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HomeMy WebLinkAboutBuilding Permit 13. 0513 0 J ► W Z Z ~ V Lia J 11.- us J � 2 LA.�1i - 000000 4 % �WOv CO 0 zrt .411O DP, O �yy w = Is 11 m o 4,1 LU 4 6 o. o. . W Z UF F QLL. J 0 V C d t o 3 O _ \ Z 15 Zrezcea c N O Z °� i /� 0 cc m C3 0 Z X fps. N V ' V a _jVH _jU wW Ly `% JWQ JW z pC „� a23wa2 t °0 0 O z 0000 ❑ ❑ a a LL F- ;� 0 Z ', . L. u. ino4 Y V p N U O` r G go Z z in• < I-. P.- .. ; 3 44,4 a' Z O O W z N I- v J ty �Z O Z < z ~ z W ° a ob a 11)N Z < W O U O U. W c4 W omg ; t V c) W N Z F- °W' o p uu.u_..= LLN p ❑ ❑ c,- ? a 0 a=. ❑ ❑ ❑ ❑'6 ❑ 0 w Z 1 ( w ggggz ? c w ] 00aEt;W0 "C Z a ct; U u. ti C7 t / w N 1' 000000 V 0O N. , _ N Z sol W O , Z -, z Y7 < Co 1'4YY � al Z ° _ a O FJ zx = za cz Ili w w z w _ z4 V a IU z us 0 a uiW � � -, ..1 "14 70 fi s) a23va2 w w , Z 000000 41 ` Oo UJ .4 aa0 X #, c a �+ O Z Y oC Y U ' ZO ^ !_ (`' a F- rc co S Ate+ 411 N! V t. 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I- JN WWW 144W ly S c �3rna� • IR iii tu D ❑ ❑❑ D❑ O o re W aaLL 1- All VII � U Y I� .� V z � zzrz co 0 It LL p 0 � 0 ow )— < �► a � a " ZW � p Zf � vv L w Z z � $� '� WW V co W W iaC oG o Q A W r4 rt gO W 07 * MIt Mvv v ap O uuZun O a =vQ 0 ❑ ❑ DDD❑ 0 D D c �I C�/� *NE PR/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd / TEMPORARY CERTIFICATE OF ZONING COMPLIANCE " AND UTILITY CONNECTION PERMIT ./ t ...„.../5 i Winne File / � -- 2 Pink City pERMIT NO. 2 ` J 3-Yellow Applicant J (Please type or print and sign at bottom) ADDRESS (--, ZONING(office use) 1.4844-ArrrePraii- i‘7 5-11 40,/,4 -1-0411._ YI-epe--- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNERi 'Jail I') )t9 '7'~O / Y* (Name) /1 �' (Phone) (Pb"( —3 (Address) BUILDER (Company Name) 40 6)Y JJ '(i4-Io 11 (Phone) (Contact Name) om� v1 ,1� i(.S (Phone) '-.4167-'0/16) „P----- (Address) 5 I / /V/I A (WrI- C"te C., PeoJ L^ 4' e TYPE OF WORK ArNew Constru '.+- ■Deck :Porch DRe-Roofing DRe-Siding DLower Level Finish 0 Fireplace DAddition ■Alteration i'_S xUtility Connection CODE: DLRC. QI.B.C. 0 Misc: Type of Construction: I II III IV V A B l d Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ t:7p6) Division: 1 2 3 4 5 (excluding land) 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 thisispermit for jus cause.Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X L/ Signature Contractor's License No. Date Permit Valuation t 0060 - Park Support Fee # $ Permit Fee $ r1/ SAC # $ �,� Plan Check Fee $ Y Water Meter Size 5/8";1"; $ State Surcharge $ / c�'l Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ f/31 0507 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Cmc, •1.2 3 $ 3 Z v This Application Becomes Your Building Permit Whet Approved Paid Receipt`i. 6 9 v0 c( Iv Date By r'` • r i c' 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 on. 'tiles a temporary Certificate of Zoning compliance and allows construction to commence..Before occupancy,a Certificate of Occupancy must be issued �>� �/ f}t�►'>r'°r" .�I�n✓ �U�f�//--? -s �r�.�te permh�- „....4, lam erector Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 o 4 VR10 Date Rec'd o CITY OF PRIOR LAKE PLUMBING PERMIT v h �r so�� 2'BluelFile PERMIT NO. • City 41 3 Yellow Applicant (Please type or print and sign at bottom) d., ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (y. OWNER (Name) %, ' ' ( 1 fa I K.S0 k.) (Phone) (Address) j (. 9 c- I 1 - .-T-.-✓ 09 e.,.,-et APPLICANT C -..y (Name) Uk.-2! e, p , _ (Phone) L,c,/ 3- 7 7 - 26E? S 4, r.�`jc1 �- / �l (Address) � � 4� �z � ® � �� Imo- SS 3 (Address) (City) (Zip Code) (Contact Person) e -C- (--- ,.)--,..e.,e' (Phone) a.". APPLICANT SIGNATURE .e OP7 / DATE q/ /3 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater ( Floor Drain - ' LC_' }4.-6'- Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector N" Shower Stall Backflow Assembly '-2___ Sinks - 3 cc)/4 0 --(:-.14.44j S1ti j 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 � y Residential,Additions&Alterations $49.50 Estimated Cost $ —I ( © Th Building Permit# PLUMBING PERMIT FEE $ `J`) STATE SURCHARGE $ .590 TOTAL PERMIT FEE $ cf-,`)c.:7 (Office Use Only) This Appli .+ on : t t es Your Building Permit W n Ap oved Paid64Receipt No. 61L) .411 i i5 Date --gyrp/ c.3 By iiip,k.---- Buntline Official —�"".� ate �J l 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ri PRI. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �,.R r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ((;/,(3 t, AND UTILITY CONN CTION PERMIT //3 P a'�NNESO� I white Filey --- '1Q -e, Ro -ec_4-ic ERMIT NO. ich--1,1 /3 —5/ 3 2 Pink Ctt /3, 6-77 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS . (office use) / 4,, 51/ , 5 1/ 4,v,v4 /i /L (1 _/ LEGAL DESCRIPTION(office use nly) ���,� L eQQ,�,� LOT BLOPK ADDITION PID ,i5--• kf%Z "a 17/7- 3 OWNER (Name) (Phone) (Address) C11 ii, ` (— MADER �r 'Company Name) Service Fire Protection, Inc. (Phone) qSa —6-q'f.ctba (Contact Name) 211 Xenium Lane South (Phone) (Address) Minnetonka, MN 55305 TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Ro fing ❑Re-Siding ❑lLLower Level Finish El Fireplace DAddition ❑Alteration ❑Utility Connection \]Misc.