HomeMy WebLinkAboutPermits 04-560 & 04-913
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
or rint and si at bottom
HlqHWII V /3
LEGAL DESCRIPTION (office use only)
Date Rec' d
I. Whitt; File I PERMIT NO I
~. ~:;]~w ~;';];"" . 04-. O.5fRO
ZONING (office use)
B/
LOT
ADDITION S
-:nON ,3(0
PlD
BLOCK
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(Phone) 9~2-CfZ1o-o'tfb1
55 q 3G:.
uill"l tt \ VYh...
(Address)
q<;2-- <:12.1.- 5512--
'-
TYPE OF WORK 0 New Constru.Eigp ODeck OPorch ORe-Roofing
DAddition ~lteration DUtility Connection 0 Misc.
CODE: OI.R.C. 'rvI'I.B.C.
Type of constructiol:"tt\
Occupancy Group: ~ B
Division:
I
E
ill IV V A
HIM R
3 4 5
II
F
1
ORe-Siding
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $ 10- 14, (JOG
(excluding land) WAS-a~q,6a.Il.Jt5S
Pfl~: In+
B
S U
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-mentloned 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. J;urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
~ClAt.u( ~ &J-Jl-Ot.{
Sagnarore Contractor's License No. '1 '1 '1 V Date
x
"OP.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
....
Park Support Fee # $
SAC # $
Water Meter SizeS/SOl; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 4 o. 0 0
Paid
Date
O. 0
r..!1. 0
No. ;- (JOe)
Rec
B
ThlS is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinall.ce and may proceed a.~ requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CL'rtificate of Occupancy must be
issued ct. ~
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
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L Blue File
2. Gold Ciry
3. Yellow Applicant
h(Af:' (,../ 0 -f-- a ~a,o
I PERMIT NO~q 413 I
I
ZONING (office us<j
(please tvl>e or print and s~at bottom)
I ADDRESS
/575 ifwy /3
<S t).
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PIo71-5-93'.011..
OWNE~ _
(Name) f)LM.adh,\
(Address) /S ')
(Phone)
APPLICAN~
(Name) e~t,<Jt'll.~
(Address) .dJ/<i> I XU>f\.
(Address)
(Contact Person)
rlv"LI:b~ ::r;;c., (Phone) 95;) -~;;. -~){"
~f:- .hn'tW r-- 5535 )...
(City) (Zip Code)
(Phone) 9SJ -).()() -3/39'
/"D '(J
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
II Dishwasher Water Heater
."t Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
2- Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other .
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ <5 \600
.
Building Pennit #
...
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERNUT FEE $
0(')' (J 0
.50
at'), 'So
24 bour notice for a1llnspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date
.
fhJ
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Pomodori Italian Cafe, 15750 Highway 13 South. Prior Lake,
Scott County, Minnesota, Plan No. 044142
OWNERSHIP:
SUBMITTER(S): Ms. Nancy Piazza, 5012 Valley View Road, Edina, Minnesota 55436
Bergman Plumbing, Inc., 21181 Xeon Avenue, Jordan, Minnesota 55352
Plans Dated:
Date Received: August 26, 2004, June 17,2004
Date Reviewed: September 8, 2004
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The .
responsibility for the design of structural features and the efficiency of equipment must be taken by the project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this report.
Special care should be taken to insure that the material and installation of the plumbing system are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should
be retained at the project location for future reference,
A set of the identified plans and specifications is being returned to Ms. Nancy Pi~za. Enclosed is a copy of the
report and transmittal letter to be forwarded to the project owner.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be made for applying an air test
at the time of the roughing-in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code.
A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the
finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota
Department of Health when an installation for a state contract job, licensed facility, or project in an area where
there is no local administrative authority is ready for an inspection and test. To schedule inspections, contact the
state plumbing standards representative for your region, or call the metro office inspection hotline at 1-800-926-
6216 (7:30 a.m. to 9 a.m.), or 651/215-0836 (8 a.m. to 9 a.m.) on Monday, Wednesday or Friday.
REQUIREMENT(S):
1. Since a floor plan was not submitted we were unable to determine if any of the island vented fixtures are
located near a wall. Island sink venting is allowed only when structural conditions preclude the use of
conventional vents (see Minnesota Rules, part 4715.2650, subpart 3). In other words, if the dishwasher or
the pot sink are located near a wall, you must install a standard vertical vent pipe.
2. If your only option is to island vent these fIXtureS, then they must be constructed in accordance with
Minnesota Rules, part 4715.2655. Construction of the island vents must include:
a. Cleanouts on the vertical vent pipe at the fixtures, at the wall vent connection, and in all areas necessary
to clean and maintain the system.
c
Pomodori Italian Cafe
Plnmbing
Plan No. 044142
Page 3
September 8, 2004
2. The building is served by existing municipal sewer and water services.
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean
that recommendations or requirements for change will not be made at some later time when changed conditions,
additional information, or advanced knowledge make improvements necessary.
Approved:
~~
Corey A. Frain
Public Health Engineer
Environmental Health Services Section
P.O. Box 64975
S1. Paul, Minnesota 55164-0975
6511215-0844
CAF:sas
cc: Project Owner
Ms. Nancy Piazza
Bergman Plnmbing, mc. /
Mr. Robert Hutchins, Plnmbing mspector
EHS
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June 3D, 2004
Ms. Nancy Piazza
5012 Valley View Road
Edina, Minnesota 55436
Dear Ms. Piazza:
Subject: Food and Beverage Equipment at Pomodori Italian Cafe, Prior Lake,
Scott County, Minnesota, Plan No. 044142
We are enclosing a copy of our report covering an examination of plans and
specifications on the above-designated project. The plans and specifications
appear to be in general compliance with the standards of this department.
