HomeMy WebLinkAboutBuilding 02-1179, 02-1208, 02-1515, 02-1591, 03-0392, 03-0482, 03-0135 DATE TIME
CITY OF PRIOR LAKE
IN 5f� go 3 I . / � INSPECTION NOTICE ///��� SCHEDULED 1 V � ADDRESS t , ' ei J0 ( l.. T-
OWNER t akp CONTR. n
PHONE NO. PERMIT NO. 2- 11
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: to QA*
4
Z h4
X . WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, C L FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contra
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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Date Rec' d
L Y OF PRIOR LAKE BUILDING P... NUT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si
ADDRESS ZONING (office use)
!X/10 Crt'cti t:~UCS-~t.d t?-/
8 ,-27-02-
I White File I PERMIT NO tt I
2. Pink City . /')? ...-/17
3. Yellow Applicant V~ ~ .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
.. ADDITION
PIDz5-9o/- oz4-0
OWNE~ ~.
(Name) Cf l) r l4!<e.. +is. t-Chu. n:J.-
(Address) 5t,c)D (reA.: ~ f<1'lKr ~
(Phone) <15:> - loP" 1 -:t8 ~4-
BUILDER
(Name) &.\::.\<<'0 l<-h O'"U' ~. l'lK\c ..
(Contact Name)
(Address) 1%10U mlYK<""(A t::h-t. N:C &!- 300 .rrfO, k.~ ,
(Phone) GS.;l-'+tt7-s;l&-7
(Phone)
ntt-t
TYPE OF WORK
o New Construction
ODeck
ORe-Roofing
ORe-Siding
OPorch
OLower Level Finish
o Fireplace
L;{Addition OA\1l:r<Uion 0 OUtility Connection
/ ' · 100 00 .00 +0
PROJECT COST IV ALUE (excluding land) $
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or
authorized agent for the above-mentioned property and that all construction wi\l conform to all existing state and local laws and wi\l proceed in accordance with
submitted plans. 1 am aware that the uilding official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
enter upo the p perty to perfor e ed inspections.
o Misc.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
_--,40 '1
~ - ~!1-0.2-
Contractor's License No.
Date
Park Support Fee # 5 $ 42..50. -
SAC # 5 $ " OClO, ,-
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # r- $ ~ t'/e?t? ...
~
Water Tower Fee # ; $ 35GV. ...
Builder's Deposit $
Other $
TOTAL DUE $ '2.'1,420,0'-
I ~::. d~-r:-OV: I ~reiEtNo~1
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.
~
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
9" zo~oz--
NflltV rILe
'*az-I/11
~. ~~~~ ~~:y I PERMIT NO.O? .....J? o~1
3 Yellow Applicant , V' ~ V.
ZONING (office use)
-- ;' r -
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(~ \'e: 'y~ ~-r
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/ \ \..' "
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDI'FION
PID25 -901- oz,4 - ()
OWNER"',
.., /" . ,-
(Name) '.,' 'oJ'=-' ,~
, (,.
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(Address)
APPLICANT:"":: '.>._,
~ I);, . i,., I
(Name) .......)<?_:C<7 i (.U;,y' t .'J -'- ,'0',,,,",
_\ J
(Address) ,) iI':;. i /'\C{>,' ') /rri ,~
(Address)
(Contact Person) ','" jl r' ,'J:::'
,..JI'C
(Phone) <}-)) - 'I:;)' ( > (,c 5,1,/'
j (;' .."; -1
(City)
.._~.......":;> .~..:~;: .....:...
(Phone)
<]52..' ZLb.'
~>"~"<
(Zip Code)
APPLICANT SIGNATURE
'~..:- " ,.. ,,{ /-,
l-__~C ~''( ,/". '.. ',,' !
;i J . ~:-:"--
",..\..' ...-{ .-'."
." ./ 1, -.--''''''......,! --1
.~,/ ?L
DATE "1;1 -::;I" ',. / /, -,
, - I ( ..../
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher ! Water Heater
-, Floor Drain Water Softner
....~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
- Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
" Water Closet (Toilet) '1 Other
.'.,
/
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Estimated Cost $ t2. ~ .....
BuildingPermit# OZ-/L-Og
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
~ ~O. .-
.50
250. 50
~~
q~~
Paid
D,s{)
ReceiPtl/~? 0
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date Rec' d
CITY t.h- _ -~7t~ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1).IU1 d
...
S""ro 90 C !2.lFOlr 121 (/a~ /2-1. :>. €""
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
1_ White
2. Pink
3. Yellow
File
City
Applicant
PID
OWNER
(Name) f' (l.,fO/2- '-19JL-~ 8I1flr/S:;- CffU /zelt
(Address) S-~ 90 C~iTlJ(7 /Z1u't/2- ~I).~. /;i_
(Phone)
~~~~~R _5UMI#ITrl{2E fl;2LJ7CCTIC)/,J
(Contact Name) ~:-l-LI ~ OI'2--P1Y~ TOP1/' (Phone)
(Address) 7'30 I /f-P6L--l-<.J C u (J rL:r-. L- O~O t.-;4- ~C5 PH ",,- ...
/__$-I_ZS_ ""'1-/?9C
(Phone) {9 f. '"
TYPE OF WORK
_New Construction
OLower Level Finish
DDeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Addition
OAlteration
OUtility Connection
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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u~' th';?operty "erfo~eded inspectip~ .. _
X ~C-J~ 00.75 //-/2-02-
Signature Contractor's License No. Date
Permit Valuation ~
0./
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7/~/ 05--
/'
I Paid ? ~ I ' cJ:.)
Date - 3- 0... J,
I Receipt No. ~ 23 "7 ,) 1
By if
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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100~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 -21--03
~~i~e ~:~y I PERMIT NO. A? -0' S02-1
Yellow Applicant . U....) ~ J
~ 0/ T /C I Ve;:-/C
/C-e/fO
ZONING (office use)
/C.('
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZS - '10/- 02-4- - 0
OWNER
(Name)
(Phone)
(Address)
BUILDER '" j _J'l _L
(Name) />>0~-/:Pfi7' r 1Z~ TI'<C1/tI,c6
(Contact Name) ~ ~~...{/
(Address) .??::3Y5 7{i-~ ~/ ~ 'vtJ,
(Phone)
(Phone)
95;;(- r.;<I()~/03~
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
~ /&e-/1 f- /t.err; J' 'J.
