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Building Permit 12. 0956
_ • 1� J p' U V: _I U U a a w w 0 0reW - 2 Z z x < Z' W0CZa W z � w� ❑ ❑ > 0 (N) w o NI' x o `1 w z c...4 w z a n 'Z m U O w a F - — R' 00 LL� O 0 0 , O c2 4 F- d � o w v) z tz z — xxzz w c V? ✓ -- 0 w m2acrm w z III � �(r) U a gxw 2 N f- o w D a e. w w w w 4, 3 a � 3 �n �� w w DODO ❑ 0 a O w a a u. x o a 0 o r� .441111 YV z a o w co 0 o z `n a • � _ a • re - z c7 Q O -- nN Z ,I N w w w ce O O z Y A z W a 0 r. Z .q � � _ a a o O Q w it O pp �z?N o S o o a U U a, 0 o� PRID,P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti N .. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4 r 4, r ArN E 50 1. White File 2. Pink City PERMIT NO. PERMIT y `� � 3. Yellow Applicant t !r �1(" (Please type or print and sign at bottom) ADDRESS '<t' k e 5r ZONING (office use) LEGAL DESCRIPTION (office use only) ,�,�/ LOT BLOCK ADDITION PID L6 . `1 0 . OU (., 0 OWNER v \ L�1r12,S �c . a6 f inATA JC`mS (Phone) ( 01) - rD-6 S (Name) T� C�C�or`^ n / \ (Address) ‘ 1 --. (o — g ( o . 1'1� e a ' ' (MSS. t (M/ �1 ---- BUILDER (,,,( ( - -Z S l - -LC, (Company Name) t -NN, �� (� r c "� ,..1....r. �-- (Phone) (Contact Name) .� (n)� `C -. CS ,1 \ (Phone) Cc 1 --- - 1 — a(ckS (Address) 1 t A—s..e-- IA. N(,,J \Q VC - '0` I (�/, ,�3C TYPE OF WORK ❑ New Construction ['Deck EPorch ❑Re- Roofing ['Re-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition rialteration ['Utility Connection CODE: ❑I.R.C. LI.B.C. ❑ Misc: Type of Construction: I II III IV V A B C110\ Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ SO 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 constru tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official c revoke this permit for jus \e. F rt ,ermore, hereby agree that the city official or or a C� enter � upon the property to perform needed i spection . % Date Signature Contractor License No. Permit Valuation Park Support Fee # $ 10 1000. Permit Fee $ (ek, ` ;, SAC # $ , e— Plan Check Fee $ �. Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5.. Pressure Reducer Penalty $ Sewer /Water Connection Fee # $ .$— Plumbing Permit Fee $ Water Tower Fee # $ .A. Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other _ �� $ gs Gas Fireplace Permit Fee $ TOTAL DUE�e V /ZI $ 31©– This A:4 leaf in : :. mes our BuildiArg Permit When • , prov.. Paid ` 32 • 91 Receipt oil f Date x �i'�AY By h. <�, � ! '�' 5 (i- Buildin .4fficia - — This is to c fy that t e equest in the above application and accompanying docum- is is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sig by . e / al PI er constitutes emporary Certificate of Zoning co • .lianc- . nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 6 2L tZ- Plann l ate 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 04 PR Date Rec'd e CITY OF PRIOR LAKE PLUMBING PERMIT ¢ ,Z . .6i5 tZ -4190 1. Blue File PERMIT NO . a 2. Gold City 1 2 � ! 1 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS _ / ZONING (office use) f TY'I6 �> S?is 1673% del' hioaci 135, ?ior Lao / MW 5637 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ' 00/--- c.) OWNER (Name) (Phone) (Address) a,`, /71e_p 6`N --. e y .L`I_ e�I,... APPLIC A� j1 1 � ,f, / (Name) M.iti J P / 1.(, n LJ � ^ n G J ttti�Yi (Phone) 607 , o"� to 3 - C O E5 7 (Address) ' J vc le ink/ 5 6O /k /A 980 Vi vY� (Address) (City) (Zip Code) (Contact Person) __ _ l3 , kJ (Phone) 507 4 3 -° a D S 7 II r !' DATE d APPLICANT SIGNATUR " APPLICANT PLEASE COMPLETE B ELOW 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 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 Estimated Cost $ c,900. 