HomeMy WebLinkAboutBuilding Permit 03-0787
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;" Fn.
2_ Pink City
). Yellow Applicant
Date Rec'd
/.
I PERMIT NO. /J ~- 'I s: /If
(Please ,m>e or print and SiWl at bottom)
ADDRESS
37/1'
A/t.J
ZONING_~officeuse)
hi
jffU / ~~J
"
LEGAL DESCRIPTION (office use ooly)
LOTI II BLOCK I ADDITION I? f ~t1 / (l r I"..J T
'v
PID ).$ - 3 r6 - 0/6 - f.J
OWNER
(Name)
I
(Address)
(Phone)
BrntDER r
'(Name)-J<'Nr/1.J6A//v ;ljl{ h\ I"J
(Contact'Name) r:; a,. ~
i '
(Address) It'? 5 //t:l Z. ~ Dr
'-
(Phone)~~'I' -)I~~, 51Yf/(I
(Phone) U,I.J. 1ftd' 7,,/.;..
t' .....
TYPE OF WORK
~ Construction
t'ti.U;/<.'
---.I
ODeck
/1//\ /
.5J/~ 4.
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
OAdditioil
OAlteration
DUtility Connection
"-
,
~MiSC.
T-.,..::""
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
, atrthorized agent for the above-mentioned Y.....Y.....J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
J: 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 perfT neede~spections.
X /1a-A-Y II rr~ j;!sf I. -/3-tJ .2..
/ V SignatUre Contractor's License No. Date
PROJECT COST IV ALUE (excluding land) S
/,- .
"i. _J' (. (,
I
I
I
1
/20'(:_.r .1
I
I
I
I
(,q
I
.J yl
#
#
$
$ 17. 7'.) ",
$
$
$
$
$
$
-
j Permit Valuation 1'; '.:;(<::. if [' (' '- , I I Park Support Fee
I Permit Fee $ , ~9 ?'3 I I SAC
/ /" .
I Plan Check Fee $ )7? eNI \ Water Meter sfze 5 (~~_'~.-;' 1";
I State Surcharge $ 7 <:;0 I I Pressure Reducer
I Penalty $ 1 I City SAC and WAC
I Plumbing Permit Fee $ , ,(>0 1 I Water Tower Fee
!
\ Mefhanical Permit Fee $ /(1). {J ..::1 I \ Builder's Deposit
I Sewer & Water Permit Fee $ f;!C' l:: (i 1 I Other
-' ..:>
I Gas Fireplace Permit Fee $ "'!f' (. : ~ I I TOTAL DUE
#
#
,9 ~!r~ (": ()
7ou.o{)
$ r -7~.7 '
.../_ to':
,
.!3{\ ;...<(
Building Official
--1 '/
-/C(.(!':. /-.
/
,;;.:;,....
"J;)
I Receipt No. '-f ,.'
Bv .-
- / I
7/?'" /( ?
-to Date
I Paid
I Date
~
c>'
'Flb.!1
This Application Becomes Your Building Permit When Approved
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 S. igned by the City PI",ner co",rilUtes a temporary Certificate of Zonin. g compti",ce and allows construction to cosnce. Before occupancy, a Certificate of Occupancy must be
issued. . M 0 POl
r- Cd ,~, " ,/1-- >>j/? ee aID Ie.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
~hr - !~ina
C :onary. Engineerin\i::)
Pin - nlng
Th~ ('tnlrr of lhr I.lkr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (~~ ;~; _,:R !//~~
APPLICATION RECEIVED ?-, - / <. ~ - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 9/f? KJ(]/Jl_ PtL&4
j
Accepted
l\
Accepted With Corrections
Denied
Reviewed By:
~~o\v
Date: ~h (0)
Comments:
"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."
~~
See Main File
C-While - Buildiii9:;::>
Canary - Engmeering
Pink - Planning
Th<r (-enter or Ihr I.akt' ('Olllltry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I/~a~~
t; -/-3-.::5
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~CJlfY 0~H~
, - (J
Accepted
...----
Accepted With Corrections
Denied
Reviewed By:
~
;;~
Date:
7~~3
, .