-;pl.e PYA oij /� CODE: ❑I.R.C. ❑I.B.C. ✓✓✓���� PROJECT COST/VALUE $ ( OOy v/� 0 Type of Construction: I II III IV V A B (1 (excluding land) Occupancy Group: ABE F HI MR SU o (((TJJJY^JDivision: 1 2 3 4 5 M 102_ f�ChlrtitII-L o I hereby certify that I have h rnished 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 d that all consttuc on 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 pe it for lust cause F ermore,I hereby agree that the city official or a design may ante pon the property to perform needed rypectio s Sign re Contractor's'sLicense No. `/(Jit`// Date Permit Valuation Park Support Fee # $ Permit Fee $ Le z"' SAC # $ Plan Check Fee $ 0 , 3(0 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 $ '7_ / j( This Application Becomes Your Building Pe 't en A provedd id tAl i Receipt No. ipQ L l� I/ Da ,'A‘7,) By rkisr Buildn�CtsOO"lltticial , �V D to 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 04 FR1 U rrl White -Building Canary -Engineering �`^NEso�P Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT C �' '� � IVVTN"-X t'r��✓ APPLICATION RECEIVED Vi 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /C57/ AVAIA —77Z44-1 Accepted ✓ Accepted With Corrections Denied Reviewed By: A '*PAP' Date: C 7/ (5 Comments: i, S,4 1—' -r ,Z(fl(4-%4Pe,N` �y CicJ,%JC- I L 1<',•-•(( Arc.)- / Il!‘1.JL X '/ 3wV Lc r- �-� Ar/t/ 1�`� p p &Air!. 4o>7e7 S• Xi Pc-eiA15 tro sr 1:1/-1;--- v y 7 r /YA' Lam;: ► %` - -, "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." k a ( RI tri White -Building �` �� Canary -Engineering NNeso Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ( ;,,- .-irk`" ` ' til 't--I r.,.�'/ � I ! APPLICATION RECEIVED ",',77. ,/ r ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IL/`+"'"/I /1 AbV? —/ L- Accepted X Accepted With Corrections Denied Reviewed By: _ Date: 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." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS tL SIk /60-►r- - 1 r-, - L C. NATURE OF WORK 't- eatn.►\---- Ft ?4tS - 6' -Nkinerr.— USE OF BUILDING PERMIT NO. 13 _ 513 DA pE ISSUED 74-4 3 CONTRACTOR G-(� 6-e �.es.(2-t`S PHONE b/'Z -4(1 - of o'2_ INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE r4111111.111111.1. � N (Prior To Backfill) 1111111.11PiRDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 011.1.111.11110612TIC FRAMING Cr/C �6 ?Asi,) asumm.p. ELECTRICAL PLUMBING ( J( r 47 - e/4 //?/15 HEATING iMlallaIDE ailliMPRIR TEST -i ,eVs 01111111.1eTARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 141111.11.1111111%06. FINALS BUILDING /7- ,/( 1`--1/4 ELECTRICAL PLUMBING f". t `)-- !3 HEATING 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 • .. \ 1,6 V2) , C 3 Groove Nutrition 16511 Anna Trail Prior Lake, MN 55372 Plumbing Notes: 1. F-1 —Three compartment sink and faucet by kitchen supplier 2. F-2—Stainless steel hand sink and faucet by kitchen supplier- 3. WH 1 — 10 gallon water heater 4. Sioux Chief 2" ABS tell tale floor drain 5. Installation to conform to State and local codes 6. Disinfect potable water lines per MN 4715.2250 7. DWV piping to be schedule 40 ABS and corresponding fittings 8. Hanger and supports per MN 4715.1430 9. Approved PEX water piping and corresponding fittings 10. Water main over 60 psi and less than 150' in length 11. Provide cleanouts per MN 4715.1000-1030 12. Provide full way water control valves. 13. WH1 to be floor mounted with temperature pressure relief valve, 14. Mop sink located in building CI O, PRliOR LAIC PI TOR t,� 1 ("LAN REVIEW ildir DATE , • -T • .....mmom...413::=4. 0 ACCE' ' AS SUBMITTED 1ACCEPTED WITH CORRECTIONS AS NOTED Submitted by: D NOT ACCEPTED-CORRECT&RESUBMIT muss comments we for your information. AN work shall be done Scherer Plumbing Iutidlcompliant*with all applicable building&zoning code ssgiirainsnis including Moms not speolfloallynoled in this mien Prior Lake, MN License#059292 KEEP THIS PLAN SET ON SITE AT ALL TIMES 1• 97.,,4.1.61- oit- Ni✓ .b.4. LZ. fit u sr- A rm--N A-do P4.4/44. 2. eimocn G1z 4' 40NC,7 c"-'77 (r -r is CLO 7 /jvc...4pvv 1064-in « (vat. ., Pot,/ flit.,)sr 4/.0 (4-1644); ot,�- i'a P E,"'S 4-d sivki I groove Nutrition 16511 Anna Trail Prior Lake, MN 55372 ., 1 Qf e vTR i Iigh Avh cirkk,I., -,Lt- • ® ,'/2 hick P, /Ju scO_t Tel +&1 . floor / ra_i\-1, Ex;stew b W V e }i'srt too SC(a� Bob Hutchins June 12, 2013 Building Official City of Prior Lake 4646 Dakota Street SE I \ Prior Lake, MN 55372-3323 , Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Groove Nutrition to be located at 116511 Anna Trail, Suite C within the City of Prior Lake. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Counter Seating 25 ft. @ 1.5 ft. /seat @ 23 seats/SAC 0.72 Retail 1058 sq. ft. @ 3000 sq. ft. /SAC 0.35 Total Charge: 1.07 Credits: SAC paid (8/79, 9/96 & 7/96) Suite gsf/building gsf:1249/9055 = .14 3 SAC paid x 14% = 0.42 Net Charge: 0.65 or 1 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, I (,1 /II Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 130612A3 Determination expiration: 06/12/2015 cc: File, MCES Ginger Clarkson, Groove Nutrition (email) __ _ - ----- 390 Robert Street North I St.Paul, MN 551 01-1 805 4.4116.•“,-- Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPOLITAN An Equal Opportunity Employer c t) ll N C IL COMMERCIAL, INDUSTRIAL & RESIDENTIAL FIRE SPRINKLER CONTRACTING, SERVICE Sr INSPECTION I S KY LINE FIRE PROTECTION, INC. To: City of Prior Lake Date: June 7,2013 Attn: Paul Baumgartner Fax: Not applicable No. of pages (including cover page): Regarding: Teresa's Expansion,Prior Lake, MN—Fire suppression application Paul, We propose to provide sprinkler protection per NFPA 13, 2010 code coverage requirements. Scope of work: 1. Add(1)standard coverage pendents to new ceilings(225 sqft per sprinkler) 2. Add(8)extended coverage pendent sprinklers for proper coverage from walls(400 sqft per sprinkler) Sprinklers to match existing: Extended coverage- Reliable,J112, 155°, 11.2K, 3/4"NPT Standard coverage - Reliable, F1FR56, 155°, 5.6K, '/2"NPT(upright&pend.) Since it was less than 10 heads, I did not provide drawings. (can be provided if requested) If you have any questions please don't hesitate to contact me. Office: 763.425.4441 ext#4 Cell: 612.408.4858 / ..