HomeMy WebLinkAbout04-1179;05-19,20,36,37 (Fantastic Sams)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
AND UTILITY CO~NECTION PERMIT. L, I I--IS -(jL
. -;:: q,rl ql' ~~MIT NO. .. . .... . .
yellow Appliean. .. 0,,\ ., \,'19:
.. I,
ZONING (office us~)
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VV1
LEGAL DESCRIPTION (office use only)
ADDITION
~oH tJ(~
l ~c
~~~t~
OLower Level Finish
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I
PROJECT COST IV ALUE-SI"'i C; oeXf, , 'r
\ '
(excluding land)
~II ~V ~
234
AG;)
R S U
5
I hereby certifY.lha,1 I hav~ ~lrl1ished information on lhis applicalion which is to the besl of my knowledge lrue and correct. I also certify that I am lhe uwner or autllofiz~d ~gcnt for lhe
above. mentioned propn'Y and Ihat all construction will COlIform 10 all existing stale and local laws and will proceed in accordance wilh submilled plans. I am aWar~that, the building
ufflcial can revo1ce lhis p~rmil Fpr jusl cause Furthermore, I hereby agree thatlhe city official or a designee may enter upon Ihe property to perform necded Inspections,
X; ~ ~-r- ?--.~ _.
.... . Signat.we' .
r
Contractor's License No.
Date,
',~ 1 '.:
-
p ~rfTli ~ Y.~.l~lClti on
P rmit Fee
'1
Park Support Fee
#
~lan Cha~k Fee
State'Surcharge
.. '..."""".,.....
Penalty,
Plumbing Permit Fee
Mechanical Permit Fee
Sew"f & Winer permit Fee
Gas Fl1eplac<: Permit Fee
ter Meter' Size 5/8"; I";
ssure Reducer
ewer/Water Connection Fee
\
roved
TillS is 10 cenifY rhallhe reque~1 in lhe above application and accompanying documents is in accordance with the City Zoning Ordinance and may procecd as requcsted. This document
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~ "L ,,'
~n~ Director
24 hour notice for llll iuspections (952) 447-9850, fax (952 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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I. While File
2. Pink City
J Ycllow Appliunt
Date Rec'd
IZ ,20 ,fY}-
r/&6 '/rJ 0<1-./17'1
PERMIT NO. or. 00
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Ie
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
I OWNER
(Name)
l (Ad(I.r,,~sl.___
Pro 25. '702.. 02r. 0
(Phone)
J
BUILDER
(CompanyNam~
(Contact Name) ~
(Address) 3 0 \
-
g;:~
l~ '2t:.
(Phone651-77/- 887Y
(Phone) .~
TYPE OF WORK 0 New Cons~n ODeck OPorch ORe-Roofing
DAddition ",.....esAlteration DUtility Connection 0 Misc.
CODE: [jI.R.C, DI.B,c'
Type of COllStruction: I n ill IV V A B
Occupancy Group: A B E F H I M R S U
I Divi~l,:~__ t 2 3 4 5
ORe-Siding DLower Level Fimsh 0 Fireplace
f o:SVZ/'~_.-
PROJECT COST/VALUE
(excluding land)
I hl-rrby certify that I have fumished information on this application which u to the best army knowledge true and comct. I also certify that I am the owner lIr authOnted allenl for the
aboYt'.menuoned property and thaI all coruanlction will conform to all existing state and local laws and will proceed in accordance wilh submitted plans_ I am awarc that the build1l11l
official can revoke this pt.'rmif fOf just cause, Furthermore, I hereby agree that the city offu:ial or a designee may enfer upon the property fO perform nceded n'lSpcctlOns.
ThiS 15 to certify that tht' reqllt.'SI in Ihe above application and accompanying documents is in accordiltlce with the City Zoning Ordinance and may proceed as requested. This docu~
whell SigllCd by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Ccr1ificatc ()f Occupancy must be
i.~sut:d
x
Signature
Permit Valuation 1 sr.xJ (/0
Permit Fee $ 8?~
Plan Check Fc~ $ S73'
Stale SUfcha.ge $ / s-o
Pen:1lty $
PlU-n7bing Pennit Fee $
Mechanical Permit Fee $
S~wer & Water Permit Fee $
Gas Fireplace Permit Fee $
I Thi'jpp;,ca"o < o~<s Your Building Penni' When Approved
Jtyt..__ __ __-'-So oS-
Blilldln~tJlclal Dalt:
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /l-f 7. II
;J -
I Paid /{'7. II I Receiot o. I
I Date /, r:OJ I Bv / I
0
Planning Director
~ tat
+- F,....../ ;:;'J'~""
special Conditions, if any
(l"!dIJ';.ed.
