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A -n § ■ 73 ■ § m 0 0 o ® , 0 . zzxi - z 73 z x ! c m m -I > 000 0 -I m ~ C) 0 ` r -noo 73 =, p I 0 Uz w z m m z 1 r § 2 Fr q `- r � � P lib 0 X 2 0 / 000000 t o / / § kkkc § 0 m � � � � � � m 0 � mm % § _,m q2 � z r o f PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ... � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 9/ tl UtTi 4'14,NESO I. White File PERMIT NO. i j [..Q 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) / 57 ViL_ Lo Wo e,v Sr S. E . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) r-41 e VIG W WG --`I"�A i S E'2 -y I 41 (Phone) 1pt 7- 47 2 22.9 (Address) 4-0 0 i._.1 S O y &Lam/✓D BUILDER CSI Co�� ( D C) (Company Name) Ae-L 4001\4 +l'•4 -.-.6%.1C.1 (Phone) (Contact Name) —fl-1 O M A S E. . SN A M P G E LL (Phone) (06 I 7,0 3 lap 0 5 (Address) Z-e=1 (o S PA e T CZ—I co & (Zc. 5S i i 2 TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition Alteration ['Utility Connection ��y,, CODE: ❑LR.C. I.B.C. El Mise. //v'77¢toe. A`r�.. rlaN Type of Constructio I II III IV A PROJECT COST/VALUE $ ‘ .�0 CX: Occupancy Group: A ID E F H I 111, R S U (excluding / land) Division: 1 2 3 4 5 I hereby certify that I have furnished information 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 p- erty and that all constr ctio 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 revo this permit for jus cause irthei ore,I hereby agree that the city official or a designee may enter upon the property to perform needed }}ins e,�cttion Signature Contractor's License No. Date Permit Valuation 50 0 00 - Park Support Fee # $ Permit Fee $ (av a4.50 SAC # $ Plan Check Fee $ +44-13 Water Meter Size 5/8"; 1"; $ State Surcharge $ 22-55 , - 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 $ sUa4'OT DUE $ II ¢.4 �41 g--(5_ .i& ea e./ o 2,77+.65"" This Ap,1 . i n t/comes Your Building Permit When pp i ved Paid Z `T,ee Rece. No. Date ? G( By X01 I, e_bl� � l( Building 01 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 .04013 ... y '-// s� � , �- s _ �_. Plannin 'rector Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 04 PRlpfp CITY OF PRIOR LAKE Date Rec'd �1 �l HEATING/AIR CONDITIONING/FIREPLACE PERMIT 2JS i (i t, lkiv E S°� I. Pink File 2.GrYeeen PERMIT NO.City /I D/�� llo 3. Applicant ` f -3 (Please type or print and sign at bottom) ADDRESS 1 ZONING(office yes/ W/LLo Wwoo D 57771,-Er 5.6C. //2.V/4 L4' f ./N//C/ use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) icA/R vi. 'W (PA// PARR/A/67-0A') (Phone) 6/? - 6 7c" -»961 (Address) yDO 5r/N5-o n/ ift-VD. ) ,1'I'LS, MAI APPLICANT (Name) 4:*A Pa izArE / + , "Al/e9L (Phone) 763-3-33-30 7Q (Address) Si/y ///4As-Ba*a AV,E- No. /t/EW /SPE ,539. 8 (Address) (City) (Zip Code) (Contact Person) R/eK 1: 377-ER (Phone) 6/. `.369- 7099 APPLICANT SIGNATURE 7A DATE 3 —/S---// APPLICANT PLEASE COMPLETE BELOW ['NEW CONST UCTION ❑REPLACEMENT ®'ALTERATIONS FURNACE MAKE AND MODEL NO NEW EQ v/PMC,V7 FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT KM/NdR ['Warm Air Plants ❑Steam PLEASE NOTE: aver- ❑Gravity ❑Hot Water Air Conditioner Units /21 V/S/Otif ❑Mechanical 0 Radiation Cannot Encroach into ,,J&y ❑Air Conditioning 0 Special Devices Required Side Yard ❑Vent.System ❑Other Devices Setbacks FIREPLACE MAKE AND MODEL _ FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $39.50 $39.50 minimum Residential,Heating&A/C(New Construction) $99.50 Residential,Additions&Alterations $39.