HomeMy WebLinkAboutPlumbing Permit #12-0148 y o❑� n aa0000 = o o N�
n �� o 0 0 3� z � � m0
� � � � ��
tG � o � c D � Z � p y Z�
ro� > v�, � ~ N � z Z Z�
S � � " � � o
> o �
� ° ' y O 1 = m m
�I A
� � p � �`
_ }
� Z � c�i c�'� � �. ❑❑❑OO
�
m m m m �. � 3vtn�� �
o� � N v v � �c ��c
� x3�mx3 � n tn
~ �..
Y C m � y��0�� 3 z m
D° c� O F � r��0 � � � v
l� � _ � Z�� Z r
O Z � � r � � � O
� A � � �� � �
= m �
� c �
y �� . ❑❑ODO❑ � f �
" Z ��t?tn 1 �, G
1
� < � � � � Zb��� � m
,� D � m���p �
� n Dmm ��� �
� m �-n�
~ '� � r '� m
�r � �
� �O O C� �❑O00❑ = O o Zc�
n � � °°° � 3 r�i a��oo Z � � m�
b a ° ��� C 3 r 3z� Z p y ��
� � � � y rn y 5z° o y o �
� � -� -� � �, • � ' - m 0� Z O
io ;' tn c- �, N „n,� Z z p p
� 0 7�G O A � f� �i � � • z n 7
� O D a � mm
� � o � � � �� r
m „ � v � �
�,° z � c�i c°� � `C.. �, ❑❑O❑o❑
'� x ^� m m Z .:- • 3 � N �;�
m Am
�e z � v o (� � � ����_� m p � c
� C � o � t -, Zc 3 Z m
�° D 8 � G
� � 0 2 � � r Z^� � Z r
z � m �� �, r�v� � o
� A � <�
� C n �� M (' l►`� r `f"3
y m � P � ❑❑00❑❑ *; .
� Z Z � � ��nn � �., ;
���0� 1 � ^ � m
�' ' v �' � S� ����� J\
� n � �- � 1 " a�m � �
� m � ����� � �. �
'� f "'� r m
,� � � f Z _
�
.� �
� � Rip Date Rec'd
°� ��" `� CITY OF PJ�IOR LAKE PLUMBING PERMIT
'�+' _� � `���'�` � _ Ci/ , / �
�=�" � y
�>
�� ��
� ,�,
A
I �'NP.s�` {
1. Blue File PERMIT NO . �� ' /
2. Gold City
3. Yello�v Applicuni
Please or rint and sign at bottom)
ADDRESS ����,�. `�r� ZONIl�TG(oEFiceuse)
���� � r �� � �
LEGAL DESCRIPTION (oi�ice use only)
LOT BLOCK ADDITION FID
OWNER
{Name) (Phone)
{Address)
APPLICANT ,��� ��i F C�j�,2 / ��0 I� � I�� -
(Name) JT2� �('dtlS �'F,�IV�u)e�, Lr1Cb (Phone) �
(Address) 1 �� �q5'� '�� �� �ct►� �O l �aS�i ����g
(Addxess) (City) (Zip Code)
(Contact Person) � ��etin �rQ(,CS (Phone} �R�� °�� ' �7.]' �
APPLICANT SIGNATURE ' DATE ��6�l�
APPLICANT PLEASE COMPLETE BELUW
Quanti T e of Fixture uanti e of Fixture
Bath Tub with or without shower Rou h-ins
Disliwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund Tra (1 ar 2 cam artment sink Sewa e E'ector
Shawer Stall Backflow Assennbl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Cioset Toilet) 1 Other a c,aer ; r
FEE SCHEDULE
[ndastrial, Com�nercial & Multi-family I°!o of }ob cost with a$49.5� minimnm Residential, New One & Two-Family $ I49.S�
� Residentiat, Additions & Aiterations $49,50
00
¢ "�Ta�j Cpst $ �� ��� Building Permit # ¢/
"fhc Minnesot� Statutes ' 326F .14 �� � ��
"SLIRC.I-IA.RGI;" lias been changed far one �
yearelfective PLUMBINGPERMITFEE $ ��.�� Pl,iq�/ �Q.,J�/�ol,(rl-L-
.�� STATESURCHARGE $ 5��0 !.9�'
'I'fie minemum surchnr�e for a "�xed fee" permit TOTAL PERMIT FEE $$�.��
[s �, beginniug Jaty 1, 2UlU
This Appli Becomes Your Building Permit When Approved Paid � �/� Rec p o. �2�y
`T
�- � `� Z '' Date $y
B Officiar Date �- � ��
4 haur notice for all inapections (952) 44?-9850, fax (45Z) 447-4245
4646 Dakota Street S.E., Prior Lake, Mlnnesota 55372
�
MINNESOTA
�
� �
DEPARTMENTo�HFAIiH
I
Protecting, maintaining and fmproving the health of all Minnesotatu i
March 21, 2012
Heartland Food Corp �
1400 Opus Place, Suite 900
Downers Grove, Tllinois 60515
Dear Ladies and GentIeme.a: .