Date
hour notice for all inspections (9!'i2) 447-98S0, rax (9S2) 4474:24!'i
16200 Eagle Creek Avenue Prior Lake, MN 55372
_.._~._----_._--_._.,_._,._-"_._-'~._'-_.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
/2.2- 7.{)4-
"eft- {5 ,vI 04-. 117
PERMIT NO.O$"'. () OW
I. DIm FDc
Uloid "'"
-~.~~j: ,--
ADDRESS . . ,
I ':Pu.'f ~G I ~ ~ ~
II~eJ:. I
PID25. 9()2. 02/. 0 I
I LEGAL DESCRIPTION (oflIceuseonly)
LOT BLOCK ADDmON
~_~~i(.., ~I\A~
(Phone)
(Address)
Ilp1~\
H4 l~
~~
IO~
APPUCANT
(Name)
(Address) .;)CO?b Pr0~
(Address)
(ConlactPerson) -AN~ ~.~<3.
(Phone) b5'1 ~-l1D -z..~
~.-P~ ~tJ.,
(Ci~ (Zip Code)
(Phone)
,
e of FIxture
Bath Tub with or without shower
Dishwasher
Floor Drain
La athroom Sink
Lam Tm 1 or 2 ent sink
Shower StaU . ~ ,I .
. - 5~OO SII",k<.::. ."'l
Bar:Sltll< . . '
Wales' Closet Toilet
DATE .,
PLEASE COMPLETE BELOW
eofFixture
APPLtCANT SIGNATIlRE
Machine
Test
er
FEE SCHEDuLE
Industrial, CotnIneroiaJ &; Mu1ti-fiImiJy 1% of job coat with a ~.5O miDimum Reaida1tial, New One &; Two-Family $99,50
R".;.....p.l. Additiooa &: Alletations $39.50
(Oflloe u.. Only)
nB 7/JJtl?!G~1DeB Your BuDdIDg P~tWllmApproved
,-q-(}S
BlIiIdIaoi~1 -
Estiinared Cost $ '3 9 0 O. 0 DBuiIding Permit # O~. .00 2-D
. PLOOiNG PERMIT FEE $ ----' 3.<J.~ ro _
STATE SURCHARGE $ 4- .sO
TOTALPERMlTFEE $_. J), 00
Paid 40. t-O
Date I. \. DC'"
Receipt No, ffl2fp
By
~, I\..l-S
2.t ._1lOIke for aU iIIIpedIoon (9$1) 447-91150, rn (95Z) 447..04S
16200 EogIe CnekAve., SL, PrIor Lake, MN 5337:Z-171~
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t /?IJC -r~ ~v t.tJ'- \'\1lc-~ t1'- ,) I I - Pn' .
CITY OF PRIOR LAKE
BEATING/AIR CONDmONINGIFIREPLACE PERMIT
,qui wi J1/1t;V 0+. /(19' > J. ~ 't;; - 04
t 5::. S-I PERMIT NO'o6 00301
817?rfJ~ II ZONlNG,_..) I
---.--
......... V.L ."...un L,,/lonL..
<--"-'-liaal_l
I ADDRESS
lip '73 !
......-
HWY.' 13' 5:
I.... .
LE!GAL DESCRIPTION <ollloo -0IllJ)
LOT BLOCK
ADDmON
~vv.r.
