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F- 4 oC t ■IP 4 O N Z Z Z J W \\.\ �� ` Y O W C L J A aU W W 0��� te O O z U C W � Q O 0 W 0 u. U. u.? ti co 0 �` ' ) 1 ∎ .,� S U U 1. 0z < 0 a 000000 0 O - iV' • ' M1, (5" ❑ ❑ c 1 10 $. 3 ? Cr- 4- M i i ■ 1 , 1 1 1 . 1 1 i I 1 . , ... i . i 1 . 1 , 1 ' 1 ' 1 i ' # .! 1 .. 1 1 1 1 , 1. t . 1 1 1 1 1 i 1 , 1 , i 1 1 I I , .., 1 . 1 1 . 1 1 1 , t. 1 1. - . 1. , 1 1 .... , , 1 i 1 1 ', I i o PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /7 3 / 7 (3) .. AND UTILITY CONNECTION PERMIT v 'yn, 1. white File PERMIT NO . 2. Pink City [Z • 13 E37 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 16b R t ? ?nor Loki < 1 ') - — LEGAL DESCRIPTION (office use only) LOT - BLOCK ADDITION PID OWNE u (� `J Cu- �Q _ 4--e._ y/7''1 (Name ) , 13 \4 W f>ti • V I (Phone) ( rot,— R 8-‘, -9 '''s-G, (Address) BUILDER (Company Name) °L- 71 eySZ 4 I C'a -7S c. 1t:�-7 (Phone) 6 iZ ° 0 3 / -3q7 - (Contact Name) �Y v! l-3 2// c (Phone) 6/Z 25/ _ ”73— (Address) 5 26T` ,4'' S. M'/, ,7e.W'S ,47 ,s'3T17 TYPE OF WORK 0 New Construction DDeck ['Porch ORe- Roofing ORe- Siding ❑Lower Level Finish 0 Fireplace p � D , Addition erAlteration DUtility Connection CODE: DLR.C.LB.C. 0 Misc. Type of Construction:` I II t ifi l P1 d A l,C9 t Occupancy Group: B E F 11 I M R U PROJECT COST /VALUE $ 0 0 Division: ® 1 CP 3 4 5 (excluding land) 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and connect. I also certify that 1 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 urther ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. --; ./.---;--- Signature Contractor's License No Date Permit Valuation 20 €20 Park Support Fee # $ Permit Fee $ 13.1 _ SAC # $ Plan Check Fee $ 4 1 6tA- 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 $ (2.2_,C1 This App ' do Bec i , es Your puiiding Permit When Ap oved Paid % pt / — Godtt...4—. 'ESO i / it C//f Z-- �ZZ,t,, R . tNo. 7G Date r/. z....0 ,, 2 r. L4. t I �q ( 7 / , Buil ng Olt •lal 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 Prior Lake, MN 55372 4 4Rfp Date Rec'd ti CITY OF PRIOR LAKE PLUMBING PERMIT 1/- Z3 , 12-- v 5�� lizw ii _6307 I. Blue ie 2. Gold old City ` PERMIT 0/2 /4 /ci 3. Yellow Applicant (Please type or print and sign at bottom) �ADDRE ZONING (office use) RI -6:11- . ) 4 Vi / 1 Wy a LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER j� (With e �1C., 1©Z fv"t" (Phone) (Address) APPLICANT ' r L 1‘ 3(p ame r t . one) +` - t • L - �- t 2 dress 1%i - L - L 9s,...r. _ 3 (Address) (City) (Zip Code) i , ct • erso _ i t Q a (Phone) / Z "- 7---/1176-- L1 b 3 r_ (0 a� ► : r _ , . , -,l 1' _ ` _ DATE \ _ ze APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins 1 Dishwasher Water Heater £"• Floor Drain Water Softener 1 1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler S 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 $ � _ 600 0 0 Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended 'LUMBING PERMIT FEE $ 4 - 9 - 50 until June 30, 2013, STATE SURCHARGE $ S_ 0`08 The minimum surcharge for a TOTAL PERMIT FEE $ 54f-- '51) "fixed fee" permit is $5.00 This A , J - 1 - 1 an i isecomes rour nuuaing Per I ' W I .n Approved Paid Receipt No. eo i ,.11a. (L. / 0 2-- Date I By I ( �- Bu r, ) ate ' k 1 � (Z' W 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 7#. rs. 91# ... - c, ..: s,., s .,x �',U^ -'ter: K < a-«'- ,. " _ �.n .`-: :;..«`•.,,#y'" o PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (U • 1Z -3- , '•HN6S _ t. White File PERMIT N 2. Pink City 12_ . I 1 4 5 3 Yellow Applicant + (Please type or print and sign at bottom) ADDRESS ZONING (office use) l6& t/ IA-7 /3 -'' 1 I , LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Soil 4-id f Mettikk , e. 01 e (1) , (Phone) (Address) /v - BUILDER (Company Name) A-4., 0 K e 000 Sr w � i v "--) (Phone) (Contact Name) i S Gr 4' L ✓r) L i 0-,g2 j a A (Phone) ;/ 2 - S 1 - S/36 (Address) / * / f d v 5 .1 - v i � S / � i 4 / v e 1`' / . inlet- pL L::- p I v Ss TYPE OF WORK 0 New Construction DDeck ❑Porch DRe- Roofing 2e- Siding ['Lower Level Finish ❑ Fireplace DAddition ❑Alteration ❑Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ •ZS/ «v G Occupancy Group: A B E F HI MR S U (excluding land) Division: I 2 3 4 5 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 .roperty 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 c. . mit just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x ► 4 40 J3/7V /2/i3// Signature Contractor's License No. Date Permit Valuation L.7cp.13 Park Support Fee # $ . Permit Fee $ - .