�.1• - T'i iyilr�� 1` 'y'' PERMIT NO. ..r • SASS D Sincerely, gACCEPTED WITH CORRECTIONS AS NOTED aNOT ACCEPTED-CORRECT&RESUBMIT 1I commsrns m for your Inlom,aion. M wo1k steal bs aorta In tIIM comps +al appy b & p cods dine sums not THIS PUN SET ON SITE' AT �T '1 s*. nap S J n Mack, Project Manager -Q 1-,e)4( 0,QT;Pr aj.Q /140€ (0 C • 1 0900 73RD AVE. NORTH, SUITE 1 08 • MAPLE GROVE, MN 55369 • WWW.SKYLINEFIRE.COM TEL: 763.425.4441 • FAX: 763.425.7755 About Us Our Mission: To change people's lives by providing the best nutrition and weight management education and products in the world. Groove Nutrition Club is a nutrition and wellness center. We are dedicated to helping people get and stay healthy. As a nutrition and weight-management club we provide products like healthy shakes, energy and fitness supplements, targeted nutrition, and skin and hair care products. Groove Nutrition Club offers: • One-on-One Coaching • Free Wellness Evaluation ($35.00 value) • Premier Customer Care; focusing on customers; unique needs • Unparalleled Business Opportunity for Part-time or Full-time Income Our nutrition is all natural using all natural products. We focus on products that build upon the fundamentals of healthy nutrition and skincare. Award-winning scientists, distinguished doctors and renowned nutrition experts are the guiding force behind our innovative products. • Smoothies • Protein Shakes • Supplements • Green Tea • Sport Endurance • All Natural Nutrition • Diet; Fitness • Weight Management • Weight Loss • Weight Gain • Weigh Maintain Happy • Healthy and Successful! .mess Plan [Doug].docx Page 1 of 9 11 0 6 - 6,,,irc:A. ---. c , L / Cly - 4 frf (c/z- _ T ci P.M. V GJ!Nra LI. 0�/ Jf�YLL� w/S FG�.; i.'c1 /` p'L, t-L, 44,e,.. ,C,..4 li J,L 6i - 363- 061 ? L , s\ t-cs5e5 Business Plan w��e� " S��-�o .® April, 2013 SyAQ rty --. G 1 G S te Gcoo c. - Pn .e• C19r0F 0:- ,,,, t , ..P''.w 4Illt h Z .Rt4 .. ' ger x • r y r 16 f' 77 f r file://C:\Users\johnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content. s4/26/2013 .ness titan Illougi.ctocx rage 1 of 9 Business Plan April, 2013 „ , G'ro c:3u4!;4 ht,"1-V-6 e L i Ce-4,:ve-- '91 A.t (Oa ac, N)0....\_„,.3„,„ 0 ul, — 6.1, mom:,Pvs)- ,k- (-.)y (.3c1-e- N)C� 0k \ o, Aa 0 r-v , nn'nv oc .cOe. )lC, ke. i S e . rrea , 1 re,VAck. A- k (fc. -. Aloe., .- mc) 8 C.2,,t-e r\- ' let is c--. ci 1r, coke) )- t .r? xe c-cr` - j,,^."..,\ -- file://C:\Users\iohnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 .,iness Plan [Doug].docx Page 2 of 9 Groove Nutrition, Prior Lake Ginger Clarkson: (612) 419-0102 Paige Polinsky: (612)961-8325 Groove Nutrition–Business Plan April,2013 • Executive Summary o Groove is an established business which acts as an Independent Distributor for Herbalife International. Groove is positioned to succeed as it expands from a successful home-based business to open several "Nutrition Clubs" in the area and subsequently expand throughout the state of Minnesota and into other areas of the US. • The Companies and the Industry o The Wellness Industry is one of the fastest growing industries in the world today. Consumers across the world are embracing a healthier lifestyle. Growth in the industry in the United States alone is phenomenal. According to recent data, "over 40 brands in the top 100 world ranking saw their sales rising by over US$100 million" in the year 2011 alone. It has been found that"combining four key factors—health, convenience, fashionable packaging, and affordable price— is the winning strategy behind the most spectacular health and wellness developments. These four factors played a key role in the success of products such as RTD green tea. Overtaking sales of traditional green tea,the ready to file://C:\Users\johnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 asiness Plan [Doug].docx Page 3 of 9 drink format spread from Asia all over the world, and the expected annual growth rate is 12%to 2017." (Euromonitor International) Global Health and Wellness 2007.2017. Retail Value RSP 1200 u 1000 — • US$ 1 trillion boo pw •Food Intolerance x C * •C?rganrc 1100 •Senor For You(SFY) $ •Fortified/Functional(FF) 400 •Nature*/lie•ttry(NM) 2C0 0 2007 2012 2017 *http://blog.euromonitor.com/2012/11/health-and-wellness-the-trillion-dollar-industry-in-2017-key- research-highlights.html o "Despite numerous attempts to curb the growing obesity epidemic, the obese and overweight population is on the rise... Long-term solutions leading to calorie reduction via healthy lifestyle changes rather file://C:\Users\j ohnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 asiness Plan [Doug].docx Page 4 of 9 than short-term diets are becoming a necessity, hugely benefiting global sales of weight management positioned food and beverages, already at a staggering US$149 billion in 2011." (Euromonitor International) o Herbalife is a premier nutrition and weight- management company that offers lifechanging products and an unparalleled business opportunity. Herbalife is a direct selling company that has been in business for 32 years, operates in over 80 countries around the world, and is publicly traded on the New York Stock Exchange (symbol =HLF). The Herbalife product line includes solutions for weight management, sports and fitness enhancers, antioxidants, supplements for the