Date Rec'd
PlDz5. 102.. O"l..I, 0
I&=~\: ~~hc S~
. (Address)
APPUCANT ~ ~
(=) d;o ~~t~s
- (I._~
(Conlact Person) -.J t. eIV\ c;:;
(!'bone)
'-
~;t :ZSSO~~~
7(Cky). (Zip C )
(Phone)
DATE
t./V
APPLICANT SIGNA
APPUCANT PLEASE COMPLETE BELOW
W CONSTIlUCTlON 0 REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL . fUEL
FLUE SIZE IlE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA11NG Oil POWEll PLANT
., 8Ef~: 65~i_ ~~r-
Bv- System ~herDcvIees p.A,.,,,,,.>
FIREPLACE MAKE AND MODEL
PLLUE NOTE:
Air COIIdltIoMr Units
CaIIIlac EIIaoIdI into
RequiNc:I Siclc Yard
SctbacIcs
RI: SCHEDULI
lndwlrlal, Commercial'" Mulli-Funlly 1% orjob COIl R.esidallial. Oas FircpIocc $39,50
$39..50 mlnloDum
Resiclontial. HeaIlns II; AIC (New CoastnIcliOll) 199,50 RcsidontiII. AIicIItl....... AkcrOliOlls $39,50
Reslclenllal, IWIinc 0IIIy (New CoaslnIcIioa) $64,50 Rufd-".~ AC Only $39,.50
EIlimaI&d Colt S
15(X:/:1:.
BuIIdiJI& PwmIt" Or". 0 0 ~
s~
$ .50
$=:30 'T
...
4-0.00
'.1,05
24 ".r .ellte fer .U Iu",,- (952) 447-9150, r... (tS2) 447-4245
FlPR-<f?-20~ 15: as
CITY OF PRIOR ~E
9524474245 P,03
Of - 1\1r
NOYCllllber 19, 2004
Mr. Robert D, Hutchins
City of'Prlot Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
RB: South Lake Village SAC credits
Dear Mr. HutchiDs,
We are requeating that the City ofPrlor Lake release two ('2) SAC unit credits which it
retains tram an eleven (11) SAC credit determination for the Prior Lake Lawidromat at
the previous Priordale Mall, The two (2) SAC credits are to be applied to the new
Fantastic Sams tenant finish. By reducing the eredirs by two (2) there will be nine (9)
remaining to l16e on future tenant 11608. See chart below:
Credlt.:
Laundromat
As detonnined by Metropolitan Counci.l
Environmental ServiCll5 DiviaiO'll on July 13, 2004
SAC trnlU
11
Alloeatecl SAC uDita
2Q04 FantlI$tie Sams
Total relllainlJll:
-2
9
In the future, we win reqUe8t that additional SAC units be distributed to tenants that
locate at South Lake Village. Please call me at 858.292-1331 if you have questions.
Bernie
Bealmake Partners LLC
GO 'd
S\190G6G8S81 'ON Xli.:!
ONI WOl Wd SG:[O nHl SOOG-LO-Hdli
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDIn()NlNG/FIREPLACE PERl\1IT
/7} A ~UIlVl ( . .'.$ >:;/~ v./)r7/IJJM7/r7f
HmeY~ tD On / fJ ~:"..:;:. I PERMIT NO'1
f) .1 ',y_ _. 05. D037
lad .._.. WVlUJ'
&13/ )ItAly 13 s. p~S;~ IZONINGC_UM'1
LIlGAL DESCRIPTION (oA\cc "'llIlI1l
LOT BLOCK
ADDmON
PIDzS ,,/O?-. on ()
I OWNER
(Name)
(Add=s)
APPUCANT
(Name) . .fflK 61ft"" [Cc.
(Addms) ~ 37CO ~1u~GA
(AddJeu) -r
(Contact Person) =r7'vvt" IU{'~/~
I
APPLICANT SIGNATO
'-
(Phone)
L/V
(Phone) ?~ ~5'soro~.
(J<J - ?' ~ W;z
(Clqr) .. . (Zip Code)
(PhoDe)
DATE
APPU
W CONSlllUCTlON
FURNACE MAKE AND MODEL .
FLUE SIZE REnJRN OPENINGS
TYPIl OF SYS1'EN
., Ow..... Air Plonts
OOrarity
~ Mechlnic:al .
Air Condition..,
Vent Sya_
PLEASE COMPLETE BELOW
o REPLACIlMENT ALTERATIONS
FUEL
OUTPUT
INPUT
HEATING OR POWER PLANT
~s-
Hoc W_
RadIotlOll
SpodaI o.vi...
0tIIer o.vlecs
Pl.IAR NOTE:
AIr CoadllioIMr Units
Cannor Eacrold> mto
R.equind Side Yard
Sctbocb
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % or job COIl Rctidmllal, Oos FiRpIKe
SJ'.5OmlnIoaum .
