HomeMy WebLinkAboutBldg 10-0088, Htg 10-343, Meter 10-448, Fire 10-0302, Plmbg 10-0169, S/W 10-0402, Plmbg 10-0169 pATE TIME
CITY OF PRtOR LAKE
INSPECT(aN NOTICE SCHEDULED /� I S 6Q
ADDRESS ���(Q� ��p�Y`,,,�
OWNER CONTR.
PHONE NO. PERMIT NO. I D�- ��j� ._
❑ FOOTING O PLUMBING RI ❑ EX/GR/IDIFILUNG �
❑ FOUNDATION O MECH RI ❑ COMPLAINT �_
O FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ INSULATION O SEWER HOOKUP O FIREPLACE FINAI
� INAL ❑ PLUMBINC FINAL O GASLiNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�WORK SATlSFACTORY, PROCEED
❑ CORRECT ON AND PROCEED
❑ CORRE WO CALl. FOR REINSPEC710N BEFORE COVERING
Inspector: OwnedContr:
CALL 447- 850 FOR THE NEXT INSPECTtON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
llYSNOM
DATE TIME
CiTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � I S d�
ADDRESS � �Q���Q.� ,�-' �K�t"(
c
OWNER CONTR.
PHONE NO. PERMIT NO. f �•�S
❑ FOOTING O PLUMBlNG Rt ❑ FJUGRADlFILLING
O FOUNDATION ❑ MECN RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPUICE RI
❑ INSUTATiON ❑ SEWER HOOKUP ❑ FIREPLACE F(NAL
��NAL 0 PLUMBING FINAL O GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �'�.��,N-�,s ,�� __
/�i?v f'►e�n,/ e�o�e�-r�-- ti�a.Kr-4�°_
w�' ll r¢ uir � se/>arr.�.�e,.
�i:/_d1 /"P..�.��1'� ;
�VIORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
n
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc S.4FETY!
nvsxori
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED - I��/
ADDRESS L .�, / �ry 7�1Q ! IJC�,kd1`G�
OWNER CONTR. �BD�SC�r^p��
PHONE NO. PERMIT NO. !O - O GbS
❑ FOOTING ❑ PI.UMBING RI O FJUGRAD/FILLING
❑ FOUNDA710N � MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULA710N O SEWER HOOICUP � FIREPLACE FINAL
� FtNAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECN FINAL ❑
CC)MMENTS:
5���' ��3 "'�9 `L
WORK SA7ISFAC70RY, PROCEED
CJ CORRECT ACTiON AMD PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector D er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HF.ALTH dE SAFETYI
tNSxor�
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED `Q+ i�,1([�
� 'l
ADQRESS � � � �� l�a `�0.,.� Y
OWNER CONTR.
PHONE NO. PERMIT NO. � O —/� �
� FOOTING ❑ PLUMBING RI ❑ EX/GRADfFILL1NG
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FiREPLACE RI
❑ INSULATlON O SEWER HOOKUP 0 FiREPUICE FINAL
O FINAL ❑ PLUM8ING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION � MECH FtNAL ❑
COMMENTS:
Gt�!
2,
� �,��.,. �... �hUd.
u , �m�� .� � So �Is �.'�.�.., �dr� _
❑ WORK SATISFACTORY, PROCEED
CORRECT TI AND PROCEED
O ORR T WOR LL FOR REINSPECTION BEFORE COVERING
Inspe or: OwnedContr:
(�AL T= 50 FOR TNE NEXT INSPECTION 241i0URS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH & SAFETY!
fNSNOTI
DATE TIME
C1TY OF PRIOR LAKE
INSPECTiON NOTICE SCHEDULED /O �L)
ADDRESS �� �� ��j�G,
OWNER CQNTR.
PHONE NO. PERMIT NO. �Q �- Q(� �
❑ FOOTING D PLUMBING RI ❑ EX/GRAD/FILLlNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HQOKUP ❑ FIREPLACE FINAL
� FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
�O �31TE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
(• G v�ci i v►e?r ��.�^ ' r ,c�Ml .
❑ WORK SATISFACTORY, PROCEEO
❑ CORRE A ON AND PROCEED
�CORR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: OwnedContr.
CA L - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYI
ursnon
DATE TIME
CITY OF PRIOR LAKE ��,il�
INSPECTION NOTICE SCHEDULED �
ADDRESS �IO�p [ �,�i.
OWNER CONTR.
PHONE NO. PERMIT NO. _/�� Q�_
❑ FOOTING O PLUMBIFIG RI O EXlGRAD/FILLING
❑ FOUNOATION O MECH RI ❑ COMPLAINT
0 FRAMING ❑ WATER HOOKUP ❑ FIREPLACE Rt
� NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ ITE INSPECTION ❑ MECH FINAL ❑ �r
COMMENTS: r�
6 �` �• Co�wrle.��e. �rG.�n ,2�nc�ss�r ,
B`f` 2. L o o�G. �ox —{�''tac
3. '� � t � �n,
d��,� 4jo-.c RT T�- 1"dr '� (�� �
� jf,.� ���?�t_. Q�c�.�uLa�`lae� � t� �iD�c.SSiGI� (,�2�'(�IA
l
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t5�..(�� C tSSc�es
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6 �
, ; s�e. '�,c,�
S � W c ' � .
❑ WORK SATISFACTrDRY, PROCEED
O CORRECT ACTiON AND PROCEED
� CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTIOIV 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH � SAFETY!
nvsHOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 1'� �,
OWNER COIVTR.
PHONE NO. PERMIT NO.
❑ FOOTING ❑ PLUMBING RI ❑ EXfGRAD/FiLLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATtON ❑ SEWER HOOKUP FIREPLACE FINAL
O FINAL ❑ P�UMBING FINAL A LINE AIR TST
❑ SITE INSPECTlON O MECH FINAL ❑'�2 �
COMMENTS:
�e
�
, � -- � —
WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
❑ CORRECT O , CALL FOR REINSPECTlON BEFORE COVER�G
Inspector: OwneAContr:
CA -9 0 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO E QUIREMENTS'ARE FOR YOUR PERSONAL HEALTH d� SAFETY!
rNSNOr,
�«
DATE TIME
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED
ADDRESS ��� 1��� �
OWNER CONTR.
PHONE NO. PERMIT NO. I/7 —$�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FlLLlNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ PIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL � tt?
Wa
COMMENTS:
�ORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
inspector: OwneNContr.
CA 7-9850 FOR THE NEXT INSPECT(ON 24 HOtJRS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYf
Lvsnor�
TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ��_
ADDRESS �KI � �t��N �i
OWNER CONTR.
PHONE NO. PERMIT NO. �j�'' ��
O FOOTING ❑ PLUMBING Ri ❑ EXIGRADIFILLING
❑ FOUNDATION O MECH RI 0 COMPLAINT
�FRAMING � WATER HOOKUP O FIREPLACE RI
❑ INSULATION O SEWER HOOKUP O FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION ❑ MECH INAL ❑
" �. U T'�� �•'� OcG �D/
COMMENTS: J2�.�yyJL=' OF' dtJ�'S'��c.�iiG��"
l. �c.�z� O���w-- ���s To �
�U��.�i ntt�c �2,
�1-6�- u /.vsr��:c,� �L-
�. N f V�v� �5 G� L.
U
.
G
Cl WORK SATISFACTORY, PROCEED
.�CORRECT ACTION AND PROCEEO
❑ CORRECT , ALL FOR REINSPECTION BEFORE COVERING
Inspector: ' ` OwneNContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�vsivon
TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7 p
ADDRESS ��� / p!Q-If.S7�`� Lf<( I�'
OWNER CONTR.
PHONE MO. PERMIT NO. l�'�,g
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
� FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION � SEWER HOOKUP � FIREPLACE FINAL
� INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �?v. �E,p r
��l�►.�,'��.s ' -
Scs l c���
5 �� r� � cl/'�i�H C
CXG�61191 L�� T� Wi rr 1�Dt _L��� F��N� (/✓�rK/
�-v 5� wr,/'
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
� CORRECT WQRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: S� ' LYl OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
�xsnon
DATE TIME
CITY OF PRIOR LAKE G � 7 ,
INSPECTION NOTICE SCHEDULED f�
ADDRESS ��� (�Q,���
OWNER CONTR.
PHONE NO. PERMIT NO. �� ^ ��
� FOOTING O PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPlA1NT
�,0'FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
0 INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL � PLUMBING FINAL' ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 0
COMMENTS: �hy� �� d— � i7
-
- --
--
�_��.. , �c.v� - — — — fS'� c� �
2• � �_ � � �-
_� � � �� .• �.� i
❑ WORK SATISFACTORY, PROCEED
�CORRECT ON AND PROCEED
� CORRE WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr;
CALL 7- 850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R REMENTSARE FOR YOUR PERSON�IL HE4LTH& SAFETYI
rNSnor,
DATE TIME �
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ��o c3 � d��
OWNER E�(i�M l'�lil�rc CONTR.
PHONE NO. PERMIT NO. � — �O�
❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
� FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
�INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL O PLUM�FNG FINAL ❑ GASLINE AtR TST
❑ SITE INSPECTION ❑ M� FINAL ❑
i
COMMENTS: �� �,�
�
J�WORK SATISFACTORY, PROCEED
�O CORRECT ACTION AND PROCEEO
❑ CORRE W K, CALL FOR REINSPECT�ON BEFORE COVERING
Inspecto : OwneNContr:
CA 50 OR THE NEXT INSPECTION 24 HOURS !N ADVANCE.
CODE MENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
uvsxon
DATE TIME
CITY OF PRIOR LAKE
tNSPECTION NOTICE SCHEDULED 4� !o �o
ADDRESS ���� ��t�r� � �
OWFIER CONTR.
PHONE NO. PERMIT NO. / D-� ��V
O FOOTING � PLUMBlNG RI V� s� O EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COAAPLAINT
�-FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
O INSULATION O SEWER HOOKUP iJ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: � � � � Ia �- )J �
1. .r � rc o (1,�..�
❑ WORK SATlSFACTORY, PROCEED
CORRECT ACTION ND PROCEED
CORRECT R ALL FOR REINSPECTION BEFORE COYERING
tnspector. Owner/Contr:
CALL 447- 5 R THE NEXT INSPECTtOtV 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETY!
uvs�ror,
r
�
r
DA E TIIAE �
CITY OF PRtOR LAKE �/' ` `
INSPECTION NOTICE SCHEDULEQ �t � �
u�� ��� `��
ADDRESS �
OWNER CONTR. �
PHONE NO. PERMIT NO. �O — ��
O FOOTING ❑ PLUMBING Rt O EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP O FIREPLACE RI
� NSULATlON O SEWER HOOKUP ❑ FIREPLACE FINAL
FtNAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �,,,,� �O`I � � l ��
Rl WORK SATISFACTORY, PROCEED
/�
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
i
Inspector. j Owner/CoMr:
�
CA FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�nrswori
\
TE TIYE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ���
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING O PLUMBING RI O EXIGRAD/FILLING
❑ FOUNQA710N O MECN RI ❑ COMPLAINT
� RAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATlON O SEINER HOOKUP ❑ FIREPLACE FINAt
❑ FINAL O PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
CO MENTS: E,� �►.v �� "�O c��'
�_�1� L�`�'✓T�►4/l?G� --�°Q�C"
�
�dIORK SATISFACTORY, PROCEED
❑ CORRECT ON ND PROCEEQ
O CORREC L tNSPEC710N BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR T XT INSPECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�NS�von
OATE TlME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (�
ADDRESS y �1��,
OWNER CONTR.
PHONE NO. PERMIT NO. �Q � �C�B
� FOOTING O PLUMBIMG RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FlNAL
❑ FINAL ❑ PLUMBING FINAL � ASLINE-AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 1� ` '►K
COMMENTS: �c.�. A� .. �-�-�'
K7d4, 5.�, � j�� 3t> �� �o t'�(arw�,
�.�S3�t" ��-�--�S��_
4 �o C�cc� -
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT AC710N AND PROCEED
�( CORRECT O ALL FOR REINSPECTION BEFORE COVERING
/� �
Inspector. ` OwnedCoMr:
CALL 44 - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
�vsxon
TE TIt�AE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � E�
�� �
ADDRESS � �
OWNER CONTR.
PHONE NO. PERMIT NO. 10 —��
❑ FOOTING 0 PLUMBING R1 ❑ EXIGRADIFILUNG
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI
❑ lNSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL O G UNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑ ,,y�
COMMENTS: O� ,� '
,.� ,
��-SS�s
�INORK SATISFACTORY, PROCEED
❑ CORRECT ACTI D OCEEQ
� CORRECT WO A R REINSPECTION BEFORE COVERING
inspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPEC710N 24 HOURS IN ADYANCE.
CODE REQUIREMENTSARE FOR YDUR PERSONAL HE4LTH �c SAFETY!
rn�snon
DATE TIME
CITY OF PRIOR LAKE �—
INSPECTION NOTiCE SCHEDULED J 1 �O
ADDRESS �(�LGZ ��
OWNER CON7R.
PHONE NO. PERMlT NO.
�FOOTINGP�N-r�l ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPUICE FINAL
❑ FINAL ❑ PI.UMBING FINAL ❑ GASLINE AIR TST
D SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
1 � t � o�
----� . ---
2. r -ou c SQ; ( s
r
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTiON AND PROCEED
0 CORRECT CALI FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL T-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH d� SAFETY!
uvsxon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ' �p
ADORESS y�'� � l/a:1;,/sJ`�L. �K � �
OWNER CONTR.
PHONE NO. PERMIT NO. �b ` C�Qj
� FOOTING ❑ PLtIMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �1�_
COMMENTS: �� �, �"y
a
� WORK SATISFACTORY, PROCEEO
❑ CORRECT TION AND PROCEED
❑ COR T W , CALL FOR REINSPECTIOM BEFORE COVERING
Insp ctor: , OwnedContr:
C L 447- FOR THE NEXT INSPECTION 24 HOURS IN AQVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HF.�ILTH �c SAFETY!
uvsivor�
DATE TIME
CITY OF PR(OR LAKE
INSPECTION NOTICE SCHEDULED /
ADDRESS �L�1 ��cQ�'e�
OWNER CONTR.