Please see the enclosed report for additional changes and/or comments. Also
enclosed is a copy of the report and transmittal letter to be forwarded to the
project owner. It is the project owner's responsibility to retain the plans
at the project location.
This review does not pertain to the Engineering design (i.e., plumbing,
swimming pools, service connections, sewage systems). A separate report
regarding the Engineering Review will be sent.
Ten working days prior to completion of the project, please contact
Mr. Steven Diaz with our Metro district office at 651/643-2167
in order to arrange for a final on-site inspection.
If you have any questions in regard to the information contained in this
report, please contact me at 651/215-0862.
Sincerely,
~~
Steve Craig U
Public Health Sani\arian
Environmental Healt~,Services
P.O. Box 64975,
St. Paul. Minnesota 55164-0975
SJC:jlr
Enclosure
cc: Mr. Al Frechette. Zoning Administrator
Mr. Robert Hutchins, Plumbing Inspector
Mr. Steven Diaz, Minnesota Department of Health
Generallnformation: (651) 215-5800 · TDD/TYY: (651) 215-8980 · Minnesota Relay Service: (800) 627-3529 · www.health.state.mn.us
For directions to any of the MDH locations, call (651) 215-5800 · An equal opportunity employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on food and beverage equipment: Pomodori Italian Cafe.
Plan No. 044142
Location: 15750 Highway 13 South. Prior Lake. Scott County. Minnesota
Date Examined: June 30. 2004
Date Received: June 17. 2004
Submitted by: Ms. Nancy Piazza. 5012 Valley View Road. Edina. Minnesota 55436
Ownership:
The following are corrections or requests for additional information necessary
before construction of your project:
1. Food and Beverage service equipment must meet the applicable
standards of NSF International. Evaluation to these standards
by ETL and UL are also approved. The proper sticker must be
displayed.
2. Primary food preparation surfaces (tables/counters) must be of
stainless steel construction in compliance with Standard No.
2 of NSF International.
Cabinetry.within the food service area:
a. All counters shall be on 6-inch stainless steel legs meeting
NSF standards, or on a solid masonry base.
3. Provide and adequate amount of storage space for supplies
necessary for operation. Provide approved shelving, a minimum
of six inches above the floor.
a. shelving must be NSF approved.
4. Provide an NSF approved ventilation hood over cooking
equipment which will capture and eliminate moisture,
vapors, smoke, fumes and grease laden vapors.
Also, the requirements of the Minnesota Uniform Mechanical
Code (section 2000) covering commercial kitchen ventilation
systems must also be met.
Ventilation hoods must overhang the cooking line by at least
six inches on both ends.
Po. performance tes.t may be required by the building official to verify
proper operation
Provide sufficient lighting of 50 foot candles at a minimum inside
exhaust hood.
Pomodori Italian Cafe
Food and Beverage Equipment
Plan No. 044142
-2-
June 30. 2004
5. Used hoods must be sized for correct performance with the
intended cooking equipment, including matched with proper make-
up air.
6.
Provide adequate facilities
of washed utensils and
dishmachine.
to air dry a minimum of three racks
equipment from the hot water
7. Provide adequate facilities to air dry a minimum of five racks
of washed utensils and equipment from the chemical dishmachine.
8. The dishwashing sinks must be reserved for this use. Provide
a separate food prep sink for food products that are washed or
thawed.
9. Floors in kitchens; bar; other rooms where food is stored,
prepared or washed; dressing or locker rooms and toilet rooms
shall be smooth, nonabsorbent and easy to clean, and durable.
a. Approved floors include commercial grade quarry tile,
l/S-inch vinyl tile, ceramic tile, terrazzo and an epoxy
resin surface with a 5 mil application installed on a
smooth concrete surface.
b. A 4-inch coved base integral with the flooring installed
at the floor/wall juncture.
10. Wall surfaces in food preparation, dishwashing and storage
areas shall be smooth, light colored, easily cleanable and
nonabsorbent to the highest level of splash or spray.
a. Sheetrock with an enamel paint finish meets the minimum
standards for nonsplash and dry storage areas.
b. Wall surfaces in splash zones or high moisture areas such
as dishwashing, hand and janitorial sink areas, etc., must
be finished with durable, nonabsorbent materials such as:
1) a fiber glass reinforced paneling (FRP) , or
:2) ceramic tile.
c. Stainless steel or equivalent materials should be installed
behind the cooking line.
11. Ceilings in food preparation, dishwashing, food storage areas,
and bar areas shall be smooth, nonabsorbent, light colored,
easily cleanable, and must not be perforated, fissured or
textured.
Pomodori Italian Cafe
Food and Beverage Equipment
Plan No. 044142
-3-
June 30. 2004
12. Provide utility sink or curbed cleaning facility with a floor
drain for cleaning mops and for the disposal of mop water or
similar liquid wastes.
13. A separate on-site inspection will be conducted by the state
plumbing inspector to determine compliance with the Minnesota
Plumbing Code.
14. All hot water generating equipment (water heaters) must comply
with Standard No. 5 of NSF International, and be of adequate
capacity to meet the anticipated demand of the establishment.
15. Provide a handsink convenient to all prep and dishwash areas.
16. Provide additional information on the equipment and procedures
in the bar area.