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $39.50 Estimated Cost$ I) /00a 00 Building Permit # HEATING PERMIT FEE $ --31P7-Ta 4.9" STATE SURCHARGE $ . TOTAL PERMIT FEE $ WI-6w -594,37) (Office Use Only) This A 'c 'on Becomes Your Building Per it hen Approved Paid 5#,5 Recei o.iD 2.../36 T, Q f i( Date , /. . // BY Building Ofticta ate 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 C Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 3 I.Blur F"` . PERMIT NO. L 3.YellYctI Airy /1/•O/ 5 ow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(orrice use) y/-57 W/4-4-0 W WDUD .�TR.E.E7- Ste, (6¢/A.vi, W cL/N/ ) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PLD OWNER (Name) /69/ieV/E l' (P#91 ' /4/#4/2/2/NG TD// (Phone) 6/al —6 7.)--d. 98 (Address) 1/40 577//50,/ B'.v.a, Y9A -5 j 49// APPLICANT (Name) Le,i2 PD/247Z /1'IF_L//AA# .,,4 (Phone) 713- ,5.x.3-30 9 0 (Address) 37/9 //iLc-sBo,,o 41/. ., , /o. �t/5r�t/ oP� S3"5' (Address) (City) (Zip Code) (Contact Person) /Z/G4. ! './2 / (Phone) 6/a —.369— 74)9, APPLICANT SIGNATURE 7/%'Gj DATE 2 -/--r--// 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 Water Softener 0 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly 91-0 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 0 Water Closet(Toilet) a Other pft/N.C/N6 Fa PN779/A/ FEE SCHEDULE industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49,50 The Minnesota Statutes§326./3.148 COST s_ - Building Permit# "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ g t, 3 6 July 1,2010,until June 30,2011. STATE SURCHARGE $ ,'5 O. The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ 99.30 is, ,beginning July I,2010 This Ap do ecomes Your Building Fermi Wt h pproved Paid L 4.. SD Receipt . 2.130 Z.1 1 Al Date ‹+ By Building O cial Date �• i`� 1 / . 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1 PRIG � �� Yll6 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd - (_-_,,: TEMPORARY CERTIFICATE OF ZONING COMPLIANCE JT• �/ AND UTILITY CONNECTION PERMIT • dry N,r, ,s\' !./ kEs F. W//1. 207 White Fire ? Pink CM PERMIT NO. // 344 1 . ;. Yellow .Applicant (Please type or print and sign at bottom) ADDRESS pioMie,.y ZONING(office use) `11 s 1 wl llOw-0ot1 SFT - SE _ icielfAvin-N cLa/e E,�J` LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) �A'r/ZV 1 Ev- C4fr,.(L (Phone) (Address) BIKER (Company Name) SbL/EL.,d {//LE- ?(Zc7Yc'Oa.✓ (Phone) 6S/ 6 ? - 7/Y `( (Contact Name) /I LNC Th (Phone) (Address) 413?Z (../ , c.vo e_14-/c t_ R--J' AleI2EN /75I/S, ri46 c.8,/2 TYPE OF WORK ❑New Cons- cypn ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. Xvlisc: RE EX/ST/••/7 FULL Vre- 1k-A/C7L,c Type of Construction: I II III IV V A B 1l uif 76 R if'"?•VFL- , G Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ O • Division: 1 2 3 4 5 (excluding land) I hereby c ify that I ha e 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-me tioned property a 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 c evoke 5h is p rmit r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. % J (oto i'f i'• Z '20 f( Signature Contractor's License No. Date Permit Valuation V Q 00. 00 Park Support Fee # $ Permit Fee $ SAC # $ 3 .7.5 __ -Plan Check Fee $ 22.. 6-"7 Meter Size 5/8",1"; $ State Surcharge $ sS 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 $ 57 54- ..Ap. icatio,Bec.`.'s Your Building Permit When Approved Paid - ,57, 0 4-_ Re pt No. �p�4/ �� Date J; (o. If B • /// 6-A (f Buil./g 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. (r` Fi e(d \lieri t• a(� 1ocalf'• Planning Director Date /Special onditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 d 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 G.o D 5-7. OF ER'I0+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd fTEMPORARY CERTIFICATE OF ZONING COMPLIANCE / - // t) �' AND UTILITY CONNECTION PERMIT err C7 �rNESO I.white Pile PERMIT NO. 2. Pink City I I 0403 3.Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING(office use) Li 15\ \ LLOVwc4 jk , G LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID js 3061. 0 0 S,0 OWNER .' t (Name) 1Qi r\I el-.1 C"z rvt—C or-, (Phone) LO 12-- (ia 12..- cJ ZaLi (Address) "? I ( ka.so4-a- A!v,e A S e, (J-c\v,,,,,,,,?,51_,..s j t4 J.,i s54IN BUILDER { (Company Name) c'CYt;..yv,, S P , `5.f S4--.s ,s s Zinc- inc. (Phone) 10.5(- L{2-421 - ( t CO (Contact Name) a C eV-Ir a arch le ' e (Phone) (Address) 2,(i)2. C,,,.Z ail-al S v tj 1e 2 , n- C y-,.f,u,°� �k SS O 3R' TYPE OF WORK 0 New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection 1 CODE: I.R.C. I.B.C. mix: l. .an M Qi_& re.—•_ t7l i ru ' Type of Constructio> I II DTIV V AB Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 5 700- C) 0 Division: 1 2 3 4 5 (excluding Iand) 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 this perm' for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x ter 50./?- 2 1Lf Signature Contractor's License No. Date Permit Valuation 000. . Park Support Fee # $ Permit Fee $ j 3 L.y SAC # $ Plan Check Fee $ et?-13 Water Meter Size 5/8"; l"; $ 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 $ ZZ) (.3 This.plication Beco , Your Building Permit Wh App ved Paid&-Cc.1 Receipt ceipt NA.66,2 11 'S3 ,/ Date S.-�t By 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 sign"•by the City' . r • - tes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. an\--‘ 6%-2.v-i( -/"11410,v , tot se,',--S&A -I'C')~ eRCA\7 Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 4,5\ '1/4,14G , v:,Iwv00 Sr- s' e . TYPE OF WORK USE OF BUILDING PERMIT NO. DATE ISSUED 5 l ic BUILDER Spc4-c- tZ mi .S /SYS n 1S /tic. PHONE # ( 5(. 4ZY - Woe NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT NSPECTOR DATE FOOTING I C�/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING I I FINAL I I FOR ALL INSPECTIONS (952) 447-9850 PRIORLAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 4I 51 U..)it.L. a . SE-. NATURE OF WORK 1,-)Teiz.tBp... At. .0 . Ci.w(e. It� USE OF BUILDING 1 c. Ac IZ PERMIT NO. DA E ISSUED 4i/1111 CONTRACTOR C.AQ.L,.SaA Litt wier (r•*c. PHONE X51- 3A3-8Co©5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT eamm INSPECTOR DATE MillINISMAIINMPrior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 1s w id, cc INSULATION f te4 jr ELECTRICAL 5A1- PLUMBING Lt,s U(, Pi / Ili re liz--_-91/‘ HEATING (if required) COVER NO WORK UNTIL ABOVE� CHAS BEEN SIGNED I F t(a. S.'r t 5 51OIJ (/ O 4/A if 1`14 FINALS allLll""1/e"Ill""14"- - , - - / I BUILDING B«. `` ` K ELECTRICAL PLUMBING HEATING WC., PP 'c ) DO NOT OCCUPY UNTIL ABOV AS 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 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005 St. Paul, Minnesota 55155p D 1-800-DIAL-DLI w ww.dli.mn.gov LABOR 8g I1 DU TRY TTY: (651)297-4198 AilMlik Division of Construction Codes and Licensing REPORT ON PLANS Plans and specifications on plumbing: Fairview Ridge Valley Clinic,4151 Willowwood St. SE,Prior Lake, Scott County,Minnesota,Plan No. PLB 1103-00083 OWNERSHIP: Fairview Health Services, 2450 Riverside Avenue,Minneapolis, MN 55454 SUBMITTER(S): Corporate Mechanical Inc., 5114 Hillsboro Avenue N,Brooklyn Park,MN 55428 Plans Dated: March 9, 2011 Date Received: March 10,2011 Date Reviewed: March 30, 2011 SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The review is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. A copy of the approved plans,specifications,and this Report on Plans must be retained at the project location for future reference. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. As specified in Minnesota Rules,part 4715.2830,no plumbing work may be covered prior to completing the required tests and inspections. Provisions must be made for applying an air test at the time of the roughing-in inspection as outlined in Minnesota Rules,part 4715.2820, subpart 2, of the code. A manometer test, as specified in Minnesota Rules,part 4715.2820, subpart 3, is required at the time of the finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota Department of Labor and Industry when an installation for a state contract job,Minnesota Department of Health licensed healthcare facility, or project in an area where there is no local administrative authority is ready for an inspection and test. To schedule inspections, contact the state plumbing standards representative for your region. For your regional inspector's contact information,visit our website at http://www.dli.mn.gov/CCLD/CCLDContactus.asp REQUIREMENT(S): 1. The plans do not show the water supply line to the new water closet. Verify that a minimum 1A-inch water supply is provided to the water closet. 2. A waste and vent riser diagram was not provided for the new electric water cooler. Verify that this fixture is trapped and vented in accordance with the Minnesota Plumbing Code. 3. 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. This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer Fairview Ridge Valley Clinic Plumbing Plan No. PLB 1103-00083 Page 2 March 30, 2011 4. Water closets in public bathrooms must have open-front seats, except closed-front seats may be used in residential or dwelling-type occupancies(see Minnesota Rules,part 4715.1420). 5. 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). 6. All solder and flux used for the potable water distribution systems shall contain less than 0.2 percent lead. Use of 50-50 solder or flux containing more than 0.2 percent lead is prohibited in potable water distribution systems. Any solder other than 95-5 tin-antimony or 96-4 tin-silver must be specifically approved by the administrative authority prior to use(see Minnesota.Statutes, Section 326B.439). Joints to be soldered must be properly fluxed with noncorrosive paste-type flux complying with ASTM Standard B813-00. 7. 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). 8. The water distribution system shall be disinfected in accordance with Minnesota Rules,part 4715.2250. 9. The plumbing system shall be tested in accordance with Minnesota Rules,part 4715.2820. NOTE(S): 1. The scope of this project consists of the remodeling of an existing building. The plumbing installation includes a new pharmacy sink, electric water cooler,water closet and the replacement of a lavatory. 2. This facility is served by existing municipal water and sewer services. Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. Approved: C11 ., � olleen Erickson Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5881 cc: Fairview Health Services Corporate Mechanical Inc. City of Prior Lake Building Official File May 4,2011 Thomas Shamp Carlson-Lavine Construction 2965 Partridge Road Roseville.,MN 55113 • RE: Fariview Pharmacy 415 Willow Wood Road Prior Lake,MN • • Dear Mr. Shamp: For your records I have attached a stamped copy of the drawings for the new canopy framing that we supplied. For your information,I reviewed the installation of the canopy steel, as installed by our erectors and find that they installed the material in accordance with the design provided by me. Anchors and welds met the requirements. Please call me if you have any questions. . Thanks, t trilby rgfy t' 1t +5 �nplan, ezifil'tto . .