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Yellow Applicant (Please type or print and si . n at bottom) � ADDRESS J A ..8 0' CT4 1U PC../-1 ZONING (office use) qq - 1 (Y )L R )L.- fRloR. L - , K_C LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) �l �/ L D rz 1 W P� e � � (Phone) 76 1 -7 ) 29 (Address) tJ 2 iY l Z.1r m G AV b ®® g L /v / I ,, rJ 5 5ip/3 APPLICANT I� (Name) C� U L 1'k N i C (-- CO - (Phone) 3� -- 75S - g O g S (Address) b 2-0 (/ SE. N l.(; i lew 'rrc pc6 U E, 5,0 1 (Address) (City) (Zip Code) (Contact Person) t l► 1 , -rep (Phone) ( 1 2 - - 75 - 2 3 - Q O 1 APPLICANT SIGNATURE --/Ill a &-DATE & 411— l APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins i Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink____. Stand Pipe (Washing Machine) (1 oif 2 compartment sink ) Sewage Ejector Shower Stall Backflow Assembly 1 f\ Sinks - 'g£ P , lei Pe c , MOP 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 The Minnesota Statutes § 32513.148 � ,�st $ L Li k Building Permit # "SURCHARGE" effective has been changed for one PLUMBING PERMIT FEE $ - I < 00 year July 1, 2010, until June 30, 2011. STATE SURCHARGE $ e . OD The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ �) LI i 6 D is 55, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid 5.4, a) Recei o. ( 10 4 _, Date /, /s // B Building Official Date . 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284 -5005 St. Paul, Minnesota 55155 1- 800 - DIAL -DLI www.dli.mn.gov L ABOR INDUSTRY TTY: (651) 297 -4198 ■ Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Harbor Church, 5995 Timber Trail, Prior Lake, Scott County, Minnesota, Plan No. PLB 1 1 05 -000 1 2 OWNERSHIP: Rev Lori Walber, 8209 Zane Avenue, Brooklyn Park, MN 55443 SUBMITTER(S): D & D Mechanical Co Inc., 620 6th St. NW, New Prague, MN 56071 Date Received: April 29, 2011 Date Reviewed: June 5, 2011 - 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. Please revise the underground horizontal drain size between the dishwasher and the two- compartment sink to match the riser diagram of 3 inches. 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. Cleanouts shall be of the same nominal size as the pipes they serve up to 4 inches in size (see Minnesota Rules, part 4715.1010). A cleanout must be installed where there is an increase, in pipe size from 2 inches to 3 inches and from 3 inches to 4 inches. 4. Verify that the dishwasher discharges to the drainage system through an air break or an air gap. This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer • Harbor Church Plumbing Plan No. PLB 1105 -00012 Page 2 June 5, 2011 5. Faucets equipped with threaded hose connections must be provided with approved backflow preventers (see Minnesota Rules, part 4715.2110, DD). 6. 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. 7. The submitted plans indicate that the new fixtures will be served by existing water distribution piping. Verify that the existing pipes are sized to accommodate the added fixtures (see Minnesota Rules, part 4715.3800). 8. The plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820. 9. The water distribution system shall be disinfected in accordance with Minnesota Rules, part 4715.2250. 10. All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules, part 4715.0320). NOTE(S): 1. The scope of this project consists of a remodel of an existing building. Installation includes two prep sinks, a dishwasher, a mop sink, a hand sink, and floor drains. 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. Ap Cathy M. Tran Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284 -5898 cc: D & D Mechanical Co Inc. • Rev. Lori Walber City of Prior Lake Building Official MDH Environmental Health Services File PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT (N k .., (----------- ,..„ N., , :_......, ....,. 0 1 ... 