Approved:
Steve Craig
Public Health Sanitarian
Environmental Health Services
P.O. Box 64975
St. Paul. Minnesota 55164-0975
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
June 8, 2004
Ms. Nancy Piazza
5012 Valley View Road
Edina, MN 55436
RE: Pomodori Italian Cafe, Inc.
Following are the results of the preliminary Site plan review for the Pomodori Italian
Cafe, Inc. Our review was based on the Minnesota State Building Code (MSBC) which
adopted with amendments the 2000 International Building Code (IBC) with handicap
regulations of the Minnesota Accessibility Code Chapter 1341. Also requirements of the
Minnesota State Fire Code (MSFC) which adopted with amendments the 2000
International Fire Code (IFC).
1. Submit signed HV AC, plumbing and kitchen hood fire suppression plans. May be
submitted at a later date. Separate mechanical, plumbing, and kitchen hood fire
suppression permits are required. An Electrical pennit is required from the Minnesota
State Board of Electricity.
2. Plumbing Plans must be approved by the Minnesota Department of Health. MSBC
4715.3130
3. The kitchen must be approved and inspected by the Minnesota Department of Health
before occupancy.
4. Provide 1 hour rated range hood exhaust duct enclosure. UMC 2002, subp.2 (d)
5. Range hood fire protection system shall be listed for the intended use. IFC 904.11
6. Portable fire extinguisher with a minimum rating of 40-B shall be installed within 30
feet of the cooking equipment. IFC 906.1
7. Provide fire extinguishers minimum 2A rated. IFC 906.1.
8. If desired, install Fire Department lock box. This provides a key to be available to the
Fire Department for their access to the building and prevents forced entry. An
application for a City authorized lock box is received at time of building permit from
this department.
9. Provide a Handicap (HDCP) accessible route to a HDCP accessible toilet facility. The
accessible route to the primary functions area shall include toilet facilities or drinking
fountains serving the area of primary function. Exceptions: 1. The costs of providing
the accessible route need not exceed 20 percent of the costs of the alterations affecting
the area of primary function. MSBC 1341.0411, Subpart 2. In other words, if the
alterations that will be done on the building is at a cost, 20 percent of that cost shall be
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
applied towards upgrading the toilet facilitates. It does not appear that a large amoWlt
of moneys will be needed to upgrade the building. Some of the 20 percent of the
moneys could be used for such items as grab bars, HDCP toilet, HDCP lavatory with a
lever handle, and or a 5 foot turning radius in the toilet room.
Call if there are any questions at 952-447-9851.
Sinceij I I j}
ROJ;-~t::!/r:sj
Building Official
.
White - Building
Canary - Engineering
Pink - Planning
:.~.
. .~^:rhf ('"nln of lhl!' I.."" ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/( /l1c.K: 6, LA
.
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The Building, Engineering, and Planning Departments have reviewed the building 'Permit
application for construction activity which is proposed at:
IS75{) 1-I/(jHIV/JY /3
Accepted
v/
Accepted With Corrections
,
,
Denied
,
Reviewed By; r t2.~
Comments:
Date:
&;/it IN.j
, I
~~~. JJ('}('k"'~'-'~lbJU'
;i!t.
"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,fiButhority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
l-",
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White - Building
Canary - Engineering
Pink - Planning
Thf ("..oe... of Ih.. L.kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KAJeK6LA
.
& . 7. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15756 1f/(jHfl//JY /3
Accepted Accepted With Corrections t../'
----
Denied
Date:
Reviewed By:
Comments:
~<\5-
~
"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,"
_l
3M
c Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Fire Protection System
(
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Product Data and Installation Instructions
.'
1ft ~.JtI.
O'tA"I'Ol'
ES1161
. ~~!,~"~6
~ 1996 Ed~ion
CompliBnce
Report 2132
Complies with Complies with
International Standard
Mechanical COde Mechanical Code
- ----- - ------
1. Product Description
3MTM Fire Barrier Duct Wrap 15A is a fire resistant
wrap consisting of a patented inorganic blanket
encapsulated with a scrim-reinforced foil. It is used to
fire rate commercial kitchen grease ducts and is a
proven alternative to 1 or 2 hour fire resistant rated
shaft enclosures. This non-asbestos wrap contains a
safer fiber construction' and installs easily because of
its high flexibility and strength. 3M Fire Barrier Duct
Wrap 15A is the thinnest standard, single layer fire
resistant wrap that has passed the UL 1978 test which
simulates a grease duct fire. With its excellent
insulating capabilities, it is an ideal choice for tight
spaces because it protects combustible constructions
at zero clearance to the overlap or collar. 3M Fire
Barrier 1000 N/S, 1003 S/L and 2000+ Silicone
Sealants used in combination 3M Fire Barrier Duct
Wrap 15A provide an effective firestop when the duct
penetrates fire rated walls and floors.
Features
. Thinnest, standard one layer wrap for grease ducts
rated as a shaft alternative per UL 1978
. Zero clearance to the overlap or collar for
congested spaces
. High flexibility for installation ease
. Foil encapsulated with unique center overlap seam
for blanket protection, less dust, and high wrap
strength
. Safer fiber construction'
*Has been demonstrated to be soluble in the lungs according to
EU guidelines 67/548/EWG, Note Q for bio persistence.
2. Applications
3M Fire Barrier Duct Wrap 15A is an ideal fire
resistive enclosure for commercial kitchen grease
ducts. It is a proven performance alternative to a
1 or 2 hour fire resistant rated shaft enclosures and
provides zero clearance to combustible construction
at overlap or collar. 3M Fire Barrier 1000 N/S, 1003
S/L or 2000+ Silicone Sealant is used in combination
with 3M Fire Barrier Duct Wrap 15A to firestop the
duct when the duct penetrates fire rated floors and
walls.