` 5 SAC # $ 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 # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ .-741.1S— This Ap ■ � �� 'o J: ecomes Your Building Permit Wh: Appr ■ ved Paid 1 � . � Recei t No. / ddi t l Date ( -7,1 \ v By V'e • ui * . - 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 , • t e City Planntticonstttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be 'f. a —. t2-1(3 ((Z Planning Dire . r Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 &S?4 7 1-1 Yom/ S' j' ,4't/ /eye 11)1-0/ / e S'L r dti ( c)j / ( or i e'r /y d/ 2 GGt`t 5 ) it r1! /v49 le. , - e cc //)/, , i f ' / / /Iv - t - e2°f G' / y � ►d � . � 4 /rfr` !d/ /fly 61/ "'� O T,7 //) el / //, " 5/e, It- en — ri? 8) C I" OF . Olq ECTOR �� •�, LA`� GATE � //L P WEW I D A CC PPTE' r SUBMIT�p ED WITH , eNOT ACC EPTED -C C RRECTjpNS , N ° 4 R R ECT TE D l" com, °f ° Your rnkmnrtion 8 RESUBMIT KEEP Ns P SITE T E3 ti • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORIp SITE ADDRESS R ' - 1 l� TYPE OF WORK USE OF BUILDING t IL PERMIT NO. 1'2. • 1 3 1 DATE ISSUED ii in (Z- BUILDER (.3, —€ PHONE # ce it •25) 3115' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1- I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI NED FRAMING pa totte i elt , c i m Fd156„ I't. — r:M1 lx- I FINAL 1 I I FOR ALL INSPECTIONS (952) 447 - 9850 p(56-0404.4..4 Rif-sw 4 B. 443 Lafayette Road N. M INNESOTA DEPARTMENT OF (651) 284 -5005 St. Paul, Minnesota 55155 1-800-DIAL-DU www.dli.mn.gov L A B O R & INDU in': (651) 297 -4198 Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Hollywood Bar & Grill, 16691 Highway 13, Prior Lake, Scott County, Minnesota, Plan No. PLB 1212 -00019 OWNERSHIP: Ryan Bartlett, 3336 Skinner St. SW, Prior Lake, MN 55372 SUBMITTER(S): HBHB LLC, 6507 Harbor Place NE, Prior Lake, MN 55372 Plans Dated: Date Received: December 4, 2012 Date Reviewed: December 6, 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 prep sink will not be able to share a vertical riser with the hand sink as is currently shown. Since a tell- tale floor drain is required on the dedicated fixture branch, the floor drain must specifically serve that sink prior to connecting to any other fixtures (see Minnesota Rules, part 4715.1390, subpart 2). 2. Each horizontal drain branch, including floor drain branches, shall be provided with a cleanout at its upper terminal (see Minnesota Rules, part 4715.1000). Floor drains used for dishwashers or similar receptors may have the full -sized cleanout installed on the individual vent pipe serving the fixture or on the fixture. 3. 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. This information can be provided to you in altemative formats (Braille, large print or audio). An Equal Opportunity Employer Hollywood Bar & Grill Plumbing Plan No. PLB 1212 -00019 Page 2 December 6, 2012 4. The water supply to any dishwasher in which the supply opening is located below the spill line of the machine must be protected with a vacuum breaker (see Minnesota Rules, part 4715.1250). 5. The copper water distribution piping must meet ASTM Standard B88 (see Minnesota Rules, part 4715.0520). 6. PVC plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D2665, D2949 or F891 (see Minnesota Rules, part 4715.0570 through part 4715.0600). 7. The water distribution system shall be disinfected in accordance with Minnesota Rules, part 4715.2250. 8. The plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820. NOTE(S): 1. The scope of this project consists of remodeling an existing building. Installation includes two floor drains, a hand sink, a prep sink, and a dishwasher. 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. 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: � t . Corey Frain, P.E. Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5882 cc: HBHB LLC Ryan Bartlett City of Prior Lake Building Official MDH Environmental Health Services Binz Plumbing LLC File 0 r 6l' -0 -0' i.3 W - 11 ll .. *hI/ r > y O 7 I r � '` I--'� 1 • 0 � 6 L J HI L b �J s Il— . - Y r,, / I Y kJ y ' . ' - -� 1-'-i 1.1„, i___L_A_, `� Er C-1 N.1� NNNIf • / t 1 � ii`n :7,:"^:", ? - p pp ,11), _ a. I® 0 1 II f R � fi ! ` ( t`\ ri Whir — MA ../ = iaq 0°7 D. D I � i� n n a 7 . la � i , I I { 1 -- �� ,� li� lam_. -� \' o ' • 11 I / d'\ :1 tr . -V‘.----,.-- it — �� n r: -- Q = ET. LJ J I f�i EL' 5 OBOR 4i if Z & I II ., '' i ll 1 Lei �� I� �i' ,' L L :� � 1 gi en N ? '7"� G' 411-1 1 i , m o p • \ I 4'..o• 11, t2 1 1-1- 1:3: L I - S i ' n 1 L-I 0 k g 1 I ... t' --*1 1 ' R . ,..., • -1 4 ---- - 1-111 1 1 Nr k 3",) C ■, B �4 L n T ' v 4 L. tq Y ' 1 i g go 8 '. 35 II I. -a ..w;� 1 - a " r VI t s A —.. L i � I I . . C rn ll o c C4 11 17 i SHEET: PROJECT #: 08138 BASEMENT BAR & GRILL 9300 Hennepin Town Road Eden Prairie, MN. 55347 • ..... Al DATE: 4.28.08 PRIOR LAKE, MN Tel: 952.278.8880 Fax: 952.278.8822 v .r\ I 114 - i, 1 'fi 1 ' �V t0' -to' 9 1 1 l u 1 J _,,_____ 2 0 1 ' N O 1 ■ \ ' 4. 1 1 CD 1 0 N . 1 c 1 ,. i 1 s 4' -0' ~__ MIN t ✓ > 1 •:- 1 U) m c D z - n o c . 4 ' 1 {nom ` � o I - g7 ij ( ///L 4' -4' = I -1' m r , / 11 j 0 2' -5' _ 3' -6' ^ w ' = � x h -- I r o v vz rn A z -i , , 44 ti w ° I- W L N r S N Z. 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Jmuupd'9 - t ( 'Y' Si-NM/1313 ema ne ONV a D 2 ' � \ LL 3400 A1IlI8ISS300V 31V1S VIOS3NNIW LOOT SHIV.S IV SNOISN31X311V1IGNVH W011O8 SUIV.S 1V SNOISN31X3 1IVU0NVH d01 1 8'0L'90S 31:1f1OId Z'OI. 9OS 31:1f101d # ,.:::,,,, ■ � s 50£ II ' 41 peal1= x up Z L + :. i '" SdINVH 1V SNOISN31X3 IIVaONVH W011OS ONV dOl iG L'04 3aflDU j , i p 50£ / u lw ZL 50£ ulwZ4 NOI103S SSOUO 1IVUONVH L'905 31:10D1d Je1113JIOUON Jeln3J10 ( (q) (e) ,g ; / / l , L9 T 69 - Z£ - xew v /LZ Z — 1 71. I. 096 - 006 aalewuad b h9 — f fi we 44 '. SIN3W313 0NIOlIl8 ONV 311S 1Va3N30 Twin City Water Clinic Laboratory Test Report Minnesota State Laboratory ID# 027.053 -119 Wisconsin State Laboratory ID# 105 -10117 Client: Binz Plumbing Report Number: 12 -14484 Twin City Water Clinic Inc. Sample Collection Date: 12/19/12 617 13th Avenue South Address: 18164 Luedke Ln Sample Collection Time: 10:30 Hopkins, MN 55343 Prior Lake, MN 55372 Sample Receipt Date: 12/19/12 Phone: (952)935 -3556 Report Issue Date: 12/20/12 Fax: (952)935 - 5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 12 -14484 Coliform Drinking Water 12/19/12 15:35 Absent Drinking Water mg/i Drinking Water µg/1 Drinking Water µg /I Drinking Water Drinking Water Drinking Water Well No.: X No samples were subcontracted; or the above test results) Sample pt: The Point Bar & Grill with' * *' designation were produced by a subcontracted laboratory. (Laboratory name; address; MDH Lab ID #). The Well Adr: Prior Lake, MN subcontracted laboratory maintains MDH Certification for the Owner: fleld(s) of testing performed. Owner Adr: Sample Conditions: Discussion: Notes: Sample Temp 16 Approved methods used in analyzing the samples listed above have the following reporting levels: Maximum contaminant levels: SM9222B - Coliform, 1 cfu / 100 ml Coliform - < 1 cfu /100 ml SM4500D - Nitrate Nitrogen, 1.0 mg / I Nitrate Nitrogen 10.0 mg/I Arsenic, 10.0 tg / 1 SM3113B - Arsenic, 2.014 / I Lead, 15.0 µg / I SM3113B - Lead, 2.014 / I • Sample Collected by: X Client TCWC Approved By: , L �'' Bill Van Arsdale Alan Senechal Laboratory Manager Senior Analyst The results listed in this report apply only to the above listed samples. All routine quality assurance procedures were followed, unless otherwise noted. This analytical report must be reported in its entirety. All methods are certified by the Minnesota Department of Health, unless otherwise noted. TCWD Rev 1.2 Page 1 of 1 M I N N E S O T A MDH DEPARTMENToFHEALTH Protecting, maintaining and improving the health of all Minnesotans December 21, 2012 Ryan Bartlett 16691 Hwy 13 S Prior Lake, Minnesota 55372 Dear Ryan Bartlett: Subject: The Pointe, 16691 Hwy 13 S., Prior Lake, Scott County, Minnesota, Project No. 130277 Thank you for submitting your plans for remodel to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of your plans and specifications on the above - designated project. The plan appears to be in general compliance with the standards of this department and has been approved with the following changes and/or comments in the enclosed report. 