PHONE NO. PERM(T NO. 'r/ � Q� �J�
❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNOATION �( MECH RI ❑ COIIRPLAINT
❑ FRAMlNG � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL O GAS E A1 T T
❑ SITE INSPECTION ❑ MECH FINAL �1 � � �
COMMENTS: "�jocew�e,�,� a- �,i��'o�+�t
I. �ou i�2 �i t� �!✓l u n�,tr �'t�� rs i vt �
4 S�
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�� sc-� ,
� Fuu �e ► �v�
_-_�
r� Q��, . L a
❑ WORK SATISFACTORY, PROCEED
� CORRECT ACTlON AND PROCEED
❑ CORRECT K, CALt FOR RElNSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
rKSHOrr
OATE TIME
CITY �F PRIOR LAKE � ,���
lNSPEGTION NOTICE SCHEDULED
�/
ADDRESS � �p�Q,� Q��
OWNER CONTR.
PHONE N0. PERMIT NO. �d ' g�
❑ FOOTING ❑ PLUM8ING RI O E7UGRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL O C,ASLINE AIR TST
� SITE INSPECTION ❑ MECH FINAL /❑
�
COMMENTS: �..��- �{- 1 Vo
� WORK SATISFACTORY, PROCEED
❑ CORRECT CTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
tnspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY!
uvsxor,
DATE TIME
CITY OF PRIOR LAKE �����/��
INSPECTION NOTICE SCHEDULED j,l�[�,�(U_
�
ADDRESS ���� ���^
�
OWNER CONTR.
PHONE NO. PERMIT NO. �(, -- C�O�
O FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION D SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL ❑ P�UMBING FINAL O GASUNE A1R TST
O SITE INSPECTION O MECH FINAL ❑
COMMENTS: P��� �� � �+ `� d �/ � T� �
�G q,�
2 , l' �t1�v�. �!]K.� � G�-'�1 1 �lf
� i ►-e � �
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5.
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C7 t'� r'�ovt i ' � •`cJ�
❑ WORK SATISFACTORY, PROCEED
❑ CORREC TiON AND PROCEED
t� CORR T W K, CALL FOR REfNSPECTION BEFORE COVERING
i �
Inspedo : , Owner/Contr:
C L 7 85 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ REMENTS ARE FOR YO UR PERSONAL fIE.4LTH & SAFBTYI
uvs,von
DATE tIME
CITY OF PRlOR LAKE
INSPECTION NOTICE SCHEDULED _�
ADDRESS n� (,�' '�� �\
OWNER CONTR.
PHONE NO. PERMIT NO. � V` �g
❑ FOOTING O PLt1MBtNG Rt ❑ EX/GRAD/FILLING
� FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP `� ❑ FIREPUICE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPtACE FtNAL
INAL ❑ PLUMBING FINAL ❑ GASLIF(E AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: (. („ j� o�
- � �� � r �
� 2 �� � �� • i• � �
� l''� �4-rv► � ,4 L.v �
�
� • P'L.,4I� � t� �Ll�OFF'
� . �7�"Cy �t�P�' 'J�t.� � ���
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S• a�R.
G 1 - r ��-
-� Z ' G!C �-e�. `
.
I� Q. � �
�J ' w '�
r ----�� m c�
❑ WORK SATISFACTQRY, PROCEED
❑ CORRECT ACTION AND PROCEED
�CORREC7 K ALL FOR �tE1NSPECTiON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR TFIE NE SPEC7lON 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTX & SAFETY!
uvs�von
DATE TIM1E
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � $p �
ADDRESS �LZ? ����K,�'e�ln
OWNER CONTR.
PHONE NO. PERMIT NO. J D� ��
❑ FOOTING ❑ PLUMBING RI � EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAiNT
jB[ FRAMING �u l7 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ��� ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASUNE AlR TST
❑ SITE INSPECTION ❑ MECH FINAI. �
COMMENTS:
� WORK SATISFACTORY, PROCEED
� CORRECT ION AND PROCEED
❑ CORR T , CALL FOR REINSPECTiON BEFORE COVERING
Inspector. OwneNContr:
CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTN dc SAFETYl
ws�vort
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� �:: 4 h , r � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I 2 � � O
� '' � : ; � AND UTILITY CONNECTION PERMIT
v ; �,
��'�'NES��P I Whrte File '
2 Pmk ��� PERMIT NO. O
3 Yellow AppLcant
Please e or rint and si at bottom)
ADDRESS ZONING (oFlFice use)
q^(� (�7 _ D�cGo r� �2G ET"� p��f k� �� ss3� a. C-3
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID2�, QQ( • Qa-3.
OWNER �"
(Name) 5�•�,� E� �Nt�� ScPTf" �-�SorL `��S (Phone) l��I y�l do�� 9Sa�yyT S�f
(Address) ( v � iav' �'�1
��5���
(Company Name) 8 oss��-Ar CG►?.�O/Z,Ar770ti (Phone) 9sa /g3� ~�O$
(Contact Name) Tb M 6-1 JV 7��.. (Phone) ��T g 3� —,� �O
(Address) g 3b O o�^r+�1 �Vt �' � s S�
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
�Addition �Alterauon ❑Utility Connection
CODE: �I.R.C. �I.B.C. ❑ Misc.
Type of Consttuction: I II III N�V„ A� Q
Occupancy Group: A� E F H I M R S U PROJECT COST/VALiJE $ ��� �
Division: 1 2 3 4 (excluding land)
1 hcreby certify that I have h�rmshed mformation on th�s applicanon whtch is to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for the
above-menuoned property and that all consn�uchon will conform to all ex�sung state and local laws and will proceed in accordance wrth submuted plans I am aware that the building
oft'icial can revoke this permrt for �ust cause Furthermore, I hereby agree that the city official or a designee may enrer upon the propetty m perform needed mspecnons_
X .�, � f� x o� / 020
Signature Contractor's License No. Date
Permit Valuation O �� � Park Support Fee # $
Permit Fee $ � . s0 SAC # $ �
Plan Check Fee $ Z�Z , a$ Water Meter Size 5/8"; 1"; $ _
State Surcharge $ q t 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $ d
Plumbing Permit Fee $ . Water Tower Fee # $ 0
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ , Other $
Gas Fireplace Permit Fee $ � TOTAL DUE 3 J C $ C,Z ���
�
This Appl' a o B e ernrit en Ap oved Paid ° r l' �L- ` eeei t 1�10. �
Date 4�
��
Z- `.. �O
Bmldm � Ufticial Date
Th�s is to certify that the request m the above application and accompanymg documents is m accordance w�th che Gty Zonmg Ordmance and may proceed a,r• requested This d��cumen
when s�gned by the C lanner constitutes a temporary Certtficate of Zonmg compliance and allows construchon to mmmence Before occupancy, a Cernficatr of Occupancy must t
issued �
� p2pL ��(/ S�n pGr�+i'� �ZA' G►sN/ S��
Pl g Director Date � Speci onditll�ns, tPany
Gl 24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
. �_._ .._� .._- --- - �'� � � 3 �
PRIp� CiTY OF PRTOR LAI� BUILDING PERMIT, Date Rec'd
�� r TEIMPORARY C�RTI�ICATE O�' ZQNI]�IG COMPLTANCE
� � AND UTILITY CQIYNECTTON PERMIT (O ' 3 �` ! O
U �
�/(�f"i � W ��� � (,U�
'���N�SO�* , „�<<. �� PERN�T NO. /a �r-�-` �
2 f5nk Cily
Jease e n pd n t and si� at 6ottom) 3 Ydlow Appliunt �
.ADDRFSS .� _..._ --"" ZONIi�G (otttcc uu)
Y Ci� ! �D�'(1 s'fr� t l�ril�s' �lCc f .v1/t� -r„i,53 70? _ ��_.
LBGAL DESCRIPTION (aElfice use oniy) r ^�' -
LOT BLOCK ADDITIOI�[ pID
OWNER --•--_ —..._ b/� -
(Name) E K c rh � r�S-l10 __ -----.._� tPhone) �a rn.rr, ��_� _�
lAdc�ress)
BUILDER ----- --�'�
{Co�npany Name) O 1 Sen ��YC _ ^ ____; y (Phone) � /a °- !� 7 � •• d Ov o �
{ConractName) . Sef� CG.l1__, �,�_� � (phone) �G,rnP r ___
{Addxt;ss} vZ r` l �5� f- N E '�n ��a t��, 3 M r�f $ S�f 13 _.__�_.._.�.._._
�'7�E OF WOIi.K ❑ New Construction []Deck ❑Parc� Y [�Re•Roofing �Re�Siding ❑Lower Leve1 Finish [] gireplace �
�AdGition �Alterallon �Util'sry Connection
CQDB: (]I.R.C. (]I.B.C, �Misc. � r4 /4��V�1Q.L� Fk.�e( � �Y►qrw�_O�i ��
TyQe of Conshuction: I II III N V A B pR07ECT COST/VA'LUL $�! �l �� �s m
Occupancy Group: A B E F �T T M R S�J (excluding, tand)
Diviston: 1 2 � 4 5
i hereby certify that [ have tarnisded iofomtaEion on this appiicattoa which is co the fxat of rny knuwtedge irve and cotsect I also certiiy that I am the uwner �n authuriud agerri for the
abovt-meOtioned properry and tiuu ap rnnswctjon wiA cpnform ro all exiscfng state and locai la�vs and wfll procced tn aceordanre w3th subm9aed glans, I am aware that the bu�lding
�f�uiat can revakc this pecm� tor just cause Furthermore,'[ hereby agree that the ciry o�eial or a designee may enter npon the properiy Io perform necdM inspcctions.
x _ �_ _ __ _ �TS O � S`�o
. � -ay-lo �
__� • ' �a�� .- •---+-•-- � _ ���_, Contractor's License No. + Daroe
Permit Vataation ~ �U U U� Park Suppoit �ee # $ � T
Permit 8ee ' $ 3 l J .r. '� SAC ��_' # S
Ptan Check Pee t Z � � Water Meter Size 5/8' ;1"; $
State Surcharge '�� � �� � � � Pressure Reduc:er w � $
.
Pen.�1ry S� � Sewer/Water Coi�necNon F�e # �� $
Plumbing Permit Fee '�� $ � Water Tower Fee ���~ # S
Mecbanica! Permit Fee $^� Bui�der's Depasit -'� � $
Se�vcr & Water Petmit Fee $ V t}ther ' + a
Gas �replace Per�nit Fee � _ � TOTAL DI3E ��� � $ � ��
�
T A Bew es Your iiullding Pem�it �'hen Appmved paid Z R i t NO.
��-
� f Date 1_,_ l � .___._�_� B -
i O�cial DAt�
Th�s is to certifjr ihat the request in the abore appJicatioa and accompanyiag documents is Gt accordance �sith Ehe City Zoning ordinanct 8nd may procCed nt requCSMd. This duCUment
when si�ned by the City Pfanner constltutes a temporuy CeRiIIeate of Zoni»g compliance and aito�vs wnswctian to commenre. B�fore acupancy, a Certificate uf Oceu�anty must be
tuued,
�._ Pl Dtnactor _,_ � ace �^ Spociat Coadilions any ���_ .
2a hour noticc ior all inspections (952} d47-9854, Tax (952) �t4fi-�24f
454G Dakota Stt�et Pri�r Lake, MN 55372 �
. �
�
��,�R CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGiFIREPLACE PERMIT �_ 5 � O
H �'
� � ��wlo-��
�j�'NES��� I. P+� Fde PERMIT NO. � "� 3
2. Green C�ty
3 Yellow Applicant
lease or ' t and si at bottom
ADDRE$S ' ZONING (oflice use)
� � �v(�? D��� / �Ei
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ,� � --�
(Name) ��� 0�6�/v��/� � 1 w (Phone)
(Address)
APPLIC T (�
(Name) O��tBR �Cu�.{�i � (Phone) 7 S2 �U 3 ��o�a
��ess) /2 33 v (? y!-� wr�. rkV� S. ��U�i'� S,'s'378'
(Address) ( ity) (Zip Code)
(Contact Pez'son) �a.'t" � �/Q (Phone) l��Z ��9 —� y/ �y
APPLICANT SIGNATURE � DATE S S�d
APPLICANT PLEASE COMPLETE BELOW
�NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
[�Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Bog Additions or
❑Air Conditioning ❑ Special Devices
OVent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & AIC (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
�mlr� +�t�st � � V ` � ' � Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
� TOTAL PERMIT FEE $
�ot�� u oniy
This ion es Your Building Per it en Approved Paid /� O�~'71 Rec o. /_ Q 3!�
/ , �,J tJ tB
b O Date� ! f `v -
B d� fficial ate
� 24 hour notice for all inspections (952) 447-9850, fax (952) 44?-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � ; ,; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � , J� � �
� : £ _:: �
� Y -�, � AND UTILITY CONNECTION PERMIT
�c.� �/ 1a� oo� �
���'NES��P I Wh�te File
2 Pmk �,� PERMIT NO. !� �.�
3 Yellow Applicant
Please e or rint and si at bottom
ADDRESS �� � � �� /� , � � s ,._.�--. ZONING (ot�ice use>
K.�ci
LEGAL DESCRIPTION (ofFice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ��� _ (Phone)
(Address)
( �p E y R ) ✓� � �lf�.� } ��� �3� ...��d('�
Com an Name � DS /�T D�',ll�iit� (Phone
(Contact Name) . �il/,�1' �G%Sd'ifJ _ _ (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addrtion �Alterauon ❑Uhlity Connecnon ���
CODE: ❑I.R.C. ❑I.B.C. �Misc. �—� �/ ��� ��"LivL.���
���
Type of Construction: I u III N V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (exciuding land)
I hereby certify t I hav himished mformanon o his a icaaon which is to the best of my knowledge true and conect I also ce�t�fy that I am the owner or authoriud agent for the
abuve-menno d prop and th t all const � ich wd nform to all exutmg state and local laws and wil] proceed m accordance w�th subm�tted plans. I am aware that the building
official can voke t permit �ust cau her e, I hereby agree that the c�ty ofFicial or a designee may enter upon the property to perform needed mspechons
X �/ D
Signature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $ `��
State Surcharge $ Pressure Reducer It $� . U
PenaIty $ 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 $ / v�
This AQplicariott Becomes Yow Building Pernrit When Approved Paid R ei t No. ('J,�)
Date �'p . /. ��
Bu�ldm � Utlicial Date
Thu �s to certify that the request m the above apphcauon and accompanymg documents is m accordance with the City Zonmg Ordmance and may protted as requested Th�s document
when s�ned by the Gty Pianner conshtutes a temporary Certificate of Zomng compliance and allaws constructron ro commence Before occupancy, a Cerc�ficate of Occupancy must be
issued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
WATER METER 1SSUED:
DAT F ,,-- � _i ,., 3#�fi:'
-_____..
.
COMPANY:__,���`� �•�.-'x`+✓='.`?` ��_.�3�'�'
PRINT NAlVIE, _!��'�.�,�-� r ��.�.,. S'.�.��
""'��.,..