3. Availability
Product Unit Size Units/ Wt.!
ctn. ctn.
3M Fire Barrier Roll 1.5 in.x 24 in. x 20 ft~\ 1 531bs.
Duct Wrao 15A 38mmx60,9cmx609cm 24 ko
3M Fire Barrier Roll 1.5 in. x 48 in. x 20 ft. 1 1061bs.
Duct Wran 15A 38mmx121 em x 609 cml 48 ko
4. Typical Physical Properties
Blanket Color: gray/green
Weight: 1.38Ibs./sq. ft. (6.73 kg/sq. m)
Page 2
5. Performance
3M Fire Barrier Duct Wrap 15A has been tested in
accordance with the following:
ASTM C 411
ASTM C 51
ASTM E 84
ASTM E 119
ASTM E 136
ASTM E 814
UL 1978 (Sections 12 & 13)
o
Surface Burning Characteristics (ASTM E 84)
Foil Encapsulated Blanket:
Flame Spread: 0
Smoke Developed: 0
Blanket:
Flame Spread: 0
Smoke Developed: 0
Thermal Conductivity
Temperature OF (OC)
500 (260)
1000 (537)
1500 (815)
1800 (982)
btu'inJ(hr.oft'oF)
0.417
0.922
1.69
2.27
For technical data and properties of 3M Fire Barrier
1000 N/S, 1003 S/L and 2000+ Silicone Sealants see
separate product data sheets available from your 3M
representative
G
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rease uct IStln!lS
Fire Enclosure System Omega Point Lab. Design Nos.
Resistive Duct System Through.
Raling Penetration
System
1 or 2 hours 1 layer of 3M Fire Barrier GO 532 F FS 557 W
Duct Wrap 15A, 3 in. GO 53B F FS 55B F
(76 mm) perimeter and FS 559 W
longitudinal overlaps FS 560 F
FS 561 F
FS 562 W
FS 563 W
FS 57B F
FS 579 W
Code Compliance
3M Fire Barrier Duct Wrap 15A complies with
requirements of the following codes:
NFPA 96,1998 Edition
Standard Mechanical Code
International Mechanical Code
Standard Building Code
SBCCI Compliance Report 2132
This is only a partial list of code compliance. For the
latest code and approval information go to
www.3m.com/firestop or speak to your authorized 3M
distributor or sales representative at (800) 328-1687.
o
.
6. Installation Techniques
3M Fire Barrier Duct Wrap 15A system should be
installed in accordance with the following installation
instructions.
Note on Clearance to Combustibles:
3M Fire Barrier Duct Wrap 15A has been tested to
protect combustible constructions at zero clearance.
The zero clearance is measured from the outermost
layer of the protective wrap to the combustible item.
The outermost layer is always in the overlap or collar
section of the installation. This means that there
needs to be a minimum clearance of 3 in. (76 mm)
between the surface of the duct and the combustible
item.
.
Material and Equipment
. 3M Fire Barrier Duct Wrap 15A blanket, 1-1/2 in.
(38 mm) thick, 24 in. (60 cm) or 48 in. (121 cm)
wide, 20 ft. (609 cm) standard length. The 48 in.
(121 cm) wide blanket helps to minimize waste.
. Aluminum foil tape.
. Minimum 3/4 in. (19 mm) wide filament tape.
. Carbon steel or stainless steel banding material,
minimum 1/2 in. (12,7 mm) wide, minimum 0.015 in.
(0,38 mm) thick, with steel banding clips.
. Hand banding tensioner, crimping tool, and banding
cutter.
. Minimum 12 gauge copper-coated steel insulation
pins; galvanized steel speed clips, minimum
1-1/2 in. (38 mm) square or 1-1/2 in. (38 mm) dia.
round, or equivalent sized insulated cup-head pins;
capacitor discharge stud gun.
. Access door hardware: four galvanized steel thread
rods, 1/4 in. (6 mm) diameter by 4-1/2 in. to 5 in.
long (114 mm to 127 mm) with 1/4 in. (6 mm) wing
nuts and 1/4 in. (6 mm) washers: 4 in. (102 mm)
long steel hollow tubing to fit threaded rods.
. Minimum 4.0 lb. (1,8 kg) density mineral wooi or
scrap pieces of 3M Fire Barrier Duct Wrap 15A
blanket
. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+
Silicone Sealant.
Storage
The 3M Fire Barrier Duct Wrap 15A and 3M Fire
Barrier 1000 N/S, 1003 S/L and 2000+ Silicone
Sealants must be stored in a dry warehouse
environment. Pallets should not be stacked.
.
Preparatory Work: 3M Fire Barrier Duct Wrap 15A is
installed with common tools, such as knives, banders
and capacitor discharge guns for applying insulation
pins. In order to install the duct firestop system, the
surfaces of all the openings and penetrating items
need to be clean, dry, frost free and free of dust.
J
Method: To minimize waste, 3M Fire Barrier Duct
Wrap 15A material should be rolled out tautly before
measuring. General instructions for installing the 3M
Fire Barrier Duct Wrap 15A include a one-layer wrap
construction applied directly to the'duct. The 3M Fire
Barrier Duct Wrap 15A blanket is wrapped around the
perimeter of the duct and is cut to a length to overlap
itself not less than 3 in. (76 mm). The overlap made
by adjacent blankets forms the "longitudinal" overlap.
