Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building Permits 12.416 12.137912.1394 12.1416 12.1435 12.1446 13.43 13.76 13.135 13.182.13.183
� � A � , �° %'',' Yl , ' Yrwu I n Etrtifixt of Tirrupaurg OF PRIOR LAKE CITY lo � > >4::::2 ' TA . . Final Permitted ❑ Conditional C.O. Expires Hance with the various : ;, r ursu ant to the requirements of Sec 110 of the Residential / El Internationa This Certifica i p r Building Code certifying that at the time of iss buildin thconsttruction oause. For�he following: of Prior Lake regulating 8 _ ( g g ordinances of the City f ke re _ Bldg. permit No. U se Classifica Zoning District r Type Construction r Occupancy Type Legal Description `1 i _' Site Address �� 11 Owner of Building r 1► C< E I T rI ge t nttr• -n, r f�+ 11"1° �C ( t fl' � % n1lN t l 7� l ,7 C ontractor's Name &Address T T r* < , S} U E d ng . City Planner Building Official Date: ; ; D ate: OUS PLACE ��„ , 3 , �� , POST I N CONSPICU��1„ „ "ti��rrN+ t i �i r ' Y Kg V:'f ' . �';.. e y t," ww m , (r r y ,"- +te e' '�" ' ':' " ;'S � - — b A, ? /� i s � Pi i ::�i �*� / h�Y� A wy� , lv G � � _ _. _. ., _. i_. _. ir.. „::„1,.„.„.,,,.., r / ai. i M ''y _ V n . � it; rY iu ..iti,n r r ti .rYlr,I _, 1, ,r 'n _. Yu , .: Y .w _. y,, , _. 1V. I _. � . , r rtiftxafr of Ocritpattry , ,,, �� ITY OF PRIOR LAKE K" prpartntruf of futibtug onsprrttort -.;._ [>„ ' El Final Permitted 56 Conditiona C.O. Expires ,S This Cert issued pursuant to t o time of requirements isuance thiststructure was i complia / w ❑ ith the International Building Code certifying that at the ordinance of the City of Prior Lake regulating building construction or use. For the following: ` _ Bldg. Permit No. /) l >,;n: Use Classi v _ - , - J 1 . , 4. �,Y Zoning District Occupancy Type /” Type Construction , Legal Description Owner of Building "E r l �� c 0, ` ` °\ '' Site Address Contractor's Name &Address 1 1 , .J wr ' y Cit Planner r � , -_ Building Official Date: , Date: 1 '` POST IN CONSPICUOUS PLACE 77 ''1',', ipo� oo�� y i r n� w1 a �1 ;. �� - h i ti i, Jrw ti "3 Fk w ut,t ma .3,,::,'7 a (� y �� ��v�'. KIM '�"' M�� v� � ��rTw,r, c " u "it4M �� � " . ^M� �� �, / � � � � � ����'���`����= _ tiU — , r f , W Z H !r a IL Ct tt; - VVa z W 2 5 55= w ao.a:I * 4 o ltl UtZtig a ? F. 1 00 > u) a o iu M_ t0L N Q Z YYZ CO c W a O O' � 4 0 0 V V O x z Z I Z Z a co ,j 0 a. mxwwmz Ill a oll Z " OW OW 0 0 Z 1- O a 3v� • W W a W ❑00000 a a o W , a a LL 0 J Y W J Z i O z 0 O LL 0 0 a ° co Z o Z ° vi 44 y Q ts a O Z t 0 a F S F- 4 a� u) z z -5 J Z W Y u� o u� . q o w w t o nog Z " a ac II o O W a' w = Od t"' Z O O Ca w 0 0 LL u.u. =tiu 0 3 8 0 x ,z a 0 a 0000 0 V ❑❑ ` Z zI- a u. cc 11/41\ * Vel d ui CD a w aN u4 co o Utitig _ < 41 0 0 0 0 00 cc Z t. 1 > H Nt C V O z 3: 0 d a s -+ U. N J z > > < W , G ii Lz re o9 1L-I c g W cu V Z W tD � � Z- EZZ ' 4 0. y m i W GO 2 V a W/= V . W \ • Z 3 ' a�v�a� W W _ W 0 II 0 0 0 0 00 I � IL OU Q. W � p, YV �� 0 ! Z 0< V w w 5 0 %,,.. 0 OZ o r o O O w i s i 4o, g n.O co 2 Z ~ Z z W < t - l r - � � od o W z W W C) gW Y V u L 4 W a Z ooa /- a C C a o v, o 0 LL�u. = 0 c 0 I. o c, VZ < o a ❑❑❑❑l ❑ 0 ❑ c ■ zk ] E e I� u U _ k w w - } a.2 2 \ < v § ° � k2 0 ° ] u �� § _ / $ — oOOOOO > d s m 0 w z C. IL ' z - X§ 7 k 0 \ $ t 2 0 000< `� z 2 z_Xzza 0 0 w ■ u. . 0 b a§ ■ ■ ■� 0k1-§m0 / 2 k 1 a■ ■ ww x • 000000 - 00 X • O. § E ■ ): .„CI a 0 w U a � z o < Q cc z Z z 0 - �� 0 % ak § z 2 k 2 5 � \ W l . 0 0 .J 0 S © § S§ �§ .J % /w § oo� s . 0■ k 0 o 0 § o �� � _�■ 3 0 0 U o� « 0 a 0000140 U . ) o0 / /j � J F .J H J a Y. cc �"' W U ' g W W y = i q i ... \1" w0 u. u. p a 41 M t ❑ ❑o❑o❑ -1 W z N I o O w O w J O aa . o a O F QY w J -+c m 14 Z 0 • V Z a Z X X Z Z '- p( z o F W CL O W a me H • V d ' U � �� U , , _ 4111/ 0 w 3 � o to -� d O Z IX 3 a�3 a � ) � , W o Z 000000 "d a w AO _ al, 0.0' O W oC 1� a a a z `C Y w J • - } o J �' fr a � o Q V O IQ 0 Z t= • 0 O Y W z za 2I' ti Z _ v 0 r � ;� a 0a w W Z og 2 Q ' . " � y ,� 1 S N W w J Cy 0 0 t O it Og° E '2' 2 9") e cc a o Q o V z Q 0 a OOD ❑D U N ❑ 0 c 0 J' a J -I�- P J Q' IL 1 \ ~ W W gz < W ^^ U ly W `l ( � 9 gWWy ■ • O S 00000 0 N ' ` > Z W CI N 1 O V ` a x O M J 1 N J _ » Z - \ i m c 0 o W O W 2 a = Z Z � S + ‘,1,. O U V 4 m O.' 0' m `I V d a j is rn a ��IW- �� .. i tS \.) � a Ca z d d � + " ' W W W X AG 6 0000 ❑❑ a ` I� W 8 v Z LU iwy 0 h y L a s U. ! x 'T vi ' 1 CP- >: 9 :I Ai cc x� v u o < a o w g J ° - ` `' O Z O Z W � l , � , N v \ o, 0. 0— C 0 < 0 � r a Z _� o � � �1 '1.1 F- ' W t- h Z z0Z zz W 'N l', U UJ U.1 U '� O a re W Z 00g � 0 0 0 0 ° a p o a u.u. — cn 1 3 c 0 U V % 0 0Z < 0 d 0000 'k0 0 ❑ ❑ c ■ 2 z/ j meLL R § §a E ■ k� • H IIg ■ o % oOOO z z UJ 0 in re o %.1 0 2 re IL � § §� u a § IX 0 ci E a //X . § k z = z ez 2_ § \ / 0 0 a ■ ■■03 � 0 0 c & % $ g§� § §3 0 ` & § ■ a §$ �a � . 0o z o OOOOOO \,. w w w k 0 40 Q Q CC \ 1 2 z § j re 0 « \ 0 2 • § Z § z B ■ § 0 &U 0 � 2 �oz� 2 w « % A v « 0 Ce k 0 U.� k cb ©■ < 0 a 0000OO V O O (t) o 2 / 0 Q ..... 1 I G � V V< i.. Ill o ag -� 3 a w o lip v. J a , 0 0 00000 dl 0 _ J a O 0 fn `' = ...I z _ » < 4. 11. N O G — 2 00 %- U� 0 4 z c O 0 Ca i 0 a m Z j ■ v V U W mLL ' d 06 ��� �� v � a 0 Z O. t a � 3 H a � W W = I-• C 000000 N = ( S w v Z z o 61 -..3 '- a 0 = R t 0 < a : : P - 1 I ) ‘ I 0 (..) o r i jib_ re z 0 z a p O � � 0 0 a Z �' d . � F N , < ��^ Oi U. o V y CO z Z z ' g J z W _ t _4. ,v , y U V gza � � J N O W 0 � O � � �� �J Ce x < O 0 Z < 0 a 000000 U 3 0 o a 0(0 c 0 J N i J X u. c W Z V c a 0 w �. 02W We Z < 41 F- 1"... w 0 0 _ tt \` ) 00000 0 _ 7 > CO N o 0 ce W S n/1 o U. N cOn w 'V, a s W L Z �i ,G -J Z Y Y Z \ z o p ti C C et p IL -I N 0 V q W I- E 0 0 0 05 f' d W S R X \ 0 W Z,SSZ 'f' W N U1 C.) a .S m t, W�� " N — qc J W < J W W W Z X a23waX 1, W W W W J.L. 0 000bk0 !' pea 1 `-t , o w a a u- 13- �, • r re Z < O W . 0 < 0 W Y W '� Z _ r F- Z O g P 0 � �� < . 03 • re Z Z 0 • N ■ CO '- W 6. i -Z (7 I= - a z '� .( V V I a CO) z ZoZ z W Y U W C A i O u. W W Z 0 p 4C y Z W L O O C V Si 0 0 u.u.u.? li O 3 V V C5Z < 0 a ❑000 0 „ 0 , r 0 ❑ 1;1,- c ,Oa,M 0 J w z / P- i J K LL W WW z 2 Sgg J > W Q N z o WUIi W Z ❑0000❑ > V U 0 W 2 ge Y. N col W O » Z c o z YY? O U 1.7 4 1 _ R Q u. J G $ Q ~ W S C 2 Z a' z_22z3 W c co O m�m�m a 0 z - N U a. m0 /- M W W z x cz km a -4 1n 0 0 uJ z 0 re a a LL F p J r 0 < V O g 0 0 0 0 it 03 re z 0 Z U N N < 0 r . a O O W F' - - 1 1-- z H H a0 a Z ' � U U w a CO z Z G?g z w Y W W q re cc cc O W W W rt � O O O U O a c W o 50240Zy 2 4 fit- ; U U �' v u. 5 z < 0 a 000000 0 N • 0 0 0 E. 0 J w --\ Z g " P J a it d' IL �� � Z00< 0 k J 44 z i,„,., w 0a WWy (7 W < P 0 re rt< z ,Z C 0 Ii 1Z w U 2 Z F . . . 1 00000R Iii W = CZ 0 et 0 O. H O Iii 6 aa-1 W L z M • z - Fr Z U W YY pp v O w z_ °' a p 03 arew W i N CL N 0 d a= W a_ JWd yjJW 0 0 2 1- Q 9 a23(adz w w W w a a a _ M _ 0 ~ W W M 0< 0 W g0 W 0 a o, co "Z z z 0 N N V �z a H I-. f - F- a w z z 0 -5 J z W Y W W L .J W 0 W w Z c) :3 0 0 V O 1-N 0 0 u 0 3 0 0) 5z a 0 a 0 000❑❑ 0 * 0 0 S. 0 J Z To I( ti tu J LLK w E C9 'le w w CJS 4 0 < ` V 1i ti 0 re Z E•. N ❑ ❑ ❑ ❑ ❑lt �� o co 0 a 0 "" = 0 et w a Z c 0 RC 4 G F 2 oop -' 0 0 W 4 G 1 M 0 000< V a1 a t _ 1 Z re Z —x =Z— _ w u1 O w m°Cx�mw a z �" N L V a _I W< yj _I • w w W ca ix x 1L a23 0 0 te Z 00000 0 re ° a 0 w . • Cl. a u. 1.- 0 _ J Z Z oC ICJ Y - 5 — u O re co a go o o • , u_a00 0Z r 4 O W f' ` H H Z H a Z lI y 0 0 J IQ IL 11.1 0w OC w z 60 2 NgA a ` 1 0 re O re O , O 0 ce N 0 0 1L U. u. Z 1iN 0 V V E . 0 0 a 0 000❑❑ 0 0 0❑ c N1 .-. 2g55� • t O2WWyM 2,11 Z Q r uJ0axO V Z Q V a a F• N 1 00000d o U N N 0 o W = t H O O p aa< m 0 J Z Y Y 4 0E lic 0 ci F x 0 J 0 0 W o \ d g X �11 Z cc Z -xxz 3 1- w a O a' LL N T J o a m xW Wm x 3 0. Z 0G J. _JWQ _sW W W W X ac a23v�a2 W W w W 0 00000 0 a ° c ° o = A a a LL X • p J O re z Q 0 a luim re Z W F- O Z 1 0 0 a Z y 0 0 4 a� w z • zo = J W Z W �, Y W Z .j q O ~ .• W W W p N Z F - • 0 0 0 V V ��-- o p 8 0 3 °° 1. 0 z a a 000000 V — 0(0 5 0 _e I_ ■ 2 J a I W t = V V Q U W °g Z t. u, ` 0 W W N O sc ea i ez 6. i 00000 0 > o c4 o o -i w N c u. 0 J W 2 Coj 0 = YY= I z V O w ° Le C m OOW.� v O 0 v � Z w Z — == ZZ V c a w 0 a g °°xw�mi a 8 z 5 t.wa 5 N ix 3 a 23 wa 2 w w z 00000 0 ce & o ; I > - : c ILI O L. g 0 + o 41, �� a 0 rC O "� Z • Z V N y u. V a • Z O W 1 ... •� ty a 0 W O z o Z O Z W N w 411116, W 0 W W Z OO�y I- 'L. 0 0 d - c.) n' 0 0 u. u. a. 3 T. tl! 0 0 a 0 000❑❑ 0 0 ❑❑ c 2 /§ w ■W ■ . u LL &00 § z > �k��§ < m «- U �■0 e z W O � OOac '\§ > § o ce @ 2 ~ o O 2 §2 / z L 0 k 0 IZ 2 88 ■" 0 0 la 0 w t B 2 1� S 0 w 2$w K$ k\ k _I S� § .1 w w q ° n. ._< ..1 wwre Iii % coOCO 4 . §ce§ ILI a a - o _i - k a k u cc § NG 0 0 00 2 § z F ` s co 0 , 0 § o i � � � E25 co g �k2§ �� ® am O ui ta ■ ta §§■nAw 0 § & 2 § �� § 0 u. § ■ 0 / S & 0 2 0 a 0000E10 0 0 / 0 J w 1P. p J � I i ix W p 8 5 5 5= `; p (V' y W oILu - Z (� / I � 00000 0 > N O (N) EN w O 0 ■ ` ° N c W ■ p aa a W Z 2 Z . Y O =m ...< A p 0 0 Z o F W 4 S 1— (X z = Z V a a 0 0 w m=weemu- \ W a. 0 Z 0 1 � a W 3vaaa ■ W W Z X c [ .31:101313 cc rs� p - } fr Z < J FO W Y V V u. V) z N ; 0= cy Dp 0 < - re m . , Q Z \ r V O Z W y 0 V �,'. 01 FL 0 H ` 0'-Of= Z uj y 0 0 W V CO W ptilm _iJ< W Y d' ce L J A O O O H Z 0 t 0 c cc t 0 U W W t5 G 0 LL O W Z u. N 0 \. VZ Q 0 a 0 0000❑ 0— 0 X c M P _ ^ " ' Z _ Z u) r a cJ n1 J a u. W ~ ZV V< - Z � g5g= I o aaa� W .- l� 02WWy 0 < X11 < WVu. r W Z 1u , 0000❑❑ Q Z > O a' r' N a c 3 O N re _ O J `Y 7 W u O K _ p Z U H c II ~ 0 0 ;< 0 y W a R. Z Z iz Z —==ZZ fn '3 U en 0 d m = W wm , N Z \, ? �3 a 2 �n W W W a, kg \ ,gg q � lb❑❑❑❑❑ * ° & o O. a U. _ J 0 re z . -.�� �: w O Y V N 0 o 0 M W I 44 . ,,, O F ,0 0 a z P, y v v J d N Z Z< J Z W Y p G Q A u' V W d' W 0 0 50< 44 '� O 0 O �5 V V E. Oa 0 W O Iu� . u. ?I" v -- i 0 0 0 0 rn ❑ ❑ E. ? Q 0 a 0 ❑D❑❑❑ 0 k us z 1 ■ ] ■� ■ u E EZww< z ° �� > A O WWU) 0 0 4) §u. t ■ § ¥ 0000 00 § 2 . W X q z § § m U § k k k — § < P ' k w § o au F z w ca ■ re rt co � $ co co o u) } emu §UJ < § §§ 2 2 I- 0 ��« �� w ■§ w u. a■ ■ ■ Z 000000 § E 2 o — 0 < k U § LAI \ 0 § § s @ z § § § z .- 0- O. z ■ © W Iii W u. Op § Z k ZX -I- 2 re W CC n § 02 0 0 u.u.§ =u.§ 0 $ S0 1. § 2 2 0 I Oka 0 0 0 0 0 0 £ 1 w z 1� y F J a LL re W �cWicWa< 0 w LL aaW ` 1 _4 W N U�� V► Z < W w0 0 W O .7 0 � 0000❑❑ C v O N 1 o x.. N _ , 0 aa_ w Z O col la 6 0 Z Y Y Z 1. z o � O W 0 H a Opal Q W oG C < f- X Z O w z_zmzZ g , ca a D a a • C W § h 0 m ��m a z co • 0 a 0W < p-11 O O Z x 0 a23maz , 1 t W � v w _ it, 0 0 0 0❑ , ' O a , a 0 , 0 W a. a. a CI J ce 1 ` ��� re 11 < < 0 O 44 o ry 5 H sa z o e O re z z 0 a I ► , w Z • < ts a � us i ? o ? g z W • Y -1 A O W W W re W $ -• NgF- 7� p O O V V Si 0 0 U. IL 0 _ S � ✓� 3 V V CO caz < 0 a '0DD00 0 0 X0 E. :mini 1� > ' ` § § aU.■ § m v�< %- k k 22ak 1. o . § « % 0 w OiZ0 z § E 000000 / 2 I U cu _ o o a & 04 o w z m §4( § 0 § 0 @ 0 o z 0 z 0 0 0§ c2 t « § � 0917--J o • ^ ~0 w ce ca■Wre§m- 'N � J k w co U a §Ul�§ §ul w w I- 2 a gym« �w „, ■ 0 a ■ oo z c ❑ccO 22 § O. / - :1' r, k x 0 z 0 u o_ _ \ / 0 1 P .I / 2 § 2 w D i .0 2 �l e © 3 Ul u. 0 g Z k z25 , _ sc k �� 2 © Ce z 0012 ® $t 2 ` MO § SS E � §2 0 o u. u. 2 0 a 000 0O S - 0 yo f PR10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT � C I. White alit 2. Fink City I PERMIT NO. (2. _ 4 I 2. 3. Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS / &e /-1146,_ i� / ? Sc �nidl �. /� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Z $ - got . 0`18.1 OWNER �/�G (/Ui+ - (Pho / . �Z — `/6 — WS (Name) / v p / G* / / (Address) /6 . 57) t/✓i if 0 Z 5 �.„ `� / Gl�'d't / n , , r ',, ..C g BUILDER 6 n.-e-1 i'./ C- t 'U j 1 (Phone) 6 i2 ` 3g E .4 614' (Company Name). ��- y[ (p 22 S"! G 91 (Contact Name) 1 ` , u - ���"° (Phone) ( Address) ( s (Mule (1..b r'C ,_ Ave.- S Al tta.u.0e 1, N /14" SrYCJ i TYPE OF WORK New Construction ❑Deck ['Porch ORe- Roofing ['Re-Skiing ['Lower Level Finish El Fireplace Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. TII.B.C. 0 Misc: Type of Construction: 1 II III IV it A PROJECT COST /VALUE $ Odr 0 St• C�'fJ Divvision: : Occupancy Group: B E 1 2 3 4 5 S 2 (excluding land) / _ D I hereby certify that I have furnished information on this application which is to the best dray 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 j st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. % Signature Contractor's License No. Date Permit Valuation 1 t p S •7 1 ' I OC 0 , « Park Support Fee # $ 6 14b0. Permit Fee 514c ifs �lc.'f :) $ l„ 4 6 q 1, . Z S SAC 4 # z r . 5 - $ Plan Check Fee $ - 4(51 O I Water Meter Size 5/8"; 1"; [ Irx..• $ l'(®, State Surcharge 500 (ov °a YSlam) 532 .<{O Pressure Reducer $ 44.0. a•- Penalty $-1 5 x Sewer /Water Connection Fee 4# t $ 6,, Plumbing Permit Fee $ Water Tower Fee L# I pp $ 4 D�- Mechanical Permit Fee $ — Builder's Deposit T $ Sewer & Water Permit Fee $ I. Other $ Gas Fireplace Permit Fee $ TOTAL DUE /1//,61 i/�Zt //L - $ 3115W n WIP This / 7 i licition r cot Permit Wh Ap ■ oved Yo ur Building Paid / / 5Z W 4' I Be pt NO. I i Date //- .-'`/ / -" ' .1 t( 21 2 l..9/11 Lai � : uilding Oftcial to i 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. Z// -- j/etrtone r2 � OM af Zr, f)"'e� Z` - �� Li1rr __ /� g `- 101 31, y , erm reft. /t S.t A Plannin. ∎trector Date ✓ SpocialiConditions, ifany 24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245 4646 Dakota Street S.F., Prior Lake, Minnesota 55372 • r , • • • 134.44a, le e Date Reed o�rRxO CITY OF PRIOR LAKE , - g SEWER AND WATER PERMIT 41 /NNB50s' k/ (/V 1V/I- = w c�,y z. :. Fae i PERMIT NO. /2 / 37 v�un 3. Oold Applicant (Please type or print and sign at bottom) (9 9y7 — 8 7( ADDRESS / GP 3 r / / v V 1 /3 - c5—&--- j & ZONING (office use) A Q Aid p-f cis At-3A, ./4- At,od- /4 .4,1 r sS37 Z e/ 2 LEGAL DESCRIPTION (office use only) .762.6 LOT BLOCK ADDITION pm � . J I OWNER _ (Phone) /o/ L — 3 3 — /b `� G (Name) & / �i e'7�— (aAI�'Y2�'r 7 e , J /� (Address) 6 Z S /7-045-1/64._ n/v6 r J'' - Fy0 , /J-�,,1v�A/ p o / J , (Zip I CP /0 L (Address) / (City) APPLICANT /V011/1C-47- V0,11 f/1/ ^/4 41- 37A/C— (Phone) ( Syr —/OW (Name) (Address) / ((V S - C t),,„ , -- (Si A- K9p 4 "/ / S3 71____. (Addre:) ' (City) (Zip Code) (Contact Person) .iii (Phone) L,( Z. — Co 70 -- j3(. 9 , �� APPLICANT SIGNATURE , ... � M� P DATE /f —16 — 1 Z. 1 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. • Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC r ' VC ❑ Cast Iron Estimated length of sewer line eet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi - family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Z0(o,000 Building Permit # SEWER AND WATER PERMIT FEE $ Ztw b ,cat. STATE SURCHARGE $ A500 , •• TOTAL PERMIT FEE $ 2 0 66, - (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Z .961---. 0 0 ceipt o. 6 ( 7 I t ( z .. L 1 i z Date !!, 2- i 2_- 4 "- - c uildlns Official Date 24 hour notice for all Inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 six It� • O� PR1? CITY OF PRIOR LAKE Date Rec'd N \)1 x DEMOLITION PERMIT • 44V.ArES / / i ' 04/(00 PERMIT NO. (Z- (3.14 (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6e3/ S/uk A, Acid—.44/ / LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �/yy ,��/ (Name) ! d if677tvertht) j lain 4 t'r Mauves, ,414./ y 0.4 (Phone) 95Z- . gic 7 (Address) f (,5(> to..) 9z) S4 S.-11c loo R1o0w►0i ° MA) i v-13 1 CONTRACTOR AA '' (Company Name) I -rt 4 eAT lri0 a (Phone) 954 `WS / (Contact Name) 1,24u1 (Phone) %SL W/S 7 /v (Address) I ti 51 5 iv 11)1 e /44e SS 3 Use of Building: INTERNATIONAL BUILDING CODE Type of Construction: I II III IV ZP A & 1 D P S r Rerr A t V 1' T Occupancy Group: A# E F HI MR S U Division: 1 2 3 4 5 MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION 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 1 am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. `--� r �/ ///9.'L � �' S ire Date • �1�TRQ �L. � ?OI�C L�TiT .- , �; � T � This Application Becomes Your Demolition Pe it a Approved SWE- S 2/ ,z. 116E5 L � � ti Zo / -- /ten c rr1 -d eiteeK.., it 2V /iZ- Building Official ate This is to certify that the request in the ab re application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. go - /2 Wing Directo Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 o f PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd T CERTIFICATE OF ZONING COMPLIANCF.,� � w l L _ � "C.') AND UTILITY CONNECTION PERMIT r 1 v t x rl 4 Olt' 1. White Fite Z Pink City I PERMIT NO. I ,,. ,i1 . 3 Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS / 3/ WwY > E pr,m- I„Alce_ LEGAL DESCRIPTION (office use only) 2.5" ?o 2.O f $ .1 LOT BLOCK ADDITION PID )......c. "'�/ 6 OWNER t4o q irf - i v L4 P- e (Phone) (Name) _ (Address) 77 r a° ( I ' 4 /1/0_,,. � �-�. 6.'L / ' 'f� 5 b O7 1 i BUILDER '' //_ r /—�60'"a/ (Company Name). /1V' 5 jd N� (Phone) (Contact Name) , t m *9 e-- (Phone) 641 aW" 9l3 9 (Address) 60 3.s n' . . P.=lr 1i1/P0 f2'tf1,'I y &,.., MA) ‘5 TYPE OF WORK 0 New Construction ['Deck DPorch DRe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace DAddition ['Alteration ['Utility Connection jj ^` Misc. OIC*j)1.I. /"1n 1 J s /t J CODE: ❑LR.C. [�LB.C• v . b Type of Construction: I II III 1V V AB PROJECT COST /VALUE $ 1 : r 300 - 0 Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 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 1 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 revolai this permit f, "- F - e more. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. • o , X . Sign Contractor's License No. Date -•. Permit Valuation ; 060 -- — Park Support Fee # $ Permit Fee $ t50 • Z7 SAC # $ Plan Check Fee $ S-I . ? cia Water Meter Size 5/8 "; 1 "; $ $ State Surcharge (, Pressure Reducer $ so Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ TOTAL DUE $ l k •' \ (7 This Ap , icat t Becomes Your Building Permit When . proved Paid L- 1 .Z Ot" Receipt No (O 7 d > 1 // / I Date � — - )- -- 7-- I F I By {'' e...-d— ` Building Official D. to W) l p ct , '1 rJ 1,, U Y/c4, /d1 , y rrrs 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 y /i_ D te Planning Director ate Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 Date Rec'd P RIp+P CITY OF PRIOR LAKE PLUMBING PERMIT .$ 515- ,�c t2 —' ft 4INNL504" G 2. 1. slue File I PERMIT NO. l 2 4 g I old City 3. Yellow Applicant SPlease a or rint and si n at bottom) ZONING (office use) �DDRE Vilfisea) 501A>6%, 8 1 " t3 Ca LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Phone) fir a, (Address) APPLICANT I et.e / /' `iS ; oV lei -7,-- , 1 3 j n c17.52 c 5 31 Z 1 5 5 '1 5 Re_ , eI � L � i -c 5 (Address) (City) (Zip Code) -e r r ' c- x p/ .e / (Phone) 0 - DAT / 2 / -#11" APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 PstimatpA ("qt $ 4 O Building Permit # The Minnesota Statutes § 326B.148 45-0 "SURCHARGE" has been extended PLUMBING PERMIT FEE $ until June 30, 2013, STATE SURCHARGE $ 5 — .50 The minimum surcharge for a TOTAL PERMIT FEE $ ` i - S r "fixed fee" permit is $5.00 1 nts A! ! lication Becomes Your Building Permit ' le Approved Paid Receipt No. 1 Z _ , Z Date By Ins . B 17 �z IV But � „ , ��ry, , l a 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 , . • l2, / 11 1 / 1 2 P Rtp CITY OF PRIOR LAKE Date Rec'd _ HEATING /AIR CONDITIONING/FIREPLACE PERMIT ! Q 1` '',' i"ri UAl 0,'"4 41/A'NES0�A !. Pink File PERMIT NO. /Z - 196 2. Green City i 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ((p 33 / ( /5 5 ZONING (office use) • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID"? -t c 71 • V, OWNER (Name) OAc • A- 1 ) 3 (Phone) (Address) APPLICANT (Name) M � ") kie, -1, - A-..tb is eta 4,1 46(Phone) / 2 - 7 R' 3 3 5 (Address) l M Pi es I- .'1I2 • e / i S S 5 ''/ 8 • (Address) (City) (Zip Code) (Contact Person) C -"4I) 6 c'' z (Phone) 6 1 2 - 78 / - 3 3S- 8 APPLICANT SIGNATURE c ; ---p✓ DATE i"? - S - t 'L APPLICANT PLEASE COMPLETE BELOW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL Ltit-"` Flea 40e u "- , 4-. 