HomeMy WebLinkAboutBldg Permits 05-0099 & 05-0131
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
r;~ s,~'" 1::) J~ s
I, While File
2. Pink City
3, Yellow Applicant
Date Rec' d
z.rloS-
fi&e w~()O 99
I PERMIT Nd;S,OI3I I
(Please type or pri it and sign at bottom)
ADDRESS
'-Ih 71J I+.u-!L f); La /~-f /ItX $S
ZONING (officeu,,)
~1-
LEGAL DES( :RIPTION (office use only)
. I /
LOT I BLcbcK ADDITION
PIDZ$39r 0010
OWNER r;
(Name) n rr-/L
nlco /k-f
J.kLL I-M Sv-u/ ~hOne)
I (Address)
-'
'.
~
-P J<!- LJ,' tL_ Fi iLQ
~
Y bJ" f..Lr-.,
Pro +-e.L_.fi 0/\
(Phone)
(Phone)
qSJ- ~ S-ql-- 9{).<j{J
I
, J
-~s.
/11.->f-kfi
ftJAJ ~~3cn-
o New Construction
DDeck
OPorch
ORe. Roofing
ORe-Siding
YMiSC
() , DLower Leve.l Finish 0 Fireplace DAddition DAlteration
Nj or"-*o d- 5' (J R..il'ltlv-PROJECT COST IV AWE (excluding land) $ ~ O. oC)
. f'...'u.....Q--O
I hereby certify tho t 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 f If the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
subm1tted plans am awar at the building offiCl can revoke thlS pemllt for JUst cause Furthermore, I hereby aglee that the c1;7 or a deSlgnee may
;terupon~i15~dedmspecn /"YI n (' /!J ??/ . I~/~
- < - ~
Signature Contractor's Liced!;e No. Date
DUtility Connection
I Permit Valuatior Sa?(Q5' I I Park Support Fee # $
I Permit Fee $ '2 s: t'XL I SAC # $
I Plan Check Fee I $ If# .2) I Water Meter Size 5/8"; 1 "; $
I State Surcharge I $ . c;V 1 Pressure Reducer $
I Penalty I $ I I City SAC and WAC # $
\ Plumbing Permi~, Fee $ I I Water Tower Fee # $
I Mechanical Peryit Fee $ I I Builder's Deposit $
\ Sewer & Water I ennit Fee $ I Other $
I Gas Fireplace Pe rmit Fe,! $ I TOTAL DUE ~~f) 1,./91.05' $ 4-1. 7 S-
/l !
Bec ',_' ~_ :;.~ding Pe Paid 4-/.75 Receipt No, -/&/30
Date 7 2- ~, ()$' BY~
,
This is to certify that he request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the C ty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Plmming Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DES CRIPTION (office use only)
I White File
Date Rec' d
I PERMIT NO. OS. 001'9 I
LOT I BLOCK I ADDITION PIC.. N1UJltc> I AvIJN
OWNER .
(Name) ,r.?~ ,..J((A:>/j$.r
(Address) /~/r Jf.~'-;..J 4-~
ZONING (office use)
(J..4-
PID 2.Z);" 39/. tXJl. 0
(Phone) 'fJZ -'79..1' ~ 7-1J1:>
, J A,ffe-o~$. ,M# Jr.J ~
~ (JAc!,!u.qu..1
~~ /.tUlcs-
BUILDER
(Company N1 ,",p\
(Contact Narr e)
;y.n-,#~ /{,q
(Address)
/~___ofl,
hi'^'
(Phone)
(Phone)
JJ71'~ L
:76 5 ~?..? "7- /, (J'
;;'/2 --?19--::i'S ~ l'
TYPE OF W1)RK. 0 New Construction DDeck o Porch ORe-Roofing
DAddition ~lteration DUtiliry Connection D Misc.
CODE: DI.R C. ~I.B.C.
Type of Consul1ction: I
Occupancy Gn lOp: A <1l) E
Division:
<ii) III IV
F H I
I 2 3
V
M
4
AciJ
R S U
5
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
'7-~()O
;
....----,
1 hereby certily thaI I have turni d for IOn on this application which is to the besl of my knowledge tme and correct I also cCltify that I am the owner or authOrized agent for the
abovc-menlloned pi ~lty a t all c struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:"'i'~ ri!',' 'Ju "" Fmth"mo". I h"'by "'" th" th, my offi,,,! 0" d,,,,nee m'y ent" "pan the pmp'ny to p,,'o,m 0:;Z';:?~_
Signature Contractor's License No I Date
Permit Valuati< n ,,/? r:J100, --'I
Permit Fee $ , /6..2, - I
Plan Check F et $ /OS: ,JO I
State Surchargt $ </.- I
Penalty $ I
Plumbing Pem it Fee $ I
Mechanical Pel mit Fee $ I
Sewer & Water Permit Fee $ 1
Gas Fireplace I ermit Fee $ I
Park Support Fee
#
#
$
$
$
$
$
$
$
$
$27/.30
Paid ,,)71..70 I Rece;ptNo. H'!.5'
Date ..) ,/ 1/.0-- By.""