Aluminum foil tape is used to seal all cut edges of the
blanket and any tears in the foil scrim.
There are three (3) approved installation
techniques for installing the 3M Fire Barrier Duct
Wrap 15A (See Figures 1A-1D and Figures 2A-2D):
.-
1. Telescoping 3 in. (76 mm) Overlap Wrap
With the telescoping overlap wrap method, each
blanket overlaps one adjacent blanket, and each
blanket has one edge exposed and one edge covered
by the next blanket as shown in Figure 1 A and 1 B.
The visible edges of the perimeter overlaps all point in
the same direction.
2. Checkerboard 3 in. (76 mm) Overlap Wrap
With the 3 in. (76 mm) checkerboard overlap wrap
method, blankets with both edges exposed alternate
with blankets with covered edges, as shown in Figure
1 C. The visible edges of the perimeter overlaps
alternate their directions and appear on every other
blanket.
3. Butt Joint With Collar
With the butt joint and collar method, adjacent
blankets are butted tightly together and 6 in. (152 mm)
wide collar of 3M Fire Barrier Duct Wrap is centered
over the joint, overlapping each blanket by
3 in. (76 mm) minimum as shown in Figure 1 D.
In all three overlap techniques the perimeter overlap
can occur at any location on the duct.
The blanket is mechanically attached to the duct by
steel banding or by welded insulation pins and clips
for all three installation methods listed above.
For Banding Only (See Figures 1 A to 1 D)
Filament tape can be used to temporarily hoid the
blanket in place until the banding is applied. The steel
banding is applied around the duct 1-1/2 in. (38 mm)
from each edge of the blanket, and maximum
10-1/2 in. (26,7 cm) centers. The banding is placed
around the material and tightened so as to sufficiently
hold the 3M Fire Barrier Duct Wrap 15A in place
against the duct, compressing the foil but not cutting
the foil.
Page 3
~
-----=- -----
Additional Pinning to Prevent Sagging of the Wrap:
For Ducts 24 in. (60 cm) and larger in width,
additional pins are needed to support the blanket on
the bottom horizontal su rlace and on the outside face
of a vertical duct run. Space pins a maximum of
10-1/2 in. (26,7 cm) apart in the direction of the
blanket width, and a maximum of 12 in. (30 cm) apart
in the direction of the blanket length. Refer to
paragraph below for more information on Mechanical
Fastening with Pins.
For Mechanical Fastening with Pins Only
(See Figure 2A to 20)
Insulation pins are welded to the duct in the centers
of the overlaps a minimum of 1-1/2 in. (38 mm) from
each edge of the blanket, and spaced a maximum of
10-1/2 in. (26,7 cm) on center along perimeter
overlap, and a maximum of 10-1/2 in. (26,7 mm) on
center along longitudinal overlaps. The bianket is
impaled over the pins and held in place by galvanized
speed clips. Insulation pins that extend beyond the
blanket wrap shall be turned down to eliminate sharp
points. Insulated cup-head pins can be used at the
same spacing requirements of the insulation pins.
NOTE: Support hangar systems do not need to be
wrapped provided the hangar rods are at least a
minimum of 3/8 in. (9,53 mm) diameter and spaced a
maximum of 60 in. (152 cm) on center along the
length of the duct. Use a minimum 2 in. x 2 in. x
1/4 in. (50 mm x 50 mm x 6,35 mm) steel angle steel
support channel or SMACNA equivalent support
system.
Access Door Installation (See Figure 3)
Four galvanized steel threaded rods, 1/4 in. diameter
(6,35 mm) by 4-1/2 in. to 5 in. long (114 mm to
127 mm) are welded to the duct at the corners of the
door opening. Four steel tubes, each 3 in. (76 mm)
long, are placed over the rods to act as protection for
the 3M Fire Barrier Duct Wrap 15A when fastening
the door. Four insulation pins are welded to the door
panel for installation of the blanket. One layer of 3M
Fire Barrier Duct Wrap 15A is cut approximately the
same size as the access panel and impaled over the
insulation pins on the panel. It is essential that this
layer fit tightly against the wrap surrounding the
access door opening with no through openings. A
second layer of 3M Fire Barrier Duct Wrap 15A is cut
so as to overlap the first layer by a minimum of 1 in.
(25,4 mm). The second layer is impaled over the pins
and both layers are locked in place with galvanized
speed clips. Pins that extend beyond the outer layer
of 3M Fire Barrier Duct Wrap 15A shall be turned
down to avoid sharp points on the door.
Page 4
The insulated door panel is placed over the threaded
rods and held in place with washers and wing nuts.
The details are shown in Figure 3.
Penetrations (See Figures 4A to 40)
When the duct penetrates a fire rated wall, ceiling or
floor, an approved firestop system must be employed.
Figures 4A to 4D illustrate typical conditions.
o
c
To lirestop the wrapped duct, follow the installation
parameters detailed in the following Omega Point
Laboratories, Inc. systems:
FS 557 W, FS 558 F, FS 559 W, FS 560 F, FS 561 F,
FS 562 W, FS 563 W.
.'
Other Applications
Refer to Figures 5, 6, 7, 8 and 9 for additionaltypicai
conditions.
7. Maintenance
No maintenance is required when installed in accor-
dance with the 3M Installation Instructions. Once
installed, if any section of the 3M Fire Barrier Duct
Wrap 15A is damaged so that the blanket is dam-
aged, the following procedures will apply:
. The damaged section should be removed by cutting
the steel banding or removing the clips holding it in
place.