3 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 ID Radiation Fireplaces with Box Additions or :Air Conditioning ❑ Special Devices ❑Vent. System 0 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 & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ 7, pp Building Permit # The Minnesota Statutes * 32613.148 HEATING PERMIT FEE $ Z - "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ 3 July 1, 2010, until June 30. 2011. TOTAL PERMIT FEE $ 2 / 44 The minimum surcharge for a "fixed fee" permit (Office Use Only) is 5,, beginning July 1.2010 This A; lication ' eco es • our Building Permit When Approved Paid Z Receipt No. (a il 7 � , ,.1 //22-46..... ¢ �� -��& By Building Official Date B Date ( Z / / / / Z 2O 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 o --pRjO4) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd \/ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /, / , / / \\\ , AND UTILITY CONNECTION PERMIT 3 t � r r N gussy,s7 f - / 5 V�/��Z .116, 1. White File PERMIT NO . ! 3 ¢3 2. Pink City - 3. Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS f (47 3 / !-/ - e i 3 5 , -r'g t v lc (.... ft_K , //90.4 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) mcii AL-b S (Phone) (Address) BUILDER (Company Name) .._""r _ . :at 40 k S :t MI?' -- .! (Phone) 621 - rile ' CP / G (Contact Name) -6Z seM ..�V..AA (Phone) C.v5 2-` Z15"-- - &'Z'5 (Address) Z Z2 7'5 42& /k = )J St,tai,>9a, A /74/,/ - 3 -• •;2 ,-- 2_1 TYPE OF WORKNew Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection y *.� �, CODE: ❑I.R.C. DI.B.C. mix: FI tw - S\ r3 Kai, 7 T t G. I ►' l Type of Construction: I II III IV VO A Occupancy Group: O B E F H I M R S U PROJECT COST /VALUE $ /, O D • Or) Division: 1 'L 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. mow that the building official can revokgthis permit for j se. F re, I hereby agree that the city official or a designee may enter upon the property to perform _ X / /' - C ,■ ` 14`-- Ci ty 9 V / 5 Signs re Contractor's License No. D to Permit Valuation 1S OW • oo Park Support Fee # $ Permit Fee $ 2 GS. SAC # $ Plan Check Fee $ / I a l 1 Water Meter Size 5/8 "; 1"; $ State Surcharge $ -, Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Vpt 1✓LZ Z • 4 " • li3 $ 44- 5 . f 0 T ∎ t. In Beco ,. s Your Building Permit When Approved Paid 4-4 , / 0 I R ipt No. (obi/ 4— I lo r Alt 1/ '� I Date . - / %: /7 'IL A 111.■ i/2 1. 3 ' ' Buil . i Official D ate This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ,: ,� Oi p RIO CITY OF PRIOR LAKE Date Rec'd • N a, HEATING /AIR CONDITIONING /FIREPLACE PERMIT v g ci(/6 Vi/12- 4* 1 File 41, olA . Pick 2. Cam City PERMIT NO. 3 • '74 3. Yellow Applicata (Please type or print and sign at bottom) ADDRESS ZONING (office use) I N, Rk \ 4. ■3 Ste. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) f li c (OSt(A . (Phone) (Address) / (=k; k\ts C3 5E. . APPLIC (Name) (‘.I.I.IT. � kkkoS -1 t't (0"f (Phone) ' /A. - fta (.- - "Slf) (Address) - • I C (• . , rte) (City) (Zip Code) (Contact Person) - + P ' % eg , — (Phone) (Q C. ' g( 7 5Sc APPLICANT SIGNATURE ' = - "-•L_ DATE �; APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION 0 REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWanm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach 8 5 v it Y ❑ Hot Water into Required Side Yard Setbacks. Mechanical ❑ Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices [ant. System 0 Other Device,s Cantilevers to the outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL hvvita.? , . ., -- - r t ' :: " --�. 'ri• — , , a' Gel ".: „', 4 :. •a0'—►• ie , .r•, I r el - rot FEE SCHEDULE IRE. t,Riai, ttoc5 • TUiE ugiTS isttM 5% o v ME Ale Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace" 1 Writ .114 " X4.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $,o• Building Permit # The Minnesota Statutes * 32613.148 "SURCHARGE" has been changed for one HEATING PERMIT FEE $ tin . CC) year effective STATE SURCHARGE $ .50 July 1. 2010. until June 30. 201 I. TOTAL PERMIT FEE $ e The minimum surcharge for a "fixed fee" permit Office Ilse Only) is i,5, beginning July 1, 2010 j This i , Oka 1 , ; ewes Your Building Pe i en Approved Paid is t9+so Receipt No. 6 ©S r ! 2. 13 Date 1 1 �, / By (464 tinildiae • pal Date 24 hour notice for all inspections (952) 4479850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 T • i ( CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v en AND UTILITY CONNECTION PERMIT Z ' Rc.- - - -iv / /Z. ¢/O 40.'1V8S011. 1. white File 2 Pint: City PERMIT NO. /3 + /. - . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 6e3( //vvy /3 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ZS .4d Z, off OWNER ////, (Name) (Phone) (Address) BUILDER (Company Name) S /7' 24 t— f 1igiif (Phone) (e f Z 74/ 36 &3 (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re- Roofing [Me- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection J CODE: ❑I.R.C. DI.B.C. isc. n� �i ' 44 / ��/f?14/ 9 -710 ' ` � Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the above - mentioned property and that all construction will .• • 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. Furl. ore, I • eby ree that the city official or a designee may enter upon the property to perform needed ins. •ctions. X A _ //. iara... / ` Contractor's License No. D e Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 ; 1 "; $ 4 60 State Surcharge $ Pressure Reducer $ / 2-0 M i Penalty $ Sewer /Water Connection Fee # $ V � Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee 1 $ TOTAL DUE $ (, 00 7 This Application Becomes Your Building Permit When Approved Paid Ce CS) - ci) R ipt No (.Jr K L i Date 2 _ - i , / 3 B , Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 0 1 PR /0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ;...\,A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'Ariv E SO 1. White City NO . I , c� 2. Pink City / lC (Please 3. Yellow Applicant (P type or print and sign at bottom) ADDRESS ZONING (office use) 1 (p St," l 14wl l S V ei LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION t9(/f-[,0 7- A Rp- oemAcil aS FIeSi4bf PID 035 OOal `D OWNER (Name) f C 1„�svA..( (� A (Phone) (Address) -- 1 • BUILDER b n� I C:.1 C� is � - n n y rv� (Company Name) t't 2`4AX 1,.., u d 9-e (Phone) (Contact Name) L�(Li 0 eA1-4..kcO.AJ (Phone) 6 - 3 °► - 1'- i Li (Address) ci S' IM w r 10. 0 , 6 ,1 4 ,,, ‘ p ,,, • <4.; C c-1 A-„A fM S j TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition Alteration p ['Utility Connection I - 13 110, CODE: ❑LR.C. ❑LB.C. ❑ Misc: t.0 l Type of Construction: I II III IV V A B 1/4- _.../ Occupancy Group: A B E F HI MR S U PROJECT COST /VAL $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construct .. - 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 ' urthermore, I here. agree that the city official or a designee may enter upon the property to perform needed inspections. X �_' ism -�' 2. '" l 3 ignature Contractor's License No. Date Permit Valuation goo.- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other '. g S b-,...„„ , $ Gas Fireplace Permit Fee $ TOTAL DUE $ S/ %L..) Thi .1 j . , on Bec.. . es Your Building Permit When Approved P � Z 4„ t / Recei No. log ©4 / �� Date . _ I �ET'/��'.�=' ' ■4 :, :iii . ' • 'Official hate This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 O FR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I AND UTILITY CONNECTION PERMIT r }.11. '3 Pik q ! CP r *NE S 1. white File 3. 2. Pink City PERMIT NO. I.2 0.3 3 Yellow Applicant , (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 6,831 1-tLY 13 5C , 90.102 LAKE 'VW 55372 c --, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION © F l /5 r 74 D PID o? ,R gA -00 2 G (Name) M - ONALD .S — C140A-7-6 4 eD•M (Phone) 95z-9c/2.-505Y (Address) P 3 0)C q L/25 , ED Q.) Z 121 6 1 vii rJ SS 3 9 Y BUILDER /n t (Company Name) !I 11111J 1E3O 1 4 C O�.1 WA'e rl te6 # v A fd-1. 11J L. (Phone) 6 57 - 2B8 -07 7 7 (Contact Name) itsl/11J (,J i LL.4AAft S (Phone) ( ^ 2.8S' O 77 / (Address) 575 h/111),JOMAHA 1 LA) . . S1 PA.() 1... v i,U 55 Jo3 TYPE OF WORK ❑ New Construction ['Deck ['Porch DRe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace DAddition ['Alteration ['Utility Connection LL CODE: ❑I.R.C. ❑I.B.C. 2'Misc: F1 �e 44 o rJ rto .s IJ Cr .6 `'s1a.t1 Type of Construction: I II III P/ V A B oe Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 2., LbO Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke ' 't for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X TS D007N9 2//9//3 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ ,orl.0C Permit Fee $ 88 i 25- SAC # $ Plan Check Fee $ 517 . 3(0 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ i . TO Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7 JPl i 1 This ' , Bead ? , Beco , es Your Building Permit When Approved pai • i-) . (41,11 mt NO. (f! l � 6 Date 3'y0 al---� �i'& 1111 X28 e :uilding 'fficial ate This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ((� Akc4- NATURE OF WORK F "te. Des 6 ri USE OF BUILDING 1 /G (46-----) PERMIT NO. 1Z- 4 l( DATE ISSUED 411z. CONTRACTOR C7x6o4c�& Ca6''srti -0c PHONE 612.» ZZ5-61 Is NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ,vv* I FOOTING 1 P8 1 r z /�,k2 I MS, 94 ' I FOUNDATION (Prior to Backfill) la/V���� -P--,, I I 1 -eases PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Puatt r ROUGH - INS haw a( 2 ' f rs SEWER / WATER / SEPTIC f FRAMING - - 6 INSULATION ua, a. tt 1 2` t'41'z- t2`tira P, /l= ' , ELECTRICAL PLUMBING U -(- 12 /14j/2.g/ . V} HEATING (if required) e (./2.8/ -, FIREPLACE GAS LINE AIR TEST 273_ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED r I Kt-c4* -T.4* 14600 Fuze; Suei Y 4 31 f .,A. I c3 '0 rJ ) FINALS GRADING (Prior to Sodding) V 3 BUILDING t lips I h Id 'ELECTRICAL PLUMBING W -- 96 2.12.6/(3 HEATING G AD , r 2/2 i .Vb `��/ r 3 7 l DO NOT OCCUPY UNT L ABOVE HAS BEEN SIGVE9 NOTICE rte' ' (�!��V eZ (3 This card must be posted near an electrical service cabinet prior to r Vi-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 - 9850 u 1,1 White - Building cNivEsol•:21 Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /c /J'9LOS, OS APPLICATION RECEIVED _ 1 /- / 2-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 3/ rw w'i /3 5.,E. Accepted 1 Accepted With Corrections Denied I Reviewed B : L �_ � / Z 7 (Z y �� Dat Comments: \ • Q A— C_. �C. I cl■ A 0 /14/1 -(A3 - U � 2. 5v 5 pA. (r Stb�o I :` c-Pe reks ty P� 5 ANtb A 13W,.0 1 Rte. �c 4' . Mi, DST' o 0 A-PetioAle RTc. l gt 6- OcGoP4Uley 5 C- s i vn. 5 GO00r+44 M. 61,4 " -- re ? m cam-- 14 T 6N _6 Plae 0iaa . l . ?fLe v l 4 DA-4 L c c v. i 3 O x . ° Ot.-( GAr'ca -") I clktit, , "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." O� "41.4 fr ;y. t)" ti Wiite - Building i - Engineering INNE90c� Pihk - Planning mi ,°- - t BUILDING Ft Li.eATION DEPARTMENT CHECKLIST NAME OF APPLICANT flD (,. �-' APPLICATION RECEIVED . P. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 3/ / /7c,f I v/ ,f - t Accepted / ` Accepted With Corrections p P Denied Reviewed By: Date: / 7 2 f-- /07 . i Comments: ���� — v�- rlurc keScc Lam 17 Q//we 7v rediA.redilarkS/Jrvt Se-4o ref/Le # of wt -hll^ „s" '61-g k A l rapt, /I OOf b � � u . l j �3► .1 - #11144t ie ..Greer a 4 r '/ e� e : t 9 x aJ (ell ci, " or 3) a.i - rainier) - / 'de row' 4.4 — JI pet- a-re retulree Srsr /� /fir AA erl r she "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." . j 1 ( 't it Z- Kc- t/irt. . E mits4 SPA -14e.• liosi>&-Tib," t*�t 14v TZ /,/'9 ) ,, ?, . <6.e.... stew.. P R " ' Fa vP or. j ZZ , Z .. 1 6. f >' p 12 s 14 D ( O 70-51 1\\ezr Au-et _ P3.0• %3•0. .-► 7 No o ? No z z- (p 6 I`-(✓ r- lei- f-jovi-' to . om ivi . St Ati , its 4-•. V. Ai. 11 1 1( wtr (S co ra-v 7 -16 R 1 2 t I _low O _J♦ • E • ; �r► �'1 2.� am. -r .esq.- �v �y� 1 J it — s - tv∎ �� 5ESP A - . _ V 4 li'c<' 11 1,`t I ` 1 C (ik.p a s S S1. 1 i s , 1 i ' i i • •- • • 1r; : 1 • . • r .i ,,,. r epri DESIGN 12400 Portland Avenue South Suite 100, Portland Corporate Center ,rvcorrr ,,:,,, O Buntsvlite, MN 55337 Transmittal Form Date: November 22, 2012 To: City of Prior Lake Attention: Robert D. Hutchins - City Building Official & Larry Poppler - City Engineer 4646 Dakota Street S.E. Prior Lake, MN 55372 Phone: (952) 447 -9851 Fax: (952) 440 -4263 From: Reprise Design, Inc. Sean R. Lathrop Phone: (952) 562 -3736 Fax: (952) 252 -4043 Job Number: 11347 Copies Description 2 24 "x36" current complete sets (signed); includes affected Revisions 1 thru 7. Subject: McDonald's: Prior Lake, Minnesota Please find the enclosed documentation. This is being provided for your building and site review and file /record purposes. Should you have any questions, please contact me directly. Thank you! . tU CONSTRUCTION LABORERS EDUCATION, APPRENTICESHIP �OUNtON LABOR R, -.. & TRAINING FUND OF MINNESOTA & NORTH DAKOTA , ' m L = 3 2350 Main Street • Lino Lakes, Minnesota 55038 MN No;! Training Center (651) 653 -6710 • Fax: (651) 653 -9682 q !'p RENTICESH� e ` ed�os`� Apprenticeship: (651) 762 -8235 • Fax: (651) 762 -8237 Toll Free: (888) 758 -6466 www.Ltcmn.org • .o • • S December 15, 2011 SUP A.. cc1OV RAY HAWKINSON V./(1/- 760 ESHTON CT • COKATO MN 55321 - • • • • Dear RAY: • In the past you were required by the Minnesota Department of Health to take training in the Department of Health's Plumbing Code Standards. At that time, you were issued a blue Plumbing Code card with instructions to take a refresher every two years if necessary due to changes in the Plumbing Code. Please note that there have been no new changes to the Department of Health's plumbing code standards. Therefore, you will find enclosed an updated Plumbing Code card. You will be notified if a refresher course is necessary in the future. Fraternally yours, • Russell Beyer • Director of Training Enclosure • • ' . , 4, yk yy • g. T ..� ,4 xA •• ,xs f i. i 1 • is ` C N t d i TX ': ; MINNESOTA PIPE r } apt ttl3� x r t ' f ."': f t : .fix r TcYJ� ` -� .Y , ++�I +j Cl i. M '�.f -� ' s i „un d m ti.l+is'r t � , pY� , "h: yit : ' -� r u ..,.�r 1 N;: "` f ' � �. y,�T`} { fi • i � } � r r�H ' { ::. i. 7 { Y 1. i ' 4 E + "� , k�n '? 0 � n r f � 1 - �� • . M `�V{.L�IYt�i�I�uf f a { + ;St }rkh( r4 a t k 4 � � + � i ,F r? T r�. ttr { r . , r ' t �f Namddffr�ihee „r t ,f a, �F �, ,�,�3 i lt4 f has completed THE CONSTRUCTION t bREkS . t i Da #e' � i f� �� �r i t v a ffuniber 2 ` Z 5 EDUCATION and�RAIN1N S WW t� �l :A i<y `%.t Ar y i ai >t �` C t ic iy7 l' 1i l erp �.. z l4 1 ri .. ) , • • re course work to pipe jayttt aspects o the MINNESOTAPLUMBWG CODE ax 1 '. • • • THE DAMA CO. FIRE DEPARTMENT KEY LOCK BOX AUTHORIZATION AND ORDER FORM PLEASE READ ORDERING INFORMATION: 1) This order must be signed with the signature of the authorized Are Department official on file with the DAMA CO. 2) The key box will be shipped to you without any keys and will be locked in the open position. Contact your local Fire Department for specific mounting requirements. 3) Please include Minnesota sales tax and shipping charge. 4) Full payment must accompany order. Make check payable to THE DAMA CO. 5) Allow 1 -2 weeks for delivery. CUSTOMER INFORMATION FIRE DEPARTMENT INFORMATION NAME: SHIP TO: (DO NOT USE A P.O. BOX) PRIOR LAKE FIRE DEPT. Company Address AUTHORIZED FIRE DEPT. SIGNATURE City/St/Zip Attention of: ' . ORDERED BY: DATE: Till I Company & R ( N t Cot ft. kCrk o N , 0 INSTALLA • Address (oZ 5 h A R 4' &1TH 4.5 & -c - F DE /11 - ATTTACH REQUIRED TACH IF FIRE MORE R RO OOM IS NEEDED City/SVZ *N °� h� ln► ^° 575 lb $3 I 2 Scr„t4 i ,CMC a Name & Ph # 9-o tt6UN �A E-rz --A. FP- � fti4 � Z ORDER FORM - Payment must be submitted with order MAIL TO DAMA -MP INC. ITEM QTY . PRICE TOTAL P.O. BOX 47824 S2- SURFACE MOUNT (NO MTG KIT OPTION AVAILABLE) $116.00 MINN. PLI"I• 55447 S3- SURFACE MOUNT $141.00 S3- SURFACE MOUNT W/TAMPER SWITCHES $178.00 R3- RECESSED MOUNT $170.00 763 - 559 -3660 R3- RECESSED MOUNT W/TAMPER SWITCH $196.00 MOUNTING KIT (OPTIONAL FOR S3 & R3 MODELS ONLY) $68.00 SUB TOTAL SHIPPING AND PROCESSING CHG. $10.00 SUB TOTAL WITH SHIPPING CHG. STATE SALES TAX = 6.875% TOTAL AMOUNT ENCLOSED WHITE COPY: SEND TO DAMA YELLOW COPY: FOR CUSTOMER Metropolitan Council Ai Environmental Services May 21, 2012 Bob Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 Dear Mr. Hutchins: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for the McDonald's to be located at 16831 Highway 13 SE within the City of Prior Lake. The City will be charged 4 SAC Units for this project, as determined below. SAC Units Charges: Restaurant (Indoor Dining) 318 sq. ft. @ 15 sq. ft. /seat @ 10 seats /SAC 2.12 28 ft. @ 1.5 ft. /seat @ 10 seats /SAC 1.87 54 seats @ 10 seats /SAC 5.40 Total Charge: 9.39 or 9 Credits: Future Demolition Restaurant (Indoor Dining) (Look -Back Period — 12/79) 110 seats @ 22 seats /SAC 5.00 Net SAC Due: 4.00 All demolitions must be reported within one month of the end of the calendar year during which the demolition occurred, in order for the prior use to be eligible for any credit on the property. Future demolitions still need to be reported on the SAC -D Demolition Declaration form in order for the potential credit to be available for the new use. 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 inatle. if you have any questions, call me at 651- 602 -1378 or email jessica.nye @metc.state.mn.us. Sincerely, / Jessie Nye SAC Program Administrator Environmental Services Division JN: 120521B8 • Determination expiration: May 21, 2014 cc: File, MCES Raymond Croaston, Jr., McDonald's (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (651) 602 -1477 • TTY (651) 291 -0904 An Equal Opportunity Employer WALT LUSiAN cerc Mester Electrical Inspector l' MINNESOTA DEPARTMENT OF .. a LABOR ec INDUSTRY 16275 Sheldon Ave Eden Prairie, MN 55344 Office Hours 7:00.8:30 Tel. (952) 934-0229 Mon. -Pd. Order for Payment milstirommioammarbsoraiwo Date Request for inspection Serial Number Date Filed /-- Z 3 -/ -3 12 - / /-z- 7-12- Electrical Contractor/Installer License Number B RNS ✓ILL&. CeEc7,€ic, E/9 Oet9 34 Owner /Occupant County GG'Tf'� GIQ /NE/( 0)151 --- (p G i7ONAt,OS Job Address - .. .P C.i9Ic�, ��x� 13 This Owner for Payment is for additional fees associated with the above referenced Request for Electrical inspection. Fee Calculation/Explanation 00 9 !/DbrT /a,IAL. UQCV(rs APDtD 7a ?E ier9/g' SERV) c.Z �4 _ = T. " Return this Order for Payment with your check payable to the in the / 4 amount of $ f by (fourteen days from the date issued) • A service charge of. $30 will be added tor at dishonored necks. Inspector Name and Number For Department Use Only Inspector Telephone Number Inspector F�mail Add Gsite Inspector Signature Voigt & Associates, Inc. ' - STRUCTURAL ENGINEERING SERVICES 4635 NICOLS RD. SUITE 204 - EAGAN, MN 55122 PH. (651) 686 -7727 FAX. (651) 686 -8444 FULLERTON BUILDING SYSTEMS — Framing Inspection Report PROJECT: McDonald's — Prior Lake, Minnesota INSPECTION REPORT NO: 1 ADDRESS: 16831 HIGHWAY 13 S.E. PROJECT NO: 2013.013 REPORT BY: Daniel Wenborg, Field Tech. / Paul W. Voigt, P.E. DATE: 1 -18 -2013 TEMP. RANGE: 32+ TIME: 1:00 pm EST. % of COMPLETION: 95% WEATHER: partly cloudy PRESENT AT INSPECTION: Larry Granstra / Fullerton Building Systems, Dan Wenborg / Voigt and Associates PURPOSE: Site observation requested by contractor Dan Rautenkranz / Fullerton Building Systems WORK IN PROGRESS: General Construction Status Footings: 100% complete Exterior Walls: 99% complete Interior Walls: 90% complete Hold Downs: 99% complete Wall Fasteners / Strapping / etc.: 99% complete Additional Bracing: 100% complete Steel Framing: 100% complete Roof Sheathing: 100% complete Concrete Floor Slab: 100% complete OBSERVATIONS: 1. RTUs were not installed at the time of inspection INFORMATION OR ACTION REQUIRED: 1. No remedial work required. - y,. Voigt & Associates, Inc. I - STRUCTURAL ENGINEERING SERVICES 4635 NICOLS RD. SUITE 204 - EAGAN, MN 55122 PH. (651) 686 -7727 FAX. (651) 686 -8444 ATTACHMENTS: COPY TO: Dan Rautenkranz / Fullerton Building Systems FILE • I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly licensed Professional Engineer under the laws of the State of Minnesota w, Signature Paul W. Voigt 1 -21 -12 20705 Date Registration Number THE DAMA CO. r! FIRE DEPARTMENT KEY LOCK BOX AUTHORIZATION AND ORDER FORM PLEASE READ ORDERING INFORMATION: 1) This order must be signed with the signature of the DEC 5 2012 authorized Fire Department official on file with the DAMA CO. S �i P P D 2) The key box will be shipped to you without any keys and will be locked in the open position. Contact your local Fire Department for specific mounting requirements. 