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Home My WebLink AboutBuilding Permit 10.0557 0 J z 3 a ui E �`i 1/4),, a w N). I �daa 0 Y O o �� t9 Sew z Q s i N p 000000 > �I �� u. N o _ z » Z z o o m F- a OYpt )' \` O 0 o h w 1 g O 00( 50 MY F- d W p V Z w za = =zLL 0 ` t O CO 51 0 0. OD a • Z _i Wa _, W w w CO f' O �■ a. I . N W W k ' f t 000000 J 0 0 W °., I . .J t z a 1 W O z , 1 A. � Z U N • \ N V ` n OI O z o z a a � a � 4 c1 a ° — C0 _ � °Z z w Y U J a o w w z 8 8 g „ , 2 � �1JJ a ';' 0 0 0 '13 t v a 0 g O g LL W Z � co 0 3 o 0 N §'. U? < O a 00000 0 0 0 .E t. white Fik PERMIT NO. /0. 0 55 7 2 Pink City 3 Yellow Applficant (Please type or print and sign at bottnm) ADDRESS ZONING (office use) / lo / 76 /l ei N nee ivw a se , ('ei) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Z firC S S SAS (Phone) 75.2. ''/4/7 " 92'' S (Address) //o / 7 ( o Mai if/ veit/6l e s' l r L-44 I/ SS 117/3 7L 1 BUILDER A (Name) /7 r fn 0 r TQ I Ala Gii✓ ,V / ' / 2 6 C . (Phone) 7b3 ^ �{..3% ' .2 7 . S _ (Contact Name) go, .2 r" fT Z kJ C A / (Phone) 74 ,3 - �f3Y -g7.7 .2S (Address)�D.S6 C'o A,s tt iv c' e-- &ki d i Ne / m L4 ,o- / /wit/ 55j 0 5e TYPE OF WORK 0 New Construction ['Deck ['Porch DRe- Roofmg DRe- Siding OLower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection 0 MiscAq ry 6• /W T A w �. ire P/a GL PROJECT COST/VALUE (excluding land) $ 52 f f." 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 Furtlermo e, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ate Signature Contractor's License No. Permit Valuation 3, U 0 0, C j b Park Support Fee # $ Permit Fee $ 0 C SAC # $ Plan Check Fee $ 57, 3 Co Water Meter Size 5/8 "; 1 "; $ State Surcharge $ /. Sp 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 $ / i- 7. // This Ap/li on • , your Btritding Permit , • „ • ... -. Paid /4 7// R = r i b No. Go* . Z r Date 6, Z y / U 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 cansttution 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 16200 Fagle Creek Avenue Prior Lake, MN 55372 • A PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS i 6 ( 7(o MA-y.1 A-v6 S • 6. TYPE OF WORK 7 Asol r USE OF BUILDING //e A h& PERMIT NO. to - .5'57 DATE ISSUED 4' Z'7 10 BUILDER ARMOR TA,/K L,,, eo, //c, PHONE # 76.3* 434.47Z-5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I Ileenea 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING P,t.,vta Fisk,_ Rath 4t4 4 Sou. S I FINAL pto tripe t''iPcA caLwv6 S r A LI -I 3/7C-/ FOR ALL INSPECTIONS (952) 447 -9850 • AI. i ii. Minnesota Pollution Control Agency 520 Lafayette Road North 1 St. Paul, MN 55155 -4194 1 651 - 296 -6300 1 800- 657 -3864 1 651- 282 -5332 TTY ( www.pcastate.mn.us August 8, 2011 Mr. BK Shah . 7230 Green Ridge Drive -�e Eden Prairie, MN 55346 . ---t) L C? CAti RE: Petroleum Tank Release Site File Closure ✓�1C Site: Sinclair Express Gas & Grocery, 16176 Main Avenue SE, Prior Lake C 1"- , A - e Site ID #: LEAK00018053 t o - 0 1 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 Petrofund 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 Bill 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, 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 Petrofund Staff RMOR TANK 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 75 ,x r f 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, 5 CITY OF PRI 1R LAKE Roger flaugen BUILDIN P - IT ), N REVIEW A.T.L. Sales N _ ' �, t'o PERMIT NO. 6) 0-ACCEPTED AS SUBMITTED O ACCEPTED WITH CORRECTIONS AS NOTE O NOT ACCEPTED- CORRECT & RESUBMIT loseCommenli ail k r your intonation. All work shall be di eeMplisnoe with all applicable building & zoning code Including items not specifically noted in this reNi KEEP THIS PLAN SET ON SITE AT ALL TIMES.