Subject: Burger Kiug #4122, 5020160th Street Soutrieast, Priar Lake, Scott County, Minnesota, i
Project No. 120340 �
Thank you for subtz�itting your plans for remodel to the Minnesota Department of Health (MDI�. We are i
enclosing a copy of our report covering an examiaation of your plans and specifica.tions on the above- �
designated project. The plan appears to be in general oompliance with the standards ofthis department i
and has been approved wr�ll tl�e following changes and/or cotnme�ts in the enclosed report.
Ten working days prior to completion of the project, please contact Ms. Laura Huseby with our Metro
District Office at 651-201-4259 ot laura.huseby�,state.mn.us in order to arrange for a final inspection.
If you have any questions, please contact me at 651-201-5634 or pam.steinbach(�a,state.mn.us .
Sincerely,
��� ���
Pam Steinbach, R.S.
Environmental Health Supervisor
625 Noztll Rohert Street i
St. Paul, Minnesota 55155 . �
pam.steinbach(a�sta.te.inn.us !
PRS:srnp .
Enclosures
CC: Ms. Laura Huseby, Minnesota Department of HealEh
Mr. Robert Hutchins, Building O�ciat
J.L. Sullivan Coi�struction, Inc.
Bryan An�derson
Mr. Al Frechette, Zoning Administrator
. �
General Information: 651-ZO1-5000 •�'oA-free: 888-345-0823 • TTY 651-201-5797 • www.heaith.state.mn.us
�!n equa! opporcunity employcr
MINNESOTA DEPARTMENT OF HEALTH
Divis.ion of Environmental Health
REPORT ON PLANS
Plans and specifications oii Rem Food: Burger I�ing #4122, Project No. l 20340
Locat.ion: 5020 160th Street Southeast, Prior Lake, MN S53'12, Scott County
Date Approved: Not Approved Date Received: March 2, 2012
Subanitted by: Bryau Anderson., 5941 Ashcroft Avenu.e, Edina, MN 55424,
J.L. Sullivan Construction, Inc., 3030 Harbor Lane North, Suite 100, Plymouth, MN 55441, (763) 231-
2411
Ownership: Heartland Food Corp, 1400 Opus Place, Suite 900, Downers Grove, IL 60515,
Scope of Project: T6is project involves the addition of a smoothie station to an existing foodservice.
At this location the plan� calls for moving the �cee machine to the self-service counter and installing
a handsinl� in its place. The rinser sink r7vill installed at this location will need to be removed along
with any plumbing that was done. Smoothie operat�ion may not commence un#il a handsink is
installed. �
No, food is permitted in the establishment until approval from the Health Authority is given.
1. Equipment StRndards — General Reqairenaents: •
Food and beverage equipment shalI meet the applicable standards for one of the following:
• NatioxZal Sanitat�on Foundation (NSF).
• Edison Testing La.boratories (ETL) to NSF Standaa•ds.
• Underwriters Laboratory (CTL) to NSF standards.
• Cai�adian Standards Association {CSA) to NSF Standards.
Ap eqnipnn�ent must meet one of the above standards and be properly stickered.
2. Hand 5inks:
Provide an NSF .International or equivalent haud sink in the following areas:
The plan calls for tTne addition of a handsink near the smoothie operation.
3. Plumbing — General Requirennents:
All pluinbing plans shall be approved by the Minnesota Departrnent of Labor and lndustry (DOLn
or delegated agent. Far information on submittal contact Departmeut of Labor and Industry at 6S 1-
284-5067 or visit tileir webs�te at hrip://www.dli.mn.�ov/CCLD/Piumbing,as�.