Comments:
"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."
~c
See Main File
White - Building
Canary - Engineering
,..-....lnl( - ~I~IIII;II~->
Tht' (-..nlu or th..l.akr ('ountl'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !//M/JA/l/A'/lOv'; (,//j+;7Ftf:.<'~
APPLICATION RECEIVED ~-/-3- :3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;:s q / pi) p,-:,7//l:!/ th ~ A f
/1 j- . -
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
-
~
Date:
7hft,3
, .
,
Comments:
"
"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."
.,:
-----
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(;00\.0 . CTT.,
C!~Y OF PRIOR LAKE
S:C:\~R J>.ND WATER ?S:w.IT
NO. ~-7y1
NOTE:
Sewe~ and Water
contractors must
be registered
with the City.
APPLICANT: ~e_\ ~~~
:~:~::~;,~~~ y~~-~~~----
Pr.ONE:(jS)-.lj:9-~J~
DJ>.T:::: 'T1I~JtJ>
,
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""_.- '-'
?~?":~:r:' ~
?:r..r.. 7~ TnE or._~.N::.s
1. ~s~i~~te~ leng~~ of water se~ice
'30
feet',
Location of any cou?lings
/ inc~(es)... ~
from st=~cture ~1V\ feet.
PVC b( Cast Iron_
2.
Size of wa~e~ se~~ice
3 .
4 .
5 .
~y~e of sewe~ pipe. A3S
~s~i~2~ed leng~h
of sewer line
3CJ
at fe1ijJ't- feet
from
6.
Clean out (i f
s':.=....:c~'.l=e .
~e~irec), loc2~~c
==========================================~========~==============
T~~$ a;plica~icn cec~~es ~ou~ pe~~~~ ~~en app~ovec.
B'1
DAT::::
-----------------------------------------------------.'.,-----------
------------------------------------------------------------------
:"'":"':"C'.
. ---.
s
s
S
35.00
.50
35.50
Se~er and wa~er line connection pe=mit.
Surcharge
TOV.L
* ?ee :0= eithe~ se~e= C~ wate~ i~civid~a~lv is $20.00 plus
S . 50 s'..1~c:!a::-;e.
.
Se',Je~ ar.d '\;;atE!,-:::,~erP.!;:t:si:<;suec. fo!" ne\.l cons'.:r".lcticn t\\.:st be
~oco-"e~ ~in-- +'h!;';" .b.'.';l~;..c;o""'e-;... c'-c.~ ",,'" ....\....... t'...o of '_.-='-:::u'.~ce
:0- ; :-s"~.o ";..i.'\...~a...--:..\.~.nc'''''''':'''d~::.l--~ r~:t-e"" .s~ _..::: :::0.' ~'!~"''''''e-~- pe---'; :s- _d
':" .....1 ___ I~\. '- '-~ ;,'j--;1, <:"'~- <;;,.. <;;0'- -A -..,-- a!"s
~ss'-led. UU SEP 2 ~ Inn] ! ~'. 8UIl. ~/D WI]'; .
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lO/Z4IOl WED 11: n FAX 8124474245 _~
.L-/
CITY OF PRIOR LAKE
~OOl
Date Ret'd
CITY OF PRlOR LAKE PLUMBING PERMIT
1]'1"'''' tvpc or ~M' ",chi.,.., bo""",) -:-
ADDRESS O"}~ ~o..\~S ~W,
; ~'; ~~ rPERMIT NO. Q ,7<::1 1
),v...., Aptl'C'lItII 'J 0
ZONING (011<<...)
