Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0625, Plbg 15. 0849 a O O 2 › $ Z 2 $ 20000 o » 20 r mm �� m� m o � »f. 088 z m ■ �� ��} / m § x222 z m i 29 \ ��\ . 7 / z m §®q ® 6m Q . � q � q z 2 z B # n ■ )-12 Z z ozm 73 Z Z & ,27 m 73 o k mf Ooo "cgoO pc \ l_ ■ TI ■ ■ r$ ? r §Ek \ &2mzmz ■ § � 0 /E t. m k' 00 ca Z n IT!. o gkk _ § •z k "C----- \ 111,1 2 z m % § 000000 sia ©2 N § CVMk® § 7 A K;;;� » Am§2 53 ,12 E �i § m 0` r..'0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,.......it,' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Ai —. 0 mi AND UTILITY CONNECTION PERMIT �' ���� ivArEso I White File PERMIT NO. /5 (o ze-- 2. Pink City 3.Yellow Applicant (Please type or print and sign at bottom) . ADDRESS ZONING(office use) ts'Y c FOc',Y 7-/L+v j 1 t e S 1::•P LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Na4i,L)A-Y sr,s•-7./061S7)I7F' Int, (Phone) 7S-7 "2930-$700 (Address) ys& /rrxrn it.A✓j e LeD,, 45,t> r7p45, /74/ .5-5%/3 7 BUILDER (Company Name) NO e i Z)1-S" .57).- i 1'$fl /7 S = ANC, (Phone) (Contact Name) .Td ft D, e.,rlC (Phone) 9 c 2 -S130-g8$% (Address) ysz,,7 fz/t,t ,/ B 1 c,2), t ✓. /7 p46, r,�/S". 'P 3 J TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑AdditionAIteration ❑Utility Connection CODE:,,►,.4 ' .C. I .C. ®Misc: cOt/S7p6-e" ,t off ' e Cdc•1,7 )11,x.1,.= Type o' o• duction: I II III IV A� ,ce Occupancy Group: A 0, E F H I R S U PROJECT COST/VALUE $ S60 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 evoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X , Signature Contractor's License No. Date Permit Valuation Z 7 Park Support Fee # $ Permit Fee $ 14 _ Z„ SAC # $ Plan Check Fee $ -J Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Othal) (,'(0,(c $ 4- t , -7 S ThinAp ,t t Becomes Your Builaiing Permit MTh Ap oved Paid LI ( Receipt No. 3 Date 40 LI/(6 BY SyLL� "qt t t• Offici Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Pissnnieg Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-985%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 BOR INDUSTRY1-800-342-5354 www.dli.mn.gov i Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Holiday Stationstore No 391,4460 Fountain Hills,Prior Lake, Scott County, Minnesota,Plan No. PLB 1507-00160 OWNERSHIP: Holiday Companies,4567 American Blvd W,Bloomington, MN 55437 SUBMITTER: Commercial Plumbing and Heating Inc.,24428 Greenway Avenue,Forest Lake,MN 55025 Plans Dated: Plans not dated. Date Received: July 20,2015 Date Approved: July 27, 2015 SCOPE: This review is limited to the provisions of the Minnesota Plumbing Code,as amended. The review is based upon the supposition that the data on which the design is based is correct. Approval is contingent upon requirements included in this report. 