All pluinbing changes, including installafion of a handsink, rinser sink, floor drain ar water
line, must have plans submitted to DOLI for review and approval.
Sincerely,
��.���
Pam Steinbach, R.S. •
Environmental I�eatth Supervisor
625 North Robert Street
St. Faul, Minnesota. 55155 �
pam.steinbach y�a,state.mn.us
Bob Hutchins
From: Paul Baumgartner
Sent: Thursday, March 22, 2012 8:37 AM
To: Bob Hutchins
Subject: FW: Burger King
FYI,
RE: Burger King.
Glad to have State Review for this project.
Paul
From: Steinbach, Pam (MDH) [mailto:pam.steinbach@state.mn.us]
Sent: Wednesday, March 21, 2012 3:26 PM
To: Paul Baumgartner
Subject: Burger King
Dear Paul,
As promised, here is Cathy Tran's requirement for installation of the rinser sink at Burger King.
Hi Barb-
Here is the follow-up to our phone conversation on the smoothie blender washer. Yes, plumbing pian review is required
for this type of installation. The contractor must submit plans accordingly. In general, we will review this type of
equipment similar to the requirements of the installation of a dishwasher (since there are no sink or faucet ) which must
be designed to meet the following:
1. The smoothie blender washer must either discharge to the drainage system into a dedicated vented
receptor through an air break, an air gap, or;
2. directly to the sanitary drain if a floor drain without a backwater valve is installed on the individual
drainage branch;
3. the water supply to the washer is located below the spill line of the machine must be protected with an
approved backflow preventer:
4. Hot water is required to any equipment/fixtures that used for washing.
Let me know if you have any questions.
Cathy Tran, P.E., Supervisor
Plumbing Plan Review Program
Construction Codes and Licensing Division
Phone: (651) 284 - 5898
h
Pamela Steinbach R.S.
Environmental Health Supervisor
625 Robert Street N.
i
443 Lafayette Road N. � MII'+11`'`I�5{7TA 1��PAF�'TMEiWIT t�� (651) 284-5005
St. Paul, Minnesota 55155 , ,�+� � i � �+ 1-800-DIAL-DLI
www.dli.mn.gov �.,���„�1"' Ci � I � � V � ! �� TTY: (651) 297-4198
:� .'
Division of Construction Codes and Licensing
REPORT ON PLANS
Plans and specifications on plumbing: Burger King Remodel, 5020 160th St. SE, Prior Lake, Scott County,
Minnesota, Plan No. PLB 1204-00003
OWNERSHIP:
SUBMITTER(S): Steinkraus Plumbing Inc., 112 E Sth St., Suite 101, Chaska, MN 55318
Plans Dated:
Date Received: March 29, 2012
Date Reviewed: Apri19, 2012
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 Departrnent of Health licensed healthcare
facility, or project in an area where is no local administrative autharity 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. It is recommended that a cleanout be provided where new waste and vent piping connects with existing
plumbing to facilitate required testing of the new installation.
2. 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).
3. The copper water distribution piping must meet ASTM Standard B88 (see Minnesota Rules,
part 4715.0520).
4. PVC plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D2665,
D2949 or F891 (see Minnesota Rules, part 4715.0570 through part 4715.0600).
This information can be provided to you in altemative formats (Braiite, large print or audio).
An Equal Opportunity Employer
Burger King Remodel
Plumbing
Plan No. PLB 1204-00003
Page 2
Apri19, 2012
5. The water distribution system shall be disinfected in accordance with Minnesota Rules, part 4715.2250.
6. The plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820.
NOTE(S):
1. The scope of this project consists of remodeling an existing building. Installation includes a hand sink and
all associated waste, vent, and water supply piping. A smoothie machine will be installed adjacent to the
hand sink but the machine will not have any water supply or drain connections.
2, The b�ailding is served by existing m�.�nicipal sewer and water services.
3. 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.
4. This plan review is for the plumbing systems only and does not pertain to the licensing requirements for the
facility. The licensing authority will report separately on any licensing requirements which must be met.
Additional plans, information and fee may be required by the licensing authority for their review. Please note
that changes to the plumbing system rnay be required as a result of their review. Revised plumbing plans
must be submitted showing any significant changes to the plumbing system.