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to~eeded inSpecti:s.
X ~~ I'd t?~ 2-.:?e; -03
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ....:J 9. 2.. 7
comes Your Building Permit When Approved
J-2tJ.o3
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4-. 25-03
AND UTILITY CONNECTION PERMIT r I~ /t,..-~
4462,_/179
~~i~e ~:;y I PERMIT NO. /f'ifiJ_ 0'-""" a-, I
Yellow Applicant . V(J; ~U~
Date Rec' d
Please
ADDRESS
SGC,O t~e.(-,- \- ~uj,~t, \<
-: ,'IL,"" \l-1.\,t.
ZONING (office use)
'VV\v\
~-.)'-..n-c
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID~5"
OWNER
(Name)
(Phone)
(Address)
BUILDER, rL C I \
(Name) (Y\c.~ tee ~ \'c"JT~ C'L ~~( 1:. In (.
(Contact Name) \"W\ pe ~"s.t' {\
(Address) s'3~6' \0~~ Q.s, ~,,) ::;X\(\-J-' k\l-L
(Phone)
(Phone)
- "~ ~ "~ '::z-
...,)., v,
c;,r-Z -4'-10-- /03S--
vS<'lL"1
'>--~7<::
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
OLower Level Finish
o Fireplace
OAddition
OAlteration
'6?J Misc. ".('e
e....,",,", \-
PROJECT COST IV ALUE (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 ent for ove-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ~d inspections.
X '......... C C. 00::;' S'l-I L/ /z ( 1(3
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
Park Support Fee # $
SAC # $
Water Meter SizeS/S"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUEmt.t:::eV rv,:nf1 ~s: 1.3 $.::3927
,
I Paid
Date
-~Zb
~'9,O
I ~~o 9-~Ur;.
(
ur Building Permit When Approved
t/- 2<)-0'5
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
ADDRESS
~. ~~~: ;i~icant I PERMIT NO. 03 - / 3si
5690 CREDIT RIVER ROAD
ZONING (office use)
h'/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIn;( 5- () 1- {)j LJ
OWNER
(Name)
BAKKEN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
. PPLICANT SIGNATURE
BRENDA HUSTON
DATE
1127 /03
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO GRAND 50 INSERT
./
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
'Iiee Use Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUiI;ing P6iteJ_c!;{j
$ .50
$ .t'fo,---
fhis Application Becomes Your Building Permit When Approved
Buildine: Official
Date
Paid0~-
Dat~ - 3--3
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht' Ctntrr of fhf Lakt ('oUnlf')'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
t \
-')A, \- ~._ _'~ L t r"'l_ '
I
!
I
7-,1 i
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" ,
-" ....,."
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t,. .
-', y~
I (..J
I
;"', - -, 'T~ 1--,,", : . , j ..,"
_..I<.........'-.J' . , v........; ......
i"<~l\ 1.-)
Accepted V'
Accepted With Corrections
Denied
Reviewed By:
~a'~A
Date: q It 6(// () z.
/ (,
Comments:
l" /'~. ; I':<::;'/. '..,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
----_.~.....-~--~~~.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS t? G. cro C::; rr" 12I\18-.1;>"""j)
NATURE OF WORK t Ie:- _~!lZ-
f
USE OF BUILDING ~o I> l"f'\o-J W
PERMIT NO. 02- - 1/7tj rf- DATE ISSUED q / 't:t 102-
CONTRACTOR -:l3A-~~ ~~ PHONEclS2 ... 44"1 . S 2..S 1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ cPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
INSPECTOR DATE
~-?-rr-1Z lJ r-4'o (7) I I" - 0 i-OL-
I FOUNDATION (Prior to Backfill) I e/ <7,. < r I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
P.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ' ?A. r -2 S--"o2,.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~tJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I $f'12-'~*--L612. t H~ m I 1/'~()'l.
. A~~'~:S I"-s ff7F I N A L S
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and adcijtions
where no service cabinet is available, card shall be ' placed near main entrance. (
FOR ALL INSPECTIONS (952) 447-9850
'-
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Prior Lake Baptist Church, 5690 Credit River Road SE, Prior Lake,
Scott County, Minnesota, Plan No, 023837
OWNERSHIP:
SUBMITTER(S): Bergman Plumbing, Inc., 21181 Xeon Avenue, Jordan, Minnesota 55352
Plans Dated:
Date Received: July 24, 2002, July 22, 2002, June 27, 2002, June 20, 2002
Date Reviewed: August 16, 2002
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 and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Bergman Plumbing, Inc. 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 ofthe 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.ffi. to 9 a.m,), or 651/215-0836 (8 a.m. to 9 a,m.) on Monday, Wednesday or Friday.
REQUlREMENT(S):
1, It appears that this facility is a non-licensed establishment. It is recommended the kitchen sinks meet the
following requirements:
a, All pot, scullery, food prep, and bar sinks must be provided with a floor drain on the dedicated
horizontal drainage branch serving each sink. This floor drain must not be equipped with a backwater
valve (see Minnesota Rules, part 4715.1390, subpart 2).
b, All commercial kitchen sinks, with the exception of mop sinks and hand sinks, shall be provided with
%-inch hot and cold water supply branch lines as a minimum (see Minnesota Rules, part 4715.1730,
subpart 2),
2. Water closets in public bathrooms must have elongated bowls with open-front seats.
Prior Lake Baptist Church
Plumbing
Plan No. 023837
Page 2
August 16,2002
3, 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. Water heaters must be installed so
that they are readily accessible for inspection, repair, or replacement. A water heater with a tank capacity of
6 gallons or less may be concealed in a ceiling space provided the water heater has been set in an overflow
pan (see Minnesota Rules, part 4715.2240 for requirements).