LEGAL DESCRIPTION (o!lig: .Ie oNy)
LOTlbBLOCK \ AtlDlTION
~~eb1-
~~R t~\eJf6m~\"\ \.\ome.s (Phone) 65)-'-ID"-l/'IOO
(Address) .12>~S-"Pb:z.o... k. ~\~cQ.Dt) ~Y"\ ,\MY\, :5S"/;lrz
- I
~;;~~ANT'A)~d ~\b~ ~ \\~~~. (Phone> 0S/-fs:;l~/SbS
(Addxess) 171D 't\~C\~~ \<J. ~ Mn, ~/:21
~ (A~) ..... (City) (Zip COd.:J--
(ContactPer:'lon) ,,6.l \-\.~Q").., (phone) t~J~D.-15bS
APPLICANT SIGNATURE ~ DATE q JJ8J~
~LlCANT PLEASE COMPLETE BELOW
Type of Fixtlln I Quutity
Bilth Tub with or ...itholrt mower Raugh-ins
DishwlISher i ( Water Heater
floor Drain Water Softner
I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartlllent sink I sowage Ejector
Shower Stall Bac:kflow Assembly
Sink, Baclcflow Assembly Test
Bar Sink Lawn Sprinkler
Wa",r Clo>C\ (Toilet) Other
PID
Quantity
,;l.
,
(
~
I
I
I
,
~
Type of FIxta...
FEE SCHEDULE
Industrial. Commerc:ial!. Multi-fUTllty lY. of job cort with iI $39.50 minimum Residential. Ncw Ol'\e:: & Two.Funil)' S99.50
Residenli.l. Addition& a. ....lre"'-lcns $39.50
Estimoted Co.. S
Builw"t Permit"
TMa Application Becomes Your BuiJdinc Pennit When Approved
s 13Ull. J:J-4ID l1I.
s .50 DIIvO '1"'1j
s P~F:i41I'"
I P-.'1! [; ---'----r=~CCipt No. I
", '-...:;J I,
,0.'-
I p~je i~' /1_ I
S-Udlft.omdo, DOlt ~~ SEP 2 :1 Z003 c.'/i f,y.
:4 ho"" ootice for.1I inspectiv.. (f51/"'j'...~O ~f r.it)!, ~9S1) <.rj..,......5 j 1
d ~8m0098~ON/91~11S/LHl EO ,816 IOH1) L9E~J:S9DN.hhYlHldNlaY!fi1d HZN311\ WOB:l
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AI. PERMIT FEE
(om" ~" Only)
12/04/03 09:02 FAX 6518949955
WENZEL HEATING & AC
~002
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIF~P-L-AGE=PERMlT=-=:""'" '.'"=:_,
.,"
'.
"".:<
.,.....,.'
'<ii"":',~:. '" .
I. P;....... ""'rPERMlT NO -Jg1]
~ 0.- '<~.:r:;.j~'-,,' .' .. .. . 3...... '". .
3. Ydlow, :'A.ppIi1:loIIt . ".,,' ,., ,
(Please tvDc: ororinu:odsim atboaDm' '.
\ ADDRESS ,
"'::~~ ~/
, .
. LEGAL DESCRJl'T1()N (ollie. .... oaly)
ZONING (ollic,=)
~~
.
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
IA.#R5/J'b,;.!N
~/l?~
(Phone)
. APPUCANT /';"id /
. (Na;"e\ M~/'~f~f~-hA'C;
(Address) 41?) ,.,k/.'~~(/ AM
(Acldx~)
- -,~/ A4/~
APPLICANT SIGNATURE -; .,....-./
. t.i>t;;J-ftf4.q~
~/72
, (eicy) (Zip Codo)
(phone) t-hrt=14-'o/in2
DATE ~/.dk~
(phone)
~H
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL!ERA TIONS
FURNACE MAKE AND MODEL LtG!;1 a~ 70 'FUEL ,.Ja.r
FLUE SIZE C/~3 'We.. RETURN OPENINGS _ lo INPUT ~t:x::o OUTPUT ~t:f'I)
/fIe We::/ TYPE OF SYSTEM HEATING OR POWER PLANT
p>>/rIcf DWann Air Plants 0 Steam
1c',},LV~ 030 DGnvity. 0 Ho,W.tcr
vn..v ;@ech.lIIeal 0 Radiation
ir Conditioning 0 Special Oe~ic.es
. DV en~ System 0 Other Deviees
PLEASE NOTE:
Air Conditioner Units
Cannot Encro.ch into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial 8< Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Firoplace
$39.50 minimum
$9950
$6450 .