.sc:!',~...A. /'erk' ~ ~~"',';-e..d
fl... p~ idr.:" j:.lu~ -.! d/!%.r;.~~.1
ThiS is to certify th4t (he request in the above application and accompanying documents is in accordance with the City Znning Ordinance and may proceed as requested. This document
when slgnrd by theiCity Planner constitutes a temporary Certificate of Zonmg compliance and allows construcllon to commence. Before occupancy, a CCl1lflCalc of Occupancy mllst be
issued
This Applicati(J 11 Becomes Your Building Pennit When Approved
~-/ / ~, "z/7P.s-
BuW6'i l!!. On1cial Date
Planning Director
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE (AtU;l) Z. 7. 05
D'te
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
r'
B~'BR
~CHI7
Architecture. Interior Design
Law! on Commons
380 St. Peter Stteet, Suite 600
Saint Paul, t 55102.1996
i 651.222.3701
fa, 651.222.8961
W' ,w.bwbr.com
December 9, 2004
Mr. ]l,lichael Gleason
Building Inspector
City of Prior Lake
16200 Eaglecreek Avenue Southeast
Prior Lake, Minnesota 55372-1714
Re: Park Nicollet Health Services
Prior Lake Clinic - Fire Shutter
BWBR Commission No. 2004.025.02
Dear Mr. Gleason,
As discussed in ow: phone conversation of December 9, 2004, we are requesting review and
approval of the following.
Park Nicollet is proposing to do a minor remodel to improve the confidentiality of the
Patient Reschedule area. In order to accomplish this, Park Nicollet is proposing the existing
fire shutter, at the Reschedule area, be disabled.
In reviewing the original building documents, dated June 6, 1997, the following is noted.
The building was classified as a Type B occupancy with a Type II-N construction type. The
building is fully sprinkled. A fire shutter and fire separation along the main corridor was
used to allow for the use of non-rated corridors as permitted by the 1994 UBe.
The current code, which is the IBC 2000, and as indicated in Tahle 1004.3.2.1, allows for a
B occupancy with a sprinkler system to have non-rated corridors. Therefore, it is
reasonable to interpret that the fire shutter is no longer required. We are, therefore,
proposing that the existing fire shutter be disabled as part of this remodeling project.
If the above meets with your approval, please sign and return a copy of this letter for our
records and distribution.
Respectfully submitted,
Accepted:
ARARJ~
~o~o,~, ,"~
Associate
CITY OF PRIOR LAKE
~~~~~O
~/p ~Q.sg----
(Typed/Printed Name and Title)
Date /.2 /,oft~
c: Harlan Nelson, PNHS
Stephen Sample, PNHS
Brian Recker, RJM
Terry Anderson, BWBR
Dave LeigWy, BWBR
r
PRIOR LAKE OEPARTMENTOF
. .. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE,~DDRESS 1t?a _ . ./k-fk.
NATU ~E OF WORK .,..
USE OF BUILDING c V
PERfil IT NO. OS.oo q DATE IS UED '
CON1RACTOR ~ ~ PHON!:UJ..?/J1-.r,J:/JI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, --r---
I
I
I I
:)LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
>oJrl;.ilt!6 /Z.f. I ~~ I ;Z/.z5;ts~
FINALS
14/;/
)
I /
3/A9t'-"/-
//~';/o~
J/~;?S
BEEN SIGNED
'h~~
BUlL ING
ELEC TRICAL
.___ J
HEATING #,??--
,?O NOT OCCUPY UNTIL ABOVE HAS
i NOTICE
Tllis card must be posted near an electrical service cabinet prior to rough-in inspections
a~d maintained until all inspections have been approved. On buildings and additions
w~ere no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~70
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
VA TE TIME
SCHEDULED ~~~
1 .
Ar/ 4/cCJ/~/ ~e
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: .