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 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 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:cb Enclosures CC: Ms. Laura Huseby, Minnesota Department of Health Mr. Steven Diaz, Minnesota Department of Health Mr. Robert Hutchins, Building Official Mr. Al Frechette, Zoning Administrator 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 Rem Food: The Pointe, Project No. 130277 Location: 16691 Hwy 13 S., Prior Lake, MN 55372, Scott County Date Approved: December 21, 2012 Date Received: November 20, 2012 Submitted by: Ryan Bartlett, 16691 Hwy 13 S., Prior Lake, MN 55372, (612) 986 -9956 Ownership: Ryan Bartlett, 16691 Hwy 13 S, Prior Lake, MN 55372, Scope of Project: This project consists of a remodel of the former Basement Bar and Grill. This is a medium sized food establishment with alcohol service from a bar (license 21023). The finishes and plumbing fixtures remained the same but most of the equipment was replaced. License applications were emailed to establishment contacts by Laura Huseby, the Public Health Sanitarian, on December 18, 2012. Submit the completed license applications and fees prior to scheduling the final preopening inspection. 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 drop -in tiles Quarry tile and quarry panels behind tile cooking equipment and then painted concrete block and FRP Bar: FRP Acoustical ceiling tiles Quarry tile and quarry 14' height tile Liquor, ice, and Painted gypsum Vinyl faced drop -in tiles Quarry tile and quarry beverage syrup board on liquor tile room: storage side, FRP at ice and syrup side Employee toilet FRP to at least 4.5' Vinyl faced drop -in tiles Ceramic tile and room: and then painted ceramic tile gypsum board and painted concrete block Construction Specifics: Pay particular attention to the bolded items You are responsible for all aspects of the Minnesota Food Code. The Pointe Rem Food 130277 Page 2 12/21/12 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. 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. 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. Contact Laura Huseby, your assigned Public Health Sanitarian, at 651- 201 -4259 to schedule an inspection for approval of any used equipment before installation. Used equipment other than the existing items was not identified on the equipment schedule. 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. Refrigeration: The cold preparation tables must be able to maintain potentially hazardous foods at or below 41°F. Raised cold rail refrigeration or top air cooled units are recommended. 5. 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. The Pointe Rem Food 130277 Page 3 12/21/12 Model walk in freezer approved: existing Norlake Floor & interior base cove: smooth aluminum panels with aluminum base cove. Model walk in keg cooler approved: existing Norlake Floor & interior base cove: diamond plate panels with aluminum base cove. The walk in keg cooler may not be used for food storage. 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. 6. Ventilation System: A Type I Captive Aire hood is provided for the oven, stove top, griddle and grill. A Type I Captive Aire hood is provided for the fryers and pizza ovens. 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. 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. 7. 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- compaitnient sink must be installed according to Minnesota Plumbing Code Chapter 4715 and have appropriate backflow prevention. The Pointe Rem Food 130277 Page 4 12/21/12 8. Undercounter Dishmachine: Ecolab U -HT in kitchen and Ecolab DF at bar. Provide NSF approved 6" Legs /casters, or skids on the undercounter dishmachines. The dishmachines must be installed so that the area around them can be kept cleaned and maintained. A flexible installation may be necessary so that the machine can be moved for cleaning. A scrap sink must be provided. The three - compartment sink installed next to the dish machine may be used for scrapping. Designate one sink bowl as a dump sink. This sink must be washed, rinsed and sanitized before use as a 3 compartment sink if the sink has been used as a dump sink. 9. Food Preparation Sink: A separate food preparation sink that meets NSF International or equivalent standards for washing produce or thawing foods has been provided. 