4. The submitted plans indicate that the new fIxtures will be served by existing water distribution piping.
Since the plans did not include complete information on the existing system, verify that it is sized large
enough to accommodate the additional fIxtures (see Mimiesota Rules, part 4715,3800).
5. Verify that the vents connect to a vent through the roof system.
6, Changes in direction in drainage piping must be made by appropriate use of wyes and bends. Sanitary tees
are not allowed where the direction of flow changes from either vertical to horizontal or horizontal to
horizontal (see Minnesota Rules, part 4715,2410).
7, It appears from the plans that the building addition does not have an interior storm drain system. Verify that
roof scuppers discharge to a place of disposal satisfactory to the administrative authority. In no case, shall
water from the roofs be allowed to flow upon the public sidewalk:.
8. The water piping system shall be disinfected in accordance with Minnesota Rules, part 4715,2250. The
plumbing system shall be tested in accordance with Minnesota Rules, part 4715.2820,
,
9. The copper water distribution piping must meet ASTM Standard B 88.
10. PVC plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D 2665,.
D 2949 or F 891 (see Minnesota Rules, part 4715,0570 through part 4715.0600), 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,
11. All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules,
part 4715.0320).
NOTE(S):
1. The scope of this project consists of a building addition, Installation includes three bathroom groups,
kitchen sinks, and floor drains,
2. This facility is served by existing municipal water and sewer service connections.
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,
Prior Lake Baptist Church
Plumbing
Plan No. 023837
Page 3
August 16, 2002
Public Health Engineer
Environmental Health Services Section
P.O, Box 64975
St. Paul, Minnesota 55164-0975
651/215-0840
CMT:lss
Enclosure
cc: Project Owner
Bergman Plumbing, Inc.
Mr. Robert Hutchins, Plumbing Inspector ~
EHS
Plumbing Unit
File
.
Karges-Faulconbridge.lnc.
Cansu/ting Engineers
Mr, Robert D, Hutchins
City of Prior Lake
16200 Eagle Creek Avenue S.E,
Prior Lake, MN. 55372-1714
Re: Prior Lake Baptist Church 2002 Addition
Mr_ Hutchins,
Here are our responses to the preliminary plan review:
Comment #2: Submit Energy Envelope Calculations. MN. Energy Code 7670,0100.
Response: See attached MNCheck print-OlJt,
..~!,;;: ~o~ ent #21; Sheet M-1 General Notes #1, The supply and return ducts from RTU~ 1 that
d ;;~e ate the ceiling membrane must be fire and smoke dampere," USC 710.3.
vJ (U--' \ espOnse: Please contact our office for clarification of this item.
n~~ .
IV'" Comment #22: Sheet M-1: Is there adequate make-up air for the kitchen exhaust hoods?
Response: Two kitchen hoods are rated at 500 c.tm. each = 1,000 c,f.m. The mechanical
contractor has been instructed to)l&r ftJi,nimum outdoor air on each of two rooftop units to 16% of
total air delivered. The two roo~nlt~\being ft!!ffed at 5,000 and 3,000 c.f.m. each, shOUld
provide 'Pproximately 1.280 c{/.m to me up exhausted air_
':\ Sincer I, ,./// 0 \I
\. /' '\--.
1983 Sloan Place. Suite 3 St Paul. MN 55117-2004
Ph: 651-771-0880 Fax: 651-771-0878
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installed in the attic, The GA 1 hour fire-resistive roof-ceiling system with insulation
added requires an additional layer of gypsum board, See the 16th Edition of the
Gypsum Association Fire Resistance Design Manual, General Explanatory Notes
#llfor the requirement. This addition may change the structural bearing requirements
of the structure,
~- Sht. A4,l: wall type 4 to be one-hour fire-resistive construction, The corridor is one
hour rated,
10, Sht. A4.1 #10: Provide detailed location of access buttons,
-t'P Detail 1 and 5/ A6,l: Provide detail of draftstop that extends into ridge vent and sMflt
,. area to fas~ to separate attic areas,
J2. Provide attic ventilation clear vent specifications and calculations for each of the
three attic areas. UBC 1505.3.
v1' 3, Sht. A6,1: Provide detail of 30x36 draftstop access door. Provide self-closing, self-
latching door with a smoke gasket.
-14. Detail A6.1: Provide a continuation of the East-West draftstop toward the West.
015. Sht. A13,1: Provide horizontal dimension for the vertical grab bar in HDCP lavatory,
J.6. Provide fire extinguishers minimum 2A10BC rated, within 75 feet travel distance of
all areas. UFC 1002.
J7, Plumbing plans must be submitted to the Minnesota Department of Health for
approval. t/? VC
vi' 8, Submit kitchen plans to the Minnesota Department of Health for approval if kitchen
is utilized for school lunches, Prov1de a letter of intent for proposed use of both
existing and new kitchens. - Rf:;t.:'b 11tz./OL
~ 9, Sht. S-1: Soil bearing design capacity does not coincide with capacity stated in
Subsurface Exploration report,
.~ t/2~. Sht. C-1: Provide plan of existing utilities,
.... t., "'~."'" ",-",/
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I> the ceiling membrane must be fire and smoke dampered, UBC 710,3.
~I
\ v3Jl~ Q::()0 \ 22. Sht. M-1: Is there adequate make-up air for the kitchen exhaust hoods?
~\o/Jf'. fl' 423, Sht. E-2: Add "E" exit light to Kitchen,
~r _, . €'9 Contractor to provide a construction schedule, as it appears that construction will
,l occur during the school year when building is occupied, The plumbing, electrical,
HY AC, almm/notification and sprinkler systems must be functional during the
occupied times in the existing building,
~5. Specification Manual 08630 1.3.2 A: Change load to 57 PSF, MSBC 1305.4416,
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architects & engineers
incorporated
September 12, 2002
Robert D. Hutchins, Building Official for the City of Prior Lake
16200 Eagle Creek Ave. S.E.
Prior Lake, Minnesota 55372-1714
RE: Prior Lake Baptist Church 2002 Addition
In response to your letter dated August 8, 2002, I offer the following:
1. S,A.C. determination has been determined by lody Edwards from the
Metropolitan Council and her response is attached.