3) Please include Minnesota sales tax and shipping charge. 4) Full payment must accompany order. Make check payable to THE DAMA CO. 5) Allow 1 -2 weeks for delivery. CUSTOMER INFORMATION FIRE DEPARTMENT INFORMATION NAME: SHIP TO: (DO NOT USE A P.O. SOX) PRIOR LAKE FIRE DEPT. Company Address AUTHORED FIRE DEPT. SIGNATURE City/St/Zip /� n Attention of: 1 1 _ ORDERED BY: DATE: 717z171 Company &R. L ► r.J c 2 C .- r A. co. c - c o N INSTALL.ATIO ADDRESS__ - REQUIRED BY FIRE DEPT. Address 2 5 F A (2.q o T& oe - ATTACH IF MORE ROOM IS NEEDED City/St/Zip ti v.5N 6e4 -t 419 z- 3 f'tf S a. � V � e (Uco s Name & Ph S o N \ 4 U N S 4 E c�� c> �- l- t� t4� /M ^' SS,� i- f ORDER FORM - Payment must be submitted with order Man. TOI DAMA -MP INC. ITEM OTY _ PRICE TOTAL P.O. BOX 47824 S2- SURFACE MOUNT (NO MTG KIT OPTION AVAILABLE) $116.00 PLYMOUTH. MINN. 55447 S3 SURFACE MOUNT $141.00 ,4/4l =1J1f S3 - SURFACE MOUNT W/TAMPER SWITCHES $178.00 R3- RECESSED MOUNT - $170.00 763-559-3660 R3- RECESSED MOUNT W/TAMPER SWITCH $196.00 'MOUNTING KIT (OPTIONAL FOR S3 & R3 MODELS ONLY) $68.00 TOTAL 1 4// - '° ING AND PROCESSING CHG. $10.00 B TOTAL WITH SHIPPING CHG. sj. 00 TATE SALES TAX = 6.875% f O. 11 2r OTAL AMOUNT ENCLOSED _ ( (f. 3 S' WHITE COPY: SEND TO DAMA YELLOW COPY: FOR CUSTOMER 1 THE DAMA CO. FIRIE DEPARTMENT KEY LOCK BOX AUTHORIZATION AND ORDER FORM !PLEASE READ P P C D NOV 2 ZU11 L,,,� ORDERING INFORMATION; 1) This order ritual be signed With the signature of the authorized Fire Department official on floe with the DANA CO. 2) The key box will be shipped to you without any keys and wind be looked in the open position. Contactycw bcal Pre Department for specific mounting requirements, 3) Please include Minnesota sates tea and shipping charge, 4) Full payment must a000mpeny order. Make check payable to THE DAMA 00. 8) Allow 1.2 weeks for delivery. CUSTOMER INFORMATION FIRE DEPARTMENT 1NFORMA1*ON NAME: SHIP TO: (D0 NOT USE A P.O. BOX) Company al /Tie Hgel Het r PRIOR LAKE FIRE DEPT. Address Ma AHeitv624 614D. Ste, Z1 AUTHORISED FIRE DEPT. SIGNATURE City /St/Zip 3laatt To r/ Pk ,5' 2S' Attention of: • it-lowrri.xr LerNeyk. ,'• r .,. . — ORDERED SY: DATE; rV) silt '=• e �..... -- lii1.'iii/ Company TieRR writ. y IlaA INSTALlA110F ADDRESS Address /$o/ i„� 8/0A Spa. 2/ • REQUIRED SY RAE DEPT. - ATTACH LIST IF MORE ROOM IS NEEDED City/St2Ip Elatw,a4re /1, A SS4YS• 4/Sys PAAor4t Ave Name & Potd f'lor le,,JeR On- a7'r -21 7 Nraa JAke i, 55372 — ORDER FOAM • Payment must be submitted with order �M e DAMA -RAP INC. ITEM OTT PRICE TOT P.O. BOX 47824 URFACE „ •. a . 0 >.t a .1 �,ut •,. . : at IIIIINtrmame PLYMOUTH, MINK, 0 RFA «. M • MEI S130.00 IIMil 65447 .� .URFACENW MAW " « 5 _ _, - t IllrellrIVMMIMII 165.00 - 7E.3- .5`58.9680 3-RE 800 MOUNT PER SWITCH 111111111111rMEIM - tie TOTAL ztilf NO DP'sk. R= SIf4G• c M UB TOTAL WITH SHIPPI 0 CHO. Frff 1 NN 80TA SALES TAX' • • . 'i. /0 II DTAI. AMOUNT ENCLOSED /Sb,o.S WHITE: & YELLOW COPYt : i0ND TO DAMA PINK COPYt FOR CUSTOMER 1 EORMICOMI Environmental Health Division - Environmental Health Services M L 1I) O rv i lle Freeman Building 625 North Robert Street PO Box 64975 aiLIICIDMMEll S t. Paul Minnesota 551 -0975 651 -201 -4500 MINNESOTA FOOD CODE INSPECTION REPORT Page of Date 2 122 J3 Business: Vthkia10(5 Food Temperatures: Phone: County: Address: (address) (city/township) Licensee: Sanitizer /Concentration: License No: License Type: Certified Food Manager: Risk Category: Inspection Type: Number of Critical Items Noted: Water Supply: Sewage Treatment: Number of Non-Critical Items Noted: Code Critical The following item(s) are issued to assist you in complying with the Minnesota Reference (x) Food Code and must be corrected by the date indicated. �iTrh Air �� 'r:� /�Cl��iilt'LtL91R��1ln "rote Iffid IDMER.II MA[1 � IK11' 711Ur ed i RUM ilr&df/W,WZ/ktrMwAIIFZrslg'dIP'IIIIIIIIIMIIIIIIIIII arf %fi 2J1 1 i .fir, '. TE4ElitK r fir, •� �► ., �:� 511Ms MAGr eA.111111■ LTA' ri rid 11 4PlunTASTINIME1111MikargarBZWIRIMM77/FAMITIMILTgi2JV It15 2)14f Report Rec By: t Title: .5 )t Inspector ior , ' 1/4486) Telephone `j' IC# 140 -0042 1W06 • O� VR /0 RECEIPT# 68188 CITY OF PRIOR LAKE L 4646 DAKOTA STREET S.E. 0-1 r . z PRIOR LAKE, MN 55372 J U Cri (952) 447 -9800, FAX (952) 447 -4245 DATE: �V 1- 1ii .3 'INNESOs- Received of t-� . for the purpose of /-4 " r /' - -- - /- 1 0 Cash �U� �v Invoice # El Check ED ACH Total ...b �DG. UU / eceipt Clerk for the City of Prior Lake .u6tE' 52't t2 2 :652,50065ZOn .,629690.» and . ..4 r , �. do r Extra UOIHd aO LLID 3H101 AVd 00'000'5 *mmmi *$ 62969 ETOZ 'L'Z &ren.zgoj 1Nnowv ON )103H0 31y0 squab OU pu>? saPITop Puesnou oATa******** * * * * * * * *** * * * * * * * * * *4 * * * * * * * *4 :Apd xej Z681- 8££/ZI9 • a;EJodJoD 969I- 8££ /ZI9 ZOtSS NN "stIodeauu!W 08 acing '•S 'any auanbaeW SZ9 NOI.311HISNO3 6969O sst WOO �UEGp82100SSE MMM 3 N 13 EI 9 6 . 29 -6L a paiRposs • • Pi nnacle Owning Challenges. Innovative Solutions. Winning Trust. Engineering May 7,2012 Northern Technologies, Inc. c/ o Steve Johnston 6588141st Avenue NW Ramsey, MN 55303 RE: PreDemo Survey Report 16831 Highway 13 South Prior Lake, Minnesota Pinnacle Project No.: R012090.000 Dear Mr. Johnston: Pinnacle Engineering, Inc. (Pinnacle) is pleased to present to you the report of the pre - demolition environmental survey conducted at the fast food restaurant (McDonalds) located at 16831 Highway 13 South in Prior Lake, Minnesota (Site). Non - friable asbestos containing materials were identified on Site. The attached report provides a description and location of each item, including an estimated quantity of these wastes that would require special handling before demolition can occur. If you have any questions or wish to discuss any particular aspect of the project, please contact Jason Coyle at (763) 315 -4501. Sincerely, PINNACLE ENGINEERING, INC. Jason Coyle Senior Project Scientist Mnneapolls: 11541 95th Ave. North, Minneapolis, MN 5536 ` y , I 800-366- 3406.763. 315 -4501 • fax 763 - 315 -4507 • ) Minneapolis, MN • Rochester, MN • Omaha, NE www.pineng..com • info@pineng.com PRE - DEMOLITION ENVIRONMENTAL SURVEY REPORT FOR: FAST FOOD RESTAURANT 16831 HIGHWAY 13 SOUTH PRIOR LAKE, MINNESOTA PREPARED FOR: NORTHERN TECHNOLOGIES, INC. C/O STEVE JOHNSTON 6588 141ST AVENUE NW RAMSEY, MINNESOTA 55303 PREPARED BY: PINNACLE ENGINEERING, INC. 1154195TH AVENUE NORTH MINNEAPOLIS, MINNESOTA 55369 (763) 315-4501 PINNACLE PROJECT NUMBER: R012090.000 May 7,2012 Prepared by: Reviewed by: _-,_ ( X Matt Lenz Jason Coyle Scientist Senior Project Scientist Asbestos Certification # AI10679 Minneapolis: 1154195th Ave. North, Minneapolis, MN 55369 t°4' r ` ' `" r � 800- 366 - 3406.763- 315 -4501 • fay 763 - 315 -4507 Minneapolis, MN • Rochester, MN • Omaha, NE www.pineng.com • info@pineng.com ..:,- TABLE OF CONTENTS 1.0 INTRODUCTION 1 2.0 SCOPE OF SERVICES 1 3.0 SURVEY RESULTS 1 4.0 GENERAL COMMENTS 4 5.0 LIMITATIONS 5 FIGURES AND TABLES FIGURE 1 Site Location Diagram FIGURE 2 Sample Location Diagram TABLE 1 Summary of Analyzed Materials APPENDICES APPENDIX A Asbestos Inspector Certification APPENDIX B Site Photos APPENDIX C MPCA Predemo Checklist APPENDIX D Laboratory Report 1.0 INTRODUCTION Pinnacle Engineering, Inc. (Pinnacle) was retained by Steve Johnston of Northern Technologies Inc. (NTI) to conduct a pre - demolition survey of the fast food restaurant located at 16831 Highway 13 South in Prior Lake, Minnesota (Site). The survey was conducted to determine the presence of asbestos containing material (ACM) and to complete a Minnesota Pollution Control Agency (MPCA) Pre - Demolition Checklist and Guide for the Site. This assessment was performed in accordance with NTI's Master Service Agreement, authorized via e-mail, by Steve Johnston of NTI. 2.0 SCOPE OF SERVICES Pinnacle conducted the following scope of services: • Property Walk -Over Survey including: evidence of asbestos containing material (ACM), visual evidence of aboveground or underground storage tanks, evidence of PCB - containing transformers or ballasts, evidence of mercury containing equipment, evidence of lead containing materials, evidence of chlorofluorocarbons (CFC) and hydro chlorofluorocarbons (HCFC), batteries, fluorescent lights, HVAC system components, accessible commercial electrical system components, oil, hazardous waste, tires and miscellaneous solid waste; • Collected samples representative of suspected ACM by a certified asbestos inspector; • Collect peeling paint samples that may contain lead; • Analysis of bulk asbestos samples and paint chips by a certified laboratory; and, • Preparation of this report documenting methodologies used, analytical data, pertinent regulations, findings, and conclusions. 3.0 SURVEY RESULTS The Site consists of a one story fast food restaurant building constructed in the 1970s. The facility consisted of a dining area, kitchen, a remolded play area, storage area, men and women's bathroom, and break room. The roof consisted of wooden trusses overlain by plywood, and the roof construction consisted of built up material overlain with a sealed rubber membrane. The structural skeleton of the facility consisted of a brick exterior. The ceiling consisted of two types of drop in ceiling tiles, a 2' x 2' pinhole ceiling tile, and a 2'x 2' sheetrock ceiling tile. The interior of the facility walls consisted of sheetrock in the dining area, kitchen, and back area. A Site location map is attached in Figure 1 and photos taken from the Site visit can be found in Appendix B. Pinnacle Engineering, Inc. Page 1 Pre- Demolition Survey Report 11541 95 Avenue North 16831 Highway 13 South, Prior Lake, MN Maple Grove, MN 55369 May 3, 2012 Matt Lenz of Pinnacle inspected the property and the building at the Site to determine the presence of ACM, lead based peeling paint, and to conduct a pre- demolition survey of the property. The pre- demolition survey focused on visual evidence of aboveground or underground storage tanks, evidence of PCB - containing transformers or ballasts, batteries, fluorescent lights, HVAC system components, mercury switches and controls, commercial electrical system components, chlorofluorocarbons, solid waste, hazardous waste, and oils on Site. The Site was occupied during the Site visit; therefore, Pinnacle collected samples using non - destructive sampling where possible. The results of the inspection were recorded on the MPCA's Pre - Demolition Environmental Checklist and Guide, which is attached in Appendix C. A sample summary table is included in Table 1. The survey identified the following environmental concerns with regard to renovation /demolition activities at the Site. Mercury • Fluorescent lights were identified throughout the interior of the building. • Thermostats were located within the building. • Smoke detectors were located throughout the facility. • Emergency exit signs were observed throughout the facility. • Alarms and a security system are present. • Metal halide lights are present in the parking lot. PCBs • PCBs may be present in the fluorescent light ballasts. • PCBs may be present in the pad mounted transformer. Lead In general, lead paint is not an issue during building demolition as long as the paint is in good condition. Peeling or chipping lead -based paint is required to be removed or stabilized prior to demolition. All paint observed throughout the facility appeared to be in good condition and well bonded to the substrate during the time of the inspection. Therefore, the paint may remain intact during building demolition. Pinnacle Engineering, Inc. Page 2 Pre- Demolition Survey Report 11541 95 Avenue North 16831 Highway 13 South, Prior Lake, MN Maple Grove, MN 55369 May 3, 2012 CFCs • Portable fire extinguishers were present. • Refrigerators were observed on Site. • Cold storage areas were present. Solid Waste • Miscellaneous interior furnishings, when removed, will be treated as solid waste. Electronic Waste • Miscellaneous electronic components were observed throughout the building. • Miscellaneous batteries associated with exit signs, and electronic components were identified throughout the facility. Hazardous Waste • Several cleaning agents, gas cans, paint cans were observed during the site inspection. Storage Tanks • No storage tanks were observed on Site. Asbestos Pinnacle representative Matt Lenz conducted the site work on April 4, 2012. Mr. Lenz is a certified asbestos building inspector (Certification # AI10679); a copy of Mr. Lenz s certification is attached to this report as Appendix A. The asbestos inspection process focused on identifying suspect ACM in surface material, thermal insulating material (TSI), and miscellaneous materials. Once these were located, homogeneous areas were delineated and the suspected materials were sampled or were called out as suspect ACM. A homogeneous sampling area is an area of material that has the same color, texture, and is the same age. Samples of suspect ACM were collected from the interior and exterior of the building. The suspect ACM samples were analyzed for asbestos content at EMSL Analytical, Minneapolis, Minnesota, a NVLAP accredited laboratory. The analytical results are Pinnacle Engineering, Inc. Page 3 Pre- Demolition Survey Report 11541 95 Avenue North 16831 Highway 13 South, Prior Lake, MN Maple Grove, MN 55369 May 3, 2012 summarized in Table 1, located in the Figures and Tables section, and the laboratory report is attached in Appendix D. Eighteen samples of suspect ACM were collected from various building materials, including the building interior and exterior. Asbestos was detected in sample Sample #13 - Roof flashing material. SURFACING MATERIAL Asbestos was not detected in surfacing materials. THERMAL SYSTEM INSULATION (TSI) No TSI was observed on the inspection. MISCELLANEOUS MATERIALS Miscellaneous asbestos containing materials identified included roof flashings (Sample 13). Refer to Table 1 and the laboratory report in Appendix D for additional information. The roof flashing contained 15% chrysotile asbestos. An estimated 50 square feet of asbestos containing flashing was observed on the roof (Sample #13). In its current condition the tar would be considered a category I non friable asbestos containing material. 4.0 GENERAL COMMENTS According to U.S. EPA definition, ACM is any material that contains greater than 1% asbestos. Current regulations require the removal of friable asbestos - containing building materials prior to demolition or renovation. A licensed asbestos abatement contractor must perform all friable asbestos removal. Current regulations do not require the removal of non - friable asbestos - containing building materials prior to demolition or renovation if care is taken to ensure it is not crumbled, pulverized, or reduced to a powder during demolition, or if building materials that the non - friable ACMs are applied to are not recycled and are taken to a landfill that accepts ACM. If the building materials are to be recycled, then the ACM needs to be removed prior to demolition. All of the other environmental concerns mentioned in this pre - demolition survey need to be removed and disposed of in accordance with regulations prior to demolition, except paint that is in good condition. Pinnacle Engineering, Inc. Page 4 Pre - Demolition Survey Report 11541 95 Avenue North 16831 Highway 13 South, Prior Lake, MN Maple Grove, MN 55369 May 3, 2012 5.0 LIMITATIONS The inner workings of appliances, furnaces, and air conditioners were not inspected and were assumed to contain mercury, PCBs, and CFCs as noted above. These furnishings can be left undisturbed, or recycled by a licensed electrical device recycling firm. If they must be disposed of, additional interior inspections and /or handling by a recycler would be required. During the time of the inspection the building was occupied. Pinnacle sampled areas that were accessible and did not disrupt the day to day operations of the tenants. Therefore, suspect ACM materials may be present in different building materials. If suspected ACM materials are identified during future demolition activities a licensed asbestos inspector is recommended to sample the suspected materials and to properly handle the materials before demolition is completed. All quantities specified above are estimates and is recommended that quantities be verified by the abatement contractor or subcontractor. Transite may be present beneath structural or decorative components, which could not be destroyed or altered during the Site inspection due to the current operation of an active business. Thermal System Insulation (TSI) could be present within walls, and other areas throughout the facility. Roofing cores were not taken during the inspection and additional roofing materials may contain asbestos. Pinnacle would recommend a roofing inspection prior to building demolition. • Pinnacle Engineering, Inc. Page 5 Pre- Demolition Survey Report 11541 95' Avenue North 16831 Highway 13 South, Prior Lake, MN Maple Grove, MN 55369 May 3, 2012 FIGURE 1 Site Location Diagram �� I ■ d _ t.• F;f t� IDiD R16S r t =� :-..S,-.., ��1r f ?_ ,,, ___ v : - - ..---') , ' ... ' " a 'r/ . i * _ _ _._. ----.-, - :... ( ..,,, 67 . I ow:,..„..,„!, ,..,. ". a ....:„ ... i f _ , , ,...--,-- 1 , 1 . 1 1 I A ..,...•...._,. „ _ en i :, � ( ��� �L� Site i s ` �" lr `et .,_________,...,_.( s /i_ i: ,...._ Iiii on -.11Eft•m liti ) ' . / 7", I, (,), . to 1;lt '' '''' . .-----=-1 01.0no _ Erat o \,. < w7.4.7211441C''''IM.M4 Ili ngtiThrMi ll --. .----711111F7'. igg' ■ _Li": -:- - L.-- _ TWIII 1.,3 . Jr 1 r tliMITO � � - IV � • N - 7 :i t - __..?..r."-- � v a c r r : 1 6 r h . t ' • .„,....., 4 .- • _i ........ r ,- - r -. '►r -•, •f i _ SW e , ` float r ♦ ( „4`— 'Jr ' S Rainy y ' - i Site ', .� r . d ' , . 1 '' , a- r +' r ' -- -". p W a a �� 'h • 11. 5 ,----- n� i _r 1 • it i j =mod a 4. ., i �' �. }} Il ti l60 ,a � - Lake; S I: • / 1Q � j RteLaJke r ' - " r. 1t` } J , �' - : kg - - - • ,.. . 0 „---- ,,,,„ ..--/..!-,-.-. .4, ..: --- 4 : " / • - .... - - _ - _ _-____-- ._ - i I Y • �_ spa • T 1 \ 1 r.F s , ,� sss ` /' • • • t ; y6 ; -si ..,_ - i''' . . (- ..- ", , -.•- /- . I. . { _ _ �:� :�. : `i ,ms F. . t _ ' ` 2,099 ',COD 9 2.979 ti _ _ Feet - .7 1 4 - — Figure 1 Legend NMI Pinnacle Project No -: R012090.000 Site Location Map Last Updated: 4.x30112 MA Engineering 16531 Highxvav13S '?54' 55th Aver ,.e N. Arc Tech: ST Ma pie Gro 1,1N 55365 Prior Lake, Minnesota 753` 5.-450* Project Number. 012090.000 ax oc. pir er -.00rr FIGURE 2 Sample Location Diagram • w. Afts 4. t LAto\ ■ - ..:L.. ....,96...... V ti 1 L. C` .tt ., L__._ r-• f y' . Pinnacle Figure 2 Sample Location Map 1 6831 Highway 13 South Engineering Prior Lake, MN 11541 95th Ave. N. Maple Grove, MN 55369 Pinnacle Project # R012090.000 Phone: 763 - 315 -4501, Fax: 763 - 315 -4507 e -mail: mwitzel @pineng.com TABLE 1 Summary of Analyzed Materials Table 1 Summary of Analyzed Materials 16831 Highway 13 South Prior Lake, MN Sample Location Sample Description Asbestos % Quantity Type of ACM 1 Dining Area 2' x 2' Ceiling Tile ND 2 Dining Area Sheetrock ND _ 3 Men's Bathroom Cauling ND _ 4 Dining Area Sheetrock ND 5 Play Area 2' x 2' Ceiling Tile ND _ 6 Storage Area 2' x 2' Ceiling Tile ND ( Sheetrock) 7 Storage Area Sheetrock ND 8 Storage Area Sheetrock ND 9 Storage Area Sheetrock ND 10 Roof Red Shingle ND 11 Roof Red Shingle ND 12 Roof Red Shingle ND 13 Roof Flashing Chrysotile 15% 50 Square feet 14 Exterior Expansion Caulking ND I 15 Exterior Door Caulking ND APPENDIX A Asbestos Inspector Certification ` i` ii i )H ASBESTOS ,, -;n fi t.E iii t (. • : ; ": • • De . entef Health • ww, 1 1U.'1r%WW/C. V - .