00 Building Permit # PLUMBING PERMIT FEE $ 4 5 STATE SURCHARGE $ 5. 0 • TOTAL PERMIT FEE $ 54-, (Office Use Only) /" �/ Q This Applf io I Be , • • . our Building Permit W e Approved P 4c, 5 Receipt No. (,e t D ate By A./ 11 /I� ■ 1 d 7 /� /0 ¢-. Z „BRIAlli Building Official Dat IV Metropolitan Council AA Environmental Services August 22, 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 the Fantastic Sam's remodel to be located at 16731 Highway 13 S. within the City of Prior Lake. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Hair Stations 8 stations @ 4 stations /SAC Unit 2.00 Credits: SAC Paid 5/05 2.00 Net Charge: 0 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 -1378 or email jessica.nye @metc.state.mn.us. Sincerely, j uipiti l tdc Jessie Nye SAC Program Administrator Environmental Services Division JN:kb: 120822D7 Determination expiration: August 22, 2014 cc: File, MCES John Prichard, Fantastic Sam's (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 443 Lafayette Road N. y M INNESOTA DEPARTMENT OF (651) 284 -5005 St. Paul, Minnesota 55155 ^ r�/'" 1- 800 - DIAL -DLI www.dli.mn.gov LABOR 84 INDUSTRY RY TTY: (651) 297 -4198 Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Fantastic Sam's, 16731 Highway 13 South, Prior Lake, Scott County, Minnesota, Plan No. PLB1209 -00064 OWNERSHIP: Kingdom Business, 4111 103th Avenue North, Brooklyn Park, MN 55443 SUBMITTER(S): Paul's Plumbing & Heating of Dennison Inc., 12980 Dennison Boulevard, P.O. Box 68, Dennison, MN 55018 Date Received: September 25, 2012, September 7, 2012 Date Reviewed: September 28, 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. A water supply line to a spray /rinse hose on a shampoo sink shall be protected against backflow by the use of an atmospheric vacuum breaker (see Minnesota Rules, part 4715.2110). 2. Water supply connections to fixtures or equipment which have submerged inlets, or inlets below the spill line of the fixture or equipment, must be provided with an air gap arrangement, approved backflow preventer or backflow preventer assembly as specified in Minnesota Rules, part 4715.2000 and part 4715.2010. This shall include the clothes washer. 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). This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer Fantastic Sam's Plumbing Plan No. PLB 1209 -00064 Page 2 September 28, 2012 4. It is recommended that a cleanout be provided where new waste and vent piping connects with existing plumbing to facilitate required testing of the new installation. 5. All solder and flux used for the potable water distribution systems shall contain less than 0.2 percent lead. Use of 50 -50 solder or flux containing more than 0.2 percent lead is prohibited in potable water distribution systems. Any solder other than 95 -5 tin - antimony or 96 -4 tin - silver must be specifically approved by the administrative authority prior to use (see Minnesota Statutes, Section 326B.439). Joints to be soldered must be properly fluxed with noncorrosive paste -type flux complying with ASTM Standard B813 -00. 