2. Energy Envelope Calculations are still being tabulated by Karges Faulconbridge
Engineers.
3. Signed plumbing, kitchen equipment and sprinkler plans will be submitted later
and are under the contract with the owner and contractor, I understa.'1d the
plumber will be Bergman Plumbing and Heating,
4. Signed Special Structural Testing and Inspections Schedule is attached.
5. A correction on the note on sprinkler allowance is covered in Addendum #3, item
#2.
6. One-hour rated corridors and related doors are addressed in Addendum #3, item
#3 attached,
7. Construction instructions for UL and GA listings are addressed in Addendum #3,
item #4 attached
8, Detail 5/ A2.1 changed from GA file 2601 to UL P522 and is included in
Addendum #3, item #4 attached.
9. A fire rating is listed with wall type 4 and is addressed in Addendum #3, item #5
attached,
10, A detail for access buttons is included with Addendum #3, item #6 attached,
11, Draftstop detailing at the ridge vent and soffit are addressed in Addendum #3,
item #7 attached, You cited detail 5/ A6,1 for the ridge vent and I believe you
meant to cite detail 8/ A6,l, Let me know I am incorrect on this adjustment.
12. Attic ventilation specifications and calculations are attached.
13, A description ofthe drafts top access door is addressed in Addendum #3, item #8
attached,
Minneapolis
6860 Shingle Creek Parkway, Suite 106 Minneapolis, Mn 55430
Phone 763-560-6814 Fax 763-560-1090
Email DBARCHE@aol.com
Seattle
14410 SE Petrovitsky Road, Suite 208A Renton, Wa 98058
Phone 425-227-6440 Fax 425-227-7175
Email DBAWEST@aol.com
September 11, 2002
Robert Hutchins / City of Prior Lake
Page 2
14. Continuation of the East-West draftstop was addressed in Addendum #1. I'm
including a copy in case you did not receive one,
15, Horizontal dimension for the vertical grab bar is addressed in Addendum #3, item
#9 attached,
16. Fire extinguisher cabinets are identified on A4,1, room 128 and sheet A4.2, room
146 and are to be within 75 feet. The extinguishers to be included will be a
minimum of 2A 1 OBC rated,
17. Plumbing plans are under contract with the owner.
18, The kitchens are not to be utilized for school lunches, A letter of intent from the
owner was delivered on September 12, 2002 to your office by the church,
19, A response from Allied Test Drilling Company addresses the difference between
the Subsurface Exploration report and sheet S-1 and is attached,
20, Revised sheet C-l and Survey are attached, These should show the existing
utilities.
21. This item is still being reviewed by Karges Faulconbridge Engineers,
22, This item is still being reviewed by Karges Faulconbridge Engineers
23. Added "E" exit light is addressed in Addendum #3 and is attached,
24, Lyle Bakken from Bakken Homes will address the construction schedule,
25, The specification Manual 8630 1.3.2 A has the load changed to 57 PSF in
addendum #3, item #1 attached,
The additional comments regarding the Site Review have been addressed to the City's
satisfaction,
cc. Bakken Homes
Randy Quiring, Prior Lake Baptist Church
=If,
~
Metropolitan Council
Building communities that work
Environmental Services
September 10, 2002
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
Prior Lake Baptist Church Addition located at 5690 Credit River Road within the City of
Prior Lake,
This project should be charged 5 SAC Units, as determined below,
Charges:
Classroom
2432 sq, ft. @ 30 sq, ft./student @ 18 students/SAC Unit
SAC Units
4,50 or 5
If you have any questions, call me at 602-1113.
s~ of. &iUXycb-
Jodi L. Edwards
Staff Specialist
Municipai Services Section
JLE: (165)
02091OS7
Cc: S. Selby, MCES
Kurt Rubein, Dennis Batty & Associates
www.metrocouncil.org Metro Info Line 602-] 888
230 East Fifth Street . SL Paul. Minnesota 5510] -] 626 . (65]) 602-1005 . Fax 602- I ] 38 . TrY 291-0904
An Equal Opportunity Employer
,,~-"'O-'::lQ<:l':::: 137; 136
DENNIS BATTY & ASS~
7635601090 P.02/02
~4
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVENUE S.E. '
PRIOR LAKE, MN 55372
SPECIAL STRUCTURAL TESTING AND INSPECTION SCHEDULE
Project Name
Location
P t""~nr- L.L'l ~
5~ 0 c..n-A rl-
p r"" \ nr t -c k..e
&x~tliY1t
12,u~ 2oad. I SEe
M ~ ~~1?
Arld.l:h bl1
SPECIAL STRUCTURAL TESTING AND INSPECTION
Description
Type 0 f hupector (3)
Notes; Thii schedule to be filled out and inclu~d in the project spl!cificatio.n. Information unavlulable at that time.
[0 be fLI1ed Ollt when applying for a building permit.
(1) Use descriptions per UBC Section 1701, as adopted by Mirw.sota State BuiIdinJ Code.
(2) SpeciaJ IDllpedOr - TechnJcaJ, Special Inspector - SttucunJ,
(3) Firm contracted to perform services,
ACKNOWLEDGMENTS
Each appropriate repre.'Sentative shall sign ~Jow:
Owner. Flrtn:
Contractor: Finn:
Architect: Finn:
SER: Finn:
SI-S: Finn:
TA: Firm;
SI.i: Firm:
TA: Firm:
SI- T: Firm:
F; FInn:
F: Firm: Dale:
-The individual names of a.I1 pro3pectivc special inspectors and the worlc the)' intend to observe shall bt
identified. (Use rever3e side offurm ifnecessBrY,) .