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. No plumbing work may be covered prior to completing the required tests and inspections. The contractor/installer must obtain an inspection permit from the Minnesota Department of Labor and Industry when an installation is for a state owned facility,Minnesota Department of Health licensed healthcare facility, or a project in an area where there is no local administrative authority. 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 REQUIREMENTS: 1. Verify that the existing water distribution pipes are sized to accommodate the added fixtures(see Minnesota Rules,part 4715.3800). 2. The proposed backflow preventer for the noncarbonated beverage equipment, Watts,Model No. Series LF7, AS SE 1024, a dual check valve, is not an approved device for this installation. A dual-check valve is not a recognized backflow preventer in the Minnesota Plumbing Code. Verify that a lead-free double-check valve with intermediate atmospheric vent(DCVIAV),ASSE Standard 1012 will be installed. Each fixture or piece of equipment must be protected individually. A single backflow preventer may not serve more than one piece of beverage equipment. 3. The proposed backflow preventer for the carbonated beverage equipment, Watts,Model No. Series LF7, ASSE 1032,a dual check valve, is not an approved device for this installation. A dual-check valve is not a recognized backflow preventer in the Minnesota Plumbing Code. Post-mix-type carbonated beverage machines must have a stainless steel double-check valve with an intermediate atmospheric vent listed to ASSE 1022 preceding the carbonator. No copper tubing may be installed downstream of the backflow preventer serving the post-mix carbonator to preclude copper poisoning(see Minnesota Rules,part 4715.2163). A Watts,Model SD-3 is an example of an approved backflow protection device for this use. Each fixture or piece of equipment must be protected individually. A single backflow preventer may not serve more than one piece of beverage equipment. This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer L . iL43 // O, PR10, /Pi- //9 ` i 45:-. 6'ate Rec'd tia CITY OF PRIOR LAKE PLUMBING PERMIT s--.6 l �7 7s . 1 NSSa 1.Blue File PERMIT NO. /5€20p z. cola City ! L 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4L4La.e) - NA-CL:,.CN, . - HoL,8. * 3ct1 aZ LEGAL DESCRIPTION(office use only) LOT BLOCK/ ADDITION FP04z:9i /' Z /106/4) PID 45: 3 A3— 400?-Q OWNER (Name) r, (i et G:a 0 z.i+ec i 1 es (Phone) C S2 - `32U -5, -31`1 (Address) L_j SGS 7 4 IM7 e, ,Te.", 1.1-,11 APPLICANT (Name) Commercial Plumbing &Heating, Inc. (Phone) 651-464-2988 (Address) 24428 Greenway Avenue Forest Lake MN 55025 (Address) (City) (Zip Code) (Contact Person) Anna Wicks (Phone) 651-464-2988 APPLICANT SIGNATURE DATE APPLICANT P. SE COMPLETE BELOW W Quantity Type of Fixture Quantity Type of Fixture u. Bath Tub with or without shower Rough-ins 2 Dishwasher Water Heater reLAJ E Floor Drain Water Softener °- u Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) t=- ami -o Laundry Tray(1 or 2 compartment sink Sewage Ejector 3 e'lv a 2 Shower Stall 7 Backflow Assembly u 41 @� Sinks Backflow Assembly Test ,21 Bar Sink Lawn Sprinkler a `° `' Water Closet(Toilet) Other z ca a FEE SCHEDULE J Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 U Residential,Additions&Alterations $49.50 Estimated Cost $ 3 0,00 Building Permit# PLUMBING PERMIT FEE $ 'Ff.- STATE SURCHARGE $ j QO TOTAL PERMIT FEE $ - ap, (Office Use Only) 17 ✓d .4L A 7/2° 13 . WIZ S' • This Appli.'%t 1 n :ec l ••.es Your Building Fermi When pprovedV• ^ Receipt No. r iv i9c).....w 5 • y `�,_ _ L� (5 Date �f `/ By Bu' .ins 0 "ial i� d ate r !/ . I.) 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 , 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Holiday Stationstore No 391 Plumbing Plan No. PLB 1507-00160 Page 2 of 2 July 27,2015 4. Materials used for water distribution piping must comply with Minnesota Rules,part 4715.0520. 5. Above-grade horizontal plumbing piping must be supported as follows(see Minnesota Rules, part 4715.1430, subpart 4): a. Plastic pipe: at least every 32 inches. b. Copper tubing(11/4-inch or less):at least every 6 feet. 6. The water distribution system shall be disinfected per Minnesota Rules,part 4715.2250. 7. Complete plans and specifications must be submitted to and approved by the Minnesota Depai tuient of Agriculture. Contact the Dairy, Food,Feed&Meat Inspection Division at 651/201-6027 regarding information necessary for their plan review and licensing requirements. NOTES: 1. The scope of this project consists of the remodel of an existing building. The plumbing installation includes the remodel of an existing beverage counter with: a. No changes to the waste or vent system. b. The relocation of the water distribution system as needed. c. The installation of new backflow preventers. 2. This facility is served by existing municipal sewer and water service connections. 3. The 2012 Minnesota Plumbing Code is available on our website at: www.dli.mn.gov/CCLD/Plumbing.asp 4. The plans and specifications were prepared by a licensed plumber. Only the plumber who has prepared the plans may use the plans for construction. If another plumber is contracted to install the plumbing,they must submit their own plans and specifications for the project. Authorization for construction in accordance with the approved plans may be withdrawn if the plumbing installation is not undertaken within a period of two years. Plan approval does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. Approved: e--- .X/W- Manse A.Widmer,Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5887,marise.widmer@state.mn.us cc: Commercial Plumbing and Heating Inc. Holiday Companies City of Prior Lake Building Official MDA Food Inspection Division Via E-Mail File