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. C~:; ~EINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
,
CALL 441-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'( SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~~?O
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
9):INAL
~ITE INSPECTION
DATE nME
SCHEDULED lf~(
~rj ~o//e14~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMw;NTS: I / / /? /" /
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOrldR REINSPECTlON BEFORE COVERING
Inspector: ./ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY/
lIaNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
%70
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
lJj,!lSULA TION
~~I~L
o SITE INSPECTION
DATE TIME
SCHEDULED f/~ (~
/2,/: A4o//~ f- /v-e-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
C! PytMBING FINAL
~ECH FINAL
COMMENTS:
?Z,.-hC9 ( ;:;:.. (/ ci{"
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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kRK SATISFACTO~~. PROCEED
. 0 CORRECT ACTION AND PROCEED
o CORRECT WORK.~ECTlON BEFORE COVERING
Inspector: ~ Owner/Conic
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS/IOTl
OATE nME
CITY OF PRIOR LAKE /_~/
INSPECTION NOTICE SCHEDULED ff~""J -
~70 4ft' #c-o/krAe,
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~CHRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
ov~ -99
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~.LINE AIR TS.T I /
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riWORKSATISFACTORY. PROCEED
~';;ORRECT ACTION AND PROCEED
o CORRECT WOR~ ~:,LJ6R REINSPECTION BEFORE COVERING
Inspector: /';tV R-- Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE
~sk-
~70 hrA /;(;O/~/ Ae
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
SCHEDULED
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
~MlNG
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o COMPLAINT
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o GAS LINE AIR TST
o
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{ L--
A!:ORK SATISFACTORY, PROCEED
CORRECT ACTION AND PRO EED
o CORRECT WORK. C L F REINSPECTION BEFORE COVERING
Inspector: /1t . /""' Owner/Contr:
CALL 447-9850 Fo';; THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSlWrl
g-
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for PlUmoing, fieBtinjJ,
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l=lecbic8I etc,
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. REF CLG DEMO PLAN KEYED NOTES
f1\ REMOVE EXISTING ACB AND PREP FOR' NEW 2X2 TILE. RETAIN EXG
'L.J 'I" GRID.
o VERIFY EXISTING ACCESS PANEL REQUIREMENTS AS REQ'D FOR
\':...I NEW CONSTRUCTION. I!Ui;sJ f/tflfU 1D Gt:..- ~,,~.
fJ\ REMOVE AND RELOCATE EXG ELEC AND MECH FIXTURES FOR
\::...J PLACEMENT IN NEW ACB CEILING.
'.
f4\ REMOVE fiNS RCL5EATC [XeJ ACCESS PANEL FOR VERTICAL
\:.J ORIENTATION IN NEW GYP BD SOFFIT. P t S f.Iv<'t h1 E f'W<'I~
f'l/l.f. SI-t>\lT"€A-- l>tn>~.
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CITY OF PRIOR LAKE
BUILDING PERMJ~"l REVIEW
INSPECTOR ~ -K;:.. ~- -
DATF e:Z/ 7 As-- PER~IT NO. (')5:0019
O' ACCEPTED AS SL:JM'ITm
~PTED WITH CORRECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
These comments are lor your information. All work shall be done
in full compliance witl> all applicable building & zoning code re-
quirements including items not specifically noted in this review.
KEEP THIS PLAN SET ON SITE AT All1'IMES.
r
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(1\ REFLECTED CEILING JjEMO PLAN
~ 1/4" = 1'4
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Sheet Title
REFLECTED CEILING DEMO PLAN
Drown
KG
Dote
JUL'31,2004
Comm. No.
2004.025.02
Sheet No.
A1
~
~
PARK NICOLLET PRIOR LAKE
FUTURE APPOINTMENTS REMODEL
Lawson Commons
380 St. Peter Street. Suite 600
sain, Pan!, MN 55102-1996
Voi"" 65t.2223701
Pox: 651=8961
~IlI'llRM:/lI'b:d!
Project
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REFLECTED CLG PLAN KEYED NOTES
S8J.nn.
r:\ HICH NRC ACOUSTICAL CEILlNC ",,"
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o GYP BD HEADER
.==
REFLECTED CEILING PLAN GEN NOTES:
1. All CEILING MOUNTED ITEMS SUCH AS LIGHT FIXTURES, GRilLES,
DIFFUSERS, SPEAKERS. EXIT LIGHTS ETC, SHALL BE lOCATED IN THE
CENTER OF ACT/ACB PANELS. GPBD SOFFITS ANDloR PlASTER SOFFIT
BAYS, UNLESS NOTED OTHERWISE.
"
Sheet Title
-
Project
EXG I _<A'~,
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REFLECTED CEILING' PLAN
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REFLECTED CEILING PLAN
PARK NICOLLET PRIOR LAKE - FUTURE APPOINTMENTS REMODEL
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Drown 1 Date
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Lawson Commons
380 St. Petct Street, Suite 600
s.JntPwI, MN 55102-1996
Voice: 651.222.3701
F.., 651=8961
CapyrighlBWfflkthile:ls
, GN-RCP
Camm. ~,' l Sheet No.
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FLOOR PLAN
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PARK NICOLLET PRIOR LAKE - FUTURE APPOINTMENTS REMODEL
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380 St Pet<< Stteet, SuiJe 600
SaintPauJ..hm 55102-1996
Voice: 651.222.3701
Par. 651222.8961
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PU106
Drown
KG
Lawson Commons
380 St. Peter Street. Suite 600
SaintPwi,MN 55102-1996
voice 6512223701
_ 651.222.8961
Ca,ayright8MIRArtNtects
Sheet No.
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