��� . L+ oDrt :v h�J s��irE:i.rased ty 7C1.�re or under lY `.1'ir:4.+�5 and MO Neal J. ,c�,:: :�:; , ;rl"',;< (Nur the t s 01 S ' Bednarz Rovick,l'.E r , .{► .."" MN Registration No. 21800 Sin �.. M D�:e '/4/4._ Registration No. _,c„ , NNATIONAL STBBL FABRICATORS 4779 MUSTANG CIRCLE • MOUNDSVIEW, MN 55112 TELEPHONE(763) 784-1335 • FAX(7631784-2195 3 N I A 31 N 0 S 1 N d 3,01 I J CCG 'f1N 9wJ 17710 141M U INttl IAIJ17 :7 I 1117 '1, ANIAI hereby certify tet s pian, specIficatIon, OF . report VW prepared by me or under my direct supervision and that I am a duly Registered • Pro'Ta,e1 Engineer under the ins of to S;,%;. of Minima lio Sig. • ,. .•` � �c.%bT. pm �� '444'Mil IM IV., De,k4AL Reostration No.r.2 . / i. _ 1 � «T .3"06T (,1k1 R2on,1 em e rte? f c' ,7 To hY 'u-ST TSP 0.1444 CI II\1 N Vric,s rr ii a ick) . I* 1. _,_ (\11'2)oelpta4i - rte ='1-i ---,All -./7", . . ..Z., ,(1F)). MAY. CToc i`7 Al1ia 50A- of Cownn,J = 9L. (o" . (15.i)c .RortAS. il.nt ..___ . V 1i f i A.1 c.6}O fL "jam 7b Q O . . , //: �� AT�-A( D ! Foca. ,.. pvri.. .5 -} ter �" iii �, --- 1P lett --1)--1\\\ 1.1/01€— •=2.TIN ( i CC) ) ') 29 . r------- ?LA1 S Me L- 7 C042xki ✓T i (t)TS Cox 'ZAvx, 9I " S ( l1) rC )4. 'LA Zxr't-t - =-ES*., i q y 1 ri c. I D Gtr tc,vr VE s 2 i i =J• Crs7r— TI-Kra 0 IV) I) I cA:CLJA) 4 Fj i E (JMzz3:: 5 op-,_ .2_ n__Kro ( 1 - 1 ) , LI mai ( )�6' ;TZ ': _:3.!�. - . . . ' (-& pc's) 3Cvi'ix =--11%z ( ii) y ea fy that this plan, sleciti toa. o‘ • report wis prepared by me or under my dart supervision and Vial I am a duty Registered Professierial Engineer under the lags of the F-1 -1,0 14 Ofd . w '33w'da AlP S.4 MC41 • Sig. .. —771-1( _C-F/C"---7 _ L.S- t/ I/ ' i,,,, Registration No._Mk_ 3 • t }:ti I :+ ii 1 1 ____,• 11,,i, - ---:---------0. azo "'� a � °� in I I ---- -!— = o 4;04� Q� ag 74 U Z Iv ; f ;- • W W -- ' �_#— / 300 . 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( ..._ _ ____ 4.a._ _ , , \ � � N14 a 1 , 23—e( ct z s— N ,..1 a E ; m ! s • Q 1 igl R i 'Jul U ( s r 10 I O� rRI3 U tri White - Building Canary - Engineering INNEsdo" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT CARi..S64%J L"\ t.)c , C • APPLICATION RECEIVED '1"�A- /11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '4151 tA/ woor �T. 1Nmyki o g A`Tt r4T o Accepted Accepted With Corrections Denied Reviewed By: Date: 'I/41( Comments: 1- P2©v tit.) crwt,I. ai...., NC-C.° F--3cr� (A)106;4''t) A-- 1`72A4-x. 1N, to"1 r Fitt Ail.—c acrL.- Pc...."." 5 F - 42°C- (--056.41. Ab- 11 r 4 . cbl•--N- d.'""1 Aft/IA.1"w &t,52./1A-614-5 f Li\vpr € ( "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." (f \ tri White - Building ytNNEso�� Canary - Engineering Pink -Planning , BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L,A 4- ` •- es i , V t r.a 4 t-.4 6 • APPLICATION RECEIVED -1 fs /r, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f A -1- E E t 64 () . Hca< t:!:J `. T . 1,4" 1,4r,it C.r }> k;• CU.^J, • Accepted V Accepted With Corrections Denied Reviewed By: 7,-7,/- - Date: y / y /ii Comments: A 5 c,/„— p t,-.r- ''- L,.1•' 11 6-...... r c. r u,• cdA — C`F --;.. ._ „_.. r,...'5ve...,....----e.„..4- 5 "The issuance or granting of a permit or approval of plans, sp"ecifications 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." .,_ YretA -..H'i liF;W<M i_r ,h..iyyy.r ♦ x'tlux$F.t<. .nom,rti G y .d . ... u m W»I;nq 4.;,T-"F l O1 PRIp� U txrl White -Building'_ 4INNEsdo" Canary -Engineering Pink -Planning • BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .. , 7L. ..:,=>r•st L-„rte 4 ,..1 , fes ., f A APPLICATION RECEIVED e The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Y 1 ¢ . ! f.