10. Hand Sink: The kitchen has been provided with a hand sink between the warewashing equipment and the preparation sink and also at the wall outside of the employee toilet room. If these sinks are not adequate to promote good handwashing, another sink will need to be added. The bar is provided with a hand sink at the employee entry area. 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. 11. 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. 12. 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. The Pointe Rem Food 130277 Page 5 12/21/12 Block walls shall be finished with an epoxy or enamel paint equivalent to an orange peel finish. The wall finish described as sealed cement must be maintained in a repaired and non - peeling condition. 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. 13. 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. 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. 1 CORRECT METHOD .' INCORRECT METHOD 1 : \ ',' IIIIMMIMME. .: k Non -slip quarry tile may not be located underneath equipment. • The Pointe Rem Food 130277 Page 6 12/21/12 14. 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. 15. Janitorial Area: An existing mop sink is provided in the kitchen 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. Wye adapters are not approved. Chemical or detergent dispensers shall provide appropriate backflow prevention devices. 16. Plumbing: A plumbing plan approval letter has not been received at this time. Provide at the opening inspection evidence that the plumbing system has been inspected and approval given by a representative from the Department of Labor and Industry (DOLI). 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 commercial 75- gallon Bradford White water heater is provided. The Pointe Rem Food 130277 Page 7 12/21/12 17. 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. 18. Employee areas: Lockers or other suitable facilities shall be provided for the orderly storage of employee's clothing and other possessions. Storage space in a lockable office has been provided for employee belongings. 19. Bar: The interior of bar shall be finished with approved flooring, base cove and wall materials. Counter Top Construction Example &dam P I u 0 3 cn N O tit O FRP ',y� Coved Rasa T TILL l ■ A■r A dump sink may not be used as a hand sink. A separate dump sink has been provided behind the bar near the glass washer . The Pointe Rem Food 130277 Page 8 12/21/12 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 is provided with a granite top. 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. 20. 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 WALT LUSIAN IAEI certified -/' Master Electrical Inspector /�`'�/ `! MINNESOTA DEPARTMENT OF ♦ 'v V o LABOR et INDUSTRY 96275 Sheldon Ave Eden Prairie, MN 55344 Office Hours 7:00 -8:30 a.m. Tel. (952) 934-0229 Mon.-Fri Order for Payment Date , for Inspection Serial Number Date Filed 2 - 31 - /2. t2 a. 0 /Z — /8 - ( 2 Electrical Contractor /installer license Number 19C,r/)N Ejc,Se1c-- I0 .- Ow` r /Occup n t ,\ County /6-;.IN „Ae�L.r 6oRitialgoi( + 8',�Al) ( +' zr.o -rr Job Address - Street � C' ownship /6e 7/ /AM (3 sa tt ‘ , /b 1--/f Z. This Order for Payment is for additional fees associated with the above referenced Request for Electrical Inspection. Fee Calculation/Explanation Q _ ®0 "))) /T/o,/!9L /MWc.T/v ( 7 Tali ) Return this Order foPayment with your check payable to theallp in the amount of $. J5 by (fourteen days from the date issued) A service charge of 530 will be added for at dishonored checks. Inspector Name and Number For Department Use Only Inspector Telephone Number Inspector Equal Address/We Inspect6r ignature