6. The installation of cross -link polyethylene (PEX) tubing was specified for the water distribution system. If all of the following requirements cannot be met, a different material that complies with Minnesota Rules, part 4715.0520 must be used: a. The tubing system must comply with ASTM Standard F877 and F876. b. When installed as a system in accordance with ASTM Standard F877, the system tubing and fittings must be of the same manufacturer. c. When other fittings are used with ASTM Standard F877 and F876 tubing, the fittings must comply and be marked with ASTM Standard F1807, F1960, F2080, F2098 -01, or F2159. In addition, the tubing must be marked to indicate the fitting standard and the corresponding tubing standard (e.g. ASTM F877/F876/F1960, F877/F876/F1807, etc.). d. The system must be installed by a factory trained installer of the particular PEX system to be installed. Certain manufacturers require installation by licensed plumbers who have been trained to install their material. e. All persons installing PEX materials shall have a card on their possession documenting completion of training by the manufacturer or his agent for the material to be installed. f. The tubing and fittings must be marked as required by the applicable standard specification and with the appropriate ASTM designations by the manufacturer. g. The installation must be in accordance with the manufacturer's installation instructions. 7. 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). Plastic pipe must be installed in accordance with Minnesota Rules, part 4715.0580(F) and part 4715.0600. Above -grade horizontal runs of plastic waste and vent pipe cannot exceed 35 feet in total length. Above -grade vertical stacks constructed of plastic pipe may exceed 35 feet in total height only if an approved expansion joint is used. 8. The floor drain must be located inside the building. It is unclear on the floor plan whether the floor drain is located inside or outside the building. NOTE(S): 1. The scope of this project consists of the remodelling of an existing building. The plumbing installation includes two shampoo sinks, a clothes washer, and a floor drain. No pedicure chairs will be installed. 2. This facility will be served by existing municipal water and sewer services. 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. Fantastic Sam's Plumbing Plan No. PLB 1209 -00064 Page 3 September 28, 2012 Approved: Bradley C. Erickson Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284 -5880 cc: Paul's Plumbing & Heating of Dennison Inc. Kingdom Business City of Prior Lake Building Official File (' li 443 Lafayette Road N. (651) 284 -5005 MINNESOTA DEPARTMENT OF St. Paul, Minnesota 55155 f 1 -800- DIAL -DLI www.dli.mn.gov LABOR I DU TR I. �r TTY: (651) 297 -4198 September 21, 2012 Paul's Plumbing & Heating of Dennison Inc. 12980 Dennison Boulevard P.O. Box 68 Dennison, MN 55018 Gentlemen/Ladies: Subject: REQUEST FOR ADDITIONAL INFORMATION regarding plumbing at Fantastic Sam's, 16731 Highway 13 South, Prior Lake, Scott County, Minnesota, Plan No. PLB 1209 -00064 We are NOT able to grant approval at this time of the plans and specifications submitted for the above - designated project. The following comment(s) outline the changes and /or additional information that must be submitted so that we can further evaluate the plans and specifications for compliance with the standards of this department: 1. The specifications indicate the possible installation of pedicure chairs. The floor does not appear to indicate pedicure chair installations. If pedicure chairs are to be installed, please provide the manufacturer and model number of the pedicure chairs and revise the plans to show the proposed installation. Please note that pedicure spas and their installation must comply with ASME/ANSI Standard A112.19.7. If the chair does not contain a label stating compliance with the above - referenced standard, the chair likely does not comply with the standard. 