cardiovascular system to aid in lowering cholesterol and stabilizing blood pressure, children's nutrition, digestive health, and an entire line of personal care products. The company is experiencing remarkable growth and is proud to have Michael O. Johnson, formerly President of Walt Disney International, as its CEO and Chairman of the Board. Company sales have grown from $1.7 billion in 2003 to $5.4 billion in 2011 under Johnson's leadership. • The Opportunity of the Nutrition Club Concept o Herbalife is poised for phenomenal growth in the US alone due to the introduction of the Nutrition Club Concept. In recent years, Herbalife has opened the doors for its distributors to operate "Nutrition Clubs". A Nutrition Club is a type of retail outlet where customers will come to enjoy a Formula 1 Shake ("shake") which is similar to a smoothie, receive a free personal Wellness Evaluation, and purchase additional Herbalife products. The American people are focused on health and longevity and are using nutritional supplements more and more to meet their goals. The demographics of Prior file://C:\Users\johnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 ..isiness Plan [Doug].docx Page 5 of 9 Lake and the outlying markets are prime for the products and services provided by a Nutrition Club. o Nutrition Clubs were started in Mexico on a lower scale level in homes and in low-rent areas several years ago. The growth of Nutrition Clubs has propelled Mexico to surpass the US in sales within Herbalife and have made Mexico the#1 country worldwide for the company. There are currently over 9,000"Americanized" Clubs in the US alone. It should be noted that the estimates are based on the lower end of actual sales and volumes produced. o The club will be providing several different services: A place for people to purchase a healthy breakfast, lunch, or dinner—a Formula 1 Shake an Herbal tea, and an aloe shot for $6.50 Free Personal Wellness Evaluations including a free ShapeScanTM which will evaluate an individual's daily caloric needs, BMI (body mass index) and resting metabolism Personal Consultations to develop a nutrition plan to help the customer achieve their health and/or weight management goals A retail outlet for the entire Herbalife product line Customer follow-up and feedback to ensure they are reaching their goals. Group Wellness Seminars and Weight Loss Challenges • Financial Analysis o Analysis based on 44%profit margin—which is the standard in the company. It is based on a club entry fee (cost of the shake, aloe, and tea) at$6.50. Potential earning is based on a monthly calculation with the Club being open 21.5 days per month on average based on a Monday thru Friday work-week. The club will generate an estimated 25-50 entries per day during the first 90 days file://C:\Users\j ohnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 asiness Plan [Doug].docx Page 6 of 9 of opening, expanding beyond that in following months. The profit is $3.16 per entry. • 25 entries=$1,698.50 • 30 entries= $2038.20 • 35 entries=$2,377.90 •40 entries=$2,717.60 •45 entries=$3,057.30 • 50 entries=$3,397.00 Estimated retail sales of Herbalife Products per day •200 volume points ($200 in sales) =$4300 in total sales=$2,150 profit • 400 volume points ($400 in sales)= $8600 in total sales= $4,300 profit • 600 volume points ($600 in sales)=$12,900 in total sales= $6,450 profit • 800 volume points($800 in sales)=$17,200 in total sales= $8,600 profit • 1,000 volume points ($1000 in sales)=$21,000 in total sales= $10,500 profit o The Start-up costs will vary from Club to Club depending on the location: • 1-month rent to secure space approx. $2,000 •Possible tenant improvements to the property. Ideally this will be included in the lease terms and not be an out-of-pocket expense. Estimated range from $0 - $8,000 • Inventory of Herbalife Products $2,000 • Blenders, kitchen utensils, etc.... $300 • Furniture $2,000 • Decor& Accessories$500 • Total Start-up Costs $7,000 - $15,000 • Marketing and Advertising Plan o There is an extensive training and support structure in place in the US to facilitate the sharing of successful business building practices in the Nutrition Club groups currently in operation. Leaders in the Nutrition Club group provide weekly conference calls as well as local, regional, and national training events. file://C:\Users\johnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 Jusiness Plan [Doug].docx Page 7 of 9 o Business cards/coupons will be circulated inviting individuals in for a Free Shake, Tea, and Health Evaluation. Generating business will come from several areas: • Current Herbalife Customers • 10 personal invites per day • Referrals of existing customers • Drive-by traffic & signage on location •Advertising opportunities including newspaper and direct mail to households and businesses in the immediate zip code • Drawing boxes left at other business such as gyms and salons • Operations Plan o The Club will be open from 7am to 5pm Monday through Friday. Depending on the location, earlier or later hours may be developed as well as Saturday hours. The busy times of the day will be during breakfast and lunch hours when people will come in for their"healthy meal". Individuals can walk-in or schedule an appointment to get a ShapeScanTM, complete a Wellness Evaluation, and receive a one-on-one consultation. The Club owners will recommend the program and products to help them reach their optimal health. The Club will also be used to facilitate group classes such as Wellness Workshops and