• t (*IAN 1- . +.�, D o r , . Health Div. No. A110679 '•` IIW OB/01 /2011 • t. ` "I'u ASBESTOS J . , , till ' 11. ,,�E 4 certifle„.:. UAERVISUR ' in l e s s 0W19/ jkl: enz • • : :: N 6li4 No. AS10679 ' issued: 03/22/2011 • O �V %47 ® Y+ ® . N '11 Is ®-4 i N tt * < - W v)00 0 _y ..,.. E (..) <I- 4 ti Z 1"' - -:NO 9+ , e N U 4e" * yb' 4) U y U w.a • 4z,i) '8 ''0) "" ° a ,..., a .= 4 ,,,,,.:4.03 • -. ,... ....., 64 ,K* WINN CU 04 E3 .. r, Ez, co 8 co if-a.- ,.. .c. ,...., eN 00 ,,,,, .v. . o 0,) ,... , ,..\,.. ,_,,, r, a O 1.: tri. :7. : 4 • ca s %. 4) .. < 3''' 4 a 0 in tea 5 , 6 24t o . , . . APPENDIX B Site Photos , f _ Roof Flashing contains 15% Chrysotile X 00. " � � : ' ♦ � wri' ,1f"� � a. # xis Above Ceiling Tile P , ■ 44 ',.`1.4: .f ' . `.... -,. . - ‘:' '. • 4 • .. 17.1a....E . iiiIt . --,..: I II 4,,,_,, ,i, ........_, i ., . . r Transformer near drive thru 1. 't.+ fi , •: Pi i I si f* G • .4.-- ' f!,... 4a.... ... ,, . , „ ( ,, LIQUio 9 i CO2 System APPENDIX C MPCA DEMO CHECKLIST APPENDIX D LABORATORY REPORT EMSL Analytical, Inc. EMSL Order: 351202203 14375 23rd Avenue North, Minneapolis, Mn 55447 CustomerlD: PINE25 Phone /Fax: (763) 449 -4922 / (763) 449 -4924 CustomerPO: Ittto: / /www.emsl.conl minneaoolisiabC6emsl.conl ProjectlD: A tt n: Matt Lenz Phone: (612) 963 -0237 Pinnacle Engineering Fax: 11541 95th Avenue North Received: 04/11/12 7:40 AM Maple Grove, MN 55369 Analysis Date: 4/17/2012 Collected: 4/10/2012 Project: McDonalds Prior Lake Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 and /or EPA 600/M4 -82 -020 Method(s) using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 1 2x2 Ceiling Tan/White 40% Cellulose 10% Non - fibrous (other) None Detected Tile/Dining Area Fibrous 40% Glass 10% Perlite 35120220.3-0001 Heterogeneous 2 Sheetrock/Dining TanNVhite 10% Cellulose 90% Non - fibrous (other) None Detected 351202203-0002 Area Fibrous <1 % Glass Fleterogeneous 3 Bathroom Caulking White 100% Non - fibrous (other) None Detected 351202203-0003 Non Fibrous Fleterogeneous 4 Sheetrock Dining TanNVhite 10% Cellulose 90% Non- fibrous (other) None Detected 351202203-0004 Area Fibrous <1 % Glass Heterogeneous 5 2x2 Ceiling Tan/White 40% Cellulose 10% Non - fibrous (other) None Detected Tile/PlayArea Fibrous 40% Glass 10% Perlite 351202203 -0005 Heterogeneous 6 2x2 Sheetrock Tan/White 10% Cellulose 90% Non - fibrous (other) None Detected 351202203-0006 Ceiling Fibrous <1% Glass Tile/Storage Area Heterogeneous 7 Sheetrock/Storage TanNVhite 10% Cellulose 90% Non - fibrous (other) None Detected 351202203-0007 Area Fibrous <1 % Glass Heterogeneous 8 Sheetrock/Storage Tan/White 10% Cellulose 90% Non- fibrous (other) None Detected 351202203-0008 Area Fibrous <1% Glass Heterogeneous This is a composite result of wallboard, jt compound, and tape Analyst(s) tajj .••••••4:44---------- Rachel Travis (15) Rachel Travis, Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to daim product certification, ap pro aI, or endorsement by NVLAP, NIST or any agency of the federal govemment. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gradmetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. None Detected = <1 % Samples analyzed by EMSL Analytical, Inc. Minneapolis, Mn NVLAP Lab Code 200019-0 Initial report from 04/18/2012 08:39:06 Test Report PLM- 7.16.0 Printed: 4/18/2012 8:39:06 AM 1 EMSL Analytical, Inc. EMSL Order: 351202203 14375 23rd Avenue North, Minneapolis, Mn 55447 CustomerlD: PINE25 Phone /Fax: (763) 449 -4922 / (763) 449 -4924 CustomerPO: httol/www emsl.corrt minneaoolislabl5emsl con ProjectID: Attn: Matt Lenz Phone: (612) 963 -0237 Pinnacle Engineering Fax 11541 95th Avenue North Received: 04/11/12 7:40 AM Maple Grove, MN 55369 Analysis Date: 4/17/2012 Collected: 4/10/2012 Project: McDonalds Prior Lake Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R- 93/116 and /or EPA 600/M4 -82 -020 Method(s) using Polarized Light Microscopy Non - Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Tvee 9 Sheetrock/Storage Tan/White 10% Cellulose 90% Non - fibrous (other) None Detected 351202203-0009 Area Fibrous <1 % Glass Heterogeneous 10 Red Shingle Red/Black 15% Glass 85% Non - fibrous (other) None Detected 351202203-0010 Fibrous Heterogeneous 11 Red Shingle Red/Black 15% Glass 85% Non - fibrous (other) None Detected 351202203-0011 Fibrous Heterogeneous 12 Red Shingle Red/Black 15% Glass 85% Non - fibrous (other) None Detected 351202203-0012 Fibrous Heterogeneous 13 Roof Flashing Gray/Black 85% Non - fibrous (other) 15% Chrysotile 351202203-0013 Fibrous Heterogeneous 14 Expansion Gray 100% Non - fibrous (other) None Detected Caulking Non - Fibrous 351202203-0014 Heterogeneous 15 Door Brown 100% Non - fibrous (other) None Detected Caulking/Black Non-Fibrous ' 351202203 -0015 Heterogeneous Analyst(s) Rachel Travis (15) Rachel Travis, Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection acts thes or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gradmetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, budding materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. None Detected = <1% Samples analyzed by EMSL Analytical, Inc. Minneapolis, Mn NVLAP Lab Code 200019-0 f Initial report from 04/18/2012 08:39:06 ) eoat PLM- 7.16.0 Printed: 4/18/2012 8:39:06 AM THIS IS THE LAST PAGE OF THE REPORT. 2 if Asbestos Chain of Custody EMSL ANALYTICAL, INC. 41, EMSL Order Number (Lab use OW: 14375 23 AVE NORTH MINNEAPOLIS, MN 554 47 , gd 03 PHONE: (763)449 -4922 t FAX: (763)44911924 EMSL -BIM to: ❑ Same ❑ Different company . Pinnacle Engineering It Bill to is Different rate instructions in Comments" Street: 11541 95th Avenue N Third Party BPkng tequilas written euthortzetion from third party i , 1 qty: Maple Grove 1 State/Province: MN Zip/Postal Code: 55369 USA Report TO (Name): Mat Lenz Fax 0: I f T o k o m ona g 612- 963 -0237 m lenz inen Email Address: g . com P It rcJect NameINumber /4 eDo,r",d.Le) s Yno r - 1 Please Provide Results: • Fax tii Email Purchase Order: U.S. State Sam . Taken: r Turnaround Time TA 0 . . • - Please Check L 3 Hours • 6 Hours 1•E1L IlL ;; L ,. ,, L 71P Da Its 10 Da ,N For TEM Air 3 hoursf9 hours, please car ahead to sdroduie.' There is a premium charge for Hour TEM AHERA or EPA Level 1 AT. You will be asked to si an huthorizaticn form for this service. Analysis completed in accordance with EMSL'a Terms and Conditions located in the Analytical Price Guide. - Afr TEM - Air ❑ NIOSH 7400 ❑ AHERA 40 CFR, Part 763 ❑ Microvac - ASTM D 5755 ❑ vil OSHA 8hr. TWA ❑ NIOSH 7402 ❑ Wipe - ASTM D6480 t pUM - Buik freoordna limit) ❑ EPA Level II ❑ Carpet Sonication (EPA 600/J- 93/187) R A! . EPA 800/R- 93/118( <1%) ❑ ISO 10312 SolVRock/Yermlculite y ❑ PLM EPA NOB ( <1 %) TEM - Buik ❑ PLM CARE 435 - A (025% sensitivity) Point Count ❑ TEM EPA NOB ❑ PLM CARB 435 - B (0.1% sensitivity) ` ❑ 400 ( <0.25 %) ❑ 1000 (<0.1 %) ❑ NYS NOB 198.4 (non - friable -NY) ❑ TEM CARB 435 - B (0.1% sensitivity) s Point Count w/Gravimetric ❑ Chatfield SOP ❑ TEM CARB 435 - C (0.01% sensitivity) ❑ 400 (<0.25 %) ❑ 1000 (<0.1 %) ❑ TEM Mass Analysis -EPA 600 sec. 2.5 ❑ EPA Protocol (Semi - Quantitative) ❑ NYS 198.1 (friable in NY) TEM — Water. EPA 100.2 ❑ EPA Protocol (Quantitative) ❑ NYS 198.8 NOB (non - friable -NY) Fibers >10 jm ❑ Waste ❑ Drinking Other. • _ 4, * L: I <1% All Fiber Sizes 0 Waste 0 Drinking r ❑ Check For Positive Stop — dearly Identify Homogenous Group , Samplers Name: I Samplers Signature: Volume/Area (Air) 1 Sample 0 Sample Description HA 0 (Bulk) 8ampk+d a s ,bak , 1 ..__ 01 3 1 ,.L v a a < mo , t, '- 1 {71 a - a-� � s „I , � 1, s � e ; 7 51 1-.-0 ... .-R A eq.., A 1 E� client Sample II (s): / (5 Total If of Samples: Relinquished (Client): Date: t-14/46 U / Time: + . �� Received (Lab): 'Q, (A/ Date: ` 1/ I 1 Time: 7: !o 'AL+ Commits/Special Instructions: o Coreoled Natinent— Atbestes COC — Rt — 3/1M000 Page 1 of pages 351202203 Asbestos Chain of Custody EMSL ANALYTICAL, INC. 14375 23RD AVE NORTH , EMSL Order Number (Lab Use OW MINNEAPOLIS, MN 55447 ' - . gdtn PHONE: (763)449-4922 FAX: (763)449-4924 , , , 1 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Volume/Area (Al,) DateMme ! 1 Swirls' Sample Description HA 1 (Bulk) Sampled 1 I i i 11 /0 1 C•...) i I /1 /1 7 I I 1 1 I I I / ) ‘ /? 1/ 15 2.4..j.--- F I , ° OKI I 1 1 Y F-FX p Y t ) 1 o el i / 6-44- t6/157a-e-k.._ , , i . 1 s , 1 , ■ 1 ! i 1 1 ,.. i *CommeldsISpeclal Instructions: 1 Page .. ......P*1$ Cadellall Desumit - Mein COC - RI -MONO PF S PFS Corporation Assurance you can build on' An Employee -Owned Company Midwest Region July 2n 2012 1507 Matt Pass Cottage Grove, WI 53527 Phone: 608.839.1013 Fax: 608.839.1014 Mr. Robert D. Hutchins Building Official City of Prior Lake Website ww 4646 Dakota Street - SE w. pfsc orpdrati o n.com Prior Lake, MN 55372 Ron Reindl, AIA Vice President Midwest Region RE: Fullerton Building System, LLC. rreindl@pfscorporation.com Dear Mr. Hutchins: Headquarters Cottage Grove, WI 608.839.1013 This is to inform you that PFS Corporation (third party agency) is retained by Fullerton Regional Offices Building Systems, LLC of Worthington, Minnesota, for the purpose of auditing a Quality Control Program and to perform inspections on production of their manufactured panel Northeast s buildin This project is panels for a McDonalds located in Prior Lake. PFS is approved b Bloomsburg, PA buildings. p J p pp by 570.784.8396 IAS and our number is AA652. South Central Dallas, TX PFS inspects the manufacturing facility and its production with such frequency and as 214.221.5585 p g �' p q Y thoroughly as necessary to verify that the Fullerton Building Systems, LLC production process Western s Angeles, CA quality control program is in compliance with current State regulations. The audit process 310.559.7287 includes the fastening of the plywood to the panels and weather barrier. Midwest Cottage Grove, WI 608.839.1013 The presence of the PFS certificate on the manufactured building is your assurance that PFS Southeast oversees the production of the unit as described above. Raleigh, NC 919.845.8450 If you have any questions or I can be of further assistance, please feel free to contact me at any Sales Office time Mentone, AL 256.634.4071 Sincerely, "J SCC Accredited CS-PIS ^k. Ronald H. Reindl, R.A. Vice President - Midwest Region Fullerton Bldg Sys. ltr -1 /rhr ACCREDITED cc: Dan Rautenkranz (Fullerton Building Systems) QM # Li1 ° .-4 illas 0 0 moo= ti, =moms ‘‘M/ Z ,0 �• eau OUSE 0 a� „l a MEO en gz, on ° 9. ' " 1.-It a NE&a mit o E' E MEN tam. FBI V) • ' a Oi ftj Q ., i u C3 � 1p' fon 4) .ii rt ° ` :r (.0) C1,1 V Q a JOWLS )..1 Iii14 illi ¢ N O !ll `4.fm, tA 04 (NI cn 10ma Lo cm N N y 11 • ry v. O N N Z c o m M �V Y N Z n ,. § o 4-, U < ... / (n O O t F: �/ 4=ca "ZS < 6i� �- ( V I� r t 1 1 I I J AM . 0 3 4 . 4 wi ., O o • O 8 -6 ,2 z y V o � -ti u Lo R3 ,,, a " ¢ o o ▪ � o = o — g o a 4M. N tz O_ U o U U 4. r- o m cu = O U ▪ a �� i llesillat401 V cNi p ...._ t , Imo C ct ° h-1 h i'',' ti S u OE C o 4 -Ell MO as _Di o Mgt r i, E i ,„,-,„* ,,,, i-, , , i f ' i a i I li I ; ;I i i n t � 1 Ill n �, t"1 I'1 rs, 3 f,� C 1 n finialardi t�1/n 1 � � (�� l rl` I 3 3 III III t Om 4- +' - ai 2 u) ai u ) i 2 " ' 4 _N • i O a. a 0 a a a , geed$ E3 _ .c ,� 0 C = 0 00 i W c a n Q Q a w o F • 11 O c c c c c c c O C) �p W O O O O O O O 0 c .) O m W (o r f0 (0 t0 (0 (0 f0 bA V la rz. p 0 t 0 r -E -c f - -C o I U 0) U U U U U U ;? �' a C 0 C C C C C C W • k 0 W 0 0'T O O O O 0 0 '" ED Z fl-Z ) Cn Q N a) N a) N N N'- a) _ Z MO a� a a a a c::), o_ - C'a C C C c c 05 C ^d ', co U c o co ' c c c ` P: 6 g v fix! NI- LM ICI aa s .- -D.. Ti- .-O • o° _ M .r., O mei a Z p e- ME tin H Z c c c c c c c or 4. all 0 . C) Z a Q a 0- ' r J Ego 2 ta' t E a as r oiiM 0 O i. 1'M W A G ▪ t} 43 c 0......4 U '� .o Q a L'/ NISEI al wH OM o ad r T . 0 en co E ` wry / m o = • F. � i f M 164 OM Z E - • a Taal `° 3 c 3 0 ° ° f--1 a c co c77) iii U t • ) 4M 00 0 - '2 2 T .O (0 - 8 ` c a sr ERE 0 0 0 rmisl ��//�� ` 'O U U - c r ims o r c 8 8 2 O Y '� ...,F! 5` u v� cn = 0 " • a CM W - d 0 a r/�� ) V1 ��Z E � J _ N N c a wao Carg M � O N ,� 'q y L� (n V p O V ' cm s. a c - O O� 'O U N , a = fEEE w ..' IMO 4M O N (0 .(0 U Q . 9 o o y o . O 3 Ga $ r N (d O-0 -` O C/] O O 0-. u OM ( (n a O 5 ° QM I I gU l t , w ^ ^' L) 4 M. 01 86 I ii m 1_ m a I_ Ig I I m I lim . 11 .. IN M11 .. ..: �I' _...._._ MI i ... .._.m 11111 ) €� 1 � ... 1 111_...:�..� MINNIIIIMINMIMIII I o 10 —_ W ? (1) ca N 0 (I) CO N C D D D � 0 D D 1ii *8 E M a te ) 0 ai a Q) 0 m moll* =8 CO MIN o 0 0 0 0 0 O /= �i Ow a a a a a a a w6 ice c c c c c C c ° 1 Qcr _ ,, w 0 0 0 0 0 0 0 �; o M z U w w 4— w w a u a a) a) a) a) a) a) a) V a p U a c c c c c c c - 0 W 0 0 0 0 0 0 0 0 0 1, 1_ a z 'i .0 v Ei .v 5 f a �) Z a 0 o Q a n a c c C c (0 (0 c b _ N M to N- r In ti N N co M ,- N N `` g E i ce • , o 0 • f ' F Cm %v w 0 It Z 4 d MO tU o z O c , ■ ct) H r= c c c c c c c N V c6 ca ca co c0 ca c0 v q - - - g ii,,, W Q Q Q Q Q Q a s Q `0 . c Z d c c c c c c c c y = � �. a O w_ • , ,s a W w o .� i... t 70 h i i i NEBO O r 4., s...... ti t NO Z p"Q -0 I4iC C 3 0 3 a) t iiiiii 1-1 j ^ - > m 8 O Qincom LLZ ° ° as i0 2 'C N 'a un 0 ® copy) 0 a) Mt Ill _ a N u � BM N e -- n �) Y. LI z C 0 F, 1' WEl o a d t iiiii U C O �6 M a T. i ' l O o a : ME O f0 N � c c � 5/ v o =� Oros ° o o a mo 1 a U IQ— i5 o �) OM 0 10 1001 I I I 1 ; ; 1 ' 1 1 al E Nig 1 11 III 1 / ' I 110M 0 I 1 1 11111 intik' MINI III 111111i 11 Irmo 2 ..,....„,,,,,....,,,,,,..ww,„ .„‘,,,,,,, w .,...„,,w,„,,y,„,,,, ..„,...,.,,,..,„,, - l:Yt. ,G b i 1# r AN to e+ — /nR r tnith a) O O F.2 N N $ o = v) 2 2 Q 3 3 ' N - c -0 Q 0 U = -c -c /0/11111188 .. Q y o o a � i w a o o ,n M "= • NO 0 ,____ 0 w 0- a o 0 c., 2 2 ti o . a o b o P a 1— O O N 4- r (A cn V O O �:a :_ W ( 6 U Q O a) a U 0 4 Z () w w 8 'C N c O E !E a H t 1 O ai v o o m .� c E cn 0 .o m a te ) oms Alli H a �0 0_ Li_ 0 �rno�V � � 0 O O a O O V 0 O t3 N V co O O co W d Z - LL :- a ? c ,-- . ca ua U i.) 1.1 U) O is n•5 O U o a I' Z Q y u c v0) N O m o cu c u u c ' c . _ 0 =m. =o ctmw�a��am • c ,cm o u) ZS co (n 0 o fn n2 U-t (nN fnv a�i c LL LL LL .`-. U LL U w (6 U CO LL LL a o , � a� ar acnQ 0- .E o�¢a a� ar a 4 __, l'—''H....i c.; .c.„ 4 -1 ton ^ C C C C C c t N c ~ (0 N (6 as CO 03 ., . 0 `p O z d CC C C C C C c 1.: No kiti, LU - 6 f? Iv v Ori v ) of ill te r+ 1 o. U • co o Q w _0 a =mo 0 4 a¢ a) 0 c 0 - 4 0 0 H C -a al a..4 E 2 o • as a) g o 6 y a � o p 4 LL Zma 0 gi 10 O O 0 e ; u , D ii.O m o s� a y E° J W L w a • a N Fo r /� LL as N o 1 C O p 7 a) q o mom _ _ 0 U p U E v a MEM o ... ' C 0 O O w l Cl) it C C N U N a a C dXfl a (0 o0 w E ca U �'" O N N as o C ~` '• o a5 To :6 '0 2 t a 4---4 C a) Q+ c U d as (n 2 0 Q a . 7 � 0 ' '' 1 I MO U IIIIMMOU01 "Pi man' i - 1 ill riT-- N t'aeiATrAraveritimarturiitilubd to - Immo of iimilmommalm isimmilum LE) 427== gig MO ".` L 3 ring§ am) gion O 0 0 m 0 as o 0) U 6 s�l�I 8 �«r C r V OM O w n n v ° U Oc 1 0 Q w ° O � 4. 1— D r C C 2 -0 c c O O 0 'n v :J W p :.. 3 0 0 U- > ... „'- o =� 2WH 5 5 •OU o5o L Z O N M w a) p) — a) . a) P. N o MO & _ Q • C� C O � (n 3 C O U � Cri_IN a '.�J U r U d M Q 4 c =:/ Gov UV m —1 0 W D c o w o c pp �° 2 c c�a 1 ul j} a Z a) p U d as U S/ 0 7.:7 ...1 Z Z < t (2. 4 o.. a)" o .2 2 (3) " in O f) 0 r O U N r 'V' •j fn v, • c 0 c N Ein�a r m w § 3 U) N (0 M O N-O (0 Q V ` °� r LL NI- LL LL r a) 0 LL U O t 1) a a 9 ?! r r C r N C U Q- o '� \ Cj -- = 3� � - 0 .� .� O W m c =� o Z c Na g g cm i -- I as q Q c c c c - 0 N C 1.... a) m m c co E a cu { ( 1 kr, , 0 0 W a s a m Q 0 ;� 4 O I CI Z n. c c c c c w 3 • a J ..7.4, T a) Q co co 0 $ o co c9. w - CI O c 0+1 CL 175 r.4 o .� N f �?1 MEE O C al' o • c. 1 Rs Coma = A Q O c • ==10, U T O 0 av 'J tiiiM 1- a0i c a ` � ' N i o " e t / a) Q 7 • C _ �yy O U N c ri 1 0 0 U o ,!:' 1 OD LL Z N U O U 3 a ' 0 ` a) m -0 0 0 0 3 N a) " 3 V) H N 0 E n3 O 0 ° o 0 Cl V Q U V O ' al v g J W c O f/) a) c a3 O Q w WV J c N > to o a g. 2. ISIIMD 1 Y °� E . QE w 0 L — O 0 „,i r O a) 0 O d V r di co .4 C - O y O C U „ a )j 4/1 C 3 C = • F. a s as H N U to m ( r 4 lao 4 rii . .. Y f I . ,... € x .1 Pot r \01 r Ali !ph , i1 E , I P , � �.:, ; mo GEOTECHNICAL EXPLORATION AND ENGINEERING REVIEW McDonald's Restaurant 16831 Highway 13 South Prior Lake, Minnesota NTI Project No. 11.50748.100 o f • NORTHERN TECHNOLOGIES, INC. _ r 6588 141st Avenue NW. Ramsey, MN 55303 763 -433 -9175 763- 323 -4739 Fax December 20, 2011 McDonald's USA, LLC Midwest Division 1650 West 82nd Street, Suite 900 Bloomington, Minnesota 55431 Attn: Mr. Ray Croaston Jr. Subject: Geotechnical Exploration and Engineering Review McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 Dear Mr. Croaston, In accordance to your request and subsequent authorization, Northern Technologies, Inc. (NTI) conducted a Geotechnical Exploration for the above referenced project. Our services included drilling seven exploratory borings and preparation of a geotechnical engineering report. Our work was performed in general accordance with our proposal of November 23, 2011. Soil samples obtained at the site will be held for 60 days at which time they will be discarded. Please advise us in writing if you wish to have us retain them for a longer period. We appreciate the opportunity to have been of service on this project. If there are any questions regarding our review and recommendations, please contact us at (763) 433 -9175. Northern Technologies, Inc. Anthony Francis, P.E. Project Engineer Stephen Johnston, P.E. Principal Engineer TABLE OF CONTENTS GEOTECHNICAL EXPLORATION AND ENGINEERING REVIEW McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 Page 1.0 EXECUTIVE SUMMARY 1 2.0 INTRODUCTION 1 2.1 Site / Project Description 1 2.2 Scope of Services 2 3.0 EXPLORATION PROGRAM RESULTS 2 3.1 Exploration Scope 2 3.2 Surface Conditions 2 3.3 Subsurface Conditions 3 3.4 Ground Water Conditions 3 3.5 Laboratory Test Program 3 4.0 ENGINEERING REVIEW AND RECOMMENDATIONS 4 4.1 Project Scope 4 4.2 Site Preparation 4 4.3 Foundations 5 4.4 Bearing Factor of Safety and Estimate of Footing Settlement 6 4.5 Slab -on -Grade Floor 7 4.6 Exterior Backfill & Subsurface Drainage 7 4.7 Surface Drainage 8 4.8 Utilities 8 4.9 Pavement Construction 8 5.0 CONSTRUCTION CONSIDERATIONS 11 5.1 Excavation Stability 11 5.2 Engineered Fill and Winter Construction 11 6.0 CLOSURE 11 APPENDICES Appendix A - Geotechnical Evaluation of Recovered Soil Samples, Field Exploration Procedures, General Notes, Classification of Soils for Engineering Purposes Appendix B - Excavation Oversize Diagram, Ground Water Issues, Placement and Compaction of Engineered Fill, Project Sumps Appendix C - Site Diagram, Boring Logs GEOTECHNICAL EXPLORATION AND ENGINEERING REVIEW McDonald's Restaurant 16831 Highway 13 South Prior Lake, Minnesota NTI Project No. 11.50748.100 1.0. EXECUTIVE SUMMARY We briefly summarize below our geotechnical recommendations for the proposed project. The summary must be read in complete context with our report. The McDonald's Restaurant (McDonald's) may be supported on conventional perimeter and interior strip and spread column footings bearing on competent, non - organic natural soil or engineered fill, as recommended within our report. • Building linear strip footings and interior column footings may be proportioned using a maximum net allowable soil bearing pressure of 2500 pounds per square foot (psf). • Our exploration indicates fill extends to approximately 5 to over 16 feet below existing grade. We recommend additional evaluation during site stripping and excavation to confirm removal of unsuitable soils from below project construction. • Our drill crew observed free ground water in Boring 3 at approximately 16 feet below existing grade (corresponding to elevation 952.4 feet), during or at completion of the boring. Free ground water was not observed in the remaining borings. The ground water observed in Boring 3 is most likely perched water, trapped in sand seams in the silt and clay soils at this site. We direct your attention to other report sections concerning ground water issues and subsurface drainage. 