Leseud; SEF.. - StrueturaJ Enfineer of R.eord
SI- T .. SpccillJ Ill3pector - Technical
SI-S -SpeclallnBpec<<>r. SrructuraI
TA · Testing Agency
F :t: Fabricator
ACGepte4 for the Buildw, Department by
Date
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Prior Lake Baptist Church
Prior Lake, Minnesota
September 12,2002
Attic Ventilation clear vent calculations:
Eave vent:
Air Vent continuous Soffit vent = 9 SI/LF = 0.75 SFILF 1.84 FT wide = 1.4 SFILF of eave,
2" free air space designed between insulation and roof sheathing = 0,16 SFILF
Ridge vent:
Cobra Rigid Vent II with net free ventilating are = 18,5 SI/LF = 0,128 SF/LF
Louver:
Custom made with 55% net free area minimum
Zone 1:
Area = 823 sf
Free Area Required at 1/150 = 5.48 SF
Eave free area provided
(11.5 ft + 12,75 ft)(0.14 ft) = 3.40 SF
Ridge free area provided
(19.5 ft)(O, 128) = 2.49 SF
Total free area provided = 5,89 SF Okay
Zone 2:
Area = 2,120 sf
Free Area Required at 1/150 = 14,13 SF
Louver free area provided
(3)(3.36 SF) = 10,08 SF
Eave free area provided
(7,08 ft) (0.14) = 0,99 SF
Ridge free area provided
(41.92 ft)(0.128) = 5.37 SF
Total free area provided = 16.44 SF Okay
Zone 3:
Area = 1,786 sf
Free Area Required at 1/150 = 11.90 SF
Louver free area provided
(2)(3.36) + (1)(2.39) = 9,11 SF
Eave free area provided
(9,08 ft + 13,84 ft)(O, 14 ft) = 3.20 SF
Ridge free area provided
(28.42 ft + 7,08)(0.128) = 4,54 SF
Total free area provided = 16,85 SF Okay
Zone 4:
Area = 639 sf
Free Area Required at 1/150 = 4.26 SF
Eave free area provided
(10.25 ft + 10,25 ft)(O, 16 ft) = 3,28 SF
Ridge free area provided
(10,25 ft)(0.128) = 1.31 SF
Total free area provided = 4,59 SF Okay
5EP.15. 2002~110: 53AM-
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~
CITY OF PRIOR LAKE
16200 EAGLE ciEEK A. VENUX, S.E. '
PRIOR LAKE, M:N 55371
,SPECIAL STRUCTtlRA.L TESTING AND INSPECTION SiW,DtTLE
Project Name
LocatiOD
?...u~,.... I "",\.o---l~~
~'.A.O ~~J. 21Utt~ 1Z.c~ 1 S&.
f"~l~ I ~ ~~ I ~ iJ ~~'2
SPECIAL STRUCTURAL TESTING AND INSPECTION
At'k.ld-, ~1O
*
16
*"
, speiftcaaoo
S&caall, .Miele
~aCD
'l)'pe Gf'hspcdM (3)
N~; n: ~c. to be gllud au:lu4id iJuh~ prGJllCt sp~tica!i~ Otzutiq ImaYII IInbaUIm..
= be: fi1Jad ~ wbcll.pp1.ymS ibr. ~WldiDg fcn:ait:. '
(1) lJ$t dtmipdw per me S<<tioa. 1701. I.S -J'ted b)r Min=se1a SrIta BuUd!nI CoM.
(2) SpeQa1 rClpe=r ~ Technical. SpDl lnap,ecmr. Str'I!t<In1. . ,
(3) Finn ~~ 1V pd= swvIcc:s.
. AaomWLBDGMJN:TS
,
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F:
.LAa.o: Sb. - a~ hFaetf af.RMord.
$1..1. Spoc;ia1 WptIlIm' ~ T~~Q8.1
sr., -,spe$.! :a,e.r. s~'~,
tA · 11sdq Ageuy ,
P = labrir;a&or
,
A.~= 1brthc 8\1U_ ~= by
Date...
1mDQ;
~ ri )7.?qCl~!'lI~~ 'n~1/1~'t'1 Ip:nC"~1 7:'\/''' = Ii: (~I~I'I'
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IIco
INSTANT TESTING COMPANY
Telephone: 651454-3544
4000 Beau D'Rue Drive. Eagan, Minnesota 55122
Fax: 651 452-1826
Field Inspection Report
Client Name:
Bakken Homes
14070 Commerce Avenue
Prior Lake,MN 55372
Date of Inspection: September 17,2002
Site Location:
Prior Lake Baptist Church
5690 Credit River Road
Time:
3:00 PM
Field Observations:
(1) The church sanctuary site has been dug for perimeter, frost depth footings. Water has accumulated
in the bearing soils creating areas of moisture softened clay, Medium dense sand is found below
the softened clay varying in depth from % to 1,5 feet below the surface as presently excavated,
Based upon soil probing the following soil preparations are recommended:
(2) Existing trench bottoms that presently have a shallow layer of standing water were found to be
underlain by medium stiff clay. These areas are generally adjacent to the existing church structure,
It is recommended to place one foot of coarse (1.5 inch, clear) aggregate in these areas, The
extent of this correction will be determined by on-site field inspection,
(3) Existing trench bottoms with moist clay but not standing water, generally % to 1 foot higher in grade
than trenches discussed in item 1 above, will require from % to 1 foot of additional sub-cut, and an
aggregate bed correspondingly, % to 1 foot thick, The extent of this correction area will also be
determined by on-site inspection,
(4) Extra rock thickness is allowable to level footing trench bottoms, not to exceed 2 feet total thickness,
(5) Some existing trench bottoms, generally toward the north end, are acceptable for footings as
presently dug. This trench area limit is also subject to field determination,
(6) It is understood that perimeter spread footings are to be 24 by 12 inches, and with 3 number 5 bars
Reported By:
Carl E. Anderson, P,E., P,G.