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IR All stainless steel Cronstl action assures long rile artd years of trouble tree operallon. �"'"' ■ Unique spray arm system lectures upper and towel stainless steel wadi 4r1116 with reinforced end caps, bu�hin chemical pumps and deliming system assures proper chemical usage. • Convenient to service ma-in or All electrical components nls e a ra n a L a tlachod to a qrr a sliding drawer for easy ac(:ess and service. • Pumped drain allows for flexible installation. Requires no floor drain. 1 ` ■ Pump purging system Improves results by eliminating soil and Chemical carryover • © '£Z during rinse cycle. • 2 4- 4 Pwnradur&nwAdralr:up 10 Upper end lower Meting Ralrwe_rg iloce aim wash serrns guarantee •x & e llent f•eutle I ''. � (.110081 dlsfllable, Iaucel entl yyal:i in dr &we f , m&Y a e Oph3rwl pe001101 &Ib28 018 n:e- 01100 me sold eepefetely moveC b dieeonnoo ng L•IX to be need up 10 a lull wires horn terminal block 12" oil the floor for 00.7$ if7 0{Nlebr un. 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Unit comes standard with upper Imo lower stainless Steel wash arms. The L-1 11 incorporates a pump purging system Mal improves 000115 00! eliminating soil ant chemical canyover dunnd nnSe cycle vatiattla 01 Sustainer Heater Sanitize Alarm CMA TemptSuret. (sem contained 1200 004081/ Stainless Steel 0095 21 08) 01 Stainless Steel Pedestal (Ra)ses machine 8 oil Mel(0a 46' Undercount. cltshtable Mtn Pre-Rinse 411 Alternative electric. aVallabVe 101 export 2 DiMmuchlnos 12700 Hnott Sitsoot Gsf Gross, Ch 02441. 800-864-0417 • 714-8084781 • Fss. 714.4196-0141 • www.crnsclishmachtnor-com c410sser00s0,0l4!ornO21l .71.1.111t oscsosus sous 8550 4.11010100C C 11:60 • • Wall Mount Hand Sink 16x15 w/ NO LEAD Gooseneck Faucet HS -1... file: / / /C: /Documents and Settings/ Linda /Desktop /KITCHEN /Wall -M... Restaurant Equipment & Supply: New & Used 1 ACCoUrit 1 A.btt ACitVDisC011fl iet C.Jf NC.;I 10 icon KF icC. equ HaCl2m s �:O3a f : 5 1prn EST ( #: -Ft - x *" ." i . ; L 404- 752 -0715 Espanol 1f1:O3a ?:aJpm EST (Sat' Commercial Refrigeration Bar & Beverage Catering & Dining Concession Restaurant Custon Kitchen Equipment & Ice Machines Equipment Equipment Equipment Furniture Equipm Sign In or Register Home » Commercial Kitchen Equipment » Commercial Dishwashers, Sinks & Faucets » Sinks » Hand Sinks Wall Mount Hand Sink 16x15 w/ NO LEAD Gooseneck Faucet �. -:: ;; i T IA tilt Mfg.: Allstrong, Inc. :' Model #: HS- 1615WG '' , Inventory #: 106156 l Y ' : '', _ w Ask a Question 6 More Images % ...;:.:6 ' , s- - „i„...i.4,,...,,,, / . r ? ( NSF ' ,: Additional Categories: • Kitchen Appliances » Plumbing & Fixtures » Home Sinks r Product Customer Related Items i Specifications Feedbacks Accessories Manufacturer and Shipping Information NOTE: No lead faucets are now required in California & Vermont. Manufacturer Information This item is shipped brand new complete with manufacturer warranty. Please note Manufacturer: Allstrong, Inc. the picture above is for reference only. Model: HS- 1615WG List price: 1$168.57 Item: Wall Mount Hand Sink, Stainless Steel w/ NO LEAD Gooseneck Faucet Model: HS- 1615WG Dimensions Weight: 11 lbs. This item has the following features and specifications: ' Width: 16 in. • Special polished satin finish Depth: 15 in. • 304 stainless steel, 20 gauge Height: 114 in. • Faucet and strainer included 1 of 3/14/2011 10:01 AM _ - - - ------ - _ _ PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT uaz c 0 Nnr t ,„„p %NUMMI nill 1 oi pampa Ituld 31.1)30 oto uo Pod'A - — " , ; 411.133 01 SI sIta Adoo 0WolldnP sl - u 10 uo viAtci 2u1suoo1 Pm s VIOSgt4 AIIISC1GRI V 11001 AO INdyx ... ' . L k-- • i 0.) G. i )(". 0 1 1 .. _., „...)... ..., ....-.-:, i 1 1 b 0 0 1 N: .,,, w.-----"Nri Z=- L 04i ,-,_- , ,. . ... ... t....? =._. .0 v, 0 eG INI , o m o 4. zi, ' • . Is po ....., r i ,.... F. ,.... s...4. 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