^, .S 1 G .. _ni .. ,.,c.,. ..,C) `- t . I,Ni-re; a 4' At-- 2+:."64-vA i 0 Accepted Accepted With Corrections Denied Reviewed By: Date: 9'-'44--/f , 44 Comments: /L'lfe-erl'rr ei.. -s ht-r ci Se/9�r p-erril'1--- rvrt,4t d a ten.,r el,Hor- cert c...Ae O-P eye LKp C, 1-Jle-er/ar- -5:15)/Ve kw/reirK✓r sem" ,,o-er-, l "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." co FAIRVIEW Fairview Pharmacy Services,LLC Robert D. Hutchins 711 Kasota Avenue SE Minneapolis,MN 55414 Building Official Tel 612-672-5200 4646 Dakota Street S.E. Fax 612-672-5201 Prior Lake, MN 55372-1714 Dear Mr. Robert Hutchins I am writing you in regards to the Fairview Ridge Valley Pharmacy and staff. Clinic and pharmacy staff will share the clinic restrooms. Pharmacy staff will have access to the clinic areas during the evenings and weekends. Any questions, please email or call: 612-672-5164 Kpaulse 1(Oairview.org Sincerely Kathy Paulsen O1 P�04 ti U Memo't'NNSO'tP 171 Date: March 18,2011 To: Bob Hutchins,Building Official From: Jeff Matzke,Planner, CDNR Department Subject: Fairview Clinic—Pharmacy Addition The CDNR Department reviewed the site plans for the subject project with a plan date of March 10, 2011 and we have the following comments. 1. All final sign plans (freestanding and wall signs, including on-site traffic directional signs) require a sign permit prior to installation and all signs over 6 feet in height will require a building permit with engineering analysis. Clinic should consider placing projection directional sign after drive through window to identify"Right Turn Only" for one-way traffic flow. 2. All landscaping as identified on site plan must be installed prior to CDNR approval of final inspection. 3. Are any new lighting devices planned to illuminate building exterior or parking areas? If new exterior lighting is proposed a lighting plan (photometric plan) must identify location and light spill surrounding lighting in accordance with ordinance 1107.1800. 4. Any work that impacts MN right-of-way will require MNDOT permit. Permit forms are available at www.dot.mn.state.mn.us/utility/forms/index.html. Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com Page 1 of 1 Bob Hutchins From: Bob Hutchins Sent: Monday, March 21, 2011 5:02 PM To: 'Shame, Thomas' Cc: Jeff Matzke; Ross Bintner; Larry Poppler Subject: FW: Tom,Attached are Engineering dept. corrections to the Monitoring and Maintenance Agreement.After the corrections are submitted to the Engineering dept.and reviewed by Mr.Bintner,the Mayor and City Manager will sign the document and the document must be recorded at Scott County with proof of recording and reviewed by the city before the building permit can be issued. Thank you F a, ,.. ._..y'' Robert D. Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 952.447.9851 Fax 952.440.4263 City Email Updates.Sign up now. Original Message From: Ross Bintner Sent: Monday, March 21, 2011 12:43 PM To: dharrinl©fairview.org Cc: Bob Hutchins; Larry Poppler Subject: Mr. Harrington, Attached are changes we need to make to the proposed Monitoring and Maintenance Agreement for the Fairview at Willowwood Street stormwater system. Please call with questions. patip Ross T Shutter,P.E. 0 Water Resources Engineer P:952.441.9831 C:952292.2080 F:9524404245 E:rbintnerecthrocDriorlake.corn �''+r4140° W:Ikttrilwonv.citvafprioraake.corn/WaterResources shtr F 3/21/2011 Bob Hutchins From: Bob Hutchins Sent: Monday, March 21, 2011 4:57 PM To: 'Shamp, Thomas' Cc: Jeff Matzke; Ross Bintner Subject: FW: Fairview Clinic plan review Page 1of1 Tom,Attached is plan review comments from Jeff Matzke of the cities Community Development&Natural Resources Dept. The Building Dept.has no comments on the submitted plans. In an upcoming email the Engineering Dept.has attached comments.Please address all comments before the building permit will be issued.You have submitted a check for the building permit,I am currently holding the check until the building permit is ready to be issued. Thank you .. Robert D. Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 952.447.9851 Fax 952.440.4263 City Email Updates.Sign up now. Original Message From: Jeff Matzke Sent: Friday, March 18, 2011 12:22 PM To: Bob Hutchins Subject: Fairview Clinic plan review Bob, I have attached the CDNR plan review for the Fairview Clinic plans dated Jeff Matzke Planner Community Development& Natural Resources Dept. City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 phone(952)447-9810 fax(952)447-4245 Email jmatzke@cityofpriorlake.com Think Green.A Please don't print this e-mail unless you really need to.Thank you. 3/21/2011 Co"C.,,,,.1.1✓$ r r'c.. /vsl":,..—>r.....,„„..,,, 4,14=.„ .,:_is c ,/f _ , , . , , , , , , . . , , . , , , ,_4 -32,,,--,_,.....,—. oTt ,./P/".--,,-„i......--,1 , , , , , , , , . , ____ , , , , , ,, , . . ./u /41- ). ! , , ' ,,,,,111:4,,,,,..t).,. ......,,,......... ,: ....,1,,....,1:.... ..,, ,, ,l, ,7 , _ Di . 4_,... t i 8,1c:,;(z... 1 ..,...c , 1 5 C F ! !I 1 $1 i f 1 1 , 1 MAI I p I am.'''wy, �r t '' I 1 1 ! 1 I io .1 1 1 1 . 1 j 4 / , , ,il , 1 P. ' I 1 i • 1 , i 1 I I 1 � j 1 O� ?R101 l ,Cs � U trf White - Building �P Canary - Engineering NNEso Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT GAk.t_.S OH LAV INC ( N 1. . APPLICATION RECEIVED • • ( 0 - a- !I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 415 ( W < <,Lo WUlooD -D i • . Accepted 4.-- Accepted With Corrections Denied Reviewed By: biit,-,- _____________D' Date: 4 -.1,-Ar • Comments: I- /7Ity v,n 57-,�cry►`/4L e-A4>Nc 7L f✓v /:,,t Ai E--,.v '.r. iA1fA,0 d.c! Ar Fie-AF-'if AJ a) /ev S�e,'"-pds✓ Z - SvS,Yt I r Sj' to 141444., PE...a -)-►.B,..A:s f c>.4./e,iv K.472 Pc-.-4- '.S' PC i/18-',--v Pi-L,A-12S,Ai 6, iLli‘i s 4. P®s. $f V. .s,, i A A c y 17f,.amu-;�, Cs'�.�,...,t-i- 7.; 4041-VA-r ac Es "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." Memorandum DATE: April 14, 2010 TO: Danette Parr, Community Development and Natural Resources Director FROM: Robert D. Hutchins, Building Official RE: Site plan review Fairview-Ridgevalley Clinic& Pharmacy Following are the results of the preliminary Site plan review for Fairview-Ridgevalley Clinic & Pharmacy building. Our review was based on the 2007 Minnesota State Building Code (MSBC) which adopted with amendments the 2006 International Building Code (IBC). Also requirements of the 2007 Minnesota State Fire Code (MSFC), which adopted with amendments the 2006 Fire Code (IFC). iy(‘i MCBC 1341 Chapter 1113.9 states in part: Alterations to the path of travel or parking areas need not exceed 20 percent of the cost of the alteration to the primary function area. Provide /accessible parking spaces MCBC 1341 Table 1106.1. Provide sea datum elevations confirming compliance with MSBC 1341 ANSI A117.1 51 an. i-. r /f ' '- 1u. ‘3.