Residential. Hadng It AIC (New COIIIlNclion) $99,50 Resi....1iaI. AlicIlti.... .tAlrcntlons
Residential. Heatin& Only (New Conllnlttiolo) $64,50 Raldtlllill, AC Only
Estimated Ct>. S Ljo' ~ 6~ << - Bulldlnl PermIt. OS'. 0 Of 7
-<;i?D
?fl ,so
-..--2~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PDtMlT ru
s
s
s
SJ'.50
$3'.50 . ~
SJ"jr1' 0
\f(:)'pl Al ~
Indllllrill, C.m.....ial It Multi.Pamlly
__.0_1
l-{;rtJ>"
Doll
24 ~..r ..dee r.r.U 1u~1III"~ ~-m~t-4245
\ :l
4 2005 \ ...\
JAN I
!
4t),OV
I. '1,05'
met Voar Bulldiair Penalt WII.. Approvlld
~'v _~ -.:::..:~---------
~
~-----_/
n'\~ C~nler of the I....e Counlr~'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !( ~-n f2!:::/If!tUl0t. Wmf; ~ (;!u>.AA '
APPLICATION RECEIVED / / - I d ~0
,
I
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
((P'i3/- 1/01( 13
Accepted
.......
Accepted With Corrections
v'
Reviewed By:
/I ;/f! ,~1-
I. PRovlOc 'S:IC::,NCrD !/VAc. P>LurYlI!>IAJ0:.,SPI2.;AJI4.t5i2..
I ,
PL4NS. A-L.SO Ptl.oVI~ ,c-/~E: A-LA~"'1 PLAAlS
2.. PR.oV/Dt:.SEF6'2-+rE ~17.s rod. ABoV[ I16::HAN(C,.4'-~
3. nIAJN6:>~r-'" DEPA-tl..rMtE:Nv- of Ht:A:I...Tf-j TO Re V/~<-.J
/<0;/
Date:
Denied
Comments:
PLVMBIN'C:> Pl...A:-1'I5
_1. PR.c:>I/'{i)6 2 So C.F.f1. <!>F FI{EsH A/~ Fk,<? OG<..,....PA-N"'r
5. O,Br"f/N oP>CiZ.TJA/b LISt:.6vS6 F~ /'1'#'/11'6="501""1- W~~c'$Vp-
"F Co/<(#(GR..MrCt5
"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
-
TIl~ Ctnler of lilt l..kf {'ounl~.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,/
/'
APPLICATION RECEIVED
/ /
. //:
.--",'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I "
/
/
Accepted
/
Accepted With Corrections
Denied
Reviewed ~ /I^. ""'---
Comments: A -..-.._~","1;. ~r
,
Date: I. tJ i p'"
r- ~ ~ ~ ~
1#
"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."
~1
White . Building
Canary - Engineering
Pink - Planning
Thr ernlr. nf Ih.t..k. ('oun'.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT A I !."r~ (;./GiU;wtrC:4!
APPLICATION RECEIVED f). - 2. (- 0<-1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'Fu.,t t(sf ,'(,
5a oM 50
Accepted
Accepted With Corrections
v
Denied
~f2L
Date:
I-LI-rJS-
Reviewed By:
Comments:
QJ p(Ol1J l'-1ud S-< -;W<1,.,.! (vrl-C)
0-(= I+ca 11'11 rev .. j)p,~v~ I
.s +(1 t-c Otpf
"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,"
Glacier
\d~
Page 1 of2
Frank Boyles
From: Frank Boyles
Sent: Wednesday, November 17, 2004 6:05 PM
To: Bernie Paul Bealmake (E-mail)
Cc: Bud Osmundson; Jane Kansier; John Sullivan; Ralph Teschner
Subject: RESPONSES TO YOUR NOVEMBER 12, 2004 QUESTIONS
I have now had a chance to collecl the information you requested at our November 9, 2004 meeting. Here are
the answers:
1. The City will provide you with an allowance as shown below for Ihe blacktop. On the Village Lake Drive
side, no more than one to two feet behind the Sidewalk are city property. The remaining property is yours and
was dislurbed by the new parking lot work. To compensate for the blacktop and the small amounl of black dirt
and sod I have asked the finance department to issue a check to Bealmake for $5000.
2. The triangular parcel was included in the calculation for the parking lot variance. So any development of
thaI 101 would require variances and a joint use parking agreement. We can work with you if you have some
concepts you would like 10 explore.
3. Fantastic Sam's- We have received the building permit My research shows thaI consistent with our long
time practice, neither the liquor slore nor Ihe grocery slore were charged for any metro or city SAC, WAC or
related development fees. This is because the Metropolitan Council concluded that now new sewer fiow is
created by these remodels since they take the place of identical uses of more or less idenlical sizes Ihat were
originally part of the building.
Fantastic Sam's on the other hand does create two additional SAC units based upon the Metropolitan Council
delermination dated November 9, 2004. As you know the city holds 11 SAC credits as a result of the closure of
the Laundromat. We will apply two of these unils 10 Fanlaslic Sam's building permit which means Ihe only
charges they will have on Iheir perm II are the permit fee and the plan check fee. In other words none of the fees
we discussed on November 9 will be charged on the Fantastic Sam's permit.
For future reference, as long as these credits remain, it is staffs practice to apply them as oullined above. If all
credits become used up then all development related fees will apply including but nollimited to Metro and city
SAC and WAC, Park Dedication, Water Tower, etc. If, once the building is completely renovaled any SAC credits
remain they may nol be converted to cash as set forth in Metropolilan Council Policy.
Bernie and Marty, I thoughllhe SAC unils might be included under our business subSidy policy which would
include and application and lime delay to get the item on the city council agenda. Bul my reading of the definition
of business subsidy does not in my opinion include SAC Credits. I am pleased we are able 10 get this resolved
quickly. I have instructed my Building inspection Departmenl to proceed as outlined above with the Fantastic
Sam's building permil so il can be promptly processed and another new business can become part of South Lake
Village. Based upon what I have heard people love Village Markel and are flocking there now that il is open. I
am confident that Ihe liquor store, salon and sandwich shop will experience the same fervor.
C(Za> IT I \ ~ L""-'~ rt'I-+-r
I apologize for underestimating Ihe lime it would lake me to reSf,ond. Please let me know if you have questions.
Frank. u/, '( )0 4 51'1-"'$ Z.
'\
Frank Boyles
Cily Manager
CITY OF PRIOR LAKE
16200 Eagle Creek Ave. SE
Prior Lake MN 55372
Direct Dial: (952) 447 -9801
Fax (952) 447-4245
~;";Ij0'"
11/19/04
~ Metropolitan Council
Environmental Services
November 9,2004
Bob Hutchins
Building Official
City of Prior Lake
16200 Eagle Creek Ave.
Prior Lake, MN 55372-1787
Dear Mr. Hutchins:
The Metropolitan Council Environmental Services Division has determined SAC for the
Fantastic Sams to be located at Priordale Mall within the City of Prior Lake.
This project should be charged 2 SAC Units, as determined below.
SAC Units
Charges:
Cutting Stations
8 stations @ 4 stationS/SAC Unit
2.00
Credits:
Retail
1344 sq. ft. @ 3000 sq. ft.lSAC Unit
0.45
Net Charge: 1.55 or 2
If you have any questions, call me at 651-602-1113.
Si~'d_ ~
Jodi L Edwards
Staff Specialist
Municipal Services Section
cc: S. Selby, MCES
Martin Woody, Martin Woody Architects
J
JLE: (95)
041109S5
www.metrocouncil.org
Metro Info Line 602-1888
230 East Fifth Street. St. Paul, Minnesota 55101-1626 . (651) 602-1005 . Fax 602-1138 . TTY 291-0904
An Equal Opportunity Employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Fantastic Sams, 16731 Highway 13, Suite 106, Prior Lake, Scott County,
Minnesola, Plan No. 052116
OWNERSHlP:
SUBMITTER(S): Albers Mechanical Services, mc., 200 West Plato Boulevard, St. Paul, Minnesota 55107
Plans Dated:
Date Received: December 27, 2004
Date Reviewed: January 20, 2005
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 reqnirements 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 sel of the identified plans and specifications is being returned to Albers Mechanical Services, me, Enclosed is
a copy of the report and transmittal letter to be forwarded to the project owner,
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 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, 109 a.m,), or 651/215-0836 (8 a,m. to 9 a.m.) on Monday, Wednesday or Friday,
REQIDREMENT(S):
L All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules,
part 4715.0320),
2. Mop sinks must be provided with an individual vent in accordance with the Minnesota Plumbing Code,
Minnesota Rules, part 4715,1300, subpart 4. The mop sink is not shown to be vented on the submitted
waste and vent riser diagram.
