underneath equipment. 15. Ceilings: Ceilings in kitchens, bars and bar service areas, other rooms where food is stored, prepared, or washed, toilet rooms and janitorial rooms shall be smooth, non - absorbent, durable and easy to clean. Acceptable materials include: a. Vinyl coated acoustic ceiling panels; b. Semi -gloss painted gypsum board (washable); c. Non - absorbent; and d. Smooth in texture. No exposed rafters, bar joists, or trusses are permitted. 16. Janitorial Area: Janitorial areas shall have FRP, ceramic tile or equivalent, stainless steel or cleanable block walls in the splash area. Provide vacuum breakers at all threaded hose bibs. No wye adapters. Chemical or detergent dispensers shall provide appropriate backflow prevention devices. 17. Plumbing: Approval letter dated 10/23/2012. A separate on -site inspection will be conducted by the Minnesota Department of Labor and Industry plumbing inspector or delegated agent to determine compliance with the Minnesota Plumbing Code. Teresa's Mexican Restaurant New Food 130225 Page 7 11/08/2012 All plumbing equipment shall be installed in accordance with the Minnesota Plumbing Code for a commercial establishment. All pipe chases that pass through walls shall be tightly sealed and covered. All utility pipes shall be enclosed in walls or ceiling. Utility lines must not be placed on the floor and must be installed at least 6" off the floor. Wye adapters are not permitted. Indirect waste pipes shall not discharge into hand sinks, prep sinks or three - compartment sinks. All hot water generating equipment (water heaters) shall be of adequate capacity to meet the needs of the anticipated demand of the establishment. A 100 - gallon commercial Ultra Force water heater is provided. Provide a stand, 6 inch legs, or collar supplied by the manufacturer for the water heater, water softener, CO bulk tank, or other floor mounted equipment located in the food preparation or warewashing area. 18. Lighting: Food preparation areas in which food or beverages are prepared, utensils are washed shall provide a minimum of 50 foot - candles of shielded light measured 30 inches above the floor. 19. Employee Lockers, Restrooms and Break areas: Lockers or other suitable facilities shall be provided for the orderly storage of employee's clothing and other possessions. Hooks at the employee entrance and a lockable cabinet at the host stand have been provided for employee belonging storage. 20. Bar/Wait station: The interior of bar shall be finished with approved flooring, base cove and wall materials. Teresa's Mexican Restaurant New Food 130225 Page 8 11/08/2012 {Counter Top Construction Example Approved Steam rl t j , 13 0 co V 1.. 0 � ti (1) 9 Cl) O U . 1 III FRP <, Coved r4 Base , Ws lu ...\\:: TT ♦ TT An approved hand sink with splash guards has been provided in the bar area. The hand sink may not be used as a dump sink. The first compartment of the 4- comprtment sink has been designated for beverage waste dumping. Bar tops made of wood /natural stone materials shall be sealed with approved sealant. The underside of a wood bar top must be properly finished. The bar top is reported to be either sealed wood or solid surface pending final determination by owner. Bar lighting shall provide at least 20 foot candles measured 30 inches off the floor. Cold plates inside ice bins shall be constructed integrally with the bin. Waste lines form pop guns shall not pass through the ice. Teresa's Mexican Restaurant New Food 130225 Page 9 11/08/2012 21. Other Code Requirements: For information on the Minnesota Clean Indoor Air Act (MCIAA) contact 651- 201 -4601 or visit their website at http: / /www.health.state.mn.us /divs /eh /air. Contact MN Electrical Licensing & Inspection at 651- 284 -5026 or visit their website at http: / /www.dli.mn.gov /CCLD /Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area. Sincerely, Dan Disrud, R.S. Environmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164 -0975 dan.disrud@state.mn.us t Metropolitan Council Environmental Services October 29, 2012 Bob Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Teresa's Restaurant to be located 6880 Boudin Street, Suite 104 within the City of Prior Lake. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Restaurant Indoor seating 60 seats @ 10 seats /SAC Unit 6.00 • 1784 sq. ft. @ 15 sq. ft. /seat @ 10 seats /SAC 11.89 Bar 35 feet @ 1.5 feet /seat @ 23 seats /SAC Unit 1.01 Total Charge: 18.90 Credits: Palace Buffet (2/10) — Suite 140 16.46 Site - Specific Credit (5/10) 1.00 Total Credit: 17.4 Net Charge: 1.44 or 1 It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a determination needs to be made, as it is also subject to SAC evaluation. The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651- 602 -1118 or email karon. capp aert@metc.state.mn.us. • Sincerely, anon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kb: 121029C4 Determination expiration: October 29, 2014 cc: J. Nye, MCES Jim Schultz, EFH Co (email) www metrocouncil,org 390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (651) 602 -1477 • TTY (651) 291 -0904 An Equal Opportunity Employer Bob Hutchins From: Jerry Elert <jerry@conmechservices.com> Sent: Tuesday, October 23, 2012 1:52 PM To: Bob Hutchins Subject: Restaurand fresh air requirements Following is breakdown of the fresh air requirements for the restaurant located at crossroads retail in prior lake: Total people designed for the restaurant is 208 7.5 cfm x 208 equals 1560 CFM Amount of fresh air available is 2,000 CFM Thanks for allowing me to give you the info: I am a Registered Mechanical Engineer My registration no is 8472 Jim Schultz with EFH requested me to clarify this problem Thank you Jerry Elert construction mechanical services 1875 Buerkle Road White Bear Lake, Mn 55110 Cell Phone 651 592 2514 fc,4 PRIp, i 7C U to White - Building Canary - Engineering 41I NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT e-/ APPLICATION RECEIVED /Z2 / to " " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 60e0 rdua /li 7)z- ) si }o /.(_-v • 1 7 7 =sib s ` Accepted Accepted With Corrections r )//c Denied klie.,_,___ Revi ewed By: Date: ( 17/2— Comments: L KITC bkEi i M- t/t - ■ + t? ' .. 1 r--- TIN P64 e9r- 146 -2- , r,..T. occ„sr," S(. SrAtINA... t1.6k rill cpc.c....4..A.44- ' �'r�v;0u 574 afx, Co rn( PALEP- 2 ru Imo- IBC' Pica. is it3 L, A iks=cP s, 4 , T740. L.. , t . I R `.'5 -- C6�..;.� Pc,/ �, R 1 6 (.AP i ` { 6 S4 - or- 14-. -. AL C O- Te5 r FuLeAlvuevN Sin 4rimaaliern--4/ 11 6( 4-11 ;%. 1 .. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." pR Date Rec'd �` { CITY OF PRIOR LAKE PLUMBING PERMIT z.,t, � � fr/G WV /1. 1 f ` 41 INNEsoo i. Boa` City PERMIT O. z. aria at Y 3. Yelloro Applicant / / / / ' (Please type or print and sign at bottom) ADDRESS ` ZONING (office use) 10 KP b0VC. V. S F Pc: C. «k �� u :' e LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ,,tt f^ (Name) ZF K C or "n t (Phone) / J d S To G c/50 (Address) Ot .074? C f c '7 O' bif t/1 5v t' IP t t jl 55S 0C... APPLICANT I , (Name) / va'r+hef r. m eth A n c ! � � (Phone) ('$ 7 0 ! pct C2' 7 Ss (Address) 3 G S (? kf win elm C [.{C3 V t e4i i v ccA2P (Address) (ity) (Zip Code) (Contact Person) Jerre, el F49 'C Y (Phone) Co ) C A / %Sg 538 APPLICANT SIGNATURE '.11/1:7,4 / DATE 30 cC( cD, 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 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test r Bar Sink Lawn Sprinkler 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 . n "Est $ $ 000 Building Permit # ,) I U The Minnesota Statutes § 326B.148 / � r "SURCHARGE" has been changed for one v " year effective PLUMBING PERMIT FEE $ D . 00 j 0 -(I ut) I, 2010, until June 30, 2011. STATE SURCHARGE $ ,5 — ORA `� The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ V - . OD is 5,, beginning July. 1, MU This A plicatio Be omes Your Building Permit Whe Approved Paid Receipt No. � V r � . ___ l0 3 f / Z._ Date By m>r Build' Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 443 Lafayette Road N. MINNESOTA DEPAR O (651) 284 -5005 St. Paul, Minnesota 55155 1 -800- DIAL -DLI INDUTRY www.dli.mn.gov TTY: (651) 297 4198 Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Theresas Restaurant, 6880 Boudin St., Prior Lake, Scott County, Minnesota, Plan No. PLB 1210 -00147 OWNERSHIP: EFH Company, 2999 County Road 42 W, Burnsville, MN 55306 SUBMITTER(S): Northern Mechanical Contractors LLC, 3650 Kennebec Drive Apt 102, Eagan, MN 55122 Plans Dated: Date Received: October 12, 2012 Date Reviewed: October 23, 2012 SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The review is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. A copy of the approved plans, specifications, and this Report on Plans must be retained at the project location for future reference. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be covered prior to completing the required tests and inspections. Provisions must be made for applying an air test at the time of the roughing -in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code. A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the finished plumbing inspection. It is the responsibility of the contractor /installer to notify the Minnesota Department of Labor and Industry when an installation for a state contract job, Minnesota Department of Health licensed healthcare facility, or project in an area where there is no local administrative authority is ready for an inspection and test. To schedule inspections, contact the state plumbing standards representative for your region. For your regional inspector's contact information, visit our website at http: / /www.dli .mn.gov /CCLD /CCLDContactus.asp REQUIREMENT(S): 1. The vent connection serving the hand sink must be taken off above the centerline of the pipe and must rise within 45 degrees from the vertical, to a point at least 6 inches above the flood level rim of the fixture being served, before offsetting horizontally or connecting to a branch vent (see Minnesota Rules, part 4715.2540, subpart 2). 2. Each horizontal drain branch, including floor drain branches, shall be provided with a cleanout at its upper terminal with the following exceptions (see Minnesota Rules, part 4715.1000): a. A fixture trap or a fixture with an integral trap, readily removable without disturbing concealed piping, may be accepted as a cleanout equivalent for this purpose. b. A floor drain cleanout may be omitted if the floor drain or fixture branch line is less than 5 feet in length. c. Floor drains used for shower drains, recessed slop, or similar receptors may have the full -sized cleanout installed on the individual vent pipe serving the fixture or on the fixture. This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer Theresas Restaurant Plumbing Plan No. PLB1210 -00147 Page 2 October 23, 2012 3. Verify that the existing water supply and waste systems are sized to accommodate the added fixtures (see Minnesota Rules, part 4715.3800 and part 4715.2310). 4. Pipe hanger and support spacing shall conform to the requirements specified in Minnesota Rules, part 4715.1430. 5. The copper water distribution piping must meet ASTM Standard B88 (see Minnesota Rules, part 4715.0520). 6. ABS plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D2661 or F628 (see Minnesota Rules, part 4715.0570 through part 4715.0600). NOTE(S): 1. The scope of this project consists of remodeling an existing building. The plumbing installation includes a water heater, four floor drains, a four - compartment sink, and a hand sink. 2. The building is served by existing municipal sewer and water services. 3. The plans and specifications were prepared by a licensed plumber. Only the plumber who has prepared the plans may use the plans for construction. If another plumber is contracted to install the plumbing, they must submit their own plans and specifications for the project. 4. This plan review is for the plumbing systems only and does not pertain to the licensing requirements for the facility. The licensing authority will report separately on any licensing requirements which must be met. Additional plans, information and fee may be required by the licensing authority for their review. Please note that changes to the plumbing system may be required as a result of their review. Revised plumbing plans must be submitted showing any significant changes to the plumbing system. Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. Approved: g aily/ ,2,;(4144/1,..6 Bradley Williams Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284 -5836 cc: Northern Mechanical Contractors LLC • EFH Company City of Prior Lake Building Official Hennepin County EHS File PRIOR LAKE DEPARTn1IgNT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 4° ,uc re- NATURE OF WORK ` / 4 — -rE„s,4..g 6A/is/4 USE OF BUILDING PERMIT NO. h- DATE ISSUED i d �T �z-- CONTRACTOR e& - PHONE f'g-z.