Weight Loss Challenges. • Duplication Plan o The plan for expansion is to use their Club as a prototype and training hub and to recruit 5 new Distributors to open their own Clubs in the area within six months. They plan to expand to 30 Distributors with Clubs in their organization within 18-24 months. The marketing plan with Herbalife pays the upline Supervisor, in this case Groove, a 5%royalty on all business produced by the supervisors in an organization. The income potential based on duplicating the Club concept is remarkable: 5 clubs generating $15,000 each=$3,750 royalty check 10 clubs generating $15,000 each=$7,500 royalty check 30 clubs generating $15,000 each=$22,500 royalty check o In addition, a Production Bonus will also be earned at certain levels elevating these incomes even higher. The above amounts are based on volume generated file://C:\Users\johnl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content... 4/26/2013 •••iva1uoD\saiid Tarnow' neloauzaj\sMopuiM\1Joso1oiy \Eoo'\E1EQddy\p/gof\slash\:D//:aili ags—sgpuow 91uanbasgns ag1 u► sgnij Mau S undo sno2ngua2srp.iag2o$utpug o •(pauopuauw Xisno!naid sn 3g� ur Bunulado Xi2uaaan0 sgnio alp uo pasug 31u sa;uu psa magi) •saius PEP'ui 000`S i$3o turnu!uruu puu iCup lad sain1u0 qnp+0S mama o�pa2umpsa s! gnij alp siCup 06 uig2iM •00•L6£`£$ s! 3uoiu g2u0u1 lug aqi palumpsa igoid aq,y •giuom Ism.' alp uig2iM tams pnpoid mai su 11aM su `Cup lad saipua gni° 0S-Sz isuai iu anug 02 s! uopoafoad aq2 `ssaursnq aoj pauado iCiiuiogjo suq gnjD am nand o suoi3aafoad •3n0019 jo uoiivaado puu 2uivado alp inog2nolgi i.ioddns puu uopuurnoju► aiquniunui aprnond iiiM 045 `ssaooid grip ssauiiaM alp ui;uaiogold puu aiqua2paiMoul ICiauzan3xg •(sgnio ZZ J0 iu202 u sarinuo 1(lto alp iCupo3) wino' u! gni° ssauiiaM 2SJg /WA smosauugAl pauado aioolg `kiiunuxuroo aJiiugaaH atop uuaa23n pauosuas V (nosrnpy)uMU1)J a1oo4g o 4ivaa inJssaoons u 0A0019 aaluul o2 3s913dx0 iuuosaad puu amp 1aq 2UUaaJJ0 `3n0019 ut 3101 anpou uu aaiu2 ii[M uaf `30do711s ui gnlo SSau11aM u `uor2ua2nN aAEM 30 aauMo alp su 11aM su `gouoo ssau1laM iuuosaad puu 1o2nqu2sip ivapuadapu► uu Si aqs •0m►iu 11m q2!M Supnqua2s►p uu2aq 'Cagy aii4M° ! d puu aaSu!D papm2 uaf `auii-dn palm puu nosuods gragj (aosuods uoiingra2s►Q)efaalsvd ua` o •1ag20 01 iiiuuauzouagd*TOM!UM aaSu!D pug ags 'mum 1aig2nup puu 1aq;our u sd •snaquuaur,Cq pa,Cofua puu pa2uioaaddu aq 11!M 2ug2 gnio alp 02 anri Jo*lands u Buuq 11!M `uolia2nu 2noqu pa2iox3 pun `SuDjaoMpnuq `Xipuopj •gnlo SSauIIOM u Buruado ,Cq X1►unuzuzoo lag igauaq o2 na$ua s! pug `2ur1uJM pug aln2ulaln gsOug ur =Sap u 2uinsind ICi2uaaano ivapn2s 3831100 u0App u s! aSpd (aauMO-oD)rfa/surjod afind o •5urs!Iranpu 101110 puu aouatquru aauur s‘gnio alp q;oq ao3 luiogauaq ,Ciasuaurwr aq iiIM 2upaa1luur puu u2isap q3!M aoua►nadxa luuorssaJond •LpM012 luaiio 3S[Ssu o1 anis sr puu `suopuja1 aauzo;sno noJ uooq u s! Jouuauuap aiquuosnad`2uuaq!A 1aH •gnio ssauliaM E Jo suoguaado ,Chop alp aasaano o2 paddrnbo-11aM sr 1a2ur9 qa2snpu! ICl►iu2►dsoq alp u! punoBaioug 3uo13s u g21M (hump)uosa,.,vb9 Ja8uzD mum() qniymeas luamaeuelAI . •i(ig2uouz panico01 ate pile glum goua 6 JO 8 a2ud xoop•pnou] uuid ssauisng anooa.3 VY • About Us Our Mission: To change people's lives by providing the best nutrition and weight management education and products in the world. Groove Nutrition Club is a nutrition and wellness center.We are dedicated to helping people get and stay healthy. As a nutrition and weight-management club we provide products like healthy shakes, energy and fitness supplements, targeted nutrition, and skin and hair care products. Groove Nutrition Club offers: • One-on-One Coaching • Free Wellness Evaluation ($35.00 value) • Premier Customer Care; focusing on customers; unique needs • Unparalleled Business Opportunity for Part-time or Full-time Income Our nutrition is all natural using all natural products. We focus on products that build upon the fundamentals of healthy nutrition and skincare. Award-winning scientists, distinguished doctors and renowned nutrition experts are the guiding force behind our innovative products. • Smoothies • Protein Shakes • Supplements • Green Tea • Sport Endurance • All Natural Nutrition • Diet; Fitness • Weight Management • Weight Loss • Weight Gain • Weigh Maintain Happy • Healthy and Successful! 10/30/2009 08:57 FAX 9528822658 „_. CITY„OF SAVAGE it 001 Minnesota Department of Labor and Industry Plumbing Plan Construction Codes and Licensing Division Review Application Plumbing Plan Review and Inspections MNr5 Cheek or money order must be made payable to Minnesota Department of Phone:Lafayette Road N.,St.F Pau(.MN 55155-4343 Labor and Industry.Man plans and fess a:Department of Labor and (651)284-5067 Fax: (651)284-3748 Industry,Phnnbkg Plan Review and Mspedion.443 Lafayette Road N.. www.dll.mn.goviCCLD/Plurnbing.asp TTY/MRS: (651)297-4198 St Paul.Minnesota 56156.4343.Menke returned for nonpayment will be ehsr ed a 330 tee M.S.604.11 sued. Type of Project(check all that apply) hedule p New Construction ❑ Addition ❑ Remodel Choose one of(tie fbMowing.' Zr Food vie&berlI.•.,,u,. ■ Hos•-..I/Nursing HOP" Buildin Service Informatiun ❑Building Sevier and/Or Watt r Service Ory SE1lV£R WATEq $ (This fee applies when no inb:rior plumbing ❑ New municipal 0 New municipal is to be installed) 0. Existing municipal (z( Existing municipal $150 fiat rate ❑ New on-site septic system 0 New private well -OR- ■ Existi . on-site se. :c stem is Existin, . . well 0 Plumbing System Project Information and Location (Water distribution end drakeeraste/vent PROJECT NAME systems within the building,si.nd water and/or fO -t.. i.