2. Please indicate the maximum developed length of the water distribution system between the meter and the most remote outlet in the building. This may or may not be in the location of the new work. 3. Please label all fixtures on the riser diagrams. Please submit the requested information promptly so we may complete our plan review. No construction related to the above - referenced plans shall begin until approval is provided by our office. When submitting additional information, please refer to Plan No. PLB1209- 00064. If you have any questions, please contact me at 651/284- 5880. Sincerely, Bradley C. Erickson Public Health Engineer Plumbing Plan Review and Inspections Unit cc: Kingdom Business City of Prior Lake Building Official File This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer I O PRIOie ' 0 h C U rn White - Building Canary - Engineering �NNESO Pink - Planning I BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST � - NAME OF APPLICANT K,..).._,...„ ���5 (�'' APPLICATION RECEIVED ;Ti ( ? The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 6-7- 4 '1 k --.. ,_ , , tn... kO 5 . Accepted ✓ Accepted With Corrections Denied �i Reviewed By: ttn 2Z f y ,�, Date: Z- Comments: t - Ari.:� 5 �tr O i -"' v C Al aL aG' /( i tr- L -&i%-jSc5 - Q... A Fr2s- <:-.0 C-a1/17 ni, / / q c ,z ? ' move- '11)/2_frutez_c-c-m__ S w (7- ti /016: 1 G"•k rl-t-- A; .4 c °' � wti5- C &e1 - cam "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." DEPARTMENT OF P RIOR LAKE DEPARTMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS ( 7 3 t (yam ( c, i IrL5 1 0 5 NATURE OF WORK A L1 USE OF BUILDING 4- A1,,4- f PERMIT NO. (�' 14 DATE ISSUED £f I - CONTRACTOR Kt, pc, (30s t —s l PHONE (o z - `7 - , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I ilaraliG I 1 IV (Prior to Backfill) I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING - oI (o (Z 1 (if required) 4i T COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUPLDING ELECTRICAL PLUMBING \Mue- 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 CITY OF PRIOR LAKE BUILDING P ' PLAN REVIEW INSPECTOR fi,Ak ,.., DATE , ' (� PERMIT NO. / Z 7' 5 { e 0 ACCEPT D AS SUBMITTED (21- ACCEPTED WITH CORRECTIONS AS NOTE- O NOT ACCEPTED - CORRECT & RESt'F ;M t These comets an fix your Inkon ion. AN wcw% shalt be :11 in full camisole uillt all applicable budding & zoning code 1. quiromints Inoludkia iletnne not sped&ally noted in this revs* KEEP THIS PLAN SET ON SITE AT ALL TIMES. Separate permits are required. for Plumbing, Heating. ; .r, Electrical, *te• r- 1,2E r p > s " 7c51LMINATtCV,1 r E� sv �ct,_ LN1 VI ROA.01 1%—) CIL..Vt . L . Z . 1--at v S i K �� P (t„,/ 6-0 vs..) N 6s m N � � it . _ _ „..,_ III I / \ .1 - Ai 6 II ..,, c / x / m r rT \ _ ® � . o0 , 73 Ai 1 cY a L0 < C � \ I I I'� 0-, - fi II RI r o � x,=(. . ' 7 � ` { I----,,,,, r n e Z ! \\� / / \ a 0 in . 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Jones = 0 e 0 < < < E C ntasti INTERIOR DESIGNER O --1 r rT,1 p to 0 m ` PRIOR LAKE, MN 2760 PARK CREST COVE A � ' m < CORDOVA, TN 38016 TITLE: CEILING: / POWER / :IXTURE PLAN TEL (901)486 -1539 E:VWJDESICNS @AOL.CO M t PI § 6x °�o �Bg�S;� �� E n aA 1 � tO Su W D ° ���$03 $66 ud ° PU n6 ,c.°. 3- b vOo ua5 $ o 32 O ° S5 idI m ,eon $ CP a a y 4 3 ilk n o -, p A 31 &" p 3 0° 3 3 0 W �A 0 as 3 0 0 3 9. ° 9 � i § n a .eo 2 ° S' - , g D. ° 4 A °m u 23 c A u n 3z x m 0 Uli1�T<Oy = - 3 -Sm -'x ° 9 A`i 6_q. C D PiOR 3 ' F rS - 4� ,.1 , ;Lg. 0 3 - liZ ( ° �`N � 3a � P� 0 0�66� n � a QQ-f n �0° iqt.q. .. : R h $ og DNB a 0 h I-9 2-^ =. g 1 r7 0 0 a y k 8 pA ° N R o N- o5' 0 = a -6i1 A A P Y N p i g . Nip Q O 1 M E 0 g' r1 ''' 3 N P.'s' P.'s' ° »1°I QQlj $ 0 F :ii. 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