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that
recommendations or requirements for change will not be made at some later time when changed conditions,
additional information, or advanced knowledge make improvements necessary.
Approved:
V
��-----
Corey Frain, P.E.
Public Health Engineer
Plumbing Plan Review and Inspections Unit
651/284-5882
cc: Steinkraus Plumbing Inc.
City of Prior Lake Building Official
MDH Environmental Health Services
File
�c w h�n� S ; � �C. .
� � ��; �`�
� � ���.
e r� ��' �°�' ��' � �,
�'� ` � sa f � , �
_ �. i < � , /
:..'�.,. A` �; t�': S�° �� `" �� °4�" c^T� tr �,G' f j�
� a /� .
o�
�
��.�... �� : � � : y� e� � L Y; j�ae.� _�P:�'e � 3 F .
� f � � n,��
8d � �� ,�,, .
f +�� 3^
j � / o / � �� �" 1 4 ' � �.
� a
�.. �' i�
/� �. �: D
� Pi�E'� �/ Y'it�.S' � l Q �p�� 3' �� .
{> �`V
v � 0 �
� � (,� ° � � C- � .� �' .
, ' �, � { :� `�"'
,�
�� � °�' r � �,�
r
\
i� ''>
� � 0
s
�
d `+�
a� �
' ��
,�
t � P
5r� :
c
�'°`�!
�A�� � �
r�' ��� c `� , ,.
�
.�
���' d
�/;nq � ;�
, �� r f �''� � g �- S� "�
S _ D � o /
� ° '"
1..1 m �
�. ��� ���-
�"��#' L�#� , � � � t � ,,.
� �.�' ��!"�7 �S p �� y,. � ' ' 4' ° Y � T a�1.� "'_` r -1"i �{Y� �
� .. . . . ,�;� � `...� � ��'�Ayif9R ���1i.J♦
_ � ;��iah � _ - .p� �
• .�.�....r,...,... ......,..,� . 3'�q� ' ��lv
.•�._...�: _ ---�-�---- •��
� l��,�._ t
�s��� � � ��� � w ��TV � ` : .:�.�ii�� , � ��V ��� �
f � �
�+ j � ��
.�-- �J � p 5 �yla���Y !�
� _. �E-Xi�°tD� a�o �5!'a��r+�,� �ir� __ _ --- � *
� ��- �'t►�� � ss0. �1,0� � 4 e °r"' ��k �
a.�" /1/p't!�' 4�✓.SJ�1� t,�'/,�,�G 3 �.Q. ��IrJ
, �"��A�'F'} Dl.l.�'!S ""'" � G1`
� �` � � s �c�i � � f
. � ! �� #3-�, � � ;
� �°�� �{�.�«���' ��3�1��` �
t . - _. �
� -� ;
_ - ,�,
,�,.� � - �.*� �
� ���� �
p �::..�fi�,�,= _
� �t�. ��...�,.
.�„ . j �
s�' � , � �,
���� � � �
� ���
-- � �•�- . ; �
� � - ~�
� � .
�,. . - - � �,
���_�. .� .
• - • -:������
.�� � - - _ E ��--.- .
g.u �:���.,�� � t�
■ � - ,� I
1�,.�.i3. � �.'�. t����� � f�,��,.��,� ��
� _ � � � � � ,
'�"��a�:� �#t�.�f «
�' � .. .. .. : Q �
�.T�?� ��� � ,.. �.�..�".f � � �'
't� ���t-� _ �--�- �---�-= � �.
.� s���. rt,
. � � �_�. � � �����1�
f .�; ��
4 . j t �� . . . � � .
� 4 ,� � E
� � � -" � '�,�I�" '�: �'�;�.�
....,....n� ������., " _
�. g * �
� �'�� �� i 1 � ; �
. . . . '�'fY'f' � +► ,' r
>3 �
. . . � . � . �/. G,. d.
. �'... - . ��t
,, •�
. �; '�' :'4!�l+i'3'
���� + . ._.�.�
---�---_-..�. ' �F. Y. f�.
�F�R Tt3 �fT.S-3 �� 2 iit,�C't�`'G.+�'3s � �'�t�
�3��EG7 �t.�A�SQ� OF �'La��R' �►Pt�3
S�i^�!lfYS 9�' �'t:.�T� t���� .