. A new section of the same dimension should be cut
from a roll of 3M Fire Barrier Duct Wrap 15A, either
24 in. (60,9 cm) or 48 in. (121 cm) wide.
. The new section should be placed and litted
ensuring the same overlap that existed previously.
. The steel banding should be placed around the
material and tensioned so as to sufficiently hold the
3M Fire Barrier Duct Wrap 15A in place.
. If the blanket has not been damaged but the foil
has ripped, seal the rips with aluminum foil tape.
.
8. Purchase Information
3M Fire Barrier products are available through a
network of nationwide distributors. For information on
where to buy, go to www.3m.com/lirestop.
9. Safe Handling Information
Consult Material Safety Data Sheet prior to
handling and disposing of 3M Fire Barrier Duct
Wrap 15A.
o
.
.
Figure 1 A
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles
Telescoping Wrap Technique With Banding For Ducts 24 inches (60,9 cm) or Less
"
1,11......>
(,s
1.
2.
3.
4.
leal
"
I'll """l
(,s
.,
Page 5
Figure 1 B Telescoping Overlap Wrap Option
Cross Sectional View
3" (76 mm)
1-1/2" (38 mm)
3" (76 mm)
1-1/2" (38 mm)
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I.
21" (53,3 em) Typ.
~I
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Figure 1 C Checkerboard Overlap Wrap Option
Cross Sectional View
3" (76 mm)
1-1/2" (38 mm)
3" (76 mm)
1-1/2" (38 mm)
21" (53.3 em) Typ.
~I
. ,
Figure 1 D Butt Joint With Collar Option
Cross Sectional View
6" (152 mm)
3" (76 mm)
1-1/2" (38
1-1/2" (38 mm)
1. One Layer 3M Fire Barrier Duct Wrap 15A
2. Steel Banding 1/2 in. (13 mm) Wide Min. Typical
3. 3 in. (76 mm) Min. Longitudinal Overlap
4. 3 in. (76 mm) Min. Perimeter Overlap
5. 6 in. (152 mm) Wide Collar Made From 3M Fire Barrier Duct Wrap 15A
Alternate Collar: Prefabricated 3M Fire Barrier 20A Collar
6. Firmly Butted Joint
System integrity is limited by quality of installation.
Page 6
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.
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1
Figure 2A
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles
Telescoping Wrap Technique With Weld Pins Only
.'
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@
@
@
@
@
@
l'
"drl'rI'J
(38
,
t,t~rI'
(38
l'
l,drl'rI'
(38
1. One Layer ~M Fire Barrier Duct Wrap 15A
2. 1-1/2 in. Square (38 mm) or 1-1/2 Dia. (38 mm) Galvanized Speed Clips
3. 3 in. (76 mm) Min. Longitudinal Overlap
4. 3 in. (76 mm) Min. Perimeter Overlap
System integrity is limited by quality of installation.
Page 7
Figure 2B Telescoping Overlap Wrap Option
Cross Sectional View
3" (76 mm)
1-1/2" (38 mm)
I~
21" (53,3 em) Typ.
.1
Figure 2C Checkerboard Overlap Wrap Option
Cross Sectional View
3" (76 mm)
1-1/2" (38 mm)
~I
21" (53,3 em) Typ.
Figure 20 Butt Joint With Collar Option
Cross Sectional View
6" (152 mm)
3" (76
1-1/2" (38
3" (76 mm)
1-1/2" (38 mm)
3" (76 mm)
1-1/2" (38 mm)
1-1/2" (38 mm)
1. One Layer 3M Fire Barrier Duct Wrap 15A
2. 1-1/2 in. Sauare (38 mm) or 1-1/2 Dia. (38 mm) Galvanized Speed Clips
3. 3 in. (76 mm) Min. Lonaitudinal Overlap
4. 3 in. (76 mm) Min. Perimeter Overlap
5. 6 in. (152 mm) Wide Collar Made From 3M Fire Barrier Duct Wrap 15A
Alternate Collar: Prefabricated 3M Fire Barrier 20A Collar
6. Firmly Butted Joint
System integrity is limited by quality of installation.
Page 8
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.
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Figure 3
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Access Door System
.-
~o ~f
f~
~f
1. Access Hole
2. 1/4 in. (6 mm) Dia. All Threaded Rods
3. Access Cover - 16 Gauge
4. Insulation Pins - Welded
5. First Laver 3M Fire Barrier Duct Wrap 15A Cut Same Size As Cover
6. Second Layer 3M Fire Barrier Duct Wrap 15A with 1 in. (25mm) Overlap On All Sides
7. Speed Clips
8. Aluminum Tape Coverina All Exposed Edges
9. Spool Pieces For Threaded Rods
10. 1/4 in. (6mm) Diameter Wing Nuts
System integrity is limited by quality of installation.
Page 9
-------
- -
Figure 4A
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Through Penetration Systems
4-1/2 inch (11,4 cm) Concrete Floor or Wall
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3" (76 mm)
. ~~ :-
--
'.' --
~., ::::::
--
--
-
--
--
--
--
--
--
.:.,
:'a, .:......
.,
. '.' ~~.
'4' .~
.,.....
. '"...;..,
3C
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(76 mm)
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1. Floor/Ceilin or Wall Assembl
2. Duct
3A. One La er 3M Fire Barrier Duct Wra 15A
3B Bandin or Pinnin
3C. Packin Material
3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant
For Wall Assembl Appl Sealant To Both Sides of Wall
System integrity is limited by quality of installation.