-i G sewer service connections.ii applicable. PROD CT STRE ADORE Based on total number of dvinage fixture _Lk'S 1 NAro ,a--re s€o 44,_ ! units(DFU) CITY --TDWNSHIP COuNTY a. 25 or fewer DFU _- 6150 p f j o f LAN', , -ss.--1 Z b. 26 to 50 DFU _ $250 Project Owner Information c. 51 to 150 DFU _ $350 NAME PHONE NUMBER d. 151 to 249 DFU $500 Q L i c 4 (,,, %- 3Co3-otos a. 250 or more DFU: mut iply$3 MA UNG SS FAX NUMBER tines number of DFU to a I SV i S /14//-a•• 21 l u A S maximum of$4,000 CITY STATE ZIP CODE Total DFU $ t 5 0 $00 . • w... 653-1 s Building Plumbing System Designer 0 Intercepbora/Separatora NAME PHONE NUMBER (grease interceptors,flammable waste 3 e 4* +S c 1/44/.e (ANL- 7 N1- 3417 interceptors.etc...) MAILIN0 ADDRESS FAX NUMBER 670 per design $ - 1 S S. 48 /2e-1 Orvei lei - Cry STATE ZIP EWE Storm Drainage System :150 min) A f t CV Lo./API? Nom•- S s-'a Site Utility Designer Roof drains NAME PHONE NUMBER Number of roof drains: X 350 3 MOO moat MAILIIaADDRESS FAX NUMBER and/or plus Storm water interceptor: • "CITY - YrATE zIP LODE separator,or catch basun designs Number of designs: X$70 $, Required Information Storm Total: S. To avoid delays,please provide the following information: tarso min) ❑ Utility Site Plan Of new services are to be installed) TOTAL S 0 Floor Plan ❑ Root Plan(if internally piped roof drains are proposed) OPTIONAL:Water Riser Diagr`arnss ❑Accelerated review(Total x 2) 1;2'Soil,Waste and Vent Riser Diagrams • Reviewcompleted within 15 business days : Q a Plumbing Specifications or M of the submitted toe refunded Please see Page 2 fora detailed dasc:ription of each dem _ —. - PPRI 01(8/09) Bob Hutchins June 18, 2013 Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372-3323 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has reviewed the SAC assignment for Groove Nutrition. The original letter for this determination was dated June 12, 2013, letter reference 130612A3. This project is located at 116511 Anna Trail, Suite C within the City of Prior Lake. The City will be charged no SAC Units for this project, instead of the 1 unit originally assigned. The SAC review is based on new information. SAC Units Charges: Counter Seating 15 ft. @ 1.5 ft. /seat @ 23 seats/SAC 0.43 Retail 1058 sq. ft. @ 3000 sq. ft. /SAC 0.35 Total Charge: 0.78 Credits: SAC paid (8/79, 9/96 &7/96) Suite gsf/building gsf: 1249/9055 = .14 3 SAC paid x 14% = 0.42 Net Charge: 0.36 or 0 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, i C,,, Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 130618A3 Determination expiration: 06/18/2015 cc: File, MCES Ginger Clarkson, Groove Nutrition (email) _ ____------ enc. -___------ enc. _____--- 3Zir1.—. 90 Robert Street North I St. Paul, MN 55101-1805 Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPOLITAN COUNCIL U N t' An Equal Opportunity Employer 443 Lafayette Road N. jy ESOTA l EPARTMENT OF (651) 284-5005 St. Paul, Minnesota 55155 �i �-�+ 1-800-DIAL-DLI www.dli.mn.gov L, B{ l� & i11� i TTY: (651) 297-4198 AM! June 7,2013 Scherer Plumbing LLC 15548 Red Oak Road SE Prior Lake,MN 55372 Gentlemen/Ladies: Subject: REQUEST FOR ADDITIONAL INFORMATION regarding plumbing at Groove Nutrition, 16511 Anna Trail,Prior Lake, Scott County, Minnesota,Plan No. PLB 1305-00214 We are NOT able to grant approval at this time of the plans and specifications submitted for the above- designated project. The following comment(s)outline the changes and/or additional information that must be submitted so that we can further evaluate the plans and specifications for compliance with the standards of this department: 1. Provide a floor plan showing all new plumbing fixtures,horizontal waste piping, and all pipe sizes. 2. The sanitary drainage system must be sized in accordance with Minnesota Rules, part 4715.2310, subpart 2. A three-compartment sink, floor drain, and a hand sink total seven drainage fixture units. A maximum of six drainage fixture units can be served by a 2-inch sanitary branch at a slope of inch per foot. Please revise the plans to show a code complying system. 3. All commercial kitchen sinks, except mop sinks and hand sinks, shall be provided with 3/4-inch water supply branches as a minimum(see Minnesota Rules, part 4715.1730, subpart 2). This shall include the three-compartment sink. Please revise the plans to account for this issue. Please submit the requested information promptly so we may complete our plan review. No construction related to the above-referenced plans shall begin until approval is provided by our office. When submitting additional information,please refer to Plan No. PLB 1305-00214. If you have any questions,please contact me at 651/284-5836. Sincerely, golly/ ‘2/.;a144".6 Bradley Williams Public Health Engineer Plumbing Plan Review and Inspections Unit cc: City of Prior Lake Building Official MDH Environmental Health Services John Lloyd File This information can be provided to you in alternative formats(Braille, large print or audio). An Equal Opportunity Employer Groove Nutrition 16511 Anna Trail Prior Lake, MN 55372 Plumbing Notes: 1. F-1 —Three compartment sink and faucet by kitchen supplier 2. F-2 — Stainless steel hand sink and faucet by kitchen supplier 3. WH 1 — 10 gallon water heater 4. Sioux Chief 2" ABS tell tale floor drain 5. Installation to conform to State and local codes 6. Disinfect potable water lines per MN 4715.2250 7. DWV piping to be schedule 40 ABS and corresponding fittings 8. Hanger and supports per MN 4715.1430 9. Approved PEX water piping and corresponding fittings 10. Water main over 60 psi and less than 150' in length 11. Provide cleanouts per MN 4715.1000-1030 12. Provide full way water control valves. 