IV 6 W K�h� S���
. �
� . ��; �
�
�� �����
�°, � ,�. � r� ��'
�` � � �� �`'°�
� , E
s�?. ;r / Y - T' ° . , �.: � °' . ,,=^,-'cr "" „� �.,� .% ` � ; a
L., � >-;� i �� .
r
�- t�* .+ .� `;� : : : �' � L"" ... i.-��`• �,\ r: �. �,.
' . i BoR � f � i r,r�. �°:
�a � �.
�
; ���' ,�� �`�i � � � �,,
� F�
�
` �K
I 1� Yl PS � 1- ` �: D•
� Y ! � �����i` aay C3
�� �
� t �
� � � ° � � �- �'� � . � `�""
o� �'}'°� r � , e �' �' :
�.�.a- \ f � � F
��
1 � � '�n.
a
• l r �
� f
`
� d ♦
�p `
�' �p&
�
. - S � d
� �!
� � i
� � - -t.
� �4
���
�� y � � �
� �� � �
�°
r �`' ��n9 S � �
��` � i�a � g � '
�� � ��
� o �- �- � >'f/1 i►
j'�r�
:�
4
. .. . . . ._ � .� �:
^ ' - . � . .- . . . . � .. . ., . , '
♦ �
} t
:t
�..
�'�� L'�#� �
;� �'�lE�'1'�C . '�"'�` - r �:c.. �'1�1 �llJl
'�����' .'�'� V.�:..�?a� �`��t�.
- :.,-._..._._.. — ` =�? a y �. �
-..-.. ..,..,� ..» ..e r. �.. _�� ��
---..--.. — - ''��
lY�f�. .
i
�� � G� � p R ��� � ' :����, � � �v ��� �
`r/ r � � �
'1�� � J 5 ��as,7'1�7� , ; " ✓ �
� ._.. _ , �E-/�° a✓ � �Sto�.+�..t�'�*s�:�i� _-.._.,..___���_. 4 f,
� ��- �t►�� -� �s0. ��;��,� � ,, s ��k�
?►� �Ir�,°W� r� c.v.�',�e! a �. o. �,pi�/
�" ���'c'k Dl.l.r'J5 �� q
'Y t �
' � � � � �� 5crr��C�1 i #�'� • '
� �°'� a;� �o �....'� .
. � , • ��� �����a� . �
� � 9
_ .. . � i f � f �
'�,'�-�.� �.. �
� �,�� �
�+ ���:.,� w
� -
�+ �r�:.. --...,. _ _
� �� � � � r��
.,.- -..,.. ..�.. ...:...� �{� �i ��T'
—.. � �i��! 3' f� � � ;� �
. # � ' ,, `•�
� .
�; ■ ' � �''�
�' .� �', R. � .
� .. a - ;��''����
- �- ..
� " F J ~.
.-�"_'�'--:.,,,
�. �' , �E� � � � d
�,.�»�. ��'�.�. �� �� _ �+�•�sa�� . ��
�k � � �
' " '�' �#I�:.. # 4 , � .
. . . 'i '� � � � , r s 1 �r
i Y
� �,�.� t
tC.'1C.�Z "'—�—' �"�:T'��.,. ,. �.�.-a�'�f � [ ,.�.
�,��� � -E.`"�"' � �*�.0. �
< � � � �+�:� ;� �t���1�
��
Qt .. ��"'�",� i
't • l R l� . . . � ■ . � � E
� i � �'.
�` � '.1� " ' , �s �,���,`s��
. � �.Y �+.K.� ` ���� ,?� � �+ �� �
� 11i^ �► �
. . . � . . . .. . . ��1 �. �Y � ��
' . . _ . . r /y ��. � � �
. , ' ` . � . . .. . . .�"- �—� . �1 ir.� W �
� . . �R�.e -. , �
�— . . .. . . �� : � � ���
��` ! � i .
+w��+�� . � � i �E � T� � �
��=�R T!3 S�t"!'.S- i�#� � i�,�'l`+�G.�E3 �" y �
��.r4GT r.t��A7'yt�i t�F �lyd�e'd?R Xk�t{31
S�!°�1C5 � �'Ls�pt� t'�Ri4�P1� .