Page 10
Omega Point Laboratories, Inc.
Through Penetration Systems
FS 560 F
FS 562 W
FS 578 F
FS 579 W
0<
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1
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Figure 4B
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Through Penetration Systems
Fire-Rated Gypsum Wallboard
U
3" (76 mm)
.'
U
3" (76 mm)
1A. Studs
1B. Gypsum Wallboard
2. Duct
3A. One Layer 3M Fire Barrier Duct Wrap 15A
3B. Bandino or Pinnino
3C. Packino Material
3D. 3M Fire Barrier 1000 N/S or 2000+ Silicone Sealant
System integrity is limited by quality of installation.
Omega Point Laboratories, Inc.
Through Penetration Systems
FS 557 W
FS 559 W
Page 11
Figure 4C
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Through Penetration Systems
4-1/2 inch (11,4 cm) Concrete Floor or Wall
=r
3" (76 mm)
....
"
. ... .... ".. "t>"
.'
.4',.." .......
..' :.<t.
. .~ .
:=::::::::J
----l
:::::=:::J
- --l
;....:.
.---
l-__
1----
.---
l-__
1----
-
.", ."
. ~. .
.:.....,
=r
(76 mm)
1. Floor/Ceiling or Wall Assembly
2. Duct
3A. One Layer 3M Fire Barrier Duct Wrap 15A - Terminated on Each
Side of Floor or Wall Penetration.
3B Banding or Pinning
3C. Packing Material
3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant
For Wall Assembly Apply Sealant To Both Sides of Wall
System integrity is limited by quality of installation.
Page 12
Omega Point Laboratories, Inc.
Through Penetration Systems
FS 561 F
FS 563 W
FS 578 F
FS 579 W
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Figure 40
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 Hour Through Penetration Systems
Fire-Rated WooclJGypsum - Floor/Ceiling Assembly
.,
=r
3" (76 mm)
..........
..........
.......-
(76 mm)
1, Fire-rated Floor/CeiUn Assembly
2. Duct
3A. One La er 3M Fire Barrier Duct Wra 15A
3B Bandin or Pinnin
3C. Packin Material
3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant
System integrity is limited by quality of installation.
Omega Point Laboratories, Inc.
Through Penetration Systems
FS 558 F
Page 13
Figure 5
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
Suggested 1 or 2 Hour Three Sided Wrap
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3" (76 mm)
.'
,d
LI
LI
<J
LI
LI<J
,d
,d
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1. Concrete Slab
2. One Layer 3M Fire Barrier Duct Wrap 15A
3. Concrete Fasteners - Minimum 1/4 in. (6 mm) Dia. Steel Concrete Anchors
4. 1/8 in. (3mm) Thick x 2 in.-3in. (50mm - 76mm) Wide Bar Stock Perforated 12 in. (30 cm) O.C.
5. Duct
6. BandinQ
7. Banding Clips
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System integrity is limited by quality of installation.
Page'4
(0
Figure 6
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
Suggested 1 or 2 Two Hour Two Sided Wrap
3" (76 mm)
LId
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Ll
Ll
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.' 0 Ll<J VI
.
.
,.......,
-....j
0)
Ll 3
3
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1. Concrete Slab
2. One Layer 3M Fire Barrier Duct Wrap 15A
3. Concrete Fasteners - Minimum 1/4 in. (6 mm) Dia. Steel Concrete Anchors
4. 1/8 in. (3 mm) Thick x 2 in.-3 in. (50 mm - 76 mm) Wide Bar Stock Perforated 12 in. (30 em) O.C,
5. Duct
6. BandinQ
7. BandinQ Clips
System integrity is limited by quality of installation.
Page 15
-
Figure 7
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles
Suggested Exhaust Hood
2
1. Hood
2. One Layer 3M Fire Barrier Duct Wrap 15A
3. 3 in. (76 mm) Minimum Overlap
4. Banding
System integrity is limited by quality of installation.
Page 16
(,)
.-
o
:.)
.
c
~
,..-...,
E
E
N
L()
..-
.........
~
(!)
Figure 8
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles
Suggested Roof Vent
1.
2.
3.
4.
5.
6.
I
.-
Page 17
I
Figure 9
3M Fire Barrier Duct Wrap 15A
Commercial Kitchen Grease Duct Systems
1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles
Suggested Vertical Support
o
.'
3" (76 mm)
MIN. TYP.
<3.
21 " <3
"
<1 "
<3
" " <3. 0
"
<3
1. One Layer 3M Fire Barrier Duct Wrap 15A
2. One Layer 3M Fire Barrier Duct Wrap 15A Overlapped At Base
3. Mechanical Fasteners and Washers
4. Duct
5. Rated Floor/Ceiling
6. Firestopping System
7. Banding
8. Support Channel
~
System integrity is limited by quality of installation.
Page 18
Warranty and Limited Remedv. This product will be free from defects in material and manufacture for a period
of ninety (90) days from date of purchase. 3M MAKES NO OTHER WARRANTIES INCLUDING, BUT NOT
LIMITED TO, ANY IMPLIED WARRANTY OR MERCHANTIBILlTY OR FITNESS FOR A PARTICULAR
PURPOSE. User is responsible for determining whether the 3M product is fit for a particular purpose and
suitable for user's method of application. II this 3M product is proved to be defective within the warranty period
stated above, your exclusive remedy and 3M's sole obligation shall be, at 3M's option, to replace or repair the
3M product or refund the purchase price of the product.