SIGNATURE• �',` � � �;�����'r
% � � �� �;i . . ���F'•,,- <,'' f� t 1c
� t' � 4
� o� pR ' O R CITY OF PRTOR LAKE BUILDING PERMIT, Date Rec'd
^ � TEMPORARY CERTIFICATE OF ZOIVING COMPLIANCE �, �7 f�
U � AND UTILITY CONNECTION PERMIT +
,y ` /�
� ! / vL/ t' `i / V . Dl'� �1.1
, ""'�` F° � PERMIT NO. /�� � � v �j �
2 Pmk Ciry
3 Yelbw A liant � �
lease or rint and si at botrom •
ADDRESS ZONING (ott use)
4(0 �T.�, S M �
LEGAL DESCRIPTION (o�ce use only) �'
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER � p ' t
(Name) � , �' �D Y1. Ti 1'Q _ YrIT�[� � � (Phone) �
(Contact Name) .� � �e��s�',: (Phone) , . �
�Aaaress� 4 � a ��
. �
TYPE OF WORK �New Construction ❑D�x pPor�n Ox�-�zoor,�g ❑xe-s�aing
❑Lower T.evel Finish ❑ Fireplace �Addiaon DAtteration �Utility Connection
Misc. �l 2� �ju p P R �5 5 to �1 PROJECT COST/VALUE (excluding land} S
G�O
hereby cerofy that I have fumished information on this application which is to the best of my Imowledge true and correct. I also cettify that I am the owner or
uthorized agent for the above-mendoned property and that all construction will confoim to all exuting state and locallaws and will procoed in accordance with
ubmitted glans. I am aware that the building officiai can revoke this permit for just cause. Furthercnore, I hereby agree that the city official or a desigiue may
ter upo the property to perform n � ns.
v'�/ �t7C��
ignature Con or's License No. au
ermit Valuation !Z� �� Park Support Fee # $
't Fee $ o� � SAC . # $
an Check Fee S Z� � 3 Water Meter Size 5!8"; 1"; $
S te Surcharge $ r � Pressure Reducer S
P a1ty $ City SAC and WAC # $
bing Permit Fee $ Water Tower Fee # $
chanical Permit Fee $ Buildet's Deposit E
S er & Water Permit Fee $ Other $
G Fireplace Permit Fee $ TOTAL DUE �L�D ,�.r, l /. !O � �p , „�.�
Your Bititding Permit Whea Approved Paid i t No.
Date , / , <� .
S" �o �v
Bu g cial Date
' is to certify that the request ia the above application and accompanyinB documents is in accordance with the City Zoaing Qrdinance and may proceed as requesbed. This documrnt
wh signM by the Ciry Planner constitutes a temporary Certificate of Zoning coropliance and atiows construction to commence. Bef�e occupancy, a CertiRcare of Oocupancy must be
issu .
Planning Director Date Specisl Conditions, if any
1A howr noUce ior all inspections (452) 447-9850, fax (952) 447-0245
f b200 Eagle Creek Avenue Prior Lake, MN 55372
� g rRxp� Date Rec'd
H �
C�TY t3F P�2I(JR LAii� PLUMBXNG PERMIT 3. 2�- ���
v
��NNBS��� �4 �E w t o. 00�8 �
i: � a a i PERNIIT N�. //�, �,+
3. Yeltow hppltcani � • v ��
lease e or nt aud sf n at bottom
ADDRESS ' ZONINGr (omceuse)
�k �1 � �Y I�
LEGAL DESC�tTPTION (otfice use onty) ' •
LQT BLOCK ADDI'TIQN PID
�a� �Cta�� 1�,� (�� C�. �►��— � `� Q52- +�y�—�►D�I' .
(Address} � "J1. �/} � � 2' "� "I 1 `� � � 4
APPLTC T
{Name) l (Phone) � ��' 1�'�J' �
(AQdress) � �21 N . � � f f,l,[� /�V {� ��lVl1�.� i�li�Gl ��_ �1.1! Q
(Address) (City) �-�'�',. �.j .�„tZip Code)
(Contact Person) (Phone} 5�� � "1�✓�' � �-} �J' U � �
APPLICANT SIGNATURE DATE �° Z 3
APPL�CANT PLEASE COMPLETE BEL4W �
uanH e of I�Yacture uanh . e of I�`ixfure
Bath Tub with or withvut shower Rou h-ins
Dis�:washer Water Heater
/ � �loor Drain Water Softener '
�.avato Batl�room Sink Stand Pi e ashin Machir�e
Laund Tra 1 or 2 com artment sink Sewa e E'ector
S�a�ver Stall Backflo�v Assembl
Sinks Backflow Assetnbl Test
Bar Sink Lativn S xinkler
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commerciat & Multi-family 1% of jof� cost with a�44.50 minimnm Residential, New One & I�rro-Famity $149.50
kiesidentiat, Additions & Aiterations $49.SQ
Est'vnated Cost $�'Z � v✓ � n•�Q Buiiding Permit #
PLUMBING PBRMIT FEB $ �Z�J . v U .
STATE SURCHARf3S $ .Sd
! TOTAL PERMIT FEE $ 'Z'�cj . �j�
(OfRce Use On �
This A ti Yoar BniIding Permit hen pproved Paid c :.d- � - � .. � Rece' t o. c � •
d
2 +� llata �4„ ! Q By
niidine U ate • • �
24 Jrour nattce for atl Inspections (952� 947-985Q, fax {952) d47-4245 _
d646 Dakota Street S.E�, Prlor Lake, Rlinnesota 55372
�� ' y
o � rRjO� Date Rec'd
F y CITY OF PRIOR LAKE
� � SEWER AND WATER PERMIT
�t�'NES��� � � �� lv i ��V
'. �`" F°e pERMIT NO
z. venoW c�ty
3. Gold AppLcant �
lease or t and si at bottom
ADDRESS ZONING (office use>
� �����
LEGAL DESCRIPTION (office nse only)
LOT BLOCK ADDITION PID
OWNER ,,,� 1
(Name) � �' • LS � v (Phone)
i
` (Address) � �
ddress) (City) (Zip Code)
APPLICAN
� , (Name) c,n CG�n �� �r�. Z'r-�.c : (Phone) � �� ' 3�5 — �,�'�' Z
(Address) �a�� �,��h J 'r �.,� �i'i+� �t5 J`
(Address) (City) (Zip Code)
(Contact Person) �i ���ti2 (Phone) � ��' 3� = f��'Z
APPLICANT SIGNA DATE S' �
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEESCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'1 & Multi-family 1% of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $ 2 'J' r � S `�
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ �
(Office Use Only)
This A�plication Becomes Your Building Permit When Approved Paid � r. Receipt No
f S Z� �a Date By
uil g Offlcial ate � �
: •
24 hour notice for all inspections (952) 447-9850, fag (952) 447-0245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
� 4 rRro Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT 3 2 ��
H �
v f ��( J �Q�A
�j�'NSSa�¢ � f 1.�� Y � ( �. OV VV
'. �'"° F ��° PERMIT N0. 6, O
2. Gold (.1ty
3. Yelbw Appl(cant
lease e or nt and sI a at bottom
ADDRESS ZONING (omce use)
1 � �Y IJ
LEGAL DESCRIPTIUN (ott'icc use only) ' '
LOT BLOCK ADDTTTON PID
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(Address) ",JT • � � � � ✓ �' �� � �� 1 � �
APPLIC T r��
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(Name) ( (Phone) W I"�J �' ��-�' 1 JD
(Address) �ZI N • C .f,�..��(P11(�, �w�Uln�l I�N '�J�()l��
(Address) {City) ♦--cs � .. �/j S — Code)
(Contact Person} (Phone) ��), ' �� � � �-�' � U � _
APPLICANT SIGNATURE DATE �— z 3 _
APPLICANT PLEASE COMPLETE BELOW �
uanti e of Tixture uanti e of Tixture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
- . / � Flaor Drain Water Softener �
Lavato Batluoom Sink Stand Pi e aslun Machine
Laund Tra 1 or 2 com artment sink Se�va e E'ector
Shower Stall Backflow Assembt
S� Backflow Assembl Test
Bar Sink Lativn S rinkler
Water Closet Toilet Other
FEESCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a 549.50 minimam Resident�al, New One & Two-Family $149.50
Residentisl, Additions & Alterations �49.50
Estimated Cost $ ZZ �`"J a �• s/� Building Permit #
PLUMBING PERMIT FEE $ 2Z�J • U U
STATE SURCHARGE $ .Sd
TOTAL PERMIT FEE $ 'LZ5 • dJ(�
(Offtce Use On `
Thfs A e ti cq1114s Your Biiilding Permlt fien pproved Paid Z�� � Rece' t o.� � •
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2 d nat�� z.4 j p B
uuamg a ate � � �
241iour nottce for All tnspecHons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E�, Prior Lake, b4innesota SS372
'�� Metropolitan Council
ii
EnUironmental Services
February 2, 2010
Bob Hutchins
Building Official
City of Prior Lake
4646 Dakota Street SE
Prior Lake, N1N 55372
�ear h� . :Iutchins:
The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Ekim
Orthodontics addition/remodel to be located at 4667 Dakota Street SE within the City of Prior Lake.
This project should be charged no additional SAC Units, as determined below.
SAC Units
Charges:
Clinic
18 f.t�: Q 1:7_�f.u./SAC,LTnit 1.06
..- ,_,._ _
Credits:
Dental Office (Lc�ok-Back Use) ,. 1 00
Net Charge: 0.06 or 0
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is a
change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-
602-1118 or email karon.cappaert@metc.state.mn.us.
Since ely,
�
aron Cappaert
SAC Technician
Environmental Services Division
KC:kb:100202A5 � �
Determination expiratian: February 2, 2012
cc: J. Nye, MCES
Shaue Butler (email)
www. metrocouncil. org
390 Robert Street North • St. Paul, MN 55101-1805 •(651) 602-1005 • Fax (651) 602-1477 • 1"TY (651) 291-0904
An Equa1 OppoKUn�ty Employer
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�UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L� C' � ��� CO C�'-�•
APPLICATION RECEIVED 1. Z�• � O
The Building, Engineering, and Planning Departments have reviewed the building permit
appfication for construction activity which is proposed at:
(o D� kd i f'� 5 T�-�� (�
Accepted Accepted With Corrections ✓
Denied .
Reviewed By: Date: Z Z z- / o
Comments: �- �'lA��N v�>n� L�2oS r�% ��t-s-�c. �-� v�L�v
5 n���2�'r � �w � i�. ��s�
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PoL� � �c;Pr I�SL - � �-o - 3 5 s s' - ---
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, ar an approval of, any vio{ation 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."
T
443 Lafayette Road N. � �IH�„����TA �E������ �� (651) 284-5005
St. Paul, Minnesota 55155 ���� ��������� ( 80 j DIAL-DLI
www.dli.mn.gov j` TTY: 651 297-4198
Division of Construction Codes and Licensing
REPORT ON PLAN5
Plans and specifications on plumbing: Ekim Orthodontics, 4667 Dakota St, Prior Lake, Scott County, Minnesota,
Plan No. PLB 1003-00032
OWNERSHIP: Dr. Scott Carlson, 4667 Dakota St, Prior Lake, MN, 55372-1714
SUBMITTER(S): McCarthy Plumbing, 321 N Cedar, Owatonna, MN, 55060
Plans Dated: Revised plans with no revision date, original plans dated March 19, 2010
Date Received: May 7, 2010, March 24, 2010
Date Reviewed: May 12, 2010
SCOP�: 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 da.ta 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, 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. For your regional inspector's contact information, visit our
website at http://www.dli.mn.gov/CCLD/CCLDContactus.asp
REQITIItEMENT(S):
1. Water supply connections to fu�tures or equipment which have submerged inlets, or inlets below the spill line
of the fixture or equipment, must be provided with an air gap arrangement, approved backflow preventer or
backflow preventer assembly as specified in Minnesota Rules, part 4715.2000 and part 4715.2010. The
following comments pertain to the installation of the proposed backflow prevention:
a. Insta.11ation of the proposed atmospheric vacuum breaker proposed as the backflow preventer for the
model trimmer must comply with the requirements of Minnesota Rules, part 4715.2100.
b. The proposed backflow for the deck-mounted�id-held hose spray, Bradley, Model No. S 19-460, is not
approved for this use. The proposed Watts, Series N9, Standard CSA B64.8, is a dual check valve with
an atmospheric vent. This backflow device is only permitted for low ha�ard connections. Since the
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
Ekim Orthodontics
Plumbing
Plan No. PLB 1003-00032
PAGE 2
5/12/2010
hose spray may be dropped into the adjacent sink, this is considered a high hazard condition.
Verify that a code compliant plumbing installation will be installed.
2. The proposed solids interceptor (plaster trap, E09), Manufacturer: Indigreen Innovations, Model: Gleco
Trap, is not an approved trap. No form of trap which depends for its seal upon the action of movable parts or
concealed interior partitions shall be used (see Minnesota Rules, part 4715.0960). Please verify that only a
code compliant solids interceptor will be installed.
Please note that many solids interceptors are of a drum trap design. Drum traps may only be used if
permitted by the administrative authority (see Minnesota Rules, part 4715.0960}, so the use of �his type of
solids interceptor must be approved by the city of Owatonna.
3. In all buildings other than dwellings, shutoff valves shall be installed which permit the water supply to all
equipment in each separate room or to each individual fixture to be shut off without interference with the
water supply to any other room or portion of the building (see Minnesota Rules, part 4715.1800, subpart �.
4. The capped fixtures shall be gastight and watertight for the pressure required by test (see Minnesota Rules,
part 4715.0700).
5. A full-size vent stack (3-inch minimum) must be provided for every sanitary building sewer (see Minnesota.
Rules, part 4715.2520, subpart 1). This sta.ck must be continuous in size from its base to its temunal and
should be the most remote stack from the location where the building drain leaves the building. Verify that a
full-size vent stack exists in the building.
6. The coxnbination fire protection/domestic water service shall comply with the backflow protection
requirements of AWWA-M14, Chapter 6(1990) with the exception that the following statement is deleted
from section 6.3: "At any time where the fire sprinkler piping is not an acceptable potable water system
material, there shall be a backflow-prevention assembly isolating the fire sprinkler system from the potable
water system."
Fire sprinkler systems in which corrosion inhibitars or other chemicals may be introduced eitYte� airectly or
by pumper connections require a reduced pressure zone (RPZ) backflow preventer on the public water
supply. Local jurisdictions may require additional backflow protection. Please contact the local water
purveyor for information concerning their requirements.
7. 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).
8. 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).
9. � The submitted plans show fuctures that ma.y ha�e 1'�`:-inch underground waste piping. The minimum size for
underground waste pipe shall be 2 inches in diameter (see Minnesota Rules, part 4715.2350).
10. Each horizontal drain branch, including floor drain branches, shaIl be provided with a clea.nout at its upper
Ekim Orthodontics
Plumbing
Plan No. PLB10Q3-00032
PAGE 3
5/12/2010
terminal with the following exceptions (see Minnesota Rules, part 4715.1000):
a. A fixture lrap or a fi7cture with an integral trap, readily removable without disturbing concealed piping,
may be accepted as a cleanout equivalent for this purpose.
b. A floor drain cleanout may be omitted if the floor drain or fixture branch line is less than 5 feet in
length.
c. Floor drains used for shower drains, recessed slop, or similar receptors may have the full-sized cleanout
installed on the individual vent pipe serving the fixture or on the fixture.
11. Cleanouts sha.11 be of the same nominal size as the pipes they sezve up to 4 inches in size (see Minnesota
Rules, part 4715.1010). A cleanout must be installed where there is an increase in pipe size from 2 inches to
3 inches and from 3 inches to 4 inches. -
12. 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.
13. The installation of cross-link polyethylene (PE� tubing was specified for the water distribution system. If
all of the following requirements cannot be met, a different material that complies with Minnesota Rules, part
4715.0520 must be used:
a. The tubing system must comply with ASTM Standard F877 and F876.
b. When installed as a system in accordance with ASTM 5tandard F877, the system tubing and fittings
must be of the same manufacturer.
c. When other fittings are used with ASTM Standard F877 and F876 tubing, the fittings must comply and
be marked with ASTM Standard F1807, F1960, F2080, F2098-01, or F2159. In addition, the tubing
must be mazked to indicate the fitting standazd and the corresponding tubing standard (e.g. ASTM
F877lF876/F1960, F877lF876/F1807, etc.).
d. The system must be installed by a factory trained installer of the particular PEX system to be installed.
Certain manufacturers require installation by licensed plumbers who have been trained to install their
material.
e. All persons installing PEX materials shall have a card on their possession documenting completion of
training by the manufacturer or his agent for the material to be installed.
f. The tubing and fittings rnust be marked as required by the applicable standard specification and with the
approgriate ASTM designations by the manufacturer.
g. The insta.11ation must be in accordance with the manufacturer's installation instructions.
14. The galvanized steel or cast iron, proposed as an optional material far the above ground waste, vent, and
storm in Section 15060, Pipe and Fittings part 2.01, F, of the submitted plans are not approved materials for
this use. Materials used for the dra.in, waste, and vent must comply with Minnesota Rules, part 4715.0570
through 4715.0600. Materials used for the storm sewer located inside of the building must comply with
Minnesota Rules, part 4715.0560.
15. 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 totallength. Above-
grade vertical stacks constructed of plastic pipe may exceed 35 feet in total height only if an approved •
expansion joint is used.
16. Above-grade horizontal plumbing piping must be supported as follows (see Minnesota Rules, part
4715.1430, subpart 4):
Ekim Orthodontics
- Plumbing
Plan No. PLB 1003-00032
PAGE 4
5/12/2010
a. Plastic pipe: at Ieast every 32 inches.
b. Cast iron: at least every 5 feet; or 10 feet when ten foot lengths of pipe are used.
c. Copper tubing (1'/a-inch or less): at least every 6 feet.
d. Copper tubing (1�/2-inch or over): at least every 10 feet.
17. Disinfection of the pota.ble water system must include the following (see Minnesota Rules, part 4715.2250}:
a. The pipe system must be flushed with clean, potable water until no dirty water appears at the points of
outlet;
b. The system must then be filled with a water chlorine solution containing at least 50 parts per million of
chlorine and allowed to stand for 24 hours; or a solution containing at least 200 parts per million of
��lorine and allowed to stand for three haurs; and
c. Following the allowed standing time the system must be flushed with clean potable water until no
chlorine remains.
18. 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 remode� of an existing building. The plumbing installation includes
an ultrasonic cleaner, a model trimmer, a solids interceptor, an emergency eyewash, exam room sinks,
single-compartment counter sinks, hand sinics, tank style water closets, urinal, lavatories, and floor drains.
2. This facility will be served by existing municipal sewer and water service connections.
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. The Minnesota Plumbing Code is available on our website at: vwvw.dli.mn.gov/CCLD/Plumbing.asp ,
Authorization for construction in accordance with the approved plans may be withdrawn if constcuction 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:
,
.,�%' ' i
��G�`/ .
Marise A. Widmer
Public Health Engineer
Plumbing Plan Review and Inspections Unit
651/284-5887
cc: McCarthy Pluznbing
Dr. Scott Carlson
Robert Hutchins
File
443 Lafayette Road N. j�/jj�j]�,j��()"�'A DEPI�RTNI�NT` C�F (65'I) 284-5005
St. Paul, Minnesota 55155 � ��� ��������� ( 80 � DIAL-DLI
www.dli.mn.gov �, TTY: 651 297-4198
4/23/2010
McCarthy Plumbing
321 N Cedar
Owatonna, MN, 55060
Gentlemen/I,a.dies:
Subject: REQUEST FOR ADDITIONAL INFORMATION regarding plumbing at Ekim Orthodontics, Prior
Lake, Scott County, Minnesota, Plan No. PLB 1003-00032
We are NOT able to grant approval at this time of the plans and specifications submitted for the above-designated
project. The following comment(s) outline the changes ancUor additional information that must be submitted so
that we can further evaluate the plans and specifications for compliance with the standards of this depaztment:
1. The single-compartment bar-type sink (P4), the single-comparhnent deep sink with spray (PS), and the
single-compartment sink with spray (P6) aze shown with 1'14-inch traps on the submitted Plumbing Schedule,
Sheet No. A-602. The only sinks allowed to be installed with a 1'/4-inch trap are hand sinks (lavatories), (see
Minnesota Rules, part 4715.2300, subpart 3). Please revise the plans to show the required changes.
2. Please clarify the fixture(s) served by the 1'/�-inch horizontal waste branch upstream of the single-
comparhnent sink (P4) located in the exam area shown on the submitted waste and vent riser diagram, Sheet
No. P-1.
3. The fixtures shown on the submitted water and waste and vent riser diagrams do not correspond with the
fixtures shown on the floor plan. For example, only one P-4 sink is shown on the riser diagrams, however,
three P-4 sinks are shown on the floor plan. The proposed emergency eye wash station, the plaster trap and
the model trimmer aze not shown. Please review the fixtures to be insta.11ed and submit revised plans
showing a conesponding plumbing system.
4. Please provide the manufacturer and model number of the following items, including the manufacture's
specification sheets, and submit revised plans which clearly show the connections of these items to the drain,
waste, and vent system and the potable water supply.
a. Ultrasonic (E0�
b. Plaster trap (E09)
c. Model trimmer (E10)
d. Any other fixtures not shown such as the dental vacuum system if a connection to the potable
water supply will be made.
5. Water supply connections to fixtures or equipment which have subnnerged inlets, or inlets below the spill line
of the fixture or equipment, must be provided with an air gap arrangement, approved backflow preventer or
backflow preventer assembly as specified in Minnesota Rules, part 4715.2000 and part 4715.2010. Include
all proposed backflow protection on the revised plans for the following fixtures and equipment:.
This information can be provided to you in altemative formats (Braille, large print or audio).
M Equal Opportunity Employer
McCarthy Plumbing
Plumbing
Plan No. PLB1003-00032
PAGE 2
4/23/2010
Note that a standard hose bibb vacuum breaker is only effective as long as there are no shut-off valves
located downstxeam of this backflow preventer. If a shut-off valve is located downstream of a bacl�low
preventer, then the bacl�low preventer must be ra.ted for continuous pressure (see Minnesota Rules, part
4715.2100).
a. The cold water washdown faucet (P8) shown on the water meter detail, Sheet No. P-2.
b. The sprayers for the single-compartment sinks PS and P6
c. Ultrasonic (E06)
d. Plaster trap (E09)
e. Model tri.mmer (E10)
f. Any other fixtures not shown such as the dental vacuum system if a connection to the potable
water supply will be made.
g. We were unable to determine the proposed backflow protection specified on the submitted
Plumbing Schedule, Sheet No. A-602, for the emergency eyewash station: Bradley, Model No.
269-74Q. Please provide a manufacturer's specification shest for this device
6. Please specify the manufact�uer and model of the proposed thermostatic tempering valve proposed for the
emergency eyewash station, Bradley, Model No. S 19-460.
7. Hot water is not shown serving any fixtures on the submitted water riser diagram. Hot water must be
supplied to aI1 fixtures and equipment used for bathing, washing, culinary purpose, cleansing, laundry, or
building maintenance, where necessary for proper functioning (see Minnesota Rules, part 4715.0200, Q; part
4715.1700; and part 4715.2180). Please submit revised plans showing the necessary changes.
S. No pipe ma.terials are specified on the submitted plans. Please provide information on the pipe material to be
used for the plumbing system. Include the type and quality standard (e.g. ASTM, ANSI, etc.) for the pipe
materials.
Please submit the requested information promptly so we may complete our plan review. No construction related to
the above-referenced plans shall begin until approval is provided by our office. When submitting additional
information, please refer to Plan No. PLB 1003-00032.
If you have any questions, please contact me at 651/284-5887.
Sincerely,
.� ,���-� �. ����--
Marise A. Widmer
Public Health Engineer
Plumbing Plan Review and Inspections Unit
cc: Dr. Scott Carlson
�/Robert Hutchins, Building Official
File
CONTRACTING • REMODELING r 5 � � REPAIRING • ESTIMATING
1 ,
321 North CedarAvenue �u' Phone 507-451-1430
Owatonna, MN 55060 ^ � FAX 507-451-1126
`'..,..,�., •+"
McCARTHY PLUMBING & HEATING
E-mail Address: mccarthy@charterinternet.com
To: City of Prior Lake
Building Inspections
Attn: Bob Hutchins
Re: Ekim Orthodontics
Estimated water supply GPM
Based on Minnesota plumbing code section 4715.3700 subpart 1-4
Item Number Fixture units
� New: \
Bath group 1@ 8 8 �.
Lavs 3 @ 2 6
Kitchen Sinks 5@ 2 10
Wash Machine 1@ 3 3
Existing:
Bar sinks 12 @ 2 24
Kitchen Sink 1@ 2 2
Bath group 1@ 6 6
T�ta!: 59
Estimated GPM based on chart, subpart #4 (tank water closets �
predominate ) 40 GPM
Thank you any question please call,
Stan Barnes
5O�j451-1430
���
„�,....�.m
""°�'�
4715.3700 DETERMINATION OF PEAK DEMAND.
Subpart 1. Estimating water supply demand. In determining the size of water supply distribution piping, the maximum momentary
volume rate of flow of water shall first be determined. This is the supply demand which is based on the numbers and kinds of fixtures -•�.
instalSed, on tl�e zates of flow required by the different kinds of fixtures, and on the probable simultaneous operation of Ihe various fixIwes.
The total daily requirements do not enter into this determination. In computing supply demand, use shall be made of sUbpart 2.
Subp. 2. Supply 6xture unit values for various plumbing fixtures.
Type Supply fixture unit values
Fixture of group' of supply
control Hot Cold Tota1
Bathroom group Flush valve 3 6 8
Bathroom group Flush tank 3 4.5 6
Bathtub Faucet 1.5 1.5 2
Combination fixtute Faucet 2 2 3
Kitchen sink Faucet 1.5 1.5 2
Laundry tray Faucet 2 2 3
Lavatory Faucet 1.5 1.5 2
Pedestal urinal Flush valve 10 10
Restaurant sink Faucet 3 3 4
Service sink Faucet 1.5 1.5 2
Shower head Mixing valve 3 3 4
Stall or wall urinal Flush vaive 5 5
Stall or wall urinal Flush tank 3 3
Water closet Flush valve 10 10
Water closet Flush tank 5 5
1 For fixtures not listed, factors may be assumed by comparing the fixture to a listed one using water in similar quantities and at
similar rates. �
2 For fixtures with both hot and cold water supplies, the weights for maximum separate demands may be taken as three-fourths of
the total supply fixture unit value.
74
Subp. 3. Calculation of demand. When the water supply fixture units are used to estimate the supply demand, the supply fixture unit
values as given in subpart 2 shall be used in conjunction with subpart 4.
Subp. 4. Supply demand for various loads in supply fixture units.
Load Supply demand
Flush valve water Tank water closets
closets predominate predominate
(subpart S, curve 1) (subpart 5, curve 2)
Supply fixture units: gpm gpm
5 22 4
10 27 8
20 35 14
30 42 20
40 46 24
50 51 28
60 54 32
gg 64 40
124 74 48
160 81 56
226 98 72
��, 300 108 85
� 400 127 106
�a,' V 470 t 35 118
� 500 143 124
600 157 143
660 162 152
700 170 161
800 183 178
850 � 189 185
900 197 195
1,000 208 208
1,060 216 216
1,280 243 243
1,5 I 0 270 270
1,990 324 324
, 2,480 378 378
2,990 432 432
75
Test and Balance Re ort
p
Ekim Orthodontics
Prior Lake, l��N
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Ekim Orthodontics Balance Re ort
ROOM RTU TERMINAL REQUIRED PRELIMINARY FINAL
NUMBER NUMBER NUMBER CFM CFM CFM
South Exam 1 S1 200 180 190
S2 200 200 200
S3 200 170 190
S4 200 210 205
Lab1 1 S5 100 130 100
Lab 2 1 S6 140 140 140
109 1 S7 140 160 140
116 1 S8 140 160 140
106 1 S9 140 120 135
102 1 S10 140 120 130
104 1 S11 140 110 125
116 1 S12 140 130 140
Restroom 1 S13 100 120 100
East Ent 1 S14 100 100 100
Basement Furn 1 S1 120 140 120
S2 120 130 120
i
4
O � PR�'Q�
� � v 464b Dakota Street SE
Prior I,ake, MN 55372
'�Nrvsao'��`
December 27, 2010
Toin Gintex
Bossardt Corpoxation
830U Nor�nan Center Dxive
Suite 770 �
l�iinneapolis, MN 55437-10G1
Re: Carlson 1 Ekim Builditig, Prior Lake
Dear Mr. Giuter,
Thank yoa for meeting with the City on Decernber 22, 2010 fo discuss the Carlson / Ekim project. The
ineering was held to discuss the sheet restoration costs af the project. The discussion focused on the
additional costs to restore the street from curb to curb and the soil corrections necessary for the street
repairs due to deep t�tility service connections under Erie Avenue. During consriuction, Bossardt made
a field change on tl�e location of the water service. This field change disnipted much inore of the Erie
Avenue than was originally contemplated,
I have conducted research into the original Erie Avenue street constructian. Sanitary sewer was
installed on Erie Avenue in the 1950's. Tl�e original paving looked to have been completed in the mid
1960's. T11e most recent improvement to Erie Avenue occzirred in 1986. This project expanded Erie ;
Avenue to include }�arking as it is taday. The 1486 project was assessed to the benefitting propei�ties �
including the Carlson / Bkiin property. The aonstruction dacumeirts show that the i�nprovements �
ii�ctuded adding ciass 5 over the existing subgrade, but did not show additional subgrade cor��ecrion.