3, Faucets equipped with threaded hose connections must be provided with approved backflow preventers.
This shall include the mop sink faucet.
4, A water supply line to a spray/rinse hose on a shampoo sink shall be prolected against backflow by the use
of an in-line vaeuum breaker (see Minnesota Rules, part 4715.2110).
Fantastic Sams
Plumbing
Plan No, 052116
Page 2
January 20, 2005
5, It is recommended that a cleanout be provided where new wasle and vent piping connecls with existing
plumbing to faeilitate required testing of the new installation,
6. Changes in direction in drainage piping must be made by appropriate use of wyes and bends, Sanitary tees
are nol allowed where the direction of flow changes from either vertical to horizontal or horizontal to
horizontal (see Minnesota Rules, part 4715.2410).
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 Minnesola Rules,
part 4715,3800).
8. Equipment used for heating water or storing hot water shall be protected by approved safety devices in
accordance with Minnesota Rules, part 4715,2210 and part 4715,2230.
9. All solder and flux used for the potable water distribution systems shall eontain less than 0.2 percent lead.
Use of 50-50 solder or flux containing more than 0,2 percent lead is prohibited in pOlable water distribution
systems, Any solder other than 95-5 tin-antimony or 96-4 tin-silver musl be specifically approved by the
administrative authority prior to use (see Minnesota Slatutes, Section 326.371), Joints to be soldered must
be properly fluxed with noncorrosive paste-type flux eomplying with ASTM Standard B813-00.
10, PVC plastic pipe used for the drain, waste, and vent syslem shall comply with ASTM Standard D 2665,
D 2949 or F 891 (see Minnesota Rules, part 4715.0570 through part 4715.06(0). Solvent weld joints in PVC
and CPVC pipe musl include use of a primer which is of contrasting color to the pipe and cement (see
Minnesota Rules, part 4715.0810, subpart 2),
II. Plastic pipe must be installed in accordance with Minnesota Rules, part 4715,0580(F) and part 4715.0600,
Above-grade horizontal runs of plastic waste and vent pipe cannot exceed 35 feet in total length. Above-
grade vertical stacks constructed of plastic pipe may exceed 35 feet in total height ouly if an approved
expansion joint is used.
12, The water piping system shall be disinfected in accordance with Minnesota Rules, part 4715.2250.
13, The plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820.
14. The plans and specifications were prepared by a licensed master plumber, The plumber who has prepared
the plans is the only one that can 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.
NOTE(S):
1. The scope of this project consists of the remodeling of an existing building. The plumbing inslallalion
includes hair wash sinks, a mop sink and a floor drain.
2. This facility is served by existing municipal water and sewer services.
FaI)'astic Sams
Plumbing
Plan No. 052116
Page 3
January 20, 2005
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 lhat 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 condilions,
additional information, or advaneed knowledge make improvements necessary.
Approved: ... L
It1/) ~,C
~ckson
Public Health Engineer
Environmental Health Services Section
P,O, Box 64975
St. Paul, Minnesota 55164-0975
651/215-0839
CAE:sas
cc: Project Owner
Albers Mechanical Services, Inc. _______
Mr. Robert Hutchins, Plumbing Inspeclor ,r
File
E seA PE
Fire Protection
Escape Fire Protection
3020 Centerville Road
Sl Paul, MN 55117
Phone: (651) 771-8874
Fax: (651) 771-8875
mall@escapefire.com
Monday, December 27, 2004
To: Paul
From: Jason Gahm
Escape Fire Protection
Regarding: Prior Dale Mall
Project: Fantastic Sams
Scope:
Drop sprinklers into new ceiling 1 for 1. New sprinklers shall be quick response,
Relocate inspectors test per Fire Marshal.
Total sprinklers =20
Please call if you have any questions,
~.J "i~\I'S'. CO.. py.
td 1 " .