Limitation of Liability. Except where"prohlbited by law, 3M will not be liable for any loss or damages
arising from the use of this 3M product, whether direct, indirect, special, incidental or consequential,
regardless of the legal theory asserted, including warranty, contract, negligence or strict liability.
--
311II
Consumer Safety and Light Management Department
3M Center 223-2N-21
St. Paul, MN 55144-1000
(800) 328-1687
Printed in U.S.A.
MCS 207990
@3M 2002 98-0400-5054-8 (Jan. 2002)
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.
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~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 04, 0 5 (p 0 DATE ISSUED (". '1.04-
CONTRACTOR PlrlZ;.::crJ, N/7N~ PHONE qu. 08(,9
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/5750 II/GI-/WA ~ /3
//~ A/"z cJH71N66 I/V' {1st;
, ,
~ ~~~ ~
~rIor to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
---- - - .dina)
-- --
BUILDING
ELECTRICAL
PLUMBING .
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
IlA TE TIllE
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS /')7~ ~~
OWNER CONTR.
PHONE NO. PERMIT NO. q.CJ~
[] FOOTING [] PLUMBING RI [] EXlGRADlFIWNG
[] FOUNDATION [] MECH Rl [] COMPLAINT
o FRAMING o WATER HOOKUP [] FIREPLACE RI
~ULATlON [] SEWER HOOKUP [] FIREPLACE FINAL
FINAL [] PLUMBING FINAL [] GASUNE AIR TST
[] SITE INSPECTION [] MECH FINAL []
COMMENTS:
~~
/'
~ ~RKSATlSFACTORY,PROCEED
[] CORRECT ION AND PROCEED
[] CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspector.
OwnerlContr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL77f & SAFETY!
,-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I 51,.; 0 Ijlo,)~ I ~
DATE TIME
7~l'l-o.p
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1I"FINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<.J - tJS{,O
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~.. ~:l(~ b M"b..,~ air do ~\'u,.p ,.,.-t-
~::i~~{~1~~~~: ;'~f:;-~~.
~. 0.....1' l:L-..-D ~l
~~. \Vl ~ ~I/
l-o
o~
n C'r 1Jr'!
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( COR , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15750
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
ftULATION
SITE 'I;SPECTlON
DATE TillE
SCHEDULED Cf ~
Hl.u '"J f3
CONTR.
PERMIT NO.
4 -D S-C.o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
c! -. . "IIBIII~NAL
MECH FINAC
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE ANAL
o GASLINE AIR TST
o
~MENTS: .
i-tJI/,'rl. 6a,O...-""t ~rP
~~<> tf;..,4 \tuo.li'.. ~,. M61Q.. U~ QiY I ,,~;k
~.W(). :1.\~..l.c..:t(,.....;1"1r~+ ~1A<,(,.dl;~ kow
~ t4tuO '<l""'(ll.d"'~ )1A..{..1J....J a::...d r,.~
~t-P 11A~,
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Yl...D,." .~>
~
J:itt~~l.~~~~~~~~
o WORKSATISF. 0 V,PROCEED '" ile.l.I.3 p.u-.+--
o CORRECT
~ORRECT
Inspector.
CALL
NO PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr. ~dJ, L,.....~
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1~'7~D
OWNER
PHONE NO.
a FOOTING
a FOUNDATION
D FRAMING
D INSULATION
o FINAL
)(SITE INSPECTION
COMMENTS:
a PLUMBING RI
a MECH RI
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
D EXIGRADlFILLlNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, '^'-"I.. r~ ~~~
/~. '"'.....h.....I OV\ ~l~'" ,J.. ~
, '-"'Y. L~v~~ '^-........\.u 011\ ~~ ~ bll.\c_ ~r-c::
5. ~'" ~aK :lA \-..,\-.l- ~,,_
~~i:~A~...~r~.ft.\- ~ ~_ ~._~
~,~
o WORK SATISFACTORY. PROCEED c:r.n.-C{'l1- ~85~
a CORRECT ION AND PROCEED
X COR CALL FOR REINSPECTION BEFORE COVERING
Ins OWner/Contr:
Si~.
~ !OO-S'f('-
AlU
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~C::;-6
OWNER
b\u'j
CONTR.
\s
PHONE NO.
q- os(pD
PERMIT NO.
~~BING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o J:lIIEPLACE FINAL
,.e"'""GASLINE R TST
o
D.... eJ(J;
I
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~ tJ+-- d-~I!."k
'3,.......fl.D^ ~ t"y;' (J rs
LJM_tJrv V1J~
4. Q~ In-.""", ;1-1 ~JA~h_
o WORK SATISFACTORY, PROCEED
o CORRECT ACTI AND PROCEED
~ CORREC . CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CAL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
UiSNOTI
---
DATE T1IIIE
CITY OF PRIOR LAKE t..-Z2.-b t
INSPECTION NOTICE SCHEDULED
ADDRESS _l'r7'5D ,Hr.u ~ {S
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING o PLUMBING RI o EXlGRADlFILLING
C FOUNDATION C MECH RI o COMPLAINT
C FRAMING C WATER HOOKUP C FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION D MECH FINAL 0
COMMENTS: N..\.... ~\,~
~:.C~o.~~;.. p.~ rn~~
3, H...~ htJ....t n..,.. '5'b:.lr" ~ ~
~e~ ~~
_Y..J~ ht~l. H~l....~ G~ h.....<:...k ~
C;. Gl,.', ~~ I:E'" J '~''''>-
~.. S~ inn - rf.. ~:- i
J. \:J.e. 0", ~..
fU....ilV\h P61WY! l~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn