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HomeMy WebLinkAbout#03-1546 & 04-0010 Oversize Pla Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT p~ Wi MJ!kntr- #- .tJ3-/54-~ I. Blue File I PERMIT NO I 2. Gold City . 0' ". 0010. 3. Yellow Applicant 1/', ZONING (office use) \<0 v ~"" A.J s.e: LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID [ OWNER . (Name) -1:1-0", ~" (Address) Cc\M.fCl.,^ \~ t ~ (Phone) APPLICANT (Name) M\~- t\~ ~bd Cq l (Phone) 7t, ~ 7t1~'-Hlo \ r (Address) q In ~ D A.lH..'^t)t1 W""" S t - klb: (Address) ~ \ ell' '^"-- (City) S~""''l (Zip Code) (Contact Person) (Phone) 7ID.l 7?<o - i?b l ;> DATE i2./2.l.../o '3. APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater .2 Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) .5 Other ( ~W'IloI'I# p,.. \ t ~ _<I v, , FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum +) ~.QJL., C4f('v<:'\ '^C I fo~ Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 1>(, Estimated Cost $ 4,. S" 00 - Building Permit # 0 -1-. lJV I () ..ItA,..,60 PLUMBING PERMIT FEE $ 46. - Cf.V;~ 04/ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 1';-, z::;o " Paid "5.50 Date /. /".. tJ4-- 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d /1 -/~-3 1. White File I PERMIT NO ;:] 2. Pink City . A 'J .... I ~ 3. Yellow Applicant . v, _ ~ _ ADDRESS I iP80 0 ZONING (office use) 63 D"~ (/...,.1-1 p... V J!' S,t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID~5-- l'i 001/ I OWNER (Name) IJOLIDA..'7' Co OH P)..Io.II TS INI-. (Phone) ~S 2. - 830-888 Y (Address) 7 ~V7e I -SVJ7 BUILDER (Name) I-IOt../D.,i:a.,Y' (Contact Name) -:1"011l. (Address) YSi. t' nNP~/I~ ,IN L , (Phone) (Phone) c- 9.rz- - 830 -B&!1Y tA IF/l. " '/" CPt 2- Be>' -?x?& 3 Jc.~ "/ TYPE OF WORK o New Construction ODeck o Fireplace DPorch DLower Level Finish DAddition ORe-Roofing Q!Alteration ORe-Siding Dutility Connection o Misc. PROJECT COST IV ALUE (excluding land) $ ,00 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. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. -pD,.~ Signature x Contractor's License No. Of7 );3 Date Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ 5 .- Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE h ~ ''Z- ,I. 0 3 $ 304 LV'=' Paid .3t)+~~ h Date It.. .:1, tV I~e;~dr~ 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 16200 Eagle Creek Avenue Prior Lake, MN 55372 The Center or Ihe t.ke ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED //~:/ ( "'l/;:.~ .' ;l-" / 1- /S- - '-::') /'j~> l,., l J")-;':'1.'f!' . 0" , (/1 ,l," .' LR....<L-. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is propose~ at: , /') / t f;')() I, / .:' ./~. t' f 1-7;(:-<. /1". c..-,. , Accepted K Accepted With Corrections Date: i \ . \ CO -{)'0 "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." White - Building Canary - Engineering Pink - Planning The ('("nler of the Like Countr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ ~ APPLICATION RECEIVED /I-/f- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1. /tf/tJ() i~ ~ Accepted v Accepted With Corrections Denied f2IJ t~ Date: /I L /0'''- { I Reviewed By: Comments: '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." g;,tI,. ~ @ --- I.....-::;;j . .. STATIONSTOAES HOLIDAY STATIONSTORES 4567 West 80th Street, Bloomington, MN 55437 (952) 830-8700 Mr. Paul Baumgartner 2003 City of Prior Lake 16200 Eagle Creek Ave. S. E. Prior Lake, MN 55372 November 6, Re: Holiday Stationstores #198 16800 Duluth Ave. S. E. Prior Lake, MN 55372 Dear Mr. Baumgartner; I have enclosed for your review, a existing and proposed floor plan of the above location. Holiday Stationstores is intending to upgrade the interior flow and layout of this location. I would like to know what you would require for your plan review as far as plans. We are not affecting anything structurally when we relocate door openings and the rest of the work is maintenance in my mind. Work to include nut not limited to: 1. New checkout counter area. 2. Reverse swing of existing exit door, relocate existing entrance door and eliminate one (1) exit door. 3. Reconfigure the food side of the store with new cabinets and equipment. 4. Repaint the interior of the store and freshen it up. Let me know your thoughts. You can contact me at 952-830-8884 or fax at 952-830- 1678. Look forward to hearing from you. Sincerely, Holiday Companies pj?-J-/ Joel D. Geil Construction Supervisor/Project Manager Holiday Stations tore No. 198 Plumbing Plan No. 041974 Page 2 January 10, 2004 4. PVC plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D 2665, D 2949 or F 891 (see Minnesota Rules, part 4715.0570 through part 4715.0600). Solvent weld joints in PVC and CPVC pipe must include use of a primer which is of contrasting color to the pipe and cement (see Minnesota Rules, part 4715.0810, subpart 2). 