13. WH 1 to be floor mounted with temperature pressure relief valve. 14. Mop sink located in building ci * POIVOR LAKE • ftAt4 Ma"D ` r MIOPECTOA. t ''.- �• 0 AS SUBMITTED &ACCEPTED WITH CORRECTIONS AS NOTED Submitted by: 0 NOT ACCEPTED-CORRECT&RESUBMIT WWII commons anti to your k+tonnabon. AN work shell b.done Scherer Plumbing M_ ___ h ane applicable buiding i zoning call w rpr including Isms not opooriaoIlyrwMd In Mb wave Prior Lake, MN License#059292 IMP THIS PLAN SET ON SITE AT ALL TIS 1• Ati✓ .D. Lsy— /4-er)2ot/V d ,e6-Vl6c-3 P -Al5. 2. VA406a- vfu°JO QNL7 v,/77 7" , (6 Cc-e:50- T WA-vr Opszc ,.,cr 4p, F,rf"14.44-if 12-49-t,".46 Pc -4.11,13/".t, //3S CSD . . . . • Exist i " wc.:rcA_ LI c) 1 Groove Nutrition 16511 Anna Trail Prior Lake, MN 55372 (SIL,I) • 1 1 " H 1 1 z, 1 i ! /- I 1i VTR ,.. 1, ik'Yz ii. 2) /.....D I 1 0 I '2 ; watt/A P,t.),..6, i•lo sca(c ,../ ,„, i I, / /1 ‘,..,_. , ,,, / )/ / ,/// ,_ .c:',1 ,,,-- •°,,- / , , / , , ., ,,, / 0- TO +c,ke._ 41, , 411)„, if EX;S4-Arli b\i's A) pop 1 ---------- 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005 St. Paul, Minnesota 55155 1-800-DIAL-DLI www.dli.mn.gov LABOR Qg INDUSTRY TTY: (651)297-4198 i Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Groove Nutrition, 16511 Anna Trail, Prior Lake, Scott County, Minnesota, Plan No. PLB 1305-00214 OWNERSHIP: SUBMITTER(S): Scherer Plumbing LLC, 15548 Red Oak Road SE, Prior Lake,MN 55372 Date Received: June 21, 2013,May 30, 2013 Date Reviewed: June 24, 2013 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. Verify that the existing water supply and waste systems are sized to accommodate the added fixtures(see Minnesota Rules, part 4715.3800 and part 4715.2310). 2. A full-way valve must be provided on the cold water supply line to the water heater(see Minnesota Rules, part 4715.1800). 3. Valves shall be installed permitting the water supply to each room or individual fixture to be shut off without disrupting any other portion of the building(see Minnesota Rules,part 4715.1800, subpart 6). 4. Pot or scullery sinks must be provided with waste outlets not less than 2 inches in diameter(see Minnesota Rules, part 4715.1390, subpart 1). This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer Groove Nutrition Plumbing Plan No. PLB1305-00214 Page 3 June 24, 2013 Approved: gily/ 6-t-2eigA44".6 Bradley Williams Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5836 cc: Scherer Plumbing LLC / City of Prior Lake Building Official ✓ MDA Food Inspection Division Via E-Mail File MINNESOTA DEPARTMENT or, ,-,'v,RICU _TL'RE July 23, 2013 r rr, 11!£11' Ginger Clarkson Scott County 4209 144th St. W Savage, MN 55378 License#Pending Dear Ms. Clarkson: This office has completed a preliminary plan review for the Groove Nutrition store project located at 16511 Anna Trail; Suite C in Prior Lake, Minnesota. The plan review was conducted as required by Minnesota Statute Chapter 28A and the Minnesota Food Code Chapter 4626. The Minnesota food code is the primary governing document for this review and may be found on line at www.leg.state.mn.us/leg/statutes.asp by requesting Minnesota Rule Chapter 4626. All appropriate permits from the local authorities shall be applied for and issued prior to starting any work on the site. Failure to comply with this may result in a delay or this office not issuing your retail Food Handlers license until the proper permits are issued. In addition if your water is supplied from a well you will be required to provide a current proof of water potability. Our inspector will verify that the permits have been obtained. Contact the City of Prior Lake for all relevant building code (building plumbing, lire, etc.) reviews, permits, and inspections. Plumbing plans were submitted to the MN Department of Labor and Industry for review and were approved. Contact Walter Lusian 952-934-0229 for relevant electrical reviews, permits, and inspections. The Minnesota Department of Agriculture grants preliminary plan approval to the plans for this proposed food establishment. Upon this agency certifying that all items in this review have been addressed, final plan approval will be granted. This preliminary plan approval is based upon the supposition that construction and equipment plans submitted to this office do not change. Any deviation from the approved plans and specifications must have prior approval from this agency. Preliminary approval of the plans and specifications does not constitute endorsement or acceptance of the completed establishment. Periodic on-site inspections may be made during construction. A final inspection of the completed establishment, with equipment installed, must be conducted to determine if it complies with the requirements of the Minnesota Food Code. Contact Food Inspector Stephanie Anderson at 651-276-7093 to arrange for a final inspection. You are listed as the contact for this project at 612-419-0102. General Comments 1) This review is for a conversion of an existing space (1350 square feet) into a Nutrition Club. 2) Menu consists of Smoothies and/or Shakes 625 Robert St. N., St. Paul, MN 55155-2538 0 651-201-6000 or 1-800-967-2474 • www.rnda.state.rot.us An Equal Opportunity Employer and Provider, TDD 1-800-627-3529 Page 3 3) Plan proposes a closet in the patron area as the dry storage room. Review and follow the below comments: a. The shelving