539_50
Residential. Heating 8< NC (Ne.. Consuuction)
Residential. Heating Only (New ConSllUction)
Residential. Additions &: Alterations'
Residenti"'. AC Only
$39.50
$39.50
Estimated CO!t S
Building Permit #
$
$
S
(O;~~ U:~~:::~tion Become! Your Building Permit When Approved B~~MlT Receipt No-
Date I Da~EC 8 2003 By If(
21 ho~r n~tic~ ~o~ ;li\;s~.~tiO;';(9S1)447-;~;~.' ;:;-(9;;i~;~~~'" ~'-':--'-'-'-'-'-'lr -, .'''-.- '- ~ ',':' ,-.
HEATING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
Building Official
-- -~_._---- ----,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink
2. Green
3. Yellow
File
City
Applicant
(Please type or vrint and siltll at bottom)
ADDRESS
3918 REGAL PASS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AT J .TFD FTRESTDE DRA ETRFSTDP HEARTH & HOME
(Phone)
651,633,2561
(Address)
?700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVTT T P
(City)
(Contact Person)
BRENDA HUSTON
Date Rec'd
I PERMITNO~7
ZONING (office use)
PID
"5113_
(Zip Code)
. APPLICANT SIGNATURE
BRENDA HUSTON
DATE
(Phone) _651,633,2561
12/] 8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
OWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR,OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
19~( 3 0 2003
BuUdinl! Official
Date
24 hour notice for all inspections (952) 447,9850, fax (952) 4474245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
8UILDING PERMIT
Receipt No,
,<,4 22:37
STORK TCT ST PAUL
651 659 7207
P.01/04
~TI:JAI..rt"
Matertals Technology
Stork Twin City Testing Corporation
Malerial Tasting' NorMlaslruclive T osting
Product EvaluatJon . Construction M.teri8ls
February 16, 2004
662 Cromwell Avenue
Sl Paul, MN55114
USA
Mr. Gary Johnson
Wensmann Homes
RHS Building
1895 Plaza Drive, Suite 200
Eagan, MN 55122
(fax: 952-226-1172)
Telephone
Telefax
Wabslte
(851) 645-3601
(651) 659,7348
www.sklrklcLcom
RE:
RESIDENCE 3918 REGAL PASS
BLOCK 1, LOT 16
FOUNDATION WALL REVIEW
PRIOR lAKE, MINNESOTA
Dear Mr. Johnson:
Please find enclosed the concrete core results obtained from the above-referenced site. Based on
our previous conversations, It Is our understanding thatlhe town home caught fire, which caused the
foundation to be subjected to fire and heat. You informed us that the concrete foundation contained
3,500 psi concrete and was placed in earty October 2003.
On January 13, 2003. and February 9, 2004, Stork Twin City Testing Corporation personnel
perfumed site visits on the above referenced town home. VIsual observations revealed Ihat some
of the foundation walls were severely charred and in some locations severely spalled. Based on
these observations, we removed five (5) concrete core samples from the damaged foundation walls
and one (1) concrete core from the slab area. The core samples were tested for compressive.
strength. Each individual core sample from the foundation wall was cut in half and the exterior and
interior portions were tested separately for a total of 10 core samples. One additional com..,,,,~;Je
Strength test was performed on the concrete core taken from the slab. The results of the
compressive strength tests are attached to this letter for your Information.
&Dplneerlna ~.vt.w/RalWlll
The compressive strength values of the cores direcUy exposed to the heatlfire, noted as interfor
cores on the attaChed sheets, ranged from 3070 psi to 4390 psi. The average compressive strength
of these cores was 3570 psi. The exterior portion of the cores had compressive strength values
ranging from 4040 psi to 4780 psi, with an average compressive strength of 4500 psi. The
compressive strength of Core #6 taken from the concrete slab was 5600 psi.
Based on these results, Ills our opinion that the strength of the concrete wall was Slightly affected by
1he lire In certain areas. However, since the average compressive strength is above the orlglnal
design strength, It Is also our opinion that the walls should function as intended.
It Should be noted that we are recommending that any spalled areas be repaired with a bonding
agent and a high strength grout or concrete. In addition, the core holes need to be repaired with the
same type of grout or concrete.