‘ F. /l F 'rl1 � % ,�___ . Provide a curb ramp (MSBC 1341 ANSI A117.1 406) from soutccessible parking Jspace access aisle to sidewalk. MCBC 1341 Chapter 1104. %; ALT- s�n�s S'Provide working hours of clinic and pharmacy. If not the same working hours, provide Jmeans for pharmacy to utilize lavatory facilities. OProvide access to room 158. GOAeN,M ,, 6. Provide signed structural engineered for new exterior window at time of framing inspection. . Provide a building permit application. G o.4'\m' -8. Submit signed HVAC, plumbing, fire alarm, and sprinkler plans. May be submitted at a later date. 1/ V ► vusr Ne- "1 w y Provide a fixture layout for the pharmacy. This is review is based on civil and building plans dated April 2, 2010. The site and building plans must be reviewed by the Cities Developmental Review Committee (DRC) which consists of representatives of Community Development and Natural Resources, Engineering, Finance, and Building Departments. The DRC must approve the site plans before a building permit can be issued. Page 1 of 2 Bob Hutchins From: Shamp, Thomas [tomshamp@carlsonlavine.com] Sent: Wednesday, April 14, 2010 9:25 AM To: Bob Hutchins Cc: Ben Youngstrom;jharriss@harrissarchitects.com; Piirainen, Raymond E; Harrington, Dan R; Mcdonough, Patrick Subject: FW: RidgeValley- Bathrooms Bob, For your review---Please do not hesitate to call if you have any additional questions.Thanks Thomas E. Shamp President 2965 Partridge Road Roseville, MN 55113 Direct: 651-634-7105 Main: 651-638-9600 Fax: 651-638-9626 www.carlsonlavine.com tomshamp@carlsonlavine.com From: Ben Youngstrom [mailto:BYoungstrom@harrissarchitects.com] Sent: Wednesday, April 14, 2010 9:20 AM To: Shamp, Thomas Cc: John Harriss Subject: FW: RidgeValley - Bathrooms Tom—per my email below, I did discuss our code review plumbing counts for the RidgeValley clinic and pharmacy in detail with the state code office before we submitted to Prior Lake and I am confident that we are correct. The exception that we are claiming for a unisex for the pharmacy is listed on our sheet Al-0 code review (2902.2 exception#3). We have never had an issue with using unisex restrooms in a clinic as long as the total number of fixtures required (male+ female) is met. Benjamin Youngstrom LEER®AP Harriss Architects Inc. 3207 Central Ave NE Minneapolis,MN 55418 612.339.2190 Fax 339.4783 From: Ben Youngstrom Sent: Thursday, April 01, 2010 2:53 PM To: John Harriss Cc: 'Mcdonough, Patrick'; Shamp,Thomas; Piirainen, Raymond E; Harrington, Dan R; Ford, Suzan R Subject: RE: RidgeValley Pharmacy - Bathrooms? All: I called the MN State Code office and spoke to an official to double check Harriss Architect's current understanding of the plumbing requirements for the RidgeValley building. Unfortunately for those hoping for a lighter requirement, according to the state code official we are correct in our conclusion that the building will require a total of(5) unisex restrooms (4 to cover the clinic needs+ 1 to cover the pharmacy needs). Note that this total includes using an allowable exception that reduces the pharmacy requirement from (2) restrooms down to (1) unisex due to the size of the pharmacy (there is no exception that will allow for the bathroom requirement to be completely eliminated, unless for example the existing clinic had excess fixtures to cover the pharmacy requirement—which it does not). These restrooms can be located anywhere in the building as long as there is 4/14/2010 available access between the clinic and pharmacy (which there is). Benjamin Youngstrom LEED®AP Harriss Architects Inc. 3207 Central Ave NE Minneapolis,MN 55418 612.339.2190 Fax 339.4783 Page 2 of 2 The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material,including'protected health information'.If you are not the intended recipient,you are hereby notified that any review,retransmission,dissemination,distribution,or copying of this message is strictly prohibited. If you have received this communication in error,please destroy and delete this message from any computer and contact us immediately by return e-mail. 4/14/2010