Date:
~t. A~~ lfCi:/;
Minnesota Registration No, 10736 I I
September 17, 2002
Charge codes:
#701 Mobilization: 0
#612 Mileage:
36
#608 Chief Engineer: 2 hours #609 Engineer: 2 hours
IIco
INSTANT TESTING COMPANY
Telephone: 651454-3544
4000 Beau D'Rue Drive. Eagan, Minnesota 55122
Fax: 651 452-1826
Field Inspection Report
Client Name:
Bakken Homes
14070 Commerce Avenue
Prior Lake,MN 55372
Date of Inspection: September 17,2002
Site Location:
Prior Lake Baptist Church
5690 Credit River Road
Time:
3:00 PM
Field Observations:
(1) The church sanctuary site has been dug for perimeter, frost depth footings, Water has accumulated
in the bearing soils creating areas of moisture softened clay, Medium dense sand is found below
the softened clay varying in depth from ~ to 1,5 feet below the surface as presently excavated,
Based upon soil probing the following soil preparations are recommended:
(2) Existing trench bottoms that presently have a shallow layer of standing water were found to be
underlain by medium stiff clay, These areas are generally adjacent to the existing church structure,
It is recommended to place one foot of coarse (1,5 inch, clear) aggregate in these areas, The
extent of this correction will be determined by on-site field inspection,
(3) Existing trench bottoms with moist clay but not standing water, generally % to 1 foot higher in grade
than trenches discussed in item 1 above, will require from ~ to 1 foot of additional sub-cut, and an
aggregate bed correspondingly, ~ to 1 foot thick. The extent of this correction area will also be
determined by on-site inspection,
(4) Extra rock thickness is allowable to level footing trench bottoms, not to exceed 2 feet total thickness.
(5) Some existing trench bottoms, generally toward the north end, are acceptable for footings as
presently dug, This trench area limit is also subject to field determination,
(6)
~(1J
It is understood that perimeter spread footings are to be 24 by 12 inches, and with 3 number 5 bars
<8~r'1f 1'res-s&4Hfd",.." II f,e,........ ~1 &-vA-IIF ('.AI; II)e ~()()O rsT
/ ,/
Reported By: /) C:I E~ Anderson, P,E., P.G, . ~. _
~. ;14~ 1ft- lb.
r> , ) Minnesota Registrati~ ;;36 ( I
,-" '(.1,.. 7/ -y;".,~1 J. J.J'1A/41 h';'~ 1'~
~//f1~4~?G #;Zt'/fl
#701 Mobilization: 0 #612 Mileage:
Date:
September 17, 2002
Charge codes:
36
#608 Chief Engineer: 2 hours #609 Engineer: 2 hours
..
MINNESOTA ~y TES17NG LABORATORIES, INC.
1126 N. From Sr, - New Ulm, MN 56073 ~ 800-782-3557 . Fax 507-359-2890
l411 S. 12m St. - Bismarck. ND 58502 ~ 800-279-6885 - Fax 701-258-9724 "R M. ..
710 S, 14th Sf, ~ Grand Forks, NO 58201 ~ 800-272-7645 ~ Fax 701-772-0028
35 W, Lincoln Way - New.da, fA 5020] ~ 800-362-0855 ~ fu 515-382-3885
Report Date r 2 Sep 2003
JIM LIDYD
LLOYD EXCAVATD17
7750 175TH ST E
PRIOR LAKE HN 55372
Lab Number. 03-A30107
Work Order,= 11339
Account .: 016081
Source of Water: ADDITION TO THE BAPTIST CHURCH
Date Received: 28 Aug 2003
Date S~led: 28 Aug 2003
Time Sampled: 15:30
Samplers Ilame = MV'l'L WI..
Temperature at Receipt. 4 C
Sample Description: WATER
Site AddX'ess of well: 5690 CREDIT RIVER RD PRIOR lAKE KN
Ana 1 yte
Result.8
MCL
HAL
Coli fox. Bacteria
Less Than 1 CFUIlOO IlL
Less than 1
NA
ID. it! defined as 1:he 1Iax1.. Conv.:lnan~ Level allOlfed by the Safe
Dr1nJt1ng Wat-er Act. RAL 18 tile aeQloaended. MIOlMble L111it. ror further
infonmtion.. contact your IIIt.ate or local health de~t or call the
SPA Sate Dr1nk1og Wat:.er Hotline 1-800-426-4791.
KIIIIIBSOTA LAB . 021-015-125
I[[S(DISD LAB m , 999"7680
Approved by.
M1chael It. Grob, Laboratory Manager
M\..". F,1l-1ftfltCW f~e Jt1,;U'.:at!' rJf tt,t' :1n.a,1". rfflm' ltn tIu..-..mptc Jlllbn\hraf lor tfJI'np.. It iJ nQC' ~ tor MVIL.o ~tJft'( ~, :s tnf tnl.llt ,ltw.'M.d on. ,"",tic........ Hml)k ..ill be the HftlC on ."y ,\it!;", HI'Pp1t ,,1,lm
.,11 t'oncl.ilK>'" .o1lttni~ thr.'Ct1ltpk ,<< the un",. MkIWI", santfJ1,,,, hy MVl"t... N 3 IIUUU P1Oft'tt~ ~ cfi('ft'JI. tf", rutlli~. "''''' IIUrx}V('S. .. ~I' Me' M'~mifr~"i "1 r"~ O\"r~rj'" P"JJX"I'l)" \" d~"". * :W~~WIl to!
JJlIhli........"" ..t .lJtlCltIClll.ll. ~tu Of urr<<tJ flQJlrt or ~ qur ~.. acrw:d pctt1li,.. '"" wrhll:" IIp9rov.f.
AN IlQIJAL OPPOmJNm EMI'J.On!a
MAR-31-2003 07:40
SUMMIT FIRE PROTECTION
5512511879
P,01/02
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ':A eOVEGROUNO PIPING
~URe; .
~ ~ d.....t.ln~ lIII<IlIaCI ..... boo made by - con~ "",11ISefllJlIM"'" ~ by.... GWMI'lt nIpI'e~ All defea:llIhaU be OOmlCl.., and
...- Win -w:.e """'... ~ per.sonnef finally la__ ."., job. .