Should you have any questions or require further assistance please contact me at (651) 659-7447.
ST
N CITY TESnNG CORPORATION
M rk Ight, P.E. Attachments: T881SofOrillod ConcreteeortlSIIHIS(3 pages)
Senl r Project Engineer
Construction Materials Depar1ment
F:\SMC\2004CME\0~.doo
iI5 ~-.,q StorIe Twin City Tasting Corporation Is an operating unit ofSlork: Materials TechnOIOQY' B.V.. AmlllBrdam. The
.<14 22:37
STORK TCT ST PAUL
651 659 7207
P.02/04
STaR~~
Materials Technology
Twin City Testing Corporation
662 Cromwell Avenue, St. Paul, MN 55114'1ne
(651) 645-3601. Fax: (651) 659-734B
TO:
Mr. Gary Johnson
Wensmann Homes
RHS Building
1895 Plaza Drive, Suite 200
Eagan, MN 55122
BLOCK 1, LOT 16 REGAL PASS
PRIOR LAKE. MINNESOTA
TESTS OF DRILLED CONCRETE CORES
DATE: February 17,2004
PROJECT NO: 034005
PROJECT:
s,;ENERAllH,FORMATIO"l;.
Sample Number: Interior 1 Exterior 1 Interior 2 Exterior 2
(spalled) (spalled)
Location Taken: . Foundation Wall Foundation Wall Foundatlon Wall Foundation Wall
41'SofNE 41'SofNE 67" N ofSE 6T' N of SE
comer of Bldg. comer of Bldg. comer of comer of
16, 51" up from 16,51' up from storage room, storage room.
slab on grade slab on grade 47" up from slab 47" up from slab
on grade on grade
Date Placed: October 2003 October 2003 Oclober2003 October 2003
Date Cored: 2-~4 2-9-04 2-9-04 2-9-04
Cored By: J.BJR.S. J.B.lRS. J_B.IR.S. J.BJRS.
Original length, In.: 9.51 9.51 11.31 11.31
Capped length, In.: 3.08 6.34 3.09 3.81
Diameter, in.: 2.76 2.77 2.74 2.77
Nominal Ago. Size, in.: % % % %
Hours Moist Curad: N/A N/A N/A N1A
Date Tested: 2-11-04 2-11-04 2-10-04 2-1ll-04
TEST METHOD: ASTM:C42-99. Obtaining and Testing Drilled Cores and Sawed Beams of
Concrete
~RESSIVE
STRf''irmt
Load at Failure, Ibs.: 20600 25700 20250 25900
Area Tested, sq_ in.: 5.98 5.98 5.90 6.03
Gross Unit Stress. psi: 3444 4297 3432 4295
lID Ratio: 1.12 2.29 1.13 1.38
COITIIction Factor: 0.89 1.00 0.895 0.94
Corr. Unit Stress, psi: . 3070 4300 3070 4040
~ARKS: The compressive strength was corrected for comparison with a standard concrete cylinder
having a LID ratio of 2. The load was applied parallel with respect to the horizontal plane of
the concrete as placed.
TESTED By;}.A f>.. ~ t..-- _
oc;d Lelsz
Staff Engineer
F:IBMC\2004CMEI034005\CONCRETE CORES 1-2.OOc
REVB<EDBY,pfJ c~, -
Mall< SttaIght, I-';b,...J .
Sertior Ffroject Engineer
lntonnaUon iI'Id ~l1I'IIlfllIil hlIport &nil dmivIId rrom mU8tl8l, Il*Irma1ian and/or apeclflcallone Pi.JMIIItl8d by 1he cllenllnJ exclude q 8IIPISMd or b1lIllld lNamlntlft: at flJ
hi -- or lhe maltl1allll!llted OIoJnl1lyzed tlr Bnf p&rtIctJBr ptrpOAI or lI88. TNB report is 1M oonfldldll prcpel'ty Of our dient 8Ild may nol De used rw lMMnlBlno l)U11I08M.
........-..........,,-.......----................,... ... . n. . .".
.-,<14 22: 38
STORK TCT ST PAUL
6S1 659 7207
P.03/04
STORI-'i@
Materials Technology
Mr. Gary Johnson
Wenemann Homes
RHS Building
1895 Plaza Drive, Suite 200
Eagan, MN 55122
BLOCK 1, LOT 16 REGAL PASS
PRIOR lAKE. MINNESOTA
TO:
PROJECT:
GENERAL INFORMATION:
Sample Number:
Location Taken:
Date Placed:
Dale Cored:
Cored By:
Original Length, in.:
Capped Length, in.:
Diameter, In.:
Nominal Agg. Size, in.:
Hours Moist Cured:
Dale T estad:
Twin City Testing Corporation
662 Cromwell AlI8nue, St. Paul, MN 55114-1776
(651) 645-3601. Fax: (651) 859-7348
DATE:
February 17, 2004
PROJECT NO: 034005
TESTS OF DRILLED CONCRETE CORES
Interior 3 Exterior 3 Interior 4 Exterior 4
(spalled) (spelled)
Foundation Wall Foundation Well Foundation Wall Foundation Wall
64" EofSW 64" E of SW 95' NofSW 95' N of SW
corner of Bldg. corner of Bldg. comer of Bldg. comer of Bldg.
16, 57" up from 16, 57' up from 16, 53' up from 16, 53" up from
slab on grade slab on grade slab on grade slab on grade
October 2003 October 2003 October 2003 October 2003
2-9-04 2-9-M 2-9-04 2~4
J.B./RS. J.BJRS, J.B.IR.S. J.B.fR.S.
7.84 7.84 11.65 11.65
3.15 4.86 3.20 5.95
2.76 2.76 2.76 2.n
~ ~ ~ %
NfA NJA NJA N1A
2-11-04 2-11-04 2-11-M 2-11-04
TEST IIIETI1QI!;
CQ.I4PIlESSM:
:JTRJ!NGTH:
Load at Failure, Ibs.:
Area Tested, sq. in.:
Gross Unit Stress, psi:
lJD Ratio:
CorrsctJon Faclor:
Corr. Unit Stress, psi:
REMA~ The compressive strength was corrected for comparison with a standard concrete cylinder
havlng a UD raUo of 2. The load was applied parallel with respect to the horizontal plane of
the concrete as placed.
ASTM:C42-99, Obtaining and Testing Drilled Cores and Sawed Beams of
Concrete
20500 26300 29200 28850
5.98 5.98 5.98 6.03
3428 4732 4863 4784
1.14 1.76 1.16 2.15
0.895 0.98 0.90 1.00
3070 4640 4390 4780
TESTED BY: M~" t",
Don Lelsz
Staff Engineer
F:\IlMCl2OlMCMEI034OO5\CONCRETE CORES 3-4.doc
RE'i1EWED BY: rM j' l ~
Mar\ Str !Ight, P .E.
Senior P oject Engineer
InIormIlIOn sncI e!aIelnenI$ r.1hI& fllPClI't are IIElt1Ved fl'Oll'l "",*1iaI, infomJBIIon ard'oI &pec:iIictation5 (1.II'I118hed by 1M cIIenl. ana 8lldud" '"!8IrIIf88I8(J or hlJIlecI WIImIf:ll.iM 88 to
I'll!lIhR cfh mEdBrlBIle8l8dor~ b any PB/1IN8I'plIrpo&e Ol'UM. TtQ f81)Qrt 18 In8 confll!enllal pr'apClr1)' of OUfdlenl and may not be USlId lor ad\,leftIal~ PlJIJlO888.
'n.I~___~"".""'''~___..L.__.._..___.,_.......~, . ... . ...... . _ ...
_<104 22:38
STORK TCT ST PRUL
651 659 7207
P.04/04
S I wRK~
Materials Technology
Twin City Testing Corporation
662 Cromwell Avenue, St. Paul, MN 55114-1776
(651) 645-3601, Fax: (651) 659,7348
TO:
Mr. Gary Johnson
Wensmann Homes
RHS BUilding
1895 Plaza Drive, Suite 200
Eagan, MN 55122
DATE:
February 17, 2004
PROJECT NO: 034005
PROJECT:
BLOCK1,LOT16REGALPASS
PRIOR LAKE. MINNESOTA
TESTS OF DRILLED CONCRETE CORES
GENERALINF~AnON:
Sample Number:
Location Taken:
Interior 5
(spalled)
Foundation Wall
78'S ofl'tN
comer of Bldg.