- v -& NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE N :I N (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS WATER / SEPTIC FRAMING Q. l4, INSULATION ELECTRICAL PLUMBING 0 47, rl ( Mc)ca 14CE E AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Ple.c , row I 1 FINALS BUILDING JS 3 07/(3 ELECTRICAL I PLUMBING VG'S -Q //7/? i DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850 443 Lafayette Road N. DEPARTMENT OF (651) 284 -5005 St. Paul, Minnesota 55155 1- 800 - DIAL -DLI www.dli.mn.gov ICMINNESOTA ABOR 84 I N D U S i R i TTY: (651) 297 -4198 Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Theresas Restaurant, 6880 Boudin St., Prior Lake, Scott County, Minnesota, Plan No. PLB 1210 -00147 OWNERSHIP: EFH Company, 2999 County Road 42 W, Burnsville, MN 55306 SUBMITTER(S): Northern Mechanical Contractors LLC, 3650 Kennebec Drive Apt 102, Eagan, MN 55122 Plans Dated: Date Received: October 12, 2012 Date Reviewed: October 23, 2012 SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The review is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. A copy of the approved plans, specifications, and this Report on Plans must be retained at the project location for future reference. INSPECTIONS: All plumbing installat}ons must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be covered prior to completing the required tests and inspections. Provisions must be made for applying an air test at the time of the roughing -in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code. A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the finished plumbing inspection. It is the responsibility of the contractor /installer to notify the Minnesota Department of Labor and Industry when an installation for a state contract job, Minnesota Department of Health licensed healthcare facility, or project in an area where there is no local administrative authority is ready for an inspection and test. To schedule inspections, contact the state plumbing standards representative for your region. For your regional inspector's contact information, visit our website at http: / /www.dli .mn.gov /CCLD /CCLDContactus.asp REQUIREMENT(S): 1. The vent connection serving the hand sink must be taken off above the centerline of the pipe and must rise within 45 degrees from the vertical, to a point at least 6 inches above the flood level rim of the fixture being served, before offsetting horizontally or connecting to a branch vent (see Minnesota Rules, part 4715.2540, subpart 2). 2. Each horizontal drain branch, including floor drain branches, shall be provided with a cleanout at its upper terminal with the following exceptions (see Minnesota Rules, part 4715.1000): a. A fixture trap or a fixture with an integral trap, readily removable without disturbing concealed piping, may be accepted as a cleanout equivalent for this purpose. b. A floor drain cleanout may be omitted if the floor drain or fixture branch line is less than 5 feet in length. c. Floor drains used for shower drains, recessed slop, or similar receptors may have the full -sized cleanout installed on the individual vent pipe serving the fixture or on the fixture. This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer Theresas Restaurant Plumbing Plan No. PLB 1210 -00147 Page 2 October 23, 2012 3. Verify that the existing water supply and waste systems are sized to accommodate the added fixtures (see Minnesota Rules, part 4715.3800 and part 4715.2310). 4. Pipe hanger and support spacing shall conform to the requirements specified in Minnesota Rules, part 4715.1430. 5. The copper water distribution piping must meet ASTM Standard B88 (see Minnesota Rules, part 4715.0520). 6. ABS plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D2661 or F628 (see Minnesota Rules, part 4715.0570 through part 4715.0600). NOTE(S): 1. The scope of this project consists of remodeling an existing building. The plumbing installation includes a water heater, four floor drains, a four - compartment sink, and a hand sink. 2. The building is served by existing municipal sewer and water services. 3. The plans and specifications were prepared by a licensed plumber. Only the plumber who has prepared the plans may use the plans for construction. If another plumber is contracted to install the plumbing, they must submit their own plans and specifications for the project. 4. This plan review is for the plumbing systems only and does not pertain to the licensing requirements for the facility. The licensing authority will report separately on any licensing requirements which must be met. Additional plans, information and fee may be required by the licensing authority for their review. Please note that changes to the plumbing system may be required as a result of their review. Revised plumbing plans must be submitted showing any significant changes to the plumbing system. Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. Approved: e6 g 1 - 1 7/ Bradley Williams Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284 -5836 cc: Northern Mechanical Contractors LLC EFH Company City of Prior Lake Building Official Hennepin County EHS File