would be allowed at a minimum to be varnished wood. b. The floor could be sealed concrete, vinyl composite tile (VCT), Ceramic/Quarry Tile, or an approved epoxy flooring system c. The wall and ceiling finishes shall be at a minimum painted sheetrock. Review and follow the below statements on Painted Sheetrock 4) Provide location and capacity of hot water to the plan reviewer for review. Room Finish Schedule Finish Area Walls: Ceiling: Floor & Basecove: Smoothie FRP/Painted Painted Sheetrock Ceramic Tile Floor Preparation Area Sheetrock and Basecove Pertinent Notes: 1) Review and follow the below statements in regards to the Ceramic Tile installation: a. Epoxy or polyurethane base grout shall be utilized. b. All flooring, tile and grout shall be sealed per manufacturers' recommendations c. A four inch integral base cove shall be installed at the floor/wall junctions. 2) Painted Sheetrock shall be: a. Semi-Gloss Enamel (Washable) at a minimum b. Smooth in Texture c. Strongly recommended that the finish is light in color Equipment Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food service standards. The equipment shall be determined by NSF International or an American National Standards Institute (ANSI) Z34.1 accredited independent entity, including Underwriters Laboratory or the Edison Testing Laboratory, to be equivalent to the NSF International Standard. The use of equipment, which does not meet the applicable NSF standard, is prohibited. Bakery equipment must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)(4- 201.11) Used equipment meeting NSF International, NAMA, or BISSC standards, specified at the time of installation is permitted if it: met the NSF International, NAMA, or BISSC standards, in effect at the time it was manufactured, remains in good repair, is capable of being maintained in a sanitary condition, and is approved by the regulatory authority. Your inspector will evaluate any used equipment to determine if it is acceptable. (4626.0505)(4-201.11) Provide multi-use equipment, utensils, and food storage containers that are smooth, easily cleanable, and resistant to pitting, chipping, or scratching. All food equipment in a retail food store must be Page 5 Installations Seal (caulk) all annular openings around pipes and other conduits, where they pass through walls and floors. Seal all junctures between the wall surface and the edges of attached equipment with approved caulk/sealing compound. (4626.1395 A. (1) (6-202.15) Utility lines (plumbing pipes except traps, water lines, electrical conduits) shall not be unnecessarily exposed All doors to the outside of the establishment must be self-closing and vermin proof. (4626.1395 A. (3.) (6-202.15) Lighting Provide at least 10-foot candles (110 LUX) of light intensity, at a distance of 30 inches from the floor, in the walk-in refrigeration units, dry food storage areas, and during periods of cleaning. Provide at least 50-foot candles (540 LUX) of light intensity for areas where food employees are working with utensils and equipment where safety is a factor and areas used for ware washing. (4626.1470)(6-303.11) Install effective shielding or shatter-resistant bulbs for all light fixtures over exposed food storage, food preparation, food display facilities, clean equipment, utensils and linens, and unwrapped single- service or single-use articles. (4626.1375)(6-202.11) Plumbing Equipment connected to the potable water supply shall be protected from back-siphoning and back flow. The backflow preventers to be installed on the hose bibs must comply with ASSE 1052. The specified ASSE 1011 do not meet the minimum requirements of the Minnesota Plumbing Code. *(4626.1085) (5-203.14) Please contact a licensed plumber or refer to the Minnesota plumbing code. The hot water heater must be of adequate size and recovery rate to provide hot water to all taps during peak water usage. Lack of hot water will require the installation of additional hot water capacity. (4626.1025) (5-101.13) If soap and chemical dispensing devices are installed on potable water lines, they shall be listed to ASSE plumbing standard 1055. (4526.1260) (5-501.17) Miscellaneous This facility may not be constructed, remodeled or converted, except in accordance with the plans and specifications as approved by this department. Please contact me for approval of any proposed changes or additions. (4626.1720) Bob Hutchins June 18, 2013 Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372-3323 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has reviewed the SAC assignment for Groove Nutrition. The original letter for this determination was dated June 12, 2013, letter reference 130612A3. This project is located at 116511 Anna Trail, Suite C within the City of Prior Lake. The City will be charged no SAC Units for this project, instead of the 1 unit originally assigned. The SAC review is based on new information. SAC Units Charges: Counter Seating 15 ft. @ 1.5 ft. /seat @ 23 seats/SAC 0.43 Retail 1058 sq. ft. @ 3000 sq. ft. /SAC 0.35 Total Charge: 0.78 Credits: SAC paid (8/79, 9/96 &7/96) Suite gsf/building gsf: 1249/9055= .14 3 SAC paid x 14% = 0.42 Net Charge: 0.36 or 0 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, C,,,, --4 Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 130618A3 Determination expiration: 06/18/2015 cc: File, MCES Ginger Clarkson, Groove Nutrition (email) __1-_--�~ enc. �'-" 390 Robert Street North I St. Paul, MN 55101-1805 .. Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPCOUOLITAN LITAN An Equal Opportunity Employer