If you have any questions I can be reached @ (651) 771-8874 or on my cell phone
@ (651) 248-5861
- on'CiR \ AKE
CITY Ot': 'rv:;J,Pli-. A\N\ REVIEW
rjUIlD\NG; j'ER 1 ~
I 'I1,A,_,~__ . f (> c! 1
INSPECTOR- r f eR,,'iT No.1 -
/-S .Q,;, _'''-- .",,-
DATE_.~- ,,,. ....., ..cD .
-=" CC"PTED AS C.',J-', ._.' ~i '" AS N01 ED
I~ A ,. O""'1E",ll',,,"'"
. J ACCF'TED WiTH C '~' :C1 & RESUBMIT
~.', ''''''T ACCLPTED-COR,'1E"\iOn An work snail be done
\.--J I'''''', ,'~r>nts are for your In1or~(. . .,\\n ~'C zoning code rEl-
These C(.Ili" .'.' _, 'th all applicable bUlL g, d', this review.
"n fu\l compll<."llr~ WI . not specitica\\y n.Jte \I
I . '1 'di".(l ~\ems ,"1"~~,~....\,."
quirernents me U ' . ~Fr ON SITE AT ALL. ,d\t;:>.
KttP THIS PL.o., .
Thank You,
Jason Gahm
Escape Fire Protection
. Residential Fire Systems . Commercial Fire Systems . Service . Inspections
. 24 hour Emergency Service . Fire Pump Installation
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t~"1"3. f ~"'" 1.-1 ~
NATURE OF WORK TE NA....Jr FIN 1$ H
USE OF BUILDING Rt::$ A/R.
PERMIT NO. 04 - I\\.4 DATE ISSUED \\ \\"\ 1 0,,\
CONTRACTOR t<.evl,J JOHNS PHONE "152. -4.\2. -"1.11,- I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,...ltle I
1,- ~ _no ...,IMIfPrior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
1- 7-{)l/
ELECTRICAL
PLUMBING
HEATING if required)
COVER NO WORK UNTIL ABOVE HAS
S?R..IN K. U:::R-
FINALS
)....(Ni
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~WI
OCCUPY UNTIL ABOVE HAS BEEN
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
~-_._-_.._..'"
-~---~---~--'_..._---_._..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~ V/fufrc
,
SWl So
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TlON
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
'J.-I7.o>
()t..I, ~ { /71 .
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(() (LtSf~ 5>0~
r ~ sfroovrt ::>
-tv
I~< ~
f-o
- ()k
h
o {/-< >"L -
,
o WgRKSATISFACTORY, PROCEED
$"CORRECT ACTION AND PROCEED
o CORRECT WORK, C L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Vw..,,"-,~
>aM)
OWNER
CONTR.
DATE nUE
'2.-I:i'.-df
PHONE NO.
PERMIT NO.
if-1I7q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
......MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(PnfcJ
+VorA.$
h,ILv
h; /t~
flfl/
Or'),
o WORK SATISFACTORY, PROCEED
!:CORRECT ACTION AND PROCEED
o CORRECT we CALL FOR 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!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
).-/):1)5
ADDRESS
~+1k& 5,,<01)>
OWNER
CONTR.
PHONE NO.
PERMIT NO,
4 -//71
COMMENTS:
o PLUMBING RI 0 EllIGRADIf'ILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
PI;" ~Qf(Jn1>';'"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
{WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK LL FOR 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/
INSI'IOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/ -7-~1
ADDRESS
h",~I-r{.. .$:rIM'>
,
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION /w/ /
.iH'FRAMING lAC
'b INSULATION
o FINAL
o SITE INSPECTION
f:t1S[UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA REINSPECTlON BEFORE COVERING
Inspector:
Owner/Cantr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSl<<JTl
DATE
CITY OF PRIOR LAKE ~ II .
INSPECTION NOTICE SCHEDULED ~
\lo13~4/~ l~
TIllE
ADDRESS
OWNER
CONTR.
PERMIT NO. ~
o FOOTING 0 PLUMBING RI 0 EXlGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL 0 PLUMBING FINAL 0 GASLINE AIR TST
/0 SITE INSPECTION 0 MECH FINAL 0 -< P~N ,..1.S/1...
C~M.ENpll~:~~~~~$J3
:t!1~~~1'~
PHONE NO,
o WORK SATISFACTORY, PROCEED
o CORRECT A AND PROCEED
~ORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector:
.
Owner/Contr:
CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
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