CBl'IlIleer.t ..... boo fill40d "'" ..d algntod by llolh rIIfII'I'S8"-s. COp;es sh,," be l"'8CllnCl 10( ~1V\/i11Q 8UIt1OriIIea. <MnetS alld con~, " is undet!ltOQd rhe Owr1.r"s
I~ lIiglwan In no --,. pt8/UC:llc:a IUlYda/m ~ COnlradot b'fa~ ""'lOrial. poo<_~ Of tallu", 10 compfywilll ~ 8U1horil}l. t6qu;rom,,;,..
' loCal 0fQn~
AOf>eRry NAME
P /2.1 C}tz- LHILE l5/fP77 5T CHU 12.-<:.11
I'lOPERfY AOOflESS
DAm
3-/3-63
S-6 PO C/Z-r.;0"/12/t/EIi!. jZ(),. /'/2-/&(2L/f-t:-i?' #//1..-' ,:JD-37Z.
ACCEPTED BY APPROVING AUTMOAmES (NAMES)
C/TY ~;= P tlViUt_ '-~ILC
U'_
AODfU;SS
P\.ANS lNSTAURlON ~ 10 ACCePfBJ PI..ANS ~ES QN()
EQUIPMENT UseD 1$ APPflOIIeO ~,YES ONO
IF NO, E)cP(,AIN OEVlAnONS
-
HAS PERSoN IN CHARGE OF FIRe EQUIPMeNT BEEN INSTRUcreo AS TO l.OCAJ1ON ~YES ONO
OF CCHTROI. VALVES AND CARE ~o MAINTENANCe OF THIS NEWeOUIPMENT
IF NQ EXPuIN
M
IHSTRUCJlOHS HAvE COPIES Of' THe FOuOWING BEEN U:FT ON THE PREMISEs ,%-YL;S DNO
1. SYST'EM COMPoNEt.mi INSTRUCTIONS ~YES DNO
2, CARl! ANO MA~ANce INSTRuCllONS DYES ONO
3. NFPA 1311 DVES DNO
"-
LDCQ10H SUPPLIES 8UH.DING~
OF SYSTeM /Jew ,;9-/..)0/ T.I (.) rV
YEAA OF OAIRCE T'eMPERAruRf
r.wce MOOa. MANUFf.cnJAER ~ QUANTTT'Y MnNG
~~/fl'11i..e P'F,~ 2.:u L. ~~~.. 6'*'t- lS'r "" ;.'!c-> :..
SPRlNKtBtS C~~,r.,;;:..~. tlrT TI c;. z..:> oJ 2- i~1Z. ~3 ~~
TYPE OF PIPE )(:L. 1/ se/7, /LJ
PIPE AND
FlmNCS TYPE QF RTTlNGS /J, J:-. ;i: tS~/#"~. 0
.
~DEVlCE tofAXJMUM llME TO OPERA'I'E THROUGH TeST
ALARM CONNecnON
VMYE: TYPE MAKE M~ MIN. See.
011 A.OW
INOCCAn:IR I/,~~ "'5'~....- IP"?T~ . P c5 "'"f<.'
,/
ORYVAl.VE Q.o.c. . .
MAKE MOOE1. I ses:uL NO I MAleE , MODE[ SetlAL Na
7S--c:.o I I 1
TIME 10 TRIP- WATER .AlA 1ltlP POINT 11folE WATER AIJ.J'W
THROuGH115S1" PRESsuRE PAESSuRe AlA f'ftElSSUR: N:ACHED OPERAIB)
ClONNe:mON TESrOUTtET" f1ROPEAlY
MlN,' -.. . d.st!C....... .--.....PSl ... .. PSI PSt " '.. '.', MIN.''''' 'sec.,,:,;,... '\.'VES~'" "~NO
wmiOur ',' I ,
DRY PfPE QQD.
0PEM1'W<<i
TI$T WTTH J,O fr~ yes
ao.o. ~J ~j ~J
F NO. EXPLAIN
"MEASUAEoffiQM 1'HEl1MElNSreQCR'S TEST CONNECnON IS~
W9J '
f'AIN1'S)lNTH& USA. FOR~FlAE~ASSOCIIInOH, INC. PJCl~1OCIQ, ~ I~. to: 12583
";:';.'.: ,,-,~:,~ ~:":"~:;'~~~~:~~'":;~?~lt.~,:..:..;-.~~" -:;:"~:"'~'~' '-:7:=-."-~.:-:::: ::~'~~"'::,"":,:~;~~;,~"L.~..'.'~.'.~.~..,'!" '.:.~,' _":::.':
CQ\I'EI'I)
MAR-31-2003 07:42
SUMMIT FIRE PROTECTION
6512511879
P,02/02
-, .. ~ ~
OPE:AATlON o PNaJMJUlC o ElECTRIC .;'. o HYURAUuC
.,
PIPING Sl1PERIIlsetl DVES DNO I DETECTlNG MeolA SUPEfMSeo o YlOS DNO
ooES VALVE OPERI\TE FROM THE MANUAl. TRIP ANDIOR REMmE CONTROL SWlONS DYES DNO
oew~ .. IS mERE AH ACcessIBLE FAOl.ITY IN EACH ClRClJrr!"OR TeSl1NG . IF Ne. EXPlAIN -
PR~ON
VAl.,VES DYES EN)
DOES EA01 CIRCUIT 0PEARl: oaES EACH clRcurr ~MUM TIME 10
MAKE MODEL SUP~lSIOtf LOSS AlARM OPERATE VALVE RELEASE IoPERATE ReL.eAsE
yt;;:;i NO y"",, I Nv I. I -~r=r
N / ,I'f ,- I 1 I
HYDROSTATlC: Hydm:.f"tic 00= ~t\~lIlWllll4dO '" n<lt Ie=: lI\3n 200 P:{(la.o 1loJr.;llortwo hour.; or 50 pr; (3.4 barnl ab<MI SlOltie ptll$Suro In ~
at 150 psi (10.:! ~l 'or ""0 he...,," OiIlo,*,li~ dty.ppo Villvo d;qlQv~ ~ bv loll QJ>OO duri"", Ie:;! 10 ~""'<lfIl damage_ All abo~und piping
TEST 'ealeage shall be SlOpped,
DE5CtUPTION PNEUMATIC: E:ow:sI.sh 40 pSI (2.7 bal'sl airp'M~u", *nd m_ dtOPwf1M:n :Pl.,lloQt -=<I'Jd 1.... p$i (0.1 ""~l in 24 hour.;, To~ p....""u... lanlcs at
norma/_te, ~ an<I sir pressu", till" _31Ime.... pros.:u"!l drop ....ic1I!:h:IJ1 n<< o""~ W1 p:;i (0,1 bs.,;) II' 24 hoy""
~NG HYD~-05D'TlCAl..LY Te~ AT _ PSI FOR ~ HAS. IF NO. STAn: REASON
OI1Y PIPING PNEUMATlCJIL1-Y TESTED )ll..YES DNO
. E~PMENTOP~PROPERLY l8-VES DNO
DO 'WOU CEA'TlFY Nil fl1E SPAlNKJ..al CONTRACTOR T11AT AOOfTIVES AND CORROSIVE CHEMICALS, SODIUM SlUCAll; 0'" OfRIV1l.TIVES
01= $OOIUM Slt.lC4T'E. BRINE. OF=! 01"I1eR CORROSIVE OEMlCALS WERE NOT USED RJF=! TESTING sYSTeMS OIl S1Q~NG lEAKS?