PRI0R LAKE RO BUILDINGDEPATMENT AND INF SPECTION INSPECTION RECOF .) SITE ADDRESS NATURE OF WORK ��� ��`���` ") N:`'`5 (iT USE OF BUILDING Air- PERMIT NO. 1 z DATE SSUED CONTRACTOR ?L I . rzsik--i;.,., ) PHONE `15z-53 _,a5;, I-- INSTALL EROSION CONRTO AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE (Prior To Backfill) RilailikeraARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS allirmikSEPTIC FRAMING ELECTRICAL wiiheYiiiC a railigfiWE Qiiiiihrftiug TEST RikliiiihisagilLARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED P —_ erN 1 I 1 FINALS summow PRIOR TO SODDING) BUILDING ELECTRICAL eabillikalirw 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 IN 0Cle : 19 NYS0_ 14 . .. , �k ID 16E0# R2IOISNOIZyLS � 'sr x d arnsxi1 . a 4��� , '�� �Hissix� fl 1 I I I I I I � H '1 .,(<-)i 16, a� VJ la q t F 11 J IV ! z �m� • Q t7 ry vP 0- ilir 4iir ' 0 2 a cr ....3 i lis 2 f,- PP i! PP PP II �� v. s �__ __ ' — — — 1 4r i o �-i LL v, t Mai = J �.y Wo �?aa dr c. • N r a o \I __- 11W ° � � ' ° © fir..,in 7 d6 _ � ,, _. _ .__— _ — Y C1 G � I .cri rn -I �, I1 ,,,_I 2 III "kik 21 .• Lj a U K 1 0 1 i g clip Ih 't.. t tl.. r .I AvL ig « .FL�'J.�,it .' Y W adZ , :-..._ .E4-),,b ,,k-,I. xd. i ;-:5 lilt 311_ Xi4..,t P g. s . _ .p 1 r r r r II . ik . ._ 111 0 i r 4 .,s / U. rtmak Q N.11 k , : )_ i iiii k i �. IL._• ave 36'dB _ Z QJ t ..iii 1 ^' ___.3--..'".-i .91..6f..K.91x.96.15 U U1 Q r 3 F ^ 1 Fri,, li_ ��y u„l 6 N FY 06 {.�1.. 0_9r § .,...- ME / L�� IG ce i'.._--Q'� 51 o �j p_ o § s a"fy Sy9-.7 .4I1 Gk-.Y O Y i 41 Z k ePi; p tg� U Ni _ Mk t g �141 ■ t 6aI. ry ICI 5 O tt J1,-r I- _ J i - , i , ktE 40 . iiiii 1 V r I dir ! 11 ,mo o a 11X3 N I L...g 1 m i2 _i 9 rir' Q Fii IL , ._ 4.. - ' l *ii a1 s rr.s i 1 ,rrs ,o `_ W i 3 - a rc III ...... _ n a tiT Ilki 0- §111 U V a in 4 .t. 0, iti .i 0 w ® 00000 i„,.,,, 6 P it1 I, r'l it --_ . _ IIL 0, 15 . ,__._, , ,,,, In I r:-.).. ..a 'I' /-1 .r4^4.0 i 50 *,;.. It L s m _ -L ki An it II 0111 i 1 - _ t . 111 1 n ii-, 0 I v m Z . Pi III _ --- N _ IT' o i;4 a '��I y Aril, z os-.t a.c .o-z7 o MEM ---NNNIP's',,„,11 ...,.. in71 o 0 m �. rn c 1 « cn o' O a o' a i; (//0) O a .�0 I.� if ! .0-.T _ .e/T :mss W Tadgi_ :51 4. IS 16 0# �?301ZS1�I0IZ� F': lea auni � = ZSf �I I I I f a�� i .,. aasoaoxa � �I � w .� I f 1 I l I,._ i©i 6 ? ID fr7 N /,4-;Z k .',-`.4 ..;'.. / .r-.L. /.4r-r a .41..y., 'k.... O-. :f'�." ✓ a II II II 11 11 r • r . a i rel A N. _iii-- ' _ll 1K. I rL 's§j I - - 1 ' " H 1,--,,-; I7 ".... _ _ i,••-.i� ( k4Ybl GLVAE I I ! r 'JI_ ._ at mu _� I e►®_ l 1 I I imi a,. iq -- grPIO "RI101E — $ .. _.J � L. I r"�mss'SI M1, ' ---' o I r- --- --- - -__ __-_- __.rrr I1--_- -- Y a Li �, iS4 ,. F - 8 I e ❑ � Wr'P (8i1I tiK k-8' U [1 i •: I' +r >0. ii 2Iiiifl a.� �� ax. ;C:LIJ41.1 Vll t- � 2 1 - m I 1 ... � I ' n OA r3 a N y f V I 111 O 0 ® 0 ® 0 0 - m 0 J .k r- 2 1 g $ uniumm�ui�ui F p c �. , 411111111 U '4:9, 0 ... F--- l _ •Iaua.n®®intr.