2.0. INTRODUCTION 2.1. Site / Proiect Description The site is located at16831 Highway 13 South in Prior Lake, Minnesota and is currently occupied by an existing McDonald's Restaurant. The new building will be on the western portion of the site, in what is now parking lot and green space. There will be no significant grade changes. Page 1 McDonald's Restaurant / ,I Prior Lake, Minnesota V NTI Project No. 11.50748.100 2.2. Scope of Services The purpose of this report is to present a summary of our subsurface exploration and provide generalized opinions and recommendations regarding the soil conditions and design parameters for the building foundations. Our scope of services was limited to the following: 1. Explore the project subsurface by means of nine (9) standard penetration borings extending to depths of 15 to 20 feet, and conduct laboratory tests on representative samples to characterize the engineering and index properties of the soils. 2. Prepare a report presenting the findings from our field exploration and laboratory testing, and provide engineering recommendations for foundation type, footing depths, allowable soil bearing pressure, estimated settlements, floor slab support, excavation, engineered fill, backfill, compaction and potential construction difficulties related to excavation, backfilling and drainage. 3.0 EXPLORATION PROGRAM RESULTS 3.1 Exploration Scope NTI drilled and sampled 9 soil borings on December 5 and 6, 2011 with a CME -55 drill rig operated by a two person crew. Individual borings were advanced at the approximate locations shown on the soil boring location diagram in Appendix C. NTI located the borings relative to existing site features, and determined the approximate elevation of the borings relative to the top of the catch basin, south of Boring 7. The elevation of the catch basin is 961.7 feet, NGVD. The drill crew backfilled the boreholes with auger cuttings and cold mix asphalt patch to comply with Minnesota Department of Health Regulations. Minor settlement of the boreholes will occur. Owner is responsible for final closure of the boreholes. 3.2 Surface Conditions The site is located at 16831 Highway 13 South in Prior Lake, Minnesota. The existing McDonald's Restaurant sits in northwestern portion of the site, and is surrounded by bituminous parking lots and drive lanes. Surface drainage appears to flow towards the existing municipal storm water system. The maximum elevation change among our borings is 5.3 feet. Page 2 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 , 3.3 Subsurface Conditions Please refer to the boring logs in Appendix C for detailed descriptions and depths of stratum at each boring. The general geologic origin of retained soil samples is listed on the boring logs. The upper portion of each borings was sampled using auger flights and is approximate. Our borings in the existing parking lot penetrated approximately 3 to 3.5 inches of bituminous pavement and 3 to 5 inches of aggregate base course. Borings 3 and 8 encountered minimal amounts of topsoil and vegetation at the surface. Fill occurs at each boring location to depths of approximately 5 to 16 feet below existing grade. The fill consist of non - organic silty sand, sand with silt, and clayey sand. Standard Penetration N- Values in the fill ranged from 9 to 23 blows, indicating the fill was well compacted during placement. The fill is underlain by Coarse Alluvium (CA), Fine Alluvium (FA), and Glacial Till (GT) soils. The CA soils consist of silty sand and sand with silt. The sand is loose to dense based on Standard Penetration N- Values of 5 to 28 blows per foot. The GT soil consists of sandy clay with traces of gravel and is rather stiff in consistency with N- Values of 13 to 14. The FA soil consists of sandy silt and is rather stiff to stiff with N- Values of 13 to 17. 3.4 Ground Water Conditions The drill crew observed the borings for ground water and noted cave -in depth of the borings during and at the completion of drilling activities. These observations and measurements are noted on the boring logs. Our drill crew observed free ground water in Boring 3 at approximately 16 feet below existing grade (corresponding to elevation 952.4 feet), during or at completion of the boring Free ground water was not observed in the remaining borings. The ground water observed in Boring 3 is most likely perched water, trapped in sand seams in the silt and clay soils at this site. We direct your attention to other report sections concerning ground water issues and subsurface drainage The cave -in depths of the borings were approximately 9.8 to 18 feet below existing grade. 3.5 Laboratory Test Program We determined in situ moisture contents and fines content (percent passing the #200 sieve) of selected soil samples. The test results are shown on the boring logs in Appendix C. Page 3 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 4.0 ENGINEERING REVIEW AND RECOMMENDATIONS The analysis and recommendations in this report are based upon our interpretation of the standard penetration resistance determined while sampling soils, classification of retained soils, the laboratory test data, and experience with similar soils. The following recommendations are based on our present knowledge of the project. We ask that you or your design team notify us immediately if significant changes are made to project size, location or design as we would need to review our current recommendations and provide modified or different recommendations with respect to such change(s). 4.1 Project Scope The building will be an approximately 4,500 square foot, single -story slab -on -grade structure with perimeter bearing walls and a steel joist or wood truss structural system to support the roof. Structural loads have not been provided, but we estimate perimeter wall loads of approximately 2 to 4 kips per lineal foot, and interior bearing wall loads of approximately 2 to 3 kips per lineal foot. Interior column loads are estimated to be about 45 to 55 kips. We assume that the floor elevation of the new building will not be significantly different than the floor of the existing building. Our assessment of the project soils, and opinions and recommendations presented within this report are based directly on our estimated structural loads as applied to the existing site soils. 4.2 Site Preparation The new building can be founded on the existing fill, provided construction complies with the recommendations in this report. When the existing building is demolished, the footings and floor slab should be broken up and removed. Project construction will involve stripping of the site and implementation of corrective grading. We recommend removal of the existing bituminous pavement section, topsoils, and/or other unsuitable material(s). Our field exploration indicates that the site stripping should result in excavations generally extending less than 1 foot below present grade. In the unlikely event that excavations extend below footing grade, they should be appropriately oversized. The minimum excavation oversize should extend per the requirements outlined in the diagram in Appendix B. Page 4 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 The fill and native sand soils at the base of excavations for the floor slab and foundations should be surface compacted with a large vibratory roller to at least 98 percent of the Standard Proctor maximum dry density (ASTM D698). The Geotechnical Engineer of Record or their designated representative should observe and test project excavations to determine removal of unsuitable material(s) and adequate bearing support of the fill and exposed soils. Such observations should occur prior to the placement of engineered fill, or construction of footings and floor slabs. The non - organic silty sand and sand with silt soils on site may be used as engineered fill for preparation of the building pad. Additional fill required within the perimeter of the building and under sidewalks should consist of imported pit run granular fill with 100 percent passing the 1 t/z inch sieve and no more than 10 percent passing the No 200 sieve. Engineered fill for site corrective earthwork and for support of project footings should be tempered for moisture content and compacted to no less than 98 percent of the Standard Proctor maximum dry density, ASTM D698. 4.3 Foundations The following bearing recommendations are based on our understanding of the project. We request that we be notified if any changes are made to the building's size, location, design, or site grades so we can assess how such changes impact our recommendations. The Building may be supported on perimeter and interior strip and column footings bearing on competent, non - organic native soils, or approved engineered fill, providing such construction complies with the criteria established within this report. Footings may be designed for a maximum net allowable soil bearing pressure of 2500 psf as summarized within Table 1. Page 5 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 ••■ ' Table 1: Recommended Maximum Net Allowable Soil Bearing Pressure 1 Location Criteria Perimeter Strip Footings, Perimeter Columns: Perimeter strip footings Maximum of 2500 psf and perimeter column footing supported on natural soils or engineered fill below depth of frost penetration, and at an elevation as referenced within this report. Interior Strip Footings: Interior strip footings supported on natural, Maximum of 2500 psf competent soils and/or engineered fill at a depth which provides no less than 6 inches of clearance between the top of footing and underside of floor slab (for sand cushion). Interior Column Footings: Supported on natural, competent soils and/or Maximum of 2500 psf engineered fill at a depth which provides no less than 6 inches of clearance between the top of footing and underside of floor slab (for sand cushion). 1. Maximum net allowable soil bearing pressure recommendations predicated on footing design and construction complying with recommendations presented within this report. To minimize local failure of supporting soils, it is our opinion footing construction should comply with the International Building Code (IBC) requirements. The perimeter strip footings should be based at a depth of at least 3.5 feet below outside finished grade for frost protection. Continuous strip footing under bearing walls should be at least 1 foot wider than the walls they support. Interior footings should be based a least 1.5 feet below design floor elevation. Footings for appurtenant unheated structures, such as an entry canopy, trash enclosure, and light pole bases, should be based at least 5 feet below grade. 4.4 Bearing Factor of Safety and Estimate of Footing Settlement The recommended soil bearing pressure provides a factor of safety greater than 3 against localized bearing failure when construction complies with report criteria and recommendations. We estimate that footings loaded per report assumptions may experience long term, total settlement of approximately 1/2 to 1 inch. Differential settlement will be on the order of 25 to 50 percent of total settlement. Generally, the greatest differential settlement occurs between lightly loaded and heavily loaded footings, particularly if heavily loaded footings are located adjacent to lightly loaded strip footings. Much of the settlement will occur on first loading, as the structure is erected. Total and differential movement of footings and floor slabs could be significantly greater than the above estimates if construction is supported on frozen soils, the moisture content of the bearing soils significantly changes from insitu conditions, or snow or ice lenses are allowed to develop in the foundation subsoils. Page 6 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 4.5 Slab -on -Grade Floor The final 6 inches of fill below the concrete floor slab should consist of a "pit run" or processed sand (sand cushion) with 100 percent material passing the 1 inch Sieve and no more than 5 percent passing the No. 200 U.S. Sieve. The moisture content of the sand cushion should be tempered to the same limiting values as for the engineered granular fill. The sand cushion should be compacted until there is no more visually discernible settlement. We anticipate such compaction will be on the order of 98 to 100 percent of the Standard Proctor maximum dry density (ASTM: D 698). Design of the floor slab may be based on an estimated modulus of subgrade reaction (k) of 225 lbs /in We generally recommend that floor slabs be internally reinforced. However the need for reinforcement should be determined by the Structural Engineer of Record. If the interior floor slab is covered with impervious or near impervious surfacing such as, but not limited to, paint, hardening agent, vinyl tile, ceramic tile, or wood flooring, a vapor barrier system should be installed. The vapor barrier should consist of a synthetic membrane placed either below the sand cushion or at the underside of the concrete floor. The location of the membrane is contentious and has both positive and negative aspects on the long term performance of the floor system. The floor slab should be isolated from the walls and columns. Such isolation should include installation of a' /z inch thick expansion joint between the floor and walls, and/or columns to minimize binding between the construction materials. Such construction should also include application of a compatible sealant within the expansion joint after curing of the floor slab, to reduce moisture penetration through the joint. As a minimum, we recommend that a bond breaker be incorporated between the floor slab and foundation walls to reduce binding between components. 4.6 Exterior Backfill & Subsurface Drainage Exterior fill placement around the foundation and associated final grading adjacent to the building can significantly impact the performance of the project. We understand the project will not include basement construction or foundation walls which retain soils. Exterior backfill of at -grade foundation walls should consist of on -site, non - organic sandy soils. Placement of exterior backfill against the foundation walls should be performed concurrent with interior backfill to minimize differential loading, rotation and/or movement of the wall system. The backfill should be compacted to at least 98 percent of the maximum Standard Proctor dry density. Page 7 McDonald's Restaurant iv" Lake, Minnesota NTI Project No. 11.50748.100 4.7 Surface Drainage Positive site drainage should be maintained during and after construction. Water should not be allowed to pond on the site soils during construction. Exterior grades should slope away from the building on at least a 6% grade within 10 feet of the building. Roof runoff should be diverted away from the building by a system of interior roof and scupper drains, or rain gutters, down spouts and splash pads. It is our opinion interior roof drains plumbed directly to the storm water piping system provide the most favorable method of conveying drainage from the roof as interior drains do not freeze and such a system does not discharge runoff onto exterior sidewalks and pavements. 4.8 Utilities We anticipate underground utilities will be located below project pavements. Excavations and backfill of utility trenches should follow the general recommendations presented elsewhere in this report. Utility trenches should be backfilled with native soils placed in 6 -inch maximum depth loose lifts. The utility trench backfill should be compacted sufficiently to minimize future settlement of lawn and pavement areas. We recommend that such soils be compacted to no less than 90 percent of the Standard Proctor maximum dry density for non -paved locations, and to 98 percent Standard Proctor density for areas which receive pavement (i.e. sidewalks, driveways, parking areas). The stability of the utility trench sideslopes is dependent on soil strength, site geometry, moisture content, and surcharge load from excavated soils and equipment. The Contractor is solely responsible for assessing the stability of and executing underground utility and project excavations using safe methods. Contractor is also responsible for naming the "competent individual" as per Subpart P of 29 CFR 1926.6 (Federal Register - OSHA). 4.9 Pavement Construction The existing pavement section and other unsuitable material should be removed as outlined in Section 4.2. IF the pavement is removed by milling, it may be possible to reuse the millings for engineered fill or the aggregate base course for the new parking lot and drive lanes. We anticipate some variation in excavation and subgrade correction. Page 8 McDonald's Restaurant 1 1 Prior Lake, Minnesota NTI Project No. 11.50748.100 The project geotechnical engineer or their designated representative should observe and test the pavement subgrade excavation to determine that unsuitable materials have been properly removed and adequate bearing support is provided by the exposed soils. Such observations should be performed prior to the placement of engineered fill. We recommend that soils within 12 inches of exposed grade be compacted with a large vibratory roller until such materials achieve no less than 100% of the Standard Proctor maximum dry density (ASTM: D 698). The on -site non organic sandy soils can be used as engineered fill below the pavement. Additional import fill, if required, should consist of "pit run" sand or sand and gravel having 100 percent passing the 1 t/z inch Sieve and no more than 10 percent passing the No. 200 Sieve. Individual lifts of engineered fill should be tempered for moisture content, placed and compacted as follows: • Engineered fill placed to within 3 feet of the aggregate base layer should be compacted to no less than 95 percent of the Standard Proctor maximum dry density. • Engineered fill placed within three feet (3 ft) of the aggregate base layer should be compacted to no less than 100 percent of the Standard Proctor maximum dry density. Density tests should be taken during the engineered fill placement to determine that adequate compaction is achieved per project specifications. We also recommend performance of a "proof roll" of the completed subgrade section to define areas of underperforming soil and allow subsequent correction. The proof roll should be done using a tandem axle dump truck loaded to gross capacity. Acceptance criteria of the proof roll shall be limited to rut formation no more than one inch (1") depth (front or rear axles). Pavements should provide positive drainage to ditching, the local storm water collection system or natural drainage systems. The actual profile and grade of the pavement with respect to cross - direction and longitudinal gradient should be determined by the project Civil Engineer of Record. Underground utility crossing of the pavement should be performed concurrent with correction of the subgrade profile. We present cautionary remarks concerning stability of excavation sideslopes in Section 5.1 Excavation Stability. The Contractor is solely responsible for the evaluation, execution and safety of such excavations. For this project we estimate a stabilometer R -value of 25 for a clayey sand subgrade, which has been properly compacted. For a 20 -year design pavement life, and heavy traffic volumes, Table 2 presents our thickness recommendations. Page 9 McDonald's Restaurant /,� Prior Lake, Minnesota 7 NTI Project No. 11.50748.100 vow • Table 2: Recommended Pavement Thickness Design* Light Duty Heavy Duty Concrete Parameter Pavement Not A Pavement Note B Pavement Note c Untreated Aggregate Base Note` 7 8 8 Asphalt Concrete Base Note 2 One - 1 1/2 inch One - 2 inch lift NA lift Asphalt Concrete Wear NO1e 3 One - 1 1/2 inch One - 2 inch lift NA lift Estimated Subgrade Support k NA NA 275 psi Estimated Maximum Stress from Refuse NA NA 280 psi Truck Rear Tandem Axle Stress Ratio (based on 600 psi flexural) NA NA 0.47 Concrete Pavement (in) NOfe ° NA NA Minimum 8 Note A Pavement construction for light duty vehicles. Note B Pavement construction for heavy duty vehicles. No distinction between drive lanes and parking areas. Note C Concrete pavement construction for refuse truck turn around, and truck load/unload areas. Note 1 Aggregate base shall conform to Minnesota Department of Transportation (MnDOT) Specification Section 3138, Class 5 materials herein amended such that the percent crushed material within the aggregate is no less than 20 percent. Note 2 Asphalt Concrete Base shall conform to MnDOT Specification Section 2360. Note 3 Asphalt Concrete Wear shall conform to MnDOT Specification Section 2360. Note 4 Portland cement concrete pavement proportioned such that the 28 day flexural strength is equal to or greater than 600 pounds per square inch (psi). We recommend such pavement conform to MnDOT concrete mix designations. * All pavement construction shall be completed using NAPA or ACI approved methods to optimize the performance of in -place construction. We recommend that the construction specifications include necessary controls to eliminate practices which lead to poorly performing pavements. Pavement recommendations assume the subgrade soils and aggregate section below paved surfaces will drain to subsurface piping for eventual discharge into storm sewer, or above grade to ditching, or similar acceptable systems. Lack of surface and subsurface drainage will significantly reduce the capacity and longevity of the pavement systems indicated above. We recommend pavements receive annual maintenance, as a minimum, to correct damages to the pavement structure, clean and infill cracks which develop, and repair or resurface areas which exhibit reduced subgrade performance. The lack of maintenance can lead to moisture infiltration of the pavement structure and softening of the subgrade soils. This, in turn, can degrade the performance of the pavement system and result in poorly performing pavements with shortened life expectancy. Page 10 McDonald's Restaurant Prior Lake, Minnesota ( NTI Project No. 11.50748.100 . 