T�ie 1956 project did not include utili#y repairs which would have disturbed those subgrade soils.
Subgrade con�.pactian inust achieve a 95% compaction percent�ge below City streets. Many times when
a contractor is digging for deep �tilities, the soil gets mixed. This can create a soil mixritre that may not
perform well benea#h the street, While fhe City did not give direction to the Contractor to remove and
replace the sail under the distu�•bed areas on Erie Avemie, tl�e Contractor was reqnired to cotnpact the
subgrade to the proper compaction percentage. If the Contractor was unable to compact the subgrade ;
material accordingly, the best choice is the remave and replace those soils. The City agrees with ;
Bossardt's decisioii to remove and replace those soils to achieve the proper compaction. ;
Soii conditions can be unpredictable, especially in Prior Lake. One of the di�cult aspects of
consh•uction is the u��certainty of what types of soil materials are encountered. Ti�e City deals with this
ever year wlien sfreets are reconsti�icted and it is an unforh�nate and expensive aspect on private pxojects �
as well. The City can i�ot make guarantees on soil conditions below its streets. The City does allow ;
Phone 952.447.9800 / Fax 952.447.4245 / �vtitihv.cttyofpriorlake.com '
private companies to canduct soil borings i�ndez• City streets for pr�vate projects. Bossardt could have
perforined soil exploratian prior ta the decision to i�iove the water service location.
Replacement of the street from curb to curb has been a Ci�y of �'rior Lake requiremetit for about 3 years.
Other projects around town l�ave also had to replace the street from curb fo cutb for their projects. Once
Bossardt decided on the water servica location change, tlie Ciry warked with Bossardt on the limits of
sheet replacement and agreed to reduce the limits of the curb ta curb replacement. In many cases on
these types of prajects, the City works with developers on the most practical lirnits of street restoration.
The City empathizes with your clients oii these additionat casts, however the City does not believe tha# it
shot�ld financially pa��ticipate in thc costs on this private project. The City communicated the curb to
cttrb street replacement very eariy in the bui[ding peiYnit process. This was �uicontested before
const�ucfion commenced and was shown� on #he p12u�s. The street repair liniits were necessary based on
the decisions made by Bossardt to move the water seivice locarion. Sail mixii�g was highly probable
considering the deep utijity connection and was likely the reason for the soit correcfiion. While the City
did not give direction oi� the soi! replacement, it was necessary due soleiy to fhe private utility
connections tnada ducing this pi�oJect.
The City liopes your clients enjay xnany years in #heir rejuvenated building despite same of the
challenges that were encountered during construction.
SincereIy,
r, ,.� /`��-...�.
�
L rry Poppler
Assistant City Enginaer
Czry of Prior Laice
CC: Steve Kilmer, Bossardt Corporation
Fiank Boy2es, City Manager
Bob Hutchins, Building Official
Steve Albrecht, Pi�blic Works Directar
�
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Fire Sprinkler Plan Review
Date: May 7, 2010
Owner: Ekim Orthodontics
Location: 46b7 Dakota St. SE.
Prior Lake MN. 55372
Contractor: Olson Fire Protection
321 Wilson Street NE
Minneapolis MN 55413
1. Separate permits are required for the alarm system.
2. The 2002 of NFPA 13 shall be the standard.
3. All materials shall be tested and installed per the listing.
4. All valves controlling water flow shall be monitored and secured including the PN.
5. It is the responsibility of the fire sprinkler contractor to flush all main and branch lines.
6. Provide frost protection for all portions of the wet system.
7. Field verify all head locations and obstructions.
8. Secure a11 valves against tampering. A11 valves in public areas sha11 be locked
9. Provide a water resistant system plan at the each sprinkler riser to include the following information.
a. Total site plan
b. All valves
c. Riser locations
d. Areas served by individual risers
e. All main and a�iliary drains
f. � Location of inspector's test
g. Alazm panel location
10. For inspections ca11(952) 447-9850 give the project building permit number (10-0088)
11. Seal all penetrations in rated walls in an approved manor.
12. Provide signage for all valves, drains and inspector's test.
13. Water flow and pressure sha11 match hydrostatic design
C1 .,� 'R`Rl"(j�
� � 4646 Dakota Street Southeast
�U r�r Prior Lake, MN 55372
'�'�rr��s��
February 8, 2010
Mr. C L Robertson
Sjoquist Architects, Inc
2800 University Ave. SE, Suite 100
Minneapolis, Minnesota 55414
RE: Plan review for Ekim Orthodontics Addition
Dear Mr. Robertson,
Following are the results of the building permit review for Ekim Orthodontics Addition. The review was
based on the 2007 Minnesota State Building Code (MSBC) which adopted with amendments the 2006
International Building Code (IBC) with handicap regulations of the Minnesota Accessibility Code
Chapter 1341. Also requirements of the 2007 Minnesota State Fire Code (MSFC), which adopted with
amendments the 2006 Fire Code (IFC).
`i. Complete a Building Code analysis. IBC Chapter 5. Include the following:
a. Occupancy Classification.
b. Type of Construction.
c. Location on Property and unprotected opening allowance.
E
d. Allowable Floor Area.
e. Height and Number of stories.
f. Separated or non separated uses.
g. Exiting.
�? Submit the Structural Engineers requirements for Special Inspections IBC 1701.5. See attached.
�. Provide fire department lock box at the front door. An application for purchase of the box will be
received with the approved building permit.
�. Sht C-100: Provide Post Indicator Valve (P.I.V.) on 6" water line into building.
�5. Install Fire Department Connection (FDC) on northeast of existing building or southeast corner of
proposed addition for accessibility of fire fighting apparatus.
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4263
�6. Sht. AS 101: Provide fire lanes for fire apparatus response. Signage to read:" No Parking Fire Lane by
order of Fire Department". Indicate on Site plan. Locate by FDC. IFC 1001.7.1.
� Sht. AS 101: No shrubs or trees are permitted in front of the FDC.
( �''�Provide fire extinguishers minimum 2AlOBC rated, within 75 feet travel distance of all areas of the
0� � building. IFC 1002.
� 9. Provide plan indicting building schedule and area of staging and or storing of material adjacent to site.
10. Submit signed HVAC, plumbing, fire/smoke alarm, emergency lighting/�t signs and sprinkler
plans. The mechanical plans may be submitted at a later date.
�1. Plumbing plans must be submitted and approved by the State of Minnesota Department of Labor and
Industry.
S ' signed HVAC, plumbing, fire/smoke alarm, emergency lighting/� signs and sprinkler
. The m�chanical plans may be submitted at a later date.
v1�3. Provide fire suppression coverage in concealed spaces. NFPA 13 5-13.1.
^1'4. Sht C-100: Provide elevations of accessible site approach walkway and stairway on east side of
building. �
This review is based on building and civil plans dated January 18, 2010 and February 5, 2010
respectively. The City departments of Community Development/Natural Resources and Engineering
Departments must approve the building and civil plans before a building permit can be issued for the
project. Their plan review comments are forthcoming. Questions, please ca11 me at 952-447-9851.
Sincerely,
Robert D. Hutchins
Building Official
cc. Mr. Tom Ginter Bossardt Corporation
Enc.
p.�
•��� IS SG 0�:5�a
C�'�"Y !!QF P12IUR LA�.E
4�46 I)�t}TA S�'REET S.E.
�"�C}R LA�E� IYiN 55372
SPECIA�.. S�'R.�C3C"�'�TI�tAL T�+ STIN� �►1�Tb X�t�P�C':�YIUI'�` fiCHE�?LI��C �
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Notas: This schcduto tn be �� �u� �° i��i�ded in the psoject spcciftcaticar.. Informat on unavailable at tl�at tix�le, to be '
fi}led ouc wiaen apptying fnr s� �uilding pernsit. i
(1) Use dssuriptions per IF1C So�Eiou I741, as adogted by Minnesota Si�ts �uilciing Code. '
(2) Specla! tsispector -'I'echnical, Special Insp�tor - Strucural. �
(3} Firmeontraated Eo paform serviACKNEJWLEDCx2v�NTS
2:actt appragxiate tc cs tativc shall sign below: Z jzz�tV �
bwner. I�irtn: S7ate: M
Cau�actar: Firm: u v Latc: �!e�` t0 I
mate: (
Archit <; � Firm: Datcs: � � !
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�: Firm: Date; .
�: Fit�rn: Datc:
*Th� inctsviduaF names oF ail praspact'sve specia� inspcctoxa and the work they intend to abssrve shall b� �
identiiied. (Use reverse side r�fform ifnccessary.}
L��;and: SER °� St�uctural �ngincer nf Ra�vxd �
SI-T ° Special Inspector - Teehnicul
SI S� Spsoial 'Ltispackor - Structural 3
'�A � Tcsting Agcncy � l
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Date,,,,_ � � � � 4
Acc�ptecf for the Building D�pattm�nt by !
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February 9, 2010
Robert D Hutchins
Building Official
City of Prior Lake
4646 Dakota Street Southeast
Prior Lake, MN 55372
Re: Ekim Orthodontic Clinic
Mr Hutchins
Thank for your review of the plans for this project. Please reference your letter to me dated
February 8, 2010, I have numbered my comments below to correspond with your comments in that
letter.
1. Building Code Analysis is attached.
2. Special Inspections requirements will be furnished by Bossardt Construction.
3. Fire Department Lock Box will be provided at the entry to the Orthodontic Clinic on Erie
Avenue SE.
4. PIV will be provided as discussed and as indicated on revised sheet C-100.
5. FDC will be installed at SE corner of addition.
6. A"NO PARKING - FIRE LANE" sign will be installed on the Erie Avenue side of the
planted peninsula to the SE of the site
7. There will be no shrubs or trees in front of the FDC.
8. As a Group B building equipped throughout with an approved automatic sprinkler system,
this is not required per MSFC 906.1.1. Ezception.
9. Building schedule and staging information will be provided by Bossardt Construction.
2800 U,�er..e, SE, S�,oe 100
M.,,..eapo,.., M,.,.,eao�a 55414
Telephone 612-379-9233
Fax 612-379-9263
10. Additional plans will be submitted by Bossardt Construction as these Contractors are
awarded contracts and such plans are prepared. Emergency Lighting is indicated on the
Architectural Sheet A-161. Per MSFC 1011.1 Exception 1, exit signs are not required.
11. Plumbing Plans will be submitted to the State.
12. This was a duplication of Item 10.
13. Fire suppression coverage in concealed spaces will be provided per NFPA 13 5-�3.1.
14. Please see attached sheet A-101 for requested elevation information. This will also be
reflected on the revised sheet C-100.
Sincerely,
S
C L Robertson, AIA
President, CEO
Sjoquist Architects, Inc
2800 U.,1�er.�t SE, 5.,��e 100
M,,,,,eepo,,., M,,.,.e,o�. 55414
T lephone 612-379-9233
F.: 612-379-9263
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612.379.9233 Fax 612.379.9263 �� �.,QK� MIMJE50tA
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BUILDING ANALYSIS
INTERNATIONAL BUILDING CODE 2006
Ekim Orthodontics 7285
(Project Name) (ProJact Numbeh
16190 Erie Avenue SE
(Address)
Prior Lake, MN Dakota
�cny � sc��e� ��°°"h'►
Addition to and Remodel of Orthodontic Clinic
(Descriptlon of Project)
Section302 CLASSIFICATION DESCRIPTION OF OCCUPANCY
Group B Dental Office
�Building 1)
(Building 2)
(Building 3)
Chapter4 SPECIAL REQUIREMENTS BASED ON USE AND OCCUPANCY
N/A
(Descripdon of Special Conditlon�s�)
T�,'e�.2 INCIDENTAL USE AREAS
S torage (Basemen Auto Fire-Ext Sys
(IncideMal Use) (Required Separatlon)
(IncldeMal Use) (Required Separation)
Table608.3.5 REQUIRED SEPARATION OF OCCUPANCIES
None
(Occupancles) (Requlred Separation)
(Occupancles� (Requfred Separatlon)
�� TYPE OF CONSTRUCTION V B Sprinklered
Table601 FIRE-RESISTANCE RATING FOR BUILDING ELEMENTS
Table 802
ELEMENT REQUIRED PROPOSED
Structural Frame 0 0
Bearing Walls - Exterior 1* 1
Bearing Walls - Interior 0 0
Nonbearing Walls - Exterior 1* 1
Nonbearing Walls - Interior 0 0
Floor 0 0
Roof 0 0
�rlE $T' { ��rf
*Comments: South � East Ext Walis are 6.8' & 7.9' from Prop Line, respectively
J
Areas of Openings are 24.2% and 13.7%, respectively
Table603 gASIC ALLOWABLE FLOOR AREA Group B , v B s,000 sF
(Building 1)
SF
(Bullding 2)
SF
(Building 3)
�""°"� FRONTAGE 1NCREASE 23.5%
Allowable building perimeter 161.5 11,115 SF
(BuIlding 1) .
Total building perimeter 333 SF
t�Ma z1
Minimum width of open space 30 SF
(BuIlding 8)
�`"°"� AUTOMATIC SPRINKLER INCREASE 300%
38,115 SF
(Bullding 1)
ALLOWABLE AREA(S) PER FLOOR SF
����� �
SF
(Bullding 3)
��'°"��° NUMBER OF STORIES 1
38,115 SF
(BulWing 1)
ALLOWABLE TOTAL AREA(S) SF
(Bullding 2)
SF
(Bullding S)
��'°"`�.'., % OF ALLOWABLE AREA 4,o2s sF � 3s ,115 SF = �o.s %
(Proposed Bullding 1) (Allowable Bullding 1)
S F � SF = %
(Proposed Bulldtng 2) (Allowable Bullding 2)
SF / SF = %
(Proposed Bullding 3) (Allowable BuIlding S)
TOTALS: 4,025 SF 1.0 > 10.6 %
Tab1e60S gASIC ALLOWABLE BUILDING HEIGHT 4o FT 2
(Feet) (stories)
Sectlon504.2 AUTOMATIC SPRINKLER INCREASE YEs
�`"°"� TOTAL BUILDING HEIGHT 23.s FT � so FT
(Proposed Feet) (Allowable Feet)
PROPOSED / ALLOWABLE 1 / 3
(Proposed Storles) (Allowable 8toAes)
Table1004.1.7 pCCUPANT LOAD
MAIN LEVEL OCCUPANT
LOAD OCCUPANT
ZONE OCCUPANCY/USE NET AREA FACTOR LOAD
1 OFFICE 1,998 / 100 = 20
(SF) (SF I Occupard)
� =
(SF) (SFIOCCUpaM)
� =
(SF) (SFIOccupaM)
� =
(SF) (SF / Occuparttj
� =
�SF) (SF I Occuparrt)
� ^
(SF) (SFIOccupanq
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(SF) (SFIOccupant)
� =
(SF) (Sf I Occupanry
� =
(SF) (SP/Occupanq
� =
(SF) (SFlOccupant)
� =
(SF) (SF I OccupaM)
� =
(SF) (SFfOccupant)
TOTAL OCCUPANT LOAD MQIN LEVEL 20
(N more than one story, use opUonal worksheet(s))
Table1005.1 w�DTH OF EXITS
AUTOMATIC SPRINKLER YES
Total Occupants Main Level x 0.15 3.0 IN
(RequtreA wtdm►
Greatest width of Exits Required for other
floors exiting through Main Leve! N/A IN
Seetlon1014 EXIT ACCESS
MINIMUM
OCCUPANT DISTANCE MAXIMUM
ROOM LOAD OCCUPANT EXITS BETWEEN DISTANCE AUTOMATIC
NUMBER ZONE FACTOR NETAREA LOAD REQUIRED EXITS TO EXITS SPRINKLER
(From Previous Worksheets) (SF) (Table 1015.1) (Sectlon 7018.2.1) (Table 1078.1)
(Table 1019.1)
ALL 1 100 1,998 20 1 N/A 100' YES
BUILDING ANALYSIS (2006 IBC) COMPLETED BY
SjoquistArchitects, Inc
BUILDING ANALYSIS REVIEWED WITH LOCAL BUILDING INSPECTOR:
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Bt}ss�tun� Coa���o�a���aora �
Pr��Ins,riuncrl Constrt�r7i��r� Ser
L'ELEBRATING2�YEARS 14B3-2W8 '
MEMURANDUM
DATE: February 19, 2010
TO: Bob I3utchins
Larry Pappler
Steve Albrecht
FROM: Randy Nelson
Project Superintendent �
RE: EI�IM ORTHODONTIC5 �
We propase to stage canstrucrion of the Ekim Orthodontics project from the parking areas to
the east Qf the building along Erie Avenue, Atthough this witl inconvenience our client,
damage frorn construction to curb, gutter, sidewalks and streets are scheduled for removat and
replacement in this area. Parking for the Library will be largely unaffected by sa doing. In
conversation with Mr. Hutchins, he advised that clientele for the dental af�ces will be allowed
to park in the city-owned lat to the west of the building, as well as along Dakota Street.
1
We plan to begin the praject by constructing the addition to the south of the existing building. �
Excavator will approaeh to dig from Erie Avenue and load trucks (to expart excavated soits) �
that wi11 back up to the proposed addition and drive back out an Erie. Sidewalks will be �
barricacled and signage will be placed to clearly indicate a clased sidewalk. Erie Street wiil
also receive clear measure of tra�c control including barricades and/or safety barrels to keep
vehicles away from danger and advise af construction activities. Tra�c will still be allawed to
pass along Erie Avenue. Bossardt Corporation has included traffic controt and st�•eec cleaning
in the excavatar's work seope.
We will then canstruct footings and use the same measures of protection for sidewalk and ,
street safety as aforementianed for conerete trucks and pumps as required. The CMIJ far the ;
t
foundation will be plaeed in the excavation when delivereQ, thus eliminating some sidewalk �
and street congestion. The masonry eontractor witl; however, need to set up a mixing place '
for mortar. This will be again along Erie Street at the south parking spots and will be
appropxiately fenced in�with orange construction fencing. Sidewalks will again be closed
(barricaded) as reyuired.
We will allow a few ctays for the foundatian to cure, then waterproof, insulate, and backf'ill the
addition as soon as is possible. Backfitl procedures will be the reverse of excavating
procedures using imported soils. Sidewalks and streees will be once again barricaded and
signed for vehicle and pedestrian safety. I
8.�U0 Nnri�rcu� C'el�ter Urire � Strite 77t� • Mirrnecrintis. A�N 55437-I(X}I ��52-fi;31-S�/t1cY • SlJ(T-2911-1J11 �* Frr.r Sl52-t331-/26$ • weutr,Gossaizlt.cam �
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We will erect temporary warning fencing around the additian until the foundation is capped.
Workers will access the addition from a temporary doar that wiil be set in place on the east
side. The additian and smaller roof adds will then be framed utilizing the same safety and
protective measur�s as were used for excavation and foundation work and froin the same
staging area along Erie. Contractors have already been nodfied that the site wili require
muttiple deliveries as there wiIl be little oppartunity fox storage. Care will be taken to deliver
only what can be installed in a short time frame. We will roof the required areas as saon as
framing and sheathing work is accomplished. Interior activities wil! then take place in the
addition and, wh�n weather permits, exterior enhancement will begin.
A scaffold system will need to be in place at some time around the eutire perimeter of the
building. The scaffold will be wrapped on the bottom at the end of each working day with
arange fencing to discourage any unwanted intrusion. It may be necessary for short periods of
time to feed the scaffold from the west side of the building. Should this need arise, the parking
lot will be clearly posted, signage installed and/or barricades in place to deter public inirusion.
Work pn this side of the building will be kept to an absolute minimum and only for the exterior
enhancement.
When tne graund has ihawed, proposed utilities will be installed as soon as possible. It is �
anticipated that Erie Avenue will be clased far approximately two days. The street will be �
entirely barricaded for this activity. Entrance ta the dentat offices witl be accamp2ished at this ?
time through the new west side door and Dr. Carlson's entry. The street will be reinstalted as
soon as possible, and the work on the east exterior will begin immediateIy (including new �
sidewalks, ramps, and stairs). The sidewalk an this side of the building will be closed for
several weeks while this work is being accomplished.
As for tl�e interior af Ekirn Orthodantics, the construction will be separated into three phases,
The south additian witl be completed and opened as the first phase, including fi�•e protection
wark. The second phase will include the west side offices and new bathr thus aliowing a
bathroom to always be available. The last phase will be the east side reception and office.
Full height enclosure will be constructed to separate these pkases utilizing wood studs and
plywood. First phase will be completed at the end of May, or as soon as required utztities are
in place. Project completion is anticipated to be in earty August.
Revision to this plan of action wi11 be only as mutually agreed upon by Bassardt Corporation j
and the City of Prior Lake. ?
F{N:jb
�
7511.0906 SECTION 906, POR7ABLE FIRE EXTINGUISHERS.
IFC Section 906.1 is amended to read:
906.1 Where required. Portable fire extinguishers shall be installed in the foliowing locations:
1. In all Group A, B, E, F, H, I, M, R-1, R-2, R-4 and S occupancies.
Exception: In all Group A, B and E occupancies equipped throughout with an approved automatic sprinkler
system installed in accordance with Sections 903.3.1.1 and 903.3.1.2, fire extinguishers shall be required only in
laundry rooms, boiler and furnace rooms, mechanical and electrical rooms, garages, stages, projection booths,
shops, laboratories, kitchens, locker rooms, janitors' closets, trash-collection rooms, storage rooms and similar
areas.
2. Within 30 feet (9144 mm) of commercial cooking equipment.
3. In areas where flammable or combustible liquids are stored, used or dispensed.
4. On each floor of structures under construction, except Group R-3 occupancies, in accordance with Section 1415.1.
5. Where required by the sections indicated in Table 9Q6.1.
6. Special-hazard areas, including but not limited to laboratories, computer rooms and generator rooms, where
required by the fire code official.
7. R-3 occupancies used as family day care, group family day care, foster care, adult family day services and
residential hospices.
Minnesota State Fire Code Amendments page a-79
ITCO ALLIED ENGINEERING COMPANY
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLtED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipa!
7125 West 126 "' Street, Suite 500, �avage, Minnesota 55378
Telephone: 952-890-7366 Fax: 952-890-5883
. U ���� L�l �
November 19, 2009 �AN 2 6 2010
• B _'..._---- -�--
Mr. Tom Ginter
Bossardt Corporation Phone: 952 837 3340
8300 Norman Center Drive - Suite 700 Gell: 612-290-7037
Minneapolis, Minnesota 55437-1061 • Fax: 952-831-1268
RE: 16190 Erie Avenue •
Prior Lake, Scott County, Minnesota
As requested, a site visit was made on November Y6, 2009 at 2:25 P.M.
to evaluate and test subgrade soils for a proposed addition to a
commercial building. Our Scott County Surficial Geology reference
indicates that the site lies within a region of (DH) soils, primarily
till (glacial deposits). The referenced soils are generally
considered acceptable for construction, when within acceptable limits
of consolidation and moisture.
The soils investigation was conducted within a backhoe excavated
test pit, approximately 10'.south and on centerline of the existing
structure. Soils, as removed and viewed within the side walls of the
excavation indicated approximately 10" of topsoil, underlain to 4 3/4'
by a mix of a slightly plastic silty loam in the north, and a sandy
loam in the sou�h. We would consider the referenced soils as
undocumented fill, as evidenced by the varying classification, and a
isolated CMU f�agment, and a thin sheet of poly near the base of the
zone. Below 4 3/4', a 10" to 12" layer of horizon "B" soils was
encountered, assumed to be near the original grade of the site. At
approximately 6', or the base of the excavation, a moist light brown
till was obs�rved. No ground water infiltration was noted from the
excavation side walls-or at the excavation base. •
To assess the relative loadbearing capacity of the s�zbgrade soils, a
dynamic cone penetrometer test was conducted at the base af the
test exCavation. The dynamic cone penetrometer (DCP), uses a eight
kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical
point into the soil, with the penetration recorded in millimeters per
blow. From the DCP readings, a per blow, penetration average is
recorded and a N-value derived. This N-value, is an empirical
relationship we have established to equate the dynamic cone data to
the more familiar blows per foot (BPF) standard penetration soil
boring test.
Dynamic� Cone Per�et�orn�tel_ T�ti �:.
DCP Depth Per Blow Avg. / N-Value Estimat�d Load
636 MM (25.0"} 28.4 MM / N-11 3750 PSF
In our opinion, based upun aur observations and test, we would
anticipate acceptable subgrade �oils for construction. The zone of
fill and horizan "B" soils, may be acceptable for support of footings,
based an meeting a minimum bearing capacity af 2000 PSF, and the
Harizon "B" layer being free of vegetation and below 5 to 6 percent
organic content. Tt is recommended that aIl footing lines be evaluated
at the time of construction relative to soil conditions and the level
of consolidation.
Our abservations and subsequent soil evaluation on this date are
limited to the elevation of a single test pit excavation, and depth
achieved a dynamic cone penetrometer test. We therefore, are unable
to assess sail conditions which may be encountered by soil borings
conducted as part of a standard subsurface geotechr�ical investigation.
�incerely,
Itco Allied Engineering Company Reviewed By:
�/ � .._
. �
Gary Standish Robert Sul:�entrop, P.E.
Senior Inspector Mn. Reg.- �17823
#701 - 1 j #6d5 - 1 1/2 / #610 - 1/4 / #304 - DCF (1) / #612 - 12
BOSARDTI.DOC �
THE 2007 MINNESOTA STATE BUILDING CODE
MINNESOTA RULES, CHAPTER 1306
SPECIAL FIRE PROTECTION SYSTEMS
1306.0010 GENERAL. must be installed and maintained in
operational condition within the structure.
This chapter authorizes optional The requirements of this subpart apply to
provisions for the installation of on-premises structures that fall within the occupancy
fire suppression systems that may be adopted classifications established in part 1306.0030,
by a municipality in addition to the State items A to D.
Building Code. If the municipality adopts
them, the sprinkler system requirements of Exception: The floor area of minor
this chapter become part of the State Building additions that do not increase the occupant
Code and are applicable throughout the load does not have to be figured into the
municipality. This chapter, if adopted, must square footage for occupancy
be adopted without amendment. classifications established in part
1306.0030, items A to D.
1306.0020 MiJNICIPAL OPTION.
1306.0030 REQUIREMENTS.
Subpart 1. Requirement. The sprinkler
system requirements of this chapter, if For purposes of this chapter, area
adopted, must be adopted with the selection separation, fire barriers, or fire walls do not
of either subpart 2 or 3, without amendment. establish separate buildings. Gross square
footage (gs fl means the floor area as defined
Subp. 2. Existing and new buildings. in the International Building Code. The floor
Automatic sprinkler systems for new area requirements established in items A to D
buildings, buildings increased in total floor are based on the gross square footage of the
area (including the existmg ui mg , or entire building and establish thresholds for
buildings m which the occupancy these requirements. The following occupancy
classification has changed, must be installed groups must comply with sprinkler
and maintained in operational condition requirements of this chapter, unless specified
within the structure. The requirements of this otherwise:
subpart apply to structures that fall within the
occupancy classifications established in part A. Group A 1, A 2, A 3, and A 4
1306.0030, items A to D. occupancies;
Exception: The floor area of minor Exception: air inflated structures, and
additions that do not increase the occupant open picnic shelters.
load does not have to be figured into the
square footage for occupancy B. Group B, F, M, and S occupancies
classifications established in part with 2,000 or more gross square feet of floor
1306.0030, items A to D. area or wit t ee or more stories in height;
-�.r
Subp. 3. New buildings. Automatic Ezception: S 2 open parking garages,
sprinkler systems for new buildings, additions aircraft hangars, salt storage sheds, and
to existing buildings, or buildings in which group "M" detached canopies.
the occupancy classification has changed rt. m Ta
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ADDENDUM #1
Page 1
DATE: February 5, 2010
PROJECT NUMBER: 7285
PROJECT NAME: Ekim Orthodontics
16190 Erie Avenue SE
Prior Lake, MN
OWNER: Ekim Orthodontics
16190 Erie Avenue SE
Prior Lake, MN 55372
ARCHITECT: Sj7iquistArchitects, Inc.
2800 University Avenue SE, Suite 100
Minneapolis, Minnesota 55414
This Addendum is a Contract Document and may apply to any or all Contracts and Subcontracts. Unless
otherwise herein specified or shown on the attached drawings (if any), all work required by this Addendum
shall be in complete accord with the Contract Documents and subsequent Addenda thereto.