�. . , , iii t ` aii, 1 p U - _a_ r 4,, orm, Nu 1 , ,„ -- iii ..„- ,- i2 w ,} F p h pp Q t 1 ftAI-,f' I .HJT C7f-.4 K U ; Z Q r-«. _ __ 9 I- - d s F Y W tri' Ili ' 'r 2 a . z m K R' P s E ( L. •• Ii 4 - y9Yq 443 Qf'AW°tit to 1 d � � l g UU 9 ..IL _..._.. - _may' O Q - 9 Y • • _ : 7 i EI m 1 i 11X3 . i w x -::: � f i1 � ! p F'Y K p b - y m a Z N a 1 I N N z 4 1. ; .111 04-5 .L'/I 9-.5 '.I 1... .i/¢OL-,Y LL1 z • i O w N i. U 0 Y IL al -X ir , i- I a_ 111 a 4 ilk n ,�,T W ® 0p0a ® 0 , , .:, . . ... , ry...... : ,,, sk .. IV . ,___ . i,..-_ _„,l AS spin I II II E. - LLI 0 0 QpN., n = U �Jm QQ Z � W3Ql J N FZZ� _-I , . l g .c.L r ".**-'4 r .4~,11 .C•L ,a .i.l A.WSi . I I f �� as mar - •1 a Is •• 4 1 .., ( A cl g 4e4 1 t j MiCi T 6EO# EPOISNOIIVIS � PIIE XOa II2iS wk lfil1 ' ^ ioj sjiElaa 1 �i► w ll � � x x W$g $ xQin o m x Q-o < 1 ajg 0z< - o o 9 %I r2. Kz . ,- ...02 ,T, §flY tsl. –,4 -1- g- 2'd O iiI z1L gtLeisk- ig Z 0 1-a _ v 0 4 a a.a aqui diu� � L� a 0 / 1, H 6 sroudiaOSZa-ivtdaLriw Ws4)/ i \\\N\ w „b/9 5- ill _ ____, z iii_ N N JJ 2 --ir ‘, u_ 81, L 1 FO O4 n8n : n ! ® — — = --' _ v � X X x xx _), nX = 0 u V uud O x 2d �nTrnnivnnn in tnm Ebb! u, i •_., ,. , , .< 0 0 , , „, _, , S 1 ' '4 I 4 � -- 17 P 'il 1 1 i , ' i i: . .11 ,f) ,0 Izt..1 2(1. n 41 1111,4MME hIjHOi, g _1111 t; r-- . , , „--i, , . , N. 1_14 ;:d 7174 ir q fit4:04.ti, , .......,, _:,.............H 1, 2 9 1 ' � r ,:____I g eat IA . 1 % S 1 i z !� PT Ll z —z -_ �, m < 9 ” x N " t i gE 1 , L, — , ___ k i= iii E ,- 0_ _ ..4 _ g. Y- ii 0 OiiE it ,°3 j r x E r a _ m 9 i s o c C C w/ it 49? II' II' 11' ( fl'9/ ILISI r t1 a 00-ill f s t�. O II III ; j II £ ; m ,....t. ' s _ m_ • A t �� V vU,J t _.r one 4 "' m Z ti N 1D / Q R 1 Qgj IN :a i.3 x 1(4-.1,® N a)re l .zoT.zc� R > t 111111E . i .11 ta�IIi�OoSiitE� pV4 . l6Eo# UOISNOIZVZS ofpIIE Xoq u�• k1 II 1111 to I- tn IL l� O Z Pd 11.1 F- v w d U_ 0 K O X ~ V A V ui p D d Z Q I- O Zx 1 o -- o0 V ii o Q x � O �w v Q v o � VO 9 � z � 0 h ix — W�2 � i X h z A �gowmo 4p o � � .. � i4 ® U ^ pa fa cV Iii 1- J Ou- 8 _IQ g fi: oo N � Foo m trio .. �_ kr)5 > fU � � OJ ..1 < xi_ NU OL 0 znO z 0' � � 0z XO zXw ui ai tntntn NVQ � m � § O X11 Pi O 0X N otQ4 __1-I XX X _1 U � Jm OXN 0 — 0 0 4i=N 1r Q d Z Z m� 9 4 I N ;Q IA ' kg Q z I uD 0 , K i K '4 p@ 1. 0 - § i= P4 0 ., On 0 kZ 0 k'z X~ 6 VI� x .x x x - x zN uiOQ.. w ) 2H Ml il ( ll. 0 116 O „ rti V cV /111111111111111111111111111111 'NI 9 „abf6 0 U.I mg= x 1 I . I Q v r tz 'a ..*. g 2 61;. 1 F -tz -• r < .. in ED al I 0: 0 : : 0011/4 -:K 4.0) 1 iii 0 zo _ o°Z $x�zoZXu��'$ 1 o $Zo h Q x x ( ,Qtu g ti, x x x xr-cvt- x c11 4< xx - Uu�= m�- mem ��nNaQ �u�-a- X oN o _ = n in - \ \ 1 F o ".... . z .,.._ \\ \\ h , oN. icii ,) F- uys X ) .. )) I\ -\\\)\\\\ W„r_zi ,- to m 3 �X \., Z U o „ir/I 9 � ie »r/i i_nz ./.e11 t U t6 O N N '©:. Q 1Z 5