5.0. CONSTRUCTION CONSIDERATIONS 5.1. Excavation Stability Excavation depth and sidewall inclination should not exceed those specified in local, state or federal regulations. Excavations may need to be widened and sloped, or temporarily braced, to maintain or develop a safe work environment. Contractors must comply with local, state, and federal safety regulations including current OSHA excavation and trench safety standards. Temporary shoring must be designed in accordance with applicable regulatory requirements. 5.2. Eneineered Fill & Winter Construction The subsoil should be tested for moisture content and density prior to placement of new fill. The backfill around the perimeter foundation walls of the structure should be tested in 1 -foot vertical increments. Frozen soil should not be used as backfill and foundations should not be placed on frozen soils. When the ambient air temperature falls below freezing for an extended period of time, frost forms, and soil near the surface grade experiences a moisture - volume expansion. Settlement of the fill may occur as the frozen soils thaw. During construction, footing and column pad excavations should be protected from freezing. If frost penetrates the soil prior to the placement of the footings, column pads or floor slabs, soils must be thawed, scarified, and re- compacted to the required percentage of compaction recommended in this report prior to concrete placement. Footing, column pad excavations, and floor slab areas should be inspected prior to the placement of concrete to determine that the frozen soils have been eliminated. 6.0 CLOSURE The conclusions and recommendations in this report are predicated on observation and testing of the earthwork directed by Geotechnical Engineer of Record. Our opinions are based on data assumed representative of the site. However, the area coverage of borings in relation to the entire project is very small. For this and other reasons, we do not warrant conditions below the depth of our borings, or that the strata logged from our borings are necessarily typical of the site. Deviations from our recommendations by plans, written specifications, or field applications shall relieve us of responsibility unless our written concurrence with such deviations has been established. Page 11 McDonald's Restaurant Prior Lake, Minnesota NTI Project No. 11.50748.100 � ' This report has been prepared for the exclusive use of McDonald's USA, LLC and its agents for specific application to the proposed McDonald's Restaurant in Prior Lake, Minnesota. Northern Technologies, Inc. has endeavored to comply with generally accepted geotechnical engineering practice common to the local area. Northern Technologies, Inc. makes no other warranty, express or implied. Northern Technologies, Inc. I herby certify that this plan, specification, or report er was prepared by me or under direct supervision and and d that I am a Duly Duly Licensed Professional Engineer under the Laws of the Anthony Francis, P.E. State of Minnesota. Project Engineer Anthony Francis Date: 12 -20 -2011 Reg. No. 48204 Stephen Johnston, P.E. Principal Engineer AF:sj Attachments Page 12 APPENDIX A GEOTECHNICAL EVALUATION OF RECOVERED SOIL SAMPLES We visually examined recovered soil samples to estimate distribution of grain sizes, plasticity, consistency, moisture condition, color, presence of lenses and seams, and apparent geologic origin. We then classified the soils according using the Unified Soil Classification System (ASTM D2488). A chart describing this classification system and general notes explaining soil sampling procedures are presented within appendices attachments. The stratification depth lines between soil types on the logs are estimated based on the available data. Insitu, the transition between type(s) may be distinct or gradual in either the horizontal or vertical directions. The soil conditions have been established at our specific boring locations only. Variations in the soil stratigraphy may occur between and around the borings, with the nature and extent of such change not readily evident until exposed by excavation. These variations must be properly assessed when utilizing information presented on the boring logs. We request that you, your design team or contractors contact NTI immediately if local conditions differ from those assumed by this report, as we would need to review how such changes impact our recommendations. Such contact would also allow us to revise our recommendations as necessary to account for the changed site conditions. FIELD EXPLORATION PROCEDURES Soil Sampling — Standard Penetration Boring: Soil sampling was performed according to the procedures described by ASTM D -1586. Using this procedure, a 2 inch O.D. split barrel sampler is driven into the soil by a 140 pound weight falling 30 inches. After an initial set of six inches, the number of blows required to drive the sampler an additional 12 inches is recorded (known as the penetration resistance (i.e. "N- value ") of the soil at the point of sampling. The N -value is an index of the relative density of cohesionless soils and an approximation of the consistency of cohesive soils. Soil Sampling — Power Auger Boring: The boring(s) was/were advanced with a 6 inch nominal diameter continuous flight auger. As a result, samples recovered from the boring are disturbed, and our determination of the depth, extend of various stratum and layers, and relative density or consistency of the soils is approximate. Soil Classification: Soil samples were visually and manually classified in general conformance with ASTM D -2488 as they were removed from the sampler(s). Representative fractions of soil samples were then sealed within respective containers and returned to the laboratory for further examination and verification of the field classification. In addition, select samples were submitted for laboratory tests. Individual sample information, identification of sampling methods, method of advancement of the samples and other pertinent information concerning the soil samples are presented on boring logs and related report attachments. Page 16 General Notes DRILLING & SAMPLING SYMBOLS LABORATORY TEST SYMBOLS SYMBOL DEFINITION SYMBOL DEFINITION C.S. Continuous Sampling W Moisture content- percent of dry weight P.D. 2 -3/8" Pipe Drill D Dry Density - pounds per cubic foot C.O. Cleanout Tube LL, PL Liquid and plastic limits determined in accordance with ASTM D 423 and D 424 3 HSA 31/4" I.D. Hollow Stem Auger Q, Unconfined compressive strength- pounds per square foot in accordance with ASTM D 2166 -66 4 FA 4" Diameter Flight Auger 6 FA 6" Diameter Flight Auger 2ihC 21/2" Casing 4 C 4" Casing Additional insertions in Qu Column D.M. Drilling Mud Pq Penetrometer reading - tons/square foot J.W. Jet Water S Torvane reading- tons /square foot H.A. Hand Auger G Specific Gravity — ASTM D 854 -58 NXC Size NX Casing SL Shrinkage limit — ASTM 427-61 BXC Size BX Casing pH Hydrogen ion content -meter method AXC Size AX casing 0 Organic content- combustion method SS 2" O.D. Split Spoon Sample M.A.' Grain size analysis 2T 2" Thin Wall Tube Sample C* One dimensional consolidation 3T 3" Thin Wall Tube Sample Q Triaxial Compression * See attached data Sheet and/or graph Water Level Symbol Water levels shown on the boring logs are the levels measured in the borings at the time and under the conditions indicated. In sand, the indicated levels can be considered reliable ground water levels. In clay soils, it is not possible to determine the ground water level within the normal scope of a test boring investigation, except where lenses or layers of more pervious water bearing soil is present and then a long period of time may be necessary to reach equilibrium. Therefore, the position of the water level symbol for cohesive or mixed soils may not indicate the true level of the ground water table. The available water level information is given at the bottom of the log sheet. Descriptive Terminology DENSITY CONSISTENCY TERM "N" VALUE TERM "N" VALUE Very Loose 0 -4 Soft 0-4 Loose 5 -8 Medium 5 -8 Medium Dense 9 —15 Rather Stiff 9 —15 Dense 16 — 30 Stiff 16 — 30 Very Dense Over 30 Very Stiff Over 30 Standard "N" Penetration: Blows per foot of a 140 pound hammer falling 30 inches on a 2 inch OD split spoon. Relative Proportions Particle Sizes TERMS RANGE Boulders Over 3" Trace 0 -5% Gravel - Coarse 3 " — 3" A little 5 -15% Medium #4 —'/d' Some 15 -30% Sand - Coarse #4 - #10 With 30 -50% Medium #10 - #40 Fine #40 - #200 Silt and Clay Determined by plasticity characteristics. Note: Sieve sizes are U.S. Standard. f Classification of Soils for Engineering Purposes ASTM Designation D -2487 and D 2488 (Unified Soil Classification System) Major Divisions Group Typical Names Classification Criteria Symbols Well - graded gravels m GW and gravel -sand Cu = D60 / D10 greater than 4. o > mixtures, little or no y Cz = (D30 / (D10 x D6o) between 1 & 3. fines. 2 m Poorly graded gravels c E e a 0 GP and gravel - sa n d 8 m Not meeting both criteria for GW materials. •y U mixtures, little or no a ;_ v ' o v f ines. co c . o o d 3 V y Atterberg limits EL 2 L Silty gravels, gravel - di co N m below "A" line, or Atterberg limits plotting o = GM sand - silt mixtures. e a �j = w in hatched area are w w P.I. less than 4. borderline • a) o m y C 3 o g Atterberg limits > y o c a > Clayey gravels, gravel c7 0 m above line w classifications requiring 75 0 0811 c7 LL GC sand mixtures. ab "A" liith use of dual symbols. o m P . I . greater than 7. N > d u , Well graded sands and m Cu = D / D1 co greater than 6. Z a SW gravelly sands, little or m N o 2 ai C no fines. C c $ $ Cz = (D30) / (Dto x D60) between 1 & 3. c o N N 2 Co Poorly- graded sands o Z z es o co '- 2 SP and gravelly sands, little z c Not meeting both criteria for SW materials. �1 y o 0 or no fines. c 0).s s ii z 1 o o y c i i. ,' Atterberg limits i y SM Silty sands, sand - silt .2 a N N below "A" line, or Atterberg lim plotting LS 0 c o mixtures. 8 - - o P.I. less than 4. in hatched area are LV as O- ' ,�. c = " gi r s a F o borderline 0o - o c use of dual symbols. w SC Clayey sands, sand w a e IS in Atterberg E abovee A " line with classifications requiring o ;co co u_ clay mixtures. V i �i P.I. greater than 7. Inorganic silts, very fine ML sands, rock flour, silty Plasticity index Chart o or clayey fine sands. 60 0 o Inorganic clays of low to o medium plasticity, awl ly.irllnuon.lin.d•.•.ddb CC o ravel) clays, sandy 50 .41.0m.a.I.nW ........call. V CL gravelly Ys Y ( 000. clays, silty clays, lean .u....................d...., c _.1 clays. m.d.r..i.sala.ro....�••u....do. 40 N.M. ., :0 w Orgnic silts and E o n OL organic silty clays of to — low plasticity. Z. 30 Inorganic silts, w I °LSOiM 1 ~ •n Line l > C micaceous or mm 0 L MH diatomaceous fine N sands or silts, elastic 0 N 10 I 0H6MHSWIS N SII1S. h 0 N CLMLS.iIs Z tu Inorganic clays of high aaMLS.a. N V ._. CH plasticity, fat clays. 0 1 1 N G 0 10 20 30 40 50 60 70 80 90 100 ka o Organic clays of Liquid Limit a . c o OH medium to high '2 LS y m plasticity. l°. to . u m t w - Peat, muck and other e 0 = O o highly organic soils. • APPENDIX B Excavation Oversize Excavation oversize facilitates distribution of load induced stress within supporting soils. Unless otherwise superseded by report specific requirements, all construction should conform to the minimum oversize and horizontal offset requirements as presented within the diagram and associated chart. Excavation Backslope Horizontal Offset A (Refer to Hotel) (Refer to Chart) Backfill Surface & Soils, Refer to report for specific Oversize Ratio H 1 material type and placement (Refer to Chart) 1\0\ Structure and /or Basement Unsuitable Solis (i.e. Excavated Materials), Refer to Chart and report for requirements. I Depth D: Engineered I Fill, Refer to report for material type and placement criteria. Competent Solis (i.e. acceptable for support of embankment and structure), Refer to report for specific requirements. Definitions Oversize Ratio 11: The ratio of the horizontal distance divided by the engineered fill depth (i.e. # Horizontal / Depth D). Refer to Chart for specific requirements. Horizontal Offset A: The horizontal distance between the outside edge of footing or critical position and the crest of the engineered fill section. Refer to Chart for specific requirements. Note 1: Excavation depth and sidewall inclination should not exceed those specified in local, state or federal regulations including those defined by Subpart P of Chapter 27, 29 CFR Part 1926 (of Federal Register). Excavations may need to be widened and sloped, or temporarily braced, to maintain or develop a safe work environment. Condition Unsuitable Soil Type Horizontal Offset A Oversize Ratio 11 Foundation Unit Load equal SP, SM soils, CL & CH soils with 2 feet or width of footing, Equal to or greater than to or less than 3,000 psf. cohesion greater than 1,000 psf whichever is greater Depth D Foundation Unit Load SP, SM soils, CL & CH soils with 5 feet or width of footing, Equal to or greater than greater than 3,000 psf cohesion less than 1,000 psf whichever is greater Depth D Foundation Unit Load equal Topsoil or Peat 2 feet or width of footing, Equal to or greater than to or less than 3,000 psf. whichever is greater two (2) time Depth D Foundation Unit Load Topsoil or Peat 5 feet or width of footing, Equal to or greater than greater than 3,000 psf whichever is greater two (2) time Depth D McDonald's Prior Lake Prior Lake, Minnesota NTI Project No. 11.50748.100 GROUND WATER ISSUES The following presents additional comment and soil specific issues related to measurement of ground water conditions at your project site. Note that our ground water measurements, or lack thereof, will vary depending on the time allowed for equilibrium to occur in the borings. Extended observation time was not available during the scope of the field exploration program and, therefore, ground water measurements as noted on the borings logs may or may not accurately reflect actual conditions at your site. Seasonal and yearly fluctuations of the ground water level, if any, occur. Perched ground water may be present within sand and silt lenses bedded within cohesive soil formations. Groundwater typically exists at depth within cohesive and cohesionless soils. Documentation of the local ground water surface and any perched ground water conditions at the project site would require installation of temporary piezometers and extended monitoring due to the relatively low permeability exhibited by the site soils. We have not performed such ground water evaluation due to the scope of services authorized for this project. We anticipate pumps installed within temporary sumps should control subsurface seepage from perched conditions. However, we caution such seepage from such formations and any water entry from excavations below the ground water table may be heavy and will vary based on seasonal and annual precipitation, and ground related impacts in the vicinity of the project. ` NORTHERN TECHNOLOGIES. INC. PLACEMENT and COMPACTION OF ENGINEERED FILL Unless otherwise superseded within the body of the Geotechnical Exploration Report, the following criteria shall be utilized for placement of engineered fill on project. This includes, but is not limited to earthen fill placement to improve site grades, fill placed below structural footings, fill placed interior of structure, and fill placed as backfill of foundations. Engineered fill placed for construction, if necessary should consist of natural, non - organic, competent soils native to the project area. Such soils may include, but are not limited to gravel, sand, or clays with Unified Soil Classification System (ASTM D2488) classifications of GW, SP, SM, CL or CH. Use of silt or clayey silt as project fill will require additional review and approval of project Geotechnical Engineer of Record. Such soils have USCS classifications of ML, MH, ML -CL, MH -CH. Use of topsoil, marl, peat, other organic soils construction debris and/or other unsuitable materials as fill is not allowed. Such soils have USCS classifications of OL, OH, Pt. Engineered fill, classified as clay, should be tempered such that the moisture content at the time of placement is equal to and no more than 3 percent above the optimum content for as defined by the appropriate proctor test. Likewise, engineered fill classified as gravel or sand should be tempered such that the moisture content at the time of placement is within 3 percent of the optimum content. All engineered fill for construction should be placed in individual 8 inch maximum depth lifts. Each lift of fill should be compacted by large vibratory equipment until the in -place soil density is equal to or greater than the criteria established within the following tabulation. Compaction Criteria (% respective Proctor) Type of Construction Clay Sand or Gravel General Embankment Fill 95 to 100 Min. 95 Engineered Fill below Foundations Min. 95 Min. 95 Engineered Fill below Floor Slabs 95 to 98 Min. 95 Engineered Fill placed against Foundation Walls 95 to 98 95 to 100 Engineered Fill placed as Pavement Subgrade Min. 95 Min. 95 Engineered Fill placed as Pavement Aggregate Base NA Min. 98 Engineered Fill placed within Utility Trench (to within Min. 95 Min. 95 3 feet of pavement aggregate base or final grade Engineered Fill placed as Utility Trench Fill (within 3 Min. 98 Min. 98 feet of pavement aggregate base or final grade Note 1 Unless otherwise required, compaction criteria shall be based on the Standard Proctor Test (ASTM D698). Density tests should be taken during engineered fill placement to document earthwork has achieved necessary compaction of the material(s). Recommendations for interior fill placement and backfill of foundation walls are presented within other sections of this report. Page 22 PROJECT SUMPS The collection, control and removal of seepage and runoff from within project excavations is critical in maintaining the bearing capacity of native soils, in -place density of engineered fill and stability of embankments at project excavations. As constructed, it is our opinion all sumps should consist of a 2 foot by 2 foot or larger plan dimension excavation(s) located adjacent to and directly exterior to the excavation oversize limit for structural engineered fill. Sump excavations should extend a minimum of 2 feet below the base of the excavation for collection of seepage and runoff. All sumps should be lined with a non - woven, needle- punched, geotextile having a grab tensile strength equal to or greater than 70 pounds per square inch (psi). A standpipe of 12 inches in diameter or larger should be centered within the sump excavation. This pipe should include sufficient openings for entry of seepage. We recommend that the standpipe extend to the ground surface to facilitate pumping during project construction. Infill within the sump area should consist of a 11 to 3/4 inch clear rock placed between the standpipe and walls of the sump excavation. Pumping of sump(s) should continue until completion of the construction or until the Geotechnical Engineer of Record indicates such pumping is no longer necessary for stability of the project footings and related construction. Sumps should be abandoned per methods required by the Geotechnical Engineer of Record and per Federal, State and local governmental statutes. Discharge from sumps should be directed away from site and be disposed within storm water systems or other systems which comply with Federal, State and local governmental statute. As constructed and operated, the General Contractor should be responsible for all permits, operation and abandonment of sumps or other temporary dewatering systems. APPENDIX C / - CI_ < Z O 1.1.0Z 'OZ i:13811303C1 001:94LOT II 103f0Ud 0 z -- [—■ 0 17 w --I w < l 0 0 w < CD z O . . _ . _ — _ _. _ il: ,,t, N, —j 0 6 _J o c , z ,, . 1 N - ili9z : : ,,,— - - • <^-3, ,rt AC.,(4 ill./1 IIVOcl 14 . , . 11....4.04,1,- ) 7,„ .•. {4 e o , ...„, I- ,J, t..) -,, 'WA: 1. ICA O. ,N.ISVI ...0,9•,...-•••••,,.., N N .' ---------- ,.. --'—... -------- ----'—. ----- -15- _, .,- M . , ,' • ,, , . N, —______ - 4") NN . N N '', 1•4. 4 - C/) ,,,,,.._ NN . '-, •-1 Ve4, / t -42, ' , NN i k, (9 o il, ' . ■ , cl) • , • - V a \ 0 . .. / .. N % \ ‘c - , lig. . ,. , . d - . 1 \ \ -t. A Vi „ \ \... ---4 . It' ''' '‘' . ‘ ,\ 111 0.'; — - - --- -' •P'9'.? -- ,..--- k_,---_,--- -;•-•. .... 0 _ • ..---- 9 , 1 - V4 ,,1 ( 7 0 **1111 k \ ',, . 't• ' 4 , 2 . \ ti Z .i. . , .._ ...• — (0) * R . ‘ 6 "... -...., \ 6 t i z Northern Technologies, Inc. o f) 6588 141st Ave NW BORING NUMBER 1 Ramsey, MN 55303 PAGE 1 OF 1 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5 /11 COMPLETED 12/5/11 GROUND ELEVATION 966.8 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 13'. Hole dry at completion. AFTER DRILLING - -- ATTERBERG i- = U a } w a ¢ o LIMITS w Q O MATERIAL DESCRIPTION S u.1 0 > w z b'. 1 6 w o i— Hi— U x O o o C aD OM mQ> g U' Q z 0 oz O c >- oO �J gJ coz W rn u a 0 U o- g- z 0 a :••••••, FILL: Silty Sand - SM, fine to medium grained, some gravel, I II AU - brown. i iii ' 1 • ❖.•, FILL: Clayey Sand - SC, fine grained, trace gravel, dark brown. ,•.•.4 POSSIBLE FILL: Sand with Silt - SP -SM, fine to medium grained, X SS 89 6 -6 -5 - �. ❖.• trace to some gravel, brown. 2 (11) 5 ∎iii 6 - 9 - 7 • • • • • • • , v S S n 3 83 (16) ��•�.�� ��i:••:4 X SS 89 6 -6 -7 - •O•, 4 (13) .•iii' MAO V SS 78 10-16-12 a•V∎ ^ 5 (28) - SANDY SILT - ML, brown, rather stiff. (Fine Alluvium) v SS 5-5-7 6 106 (12) 15 SILTY ixed SAND All - m) SM, fine grained, brown, moist, medium dense. X SS 7 4 -7 -6 uviu 106 (13) 20 SILT - ML, gray, rather stiff. (Fine Alluvium) V1 SS 67 (14) - (9 Borehole backfilled with auger cuttings. Bottom of hole at 21.0 feet. 1- z 0 a. a ui 0 a U Q J 0 U N Z J 0 U a7 S U w w w 0 OC Northern Technologies, Inc. BORING NUMBER 2 6588 141st Ave NW PAGE 1 OF 1 Ramsey, MN 55303 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5/11 COMPLETED 12/5/11 GROUND ELEVATION 966.2 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 18'. Hole dry at completion. , AFTER DRILLING - -- ATTERBERG i- a oo z w o LIMITS w v >-ix >- vnw a o z I- a 0 MATERIAL DESCRIPTION L A > C7 O a w' Z " w 0 1_ F U ►_ w 8 o 0v �� �z �� E010> ? vO v ¢ v �o — g ° z w LLJ co o� a o 0 o a Z 0 _• 3" Asphalt, 3" Aggregate Base. AU xv - :•;•:•■' FILL: Clayey Sand - SC, fine to medium grained, trace gravel, 1 i • �. ❖.•. brown to dark brown. . •0.' ❖. ❖, FILL: Silty Sand - SM, fine to medium grained, trace gravel, brown X SS 72 4 -6 -6 - x•004 to dark brown. 2 (12) 000.' 000.' ;:T:2: POSSIBLE FILL: Sand - SP, fine to medium grained, a little X 3S 106 6 1 0 6 - ;•;O gravel, brown. ( ) _ .000' ':❖ :•� POSSIBLE FILL: Sand with Silt - SP -SM, fine to medium grained, X SS 5 -6 -8 •.•� - :X44,, some gravel, brown. 4 (14) MO 10 • ∎ ∎, V SS 106 5-4 -7 ••• 'ASV 5 (11) 00.0' - .�•.•O$ • ❖•• , , I SS 78 8 -10 -9 ■ - i•O•O' - • • • • • •4, 15 % SANDY CLAY - CL, trace gravel, brown, rather stiff. (Glacial Till) X SS 5 -6 -7 7 44 (13) N 20 SS 6-6 -8 8 6 (14) (.9 Borehole backfilled with auger cuttings. 0 Bottom of hole at 21.0 feet. 1- z a 'a 0 ui 0 Fr a 0 0 J 1 8 0 m 0 z D J 0 U CO 2 0 W I- 0 w 0 Northern Technologies, Inc. O ) 6588 141st Ave NW BORING NUMBER 3 Ramsey, MN 55303 PAGE 1 OF 1 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5/11 COMPLETED 12/5/11 GROUND ELEVATION 968.4 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING 16.0 ft / Elev 952.4 ft LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 11'. . AFTER DRILLING - -- ATTERBERG 1— U } w 'au_ w o LIMITS w w � O MATERIAL DESCRIPTION a j ;1'5 m 0> Y - ? a 1-6 c)_ � F U W c" c7 Qz w oz 8 gO O g . co Z W ...., FILL: Silty Sand -SM, fine grained, trace organics, dark brown. 11 AU - •:•:. 1 - : : : :: FILL: Sand with Silt - SP -SM, fine to medium grained, trace X SS 78 8 -7 -5 - ;•;•; gravel, brown. 2 (12) 5 ••• •• v SS 7 -10 -9 ^ 3 72 (19) .:44, X SS 56 11 -13 -10 - . O.•� 4 (23) J.O 10 ��;�� SS 10 -9 -9 %i A 5 56 (18) . :i:i SANDY SILT - SM, brown, stiff. (Fine Alluvium) X ss 111 5.8.9 ( ) 15 SILTY SAND - SM, fine to medium grained, trace gravel, brown, �/ SS 56 12 -13 -9 ;; v wet. (Coarse Alluvium) /` 7 (22) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. 0 N a 1 - 0 0 c; D 1 - z 0 a O cc ui O E a co 0 J z Z S 0 0 z 2 7 J 0 0 2 00 0 w f- O w 0 Northern Technologies, Inc. BORING NUMBER 4 ( 6588 141st Ave NW PAGE 1 OF 1 Ramsey, MN 55303 Telephone: (763) 433 -9175 W Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5/11 COMPLETED 12/5/11 GROUND ELEVATION 965.7 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 10'. Hole dry at completion. AFTER DRILLING - -- ATTERBERG 1— a o z w LIMITS w U ac >- 0) w a a f - z o a p MATERIAL DESCRIPTION 1 -2-2, 2 > 0 O D¢ w z 1:.---..,- . � w o 1— H N v w se o III 0 mz °°C °° 0 >- O Z Sr g �Z w < 11 o: a 0 0 n .-- a 0 rii'ii 3.5" Asphalt, 4" Aggregate Base. AU FILL: Clayey Sand - SC, fine to medium grained, trace gravel, 1 dark brown to gray. SS 56 1 -2 -7 (9) FILL: Clayey Sand - SC, fine to medium grained, trace gravel, SS 111 9 -13 -10 brown to gray to dark brown. A 3 (23) X SS 94 3-2-3 SAND with SILT SP -SM, fine to medium grained, trace to a little 4 (5) gravel, brown, moist, loose to medium dense. (Coarse Alluvium) 10 I SS 2 -2 -4 : X 5 89 (6) X SS 6 -5 -7 - 6 100 (12) V 15 . _ ` / SS 6 -8 -6 7 83 (14) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. -a N 1- 0 CO 1- 1- Z 0 2 0 0 ui CC 0 E a dl 0 2 z S 0 m 0 z m 0 J 0 0 2 m 0 w w 0 i` Northern Technologies, Inc. 6588 141st Ave NW BORING NUMBER 5 Ramsey, MN 55303 PAGE 1 OF 1 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5/11 COMPLETED 12/5/11 GROUND ELEVATION 964.8 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 9.5'. Hole dry at completion. AFTER DRILLING - -- ATTERBERG I--• LLI 0 } o w w 5 W a LIMITS W o Q O MATERIAL DESCRIPTION _jg >0 OMQ w1Y zQw 0I- H UX Oo o az 0� mo 0 >- R g- .=. gri 0z LT, 0 cn cc d 0 0 0_ g Z 3" Asphalt, 4" Aggregate Base. I I AU - ••••• FILL: Clayey Sand - SC, fine to medium grained, trace gravel, 1 I 1 13 34 :+: dark brown. % i V SS 39 1 4 -) - • :• :. FILL: Silty Sand - SM, fine to medium grained, trace gravel, n 2 10 - .'.V.* brown. 5 !i;• FILL: Silty Sand - SM, fine to medium grained, trace clay, brown 3 56 (14) - .;... to dark brown. ; •;•; FILL: Silty Sand - SM and Clayey Sand - SC, fine to medium v SS 5 -7 -7 - •:•:* grained, brown to dark brown. n 4 78 (14) 10 i iii �. :: :� V SS 106 7-6 -8 - i••� 5 (14) . - . :•.• X SILTY SAND SM, fine to medium grained, trace gravel, brown, SS 111 (14) moist, medium dense. (Coarse Alluvium) 15 SAND with SILT - SP -SM, fine to medium grained, trace gravel, x SS 6 -7 -7 brown, moist, medium dense. (Coarse Alluvium) ^ 7 100 (14) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. a N a 1 — 0 is 0 D 1- z 0 a U ui Y 5 cc 0 E a N 0 J Q 0 U m U 2 m 7 J 0 U 2 a0 2 0 W F U W f Northern Technologies, Inc. BORING NUMBER 6 0 6588 141st Ave NW PAGE 1 OF 1 Ramsey, MN 55303 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/5/11 COMPLETED 12/5/11 GROUND ELEVATION 965.5 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 11.5. Hole dry at completion. AFTER DRILLING - -- ATTERBERG 1- a o z E w o LIMITS w v �¢ r cnw a si- z 0- a p MATERIAL DESCRIPTION w g w 8 O z¢ w� 2 a 1- 6 a ,- H 1 _ U W 0 o � � g z �� m � ? U O v >- Oz ° z w co o: a o 0 o g— 0_ LL 0 . 3" Asphalt, 5" Aggregate Base. 11 AU - 'i :i :$ Clayey grained, gravel, 14 35 ����� FILL: Cla a Sand - SC, fine to medium rained, trace ravel, 1 '4444,, brown to dark brown. :: :: :4 V SS 2 -6 -9 - : : : ::�, 2 (15) 5 +. X 3 ( 28 ) SILTY SAND - SM, fine to medium grained, brown, moist, medium / \ 3S 94 11()15 desen to dense. (Coarse Alluvium) SS 7 -9 -11 4 106 (20) 10 1 X SS 5 -6 -9 5 89 (15) CLAYEY SAND - SC, fine to medium grained, brown, moist, V SS 78 5 -4 -9 - medium dense. (Coarse Alluvium) A 6 (13) - le 15 SAND with SILT - SP -SM, fine to medium grained, brown, moist, 106 6-6-9 medium dense. (Coarse Alluvium) V A 7 (15) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. 0 N a 1- 0 0 1- F z _ O a O ui ii 0 rc a 0 0 J z Z S 0 0 2 2 D J 0 U 2 0) 2 0 w i- 0 w Northern Technologies, Inc. Of ) 6588 141st Ave NW BORING NUMBER 7 Ramsey MN 55303 PAGE 1 OF 1 ! , Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/6/11 COMPLETED 12/6/11 GROUND ELEVATION 964 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 12'. Hole dry at completion. AFTER DRILLING - -- ATTERBERG i- = v } a } } W Z H s LIMITS F I_ _ ac7 Wm w- z� 1—c � D z U _ z Cl- O MATERIAL DESCRIPTION _1m a 0 m j Y F W o < 0 c� z o a RE, gJ g z co o_ o- o 0 o 0 0- LL 3" Asphalt, 4" Aggregate Base. AU - :;0: FILL: Clayey Sand - SC, fine to medium grained, trace gravel, 1 _ ;•;•; dark brown. ''' SS 100 3-4 -7 - :•O: 2 (11) - 00. .'•'• c , • 5 •;•;• FILL: Silty Sand - SM, trace clay, fine to medium grained, brown X 3 111 5) - ••••,. to dark brown to gray. v.. - •i'i x SS 111 8 -9 -8 •••:.: FILL: Silty Sand - SM, fine to medium grained, brown. / ` 4 (17) 10 •+: v SS 94 7 -7 -5 _ • O • O• 5 (12) ... . . +.' V SS 83 7 -8 -6 - 1 i i. 6 (14) - 15 % %i v • SS 4 -6 -10 et. ^ 7 94 (16) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. 0 N a 1 - a c.q us D 1 - z a c a O a in 0 J A g U N z 0 J 0 0 S (0 S U W I- O w 0 er Northern Technologies, Inc. BORING NUMBER 8 6588 141st Ave NW PAGE 1 OF 1 Ramsey, MN 55303 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/6/11 COMPLETED 12/6/11 GROUND ELEVATION 963 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 10'. Hole dry at completion. AFTER DRILLING - -- ATTERBERG H- a o z w o LIMITS w w a °- 0 0 MATERIAL DESCRIPTION > 0 ¢ 1--c--- Z o w o U W O V o o` Ccc" � O . °°O >- O gg v °z w 0 < w a 0 0 X0 J a g- ci_ it 3.5" Asphalt, 5" Aggregate Base. 11 AU 44 . FILL: Clayey Sand - SC, fine to medium grianed, brown. 1 ■:+ FILL: Silty Sand - SM and Clayey Sand - SC, fine to medium X SS 100 4 -5 -7 ,�,•, grained, trace gravel, brown to dark brown to gray. 2 (12) i'i'i' 5 *; *.*: FILL: Silty Sand - SM, fine to medium grained, trace clay, brown. X 3S 1 11 9 ; 6 - .• : *: �. :.� SS 106 786 - Oi�i 4 (14) . : i : i 10 :•p. X SS 100 6-9-11 .x. 5 ( - : : :$ _ .•: *. iii X SS 78 +:. 6 5 -7 -10 (17) - •00. 15 : : :$ X SS 94 4 -6 -5 :::$ .�. FILL: Silty Sand SM, fine to medium grained, black. X 7 (11) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. 0 N F 0 co 0 D N Z 0 a ui EC 0 E a u) 0 J Q Z 8 U U Z M 0 0 U S m 2 0 w H O w fir ) Northern Technologies, Inc. 6588141st Ave NW BORING NUMBER 9 Ramsey, MN 55303 PAGE 1 OF 1 Telephone: (763) 433 -9175 Fax: (763) 323 -4739 CLIENT McDonald's USA PROJECT NAME McDonalds - Prior Lake PROJECT NUMBER 11.50748.100 PROJECT LOCATION Prior Lake, MN DATE STARTED 12/6 /11 COMPLETED 12/6/11 GROUND ELEVATION 965.9 ft HOLE SIZE 8" O.D. DRILLING CONTRACTOR NTI GROUND WATER LEVELS: DRILLING METHOD 3 1/4 Hollow Stem Auger AT TIME OF DRILLING - -- LOGGED BY BC CHECKED BY AF AT END OF DRILLING - -- NOTES Cave in depth = 10.5. Hole dry at completion. AFTER DRILLING - -- ATTERBERG F- = U a cc >- in w a o LIMITS Z 0 a 0 MATERIAL DESCRIPTION _ m w o O z< F N Z -`` � z o U x O e ° cc mz O m 0 } o z C7_ �_ Hp co w .� co Z w co cc 0 0 0 J d g- z 0 a '' —!z• •`' ORGANIC SILTY SAND - OL -SM, fine grianed, black. (8" 11 AU - : : : : :: Topsoil /Fill) r 1 • FILL: Silty Sand - SM, fine to medium grained, trace gravel, * brown. I AU 8 28 - .; * Large rock at 2' . 2 . _ •-•-• 5 .. ;• ;• V SS 89 7 -10 -9 ����� /\ 3 (19) • •••• FILL: Clayey Sand -SC, fine to medium grained, trace gravel, gray V SS 8 -7 -11 - • :• :. to brown. ^ 4 111 (18) ••.•. SILTY SAND - SM, fine to medium grained, trace gravel, brown, X 5 106 6 (12) - - moist, medium dense. (Coarse Alluvium) - .: SAND with SILT - SP -SM, fine to medium grained, trace gravel, v SS 6 -6 -8 • - - . : brown, moist, medium dense. (Coarse Alluvium) n 6 (14) 15 X SS 72 6 -10 -6 7 (16) Borehole backfilled with auger cuttings. Bottom of hole at 16.0 feet. 0 N 1 0 0 c� D 1- Z 0 a c9 ui cc 0 re a 0 0 J Z 0 0 0 M 0 Z D J 0 U = 0 0 W H 0 W Site ID: 022 -0129 HVAC Load Analysis for Mcdonald's 5020 160TH STREET S.E. PRIOR LAKE, MINNESOTA E aUS I .ftWire HVA CGMMBRCIAL4 • HVAC LOADS ,�41 J ` • \\ � p ew . 4� ' • ,1* 4 0 (15 -Or( Z. Prepared By: Lucas W. Sook Dunham 50th S. 6th Street, Suite 1100 Minneapolis, Mn. 55402 -1540 612 -465 -7550 Tuesday, May 08, 2012 Chvac -Full Commercial HVAC Loads Calculation Program F Elite Software Development, Inc. Dunham Associates, Inc. i Site ID: 0220129 Minneapolis, MN 55402 Page 2 Building Summary Loads J Building peaks in July at 5pm. $Idg Load 7 Sere � 4 t r9TPt ,,t Sei� L Ne# 4 47 ptioris r,„, da t.^ ?M5!.T } # a .1;08',5, Gain ..., , , Gal i , - A h... , fry- v, . k �. r' s 333y,�..���.•q'r�' Roof 3,712 11,637 2.53 0 4,188 4,188 1.08 Wall 3,210 31,193 6.77 0 6,297 6,297 1.63 Glass 535 35,199 7.64 0 34,915 3.4,915 9.03 Floor Slab 281 19,107 4.15 0 0 0 0.00 Skin Loads 97,136 21.09 0 45,399 45,399 11.74 Lighting 7,424 0 0.00 0 27,865 27,865 7.20 Equipment 22,500 0 0.00 10,890 84,450 95,340 24.65 People 103 0 0.00 25,326 28,153 53,479 13.83 Partition 0 0 0.00 0 0 0 0.00 Cool. Pret. 0 0 0.00 0 0 0 0.00 Heat. Pret. 0 0 0.00 0 0 0 0.00 Cool. Vent. 3,650 0 0.00 98,449 66,223 164,672 42.58 Heat. Vent. 3,650 363,342 78.91 0 0 0 0.00 Cool. Infil. 0 0 0.00 0 0 0 0.00 Heat.Infil. 0 0 0.00 0 0 0 0.00 Draw -Thru Fan 0 0 0.00 0 0 0 0.00 Blow -Thru Fan 0 0 0.00 0 0 0 0.00 Reserve Cap. 0 0 0.00 0 0 0 0.00 Reheat Cap. 0 0 0.00 0 0 0 0.00 Supply Duct 0 0 0.00 0 0 0 0.00 Retum Duct 0 0 0.00 0 0 0 0.00 Misc. Supply 0 0 0.00 0 0 0 0.00 Misc. Retum 0 0 0.00 0 0 0 0.00 Building Totals 460,477 100.00 134,665 252,091 386,756 100.00 Sgt / `_ . a� `?^ � c l 4. -% Sys ` a ° °' ° '4� : t - ,. . �� ;e fi ' ' ` ` G .:. } . `. � 1 Ventilation 363,342 78.91 98,449 66,223 164,672 42.58 Infiltration 0 0.00 0 0 0 0.00 Pretreated Air 0 0.00 0 0 0 0.00 Zone Loads 97,136 21.09 36,216 185,868 222,084 57.42 Plenum Loads 0 0.00 0 0 0 0.00 Fan & Duct Loads 0 0.00 0 0 0 0.00 Building Totals 460,477 100.00 134,665 252,091 386,756 100.00 Total Building Supply Air (based on a 18° TD): 9,781 CFM Total Building Vent. Air (37.32% of Supply): 3,650 CFM Total Conditioned Air Space: 3,712 Sq.ft Supply Air Per Unit Area: 2.6351 CFM /Sq.ft Area Per Cooling Capacity: 115.2 Sq.ftlTon Cooling Capacity Per Area: 0.0087 Tons/Sq.ft Heating Capacity Per Area: 124.05 Btuh / Sq.ft Total Heating Required With Outside Air: 460,477 Btuh Total Cooling Required With Outside Air: 32.23 Tons P:\ ...0412817- 018 -00 -PRIOR LAKE.CHV Tuesday, May 08, 2012, 03:17 PM Chvsc - Fg1l Comtmtercia11 VAC L", ad Calcula Program Elite So ftware evpnt, Ine, Dunham Asso c iates, inc. D Site elo ID: me 022 -0129! Minrteapotis; MN 55402 Page .3: Air Handler #1 - RTU -1 Kitchen - Summary Loads �y� f Y�8 Ip1t l ' e 1t R Zone .1 s, , Th re _ - f e AOP Cl ¢ � �' Pi R $q ft :Z' „ 3 h .. ♦ 4 10 Kitchen 725 10,138 92,291 16,286 Direct Direct 1pm July 9 1,500 4,804 0 1,500 1,500 6,525 2.07 6.63 0 1,500 1,500 Zone Peak Totals: 725 10,138 92,291 16,286 Total Zones: 1 9 1,500 4,804 0 1,500 1,500 Unique Zones: 1 6,525 2.07 6.63 0 1,500 1,500 P:\ ... \0412817 -018 -00 -PRIOR tAKE.CHV . • is ° Tuesday, May 08, 2012, 03:17 PM Chvac *Poll Commercial HVAC Loads.CalOulatton Program Elite Software Development, Inc, Dunham Assoc Inc. 1 S ite ID 0 22-012 9 : Minneapolis, MN 55402 Page 4 Air Handler #1 - RTU -1 Kitchen - Total Load Summary Air Handler Description: RTU -1 Kitchen Constant Volume - Proportion Sensible Heat Ratio: 0.85 -- This system occurs 1 time(s) in the building. -- Air System Peak Time: 1pm in July. Outdoor Conditions: Clg: 91° DB, 75° WB, 108.40 grains, Htg: -20° DB Indoor Conditions: Clg: 75° DB, 50% RH, Htg: 75° DB Summer: Ventilation controls outside air, - -- Winter: Ventilation controls outside air. Zone Space sensible Toss: 10,138 Btuh Infiltration sensible loss: 0 Btuh 0 CFM Outside Air sensible Toss: 149,319 Btuh 1,500 CFM Supply Duct sensible loss: 0 Btuh Return Duct sensible Toss: 0 Btuh Retum Plenum sensible loss: 0 Btuh Total System sensible Toss: 159,457 Btuh Heating Supply Air: 10,138 / (.970 X 1.08 X 6) = 1,500 CFM Winter Vent Outside Air (100.0% of supply) = 1,500 CFM Zone space sensible gain: 92,291 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 0 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 92,291 Btuh Cooling Supply Air: 92,291 / (.970 X 1.1 X 18) = 4,804 CFM Summer Vent Outside Air (31.2% of supply) = 1,500 CFM Retum duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 25,614 Btuh 1,500 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 25,614 Btuh Total sensible gain on air handling system: 117,905 Btuh Zone space latent gain: 16,286 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 42,071 Btuh Total latent gain on air handling system: 58,356 Btuh Total system sensible and latent gain: 176,262 Btuh . � "` 7 P 1 h 4 `S. .1 ;T u ° Total Air Handler Supply Air (based on a 18° TD): 4,804 CFM Total Air Handler Vent. Air (31.22% of Supply): 1,500 CFM Total Conditioned Air Space: 725 Sq.ft Supply Air Per Unit Area: 6.6265 CFM / Sq.ft Area Per Cooling Capacity: 49.4 Sq.ft/Ton Cooling Capacity Per Area: 0.0203 Tons/Sq.ft Heating Capacity Per Area: 219.94 Btuh / Sq.ft Total Heating Required With Outside Air. 159,457 Btuh Total Cooling Required With Outside Air: 14.69 Tons P:1.. .10412817 -018- OOPR10RR LAKE.CHV • Inv _ Tuesday, May 08, 2012,'03:4171'M Chvac -Full Com t VAC Loads Calculation Program 'lite Software Development, 10c.: DunhamAssaciates, inc. Site ID: -02=91Z)... Minneapolis, MN _ 55402 ' Page 5- Air Handler #2 - RTU -2 Support - Summary Loads 1 , pes nptot 3 d ;� . s Sell ain Lati.Gati 4 H10 0.A CIg O No one Peak lime eopI Fir I ii5 , , � . teq.