HomeMy WebLinkAboutBuilding Permit 10. 0557 5 O O o 04000O 11 o> §n
r, n a J§ K . 0 ■ m$$�§ 7 7 /
k r �` 2 0 0) m > goz � � \ k �11
/ t r- > W i 2 q en k k C) n § m m $ s mcn a m
E §oo qc -10E
• 13 x mmis T1 0 ■
$ k 2 G § /k z 0 0
N § § � 1 �k §/ 2 � _ /
k z R m -ƒ r mm P m
■ 0 x !
?
o
x ..,
0 � -� �
0 . % ooOOOO / % k C mmIC§ ?� 2 4C el 73 r1b
/ mR k
k m A , 7:1 § E 2
§1- § m
04 pel ° CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z 9 /0
`� AND UTILITY CONNECTION PERMIT /
4t pxEso t*
I. White File PERMIT NO. / 0, 0 S5 7
2 Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (omer use)
/lo/ 7(, / Ate ww Se , ( A / ' )
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Marne) E pYC S S (ftS (Phone) _.;93- a - Y4i 7 - yaoLS
(Address) /Co / 7 (o /V al it/ !f vex/ e., S'E /i r- Ga _ mgt/ SS3 7Z 1
BUILDER �"
(Name) /Y /►'10 Y" r A/ le-- Gil✓ /'.✓, / L MC . (Phone) 7b3 " VJ%' ' A 7 A S
(Contact Name) R o f e r- /1t eci G Ai (Phone) N.3 - V3Y ? 7 .2.5
(Address)1 - 10. ren s 7',i,1r - - Blvd / A/€ 1 /7-47 L4.vCa.- / , 6
TYPE OF WORK ❑ New Construction °Deck °Porch °Re- Roofing °Residing
OLower Level Finish 0 Fireplace (]Addition °Alteration DUtility Connection
0 Misc.,gry /55'l/ 7 rvl�. rev o ak cc _ PROJECT COST/VALUE (excluding land) $ 52 f f , �"
1 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. 1 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 �r+-� r'�-, 5 9 9 ri(t pi
a Signature Contractor's License No.
Permit Valuation 3, 000, 0 b Park Support Fee # $
Permit Fee $ 0 2 5 SAC # $
Plan Check Fee $ 57, 3 (o Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / s-0 Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ / »- 7. /
This lica "on ' >.,„ a +! Your Building Permit • ... • .. -, Paid /¢7 / / R r " •t No. G 0 b2-Z,-
+� ' (i f-:. 1/..) Date 4, Z. / C)
�) `i f�
� 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 (452) 447 -9858, fax (952) 447 -4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
• • •
1
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS i r•G4it4 4-v6' S • 6.
TYPE OF WORK rrNK 44,36-Xoer/Mdv
USE OF BUILDING / /e- fir h&
PERMIT NO. l0 -.5•5 7 DATE ISSUED rvi &quo
BUILDER ARM®R TA" L /move" , A/a. PHONE # 163.434 -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
Icin6 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING PAOvia EiNlC,. Re =poor arl-Scyz.s 1
FINAL pcmvme 1"Ip cFlxrvv6 s',.1 -1 s A a -I 3/7g
FOR ALL INSPECTIONS (952) 447 -9850
i ii..
Minnesota Pollution Control Agency
520 Lafayette Road North 1 St. Paul, MN 55155 -4194 I 651 - 296 -6300 1 800- 657 -3864 I 651 - 282 -5332 TTY I www.pcastate.mn.us
August 8, 2011
Mr. BK Shah
7230 Green Ridge Drive -le
Eden Prairie, MN 55346 --E, [ C
. Cti 4 '
RE: Petroleum Tank Release Site File Closure -CV ;
Site: Sinclair Express Gas & Grocery, 16176 Main Avenue SE, Prior Lake 1 C � J , ,
Site ID #: LEAK00018053 to -
Dear Mr. Flink:
We are pleased to let you know that the Minnesota Pollution Control Agency (MPCA) Petroleum
Remediation Program (PRP) staff has determined that your investigation and/or cleanup has adequately
addressed the petroleum tank release at the site listed above. Based on the information provided, the PRP
staff has closed the release site file.
Closure of the file means that the PRP staff does not require any additional investigation and/or cleanup
. work at this time or in the foreseeable future. Please be aware that file closure does not necessarily mean
that all petroleum contamination has been removed from this site. However, the PRP staff has concluded
that any remaining contamination, if present, does not appear to pose a threat to public health or the
environment.
The MPCA reserves the right to reopen this file and to require additional investigation and/or cleanup
work if new information or changing regulatory requirements make additional work necessary. If you or
other parties discover additional contamination (either petroleum or non- petroleum) that was not
previously reported to the MPCA, Minnesota law requires that the MPCA be immediately notified.
You should understand that this letter does not release any party from liability for the petroleum
contamination under Minn. Stat. ch. 115C (2010) or any other applicable state or federal law. In addition,
this letter does not release any party from liability for non - petroleum contamination, if present, under
Minn. Stat. ch. 115B (2010), the Minnesota Superfund Law.
Please note that as a result of performing the requested work you may be eligible to apply to the
Petroleum Tank Release Compensation Fund (Petrofund) for partial reimbursement of the costs you have
incurred in investigating and cleaning up this petroleum tank release. The Petrofund is administered by
the Petroleum Tank Release Compensation Board (Petro Board) and the Minnesota Department of
Commerce. To learn more about who is eligible for reimbursement, the type of work that is eligible for
reimbursement, and the amount of reimbursement available, please contact Petrof staff at
651- 297 -1119 or 1- 800 - 638 -0418.
•
Equal Opportunity Employer
Mr. Tom Flink
Page 2
August 8, 2011
If future development of the site or the surrounding area is planned, it should be assumed that petroleum
contamination may be present. State law requires that persons properly manage contaminated soil and
water they uncover or disturb - even if they are not the party responsible for the contamination. For some
properties, special construction may also be needed to prevent the further spreading of the contamination
and/or to prevent petroleum vapors from entering buildings or utility corridors. The MPCA Petroleum
Brownfields Program can assist with reviews and approvals of Development Response Action Plans
required to address environmental risk from petroleum contamination. If contamination is encountered
during development work, contact the MPCA immediately.
For specific information regarding petroleum contamination that may remain at this leak site, please call
the Petroleum Remediation File Request Program at 651- 757 -2799 or 651 -757 -2309. The MPCA fact
sheet Request to Ball for Services Performed must be completed prior to arranging a time for file review.
Thank you for your response to this petroleum tank release and for your cooperation with the MPCA to
protect public health and the environment. If you have any questions regarding this letter, please call
Mark Koplitz at 651- 757 -2502 or site hydrogeologist Mike. Connolly at 651 -757 - 2287.
Sincerely,
Y
1 ,
Xi/deg if /
Mark Koplitz. Mike Connolly
Project Leader Hydrogeologist
Petroleum Remed' , tion Section Petroleum Remediation Section
Remediation Div . ion Remediation Division
MK:MC:tf
cc: Frank Boyles, City Manager, Prior Lake
Bruce Sames, Fire Chief, Prior Lake
Steve Steuber, Scott County Solid Waste Officer . .
Marty Bonnell, Brams Engineering, LLC, Apple Valley
Minnesota Department of Commerce Petrofiind Staff
RMOR T LINING, INC.
The Tank Lining Specialists
4056 Constance Blvd. N.E. • Ham Lake, MN 55304 • Phone/Fax 763- 434-2725
May 10, 2010
Sinclair Station Location: Same
16176 Main Avenue SE
Prior Lake, MN 55372
Attn: Mr. BK Shah 75L — ZS
Re: Abandon in place of one 6,000 - gallon underground gasoline storage tank.
We are pleased to present the following proposal, as outlined below, for your consideration.
SCOPE OF WORK
Armor Tank Lining Inc. will disconnect the product line, drain, and cap, at the submerged pump.
We will remove the Submerged pump from the tank and concrete over the opening.
We will remove the tank probe. We will remove the Spill containment manhole and concrete
over the opening. We will remove the vent line to grade level.
We will foam fill the tank.
We will fill out a Change of Status Report for the MPCA. We will obtain the City of Prior Lake
permit, for the Abandon in place, of the tank.
We will take soil samples from under the tank and provide a report to the MPCA.
This price includes all materials, taxes, mechanical labor, and mobilization to complete as
outlined.
YOUR COST $ 5,298.00
* Note:
1) Tank has been cleaned
Thank you for the opportunity to quote on this project, if you have any questions please call.
Sincerely,
511.4.4-J 1 CITY OF PRI 1 R LAKE
Roger Haugen BUILDIN P - IT � ' N REVIEW
A.T.L. Sales
MwIPECIOR _ t.�� t
6 ro PERMIT NO. '° .."
at-ACCl,PtED AS SUBMITTED
ACCEPTED WITH ACCEPTED-CORRECT RESUBMIT OTE
C NOT
tt1r1111111 ooiumsfle ar b your Information. All work shall be di
In lid compliance with al amble building & zoning code
*WNW Including items not specifically noted in this red
KEEP THIS PLAN SET ON SITE AT ALL TIMES.