16, 67' up from
slab on grade
October 2003
2-9-04
J.BJR.S.
11.56
3.07
2.77
%
N/A
2-10-04
Exterior 5
Interior 6
(spelled)
Slab on Grade
31'9"S and 112"
W of NE oomer
of Bldg. 16
Foundation Wall
78" S ofl'tN.
comer of Bldg.
16. 67" up from
slab on grade
October 2003
2-9-04
J.BJR.S.
11.56
6.05
2.77
%
N/A
2-10-04
Date Placed:
Date Cored:
Cored By:
Original Length, In.:
Capped Length, In.:
Diameter, In.:
Nominal Agg. Size, in_:
Hours Moist Cured;
Date Tested:
October 2003
2~4
J.BJRS.
3.30
3.08
2.77
%
N/A
2-10-04
TESTMETHOtl;.
ASTM:C42-99, Obtaining and Testing Drilled Cores and Sawed Beams of
Conorete
.s:LO.JIPR,g,l\IIi
STRENGTH:
Load at Failure, Ibs.:
Area TeSted, sq. In.:
Gross Unij Stress, psi:
UD Ratio:
Correctton Factor:
Corr. Unij Stress, psi:
26500
6.03
4395
1.11
0.886
3900
26600
6.03
4743
2.18
1.00
4740
36000
6.03
6302
1.11
0.668
5600
REMARKS: The comprasslve strength was correoted for comparison with a standard concrete oyIinder
having a UD rallo of 2. The load was applied parallel with resped to the horizontal plane of
the concrete as placed.
REVIEWED BY: ~ ~j l~~
Mark S1taight, P.E.
Senior Flroject Engineer
TESTED BY:~ . t.A
Don LeI8z
Staff Engineer
F:'BMC\2004CME\034OO5\CONCRETE CORES 54-6.doo
InIDrmldiDn lVldatll8mertsftlhi5lW11ilftn derIV8d Imm tl'lahlrUiLk1fnnnI'tl\nrl MIl1Inf -.;r....lIrinn..ImI.hAIt "".~.... -"- ~_ ~-......__. ...____.. __'-_"0.......
TOTAL P.04
PRIOR LAKE
INSP,ECTION RECORD
SITE ADDRESS ~=39/R'. 7'?e,tUJI #4$S
NATUREOFWORK -4/~. ;
USE OF BUILDING 6J:A
PERMIT NO. 051- ?i? DATE ISSUED BJf.(J:]
CONTRACTOR W~AJ.5lJ!14AAU PHONi6/~. 3 '..!I- -" I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
;'S-~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 0'$p..) O~ rE-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~~te3
t{-)6
,....~
i11.1 ?-2)
,) W'J
fV
':J ""~
. '2 4; .. Fk>t- r-,'r.o
~-~6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
VVY'
7- ).1-fJL1
-
&[g _ tJ -> '
M/lf/ I' J1-al
occupy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Or,
~
f
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Ql:erfifieab of @ernpanq!
CITY OF PRIOR LAKE
@tparfmtuf of ~uilMug J1usptdiou
lQ Final Permitted D Conditional e.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg.PennitNo._ 03-0787
Occupancy Type R3
Type Construction VN
Fire Zone N / A
Zoning District
Rl
Legal Description
L16, Bl, REGAL CREST
Date:
ROBERT D. HUTCHINS
.7 _~llilding Official
L 7- (}L-I
Site Address 3918 REGAL PASS N.W.
HOMES, 1895 PLAZA DRIVE, SUITE 200, EAGAN. MN_55122
y1/t,/ _ City PJanner_ DON RYE
Owner of Bllildin~
Contractor's Name & Address ~NSMANN
Date:
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3118
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
~cJ
Po..c:l.:!o
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)!c'pLUMBING FINAL
o MECH FINAL
COMMENTS:
I. ~Ilrl .t-P s:: ~ \-.-f
J~.(\~,l)
3. ~ ll-4c:;
" I
DATE TIME
&9'01
~-7R7
,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
QC{?-1?lcrP>
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORT/1.E R CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
C -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
coM R~QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~!
,,,,,",n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
ADDRESS
3q/fF'
fJ.1600 I
, "
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J' MECH FINAL
COMMENTS:
J/Yt-e 1 () mew
OIl
OATE TIME
?--),:J-fA{
)
fla.~ s
3-7'61
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
CALL ""7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NS/'IOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'3'1/~
(2.,..... (J I
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
, FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
----
~ )
/ (1."\ -
\ .~ V.5L
"---
DATE TIME
7-27~
,
P~.s~
:3 - 7~7
o EXlGRADIFILLING
o COMPLAIN1
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-----
........
~
)
./
r J
.1-{ U-
-----
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WC;:~ FOR REINSPECTION BEFORE COVERING
Inspector: 1Jt;,- OWner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY'
umwn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;" F;]<
2 Pink City
J. Yellow Applicant
Date Rec'd
/: -
(Please tvne or mint and sign at bottom)
I ADDRESS
3~/.Y Jf('ft( / I?,~J A/t.J
V
LEGAL DESCRIPTION (office use only)
I PERlviiT NU. I) 7;- /l.~.. /;(
I ZONING (officeu,,)
1-" I
LOT/h BLOCK I
ADDITION j(f~o/ (l rl"_J T
"
PID ;1.$ - J"6 - 016 - f.J
-'
OWNER
(Name)
I
(Address)
. (Phone)
-,
I)..r ;: Ii. ~(; A'
---.I
/l//I/
"-
(Phone) (':,.5/- .y' ~ " 51 Y (; (I
(Phone) (,I.J Ud- 7,,1.2-
.5~-/~ ..2..
Buil,DER r
j (NameL_/Al" N r .n.-J<<A/A/
(Contact-Name) r:; a ,. ~
, ,
(Address) / t' 7 5 //t:l Z. ~
;Ai" ,.... I!.J
TYPE OF WORK
~ Construction
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAlteration
DUtility Connection
"-
~MiSC.
';':'~:'"
- 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 I
. a.thorized agent for the above-mentioned YHJY"~~J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
i 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 tlle property to perfT need?spections.
X /1o~ Il n-;<- -........... IYSf I. -/3-0 2-
- - / ,7 Signature Contractor's License No. Date
I Jt"j ';;;"",- c' (, i.' I I Park Support Fee # I $
$ - I/S9. ?':. I 'SAC # 1$ }2 7')
$ } 7 -:;;. r-;,</I I Water Meter Sfze 51.8':,;'1"; I $ ,C:; "5 (', r ()
$ 7 :::-, (J I I Pressure Reducer I $
$ I City SAC and WAC # I $
$ /Oi),cc! I Water Tower Fee # $ 7ou. o()
I $ / (1 :!. () (, I I Builder's Deposit $
I $ .)'5 <:; c I lather $
1$ .1)(' I'"~ I I TOTAL DUE I$!:-/rn
PROJECT COST IV ALUE (eXcluding land) $
,
i Permit Valuation
1 Permit Fee
I Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mefhanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
12cx>,(' ';1
I
I
I
I
(;(1
I
4.5 (,.
,
This Application Becomes Your Building Permit When Approved
.-...,
j5( \ ;.,<(
Building Official
~Jc </,
/ ---...,
7/2 /; "
"' Date
I Paid
I Date
~.
c>'
'/'Ib. /l
/
-~","/j )
I ReceiptNo. 'I ..-:;. 71/
Bv "
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
Who en signed by the City Planner constitutes. a temporary Certifica.te of Zoning compliance and allows construction to cosnce. Before occupancy, a Certificate of Occupancy must be
~sued. . M. POl
.".,,, ,~( ,./1-- ::.:Yi/? ee aIn I e
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372