� F �C . . it .. .... : ; :::.V i n , 1 Ii ff 0.0,17 oft s . Eli , ,A70: FMl= A O 6 Support 490 8,579 6,022 539 Direct Direct 5pm August 2 409 310 0 246 246 5,145 0.84 0.63 0 174 182 7 Manager's 55 1,926 2,512 0 Direct Direct 6pm July 0 92 129 0 24 24 495 1.67 2.35 0 39 76 8 Crew 100 4,145 1,858 341 Direct Direct 6pm June 1 198 96 0 43 43 900 1.98 0.96 0 84 56 9 Order 320 7,508 4,510 600 Direct Direct 3pm June 1 358 232 0 138 138 2,880 1.12 0.73 0 152 136 Zone Peak Totals: 965 22,158 14,903 1,480 Total Zones: 4 4 1,057 767 0 450 450 Unique Zones: 4 9,420 1.10 0.79 0 450 450 i J. P :\ ...0412817 -018-00 -PRIOR LAKE.CHV:j3' i'''t . ` : ' ". " Tuesday, May 08, 2012, 03:17 PM Chirac Full Commercial HVAC Loads Calculation Program Elite -Software Development, Inc. Dunham Associates, Inc. Site 11) 022-0129 Minneapolis, MN 55402 4 Pape 6 Air Handler #2 - RTU -2 Support - Total Load Summary Air Handler Description: RTU -2 Support Constant Volume - Proportion Sensible Heat Ratio: 0.91 — This system occurs 1 time(s) in the building. - -- Air System Peak Time: 5pm in July. Outdoor Conditions: Clg: 92° DB, 75° WB, 108.02 grains, Htg: -20° DB Indoor Conditions: Clg: 75° DB, 50% RH, Htg: 75° DB Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in June at 6pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 14,736. Summer: Ventilation controls outside air, -- Winter: Ventilation controls outside air. Zone Space sensible loss: 22,158 Btuh Infiltration sensible loss: 0 Btuh 0 CFM Outside Air sensible loss: 44,796 Btuh 450 CFM Supply Duct sensible loss: 0 Btuh Return Duct sensible loss: 0 Btuh Return Plenum sensible loss: 0 Btuh Total System sensible loss: 66,953 Btuh Heating Supply Air: 22,158 / (.970 X 1.08 X 20) = 1,057 CFM Winter Vent Outside Air (42.6% of supply) = 450 CFM Zone space sensible gain: 14,651 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 0 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 14,651 Btuh Cooling Supply Air. 14,736 / (.970 X 1.1 X 18) = 767 CFM Summer Vent Outside Air (58.7% of supply) = 450 CFM Retum duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 8,164 Btuh 450 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 8,164 Btuh Total sensible gain on air handling system: 22,816 Btuh Zone space latent gain: 1,480 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 12,138 Btuh Total latent gain on air handling system: 13,617 Btuh Total system sensible and latent gain: 36,433 Btuh is fst � -�' _ °l. r a ti �S .c „Q t dradrilik , n. ... Total Air Handler Supply Air (based on a 18° TD): 767 CFM Total Air Handler Vent. Air (58.66% of Supply): 450 CFM Total Conditioned Air Space: 965 Sq.ft Supply Air Per Unit Area: 0.7949 CFM/Sq.ft Area Per Cooling Capacity: 317.8 Sq.ft/Ton Cooling Capacity Per Area: 0.0031 Tons/Sq.ft Heating Capacity Per Area: 69.38 Btuh /Sq.ft Total Heating Required With Outside Air. 66,953 Btuh Total Cooling Required With Outside Air: 3.04 Tons P`1'i : 10412817- 018 -00 -PRIOR LAKE.CHV "`.', Tuesday, May 08, 2012, 03:17 PM CMvac •Full Commercial HVAC Loads Calculation Program Elite Software DevelOpm$trt,.tnC. Dunham Associates, inc. ( Site ID :022 -0129 Minneapolis, MN 55402 $ Page 7 :. Air Handler #3 - RTU -3 Dining & Toilets - S ummary Loads X111 "7� 1DC1 ea k " D$S ' e n GSin � 4 H + ,, t k0 ND y ` Zone 'eakT x Peopte j .� lI + Ig CFM Rte LF � M '. 1 Dining 1,675 47,485 68,205 19,800 Direct Direct 6pm August 90 2,266 3,456 0 1,450 1,450 2.06 0 1,245 1,396 16,750 1.35 2 Women's Toilet 138 3,925 1,831 0 Direct Direct 6pm August 0 187 93 0 96 96 0.67 0 103 37 1,104 1.36 3 Men's Toilet 122 382 1,076 0 Direct Direct 3pm July 0 18 55 0 84 84 0.45 0 10 22 976 0.15 4 Vestibule 1 42 7,554 5,915 0 Direct Direct 6pm June 0 360 300 0 34 34 7.14 0 198 121 391 8.58 5 Vestibule 2 45 5,494 6,060 0 Direct Direct 3pm September 0 262 307 0 36 36 6.82 0 144 124 419 5.83 Zone Peak Totals: 2,022 64,840 83,087 19,800 Total Zones: 5 90 3,094 4,210 0 1,700 1,700 Unique Zones: 5 19,639 1.53 2.08 0 1,700 1,700 , P,\ ...\0412817 -01 &0O =PRIOR LAKE.CHV " =1 a -i , i ' Tuesday, May 08, 2012, 03:17. PM Chvac FuII Commercial HVAC Loads Calculation Program B Software Development, Inc. Dunham Associates, Inc. Site ID: 022 -0129 Minneapolis, MN .5 Page 8 Air Handler #3 - RTU -3 Dining & Toilets - Total Load Summary Air Handler Description: RTU -3 Dining & Toilets Constant Volume - Proportion Sensible Heat Ratio: 0.80 — This system occurs 1 time(s) in the building. — Air System Peak Time: 5pm in July. Outdoor Conditions: CIg: 92° DB, 75° WB, 108.02 grains, Htg: -20° DB Indoor Conditions: Clg: 75° DB, 50% RH, Htg: 75° DB Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in August at 6pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 80,878. Summer: Ventilation controls outside air, -- Winter: Ventilation controls outside air. Zone Space sensible loss: 64,840 Btuh Infiltration sensible Toss: 0 Btuh 0 CFM Outside Air sensible loss: 169,228 Btuh 1,700 CFM Supply Duct sensible loss: 0 Btuh Retum Duct sensible loss: 0 Btuh Retum Plenum sensible loss: 0 Btuh Total System sensible loss: 234,068 Btuh Heating Supply Air: 64,840 / (.970 X 1.08 X 20) = 3,094 CFM Winter Vent Outside Air (54.9% of supply) = 1,700 CFM Zone space sensible gain: 79,411 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 0 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 79,411 Btuh Cooling Supply Air. 80,878 / (.970 X 1.1 X 18) = 4,210 CFM Summer Vent Outside Air (40.4% of supply) = 1,700 CFM Retum duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 30,844 Btuh 1,700 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on retum side of coil: 30,844 Btuh Total sensible gain on air handling system: 110,255 Btuh Zone space latent gain: 19,800 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 45,853 Btuh Total latent gain on air handling system: 65,653 Btuh Total system sensible and latent gain: 175,908 Btuh Total Air Handler Supply Air (based on a 18° TD): 4,210 CFM Total Air Handler Vent. Air (40.38% of Supply): 1,700 CFM Total Conditioned Air Space: 2,022 Sq.ft Supply Air Per Unit Area: 2.0821 CFM /Sq.ft Area Per Cooling Capacity: 137.9 Sq.ft/Ton Cooling Capacity Per Area: 0.0072 Tons/Sq.ft Heating Capacity Per Area: 115.76 Btuh /Sq.ft Total Heating Required With Outside Air. 234,068 Btuh Total Cooling Required With Outside Air: 14.66 Tons P:1 ..A0412817 -018-00 -PRIOR LAKE:C.klM i :,. ::r , ; Tuesday, May 08, 2012, 03:17 PM %i' Special Structural Testing and Inspection Program Summary Schedule Project Name McDonald's Restaurant Project No. Location 5020 160th Street SE Prior Lake, MN Permit No. Technical (2) Type of Specific Report Assigned Section Article Description (3) Inspector (4) Frequency (5) Firm (6) 1704.4 Concrete construction TA Table 1704.4 of 2006 IBC 1704.5 Masonry Construction TA Table 1704.5.1 of 2006 IBC 1704.7 WI TA Table 1704.7 of 2006 IBC 1704.3 Steel cnnctruntinn TA Tnhle 1704.3 of 9006 IRC Note: This schedule shall be filled out and included in a Special Structural Testing and Inspection Program. (1) Permit No. to be provided by the Building Official (2) Referenced to the specific technical scope section in the program. (3) Use descriptions per IBC Chapter 17 (4) Special Inspector — Technical (SIT); Special Inspector — Structural (SIS) (5) Weekly, monthly, per test /inspection, per floor, etc. (6) Name of Firm contracted to perform services. ACKNOWLEDGEMENTS (each appropriate representative shall sign below) Owner: Firm: Date: Contractor: ,�/.► Firm: Date: Architect: � % �; � Firm: Reprise Design, Inc. Date: 05 -09 -12 SER: Al// f • Firm: VOIGT AND ASSOCIATES, INC. Date: 5 -9 -12 SI —S: Firm: Date: TA: Firm: Date: F Firm: Date: If requested by engineer /architect of record or building official, the individual names of all prospective special inspectors and the work they intend to observe shall be identified as an attachment. Legend: SER = Structural Engineer of Record SI —T = Special Inspector — Technical TA = Testing Agency SI —S = Special Inspector — Structural F = Fabricator Accepted for the Building Department By Date: BCSD —PRO19 4/03 9 age 1 6r vet`0r 50" 5 O ate • ti 2' � � 1 9 OOGV,C'n -\eta 6 � 2.1g6 5151 rGe . °be Off` m „Ace ba to -p otc ° \ . • G e t ` r MN \ap taod a a sepaca c0�t<0 \. �� • M °p ov \as PU °c � aK a kiis Q I Cc9b C<Ugb SeQ a<a t e mas tec St S' s Gh p<sP \ay �m9�as a S\ca a P <ole ctName S 50 2 0 160th Roh °b Qt V tst00 \Cct�g \e e Q G se \cgh to \g st< eU bt< K O \b a Ue try o\ Pco\ec Pd d < eRecoc d . day p' eo t�t9 Matt d at0 eoc\o �d _ _ode g r,./0 t b 0 N \ �h att m ba a seP acate a a c006. es<goec ° \ e< *le o a • 4 \ aas ae ates gee \ • \o ce t e .1 s . \ as K C�g� t ` t<9 g t 046 gg has a bas a sePacate sec* O s to Q � <C<o oP G °btaGt °eap \�s M�Ua ace pcov a cO � P (co � �� o � to < t s af ety 0 s 0 00 2 a O N °U�� o st< a � \0 b \cg 5 pec fad' <e00 City. srUtOg e de�\ce 2� O ee as °< e0. a ed foc ea r Q mot < °\ VP- d° o °text emes .6 m aa tcc \< e 9 h e5o s � \s \ateo to 000 spa \asst otc o\ \s P seQacat�z Q yid s<9 ,...4 v a womPa PUt 1\01 Ndh \ Jate `N` th a CA p Os e < o � Spa aUec tha 5' Q se paca te op s?' 10 PC 00 0 00 p Q Ve 0 0 6 0 \U . b <s a \<e ct Q �x o Pec n ` Space <s s of cot e. 2 500 tt a�s ..AO s P <d to vow-. 0� e eK<ca � «s ce C ! oc �p <o < n abs Fo< sP sp t < °\ ast <p C<cabo p ca ° C<o� e< pJ \o`� se 0 V • 0os Space to a0 <oasate °< Q oa as a P °t os e eo °< t gh�s g a � <a °o f °< o t `g hC<og P ° � cep to ty h t <e Ccoo d Q Spa *toe �daogec E<the cpot< ° \s �<9bts e adaP ea Meth 01) <o n v+oo Q s,� \t �x�p �S °< �i Pt S a<\dtog P <e ey g 400 0 Ca tes , Ge 8 z 0 \cam t� a Piio�atN a peo <ty l� o ec t ` itb IP' P oet � l vit \tt 00 ec p.\\o`�ao� iota afiettod � n9 a �G • a le b S pate P <ga g �<td <<c S scty tit�l Piio ;10 0 004+e< p -�— , p o et L` fl ecNt ° Total Interior Light uatet c°mm�ilyPe Allowance (building SPe 0 111111 650 s ace method Wath 0 605 02 65 06 00 6ad < � type iii iii Additional Interior Lighting Power Application ° ���� Fsm decorative or dis la M at 6 9° 12001 � \ PN S\IPSNF�` , ANSI /ASHRAE/IESNA Standard 90.1 -2007 IES Q n, c Prr, • O CO ...lo Name: m p� ° n1actPers On. w ° � O nelas a n ce O O nay w Cu III en b O r9 "en,. ( �naire n_ I 111 I I r F7 Page 4 F 1414 Qf Li • htin • Compliance Documentation oz Q Exterior Buildin • Li • htin • Power Allowance Tradable Li • htin • A • • lications F fo Allowance Area or Length (ft' or ft) Tradable Application Allowance /II Walkway < 10 feet wide 8 100 17 0 . 5556 2 0.13 Tradable Power Allowance 5754 k Iip Sp Exterior Buildin • Li! htin • Power Allowance Non - Tradable Li! htin s A • • lications Non ( Allowance per Unit Area or Length or Quantity Tradable ID Application Power Allowance ---. illill 1111.1 11111111111111111111111111111111111111111111111111111111 111111011 11 . 111111111111111111111111111111111111111111111111111111 7 Non - Tradable Power Allowance a* — 1 \ Additional Unrestricted Exterior Li ' htin ! Power Allowance \ \ Additional Unrestricted Tradable Non - Tradable Power Power Allowance Lighting Power Allowance (Watts) (Watts) Allowance (Watts) + X 0.05 = Exterior Connected Li. htin . Power Tradable A • • lications Total ID Luminaire Description (induding number of lamps per fixture, watts per lamp, type of Number of Watts/ Luminaires Luminaire Watts ballast, type of fixture) � 2 = = = - - = Total 92 I Exterior Connected Li • htin . Power Non - Tradable A • • lications Total ID Non Tradable Applicati fixtuie Description typ of ballast type of fixture) um Luminaire W fixtu , w atts S per lamp, type Miiiallii ..,yganaarg rill IIII I III.III 11111.111 11111111111111111111111111111 Mill 90 20 07 Exterior Li! htin! Com • liance Test Tradable Power Additional Unrestricted Lighting Tradable Lighting Power (Watts) Allowa Allowance (Watts) Allowance to be Applied (Watts) z Non - Tradable Non - Tradable Non - Tradable Power Connected Lighting Power (Watts) Application Allowance (Watts) z IIIIIIIIIIIIIIIIIIIIIIIIIIII = II L mill 11111111 4 " INIIIIIIIIIII + 111111111111"11.111 1111111111111.1111111111 Z Total Additional Allowance Additional Unrestricted Lighting Applied (sum of above) (Watts) Power Allowance (Watts) On • ANSI /ASHRAE/IESNA Standard 90.1 -2007 Lighting Compliance Documentation Page 4 Exterior Building Lighting Power Allowance (Tradable Lighting Applications) Application Allowance Area or Length (ft or ft) Tradable Power Allowance attached canopy 1.25 442 553 Main Entry 30 3 90 other door (not main entry) 20 13 260 Tradable Power Allowance 903 Exterior Building Lighting Power Allowance (Non - Tradable Lighting Applications) ID Application Allowance per Unit Area or Length or Quantity Non - Tradable Power Allowance 1 Drive UP Window 400 2 600 Non- Tradable Power Allowance 800 Additional Unrestricted Exterior Lighting Power Allowance Tradable Non - Tradable Power Additional Unrestricted Power Allowance (Watts) Allowance (Watts) Lighting Power Allowance (Watts) (I 6657 I+ I B oo b X 0.05 = 1 372.9 Exterior Connected Lighting Power (Tradable Applications) ID Luminaire Description (including number of lamps per fixture, watts per lamp, type of Number of Watts/ Total ballast, type of fixture) Luminaires Luminaire Watts S1 Metal Halide 100 watt pulse start _ 100 1000 LED LED walkway and feature linear lighting 14 Watts per ft 60 14 per ft 640 SITE Total 1 1840 Exterior Connected Lighting Power (Non - Tradable Applications) ID Non - Tradable Application Luminaire Description (including number of lamps per Number of Watts/ Total fixture, watts per lamp, type of ballast, type of fixture) Luminaires Luminaire Watts S1 Drive up window METAL HALIDE 100w 2 100 200 Exterior Lighting Compliance Test Tradable Power Additional Unrestricted Lighting Tradable Allowance (Watts) Allowance to be Applied (Watts) Connected Lighting Power (Watts) 1 6657 I+ 1 372.9 I> 1 1932 I Non - Tradable Non - Tradable Power Non - Tradable Application Allowance (Watts) Connected Lighting Power (Watts) 800 + 7 200 + + Total Additional Allowance Additional Unrestricted Lighting Applied (sum of above) (Watts) Power Allowance (Watts) I I I 4 0 ) e IES ANSI /ASHRAE /IESNA Standard 90.1 -2007 Lighting Compliance Documentation Page 2 Project Name: McDonald's Contact Person: Wendy Wenborg Telephone: 612 -465 -7649 Interior Connected Lighting Power Type ID Luminaire Description :,t "� . g 5 Number of Watts/ Total (induding number of lamps per fixture, watts per lamp, type of , 1, Luminaires Luminaire Watts ballast, type of fixture) m ' 1* c C . rn ii i r i i m > ° '' < o c 8 i • i�' LL a' J g O F29 2-32W LAMPS 1X4 FLUORESCENT + 0 ' , : ' 0 3 64 192 +o- ■ • v 0 •7 ' 0 'I. . o r• o •) ' F11 LED DOWNLIGHT te.. ;0 °l+, 0 ';! 0 • 3 12 36 °: it o . 0 •'1...1.0 %4 ° 0 • :0 t• 0 • = 0 • '10 Y • 0 ,0 AO '•' •WO Total 232 Additional Interior Li ! hting Power Allowance Type Space ID Space Name , Area (ft Unit Allowance Allowance Luminaire Installed c (W1 t2) (W) ID's Power (W) (include merchandise type for retail sales areas) 1.4.e0 t rn T m to A` Q 0 P 0 6•41) 0 „ O , ,,,,, ii ► (Add 1000 (W) if any additional retail display allowance is claimed) Total IES G ANSI /ASHRAE/IESNA Standard 90.1 -2007 • ?ad", Pa ge 1 Date p5j04112 7550 S 612- p r °v s °r„ 05,0 612 649 rdat° Te \eph0ne� a o winter SenrP. _14 v A� e, MN g9 6 I° Mc s E p rior yak me11 o\ectName. 5020160th St S Gregory M Stun jemP: (3 1 �n \mu Eu\gh G) fl \es OcV p s s: t Rec ord . . - g, thro acre r vig 4.1 M r ct A s \gnat ° 1a�o Sumnre ksheet o\ Etfra�en 0 8 eQU\red P nt System De we ndH t J e nt'ec 9 Z °ne 7 8 16nC Wor t �\ab \es a 1A R person G \\ma SemP 8 V `.me r ` tEIG leg °ry or es R 6 99A thrpUgh G) Rated 9 8 contact eap °Ns 1 %Sommer DB o Sub_Ga n ltab\ 12 7 11 0 • N\\nn a ndat d \es GO nbo Z P 55402 M Sae G \hr�ugh G) thr °ugh dr G) e $ a ER 12• g. r n e ntTyP G ab \es 6 g 1A E ER 12. Sy 6 g 8 . PAthro u9h 000 P \\ O ther E R �2�0 c 16 0 , �� Other p00 P \r CM C Co ed , ,0 1760, P\\ Other 000 , P Ip .,\r i R " p:\r Cor Go o\ed :el\ es / Go nd.l Ptr t . 6.� 1 ' 1 NGrirm� Ra n o� Jly l e 81H U � r ed Iiiii S K she lea Wpr Gst6e.1H 0 Sysl a , h1��er S \te airtlo� Gentrify W Rate ocoo led oy- s tanda rd GOn dense r C F \0 through J) a Econo ' dat0 lgprnito impact � Systems Mar\ Tetmpe at e l F) z U E ther t h zE he ire i on the o, SysternTa9 -temp wb or 45°F c is dehumidifical Recotwoen a \ttn IIIIII Oa oW I\ce m r, 0 Precooling coin Special M r otectwn ° �e �pntro \s 6 either a < 15 ft ( ads the O F reeZ l'rt anyim Weat l§ bypassed when ' eats or eX°e 6A 4 3)• sy in:e9::::::: eter hea <rn9 6. 5.1.2.2). ' \ng tnsu\at o he standard e rd :::Idetvoleea:o9:see3p1 enm a intro\ re P rnents requ r 6 .2• p m d § e Q ' 3 r d 6 Economizer is inter ' O 2), cooling system ( § 6 doh anua \s l§ s stem Gon cCron m . 2 e\ and y t hea6n9ta� \oc� stns 3 .2. 1, 6 r Economizer co m p lies Requlvenren d for se \e von d r aw ing ba \ a 6 n dog 6 2 4) o rf of $e <po l§ F impact requirements (, \s l n aval — \ G o on l n s are Pr O�rm s l§ 6 p.2) sYs mrssrorim9 �§ $0Ve Systems are exempt fn. Ge l oad ca p \a and s yst vents, veil l; a \c � °s a ik m °f a \ , e ms nt , eteverts t d S d mP ' used Sta 403 oii o ds, 9 With m dampe era st0r\es a cre 9 rovided Gra�\ty ■\ass t han O ExceP�he'b�ad\ s 1 3 ne tare as or �P on ° S VenEdate U °Ondrfroned O ih s system zon e tan 90.A-2(3°1 Ng11Ps% -aPV 14N S , P ANSI /ASHRAE /IESNA Standard 90.1 -2007 • HVA Ma P reJ e � t naat0 P Na me: contac p me'nalds ro vas • er . , 0 o „ n. wen dY wen,,_ • SYstem rag SLI PPY Cc. . He Hom. { Umio �tilah Pi 'alit Ve 'bi ll• e o� e ks `cep � t �� e c"�nt 10 fig. Company JOB TITLE McDonalds Address PRIOR LAKE, MN City, State JOB NO. SHEET NO. Phone CALCULATED BY AWM DATE 4/23/12 Fax CHECKED BY PWV DATE 4/25/12 Ver 8.03.10 www.struware.com STRUCTURAL CALCULATIONS FOR McDonalds PRIOR LAKE, MN at IOW WI Isavaby aorta U. tido 600,61101.011111a or repost was praposed direct aupervision anti *M�� Mir Registered professional linglaaar under fto 1cft the Brase d' - 4M• _ Dm I t ' Windward Snow Drifts - Against walls, parapets, etc more than 15' long Building roof length lu = 135.0 ft Projection height h = 6.0 ft Snow density Y = 20.5 pcf Balanced snow height hb = 1.71 ft he = 4.29 ft hc/hb >0.2 = 2.5 Therefore, design for drift Drift height hd = 3.48 ft Drift width w = 13.92 ft Surcharge load: pd = g*hd = 71.3 psf Windward Snow Drifts - Against walls. parapets. etc more than 15' long Building roof length lu = 135.0 ft Projection height h = 3.5 ft Snow density y = 20.5 pcf Balanced snow height hb = 1.71 ft he = 1.79ft hc/hb >0.2 = 1.1 Therefore, design for drift Drift height hd = 1.79 ft Drift width w = 14.34 ft Surcharge load: pd = g *hd = 36.8 psf Windward Snow Drifts - Against walls. parapets. etc more than 15' long Building roof length lu = 6.011 Projection height h = 5.5 ft Snow density Y = 20.5 pcf Balanced snow height hb = 1.71 ft he = 3.79 ft hc/hb >0.2 = 2.2 Therefore, design for drift Drift height hd = 1.5011 Drift width w = 6.00 ft Surcharge load: pd = g•hd = 30.7 psf