Av.o<: ANn "
l'~STS DRAIN AEAOINGOF GAGE LOCA't5EA1t ~ SUPPLY TEST PIPE: I RESIOlJALPRESSUR~ WIlli VAl"vE; IN"l"!;'.$T PIPE OPEN WID ~
n;sr STAJ'1(; PReSSURF. PSI '>C~ - PSI
UndQl"!Iro~nd maiM and lead In tllnnedians Ca $YSI2m nsetS flushed belGnlcaooeclion made 10 ,prinkler piping.
VERIFIED BY COPY OF THE U FOAM NO. 858 DYES DND OI'HER EXPLAIN
Fl.USHeD OY INSTAl.l.EA OF UNDER.
GROUND SPRINKLER PIPING DYES ONO
N~BER USEO I LOCATIONS - I NUMBER REMOV[!n
8lAHK TESTING -
CASlCET$ ',t.-o~~E"
WeLDED PIPING "YES ONO
IF Yes. " .-,
00 'fOU ceATlFY AS 'l"HE $PRINKJ.eA CONTRAClOR TliATWEl.DfHG PROCEDUAES COMI"LV
WITH THIa REOUIREMEHrn OF AT LEASTAWS 01(l9, I.EVEL AA..a ~YE3 DNO
WaDING 00'l'OlJ camFY Tt'lAT THE Wl!lDING WAS PERFORMeo BY WElDERS OUAUFIED IN
COMPLIANce WfTli THE REOUlREMEH~ OF AT ~ IfNS DIU UMil.. AR03 AVES ONO
00 'mU 0iRT1FY THAT WaDING WAS CAIIAlEOOIJr IN COMPI.lANQE WITH A
DOaJaeotI'Sl QUA.UTY COHmOl. PROO5DUAE 1Cl1NSURE1lW ALLo.scs NlE
REmtEVSO, THM OPENINGS IN PlPN; ARE SMOaIll. tHAT Sl.AGANOOfHeR
WF.:l.DlNG RESlOUf ARe flEMOVeO. N<<J T11ATlliE IN11!RNAL. DIAMETERS 01=
PIPING ARe NOT f'ENEI'RR"ED .tkes DND
anouTS 00 "'IOU ceFmFY TtW"'tOU HAVE A 00NTA0c. FeAruAE 10 eNSUAE nw- ALL
(DlSI<S1 Q110UTS (01Sl<S) ARe RETAI!M:O ' Jltves ONO
"YOAAlJUC NAMEPl.A~ PROVlOED I'F NO, EXPLAIN
DAD. DveS ONO
NAMEPLATE
DATE; l.fFT IN SERVICE WITH}JJ. CONTML VALVES OPEN;
A€MNtKS
-
NAMe OF SPl'llN1Q.ER CONTRAC1OA
t)'U n;d/ ( 'T P o<!. 1: I' ~ 7 l:'G;"7cJn.- ~
./
/ /J J TFSlS~ BY
SIGNATuRES 'Z~ //1 ~ ~(SlGHeol ~lJlly~ ~7/)' L DA'l'E .-
~ 3- '5'1-0"3
FOA~ ~ 1-/- j-.Jd (SIGNED) TmEtf 5'u1'1otJf,f,;-/-
'. .~ ~ -f; r L I'f/.W o;;~1 1::,3
~ .. . '.. --
D:Pt..ANATIOH AND NOl'ES
" :"- ,.:~.,~,r;;~:,~.:.'~,..,~.:~;~~~.:~'~~:'3~~~.~~~'~:~::~!r:i:~~.::'F' .#~<,::,. r-'
TOTAL P,02
~
Metropolitan Council
Building communities that work
Environmental Services
September 10, 2002
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
Prior Lake Baptist Church Addition located at 5690 Credit River Road within the City of
Prior Lake,
This project should be charged 5 SAC Units, as determined below,
SAC Units
Charges:
Classroom
2432 sq, ft, @ 30 sq, ft.lstudent @ 18 students/SAC Unit
4,50 or 5
If you have any questions, call me at 602-1113,
Si~. ,~F
,_tJ'A_d cJ>.
Jodi L. Edwards
Staff Specialist
Municipal Services Section
Q (' -. ~I,,":,
(CLLl..X. t 'I-,.J<",,)...
JLE: (165)
020910S7
Cc: S, Selby, MCES
Kurt Rubein, Dennis Batty & Associates
www.metrocouncil.org Metro Info Line 602-1888
230 East Fifth Street . St. Paul. Minnesota 55101-1626 . (651) 602-1005 . Fax 602-1138 . TIT 291-0904
An Equal Opportunity Employer
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