5. The water piping system shall be disinfected in accordance with Minnesota Rules, part 4715.2250. 6. The plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820. NOTE(S): 1. The scope of this project consists of the installation of two floor drains and cold water supply branches to new beverage equipment. . 2. This facility is 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. Th~fac~ that tpe plans have byen approved does not necessarily mean that recommendations or requ,irements for charige 'will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. APr;::: Il r C Co~kson Public Health Engineer Environmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164-0975 651/215-0839 CAE:sas cc: Mid-City Mechanical Corporation / Holiday Companies Mr. Robert Hutchins, Plumbing Inspector EHS File MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on plumbing: Holiday Stationstore No. 198, 16800 Duluth Avenue SE, Prior Lake, Scott County, Minnesota, Plan No. 041974 OWNERSHIP: Holiday Companies, 4567 West 80th Street, Bloomington, Minnesota 55437 SUBMITTER(S): Mid-City Mechanical Corporation, c/o Mr. Jim Poser, 9103 Davenport Street Northeast, Blaine, Minnesota 55449 Plans Dated: Date Received: December 29,2003 Date Reviewed: January 10,2004 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 and specifications should ... : be retained at the project location for future reference. ' ..: ,! " " : A set of the identified plans and specifications is being returned to Mid-City Mechanical Corporation. 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 MinnesotaRules, part 4715.2820, subpart2;. 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 Health when an installation for a state contract job, licensed 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, or call the metro office inspection hotline at 1-800-926- 6216 (7:30 a.m. to 9 a.m.), or 651/215-0836 (8 a.m. to 9 a.m.) on Monday, Wednesday or Friday. REQUIREMENT(S): 1. All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Ru1es, part 4715.0320). 2. 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. 3. 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 326.371). PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION . SITE ADDRESS l~es'~D~_..h_V ~ Av!!:' ~. e . NATURE OF WORK ~O~~~ USE OF BUILDING t{- A:-/:z. I , PERMIT NO. cP~ -ICS~ DATE IS UED I f1/'Z4-(~;3> CONTRACTOR l40t.-\OA~ CoM.p~l~ PHONE ~/Z~9BI- ~e3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE .. ~N (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I f'C?F ~l,{-~ I (/W/ I 1-2S -O{,I FINALS or to Soddin ) 52 -0 <-OL BUILDING ELECTRICAL ,. r ,. .- -- 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 ( {a ~a /ttE TIME SCHEDULED I 0. r ..rrA/I1. ~L-~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PERMIT NO. CJ~ 'S~ G;1(/O PHONE NO. o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL 4L 9'0 FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST ~... 0 SITE INSPECTION 0 MECH FINAL 0 ~;~S:~~~ ~~ ex,' ~/""'" tt::>~ p~~. Ow? ~{c5~. 3. ~ f!S::I~ pc J;/woRK SATISFACTORY, PRq,CEED o CORRECT AC D PROCEED o CORRECT ~PECTlON BEFORE COVERING Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED / - .)()9J ADDRESS (C~ Ov!tJ~ OWNER CONTR. PHONE NO. "PERMIT NO. '-/- (0 o FOOTING ~MBING RI o EXIGRAD/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED R REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNon / ;,.,.- DATE TIME /- S- -aLl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I~}JOO (Jdv/h ~ OWNER CONTR. PHONE NO. ~-IS-L( t PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INjlJbA TION ..,EPfTNAL o SITE INSPECTION o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: -f;" C{ ( 01( [:7t'GP--rc(;.! ~; SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: t~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER (~ &""OD DATE TIME SCHEDULED /-2k".;tJ 1 (Jut {)f11 AIrC- ~b:. CONTR. PERMIT NO. :5-IS"L/r; PHONE NO. o FOOTING o FOUNDATION o FRAMING o I!ISULA TION 'FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP a- PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (LJ Or- I1b~.-c tA~J +/"" If { ~ lI.ert?! chJ1~, etr.ft.r4( o WORK SATISFACTORY, PROCEED - ACTION AND PROCEED RRECl WOAR':~OR REINSPECTlON BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI '}'';l <~ . r , III .., ~ (() . '""'=1 ~ W , \ !II '11111 Ih II .' - .. ,.~' ~ ~ Z ...~"~: " ~"'J ,-. CJ C) ct . . ) -$1": ) .8f fff Ul C) ~~ t'V ~ l'ilp"II'n I I I fl~ I-~ ..... 0 ~IJ.. Z U l- '0 1'" S; :i! - ..... t ~-.::t a: ~ ~'O ~ I~il; :>- IhillUBlu,1 .. ~oo C- o ''0 Z Cl i ~oo ::J ~r-- ~t'\ .11 ~ 0 , '0 @) @)@) I) e E;) @) (i) g 6 eQ)<<Jfi) 0 ' r-- ~ * '8 I a1!m ' - 'r-- J., . 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