The items in this Addendum are not necessarily listed in any order in regard to the drawings or the
specifications. All Contractors are cautioned to examine each and every item of this Addendum. Please
attach this Addendum to your copy of the Specifications.
Dates and Time Bids Close: 2010.02.09 & 2010.02.16 @ 15:00
Reference Revisions
Attached Sheet C-100 This sheet was not issued with the original bid set
Sheet A-101 Rooms 102 & 103
Room Finish Schedule Floor is Carpet 1, Base is Carpet 2, there is no PT in these two rooms
Sheet A-120 Ciarifications:
Roof Plan • Existing Downspouts on south end of building are to be relocated
to east and west sides, 2'-0" north of Grid B
• Existing Roofing between Grids B and C is to be replaced with new
EPDM and all coping 1 roof edge is to be new, the insulaUon and
underlying sheating is assumed to be adequate.
• Slope is 1/4" per foot
• The Live Roof is to be a Prevegetated Modular Green Roof System,
such as LiveRoof, LLC. See LiveRoof.com, contactBachman's Inc
- Doug Danielsen 651.463.6464. Verify that Green Roof system is
approved by Roofing Manufacturer and does not impact warranry.
ADDENDUM #1
Page 2
Reference Revisions
Sheet A-131 Room 111, note regarding SV-1 and CPT-1 is reversed (my bad). SV-1 is
Finish Plan north of the seam, CPT-1 is south of the Seam (under the chairs).
Sheet A-161 Fixture F to change to Lithonia LP6HN 50M 609AZ 120/277
Light Fixture Schedule
Fixture G to be Lithonia LP6HN 50M 6W9AZ 120/277
Fixture Q is to be Visa Lighting OW 1310 (Mod. No Bar) 2N40-BSS
White DR Acrylic Diffuser, Brushed Stainless Steel
Sheet A-512 A1/A-512 should indicate the end 2 x 4s penetrating the floor and tying to
Interior Details floor joists for rigidity.
Sheet A-601 Frame F9 fell off the page, please see attached A-601
Doors and Frames
Hardware Schedule - Add Note 3 for Group 1 that reads:
PROVIDE VON DUPRIN 33A-NL-OP EXIT DEVICE WITH RIM CYLINDER
AND HIAWATHA 658B PULL
End of Addendum #1
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COMcheck Software Version 3.7,0
Envelope Compliance Certificate
90.1 (2004) Standard
Section 1: Project Information
Project Type: Addition
Project Title : Ekim Orthodontics
Construction Site: Owner/Agent: DesignedContractor:
16190 Erie Avenue SE Suzan Ekim Carl Robertson
Prior Lake, MN 55372 Ekim Othodontics Sjoquist Architects Inc.
16190 Erie Avenue SE 2800 University Ave SE Suite 100
Prior Lake, MN 55372 Minneapolis, MN 55414
952-447-6077 612-379-9233
ekimx001 @umn.edu crobertson@sjoquist.�m
Section 2: General Information
Building Location (for weather data): Prior Lake, Mlnnesota
Climate Zone: 6a
Building Type for Envelope Requirements: Non-Residential
Vertical Glazing / Wall Area Pct.: 18%
Buildinst Tvpe Floor Area
Health Care-Clinic 760
Section 3: Requirements Checklist
..- � .
ClimateSpecific Requirements:
Component Name/Descrlptfon Gross Area Cavity Cont. Proposed Budget
or Perimeter R-Value R-Value U-Factor U-Factor�a)
Roof 1: Insulation Entirely Above Deck 760 -- 22.2 0.043 0.063
Exterior Wall 1: Wood-Framed, 16" o.c. 1413 21.0 0.0 0.062 0.089
Window 1: Metal Frame with TheRnal Break:Double Pane with 296 --- --- 0.290 0.570
Low-E, Tinted, Fixed, SHGC 0.18
Exterior Wall 2: Concrete Block:6", Partially Grouted, Cells 235 5.8 0.0 0.222 0.104
Empty,Normal Densiry , Furring: Metal
(a) Budget U-factors are used for software baseline calculations ONLY, and are not code requirements.
Insulation:
� 1. Open-blown or poured loose-fill insulation has not been used in attic roof spaces with ceiling slope greater than 3 in 12.
� 2. Wherever vents occur, they are baffled to deflect incoming air above the insulation.
� 3. Recessed lights, equipment and ducts are not affecting insulation thickness.
� 4. No roof insulation is installed on a suspended ceiling with removable ceiling panels.
� 5. All exterior insulation is covered with protective material.
� 6. Cargo and loading dock doors are equipped with weather seals.
Fenestration and Doors:
� 7. Windows and skylights are labeled and certified by the manufacturer for U-factor and SHGC.
� 8. Fixed windows and skylights unlabeled by the manufacturer have been site labeled using the default U-factor and SHGC.
� 9. Other unlabeled vertical fenestration, operable and fixed, that are unlabeled by the manufacturer have been site labeled using the
default U-factor and SHGC. No credit has been given for metal frames with thermal breaks, low-emissiviry coatings, gas fillings, or
insulating spacers.
Project Title: Ekim Orthodontics Report date: 01/29/10
Data filename: C:\Program Files\Check\COMcheck\Ekim Othodontics.cck Page 1 of 2
Air Leakage and Component Certification:
� 10.A11 joints and penetrations are caulked, gasketed, weather-stripped, or otherwise sealed.
� 11.Windows, doors, and skylights certified as meeting leakage requirements.
� 12.Component R-values 8� U-factors labeled as certified.
� 13.'Other' components have supporting documentation for proposed U-Factors.
� 14. Building entrance doors have a vestibule equipped with self-closing devices. Interior and exterior doors in the closed position are no
less than 7 ft apart.
Excepfions:
Buildings less than four stories above grade.
Building entrances with revoiving doors.
Doors not intended to be used as a building entrance.
Doors that open directly from a space less than 3000 sq. ft. in area.
Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors.
� 15.Insulation installed according to manufacturer's instructions, in substantial contaet with the surface being insulated, and in a manner that
achieves the rated R-value without compressing the insulation.
Section 4: Compliance Statement
Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans, specifications and
other calculations submitted with this permit appiication. The proposed envelope system has been designed to meet the 90.1 (2004} Standard
requirements in COMcheck Version 3.7.0 and io comply with the mandatory requirements in the Requirements Checklist.
Carl Robertson s� 2010.02.02
Name - Title Signature Date
Project Title: Ekim Orthodontics Report date: 01/29/10
Data filename: C:\Program Files\Check\COMcheck\Ekim Othodontics.cck Page 2 of 2
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Dr. Scott D. Carlson, D.D.S. • 4667 Dakota Street, S.E. � � P.O. Box 325 • Prior Lcike, MN 55337 •(612) 447-6054
�
September 13, 2010
Dear Mr. Poppler,
I will be happy to pay the $900.00 for sealcoating the street, once the
work is completed.
Sincerel ,
Dr. tt arlson
Family Dentistry
IT C 4 ALLIED EN�INEERIl�G C �MPAN'�'�
AN ALLIANCE O�' INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory 7esting, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126 `" Street, Suite 5d0,'Savage, Minnesota 55378
Telephone: 952-89a-7366 � � � � Fax: 952-890-5$83
June 7, 2010
attn: Shane Bu#fer �
Bossardt Corporation Phone: 952-837-3340
8300 Narrnan Center Drive — Suite 770 Celi: 612-29Q-7037
Minneapolis, Minne'sota 55437-1061 Fax: 952-831-7268
RE: Ekim Orthodontics Building Additian
4667 Dakota Street
Priar Lake, Scott County, Minnesota ' .
As requested, site visits were made on May 24, 25, and 27, 2010 to evaluate and test soils for utiiity
installation, and inspect the placement of forms and reinforcement for the construction of a building
entry ramp.
5/24/10 (1:15 P.M.):
An evatuation was made for th� reuse of on—site soils for utiiity trench backfill within the roacfway
service connection. The observed soils were primarily a sandy loam with a percentage of cohesive
mafierial. The material is considered acceptable far backfilt, however we recommend that the
cohesive material containing an incr�ase in moisture, be bfended with the dryer soils cluring
placement, and vibratary compaction monitored to reduce unstabfe canditions,
�125I10 (3:30 P.M.): .
A� evaluation was made for questionable dark soils remaved and obsetved withirt the sidewall of
the utility t�ench and parking area at the east side of the building. The 'E-foot layer at approximatefy
3 to 4 feet below grade, contained no vegetatian or organic odor, and was wei! consoEidated.
Based on the proposed sub-cut for 2' of select granular and 1' of crushed aggregate base, this
material does rtot require removal.
To evaluate the consolidation of bacicfi{I and aggregate base placed at the roadway utility
connection, as viewed on 5/24/'E0, a dynamic cone penetrometer test per MnDot procedure
2211.3C3 was completed. Based upon a recammended target penetration value of 10MM or less,
the test was considered acceptable, as the area will receive additiQnai compaction during
recot�structian of the adjoining parking area.
Test #10 — Utility Trench Backfill on Aggregate Base
DCP Denth Per Btow Ava. / N-Value Estimated Load
96 MM (3.8") 12.0 MM / NA NA
� i •d ees=oi ot �o u�r
5/27/40 {12:30 P.M.):
Evaluated soils within the footing excavation, c�mpteted for the proposed entry ramp at the east
side of the building. The soils at #he base of the excavation were penetrated at random with a 5!8' .
inch diameter smooth probe. With full body weight applied, the probes indicatec! acceptabie
consolidation #or construction. Additional testing was conduCted with a dyr►amic cone penetrometer
as follows.
Test # 11 — Ramp Footing Excavation
DCp Deqth Per Blow Av_ ./c� N-Va(ue Estimated Load
534 MM (21.Ou} 26.9 MM ! 11.5 3875
Forms and reinforcement for the proposed footings were confgured at 42° x 12° with (5) -#5 bars
continuaus (2 sets upper/lower and 1 single) ref: pfan detai181S3. Splice lengths were at 36 bar
diameters, with transverss # 5 bars placed at 24" on center. All rods were securely wire wrapped at
splices and crossings, and elevated on pfastic chairs and wood stakes for 3" coverage. The footing
line incfuded 3 westerty segments, and jumps formed at 24" x 12" W/(2} -#5 rods. 1'he north
segment was constructed to underpin the SE footing of the existing structure, and the rebar of the
remaining extensions doweled to footing e{ements.
Our inspections and tests indicate that soils and aforemen#ioned work was satisfactory and
appropriate far the application, and in compliance with the project plans or accepted engineering
standards.
Sincerely,
{tco Atlied Engineering Company Reviewed By:
�i7�-e.
Gary Standish Robert P. Sullentrvp, P. E.
Senior ir�spector Minnesota Reg. # 17823
CC: Paul P. — City Prior l..ake Building Inspections
#701 - 0 I #6Q5 — 3 'll4 I #610 — % / #304 (2) DCF' / #612 — 36
a•d ees �oi oi c.o unr
Page 1 of 1
Bob Hutchins
From: Larry Poppler
Sent: Monday, July 26, 2010 2:51 PM
To: Bob Hutchins; 'rnelson@bossardt.com'
Cc: Joe Wita
Subject: Seal Coating Erie Avenue
Public Works is prepared to seal coat the planned streets this week. They will also plan on seal coating the
segment of Erie Avenue that was disturbed by the Ekim project. The cost for the seal coat is $900.00 based on
the following formula:
Erie: 750 sqyds - $900.00 @ $1.19/sqyd
The Contractor should be prepared to move equipment and materials out of this area so that the seal coat
Contractor can complete their work. Also the Ekim project should provide the City with the $900.00 associated ,
with the seal coat operations.
If the Ekim Contractor is unable to move equipment and materials, the seal coating would have to happen next
year and include striping costs.
Larry Poppler, P.E.
Assistant City Engineer
City of Prior Lake
4646 Dakota Street SE
Prior Lake, MN 55372
952-447-9832
�o�ler o cityof�riorlake.com
Email Updates. Sign up now. �� '�
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7/26/2010
Page 1 of 1
Bob Hutchins
From: Larry Poppler
Sent: Wednesday, September 15, 2010 3:53 PM
To: 'Randy Nelson'
Cc: Bob Hutchins
Subject: Sealcoating for the Ekim Project
Randy,
I have discussed Dr. Carlson's letter requesting that payment for the seal coating be delayed until the work is
completed with the City Manager. Knowing that the work would not be completed for nearly one year, the City is
willing to compromise on this issue and allow that half the cost, $450, be paid at the time the work is completed.
Larry Poppler, P.E.
Assistant City Engineer
City of Prior Lake
4646 Dakota Street SE
Prior Lake, MN 55372
952-447-9832
�o�ler(a�cityofpriorlake.com
Email Updates. Sign up now.
9/15/2010
Page 1 of 1
Lynda Allen
From: Lisa Barnes [LisaB@olsenfire.com]
Sent: Thursday, July 01, 2010 2:45 PM
To: Lynda Allen
Cc: 'Edwin G
Subject: Scope of Work at Ekim Ortho
Hi Lynda,
r�..: �
Paul had wanted me to forward to him the scope of work to be done @ ther�#c�rtt brtho project.
Here is the scope of work to be done by Olsen Fire Inspection:
Install (1) fire alarm communicator panel to monitor the fire sprinkler system. This will also include (1) smoke detector
above the panel, (1) pull station, &(1) horn/strobe in the panel room.
I will have Edwin our technician call you tomorrow morning befinreen the hours of 8:00 & 8:30 a.m. to discuss this with you.
Sincerely,
Lisa Barnes
Service Administrator
Olsen Fire Inspection
7/1/2010
P� � o R�..A K E BUILDRN� ANQ 1NSPECTION
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IN PE TI N RE RD
ITE ADDRESS �(o � �
s � ��` � � ?�- L�
NATURE OF WORK flc� E�c� o
USE OF BUILDING i c_ � 2-
PERMIT NO. �4� ��S DATE ISSUED
CONTRAGTOR / PHONE �sZ � t�3Z • 33qr�
NOTE: THtS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
iNSPECTOR DATE
FO�TING � 2 Z �n a
FOUNDATION {Prior to Backfill}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER /
FRAMING so�r�u .,� �„: P Q3 ZD l�' �
INSULATION " 8
ELECTRICAL
PLUMBING S ,� , p
HEATING {if required)
F't sv �o.J ` ?
GAS LINE AIR TEST (,2) � (
COVER NO WO K UNTIL ABOVE HAS BEEN SIGNED
,� s
FINALS
GRADING (Prior to Soddin } �t �a g � K
BUILWING (�
ELEC'l`.�i1CAL
PLUM�NG g�,► � �
HEATING
DO NOT �CCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTtCE
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 availabfe, card shall be placed near main entrance.
FOR ALL iNSPECTIONS (952) 447-9850
of PRIO�v CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec ' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 11�,
v AND UTILITY CONNECTION PERMIT
��NNesO� P / ! �/ �� V / V 0o
1 . wrote it PERMIT NO
C .
2. Pink City /0Y O `3 V/`lr
Z
3. Yellow Applicant `e/)
lease type or print and sign at bottom
ADDRESS ZONING (office use)
4(� TA s ti M
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER �
(Name) (7 ��, A W P1 .r U" a e j i Vt (Phone) � e
(Contact Name) Pry_ Pe ro S �G (Phone) 7 -
(Address) � 4 -
G fz - 29d-
TYPE OF WORK P,New Construction El Deck ❑ Porch ❑ Re-Roofing ❑ Re-Sidin
g
❑ Lower Level Finish ❑ Fireplace )(Addition ❑Alteration ❑ Utility Connection
��
❑ Misc. Fl rZL Su (� P [L CS S [o � PROJECT COST/VALUE (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 upo the property to perform n ed ' sp coons . ,
ml
� 2 -
Signature Contra or's License No. fiate
Permit Valuation 2d 000 , f In Park Support Fee # $
Permit Fee $ o, o� SAC # $
Plan Check Fee $ Water Meter Size 5/ 8 " ; I " ; $
State Surcharge $ to P 00
Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder' s Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE rrr' .� L[,66 ter , ff lv $
This p a eco s Your Building Permit When Approved Paid JZejWptNo . `✓ U3
Date 5 . / , ! o
BuLffrijb9cial Z 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) 4474950, Fax (952) 447=4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
, � i �
City Property Work
Item Cost
1 Additional Paving (curb to curb) per City direction $4, 290. 00 C �
2 Additional Paving for PIV at parking lot area $ 3 , 278600
3 Add PIV valve and fittings $ 11750 . 00
4 COR#011 - Change for duel entry ELEC service to single $ 31020 . 00 5
5 COR#012 - Soil corrections at additional paving areas $ 8 , 000 . 00
6 COR#023 - Curb replacement at E . side of building $2 , 650 . 00 $ �--��-� '� � I 7
7 COR#026 - Re- pour handicap sidewalk ramp $715 . 00 s �
8 COR#031 - Add tamper switch & connection to PIV for F . A. system $ 11126 . 00 �� -
TOTAL $24 , 829 .00 �
Also - charges for civil as-built drawings & sealcoating asphalt
l � �
Larry Poppler
From : Larry Poppler
Sent: Tuesday, December 14, 2010 11 :31 AM
To . Tom Ginter
Cc: Steve Kilmer, Randy Nelson; Shane Butler; Bob Hutchins
Subject: RE : Dr Ekim / Carlson Project
Tom ,
What is the purpose of this meeting ? if you are suggesting that the City participate in these costs, please submit a
written request with background as to why the City should participate . I believe I have responded verbally to Bossardt
regarding most of these items :
1 . The curb to curb patching of City streets, as- built grading plan, and sealcoating were requirements from the start
of the project .
2 . The PIV location was changed from the original plans as the original location entered in a green area to the
west . Bossardt made a field decision to change the water service location, the implications of that change are
solely due to that decision .
3 . While the City did not give direction on soil correction, part of construction is dealing with these types of issues .
The City does not have a funding source to assist companies on private improvements . The changes encountered with
this private project are part of the construction process and were needed for the benefit of the Ekim /Carlson site to
make the project a success . I am not sure a meeting is needed , but if you provide me some compelling reasons, in
writing, for requesting City participation , we can schedule a meeting . I am available next week other than Friday .
Larry Poppler
Assistant City Engineer
City of Prior Lake
4646 Dakota Street SE
Prior Lake, MN 55372
952 -447 -9832
From : Tom Ginter [mailto : tginter@bossardt. com ]
Sent: Tuesday, December 14, 2010 10 : 25 AM
To , Larry Poppler
Cc : Steve Kilmer; Randy Nelson ; Shane Butler
Subject: Dr Ekim / Carlson Project
Good morning Larry ,
Steve Kilmer and I would like to meet with you to discuss the attached changes that we had at the Ekim / Carlson project.
Would you have time to get together the week of 12/20/ 10?
Please let me know.
Thanks ,
Tom
1
City Property Work
Item Cost
1 Additional Paving (curb to curb) per City direction $4 , 290200
2 Additional Paving for PIV at parking lot area $ 3 , 278000
3 Add PIV valve and fittings $ 1 , 750400
4 COR#011 - Change for duel entry ELEC service to single $31020000
5 COR#012 - Soil corrections at additional paving areas $8 , 000 . 00
6 COR#023 - Curb replacement at E . side of building $2 , 650 . 00
7 COR#026 - Re-pour handicap sidewalk ramp $715000
8 COR#031 - Add tamper switch & connection to PIV for F .A. system $ 1 , 126 . 00
TOTAL $24 , 829 . 00
Also - charges for civil as-built drawings & sealcoating asphalt
Fire Sprinkler Plan Review
Date . May 7, 2010
Owner: Ekim Orthodontics
Location: 4667 Dakota St. SE.
Prior Lake MN. 55372
Contractor : Olson Fire Protection
321 Wilson Street NE
Minneapolis MN 55413
1 . Separate permits are required for the alarm system.
2 . The 2002 of NFPA 13 shall be the standard.
3 . All materials shall be tested and installed per the listing.
4 . All valves controlling water flow shall be monitored and secured including the PIV .
5 . It is the responsibility of the fire sprinkler contractor to flush all main and branch lines .
6 . Provide frost protection for all portions of the wet system.
7 . Field verify all head locations and obstructions .
8 . Secure all valves against tampering. All valves in public areas shall be locked
9. Provide a water resistant system plan at the each sprinkler riser to include the following information.
a. Total site plan
b. All valves
c. Riser locations
d. Areas served by individual risers
e. All main and auxiliary drains
f. Location of inspector' s test
g. Alarm panel location
10. For inspections call (952) 447-9850 give the project building permit number ( 10-0088)
11 . Seal all penetrations in rated walls in an approved manor.
12 . Provide signage for all valves, drains and inspector' s test.
13 . Water flow and pressure shall match hydrostatic design
EDIMENT ROLL 0
NETTING ONLY
FLD�T r � \ /
KIN
CHANNEL I •• A B' /
BOTTOM _t
WOOD STAKE 'VJ •' �_ Epp{ .ME b i/2' VVV
ILL `VILL
IV* /
I ILL
IV
IV
VILI
IV
AKE TO BE PLAC \``�\
VII •'•• AT IUETH S O65,I.DPE SOLID \`\` WERAP ID GV k BOX
}::: ` `\ / REPAIR SIDEWALK N AND
STORM TRENCH , , / 1JT�� ASPHALT As N
SEDIMEM •ROLL••DEfAIL •• • •• NosaLE _ / \�` -` ��,C1
NO SCALE I �� ���/aa wu
v LEI
/ S /
rc_ .fgr?L.
of ^
4mc.rs _�2s3� wmrol g6a.2 � a S t KEEP ERVICE
01,
...� .�xaerxov. _ .... ._ `\•``\ 41 r L/ , ` • /jj�� T , J \ -�o k `+ a6� y GOES
\
a SEE PLACE 6' M S E TO
/ o SAVE CURB D UTTER
• rc + q ALK,�C D GUTTER. ss., o IF POS51ljLEyy.• ERWISE
rl.�T scr.�' OF CUR
T AS NECESSARY.` $ ; f ANDUGEcREy^� D ASPHAt
```•`�� a
NOTE \ ��,q / :k IN BID 0 SERVIC
4' SNOW FENCE WITH POST BE ON CENTER - ""�' °"r / + c ROPOSED D
TO BE PLACED AROUND TREE AT THE DRIP S60 s '~ �\ 94 w '{' t /
LINE OF THE OUTER MOST BRANCHES. z' +F; Q0 c,,,i = � PROP SE AF D2c,
TREE PROTECTION FENCE DETAIL y / eE FROM
H, T TAPE INUTTER.WENSPO T
ND SCALE (/j �\ �/ ; 960.38 3 ° ; / FROM R 0 GOWN TUTTER.
/ < EMOVE AN R PLAC d IN57 LLP0 SCH 40 PIPE
I� SIDEWA 0 IS POI ys? *958. 958.5 I, �+ �• FR p0 SPOUT T[� TRENCH
;3 0 THE SQL(U(TF/ SIB ALK NOTED. q q5 I'LLIy ' 41 , 1 1 / D IN. CLUDE 99 DEGREE SWEEP,
M _ ''.if / i ,, REPLACE WITF ♦SUSED AG RELATE. + } WMTO
TOOLED CONTROL JOINT O 5' __ o t � 4a W ER LO 4'/ LE SERVICE D
MAX UNLESS NOTED OTHERWISE Ase� 4 '1 ' �O S LOW'E LEVEL OF BLDG.
I •,)+ SS. VERIFRyB LOCATION OF SERVICE,
FINISHED GRADE 1/2• 3/B• ,<9 / _ s t + a PROPOSED IDEWA T5 . ,1;.t, q� ,� r. 5 4 pQtgLT AS NECESSARY.
CONCRETE AND
3/4' CHAMFER , , �� f
CONCRETE 3/4 k .. 4 LEE
1/2, � s'� OU 9 I s5 _ S
/ PROPOSED TRENCH /DRAIN g57 6 r WrYb
-r <n PLACE HEAT TAPE IN DOW POUT , + 957.7
`ai t^ .`•aA ' 4. �C: * / 0 t FROM ROOF DOWN TO W ENO,ei' C h PROPOSE Y E H DRAIN /SjPOUT
5 V o 5 � / OF TRENC DRAIN. q .:. 95Z� .o t -_-ss -. + PLACE H T T E IN DOW
q t 5 Yl / `\` M R OF D WEN TO CLyf PIPE
APPROVED JOINT SEAANT 95� T �L�`F 957.2 sa 6' S 40 PVC PIPE
aiF{' �} d PROPOSED BUIIAII , / M 0 OUT TO TRENCH
1/2' PRE-FORMED EXPANSION JOINT / s S FF ELEV 958.40 t t '
30' OC MAXIMUM OR A5 01HERWISE s5o * " v >t,• /. IN.. I C DE 90 RE SWEEP,
SHOWN ON PLANS, ALSO INSTALL 99 o ;.� LL ELEV 949.19
WHERE WALKS ABUTS FIXED OBJECTS. q_ 15 ;,.w ws •. 95 ` 9LEI a If
tl/
,[\V1 •s 46 t ren coil l
CONCRETE SIDEWALK f / PROP EO PRECA
NO SCALE G, 1 9 rT M CH EXISITING WA .v / 955.6 /
ii C, a 5 yY` 7
q. qy1 � 5
IT
LEE
c � WE PROPOSED < 955 y le
� L 7 �d `� 9�e y lyJ �
41 .4
SA TREE -Zi_ I . A ; !
Q gib . h �,I� � + 9 . •,.. �q, s , �, � / (/
PLACE SEDIMENT ROLL PRIOR TO STARTING ,es5 / /
000, j CONSTRUCTION AND MAINTAIN AS NECESSARY. + .� •� t ' / D 30 20 40 60 /
II � �++ REMOVE IX RETAINING WALL `9�_ . / / / Scale In Feet
^ J NEAR NEW SIDEWAL{C. // / o to Bo 4o so
EMOVE A �E CE IX S EWALK FROM THIS POINT LEGEND / Scale In Feet
TO THEN R7}i DEWALK A�DAKOTA AVE, REPLACE
/ WITH EX P Sy GREGATE. — ss — PROPOSED SANITARY SEWER PE
PLACE WIMCO FILTER {Fl / c µ
CB PRIOR TO START / x955.65 PROPOSED ELEVATION
CONSTRUCTION. / /
/ PROPOSED CONCRETEC.
ILL
g
/ EM PROPOSED BITUMINOUS
tip
.O1 THE CONTRACTOR SHALL CONTACT GOPHER ONE AND HAVE UTILITY COMPANIES LOCATE ALL UTILRIES (PUBLIC � � op SEDIMENT ROLL tof
o
AND PRIVATE) BEFORE ANY CONSTRUCTION SHALL BEGIN. / —..- DRAINAGE ARROW
.02 ALL SOILS WORK SHALL BE DONE iN ACCORDANCE WITH SOILS REPORT. r,
.03 ALL GRADING, UTILITES, STREET AND SIDEWALK REPAIR AND TURF ESTABLISHMENT SHALL BE IN ACCORDANCE WITH CITY OF PRIOR LAKE / -- G — EXISTING BURIED GAS LINE m
AND MNDOT SPECIFICATIONS. (2005 EDITION)
.OS FIELD VERIFY ALL EXISTING SEWER AND WATERMAIN ELEVATIONS AND LOCATIONS. NOTIFY ENGINEER OF ANY DISCREPANCIES — E — EXISTING BURIED ELECTRIC LINE a
CP
BEFORE ANY CONSTRUCTION SHALL BEGIN. a ,„ co — T — EXISTING BURIED TELEPHONE LINE
.O6 SALVAGE AND REUSE EXISTING CONCRETE BLOCK WALL IN ACCORDANCE WITH DIRECTIONS FROM ARCHITECT. LF
.07 PLACE MINIMUM OF 6' OF TOPSOIL IN ALL TURF AREAS. — n• — EXISTING BURIED TELEVISION LINE
.08 ALL AREAS ALTERED BECAUSE OF CONSTRUCTION MUST BE RESTORED WITH SEED AND DISCED MULCH, SOD, WOOD
.09 nBER BLANKET OR BE HARD EXISTING TOPOGRAPHY AND SURFACED
WITHIN TWO
PROVIDED S AFTER ByVALLEYMPLETION CONSTRUCTION.(WEATHER PERMITTING) , Bs5.5o EXISTING ELEVATIONLEI
BOUND — > — EXISTING SANITARY SEWER
—» — EXISTING STORM SEWER -
EROSION CONTROL & DEMO PLAN GRADING & UTILITY PLAN
REVIEWED BY Hailing En ineering , Inc . ;;
I hereby certify that this plan was prepared by Issued g g EKIM ORTHODONTICS
me or under my direct supervision and that I BLDG PERMIT SUBMITTAL 2 5 Is GRH CML ENGINEERS
am a duly Registered Engineer under the laws 3727 255th Street East • Webster, Minnesota 55088 CITY OF PRIOR LAKE
of the State of Minnesota. DRAWN BY Phone 952.440.1680 Fax 952.461.3308
Date 2— 070 Registration No, 127a3 GRH
I PROJECT NO.: 193.01 DRAWING FILE GRkUTILOWG SHEET C 100